Actovegin a 2 shuga
Ndikudziwa mankhwala Actovegin onse pama mapiritsi ndi ma ampoules mwangwiro ndipo ndikudziwa kwa nthawi yayitali. Ino si nthawi yoyamba kuti alembetse bambo anga, ali ndi matenda ashuga omwe amadziwa zambiri. Madokotala nthawi zambiri amapereka Actovegin a matenda ashuga, ndipo, lingaliro langa, osati pachabe ... zotsatira zikuwoneka, koma zambiri pambuyo pake. Choyamba ndikuuzeni za ine.
Ine ndekha ndinakumana ndi mankhwalawa zaka 4 zapitazo pomwe ndinalandira kukangana mwangozi. Kenako zidawoneka kuti zikuchira, koma posachedwa kupweteka kwa mutu kudayamba kuzunza. Ndidayesera kuti ndisatchere khutu, koma kugwidwa kunawonjezeka komanso kulimbika. Ndinapita kwa dokotala wamitsempha, ndinachita kukayang'ana kwa ubongo, dotolo adati matenda anga adachitika chifukwa cha kuvulala. M'malo mwake, sindinamuchiritse panthawiyo. Ndinapita kukagwira ntchito mwachangu, chifukwa pamenepo ndimangodikirira kuwonjezeka. Kunalibe nthawi yonama kunyumba. Sanathe kupeza malo ogona. Ndipo izi ndi zotsatirapo.
Kenako ndinasankhidwa kukakhala ndi akaloleti 10 a Actovegin, kenako maphunziro a miyezi itatu a mapiritsi omwewo. Atadontha, adawona kuti mutuwo sunakhale wolimba, osati wovuta komanso wopindika, komanso unakhala wocheperako. Pamene ndimamwa mapiritsi mwezi umodzi, sindinatero pafupifupi zilekeni. Ndidawerengapo kuti Actovegin adayikiratu kuti ichitepo kanthu ndikuti imathandizanso pakukonzanso kuvulala kwa FM, koma, mwatsoka, ndidadzionera ndekha.
Kuchokera pa malangizo a mankhwalawa:
Mankhwala omwe amachititsa kuti kagayidwe kazikhala ndi ma cell, azikhala ndi trophism komanso amathandizenso kukonzanso.
- monga gawo la zovuta za metabolic ndi mitsempha yamitsempha yama bongo (mitundu yosiyanasiyana ya kusakwanira kwa dongosolo la cerebrovascular, dementia, kuvulala kwamkati mwa ubongo),
- zotumphukira (zam'mbuyo komanso zam'mimba) zotupa zam'mimba ndi zotsatira zawo (angiopathy, trophic zilonda),
- Hypersensitivity pazigawo za mankhwala kapena zamankhwala ena.
Ndi kusamala Mankhwala ayenera kuperekedwa kwa mtima kulephera kwa II-III siteji, m`mapapo mwanga edema, oliguria, anuria, Hyperhydrate, pa mimba ndi mkaka wa m`mawere.
Gawani mkati mwa mapiritsi 1-2. 3 zina / tsiku musanadye. Piritsi siimata, kutsukidwa ndi madzi pang'ono. Kutalika kwa chithandizo ndi masabata a 4-6.
At matenda ashuga polyneuropathy Actovegin amaperekedwa iv mu 2000 mg / tsiku kwa masabata atatu, kenako ndikusintha kuti mutenge mankhwalawa mapiritsi - mapiritsi a 2-3. Nthawi 3 / tsiku osachepera miyezi 4-5.
Zotsatira zoyipa: urticaria, edema, mankhwala osokoneza bongo.
Zambiri zokhudzana ndi mankhwala osokoneza bongo a Actovegin siziperekedwa.
Mapiritsi akuluakulu achikasu achikaso. Palibe kulawa kapena kununkhiza. Senda mosavuta ngati utasambitsidwa ndi madzi.
Zaka zitatu zapitazo, abambo anga adalandira chithandizo cha polyneuropathy chomwe chinabuka motsutsana ndi chiyambi cha matenda ashuga a nthawi yayitali. Zimamveka zosamveka, koma kwenikweni ndikuchepa kwa khungu la miyendo, komwe kumachitika chifukwa cha kuwonongeka kwa mitsempha yamagazi, ma capillaries ndi mitsempha. Mkhalidwe wowopsa kwambiri, womwe ngati njira zisatengedwe mu nthawi imatha kubweretsa zilonda ndi kuduladula. Onse anachita mantha kwambiri. Chifukwa chake endocrinologist adayankhanso ad Actovegin mapiritsi, koma atali ndi nthawi yayitali kuposa ine. Nthawi ndi nthawi, pamene dokotala anena, timazibwereza. Zotsatira zake, polyneuropathy adatha kuchepa. Kukula kwa madera akumaso kwa chikopa cha bambo sikunalinso. Ndikukhulupirira kuti izi ndizoyenera kwa dokotala wopezekapo, yemwe anatha kupangitsa abambo kuti azitsatira kwambiri zakudya, azilamulira shuga, azimwa mankhwala ochepetsa shuga ndi Actovegin.
Ine ndekha posachedwapa ndamwa maphunziro a pamwezi a Actovegin kachiwiri, chifukwa ndi maulendo anga opitilira bizinesi, maulendo apaulendo ndi kusintha malo, ndimachita mantha kuti ndibwereranso. Tiyeni tiwone, mwachidziwikire, zomwe zidzachitike ndi momwe zidzakhalire, koma pakadali pano sizinachitikepo zopweteka mutu.
Kutengera chitsanzo cha ine ndi banja langa, nditha kunena kuti Actovegin ya matenda ashuga komanso Actovegin ya concussion, madokotala amamulembera, m'malingaliro anga, wolungamitsidwa. Sindikudziwa momwe zimakhalira nthawi zina, koma pazinthu izi, mankhwalawa amathandiza.
Kodi ndizotheka dzungu la 2 shuga?
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Dzungu ndi shuga ndi mitundu iwiri ya zinthu zomwe ndizogwirizana. Izi zamasamba ndizothandiza m'matenda ambiri, matenda a shuga amakhalanso chimodzimodzi. Kuti mumvetsetse chifukwa chake masamba amalimbikitsidwa kuti azikhala nawo pazakudya za anthu omwe ali ndi matendawa, ndikofunikira kumvetsetsa kuti matendawa ndi chiyani.
Munthu yemwe ali ndi mtundu wachiwiri wa shuga samadalira insulin. Pancreas poyamba amapanga insulin yokwanira kuwongolera shuga m'magazi. Popita nthawi, ntchito yake imachepa. Wodwala amafunikira chakudya chokhwima, chomwe chimalimbikitsidwa kuti chikuphatikizira zakudya. Chipatso cha lalanje ndi chimodzi mwazomwezi.
Kodi dzungu limathandiza bwanji pa matenda a shuga omwe amadalira insulin?
Ndi shuga wamagazi ochulukirapo, kunenepa kwambiri kumachitika kawirikawiri. Chifukwa chake, zakudya za wodwalayo zimapangidwa kuchokera kumagawo ochepera kalori. Zomera zamasamba izi sizimangothandiza izi, komanso zimathandizira kukhala ndi shuga.
Anthu ambiri akuda nkhawa ndi funso loti: kodi dzungu limaloledwa kukhala ndi matenda amtundu wa 2 chifukwa cha mtundu wake wa glycemic wambiri? Yankho ndilosiyana - kudya sikokwanira, komanso ndikofunikira. Chachikulu ndikutsatira lamulo lomwe limagwiritsidwa ntchito pazinthu zonse zamagulu azakudya, zomwe zimagwiritsidwa ntchito moyenera.
Kuphatikiza apo, masamba a m'dzinja awa ali ndi zinthu zina zambiri zofunikira zofunika kuti munthu azigwira ntchito moyenera.
Wophatikizidwa ndi makumi asanu ndi anayi peresenti ya madzi, ndi wolemera muzinthu izi:
- Mavitamini: A, C, E, D, T, PP, K, Gulu B.
- Fluoride.
- Potaziyamu.
- Magnesium
- Ndi chitsulo.
- Calcium
- Zinc.
- Fluoride.
- Amino acid: pectin, fiber.
Ndi zinthu zingapo zothandiza, sizodabwitsa kuti mwana wosabadwayo samangothandiza kukhazikika pamiyeso ya zinthu zonse zopanga magazi, komanso njira yoteteza matenda osiyanasiyana omwe amapezeka motsutsana ndi kumbuyo kwa chachikulu. Mwachitsanzo, pectin yambiri imatsuka mitsempha yamagazi kuchokera ku cholesterol yowonjezera, imalepheretsa kuchuluka kwa madzi mu minofu. Chipatsochi chimathandiza kupewa atherosulinosis kapena kuchepa kwa magazi m'thupi.
Kodi ndiyenera kudya dzungu?
Pofuna kuti kukoma kusakhale kotopetsa, zamkati zimawonjezeredwa pamasaladi osiyanasiyana. Ndipo msuzi ukhoza kusakanizidwa ndi nkhaka kapena, mwachitsanzo, phwetekere.
Musanagwiritse ntchito zakumwa izi, muyenera kufunsa dokotala. Mumitundu yovuta, imapangidwa.
Osachepera analimbikitsa mbewu. Amakhala ngati okodzetsa komanso amakhala ndi vuto lotupa, amatsuka poizoni. Komanso, chifukwa cha kuchuluka kwa michere yambiri, amathandizira kwambiri kagayidwe kazinthu, kamene kamayambitsa kuchuluka kwa shuga m'magazi. Koma ziyenera kukumbukiridwa kuti njerezi zimakhala ndi salicylic acid, kotero kuzizunza kumatha kubweretsa gastritis komanso zilonda zam'mimbazi.
Mankhwala osinthika amathandizanso pakugwiritsa ntchito maluwa a fetal.
Pali njira ziwiri zomwe mungagwiritsire ntchito:
- mu ufa
- mu mawonekedwe a decoction zochizira zam'mimba zilonda, kutsegula nthawi zambiri.
