Dropper chifukwa cha matenda ashuga > Chithandizo ndi kupewa

Tikukupemphani kuti muwerenge nkhaniyi pamutuwu: "dropper forabetes mellitus" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Akatswiri athu a endoprinologist adzakuyankhirani.

Kanema (dinani kusewera).

Otsitsira odwala matenda ashuga kulimbitsa mtima

Pakadali pano matenda a shuga ndi amodzi mwa matenda omwe anthu mamiliyoni padziko lonse lapansi amakhala.

Ndi chithandizo choyenera komanso njira zopewera, mutha kukhala ndi thanzi labwino.

Ngati simuchita chilichonse ndikusamalira thanzi lanu, mutha kukumana ndi mavuto ndi zovuta zingapo. Zotsatira zomvetsa chisoni kwambiri chifukwa cha izi ndi kuperewera kwa shuga, ndipo ngakhale kufa.

Zotsatira za khola la matendawa ndi atherosclerosis ndi thrombosis, zomwe ndizowopsa pamtima. Pofuna kukonza thanzi lathunthu, gwiritsani ntchito mankhwala osokoneza bongo a shuga.

Kanema (dinani kusewera).

Masiku ano, matenda ashuga amadziwika kuti ndi matenda oopsa, omwe samangokhala madokotala, komanso vuto lalikulu pamagulu.

Tsiku lililonse, kuchuluka kwa odwala kumawonjezeka, zomwe zimandivuta kuvomereza matendawa ndikusintha kwambiri moyo wawo.

Amadziwika kuti ndi chithandizo choyenera, odwala matenda ashuga amalonjeza kusakhalapo kwa zotsatira zosasangalatsa za matendawa. Koma, komabe, nthawi zambiri imapita patsogolo, mwakutero imayambitsa zovuta zambiri zomwe zimakhala ndi mphamvu yayikulu mthupi.

Kodi ndi otsitsa ati omwe amagwiritsidwa ntchito pa matenda a shuga a 2?

Endocrinologists amalembera maphunziro apadera othandizira odwala omwe akugwiritsa ntchito mankhwala osokoneza bongo omwe ali ndi mankhwala.

Amapangitsa kuti pakhale zovuta zonse monga wodwala, kubwezeretsa mulingo wa lipid, kusintha njira za kagayidwe kachakudya ndikuwonetsetsa kuti ziwiya zili bwino.

Chifukwa chogwiritsa ntchito nthawi ndi nthawi, thupi limaphunzira kudziyimira palokha mafuta a cholesterol m'madzi a m'magazi. Pakadali pano, pali mitundu ingapo ya otsitsa omwe amagwiritsidwa ntchito pochiritsa odwala m'thupi.

Ndikofunikira kuti anthu omwe ali ndi matenda ashuga azikumbukira kuti kupewa matenda amtima mu matenda a endocrine kumayambira pazinthu zitatu zofunika:

kuchuluka kwa shuga m'magazi,
kuthamanga kwa magazi
kuchuluka kwa mafuta .ads-mob-1

ads-pc-2 Ngati wodwalayo ali ndi mkhalidwe wodalirika wazizindikiro izi, ndiye kuti safunikira olekerera, chifukwa thupi lake limatha kuchita bwino.

Komabe, pali mtundu wotere wa omwe akutsikira ngati kubwezeretsa ndi kulimbikitsa. Amatha kukonza bwino momwe munthu aliri, kupangitsanso thupi kuti athe kulimbana ndi vuto lakelake.

Nthawi zambiri, nthawi yogwiritsira ntchito mankhwalawa imakhala pafupifupi ma donti khumi. Zotsatira zake sizikhala zazitali kubwera ndipo pakangopita nthawi yochepa ndizotheka kuzindikira zotsatira zabwino kuchokera kugwiritsidwa ntchito kwawo.

Pali mankhwala angapo othandiza omwe amagwiritsidwa ntchito ngati awa:

Droppers a mtundu 2 matenda a shuga amalembedwa kuti alimbikitse mtima wofowoka ndi wofowoka wamtima, womwe, mwa njira iliyonse, umafunikanso kukonzanso mwachangu.

Ngati izi sizinachitike, ndiye kuti pali zovuta za matenda akulu m'dera la mtima.

Pakadali pano, ambiri mwa mitundu ingapo ya mankhwalawa amaperekedwa m'mafakisi omwe amathandizira kukulitsa komanso kuyeretsa kwathunthu kwamitsempha yokhazikika. Amadziwika kuti ndi omwe amathawitsa omwe amakhala ndi mphamvu kwambiri komanso yopindulitsa pamtima.ads-mob-2

Kugwetsa magazi kuti muchepetse shuga ndizofunikira pakuthandizira mitsempha yamagazi, chifukwa ndi thandizo lawo mutha kubwezeretsa mawonekedwe awo akale. Zovala zamitsempha ndi mitsempha zimabwera ndikumveka ndipo zidzakwaniritsa thupi ndi zinthu zofunikira komanso mankhwala.

Ndikofunikanso kudziwa kuti zitha kugwiritsidwa ntchito mwachangu popewa matenda osiyanasiyana komanso zakudya zamagulu. Chofunikira kwambiri ndikugwiritsa ntchito michere mukamayala amisala kuti munthu afe.

Madontho ndi mapiritsi ogwira ntchito ndi jakisoni

Anthu ambiri amafunsa chifukwa chake omwe amathira ntchito amagwiritsa ntchito shuga pamitsempha yamagazi, pomwe pali yankho lomveka: ali ndi kanthu mwachangu.

Mapiritsi ndi ma jakisoni amathanso kukhudza thupi pokhapokha nthawi, pomwe oponya anzawo amatengeka nthawi yomweyo. Kuphatikiza apo, pakukhazikitsa mankhwalawa pogwiritsa ntchito dontho lokha, khungu limodzi lokha ndikokwanira.

Asanapereke mankhwala oti wodwala azikhala ndi matenda a mtundu woyamba kapena wa 2, dokotala wophunzirayo ayenera kaye kudziwa za thanzi lake, matendawo, komanso kudziwa za kupezeka kwa zovuta.

Ngakhale kuti dokotala amadzisankhira yekha mankhwala kuti alandire chithandizo, pali zotsutsana zina, chifukwa chake kugwiritsa ntchito mankhwalawa kuli koletsedwa:

myocardial infaration
kulephera kwa mtima
pulmonary edema,
kusunga madzi mthupi,
anuria
chiwindi ndi impso ntchito.
mimba
kuyamwitsa mwana
Hypersensitivity mankhwala omwewo ndi zomwe zimapanga.

Zotsatira zake, kuchepa kwamadzi kumawonekera, kuwonjezeka kwa zomwe zili m'matupi a ketone.

Pankhaniyi, pamodzi ndi kuyambitsa mankhwala apadera, dontho lokhala ndi mchere limagwiritsidwa ntchito.

Iyenera kuyambitsidwa mu voliyumu pafupifupi malita awiri. Ma insulin dropers amasonyezedwanso, omwe amathandizira kubwezeretsa kamvekedwe ka mtima.

Njira zakunyumba zoyeretsera ndi kulimbikitsa mitsempha yamagazi m'magazi a shuga:

Chifukwa chake, tidazindikira ngati ndizotheka kupanga omwe akutsikira ndi shuga komanso chifukwa chake ndikofunikira kuchita njirazi. Madontho a shuga ndi njira yothandiza yomwe imathandizira pochiza matenda. Amathandizira kukonza machitidwe a mitsempha yamagazi ndikubwezeretsa mawonekedwe awo apitalo ndi kamvekedwe.

Ndikofunika kwambiri kuti mankhwala a dontho asankhidwe kokha ndi adokotala. Palibe chifukwa chomwe muyenera kumadziganizira, chifukwa izi zimabweretsa zotsatira zosasintha. Komanso, posankha mankhwala a dontho, katswiri ayenera kulabadira mndandanda wa zotsutsana, zomwe zikufotokozedwa mu malangizo a mankhwala osankhidwa. Mukanyalanyaza lamuloli, mutha kukumana ndi zovuta zoyipa zomwe zitha kuvulaza thupi.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Madontho a shuga amayatsidwa kuti azithandizira thanzi komanso zovuta zina. Njira izi zimathandizira wodwalayo, popeza amasintha shuga ndi kagayidwe.

Zowonetsa kugwiritsidwa ntchito kwa dontho la matenda a shuga ndi motere:

Chikomokere cha matenda ashuga okhala ndi shuga wambiri, omwe sangathetsedwe ndi mankhwala onse.
Hypersmolar chikomokere.
Hypoglycemic coma - kuchepa kwambiri kwa shuga mumagazi mpaka pamlingo wovuta.
Kupewa matenda a mtima ndi matenda ashuga.
Zochita za opaleshoni - kuwongolera kuchuluka kwa glucose m'magazi pakuchita opareshoni.
Ketoacidosis ndi vuto lalikulu la matenda ashuga, momwe impso ilibe nthawi, imachotsa ketone m'thupi ndipo, chifukwa chake, wodwalayo amatha kugwa.
Neuropathy - kuwonongeka kwa mitsempha ndi mitengo ikuluikulu ya mitsempha. Amapezeka mu odwala matenda ashuga nthawi zambiri mdera lam'mapazi am'munsi, kumapazi.
Angiopathy ndi zotupa zam'mimba zomwe zimadziwika kwambiri kwa anthu odwala matenda ashuga.

Madontho a matenda ashuga amatha kuperekedwa nthawi ndi nthawi mwa njira ya prophylaxis, komanso mwachangu m'malo ovuta.

Dropper popewa imagwiritsidwa ntchito kuyeretsa thupi ndi poizoni, monga kubwezeretsa madzi ndi acid-base balance, komanso kukonza magazi m'magazi onse ndi m'matumba ang'onoang'ono.

Kutengera ndi momwe wodwalayo alili, monga matenda a shuga, mankhwalawa osiyanasiyana omwe amaperekedwa pamankhwala othandizira amaperekedwa ndi odwala. Izi zimachitika nthawi zambiri pang'onopang'ono moyang'aniridwa ndi katswiri komanso monga mwauzidwa ndi dokotala. Simungathe kudziwitsira nokha ma dropers, chifukwa izi zimatha kuyambitsa bongo, zovuta komanso zovuta zambiri. M'mikhalidwe yovuta, omwe akutsika akhoza kufunikira mwachangu, motero wodwalayo amatchedwa ambulansi.

Mkhalidwe wowopsa womwe umafunikira chithandizo chamankhwala mwachangu. Matenda a shuga a mitundu inayi, kuphatikiza:

Hypoglycemic chikomokere.
Hyperglycemic chikomokere.
Hyposmolar.
Lactacidymic.

Wotsitsa shuga akhoza kuperekedwa ngati muli ndi vuto la hypoglycemic

Hyperglycemic coma ndiyo chikhalidwe chokhacho chomwe matenda a shuga amatha ndipo amayenera kuperekedwa ndi insulin. Ngati simukuchita zoyenera, ndiye kuti pali matenda aliwonse a matenda ashuga, omwe amatha kufa. Ndi lactacidic coma ,imfa amafikira 90%, motero ayenera kuchitidwa zinthu mwachangu.

