Psychology ya matenda ashuga: zovuta zamaganizidwe

Koma mphamvu zakuchitikirani mukakumana ndi zovuta mosakayikira zimakhudzanso chisangalalo chanu, chifukwa chake thanzi lanu. Ndikofunikira kuti muzitha kuyendetsa bwino mphamvu zosintha zina kukhala njira yolimbikitsira. Izi zikuthandizani kuthana ndi zovuta zonse komanso kutuluka chigonjetso chilichonse.

World Health Organisation imatanthauzira zaumoyo monga kulumikizana kwa zinthu zitatu: thanzi, thupi komanso malingaliro. Tiyenera kumvetsetsa kuti kupezeka kwa matenda osachiritsika kumayambitsa kuvutika kwamisala kwa odwala komanso abale.

Zowonadi, chifukwa cha matenda ashuga, odwala kapena makolo a ana odwala nthawi zambiri amakakamizidwa kusiya kapena kusintha ntchito, zomwe zimayambitsa mavuto azachuma m'banjamo komanso chikhalidwe chawo. Kusagwirizana komwe kumakhalapo nthawi imodzi pakati pa abale, kukhoza kuwononga banja.

Kuti izi zisachitike, ndikofunikira kupeza njira zolondola, zodalirika komanso zokhwima zomwe mungadziteteze kuzovuta zomwe zimakhalapo nthawi ya moyo, yomwe, mosakayikira, ndi matenda a shuga. Kupanga njira zodzitchinjiriza, ndikofunikira kumvetsetsa zifukwa zomwe zimakhudzira kusiyana kwa machitidwe a anthu komanso momwe amachitira zinthu zina. Munthu aliyense ndi payekhapayekha, koma pali malamulo ena omwe anthu onse amapanga ubale wawo ndi anthu ena. Mutaphunzira malamulo awa, mutha kupeza mayankho abwino ku mavuto anu azamisala.

Kafukufuku akuti mwa odwala omwe ali ndi matenda ashuga, ndi 10-20% okha omwe ali ndi odwala oyamba (omwe amadalira insulin) ndipo 80-90% ndi anthu omwe ali ndi mtundu wachiwiri (wosadalira insulini).

Amuna ndi akazi amadwala matendawa chimodzimodzi (50 mpaka 50%). Koma tikayang'ana kuchuluka kwaopezeka masukulu a odwala omwe ali ndi matenda ashuga, chithunzicho chidzakhala chimodzimodzi: azimayi pakati pa alendo amasukulu amakhala pafupifupi 75%, pomwe amuna ndi 25% yokha. Amuna ambiri amabwera mkalasi motsogozedwa ndi akazi awo. Mwa omwe adaganiza zophunzitsidwa, 90% ndi odwala komanso makolo a ana omwe ali ndi mtundu woyamba wa matenda ashuga ndipo 10% yokha ndi odwala omwe ali ndi mtundu wachiwiri.

Ziwerengero zoterezi ndizomveka, chifukwa odwala omwe ali ndi mtundu woyamba wa matenda osokoneza bongo ndi achibale awo kumayambiriro kwa matendawa amakhala okhumudwa kwambiri ndi lingaliro la kufunika kwa jakisoni wokhazikika, zomwe zimasintha moyo wawo mwachizolowezi kwambiri. Chifukwa chake, ali okangalika pakufufuza njira zamankhwala.

M'banja momwe mwana wam'ng'ono amadwala, nthawi zambiri mayi amakakamizidwa kusiya ntchito. Ngati uyu ndiye mwana woyamba, ndiye kuti sabala mwana wachiwiri, kupereka mphamvu zawo zonse kwa mmodzi. Nthawi zambiri, izi sizithandiza kulipirira shuga mwana, koma chikhalidwe cham'banja chimaphwanya. Mwana akamakula, mavuto azamisala amadzakhala onse kwa iye ndi makolo ake. Izi sizingachitike ngati makolo angathe kumvetsetsa kuti kusintha kwamaganizidwe komwe kumachitika ndi iwo komwe kumakhudzana ndi matenda a mwana (kulakwa) sikwapadera, koma ndi chimodzimodzi mwa anthu ambiri.

