Chifukwa chiyani matenda a shuga a 2 amakhala oopsa?
Type 2 matenda a shuga ndi matenda opezeka a endocrine system, omwe akuwoneka ndi kusokonezeka kwa njira za metabolic, kuchuluka kwa glucose mu seramu yamagazi ndikuphwanya magwiridwe antchito a insulin ndi maselo amthupi. Ngakhale kuti pali shuga wambiri, ziwalo ndi minyewa yomwe ili ndi matendawa sizingalandire mphamvu zokwanira kuti zikhale zatsopano.
Moni owerenga anga okondedwa! Ndine Svetlana Morozova. Mosiyana ndi mtundu 1, wokhala ndi mtundu wachiwiri wa matenda a shuga, kuchuluka kwa mahomoni a pancreatic - insulin - ndi okwanira kapena kuchuluka, koma sangathe kukwaniritsa ntchito yake yoyendera chifukwa chotengera insulin kukaniza maselo.
Axamwali! Ine, Svetlana Morozova, tikukupemphani kuti muwone muma webinars abwino komanso osangalatsa! Presenter, Andrey Eroshkin. Katswiri wodziwa zaumoyo, wodwala wazovomerezeka.
Mitu ya masamba obwera:
- Momwe mungachepetse kulemera popanda mphamvu ndikuti kulemera kwake kusabwerenso?
- Kodi mungakhalenso wathanzi popanda mapiritsi, mwanjira yachilengedwe?
- Kodi miyala ya impso imachokera kuti ndipo ndichitenji kuti ndisawonekenso?
- Kodi mungasiye bwanji kupita ku gynecologists, kubereka mwana wathanzi ndipo osakula msinkhu wazaka 40?
Zizindikiro za nthendayi ndi ziti? Kodi ndimatani pochiza matenda oopsawa? Kodi chiwopsezo chake ndi chiani ndipo ndikulosera kwanji kwa wodwala yemwe ali ndi matenda a shuga a 2? Ndikambirana zonsezi munkhani yanga.
Kulephera kwammimba komanso zilonda zam'mimba mu shuga
Chifukwa chiyani matenda ashuga ndi owopsa? Matendawa ndi owopsa, chifukwa kulephera kwa impso kumatha kuyamba motsutsana ndi kumbuyo kwake. Tsoka ilo, zovuta izi ndizofala kwambiri pakati pa odwala matenda ashuga.
Chifukwa chiyani kulephera kwa impso kumawonekera? Chowonadi ndi chakuti mu mtundu 1 komanso mtundu wa 2 shuga, magazi omwe ali ndi glucose ochulukirapo amapitilira chiwalo. Izi zimapangitsa kuti mkati mwa "glomeruli" wa impso pakhale kupanikizika kowonjezereka, ndipo nembanemba yomwe ili kuzungulira “glomeruli” imayamba kukula.
Chifukwa cha zinthu izi, ma capillaries omwe ali m'matangadza amayamba kudzaza, ndipo motsutsana ndi maziko a matenda osokoneza bongo, kupweteka kwambiri koma kupweteka kwambiri.
Matendawa amadziwika ndi zizindikiro zotsatirazi:
- Lethargy, limodzi ndi mutu komanso kugona.
- Kutsegula m'mimba, kusanza.
- Khungu loyera.
- Maonekedwe akununkhira achitsulo mkamwa.
- Mpweya woipa. Chimafanana ndi fungo la mkodzo.
- Kupuma pang'ono. Imachitika ngakhale zolimbitsa thupi pang'ono.
- Kuwonongeka kwa chikumbumtima (m'malo ovuta kwambiri).
- Minofu kukokana mumiyendo. Nthawi zambiri amalimbitsa usiku.
Zizindikiro zooneka ngati za kulephera kwa impso zikaonekera, tikulimbikitsidwa kuyesa mayeso a mkodzo wa albumin, kuyesa kwa mkodzo kwa creatinine, komanso kuyesa magazi kwa creatinine. Kutengera ndi mayeserowa, adotolo amasankha njira zoyenera zamankhwala.
Kodi mavutowa amathandizidwa bwanji? Kuchotsa matenda amtunduwu ndikokhazikitsa impso yochita kupanga. Koma poyamba, dokotala amatha kukupatsani mankhwala ena omwe amachedwetsa kufalikira.
Pakulephera kwa impso, wodwala amafunika kuyang'anira shuga, kuthamanga kwa magazi ndi kuchuluka kwa mafuta m'thupi.
Zilonda za trophic zomwe zimadza motsutsana ndi maziko a matenda ashuga - ndizowopsa. Zilonda za trophic ndi chilema pakhungu lomwe silichiritsa kwa nthawi yayitali. Tizilombo toyambitsa matenda tating'onoting'ono timatha kulowa m'mavuto, chifukwa cha momwe machitidwe a necrotic amayamba chilonda.
Poyamba, zilonda zam'mimba zimadziwonetsa ndi izi:
- Miyendo imakhala yosakhudzidwa ndi chidwi chakunja.
