Ndi dokotala uti amene amathandizira odwala matenda ashuga, momwe amachitira ndi

Matenda a shuga ndi matenda oopsa omwe akhudza dziko lonse lapansi. Ndikofunikira kudziwa kuti ndi dokotala uti amene amathandiza odwala matenda ashuga, chifukwa kufikira kwa katswiri woyenera kumakupatsani mwayi wofufuza matendawa mwachangu ndikupewa kukula kwa zovuta.

Matendawa amawononga thupi lonse. Poyamba, njira ya pathological imayambira mu kapamba, pomwe ntchito yake ya mahomoni imavutika. Pambuyo pake, matendawa amakhudza machitidwe ambiri amthupi - amanjenje, amtima, komanso chida chamawonedwe ndi impso zimavutika.

Kuti mumvetse omwe amachiza matenda ashuga muyenera kuyang'ana momwe adayikidwa mu ICD-10.

• E10 - wodalira insulin (1 mtundu),
• E11 - osayimira insulin (mtundu 2),
• E12 - yolumikizidwa ndi kuperewera kwa zakudya m'thupi,
• E13 - mitundu ina yotchulidwa,
• E14 - yosadziwika.

Kukhalapo kwa zovuta kumathetseka padera patapita nthawi. Mwachitsanzo, kuzindikira kwa "zilonda zam'mimba pamaso pa matenda a shuga a 2" kumawoneka ngati E11.5. Gulu lililonse lazovuta limapatsidwa nambala kuyambira 1 mpaka 9.

Ndi dokotala uti yemwe ndiyenera kulumikizana ndi matenda ashuga ndipo amatchedwa chiyani?

Kuwongolera kwa odwala matenda a shuga kumachitika ndi endocrinologist. Odwala nthawi zambiri samabwera kwa katswiri wamtunduwu pokayikira matenda. Mwakuchita, munthu amabwera kwa othandizira akumaloko ndi zodandaula zosakhudzana ndi ludzu, kukodza kwambiri, chilimbikitso, kapena kuchuluka kwa glucose amapezeka mwangozi mukamayesedwa.

Ntchito ya apolisi amchigawochi ndi kukayikira matenda osokoneza bongo ndikutumiza kwa endocrinologist kuti amveketse bwino matendawa.

Chifukwa cha kufala kwa matendawa, kupangika kwapadera kwapangidwa - dokotala wa matenda ashuga (shuga mellitus). Dokotala wotere amangochita ndi odwala omwe ali ndi matenda a shuga, chifukwa kuwongolera kwawo kumafuna chisamaliro chapadera komanso njira yodziwira payekha.

Dokotala wa matenda ashuga ndiwothandiza kwambiri endocrinologist yemwe amaphunzira kuyambika ndi kukula kwa matenda ashuga.

Kodi endocrinologist amatenga kuti?

Ogwira ntchito m'makiriniki ambiri ali ndi endocrinologists. Ngati pali kukayikira kwa matenda a shuga, othandizira amatanthauza endocrinologist. Ngati matendawa adakhazikitsidwa kale, ndiye kuti wodwalayo amakonzekera mayeso okonzekera pawokha mwa regista.

M'mizinda yambiri yayikulu, pamakhala malo a shuga omwe wodwalayo amatha kutumizidwa kukayezetsa mwatsatanetsatane. Malo ngati amenewa amakhala ndi akatswiri ofunikira komanso zida zofunika.

Ndikufuna mayeso aliwonse kwa dokotala?

Palibe chifukwa chodziyesa nokha pasadakhale. Dokotala wopezekapo yekha adzalembetsa mayeso ofunikira, kutengera madandaulo, chithunzi cha chipatala ndi zotsatira zake. Maphunziro oyenera ndi:

• shuga wamagazi
• urinalysis
• kuyeserera kwa shuga
• glycated hemoglobin,
• Ultrasound ya kapamba.

Izi ndizofunikira zochepa. Katswiriyu angapatse ena mayeso. Ngati mukufuna kuchita zoyeserera za ultrasound, muyenera kukhala ndi phokoso ndi inu.

Kodi adokotala ali bwanji?

Ngati wodwalayo ayenera kufunsira kwa endocrinologist, ndiye kuti adzakhala ndi phwando lalitali lokhala ndi mafunso, mayeso ndi kukhazikitsidwa kwa maphunziro ambiri. Kenako, matenda amapangidwa ndipo chithandizo chimalembedwa. Mtundu 1 umathandizidwa ndi insulin ndi jakisoni, ndipo kwa wachiwiri, mankhwala ochepetsa shuga amasankhidwa. Ngati, chifukwa cha zovuta zomwe zayamba, wodwala ali ndi vuto la matenda ashuga, amatha kulandira mankhwala kwaulere ndi mankhwala ena apadera.

