Kodi kuthana ndi kusanza mu shuga?

Hyperglycemia ndi kuchuluka kwa shuga m'magazi.
Hypoglycemia - kuchepa kwa shuga.
Kudzilamulira nokha kwa mankhwala omwe amachepetsa shuga ya magazi, osatchulidwa ndi dokotala. Mankhwalawa sangakhale oyenera kwa wodwala ndipo angayambitse zotsatira zoyipa ndi kusanza.
Matenda omwe amayamba chifukwa cha kufooka kwa chitetezo chathupi. Anthu odwala matenda ashuga nthawi zambiri amatha "kuwononga" mabakiteriya.
Kunyalanyaza mankhwala ndikulumpha jakisoni wofunikira. Komanso, mavuto amabwera chifukwa cha zakudya zosakonzedwa.
Kuledzera.

Hyperglycemia ndi matenda omwe amatanthauza kukwera kwakuthwa komanso pafupipafupi kwa shuga. Kulumpha koteroko m'magazi a shuga kumayambitsa kusanza mu mtundu 1 wa shuga. Kuzindikira kumayendera limodzi ndi zodziwikiratu zizindikiro: kusowa kudya, kupweteka kwambiri pamimba. Zizindikiro za kusanza mu mtundu 2 wa matenda a shuga ndizofanana ndi mtundu 1. Kachiwiri kokha kumachitika madzi am'mimba kwambiri. Pakakhala zovuta, kukomoka kumachitika komwe kungayambitse kudwala.

Hypoglycemia imayamba chifukwa cha kuchepa kwa shuga. Zizindikiro zake ndi monga njala, chizungulire, komanso thukuta lotukwana. Milingo ya shuga imathandizira kuyang'anira shuga wa magazi anu. Ngakhale pazizindikiro zoyambirira za chizungulire chofewa, mutha kupewa kugwedezeka.

Ndi pafupipafupi kugwiritsa ntchito mankhwala ochepetsa shuga, monga "siofora," mseru umachitika. Zotsatira zoyipa ndikusanza m'magazi a shuga, ndipo ngati zizindikilo zoyamba ziwoneka, ndiye kuti mankhwalawo samabweretsa zotsatira zomwe mukufuna. Potere, ndi adokotala okha omwe angatchule mankhwala omwe alibe vuto lililonse.

Kuchepetsa mowa. Mankhwala omwe amathandizidwa ndi mowa samabweretsa zabwino, koma amangokulitsa boma.

Ngati kusanza kumachitika mu mtundu 1 wa shuga, shuga wamagazi akwera kwambiri. Mapangidwe a ketoacidosis amachitika. Poyamba, kuchuluka kwa shuga kumayesedwa, ndipo pambuyo pake mulingo wa insulin umatsimikizika.

Choyamba, ndikofunikira kutulutsa madzi. Kuti muchite izi, ndikokwanira kumwa magalasi awiri am'mawa m'mawa komanso musanadye. Kugwiritsa ntchito tiyi wokoma, zakumwa zoledzeretsa kapena zakumwa zina zimangokulitsa vutolo. Kubaya jakisoni munthawi yake kumachepetsa mavuto.

Kuphwanya mtundu wa matenda a shuga a 2 kumayamba chifukwa cha kusowa kwamadzi. Kuthamanga kwadzidzidzi m'magazi a shuga kumayambitsa chizungulire ndi mseru.

Chithandizo chodziwika bwino ndi Cerucal. Ndiwothandizanso kwa odwala omwe ali ndi matenda a shuga; Ndikofunika kukumbukira kuti kugwiritsa ntchito mankhwala osokoneza bongo motere kumayambitsa zovuta zingapo komanso zoyipa.

Imbani ambulansi nthawi yomweyo, kuphatikiza chizungulire, mseru komanso kusanza, zizindikiranso zina:

kutentha kwambiri
kupweteka mwadzidzidzi komanso kowopsa m'mimba.

Izi zimayimira kuyambika kwa matenda ashuga keoacidosis. Ngati simutenga chithandizo kwa nthawi yayitali, ndiye kuti posachedwa mulingo wa amylase m'magazi udzakwera. Ngati matendawo akuipiraipira, kugonekedwa kuchipatala kwa opaleshoni kapena kwa odwala sikungagawikirane.

Madokotala amatulutsa madzi mosalekeza kulowa m'thupi la wodwalayo kuti asathere madzi m'thupi. Madzi ofunikira ndi 250 ml ola lililonse. Mkulu wamagazi atabwezeretsedwa, madziwo amasinthidwa ndi chakumwa chokoma. Izi zibwezeretsa thupi lofooka la odwala matenda ashuga. Komanso, wodwalayo ayenera kudya kuchuluka kwamadzi amchere. Ngati tsankho limachitika, ndiye kuti chloride wa sodium amagwiritsidwa ntchito.

Muyenera kuyang'ana kwambiri zolephera zonse mthupi. Ngati kusanza kwakhala chinthu chosinthika, ndipo kudzichiritsa nokha sikunathandize, muyenera kufunsa dokotala. Nthawi zina kumwa mankhwala kwakanthawi kochepa kumangokulitsa mkhalidwe wa wodwalayo, ndikupangitsa zina zambiri zopatuka. Njira yochizira yovomerezeka iyenera kutumizidwa ndi dokotala, pokhapokha ngati ma radiation azitha kugwira ntchito.

Zotheka

Kukonzanso kulikonse kwaumoyo wabwino kumapereka lingaliro loti mankhwalawo ndi osathandiza. Ngati pali chizolowezi chowonera nthawi zonse, ndiye muyenera kufunsa wa endocrinologist. Dokotala amayenera kumuwunika wodwalayo ndikusankha chithandizo chokwanira.

Zomwe zimayambitsa kuwonongeka ndizambiri:

Ketoacidosis imayamba motsutsana ndi maziko a hyperglycemia. Kuchuluka kwa shuga m'magazi kumapangitsa kuti thupi lipangidwe. Izi ndi zotsatira za kaphatikizidwe kabwinidwe wa ketone. Kubwezeretsa bwino, ubongo umatumiza chizindikiro kuti utulutse zomwe zili m'mimba. Iyi ndiye njira yayikulu yolimbana ndi kuledzera. Koma ndikusanza, madzi ofunikira amachoka m'thupi, madzi am'mimba amayamba. Zotsatira zake, wodwalayo amatha kuzindikira ndikufa posakhala chithandizo chanthawi yake.
Hypoglycemia imayambitsanso mseru komanso kusanza mu shuga. Kuwonda kumayamba pang'onopang'ono chifukwa cha kusowa kwa glucose, chifukwa chosakwanira michere imalowa m'magazi. Zisokonezo izi zimawonetsa kusokonekera kwa dongosolo lamkati lamanjenje.
Kulowa kachilombo koyambitsa matenda kumayambitsanso kuwonongeka. Kusatetezeka kwa odwala matenda ashuga kumafooka, kotero, zotupa zotere sizachilendo kwa iwo. Kusinthana kumachitika chifukwa cha kuledzera ndi zinthu zotayidwa zamagetsi.
Gastroparesis imabweretsa kukayika kwam'mimba motility. Chifukwa cha izi, pamakhala kumverera kwachisoni koyambirira. Odwala amadandaula chifukwa cha kutentha kwadzaoneni, kusadya bwino, kuchepa thupi, komanso kupweteka kwam'mimba. Ndi kusanza, chakudya chimatuluka pang'ono.
Mkhalidwe wololekerera wa glucose, pomwe mulingo wake umakwera, nthawi zina umayambitsa nseru. Koma chizindikiro ichi chimanyalanyazidwa ndi odwala omwe sakudziwa kuzindikira kwawo, akumatenga poizoni wa chakudya. Popanda chithandizo cha panthawi yake, matenda a shuga amatha.
Mankhwala osalamulirika omwe amachulukitsa kupanga insulin nthawi zina amatsogolera ku hypoglycemia.
Kudumpha jekeseni lotsatira la mahomoni kumayambitsa mavuto obwera chifukwa chakusowa kwake.

Nthawi zina, chithandizo chamankhwala chofunikira chimafunikira. Kupanda kutero, wodwalayo amatha kugwa ndikufa.

Zowoneka bwino

Ngati mukuwona kukhumudwa kosatha, muyenera kudziwa chomwe chimayambitsa. Izi zichitike mkhalidwe wamtundu usanayambe. Amawoneka motsutsana ndi maziko a hyperglycemia, pomwe index ya shuga imadutsa 19 mmol / L. Wodwalayo ali ndi zina zowonjezera:

Kupuma pang'ono
Zosokoneza
Miyendo Yozizira
Kusayang'anira zomwe zikuchitika
Milomo imakhala yowuma komanso yosalala
Lilime limakutidwa ndi kukhudza bulauni
Pali kupweteka mumtima.

Kupumira kumabweretsa kuchepa kwa madzi.

Ndi hypoglycemia, mawonetseredwe ena amawonedwa. Kusintha ndi shuga wochepa kumachitika nthawi yomweyo, msanga wake utatsika kwambiri. Nthawi yomweyo, odwala amayamba kupsinjika, ndipo mkhalidwe wadzala wowonekera umawonekera. Popanda thandizo, vuto lovuta limayamba - kusefukira kwa hypoglycemic.