Mtundu wachiwiri wa matenda a shuga, enanso, koma osachepera zovuta, mavuto amabuka.

Matendawa amapezeka atakula, zizolowezi zina zitayamba kale, zomwe ziyenera kusinthidwa ndikayamba matendawa. Odwala mwina sasintha chilichonse m'miyoyo yawo ndikunyalanyaza matenda awo (izi ndizofala kwambiri kwa abambo), kapena amasintha matenda awo kukhala chida chomwe amalamulirira ena. Odwala ambiri omwe ali ndi matenda a shuga a mtundu wachiwiri amakonda "kuiwala" za matenda awo, poganiza kuti kumwa mapiritsi kumathetsa mavuto awo onse a shuga. Ndi ochepa ochepa odwala omwe ali ndi matenda amtundu wa 2 omwe amabwera ku makalasi kuti asinthe kwambiri moyo

Wodwalayo, ndi aliyense womuzungulira, ayenera kumvetsetsa momwe amagwirira ntchito zomwe zimawachitikira pokhudzana ndi kuyambika kwa matenda osokoneza bongo, ndikuyesera kusintha zomwe amachita ndikumanganso miyoyo yawo kuti matenda ashuga asasokoneze kukhazikitsa mapulani awo.

Mudzadabwitsidwa, koma ngakhale ali ndi machitidwe osiyanasiyana, onse omwe angodwala (ndi abale awo) amakumananso ndi zomwezi mokhudzana ndi matenda awo. Natulande pa misango ya mibele iyo baapita.

Gawo loyamba. Gawo lonjenjemera

Munthawi yomwe matendawa atangoyamba kumene, wodwalayo ndi abale ake amawoneka ngati munthu amene adadzuka m'mamawa m'malo osadziwika. Iye akuti: “Si ineyo. Sindinathe kudwala, madokotala anali kulakwitsa. Ndikhala wathanzi. "Wodwala wachikulire amatha kukana kukhalapo kwa matendawa pobisala mosamala kwa ena. Nthawi zambiri odwalawa amadzitsekera kuchimbudzi kuti adzijoine ndi insulin.

Khalidwe lotere limayambitsa kukayikirana pakati pa ena ndipo ubale ndi okondedwa ungathe kuwonongeka. Pakadali pano, kusaka kumayambira njira zochizira matenda ashuga, kutembenukira kwa "ochiritsa" osiyanasiyana (mkati mwa "chithandizochi" kumawonekeranso kuti matendawa atha). Kulumikizana kwa dokotala ndi kovuta, mwina ngakhale kukwiya kwa wodwalayo kwa madotolo. Malangizo a chithandizo samanyalanyazidwa, zomwe zingayambitse kuwonongeka kwakuthwa m'moyo wathanzi.

Wodwala "akangokhala" pachiwonetsero choyamba, pakhoza kukhala vuto lomwe limanyalanyaza matenda ake. Nthawi yomweyo, malingaliro azachipatala satsatiridwa, omwe amachititsa kuti wodwalayo ayambe kudwala (khungu, kudula miyendo.) Izi zitha kupewedwa ngati makalasi ayamba kusukulu nthawi odwala matenda ashuga.

Pakadali pano, makolo a mwana wodwalayo amathanso kukakamira. M'malo mokhazikitsa kudziletsa, amayamba kusintha madokotala, kufunafuna ndalama kuti akalandire chithandizo kwina, etc. Mwana akhoza kuyamba zovuta kwambiri makolo otere asanamvetsetse zenizeni kofunika kwa mwana woyamba.

Gawo Lachiwiri. Kuyankha ndi kupeza zomwe zimayambitsa

Wodwalayo ndi banja lake amadzifunsa funso lomwe: "Chifukwa chiyani izi zidatichitikira?" Ndikofunika kumvetsetsa kuti ndi mtundu woyamba wa matenda osokoneza bongo a shuga palibe chilichonse chomwe chimafunika kuchita kapena chomwe sichinafunika kuti chichitike.Chilichonse chomwe mudachita m'moyo wanu wakale, matenda ashuga amtundu woyamba amapezekabe.

