Zizindikiro za matenda ashuga mwa akazi azaka makumi asanu

Matenda "okoma" amakula chimodzimodzi kwa odwala onse. Zizindikiro zapamwamba za matenda ashuga mwa akazi azaka 50 sizoyambira. Mosatengera zaka, madokotala amasiyanitsa zizindikilo izi:

• Polydipsia ndi ludzu
• Polyphagy - njala,
• Polyuria - kukodza pokodza.

Hyperglycemia ndiye chimayambitsa matenda. Kulowerera kolakwika kwa glucose ndi mphamvu kumapita mthupi, zomwe zimapangitsa kuti chithunzithunzi chikhale bwino. Matendawa akapezeka patatha zaka 50, amakhala ofatsa.

Odwala m'migawo yoyambirira samazindikira mawonetseredwe oyamba. Zizindikiro zimaphimbidwa ndi mavuto wamba monga matenda oopsa, chimfine, ndi zina zambiri. Madokotala amati kusintha kwamitsempha ndiko chizindikiro choyambirira. Zina mwa izo ndi:

• Kuzunza koipa. Ndi zaka, kusowa chidwi, kuwonongeka kwa kukumbukira kumadziwika ngati chinthu wamba. Poyerekeza ndi matenda ashuga, zizindikirozi zimapita patsogolo,
• Zofooka. Odwala amatopa, osagona usiku, kamvekedwe ka minofu kachepa. Amayi atatha zaka 50 amalemba izi mwa zaka. Kusintha kwa ma metabolic kumayambitsanso zizindikiro,
• Kutengeka mtima. Kusinthasintha kwa kuchuluka kwa mahomoni nthawi ya kusintha kwa thupi ndi chifukwa chachikulu chosinthira kwa kusintha kwa mtima.

Zizindikiro zomwe tafotokozazi ndi zopanda tanthauzo. Pang'onopang'ono pang'onopang'ono shuga, samagwirizanitsidwa ndi wodwalayo ndikuphwanya chakudya cha metabolism. Matendawa amapangidwa mwachisawawa ndi mayeso azachipatala nthawi zonse.

Zizindikiro zapadera za matenda ashuga mwa akazi pambuyo pa zaka 50 amatchedwa madokotala:

• Kusintha kwamphamvu m'thupi. Matenda a "Lokoma" amayenda ndi kunenepa kwambiri, omwe amayamba kunenepa kwambiri komanso kuperewera kwa ntchito,
• Khungu loyera. Kukula kwa chizindikiro kumadalira kuchuluka kwa glycemia, machitidwe a thupi. Zizindikiro zake zimasokonezeka ndi zovuta zamakhalidwe,
• Kuzindikira kwa tsitsi, misomali, khungu. Amapitirira kukonzanso msanga kwa ma curls. Misomali imakutidwa ndi ma grooves, exfoliate. Khungu limakhala louma, lokhala ndi ming'alu yaying'ono yomwe imachira pang'onopang'ono.

Madokotala amati kuyezetsa magazi ngati njira yodziwira matenda ashuga mwa akazi pambuyo pa zaka 50 ali ndi chizindikiro chofatsa. Hyperglycemia ndi chitsimikizo cha kuphwanya kagayidwe kazachilengedwe.

Mphamvu ya kusintha kwa kusintha kwa thupi poizindikira

Climax ndi mkhalidwe wakuthupi womwe umakhudza njira ya matenda ashuga. Pafupifupi 62% ya amayi azaka zapakati pa 50-60 amafotokoza chizindikiro chokhala ndi matenda “okoma”.