Ma inflorescence owuma amaphwanyidwa ndikuwazidwa ndi mabala omwe amapezeka ndi fumbi.Kukonzekera msuzi kumakhala kolunjika kwambiri: 200 ml ya madzi imatengedwa supuni ziwiri za ufa, mutawiritsa ndikofunikira kuti muchepetse kutentha ndikuphika kwa mphindi zisanu.
Ikani kwa mphindi pafupifupi makumi atatu, kenako muusefa ndi kumudya katatu patsiku musanadye, 100 ml iliyonse. Mlandu wina wogwiritsidwa ntchito ndikuchiritsa mafuta.
Ngati dzungu laiwisi la matenda a shuga a 2 lili ndi zoletsa kapena zoletsa kugwiritsa ntchito, ndiye kuti owiritsa ndi otetezeka kwathunthu. Zophikira zomwe zimaphatikizapo chipatsochi ndizosiyana kwambiri, zomwe zimakupatsani mwayi wophika chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo chilichonse.
Maphikidwe otchuka
Kukonzekera mbale za maungu, mitundu yonse yazakudya ndi mchere zimagwiritsidwa ntchito. Yoyamba nthawi zambiri imawonjezeredwa msuzi, casserole kapena phala.
Lachiwiri limawonedwa ngati lothandiza komanso labwino kwambiri, limakhala ngati chothandizira kuzitsatira zotsatirazi:
Maphikidwe ndi ophweka kuposa izi ndipo safuna maluso aluso. Mwachitsanzo, mpunga kapena mapira mu mkaka wokhala ndi masamba a masamba amatha kukonzedwa ndi aliyense. Ngati mafuta a flaxseed amapezekeramo, ndiye kuti kugwiritsa ntchito dzungu kwa anthu odwala matenda ashuga kumawonjezeka kangapo.
Dzungu casserole imakondweretsanso gourmet. Chinsinsi ndichosavuta, ndipo zosakaniza ndizowongoka.
Chifukwa chake, pophika muyenera zinthu zotsatirazi:
- 1 makilogalamu a dzungu zamkati.
- Maapulo 5.
- Supuni ziwiri za shuga wogwirizira.
- 4 azungu azira.
Choyamba, muyenera kuphika chinthu chachikulu: peel, kudula mu cubes ndi simmer mpaka yophika moto wochepa.
Pakadali pano, dulani maapulo okhala m'miyeso ndikugunda dzira loyera ndi shuga m'malo mwa phokoso.
Kenako ikani zamkati wokongoletsedwa ndi magawo apulosi mu mbale yophika ndikutsanulira phula la protein. Nthawi yophika mu uvuni ndi mphindi makumi awiri ndi zisanu.
Palibe maphikidwe wamba otchuka a mchere. Monga mukudziwira, chakudya chophika mu boiler iwiri imadziwika kuti ndi yabwino kwambiri.
Zothandiza za chimodzi mwazo:
- dzungu lowiritsa - chikho 1,
- dzira la nkhuku - zidutswa 4,
- tchizi chokongoletsera tchizi - magalamu 400,
- ufa - supuni 4,
- shuga wogwirizira - kutengera kukoma,
- mtedza uliwonse.
Chipatso chophika chija chimayenera kukhazikika ndi kuwaza ndi blender. Onjezani kanyumba tchizi kuti mazira omenyedwa ndi shuga asinthidwe. Kenako sakanizani zigawo zikuluzikuluzo kukhala misa yambiri. Nthawi yofulumira ndi ola. Kenako mcherewo umachotsedwa mu nkhungu ndikuwawaza mowolowa manja ndi zinyalala zosakanizidwa. Mutha kudya nthawi yomweyo, kapena pozizira pang'ono.
Ndani amatsutsana ndi dzungu?
Kuyankha funso ngati kuli kotheka kudya dzungu kwa anthu omwe ali ndi shuga ochuluka, munthu ayenera kubwerera ku zakumwa zopangidwa kuchokera ku masamba awa.
Monga timadzi tokonzedwa tatsopano, zakayikira mosakayikira munthu wathanzi, koma odwala matenda ashuga kwambiri ayenera kulingalira kuti ichi ndi chinthu choopsa. Chowonadi ndi chakuti shuga kuchokera ku chakumwa, chomwe ndichambiri, chimamwa nthawi imodzi. Kugwedezeka kotereku kumakhala ndi zovuta zoyipa, zomwe sizingathe kuchiritsidwa ndi insulin yoperewera.
Kwa odwala matenda ashuga amtundu wa 2, ngozi sizowopsa monga mtundu 1, koma mwayi wovulazidwabe ndi waukulu. Chifukwa chake, madokotala amalimbikitsa kugwiritsa ntchito madzi a dzungu mosamala, ndipo pazovuta kwambiri, asiye.
Zotsalira, dzungu ndi chida chofunikira kwambiri pakuphatikiza shuga m'magazi ndikusungabe kugwira ntchito kwa ziwalo zonse. Ngati mumadya m'mawonekedwe owiritsa komanso mosapumira, ndiye kuti palibe vuto. Ndipo thandizo lamankhwala ndilothandiza kwambiri.
Chithandizo cha Zitsamba ku Matenda Awiri A shuga
Type 2 matenda a shuga ndi vuto lenileni la munthu wamakono, yemwe alibe nthawi yowunikira thanzi lake. Koma kuzindikira si chiganizo.
Mankhwala amakono othandizira odwala matenda ashuga komanso mankhwala azitsamba amasintha mofulumira ntchito ya thupi, amachepetsa zizindikiro ndi kupewa zovuta za matenda osachiritsika.
Mtundu wachiwiri wa matenda ashuga mwachidule
Type 2 shuga mellitus ndi kuchepa kwa chidwi cha zimakhala kuti insulin, komanso kusakwanira kwake.
Kukana kwa insulin kumabweretsa hyperglycemia, ndipo systemic atherosulinosis nthawi zambiri imakhala yovuta ya lipid metabolism.
Matenda opatsirana amakula kumbuyo kwa:
- chibadwa
- kunenepa kwambiri
- kumangokhala
- kuperewera kwa zakudya m'thupi
- zovuta za endocrine,
- ochepa matenda oopsa.
Popeza palibe zizindikiro za matendawa m'magawo oyamba, wodwalayo amakonda kudziwa za matendawa ngakhale ndi zovuta - zotupa zam'miyendo, kuchepa kwapang'onopang'ono kwa masomphenyawo, sitiroko kapena kugunda kwa mtima.
Sinthani vutoli ndi mankhwala ochepetsa shuga komanso zakudya. Ndikofunikira kuthetsa zomwe zimayambitsa matendawa. Mwachitsanzo, ngati kunenepa kwambiri kwakhala chifukwa cha matenda ashuga, ndikofunikira kuti muchepetse kulimbitsa thupi kudzera pakukonzanso zakudya komanso kuchita masewera olimbitsa thupi. Ndipo mankhwala azitsamba omwe amakongoletsa mkhalidwe wa wodwalayo ndikuthandizira kuchira kumathandizira kuwonjezera mankhwalawo.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Malamulo oyambira azitsamba
Musanapitirize chithandizo cha matenda a shuga a mtundu wachiwiri ndi zitsamba, muyenera kufunsa dokotala. Izi zikuthandizira kupewa zoyipa zomwe zimakhudzana ndi tsankho pazinthu zosunga.
Pali mfundo 7 za mankhwala azitsamba zomwe zimayenera kutsatiridwa kuti tiwonjezere bwino chithandizo:
- Zovuta. Mankhwala azitsamba amatha kukhala gawo lalikulu la chithandizo pokhapokha matendawa atayamba kudwala. Mu gawo lazowawa, kukonzekera kwazitsamba kumakhala gawo la zovuta mankhwala, momwe gawo lalikulu limaperekedwa kwa mankhwala opangidwa ndi makampani otsogolera omwe amapanga mankhwala. Panthawi yobwezeretsa ndikukonzanso, mankhwala ozikidwa pa mankhwala othandizira amathandizira kubwezeretsa, kuthetsa mavuto omwe amayamba chifukwa cha mankhwala opangira.
- Kukhalapo. Njira iliyonse yosinthira komanso ya pathological imakhudza ziwalo zonse ndi machitidwe. Mankhwala azitsamba samathandiza chiwalo chimodzi, koma amabwezeretsa thupi lonse.
- Njira yamunthu payekha. Mukamasankha kukonzekera kwazitsamba, zinthu zonse zokhudzana ndi wodwalayo zimaganiziridwa: chikhalidwe chaumoyo, momwe mungakhalire, zakudya, mawonekedwe a ntchito, zaka, ndi zina zambiri. Izi ndizofunikira, chifukwa kwa anthu omwe akukhala mosiyanasiyana, mankhwala azitsamba zilizonse amachita mosiyanasiyana.
- Kupitiliza. Kufunafuna chithandizo chamankhwala azitsamba, muyenera kukonzekera kuti mankhwalawa atenga nthawi yayitali. Matenda osachiritsika sangathe kuchiritsidwa pakatha sabata limodzi. Zomera zochiritsa zimakhala ndi zovuta pang'onopang'ono kuposa mankhwala opangira, koma sizivulaza, ndipo kugwiritsa ntchito bwino kwa mankhwalawa ndikokwanira.
- Kuyambira zosavuta mpaka zovuta. Mfundo iyi ndikuti koyambirira kwamankhwala wodwalayo amapatsidwa mankhwala azitsamba kapena zinthu zosavuta kwambiri. M'matendawa kumapeto kwa matendawa, chifukwa cha mankhwala azitsamba ndizophatikiza zochuluka komanso mankhwala azitsamba amphamvu.
- Nthawi. Ngati phytotherapist akutsimikiza kutenga kulowetsedwa musanagone, simuyenera kusintha nthawi yolandirira m'mawa. Kudzisankhira nokha nthawi yakuvomerezedwa kumachepetsa mphamvu ya chithandizo.
- Zabwino. Ngakhale kuti chinthuchi chimalengezedwa komaliza, chithandizo chamankhwala mwachindunji chimadalira kutsatira kwake. Kukonzekera kwazitsamba komwe kumapangidwa kuchokera ku zinthu zotsika mtengo sikuti kumangochepetsa kuthandizira, komanso kungayambitse kuwoneka bwino.
