Chisomo cha matenda ashuga: ndi chiyani kwa odwala matenda ashuga?

Matendawa - Iyi ndi kanthawi kochepa (nthawi zambiri miyezi 1-2, motero dzina lake) atasamutsa wodwala matenda amishuga amtundu wa 1 kuti amvetsetse insulin, pomwe kunamizira kuchira kwathunthu. Wodwalayo ndi abale ake angakhulupirire kuti adachotseratu matenda ashuga chifukwa chakuti patapita nthawi yayitali pambuyo pa kuyamba kwa insulini

Ngati munthawi imeneyi simukudziwa za zovuta zina za chisangalalo cha matenda ashuga, posachedwa matendawa amatha kuwonongeka ndikutenga mawonekedwe a maphunziro ovuta, omwe ndi ovuta kwambiri kuwongolera ndi njira zamankhwala azikhalidwe zomwe zadziwika masiku ano. Otsatirawa ndikulakwitsa koopsa komwe odwala matenda ashuga ambiri amapanga paukwati wawo.

Phwando la matenda ashuga amtundu woyamba wokha?

Chifukwa chiyani chisangalalo cha tchuthi cha mtundu 1 wa shuga chokha? Mtundu woyamba wa shuga, hyperglycemia imayamba chifukwa cha kuchepa kwa insulin ya m'thupi, yomwe imachitika chifukwa cha kuwonongeka (kuwonongedwa) kwa maselo a pancreatic ndi autoimmune kapena njira ina.

Koma kodi izi zingapitirirebe mpaka liti? Popita nthawi, maselo a beta ayamba kutaya, insulin idzapangidwa pang'ono komanso pang'ono. Zotsatira zake, lembani matenda ashuga 1.

Mwa wina, njira ya autoimmune imakhala yolimba kwambiri, ndichifukwa chake matenda a shuga amatha masiku ochepa atayamba. Wina amachedwa, ndipo, motero, shuga adzachitika pambuyo pake. Koma izi sizisintha tanthauzo. Posakhalitsa, kusowa kwathunthu kwa insulini kudzachitika.

Kuperewera kwa insulin kumayambitsa kusokonezeka kwa kutengera kwa glucose obwera. Pang'onopang'ono, amadziunjikira m'magazi ndikuyamba kuwononga thupi lonse. Ndi kuwonjezeka kwakukulu kwa msana wa glycemia m'thupi la munthu, njira zowalipiritsa zimayendetsedwa - "opanga ena". Shuga owonjezera amamuchotsa ndi mpweya wambiri, mkodzo ndi thukuta.

Thupi lilibe chosankha koma kusinthira kumalo osungirako mafuta amkati ndi osakanikirana. Kuwotcha kwawo kumayambitsa kupangidwa kwa matupi ambiri a acetone ndi ketone, omwe ali ndi poizoni kwambiri m'thupi, ndipo, choyambirira, amapita kuubongo.

Wodwala amakula zizindikiro za ketoacidosis. Kuchulukitsa kwakukulu kwa matupi a ketone m'magazi kumawatheketsa kudutsa chotchinga magazi (chotchinga muubongo) ndikulowa muubongo. Zotsatira zake, kukomoka kwa ketoacidotic kumakula

Mankhwala a insulini - woyamba wa tchuthi

Madokotala akamapereka mankhwala a insulin kwa wodwala, ndiko kuti, kayendetsedwe ka insulin kuchokera kunja, 20% yotsalayo ya maselo imasweka kotero kuti sangathe kugwira ntchito yawo (kuphatikiza insulin). Chifukwa chake, m'mwezi woyamba (nthawi zina ochulukirapo), chithandizo chokwanira cha insulin chimadzilungamitsa chokha komanso chimathandizira kuchepetsa shuga mpaka pakufunika.

Pakatha mwezi umodzi kapena awiri ena onse otsala a kapamba, amayambanso kuchita ntchito yawo, osalabadira kuti thandizo lomwe limatumizidwa kwa iwo kuti lithandizire (insulin kuchokera kunja) limapitilizabe kugwira ntchito. Izi zonse zimabweretsa kuti shuga yafupika kwambiri kotero kuti muyenera kuchepetsa kwambiri insulin.

Zowona kuchuluka kwa momwe mungafunikire kuchepetsa mlingo wa insulin kwathunthu zimatengera kuchuluka kwa maselo a beta am'malo aku Langerhans. Odwala ena amatha kusiya mankhwalawo kwakanthawi (komwe ndikosowa), ndipo ena mwina sangamverenso kukondwerera.

Komabe, ngakhale kuti pali nthawi yabwino m'moyo wa munthu aliyense wodwala matenda ashuga 1, munthu sayenera kuyiwala kuti ngakhale panthawiyi machitidwe a autoimmune samachepa. Ndipo chifukwa chake, patapita kanthawi, maselo a beta otsalawo adzawonongedwa, kenako gawo la insulin mankhwala limangokhala lopanda phindu, lofunikira kwa munthu.

Mwamwayi, masiku ano mumsika wamankhwala mumakhala zosankha zingapo zakukonzekera kwa ma hormone awa. Zaka makumi angapo zapitazo, wina amangolota za izi, odwala ambiri anali akufa chifukwa cha kuchepa kwathunthu kwa insulin.

Kutalika kwa chisangalalo cha matenda ashuga kumatha kukhala kochepera kapena kupitirira mwezi. Kutalika kwake kumatengera kuchuluka kwa machitidwe a autoimmune, chikhalidwe cha odwala komanso kuchuluka kwa maselo otsala a beta.

Kodi kukulitsa chisangalalo cha shuga?

Kuti mukulitse nthawi yamatenda okhululuka, poyambilira, ndikofunikira kuyesa kuti muchepetse chizolowezi chodzidzimutsa. Kodi zingachitike bwanji? Njira imeneyi imathandizidwa ndi matenda oyamba a matenda. Chifukwa chake, kukonzanso kwa foci ya matenda ndi ntchito yayikulu. Matenda owopsa a virus atha kufupikitsanso nthawi yayitali, choncho onetsetsani kuti mwapewa. Tsoka ilo, kuimitsa njirayi kwathunthu sizotheka. Njira izi zikuthandizira osathandizira njira yowonongeka kwa maselo.

Kakhalidwe ka chakudya chathupi la anthu kumakhudza kwambiri nthawi yayitali yochotsedwa kwa matenda ashuga. Pewani kuthamanga kwa shuga. Kuti muchite izi, ndikofunikira kupewa kugwiritsa ntchito mafuta osakanikirana, kudya chakudya pang'ono, ndikuwerengera molondola.

Ndikofunikanso kuti musachedwe kuyamba kwa insulin. Odwala ambiri amawopa kusinthira ku insulin, osadziwa mafunso ofunikira ngati kubaya insulini, momwe angawerengere mankhwalawo pawokha, momwe angaisungire, etc. Komabe, kuyamba kwa mankhwala a insulin kungathandize kupewa kufa kwathunthu (kapena kuchepetsa pang'onopang'ono njirayi ) maselo a beta.

Chovuta chachikulu mu nthawi ya chikondwerero cha shuga

Odwala ambiri, atapeza kusintha kwa matenda ashuga, amakhulupirira kuti ndikotheka kusiya kwathunthu mankhwala a insulin. M'milandu 2-3%, mutha kuchita izi (kwakanthawi), nthawi zina, izi ndizolakwika kwambiri, zomwe sizingafanane ndi chilichonse chabwino. Monga lamulo, izi zimatsogolera kumapeto kwa chikondwerero ngakhale chitukuko cha matenda oopsa a shuga.

Munthawi ya kukondana, wodwalayo amatha kusamutsidwira ku regimen of basic, ndiye kuti ndikakwanira kubaya insulin kuti isungidwe chinsinsi chake cha tsiku ndi tsiku. Insulin ya chakudya yofanananso itatha. Koma ndikofunikira kukaonana ndi dokotala musanasinthe chilichonse pamankhwala anu.

Zomwe zikuluzikulu zimayambira

Zina mwazomwe zimayambitsa mawonekedwe a pathological ndi:

Kubadwa kwa chibadwa kapena chinthu chobadwa nacho kumatha kudzetsa nthendayo mwa mwana ngati m'modzi mwa makolo atazindikira izi. Mwamwayi, izi sizimawoneka nthawi zambiri, koma zimangowonjezera chiopsezo cha matendawa.

Kupsinjika kwakukuru kapena kusokonezeka kwa malingaliro nthawi zina kumatha kukhala ngati lever yomwe ingayambitse kukula kwa matendawa.

Zomwe zikuwonetsa ziwonetserozi zikuphatikiza matenda opatsirana omwe amapezeka posachedwa, monga rubella, mumps, hepatitis kapena chikuku.

Matenda amakhudzanso thupi lonse, koma kapamba amayamba kuvutika kwambiri. Chifukwa chake, chitetezo cha mthupi cha munthu chimayamba kudziwonongera pawokha maselo a chiwalochi.

Mbali zazikuluzikulu zochizira mankhwalawa

Ndizosatheka kulingalira mankhwala omwe angatengere chithandizo cha matenda osokoneza bongo popanda insulin.

Odwala omwe ali ndi vutoli amadalira majakisoni oterowo kuti athe kukhala ndi moyo wabwinobwino.

Mankhwala a insulin amagwiritsidwa ntchito ndi aliyense, ngakhale mwana akhale wodwala kapena wamkulu. Zitha kuphatikizira magulu otsatirawa a mahomoni otumizira amtundu wa matenda ashuga 1:

Yaifupi ndi ya insulin. Mphamvu ya jakisoni imawonekera mofulumira, mukakhala ndi nthawi yochepa yochita. Chimodzi mwa mankhwala omwe ali mgululi ndi mankhwala a Actrapid, omwe amayamba kuchita ndikuchepetsa shuga m'magazi mphindi makumi awiri pambuyo pa jakisoni. Zotsatira zake zimatha kupitilira maola awiri kapena anayi.
Homoni wodziwika pakatikati amagwiritsidwa ntchito pochiritsa, chifukwa amatha kuchepetsa kuyamwa kwa insulin m'magazi a anthu. Woimira gulu ili la mankhwalawa ndi Protafan NM, zomwe zimayamba kuwonekera patatha maola awiri jekeseni litatha ndipo limakhalabe m'thupi kwa maola ena eyiti mpaka khumi.
Kuchita insulin kwa nthawi yayitali kumatha kugwira ntchito mpaka maola makumi atatu ndi zisanu ndi chimodzi. Mankhwala omwe amaperekedwa amayamba kuchita pafupifupi maola 10 mpaka 12 jekeseni.

Thandizo loyamba, lomwe lingachepetse shuga wamagazi, limakhazikitsidwa pazinthu zotsatirazi:

Jekeseni yachindunji ya insulin imaperekedwa. Monga lamulo, mankhwalawa a gululi amakhala ndi mphamvu yochepa komanso yochepa kwambiri, amagwiritsidwa ntchito ngati thandizo loyamba. Nthawi yomweyo, kwa munthu aliyense, mankhwala okonzekera mankhwala amasankhidwa payekha.
Mankhwala amlomo amagwiritsidwa ntchito omwe amathandiza kutsika shuga.