Khansa ya msana imachitika pakasokonekera mu kagayidwe kazakudya. Izi zimachitika tikadumphira chakudya chotsatira kapena kuwonjezera kuchuluka kwa mahomoni ngati wodwala amadalira insulin. Potengera maziko awa, acetone imatha kuchuluka.

Ketoacidosis imachitika mu milandu pomwe, chifukwa chosowa insulini (kapena kuyamwa bwino), shuga simalowa m'maselo. Ndipo kulibe kulibe mphamvu. Njira yogawa mafuta ndikupanga matupi a ketone imayamba.

Odwala omwe ali ndi vutoli samangoyamba kusanza. Madandaulo amalandiridwa pa:

Kupumira mwachangu
Wanjala
Fungo la acetone kuchokera mkamwa
Kuchepera kufooka
Shingles pamimba
Kukodza pafupipafupi
Zouma mucous nembanemba
Kutentha kwamphamvu
Zoletsa komanso ulesi.

Ngati mukumva kudwala ndipo zizindikiro zina za ketoacidosis ziyamba kuwonekera, ndiye kuti akufunika kuchipatala mwachangu. Palibe nzeru kudikira mpaka kusanza kutseguka ndikutha madzi m'thupi kuyamba.

Njira zoyeserera

Aliyense wodwala matenda ashuga ayenera kudziwa zoyenera kuchita ngati mukumva bwino musanapite kukaonana ndi dokotala. Ndikofunikira kuti muchepetse kuchepa kwa madzi m'thupi. Madzi ambiri ayenera kumamwa. Sinthani mulingo wamchere wamchere mudzalola yankho "Regidron". Imakonzedwa molingana ndi malangizo omwe ali phukusili: chikwamacho chimapukutidwa mu lita imodzi ya H₂O.

Ndikofunikira kupereka magazi nthawi yomweyo kuti mupeze kuchuluka kwa shuga (ndikwabwino ngati pali glucometer wanyumba). Ndi kuwonjezeka kwa kuchuluka kwa shuga, odwala omwe amadalira insulin ayenera kupatsidwa jakisoni wina wa mahomoni.

Ngati muli ndi vuto la mseru lokha, muyenera kufunsa dokotala kuti muwunikenso njira zamankhwala. Mwina mankhwala ena ayenera m'malo kapena kuchotsedwa. Ngati matendawo akuipiraipira ndikuyamba kusanza, muyenera kukana kutenga:

ACE zoletsa,
Zodzikongoletsera
Mankhwala ochepetsa mphamvu ya anti-yotupa (mwachitsanzo, Ibuprofen, Diclofenac),
Angiotensin receptor blockers.

Zimathandizira kusowa kwamadzi.

Ndi kuwonongeka kwakuthwa mumkhalidwe komanso kuwonekera kwa zovuta zamtundu, ndikofunikira kuyimba ambulansi. Chithandizo chichitike kuchipatala chachipatala. Njira zenizeni zamankhwala zimatsimikiziridwa ndi dokotala kutengera mtundu wa shuga ndi momwe wodwalayo alili. Njira yodziwika bwino yochizira imaphatikizira kutumiza kwa kulowetsedwa kwa madzimadzi kuti muchepetse kuchepa kwa madzi m'thupi ndi mankhwala omwe amachititsa kuti glucose ikhale ndi tanthauzo.

Kodi zingayambitse matenda ashuga? Ngati matendawo akuipiraipira, ndiye kuti kusanza ndi mseru ndizomwe zimachitika mthupi lanu. Zitachitika izi, muyenera kufunsa kuchipatala msanga. Nthawi zina, kusanza kumatha kubweretsa kukomoka komanso kumwalira kwa wodwalayo.

Chifukwa chiyani matenda ashuga amadwala komanso zoyenera kuchita ukasanza

Kuledzera kwa thupi kumayamba, nseru ndi kusanza zimatuluka. Umu ndi momwe anthu sangathe kuchitira izi: mozama zomwe zam'mimba zimatulutsidwa kudzera mkamwa. Kuchepetsa mseru mu mtundu 2 wa shuga kumachitika chifukwa cha kuchuluka kwa shuga m'thupi. Ndi mtundu umodzi wa matenda, chizindikiro ichi chikuwonetsa kusowa kwakukulu kapena kuchuluka kwa shuga. Chiwindi sichitha kukonza zakumwa zonse zopangidwa, chifukwa chake mulingo wa acetone umakwera. Maonekedwe akusanza akuwonetsa kukulira kwa omwe akudwala matenda ashuga.

Kanema (dinani kusewera).

Kukonzanso kulikonse kwaumoyo wabwino kumapereka lingaliro loti mankhwalawo ndi osathandiza. Ngati pali chizolowezi chowonera nthawi zonse, ndiye muyenera kufunsa wa endocrinologist. Dokotala amayenera kumuwunika wodwalayo ndikusankha chithandizo chokwanira.

Nthawi zina, chithandizo chamankhwala chofunikira chimafunikira. Kupanda kutero, wodwalayo amatha kugwa ndikufa.

Kupuma pang'ono
Zosokoneza
Miyendo Yozizira
Kusayang'anira zomwe zikuchitika
Milomo imakhala yowuma komanso yosalala
Lilime limakutidwa ndi kukhudza bulauni
Pali kupweteka mumtima.

Kupumira kumabweretsa kuchepa kwa madzi.

Khansa ya m'magazi imachitika ngati pali vuto lina la carbohydrate metabolism. Izi zimachitika tikadumphira chakudya chotsatira kapena kuwonjezera kuchuluka kwa mahomoni ngati wodwala amadalira insulin. Potengera maziko awa, acetone imatha kuchuluka.

Odwala omwe ali ndi vutoli samangoyamba kusanza. Madandaulo amalandiridwa pa:

Kupumira mwachangu
Wanjala
Fungo la acetone kuchokera mkamwa
Kuchepera kufooka
Shingles pamimba
Kukodza pafupipafupi
Zouma mucous nembanemba
Kutentha kwamphamvu
Zoletsa komanso ulesi.

Ngati muli ndi vuto la mseru lokha, muyenera kufunsa dokotala kuti muwunikenso njira zamankhwala. Mankhwala ena angafune kusinthidwa kapena kuchotsedwa. Ngati matendawo akuipiraipira ndikuyamba kusanza, muyenera kukana kutenga:

ACE zoletsa,
Zodzikongoletsera
Mankhwala ochepetsa mphamvu ya anti-yotupa (mwachitsanzo, Ibuprofen, Diclofenac),
Angiotensin receptor blockers.

Zimathandizira kusowa kwamadzi.

Kodi zingayambitse matenda ashuga? Ngati matendawo akuipiraipira, ndiye kuti kusanza ndi mseru ndizomwe zimachitika mthupi lanu. Zitachitika izi, muyenera kufunsa kuchipatala msanga. Nthawi zina, kusanza kumatha kubweretsa kukomoka komanso kumwalira kwa wodwalayo.

Kusungunula kumachitika pamene poizoni kapena zinthu zina zosafunika zili m'thupi. Iyi sinjira yoyendetsedwa ndi anthu, popeza zam'mimba zimachotsedwa kudzera mkamwa. Ndi matenda a shuga, kunyansidwa kapena kusanza kumachitika chifukwa cha kusintha kwa zam'mimba m'mimba. Chifukwa chake kuchotsedwa kwa zinthu zomwe ndizachilendo kwa thupi. Ndi hyperglycemic coma, kuwonjezeka kwa ma ketoni, kutulutsidwa kwa m'matumbo ndi kowopsa kwa anthu, chifukwa kumathandizira kuti kuchepa magazi kuchepa, kuchepa kwa kuchuluka kwa sodium m'magazi.

Choyambitsa chake chachikulu mu shuga ndi kuchuluka kwa shuga, kapena, mosiyana, kuperewera kwake kwakukulu. Potere, chiwindi sichitha kuthana ndi kukonza kwa poizoni, ndipo acetone imadziunjikira m'magazi.

Zomwe zimayambitsa kusanza mu shuga, kaya ndi mtundu wanji, zitha kufotokozedwa motere.

Gastroparesis.Ndi matendawa, ntchito yamagalimoto m'matumbo am'mimba imasokonekera, ndipo munthuyo amamva kukodzedwa kwamisala. Imadziwoneka ngati yakufa msanga, kutentha kwadzaoneni, kusowa kudya, kuchepa thupi, kufalikira. Makamaka, munthu amatha kuzindikira kudutsa kwa tinthu tambiri tomwe timatulutsa.
Kulekerera kwa shuga wambiri kungayambitsenso gal. Munthu akhoza kulakwitsa izi poizoni wazakudya. Kuperewera kwa mankhwalawa kumaopseza chitukuko cha "matenda" a shuga.
Hypoglycemia amathanso kutulutsa madzi m'mimba. Matendawa ndi oopsa kwa anthu, chifukwa amatha kupha.
Kumwa mankhwala omwe amalimbikitsa katemera wa insulin.
Ngati munthu wasowa nthawi yakumwa insulin.

Kupumira, nseru kapena matenda am'mimba mu shuga. Kupatula apo, zochitika ngati izi zimatha kuperewera kwa madzi m'thupi. Kutayika kwa madzimadzi, pomwe kumachulukitsa glucose, ndizowopsa: maola ochepa okha, kumatha kubweretsa kulephera kwa impso.