Kodi kuphika tiyi wazitsamba kunyumba?
Pali malamulo osavuta omwe ayenera kuwonedwa pokonzekera infusions machiritso ndi decoctions.
- Osachokako pa kaphikiko posintha kuchuluka kwa zosakaniza kapena sinthani chomera chimodzi chokha pachokha. Izi zimalola kuti zigawo zikuluzikulu zitseguke ndikupereka michere yawo ku chakumwa.
- Yabwino kwambiri achire si monofunds, koma decoctions angapo mankhwala azitsamba. Muyenera kusankha chindapusa, kuchuluka kwa zosakaniza komwe sikupitilira 6-7.
- Phytopreparations amathanso kukonzekera mugalasi kapena mbale zopanda mbale.
- Zosakaniza zonse ziyenera kusungidwa pansi pazoyenera.Chinyezi chachikulu kapena kuwala kwadzuwa mwachangu zimasinthira msanga zitsamba kuti zikhale zopanda ntchito.
- Madzi abwino kwambiri opanga infusions ndi decoctions ndi madzi a masika. Muthanso kugwiritsa ntchito mpopi wowonjezera woyeretsedwa wamadzi. Wosungunuka kudzachepetsa phindu la mankhwala azitsamba kukhala lopanda ntchito.
- Ngakhale kukoma kwa tiyi wazitsamba kusakhale kosangalatsa, okometsetsa ayenera kusiyidwa kwathunthu.
- Kulowetsedwa okonzeka sikungasungidwe kwa maola opitilira 24, ngakhale mufiriji kapena thermos. Kupanda kutero, adzataya zonse zomwe achiritsa.
Zambiri pazakanema 2 za matenda ashuga:
Mndandanda wazitsamba zochepetsa shuga
Zitsamba sizingasinthetu mankhwala ochiritsira achikale. Komabe, amatha kuthamangitsa kuchira ndikuthana ndi zovuta zomwe zimachitika ndikumwa mankhwala.
Chomera chilichonse chimakhala chosiyana ndi zina zonse, koma ndimtundu wanji womwe mungamwe ndi shuga? Ena mwa iwo amatha kukonza ma microcirculation m'matipi, ena amatha kukulitsa kamvekedwe kapamwamba kapena kukhala wogulitsa bwino kwambiri zinthu monga insulin.
Mndandanda wazikhalidwe zamasamba ochepetsa shuga:
Mayina azomera zamankhwala
Zokhudza thupi ndi matenda ashuga a 2
Malipiro
Mukamapangira kukonzekera kwazitsamba, mlingo, nthawi ya chithandizo ndi kapangidwe zimasankhidwa payekhapayekha. Ndikofunikira kuganizira thanzi la wodwala ndipo nthawi zonse (miyezi iwiri iliyonse) muzigwiritsa ntchito mankhwala atsopano.
- Kuti mukonzekere kusakaniza mtundu wachiwiri wa matenda ashuga, mudzafunika: udzu wa St. John wa wort ndi mahatchi olima m'munda, chiuno chamaluwa, maluwa a chamomile ndi mizu ya Manchurian aralia. Zida zowonongeka zimaphwanyidwa ndikuphatikizidwa mofanana. Mutha kukonzekera decoction popanga supuni ziwiri zamasamba ndi magalasi awiri amadzi otentha ndikuwotha pang'ono kwa mphindi 20. Kuti achepetse ntchitoyo, a thermos amathandizira, momwe osakaniza azitsamba amapangidwira ndikukalamba usiku. Imwani wofinya komanso wothira kulowetsedwa uyenera kukhala gawo limodzi mwa magawo atatu a magalasi 3-4 pa tsiku. Simuyenera kukonza mankhwalawa mtsogolo - ndikofunikira kugwiritsa ntchito chatsopano chokhacho, kukonzekera gawo lililonse mwatsopano.
- Zotsatira zake zakonzedwa kuchokera ku zipatso za Sophora ndi m'chiuno, rose, udzu wamahachi ndi thumba la abusa. Zosakaniza zimaphwanyidwa, kuphatikiza palimodzi ndikufanana bwino. Supuni ziwiri za zosakaniza za zitsamba zimathiridwa mu thermos ndipo 500 ml ya madzi otentha amathira. Mankhwalawa amawaza usiku wonse, kusefedwa ndi kumwa mu chitatu cha kapu katatu patsiku kwa mphindi 20-30 asanadye.
- Kutolera kwa zipatso zofanana phulusa lofiirira lofiirira, peppermint ndi udzu wa centaury, mizu ya dandelion, maluwa a clover ndi masamba a cuff zithandizira kukonza bwino pakati pa matenda ashuga a 2.Ndikofunikira kuthira supuni ziwiri za osakaniza wosweka mu thermos ndikuthira madzi otentha (500 ml). Kuumirira usiku, nkhawa ndi kumwa 70 ml theka la ola musanadye katatu patsiku.
- Zopeza zozikidwa pamasamba a dieelle, nettle, ndi blueberry zithandiza kuchepetsa shuga. Pazokonzekera, ndikofunikira kutenga zowuma pazosakaniza zingapo: 7 tbsp. maluwa a sandy dieelle, supuni 5 nettle, 4 tbsp masamba a mabulosi abulu, supuni zitatu zilizonse maluwa oterera ndi udzu wa wort wa St. John, supuni ziwiri chilichonse khungwa la mtengo wopindika Zosakaniza zimasakanizidwa ndikupanga mu thermos (supuni 4 za zopangira pa 1 lita imodzi ya madzi otentha). Kuchuluka kwa kulowetsako kumapangidwira masiku a 2,5 (theka lagalasi katatu patsiku).
- Kuti apange insulin ndi kapamba, pali gawo limodzi mwa zigawo zitatu, zomwe zimatha kukonzedwa kunyumba. Kuti muchite izi, kutsanulira 300 ml ya vodka 50 g wa masamba a mtedza ndikulowera m'malo amdima sabata 1. Anyezi wosankhidwa (50 g) amathiranso ndi 300 ml ya vodika ndipo wachikulire kwa masiku 5 mumdima. Tincture wachitatu wakonzedwa kuchokera ku zitsamba za cuff zofanana ndi njira yoyamba. Pamapeto omaliza, 150 ml ya anyezi tincture wosakanikirana ndi 60 ml ya mtedza ndi 40 ml ya tincture wa zitsamba cuff. Osakaniza ayenera kuledzera 1 tbsp. pamimba yopanda kanthu komanso asanagone.
Musanayambe chithandizo ndi mankhwala azitsamba, ndikofunikira kukaonana ndi dokotala. Mankhwala azitsamba amatha kuthandizanso kukhala wathanzi, ndipo zimatha kudzetsa mavuto azaumoyo, mwachitsanzo, ngati zosungirazo zili ndi udzu, womwe wodwalayo samadwala. Dokotala adzakuthandizani kusankha njira yabwino kwambiri yosakira komanso nthawi yayitali ya chithandizo.
Makanema ogwiritsira ntchito azitsamba a anthu odwala matenda ashuga:
Kupewa matenda a shuga ndi zovuta zake
Anthu omwe ali pachiwopsezo chotenga matendawa ayenera kuyang'anitsitsa kuchuluka kwa glycemia ndipo musaiwale njira zodzitetezera.
Zotsirizazi zikuphatikizapo izi:
- kukhala ndi thupi labwino
- zakudya zoyenera
- masewera olimbitsa thupi nthawi zonse
- kusiya zizolowezi zoipa.
Ngati matendawa adapangidwa kale, ndikofunikira kuti muchepetse zovuta. Kuti muchite izi, muyenera kuwunika shuga, magazi ndi kuthamanga kwa magazi, kumwa mankhwalawa kupewa matenda a mtima. Ndikofunikira kusamalira miyendo yanu mosamala, kupimidwa pafupipafupi ndi ophthalmologist ndikuwongolera moyo wathanzi. Ndipo kugwiritsa ntchito mankhwala apadera azitsamba ovomerezedwa ndi adotolo kudzasintha mkhalidwe wa wodwalayo nthawi iliyonse ya matenda ashuga.
Madontho a shuga
Matenda a shuga ndi matenda ovuta komanso owopsa, ofunika osati kungodziwitsa munthawi yake, komanso kuti ayambe kulandira chithandizo mwachangu. Mu shuga mellitus, chithandizo chovuta chimagwiritsidwa ntchito, chomwe chimaphatikizapo mankhwala a insulin, zakudya, masewera olimbitsa thupi, moyo wabwino komanso wathanzi. Madontho a matenda a shuga amayikidwa makamaka kuti athetse thanzi la wodwalayo, kuti akhale wathanzi.
Kodi ndimankhwala ati omwe amagwiritsidwa ntchito pa matenda ashuga?
Madontho amatha kuperekedwa kwa onse omwe ali ndi matenda ashuga, koma koposa zonse amafunikira anthu omwe ali ndi vuto la kuchepa kwa mahomoni amkati. Odwala otere amatha kuyamba kuchepa, thanzi lawo limatha kuwonongeka mwadzidzidzi, ndipo popanda thandizo la kuchipatala panthawi yake, izi zimawopseza oopsa komanso ngakhale kufa. Chifukwa chake, opita kutsika nthawi zambiri amapatsidwa matenda a shuga 1.
Madontho a matenda ashuga samangokhala bwino, komanso amagwiritsidwa ntchito popewa kukula kwa matenda amtima. Mankhwala opangidwa moyenerera amasintha mawonekedwe a lipid ndikulimbitsa mitsempha ya magazi.
Madontho a odwala matenda ashuga ndi othandiza pakugwiritsa ntchito zotsatirazi:
- shuga wamagazi ambiri
- kuthamanga kapena kuthamanga kwa magazi,
- milingo ya lipid yachoka pamwambo.
Ngati zizindikirozo ndizabwinobwino, ndiye kuti omwe akutsikira sanayikidwe.Zingakhale zopanda ntchito, koma zopweteka, zimatha kuvulaza thupi.