Hypoglycemia ndi vuto lomwe limachepetsa kwambiri shuga. Zimachitika kawirikawiri mtundu wa 1 odwala matenda ashuga pamene kuchuluka kwa insulin sikumawerengeredwa komanso kuchuluka kwa shuga m'magazi kumakhala kovuta. Komanso, kuchuluka kwa shuga kumatha kuchepa komanso kuchita masewera olimbitsa thupi komanso njira yolakwika yoperekera insulin. Kuphatikiza apo, shuga amachepetsedwa ndikulakwitsa zina muzakudya, kupsinjika kwambiri kapena kumwa kwambiri. Zizindikiro za hypoglycemia:

Kukongola kwa khungu.
Kuthamanga kofulumira.
Chizungulire komanso mutu.
Kusintha kwa machitidwe, munthu amatha kukhala wankhanza kapena mosemphanitsa kwambiri.
Kupumira kosagwirizana, mwina kutayika kwa chikumbumtima.
Usiku - kugona osagona komanso zolakwika.

Chizungulire ndi chimodzi mwazizindikiro za hypoglycemia.

Ngati zinthu sizingatenge nthawi, ndiye kuti wodwalayo akhoza kufa. Nthawi zina mu mawonekedwe ofatsa ndikokwanira kupatsa munthu chidutswa chochepa cha mkate, shuga kapena chakudya china, koma m'malo ovuta izi zimatha kuvulaza kwambiri. Ngati munthu adwala kwambiri ndi gawo la 3-4 la glycemia, ndiye kuti amapaka jekeseni wa shuga wa 80-100 ml ya glucose 40% yankho. Ngati palibe mphamvu, ndiye kuti kulowetsedwa kwa dontho la 5% shuga kumachitika. Hypoglycemic coma imachitika pamene kuchuluka kwa glucose m'magazi kumagwera pansi 3mmol / lita. Mavuto atatha izi akhoza kukhala stroko kapena myocardial infaration.

Ngati wodwala ali ndi kuthamanga kwa magazi, ndiye kuti njira ya magnesium sulfate imawonjezeredwa ndi dontho.

Ichi ndi coma china, chomwe chimadziwika ndi kusokonezeka kwakukulu kwa metabolic. Vutoli limakula patangopita milungu yochepa. Chizindikiro chofunikira ndichakuti kuchuluka kwa glucose sikuyendetsedwa ndi mankhwala. Imfa, yokhala ndi vuto lotere imafika 50%

Wokhala ndi chikumbumtima chamtopola, wodwala amapatsidwa mankhwala osokoneza bongo:

Ndi kuchepa kwa kuthamanga kwa magazi - 0,9% sodium chloride solution, ndi 5% glucose. Kuchuluka kwa otsitsira ndi 100-2000 ml.
Kuthetsa kusowa kwamadzi - yankho la 0.9% sodium kolorayidi muyeso wa 1000-1500 ml muola loyamba la boma.
Mafuta a 5% ndi kutsitsa kwa 1000-1500 ml komanso mphindi 60 zoyambirira.

Yankho la sodium mankhwala enaake amathandizira kuthetsa kuperewera kwa madzi m'thupi

Chifukwa chake, cholinga chothandizira kuchizira kwa hyposmolar coma ndikubwezeretsa kuchuluka kwa magazi ndi milingo ya shuga m'thupi.

Umu ndi momwe zimakhalira wodwala, momwe mumakhala kuchuluka kwa matupi a ketone. Mu matenda a shuga, omwe akutsikira amagwiritsa ntchito pamenepa adzauza adokotala. Nthawi zambiri, ketoacidosis ndiye woyamba chizindikiro cha 1 matenda ashuga. Imfa - mpaka 15%. Zizindikiro

Kusanza, kusanza.
Zowawa m'mimba.
Kununkhira kwa acetone kuchokera mkamwa.
Kukhalapo kwa acetone mu mkodzo (kumatha kuwoneka ndi timitengo tapadera).
Chizungulire, ulesi, kugona.

Popeza mtima ndi mitsempha yamagazi ya odwala omwe ali ndi matenda ashuga amapanikizika ndikuwonongeka, madokotala amagwiritsa ntchito njira zingapo zothandizira kupewa. Chifukwa chake, wodwalayo amatha kukhala ndi moyo wautali, wotakataka, mosasamala kanthu kuti ali ndi matenda ake.

Pali mankhwala angapo omwe ndimagwiritsa ntchito osokoneza bongo kuti ndisunge komanso kubwezeretsanso dongosolo la mtima la odwala omwe ali ndi matenda ashuga:

Ubwino waukulu wa omwe akutsikira, poyerekeza ndi mapiritsi ndi jakisoni, ndikuti amapanga nthawi yomweyo, pomwe mapiritsi atatha nthawi yochepa.

Kuti ntchito yamanjenje igwiritsidwe ntchito moyenera, kuti singayambitse zovuta mu mawonekedwe a polyneuropathy, akatswiri amalimbikitsa othandizira kutsika pogwiritsa ntchito thioctic acid. Njira ya mankhwala ndi masiku 10 mpaka 20. Ngati pakufunika ena mankhwalawa - perekani mapiritsi ofanana.

Lipoic acid imagwiritsidwanso ntchito. Ma asidi onsewa amagwira nawo ntchito yosintha ma carbohydrate kukhala mphamvu, ndizofunikira kwa odwala omwe ali ndi matenda ashuga a 2.

Neuropathy mu odwala matenda ashuga amawonetsedwa ndi zizindikiro zotsatirazi:

Kutentha kwa mtima
Kuchuluka kwa miyendo.
Kupsinjika kwa magazi kudumpha.
Mwa amuna, mavuto ndi potency.
Ululu

Pankhaniyi, ndi mawonekedwe oopsa a neuropathy, wodwalayo amapezeka m'chipatala, ndipo amalandila asidi wa thioctic kudzera m'mitsempha ya 300-600 mg kwa masabata a 3-4.

Kulowererapo kulikonse kumaloledwa pokhapokha glucose wambiri m'magazi a wodwala omwe ali ndi shuga si oposa 8 mmol / lita. Chifukwa chake, ma dropper a matenda a shuga a mtundu wa 2 pakugwidwa ntchito amalembedwa ndi insulin kuti akhalebe ndi shuga. Mlingo weniweni umawerengeredwa ndi dokotala kutengera kuopsa kwa opaleshoniyo, mkhalidwe wa wodwala, komanso kuchuluka kwa shuga komanso kuthekera kwa kudumphira kwake.

Ngakhale zabwino zonse, omwe akutsikira ndi contraindication. Choyamba, zimakhazikitsidwa ndi contraindication pamankhwala omwe amaperekedwa kwa donip. Koma pali zotsutsana zonse:

Anuria (vuto lomwe mkodzo sulowa mu chikhodzodzo).
Matenda achire komanso a impso.
Pachimake myocardial infaration.
Pulmonary edema.
Kutupa kambiri.
Mimba komanso kuyamwa.
Hypersensitivity kapena tsankho kwa mankhwalawa omwe amalowa mu yankho.
Kuvunda kwa mtima.

Madontho a shuga amatsutsana ndi matenda a impso

Ndi hypoglycemia, ndizoletsedwa kupaka insulin mwanjira iliyonse, apo ayi izi zitha kuchititsa kuti wodwalayo afe.

Malamulo apadera akukhazikitsa dontho la odwala matenda ashuga

Simungathe kuyika dontho lokha, izi ziyenera kuchitika ndi dokotala yemwe amawerengera bwino kuchuluka komanso kufunika kwa dontho. Malamulo onse ndi awa:

The endocrinologist amawerengera mlingo wa mankhwalawo komanso njira ya mankhwalawa atatha kupima wodwala.
Munthu wodwala matenda ashuga kuti azigwiritsa ntchito dontho azigona kapena kugona bwino, chifukwa nthawi yayitali pafupifupi theka la ola limodzi.
Zipangizo ziyenera kukhala zosalimba, zogwiritsa ntchito bwino.

Mlingo wa makonzedwe a mankhwalawa zimatengera kuikidwa kwa dokotala, womwe umaganizira zinthu zambiri, kuphatikizapo kupezeka kwa yankho.

Matenda a shuga amtundu uliwonse samangowonera kuchuluka kwa shuga m'magazi, komanso kuwunika momwe wodwalayo alili. Zimafunika kutsatira miyezo yazakudya, zochita zolimbitsa thupi ndikuwunika thanzi lanu. Chifukwa chake, nthawi ndi nthawi, oponyera amalamula kuti odwala azikhala ndi shuga, mitsempha yamagazi, komanso panthawi ya opaleshoni. Njira zothandizira mankhwalawa ndizothandiza kwambiri chifukwa zimayamba kuchitapo kanthu nthawi yomweyo. Izi ndizofunikira makamaka pazovuta zovuta za wodwala yemwe ali ndi matenda ashuga. Ndikofunikira kuti dokotala akhazikitse woperewera, chifukwa chogwirizana ndi zovuta za odwala matenda ashuga.

Madontho a matenda ashuga: Zizindikiro zamayendedwe amtundu 1 ndi matenda a 2

Kulowetsa mkati mwa mankhwala osiyanasiyana mu matenda a endocrine amagwiritsidwa ntchito nthawi zambiri pakavulaza zomwe zimawopseza moyo wa munthu. Dropper a shuga amagwiritsidwa ntchito pokonzekera opareshoni, komanso panthawi ya chithandizo m'chipinda chothandizira kwambiri. Mankhwala amathandizidwa ndi matenda amtundu 1 ndi mtundu 2.

Mkulu kulowerera kwa shuga mkati

Zotsatira zakuchuluka kwa shuga m'magazi ndikuwonongeka kwa mtima, mitsempha yamagazi, ndi dongosolo lamanjenje. Chifukwa chamankhwala osayenera, kuphwanya zakudya, kusowa kwa insulin ndi zinthu zina, thupi la odwala matenda ashuga sangathe kulimbana ndi katunduyo, mikhalidwe yoopsa ingabuke.

Matenda a kishuga amagawika m'magulu atatu momwe kulowetsedwa kwamkati kumafunikira:

ketoacidotic chikomokere kapena ketoacidosis,
hyperosmolar chikomokere,
Hyperlactacidemic chikomokere.

Munthu yemwe ali ndi matenda ashuga ali ndi chiwopsezo chokhala ndi vuto la kuchepa kwa magazi chifukwa cha kukonzekera molakwika kwa insulin.

Wotsitsa amayenera kuthetsa msanga vuto la hyperglycemia, lomwe ndi loopsa kwa munthu aliyense wodwala matenda ashuga.

Kukhazikitsidwa kwa kulowetsedwa kwa kulowetsedwa kwamankhwala kumawonekera pazochitika izi:

Magazi ochulukirapo m'magazi.
Kusintha kwa magazi.
Kuchuluka kwa lipids.

Pamodzi ndi matenda a shuga, kulowetsedwa kwamatenda kumathandizira kuti ziwalo zamkati zizigwira ntchito:

Mulingo wosakanikirana wa asidi m'thupi la wodwalayo umabwezeretseka.
Bongo maselo pambuyo yogwira ntchito mankhwala modziteteza ku hypoxia.
Therapy imayendetsa microcirculation.
Zinthu zovulaza zimachotsedwa mwachangu.