Thupi limayamba kutaya mosungira madzi, chifukwa m'matumbo mwake malo ake amagwa, ndipo maselo amatenga madzimadzi kuchokera ku magazi. Komabe, shuga salowa m'matumbo am'mimba, ndichifukwa chake kukhazikika kwake m'magazi kumawonjezeka kwambiri. Mwazi umakhala wamaso.

Chifukwa cha kuchuluka kwa magazi m'maso, zotumphukira zamatenda zimavutika, chifukwa shuga wambiri ndi insulin amaperekedwa kwa iwo. Kukana insulini kumayamba, komwe kumakulitsa shuga. Ndipo hyperglycemia imatsogolera ku kuchepa kwamphamvu kwam'madzi chifukwa cha kuchuluka kwa kusanza ndi kusanza.

Kuchepetsa mseru komanso kusanza ndi shuga wokwanira kumawonetsa kukula kwa matenda a shuga. Mtsempha umayamba pamene chizindikiro cha glucometer chatha kupitilira chizindikiro 19. Wodwalayo amakhalanso ndi zotsatirazi:

kusakhala ndi chidwi ndi zonse zomwe zimachitika,
kupuma movutikira
zosokoneza zowoneka
mawonekedwe a ululu mumtima,
miyendo kuzirala
milomo youma ndipo imakhala yosalala.
khungu likuwoneka
utoto wonyezimira ukuoneka pamalirime.

Kusanza pafupipafupi ndi hyperglycemia ndi chiopsezo chachikulu kwa anthu. Chowonadi ndi chakuti pamkhalidwe uwu, munthu amakula kwambiri, komwe kumapangitsa kuti madzi athere. Kuchulukitsa kumachulukitsa madzi m'thupi.

Nthawi zambiri imawoneka mu gawo loyambirira la hypoglycemia. Zizindikiro monga kukokana, chisangalalo chambiri chimayenera kusamala. Kutulutsa kosalekeza kwa zinthu za m'matumbo kumatha kuwonetsa kukhalapo kwa wodwala yemwe ali ndi vuto la hypoglycemic coma, yomwe imakhala yoopsa kwambiri yomwe ndi mitsempha yotupa.

Milandu ya kusanza ndi hypoglycemia imachitika motsutsana maziko a vuto la kagayidwe kachakudya. Mwachitsanzo, wodwalayo adakulitsa kuchuluka kwa insulin kapena kudumphira chakudya. Zotsatira zake, shuga wochepa, komanso acetone, imatsimikizika m'magazi. Kenako, zinthuzi zimathandizira kuti kusanza kusambe.

Kusungunuka ndikothekanso ndi matenda otchedwa insulin overdose syndrome. Kuchokera pamenepa, chizindikiritso cha glucose m'thupi chimadumpha, ndipo amayamba kuchitapo kanthu ndi kusanza.

Pakakhala kusowa kapena kusowa kwa insulini m'magazi, maselo sangatenge glucose ngati gwero lamphamvu. Kuwonongeka kwamafuta kumachitika, ndipo chifukwa cha iwo matupi a ketone amapangidwa. Ngati matupi a ketone ambiri azungulira m'magazi, impso sizikhala ndi nthawi yochotsa matupi awo. Chifukwa cha izi, acidity yamagazi imakulanso.

Ndi ketoacidosis, odwala ali ndi nkhawa:

nseru
kusanza
kufooka kokulirapo
ludzu lalikulu
kupuma pafupipafupi (Kussmaul),
fungo lakuthwa la acetone pamkamwa,
kukodza,
khungu louma ndi nembanemba
ulesi, ulesi ndi zizindikiro zina zamavuto a chapakati mantha dongosolo.

Chifukwa cha kuchuluka kwa matupi a ketone mthupi, kusokonezeka kwa zochitika ndi kuyamwa kwam'mimba kumachitika. Zimasanza pafupipafupi. Ndipo izi ndizowopsa ndi ketoacidosis, chifukwa thupi limakhala ndi vuto loti timatha madzi am'mimba chifukwa cha matenda ashuga. Odwala amafunikira kuchipatala mwachangu.

Ngati mukudwala matenda ashuga ndipo mukufuna kuti musambe, muyenera kusala kudya. Amaloledwa kumwa madzi ndi zakumwa zina zomwe zilibe chakudya. Kwa odwala matenda a shuga omwe amadalira insulin, insulin yayitali iyenera kugwiritsidwa ntchito kuwongolera shuga. Simuyeneranso kusiya kumwa mapiritsi a shuga.

Ngati mapiritsi amayenera kuti aledzeretse asanadye, amathetsa kwakanthawi. Izi sizoyambitsa spikes mu shuga. Komabe, insulin ikadafunikabe kubayidwa, popeza kuopsa kwa kulumpha lakuthwa mu shuga kumatsalira. Muyenera kubaya insulin kwakanthawi panthawi ya matenda opatsirana ndikusanza.

Mankhwala ena amalimbikitsa kuchepa kwa madzi m'thupi. Chifukwa chake, kulandira kwawo kuyenera kuyimitsidwa kwakanthawi. Mankhwalawa amaphatikizapo:

okodzetsa
ACE zoletsa
angiotensin receptor blockers,
mankhwala osagwiritsa ntchito mankhwala a anti-yotupa, makamaka, Ibuprofen.

Nthawi zambiri, pakakhala kusanza mu matenda a shuga, ndikofunikira kukambirana ndi dokotala zamankhwala onse osankhidwa. Izi zikuthandizani kupewa zovuta za matenda ashuga.

Munthu amene akusanza matenda ashuga, mosatengera mtundu wake, ayenera kuphunzira kuugwira. Choyamba, muyenera kumwa madzi. Ngati sichisiya, njira yokhayo yotumizira ndikuyitanitsa adokotala kuti agonekere kuchipatala. Ku chipatala, wodwala amalandira kukapumira kwa madzi ndi ma elekitirodi. Ndi zoletsedwa kumwa mankhwala aliwonse a antiemetic.

Ngati kusanza kwasiya, muyenera kumwa madzi kuti muchepetse madzi m'thupi. Muyenera kumwa pang'ono, kuti musayambitse kuyambanso. Bola ngati madzi ali firiji.

Aliyense wodwala matenda ashuga ayenera kuyang'anitsitsa zizindikiro za matendawa kuti matendawa asokonezeke komanso asokonezeke.

Kuphwanya matenda ashuga: kodi kumatha kudwalitsani?

Khansa ya m'mimba ndi chimodzi mwazizindikiro zomwe zimayambitsa matenda a shuga. Nthawi zambiri amakhala akusautsika pafupipafupi, osamveka omwe amakakamiza munthu kuti apereke magazi kwa shuga ndikuyamba kuphunzira za matenda awo kwa nthawi yoyamba.

Mwaumoyo wathanzi, kumverera mseru komanso kufuna kusanza, monga lamulo, kuyesa poizoni wa chakudya, kudya kwambiri komanso zovuta zina zam'mimba, koma mwa odwala matenda ashuga ndizosiyana.

Odwala omwe ali ndi matenda ashuga, kunyansidwa komanso kwambiri kusanza ndi chizindikiro cha kukula kwa zovuta zowopsa, zomwe popanda kulandira chithandizo chamankhwala panthawi yake zimabweretsa zovuta kwambiri. Chifukwa chake, mu matenda ashuga, sizoyenera kuti chizindikiro ichi chizinyalanyazidwa, koma chifukwa chake ziyenera kukhazikitsidwa ndipo wodwalayo ayenera kuthandizidwa.

Chifukwa chachikulu chomwe chimapangitsa mseru kupezeka mtundu wachiwiri wa shuga ndi shuga wambiri m'magazi, kapena, kusowa kwa glucose m'thupi.

Izi zimadzetsa mavuto akulu mthupi la wodwalayo, zomwe zingayambitse nseru komanso kusanza kwambiri.

Mseru ndi kusanza mu shuga nthawi zambiri zimawonedwa ndi zotsatirazi zovuta:

Hyperglycemia - kukwera kowopsa kwa shuga m'magazi,
Hypoglycemia - kuchepa kwakukulu kwa shuga m'thupi,
Gastroparesis - kuphwanya kwam'mimba chifukwa cha chitukuko cha neuropathy (kufa kwa minyewa ya mitsempha chifukwa cha zotsatira zoyipa za kuchuluka kwa shuga),
Ketoacidosis - kuchuluka kwa acetone m'magazi a wodwala,
Kumwa mankhwala ochepetsa shuga. Makamaka omwe amadwala matenda a shuga a Siofor, chifukwa kusanza ndi kusanza ndizotsatira zoyipa za mankhwalawa.

Ndikofunika kutsindika kuti wodwalayo amamva kuwawa ngakhale atangoyamba kumene kulipira, pamene zizindikiro zina zingakhalebe zisanachitike. Chifukwa chake thupi la wodwalayo limatha kuthana ndi mseru komanso kusanza kuti shuga asalole, zomwe zimatsogolera kukula kwa matenda ashuga amtundu wa 2.