Mwa mankhwala akuluakulu omwe amathandizidwa kuti azikhala ndi matenda ashuga kuti azikhala bwino, zotsatirazi zingathe kusiyanitsidwa:
- Actovegin - imayendetsa kagayidwe kachakudya michere ya thupi,
- Mexicoidol - adapangidwira kupewa VVD, komanso kukweza magazi m'mitsempha,
- trental - amadziwika kuti achepetse magazi mamvekedwe ndikusintha ma cellcirculation.
Droppers chifukwa cha chikomokere
Komabe, nthawi zambiri, odwala matenda ashuga amapatsidwa otsika ndi chikomokere - ketoacidotic, hypersmolar, hypoglycemic. Kapangidwe ka otaya ndi kosiyana, kutengera mkhalidwe wa wodwala komanso kuchuluka kwa shuga m'magazi.
Ndi chikomokere cha matenda ashuga, omwe amatsitsa ndi insulin ndi saline amapangidwa. Kuphatikiza apo, mankhwala monga cocarboxylase, ascorbic acid, ndi mavitamini amayambitsidwa. Cholinga chachikulu ndikuchotsa wodwalayo chikomokere. Mankhwalawa atha kukhala osiyana, akhoza kukhala owonjezera, chifukwa mkhalidwe uliwonse ndi wofanana, ndipo dokotala wasankha kale kuti ndi mitundu iti ya mankhwalawa yolowera komanso munthawi iti.
Hypersmolar chikomokere - kuchuluka kwa glycemia. Apa, cholinga chachikulu ndikuchepetsa ntchito, dzazani thupi ndi madzi. Saline ndi sodium bicarbonate amaperekedwa kwa wodwala. Ndikofunikanso kuyambitsa zamadzimadzi m'thupi mpaka malita 6 patsiku. Kuphatikiza apo, panangin, cocarboxylase, ascorbic acid ndi mankhwala ena omwe angathandize kulimbana ndi zovuta zitha kuperekedwa.
Ndi chikomokere kwa hypoglycemic, otsikira okhala ndi shuga amapatsidwa. Muzovuta kwambiri, adrenaline, glucagon, ndi glucocorticosteroids ndi mankhwala. Kuphatikiza apo, njira yothetsera mafuta othandizira amafunikira.
Kodi ndizotheka kupanga obalaza kunyumba ndipo ndiwofunika?
Mankhwala othandizira kulowetsedwa ndiye ovuta kwambiri pamankhwala amakono, chifukwa ndizovuta kusankha mankhwala oyenera kwambiri. Kunyumba, ndizoletsedwa kupanga otsikira, chifukwa izi zimatha kubweretsa mawonekedwe.
Njira zolowetsera ziyenera kuchitika kokha kuchipatala ndikuyang'aniridwa ndi katswiri waluso. Dokotala amachita mayeso, amatenga mbiri yonse yachipatala, pokhapokha ngati mankhwala ena atalembedwa.
Popanda kugwiritsa ntchito mankhwala osokoneza bongo a shuga, nthawi zina zimakhala zovuta kupirira matendawa, makamaka pamene wodwala agwa. Ma infusions odziletsa amachepetsa kuopsa kwa zovuta, amathandizira kuchepetsa kupita patsogolo kwa matendawa, ndikuchepetsa chiopsezo cha zilonda zam'mimba.
Mulimonsemo, otsitsa amakhala ndi zifukwa zoyenera pokhapokha akauzidwa ndi dokotala. Musakhulupirire akatswiri osadalirika kapena mankhwala achikhalidwe, kumbukirani kuti matenda ashuga ndi matenda owopsa komanso osokoneza bongo. Mankhwala osankhidwa mosayenera angayambitse zovuta, imwani, ndipo ngati simupereka chithandizo chamankhwala chanthawi yake, ndiye kuti zotsatira zake zitha.
Zomwe Zimayambitsa Mavuto Azokakamiza
Hypertension ndi imodzi mwazinthu zomwe zimapanga matenda ashuga a 2. AH wodwala amakula pang'ono kale kuposa kuphwanya kagayidwe kazakudya ndipo makamaka matenda ashuga.
Zomwe zimayambitsa kwambiri matenda a pathology ndi:
- Isolated systolic hypertension (HIS) ndi matenda a anthu okalamba azaka zopitilira 60. Amachitika nthawi zambiri, pafupifupi 50% ya milandu, ndipo sangathe kulandira chithandizo chamankhwala.
- Matenda ofunikira (kapena oyambira) amapezeka mu 30-35% ya milandu. Pankhaniyi, chifukwa cha matenda ashuga agniopathy, pali kugonjetsedwa kwa makoma amitsempha yamagazi ndi shuga mellitus, zomwe zimakwiyitsa kulephera kwawo pakupitiliza kupanikizika pamlingo woyenera.
- Matenda a diabetes nephropathy ndi ochepa - pafupifupi 15% ya milandu.Chiwopsezo chake chagona kwambiri pakuwoneka ngati kulephera kwa impso kwa gawo lamafuta (lomaliza). Ngakhale pali ziwerengero zazing'ono, pakati pa odwala omwe adaya dial ndi ofunika impso, nthawi zambiri, odwala omwe ali ndi mtundu wachiwiri wa shuga amapezeka.
- Matenda enanso a endocrine. Izi zimaphatikizira ma pathologies osowa monga a Itsenko-Cushing's syndrome, hyperaldosteronism yoyamba, pheochromocytoma, etc.
Kuphwanya mtundu wa 2 matenda a shuga a metabolism nthawi zambiri (55-70% ya milandu) kumatsutsa kupezeka kwa matenda oopsa.
Odwala ambiri amalemera kwambiri komanso kusintha kwa kagayidwe ka lipid (mafuta), kamene kamathandizira kuti pakhale kulekerera kwa carbohydrate. Amadziwonetsera mu mawonekedwe a hyperglycemia ndikuyambitsa shuga m'thupi.
Mu 40% ya milandu, zolephera zotere mwa odwala zimasinthidwa kukhala mtundu wachiwiri wa matenda ashuga. Mawonekedwe amtunduwu amakhudzana ndi insulin kukokana ndi zotumphukira - insulin kukana.
Tiogamm: ndemanga za anthu odwala matenda ashuga ndi jakisoni ndi jakisoni
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Aliyense amadziwa kuti kuchiza kapena kusadwala kwa matenda ashuga kumatha kusokoneza dongosolo lamanjenje.
Njira ziwiri tsopano ndi zotchuka - Thiogamma ndi Thioctacid, zomwe ndizofunikira kuyerekezera kuyankha funso lomwe ndi mankhwala omwe amagwiritsidwa ntchito bwino pa matenda a shuga.
Popeza mankhwalawa ndi fanizo, chidwi chake chidzaperekedwa kwa mankhwalawa a Tiogamm, ndikuwonetsa bwino zomwe zikuwonetsa, contraindication, kusintha kosiyana, mitengo, kuwunika kwa makasitomala ndi kufanana.
Zotsatira za mankhwala
Thiogamma ndi chida chomwe chimathandizira kukhazikika pamachitidwe a metabolic. Dziko lomwe lidachokera mankhwalawa ndi Germany. Amapangidwa monga:
- mapiritsi
- kulowetsedwa njira (mu dontho),
- yang'anani pa kupanga njira yothetsera kulowetsedwa (jakisoni amapangidwa kuchokera ku ampoule).
Mapiritsiwo ali ndi chinthu chachikulu - thioctic acid, mu kulowetsedwa - mchere wa meglumine wa thioctic acid, komanso pakukhazikika kwa infusions - meglumine thioctate. Kuphatikiza apo, mtundu uliwonse wa mankhwalawo umakhala ndi zigawo zosiyanasiyana zothandizira.
Thioctic acid (dzina lachiwiri ndi alpha lipoic) ndi antioxidant wopangidwa mthupi. Imachepetsa shuga m'magazi ndikuwonjezera glycogen m'chiwindi, chomwe, chimapambana insulin. Kuphatikiza apo, thioctic acid imayang'anira kagayidwe ka lipids, chakudya ndi mafuta m'thupi. Amasintha ntchito ya chiwindi ndi trophic neurons, imathandizanso thupi la poyizoni. Ambiri, alpha lipoic acid ali ndi zotsatirazi:
- hepatoprotective
- kutsika kwa lipid,
- hypocholesterolemic,
- hypoglycemic.
Pochiza matenda a shuga, alpha-lipoic acid amakhala ndi magazi othamanga, amawonjezera kuchuluka kwa glutathione, chifukwa, pali kusintha kwa ntchito ya mitsempha ya mitsempha.
Thioctic acid imagwiritsidwa ntchito kwambiri podzikongoletsa: imakonza makwinya pankhope, imachepetsa khungu, imachiritsa zipsera, komanso kufinya kwa ziphuphu, ndikufinya pores.
Malangizo ogwiritsira ntchito mankhwalawa
Musanagwiritse ntchito mankhwalawa, muyenera kudziwa zomwe amagwiritsa ntchito. Zowonetsa kugwiritsa ntchito mankhwala a Tiogamm ndi:
- Matenda a diabetes a neuropathy ndikuphwanya dongosolo lamanjenje polimbana ndi kuthana ndi mitsempha yamagazi yaying'ono mwa odwala omwe ali ndi matenda a shuga.
- Polyneuropathy ndi zotupa zingapo zotsekera mitsempha.
- Matenda a chiwindi - hepatitis, cirrhosis, kuchepa kwamafuta.
- Zowonongeka zamitse mitsempha chifukwa chomwa mowa kwambiri.
- Kuzindikira kwa thupi (bowa, mchere wa zitsulo zolemera, etc.).
Kugwiritsa ntchito mankhwalawa kumatengera mtundu wake wamasulidwa. Mwachitsanzo, mapiritsi (600 mg) amatengedwa pakamwa, popanda kutafuna ndi kumwa ndi madzi, kamodzi patsiku. Njira ya mankhwalawa imatha kuyambira pa 1 mpaka miyezi iwiri, malingana ndi kuopsa kwa matendawa. Kubwereza mankhwalawa kumalimbikitsidwa katatu pachaka.