Zofunika! Nthawi zambiri, omwe amadwala matenda ashuga amapatsidwa mtundu wa matenda ndi kusowa kwathunthu kwa mahomoni. Izi zimachitika chifukwa chakuti kumakhala kovuta kuwongolera kuchuluka kwa insulini ndipo nthawi zambiri munthu amakomoka.

Mavuto a shuga ndi chithandizo chawo chamakono

Zimayambitsa kulowetsedwa kwa kulowetsedwa kwa mtundu 2

Chifukwa chachikulu chothandizira kuchira kwa matenda ashuga amtundu wa 2 amati amachepetsa mphamvu chifukwa cha matenda a mtima. Pali maphunziro apadera othandizira odwala matenda ashuga.

Ngati wodwala ali ndi shuga wokhazikika, kuthamanga kwa magazi ndi kuchuluka kwa mafuta m'thupi, zakudya zoyenera ndi mankhwala ena ake zimakhala zokwanira. Muzochitika zina zonse, chithandizo cha kulowetsedwa kwapadera sichingagawidwe ndi.

Chifukwa cha kuchepa kwa kupanga kwa insulini ya mahomoni kapena kusapezeka kwa thupi, shuga m'magazi a wodwalayo ikukula mwachangu. Zikakhala choncho, thupi limasowa madzi.

Panthawi ya matenda ashuga okhudzana ndimatenda a metabolism m'thupi la wodwalayo, kuphatikiza kuchuluka kwa glucose, kuchuluka kwa matupi a ketone m'magazi kumawonjezeka, ndipo amawonekanso mkodzo. Vutoli limafunikira kuchipatala mwachangu, ndipo chithandizo sichichita popanda kulowetsedwa kwa mankhwala.

Ketoacidotic chikomokere mu shuga ndi chithandizo chake

Ndi kusowa kapena kupezeka kwathunthu kwa insulini ya mahomoni, kupanga kwa chiwindi ndi chiwindi kumakulanso, pomwe kugwiritsidwa ntchito kwake ndi minofu, chiwindi ndi minyewa ya adipose kumachepa. Njira ya pathological imabweretsa hyperglycemia.

Pankhani ya kuchepa kwa insulin, thupi limalandira mphamvu pakukonza mafuta acids aulere, omwe amatsogolera pazogulitsa - matupi a ketone. Amapangidwa mwachangu kwambiri kotero kuti alibe nthawi yoti atayidwe, ketoacidosis imayamba.

Wotsitsa mtundu wa matenda a shuga a 2 amayikidwa nthawi yomweyo ndi kuthetseratu mapiritsi ndi kutsekeka kwa makonzedwe a insulin yokonzekera. Mu chipatala, kulowetsedwa kwamitseko kumachitika kwa nthawi yayitali.

Chithandizo cha mankhwalawa chagawika m'magawo atatu:

kuthanso kwamadzi ndi mchere wambiri,
kukonza kwa asidi-m'magazi a magazi mpaka 16,7 mmol / l, kuthandizira zizindikiro mwazotheka,
kuyang'anira glycemia mothandizidwa ndi jakisoni wa mahomoni maola 4 kapena 5 aliwonse.

Kulowetsedwa mankhwala a endocrine dongosolo matenda

Malangizo amaperekedwa kudzera m'mitsempha:

Kuchuluka kwa yankho lililonse komanso nthawi ya njirayi zimatengera momwe munthu akuvutikira, zaka zake komanso machitidwe ake.

Mtsempha wa magazi kulowetsedwa kwa endocrine dongosolo matenda

Matenda owopsa nthawi zambiri amapezeka mwa anthu odwala matenda ashuga pambuyo pa zaka 50. Ngakhale kukomoka kotere kumachitika kawirikawiri kuposa ketoacidosis, kufa kwake kumachitika mu 50-60% ya milandu, kotero chithandizo chimayambika nthawi yomweyo.

Amadziwika ndi kuchuluka kwa glucose m'magazi munthawi yomweyo ndi hyperosmolarity. Hyperglycemia ndi kuchepa kwa madzimadzi kumabweretsa kukula kwamkati wodwala.

Choyamba, ndikofunikira kuthetsa kuchepa kwamadzi ndi kubwezeretsanso zachilengedwe zam'madzi, kotero nthawi yomweyo yambani kulowetsedwa:

Mu maora oyamba a vuto la pathological, muyenera kulowa mpaka malita awiri a yankho la hypotonic, ndiye kuti yankho la isotonic limapitilira kukokoloka mpaka glucose agwere mpaka 12 mmol / l.
Shuga wamagazi akatsika, pofuna kupewa hypoglycemia, njira ya 5% ya shuga imayendetsedwa nthawi yomweyo ndi insulin kutaya chinthu.

Matenda a shuga a shuga

Ogwetsa kukonzekera opareshoni

Mu shuga mellitus, ma dontho amaikidwa pamaso pa opareshoni ya insulin ya ultrashort komanso yochepa. Njira zopangira opaleshoni yochitika pambuyo pake zimachitika pambuyo poti shuga alibe kuposa 8 mmol / l musanadye. Ngati palibe mavuto ndi chiwindi komanso kuchuluka kwambiri kwa thupi, munthu wodwala matenda ashuga adzafunika kuti akhale ndi shuga, insulin ndi potaziyamu - osakaniza woyenera amaperekedwa kwa maola 5.

Mungafunenso dongosolo lotsatirali:

potaziyamu chloride njira yothanirana ndi hypokalemia,
Mankhwala obweza plasma,
sodium bicarbonate ndi ketoacidotic chikomokere,
albin.

Kusamalidwa mwadzidzidzi kwa zovuta za shuga

Madontho a shuga a mtundu 2 amaperekedwanso kuti ateteze zotsatira zoyipa za kusayenda bwino kwa dongosolo la endocrine. Ndi kuwonongeka kwa mitsempha yamagulu odwala matenda ashuga, ma dontho amaikidwa kwambiri ndi thioctic acid. Mankhwala amalimbana ndi polyneuropathy.

Thiogamma, dialipon ndi mankhwala ena amagwiritsidwa ntchito pokonzanso magazi m'magazi amanjenje. Lipoic acid imayambitsidwa kuti iwongolere njira za metabolic, cholesterol yotsika. Zisonyezero za chithandizo choterechi chidzakhala polyneuropathy, angiopathy, hyperlipidemia.

Mankhwala ndi kuchepetsedwa ndi shuga kapena sodium mankhwala enaake njira isanayambike.

Njira yodziwika bwino ya mankhwalawa imakhala ndi njira 20 ndipo ili ndi zotsatirapo zakepi la odwala matenda ashuga:

imapangitsa minofu kusinthika,
imathandizira kagayidwe
amachotsa zowonongeka zosiyanasiyana m'mitsempha yamagazi.

Mu matenda ashuga, Actovegin amathandizanso kupweteka kwambiri ngati kupweteka, kusasangalala mumtima, kumverera koopsa, komanso kumangika. Chimodzi mwazomwe zimadziwika ndi mankhwalawa ndi matenda ashuga a polyneuropathy. Droppers ya odwala matenda ashuga ndi Actovegin pambuyo 3 milungu m'malo ndi mapiritsi.

Popeza kuchuluka kwa glucose m'magazi, mitsempha, mtima imazunzika. Kulimbitsa thupi, kukonza bwino thanzi la wodwala, omwe akutsikira amapatsidwa shuga kwa mitsempha.

Ndimotani ndipo ndi ma dontho otani omwe amachititsa magazi m'magazi omwe ali ndi matenda a shuga?

Maselo obwera chifukwa cha matenda ashuga ndikofunikira kukhalanso ndi shuga. Kupatula apo, ndi mtima wamatsenga womwe umakhudzidwa kwambiri ndi matenda a shuga. Njira zonse za metabolic komanso kuchuluka kwa cholesterol zimadalira ntchito ya kuzungulira kwa magazi.

Drip makonzedwe a mankhwala amitsempha yamagazi m'magazi a shuga amadziwika ngati mulingo wa zofunikira monga shuga m'magazi, mafuta ndi kuthamanga kwa magazi ndiwosokonekera. Chidziwitso china ndicho kupewa kwa matenda a mtima ndi mitsempha yamagazi.

Kuchepetsa mayankho kumathandizanso kupewetsa zilonda zam'mimba, kuyimitsa zovuta zina, ndikubwezeretsanso magwiridwe antchito a minyewa yam'mimba komanso retinopathy. Ngati pali atherosulinosis, yomwe nthawi zambiri imakhudzana ndi matenda ashuga, dontho limathandiza kuwononga ndikuchotsa cholesterol yochulukirapo, ndipo mtsogolomo iteteza kuti isayikidwe pamakoma amitsempha yamagazi.

Kuphatikiza apo, ogwetserawa amathandizira kukonza bwino, kulimbitsa chitetezo cha mthupi, komanso kupititsa patsogolo njira zonse za metabolic.

Kulowetsedwa kwa yankho ndi kukapanda kuleka kuyenera kuchitidwa molondola kwambiri. Iyi ndiye njira yokhayo yokwaniritsa bwino. Pazifukwa izi, otsitsira saloledwa kuti aziyika okha - izi ziyenera kuchitidwa kokha ndi katswiri.

Pali malamulo ena amomwe mungakhazikitsire dontho la matenda osokoneza bongo:

The mankhwala endocrinologist ikuyesa mokwanira, pamaziko a mankhwala, nthawi ya maphunziridwe ndi kumwa,
nthawi yayitali ya chithandizo chotere ndi infusions wa 10-20, ndipo zotsatira zabwino zidzaonekera pambuyo panjira zochepa,
ngati kuli kotheka (m'malo osiyanasiyana), insulin, saline, ascorbic acid, cocarboxylase, mavitamini,
Mukakhazikitsa dontho, wodwala matenda ashuga ayenera kukhala omasuka, makamaka atagona,
zida zoyipa zimagwiritsidwa ntchito pakuwongolera mankhwalawa.
atakhazikitsa dontho, ogwira ntchito yoyamwitsa amakhazikitsa kuchuluka kwa madontho omwe abwera kwa mphindi imodzi, zimatengera mankhwalawa komanso kusankha kwa adotolo.

Kodi ndimankhwala ati omwe amaphatikizidwa ndi shuga?

Actovegin amagwiritsidwa ntchito mochizira matenda a mtima. Amawonetsedwa kwa matenda ashuga. Ili ndi zida zingapo zochiritsa:

imathandizira kagayidwe,
amasintha maselo ndi minofu,
Amathandizanso kupweteka,
amachititsa chidwi dzanzi,
bwino kulolera kwa glucose - ali ndi zotsatira za insulin,
ali ndi antioxidant zotsatira (chifukwa cha zomwe zimapezeka mu superoxide dismutase enzyme),
imasintha maselo owonongeka ndi minyewa,
amachepetsa magazi
imathandizira kufalikira kwa magazi, kuletsa kukula kwa thrombosis,
kumawonjezera kukula kwa makoma amitsempha yamagazi (midadada ya phosphodiesterase),
Amamasula minofu yosalala m'mitsempha,
amachepetsa magazi m'magazi, kutsitsa magazi,
kumawonjezera chilolezo.