Wocheperako msinkhu wodwala, izi zimavuta kwa iye, komanso zovuta kwa makolo ake. Achibale amakhala ndi malingaliro olakwa kapena amayamba kufunafuna mwana yemwe amayambitsa matendawa: "Achibale anga onse ndi athanzi - vuto lanu!". Wodwala wamkulu amathanso kupeza yemwe anganene kuti: "Ndinu amene mwandimaliza!" Matenda obwera m'banjamo amakulitsa ubale wabanja.

Izi sizingathandize kulipirira matenda ashuga, popeza mphamvu zomwe zimayenera kuwongoleredwa zimagwiritsidwa ntchito pofufuza, kuwulula ndi kulanga omwe achitapo kanthu, pazodandaula zopanda pake.

Wodwalayo atha kukhumudwa ndikuyamba kuwongolera matenda ake. Pakadali pano, zambiri zokhudzana ndi matenda a shuga zitha kuwoneka bwino kwambiri, koma pali ngozi yoti wina aliyense m'banjamo akadali woyamba ndipo sakhulupirira kukhalapo kwa matendawa kapena kuwonongeka kwake. Pali kusagwirizana kwatsopano. Zitha kufika poti makolo angasinthe kudwala kwa mwana kukhala njira yoti amukhulupirire: mayi amapatsa jakisoni, ndipo bambo amatsogolera mwana ku "zamatsenga" ndikudya maswiti.

Onse m'banjamo ayenera kumvetsetsa kuti kusagwirizana m'malingaliro okhudza matendawo ndi zomwe zimayambitsa siziyenera kukhudza wodwalayo. Palibe amene akuimbidwa mlandu. Koma matenda atayamba, banja lonse liyenera kukhala ndi machitidwe ogwirizana kuti athandize wodwala yemwe ali ndi matenda ashuga kupeza malo awo pagulu. Makolo amatha kukhala panthawiyi kwa moyo wawo wonse, ndikupitiliza kufufuza chithandizo, ngakhale mwana atakula.

Makolo a omwe adadwala atakula atha kuyang'ananso njira zochiritsira, ngakhale "mwana "yo atadziyang'anira yekha. Amayi a" ana "otere nthawi zina amabwera kusukulu kwa odwala matenda ashuga. "Mwana wanga sangathe kupita kwa inu," atero kwa dotolo, "Ndipita kukamufuna." "Mwana" wotereyu atha kukhala wazaka 30, atha kukhala ndi banja lake komanso ana. Koma amayi amakhulupirira kuti iwowo sangathe kudzipenda ndi kudzisamalira.

Chifukwa chake, ndikofunikira kuti maphunziro ku Sukulu ya Odwala Matenda a shuga Atsopano samachitika kokha kwa odwala, komanso a pabanja lake komanso apafupi.Pamodzi ndi wachinyamata ndi makolo ake, abwenzi ake ndi makolo ake ayeneranso kuphunzitsidwa izi. Kuphatikiza apo, mnzake amene amadziwa momwe angakhalire pamavuto okhudzana ndi matenda a shuga amatha kupatsa mwana wanu ntchito yabwino.

Gawo Lachitatu. Gawo lazidziwitso za matenda anu

Pakadali pano, wodwalayo akumvetsetsa kuti shuga ndi gawo lofunikira m'moyo wake. Amayamba kufunafuna momwe amakhalira ndi matenda ashuga. Ngati maphunziro sanayambikebe mpaka pano, ndiye kuti moyo womwewo sungakhale wopangidwa molondola. Kubwezera m'mbuyo nthawi zonse kumakhala kovuta kuposa kuphunzitsa. Chifukwa chake, kuphunzitsa kuyenera kuyambitsidwa kumayambiriro.

Ngakhale kuti anthu onse amadutsa mu magawo omwewo akudziwa za matenda awo, wodwala aliyense ali ndi malingaliro osiyana ndi ake. Pakakhala matenda aliwonse osachiritsika, kuphatikizapo matenda ashuga, wodwalayo amapanga chithunzi chotchedwa Mkati cha matenda, chomwe chimakhudza kwambiri mtima wamunthu.