Magawo oyamba a mankhwala a insulin angayambitse chisangalalo cha matenda ashuga.

Chinsinsi cha kuwonekera kwa nyengo yachikhululukiro

Phokoso lokhala ndi chitukuko cha matenda a shuga amtundu woyamba amatchedwanso nthawi yakuchotsa matendawa. Izi matenda amawonetsedwa chifukwa chogwiritsa ntchito molakwika kapamba osati kupanga insulin mwa kuchuluka kofunikira. Izi zimachitika chifukwa chakugonjetsedwa kwa ma cell a beta.

Pakadali pano wodwala atapezeka, pafupifupi gawo limodzi mwa magawo khumi a kuchuluka kwawo amagwirabe ntchito moyenera. Chifukwa chake, maselo otsala a beta sangatulutse kuchuluka kofanana kwa mahomoni monga kale. Zizindikiro zazikulu za matenda a shuga zimayamba kudziwonetsa:

ludzu lalikulu komanso kuchuluka kwa madzimadzi
kutopa ndi kuwonda msanga.
kulakalaka kudya komanso kusowa kwa maswiti.

Pambuyo pozindikira kuti wodwalayo akhazikika, wodwalayo amapatsidwa njira ya insulin. Chifukwa chake, thupi limayamba kulandira kuchuluka kofunikira kwa mahomoni kuchokera kunja, m'njira yakunja.

Pakapita nthawi, yomwe imatha kudziwonekera mu miyezi yochepa, chithunzi chotsatirachi chikuwonetsedwa - kuyang'anira insulin m'mbuyomu kumachepetsa shuga pansi pamiyezo yambiri ndipo hypoglycemia imayamba kuwonekera.

Kufotokozera izi ndizosavuta - maselo a beta adalandira thandizo lawo m'njira zothandizira jakisoni wa insulin, yomwe idapereka mwayi wochepetsera katundu m'mbuyomu.

Atapuma, amayamba kukulitsa mphamvu za kutalika kwa mahomoni ofunikira m'thupi, ngakhale kuti omalizirawo akupitilizabe kubayidwa. Chifukwa cha izi, kuchuluka kwa insulini m'thupi kumawonedwa, komwe kumapangitsa kutsika kwa shuga m'magazi ochepera.

Uku ndikutetezedwa kwa thupi, kulimbana ndi mphamvu yake yonse popanda thandizo lakuchipatala motsutsana ndi ma antibodies aukali opangidwa mthupi. Kuchepa pang'onopang'ono kwa ndulu kumachitika, ndipo pamene mphamvu zake zikusiyana (ma antibodies amapambana, kuchuluka kwa insulin m'mwazi kumachepa), chikwatu cha matenda ashuga chimatha.

Mpaka pano, pali mitundu iwiri yachikhululukiro kapena nthawi yochepa ya shuga.

Chikhululukiro chonse ndichotheka awiri peresenti ya odwala onse ndipo amakhala mu kuchotsa kwathunthu jakisoni wa insulin

Kusiya pang'ono kwa uchi - kufunika kwa jakisoni wothandizila. Pankhaniyi, mlingo umachepetsedwa kwambiri. Mwachizolowezi, 0,4 unit ya mankhwala pa kilogalamu yovomerezeka ya odwala ndi yokwanira.

Ndi nthawi yanji yomwe chikhululukiro chitha kupitilira?

Kutalika kwa chikhululukiro kumatengera zinthu zosiyanasiyana ndipo kumatha kukhala pa mwezi umodzi mpaka miyezi itatu. Milandu pamene tchuthi cha ukwati umatha chaka chimodzi chimawonedwa kangapo. Wodwalayo akuyamba kuganiza kuti matendawa amayamba kapena amapezeka molakwika, pomwe matenda ake amapezekanso patsogolo.

Chochitika chosakhalitsa chimakhala chifukwa chakuti zikondamoyo zimayikiridwa katundu wolemera, zomwe zimapangitsa kuti madzi ake achepe. Pang'onopang'ono maselo a beta athanzi amafa, zomwe zimayambitsa matenda atsopano a shuga.

Zinthu zazikulu zomwe zingakhudze kutalika kwa nthawi yachikhululukiro ndi izi:

Gulu lazaka zomwe wodwala ali. Tiyenera kukumbukira kuti munthu akamakula, amatha nthawi yayitali kuti abwerere ku matenda ake. Ndipo chifukwa chake, ana omwe ali ndi matenda omwe adadziwika sangathe kuwona mpumulo.
Malinga ndi ziwerengero zamankhwala, kutalika kwa nthawi yochotsedwa kwa akazi ndi kochepa kwambiri kuposa chofanana ndi chofanana ndi amuna.
Ngati matenda a shuga a mtundu woyamba adapezeka m'mayambiriro a chitukuko chake, zomwe zimapangitsa kuti athandizidwe panthawi yake komanso kugwiritsa ntchito mankhwala a insulin, mwayi wowonjezera nthawi ya uchi ukuwonjezeka. Mapeto ake, chithandizo cha mochedwa chimabweretsa kuti pakhale zosokoneza zazikulu za kagayidwe kachakudya ndi chiwopsezo cha ketoacidosis.

Zomwe zimakhudza kutalika kwa chikhululukiro zimaphatikizira kukwera kwa c-peptide.

Kodi kukulitsa nthawi yachikhululukiro?

Mpaka pano, palibe njira ndi njira zowonjezerera nthawi yachikhululukiro. Nthawi yomweyo, akatswiri azachipatala amalimbikitsa kuti azisamalira pazinthu zingapo.

Nthawi zonse yang'anirani thanzi lanu ndipo khazikitsani chitetezo chamthupi. Popeza, matenda a shuga amawonetseredwa nthawi zambiri chifukwa cha matenda opatsirana, omwe amatsogolera ku chiwonetsero cha autoaggression. Chifukwa chake, gawo loyamba la odwala matenda ashuga aliyense liyenera kukonzanso madera omwe akhudzidwa - kupewa nyengo yozizira, chimfine.

Kutsatira kwambiri zakudya zamagetsi kumachepetsa katundu paziphuphu, zomwe, zimathandizira ntchito yopulumuka maselo a beta. Zakudya za tsiku ndi tsiku siziyenera kuphatikizapo kuchuluka kwa chakudya chamafuta ndi zakudya zoletsedwa.

Ndikofunikira kuonetsetsa kuti chakudya chizikhala chokwanira m'thupi m'malo ochepa. Ndiye chifukwa chake madokotala nthawi zonse amalimbikitsa kudya pafupifupi kasanu patsiku popanda kudya kwambiri. Kudyetsa magazi kwambiri kuyenera kuyang'aniridwa mosamala, chifukwa izi zimawonjezera katundu pa kapamba.

Kudya zakudya zosaloledwa kapena za shuga zomwe zimapangitsa kuti magazi anu achulukane mofulumira. Tiyenera kudziwa kuti kusunga zakudya zamapulogalamu a shuga nthawi zonse kumakhala ndi gawo lofunikira. Kulephera kutsatira malangizowo kudzatsogolera poti maselo a beta otsalawo amasiya kupanga insulini yofunikira m'thupi.

Kuyamba koyambira kwa njira yochizira. Dziwani kuti pankhaniyi, muyenera kumukhulupirira dokotala yemwe amapezekapo. Ndipo, ngati katswiri wa zamankhwala atapereka maphunziro a insulin, zikutanthauza kuti wodwala amafunikira njira zoterezi.

Simuyenera kukhulupirira kutsatsa kwamakono kapena njira zozizwitsa zamankhwala ena, zomwe zimalonjeza kuchiritsa matenda m'masiku ochepa komanso osamwa mankhwala. Mpaka pano, palibe njira yomwe ingachotsere matenda ashuga amtundu wa 1 kwathunthu.

Chifukwa chake, ndikofunikira kugwiritsa ntchito nyengo yotereyi kuti muchepetse kuchuluka kwa jakisoni ndikulola kuti thupi lizitha kupirira.

M'mbuyomu chithandizo cha matendawa, kugwiritsa ntchito jakisoni wa insulin kumathandizira kuwonjezera kukhululuka.

Ndi zolakwa ziti zomwe zimachitika pakukhululuka?

Cholakwa chachikulu chomwe chimapangidwa ndi odwala onse ndi kukana kutenga jakisoni wa insulin. Tiyenera kudziwa kuti nthawi zina pamakhala kuvomerezedwa ndi dokotala, kupendekera kwakanthawi kwakanthawi kwa kayendetsedwe ka hormone kumaloledwa. Monga lamulo, awa ndi magawo awiri a milandu yonse. Odwala ena onse ayenera kuchepetsa kuchuluka kwa insulini yakunja, koma osangoisiya kwathunthu.

Wodwala akangopanga chisankho ndikusiya kuperekera insulin, nthawi yakutuluka ikhoza kuchepetsedwa, chifukwa ma cell a beta amasiya kulandira thandizo lomwe angafune.

Kuphatikiza apo, ngati simuchepetsa kuchuluka kwa jakisoni ndi Mlingo wa insulin, izi zitha kubweretsanso zotsatirapo zoyipa. Kuchulukitsa kwa mahomoni kumawonekera posachedwa monga kukula kwa hypoglycemia kwakanthawi ndipo kuchepa kwakukulu m'magazi a shuga. Chifukwa chake, ndikofunikira kufunsa dokotala ndikuwunikanso Mlingo wa insulini womwe ulipo.

Ngati wodwala wapezeka ndi matenda amtundu wa 1, izi zikutanthauza kuti kuwunika pafupipafupi komanso kokhazikika kwa ashuga kukufunika. Kupeza glucometer kumathandizira odwala matenda ashuga, omwe nthawi zonse amalola kutsata ma glucose. Izi zikuthandizani kuti muzitha kudziwa nthawi ya chikondwerero, kuwonjezera pa tsogolo lanu komanso kupewa mavuto.

Zambiri pazokhudza kuchotsedwa kwa matenda ashuga zimaperekedwa mu kanema munkhaniyi.

Ndipo matenda ashuga ali ndi chikwati

Tsiku labwino kwa onse. Lero ndikupereka nkhani yofotokoza matenda ashuga 1. Izi zitha kukhala zothandiza kwa oyamba kumene omwe atayika pomwe Mlingo wa insulin mwadzidzidzi utayamba kuchepa, mpaka pakubwera mankhwala. Kodi izi zikutanthauza chiyani? Kubwezeretsa? Dziwani cholakwika? Ngakhale mmodzi, abwenzi.

Ndikukumbukira mwachidule zomwe zimachitika kumayambiriro kwa matenda ashuga. Monga momwe mukudziwira kale kuchokera munkhani "Zomwe zimayambitsa matenda ashuga mu ana aang'ono?", Matenda a shuga 1 amayamba chifukwa chazida za autoimmune, ndipo njirayi imayamba kale asanachitike zizindikilo zoyamba za matenda ashuga.

