Matenda amiyendo omwe ali ndi matenda ashuga: ndi chiyani, momwe mungachitire?

Zonse Zokhudza Matenda A Mwendo wa Matenda a shuga

Si chinsinsi kuti pankhani ya matenda ashuga, chimodzi mwazidziwitso za matendawa ndicho kufalikira koyipa kwamagazi.

Dzikoli limadziwikanso chifukwa limayenda mofulumira mthupi lonse, kenako mpaka kumapeto, kutengera miyendo, ndipo limalowa nthawi yayitali kwambiri, komanso, pang'onopang'ono kwambiri.

Ndi mavuto ati omwe angakhalepo komanso ngati chithandizo chawo ndichotheka?

Choyamba, izi zimatanthauzira chimodzi mwazizindikiro za matenda ashuga.

Munthu amene ali ndi matenda ashuga amayenera kukapimidwa ndi katswiri pafupipafupi, chifukwa ngati matenda osachiritsika angayambike, atha kudwala matenda otchedwa diabetesic neuropathy.

Monga gawo la njirayi, kuwonongeka kwa mitsempha kumadziwika kuti "ndimayendedwe" amachititsa chidwi cha madera apansi.Pankhaniyi, odwala matenda ashuga amasiya kumva kutentha pogwiritsa ntchito miyendo, monga zinalili kale ndipo samamva kuwoneka mabala.

Ngati matendawa sanalandire chithandizo, atha kukhala gwero la matenda a miyendo. Kuphatikizira izi kumabweretsa phazi la matenda ashuga. Tanthauzoli limaphatikizapo zovuta zingapo zomwe mkati mwake, kwakukulu, phazi la wodwalayo limavutika.

Mu 10% ya odwala matenda ashuga, akatswiri amadziwa zomwe zimatchedwa matenda a shuga. Pafupifupi 45% yaiwo ali pachiwopsezo. Izi zikusonyeza kuti:

• kuthekera kwa kuchira kwa matenda pakadali pano ndikochepa
• mwendo ufunika kudulidwa.

Momwe mungathanirane ndi zilonda zam'mimba?

Kuwongolera wodwala pamaso pa phazi la matenda ashuga kuyenera kuchitika pambuyo pa kufunsa wodwala matenda ashuga. Ngakhale muzochitika zazing'onoting'ono kwambiri za zovuta zomwe zaperekedwa, munthu ayenera kudziwitsa katswiri. Potere, adotolo azichita chithandizo chamankhwala, chomwe chidzangokhala osati kumenyana ndi phazi, komanso matenda oopsa a shuga.

About zilonda zam'mimba za m'mimba

Nthawi zambiri, mapangidwe a zilonda zam'mimba amadziwika m'dera la miyendo, omwe ndi ovuta kuwachiritsa. Amapezeka makamaka m'chigawo cha kumunsi kwa mwendo. Ndipo amadziulula nthawi zambiri amapanga edema ndi zowawa pambuyo poti azilimbitsa thupi.

Nthawi iliyonse yamankhwala, munthu ayenera kuyang'ana kwambiri za mankhwalawa zomwe zimangopangira zilonda zokha, komanso chithandizo cha matendawa, omwe adayambitsa zilonda zam'mimba zofananira.

Ngati chithandizo chomwe mwapereka sichikubweretserani chiyembekezo chilichonse choti muchira, ndikulimbikitsidwa kuti musazengereze ndi njira yochitira opereshoni chithandizo. Izi zitha kunenedwa pamatenda onse am'miyendo omwe ali ndi matenda ashuga, omwe amayenera kuthandizidwa mpaka kumapeto.

Zomwe zimayambitsa kukokana m'mbali mwendo ziyenera kuganiziridwa kwambiri kuchuluka kwa shuga m'magazi. Chofunika kwambiri ndikuti shuga wambiri amangothamangitsa njira za okodzetsa.

Pamodzi ndi izi, ma "michere" onse othandiza amachotsedwa m'thupi, kuchepa kwake komwe kumatha kubweretsa mawonekedwe okoka.

Njira zothana ndi kupweteka kwa mwendo

Ngati khunyu likuvutika ndi matenda ashuga, ndikotheka kuyesa kuphatikiza menyu anu zinthu zomwe zimakhala ndi kuchuluka kwa magnesium komanso calcium.

Ngati mukugwiritsa ntchito zochuluka kuposa kuchuluka kwa micronutrients, ndiye kuti muyenera kuwonjezera pazosankha zomwe zili ndi vitamini D. Izi ndizofunikira chifukwa zimathandizira pakupanga kashiamu ndi magnesium wokwanira.

Ndiosafunika kudya zakudya zamkaka, chifukwa zimakhala ndi phosphorous, zomwe zimangoyambitsa mawonekedwe a kugwidwa kwa matenda a shuga a mtundu woyamba komanso wachiwiri.

Zokhudza kupweteka komanso kupewa

Pafupifupi onse odwala matenda ashuga, zopweteka zomwe zimapezeka m'malo a miyendo zimawonetsedwa nthawi zambiri. Izi zitha kuchitika kawiri, zikuwoneka ngati, milandu yosiyana:

1. mavuto atapangidwa motsutsana ndi maziko a matenda aliwonse,
2. komanso anthu omwe samakumana ndi zodandaula zilizonse zokhudzana ndi mawonekedwe a mabala, zilonda zamadzi ndi zina zonse.

Chifukwa chakuti pali matenda ashuga, miyendo imatopa nthawi zambiri mwamphamvu, chifukwa "njira" yoyenda ndi magazi imasokonekera, ndipo kuchuluka kwa kuchuluka kwa magazi m'zotengera zilizonse sikwabwino.

Njira zambiri zapangidwa zomwe zingathandize kuchotsa ululu m'munsi.
Chimodzi mwazothandiza kwambiri chitha kuonedwa ngati chithandizo cha thupi, komanso kutikita minofu kapena kudzilimbitsa.

Kuchita masewera olimbitsa thupi osavuta tsiku lililonse kwa mphindi 15 mpaka 20, wodwala matenda ashuga pakanthawi kochepa adzamva kupweteka kwamiyendo ndi kuchepetsa njira zotupa. Ndikofunikanso kuti miyendo imalandire zolimbitsa thupi moyenera.

Chifukwa chake, ndikofunikira kwambiri musanayambe chithandizo chamankhwala kuti mupite kukakambirana ndi katswiri yemwe angakuuzeni zoyenera ndikuchita.