Pakakhala chithandizo chofunikira, minofu yotsutsana ndi insulin imatha kuyambitsa kukomoka kwa hyperglycemic komanso kufa pambuyo pake kwa wodwalayo. Chifukwa chake, chithandizo chamankhwala chapanthawi yake ndizofunikira kwambiri kwa matenda ashuga.

Kuphatikiza pa mseru, zovuta zilizonse za shuga zimakhala ndi zizindikiro zake zomwe zimakupatsani mwayi wofufuza chomwe chimayambitsa matendawa komanso momwe mungachitire moyenera.

Ludzu lalikulu lomwe silingathetsedwe ndi madzi ambiri,
Kupeputsa komanso kukodza pafupipafupi
Kusanza, nthawi zina kusanza,
Mutu waukulu
Kusokonezeka, kulephera kukhazikika pa china chake,
Zowonongeka: Maso amtundu kapena malo ogawanika
Kupanda mphamvu, kufooka kwambiri,
Kuchepetsa thupi, wodwala akuwoneka wosafunikira,
Shuga wamagazi amaposa 10 mmol / L.

Osati akuluakulu okha, komanso ana amatha kudwala hyperglycemia, choncho ndikofunikira nthawi zonse kuwunika thanzi la mwana wanu, makamaka ngati amakonda kudandaula za mseru komanso kufuna kusanza.

Kuti muthandizire wodwalayo kuchuluka kwa shuga m'thupi, muyenera kum'patsa jakisoni wa insulin yochepa, ndikubwereza jakisoni musanadye.

Muzovuta kwambiri, mutha kusinthitsa kuchuluka kwa insulin tsiku lililonse kukhala mankhwala osakhalitsa, kupatula insulin yayitali. Ngati izi sizikuthandizani, ndiye muyenera kuyimbira foni dokotala.

Ngati wodwala yemwe ali ndi hyperglycemia sathandizidwa pakapita nthawi, akhoza kuyamba kudwala matenda ashuga a ketoacidosis, omwe amawonetsedwa ndi zizindikiro zowopsa kwambiri:

Ludzu lalikulu, madzi ambiri amwe,
Kusanza pafupipafupi komanso kwakanthawi
Kutaya kwathunthu mphamvu, kulephera kuchita zolimbitsa thupi ngakhale pang'ono
Kuchepetsa thupi mwadzidzidzi,
Ululu pamimba
Kutsegula m'mimba mpaka mpaka 6 maola angapo,
Mutu waukulu
Kusakwiya, kuchita ukali,
Kutopa, khungu limakhala louma kwambiri ndikusweka,
Arrhythmia ndi tachycardia (pafupipafupi kugunda kwa mtima kosokoneza mitsempha),
Poyamba, kukodza mwamphamvu, kenako kusowa mkodzo kwathunthu,
Mpweya wamphamvu wa acetone
Kupuma movutikira
Kuletsa, kutayika kwa minyewa.

Wodwala matenda ashuga ayenera kudziwa zoyenera kuchita ngati ali ndi matenda ashuga a ketoacidosis. Choyamba, ngati wodwalayo ayamba kusanza pafupipafupi, amatsekula m'mimba kwambiri komanso kukodza kwambiri, izi zimamuwopseza ndi madzi am'madzi kwathunthu.

Pofuna kupewa izi, tiyenera kupatsa wodwalayo madzi amchere.

Kachiwiri, muyenera kumupatsa jakisoni wa insulin ndipo pakapita nthawi yochepa ayang'ane kuchuluka kwa shuga. Ngati sichigwa, ndiye kuti muyenera kufunafuna thandizo kuchokera kwa dokotala.

Hypoglycemia imadziwika ndi zizindikiro monga:

Khungu lakuonekera pakhungu,
Kuchuluka thukuta,
Kugwedezeka thupi lonse
Kusweka mtima
Mphamvu yanjala
Kulephera kuyang'ana pa chilichonse
Chizungulire, mutu,
Nkhawa, kumva mantha
Masomphenya olakwika
Khalidwe losayenera
Kutaya kogwirizana,
Kulephera kuyenda pamtunda nthawi zambiri,
Mikwendo yambiri m'miyendo.

Hypoglycemia nthawi zambiri amakumana ndi matenda amtundu 1. Kuopsa kokhala ndi vutoli ndikofunikira kwambiri mwa mwana yemwe ali ndi matenda amtundu woyamba, chifukwa ana sangayang'ane momwe aliri.

Popeza taphonya kamodzi chakudya chokha, mwana wozungulira mafoni amatha kugwiritsa ntchito shuga mosavuta ndikugwa.

Gawo loyamba komanso lofunikira kwambiri pochiza matenda a hypoglycemia ndikupatsa wodwalayo chakumwa cha msuzi wa zipatso kapena tiyi. Madziwo amalowetsedwa mwachangu kuposa chakudya, zomwe zikutanthauza kuti shuga amalowa m'magazi mwachangu.

Kenako wodwalayo ayenera kudya zakudya zowonjezera zovuta monga mkate kapena phala. Izi zingathandize kubwezeretsa kuchuluka kwa shuga m'thupi.

Vutoli nthawi zambiri limafanana kwambiri ndi asymptomatic. Zizindikiro zazikulu za gastroparesis, monga kusanza mu shuga mellitus, zimayamba kuwonekera pokhapokha matendawa akamakula.

Gastroparesis ali ndi zizindikiro zotsatirazi, zomwe nthawi zambiri zimawonekera mukatha kudya:

Kutentha kwadzaoneni komanso kuphuka
Kuphatikiza ndi mpweya kapena acid komanso kumva kukhuta komanso msimba m'mimba ngakhale mutatha supuni ziwiri za chakudya,
Kumverera mosalekeza
Vomiting bile
Kulawa koyipa mkamwa
Kudzimbidwa pafupipafupi, kutsatiridwa ndi matenda am'mimba,
Kukhalapo kwa chakudya chosasokonezeka chopondapo.

Gastroparesis imayamba ngati kuwonongeka kwa mitsempha chifukwa cha kuchuluka kwa shuga m'magazi. Vutoli limakhudza minyewa yam'mimba, yomwe imayang'anira kupanga ma enzymes ofunikira ndikuyenda kwa chakudya m'matumbo.

Zotsatira zake, wodwalayo amakhala ndi ziwalo pang'ono zam'mimba, zomwe zimasokoneza chimbudzi cha chakudya. Izi zimabweretsa chakuti chakudya chimakhala m'mimba mwa wodwalayo nthawi yayitali kuposa anthu athanzi, zomwe zimadzetsa mseru nthawi zonse komanso kusanza. Makamaka m'mawa wotsatira ngati wodwalayo aluma kudya usiku.

Chithandizo chokhacho chothandiza pazomwezi ndikuwunikira kuchuluka kwa shuga m'magazi, omwe angathandize kukhazikitsa dongosolo logaya chakudya. Kanemayo munkhaniyi akukamba zina mwazomwe zimayambitsa matenda ashuga.

Kodi kuthana ndi mseru komanso kusanza mu shuga?

Kukhalapo kwa Refresh Reflex ndi mseru m'magazi a shuga kungachitike pazifukwa zosiyanasiyana, koma izi ndizizindikiro zowopsa, chifukwa nthawi zambiri zimayambitsa nseru chifukwa cha chitukuko cha matenda. Munkhaniyi, muphunzira chifukwa chake iyamba kusanza pamaso pa anthu odwala matenda ashuga, kuopsa kwake, komanso zomwe muyenera kuchita ndikusanza.

Kumva nseru ndi kusanza ndi njira yosalamulirika yomwe masanzi amatuluka m'mimba pamlingo wa Reflex. Koma kodi izi zitha kukhala pamaso pa matenda ashuga? Yankho lake ndilachidziwikire komanso losamveka - inde. Chifukwa chakuti shuga imakhudzanso ziwalo za m'mimba, zomwe zimayambitsa kusanza.

Chifukwa cha izi, chiwindi sichikhala ndi nthawi yopanga zinthu zonse zovulaza zomwe zimapangidwa m'thupi. Komanso, imatha kudwala onse ndi shuga wambiri, komanso kuchepa kwake. Koma mulimonsemo, ngati mukumva kudwala, ndipo izi zimatsatiridwa ndi kusanza, ndiye kuti izi zimawonetsa kuti palibe wodwala matenda ashuga.

Ndipo mutha kudziwa momwe shuga ndi yolumikizirana komanso magwiridwe am'mimba, kuchokera pa vidiyoyi:

Zomwe zimayambitsa mseru komanso kusanza m'magazi a shuga ndikuwonongeka kwa kagayidwe kamwazi, chifukwa thupi silingachotsere zinthu pambuyo pake, chiwindi chimasokonekera, ndipo acetone imadziunjikira m'madzi am'magazi.

Zomwe zimayambitsa kusanza ndi mseru ndi izi:

Tiyenera kukumbukira kuti nthawi ya kusanza, madzimadzi amachotsedwa. Thupi limasowa madzi. Zotsatira zake zitha kukhala zowononga m'moyo wabwino. Ngati simupereka chithandizo chanthawi yake, izi zitha kukupangitsani kuti musiwale, mugwere, komanso kuti mufe.