Zizindikiro zoyambirira za matenda ashuga zitawoneka (ludzu, pakamwa pouma, kukodza pafupipafupi, ndi zina), 20% yokha ya maselo athanzi omwe amapanga insulini amakhalapobe mu kapamba. Maselo ena onse, monga mukudziwa, achoka kupita kudziko lina.

Zizindikiro za matenda ashuga mwa ana ndizosiyana pang'ono, zomwe ndidalemba m'nkhani yapita.

Chifukwa chake, maselo awa akuvutikabe kwakanthawi, akugwira ntchito pamitengo ya 2-3-4 ndikuyesera kupatsa eni ake insulin yokwanira kuti asasowe kalikonse. Kodi mukuganiza kuti, munthu amatha kugwira ntchito mpaka pati pamasiku okwanira 2-3-4 tsiku lililonse? Nanga chidzamuchitikira ndi chiyani pamapeto?

Chifukwa chake maselo osauka pang'ono ndi pang'ono amatha mphamvu zawo, amangoyamba kutaya, ndipo insulini imayamba kuchepa. Zotsatira zake, glucose yemwe akubwera samadziwitsidwa, ndipo amayamba kudziunjikira m'magazi, pang'onopang'ono poizoni m'thupi.

Zotsatira zake, "ma magetsi opanga" amatembenuzidwa - mphamvu zowonjezera thupi. Mafuta owonjezera amayamba kuthiridwa kwambiri ndi mkodzo, ndi mpweya wotuluka, ndi thukuta. Thupi limasinthira ku mafuta osungira - subcutaneous ndi mkati mafuta.

Akawotcha mopitirira muyeso, matupi a ketone ndi acetone amapangidwa, omwe ali ndi poizoni wamphamvu omwe amachititsa poizoni, makamaka ubongo.

Chifukwa chake zizindikiro za ketoacidosis zimayamba kukulira. Pakakhala poizoni wambiri, amathyola chotchinga wamagazi ndikulowa m'mitsempha ya ubongo, ngati "aku Russia ku Kosovo." Ubongo ulibe chosankha koma kungodzipereka ndi kugona tulo tambiri - ketoacidotic coma.

Zomwe zimachitika madokotala atayamba kubayitsa insulin kuchokera kunja

Axamwali, ndife odala kwambiri kuti tikukhala m'zaka za zana la 21. Kuperewera kwa insulin tsopano kutha kuyendetsedwa kunja. Ndizovuta kuganiza kuti m'masiku agogo athu a agogo athu ngakhale agogo awo sanathe kulota zozizwitsa ngati izi. Ana onse ndi achinyamata, komanso achikulire ena anamwalirabe.

Chifukwa chake, kuyika kwa insulin kwa maselo 20% otsalawo kuli ngati mpweya wabwino. "Pamapeto pake adatumiza zithandizo!" Opulumuka adapulumuka mwachimwemwe.

Tsopano maselo amatha kupumula, "alendo ogwira ntchito" amawagwirira ntchito.

Pakapita kanthawi (masabata angapo a 4-6), maselo otsala, atapuma ndikupeza mphamvu, amatengedwa pazomwe adabadwira - kuti apange insulin.

Pamodzi ndi insulin, gland yodutsayo imayamba kugwira ntchito bwino. Ichi ndichifukwa chake "alendo" ambiri sakufunikanso ndipo kufunika kwawo kukuchepera. Kuchuluka kwake kwa insulin yoyendetsera kumadalira kuchuluka kotsalira kwa maselo a pancreatic.

Ichi ndichifukwa chake kupangitsa kuchiritsa matenda a shuga kudapangidwa, ngakhale mu zamankhwala izi zimatchedwa "Honeymoon" ya matenda ashuga.

Mwanjira ina, matenda a shuga amachepetsa pang'ono, Mlingo wa insulin umachepetsedwa kwambiri, chifukwa munthu amakhala akumana ndi hypoglycemia chifukwa cha kuchuluka kwa insulin. Chifukwa chake, mlingo umachepetsedwa kuti izi hypoglycemia zisachitike.

Mwa anthu ena, insulini iyenera kuti imachoka kwathunthu, chifukwa maselo otsala akhoza kupereka insulin yokwanira. Ndipo ena mwina samamva izi "tchuthi".

Osati pachabe kuti chisangalalochi chimatchedwa tchuthi. Zonse zimatha kamodzi, ndipo kukwatiranso. Musaiwale za kayendedwe ka autoimmune, komwe sagona, koma mwakachetechete ndikulimbikira kumagwira ntchito yake yoyipa. Pang'onopang'ono maselo amenewo omwe anapulumuka amafa. Zotsatira zake, insulini imakhalanso yocheperachepera, ndipo shuga amayamba kutulukanso.

Kutalika kwa nthawi yayitali bwanji kwa matenda ashuga komanso kuikulitsa

Kutalika kwa kuchotsedwa kwa matenda ashuga ndi chimodzi ndipo kumachitika mosiyanasiyana kwa aliyense, koma chakuti aliyense amadutsa pamlingo wotere ndiye chowonadi. Zonse zimatengera:

ndondomeko ya autoimmune imathamanga
kuchuluka kwa maselo otsalira
chikhalidwe cha zakudya

Monga ndanenera kale, ena amatha kumwa mankhwala ochepa a insulin kwakanthawi, ndipo ena adzatsika pang'ono ndi insulin. Ndinawerenga kuti ndikakamodzikamodzi chikhululukiro chimatha kukhala zaka zingapo. "Chisangalalo chathu" chinangokhala miyezi iwiri yokha, kuchepetsa kwa mankhwalawa kunalibe, koma mpaka kuthetsedwe kwathunthu. Tinaikanso insulini zazifupi komanso zazitali.

Ndikulakalaka nthawi ino sinathe kapena idakhalapobe mpaka kalekale! Kodi tingathandize bwanji pa izi?

Choyamba, ndikofunikira kuchita kukonzanso matenda oyamba a matenda omwe amathandizira pakuchitika kwa autoimmune, popeza mpweya umathandizira kuyaka. Matendawa akuthwa, omwe amayambitsanso, ayenera kupewedwa. Chifukwa chake, sitithandizira njira ya autoimmune, koma sitimayima, mwatsoka.

Pakadali pano, mankhwala sanatulutsirepo mankhwala omwe amabwezeretsa maselo otaika pamsika wamankhwala, ngakhale alipo kale ndipo akuyesedwa kuchipatala.

Mankhwalawa amayenera kukulitsa kukula kwa maselo a gland kuti zithetse njira ya autoimmune, chifukwa kuchita nayo, monga momwe zidakhalira, ndizovuta kwambiri. Chifukwa chake, chinthuchi chimatengera ife osatinyoza.

Mwakutero, chithandizo cha insulin choyambirira chimayamba, maselo ambiri amakhala othandiza.

Gawo lachitatu likudalira kwathunthu kwa munthu kapena wachibale amene akusamalira mwana wodwala. Ngati mukufuna kuwonjezera kutalika kwa chikhululukiro, kulumpha kwambiri m'magazi a magazi kuyenera kupewedwa. Popeza kulumpha kwa shuga kumachitika makamaka chifukwa chogwiritsa ntchito zakudya zomwe zili ndi chiwonetsero chachikulu cha glycemic, osaziphatikiza ndi zakudya, zotsekemera zambiri kapena zosakhazikika.

Ena akufuna kuwonjezera chikhululukiro pakulipira mankhwala azitsamba zosiyanasiyana. Koma sindingakulangizeni chilichonse, chifukwa sindimamvetsa mankhwala azitsamba, ndipo ndilibe abwenzi abwino azitsamba azitsamba. Popeza mwana wanga wamwamuna anali ndi mavuto osiyanasiyana, sindinawafunse funso kwenikweni, kuti ndisamawonjezere zovuta. Mapeto ake, ndinasankha zochepa zoyipa.

Kodi cholakwika chachikulu chatsopano chatsopano ndi chiyani

Choyipa choopsa kwambiri komanso chowopsa kwambiri cha omwe ayamba kumene ndikukana kwathunthu insulini ngakhale kuchepa kwa zosowa zake. Nthawi zina, izi zitha kukhala zofunikira, koma anthu ambiri amafunikirabe kuchirikiza kubisala.

Mwanjira ina, simungalowetse insulin m'zakudya, koma muyenera kusiya mlingo wochepa wa insulin. Izi zitha kuchitika pogwiritsira ntchito ma handapulo mu ma unit a 0.5. Ndikukonzekera nkhani yamomwe tingachitire izi, chifukwa chake lembetsani ku zosinthakuti musaphonye.

Sikoyenera kuti mupeze jakisoni, koma mwakutero mufupikitsa tchuthi chanu. Kuphatikiza apo, zomwe mumachita zimatha kuthandiza kukulitsa matenda a shuga - matenda ashuga, omwe ndi ovuta kuwongolera, omwe ndi osakwanira kuyankha insulin.

Nthawi zina kukana insulini kumatsatira malingaliro a othandizira osiyanasiyana ochita izi. Osagula! Mudzalandirabe insulin mtsogolomo, kodi matenda anu a shuga azidzayenda bwanji nthawi yomweyo? ... Mpaka pano, palibe njira yochizira matenda ashuga a mtundu woyamba.

Zonsezi ndi zanga. Ndikukhulupirira kuti simulakwitsa kwambiri, phunzirani kukhala mwamtendere ndi matenda ashuga, kuulandira monga momwe zilili.

Chisomo cha matenda ashuga: chomwe chiri, momwe angachikulitse

Ngakhale kuti tidazolowera kukondwerera tchuthi nthawi yayitali litakwatirana, palinso tanthauzo lina la "tchuthi" - chifukwa cha matenda ashuga sizikumveka zosangalatsa, chifukwa iyi ndi nthawi yochotsa matenda, yomwe ndi yovuta komanso yotalikilapo , nthawi zina zimabweretsa zoopsa, ngakhale zotsatira zakupha zimatheka ngati matenda atakula kwambiri.

Nthawi imeneyi imatenga nthawi yayitali bwanji

Chilichonse ndichokhazikika pano - kukondwerera kwa tchuthi kumatha kukhala nthawi yayitali kapena mochepera - aliyense ali ndi njira zosiyanasiyana. Koma mulimonsemo, onse odwala matenda ashuga amadutsamo. Kodi zimadalira chiyani?

Kuchokera momwe machitidwe a autoimmune amapitilira.
Ndikofunikira kuti maselo angati atsalira.
Momwe odwala matenda ashuga amadyera ndikofunikira.

Anthu ena odwala matenda ashuga amatha kukhala ndi ma insulin yaying'ono kwa nthawi yayitali. Nthawi zambiri, zimachitika kuti chikhululukiro chimatenga zaka zingapo. Kodi tingathandize bwanji kuti nthawi ya tchuthi isapitilire kapena kuti isathe konse?