Kodi mungapewe kudulidwa?

Iliyonse ya odwala matenda ashuga ayenera kuwunikira chitukuko cha matenda opezeka m'munsi. Izi ndichifukwa choti:

• kuvulala sikumachira kwakanthawi, ndiye kuti nthenda yayikulu ikhoza kuonekera panthaka yake.
• ngati chafika pakufalikira, ndiye kuti kupulumutsa moyo wa munthu, ndikofunikira kuti muchepetse dzanja.

Izi ndiye, zachidziwikire, zomwe sizingasinthe. Zachidziwikire, kwa aliyense wa omwe ali ndi matenda ashuga, nkhani yoti mwendo womwe wakhudzidwa uyenera kudulidwamo ikumveka ngati sentensi.

Komabe, ziyenera kudziwika kuti kuti matendawa asafike pamlingo womwe kumadulidwa miyendo mwachangu, ndikofunikira kutsatira lamulo lililonse posamalira miyendo.

Aliyense wa anthu odwala matenda ashuga ayenera kudziwitsidwa za iwo. Kuphatikiza apo, muyenera kuwunika mapangidwe a gawo lililonse la matendawa ndipo musawope kuyendera katswiri. Ngakhale zitakhala zowonera.

Mwanjira imeneyi machiritso amiyendo yamiyendo, omwe, kuphatikiza, omwe ali ndi shuga, adzakhala opambana komanso 100% othandiza..

Njira zonse zakukonzekera chithandizo chamankhwala ziyenera kukambidwa ndi katswiri wopezekapo.

Matenda amiyendo omwe ali ndi matenda ashuga - chiyani, momwe angachitire?

Ministry of Health of the Russian Federation: “Chotsani mita ndi zingwe zoyesa. Palibenso Metformin, Diabetes, Siofor, Glucophage ndi Januvius! Mgwireni ndi izi. "

Monga mukudziwa, mwa odwala matenda a shuga chimodzi mwazizindikiro za matendawa ndi kusayenda bwino kwa magazi.

Komanso, ngati magazi amayenda mowirikiza thupi lonse, ndiye miyendo, makamaka m'miyendo, imayenda kwa nthawi yayitali ndipo imazungulira pang'onopang'ono.

Kuphatikiza apo, chifukwa chakuti cholesterol plaques amawonekera pamakoma amitsempha yayikulu mwa odwala, kupezeka kwamwazi kumachepa nthawi zambiri, komwe kumalepheretsa kufalikira kwakepi lonse.

Chifukwa chake, ndikuvulala pang'ono m'miyendo, odwala matenda ashuga amatha kudwala kwambiri, zomwe zimatha kudzetsa machitidwe owopsa monga kuduladula miyendo. Pazonse, mabala ndi kuvulala kulikonse mu odwala matenda ashuga akhoza kukhala ndi zotsatira, koma makamaka, ayenera kuteteza miyendo yanu. Dotolo, akuwongolera mbiri yachipatala, ayenera kuchenjeza wodwala za zotsatira za kuwonongeka kwa miyendo.

Wodwala matenda ashuga ayenera kumuyendera pafupipafupi ndi dokotala, monga momwe alili ndi matenda osokoneza bongo omwe angayambitse matenda ena, amatha kukhala ndi matenda otchedwa diabetesic neuropathy.

Mothandizidwa ndi matendawa, mitsempha imawonongeka, yomwe imayendetsa miyendo. Pankhaniyi, wodwalayo amasiya kutentha ndi mapazi ake, samamva mabala nthawi zonse.

Ngati siyisasalidwe, itha kukhala vuto kwa miyendo.

Ngati tiona mwatsatanetsatane mndandanda wazovuta zomwe zimayambitsidwa ndi matenda osokoneza bongo, choyambirira, ndikofunikira kutchula phazi la matenda ashuga. Tanthauzoli limaphatikizapo zovuta zambiri momwe phazi la wodwala limakhudzidwira. Mu 10% ya odwala matenda a shuga, matenda amitsempha ya shuga amawonedwa.

Komanso, 45% yaiwo ali pachiwopsezo. Izi zikutanthauza kuti mwayi wochiritsa matendawa ndi wocheperako ndipo mwina, nthambiyo imadulidwanso. Kupimidwa kwa wodwala kupezeka kwa phazi la matenda ashuga kuyenera kuchitika pakulankhula kwa wodwala aliyense.

Pangokhala chisonyezo chocheperako cha vutoli, wodwalayo ayenera kudziwitsa adokotala ake omwe akupita.

Komanso, matenda oopsa m'matenda a shuga ndi gangrene. Mukukula kwa matendawa, minofu yathupi imayamba kufa, pomwe idakutidwa ndi mtundu wakuda kapena wakuda. Mtundu wakuda, umapereka chisakanizo cha chitsulo sulfide ndi mpweya wa hydrogen sulfide. Minyewa imatha kukhala youma komanso yonyowa.

Wouma gangrene amachita zinthu pang'onopang'ono miyendo. Pankhani ya khungu louma, kutsekeka kwa zotengera kumachitika, koma njirayi imatenga nthawi yayitali, kwa miyezi yambiri, ndipo mwinanso zaka. Wet gangrene, m'malo mwake, amachita mwachangu ndikukula mwachangu.

Panthawi yanyowa, kuduladula dzanja ndi kuwonongeka ndi mwayi wokhawo wopulumutsa wodwalayo, matendawa akamapitilira tsiku lililonse, kununkhira kwa zowola kumawonekera ndipo dera lowonongeka likupeza kuwala.

Matendawa ndi matenda oopsa a shuga.

Nthawi yamatendawa, chidwi cha miyendo imachepa ndipo wodwalayo sangamve kuwoneka kwa zolakwika zam'mimba pamapeto am'munsi, omwe nthawi zambiri amapezeka mwa odwala omwe amapezeka ndi matenda osokoneza bongo. Nthawi zambiri, zilonda zam'mimba zimakhala pamiyendo, zomwe zimakhala zovuta kuzichotsa.

Amachitika, monga lamulo, pamunsi lachitatu la mwendo tibia, ndipo amadziwulula ngati kutupa ndi kupweteka kwapafupipafupi. Panthawi yamankhwala, ndikofunikira kuti musamangoganizira mankhwala omwe amathandizira zilonda zam'mimba zokha, komanso chithandizo chamankhwala pachokha, chifukwa chomwe zilonda zam'mimba zimawonekera.