- Miyendo imakhala yozizira ngakhale chipinda chomwe odwala matenda ashuga ali. Chizindikiro ichi chikuwonetsa kuti poyerekeza ndi chilonda cham'mimba, maselo amitsempha amwalira.
- Ululu m'miyendo.
Njira zopangira opaleshoni zimagwiritsidwa ntchito pochiza zilonda zam'mimba. Kutulutsa, mankhwala othandizira, kapena chithandizo cha VAC chitha kuchitidwa. Kudzinyenga kwenikweni kumasankhidwa ndi adokotala.
Ngati matendawa sanayambike, ndiye kuti mutha kuyesa kuchotsa zilonda zam'mimba mothandizidwa ndi mankhwala. Pankhaniyi, magulu otsatirawa a mankhwalawa amagwiritsidwa ntchito:
- Antihistamines.
- Ma anti-sipekitiramu othandizira.
- Ma antiplatelet.
- Mankhwala osokoneza bongo oletsa kuponderezana.
Komanso, pa nthambi yomwe yakhudzidwa, wodwalayo ayenera kuthira mafuta ophatikiza ndi mafuta. Nthawi zambiri amagwiritsa ntchito mafuta monga Levomekol kapena Streptolaven. Ma antiseptics amagwiritsidwa ntchito kutsuka zilonda. Msuzi wa Furacilin, Chlorhexidine kapena chamomile utha kugwiritsidwa ntchito.
Woopsa, kupandukira khungu kungakhale kofunikira. Koma zimachitika kuti mankhwala ndi osathandiza. Poterepa, kuduladula chiwalo chomwe chakhudzidwa chikuchitidwa.
Chifukwa chiyani matenda a shuga a 2 amayipa?
Type 2 shugaosati mtundu wodalira insulininthawi zambiri zimatha Zizindikiro, zimadziwika mwamwayi pamayeso ena otsatira. Kuzindikira mochedwa matendawa sikulola kuimitsa magawo oyambilira komanso kupewa zovuta.
Hypoglycemia
Hypoglycemia - mkhalidwe wodziwika ndi kuchepa kwakachepera shuga m'magazi.
Ngati simuletsa kuukira koyambirira koyambirira, odwala matenda ashuga amatha kukhala ndi vuto la hypoglycemic.
Hypoglycemic coma mu shuga imayamba mu 50% ya odwala omwe ali ndi vuto la hypoglycemia, ngati sanapatsidwe panthawi yake thandizo loyamba.
Kuukira kwa hypoglycemia kumapangitsa kuti ziwonongeko zake zizikhala zachangu. Poyamba Zizindikiro kapu yothira shuga kapena tiyi wokoma, chidutswa cha shuga woyengedwa kapena piritsi la glucose chingakuthandizeni. Ngati zinthu sizikuyenda bwino, muyenera kuyimbira ambulansi.
Hyperglycemia
Hyperglycemia - shuga wambiri chifukwa cha kulephera kwa thupi kugwiritsa ntchito bwino shuga. Matendawo ndi operewera., hyperglycemia imagwirizanitsidwa ndi kuchepa kwa chidwi kwama cell kuti apange insulin ndipo, nthawi zina, ndi kusakwanira kwa insulin yawo.
Ngati shuga sakulamulidwa, zitha kuchitika hyperglycemic chikomokere. Koma ndizosowa, zimatha kuyambitsa mkwiyo kuthetseratu mwadzidzidzi mapiritsi ochepetsa shuga.
Coma yamtundu wa 2 shuga amayamba pang'onopang'ono; Zizindikiro za matendawa zimawonedwa masiku angapo. Ndi kuwonongeka kwakuthwa mwa kukhazikika mwa munthu motsutsana ndi maziko a hyperglycemia, ndikofunikira kuyitanitsa dokotala. Mwinanso kuukiridwa kumayenderana ndi kufunikira kwa kuphatikiza jakisoni wa insulin mu njira ya chithandizo.
Kodi ketoacidosis ndi chiyani?
Njira ya pathological ya thupi lomwe ma ketoni amadziunjikira m'magazi, zomwe zimayambitsa "acidization" ya thupiimatchedwa ketoacidosis.
Kusowa kwa zakudya m'thupi kumayambitsa ketoacidosis wodwala. Izi zitha kuonetsa kufunikira kopita ku insulin yakunja.
Ketoacidosis imayamba pang'onopang'ono. Pa magawo oyambilira, mutha kuthana ndi matendawa nokha, pamapeto omaliza a matendawo, muyenera kusintha kuchipatala.
Lactic acidosis
Wodwala matenda ashuga omwe ali ndi kuwonongeka kwa impso chifukwa cha hyperglycemia akhoza kuyamba lactic acidosis, momwe mumapezeka kuchuluka kwa lactic acid m'magazi.
"Kukankha" kuti pakhale chimodzimodzi odwala omwe ali ndi matenda a shuga a 2 amatha kutaya magazi kwambiri. Matendawa amakula pakangotha maola ochepa osakhala ndi chizindikiro chilichonse.