Ndikofunikira kwambiri momwe abale a wodwala matenda ashuga amathandizira, chisamaliro chokwanira, thandizo likufunika. Pofuna kutalikitsa nthawi yakukhululuka, shuga amayenera kuyang'aniridwa kuti asalumphe kwambiri m'magazi. Kuti muchite izi, pezani zakudya zokhala ndi mndandanda wokwanira wa glycemic muzakudya zanu.

Kuthandizanso kugwiritsa ntchito zitsamba, koma muyenera kudziwa kuti ndi ziti, chifukwa, mwanjira zina, mutha kuvulaza.Ndipo, chifukwa chake, muyenera kufunsa dokotala musanatenge izi kapena zomwe zikutanthauza.

Chisangalalo cha odwala omwe akudwala matenda monga matenda amtundu woyamba 1 chimatha kuyambira mwezi umodzi mpaka miyezi isanu ndi umodzi, zimachitika motalikirapo, koma sikuti ndili ndi malire.

Zomwe zingakhale zotsatira

Chisangalalo cha omwe ali ndi matenda ashuga amatha kusokonezedwa m'njira zosiyanasiyana komanso mosayembekezereka. Ubongo waumunthu umamenya nkhondo kuti upulumuke, chifukwa chake matupi a ketone amachita ngati gwero lamphamvu - umu ndi momwe amafunira kuthana ndi mavuto omwe akubwera. Koma palibe chimachitika.

Njira zikuyenda bwino. Ngati njira zoyenera sizitsatidwa panthawi, pali chiwopsezo chenicheni ku moyo wa odwala matenda ashuga. Ichi ndichifukwa chake iwo omwe ali ndi matenda ashuga ayenera kudziwa zizindikiro zoyambirira za ketoacidosis, zovuta za matenda ashuga. Zizindikiro zake ndi:

Ndikufuna kumwa mwamphamvu, ndipo nthawi zonse, izi zimangokulirakulira, koma sizimatha,
pali kufooka m'thupi, ndimangofuna kugona,
kufunitsitsa kosagona pansi,
Sindikumva ngati kudya, ndikudwala, ngakhale kusanza ndikotheka,
Amanunkhiza bwino pakamwa, ngati ma acetone,
kuponya mutu wachitsulo
kupweteka m'mimba.

Werengani komanso Zizindikiro za metabolic syndrome mwa mwana

Zizindikiro zotere zikawoneka, muyenera kufunsa dokotala.

Ndi mtundu woyamba wa shuga, ndikofunikira kuti musamvere kwambiri magazi a shuga kuposa matenda a 2. Kupatula apo, ndikofunikira kuti tipewe zovuta zoyipa zomwe zimatheka ndi shuga wambiri kapena wotsika kwambiri m'magazi a wodwalayo, ndipo zilibe kanthu kuti ndi matenda ati.

Ngati wina ali ndi matenda amtundu 1, chithandizo chimayamba pambuyo poti adziwe. Pambuyo pothetsa shuga m'magazi, munthu amachepetsa, chifukwa ululuwo umatha. Dokotala amatipatsa mtundu wa insulin yokwanira. Koma mwadzidzidzi pakapita kanthawi, shuga m'magazi amatsika, ndipo nthawi zina shuga amakhala otsika kwambiri kotero kuti ngakhale hypoglycemia imatheka.

Dokotala amayenera kuchepetsa pang'onopang'ono mlingo wa insulin - nthawi zina amafunika kuthetseratu. Musadalire dokotala ngati akunena kuti zonse zakonzedwa kale, lembani matenda ashuga 1 ochiritsidwa. Komabe, iye sangayankhe mwanjira imeneyi.

M'malo mwake, matendawa sanadutse, sanathere, monga momwe angawonekere koyamba. Kungoti adachokapo kwa nthawi yayitali mchikakamizo cha njira zabwino zochizira.

Njira zotupa zomwe zimachitika m'matumbo sizimangowononga maselo onse omwe amapanga insulin, koma gawo limodzi lokha.

Pa mankhwala ndi insulin, kagayidwe kachakudya njira mu thupi la munthu. Zomwezo zimagwiranso ntchito kwa ma cell omwe adatha kupulumuka.

Pakapita nthawi, ntchitoyo imabwezeretseka, chifukwa chake, insulin imayamba kupangidwanso.

Kwa odwala matenda ashuga ambiri nthawi zotere, insulin yawo yakwanira. Koma pali omwe amafunika kubaya insulini pang'ono. Izi zitha kukhala mwezi wathunthu, ndipo nthawi zina miyezi isanu ndi umodzi, mwinanso yayitali - iliyonse imakhala ndi nthawi yake.

Ngati mudadwala matenda amishuga amtundu 1 mutatha zaka makumi atatu, ndiye kuti izi, zobisika zotsalira za insulin zimatenga nthawi yayitali.

Mulimonsemo, muyenera kudziletsa, osamasuka, poganiza kuti simulinso ndi matenda ashuga. Musataye mtima, musakhale opanda chidwi - ndikhulupirireni, simunachotse matenda a shuga.

Simuyenera kuiwala za matenda, nthawi yonse yomwe mungafikire mankhwalawo molondola, kupewa kupewa kuyendera endocrinologist - izi ndizofunikanso kwambiri.

Kupanda kutero, ndizotheka kuti matendawa azitha kudziwoneka okha m'chipinda chopangira chisamaliro chachikulu, ndipo chimakhala chowala komanso chofotokozera.

Werengani komanso Clinic komanso kuzindikira matenda ashuga

Zomwe zimatsimikizira nthawi yachikhululukiro

Phwando la matenda ashuga a mtundu woyamba limatha kukhala nthawi yosiyana.Apa, chilichonse chimatha kukhazikika mosiyanasiyana, kutengera zinthu zosiyanasiyana zokhudzana.

Ndikofunikira kuti munthu wodwala matenda ashuga azikhala ndi zaka zingati - wamkulu ngati, momwe chitetezo champhamvu kwambiri cha antibodies chimakhalira pazisumbu za Langengars. Ndipo izi zikutanthauza kuti thukuta limatha nthawi yayitali ndi matenda ashuga 1.
Zimakhudzanso ngati mwamunayo ndi mkazi. Mwambiri, amuna amakhala ndi chikhululukiro chotalikirapo kuposa akazi.
Chifukwa cha chithandizo chanthawi yake chomwe chayamba, chikondwererochi chimatha nthawi yayitali ngati matenda amtundu woyamba.
Mapuloteni ambiri a C-reactive ndi chifukwa chabwino chokhululukirana kwanthawi yayitali.
Pamaso pa zovuta zofanana, nthawi yachikhululukiro imafupikitsidwa.

Munthawi ya chikondwerero cha matenda ashuga amtundu woyamba, munthu amamva kuti adachiritsidwa - koma izi ndi zabodza chabe. Matendawa amazimiririka kwakanthawi, pomwe Mlingo wa insulin umachepa, chifukwa kuchuluka kwa insulin kumabweretsa hypoglycemia. Chifukwa chake, mlingo umachepetsedwa kuti zofanana sizimachitika.

Zimachitika kuti munthu amalephera kumwa mankhwala a insulin chifukwa ma cell otsala amatha kupanga insulini yokwanira. Ndipo ena samadziona ngati "tchuthi" ichi.

Zolakwika zoyambira za oyamba kumene

Chovuta chachikulu mu mtundu 1 wa shuga ndikusiya insulin kwathunthu chifukwa zikuwoneka kuti kulibenso chifukwa chakufunira.

Ndizachilendo kuti, inde, kulephera kwathunthu ndikotheka, koma nthawi zambiri odwala matenda ashuga, kufunikira kothandizidwa ndi basal secretion kumangopitilira osowa kulikonse.

Nthawi zambiri anthu omwe ali ndi matenda oopsa amatenga phwando laukwati kuti akachiritse kwathunthu.

Inde, simungathe kubayira insulin m'zakudya, koma muyenera kusiya osachepera insulin. Kuti muchite izi, ndizoyenera kugwiritsa ntchito cholembera mu zowonjezera za mayunitsi 0,5.

Zachidziwikire, ndikufunitsitsadi jakisoni, koma nthawi yomweyo, kukondana kwachikazi ndizofupikitsa.

Ndipo komabe khalidweli limayambitsa kukulitsa matenda a shuga - matendawa ndi osalamulirika, wodwalayo amatha kuyankha molakwika ndi insulin yovulazidwa.

"Kukwatirana ndi matenda" a shuga a mtundu woyamba. Momwe angakulitsire kwa zaka zambiri

Pofika nthawi yomwe amadziwika, odwala omwe ali ndi matenda a shuga 1, shuga wamagazi nthawi zambiri amakhala ovomerezeka. Chifukwa chake, amakumana ndi zizindikiro zotsatirazi: kuchepa thupi kosadziwitsa, ludzu losatha, komanso kukodza pafupipafupi.

Zizindikirozi zimayamba kukhala zosavuta, kapena kuzimiririka, wodwalayo akangoyamba kulandira jakisoni wa insulin. Werengani momwe mungapangire insulin kuwombera mopanda chisoni.

Pambuyo pake, patatha milungu ingapo ya matenda a shuga ndi insulin, mwa odwala ambiri kufunika kwa insulin kumachepetsedwa, nthawi zina pafupifupi mpaka kumakhala zero.

Shuga wamagazi amakhalabe wabwinobwino, ngakhale mutasiya jakisoni. Zikuwoneka kuti matenda ashuga achiritsidwa. Nyengo iyi imatchedwa "phwando la tchuthi". Imatha kukhala milungu ingapo, miyezi, komanso mwa odwala ena chaka chathunthu.

Ngati matenda a shuga a mtundu woyamba amuchiritsidwa pogwiritsa ntchito njira zachikhalidwe, ndiye kuti, “ndikudya moyenera” ndiye kuti “poti laukwati” limatha. Izi sizichitika pakatha chaka chimodzi, ndipo nthawi zambiri pambuyo pa miyezi 1-2.

Ndipo zonyansa zimadumphira mu shuga wamagazi kuchokera kwambiri kwambiri mpaka kumayamba kotsika.

Dr. Bernstein akutsimikizira kuti "tchuthi" chitha kutalikirana kwa nthawi yayitali, pafupifupi kwa moyo wonse, ngati mtundu 1 wa matenda ashuga udwala. Izi zikutanthauza kuti azisunga chakudya chamagulu pang'ono komanso kubaya jakisoni wocheperako, yemwe amapezeka molondola.

Kodi nchifukwa chiyani nthawi ya "tchuthi" ya mtundu woyamba wa shuga imayamba ndipo bwanji imatha? Palibe lingaliro lovomerezeka pakati pa madokotala ndi asayansi pankhani iyi, koma pali malingaliro oyenera.

Maphikidwe a chakudya chamafuta ochepa a shuga 1 amapezeka pano.