Actovegin imayendetsedwa ndi kuchuluka kwa 250 mpaka 500 ml patsiku kwa masiku 21. Amagwiritsidwa ntchito mwachangu mu matenda ashuga a polyneuropathy ndi angiopathy, chifukwa chomwe mkhalidwe wamagulu a anthu odwala matenda ashuga amasintha, chifukwa kumva kwachidziwitso kumawonekera, ndipo zimatha kuwonjezera zochita zolimbitsa thupi.

Mankhwala ali ochepa contraindication: nthawi ya pakati ndi mkaka wa m`mawere, zaka 3 zaka, sayanjana zigawo zikuluzikulu ndi ena kupuma ndi mtima. Zotsatira zoyipa zimachitika kawirikawiri.

Amachokera ku chinthu cha vasodilating action - pentoxifylline. Chitsogozo chachikulu cha mankhwalawa ndikuthandizira kufalikira kwa magazi mthupi lonse, kusintha magazi m'magazi.

Wotsitsa ndi Trental amatulutsa zotsatirazi zochizira:

kuchuluka kwa magazi ndi mpweya,
Zakudya zomanga thupi ndi maselo okhala ndi zinthu zofunika zoperekedwa ndi magazi,
kusintha kwa rheological katundu amadzimadzi,
kuwonongeka ndi kuchotsedwa kwa cholesterol yoyipa,
kutsegulira kwa mphamvu zosungira zam'magazi mu ma cellular,
kupewa mapangidwe a cholesterol malo.

Trental imakulitsa kwambiri ziwiya zamagetsi ndikuchepetsa kuzungulira kwa dongosolo lonse loyenderera. Chifukwa cha izi, imagwiritsidwa ntchito mwachangu matenda ashuga angiopathy. Mankhwala akuwonetsa popewa zilonda zam'mimba, mikwingwirima, kugunda kwamtima ndi mtima wam'magazi a zida zamagetsi.

Mlingo ndi nthawi ya maphunzirowa imatsimikiziridwa ndi endocrinologist. Pa avareji, 200-400 ml amatha kutumikiridwa patsiku. Ngati dontho limayikidwa patsikulo, kuwerengera kumapangidwa payekhapayekha: kwa ola limodzi la kulowetsedwa, muyenera kuyika yankho la 0.6 mg pa kilogalamu ya thupi la wodwala.

Zina mwazomwe zimayambitsa kuphatikizana ndikuphatikiza magazi, kutenga pakati, kugunda, kugunda kwa mtima, ndi zina zambiri.

Zotsatira zazikulu za yankho ndikulimbikitsa kuthamanga kwa magazi. Amagwiritsidwa ntchito popanga michere-vascular dystonia. Ili ndi zinthu izi:

lipid-kutsitsa mphamvu,
kupewa thrombosis,
Kubwezeretsa magazi m'mitsempha ndi m'mitsempha,
kulowerera kwa poizoni madipoziti,
cholesterol yotsika
kupewa magazi kuphatikiza.

Mankhwalawa ndi olimba mokwanira, motero nthawi ya maphunzirowa imatha kuyambira masiku atatu mpaka 14 Madontho amayikidwa tsiku lililonse mu mlingo wa 200 mpaka 500 ml. Njira yothetsera vutoli imatha kuperekedwa nthawi zinayi kwa tsiku.

Chifukwa cha antioxidant ndi antihypoxic zotsatira, Mexicoidol imagwiritsidwa ntchito mu diabetesic encephalopathy.

Yankho la kukapanda kuleka lidapangidwa kuti liwonjezere magazi, kupewa magazi. Kuphatikiza apo ili ndi zotsatirazi:

Imaletsa kusakanikirana kwa maselo ndi kubwezeretsa kutuluka kwa magazi,
amachepetsa magazi madzimadzi mamvekedwe ndi detoxifying.

Mankhwalawa ali ndi zingapo zotsutsana, kuphwanya komwe kungachititse mantha a anaphylactic. Chifukwa chake, kudzichitira nokha nkoletsedwa.

Mu shuga mellitus, yankho limaperekedwa pamodzi ndi shuga. Madontho amayikidwa katatu pa sabata, voliyumu ndi 300-400 ml. Kutalika kwa maphunzirowa ndizokwanira njira zisanu ndi zitatu.

Mu diabetesic ketoacidosis, kulowetsedwa zovuta kumagwiritsidwa ntchito. Choyamba, amakonzekera insulin, kenako saline, kenako ndi sodium chloride ndi shuga. Mlingo wakhazikitsidwa ndi adokotala.

Zosankha zamankhwala zomwe zimatha kuperekedwa ndi hyperosmolar coma:

ngati wodwala matenda ashuga ali ndi kuthamanga kwa magazi, njira yogwiritsira ntchito sodium chloride ndi glucose imagwiritsidwa ntchito,
ndi kuthamanga kwa magazi, magnesium sulfate imayendetsedwa,
Kuti muchepetse kuchepa kwa madzi m'thupi tengani chopopera ndi sodium chloride,
nthawi zina, shuga amagwiritsidwa ntchito.

Pankhani ya hypoglycemia, dontho lokhala ndi glucose likufunika. Insulin ndi yoletsedwa.

Kuti opaleshoni yoyesererayi ichite bwino, kutsitsa kwa shuga ndi insulini pamankhwala ofunikira makamaka kumachitika. Chinthu chachikulu ndikuti magawo a glucose akhale m'magazi.

Malangizo, mankhwalawa, nthawi yayitali komanso malangizo ena kwa wodwala aliyense ndi osiyana ndipo amatsimikiziridwa ndi adokotala okha. Zimatengera mtundu wa matenda ashuga, momwe wodwalayo alili, kuopsa kwa matendawa komanso machitidwe a thupi.

Mankhwala aliwonse amakhala ndi zotsutsana komanso zoyipa zomwe zimachitika, koma ndizoletsedwa kupatsa odwala omwe ali ndi matenda ashuga a m'mitsempha yamagazi nthawi zambiri:

kusalolera kwa chinthu chimodzi kapena china,
kusagwirizana kwa mankhwala omwe waperekedwa ndi njira zomwe munthu watenga (chifukwa chake, onetsetsani kuti muuza endocrinologist za mankhwala onse omwe mumamwa osagwiritsa ntchito mankhwala anu),
myocardial infarction ndi ubongo kulowetsedwa mu pachimake nthawi,
matenda a mtima a ischemic,
mtima wosakhazikika,
pulmonary edema,
nthawi ya pakati komanso yoyamwitsa,
anuria
matenda ochulukitsa a impso,
matenda a chiwindi
kusachotsa kwamadzi kuchokera mthupi.

Chenjerani pakufunika kwa dontho la mankhwalawa kwa anthu odwala matenda ashuga omwe ali ndi ochepa kuthamanga kwa magazi, hemophilia (magazi amawundana bwino, zomwe zimapangitsa magazi). Ndiosafunikanso kuyika ma dontho pambuyo opaleshoni.

Ndi matenda ashuga, oponyera mitsempha yamagazi amafunikira, koma adokotala ayenera kuthana ndi kusankha kwa mankhwalawa. Ngati simutsatira contraindication, zovuta zazikulu zomwe zimayambitsa imfa ndizotheka. Aliyense wodwala matenda ashuga ayenera kumvetsetsa kufunikira koyeserera kokwanira komanso kutsatira molondola malangizo onse a endocrinologist.

Endocrinology. Ensaikulopediya yayikulu yamankhwala. - M.: Eksmo, 2011 .-- 608 p.
Akhmanov M. Matenda A shuga: njira yopulumukira. SPb., Nyumba Yofalitsa "Folio Press", 1999, masamba 287, kufalitsa makope 10,000. Reprint yokhala ndi mutu wakuti: "Njira Yopulumutsira Matenda A shuga." St. Petersburg, yosindikiza nyumba "Nevsky Prospekt", 2002, masamba 188, kufalitsa makope 30,000.
M. Akhmanov "Matenda a shuga muukalamba". St. Petersburg, Nevsky Prospekt, 2000-2003

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kufotokozera mwachidule matendawa

Masiku ano, matenda ashuga amadziwika kuti ndi matenda oopsa, omwe samangokhala madokotala, komanso vuto lalikulu pamagulu.

Tsiku lililonse, kuchuluka kwa odwala kumawonjezeka, zomwe zimandivuta kuvomereza matendawa ndikusintha kwambiri moyo wawo.

Chifukwa chiyani mukuzifuna?

Droppers a mtundu 2 matenda a shuga amalembedwa kuti alimbikitse mtima wofowoka ndi wofowoka wamtima, womwe, mwa njira iliyonse, umafunikanso kukonzanso mwachangu.

Ngati izi sizinachitike, ndiye kuti pali zovuta za matenda akulu m'dera la mtima.

Pakadali pano, ambiri mwa mitundu ingapo ya mankhwalawa amaperekedwa m'mafakisi omwe amathandizira kukulitsa komanso kuyeretsa kwathunthu kwamitsempha yokhazikika. Amadziwika kuti ndi awa omwe ali ndi mphamvu kwambiri komanso yopindulitsa pamtima.

Madontho ndi mapiritsi ogwira ntchito ndi jakisoni

Anthu ambiri amafunsa chifukwa chake omwe amathira ntchito amagwiritsa ntchito shuga pamitsempha yamagazi, pomwe pali yankho lomveka: ali ndi kanthu mwachangu.

Madontho a matenda a shuga a mtundu wachiwiri ayenera kugwiritsidwa ntchito monga akuwongolera dokotala. Musamachiritse thupi lanu popanda kulingalira.

Contraindication

Asanapereke mankhwala oti wodwala azikhala ndi matenda a mtundu woyamba kapena wa 2, dokotala wophunzirayo ayenera kaye kudziwa za thanzi lake, matendawo, komanso kudziwa za kupezeka kwa zovuta.

Ngakhale kuti dokotala amadzisankhira yekha mankhwala kuti alandire chithandizo, pali zotsutsana zina, chifukwa chake kugwiritsa ntchito mankhwalawa kuli koletsedwa:

myocardial infaration
kulephera kwa mtima
pulmonary edema,
kusunga madzi mthupi,
anuria
chiwindi ndi impso ntchito.
mimba
kuyamwitsa mwana
Hypersensitivity mankhwala omwewo ndi zomwe zimapanga.

Kuchepetsa matenda a shuga kuyenera kugwiritsidwa ntchito mosamala kwambiri, makamaka ngati wodwala ayamba kuchitapo opaleshoni yovuta kwambiri. Izi zikugwiranso ntchito kwa odwala omwe ali ndi vuto lotaya magazi.

Zochizira zotsatira za otsikira

Madontho ndi ofunikira kuti pakhale phokoso. Amathandizira kwakanthawi kochepa kubwezeretsa pH m'magazi ndikuchotsa poizoni. Kutha kuteteza maselo aubongo ku hypoxia.

Zitha kugwiritsidwa ntchito kuteteza matenda a mtima. Nthawi zambiri, madokotala amati oponya mafuta kuti abwezeretse matenda a lipid, asunge makoma amitsempha yamagazi, komanso achulukitse magazi m'magazi a cholesterol.

Madontho sangathe kuthetsa zomwe zimayambitsa matendawa, koma ndizotheka kupewa zovuta zomwe zimayenderana ndi matendawa.