Zizindikiro za mawonekedwe amitsempha ayenera kukhala atcheru - paresis ndi kusowa kwa mawonekedwe achilengedwe.
Mothandizidwa ndi izi, wodwala amafunikira chithandizo chamankhwala mwachangu, pena atha kupweteka.
Ndikosatheka kuneneratu za lactic acidosis. Wodwala akapanda kuthandizidwa kuchipatala, amwalira.
Hyperosmolar chikomokere
Hyperosmolar chikomokere Zimagwirizanitsidwa ndi kuphwanya kwambiri njira za metabolic.
Amadziwika ndi:
- Mitundu yambiri ya shuga mthupi
- Kuthetsa madzi m'thupi kwambiri
- Kuperewera kwa acetone m'mwazi.
Hyperosmolar coma imatsimikiza mu 10% ya milandu ya chikomokere ku matenda ashuga, Nthawi zambiri amapezeka mwa anthu atatha zaka 50, amuna ndi akazi.
Ngati simupereka chithandizo pakanthawi kochepa, mu 50% ya milandu imatheka.
Hyperosmolar coma imatha kupsinjika ndi kuchepa kwakukulu kwa magazi, matenda am'mimba thirakiti, kutentha ndi kuvulala.
Hyperosmolar chikomokere chimakula pang'onopang'ono masiku angapo ngakhale milungu ingapo.
Panthawi ya kuukiridwa, munthu amafunika kuchipatala mwachangu.
Kodi retinopathy ndi chiyani?
Retinopathy ndimatenda osatupa a retina omwe amachititsa khungu.
Ngati mukuwona mizere yowongoka ngati wavy, mutha kukhala ndi zilembo zoyambira. Komanso, chophimba pamaso, mizere yakuda ndi zithunzi zosakongola ziyenera kuwonetsetsa.
Zomwe zimayambitsa kukonzekera kwa retinopathy ndi ukalamba, kutenga pakati, kubadwa, kuthamanga kwa magazi.
Nephropathy
Nephropathy ndi magulu awiri a impso.
Matendawa amakula poyamba popanda zodziwikiratu, koma ngati sanachiritsidwe, zotsatira zake zingaphe.
Ngati matendawa atha kupezeka m'magawo oyamba, ndizotheka kuchitika kuchira kwathunthu. M'magawo omaliza, munthu ayenera kugwiritsa ntchito hemodialysis ndi impso yochita kupanga.
Anthu odwala matenda ashuga phazi
Zovuta zazikulu monga - matenda ashugazingayambitse gangore.
Matendawa amakula pang'onopang'ono, choyamba zala zakumiyendo zimatha kuzimiririka, kenako zilonda zosachiritsika zimayamba kupanga. Pang'onopang'ono, minofu "imamwalira", khungu limayamba, ndikuduladula miyendo ndikulephera.
Vutoli limawonedwa kwambiri kwa odwala matenda a shuga omwe ali ndi zaka zopitilira 5.
Njira zamakono chithandizo Pewani kudzicheka, ngati matendawa sanayambike, chithandizo chamankhwala chosafunikira ndikugwiritsanso ntchito opaleshoni.
Kanema wothandiza
Kodi mungadziteteze bwanji ku njira zowopsa zamatenda? Onerani kanemayo.
Anthu odwala matenda ashuga ayenera:
- Onetsetsani kuchuluka kwa glycemia, kuisamalira bwino kwambiri,
- Tsatirani zakudya
- Yang'anirani ndikusintha magazi
- Osasuta osamamwa mowa kwambiri,
- Chitani masewera olimbitsa thupi pafupipafupi
- Zikufufuzidwa ndi madokotala chaka chilichonse.
Munthu yemwe wapezeka ndi T2DM nthawi zina amatha kuchotsa matendawa potsatira zakudya ndi masewera olimbitsa thupi.
Ngati simungathe kuthana ndi matendawa, muyenera kupewa kupewa zovuta kwambiri komanso kupewa kuchulukana.
Kuti tichite izi, ndikokwanira kuti shuga yathu isakhale yovomerezeka, kuti magazi ake asasinthike. Momwe mungachitire izi, dokotala yemwe akupezekapo angakuuzeni.
Kodi matendawa amachokera kuti?
M'nkhani yanga "Matenda a shuga" Ndilankhulapo za matenda amtunduwu komanso mitundu yamatenda omwe ndimakumana nawo. Ngati mtundu 1 umatengera mwachindunji zinthu zomwe tinatengera kwa makolo athu komanso zomwe zimawononga maselo omwe amapanga insulini, ndiye kuti mtundu 2 umadalira malo omwe timapanga.
Matenda a shuga amtunduwu ndi omwe amawoneka kuti ndiofala kwambiri, mpaka 5% ya anthu akumayiko otukuka amadwala matendawa.