Ngati sanatengepo nthawi yake kuti athetse mseru komanso kusanza, zotsatirazi zingachitike:

matenda akumitsempha miyendo,
dyspnea kuukira
kupanda chidwi ndi kukhumudwa
kupweteka mumtima
kutopa ndi kufooka wamba,
kukodza pafupipafupi
kuchuluka kwa kuthamanga kwa magazi ndi kutentha kwa thupi,
kuwoneka kwa kukoma kwa acetone pamkamwa wamkamwa.
kwambiri kuyanika kwa mucous nembanemba.

Pakakhala nseru ndi kusanza, muyenera kukana kudya kwakanthawi, m'mawu ena, kufa ndi njala. Ndikofunikira kwambiri kumwa madzi ambiri momwe mungathere. Koma zindikirani kuti madzi omwe amagwiritsidwa ntchito ali ndi mchere wambiri ndipo nthawi zonse amakhala wopanda kaboni.

Mankhwala osokoneza bongo a shuga nawonso amatengedwa, koma malinga ndi malangizo omwe ayenera kumwa asanadye, ndiye kuti muyenera kusiya kumwa. Muyeneranso kuchepetsa kugwiritsa ntchito mankhwala omwe amachepetsa thupi. Mankhwalawa akuphatikizapo:

mankhwala okodzetsa
zoletsa za angiotensin zotembenuza ma enzymes,
sartans kukonzekera,
mankhwala odana ndi kutupa monga ibuprofen ndi diclofenac.

Ndikusowa kwamadzi kwambiri, Regidron iyenera kutengedwa. Ngati mankhwalawa mulibe kanyumba kamasamba azanyumba, mutha kutero. Pa izi muyenera: 1/3 tsp. mchere komanso kuchuluka kofanana ndi soda, 2 tsp. shuga, lita imodzi yamadzi yopanda mpweya. Sakanizani zonse bwino. Mankhwala omwe amamwa amadzaza. Amamwa pang'ono pang'onopang'ono, koma kangapo patsiku ndimakakamizidwe othandizira shuga. Ngati zizindikiro zikupitilira kwa nthawi yayitali, kulandira kuchipatala msanga ndikofunikira.

Kuti muchepetse chizindikiro chosasangalatsa ichi, mutha kugwiritsa ntchito izi:

Pofuna kupewa nseru ndi kusanza mu shuga, tsatirani njira zotsatirazi:

Pitani ku dokotala wanu pafupipafupi ndi kukambirana za vuto lanu.
Imwani zakumwa zambiri. Pakusanza, madzi amayenera kuledzera m'miseche yaying'ono, kuti asayambitse mobwerezabwereza. Madzi azikhala opanda mpweya.
Ndi zoletsedwa kumwa mankhwala a antiemetic.
Musanamwe mankhwala aliwonse, funsani dokotala wanu ndikuwerenga malangizo mosamala kuti mugwiritse ntchito.
Ngati muli ndi vuto lalikulu la mseru kapena kusanza, itanani ambulansi nthawi yomweyo. Onetsetsani kuti mukuwuza madokotala anu kuti muli ndi matenda a shuga. Tiuzeni zomwe zingayambitse izi.

Kusanza ndi kusanza mu matenda ashuga kumachitika motsutsana ndi maziko a matenda amisala. Chifukwa chake, ndikofunikira kuti musanyalanyaze izi, koma kufunsa dokotala kuti akuthandizeni. Iyi ndiye njira yokha yochotsera chisokonezo munthawi yake, muteteze thupi lanu ku zotsatirapo ndikupewa madzi amthupi.

Kodi matenda ashuga angadwalitse komanso ndimankhwala ati omwe angathandize kuchiritsa?

Kuopsa kwa matenda ashuga ndi kosatsutsika. Endocrine pathology imawononga kwambiri ziwalo za wodwalayo. Njira yogaya chakudya ndiyokhayonso. Kusintha kwachisokonezo m'mimba, kuledzera kwa thupi kumakhala chinthu chofunikira pakuwoneka ndi mseru, chidwi chofuna kusanza m'matenda a shuga. Kuphatikiza apo, hyperglycemia (kuchuluka kosakwanira kwa monosaccharide m'magazi) kumayambitsa kuwonjezeka kwa ma ketones ndi kuchepa kwa magwiridwe antchito a chiwindi; ndizovuta kuti azitha kupanga zinthu zovulaza mu shuga mellitus. M'magazi, mkodzo umapeza acetone. Kuchepetsa khansa m'matenda a shuga, kusanza, kutsekula m'mimba sikuwongolera munthu ndikuwuka pakamwa thupi. Kutulutsidwanso kwina kwam'mimba kumawonetsa kufunika kwa kumasulidwa kwake kuzinthu zovulaza.

Ngakhale kuti matekinoloje amakono azachipatala amakono, mtundu 1 wa shuga ndi mtundu 2 amakhalabe mndandanda wazovuta zomwe zimakhudza ziwalo zamkati ndi machitidwe.

Kutsegula m'mimba, kusemphana ndi mseru, kusanza, ndi chizindikiro cha matenda ndipo amafunika kuyankhidwa mwachangu kwa anthu odwala atawonekera.

Njira zotere zopitilira ulamuliro waumunthu zimatsimikizira kuchotsedwa kwa zinthu zachilendo kwa thupi. Kupezeka kwawo kwa matenda ashuga amtundu wa 2 ndi chizindikiro chosonyeza kufooka kwa vuto la wodwalayo komanso kuopsa kwa zovuta.

Kuchepetsa mseru komanso kusanza mu mtundu 2 wa matenda ashuga akapezeka ndi hyperglycemia ndi harbinger wa makolo. Vutoli limayambitsa kukodza pafupipafupi, kumapangitsa kuti thupi la wodwala lithe mphamvu. Kusintha kwachulukirachulukira kumapangitsa zinthu, kumabweretsa kuchepa kwamadzi ambiri.

Ndi kuchepa kwa odwala muyezo wa monosaccharide pansipa 3.5 mmol / dm³, kusanza kungasonyeze kukula kwa zovuta za hypoglycemic coma. Choopsa kwambiri pakati pawo ndi matenda a edema, zotsatira zake ndiko kulephera kwa wodwala wodwala kapena kufa. Ngati mukumva chizungulire ndi hypoglycemia, muyenera kudya maswiti, chokoleti, kumwa tiyi wokoma, ndipo mutha kuyika compress ya viniga pamphumi panu. Milandu yodziperekera pamatumbo pazinthu za hypoglycemia imatha kuchitika ndi kuwonjezeka kwa insulin komanso kudya chakudya. Kuchepa kwa kuchuluka kwa shuga, kuwoneka kwa acetone mu mkodzo, magazi kumadzetsa kuledzera kwa thupi ndikuyambitsa kutsegula m'mimba, kusanza, komanso nseru. Matenda a insulin overdose syndrome, kuchoka osavomerezeka kapena kudumpha jakisoni wake kumadzetsa kudumpha kwa glucose komanso kumayambitsa machitidwe osagwirizana ndi anthu omwe ndi mayankho a thupi pakulimbana ndi wodwalayo pamene akupeza matenda oopsa a endocrine.

Chifukwa china chomwe chimayambitsa matenda am'mimba, kusanza, nseru, ndi ketoacidosis. Matenda a shuga a Type 1 amachititsa kukula. Kupita patsogolo kwa ketoacidosis kumalumikizidwa ndi kuchuluka kwa insulin yofunikira, kuwonjezeka kwa matupi a ketone mthupi la munthu, mawonekedwe a acetone mu mkodzo, ndi kuledzera kwa thupi. Izi zimatsogolera ku mtundu wokana zinthu zovulaza ndikuchotsedwa kwawo m'mimba.

Pa masamba azachipatala azachipatala nthawi zonse mutha kudziwa za njira zothetsera nseru mu shuga komanso momwe mungapewere kusanza. Kuwachotsera panthawi yake kudzathandiza kuthetsa kuwonongeka kwa thanzi la wodwalayo komanso kupewa ngozi yovuta.

Mseru ndi kusanza mu matenda ashuga ndi zovuta za zovuta zowopsa! Muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa izi komanso kulandira chithandizo chanthawi yake!

Chithandizo cha zizindikiro zosasangalatsa chimaphatikizapo:

Ngati mukumva chizungulire, muyenera kutenga malo "abodza".
Kugwiritsa ntchito kuchuluka kwamadzimadzi, mchere, madzi oyera oyeretsedwa, yankho la Regidron kapena analogi yake, yokonzedwa kuchokera ku magalofu awiri amadzi, mchere ndi koloko ya 1/4 tsp. mchere, 50-75 g shuga.
Kubweretsa chidziwitso cha mulingo wa monosaccharide ku chizolowezi, choyenera kukhala bwino.

Panthawi yakusokonekera kwa wodwala yemwe ali ndi matenda a shuga a 2 kapena mtundu 1, kutentha thupi, komanso kupweteka kwam'mimba, tikulimbikitsidwa kuyimba ambulansi ndikugoneka odwala.

Kusamalira kwambiri kumathandizira kuchotsa zizindikiro zosasangalatsa, komanso kupewa kuteteza zovuta (chikomokere, imfa).