Ngati chithandizo cha zilonda zam'mimba sichikupatsani chiyembekezo choti muchira, simukuyenera kuzengereza ndi njira yochitira opaleshoni yochizira vutoli.

Si chinsinsi kuti ndi matenda monga matenda ashuga, odwala nthawi zambiri amakhala ndi cham'miyendo. Zidawachititsa ndi kuti awachotse? Zomwe zimawoneka ngati kukokana mumiyendo ndizopanga shuga m'magazi.

Chowonadi ndi chakuti shuga wambiri amawonjezera mkodzo, ndipo ndi iyo, michere yonse yofunikira imatuluka m'thupi, kusowa kwa komwe kumatha kubweretsa.

Ngati munthu akudwala matenda a shuga akuchepa, ndiye kuti mutha kuyesa kuwonjezera zakudya zomwe zili ndi calcium komanso calcium yambiri.

Ngati mumadya zokwanira micronutrients iyi, muyenera kuwonjezera zakudya zomwe zili ndi vitamini D muzakudya zanu, chifukwa zimathandizira kuti pakhale calcium komanso magnesium yambiri. Osagwiritsa ntchito zinthu zamkaka, chifukwa zimakhala ndi phosphorous yambiri, zomwe zimangowonjezera kukomoka.

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Izi ndi.

Odwala omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi ululu wamiyendo.

Izi sizichitika pokhapokha zovuta zitayamba chifukwa cha matendawa, komanso mwa anthu omwe samadandaula chifukwa cha mabala, zilonda zam'mimba ndi zinthu zina.

Mwachidule, motsutsana ndi maziko a matendawa, miyendo imatopa kwambiri, chifukwa magazi amayenda m'matumbo, ndipo magazi amatuluka m'matumbo amasiya kwambiri. Pali njira zambiri zothetsera kupweteka kwa mwendo.

Chimodzi mwazo ndi kuchiritsa thupi, kutikita minofu kapena kudzilimbitsa. Kuchita masewera olimbitsa thupi osavuta tsiku lililonse kwa mphindi 15-20, wodwala pakanthawi kochepa amachepetsa ululu wamiyendo ndi njira zotupa.

Kuphatikiza apo, miyendo iyenera kulandira zolimbitsa thupi. Kupatula apo, ngati munthu akudwala matenda ashuga, ichi sichiri chifukwa chabodza pa sofa osachita chilichonse. Komabe, katundu wambiri amangookulitsa vutolo.

Musanayambe masewera olimbitsa thupi, onetsetsani kuti mwakumana ndi dokotala.

Odwala omwe ali ndi matenda ashuga ayenera kuyang'anira kukula kwa matenda ammiyendo. Kupatula apo, ngati kuvulala sikuchira kwa nthawi yayitali, matenda ofunikanso amatha kupezeka chifukwa cha kuvulala pang'ono.

Ngati chafika pachimake pa kufalikira kwake, ndiye kuti apulumutse moyo wamunthu, munthu ayenera kudula miyendo. Ndikudula miyendo ndi chinthu chambiri komanso chosasintha.

Mwinanso, kwa wodwala aliyense yemwe ali ndi matenda ashuga, nkhani yoti chiwalo choyambitsacho chikuyenera kuduladulidwa imamveka ngati sentensi. Zowonadi, kuduladula sikungabwezeretsedwe.

Kuti matendawa asafikire gawo lomwe kumadula mwendo mwachangu, ndikofunikira kutsatira malamulo onse osamalira odwala kwa odwala matenda a shuga, kuyang'anira kukula kwa gawo lililonse la matenda ndipo musaope kukaonanso dotolo kuti mukamufufuze osakonzekera.

Monga momwe mumamvetsera kale, matenda amendo omwe ali ndi matenda a shuga siwachilendo, m'malo mwake ndi osiyana. Komabe, ndi chisamaliro choyenera, mutha kupewa zovuta zambiri pamapazi. Zotheka ndi ziti?

- Muyenera kugwiritsa ntchito mafuta opaka kuti muchepetse mapazi anu mutatha kusamba. Musanasankhe mafuta odzola, muyenera kufunsa dokotala. Simufunikanso kupukuta khungu pakati pa zala zakumaso.

- Musaiwale kupaka chimanga ndi mwala wa pumice mutatha kusamba. Onetsetsani kuti njirayi imachitika pokhapokha khungu litapendekeka, ndiye kuti mukasamba kapena shawa.

-Osamayenda wopanda nsapato pamtunda, ngakhale mtunda waufupi. Osamavala nsapato, koma avale nsapato zazitali.

Inde, awa sindiye mfundo zonse zomwe ziyenera kuwonedwa kuti apereke chisamaliro chofunikira pa miyendo yanu, koma ngakhale kuziwona mutha kupewa zophwanya zambiri.

Ngakhale mutakhala kuti mulibe mavuto ndi miyendo yanu, simuyenera kupuma.

Mu matenda a shuga, wodwalayo amayenera kuchita njira zaumoyo tsiku ndi tsiku kuti zovuta pamiyendo zisatuluke, chifukwa ndizosavuta kutaya mphindi ndikupeza matenda m'miyendo, koma kumbukirani kuti sizotheka nthawi zonse kuchiza matenda ngati amenewo.

Panthawi ya chithandizo, mutha kugwiritsa ntchito njira zomwe zidanenedwa kale. Kuphatikiza apo, mutha kugwiritsa ntchito mankhwala achikhalidwe. Pankhaniyi, kumbukirani kuti muyenera kugwiritsa ntchito mtundu wina wa mafuta kapena mankhwala opangira mafuta mosamala ndipo pokhapokha ngati dokotala wavomerezedwa ndi dokotala.

Pa chithandizo, mutha kugwiritsanso ntchito mafuta osiyanasiyana azodzikongoletsera ndi mafuta. Kuchita kwawo kwakukulu kuyenera kukhala ndikuthandizira kuthetsa ululu, komanso kunyowetsa khungu lowuma. Ndikofunikira kupereka zokonda zamafuta omwe amapangidwa mwachilengedwe ndipo omwe akuphatikizapo mavitamini ndi mchere.