Malingaliro ofotokoza zaukwati wa mtundu woyamba wa matenda ashuga

Mwa munthu wathanzi, kapamba amunthu amakhala ndi maselo ambiri a beta omwe amapanga insulin kuposa momwe amafunikira kuti akhale ndi shuga wabwinobwino. Ngati shuga wamagazi amasungidwa, ndiye kuti izi zikutanthauza kuti pafupifupi 80% ya ma cell a beta amwalira kale.

Kumayambiriro kwa matenda ashuga amtundu woyamba, maselo a beta omwe atsala amayamba kufooka chifukwa cha kuwopsa kwa shuga m'magazi. Izi zimatchedwa kawopsedwe wa glucose. Pambuyo pa kuyamba kwa matenda a shuga ndi jakisoni wa insulin, maselo a beta awa amalandira "kupumula", chifukwa komwe amabwezeretsa kupanga insulin.

Koma amayenera kugwira ntchito molimbika kasanu kuposa momwe zimakhalira kuti abweretse insulin.

Ngati mumadya zakudya zamafuta ambiri, ndiye kuti pakhale shuga wa magazi wambiri, womwe sangathe kuphimba jakisoni wa insulin komanso kupanga insulin yaying'ono.

Zatsimikiziridwa kale kuti shuga yowonjezereka yam'magazi imapha maselo a beta. Chakudya chomwe chili ndi zakudya zamafuta ochulukirapo, shuga wamagazi amakwera kwambiri. Zoterezi zilizonse zimakhala ndi zovulaza.

Pang'onopang'ono, izi zimadziunjikira, ndipo ma cell otsala a beta amatha "kutentha" kwathunthu.

Choyamba, maselo a pancreatic beta a mtundu 1 a shuga amafa chifukwa cha chitetezo cha mthupi. Cholinga cha izi sikuti ndi cell yonse ya beta, koma mapuloteni ochepa chabe. Imodzi mwa mapuloteni awa ndi insulin.

Puloteni ina yomwe imalimbana ndi autoimmune imapezeka m'miyala yomwe ili m'maselo a beta momwe insulin imasungidwira "mosungira". Mtundu woyamba wa matenda ashuga utayamba, palibenso "ma" bubul "ena ogulitsa insulin. Chifukwa insulin yonse yomwe imapangidwa imadyedwa nthawi yomweyo.

Chifukwa chake, kuchuluka kwa kuukira kwa autoimmune kumachepetsedwa. Malingaliro awa ochokera ku “tchuthi cha chikwati” sanatsimikiziridwebe.

Ngati mumachiza matenda amtundu woyamba wa shuga, ndiye kuti nthawi ya "tchuthi" ikhoza kukulitsidwa. Zoyenera, moyo. Kuti muchite izi, muyenera kuthandizira anu kapamba, yesani kuchepetsa katundu pazomweyo. Izi zikuthandizira chakudya chamafuta ochepa, komanso jakisoni ang'onoang'ono, omwe amakhala ndi insulin.

Ambiri odwala matenda ashuga, pa nthawi yoyamba yaukwati, amayamba kupumula ndikumenya gawo lanu. Koma izi siziyenera kuchitika. Muyezetsetse magazi anu kangapo patsiku ndi kubaya insulin pang'ono kuti apatsenso kapamba.

Palinso chifukwa china choyesera chosungira maselo anu a beta amoyo. Mankhwala atsopano a shuga, monga beta-cell cloning, atayamba kuonekera, mudzakhala woyamba kusankha kugwiritsa ntchito mankhwalawa.

Kodi chisangalalo cha shuga ndi chiyani: bwanji chimawonekera ndipo chimatenga nthawi yayitali bwanji?

Kuzindikiridwa kwa matenda a shuga 1ell kumafuna kuikidwa kwa insulin.

Pambuyo pa kuyamba kwa mankhwalawa, wodwalayo amayamba nthawi yocheperanso pazizindikiro za matendawa, pomwe kuchuluka kwa glucose m'magazi kumatsika.

Matenda a shuga amatchedwa "phwando laukwati", koma sizikugwirizana ndi lingaliro laukwati.

Zili chimodzimodzi ndi nthawi yokhayo, popeza nthawi yosangalatsa imakhala kwa wodwala pafupifupi mwezi umodzi.

Lingaliro la okondedwa wa matenda ashuga

Mtundu woyamba wa matenda ashuga, pafupifupi makumi awiri okha a ma pancreatic cell omwe amapanga insulin nthawi zambiri amagwira ntchito mwa wodwala.

Pambuyo pofufuza ndikupereka jakisoni wa mahomoni, pakapita kanthawi, kufunika kwake kumachepa.

Nthawi yakusintha kwa zomwe anthu odwala matenda ashuga amatchedwa pokonzekera ukwati.Pakukhululuka, maselo ena am'mimba amathandizidwa, chifukwa pambuyo pa mankhwala amphamvu ntchito yachepa. Amapereka kuchuluka kwa insulini. Kukhazikitsidwa kwa mlingo wapitawu kumachepetsa shuga pansi pazomwe zili bwino, ndipo wodwalayo amakula hypoglycemia.

Kutalika kwa chikhululukiro kumatenga mwezi umodzi mpaka chaka. Pang'onopang'ono, chitsulo chimatha, maselo ake sangathe kugwira ntchito mwachangu komanso kupanga insulini pama voliyumu oyenera. Tchuthi cha wodwalayo chikuyandikira.

Mwa munthu wamkulu

Mwa odwala akuluakulu, mitundu iwiri yachikhululukiro imadziwika pakati pa matenda:

maliza. Amawoneka awiri peresenti ya odwala. Odwala safunikiranso mankhwala a insulin,
tsankho. Jakisoni wa matenda ashuga akadali ofunikira, koma mlingo wa mahomoni umachepetsedwa, mpaka pafupifupi zigawo 0,4 za mankhwala pa kilogalamu ya kulemera kwake.

Chithandizo chothana ndi matenda. Tizilombo tofowoka sitingabwezeretsenso katulutsidwe ka insulini, ma antibodies amayambanso kuukira maselo ake ndikutchingira kupanga mahomoni.

Thupi la mwana wofooka limalekerera matendawa kuposa akulu, chifukwa chitetezo chake sichidapangidwe kwathunthu.

Ana omwe amadwala asanakwanitse zaka zisanu ali pachiwopsezo chachikulu chotenga ketoacidosis.

Kuchotsedwa kwa ana kumakhala kofupikirapo kuposa kwa achikulire ndipo ndizosatheka kuchita popanda jakisoni wa insulin .ads-mob-2

Kodi matenda ashuga a 2 amachitika?

Matendawa amakula chifukwa cha kuperewera kwa insulini, chifukwa cha mtundu uwu wa matendawa ndikofunikira kuwabaya.

Pakukhululuka, shuga m'magazi limakhazikika, wodwalayo akumva bwino, mlingo wa mahomoni umachepetsedwa. Matenda a shuga amtundu wachiwiri amasiyana ndi oyamba chifukwa chakuti insulin mankhwala sichifunika nayo, ndikokwanira kutsatira zakudya zama carb otsika komanso malingaliro a dokotala.

Zimatenga nthawi yayitali bwanji?

Kuchotsedwa kumatenga pafupifupi mwezi umodzi mpaka miyezi isanu ndi umodzi. Mwa odwala ena, kusintha kumawonedwa kwa chaka chimodzi kapena kupitirira.

Njira ya gawo lakukhululuka komanso kutalika kwake zimatengera zinthu izi:

jenda ya wodwala. Nthawi yachikhululukiro imapitilira mwa amuna,
zovuta mu mawonekedwe a ketoacidosis ndi kusintha kwina kwa metabolic. Mavuto ochepa omwe amadza ndi matendawa, kuchotsedwa kwake kumakhala kwa nthawi yayitali,
kuchuluka kwa secretion. Kukwera kwakukulu, nthawi yayitali yochotsedwa,
matenda oyamba ndi chithandizo cha panthawi yake. Mankhwala a insulin, omwe adapangidwa kumayambiriro kwa matendawa, amatha kutalika.

Kupulumutsidwa kwa matendawa kumawonedwa ndi odwala ambiri ngati kuchira kwathunthu. Koma pambuyo pa nthawi imeneyi, matendawa amabwerera ndikukula popanda mankhwala oyenera.

Kodi kuwonjezera nthawi yayitali bwanji?

Mutha kukulitsa kukondwerera kwa tchuthi ku malingaliro azachipatala:

kuyang'anira moyo wabwino,
kulimbitsa chitetezo chokwanira
kupewa kuzizira ndi kufalikira kwa matenda oyamba,
munthawi yomweyo mankhwala a inulin jekeseni,
kutsatira zakudya zopatsa mphamvu ndikuphatikizidwa kwa chakudya chamagetsi mosavuta mu zakudya komanso kupatula zakudya zomwe zimawonjezera shuga.

Anthu odwala matenda ashuga ayenera kudya zakudya zazing'ono tsiku lonse. Chiwerengero cha zakudya - 5-6 zina. Mukamadya mafuta kwambiri, katundu pazinthu zodwala zimachuluka kwambiri. Ndikulimbikitsidwa kutsatira zakudya zama protein. Kulephera kutsatira izi kumathandizira kuti maselo athanzi sangatulutse kuchuluka kwa insulini.

Ngati dokotala wakupatsani mankhwala a mahomoni, sizingatheke kusiya popanda malingaliro ake ngakhale atakhala kuti thanzi labwinolo.

Njira zochiritsira zosagwiritsidwa ntchito masiku onse, zomwe zimalonjeza kuchiritsa matenda m'nthawi yochepa, sizothandiza. Pafupifupi ndizovuta kuti tichotse matenda.

Ngati pali matenda obwera chifukwa cha matenda ashuga, muyenera kugwiritsa ntchito nthawi imeneyi nthawi yamatendawa kuti muchepetse kuchuluka kwa jakisoni ndikupatsanso thupi mwayi wothana nanu. Chithandizo choyambirira chimayambika, nthawi yayitali kwambiri yochotsera .ads-mob-1

Ndi zolakwika ziti zomwe ziyenera kupewedwa?

Ena amakhulupirira kuti kunalibe matenda, ndipo kuzindikira kwake kunali vuto lakuchipatala.

Phwando laukwati lidzatha, ndipo pomwepo wodwalayo adzakulirakulira, mpaka kukulira chikumbumtima cha matenda ashuga, zotsatira zake zomwe zingakhale zachisoni.

Pali mitundu yamatendawa pamene, m'malo mwa jakisoni wa insulin, wodwalayo amafunikira kukhazikitsa mankhwala a sulfonamide. Matenda a shuga amatha chifukwa cha masinthidwe amtundu wa beta-cell receptors.

Kuti muwonetsetsetsetsetsetsetsetse, kudziwika kwapadera ndikofunikira, malinga ndi zotsatira zomwe dokotala aganiza kuti asinthe mankhwala a mahomoni ndi mankhwala ena.