Chithunzi chamkati chamatendawa chimafotokozedwa ngati zovuta zonse zakusintha kwa maubale a munthu wolumikizidwa ndi chiyambi komanso kukula kwa matenda osachiritsika. Pambuyo popezeka ndi matenda a shuga, zokumana nazo zambiri zimachitika zomwe zimadalira zifukwa zosiyanasiyana.

Inde, ndizovuta kwambiri kuzolowera pazaka 25 mpaka 40, pamene munthu apanga mapulani ambiri omwe amayenera kuwunikidwanso pokhudzana ndi matendawa. Zimakhala zovuta kuti makolo akhulupirire izi, koma njirayi ndiyosavuta kwa mwana, popeza amakula asanasankhe ntchito, malo enaake, ndikupanga banja.

Pali maprofesa angapo omwe amatsutsana mwa odwala matenda ashuga

Ngati wodwala akhala akugwira ntchito mwazinthu zina kwa nthawi yayitali (mwachitsanzo woyendetsa ndege), ndiye kuti zimamuvuta kupeza malo atsopano m'moyo wake. Wachinyamata yemwe amalakalaka ntchito ngati imeneyi amatha kukhala wovuta kwambiri kuti athe kuwona kuti sangathe kuzichita.

Chipatso choletsedwa komanso chosapezeka, monga mukudziwira, ndichabwino. Panthawi imeneyi, wamkulu ndi mwana amafunika thandizo la psychotherapist wabwino yemwe angawathandize kupeza zatsopano pamoyo. Kwa munthu aliyense munthawi imeneyi, thandizo la abale ndi abwenzi ndilofunika kwambiri.

Psychology ya matenda ashuga

Chimodzi mwamaganizidwe omwe anthu odwala matenda ashuga amakumana nacho ndi kusakhulupirira "Mwina sizingachitike kuti izi zindichitikire!" Mwachiwonekere kwa munthu kupewa zoopsa zazipafupi, zokhudzana ndi matenda ashuga - makamaka. Poyamba zimasanduka zothandiza - zimapereka nthawi kuti zizolowere zomwe sizingasinthe.

Pang'onopang'ono, zenizeni za vutoli zimamveka bwino, ndipo mantha amatha kukhala malingaliro, omwe kwa nthawi yayitali amatha kubweretsa chiyembekezo. Mwachilengedwe, wodwalayo amakhalabe wokwiya zikafika kusintha zomwe sizingatenge m'manja mwawo. Mkwiyo ungathandize kuphatikiza nyonga kwa matenda ashuga. Chifukwa chake, yambitsani izi m'njira zoyenera.

Mungamve kukhala wolakwa ngati mukuganiza kuti ndinu oyenera kubereka ana athanzi. Akazindikira matenda a shuga, munthu amakhala ndi nkhawa, chifukwa amamvetsetsa kuti matenda ashuga ndi osachiritsika. Kupsinjika ndi njira yachilengedwe pakulephera kusintha mkhalidwe wosasangalatsa. Pokhapo kuzindikira ndi kuvomereza zolephera zomwe mungathe kupitilira ndikusankha momwe mungakhalire ndi matenda a shuga.

Momwe mungathanirane ndi malingaliro ndi malingaliro?

Kukanira, mantha, kukwiya, kudziimba mlandu, kapena kukhumudwa ndichimodzi mwa zinthu zomwe anthu omwe amadwala matenda ashuga amakumana nazo. Gawo loyamba labwino ndikudziwitsa vutoli. Nthawi zina, mumavomereza matenda anu a shuga. Kuzindikira kuti ndi chowonadi, simungathe kuyang'ana kwambiri pazoletsa zotsatirazi, koma makamaka pazabwino zomwe muli nazo. Pokhapokha ngati mukumva kuti mukugwira moyo wanu komanso matenda anu a shuga mungathe kukhala ndi moyo wathanzi.

Mbiri pang'ono

Zizindikiro za matenda a shuga zafotokozedwa ndi madokotala odziwika bwino kuyambira nthawi za prehistoric. M'zaka za m'ma 2000 BC, Demetrios, yemwe adachiritsa Agiriki akale, adapereka matendawo dzina la "shuga", lomwe limamasulira kuti "Ndikuwoloka." Ndi mawu awa, adotolo adalongosola mawonekedwe owonetsera - odwala mosalekeza amamwa madzi ndikutaya, ndiye kuti, madzi samasungidwa, amayenda kudutsa thupi.