Odwala omwe ali ndi matenda ashuga, omwe amakhalanso ndi vuto ndi miyendo yawo, amayeneranso kuwunika momwe misomali yawo imakhalira, chifukwa imatha kutentha kwambiri ma virus ochepa. Sikoyenera kudulira misomali pafupipafupi, ngakhale kuli bwino kugwiritsa ntchito fayilo ya msomali, chifukwa mukamagwiritsa ntchito, pamakhala mwayi wochepa kwambiri wakukula kwa matenda a miyendo.

Chifukwa chake, tsopano mukuwona kuti matenda amiyendo mu matenda a shuga sindiwo matenda ena omwe angadutse posachedwa. Ayi, nthawi zambiri chithandizo cha miyendo mwa odwala omwe ali ndi vuto la matenda osokoneza bongo amachedwa kwakanthawi, kukula kwake kumayambira miyezi ingapo mpaka zaka zingapo. Izi zimatengera kulimbikira kwa ntchito yake ndi momwe amagwirira ntchito pakudwala dzanja.

Kumbukirani, mutha kuyamba njira yochizira miyendo yanu mu masabata angapo, koma kupeza zomwe zatayikazo kumakhala kovuta. Tsatirani malangizo onse omwe ali pamwambapa, ndipo njira yochizira ndiyabwino. Chofunika kwambiri, kuyang'anira thanzi lanu ndikuwonana ndi dokotala panthawi.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Ndili ndi matenda a shuga a 2 - osadalira insulin. Mnzake adalangiza kuti achepetse magazi ndi DiabeNot. Ndinalamula kudzera pa intaneti. Adayamba kulandira.

Ndimatsata zakudya zosasamala, m'mawa uliwonse ndidayamba kuyenda ma kilomita 2-3 ndikuyenda pansi. M'masabata awiri apitawa, ndazindikira kuchepa kwa shuga m'mamawa m'mawa asanadye chakudya cham'mawa kuyambira 9,3 mpaka 7.1, ndipo dzulo mpaka 6.

1! Ndikupitiliza njira yodzitetezera. Ndileka zolemba zabwino.

Margarita Pavlovna, inenso ndakhala ku Diabenot tsopano. SD 2. Ndilibe nthawi yodya komanso kuyenda, koma sindimagwiritsa ntchito maswiti ndi chakudya, ndimaganiza XE, koma chifukwa cha zaka, shuga akadali wamkulu.

Zotsatira zake sizabwino ngati zanu, koma kwa 7.0 shuga sizituluka sabata limodzi. Kodi mumapima shuga ndi glucometer iti? Kodi akukuwonetsani plasma kapena magazi athunthu? Ndikufuna kufananiza zotsatira ndikumwa mankhwalawo.

Kodi kugula masokosi a pedicure?

Matenda

CHIYAMBI! ZOTHANDIZA KWA DZIKO LAPANSI, TIMANGOKHALA PAMODZI POPANDA CHITSITSO, NDIPO SIYENSO ZOLINGA KUTI TIYENSE TITAYENSE. NJIRA ZONSE ZOTHANDIZA KUTI MUZITHANDIZA MTIMA!

Kukopera zinthu zololedwa kumangolumikizidwa ndi cholumikizira chakuchokera

Matenda a shuga ndi miyendo. Matenda a shuga - miyendo imapweteka - chithandizo

Matenda a shuga nthawi zambiri amapereka zovuta kumiyendo. Mavuto a phazi pamoyo wonse amapezeka 25-25% ya onse odwala matenda ashuga. Ndipo okalamba akamadwala, zimawonekera kwambiri mwadzidzidzi. Matenda amiyendo omwe ali ndi matenda ashuga amabweretsa mavuto ambiri kwa odwala ndi madokotala.

Miyendo imapweteka ndi matenda ashuga - mwatsoka, yankho losavuta lavutoli sililipo. Ndiyenera kuchita zonse zomwe ndingathe kuti ndichiritsidwe. Komanso, muyenera kuthandizidwa kokha ndi dokotala waluso, ndipo popanda vuto ndi "wowerengeka azitsamba". Munkhaniyi, muphunzira zoyenera kuchita.

• Pulumutsani ululu m'miyendo, komanso bwino - zichotsani,
• Sungani mphamvu yakusamuka "nokha."

Ngati simupereka chidwi ndi kupewa komanso kuchiza matenda a shuga pamiyendo, wodwala amatha kutaya chala chonse kapena phazi.

Tsopano miyendo ya wodwalayo siyipweteka, chifukwa opaleshoni yowonjezera kuwala m'mitsempha mwake yasintha kutuluka kwa magazi mkati mwake, ndipo minyewa ya miyendoyo inasiya kutumiza

Mu matenda a shuga, miyendo imapweteka chifukwa ma atherosulinosis amachepetsa kuyeza m'mitsempha yamagazi. Tiziwalo tamatumbo timalandira magazi osakwanira, "osakwanira" chifukwa chake timatumiza ma ululu. Opaleshoni yobwezeretsa magazi m'mitsempha yam'munsi yam'munsi imatha kuchepetsa ululu ndikuwongolera moyo wa odwala matenda ashuga.

Pali ziwonetsero ziwiri zazikulu pamavuto am miyendo ndi matenda a shuga:

1. Shuga wokwezeka kwambiri amakhudza minyewa yamitsempha, ndipo amasiya kuchita zokakamiza. Izi zimatchedwa diabetesic neuropathy, ndipo chifukwa cha izi, miyendo imatha kutaya mtima.
2. Mitsempha yamagazi yomwe imadyetsa miyendo imakhala yotseka chifukwa cha atherosulinosis kapena kapangidwe ka magazi (magazi). Ischemia akufotokozera - mpweya njala ya zimakhala. Pankhaniyi, miyendo imapweteka.

Matenda a matenda ashuga

Kuwonongeka kwa m'mitsempha chifukwa cha kukweza kwa magazi kwam'mimba kumatchedwa diabetesic neuropathy.

Kupanikizika kwa shuga kumeneku kumabweretsa kuti wodwalayo amalephera kumva kukhudza miyendo yake, kupweteka, kupsinjika, kutentha ndi kuzizira. Tsopano ngati wavulala mwendo, sangamve.

Ambiri odwala matenda ashuga omwe ali ndi vutoli amakhala ndi zilonda m'miyendo ndi m'miyendo, yomwe imachira nthawi yayitali.

Ngati chidwi cha miyendo chofooka, ndiye kuti mabala ndi zilonda zam'mimba sizimapweteka. Ngakhale kutayika kapena kufalikira kwa mafupa a phazi ndiye kuti sizikhala zopweteka.