Mankhwalawa kusanza, nseru ndi wowerengeka azitsamba ncholinga chokhazikitsira shuga. Zithandizo zothandiza za shuga zimaphatikizira oat decoction, tincture wa vodka wozizira anyezi, zitsamba za cuff, masamba a walnut, chitsamba chowawa, tsamba la bay ndi kulowetsedwa kwa mapira. Kabichi brine, mummy, zipatso zokometsera za phulusa la kumapiri ndi mapeyala zouma zimathandizanso kutulutsa ndende ya monosaccharide m'magazi. Kugwiritsa ntchito njira zina maphikidwe kumaloledwa pambuyo povomerezana ndi adokotala.

Khansa ya m'mimba, kutsegula m'mimba, komanso kusanza m'matumbo a shuga ndi mtundu wa zochita za thupi pakudya mokwanira, pochiritsa. Amakhala zofunika kwambiri pakukhudzana ndi kagayidwe kachakudya, chiwopsezo cha zovuta ndikuwonetsa kufunika kofunikira kuchitapo kanthu. Ndikofunikira kuneneratu kuonekera kwa zizindikirozi pasadakhale, makamaka, kusiyiratu chilichonse chomwe chingapangitse kutulutsa kwazomwe zili m'mimba. Endocrinologist ndikufotokozerani momwe mungachitire izi, ndipo munthu yemwe ali ndi matenda a shuga angatsatire malangizo ake.

Zovuta za mseru, kusanza mu matenda a shuga ndi zovuta zomwe zimawonetsa

Kuchepetsa mseru komanso kusanza mu shuga ndi chizindikiro chokhazikika cha zovuta zamatenda amthupi la munthu wodwala.

Kusintha kotereku kukuwonetsa kusokonezeka kwakukulu mu kagayidwe ka shuga ndi kulephera kuyika bwino zinthu zake zosweka.

Zotsatira zake zomwe zikuchitika m'magazi am'magazi, acetone imadziunjikira zochuluka, zomwe zimayambitsa mawonekedwe a kuledzera kwambiri.

Ndikofunika kukumbukira kuti njirayi imadzetsa kuwonongeka kwakuthwa mthupi la odwala matenda ashuga, motero, amafunika kuwongolera kuchipatala msanga. Popanda chithandizo choyenera, vutoli limatha kukhala ngati lozunzalo komanso kupha munthu wodwala.

Kusanza ndi kusanza mu shuga: zingalankhule za chiyani?

Vomiting ndi njira yothandizira thupi yomwe imalola kuti m'mimba muzikhala zopanda zinthu zapoizoni komanso zakudya zosavuta zomwe zimavuta kapena zosatheka kugaya.

Ichi ndi chimodzi mwamawonekedwe omwe ali ndi vuto la kuledzera, limodzi ndi kuchuluka kwa zovuta zamatenda, matenda a shuga. Ads-mob-1

Ndi matenda a shuga, kusanza kumatha kuchitika motsutsana ndi maziko a zovuta zotsatirazi kuchokera mthupi la munthu wodwala:

poyizoni
hyperglycemia kapena kuwonjezeka magazi shuga
hypoglycemia, komwe ndi kutsika kwakukulu kwa shuga m'madzi a m'magazi,
ketoacidosis, yomwe ndi imodzi mwazovuta zovuta za shuga ndi kuchuluka kwakukulu kwa matupi a ketone m'magazi,
gastroparesis ndikuphwanya kwakukulu ntchito kwam'mimba.

Matendawa amapezeka ndi matenda ashuga nthawi zambiri, kotero kuoneka kwa nseru komanso kusanza kwa odwala matenda ashuga nthawi zambiri kumayenderana.

Nthawi zambiri, poyizoni amayamba chifukwa cha chakudya chosakhala bwino, kuchuluka kwa mankhwalawa kapena kumwa moledzera komanso kwakukulu.

Mofanananso ndi kusanza, kutsegula m'mimba, kupweteka pamimba kumawonekera, kutentha kwa thupi kumakwera, ndi zina zotero. Nthawi zina zizindikiro za matendawa zimadzimiririka zokha, koma nthawi zambiri amafunika kuyang'aniridwa ndi achipatala.

Ndi kuwonjezeka kwa shuga mu thupi, nseru ndi kusanza kungakhale zizindikiritso zoyambira za hyperglycemic precoma.

Kuphwanya kumeneku kumayendetsedwa ndi kulepheretsa kwakufunika kwa njira zonse zofunika, kukomoka, kusokonezeka kowoneka ndi kukodza pafupipafupi.

Kusanza kwa Hypoglycemic kuli makamaka kwa odwala omwe ali ndi matenda a shuga a 2.

Ikhoza kuphatikizidwa ndi kusokonezeka kwa kugwira ntchito kwa ubongo komwe kumayang'anira gig Reflex, kapena kungayambitsidwe ndi insulin yolakwika, yolakwika.

Potere, wodwalayo amadandaula kuti amva njala kwambiri, kufooka kwambiri, kukhumudwa komanso kukomoka .ads-mob-2

Pamene ketoacidosis m'magazi a munthu wodwala, kuchuluka kwa matupi a ketone kumawonjezeka kwambiri, kumalumikizidwa ndi kuperewera kwa insulin komanso kulephera kugwiritsa ntchito bwino zinthu zowola zamafuta.

Kuchulukitsa kwa acetone kumayipa kugwira ntchito kwa impso, m'mimba ndi matumbo, kumayambitsa kukula kwa mseru ndi kusanza, zomwe zimayambitsa madzi am'mimba, kukulira kwa zomwe zili ponseponse, komanso kusokonezeka kwa dongosolo lamanjenje.

Matendawa amadziwika ndi kusokonekera kwa m'mimba thirakiti ndi mawonekedwe a mawonekedwe achulukidwe.

Kusintha ndikung'amba wodwala kumayamba mukangotha kudya.

Kuphatikiza apo, munthu wodwalayo amakhala ndi kutentha, kukomoka koipa mkamwa, komanso chakudya chosagwiritsidwa ntchito usiku womwewo.

Kuphatikiza pa mseru ndi kusanza, kuledzera ndi matenda a shuga kumadziwika ndi zizindikiro monga:

kufooka wamba komanso chizungulire chachikulu,
kulephera kudziwa
kukodza kwambiri ndi ludzu lalikulu,
Kuzizira m'malo akumunsi,
kupweteka mumtima ndi m'mimba,
phokoso mokhumudwa
khungu lowuma komanso milomo yowoneka ngati yoluka pamaso pawo,
kupezeka kwa halitosis ndi chikhazikitso mchilime,
kuwonongeka kwamawonekedwe,
ulesi ndi ulesi.

Amayambitsa matenda am'madzi, amachititsa impso kugwira ntchito komanso amasiya kudziwa.

Madokotala amachenjeza kuti kuchepa kwamadzi nthawi imodzi ndi kuwonjezeka kwa shuga m'magazi kumatha kukhala ndizotsatira zoyipa kwambiri mu kulephera kwa impso ndi zotsatira zake zonse.

Kuphatikiza apo, pakusanza kwa odwala matenda ashuga, glucose amaleka kulowetsedwa m'matumbo am'mimba, ndipo magazi amawonekera.

Ngati wodwala matenda ashuga ayamba kusanza kwambiri komanso kusanza, ndibwino kuti musamadzipeputse, koma kufunafuna chithandizo chamankhwala mwachangu ndi zomwe zimayambitsa matenda.

Ngati kusanza kumayendetsedwa, ndiye kuti mutha kungopanga kutaya madzi, komwe kumalola munthu kuti abwerere mwakale .ads-mob-2

Kuvomerezedwa kwa chithandizo chilichonse chamankhwala osokoneza bongo chikuyenera kuvomerezedwa ndi dokotala. Popeza kusanza nthawi zonse kumabweretsa kuchepa kwamadzi, akatswiri amalimbikitsa kuti odwala matenda ashuga amwe Regidron kapena njira zina zamchere..

Kugwiritsa ntchito madzi pafupipafupi ndi 250 ml kwa ola lililonse kumathandizanso kuti madzi asatheretu. Kuti muthane ndi kuchuluka kwa shuga, odwala matenda ashuga omwe amatsuka amapatsidwa mlingo woyenera wa insulin. Odwala omwe ali ndi matenda amtundu wa 2 sayenera kutha.

Ndi zoletsedwa kugwiritsa ntchito mankhwala awa:

antiemetic mankhwala
okodzetsa
mankhwala osapweteka a antiidal
angiotensin otembenuza enzyme blockers ndi angiotensin receptors.

Mwachilengedwe, kusanza kwa shuga sikulimbikitsidwa kuti azichitira kunyumba. Koma zimachitika kuti nthawi zina pamakhala palibe njira ina yopulumukira.

Ndi chochitika ichi, akatswiri amalangizidwa kuti azigwiritsa ntchito mankhwala enaake Regidron, opangidwa kuchokera kuzinthu zomwe zimapezeka kukhitchini iliyonse.

Sakanizani supuni ziwiri za shuga, makapu awiri amadzi, supuni imodzi yamchere ndi koloko. Phatikizani zida zonse zamalonda ndikuyesetsa kuti mutsirize monga momwe agulira Regidron.