Kwa zaka zambiri, madotolo ayesera kuti adziwe chinsinsi cha matenda ashuga, kuzindikira zomwe zimayambitsa ndikupeza chithandizo, koma matendawa adakhalabe akupha. Odwala a Type I amwalira achichepere, anthu omwe amadwala ndi mawonekedwe odziimira a insulin amathandizidwa ndi zakudya komanso masewera olimbitsa thupi, koma kukhalapo kwawo kunali kowawa.

Kupanga kwa matendawa kumamveka bwino pokhapokha ngati atachitika m'zaka za zana la XIX sayansi pazokhudza magwiridwe antchito a endocrine - endocrinology.

Katswiri wazachipatala Paul Langerhans adazindikira maselo a pancreatic omwe amapanga insulin. Maselo amatchedwa "zilumba za Langerhans, koma asayansi ena pambuyo pake anakhazikitsa mgwirizano pakati pawo ndi matenda a shuga.

Mpaka 1921, pamene Canada a Frederick Bunting ndi a Charles Best adadziwitsira insulin kuchokera ku zikondamoyo za galu, palibenso njira yochizira matenda ashuga. Pazotulukazi, asayansi ayenera kulandira Mphotho ya Nobel, komanso odwala matenda ashuga - mwayi wokhala ndi moyo wautali. Insulin yoyamba idapezeka kuchokera ku zimbudzi za ng'ombe ndi nkhumba, kuphatikiza kwathunthu kwa mahomoni a anthu kunatheka kokha mu 1976.

Zomwe asayansi apeza zimapangitsa moyo kukhala wosavuta kwa anthu odwala matenda ashuga, zinapangitsa kuti akhale bwino, koma matendawa sangagonje. Chiwerengero cha odwala chikuchulukirachulukira chaka chilichonse, m'maiko otukuka matenda ashuga akuyamba kuchuluka.

Kuchiza matendawa pokhapokha ngati muli ndi insulin komanso mankhwala ochepetsa shuga sikugwira ntchito mokwanira. Munthu yemwe ali ndi matenda ashuga asinthe kwambiri moyo wake, asinthe kadyedwe kake, ndi kudziletsa. Madokotala amakhala ndi chidwi choganiza kuti psychosomatics ya matenda a shuga imagwira ntchito yofunika kwambiri pakuwonetsa matendawa, makamaka mtundu II.

Zomwe Zimayambitsa Matenda a shuga

Zotsatira zamaphunziro, ubale unapezeka pakati pa kuchuluka kwa zamaganizidwe ndi glucose wamagazi. Dongosolo la mantha a autonomic limakwaniritsa kufunikira kwa mphamvu powonjezera kuchuluka kwa shuga m'magazi.

Pachikhalidwe, mtundu wa shuga wa shuga (wodalira insulini) ndi mtundu II (osadalira insulini) umasiyanitsidwa. Koma palinso matenda ena a shuga, omwe ndi oopsa kwambiri.

Matenda a shuga

Ndi mawonekedwe awa, kusintha kwadzidzidzi kwa glucose kumachitika masana. Palibe chifukwa chowonekera cha kudumpha, ndipo kulephera kusintha kwa insulin kumayambitsa hypoglycemia, chikomokere, kuwonongeka kwamitsempha yamagazi ndi mitsempha yamagazi. Njira yotere ya matendawa imawonedwa mwa 10% ya odwala, makamaka achinyamata.

Madotolo ati matenda ashuga ovuta ndi vuto la m'maganizo kuposa lamoyo. Mtundu woyamba wa matenda ashuga wofotokozedwa ndi a Michael Somogy mu 1939, ndikufanizira kumasulidwa kwa glucose kosasunthika ndi kuwonongeka kwa ndege chifukwa chogwiritsa ntchito poyendetsa ndege zokha. Oyendetsa ndege sanalabadire bwino ma signation a automation, ndipo chamoyo cha matenda ashuga chimalephera kumasulira shuga.