Izi zimatchedwa matenda a shuga. Popeza odwala samva kupweteka, ambiri aiwo ndi aulesi kwambiri kuti atsatire malangizo a dokotala.

Zotsatira zake, mabakiteriya amachulukana m'mabala, ndipo chifukwa cha gangrene, mwendo nthawi zambiri umadulidwa.

Ndimayesedwe ati ngati miyendo yanu imapweteka ndi matenda a shuga

Ndikofunikira kupenda bwino miyendo yanu ndi miyendo yanu tsiku ndi tsiku, makamaka ukalamba. Ngati magazi atuluka m'matumbo asokonezeka, mutha kuzindikira zizindikilo zakunja kwa izi. Zizindikiro za gawo loyambirira la matenda otumphukira:

• Khungu pamiyendo likhala louma
• mwina ayamba kuboola, kuphatikizika ndi kuyabwa,
• kutulutsa khungu kapena kuchotsedwa pakhungu kumatha kuwonekera pakhungu,
• Kwa amuna, Tsitsi lakumunsi limasenda imvi.
• Khungu limakhala lotuwa nthawi zonse kuti lizitha kugwira,
• kapena mosinthanitsa, imatha kutentha ndi kupeza mtundu wa cyanotic.

Dokotala wodziwa bwino amatha kudziwa ngati wodwala ali ndi mitsempha yotani yomwe imadyetsa ziwalo zamiyendo. Imeneyi ndiye njira yosavuta kwambiri komanso yotsika mtengo kwambiri yopezera zotumphukira zamagazi. Nthawi yomweyo, kupindika pa mtsempha wamagetsi kumayimitsa kapena kuchepa kwambiri kokha ngati lumen yake imachepetsedwa ndi 90% kapena kuposa. Sachedwa kuteteza minofu "kufa".

Chifukwa chake, amagwiritsa ntchito njira zowerengera zovuta pogwiritsa ntchito zida zamakono zamankhwala. Kuwerengeka kwa kupanikizika kwa systolic ("kumtunda") kwamitsempha yam'munsi ndi chithokomiro cham'mimba kumawerengedwa. Izi zimatchedwa ankle-brachial index (LPI). Ngati ili mgawo la 0.9-1.2, ndiye kuti magazi m'miyendo amadziwika kuti ndi abwinobwino. Kupanikizika kwa minyewa yam'manja kumayesedwanso.

Chingwe cha buluzi chimapereka chidziwitso chabodza ngati zotengera zimakhudzidwa ndi atherosulinosis ya Menkeberg, ndiye kuti, zimakutidwa ndi "kukula" kochokera mkati. Mwa odwala okalamba, izi zimachitika nthawi zambiri.

Chifukwa chake, njira ndizofunikira zomwe zimapereka zotsatira zolondola komanso zokhazikika.

Izi ndizofunikira makamaka pakuthetsa nkhani ya opaleshoni kuti ibwezeretse patency yamitsempha kuti miyendo isapweteke.

Transcutaneous Oximetry

Transcutaneous oximetry ndi njira yopweteketsa yomwe imakupatsani mwayi wowunika momwe minofu imadzazidwira ndi mpweya. Transcutaneous amatanthauza "kudutsa pakhungu." Sensor yapadera imagwiritsidwa ntchito pakhungu, lomwe limapanga muyeso.

Kulondola kwa mayeserowa kumatengera zinthu zambiri:

• mkhalidwe wam'mapapo wodwala,
• kuchuluka kwa hemoglobin wamagazi ndi mtima wake,
• kuchuluka kwa mpweya mumlengalenga,
• makulidwe a khungu komwe sensor imagwiritsidwa ntchito,
• kutupa kapena kutupa m'malo oyeza.

Ngati mtengo womwe wapezeka uli pansi pa 30 mm RT. Art., Ndiye yovuta ischemia (kufa ndi mpweya wa okosijeni) ya miyendo imapezeka. Kulondola kwa njira yosinthira ma oximetry sikokwanira. Koma imagwiritsidwabe ntchito, chifukwa imawerengedwa kuti ndi yophunzitsa ndipo siyimabweretsa mavuto kwa odwala.

Ultrasound yamitsempha yamagazi yopereka magazi ku miyendo

Kusanthula kwapadera (ultrasound) kwamitsempha yamagawo am'munsi - kumagwiritsidwa ntchito poyang'ana momwe magazi amayendera asanayambe kuchita opareshoni yamitsempha. Njira imeneyi imawonjezera mwayi kuti zitheka munthawi yake kuti mupeze chotupa cha mtsempha kapena chopindika kapena kuchepera kwa lumen m'matumbo mutachitidwa opaleshoni (restenosis).

Ultrasound yamitsempha yamagazi imakupatsani mwayi kuti muphunzire madera ovuta, ndiko kuti, zigawo zomwe "zidachotsedwa" m'magazi chifukwa chakukula kwa matendawa. Pogwiritsa ntchito njirayi, mutha kuwunika bwino momwe ziwiya ziliri ndipo konzani pasadakhale opareshoni kuti mubwezeretsere kukhalabe kwawo.

Kukumbukira kwa wodwala wodwala matenda ashuga amtundu wa 2, omwe mavuto ake ammendo adasowa pambuyo poyambira shuga wamagazi ...

Sergey Kushchenko Disembala 9, 2015

X-ray kusiyanitsa angiography

X-ray kusiyanitsa angiography ndi njira yowunikira momwe wophatikizira wosemphana amaloŵetsamo mtsempha wamagazi, ndiye kuti ziwiya "zimatulutsa" ndi x-ray. Angiography imatanthawuza "kuwunika mtima".

Iyi ndiye njira yophunzitsira kwambiri. Koma ndizosasangalatsa kwa wodwalayo, ndipo koposa zonse - wothandizira wosiyanayo akhoza kuwononga impso.

Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito pokhapokha ngati pakufunsidwa funso la opareshoni yobwezeretsanso minyewa yam'mimba.

Magawo a zovuta za shuga pamiyendo

Pali 3 madigiri a zotumphukira magazi kusokonezeka mwa odwala matenda a shuga.

Digiri yoyamba - palibe umboni ndi matenda amitsempha yamagazi m'miyendo:

• kusintha kwam'mimba kumamveka
• ankolo-brachial index ya 0.9-1.2,
• cholowera kumanja> 0,6,
• mitengo ya transcutaneous oximetry> 60 mmHg. Art.