Malamulo akukhazikitsa dontho

Mukamayambitsa yankho lokhetsa madontho, malamulo otsatirawa amatsatiridwa:

Mankhwalawa amatchulidwa pokhapokha kupenda kwathunthu. Mlingo ndi nthawi yayitali ya maphunzirowa ndi dokotala.
Kutalika kwamankhwala kuli pafupifupi 15 infusions.
Ngati ndi kotheka, mankhwala ena amayamba. Izi zimaphatikizapo insulin, saline, mavitamini, ascorbic acid, cocarboxylase.
Wotsitsa amaikidwa pomwe wodwala wagona.
Zida zoyipa zimagwiritsidwa ntchito popereka yankho.

Chiwerengero cha madontho pamphindi imodzi chimakhazikitsidwa ndi ogwira ntchito zachipatala. Pankhaniyi, mankhwala omwe agwiritsidwa ntchito komanso mankhwala omwe dokotala amakupatsani amakhudzidwa.

Hyperosmolar coma kulowetsedwa mankhwala

Coma yopanda acidotic imatha kukula ndikuwonjezereka kwa shuga m'magazi, omwe amatha kupitilira 55 mmol / L. Kuphatikizika kwa shuga kumeneku kumadziwika kwa anthu okalamba, omwe ali ndi ludzu lochepera omwe sazindikira kutaya madzi. Diabetesic acidosis sikukula, popeza zotsalira za insulin zimasungidwa.

Kuopsa kwa vutoli kumachitika chifukwa chakuwonekera kwakuya kwa madzi chifukwa cha kubisalira kwakukulu kwa shuga mumkodzo, komwe kumakopa madzi. Kuchulukitsa kwa osmotic diuresis kumayambitsa kulephera kuzungulira, komanso kuyimitsa kutulutsa kwamkodzo pambuyo pa polyuria.

Chovuta pakuchiza hyperosmolar coma ndikuwunika koyenera kwa mawonekedwe a mitsempha, omwe amafanana ndi matenda a ubongo. Nthawi yomweyo, kutenga ma diuretics m'malo obwezeretsa thupi kumabweretsa kufa.

Zomwe zimayambitsa mayankho mu hyperosmolar coma:

Ndikosatheka kuyambitsa yankho la isotonic sodium chloride m'maola oyamba, chifukwa mumakhala mchere wambiri wa sodium m'magazi.
Kuthanso magazi kumachitika bwino kwambiri ndi yankho la shuga la 2,5% kapena njira ya 0,45% ya sodium kolorayidi.
Insulin imayendetsedwa mu Mlingo wocheperako kapena ayi.
Ndikofunikira kuchepetsa glycemia pang'onopang'ono, osaposa 5 mmol / l pa ola limodzi, popeza kutsika kwakuthwa kwa shuga kumatsogolera ku edema yamapapu.
Kuchepetsa chiwopsezo cha kuundana kwa magazi mwa okalamba, heparin amagwiritsidwa ntchito pazing'ono.

Katswiri wa malingaliro Guseva Julia Alexandrova Katswiri wazopeza wa endocrinologist Funsani funso

Ikawonetsedwa, mankhwala osokoneza bongo ndi mankhwala othandizira amatha kuperekedwa.

Madontho a neuropathy, angiopathy

Madontho a matenda a shuga a mtundu wachi 2 amaperekedwera pambuyo pamavuto chifukwa cha kusachita bwino kwa dongosolo la endocrine.

Ndi kuwonongeka kwa dongosolo lamanjenje, thioctic acid imagwiritsidwa ntchito. Kutalika kwa chithandizo ndi masiku 20. Ngati pakufunikanso mankhwala, perekani mapiritsi ofanana.

Kupititsa patsogolo kufalikira kwa magazi mumagazi amanjenje, thiogamm ndi dialipon amagwiritsidwa ntchito.

Lipoic acid amathandizira cholesterol yotsika. Zimasanduliza chakudya champhamvu, chofunikira pama mitundu mitundu yonse ya odwala matenda ashuga.

Bongo

Ndi mankhwala osokoneza bongo ambiri, mavuto ake amakula. Chifukwa chake, mukamagwiritsa ntchito Actovergin, khungu limachulukana, kutentha kumatuluka ndipo thukuta lalikulu limawonekera. Pakachitika anaphylactic, corticosteroids ndi catecholamides amatumizidwa.

Ndi bongo wa Trental, mavuto okhudzana ndi kugaya chakudya ndi mtima. Kuwonetsedwa kwa thupi, chizungulire, kukhudzika ndikotheka.

Mexidol ndi mankhwala omwe ali ndi poizoni wotsika, omwe samakhudza ntchito zamagalimoto ndi mgwirizano. Ngati mwalandira mlingo, pakamwa pouma, nseru, ndi ziwengo ndikotheka.

Zotsatira zoyipa za Reopoliglyukin zimaphatikizanso redness khungu, totupa, kutentha thupi, nseru, anaphylactic mantha.

Kugwiritsa ntchito ma dropers musanachite opareshoni

Pamaso pa opareshoni, wodwalayo amapatsidwa dontho la yochepa kapena lalifupi.

Opaleshoni imachitidwa pokhapokha kuthamanga kwa shuga osaposa 8 mmol / L. Palibe mavuto ndi chiwindi komanso kunenepa kwambiri, wodwalayo amatha kupatsidwa jakisoni ndi ma shuga, insulin ndi potaziyamu. Kutalika kwa kayendetsedwe ka 5 maola.

Actovergin

Nthawi zambiri ntchito pofuna kuchiza matenda a mtima. Imafulumira kagayidwe, imakonzanso maselo, imachotsa dzanzi ndikuchepetsa ululu. Mankhwalawa ali ndi mphamvu yofanana ndi insulin ndipo amakhala ndi antioxidant.

Ndi iyo, mutha kuchepetsa kukhuthala kwa magazi, kuwonjezera kukongola kwa makoma, kumasuka minofu yosalala. Chifukwa chake, lumen m'matumbo amachuluka ndipo kuthamanga kwa magazi kumachepa.

Lowani kuchuluka kwa 250-500 ml patsiku kwa masabata atatu. Amagwiritsidwa ntchito mwachangu ngati angiopathy ndi polyneuropathy. Zimathandizira kukonza mkhalidwe wamaganizidwe a munthu ndikuwonjezera zolimbitsa thupi.

Zotsatira zoyipa ndizochepa. Amasungidwa kokha kwa azimayi oyamwitsa ndi ana osakwana zaka 3. Ndikofunikanso kuisiya ndikutsutsana ndi ziwalo zake ndikuwononga mtima ndi mapapu.

Mankhwalawa cholinga chake ndikuyenda bwino kwa magazi komanso kuchepetsa magazi. Imakhutitsa madzi amkati ndi mpweya, kumalimbitsa minyewa ndi zinthu zofunikira, kumachotsa cholesterol yoyipa ndikuletsa mapangidwe a zolembera.

Mankhwalawa adapangidwa kuti apewe kuwonongeka kwa mawonekedwe, zilonda zam'mimba ndi zotupa za mtima.

Mpaka 400 ml amatha kutumikiridwa patsiku. Zoyipa zotsutsana ndi kugwiritsidwa ntchito kwake zimaphatikizapo stroko, kugunda kwa mtima ndi mimba.

Imafulumira magazi. Madontho a shuga ndi mankhwalawa amagwiritsidwa ntchito nthawi zambiri ku vegetovascular dystonia.

Madokotala amalimbikitsa
Pochiza matenda a shuga kunyumba, akatswiri akulangizani Dianulin. Ichi ndi chida chapadera:

Amasinthasintha shuga
Amayang'anira ntchito ya pancreatic
Chotsani puffness, limayendetsa madzi kagayidwe
Amawongolera masomphenya
Zoyenera akulu ndi ana.
Alibe zotsutsana

Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gulani pa tsamba lovomerezeka

Imatha kulepheretsa kukula kwa thrombosis, kubwezeretsa magazi, kutsika cholesterol ndikusokoneza mawonekedwe a poizoni.

Kutalika kwa mankhwalawa ndizokwanira milungu iwiri. Tsiku mlingo - mpaka 500 ml.

Reopoliglyukin

Imathandizira kufalikira kwa magazi, ndikuletsa kupangika kwa magazi. Ndi iyo, mutha kuchepetsa maonekedwe amwazi, chotsani poizoni. Popeza mankhwalawa amatha kuyambitsa anaphylactic, sangathe kugwiritsidwa ntchito pawokha.

Njira yothetsera imayambitsidwa komanso shuga. Wotsitsa amayikidwa katatu patsiku. Zinthu zatsiku ndi tsiku siziyenera kupitirira 400 ml. Maphunzirowa ndi 8 othandizira.

Ubwino wa otsikira ndikuti, mosiyana ndi mapiritsi ndi jakisoni, amachitapo kanthu nthawi yomweyo.

Madontho a ketoacidosis

Popeza zomwe matupi a ketanol amakula chifukwa chosowa insulini, ma donels a mtundu 2 a shuga ndiofunikira. Ma ketones amatsogolera ku vuto la mitsempha, kusokoneza kugwira ntchito kwa impso ndi chiwindi. Ndi mawonekedwe a ketoacitosis, wodwala amafunikira kuchipatala mwachangu.

Ndi kuphwanya uku, ma dontho okhala ndi Mlingo wochepa wa insulin amagwiritsidwa ntchito. Amayamwa jakisoni wamchere. Pa kulemera 1 makilogalamu, mayunitsi 0,1 amafunikira. Ndi kuchepa kwa shuga mpaka 11 mmol / l, amasinthira ku subcutaneous makonzedwe.

Madontho a shuga a mtundu wachiwiri amathandizira kubwezeretsa kamvekedwe ka minofu m'nthawi yochepa.

Kufanana ndi insulin, njira ya sodium chloride imayambitsidwa. Imaperekedwa mpaka 2 malita kwa maola atatu. Kupititsa patsogolo njira ya redox, cocarboxylase, ascorbic acid, vitamini B12 ndi B6 amawonjezeredwa.

Pochiza ketoocytosis, zotsatirazi zimagwiritsidwa ntchito: Ringer-Locke solution, Panangin, Asparkam, Polyglukin.

Mu pulogalamu "Aloleni alankhule" adakambirana za matenda ashuga
Chifukwa chiyani mafakitala amapereka mankhwala achikale komanso owopsa, pomwe kubisala kwa anthu chowonadi chokhudza mankhwala atsopano ...

Pankhani ya ketoocytosis, infusions zovuta zimagwiritsidwa ntchito nthawi zambiri.

Kufunika kosiyira shuga

Kuphatikiza apo, ogwetserawa amathandizira kukonza bwino, kulimbitsa chitetezo cha mthupi, komanso kupititsa patsogolo njira zonse za metabolic.