Mlingo waukulu wa insulin ulowa mthupi, shuga amachepa, chiwindi "chimathandiza" ndi glycogen ndipo zonse zimakhala zabwinobwino. Monga lamulo, hypoglycemia imachitika usiku wodwala atagona. M'mawa amadzimva wosasangalala, shuga wake amakhala wokwera. Poyankha madandaulo, adotolo amawonjezera mlingo wa insulin, womwe sugwirizana ndi momwe zilili. Chifukwa chake bwalo loipa limapangidwa, lomwe limakhalavuto kutuluka.

Kuti muwonetsetse kuvutikira, ndikofunikira kuyeza hemoglobin usana ndi usiku kwa masiku 7-10 maola anayi aliwonse. Kutengera zolemba izi, adotolo amasankha insulin yoyenera.

Chithunzi cha wodwala matenda ashuga

Ma psychosomatics a shuga amtundu uliwonse amakhala ndi mikhalidwe yomwe ili mwa anthu ambiri omwe ali ndi matenda ashuga:

1. Kutetezedwa, kumva kuti mwasiyidwa, kuda nkhawa,
2. Kuzindikira kowawa kwa zolephera
3. Chikhumbo chokhazikika ndi mtendere, kudalira okondedwa,
4. Chizolowezi chodzaza chisowa cha chikondi ndi malingaliro abwino ndi chakudya,
5. Zofooka zomwe zimayambitsidwa ndi matendawa nthawi zambiri zimataya mtima,
6. Odwala ena amawonetsa kuti alibe chidwi ndi thanzi lawo ndipo amakana chilichonse chomwe chimakumbutsa za matendawa. Nthawi zina zionetsero zimachitika chifukwa chomwa mowa.

Chikoka cha zamaganizidwe amishuga

Mkhalidwe wamaganizo wamunthu umakhudzana mwachindunji ndi thanzi lake. Sikuti aliyense amakwanitsa kukhalabe ndi malingaliro atazindikira matenda osachiritsika. Matenda a shuga samalola kuiwala za inu nokha, odwala amakakamizika kumanganso miyoyo yawo, kusintha zizolowezi, kusiya zakudya zomwe amakonda, ndipo izi zimakhudzanso magawo awo a malingaliro.

Kuwonetsedwa kwa matenda amitundu I ndi II ndizofanana, njira zamankhwala ndizosiyana, koma psychosomatics ya matenda osokoneza bongo amakhalabe osasinthika. Njira zomwe zimachitika mthupi ndi matenda ashuga zimayambitsa kukula kwa matenda ophatikizika, zimasokoneza kugwira ntchito kwa ziwalo, zamitsempha yamagazi, mitsempha yamagazi ndi ubongo. Chifukwa chake, zovuta za shuga pa psyche sizingadziwike.

Kulumikizana pakati pa matenda ashuga ndi thanzi lamisala

Matenda a shuga nthawi zambiri amakhala ndi mitsempha komanso kukhumudwa. Endocrinologists alibe lingaliro limodzi pa ubale wa causal: ena akutsimikiza kuti mavuto amiseche amapangitsa matendawa, ena amatsata mbali yotsutsana.

Ndikosavuta kunena motsimikiza kuti zoyambitsa zamaganizidwe zimayambitsa kulephera kwa shuga. Nthawi yomweyo, sizingatheke kukana kuti chikhalidwe chamunthu pakudwala chimasintha moyenera. Popeza kulumikizana koteroko kulipo, chiphunzitso chinapangidwa kuti, pogwiritsira ntchito psyche, matenda aliwonse akhoza kuchiritsidwa.

Malinga ndikuwona kwa akatswiri azamisala, mwa anthu omwe ali ndi matenda ashuga, zokhudzana ndimaganizo zimawonedwa nthawi zambiri. Kupsinjika pang'ono, kupsinjika, zochitika zomwe zimayambitsa kusinthasintha zimatha kubweretsa kusweka. Kuchitikako kumatha kuchitika chifukwa chotulutsa shuga m'magazi, momwe thupi silingathe kulipira shuga.