Chifukwa chiyani nseru ndi kusanza zimachitika mu shuga:

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Bliss Michael Kutulutsa kwa Insulin. 1982, 304 p. (Michael Bliss Discovery of insulin, bukuli silinamasuliridwe ku Russia).
Nikolaeva Lyudmila Diabetesic Foot Syndrome, LAP Lambert Academic Publishing - M., 2012. - 160 p.
Saltykov, B.B. Diabetesic microangiopathy / B.B. Saltykov. - M.: Mankhwala, 2017 .-- 815 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwazaka 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kodi kusanza kumachitika chifukwa chiyani mu shuga

Mimba, titero kunena kwake, ikuyesayesa kuti itulutse yokha, kupangitsa kumva kosasangalatsa ndikuchotsa zomwe zili mkamwa. Nthawi zambiri, njirayi imagonjera amuna. M'malo opitilira hyperglycemia, kuyeretsa koteroko kumawonetsa kuwonongeka kwa wodwala.

Pamenepo, poizoni kapena chinthu china chakunja chikalowa m'matumbo am'mimba, chizindikiritso cha m'mimba chimaperekedwa kwa medulla oblongata.Imatsimikiza kufunika kochotsa chinthu choopsa ndikuyambitsa kusasangalala m'mimba. Pamene mseru ndi kusanza zikuwonjezeka ndi shuga, izi zikuwonetsa kufalikira kwa matendawa.

Zomwe zimayambitsa chizindikirocho zingakhale:

Ketoacidosis. Hypoglycemia.

Poyambirira, hyperglycemia yofunika imatsogolera ku mfundo yoti zinthu za m'magazi - ma ketones - zimayamba kupanga thupi. Amayambitsa "acidization" wa ziwalo zonse ndi machitidwe. Magazi amayamba kufanana ndi acetone. Ubongo waukulu, kuyesera kubwezeretsa bwino, kumapangitsa kuti m'mimba muzikhala mgwirizano ndi kuyeretsa.

Mlandu wachiwiri, boma lotsutsana ndi diametric limachitika. Pankhaniyi, kusapeza bwino m'mimba ndi mawonekedwe a m'mimba amachitika chifukwa chosowa shuga. Cortex yamatumbo samalandira zakudya zoyenera. Kusokonezeka kwa dongosolo lamkati lamanjenje (CNS) kumayamba, komwe kumawonetsedwa ndi kusanza.

Pali matenda oyambitsidwa ndi bakiteriya. Kukula kwa microflora yachiwiri kumawonedwa kwambiri mwa odwala omwe ali ndi "matenda okoma". Zikatero, kusanza mu matenda osokoneza bongo kumayesedwa ndi kuledzera kwakukulu kwa thupi ndi zinthu zopangidwa ndi bacteria. Chofunikira kwambiri pakuchipatala ndi kugwiritsa ntchito maantibayotiki.

Zomwe Zimayambitsa Kusungunuka kwa odwala matenda ashuga

Nthenda yachiwiri yomwe imayambitsa chizindikiro chosasangalatsa ndi gastroparesis. Imachitika chifukwa kuphwanya magawo a yosalala minofu ulusi mu khoma ziwalo zam'mimba dongosolo. Zotsatira zake, wad wazakudya zomwe zawonongeka sizingayende kupitikitsa matumbo.

Njira yowola, kupangidwa kwa mpweya, nayonso mphamvu imayamba. Zinthu zonse zomwe zimapangidwa chifukwa cha zochita zoterezi zimakhudza m'mimba ndikumakhudza m'mimba ndikuwukakamiza kuti ubwerere mobwerezabwereza. Kusungunuka kumayamba ndipo zomwe zili mu chiwalo zimatulutsidwa.

Zizindikiro zazikulu za matendawa ndi izi:

Kukwezeleza mwachangu. Wodwala amatha kuyika supuni yachiwiri ya msuzi mkamwa mwake ndikusiya kumva njala. Anachepetsa chilako. Kutentha kwadzaoneni. Kuchepetsa thupi. Misozi ikachotsedwa, chakudya chosasokonekera chimachotsedwa. Zachisangalalo. Vutoli limatha kuthandizidwa kapena kudikirira. Mulimonsemo, muyenera kufunsa dokotala kuti akuthandizeni.

Kusiyanitsa kwakusiyana ndi kusanza

Pakadali pano, vuto lalikulu pochiza vutoli limakhalabe kusasamala kwa anthu. Amakonda kuti m'mimba mumakhala kusasangalala ndi zakudya zopanda pake kapena mowa wamphamvu. Pali nthawi zina pomwe kusanza kumakhala chizindikiro choyamba cha mavuto a kagayidwe kazakudya.

Komabe Njira zazikulu zomwe zimapangitsa kusiyanitsa ndizotsatirazi:

Matenda am'mimba thirakiti (gastritis, zilonda, zilonda zam'mimba ndi ena).
Poyizoni pachimake.
Ntchito yayikulu ya bakiteriya matenda.
Zokhudza matenda.
Matenda a chapakati mantha dongosolo.

Ngati chizindikiro choterechi chikuchitika, muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa thupi.

Zithandizo za Nusea ku shuga

Muyenera kudziwa kuti kusanza mu mtundu 1 wa shuga kumawonetsa kuchuluka kwa shuga m'magazi ndikupanga ketoacidosis. Choyamba, muyenera kuyeza kuchuluka kwa shuga mu seramu ndikuwonetsa zinthu zotsatirazi. Chitsogozo chachikulu pakuthandizira chizindikiro chimodzi ndikuchiritsa kwa glycemia komanso kubwezeretsanso madzi osungirako.

Njira zabwino zothanirana ndi kusasangalala ndi kubayidwa insulin ndikumwa chakumwa china chothina. Kusintha kwa matenda a shuga a 2 kumakhala kofanana ndi matenda a hyperosmolar, pomwe kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri, ndipo thupi limakhala ndi madzi ambiri. Apa muyenera kuwona dokotala.

Kunyumba, njira yabwino ndikumwera madzi ambiri popanda shuga. Mankhwala otchuka a kusanza ndi Tserukal. M'matenda a shuga, ndi othandiza kwambiri, koma musamagwiritse ntchito nokha. Mankhwalawa ali ndi zotsutsana zingapo komanso zoyipa zomwe zimakhudza mkhalidwe wa wodwalayo.

Kuthana ndi matenda a shuga ndi vuto. Ngati chiwonetsero choterechi chikuchitika, muyenera kukambirana ndi dokotala za kukonza kwa njira zochizira. Zizindikiro zikuwonetsa chithandizo chosakwanira.

Kodi pali kugwirizana kotani pakati pa shuga ndi magazi

Shuga wamagazi ndi mseru zimalumikizidwa chifukwa chakuti shuga wambiri amatha kupangitsa munthu kumva kuti akuvutika. Mwachitsanzo, munthu amatha kusanza ngati magazi ake ali okwera kwambiri, i.e. pamaso pa hyperglycemia.

Komabe, kupepuka kwa mutu kumatha kupezekanso ndi shuga wochepa kwambiri, wotchedwa hypoglycemia. Pazonse ziwiri, nseru ndi chizindikiro cha shuga wamwazi, amenenso amatchedwa glucose.

Zomwe aliyense ayenera kudziwa

M'malo mwake, nseru ndi chimodzi mwazizindikiro za matenda ashuga osaperekedwa:

Hyperglycemia ndi chikhalidwe choyamba chomwe chimamangiriza shuga ndi magazi. Khansa ya m'mimba nthawi zambiri imayamba chifukwa cha shuga wambiri.

Ngati munthu ali ndi shuga wambiri m'matumbo, amati ali ndi hyperglycemia. Nthawi zambiri, thupi la munthu limatulutsa insulini, yomwe imagwiritsidwa ntchito pochotsa glucose kuchokera m'magazi kupita ku maselo, komwe imagwiritsidwa ntchito ngati magetsi.

Kukodza pafupipafupi kapena mkodzo wowonjezera womwe umatuluka m'thupi utha kuonekeranso. Kuphatikiza apo, nthawi zina wokhala ndi shuga wambiri m'magazi, munthu amakhala ndi vuto lakhungu komanso nseru.

Hyperglycemia ikhoza kukhala vuto lalikulu, ndipo ngati itapezeka, ndikulimbikitsidwa kukaonana ndi dokotala kuti mumupime mokwanira. Vuto linanso lomwe limamangiriza shuga wamagazi ndi mseru ndi hypoglycemia. Kukhalapo kwa hypoglycemia kumawonetsa kuti shuga yamwazi ndizochepa kwambiri.

Kutsitsa shuga mpaka misempha yopanda thanzi kumatha kuchitika ngati thupi lipanga insulin yambiri. Poterepa, maselo amthupi omwe amafunika shuga ngati mafuta, amavutika ndi kuperewera kwake. Izi zitha kuchititsa kuti mukhale ndi zisonyezo zamthupi komanso zamavuto.

Zizindikiro za hypoglycemia zimaphatikizapo:

nseru, kutopa, chizungulire, kusinthasintha kwa machitidwe, kukhumudwa, kuwona bwino, kulakalaka maswiti, palpitations.

Popeza shuga ndi magazi zimayenderana, ndikulimbikitsidwa kuti munthu amene amakonda kudandaula kuti awone dokotala kuti awone ngati ali ndi shuga. Makamaka ngati, kuwonjezera pa mseru, zizindikiro zina zimawonedwa.

Nthawi zina, kusinthasintha kwa shuga m'magazi kumachitika chifukwa cha kuperewera kwa zakudya m'thupi kapena chifukwa chotsatira chamankhwala ena. Komabe, nthawi zina, shuga wambiri amatha kukhala chizindikiro cha matenda, monga matenda a shuga kapena matenda a impso.