Malamulo a kayendetsedwe kake

Pali malamulo ena amomwe mungakhazikitsire dontho la matenda osokoneza bongo:

The mankhwala endocrinologist ikuyesa mokwanira, pamaziko a mankhwala, nthawi ya maphunziridwe ndi kumwa,
nthawi yayitali ya chithandizo chotere ndi infusions wa 10-20, ndipo zotsatira zabwino zidzaonekera pambuyo panjira zochepa,
ngati kuli kotheka (m'malo osiyanasiyana), insulin, saline, ascorbic acid, cocarboxylase, mavitamini,
Mukakhazikitsa dontho, wodwala matenda ashuga ayenera kukhala omasuka, makamaka atagona,
zida zoyipa zimagwiritsidwa ntchito pakuwongolera mankhwalawa.
atakhazikitsa dontho, ogwira ntchito yoyamwitsa amakhazikitsa kuchuluka kwa madontho omwe abwera kwa mphindi imodzi, zimatengera mankhwalawa komanso kusankha kwa adotolo.

Trental kulowetsedwa njira

Amachokera ku chinthu cha vasodilating action - pentoxifylline. Chitsogozo chachikulu cha mankhwalawa ndikuthandizira kufalikira kwa magazi mthupi lonse, kusintha magazi m'magazi.

Wotsitsa ndi Trental amatulutsa zotsatirazi zochizira:

kuchuluka kwa magazi ndi mpweya,
Zakudya zomanga thupi ndi maselo okhala ndi zinthu zofunika zoperekedwa ndi magazi,
kusintha kwa rheological katundu amadzimadzi,
kuwonongeka ndi kuchotsedwa kwa cholesterol yoyipa,
kutsegulira kwa mphamvu zosungira zam'magazi mu ma cellular,
kupewa mapangidwe a cholesterol malo.

Mlingo ndi nthawi ya maphunzirowa imatsimikiziridwa ndi endocrinologist. Pa avareji, 200-400 ml amatha kutumikiridwa patsiku. Ngati dontho limayikidwa patsikulo, kuwerengera kumapangidwa payekhapayekha: kwa ola limodzi la kulowetsedwa, muyenera kuyika yankho la 0.6 mg pa kilogalamu ya thupi la wodwala.

Zina mwazomwe zimayambitsa kuphatikizana ndikuphatikiza magazi, kutenga pakati, kugunda, kugunda kwa mtima, ndi zina zambiri.

Zotsatira zazikulu za yankho ndikulimbikitsa kuthamanga kwa magazi. Amagwiritsidwa ntchito popanga michere-vascular dystonia. Ili ndi zinthu izi:

lipid-kutsitsa mphamvu,
kupewa thrombosis,
Kubwezeretsa magazi m'mitsempha ndi m'mitsempha,
kulowerera kwa poizoni madipoziti,
cholesterol yotsika
kupewa magazi kuphatikiza.

Mankhwalawa ndi olimba mokwanira, motero nthawi ya maphunzirowa imatha kuyambira masiku atatu mpaka 14 Madontho amayikidwa tsiku lililonse mu mlingo wa 200 mpaka 500 ml. Njira yothetsera vutoli imatha kuperekedwa nthawi zinayi kwa tsiku.

Chifukwa cha antioxidant ndi antihypoxic zotsatira, Mexicoidol imagwiritsidwa ntchito mu diabetesic encephalopathy.

Dontho likukonzekera hyperosmolar chikomokere

Zosankha zamankhwala zomwe zimatha kuperekedwa ndi hyperosmolar coma:

ngati wodwala matenda ashuga ali ndi kuthamanga kwa magazi, njira yogwiritsira ntchito sodium chloride ndi glucose imagwiritsidwa ntchito,
ndi kuthamanga kwa magazi, magnesium sulfate imayendetsedwa,
Kuti muchepetse kuchepa kwa madzi m'thupi tengani chopopera ndi sodium chloride,
nthawi zina, shuga amagwiritsidwa ntchito.

Madontho a njira zopangira opaleshoni

Kuti opaleshoni yoyesererayi ichite bwino, kutsitsa kwa shuga ndi insulini pamankhwala ofunikira makamaka kumachitika. Chinthu chachikulu ndikuti magawo a glucose akhale m'magazi.

Malangizo, mankhwalawa, nthawi yayitali komanso malangizo ena kwa wodwala aliyense ndi osiyana ndipo amatsimikiziridwa ndi adokotala okha. Zimatengera mtundu wa matenda ashuga, momwe wodwalayo alili, kuopsa kwa matendawa komanso machitidwe a thupi.

Drip makonzedwe a mankhwala zochizira ketoacidosis

Potengera maziko a kusowa kwa insulini, mkhalidwe umayamba mwa odwala omwe kuchuluka kwa glucose m'magazi amakwera kwambiri, ndipo motere, kuchepa kwa madzi m'thupi, ndi zomwe matupi a ketone amakula.

Kukula kwa ma ma ketoni kumasokoneza dongosolo lamkati lamanjenje, impso ndi chiwindi, komwe kumapangitsa kuopsa kwa chikhalidwe cha odwala ndipo kumafunikira chithandizo chamtundu wa kuchipatala.

Matenda a urinary thirakiti, chibayo, matenda opatsirana, poyizoni, poyizoni wa chakudya, komanso kuphwanya zakudya kapena makonzedwe a insulini, kulephera kuyendetsa magazi m'magazi kungayambitse ketoacidosis.

Ngati wodwala amamwa mapiritsi a shuga a 2, ndiye kuti amathetsedwa ndipo insulini yochepa imayendetsedwa molamulidwa ndi shuga ndi acetone, yomwe imachitika maola atatu aliwonse. Mpaka ma jakisoni asanu a mankhwala nthawi zambiri amagwiritsidwa ntchito patsiku, mlingo woyambirira womwe si wopitilira 20 mayunitsi.

Chithandizo cha matenda a shuga ndikukhazikika kwa matenda a mtima kapena chikomine cha ketoacidosis amachitika motere:

Kuchotsa kuchepa kwa insulin mwa kukonzekera mwachangu insulin.
Kuchulukitsa kwamadzimadzi m'thupi komanso kuchepa kwa potaziyamu.
Kuchotsa kwa acidosis.
Kupanga nthawi yofananira yogwiritsira ntchito ziwiya zaubongo ndi mtima.
Kupewa kapena kuchiza matenda opatsirana
Chithandizo cha Zizindikiro

Pa nthawi yomweyo ndikuyambitsa milingo yoyamba ya insulin, dontho limayikidwa ndi saline. Imayendetsedwa ndi kuchuluka kwa malita awiri. Kusintha njira za metabolic, mndandanda wotsatira wa mankhwalawa umagwiritsidwanso ntchito: 5 ml ya ascorbic acid mu mawonekedwe a yankho la 5%, 100 mg ya cocarboxylase, 1 ampoule wa cyanocobalamin 200 μg, pyridoxine 5% 1 ml.

Madontho a shuga omwe ali ndi Mlingo wambiri wa kukonzekera kwa insulin amalimbikitsa kutulutsa kwa ma mahomoni ophatikizika, komanso kumawonjezera kukana kwa insulin. Nthawi yomweyo, kutsika kwamphamvu kwa shuga m'magazi kumakhala koopsa osati kokha ndi dziko la hypoglycemic, komanso chiwopsezo chowonjezereka cha hypokalemia, lactic acidosis ndi edema ya ubongo.

Chifukwa chake, ndibwino kugwiritsa ntchito regimen yokhazikika ya kukhazikika kwa Mlingo wochepa wa insulin. Amathandizira kukapumira pamchere pamalingo a 0,1 PESCES pa 1 makilogalamu a thupi. Mulingo wa 11 mmol / L wa glucose m'mwazi ukafikira, ndiye kuti amasintha kupita ku makina anthawi zonse. Droppers ndi insulin koyamba nyengo ya mankhwala mwachangu kubwezeretsa mtima kamvekedwe.

Kuphatikiza apo, pochiza matenda a ketoacidosis, ndibwino kukhetsa mankhwalawa kwa odwala matenda ashuga:

Ringer-Locke yankho.
Panangin kapena Asparkam.
Sodium bicarbonate 2.5% yankho (kokha ndi acidosis yofunika).
Polyglukin.

Pa tsiku lachiwiri kapena lachitatu, odwala amalimbikitsidwa kumwa madzi amchere amchere ambiri, misuzi ya zipatso, zakumwa za zipatso, komanso kugwiritsa ntchito zinthu zokhala ndi potaziyamu: malalanje, apricots, kaloti, msuzi wa nyama, oatmeal.

Pa tsiku lachisanu, mutha kuphatikiza kanyumba tchizi, nyama ndi nsomba zoyera muzakudya. Nthawi yomweyo, amasinthana ndi dongosolo wamba la insulin.

Kugwiritsa ntchito ma dontho nthawi yogwira ntchito

Odwala onse omwe amachitidwa opaleshoni yam'mimba, komanso ngati pali zotsutsana ndi chakudya chomwe chimachitika pambuyo pa opaleshoni, amasamutsidwira ku insulin yofupikitsa komanso yochepa ya insulini yotsikira kwa mtundu wachiwiri wa matenda ashuga, komanso matenda amtundu 1, mosasamala kanthu momwe adachitikira chithandizo chisanachitike.

Ntchito zomwe zimakonzedweratu zimachitika pokhapokha kusala kudya kwa glycemia sikokwanira kuposa 8 mmol / l, ndipo pazokwanira mukatha kudya sioposa 11.2 mmol / l. Kulipiritsa matenda a shuga panthawi ya opaleshoni komanso pambuyo pa opaleshoni, insulin ndi yankho la glucose kapena potaziyamu wa calcium zimayendetsedwa kudzera m'mitsempha. Glucose patsiku imayenera kufika pafupifupi 130 g.

Kwa opaleshoni ya intravenous mwa omwe amasiya ntchito pa ntchito, osakaniza shuga, potaziyamu ndi insulin amagwiritsidwa ntchito - GKI yankho. Mmenemo, muyezo wa insulin ndi shuga ndi 0,3 PESCES pa 1 g. Kusakaniza uku kumaperekedwa kwa nthawi yayitali ya maola 5. Ngati odwala akuwonongeka kwa chiwindi kapena kunenepa kwambiri, ndiye kuti mlingo wa insulin ukuwonjezeka.

Komanso, odwala matenda a shuga mukam'chita opareshoni amatha kuperekedwa:

Potaziyamu mankhwala ena oteteza Hypokalemia.
Plasma kusinthana mayankho.
Sodium bicarbonate ndi zizindikiro za ketoacidosis.
Albumin 10% yankho popewa kuteteza insulin kuti ithetse dongosolo.

Kugwiritsa ntchito ma droppers mankhwalawa neuro- ndi angiopathy

Intravenous makonzedwe a mankhwala amathanso kuchitika ndi dongosolo la odwala omwe ali ndi matenda ashuga. Mwa izi, mankhwalawa amagwiritsidwa ntchito omwe amagwira mwachindunji khoma lamitsempha, kusintha ma cellcirculation ndi metabolic mu minofu.

Gulu lodziwika bwino la mankhwala ochizira odwala matenda a shuga ndi thioctic acid. Awa ndimankhwala omwe ali ndi chitsimikiziro chachipatala chothandiza mu polyneuropathy.

Lipoic acid mu shuga, mankhwala ake amawongolera njira zama metabolic komanso mafuta, kusintha mafuta m'thupi, kuchepetsa mapangidwe a ma free radicals, ndi lipid peroxidation mu minyewa yamitsempha.

Kukonzekera kwa Thioctic acid - Thiogamma, Espa Lipon, Thioctacid, Dialipon, Berlition kumathandizira kutsika kwa magazi ndi kuperekera magazi m'thupi, komanso kuthandiza glucose kugwiritsa ntchito minofu ya mafupa popanda kutenga insulin.