Digiri yachiwiri - pali zizindikiro kapena zizindikiro, koma pakadali pano palibe vuto lakufa la oxygen.

• kupindika pang'ono (miyendo yopweteka)
• ankolo-brachial index ya 30 mm RT. Art.
• transcutaneous oximetry 30-60 mm RT. Art.

3 digiri - yovuta mpweya njala ya zimakhala (ischemia):

kupanikizika kwa systolic m'mitsempha ya m'munsi mwendo Kodi chithandizo ngati miyendo imapweteka ndi shuga

Ngati miyendo yanu yapweteka ndi shuga, ndiye kuti chithandizo chikuchitika m'njira zitatu:

1. Zotsatira pazinthu zomwe zimathandizira kukulitsa kwa atherosulinosis, kuphatikiza mitsempha ya miyendo,
2. kukhazikitsa mosamala malangizo othandizira kupewa komanso kuchiza matenda ammiyendo, omwe amafotokozedwa mwatsatanetsatane mu nkhani ya "Diabetesic foot syndrome",
3. yankho la nkhani ya opareshoni yobwezeretsanso magazi kuti ibwezeretse magazi

Mpaka posachedwapa, pa nthawi yodziwika bwino, odwala adalandira mankhwala pentoxifylline. Koma kafukufuku wawonetsa kuti palibe phindu lenileni kwa odwala matenda a shuga omwe ali ndi matenda osokoneza bongo.

Ndi zovuta za matenda a shuga pamiyendo, opaleshoni yobwezeretsa magazi m'mitsempha ingakhale yothandiza kwambiri. Madokotala amalingalira za momwe wodwalayo alili ndi wodwala aliyense, poganizira zomwe angachite atachitidwa opaleshoni.

Odwala omwe ali ndi ululu wam'miyendo mu shuga, monga lamulo, adanenanso zovuta zamatumbo a metabolism (shuga yamagazi ndizambiri), matenda ammimba a shuga, komanso kuwonetsa zovuta zina za matenda ashuga. Kuti muwathandize kwenikweni, muyenera kuyitanitsa gulu la akatswiri pazachipatala.

Matenda a diabetes a phazi amathandizidwa ndi podiatrist wapadera (kuti asasokonezedwe ndi dokotala). Choyamba, kuchitira opaleshoni mabala kumapazi kungakhale kofunikira kuti mupewe matenda osokoneza bongo, ndipo pokhapokha - kubwezeretsanso kuchuluka kwa mitsempha yamagazi.

Matenda a shuga ndi Mwendo: Zotsatira

Tikukhulupirira kuti nkhaniyi yakufotokozerani mwatsatanetsatane zoyenera kuchita ngati miyendo yanu ipweteka ndi matenda a shuga.

Muyenera kusinthira kukhala ndi moyo wathanzi kuti muthe kusintha shuga m'magazi ndikuletsa chitukuko cha atherosulinosis.

Ndi dokotala, mudzatha kusankha pa opaleshoni yomwe idzabwezeretse kuchuluka kwa ziwiya zamiyendo. Muyeneranso kufufuzidwa pazovuta zina za matenda a shuga ndikuzichitira.

Chonde musayesetse "kupewetsa" kupweteka kwa kupweteka kwapamsi mothandizidwa ndi mapiritsi ena. Zotsatira zake zoyipa zimatha kukulitsa vuto lanu komanso chiyembekezo chamoyo. Funsani dokotala woyenera. Pa matenda ashuga, ndikofunikira kusamala ndiukhondo kumapazi kuti mukhale wokhoza kuyenda nokha.

Zovuta zamiyendo (matenda) kuchokera ku matenda ashuga - zimayambitsa ndi chithandizo

Matenda a shuga osokonezeka kwambiri komanso kuchepa kwa insulin kwa odwala amachititsa zovuta zambiri. Matenda a miyendo ndi matenda a shuga amakula nthawi zambiri. Ntchito ya dokotala ndi wodwala ndikuchepetsa chiopsezo cha ma pathologies, chifukwa munthu wamkuluyo, ndizowopsa zake zowonongeka kumadera akumunsi.

Chifukwa chiyani Mtundu 1 ndi Matenda Awiri Awa Matenda A shuga Amakhala Ndi Mavuto A Mwendo

Popeza matenda ashuga amapereka zovuta kumiyendo, kuchiritsa ndikofunikira, apo ayi zotsatira zake zimakhala zovulala kwambiri (mpaka ndikadulidwa).

Shuga wambiri ndi wowopsa kwa thupi.

Glucose mu ndende yokhazikika imapereka mphamvu ndikuwongolera ntchito zofunika za ziwalo ndi machitidwe, koma mu shuga, m'malo mwake, pamafunika mphamvu, ndikuwononga mitsempha yamanjenje ndi yamanjenje.

Miyendo ili kutali kwambiri ndi mtima, motero amadwala kwambiri chifukwa cha zovuta za matenda ashuga amtundu wa 2. Chifukwa cha kusayenda bwino kwa magazi komanso kuchita masewera olimbitsa thupi tsiku ndi tsiku, njira za pathological zimachitika kumapazi. Ndi kuchuluka kowonjezereka kwa zinthu za glycosylating, chithokomiro cha myelin cha ulusi wa mitsempha chimawonongeka pang'onopang'ono, pomwe kuchuluka kwa mitsempha kumachepetsedwa kwambiri.

Vuto linanso losasangalatsa la miyendo ndi kupendekera kwamitsempha yamagazi. Kutsika kwa ma capillaries kumayambitsa zotsatira zoyipa: kufalikira kwa magazi mu minofu kumakulirakumwa, zotengera zimatha, zimalemala, kuchepa ndikufalikira. Zakudya za minofu zimatha, maselo awo amafa pang'onopang'ono, omwe amadzaza ndi khungu.

Moni Dzina langa ndine Alla Viktorovna ndipo ndilibenso matenda ashuga! Zinanditengera masiku 30 okha ndi ma ruble 147.kubwezeretsa shuga kwazonse komanso osadalira mankhwala osathandiza omwe ali ndi zotsatirapo zoyipa.

>>Nkhani yanga ikhoza kuwerengedwa mwatsatanetsatane apa.