Zinthu zomwe zingayambitse kulephera kwa metabolic zomwe zimayambitsa matenda a shuga ndi monga:
- onenepa kwambiri komanso kunenepa kwambiri, makamaka visceral (kudzikundikira kwamafuta amkati),
- zakudya zopanda thanzi, kuchuluka kwa chakudya chambiri m'zakudya komanso kusowa kwamasamba ndi zipatso,
- moyo wongokhala.
- kupezeka kwa matenda ashuga m'mabanja apafupi,
- matenda oopsa oopsa
- Matenda a chiwindi ndi kapamba,
- mimba
- jenda (chofala kwambiri mu azimayi kuposa abambo),
- zaka 40 zapitazo (matendawa amatenga nthawi yayitali),
- Kukhala wa liwiro la Negroid kapena Mongoloid.
Kunenepa kwambiri kumakhala koopsa kwambiri mwa ana ndi achinyamata pamene zovuta za metabolic zimayambika pazakusintha kwina kwa mahomoni. Onani zomwe ana anu amadya ndi kuchuluka kwa momwe amasunthira!
Njira yamachitidwe
Nthawi zambiri, shuga m'magazi amaperekedwa kwa ziwalo zonse kuti apange mphamvu zofunika. Sewu imeneyi singalowe mumalowedwe a cell, koma imathandizidwa ndi insulin, yomwe imalumikizana ndi molekyulu ya glucose ndikuyitumiza mkati, yolumikizana ndi njira yopezera mphamvu.
Ngati nembanemba ya cell ikayamba kugonjetsedwa ndi insulin, imataya mphamvu yake yonyamula shuga.
Thupi limayesetsa kulipira mphamvu panjala, ndipo m'magawo oyamba a matendawa, insulin yambiri imatha kulowa seramu yamagazi. Chimodzi mwazinthu zomwe wodwalayo amafunikira insulin yoyendetsedwa kumapeto: magawo a Langerhans adatha ndipo amaleka kupanga mahomoni.
Gawo lalikulu la matendawa limatha kubweretsa kulumala chifukwa cha zovuta.
Zizindikiro izi zimayamba pang'onopang'ono:
- ludzu ndi kamwa yowuma
- kukodza pafupipafupi komanso kopatsa chidwi,
- kulakalaka
- kufooka kwa minofu
- ulesi wambiri
- kuchuluka kwakukulu kwa mafuta m'thupi (koyambirira kwamatenda),
- Kuchepetsa thupi (pambuyo pake),
- mafinya pakhungu, machiritso olakwika a mabala, makamaka miyendo.
Popeza shuga sakhazikika bwino, thupi limayamba kulikulitsa mwamphamvu m'njira zonse zotheka, kupyola pakhungu. Izi zimasinthira khungu pH, lomwe limapanga kukhazikika kwa kukula kwa mabakiteriya.
Zotsatira zoyipa zimakhudza kuwola kwa mano, kukula kwa matenda oyamba ndi fungus (thrush), komanso kuwonongeka kwa mawonekedwe chifukwa cha kusintha m'matumbo a fundus.
Mndandanda wazovuta zina:
- polyneuropathy (kuwonongeka kwa mitsempha ya zotumphukira), zomwe zimapangitsa kupuwala ndi paresis, kupweteka kwa etiology yosadziwika,
- arthropathy - kusintha komwe kumalumikizana, kuwonjezeka kwa mamasukidwe akayendedwe a synovial fluid, kuwonongeka kwa kuphatikiza, crunching, kuchepa kwa kayendedwe,
- ophthalmopathy - kukula kwa ma cataralog (kutsika kwa mandala mandala), kufooka kwa thupi,
- kukula kwa phazi la matenda ashuga (ulceration, necrotic process), komwe kumatha kubweretsa kufunika kokadula,
- nephropathy - kwamikodzo poyerekeza mapuloteni ndi zinthu za m'magazi, mpaka kukweza kwa glomerulossteosis, komwe kungayambitse kulephera kwa impso,
- encephalopathy ndikusintha kwa machitidwe, psyche, kukula kwa kupsinjika kapena kusayanjika kwamalingaliro,
- kuledzera kwa thupi ndi zinthu zowola zomwe zimayendera poizoni m'magazi (Toxicosis).
Mu gawo loyamba, thupi limakwaniritsa kuchuluka kwa shuga. Chachiwiri - kusowa kwa mahomoni ndi glucose owonjezera kumayamba kukhudza, zomwe zikuwonetsa kufunikira kwa kugwiritsa ntchito mankhwala ochepetsa shuga. Lachitatu ladzala ndi zovuta zowopsa ndipo popanda kuyambitsa insulin ndi mankhwala ena ambiri, moyo umatsika kwambiri.
Mungaipeze bwanji?