Zisonyezo zakugwiritsa ntchito mankhwala osokoneza bongo:

Matenda a shuga a polyneuropathy.
Micro ndi macroangiopathy.
Matenda a chiwindi
Hyperlipidemia ndi atherosulinosis.

Kugwiritsa ntchito mankhwalawa kumayamba ndi makonzedwe othandizira, kupatsa mankhwala a 600 mg patsiku, ndi polyneuropathy yovuta kwambiri komanso zizindikiro za phazi la matenda ashuga, mlingo ungathe kuwonjezeka mpaka 900 - 1200 mg. Madontho amayikidwa kuyambira masiku 10 mpaka 20, kenako amasintha kumwa kwa 600 mg a mapiritsi kuyambira 1 mpaka 3 pa tsiku.

Njira ya mankhwala okhala ndi thioctic acid amakonzekera kuyambira mwezi umodzi mpaka atatu. Prophylactic makonzedwe a mankhwala akhoza kukhala osavomerezeka mu Mlingo theka kutsika kuposa achire ntchito.

Kugwiritsa ntchito kwa intravenous makonzedwe a Mexicoidol pakapangidwe ka njira zothandizira odwala matenda ashuga kumathandizira kuchepetsa kuchuluka kwa mankhwalawa kuti athe kukonza matenda a hyperglycemia, kupewa zovuta za matenda osokoneza bongo komanso kuti athe kulipiritsa matendawa chifukwa chodwala. Montidol akuwonetsedwa kwa odwala omwe ali ndi vuto la lipid metabolism, komanso a pathologies oterowo:

Chachikulu matenda ashuga neuropathy.
Retinopathies.
Nephropathy ndi mawonekedwe a kulephera kwa aimpso.
Dyscirculatory kapena diabetesic encephalopathy.
Kuwonongeka kwakumbuyo, kusokonezeka kwa luntha.

Njira ya mankhwalawa itha kuchitika mkati mwa masiku 5-7 mukamagwiritsa ntchito 200 mg ya Mexidol pa 100 ml ya saline. Mlingo umasankhidwa, kuyang'ana magawo a zamankhwala am'mimba ndi lipid metabolism.

Pochiza matenda a shuga, omwe amasiyana ndi ma cell omwe amakonzekera ngati Actovegin, Wessel Dou F, Mildronat, Trental akhoza kutumizidwa. Vitamini, hypotensive ndi vasodilator amagwiritsidwanso ntchito pazinthu zosiyanasiyana. nkhaniyi ifotokoza za matenda ashuga omwe amathandizidwa ndi kulowetsedwa.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Droppers zochizira ketoacidosis

Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi angayambitse matenda athunthu, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso ngakhale zotupa za khansa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Chifukwa cha kuchuluka kwa mphamvu ya mahomoni a pancreatic omwe amapangidwa mwa odwala, mkhalidwe umachitika momwe mulingo wa glucose m'magazi umakwera.

Zotsatira zake, kuchepa kwamadzi kumawonekera, kuwonjezeka kwa zomwe zili m'matupi a ketone.

Pankhaniyi, pamodzi ndi kuyambitsa mankhwala apadera, dontho lokhala ndi mchere limagwiritsidwa ntchito.

Iyenera kuyambitsidwa mu voliyumu pafupifupi malita awiri. Ma insulin dropers amasonyezedwanso, omwe amathandizira kubwezeretsa kamvekedwe ka mtima.

Pofuna kukhazikika pang'onopang'ono momwe mungathere, ndikofunikira kuyambitsa zakudya zopatsa thanzi zomwe zili ndi mavitamini ndi michere muzakudya za wodwala.

Njira zakunyumba zoyeretsera ndi kulimbikitsa mitsempha yamagazi m'magazi a shuga:

Ndikofunika kwambiri kuti mankhwala a dontho asankhidwe kokha ndi adokotala. Palibe chifukwa chomwe muyenera kumadziganizira, chifukwa izi zimabweretsa zotsatira zosasintha.

Komanso, posankha mankhwala a dontho, katswiri ayenera kulabadira mndandanda wa zotsutsana, zomwe zikufotokozedwa mu malangizo a mankhwala osankhidwa.

Mukanyalanyaza lamuloli, mutha kukumana ndi zovuta zoyipa zomwe zitha kuvulaza thupi.

Ketoacidotic chikomokere

Insulin yogwira ntchito yayifupi imayambitsidwa muyeso yoyamba ya 20 mayunitsi s / c kapena / m. Kupitilira apo kuchuluka kwake kumayendetsedwa malinga ndi chizindikiro cha shuga.
Mofananamo, kuperekedwa kwa 1.5-2 l kwa saline yachilengedwe kwa maola atatu kumayamba.
Cocarboxylase mu kuchuluka kwa 100 mg kusinthitsa momwe maselo amachira.
200 mcg ndi 5 ml ya 1% sol. mavitamini B12 ndi B6, motero.
A ascorbic acid pang'ono (5 ml ya magawo asanu peresenti) ndi Panangin 10-25 ml.

Mankhwalawa ndiofunikira. Komabe, nthawi zina matchulidwe ndi dzina la mankhwalawa zimatha kusiyanasiyana. Chachikulu ndikuchotsa wodwalayo kudwala.

Kuti muchotse wodwalayo chikomokere ndi chithandizo chotsatira, akatswiri mu zovuta zomwe amagwiritsa ntchito:

kulowetsa insulin m'mitsempha kapena intramuscularly kuchokera ku 10 mpaka 20 mayunitsi. Kenako, dontho lokhala ndi insulin limagwiritsidwa ntchito (mayunitsi 0,1 pa kilogalamu imodzi ya kulemera kwa wodwalayo kapena kuchokera ku magawo 5 mpaka 10 pamphindi 60),
Dzazani thupi ndi madzi pogwiritsa ntchito saline ya thupi kuchokera pa 5 mpaka 10 ml pa 1 makilogalamu amalemu 1 mpaka 3 maola,
ikani dontho ndi glucose (5%) ndi sodium chloride (0,45% yankho) pomwe kuchuluka kwa shuga mthupi kumatsikira mpaka 16 mmol / l.

Njira zochizira zotupa zamagazi m'magazi a shuga

Matenda a shuga ndi matenda oopsa omwe amachititsa kuti magazi aziyenda bwino. Kuchuluka kwa shuga m'magazi kumathandizira kuti pakhale zovuta zomwe sizimangowonjezera moyo, komanso zimapangitsa kufa.

Mu shuga mellitus, makoma amitsempha yamagazi amatayika, amakhazikika limodzi, zomwe zimapangitsa kuti pakhale blockage. Kuchepa kwa atherosclerosis kumawonjezeka, momwe cholesterol zolembera zitha kutsekereza chotengera.

Mfundo Zothandiza pa Kulimbitsa Mtima

Kuti mankhwalawa athandizike kuti matenda a shuga azitha kugwira ntchito, ndikofunikira kupereka chithandizo chovuta. Mu magawo oyamba, ndikokwanira kudya moyenera komanso moyenera, komanso kumamwa mankhwala angapo. Chifukwa chake, kudzakhala kotheka kuchuluka kwa glucose ndi lipids, kuti chiopsezo chotenga magazi ayambe kutsika kwambiri.

Mavuto akulu omwe amafunikira kuchitidwa opaleshoni amatha kuchitika mukanyalanyaza vutoli kwa nthawi yayitali.

Nthawi zambiri, zotumphukira za m'munsi zatsika zimadwala matenda a shuga. Amakutidwa ndi mabala ndi zilonda zam'mimba zomwe sizichiritsa kwa nthawi yayitali. Amayenera kulandira chithandizo nthawi zonse, komanso kupereka mankhwala okwanira a antibacterial.

Pothana ndi mapangidwe achifwamba, mankhwala omwe amasinthasintha magazi amayikidwa. Tifunikanso kuchepetsa kuthamanga kwa magazi komanso kukonza magwiridwe olimba. Njira zabwino kwambiri zochizira zimaphatikizapo opaleshoni yodutsa, kuluma, angioplasty, endarterectomy.

Ndikofunikira kuti nthawi zonse muziwonetsetsa momwe madera akutsikira ndikuwunikira thanzi lanu. Musaiwale kupenda khungu lanu kuti lisinthe.

Kodi kuchitira zotumphukira zodwala?

Poyerekeza ndi matenda ashuga, anthu nthawi zambiri amapanga zotupa zoopsa zamitsempha yamagazi yam'munsi.Ndi kunyalanyazidwa kwanthawi yayitali, izi zimakhala chifukwa cha phazi la matenda ashuga - chotupa chodziwika ndi kufa kwa minofu ya miyendo.

Miyendo yam'munsi yamunthu imayamba kuphimbidwa ndi mabala ambiri omwe samachiritsa kwa nthawi yayitali. Posachedwa, izi zimakwaniritsidwa ndi kuchepa kwa chidwi komanso mapangidwe azilonda. Ndi zovuta kuchitira, amafunika chithandizo chanthawi zonse. Mtsogolomo, zimatha kubweretsa kukulitsa gangore, komwe kumadula manja kwathunthu kapena pang'ono pang'ono.

Pofuna kupewa kukhazikika kwa phazi la matenda ashuga, ndikofunikira kupereka chithandizo chokwanira. Choyamba, njira zonse zimapangidwa kuti matenda a shuga asinthe. Pachifukwa ichi, mankhwala apadera amalembedwa ndipo zakudya zamafuta ochepa zimakhala.

Ndi phazi la matenda ashuga omwe ndi amodzi mwa zotsatira zoyipa kwambiri za matenda ashuga. Popeza kusakhalapo kwa mankhwala osakhalitsa, mavuto amakula omwe amafunikira opaleshoni yofunikira. Ndi thandizo lawo pokhapokha ngati magazi atha kufalikira m'magawo otsika, komanso kuchepetsa matenda oyambitsidwa ndi bakiteriya.

Nthawi zambiri, njira zotsatirazi zimagwiritsidwa ntchito pochiza matenda ashuga:

Kugwedezeka - njira yomwe mutu wapadera umapangidwira. Ndikofunikira kusintha mitsempha yamagazi kapena mitsempha yowonongeka. Ndi kuyika kwake, ndikotheka kubwezeretsa thanzi la minofu, amayamba kuchira.
Endarterectomy ndi kulowererapo komwe kumapangitsa kuti mtsempha wowonongeka umadulidwe ndikuchotseredwa malo omwe asungidwa.
Angioplasty - opareshoni kuti akhazikitse catheter yomwe imalowa mumtsempha wamagazi, amapeza tsamba lotseguka ndikukulitsa.

Mankhwala osokoneza bongo amitsempha yamagazi

Pazigawo zoyambirira, ndizotheka kuti muchepetse zovuta m'magazi a shuga mothandizidwa ndi mankhwala. Amatha kuyang'anira kuchuluka kwa glucose, komanso amapereka magazi athunthu.

Chifukwa cha matenda a shuga, mitsempha yamagazi imatha kutsekeka kapena kuchepa mu lumen, chifukwa chomwe kusokonezedwa kosalekeza kumapangidwa.