Theka la anthu omwe akuwonetsedwa kuti ali ndi chilolezo chogwirizana ndi kuphwanya chakudya. Poona zakusintha koteroko, zizindikilo za kusamba zimachulukirachulukira. Madokotala amazindikira zizindikiro zotsatirazi za matenda ashuga mwa akazi pambuyo pa 50:

• Matenda a urogenital. Chifukwa cha kuchepa kwa chitetezo cha m'thupi ndi glucosuria, chiopsezo chotenga ma virus ndi mabakiteriya amawonjezeka,
• Chikhodzodzo cha Neurogenic. Polyneuropathy imabweretsa kuphwanya kwamkati kwa thupi. Amayi azaka zopitilira 50 omwe amadwala matenda a shuga amadandaula za kutayirira kwamkodzo,
• Kuuma, kuyabwa mu nyini ndi perineum.

Kupita patsogolo kwa matenda a shuga 1 amathandizanso ndi mafupa. Chiwopsezo cha patacrafic fractures chikuwonjezeka.

Kukhalitsa kwa mahormoni kumachulukitsa chidwi cha kutentha. Odwala amakhala otopetsa, zimawavuta kufotokoza zomwe zimayambitsa misozi kapena kukwiya. Mu milandu ya 10-15%, kukula kwa tsitsi laimuna kumapita patsogolo.

Kuchiza kwa akazi pambuyo pa zaka 50 zokhala ndi vuto la kuwonongeka kwa kagayidwe kazakudya kamaphatikizidwe ndi mankhwala kumakonza kuchuluka kwa mahomoni.

Zizindikiro zachiwiri

Matenda "okoma" amakhudza ziwalo zamkati ndi ziwalo za thupi, zomwe zimayambitsa kusokonezeka. Kuopsa kwa zamatenda kumadalira kuchuluka kwa hyperglycemia komanso kuwonekera kwa minyewa inayake pazotsatira zamankhwala ochulukirapo.

Madokotala amatha kusiyanitsa zizindikiro zotsatirazi za matenda ashuga mwa akazi pambuyo pa zaka 50:

• Kudzimbidwa. Pazowonongeka pancreatic, ntchito ya exocrine imangokulira. Njira zopangira ma enzyme sizimachitika molondola, zomwe zimapangitsa kupweteka.
• Kusanza, kusanza - Zizindikiro za kusokonezeka kwa m'mimba. Kuphatikiza apo, kudzimbidwa kapena kutsekula m'mimba ndikuwonjezera,
• Zowonongeka. Amayi odwala matenda ashuga okhala ndi zaka zopitilira 10 akhalapo amadandaula za mavuto amaso. Hyperglycemia imawononga minyewa yam'mimba, imapangitsa retinopathy ndi kuwonongeka kwapang'onopang'ono,
• Kuchuluka kwa miyendo, kumverera kwa "goosebumps" pakhungu. Matenda a shuga amasokoneza magwiridwe antchito am'mitsempha yaying'ono. Chifukwa cha izi, nthawi zina kutentha kapena kuzimitsa kwamaso kumatha.

Insulin yowonjezera m'magazi motsutsana ndi hyperglycemia imathandizanso kupweteka kwamisempha. Fungo la acetone kuchokera mkamwa ndi chizindikiro chosowa cha matenda ashuga, ngati limayamba ngati kukana insulini.

Ngati mayi ali ndi matenda "okoma" chifukwa cha kuchepa kwa mahomoni, ndiye kuti zochitika zina zowonjezera chizungulire kapena ngakhale kutaya chikumbumtima zimachitika. Vutoli limayamba chifukwa cha kuchuluka kwa mankhwala a insulin kapena kusapeza bwino mankhwala.

Zizindikiro Za Mtima

Chizindikiro m'chipatala cha azimayi omwe ali ndi matenda ashuga pambuyo pa zaka 50, madokotala amatcha kupita patsogolo kwa zizindikiro za "mtima". Hyperglycemia limodzi ndi lipid metabolism imabweretsa kukula kwa matenda a mtima ndi pampu yayikulu mthupi la munthu.