Kuchuluka kwa shuga kapena magazi pafupipafupi kumawonetsa kukula kwa matenda ashuga amtundu wa 2. Muyenera kupatsidwa mayeso otsatirawa:
- magazi a shuga (pamimba yopanda kanthu, payenera kukhala ndi zizindikiro zosaposa 5.5 mmol / lita, ola limodzi ndi theka mpaka maola awiri mutadya - osapitirira 7.8),
- magazi amapindika (kulolerana ndi shuga),
- mkodzo wamatumbo a shuga ndi ketone,
- koma mayeso olondola kwambiri ndi kuyesa kwa hemoglobin wa glycated.
Nthawi zambiri, malinga ndi zomwe zapezeka mu kafukufukuyu, mayesowa ali okwanira kuti athe kuzindikira.
Pakapita nthawi, chithandizo chovuta kwambiri ndichofunikira. Iyenera kukhala ndi izi:
- Zomwe muyenera kudya komanso zomwe mungachotsere pazosankha ndiwo funso lalikulu la odwala matenda ashuga. Kudya kasanu ndi kamodzi patsiku, nthawi yomweyo (kuti zikondamoyo zizigwira ntchito pafupipafupi). Kukana kwa zinthu zomwe zimakhala ndi mafuta ambiri, mafuta am'mimba osavuta, zakudya zamzitini ndi kukonzedwa, pasitala, semolina, mpunga ndi mbewu zina. Ndikofunikira kuwonjezera gawo la zakudya zam'malo opatsa mavitamini ndi fiber.
- Kusiya kusuta fodya, kugwiritsa ntchito mankhwala osokoneza bongo, mowa.
- Kuwongolera shuga.
- Zolimbitsa thupi zolimbitsa thupi. Maphunziro azolimbitsa thupi, Cardio, olimbitsa thupi katatu katatu pa sabata kwa mphindi 45.
- Ndi mawonekedwe ofatsa, mankhwalawa wowerengeka azitha kuthandizidwa: decoctions of chamomile, nyemba, Blueberry, wort wa St. John, sinamoni, etc.
Kuthandizira kwa mankhwala kumayambira ndikumuika mankhwala kuti achepetse shuga wa seramu. M'tsogolomu, ndikukula kwa matendawa, mankhwala ovuta amaperekedwa:
- mankhwala ochepetsa mayamwidwe osavuta a m'matumbo ndi kuchuluka kwa glycogen m'chiwindi,
- njira yolimbikitsira kupanga insulin ndi kapamba,
- mankhwala antidiabetesic kusintha lipid kagayidwe.
Matenda a shuga a 2, monga matenda aliwonse, ndiosavuta kupewa kuposa kuchiza. Chifukwa chiyani sititenga njira zodzitetezera pasadakhale ndipo sikuti tikuthandizidwa pamlingo pomwe matendawa atha kugonjetsedwa? Chifukwa sitikhala ndi chidziwitso chofunikira pathupi lathu.
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Kuti tikwaniritse izi, tidapanga Online Healthy Thupi Lapansi . Mmenemo mudzalandira zambiri zokhudzana ndi machitidwe ofunikira omwe amapezeka m'thupi lanu, phunzirani zamomwe mungapewere zovuta komanso kuthana ndi zovuta zomwe zakupezani kale.
Zida zonse zimaperekedwa m'njira yopezeka komanso yosavuta kugaya. Kupanga moyo wanu kukhala wabwinopo komanso wopindulitsa, kukhala wamphamvu ndi mphamvu kwa zaka zambiri ndi cholinga chabwino, chomwe tiyenera kukwaniritsa.
Lembetsani ku bulogu yanga, vomerezani kwa anzanu ndi anzanu, mugawane maulalo.
Kodi pali kusiyana kotani pakati pa matenda ashuga amtundu wa 2 ndi shuga 1
Ngati matenda a mtundu woyamba, omwe amapezeka makamaka mwa ana ndi achinyamata, amapezeka modabwitsa komanso mosayembekezereka, ndiye kuti mtundu wachiwiri wa kusokonekera kwa pancreatic ukukhwima pang'onopang'ono.
Mtundu woyamba wa shuga umagwirizana ndi mtundu wakubadwa, chachiwiri - zambiri ndi njira ya moyo.
Loyamba limatengera insulin, popeza mahomoni samapangidwa palokha, chachiwiri, monga lamulo, sichoncho, ngakhale kuti insulini ingafunike pamlingo wambiri.
Malinga ndi kafukufuku wa WHO, mdziko lapansi (makamaka m'maiko otukuka), anthu 5 mpaka 7% amadwala matenda a shuga. Komanso, pakati paopeza zaka zopitilira 65, odwala matenda ashuga ali kale 20%. Mtundu wachiwiri umapezeka nthawi zambiri kuposa ena (80% ya milandu). Ndipo pofotokoza zaimfa, "mliri wa m'ma 2000" umakhala wachitatu pambuyo pa oncology wobisika komanso mtima wamitsempha. Zoneneratu za WHO ndikukhumudwitsanso: ngakhale kuti mankhwala akupanga, kuchuluka kwa odwala omwe ali ndi "matenda okoma" kukuyenda bwino. Kumbali ina, izi zimachitika chifukwa cha kukalamba kwa anthu padziko lonse lapansi, komanso, ku "kukonzanso" kwakukulu kwa matendawa chifukwa cha kudya kosayenera ndi chikhalidwe - hypodynamia.