Zomwe zimayambitsa kupsinjika kwamiyendo m'magazi a shuga ndi monga:

• minyewa yotupa yomwe imatsogolera minofu hypoxia,
• neuropathy, yodziwika ndi kuchepa kwa chidwi cham'maso ndi miyendo,
• kunenepa kwambiri, komwe kumapangitsa katundu wambiri m'mafupa ndi minofu,
• kusuta fodya komanso kuchita masewera olimbitsa thupi.

Zofunika! >> Chifukwa chiyani odwala matenda ashuga amayamba kupweteka miyendo yawo komanso momwe angalimbanirane ndi zowawa - zomwe tauza apa

Zilonda zamtundu wanji zomwe zimakhudzidwa ndi miyendo ya odwala matenda ashuga

Nthawi zambiri, odwala omwe ali ndi vuto la mwendo mu matenda a shuga amayamba ndi:

• bowa wa misomali ndi miyendo,
• gonarthrosis
• gangore (necrosis),
• matenda ashuga
• ming'alu yayikulu yochiritsa
• matenda ashuga polyneuropathy.

Matenda onsewa amafunikira chithandizo chamanthawi yomweyo. Mu gawo lotsogola, zimakhala zovuta kwambiri kuti muwatulitse, makamaka kupirira zovuta zawo.

Matenda a shuga

80% ya 2 odwala matenda ashuga amadziwa bwino matendawa. Kusintha kwathanzi kumakhudza mafupa, manjenjenje, kayendedwe ka miyendo. Matendawa amatha kubweretsa zilonda zam'mimba, zomwe nthawi zambiri zimayamba kulowa m'magazi.

Matenda a matenda ashuga amayamba ndi:

Mwa zomwe zafotokozedwa kale za matenda, pali:

• kuwonda kwamapazi kwamiyendo chifukwa cha kupindika kwa phazi,
• Khungu layamba kuzungulira chilonda,
• kutupa kwa miyendo, kuwonetsa kutupa,
• kusowa kwa tsitsi kumiyendo ndi kumapazi,
• khungu ndi kuuma kwa khungu,
• dzanzi la miyendo
• msomali
• zophuka zam'mera (kapena ma warts),
• bowa wa msomali.

Momwe mungadziwire phazi la matenda ashuga mu nthawi, njira zamankhwala ndi njira zothetsera - werengani mwatsatanetsatane apa

Zilonda za fungal

Akatswiri adatsimikizira ubale womwe ulipo pakati pa shuga wamagazi ambiri ndi bowa wapansi. Mu shuga, odwala ayenera kusamala makamaka momwe khungu limakhalira.

Zomwe zimayambitsa kukula kwa matendawa ndi monga:

• kukhumudwa kwa chitetezo chokwanira
• matenda ashuga polyneuropathy,
• angiopathy.

Muyenera kufunafuna chithandizo chamankhwala ngati kuwonongeka kumawonedwa mu nthawi yachilimwe-nthawi yachilimwe. Nthawi yomweyo, pali kusintha kwa mtundu ndi kapangidwe ka misomali pazala zazing'ono ndi zala. Mtsogolomo, mafangayi akachulukana ndikuyamba kuukira madera omwe kukhazikika, khungu la phazi liyamba kuomberanso, kusiya, ndipo ming'aluyo imawoneka pakati pa zala, kumayang'anitsitsa osachira.

Matenda a shuga a polyneuropathy

Matendawa amapezeka kwa odwala zaka 5 mpaka 10 kuchokera kutha kwa matenda a shuga 2. Uku ndikugonjetsedwa kwamanjenje, yomwe imayesedwa ndi zovuta zowopsa mu shuga zamtundu uliwonse. Njira ya pathological imayamba chifukwa cha njala ya m'maselo am'mitsempha, yomwe imayang'anira chakudya chochepa kwambiri, chomwe chimakonda kuwonongeka.

Pali magawo angapo a matendawa:

1. Zachilendo, zomwe wozunzidwayo sangazindikire poyamba. Ndi katswiri wamitsempha pambuyo pakupenda bwino komwe kumapangitsa kuzindikira ngati akuwonetsa kuchepa kwa chidwi cha kutentha, kupweteka, kugwedezeka.
2. Gawo lazachipatala, lomwe limadziwika ndi kupweteka kwakanthawi m'miyendo, dzanzi lamapeto, kusokonekera kwamphamvu. Ndi mawonekedwe amyotrophic, wodwalayo amadandaula za kufooka kwa minofu ndi zovuta kuyenda.
3. Gawo lachitatu, lalikulu, limodzi ndi maonekedwe a zilonda pakhungu la kumapazi. Mu 15% mwa odwala, madera omwe akukhudzidwawo amadulidwa kuti athane ndi zovuta.

Matendawa amaphatikizidwa ndi kuwonongeka pang'onopang'ono, kusinthika, kupyapyala kwa cartilage ya hyaline yomwe ili pabondo. Odwala ali ndi miyendo yowawa, amapweteka komanso amavutika kuyenda. Zomwe zimayambitsa arthrosis ndi mitsempha ya mtima.

Chifukwa cha kuchuluka kwake komanso mamasukidwe akayendedwe, magazi a munthu wodwala matenda ashuga amayenda pang'onopang'ono pabedi lamankhwala osavomerezeka ndipo amapereka maselo okhala ndi michere ndi mpweya. Njira yochotsera ziphe ndi poizoni imakhalanso yovuta, zomwe zimathandizira kuti pakhale poizoni wambiri wa poizoni komanso kutupa.

Kuphatikiza apo, 85% ya anthu odwala matenda ashuga ndi onenepa kwambiri. Mtolo wowonjezera wamafupa owongoka mawondo ndi cartilage hypoxia umabweretsa gonarthrosis (arthrosis ya bondo yolowa).

Ming'alu kumapazi

Chimodzi mwazovuta zam'miyendo ya shuga ndikuwoneka ming'alu m'dera la chidendene. Izi ndizosiyana ndi chilema chodzikongoletsera chomwe chitha kuthana ndi mavuto pogwiritsa ntchito pedicure. Ming'alu yayikulu yopanda machiritso pamapazi imawopseza kulowetsedwa kwa matenda ndi mabakiteriya, omwe amadzaza ndi zovuta zazikulu.