Zomwe zimapangitsa kuti zinthu zikule kwambiri ndi izi:

• M'badwo
• Hyperlipidemia - kuchuluka kwa mafuta m'magazi,
• Carbohydrate kagayidwe
• Kunenepa kwambiri

Zotsatira za kuyanjana kwa zinthu izi ndi zotupa za mtima. Madotolo amayang'anira bwino thanzi la azimayi omwe ali ndi matenda ashuga chifukwa choopsa kwambiri.

Ischemia Wachete

"Silent" myocardial ischemia ndimatenda amtunduwu omwe amayamba pamene magazi osakwanira amayenda mbali zina za minofu yamtima. Vutoli limayamba chifukwa cha kusinthana kwazaka komanso ma pathological m'matumbo motsutsana ndi polyneuropathy.

Zowawa m'mtima zimatha. Kukula kwa ischemia sikumayendera limodzi ndi zowawa, ngati nthawi zonse. Chifukwa cha izi, azimayi amavutika ndi mtima pamapazi awo popanda kukayikira kuti ikukula.

Chofotokozedwachi chimaphatikizidwa ndi izi zowonjezera zizindikiro:

• Zofooka zakuthwa
• Tachycardia
• Chizungulire ndikutaya chikumbumtima.

Kuti atsimikizire matendawa, madokotala amayesa ECG komanso kuyezetsa magazi kwa glycemia.

Tachycardia

Chizindikiro chodziwika bwino cha matenda ashuga odwala atatha zaka 50. Potengera komwe zakumana ndi vuto la dysmetabolic ndi mahomoni, mtima sugwira ntchito moyenera. Pali chiopsezo chokhala ndi arrhythmias, yomwe imatsatana ndi:

• Chizungulire
• Zovuta kumbuyo kwa sternum,
• Kuyesa kusokonezedwa mu ntchito ya mtima.

Zizindikiro zomwe adawonetsa ndizotsatira za matenda ashuga mu 30- 40% ya milandu.

Kusintha kwa magazi m'thupi kumayamba motsutsana ndi kuphipha kapena kupuma kwambiri kwa mitsempha yamagazi motsutsana ndi maziko a hyperglycemia. Vutoli limayamba pang'onopang'ono, patadutsa zaka shuga akupita patsogolo.

Madotolo amatcha zochitika zokhazokha ngati matenda "okoma" apezeka motsutsana ndi matenda oopsa. Zizindikiro zinanso:

• Mutu
• Chizungulire
• Tinnitus.

Mafunde opsinjika nthawi zina amaphatikizidwa ndi nosebleeds kapena "ntchentche" patsogolo pa maso. Zizindikiro zomwe zikuwonetsedwazo zimafunikira kuyezetsa dokotala kuti athetse zovuta ndikusankha chithandizo chokwanira chamankhwala.

Matenda a shuga pambuyo pa 60

Chizindikiro cha matenda ashuga mwa azimayi atatha zaka 60 chimatchedwa comorbidity ndi madokotala. Mawuwa amatanthauza kukhalapo kwa matenda angapo osachiritsika. Zizindikiro zimaphatikizika. Ndikosavuta kuzindikira zizindikiro zilizonse zapamwamba.

Kuti mutsimikizire matendawa, kuwunika ma laboratari kumagwiritsidwa ntchito:

• Kuyesa kwa shuga m'magazi,
• Mayeso a kulolera a glucose
• Urinalysis kuti mupeze shuga.

Kuwonekera kwamodzimodzi kwa zizindikiro za matenda 2, 3 kapena 4 kumayambitsa kuwopsa kwa matendawa. Kuzindikira kwakanthawi ndi kusankha kochiritsika moyenera ndi njira yokhazikitsira wodwalayo.

Ngati matenda ashuga apanga kuwonekera kwake patatha zaka 60, ndiye kuti njira yake imadziwika ndi kufatsa. Zovuta zomwe sizimachitika kawirikawiri. Chachikulu ndikukhazikitsa dokotala ndikutsatira zomwe dokotalayu adalandira.