Zomwe zingatanthauze kusanza mu shuga

Kukhalapo kwa kusanza kwa wodwala yemwe ali ndi matenda a shuga kungayambitse, ndikuwonetsa chithandizo cholakwika, chomwe chotsatira chake chimapangitsa kuti pakhale zovuta za matenda ashuga - ketoacidosis, pomwe mankhwala oopsa a metabolism oyipa amayamba kugwira ntchito mbali zonse za Reflex.

Ndi kusanza kwakutali, ndikofunikira kudzaza kuchepa kwa mchere wamchere, izi zitha kuchitika pomwa madzi amchere, kuyambitsa yankho la sodium chloride, mayankho apadera (mwachitsanzo, "Regidron").

Kugwiritsa ntchito bwino kwamisanza ndikosatheka popanda kuthetsa zomwe zimayambitsa, chifukwa chake, chofunikira kwambiri pakuchiritsira wodwala yemwe ali ndi matenda ashuga ndi kusamutsa wodwalayo moyang'aniridwa ndi endocrinologist kuti apereke chithandizo chambiri kuti achepetse kuchuluka kwa shuga m'magazi.

Kodi ketacidosis yokha imatha kuyambitsa kusanza? Nthawi zambiri zimachitika kwa ine, ngakhale shuga sikhala pamwamba kwambiri Kupatula matenda ashuga, kusanza kumatha kutichitikira pazifukwa zofanana ndi anthu ena onse. Itha kukhala ndi mutu, ngati pali matenda am'matumbo (monga dysbiosis kapena kufooka kwa timitundu ta bile), ngati munthu atayamba kudwala.

Agogo anga aakazi, pakudya kwambiri shuga, ndimasanza mosalekeza; Amamwa mapiritsi, koma shuga samachepetsedwa kwambiri. Amafunikira chithandizo cha insulin kuchipatala, moyang'aniridwa ndi madotolo, ndikuwunika.

Momwe mungathandizire kusanza? Kodi pali chisamaliro chadzidzidzi? Zachidziwikire kuti muyenera kulipira shuga mwachangu, koma ngati ndi wodwala matenda a shuga a 2 ndipo amakhala kwinakwake kumudzi. ndi masiku atatu kupita kuchipatala ndi nkhalango ...

Muzigoneka wodwala, ikani kuzizira pamimba (botolo la pulasitiki lokhala ndi madzi ozizira, kuwira pang'ono ndi ayezi). Wodwala safunikira kudyetsedwa, koma akhoza kugulitsidwa. Pimani shuga yanu ndikukhala ndi wodwalayo nthawi zonse mpaka adokotala atafika. Regidron imatsutsana mu mtundu wa shuga wa 1-2, lembani mosamala!

Kodi kugona ndi kufooka kumagwirizana ndi matenda ashuga?

Malingana ngati hyperglycemia imatha kudya, wodwala yemwe ali ndi matenda osokoneza bongo amadziona kuti ali wokhutira ndipo amangodandaula za kutopa kochulukirapo. Ndi kukula kwa matendawa, njira za kayendedwe ka shuga m'magazi zimasokonekera, zomwe zimayambitsa kukula kwa hyperglycemia komanso kuwonjezeka kwa shuga wamagazi atatha kudya.

Odwala amadandaula za kutopa, kufooka, kugona, kugona, tinnitus, kupweteka m'mimba, komanso ludzu lalikulu komanso kukokana pafupipafupi. Ndi kuwonjezereka kwa shuga (pamwambapa 19 mmol / l), munthu akhoza kukhala wodwala matenda a shuga. amayamba liti:

nseru
kusanza
kubweza
kunyalanyaza chilengedwe
kupuma movutikira
kuwonongeka kwamawonekedwe
kupweteka mumtima
Khungu limakhala loyipa ndi louma,
miyendo imayamba kuzizira
milomo yowuma yoyera ndi kutumphuka,
lilime lophimbidwa ndi utoto wofiirira.

Zizindikiro za matenda ashuga mwa ana

M'moyo, zimachitika nthawi zambiri motere: zomwe mumaopa kwambiri zidzakuchitikirani. Mukuopa kupweteketsa dzanja lanu - chifukwa chake simukhala osazindikira, ndipo zovuta zoterezi zidzachitika. Mukuopa kuopa kudwala chimfine, mudzadwala nthawi yayitali.

Mukamaganizira za kuopsa kwa mwana kukhala ndi matenda ashuga, choyambirira, makolo ayenera kuthana ndi nkhawa za thanzi la mwana ndikuphunzira kusiyanitsa zizindikiro za matenda ashuga mwa ana ndi zizindikiro zamatenda ena. Pankhaniyi, malingaliro a makolo "ngati sindikuwona vuto la matenda ashuga, ndiye kuti mwana alibe, ndipo zonse zitha kutithandiza mwanjira ina" zitha kukhala zowawa kwambiri kwa khanda.

Makolo amenewo ndi olondola omwe amadera nkhawa za ana ndikuyesera kuwunikiridwa machitidwe a matenda aubwana. Zowonadi, matenda a shuga ndizovuta kudziwa koyambira kwa ana aang'ono. Koma mwina makolo ayenera kudziwa za izi! Kumbukirani lamuloli: kuchenjezedwa kumatanthauza kukhala ndi zida.

Choyamba, makolo enieniwo ayenera kudziwa zambiri momwe angathere poyeserera matenda osiyanasiyana a shuga ali mwana. Khalani ndi nthawi yowerenga zonse zomwe zingatheke, funsani akatswiri azachipatala ndi ma endocrinologists! Kachiwiri, ndikofunikira kuti mukhale ochezeka komanso moyenera kufotokozera mwana kuti muyenera kuuza amayi anu ndi abambo za zovuta zilizonse popanda kubisala kapena kuchita manyazi.

Nthawi zambiri, mwa mwana wathanzi m'magazi "opanda" (pamimba yopanda kanthu) shuga sangakhale wamkulu kuposa 3.3-5,5 mmol / L. Nthawi zambiri, shuga sayenera kukhala mkodzo. Thupi limayang'anira kuchuluka kwa shuga m'magazi mothandizidwa ndi insulin ya mahomoni, yomwe imapangidwa ndi maselo apadera a kapamba.

Mu shuga, kuchuluka kwa shuga m'magazi. Mkulu wa shuga akakwera kwambiri (8-10 mmol / l), shuga m'm impso alibe nthawi yochoka pamkodzo kubwerera m'magazi, ndichifukwa chake wapezeka mkodzo. Chimodzi mwazomwe zimachitika ndi izi ndi ludzu lalikulu, chifukwa mamolekyulu amadzi ambiri amafunikira kuti amange mamolekyulu a shuga.

Zizindikiro za matenda ashuga

Zizindikiro za matenda amatchedwa mawonekedwe akuwonekera, kusapeza bwino komanso zizindikilo zakuchepa kwamtundu wonse. Monga lamulo, Zizindikiro za matenda ashuga mu ana omwe amakula matendawa zimawonekera motsatizana, ndipo makolo ayenera kuwongoleredwa pamenepa kuti asaphonye nthawi yamtengo wapatali.

Izi zimachitika kawirikawiri. Abazadde baatandika okulaba nti omwana asaba omwenge omungi. Nthawi yomweyo, kukodza kumakhala kochulukirachulukirapo usana ndi usiku, pamakhala kusintha kwakuthwa komanso kosamveka bwino ndi chidwi - kaya mwana akukana kudya, kapena kudya kwambiri. Ndipo zonsezi, komanso kuti akuchepetsa thupi, zimakhala zopanda ntchito komanso zina.

M'mbuyomu, mwana amadziwika (koma makolo satengera kufunika kwa izi!) Zizindikiro zoyambirira za matenda ashuga ndi zizindikiro zakufa:

Sindingayime kwakanthawi popanda chakudya, ndikudandaula za kupweteka mutu komanso kumatha kumva njala, imayamba kudya maswiti ambiri, imakhala yofooka pambuyo pa maola 1.5-2 mutatha kudya.

Zizindikiro zonse zomwe zatchulidwa kuti muli ndi thanzi labwinobwino ndi chifukwa chothamangira ndi endocrinologist. Ngati maso a mwana akuwonjezeranso kwambiri, furunculosis, neurodermatitis, periodontitis imawoneka, musatchule funso mphindi imodzi! Heredity itengapo gawo, koma sitiyenera kuyiwala za zomwe zimabweretsa nkhawa, matenda, kuperewera kwa zakudya m'thupi.

Ndibwino kuti pali chisamaliro cha makolo ndi chisamaliro. Izi zimakhala bwino kwambiri makolo akamapanda kuchita mantha akadziwa kuti achibale awo ali ndi matenda ashuga. Zachidziwikire, kuthekera kwa kufala kwa chibadwa ndi kuwonetseredwa kwa zizindikiro za matenda ashuga mwa ana amatendawa kukwera kwambiri. Ingoyenera kuchitapo kanthu! Yesetsani kufufuza matenda anu, ndikutsatira madokotala odziwa bwino ntchito yawo.

Kodi ndingadwale chifukwa cha matenda ashuga?