Kukhazikitsa kwa mankhwala a Thiogamm Turbo kumachitika mwaubwino ndi kulowetsedwa kwa kulowerera. Mbale yomwe ili ndi 600 mg ya yankho, mlingo wa tsiku ndi tsiku ndi 1 ampoule. Mankhwalawa amaperekedwa pang'onopang'ono mokwanira, pafupifupi mphindi 30, kupewa zoyipa zomwe zimakhudzana ndi kulowetsedwa mwachangu kwa yankho. Njira yochizira imatenga milungu iwiri mpaka inayi.
Kuyika kwambiri kwa kulowetsedwa kumakonzedwa motere: 1 ampoule (600 mg) ya kukonzekera kwa Tiogamma imasakanizidwa ndi 50-250 mg ya sodium chloride solution (0.9%). Kenako, osakaniza wokonzeka m'botoloyo amaphimbidwa ndi vuto lotetezera. Kenako, yankho limaperekedwa nthawi yomweyo kudzera m'mitsempha (pafupifupi mphindi 30). Nthawi yayikulu yosungirako yankho lokonzekera ndi maola 6.
Mankhwalawa amayenera kusungidwa m'malo amdima osapezeka kwa ana pamtunda wochepera 25C. Alumali moyo wa mankhwalawa ndi zaka 5.
Mlingo umaperekedwa. Dokotala wokhayo amene angakupatseni chithandizo ndi mankhwalawa, apangire njira yochizira matendawa ndikuwerengera kuchuluka kwa momwe wodwalayo alili.
Contraindication ndi zoyipa
Nthawi zina kugwiritsa ntchito mankhwala ndikosatheka. Izi ndichifukwa cha zovuta zingapo monga:
- kusalolera payekha pazinthu zomwe zimapezeka,
- ana ochepera zaka 18,
- nthawi ya bere ndi mkaka wawo,
- kuphwanya impso kapena chiwindi (makamaka jaundice),
- mtima ndi kupuma,
- hyperacid gastritis kapena chironda chachikulu,
- myocardial infaration
- uchidakwa wambiri,
- exicosis ndi kusowa kwamadzi,
- kusokonezeka kwa magazi muubongo,
- matenda a shuga osayendetsedwa ndi mankhwala (mawonekedwe ophatikizika),
- kukonzekera kwa lactic acidosis,
- glucose-galactose malabsorption.
Ngati simugwiritsa ntchito mankhwala osokoneza bongo kapena mankhwala osokoneza bongo osokoneza bongo ambiri, pamakhala zosokoneza zina zingapo mwachitsanzo:
- Pathologies omwe amayambitsidwa ndi kuphatikizika kwa magazi: zotupa za hemorrhagic, thrombocytopenia, thrombophlebitis.
- Kusokonezeka kwa mitsempha: kupweteka mutu komanso chizungulire, kutuluka thukuta, kukoka (kawirikawiri).
- Pathologies omwe amagwirizana ndi kagayidwe kachakudya njira: kuwonongeka kwamawonekedwe, nthawi zambiri kuwonetsedwa ngati diplopia.
- Matumbo a m'mimba thirakiti: kupweteka kwam'mimba, kutentha kwa mtima, nseru, kusanza, kugona, kutsegula m'mimba, kusintha kukoma.
- Zotsatira zoyipa: redness wakuda, urticaria kapena eczema m'malo momwe jekeseni adapangidwira, anaphylactic shock (nthawi zina).
- Ndi mankhwala omwe angayambitsidwe posachedwa: kuthamanga kwa magazi, kuphwanya magazi m'thupi.
Kuphatikiza apo, kuyambitsidwa kwa yankho kapena kugwiritsa ntchito mapiritsi mu Mlingo waukulu kungayambitse zotsatirazi:
- Psychotor
- kukomoka
- khunyu
- lactic acidosis,
- kugwedeza
- hypoglycemic coma,
- kupsinjika kwa m'mafupa
- kulephera kwamitundu yambiri
- kufalitsa intravascular coagulation syndrome.
Zotsatira zoyipa ziyenera kuthana ndi zomwe zikuwonetsa zizindikiro. Ngati mapiritsi adagwiritsidwa ntchito, ndikofunikira kuchotsa m'mimba. Chifukwa cha izi, ma enterosorbents (mwachitsanzo, kaboni yodziyambitsa) ndi zida zosanza zimagwiritsidwa ntchito. Ngati mankhwalawa adaperekedwa kwa kholo komanso kupweteketsa mutu, analgesics iyenera kugwiritsidwa ntchito. Wodwala akayamba kudwala matendawa, lactic acidosis mu matenda a shuga, ndiye kuti mankhwalawa ayenera kugwiritsidwa ntchito.
Chifukwa chake, musanagwiritse ntchito mankhwalawa, muyenera kufunsa dokotala ndikuwerenga malangizo mosamala.
Mitengo ndi kuwunika kwa mankhwala
Mtengo wa mankhwalawa umatengera mtundu wa kumasulidwa kwake.Chifukwa chake, mtengo wamapiritsi (zidutswa 30 za 600 mg) zimasiyana kuchokera ku 850 mpaka 960 rubles. Mtengo wa yankho la kulowetsedwa (botolo limodzi) ndikuchokera ku 195 mpaka 240 ma ruble, kutsata kwa kulowetsedwa kwamkati kuli pafupifupi ma ruble 230. Mutha kugula mankhwala pafupifupi mankhwala aliwonse.
Ndemanga za madotolo ndi odwala za mankhwala a Tiogamma ndi abwino. Mankhwalawa amatchuka kwambiri pochiza matenda ashuga komanso kupewa matenda a neuropathy. Madokotala ambiri amati simuyenera kuopa mndandanda waukulu wa zotsutsana ndi zoyipa. M'malo mwake, zovuta zoyipa zimachitika kawirikawiri - nthawi 1 pa milandu 10,000.
Potengera kuwunikira kwa ogwiritsa ntchito chida ichi, zabwino zotsatirazi zitha kusiyanitsidwa:
- kugwiritsa ntchito mapiritsi, kamodzi kokha patsiku,
- mfundo zamtengo wapatali,
- yochepa maphunziro.
Madokotala nthawi zambiri amapereka mankhwala a Tiogamm mu mawonekedwe a njira yothetsera kulowetsedwa pansi povomerezeka. Mankhwalawa ali ndi chithandizo chamankhwala mwachangu ndipo kwenikweni samayambitsa mavuto.
Thiogamm amadziwikanso ngati chida chokongoletsera. Odwala ambiri amati mankhwalawa amathandiziradi makwinya.
Koma nthawi zina, zinthu zosagwirizana monga redness ndi kuyamwa ndizotheka.
Mndandanda wazomwezi mankhwala
Ngati wodwala salola mankhwalawa kapena ali ndi zovuta, kugwiritsa ntchito mankhwalawa kuyenera kusiyidwa.
Dokotala atha kukulemberani mankhwala ena omwe ali ndi thioctic acid, mwachitsanzo:
- Thioctacid imagwiritsidwa ntchito makamaka pochiza matenda a neuropathy kapena polyneuropathy mu mawonekedwe osokoneza bongo a chidakwa ndi matenda a shuga. Mankhwalawa amasulidwa mwanjira ya mapiritsi ndikuzama. Mosiyana ndi Tiogamma, Thioctacid ali ndi zotsutsana zochepa, zomwe zimaphatikizapo nthawi yokhazikika, kuyamwitsa, ubwana komanso kusalolera payekha pazinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa. Mtengo wamankhwala mu mapiritsi ndi pafupifupi ma ruble a 1805, ma ampoules a kulowetsedwa kwamkati - 1530 rubles.
- Berlition imakhudza thupi la munthu, chifukwa imathandizira kagayidwe kazinthu, imathandizira kuyamwa mavitamini ndi michere, imathandizira kugaya chakudya ndi mafuta, komanso imapangitsa kugwira ntchito kwa mitsempha ya mitsempha. Mankhwala amamasulidwa mu mawonekedwe a ampoules ndi mapiritsi. Mtengo wapakati wa ma ampoules ndi ma ruble 570, mapiritsi - 765 rubles.
- Lipothioxone ndi njira yolimbikitsira kulowetsedwa yomwe imagwiritsidwa ntchito mu matenda ashuga ndi mowa. Sitha kugwiritsidwa ntchito kwa ana osaposa zaka 6, ndipo panthawi yomwe muli ndi pakati, kugwiritsa ntchito mankhwalawa kumaloledwa ngati chithandiziro chitha kupitilira chiwopsezo kwa mwana wosabadwayo. Mtengo wapakati wa mankhwalawa ndi 464 rubles.
- Oktolipen - mankhwala ogwiritsira ntchito kukana insulin, shuga wamagazi ambiri ndikuwonjezera glycogen m'chiwindi. Mankhwala amapezeka mu mawonekedwe a mapiritsi, makapisozi ndi magwiritsidwe ake a yankho. Mtengo wapakati wa mankhwalawa m'mapiritsi ndi 315 ma ruble, mapiritsi - 658 ma ruble, ma ampoules - 393 ma ruble. Oktolipen wa mtundu 2 wa matenda a shuga amatha kuphatikizidwa bwino ndi metformin ndi othandizira ena a hypoglycemic.
Kutengera ndi zotsutsana ndi kuthekera kwachuma, wodwalayo amapatsidwa mwayi wosankha njira yabwino kwambiri yomwe ingakhale yothandiza pochiritsa.
Ndipo, motero, Thiogamma ndi mankhwala othandiza pochiritsa matenda a shuga ndi matenda ena oopsa. Zake zogwira ntchito, thioctic acid, zimakhudza kagayidwe ka mafuta ndi chakudya, zimachepetsa kuchuluka kwa glucose m'magazi, zimawonjezera zomwe zili mu chiwindi komanso kumverera kwa zotumphukira kwa insulin. Mankhwalawa amapezeka m'njira zingapo.Mukamagwiritsa ntchito mankhwalawa, muyenera kutsatira malangizo a dokotala, chifukwa nthawi zambiri zimachitika zovuta kupewa. Kwenikweni, chida chikuyankhidwa, kotero chitha kugwiritsidwa ntchito mosazungulira kuti magwiridwe antchito amanjenje athe.