Komanso, popeza tikufuna kuthamangitsa ziphunzitso zambiri zokhudzana ndi matenda ashuga, ndikofunikira kutchulapo zamankhwala zamasiku ano monga momwe chidwi sichiri pankhani ya chithandizo, koma kuchepetsa ziwonetsero za matenda akulu aliwonse. Mankhwala ambiri omwe amagulitsidwa muukonde wa malo ogulitsa mankhwala otchuka, ndipo awa ndi opitilira 85% sangatchulidwe ngati mankhwala. Amangoletsa zizindikiro. Zomwezi zimachitikanso ndimankhwala a shuga. Wodwala matenda ashuga amakakamizidwa kumwa mankhwala osachepera awiri kuti achulukitse kuthamanga kwa magazi, bwanji? Chifukwa chiyani "kum'chiritsa" pomwe muzu waukulu wazoyipa ukupitabe patsogolo?
Ndizopindulitsa kwa akatswiri azamankhwala kugulitsa mankhwala. Iwo, mwa zina, ali ndi zoyipa zingapo zomwe zimachepetsa thupi. Chifukwa chake amadzipereka okha, chifukwa amapeza makasitomala okhazikika omwe amakakamizidwa kukhala pamapiritsi amoyo wonse.
Kwa odwala matenda ashuga omwe "angopangidwa kumene", ndikofunikira kuphunzira momwe mungayang'anire bwino zakudya, nthawi yanji komanso kuchuluka kwa chakudya, komanso kusinthasintha zochitika tsiku ndi tsiku ndi zochitika zolimbitsa thupi. Simuyenera kuthamangira kupita kuchipatala kukatenga mankhwala onse omwe dokotala amakupatsirani, chifukwa ena mwa iwo sikuti ndi osafunikira komanso owopsa. Sintha shuga m'magazi akhoza kukhala chakudya chochepa kwambiri ngati mafuta olimbitsa thupi. China chake ndikuti ngati shuga ali patsogolo. Poterepa, osati matendawa okha, komanso zovuta zake, zomwe ndizomwe zikuchititsa kuti chiwerengero cha anthu ambiri padziko lapansi chife, chikuyambitsidwa.
Palibe amene adafunapo chithandizo chamankhwala odwala matenda ashuga. Ndiwopanda phindu! Ngati muwachiritsa tsopano, ndiye kuti akatswiri azamankhwala ataya ndalama zawo zambiri. "Matenda Okoma" ndi matenda agolide omwe amapanga ndalama zambiri.
Ndikosavuta kumvetsetsa pawokha kuti thupi limakulitsa matenda pang'onopang'ono. Nthawi zambiri zimapezeka mu mtundu wina wa kafukufuku wachitatu, pomwe glucose wambiri m'magazi am'magazi (hyperglycemia) wapezeka pamimba yopanda kanthu - ichi ndiye chizindikiro chachikulu cha matenda ashuga. Nthawi zambiri izi sizimawonekeranso. Inde, Zizindikiro zina zimapangidwanso mu "matenda okoma", kupezeka kwake komwe nthawi zambiri kumakhala kwa matenda ena. Chifukwa cha izi, ndizovuta kuzindikira. Ambiri amakhala naye kwa zaka zambiri ndipo sakudziwa izi. Munthu sangadziwe matenda amtundu wa endocrine ndipo amayamba kuwomba pokhapokha ngati "chikufika" pamavuto owopsa a matenda ashuga (phokoso la matenda ashuga, kuwonongeka kowonekera, ndi zina). Chifukwa chake, kuzindikiridwa kumapangidwa nthawi zambiri pambuyo poyesedwa m'magazi a shuga.
Ndikofunikira kuti muziwongolera zinthuzi mukakhala kuti mukugwirizana ndi zina.
- Mowa wambiri wowonjezera wokoma ndi chakudya china.
- Moyo - wokhala pansi, wopanda ntchito.
- Kukhala wonenepa kwambiri kapena wonenepa kwambiri.
- Kuthamanga kwa magazi ndi matenda amtima.
- Ngati banja lili ndi odwala matenda ashuga.
- Zaka zopitilira 50.
Ndi kukula kwa matenda ashuga, kuwunika komwe kumachitika m'mimba yopanda kanthu kumawonetsa kuchuluka kwa shuga m'thupi kawiri mpaka katatu.
Muyenera kudziwa kuti kuchuluka kwa shuga m'magazi kumakhala kuchokera pa 3.5 mmol / L mpaka 6.1 mmol / L.
Zonsezi pamwambapa zimadziwika kuti ndi hyperglycemia: yofatsa (mpaka 8,2 mmol / L), yodziwika (mpaka 11.0 mmol / L), kwambiri (pamtunda wa 11.1 mmol / L). Mukatha kudya, chizindikirocho sichikuyenera kupitirira 8.0 mmol / L, ndipo asanagone ndizovomerezeka - kuyambira 6.2 mmol / L mpaka 7.5 mmol / L.