Ndi matenda ashuga, posakhalitsa, mathero amanjenje kumapeto pang'ono amayamba kuwonongeka, omwe nthawi zambiri amakhala limodzi ndi kutentha kwamphamvu komanso khungu lowuma. Zotsatira zake, khungu limasweka, mabala amawoneka. Ngati sanayambike kuthandizidwa panthawi, kupunduka kwa phazi, zilonda zam'mimba, ndi zilonda zam'mimba zimatha.

Ndipo mukudziwa kuti pofuna kuteteza miyendo ya anthu odwala matenda ashuga pamavuto osafunikira, ndikulimbikitsidwa kuvala masokosi apadera a matenda ashuga.

Kuchepa kwa metabolism kumakhudza ziwalo zonse. Malinga ndi ziwerengero zokhumudwitsa zachipatala, wachiwiri aliyense amakumana ndi zovuta zambiri zokhudzana ndi matenda a shuga. Chimodzi mwazinthu zovuta kwambiri za matenda ashuga ndi minofu ya necrosis chifukwa cha kusokonekera kwa magazi m'thupi lathu.

Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu ndi ... Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>

Mwa zizindikiro zazikulu za njira ya pathological, zitha kudziwika:

• kusintha kwa khungu (cyanosis, redness, mdima),
• kutayika kwamapazi,
• ululu wowonda, kufooka poyenda (wodwalayo adandaula kuti miyendo yake imalephera),
• kutupa kwa dzanja lakhudzidwa,
• Kutentha kochepa m'dera lamavuto,
• kuwonetsedwa pafupipafupi kwa matenda oyamba ndi fungus.

Kuchepetsa miyendo

Pambuyo pakuzindikira, adotolo amafotokoza mwatsatanetsatane momwe angathandizire miyendo ndi matenda a shuga. Pamene matenda ashuga polyneuropathy amapezeka, wodwala ayenera:

• kusiya zizolowezi zake (kusuta fodya komanso kumwa mowa ndi matenda ashuga sikovomerezeka),
• sinthani kagayidwe kazakudya,
• amatenga aldose reductase inhibitors ndi angioprotectors omwe amawongolera magazi m'magazi ndikuchepetsa mphamvu ya glucose pamafupa amitsempha,
• kumwa mavitamini omwe amasintha kufalitsa kwa mitsempha.

Kuphatikiza apo, hemosorption, plasmapheresis, enterosorption, anticonvulsants, physiotherapeutic process, massage, masewera olimbitsa thupi ndi mankhwala. Ngati phazi lili lopindika, dokotalayo amatenga nsapato zapadera ndi insoles.

Ndi fungal matenda amiyendo, madokotala amalimbikitsa kugwiritsa ntchito hydrogen peroxide, chlorhexidine kapena antifungal creams mafuta, odzola. Iodini, wobiriwira wanzeru ndi potaziyamu salimbikitsa. Chithandizo cha bowa kumapazi chimatha kukhala pafupifupi chaka, kutengera kuchuluka kwa matendawa komanso kuwonongeka kwa khungu ndi misomali ya msomali.

Chithandizo cha bondo arthrosis chimachokera pa ntchito:

• chondroprotectors, kubwezeretsa cartilage. Koma ngati matendawa ali pagulu lotsogola, ndipo cartilage yamaondo atawonongedwa kwathunthu, mankhwalawa sangathandize,
• anti-kutupa mankhwala amachepetsa kutupa, kuchepetsa kutupa, kuchepetsa ululu,
• mankhwala omwe amachepetsa magazi m'mitsempha ndikuchepetsa kuphipha kwa minofu.

M'matekinoloje opaleshoni imachitidwa. Koma ndibwino kuti musam'bweretse opaleshoni, chifukwa kusintha kwa minofu kwa odwala omwe ali ndi mtundu woyamba wa 2 ndikuwonjezera pang'onopang'ono komanso koipa kuposa anthu wamba.

Pakawoneka ming'alu yakuya kwambiri, madokotala amatenga mafuta apadera, mafuta, mafuta ophikira, mafuta osamba, compress kwa odwala:

• mafuta odzolakunyowetsa, kufetsa masheya, kufewetsa khungu. Kugwiritsa ntchito izi pafupipafupi mukatha kusamba kumakupatsani mwayi wochiritsa ming'alu kumapazi,
• mafuta abwino - Chida chabwino kwambiri pochiritsa mabala akuya. Kusoka kulikonse kumaphikidwa ndi iwo, ndipo thonje limayikidwa pamwamba,
• compress wa parafini chitani ndi kusungunuka palafini pang'ono posamba madzi. Atazirala, zimayikidwa kumalo omwe akhudzidwa, ndipo masokosi oyera amayikidwa pamwamba.

Ndi gangrene, njira yothandizira opaleshoni imagwiritsidwa ntchito nthawi zambiri, zomwe zimapangitsa kuti asamagwire ntchito komansolemala. Chifukwa chake, pazizindikiro zoyambirira za matenda oopsa, ndikofunikira kuchita zonse zotheka kuti zithetse.

Matendawa matenda a shuga

Popewa kuvulala kwamiyendo kuti isayamba ndi mtundu wachiwiri wa matenda ashuga, njira zotsatirazi ziyenera kuonedwa:

• yesetsani kulipira matenda omwe amayambitsa matenda ashuga (shuga mellitus),
• kuthana ndi magazi
• Valani nsapato zapamwamba zapamwamba, zoyenera kuti mukwane
• Sambani mapazi anu tsiku ndi tsiku ndi kupenda mapazi athu kuti khungu lanu ndi loyera,
• Pewani kunenepa kwambiri, komwe kumakulitsa mkhalidwe wa wodwalayo komanso kumayambitsa kukhwimika kwa zovuta zovuta zogwirizana ndi miyendo,
• musayende opanda nsapato pagulu (bath bath, shawa, dziwe, gombe),
• mutadula misomali, pukuta zala zanu ndi mapazi anu ndi mowa,
• Nthawi zonse imwani Mlingo wa multivitamini ndi chondropojector kuti mupewe kuphatikiza kwa arthrosis.

Ndi matenda ashuga, muyenera kumvetsetsa kuti ndikosavuta kupewa kuteteza zovuta kuposa kuzichiritsa pambuyo pake. Kufunafuna nthawi yachipatala moyenera, komanso kukhazikitsidwa kwa malingaliro ndi njira zodzitetezera kupewa kupewa kwambiri ndikuwachedwetsa mavuto omwe amabwera chifukwa chochepa kwambiri.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yosungira shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kugwiritsa ntchito ... werengani zambiri >>