Phindu la lipoic acid a matenda a shuga afotokozedwa mu kanema munkhaniyi.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Imabwezeretsa kapangidwe ka insulin
Mtundu 2 wa shuga: chithandizo
Matenda a 2 a shuga amapezeka 90-95% ya onse odwala matenda ashuga. Chifukwa chake, matendawa ndi ochulukirapo kuposa mtundu 1 wa shuga. Pafupifupi 80% ya odwala omwe ali ndi matenda a shuga 2 amalemera mopitirira muyeso, ndiye kuti, matupi awo amapitilira muyeso wa 20%. Komanso, kunenepa kwawo nthawi zambiri kumadziwika ndi kufalikira kwa minofu ya adipose pamimba ndi thupi lapamwamba. Chithunzicho chimakhala ngati apulo. Izi zimatchedwa kunenepa kwam'mimba.
Cholinga chachikulu cha webusayiti ya Diabetes-Med.Com ndikupereka njira yeniyeni komanso yothandiza ya matenda ashuga a 2. Amadziwika kuti kusala kudya komanso kulimbitsa thupi kwa maola angapo patsiku kumathandizira kuti adwale. Ngati mwakonzeka kutsatira regimen yolemetsa, ndiye kuti simudzafunika kubaya insulin. Ngakhale zili choncho, odwala safuna kufa ndi njala kapena "kugwira ntchito molimbika" m'makalasi ophunzirira zolimbitsa thupi, ngakhale kupweteka kwambiri chifukwa cha kuphedwa ndi matenda ashuga. Timapereka njira zothandiza kuti muchepetse shuga m'magazi kuti akhale abwinobwino komanso kuti akhale otsika. Amakhala odekha polemekeza odwala, koma nthawi yomweyo amakhala othandiza kwambiri.
Maphikidwe a chakudya chamafuta ochepa a shuga 2 amapezeka pano.
Pansipa m'nkhaniyi mupezapo mtundu wothandiza wa matenda a shuga a 2:
- wopanda njala
- wopanda zakudya zopatsa mphamvu zochepa, zopweteka kwambiri kuposa kufa kwathunthu ndi njala,
- osagwira ntchito molimbika.
Phunzirani kwa ife momwe mungayendetsere matenda a shuga a 2, kutsutsana ndi zovuta zake komanso nthawi yomweyo kumva kukhala kwathunthu. Simuyenera kuchita kukhala ndi njala. Ngati mukufuna jakisoni wa insulin, ndiye kuti phunzirani kuchita mosapweteketsa, ndipo mankhwalawo amakhala ochepa. Njira zathu zimalolera mu 90% ya milandu kuti ichiritse bwino matenda a shuga a 2 komanso popanda jakisoni wa insulin.
Mwambi wodziwika bwino: "aliyense ali ndi matenda ake a shuga," kutanthauza kuti kwa wodwala aliyense, zimachitika mwa njira yake. Chifukwa chake, pulogalamu yothandizira odwala matenda a shuga imatha kukhala payokha. Komabe, njira zambiri zochizira matenda amtundu wa 2 wafotokozedwa pansipa. Ndikulimbikitsidwa kuti muzigwiritsa ntchito ngati maziko omangira pulogalamu yapayekha.
Nkhaniyi ndikupitiliza nkhani ya "Type 1 kapena Type 2 shuga: Koyambira." Chonde werengani nkhani yoyamba, apo ayi mwina china chake sichingakhale chomveka pano. Ma nuances amathandizira amathandizidwa pansipa, pomwe matenda a shuga a 2 amadziwika bwino. Muyenera kuphunzira momwe mungapewere matenda oyambawa. Kwa odwala ambiri, malingaliro athu ndi mwayi wokana jakisoni wa insulin. Mtundu wachiwiri wa matenda ashuga, zakudya, masewera olimbitsa thupi, kumwa mapiritsi ndi / kapena insulin zimayamba kutsimikizidwa kwa wodwalayo, poganizira kukula kwa matenda ake. Kenako imasinthidwa nthawi zonse, kutengera zotsatira zomwe zapezedwa kale.
Momwe mungachitire bwino matenda a shuga a 2
Choyamba, phunzirani gawo la "Komwe mungayambire chithandizo cha matenda ashuga" mu nkhani ya "Type 1 kapena 2abetes: komwe mungayambire". Tsatirani mndandanda wa zochita zomwe zalembedwa pamenepo.
Njira yothandiza yothandizira matenda a shuga a 2 imakhala ndi magawo anayi:
- Gawo 1: Zakudya Zochepa za Zakudya Zamthupi
- Gawo lachiwiri: Zakudya zochepa zama carbohydrate kuphatikiza zochitika zolimbitsa thupi molingana ndi njira yochitira masewera olimbitsa thupi mosangalatsa.
- Gawo 3. Zakudya zochepa zama carbohydrate kuphatikiza masewera olimbitsa thupi komanso matenda a shuga omwe amalimbikitsa kumva kukoka kwa minofu.
- Gawo 4. Zovuta, zosasamalidwa. Chakudya chopatsa mphamvu zama thupi ochepa komanso masewera olimbitsa thupi monga jakisoni wa insulin, limodzi ndi mapiritsi a shuga kapena opanda shuga.
Ngati zakudya zamagulu ochepa zimachepetsa shuga m'magazi, koma osakwanira, ndiye kuti, sizingatheke, ndiye kuti mbali yachiwiri ndi yolumikizidwa. Ngati chachiwiri sichilola kuti ngongole zonse za matenda ashuga zisinthidwe, ndiye kuti zimawonjezera magome atatu. Munthawi zovuta komanso zanyalanyaza, pamene wodwalayo ayamba kudwala kwambiri, amatenga gawo limodzi. Kuchuluka kwa insulini komwe kumafunikira kuti kubwezeretsenso shuga kwa magazi. Nthawi yomweyo, amapitiliza kudya zakudya zamafuta ochepa. Ngati munthu wodwala matenda ashuga akhazikika bwino pakudya ndi kuchita masewera olimbitsa thupi mosangalala, ndiye kuti nthawi zambiri mumafunikira insulini yaying'ono.
Chakudya chamafuta ochepa sichofunikira kwenikweni kwa odwala amtundu wa 2 omwe ali ndi matenda ashuga. Ngati mupitiliza kudya zakudya zomwe zimadzaza ndi chakudya, ndiye kuti palibe chomwe mungalote kuti muchepetse shuga. Choyambitsa matenda a shuga a 2 ndikuti thupi sililekerera zakudya zomwe mumadya. Zakudya zopatsa mphamvu zopatsa mphamvu zimachepetsa shuga m'magazi mwachangu komanso mwamphamvu. Komabe, kwa anthu ambiri odwala matenda ashuga, sikokwanira kungokhala ndi shuga wamagazi, monga mwa anthu athanzi. Pankhaniyi, tikulimbikitsidwa kuphatikiza chakudya ndi masewera olimbitsa thupi.
- Maphunziro akuthupi a matenda ashuga. Masewera olimbitsa thupi mosangalatsa
- Kuthamanga bwino, kusambira ndi zina zina zolimbitsa thupi
- Kulimbitsa thupi (kuphunzitsa zolimbitsa thupi) zamtundu 1 komanso matenda ashuga 2
- Momwe mungaphatikizire masewera olimbitsa thupi aerobic ndi anaerobic
- Kwa odwala matenda a shuga omwe ali ndi zovuta - zolimbitsa thupi ndi ma dumbbells opepuka
Ndi mtundu 2 wa matenda ashuga, ndikofunikira kuchita zochiritsira kuti muchepetse ziphuphu. Chifukwa cha izi, njira "yakuwotcha" m'maselo ake a beta imalepheretseka. Njira zonse zimapangidwira kusintha kwamtundu wa maselo kuti agwiritse ntchito insulin, i.e., kuchepetsa insulin. Matenda a shuga a Mtundu 2 amatha kuthandizidwa ndi jakisoni wa insulin pokhapokha ngati ali ovuta kwambiri, osapitirira 5-10% ya odwala. Izi zikufotokozedwa mwatsatanetsatane kumapeto kwa nkhaniyi.
Zoyenera kuchita:
- Werengani nkhani yakuti, “Insulin Resistance.” Ikufotokozanso momwe mungathane ndi vutoli.
- Onetsetsani kuti muli ndi mita ya glucose yolondola (momwe mungachitire izi), kenako kuyeza shuga la magazi anu kangapo tsiku lililonse.
- Yang'anirani kwambiri kuwongolera magazi anu mutatha kudya, komanso pamimba yopanda kanthu.
- Sinthani ku chakudya chochepa chamafuta. Idyani zakudya zovomerezeka zokha, pewani zakudya zoletsedwa.
- Chitani masewera olimbitsa thupi. Ndi bwino kuthamanga molingana ndi luso la kuthamanga kwambiri, makamaka kwa odwala omwe ali ndi matenda ashuga a 2. Kuchita masewera olimbitsa thupi ndikofunikira kwa inu.
- Ngati zakudya zamafuta ochepa osakanikirana ndi maphunziro akuthupi sizokwanira, ndiye kuti, mudakhalabe ndi shuga mutatha kudya, ndiye kuti muwonjezere mapiritsi a Siofor kapena Glucofage.
- Ngati zonse pamodzi - zakudya, masewera olimbitsa thupi ndi Siofor - sizithandiza kwenikweni, pokhapokha pokhapokha mutayenera kubaya insulini usiku komanso / kapena m'mawa pamimba yopanda kanthu. Pakadali pano, simungathe popanda dokotala. Chifukwa chiwembu cha insulin mankhwala ndi endocrinologist, osadziimira palokha.
- Mulimonsemo, kanizani zakudya zamafuta ochepa, ngakhale atanena dokotala, amene angakupatseni insulin. Werengani momwe mungapangire mankhwala othandizira odwala matenda a shuga. Ngati mukuwona kuti dokotala akukupatsani mankhwala a insulini “kuchokera padenga”, osayang'ana mbiri yanu ya kuchuluka kwa shuga, musagwiritse ntchito malingaliro ake, koma pitani ndi katswiri wina.