Malingaliro ofotokozera za kukonzekera ukwati pa matenda amtundu woyamba 1:

Ndi matenda apanthawi yake, odwala matenda ashuga atha kusintha momwe zinthu ziliri komanso chithunzi cha matenda. Nyengo iyi imatchedwa "phwando la tchuthi". Pankhaniyi, kuchuluka kwa shuga m'magazi ndi kosakhazikika, Mlingo wa insulin ungachepetse kwambiri. Kutalika kwa chikhululukiro kumatengera zaka, jenda komanso mkhalidwe wa wodwalayo.

Zimakhala kuyambira mwezi umodzi mpaka chaka. Zikuwoneka kuti wodwalayo wachira kwathunthu. Ngati chithandizo cha mahomoni chimalekeratu, matendawa amapita patsogolo mwachangu. Chifukwa chake, adotolo amangochepetsa mulingo, ndi malingaliro ake ena onse okhudzana ndi zakudya komanso kuwunika bwino ziyenera kuchitika.

Kukwatirana ndi Chisoni kapena Kuchotsedwa kwa Matenda A shuga |

Zizindikiro za matenda ashuga mwa ana ndizosiyana pang'ono, zomwe ndidalemba m'nkhani yapita.

Akawotcha mopitirira muyeso, matupi a ketone ndi acetone amapangidwa, omwe ali ndi poizoni wamphamvu omwe amachititsa poizoni, makamaka ubongo.

Zomwe zimachitika madokotala atayamba kubayitsa insulin kuchokera kunja

Chifukwa chake, kuyika kwa insulin kwa maselo 20% otsalawo kuli ngati mpweya wabwino. "Pamapeto pake adatumiza zithandizo!" Opulumuka adapulumuka mwachimwemwe.

Tsopano maselo amatha kupumula, "alendo ogwira ntchito" amawagwirira ntchito.

Pakapita kanthawi (masabata angapo a 4-6), maselo otsala, atapuma ndikupeza mphamvu, amatengedwa pazomwe adabadwira - kuti apange insulin.

Pamodzi ndi insulin, gland yodutsayo imayamba kugwira ntchito bwino. Ichi ndichifukwa chake "alendo" ambiri sakufunikanso ndipo kufunika kwawo kukuchepera. Kuchuluka kwake kwa insulin yoyendetsera kumadalira kuchuluka kotsalira kwa maselo a pancreatic.

Ichi ndichifukwa chake kupangitsa kuchiritsa matenda a shuga kudapangidwa, ngakhale mu zamankhwala izi zimatchedwa "Honeymoon" ya matenda ashuga.

Mwa anthu ena, insulini iyenera kuti imachoka kwathunthu, chifukwa maselo otsala akhoza kupereka insulin yokwanira. Ndipo ena mwina samamva izi "tchuthi".

Kutalika kwa nthawi yayitali bwanji kwa matenda ashuga komanso kuikulitsa

Kutalika kwa kuchotsedwa kwa matenda ashuga ndi chimodzi ndipo kumachitika mosiyanasiyana kwa aliyense, koma chakuti aliyense amadutsa pamlingo wotere ndiye chowonadi. Zonse zimatengera:

ndondomeko ya autoimmune imathamanga
kuchuluka kwa maselo otsalira
chikhalidwe cha zakudya

Ndikulakalaka nthawi ino sinathe kapena idakhalapobe mpaka kalekale! Kodi tingathandize bwanji pa izi?

Pakadali pano, mankhwala sanatulutsirepo mankhwala omwe amabwezeretsa maselo otaika pamsika wamankhwala, ngakhale alipo kale ndipo akuyesedwa kuchipatala.

Mwakutero, chithandizo cha insulin choyambirira chimayamba, maselo ambiri amakhala othandiza.

Gawo lachitatu likudalira kwathunthu kwa munthu kapena wachibale amene akusamalira mwana wodwala. Ngati mukufuna kuwonjezera kutalika kwa chikhululukiro, kulumpha kwambiri m'magazi a magazi kuyenera kupewedwa.Popeza kulumpha kwa shuga kumachitika makamaka chifukwa chogwiritsa ntchito zakudya zomwe zili ndi chiwonetsero chachikulu cha glycemic, osaziphatikiza ndi zakudya, zotsekemera zambiri kapena zosakhazikika.

Kodi cholakwika chachikulu chatsopano chatsopano ndi chiyani

Zonsezi ndi zanga. Ndikukhulupirira kuti simulakwitsa kwambiri, phunzirani kukhala mwamtendere ndi matenda ashuga, kuulandira monga momwe zilili.

Chisomo cha matenda ashuga: chomwe chiri, momwe angachikulitse

Nthawi imeneyi imatenga nthawi yayitali bwanji

Kuchokera momwe machitidwe a autoimmune amapitilira.
Ndikofunikira kuti maselo angati atsalira.
Momwe odwala matenda ashuga amadyera ndikofunikira.

Kuthandizanso kugwiritsa ntchito zitsamba, koma muyenera kudziwa kuti ndi ziti, chifukwa, mwanjira zina, mutha kuvulaza. Ndipo, chifukwa chake, muyenera kufunsa dokotala musanatenge izi kapena zomwe zikutanthauza.

Chisangalalo cha odwala omwe akudwala matenda monga matenda amtundu woyamba 1 chimatha kuyambira mwezi umodzi mpaka miyezi isanu ndi umodzi, zimachitika motalikirapo, koma sikuti ndili ndi malire.

Zomwe zingakhale zotsatira

Ndikufuna kumwa mwamphamvu, ndipo nthawi zonse, izi zimangokulirakulira, koma sizimatha,
pali kufooka m'thupi, ndimangofuna kugona,
kufunitsitsa kosagona pansi,
Sindikumva ngati kudya, ndikudwala, ngakhale kusanza ndikotheka,
Amanunkhiza bwino pakamwa, ngati ma acetone,
kuponya mutu wachitsulo
kupweteka m'mimba.

Werengani komanso Zizindikiro za metabolic syndrome mwa mwana

Zizindikiro zotere zikawoneka, muyenera kufunsa dokotala.

M'malo mwake, matendawa sanadutse, sanathere, monga momwe angawonekere koyamba. Kungoti adachokapo kwa nthawi yayitali mchikakamizo cha njira zabwino zochizira.

Njira zotupa zomwe zimachitika m'matumbo sizimangowononga maselo onse omwe amapanga insulin, koma gawo limodzi lokha.

Pa mankhwala ndi insulin, kagayidwe kachakudya njira mu thupi la munthu. Zomwezo zimagwiranso ntchito kwa ma cell omwe adatha kupulumuka.

Pakapita nthawi, ntchitoyo imabwezeretseka, chifukwa chake, insulin imayamba kupangidwanso.

Ngati mudadwala matenda amishuga amtundu 1 mutatha zaka makumi atatu, ndiye kuti izi, zobisika zotsalira za insulin zimatenga nthawi yayitali.

Mulimonsemo, muyenera kudziletsa, osamasuka, poganiza kuti simulinso ndi matenda ashuga. Musataye mtima, musakhale opanda chidwi - ndikhulupirireni, simunachotse matenda a shuga.

Simuyenera kuiwala za matenda, nthawi yonse yomwe mungafikire mankhwalawo molondola, kupewa kupewa kuyendera endocrinologist - izi ndizofunikanso kwambiri.

Kupanda kutero, ndizotheka kuti matendawa azitha kudziwoneka okha m'chipinda chopangira chisamaliro chachikulu, ndipo chimakhala chowala komanso chofotokozera.

Werengani komanso Clinic komanso kuzindikira matenda ashuga

Zomwe zimatsimikizira nthawi yachikhululukiro

Phwando la matenda ashuga a mtundu woyamba limatha kukhala nthawi yosiyana. Apa, chilichonse chimatha kukhazikika mosiyanasiyana, kutengera zinthu zosiyanasiyana zokhudzana.

Ndikofunikira kuti munthu wodwala matenda ashuga azikhala ndi zaka zingati - wamkulu ngati, momwe chitetezo champhamvu kwambiri cha antibodies chimakhalira pazisumbu za Langengars. Ndipo izi zikutanthauza kuti thukuta limatha nthawi yayitali ndi matenda ashuga 1.
Zimakhudzanso ngati mwamunayo ndi mkazi. Mwambiri, amuna amakhala ndi chikhululukiro chotalikirapo kuposa akazi.
Chifukwa cha chithandizo chanthawi yake chomwe chayamba, chikondwererochi chimatha nthawi yayitali ngati matenda amtundu woyamba.
Mapuloteni ambiri a C-reactive ndi chifukwa chabwino chokhululukirana kwanthawi yayitali.
Pamaso pa zovuta zofanana, nthawi yachikhululukiro imafupikitsidwa.

Munthawi ya chikondwerero cha matenda ashuga amtundu woyamba, munthu amamva kuti adachiritsidwa - koma izi ndi zabodza chabe.Matendawa amazimiririka kwakanthawi, pomwe Mlingo wa insulin umachepa, chifukwa kuchuluka kwa insulin kumabweretsa hypoglycemia. Chifukwa chake, mlingo umachepetsedwa kuti zofanana sizimachitika.

Zimachitika kuti munthu amalephera kumwa mankhwala a insulin chifukwa ma cell otsala amatha kupanga insulini yokwanira. Ndipo ena samadziona ngati "tchuthi" ichi.

Zolakwika zoyambira za oyamba kumene

Chovuta chachikulu mu mtundu 1 wa shuga ndikusiya insulin kwathunthu chifukwa zikuwoneka kuti kulibenso chifukwa chakufunira.

Ndizachilendo kuti, inde, kulephera kwathunthu ndikotheka, koma nthawi zambiri odwala matenda ashuga, kufunikira kothandizidwa ndi basal secretion kumangopitilira osowa kulikonse.

Nthawi zambiri anthu omwe ali ndi matenda oopsa amatenga phwando laukwati kuti akachiritse kwathunthu.

Inde, simungathe kubayira insulin m'zakudya, koma muyenera kusiya osachepera insulin. Kuti muchite izi, ndizoyenera kugwiritsa ntchito cholembera mu zowonjezera za mayunitsi 0,5.

Zachidziwikire, ndikufunitsitsadi jakisoni, koma nthawi yomweyo, kukondana kwachikazi ndizofupikitsa.

Ndipo komabe khalidweli limayambitsa kukulitsa matenda a shuga - matendawa ndi osalamulirika, wodwalayo amatha kuyankha molakwika ndi insulin yovulazidwa.

"Kukwatirana ndi matenda" a shuga a mtundu woyamba. Momwe angakulitsire kwa zaka zambiri

Zizindikirozi zimayamba kukhala zosavuta, kapena kuzimiririka, wodwalayo akangoyamba kulandira jakisoni wa insulin. Werengani momwe mungapangire insulin kuwombera mopanda chisoni.

Pambuyo pake, patatha milungu ingapo ya matenda a shuga ndi insulin, mwa odwala ambiri kufunika kwa insulin kumachepetsedwa, nthawi zina pafupifupi mpaka kumakhala zero.

Ndipo zonyansa zimadumphira mu shuga wamagazi kuchokera kwambiri kwambiri mpaka kumayamba kotsika.