Kodi matenda ashuga angachiritsidwe?
Popeza adalandira matenda okhumudwitsa, ayenera kufunsa funso lotere. Tsoka ilo, ndizosatheka kuchira kwathunthu, koma ndizotheka kuchepetsa zomwe zimachitika ndikuwonjezera zaka zakukhalapo.
Ngakhale mtundu wa 2 wodwala mellitus suchiritsika, tanthauzo la "kuyimitsidwa" kwake limachepetsedwa pakuchepetsa kwakukulu kwa shuga m'magazi kuti kukhale bwino, izi zimatchulidwanso kuti kulipidwa. Kutsatira mosamalitsa malangizo a endocrinologist, wodwalayo amatha kusintha mkhalidwe wake komanso thanzi lake.
Koma pa izi muyenera kuchita nokha. Choyamba, kuyang'anira shuga wamagazi pafupipafupi (kuyesedwa mu labotale, glucometer), ndipo chachiwiri, kusintha njira ya moyo, kusintha mtundu wake.
- Kukana zizolowezi zoyipa: kudya kwambiri, kusuta, kumwa mowa.
- Mankhwala othandizira
- Zakudya zopatsa thanzi m'malo ochepa - 6 pa tsiku.
- Kuyenda pafupipafupi mu mpweya wabwino komanso kuchita masewera olimbitsa thupi (masewera olimbitsa thupi, kusambira, njinga).
- Kusunga mulingo woyenera kwambiri, malinga ndi lamulo, jenda komanso zaka.
- Kusunga kuthamanga kwa magazi kosaposa 130 mpaka 80.
- Mankhwala azitsamba
- Kudya moyenera mankhwala ena (ngati kuli kotheka, insulin).
Ndi angati omwe amakhala ndi matenda ashuga a 2
Zonse zimatengera nthawi yodziwika bwino komanso kutha kusintha mwanjira yatsopano. Mokulira, iwo samafa ndi matendawa omwe, koma ndi zovuta. Ziwerengero zosasunthika zimanena kuti mwayi wokhala ndi zaka zambiri za anthu odwala matenda ashuga ndi wocheperapo ndi 1.6 kuposa anzanga athanzi. Komabe, chowonadi chakuti m'zaka zana zapitazi kufa kwawo kwatsika kangapo ndikulimbikitsa.
Kutalika kwa moyo wa anthu odwala matenda ashuga kumadzidalira. Zochitika padziko lonse lapansi zamankhwala zikuwonetsa kuti mu gawo limodzi mwa magawo atatu a odwala omwe amatsatira zakudya ndi njira zamankhwala zamasiku amenewo, mkhalidwe umakhala wokhazikika popanda kugwiritsa ntchito mankhwala. Ndipo musagonjere ndi malingaliro osalimbikitsa. Mantha ndi mdani wa odwala matenda ashuga, endocrinologists akuti. Mkhalidwe wopsinjika ukhoza kuyambitsa kuwonongeka msanga pamlingo wambiri komanso kukulitsa zovuta zazikulu.
Mavuto ndiomwe mtundu wachiwiri wa shuga ndi woopsa. Mwachitsanzo, akuti 75% ya anthu omwe amafa ndi matendawa amagwirizana ndi mtima. M'mitsempha yamagazi, chifukwa cha shuga owonjezera, imakhala yowoneka bwino komanso yolimba, chifukwa chomwe mtima umagwira ndi zovuta zambiri. Ndi "zodabwitsa zina" ziti zomwe tingayembekezere?
- Ndi matenda a shuga ophatikizidwa ndi matenda oopsa, chiwopsezo cha stroketi ndi kugunda kwa mtima kawiri.
- Nephropathy ndi matenda a shuga a impso omwe samatha kupirira ntchito yoyeretsa m'thupi.
- Chifukwa cha shuga osakonzedwa, vuto la metabolic m'maselo limayambika m'chiwindi: mafuta hepatosis, omwe pambuyo pake amakhala hepatitis ndikutha ndi cirrhosis.
- Kuwopsa kwa minofu yam'mphepete, kuchepa kwa mphamvu, dzanzi, kukokana (makamaka miyendo).
- Anthu odwala matenda ashuga omwe ali ndi mapazi ovulala kapena matenda oyamba ndi fungus.
- Matenda a shuga a retinopathy ndi kuwonongeka kwa retina komwe kungayambitse khungu lathunthu.
Kulephera ndi Matenda Awiri A shuga
Kukula kwa zovuta zazikulu ndi "matenda okoma" posachedwa kumabweretsa kulumala. Malinga ndi ziwerengero, chiyembekezo choterechi chimayembekezera pafupifupi theka la onse ovutika ndi matenda otere. Dziwani kuti anthu omwe amadya moyenera komanso mosamala kutsatira malangizo a dokotala amatha kupewa mkhalidwe wolumala.