Kumbukirani kuti nthawi zambiri, insulin iyenera kuperekedwa kokha kwa odwala omwe ali ndi matenda amtundu wa 2 omwe ndi aulesi kwambiri kuti achite masewera olimbitsa thupi.
- Zakudya zochepa zopatsa mphamvu
- Zakudya zamafuta ochepa
- Jakisoni wa insulin
- Mapiritsi ochepetsa shuga
- Osapitilira 5.2-6.0 mmol / l
- Shuga wabwinobwino mukatha kudya - mpaka 11.0 mmol / L
- Ndikofunika kwambiri kuchepetsa shuga kusala kudya mukatha kudya
- Yang'anani mita kuti muone ngati ndi yolondola. Zitapezeka kuti mita yagona - iponyekeni ndikugula ina, yolondola
- Pitani kwa dokotala pafupipafupi, kukayezetsa
- Pezani Kulemala Kwa Insulin Yaulere ndi Ubwino Wina
- Mankhwalawa onse, ndipo muyenera kusiya kumwa
- Maninil, Glidiab, Diabefarm, Diabeteson, Amaril, Glurenorm, NovoNorm, Diagnlinid, Starlix
- Fotokozerani magulu a sulfonylureas ndi dongo (meglitinides)
- Yambitsani kapamba kuti apange insulin yambiri
- Izi zimaperekedwa ndi mapiritsi omwe amachepetsa shuga.
- Matendawa adasinthika kukhala matenda amtundu wa 1 shuga
- Thupi silitenga chakudya chifukwa cha zovuta za impso
- Zakudya zamafuta ochepa
- Zakudya zoyenera, monga anthu athanzi
- Zakudya zochepa zama calori, zakudya zamafuta ochepa
- Madzi apampopi abwino
- Khalidwe labwino
- Kunenepa kwambiri komwe kumakula kwa zaka zambiri
- Kudya zakudya zosapatsa thanzi zopatsa mphamvu zambiri
- Zonsezi pamwambapa kupatula madzi abwinowa
- Kuzindikira kwamphamvu kwa khungu ku insulin
- Zowonongeka za insulin chifukwa chosasungidwa mosayenera
- Kukakamizidwa kwa odwala matenda ashuga omwe ali ndi insulin yotsika mtengo
- Phunzirani kusangalala ndi maphunziro akuthupi
- Osamadya zakudya zamafuta - nyama, mazira, batala, khungu la nkhuku
- Sinthani ku chakudya chochepa chamafuta
- Zonsezi pamwambapa kupatula "osadya zakudya zamafuta"
- Khalani ndi polojekiti yakuthamanga kwa magazi kunyumba, kuyeza kuthamanga kwa magazi kamodzi pa sabata
- Miyezi isanu ndi umodzi iliyonse, mumayesedwa kwa cholesterol "chabwino" ndi "yoyipa", triglycerides
- Chitani kafukufuku wa magazi a C-rease protein, homocysteine, fibrinogen, serum ferritin
- Osamadya nyama yofiira, mazira, batala, kuti musakweze cholesterol
- Zonsezi pamwambapa kupatula "osadya nyama yofiira, mazira, batala"
- Werengani mapuloteni othandizira odwala matenda ashuga ovomerezedwa ndi Unduna wa Zaumoyo ndi magazini azachipatala
- Tsatirani mayesero azachipatala a mankhwala atsopano ochepetsa shuga
- Kugwiritsa ntchito zizindikiro za glucometer, pezani njira zotsika za shuga zomwe sizigwiritsa ntchito
- Mankhwala a Zitsamba Za Mitengo Amathandizidwa Kwambiri
Zomwe simuyenera kuchita
Osatengera zochokera ku sulfonylurea. Onani ngati mapiritsi a shuga omwe mudapatsidwa ndi ochokera ku sulfonylurea. Kuti muchite izi, werengani malangizo mosamala, gawo "Zogwira ntchito". Ngati zili kuti mukumwa sulfonylureas, ziwitsani.
Chifukwa chomwe mankhwalawa ndi ovuta akufotokozedwa apa. M'malo mozitenga, onetsani shuga m'magazi anu ndi chakudya chochepa chamafuta, zolimbitsa thupi, mapiritsi a Siofor kapena Glucofage, ndipo ngati ndi kotheka, insulini. Ma endocrinologists amakonda kupereka mapiritsi osakanikirana omwe amakhala ndi sulfonylureas + metformin. Sinthani kuchokera kwa iwo kukhala "pure" metformin, ndiye kuti, Siofor kapena Glucofage.
Zomwe simuyenera kuchita
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Kodi muyenera kuchita chiyani
Phunzirani mosamala nkhani ya “Momwe mungachepetse insulin. Zomwe zimathanso kudya komanso kudya pang'onopang'ono mafuta. ” Ngati mukuyenera kuwonjezera kuchuluka kwa insulin, ndiye kuti mukuchita zosayenera. Muyenera kuyimilira, kuganizira mozama ndikusintha china chake pazochita zanu zamankhwala.
Maphunziro akuthupi komanso mapiritsi ochepetsa shuga
Lingaliro lalikulu ndikusankha masewera olimbitsa thupi omwe amakusangalatsani. Mukachita izi, ndiye kuti muzichita masewera olimbitsa thupi pafupipafupi kuti musangalale. Ndipo kusintha shuga m'magazi ndi kukonza thanzi ndi "mavuto." Njira yotsika mtengo yokwanira yophunzirira zolimbitsa thupi ndi chisangalalo ndi thanzi labwino malinga ndi momwe buku la “Chi-run. Njira yosinthira - - mwachimwemwe, popanda kuvulala ndi kuzunzidwa. " Ndimalimbikitsa.
Pochiza matenda a shuga a 2, pali zozizwitsa ziwiri:
- Zakudya zamafuta ochepa
- Kuthamangira mokomera monga momwe buku la Chi-j-jogging limachitikira.
Tikukambirana za zakudya zotsika pang'ono zamagulu owonjezera mwatsatanetsatane apa. Pali zolemba zambiri pamutuwu patsamba lathu chifukwa ndi njira yayikulu yothanirana ndi matenda ashuga amtundu wa 2. Pankhani yothamanga, chozizwitsa ndikuti mutha kuthamanga kuti musazunzidwe, koma musangalale. Mukungoyenera kuphunzira momwe mungayendetsere bwino, ndipo bukuli lithandiza kwambiri. Pathamanga, "mahomoni achisangalalo" amapangidwa m'thupi, omwe amakhala ngati mankhwala osokoneza bongo. Kuthamangitsana malinga ndi njira ya Chi-jogu ndi koyenera ngakhale kwa anthu omwe ali ndi mavuto. Ndikofunika kusintha kuthamanga ndi masewera olimbitsa thupi pa masewera olimbitsa thupi. Ngati simukufuna kuthamanga, koma kusambira, tennis kapena cycling, ndipo mutha kulipirira - ku thanzi lanu. Kungokhala kuchitidwa pafupipafupi.
Ngati mwayesa kudya zakudya zamagulu ochepa monga momwe mwapangira ndikukhulupirira kuti zimathandizanso, yesaninso "Chi-run". Phatikizani zakudya zamagulu owonjezera komanso masewera olimbitsa thupi. Izi ndizokwanira kuti 90% ya odwala omwe ali ndi matenda ashuga a 2 achite popanda insulin ndi mapiritsi. Mutha kusungitsa kuchuluka kwa shuga m'magazi anu mwabwinobwino. Izi zikutanthawuza shuga mutatha kudya osaposa 5.3-6.0 mmol / L ndi hemoglobin wa glycated osapitirira 5.5%. Izi sizongopeka, koma cholinga chenicheni chomwe chitha kukwaniritsidwa m'miyezi yochepa.
Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha maselo a thupi kupita ku insulin. Izi ndizofunikira kwambiri kwa odwala omwe ali ndi matenda a shuga a 2. Mapiritsi a Siofor kapena Glucofage (the yogwira mankhwala metformin) amagwiranso ntchito zimodzimodzi, koma nthawi zambiri amakhala ofooka. Mapiritsi awa nthawi zambiri amayenera kulembedwa kwa odwala matenda ashuga, omwe ndi aulesi kwambiri kuchita masewera olimbitsa thupi, ngakhale atakhala okopa bwanji. Timagwiritsanso ntchito metformin ngati njira yachitatu ngati chakudya chochepa chamafuta komanso kuchita masewera olimbitsa thupi sikokwanira. Uku ndikuyesa kwaposachedwa kwa mitundu yayikulu yodwala matenda a shuga 2 kuti mupereke insulin.
Pakufunika ma insulin
Matenda a 2 a shuga mu 90% ya milandu amatha kuwongoleredwa kwathunthu popanda jakisoni wa insulin. Zida ndi njira zomwe tatchulazi ndi zothandiza kwambiri. Komabe, ngati wodwala matenda ashuga "adayamba kukumbukira", ndiye kuti kapamba wake wavutika kale, ndipo insulin yakeyo sikupangidwa mokwanira. M'mikhalidwe yonyalanyazidwa, ngati simupaka insulin, shuga ya magazi imakwezedwa, ndipo zovuta za matenda ashuga zikungofika pakona.
Pochiza matenda a shuga a mtundu wachiwiri ndi insulin, pali mfundo zofunika zotsatirazi. Choyamba, insulin nthawi zambiri imayenera kukhala kutiikirira odwala omwe ali aulesi. Monga lamulo, chisankho ndi: insulin kapena maphunziro akuthupi. Apanso ndikukulimbikitsani kuti mupitenso kokasangalala. Kulimbitsa thupi mu masewera olimbitsa thupi kumathandizanso chifukwa kumawonjezera chidwi cha maselo kuti apange insulin. Ndi kuthekera kwakukulu, chifukwa cha maphunziro akuthupi, insulin ingathetsedwe. Ngati sizotheka kusiya jakisoni kwathunthu, ndiye kuti mlingo wa insulin udzachepa.