Maphikidwe a chakudya chamafuta ochepa a shuga 1 amapezeka pano.

Malingaliro ofotokoza zaukwati wa mtundu woyamba wa matenda ashuga

Koma amayenera kugwira ntchito molimbika kasanu kuposa momwe zimakhalira kuti abweretse insulin.

Ngati mumadya zakudya zamafuta ambiri, ndiye kuti pakhale shuga wa magazi wambiri, womwe sangathe kuphimba jakisoni wa insulin komanso kupanga insulin yaying'ono.

Pang'onopang'ono, izi zimadziunjikira, ndipo ma cell otsala a beta amatha "kutentha" kwathunthu.

Chifukwa chake, kuchuluka kwa kuukira kwa autoimmune kumachepetsedwa. Malingaliro awa ochokera ku “tchuthi cha chikwati” sanatsimikiziridwebe.

Kodi chisangalalo cha shuga ndi chiyani: bwanji chimawonekera ndipo chimatenga nthawi yayitali bwanji?

Kuzindikiridwa kwa matenda a shuga 1ell kumafuna kuikidwa kwa insulin.

Pambuyo pa kuyamba kwa mankhwalawa, wodwalayo amayamba nthawi yocheperanso pazizindikiro za matendawa, pomwe kuchuluka kwa glucose m'magazi kumatsika.

Matenda a shuga amatchedwa "phwando laukwati", koma sizikugwirizana ndi lingaliro laukwati.

Zili chimodzimodzi ndi nthawi yokhayo, popeza nthawi yosangalatsa imakhala kwa wodwala pafupifupi mwezi umodzi.

Lingaliro la okondedwa wa matenda ashuga

Mtundu woyamba wa matenda ashuga, pafupifupi makumi awiri okha a ma pancreatic cell omwe amapanga insulin nthawi zambiri amagwira ntchito mwa wodwala.

Pambuyo pofufuza ndikupereka jakisoni wa mahomoni, pakapita kanthawi, kufunika kwake kumachepa.

Nthawi yakusintha kwa zomwe anthu odwala matenda ashuga amatchedwa pokonzekera ukwati. Pakukhululuka, maselo ena am'mimba amathandizidwa, chifukwa pambuyo pa mankhwala amphamvu ntchito yachepa. Amapereka kuchuluka kwa insulini. Kukhazikitsidwa kwa mlingo wapitawu kumachepetsa shuga pansi pazomwe zili bwino, ndipo wodwalayo amakula hypoglycemia.

Mtundu woyamba wa matenda a shuga

Kuwonetsedwa kwa matenda amtundu woyamba 1 amapezeka ali aang'ono ndi ana. Kusintha kwachilengedwe mu ntchito ya kapamba kumachitika chifukwa cha kusayenda bwino kwa ntchito yake, komwe kumachepetsa kupanga insulin yofunikira kwa thupi.ads-mob-1

Mwa munthu wamkulu

Mwa odwala akuluakulu, mitundu iwiri yachikhululukiro imadziwika pakati pa matenda:

maliza. Amawoneka awiri peresenti ya odwala. Odwala safunikiranso mankhwala a insulin,
tsankho. Jakisoni wa matenda ashuga akadali ofunikira, koma mlingo wa mahomoni umachepetsedwa, mpaka pafupifupi zigawo 0,4 za mankhwala pa kilogalamu ya kulemera kwake.

Chithandizo chothana ndi matenda. Tizilombo tofowoka sitingabwezeretsenso katulutsidwe ka insulini, ma antibodies amayambanso kuukira maselo ake ndikutchingira kupanga mahomoni.

Thupi la mwana wofooka limalekerera matendawa kuposa akulu, chifukwa chitetezo chake sichidapangidwe kwathunthu.

Ana omwe amadwala asanakwanitse zaka zisanu ali pachiwopsezo chachikulu chotenga ketoacidosis.

Kuchotsedwa kwa ana kumakhala kofupikirapo kuposa kwa achikulire ndipo ndizosatheka kuchita popanda jakisoni wa insulin .ads-mob-2

Kodi matenda ashuga a 2 amachitika?

Matendawa amakula chifukwa cha kuperewera kwa insulini, chifukwa cha mtundu uwu wa matendawa ndikofunikira kuwabaya.

Zimatenga nthawi yayitali bwanji?

Kuchotsedwa kumatenga pafupifupi mwezi umodzi mpaka miyezi isanu ndi umodzi. Mwa odwala ena, kusintha kumawonedwa kwa chaka chimodzi kapena kupitirira.

Njira ya gawo lakukhululuka komanso kutalika kwake zimatengera zinthu izi:

jenda ya wodwala. Nthawi yachikhululukiro imapitilira mwa amuna,
zovuta mu mawonekedwe a ketoacidosis ndi kusintha kwina kwa metabolic. Mavuto ochepa omwe amadza ndi matendawa, kuchotsedwa kwake kumakhala kwa nthawi yayitali,
kuchuluka kwa secretion. Kukwera kwakukulu, nthawi yayitali yochotsedwa,
matenda oyamba ndi chithandizo cha panthawi yake. Mankhwala a insulin, omwe adapangidwa kumayambiriro kwa matendawa, amatha kutalika.

Kupulumutsidwa kwa matendawa kumawonedwa ndi odwala ambiri ngati kuchira kwathunthu. Koma pambuyo pa nthawi imeneyi, matendawa amabwerera ndikukula popanda mankhwala oyenera.

Kodi kuwonjezera nthawi yayitali bwanji?

Mutha kukulitsa kukondwerera kwa tchuthi ku malingaliro azachipatala:

kuyang'anira moyo wabwino,
kulimbitsa chitetezo chokwanira
kupewa kuzizira ndi kufalikira kwa matenda oyamba,
munthawi yomweyo mankhwala a inulin jekeseni,
kutsatira zakudya zopatsa mphamvu ndikuphatikizidwa kwa chakudya chamagetsi mosavuta mu zakudya komanso kupatula zakudya zomwe zimawonjezera shuga.

Ngati dokotala wakupatsani mankhwala a mahomoni, sizingatheke kusiya popanda malingaliro ake ngakhale atakhala kuti thanzi labwinolo.

Njira zochiritsira zosagwiritsidwa ntchito masiku onse, zomwe zimalonjeza kuchiritsa matenda m'nthawi yochepa, sizothandiza. Pafupifupi ndizovuta kuti tichotse matenda.

Ndi zolakwika ziti zomwe ziyenera kupewedwa?

Ena amakhulupirira kuti kunalibe matenda, ndipo kuzindikira kwake kunali vuto lakuchipatala.

Phwando laukwati lidzatha, ndipo pomwepo wodwalayo adzakulirakulira, mpaka kukulira chikumbumtima cha matenda ashuga, zotsatira zake zomwe zingakhale zachisoni.

Pali mitundu yamatendawa pamene, m'malo mwa jakisoni wa insulin, wodwalayo amafunikira kukhazikitsa mankhwala a sulfonamide.Matenda a shuga amatha chifukwa cha masinthidwe amtundu wa beta-cell receptors.

Kuti muwonetsetsetsetsetsetsetsetse, kudziwika kwapadera ndikofunikira, malinga ndi zotsatira zomwe dokotala aganiza kuti asinthe mankhwala a mahomoni ndi mankhwala ena.

Malingaliro ofotokozera za kukonzekera ukwati pa matenda amtundu woyamba 1:

Kukwatirana ndi Chisoni kapena Kuchotsedwa kwa Matenda A shuga |

Matendawa - Iyi ndi kanthawi kochepa (nthawi zambiri miyezi 1-2, motero dzina lake) atasamutsa wodwala wa matenda ashuga amtundu wa 1 kuti alandire mankhwala a insulin, pomwe kunamizira kuchira kwathunthu.

Wodwalayo ndi abale ake angakhulupirire kuti adachotseratu matenda ashuga chifukwa chakuti patapita nthawi yayitali pambuyo pa kuyamba kwa insulini

Chithandizo cha insulin ndicho chinsinsi cha chisangalalo

Kuchotsedwa kwa matenda ashuga - nthano kapena zenizeni? Momwe mungakulitsire tchuthi chanu

Kuzindikira kuti ali ndi matenda ashuga kuli ponseponse. Matenda a shuga a Type 1 nthawi zonse amafunikira chithandizo chamankhwala, chomwe chimapereka lingaliro la insulin.

Nthawi zambiri zimachitika kuti makonzedwe a insulin akamadwala, kulimba kwa zizindikiro za matendawa kumatsika, kutsika kwakukulu kwam shuga mumagazi kumachitika. Vutoli m'madokotala amatchedwa phwando la matenda ashuga.

Dzinali limatsimikizika chifukwa cha nthawi. Nthawi zambiri, zizindikiro za matendawa zimachepetsa pokhapokha miyezi iwiri, koma milandu yotalikirapo, mpaka zaka zingapo, imadziwika ndi zamankhwala.

Momwe mungatalikitsire kukondwerera tchuthi cha mtundu woyamba ndipo chifukwa chiyani matendawa amatha? Mayankho a mafunso odziwika kwambiri adzaperekedwa kwa owerenga.

Kodi phwando laukwati ndi chiyani?

Zomwe muyenera kudziwa za matenda ashuga?

Chifukwa chachikulu chomwe chitukuko cha matenda ashuga amtundu woyamba chilili ndicho chibadwa cha majini. Koma anthu omwe makolo awo anali odwala matenda ashuga sayenera kuchita mantha, chiopsezo chotenga matenda owopsa sichidutsa 10%, kotero mutha kupewa kuyambika kwa matendawa pomvera kwambiri thanzi lanu.

Zomwe zimayambitsa kukula kwa matenda.

Zinthu zovuta zomwe zimabweretsa matendawa zimayambitsa kukula. Kugwedezeka kwambiri kwamanjenje kumatha kuyambitsa kuperewera kwa insulin m'maselo a kapamba.

Pathology amathanso kupita patsogolo motsutsana ndi maziko a kuchepa kwakukulu kwa chitetezo chokwanira chifukwa cha matenda opatsirana.

Chifukwa cha kufalikira kwa matenda mthupi lonse, chitetezo chazirala chimachepa, kapamba koyamba ndimavuto onse.

Palibe zovuta kulingalira chithandizo cha matenda amtundu 1 wa shuga popanda jakisoni wambiri wa insulin. Mahomoni opanga amalola odwala omwe amadalira insulin kuti azikhala moyo wabwino.

Yang'anani! Mellitus wa shuga amakhala ndi jakisoni woyamba wa insulin.

Munthawi imeneyi, wodwalayo angaganize kuti matendawa adapangidwa molakwika, chifukwa shuga wamagazi amatha kukhazikika ngakhale popanda jakisoni. Ndikosatheka kukana chithandizo. Ngati mungapeze izi, muyenera kufunsa dokotala.

Dotolo amasankha mtundu watsopano wa insulin mankhwala ndikuzindikira odwala matenda ashuga ndi malingaliro akulu omwe amathandizira kukulitsa chisangalalo.