Akatswiri odziwa za endocrinologists adazindikira kale kuti shuga imakonda kukhudzana ndi anthu omwe akufunika chisamaliro, ana opanda chikondi cha amayi, odalira, osowa lingaliro, omwe sangathe kupanga zisankho payokha. Zinthu izi zitha kuchitika chifukwa cha zomwe zimayambitsa matenda ashuga.

Kodi psyche imasintha bwanji mu shuga

Munthu amene adziwa za matenda ake ali ndi nkhawa. Matenda a shuga amasintha moyo wamasiku onse, ndipo zotulukapo zake zimakhudza osati maonekedwe, komanso mkhalidwe wamkati. Mavuto amakhudza ubongo, ndipo izi zimayambitsa kusokonezeka kwa malingaliro.

Zokhudza matenda a shuga pa psyche:

• Kudyetsa pafupipafupi. Mwamunayo adadzidzimuka ndi mbiri ya matendawa ndipo akufuna "kuti awononge zovuta." Mwa kuyamwa chakudya chochuluka, wodwalayo amavulaza kwambiri thupi, makamaka ndi matenda amtundu wa II.
• Ngati kusintha kumakhudza ubongo, nkhawa zosalekeza komanso mantha zimatha kuchitika. Mkhalidwe wopatsirana nthawi zambiri umatha mu kupsinjika kosatheka.

Odwala omwe ali ndi matenda a shuga omwe ali ndi zilema zamaganizidwe amafunikira thandizo la dokotala yemwe angapangitse munthu kuti afunikire kuchitapo kanthu kuti athetse vutoli. Titha kulankhula za kupita patsogolo kwamachiritso ngati vutolo likukhazikika.

Astheno-wokhumudwa matenda

Kwa odwala matenda ashuga, matenda a astheno-depression state kapena matenda a kutopa kwambiri ali ndi mkhalidwe, omwe odwala ali nawo:

1. Kutopa nthawi zonse
2. Kutopa - kotenga mtima, luntha komanso thupi,
3. Kuchepetsa ntchito
4. Kusakwiya ndi mantha. Munthu sakhutitsidwa ndi chilichonse, aliyense ndi iye,
5. Kusokonezeka kwa kugona, nthawi zambiri kugona tulo masana.

Mu chikhalidwe chokhazikika, Zizindikiro zake zimakhala zofatsa ndikuchiritsika ndi kuvomereza ndi kuthandizira wodwalayo.

Matenda osakhazikika a astheno-depression amasawonetseredwa ndikusintha kwakukuru kwamaganizidwe. Vutoli silabwino, chifukwa chake, kuyang'anira wodwalayo ndikofunikira.

Kutengera ndi kuopsa kwa vutoli, mankhwala amalembedwa ndipo zakudya zimasintha, zomwe ndizofunikira kwambiri kwa matenda ashuga a II.

Ma psychosomatics a matenda a shuga a 2 amatha kuwongoleredwa mothandizidwa ndi psychotherapist kapena psychologist woyenera. Pakukambirana ndi maphunziro apadera, zomwe zimapangitsa kuti matenda asokonezeke zimatha kukhala zopanda mbali.

Hypochondria syndrome

Vutoli limachitika pafupipafupi. Munthu, m'njira zambiri, moyenera, amadera nkhawa zaumoyo wake, koma nkhawa imakhala yodziwika bwino. Nthawi zambiri, hypochondriac amamvera thupi lake, amadzitsimikizira yekha kuti mtima wake ukugunda molakwika, ziwiya zopanda mphamvu, ndi zina.

Odwala omwe ali ndi matenda ashuga ali ndi zifukwa zenizeni zosakhazikika, mtundu wawo wotchedwa depression-hypochondriac. Osasokonezeka ndi malingaliro achisoni pankhani yathanzi lofooka, wodwalayo amataya mtima, amalemba madandaulo ndi zofuna, mikangano kuntchito, amanyoza abale am'banja chifukwa chopanda mtima.

Mwa kukopana, munthu amayambitsa mavuto enieni, monga matenda a mtima kapena sitiroko.

Hypochondriac-diabetesic ayenera kuthandizidwa mokwanira - ndi endocrinologist ndi psychologist (psychiatrist). Ngati ndi kotheka, dokotala adzalembera antipsychotic ndi ma tranquilizer, ngakhale izi ndizosayenera.