Ngati mankhwala a hypoglycemic akasankhidwa bwino, ndipo glucose ali pafupi kwambiri ngati sangakwanitse, odwala amapitilizidwa kuonedwa ndi adotolo am'deralo, ponena za endocrinologist pokhapokha pakukonzekera kapena mwadzidzidzi. Kuwunika mphamvu zamagulu a shuga kumachitidwanso ndi akatswiri.

Kusiyana kwa amuna ndi akazi, ana ndi achikulire?

Pa chiwerewere, abambo ndi amayi amadwala pafupifupi pafupipafupi.

Matenda a shuga ndi matenda osachiritsika omwe amakhala nthawi yayitali. Nthawi zina matenda amayambitsidwa ndi kukula kwayamba pachimake komwe kumafunikira kuchipatala. Ndi za ma comas. Ngati wodwalayo sakudziwa za kuchuluka kwa shuga ndipo amanyalanyaza zizindikiro za nthendayo, ndiye kuti shuga m'magazi ake amakwera kwambiri kotero kuti chikomokere cha hyperglycemic chikukula.

Pali zovuta zomwe zimachitika - wodwalayo adziwa kalekale matenda ake ndipo amamwa mankhwala pafupipafupi. Koma anthu achikulire, chifukwa cha kusinthika kwakukhudzana ndi zaka, amatha kumwa mapiritsi kuti achepetse shuga, kenako shuga wamagazi amatsika kwambiri ndikukula kwa chikumbumtima cha hypoglycemic.

Matenda a shuga amtundu 1 amapezeka kwambiri mwa ana, ndipo matendawa amapezeka m'masabata oyamba amoyo. Matenda a shuga omwe samadalira insulin ndiye chiyembekezo cha anthu achikulire. Pankhaniyi, pazifukwa zosiyanasiyana, kukana insulini kumachitika (maselo sangathe kuyenderana ndi insulin). Matendawa mwa anthu otere nthawi zambiri amaphatikizidwa ndi matenda oopsa, kunenepa kwambiri komanso mafuta ambiri.

Kuyankhulana ndi akatswiri ena

Kuzindikira kwa matenda a shuga kumakulimbikitsani kuti mulumikizane ndi akatswiri opapatiza kuti musatenge zovuta. Malo "okoma" m'magazi amawononga makhoma amitsempha yamagazi, makamaka ang'onoang'ono, omwe amafotokozera kuwonongeka kwa ziwalo: maso, impso, ziwiya za m'munsi. Chifukwa chosakwanira magazi m'miyendo, zilonda zam'mimba zimatha kupanga zomwe sizichiritsa kwa nthawi yayitali. Potere, dokotala wa opaleshoni yemwe amachitanso zomwezi amathandizanso.

Zida za retina zimakhudzidwa mwachangu, kotero kufunsira ndi akatswiri a maso kumangoyenera kupewa khungu.

Katswiri wotsatira ndi dokotala wamatsenga yemwe amatha kuzindikira kutayika kwa chidwi komanso kupereka mankhwala apadera.

Ndi mafunso ati oti mufunse adotolo?

Popeza mwapangana ndi katswiri woyenera, yesani kudziwa mwatsatanetsatane momwe matendawa angakhudzire moyo wanu. Khalani omasuka kufunsa mafunso. Mitu ikuluikulu ndi:

• Kodi ndi zakudya zamtundu wanji zomwe ziyenera kutsatiridwa?
• Zoyenera kuchita ndi kukula kwa pachimake chikhalidwe?
• Kodi mumafunikira kuthana ndi glucose kangati?
• Ndingatani zolimbitsa thupi?

Kodi ndingathe kuyitanitsa dokotala yemwe amasamalira matenda ashuga kunyumba?

Kuyendera kwa endocrinologist kunyumba kumachitika ngati kufunsira kapena kupangana kwake kuli kofunikira, ngati wodwalayo sangathe kupita pawokha kuchipatala (kuduladula chifukwa cha chiwalo cham'munsi).

Mu zipatala zachigawo, komwe kulibe endocrinologist, funso loti "ndi dokotala wotani yemwe amadwala matenda a shuga" silimabuka, popeza maudindo onse a oyang'anira amagwera m'mapewa a dotolo wadera. Koma, monga lamulo, othandizira amayesa kutumiza odwala otere kuti akalandire ku likulu lachigawo.