Kodi kukhululuka kumawoneka bwanji?

Zoyenera kuchita ngati shuga m'magazi ali ocheperako.

Maukwati ndi lingaliro lofanana ndi kuchotsedwa kwa matenda a shuga mu mtundu woyamba wa matenda. Nthendayo imadziwoneka yokha ngati vuto la kapamba chifukwa chosakwanira kupanga insulin yake.

Cholinga chophwanya njira yopanga nthawi zambiri chimakhala pakugonjetsedwa kwa maselo a beta. Panthawi yodziwitsa, pafupifupi 10% ya maselo omwe amatha kupanga mahomoni amakhalabe amagwira ntchito.

Zizindikiro za matendawa zimawonekera chifukwa cha kusowa kwa insulin, chifukwa maselo otsala sangathe kutsimikizira kulowa kwake mthupi laumunthu mu kuchuluka kwa thupi lomwe mukufuna.

Pa gawo loyambirira la matendawa, wodwalayo amatha kusokonezedwa ndi izi:

ludzu losalekeza
kuwonda msanga
kutopa kwa thupi,
kulakalaka kudya, kufunika kwa maswiti.

Pambuyo pakutsimikizira kupezeka kwa matenda a shuga, wodwala amafunikira chithandizo cha insulin, timadzi timadzi timatulutsa thupi kuchokera kunja. Masabata ochepa kapena miyezi ingapo chiyambireni chithandizo, hypoglycemia imatha kukhazikitsidwa ndi insulin panthawi yayitali. Homoni imatsitsa shuga pansi pazokwera zovomerezeka.

Zomwe zimapangitsa kuti ma cell apange insulin.

Izi zimafotokozedwa ndikuti ma beta-cell omwe amakhalabe athanzi pomwe amalandila thandizo mu mawonekedwe a insulin amapitiliza kugwira ntchito yawo kuchokera kunja, ndipo insulin imapangidwa m'njira zina ndi thupi lomwe.Poyerekeza ndi momwe zinthuzi zimachitikira m'thupi la munthu, kuchuluka kwa insulin kumawonjezeka kwambiri, komwe kumapangitsa kutsika kwa shuga m'miyezo yovomerezeka.

Yang'anani! Ndi chikhululukiro chakang'ono cha matendawa, kufunikira kwa wodwalayo pakuwongolera kwa mahomoni ena kumakwaniritsidwa.

Ndikofunika kudziwa kuti Mlingo wogwira ntchito kale akhoza kupha munthu wodwala matenda ashuga nthawi imeneyi. Kukhazikitsidwa kwa kuchuluka kwa insulin kumayambitsa kukula kwa hypoglycemia. Wodwala ayenera kuonana ndi endocrinologist kuti awonetsetse kusintha kwa Mlingo womwe ukugwiritsidwa ntchito.

Ndikofunika kukumbukira kuti nthawi ya tchuthi pali pang'onopang'ono kutha kwa magwiridwe antchito a kapamba. Pakapita kanthawi, nthawi yakulekerera imatha.

Kodi shuga imatha nthawi yayitali bwanji?

Nthawi yayitali yochotsedwa.

Kutalika kwa nthawi yachikhululukiro cha matenda a shuga kumatengera zinthu zambiri. Mwa odwala ena, tchuthi chimatha miyezi iwiri. Koma pansi pazinthu zina, imatha kutalika kwa zaka. Pakadali pano, wodwalayo nthawi zambiri amaganiza kuti adachira kapena wapezeka molakwika.

Zachidziwikire, munthu amabwerera m'moyo wake wamasiku onse ndipo amakana kugwiritsa ntchito insulin ndi zakudya. Matenda a shuga panthawiyi "amadzuka" ndipo akuwonjezeka. Kuchepa kwakukulu kwa insulin kumatsatiridwa m'mwazi, pomwe shuga amakwera.

Yang'anani! Chisomo chaukwati ndichinthu chakanthawi. Pakadali pano, kapamba akukumana ndi katundu wambiri, yemwe amatsogolera ku kufooka kwake mwachangu. Poona izi, maselo omwe amakhalapo athanzi amwalira, matenda atsopano amatuluka.

Amuna amakhala ndi tchuthi chotalikirapo.

Mndandanda wazinthu zazikulu zomwe kutalika kwa nthawi yachikhululukiro zimatha kuyimiridwa motere:

M'badwo wodwala - nthawi yachikhululukiro ndi yayitali kwa okalamba, ana sangathe kuwona nthawi yopita kuukwati,
Jenda la wodwala - matenda ashuga amabwerera kwa amayi mwachangu
kuzindikira kwa matenda ashuga m'migawo yoyambirira ndikuchiritsira kwake kwakanthawi kumalola kukhululukidwa kwakanthawi,
chikhululukiro chidzakhala chotalika ndi mapuloteni okwanira a C-reactive.

Kusagwirizana ndi zoyenera ndi malamulo a wodwala kungakhale chifukwa chakumapeto kwa tchuthi. Choyimira chachikulu pakuwonongeka kwa thanzi la wodwalayo ndikulephera kutsatira zakudya.

Wodwala ayenera kumvetsetsa kuti kumverera kuchira mu shuga ndikunamizira. Matendawa amayambiranso kwakanthawi, ndipo mlingo wa insulin ukasiya, matenda a hyperglycemia amatha.

Ndikotheka kusamalira kapena kutalikitsa chotere; insulin management imachepetsedwa. Malangizo okhazikitsa zakudya panthawiyi ayenera kuwonedwa ndi wodwala mosakayikira. Kulephera kutsatira mfundo zoyenera nthawi zambiri kumayambitsa kuwonongeka kwakuthwa m'magazi a wodwalayo.

Mwa ana, kukhululuka sikuwoneka.

Yang'anani! Ngati matenda ashuga amapezeka mwa ana osakwana zaka 7, munthu sayenera kudalira kuchotsedwa kwa matendawa. Izi ndichifukwa choti chitetezo cha mthupi cha mwana sichidapangidwe kwathunthu, chifukwa chake imasinthitsa zovuta za matendawa.

Ndi mtundu 2 wa matenda ashuga, kuchotsedwa sikuphatikizidwa. Phwando laukwati lili ndi mtundu woyamba wa matenda ashuga.

Kodi ndizotheka kuwonjezera kukhululuka?

Kuchulukitsa tchuthi kuthandizira malamulo oyambilira omwe tafotokozedway tebulo.

Momwe mungakulitsire nthawi yachikhululukiro cha mtundu 1 shuga
Kuyamikira	Kufotokozera	Chithunzi pamakhalidwe
Kuwunikira kwamuyaya ndikukhalanso ndi moyo wabwino	Thanzi la wodwalayo liyenera kuyang'aniridwa pafupipafupi. Kunyumba, shuga yamagazi iyenera kuyang'aniridwa. Ngati mukukayikira kuti mwalakwitsa, muyenera kulumikizana ndi a Laborator ndikudutsa mayeso. Odwala okalamba ayenera kuyang'anira kuthamanga kwa magazi.	Shuga wamagazi amayenera kuyang'aniridwa.
Matenda a mtundu wa zizindikiro za chitetezo	Kusatetemera kwakukulu ndiye chinsinsi cha thanzi labwino. Wodwala adzapindula ndi matenda ake. Zosankha ziyenera kukhala ndi mavitamini. Kudya kowonjezera kwama vitamini okhala ndi mavitamini nkothandiza.	Kusatetezedwa ndiye chinsinsi cha thanzi.
Kupewa kufalikira kwa matenda osachiritsika	Odwala omwe ali ndi matenda osachiritsika a ziwalo zamkati zilizonse amafunika kulabadira kuti asadzayenso. Mawonekedwe a matendawa angayambitse kukhululukidwa.	Momwe mungachotsere chiopsezo chobwereza matenda okhalitsa.
Makonzedwe a insulin panthawi yake	Kulephera kupereka mankhwala a insulin ndi cholakwika chachikulu chomwe odwala amapanga paukwati wawo. Pakadali pano, thupi lili ndi chosowa chocheperako cha mahomoni opanga, koma ndizosatheka kusiya kayendetsedwe kake konse, chifukwa maselo amoyo wathanzi sangathe kupatsa thupi lonse ntchito yawo.	Kukhazikitsidwa kwa insulin.
Moyo wathanzi	Kutsatira malamulo a moyo wathanzi ayenera kukhala maziko a odwala matenda ashuga nthawi zonse. Kukana kwathunthu kwa chikonga ndi kudalira mowa kumawonetsedwa. Maphunziro opepuka, kuyenda kwamadzulo mlengalenga kumapindula. Tiyenera kukumbukira kuti kusachita ntchito kumakulitsa matenda.	Kuyenda panja kudzapindula.
Zakudya zoyenera	Udindo wofunikira kwambiri kwa odwala matenda ashuga ndi chakudya choyenera. Kulephera kutsatira zakudya kumatha kukhala chifukwa chachikulu chakucheperachepera kwa thanzi la wodwalayo. Zakudyazo ziyenera kukhala zazing'ono, wodwalayo azidya pafupipafupi, koma m'malo ochepa. Ndikofunikira kutsatira zakudya zama protein.	Zakudya zoyenera kwa odwala matenda ashuga.

Kulephera kutsatira malamulo omwe afotokozedwawo kumatha kuwononga mkhalidwe wa wodwalayo komanso kumapangitsa kuti matenda awonjezeke. Maselo a pancreatic amatha kusiya kutulutsa insulini pama voliyumu ofunikira. Dongosolo la mankhwala liyenera kusankhidwa ndi adokotala.

Kanema yemwe ali munkhaniyi akufotokozerani momwe mungapangire nthawi yochotsera nthawi yayitali.

Zolakwitsa zazikulu za odwala

Wodwala ayenera kutsatira zomwe dokotala akutsimikiza.

Chovuta chachikulu chomwe odwala adachita ndicho kukana kupereka jakisoni wa insulin. Kutha kwathunthu kwa makonzedwe amakulu a mahoni kumatheka pokhapokha pokhapokha, ndikulimbikitsidwa ndi dokotala. Mtengo wa kusatsatira malamulo ngati awa ndi kuchotsa kukhululukiranso komanso kuyambiranso matenda a shuga.

Kuchotsedwa kwa matendawa ndi nthawi yomwe wodwala amafunikira. Pakadali pano, zizindikiro za matenda sizimawoneka, kufunikira kopitilira kayendedwe ka mahomoni opanga kumachepetsedwa kwambiri. Cholinga chachikulu ndikusunga tchuthi kwa nthawi yayitali.

Mtengo wa kunyalanyaza malangizo a dokotala ukhoza kukhala wokwera. Ndi kukana insulini, kukula kwa matenda osokoneza bongo ndizotheka, nthawi zina, pakubwezeretsanso, kudwala matenda a shuga ndikotheka. Osanyalanyaza kuopsa kwa matendawa, ngati pachitika zina zilizonse, muyenera kufunsa thandizo kuchipatala.