Kuwonongeka kwa gulu lofatsa (lachitatu) limayimiridwira njira yotsatirika ya matendawa, pomwe zovuta zamagulu ofunikira zamthupi zimawonekera pang'ono, koma zimakhudza magwiridwe antchito onse. Anthu otere amakhala ophatikizika muzochitika zovulaza, nyengo yankhanza, maulendo azamalonda ndi masinthidwe ausiku, kupsinjika kwamthupi ndi m'malingaliro, komanso nthawi yogwira ntchito yosagwirizana.
1 ndi magulu awiri
Magulu achiwiri ndi oyamba (osagwira ntchito) amapatsidwa odwala omwe akufuna chisamaliro chokhazikika, zoletsa kuyenda komanso kudzisamalira, komwe kumachitika chifukwa cha zovuta zamkati komanso kuzunza koopsa (mitundu yayikulu ya mtima kapena kulephera kwa impso, kusokonezeka kwa mitsempha ndimatenda amisala, matenda ashuga, matenda osokoneza bongo, ovuta kwambiri masomphenya osawona kapena khungu.
Zoletsedwa Zazakudya Zosiyanasiyana Zazakudya Zosiyanasiyana
Mu matenda ashuga, kudya zakudya zoyenera kumathandiza kwambiri. Posankha chakudyacho, njira yokhayokha ndi yabwino, poganizira magawo ambiri, koma amalimbikitsidwa. Zakudya ziyenera kukhala 25% ya mapuloteni, ndipo mafuta ndi chakudya sayenera kupitilira 20% ndi 55%, motsatana. Pankhaniyi, zokonda ziyenera kuperekedwa kwa mapuloteni amachokera ku mbewu, polyunsaturated mafuta acids ndi omwe amadziwika kuti "carbohydrate aatali" - okhala ndi index yotsika ya glycemic.
- Kuchepetsa kwambiri momwe mungathere, ndipo ndibwino kupatula zinthu zomwe zimaletsedwa: mitundu yonse ya maswiti ndi ma confectionery (maswiti, makeke, makeke, jams ndi uchi, timadzi tokonzedwa, timadzi tokoma ndi madzi otumphukira), zinthu kuchokera ku ufa woyera wa premium, ma muffins, komanso mbatata, beets shuga, semolina, mpunga wopukutidwa, pasitala.
- Kuchepetsa kumwa kwamafuta acids, omwe amapezeka munyama ndi mafuta (nkhumba, bakha, mwanawankhosa, nyama zamtundu uliwonse) ndi zinthu zamkaka (zonona wowawasa, kirimu, ayisikilimu, tchizi, batala).
- Yesani kupewa zipatso zokhala ndi fructose: nthochi, mphesa, sitiroberi, kuchokera ku zouma zipatso - madeti, mphesa zamphesa, nkhuyu.
- Pankhani ya zovuta za metabolic, thupi limafunanso kubwezeretsanso zinthu zofunikira: mavitamini (C, D, A, E, gulu B), kufufuza zinthu (magnesium, chromium, zinki, manganese, potaziyamu ndi ena), amino acid, coenzyme Q10, ndi zina zambiri.
Kusala komanso shuga
Mpaka posachedwa, akatswiri azakudya adakhulupirira kuti kufa ndi njala ndi shuga m'magazi ndizosagwirizana. Koma tsopano zatsimikiziridwa kuti kuletsa kokhazikika m'zakudya sikothandiza kokha pakuchepetsa thupi, kumatha kuyeretsa m'mimba, chiwindi ndi kuyambiranso zosokoneza za thupi. Izi zimathandizira kukonza kapamba, kuwonjezera insulini ndikupanga shuga. Malangizowa ali othandizira makamaka odwala matenda ashuga a mtundu wachiwiri magawo oyambira. Pali zitsanzo za kuchira kwathunthu pogwiritsa ntchito kusala kwachiwonetsero motsogozedwa ndi madokotala. Pankhaniyi, chidwi chiyenera kulipidwa pakuwonjezera kuyeretsa (kuthirira kwamatumbo, enemas), komanso kukonzekera koyenera ndi kutuluka kwa thupi kuchokera pamenepa.
Komabe, simungathe kudzipha nokha! Nthawi yonse yosala kudya ndiyofunikira motsogozedwa ndi dotolo yemwe amayang'anira njira zonse ndikuthandizira kuzolowera nyengo yanjala "yokwanira".
Ngati matenda amtundu wa endocrine amachititsa kuti muchepetse kunenepa kwambiri, musalole kusiya zakudya zanu komanso zakudya zanu. Poterepa, muyenera kungowonjezera chakudya chamagulu awa. Kuphatikiza apo, mutha kuyamba kuchita masewera olimbitsa thupi osavuta. Tinakambirana zambiri za zochitika zolimbitsa thupi za anthu odwala matenda ashuga mu nkhani yomwe imanena za mndandanda wamatenda a glycemic komanso zoyambira pazakudya za anthu odwala matenda ashuga.
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