Izi zimabweretsa zovuta zazikulu, monga thrombosis, ischemia, vuto la mtima, stroko, ndi zina zambiri. Nthawi zambiri, zopatulira magazi, nootropics, neuroprotectors, vasodilators ndi antioxidants amalembedwa kuti azipewa.

Zotchuka kwambiri ndi:

Sermion, Piracetam - kubwezeretsa kagayidwe kachakudya, chotsani blockage,
Trental - amachepetsa kuchuluka kwa magazi, amawafinya, omwe amasintha magazi,
Vestibo - amakhudza ubongo, amathandizira kuti iwonongeke.

Kutseka kwamitsempha yamagazi kumatha kupangitsa kuti cramping. Izi ndizowopsa zomwe zimafuna kupumula nthawi yomweyo. Mutha kuchita izi ndi mankhwala apadera, monga

Cinnarizine, Stugeron. Ngati sichoncho, Spazmalgon kapena Aspirin angathandize. Zithandizo zotere zimachepetsa ululu, osati vuto. Chifukwa chake, ngati izi zikuchitika pafupipafupi, onetsetsani kuti mwakumana ndi dotolo kuti adziwe matenda athu onse.

Kodi kuchitira kufalikira kwa mitsempha?

Nthawi zambiri, chithandizo cha kupatuka kotere ndi motere:

Naturalization ya kagayidwe kachakudya njira, kutsitsa shuga m'magazi, kuwonda magazi - mankhwala apadera ndi mankhwala,
Kuthetsa kovuta kwa ischemia - ndi mankhwala kapena opaleshoni,
Kugwiritsa ntchito insulin kuti muchepetse kupweteka,
Kuchepetsa chiopsezo chotenga matenda opatsirana - mankhwala opha maantibayotiki amachitika,
Kuchepetsa kuphipha kwa mtima - prostaglandin ndi mankhwala.

Njira zina zochizira

Pofuna kupewa kuwonongeka m'mitsempha yamagazi motsutsana ndi matenda a shuga, mutha kugwiritsa ntchito njira zina zowonekera. Ndi thandizo lawo, mutha kubwezeretsanso magazi, komanso kuchepetsa mwayi wothina.

Maphikidwe otchuka kwambiri ndi awa:

Tengani magalamu 50 a mbewu za fulakesi, nettle youma, chamomile ndi khungwa la oak. Pogaya zosakaniza bwino bwino mu chosakanizira, ndiye kutsanulira malita 2 a madzi otentha. Siyani katunduyo kuti akhale kaye mpaka madzi atakhazikika kwathunthu, kenako ndikusamutsira ku chidebe chosavuta. Tengani msuzi wa 50 ml tsiku lililonse musanadye kwa miyezi itatu.
200 magalamu a uchi wachilengedwe, sakanizani ndi mandimu awiri a mandimu awiri ndikuchepetsa ndi madzi omwewo. Muthanso kuwonjezera walnuts akanadulidwa ku osakaniza. Idyani supuni 1 ya zabwino zam'mawa. Chithandizo chotere sichingobwezeretsa magazi, komanso kuwonjezera mphamvu ya chitetezo chamthupi.
Thirani wamba pine cones ndi vodka pang'ono ndikusiya kukakamira pamwamba pamalo amdima, ozizira. Pambuyo pa nthawi imeneyi, konizani mankhwalawa ndikuthira mumtsuko wamagalasi. Tengani supuni 1 musanadye chakudya chimodzi.
Mwofanana, sakanizani zipatso za hawthorn ndi m'chiuno, kenako mudutseni ndi chopukusira nyama. Ikani nyamayi m'mabanki, muzindikira kuti pa 100 gm ya zipatso imakhala ndi pafupifupi malita 0,5 a vodika. Thirani zipatsozo ndi mowa ndikuyika malo amdima kwa milungu iwiri pakuumirira. Zitatha izi, kanizani kulowetsedwa ndi kumwa magalamu 50 tsiku lililonse musanagone. Izi sizingobwezeretsa magazi m'magazi, komanso kuthana ndi neurosis nthawi zonse.

Kuteteza kwa Mtima

Matenda a shuga ndi matenda omwe amabwera chifukwa chovuta kwambiri. Ngati mutsatira malingaliro a adotolo, mudzatha kuchedwetsa kuwonetsa kwawo momwe mungathere.

Musaiwale kutsatira malangizo onse a dokotala. Adzakulemberani mankhwala ofunikira kuti mukhale ndi thanzi.

Ndikofunikanso kutsatira zakudya zapadera zomwe zimachepetsa shuga la magazi. Ndikofunika kusiyiratu zogulitsa, maswiti ndi zakudya zopanda pake. Yesetsani kuwonjezera kuchuluka kwa ndiwo zamasamba, zipatso, nkhuku zotsamira mu zakudya. Yang'anani kuchuluka kwanu m'magazi ndi mafuta a cholesterol pafupipafupi.

Kukhazikika kwa cholesterol malo komwe kumatha kubweretsa zovuta zambiri.

Musaiwale kupimidwa pafupipafupi. Adzakuthandizani kuzindikira zovuta zilizonse m'magawo anu oyambira. Ndikofunikira kuyesedwa kwa Doppler ultrasound pamitsempha yamagazi yam'munsi, popeza pamakhala zovuta zambiri.

Komanso tsatirani malangizowa:

Ngati zizindikiro zoyambirira za zotupa zam'mimba zikaonekera, pitani kuchipatala,
Lekani kumwa ndi kusuta
Tsatirani moyo wokangalika, pitani m'masewera,
Imwani mankhwala onse omwe dokotala wakupatsani.
Idyani moyenera komanso moyenera.

Hyperosmolar chikomokere

Njira zoyambirira zochotsa wodwalayo kukomoka zimatsatiridwa ndi kulowetsedwa kwa mankhwala otsatirawa:

ndi kuchepa kwa kuthamanga kwa magazi: sodium chloride (0,9% solution) ndi shuga (5% yankho) mu voliyumu ya 100 mpaka 2000 ml,
ndi ochepa matenda oopsa, iwo amagwiritsa ntchito dontho lokhala ndi magnesium sulfate kapena kapena ku intravenous management,
kusowa kwamadzi kumatha ndi kukhuthala kwa 0,9% sodium chloride mu voliyumu kuchokera ku 1000 mpaka 1500 ml ola loyamba. Maola awiri otsatira, kuchuluka kwa mankhwalawa kumachepa ndikuchokera ku 500 mpaka 1000 ml, mtsogolo - kuchokera 300 mpaka 500 ml,
pa mphindi 60 zoyambirira 5% yankho la glucose imayambitsidwa motsika kuchokera ku 1000 mpaka 1500 ml, kenako kutsika kwa maola awiri kuchokera 500 mpaka 1000 ml, ndiye kuchokera 300 mpaka 500 ml.

Cholinga chachikulu cha njira zochizira, pomwe wodwala amachotsedwa pa hyperosmolar coma, ndikuti: kubwezeretsa magazi pH, kuchotsa kutulutsa madzi m'thupi ndi kuphatikizira kuchuluka kwa shuga m'thupi

Mofananamo, mankhwala a insulin omwe ali ndi ma dontho amachitika.

Wodwala amayesedwa pafupipafupi, kutengera zotsatira zake, Mlingo wa mankhwala omwe amagwiritsidwa ntchito umasiyana.

Amadziwika ndi kuchuluka kwa glucose m'magazi munthawi yomweyo ndi hyperosmolarity. Hyperglycemia ndi kuchepa kwa madzimadzi kumabweretsa kukula kwamkati wodwala.

Choyamba, ndikofunikira kuthetsa kuchepa kwamadzi ndi kubwezeretsanso zachilengedwe zam'madzi, kotero nthawi yomweyo yambani kulowetsedwa:

Mu maora oyamba a vuto la pathological, muyenera kulowa mpaka malita awiri a yankho la hypotonic, ndiye kuti yankho la isotonic limapitilira kukokoloka mpaka glucose agwere mpaka 12 mmol / l.
Shuga wamagazi akatsika, pofuna kupewa hypoglycemia, njira ya 5% ya shuga imayendetsedwa nthawi yomweyo ndi insulin kutaya chinthu.

Matenda a shuga a shuga

Zomwe zimayambitsa mayankho mu hyperosmolar coma:

Ndikosatheka kuyambitsa yankho la isotonic sodium chloride m'maola oyamba, chifukwa mumakhala mchere wambiri wa sodium m'magazi.
Kuthanso magazi kumachitika bwino kwambiri ndi yankho la shuga la 2,5% kapena njira ya 0,45% ya sodium kolorayidi.
Insulin imayendetsedwa mu Mlingo wocheperako kapena ayi.
Ndikofunikira kuchepetsa glycemia pang'onopang'ono, osaposa 5 mmol / l pa ola limodzi, popeza kutsika kwakuthwa kwa shuga kumatsogolera ku edema yamapapu.
Kuchepetsa chiwopsezo cha kuundana kwa magazi mwa okalamba, heparin amagwiritsidwa ntchito pazing'ono.

Guseva Julia Alexandrova

Ikawonetsedwa, mankhwala osokoneza bongo ndi mankhwala othandizira amatha kuperekedwa.

Hypersmolar coma nthawi zambiri imapezeka mwa anthu azaka zopitilira 50. Mu theka la milandu, imatsogolera kuimfa. Amadziwika ndi shuga wamagazi ambiri.

M'mola yoyamba ya chikomokere, malita 2 a hypotonic solution amaperekedwa. Pambuyo pake, amapitiliza kupeleka yankho la isotonic mpaka shuga wamagazi atatsikira mpaka 12 mmol / L. Akangotsika, yankho la glucose 5% yokhala ndi insulini limaperekedwa.

Ndi hyperosmolar coma, simungathe kulowa yankho la sodium chloride koyambira. M'mbuyomu, mchere wambiri wa sodium umapezeka m'magazi.

Bwezeretsani kuchepa kwamadzi mthupi ndi njira ya shuga ya 2,5% kapena 4,5% sodium chloride. Popewa kuwonongeka kwa magazi mwa okalamba, heparin amagwiritsidwa ntchito.

Montidol amalembedwa ngati otsikira kuti achepetse kuphatikizika kwa ma cell. Amagwiritsidwanso ntchito kukonzanso magazi m'magazi; amagwiritsidwa ntchito mu shuga ngati prophylaxis yomwe imachitika vegetovascular dystonia.

Ndi kukapanda kuleka, mankhwalawa ali ndi mphamvu ya kutsitsa kwa lipid. Ndikofunikira kwa odwala matenda ashuga, amachepetsa cholesterol yonse ndi LDL. Amayambitsa kukoka. Mlingo umasankhidwa payekha kwa wodwala ndi dokotala, njira yochiritsira yogwiritsira ntchito Mexicoidol imasiyana kuchokera masiku atatu mpaka 10 malinga ndi chiwembu choperekedwa ndi endocrinologist.

Ntchito kukapanda kuleka kukonzanso magazi. Popeza mu shuga wamagazi mamasukidwe amakula, Trental imachulukitsa "madzi ake" ndikuchepetsa mamasukidwe owonjezereka. M'madera osayenda bwino - ndi matenda ashuga, awa ndi malo otsika - otsikira okhala ndi Trental kusintha kukoka kwam'mimba.