Kachiwiri, ngati munayamba kuchiza matenda amtundu wa 2 matenda a shuga ndi insulin, sizitanthauza kuti tsopano mutha kusiya kudya. M'malo mwake, gwiritsitsani chakudya chamafuta ochepa kuti mudutse ndi ma insulin ochepa. Ngati mukufuna kuchepetsa Mlingo wa insulin pano - Chitani masewera olimbitsa thupi ndikuyesera kuonda. Kuti muchepetse kunenepa kwambiri, mungafunikire kuchepetsa kuchuluka kwa mapuloteni pazakudya zamagulu ochepa. Werengani zida zathu za momwe mungamwere jakisoni wa insulin mopweteka komanso momwe mungachepetsere shuga.
Chachitatu, odwala matenda a shuga a mtundu wachiwiri amalepheretsa kuyamba kwa mankhwala a insulin mpaka omaliza, ndipo izi ndizopusa kwambiri. Wodwala ngati mwadzidzidzi komanso atamwalira msanga chifukwa cha vuto la mtima, titha kunena kuti anali ndi mwayi. Chifukwa pali zosankha zoyipa:
- Mimbulu ndikuduladula miyendo,
- Khungu
- Imfa yolimbitsa mtima chifukwa cholephera aimpso.
Izi ndi zovuta za matenda ashuga zomwe mdani woipa kwambiri sangafune. Chifukwa chake, insulin ndi chida chabwino chomwe chimapulumutsa kuchokera kwa omwe mumadziwana nawo kwambiri. Ngati zikuwoneka kuti insulini singagawidwe, ndiye kuti yambani kubayitsa mwachangu, osataya nthawi.
- Chithandizo cha matenda a shuga ndi insulin: yambani apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
- Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
- Ma insulin, ma syringe zolembera ndi singano kwa iwo. Ndi ma syringe omwe ndi bwino kugwiritsa ntchito.
- Lantus ndi Levemir - omwe akukhala insulin. Sinthani shuga m'mawa pamimba yopanda kanthu
- Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
- Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
- Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog
- Pampu ya Insulin: Zabwino ndi Zabwino. Chithandizo cha insulin
Pakachitika khungu kapena kudula dzanja, munthu wodwala matenda ashuga nthawi zambiri amakhala ndi zaka zingapo zolemala. Munthawi imeneyi, amakwanitsa kuganizira mofatsa za momwe adalili panthawi yomwe sanayambire kubaya insulin panthawi yake ... Kuthira mtundu wa matenda a shuga a mtundu wachiwiri si "o, insulin, zodabwitsa bwanji", koma "phula, insulini!".
Lembani zolinga ziwiri za matenda ashuga
Tiyeni tiwone zochitika zingapo kuti tiwonetse momwe tingakwaniritsire chithandizo chenicheni.Chonde werengani nkhani yoti “Zolinga Zakuchiritsira Matenda a shuga”. Muli zofunikira. Malingaliro am'tsogolo pakukhazikitsira zolinga za matenda a shuga a 2 akufotokozedwa pansipa.
Tiyerekeze kuti tili ndi wodwala matenda a shuga a 2 omwe amakwanitsa kuthana ndi shuga ndimagawo ochepa a calcium komanso kuchita masewera olimbitsa thupi mosangalala. Amatha kuchita popanda matenda a shuga komanso mapiritsi a insulin. Wodwala matenda ashuga ayenera kuyesetsa kukhalabe ndi shuga m'magazi a 4.6 mmol / L ± 0,6 mmol / L isanachitike, pakudya kapena pambuyo pake. Adzatha kukwaniritsa izi pokonzekera pasadakhale chakudya. Ayenera kudya zakudya zamankhwala ochepa osapatsa mphamvu kufikira atazindikira kukula kwake. Muyenera kuphunzira momwe mungapangire menyu wazakudya zamafuta ochepa. Kutumiza kumayenera kukhala kokulirapo kuti munthu adzuke patebulo podzaza, koma osamwa mopitirira muyeso, ndipo nthawi yomweyo shuga wamagazi amasandulika kukhala wabwinobwino.
Zolinga zomwe muyenera kuyesetsa kuchita:
- Shuga pambuyo pa 1 ndi 2 maola chakudya chilichonse - osapitirira 5.2-5,5 mmol / l
- Mafuta a m'mawa m'mimba yopanda kanthu osaposa 5.2-5,5 mmol / l
- Glycated hemoglobin HbA1C - pansipa 5.5%. Zoyenera - pansipa 5.0% (anthu otsika kwambiri).
- Zowonetsera cholesterol "yoyipa" ndi triglycerides m'magazi ndizomwe zili bwinobwino. Cholesterol "Chabwino" chimatha kukhala chokwera kuposa chizolowezi.
- Kupsinjika kwa magazi nthawi zonse osapitirira 130/85 mm RT. Art., Palibe mavuto oopsa (mungafunikenso kutenga zakudya zowonjezera matenda oopsa).
- Atherosermosis sikuti imayamba. Mkhalidwe wamitsempha yamagazi suwonjezereka, kuphatikiza m'miyendo.
- Zizindikiro zabwino zoyeserera magazi ku chiwopsezo cha mtima (C-reactive protein, fibrinogen, homocysteine, ferritin). Awa ndi mayeso ofunikira kwambiri kuposa cholesterol!
- Kutaya kwamaso kumayima.
- Kukumbukira sikuwonongeka, koma kumakhala bwino. Zochita zam'kati nazonso.
- Zizindikiro zonse za matenda ashuga a m'mimba zimatha kwathunthu patangopita miyezi yochepa. Kuphatikiza phazi la matenda ashuga. Neuropathy ndikusinthika kwathunthu.
Tiyerekeze kuti adayesa kudya zakudya zamafuta ochepa, ndipo monga chotulukapo chake, amakhala ndi shuga wamagazi atatha kudya ndi 5.4 - 5.9 mmol / L. The endocrinologist anganene kuti izi ndizabwino. Koma tinena kuti izi ndizopamwamba kuposa zikhalidwe. Kafukufuku wa 1999 adawonetsa kuti zoterezi zimapangitsa kuti chiwopsezo cha matenda a mtima chiwonjezeke ndi 40%, poyerekeza ndi anthu omwe shuga ya m'magazi itatha kudya sapitirira 5.2 mmol / L. Tikulimbikitsa wodwala wotere kuti azichita masewera olimbitsa thupi mosangalala kuti achepetse magazi ake ndi kuwafikitsa pamlingo wa anthu athanzi. Kugwira ntchito bwino kumakhala kothandiza kwambiri, ndipo kumathandizanso kudabwitsa shuga.
Ngati simungathe kukopa wodwala yemwe ali ndi matenda a shuga a 2 kuti achite masewera olimbitsa thupi, ndiye kuti apatsidwa mapiritsi a Siofor (metformin) kuphatikiza pa chakudya chamagulu ochepa. Mankhwala Glucophage ndi Siofor yemweyo, koma wopitilira. Ndiwosavuta kuyambitsa zovuta - kutulutsa ndi kutsekula m'mimba. Dr. Bernstein amakhulupiriranso kuti Glucofage amachepetsa shuga nthawi yayitali 1.5 kuposa Siofor, ndipo izi zimapangitsa kuti mtengo wake ukhale wokwera.
Zaka zambiri za matenda ashuga: mlandu wovuta
Lingalirani za zovuta zina za matenda ashuga a mtundu wachiŵiri. Wodwalayo, wodwala matenda ashuga kwa nthawi yayitali, amatsatira kadyedwe kochepa kam'mimba, amatenga metformin, komanso amaphunzira masewera olimbitsa thupi. Koma shuga wake wamagazi atatha kudya amakhalabe wokwera. Zikatero, kuti muchepetse shuga m'magazi kuti akhale abwinobwino, muyenera kudziwa kaye pambuyo pa chakudya chomwe shuga wa magazi amakwera kwambiri. Pazomwezi, kuwongolera kwathunthu kwa shuga kumachitika sabata ziwiri zilizonse. Ndipo yeserani nthawi yomwe mumamwa mapiritsi, komanso yesani kusintha Siofor ndi Glucofage. Werengani apa momwe mungayang'anire shuga m'mawa pamimba yopanda kanthu ndikatha kudya.Mutha kuchita zomwezo ngati shuga wanu sakonda kudzuka m'mawa, koma nkhomaliro kapena madzulo. Ndipo pokhapokha ngati zonsezi zithandizira, ndiye kuti muyenera kuyamba kubayirira insulin 1 kapena 2 kawiri pa tsiku.
Tiyerekeze kuti wodwala yemwe ali ndi matenda a shuga a 2 amafunikirabe mankhwala a "insulin" omwe amakhala nthawi yayitali usiku komanso / kapena m'mawa. Ngati atsatira zakudya zamagulu ochepa, ndiye kuti adzafunika insulin yaying'ono. Pancreas imapitilizabe kupanga yake insulin, ngakhale siyokwanira. Koma ngati shuga m'magazi achuluka kwambiri, ndiye kuti zikondazo zimazimitsa kupanga insulin. Izi zikutanthauza kuti chiopsezo cha hypoglycemia chochepa, ndipo mutha kuyesa kutsitsa shuga wamagazi mpaka 4,6 mmol / L ± 0,6 mmol / L.
Nthawi zina zikuluzikulu zikakhala kuti “zatha”, odwala omwe ali ndi matenda a shuga a 2 samangofunikira jakisoni wa insulin "yomwe imakhalitsa", komanso jekeseni wa insulin "yayifupi" musanadye. Odwala oterowo ali ndi vuto lofanana ndi matenda a shuga 1. Njira yakuchizira matenda a shuga a 2 omwe ali ndi insulini amangoyikidwa ndi endocrinologist, musachite nokha. Ngakhale kuwerenga nkhani yoti "Njira za insulin."
Zomwe zimayambitsa matenda a shuga a insulin - palokha
Akatswiri amavomereza kuti chomwe chimayambitsa matenda a shuga 2 ndicho makamaka kukana kwa insulini - kuchepa kwa chidwi cha maselo kuti apange insulin. Kuwonongeka ndi kapamba wa kutulutsa mphamvu ya insulin kumachitika pokhapokha matendawa atadwala. Kumayambiriro kwa matenda a shuga a 2, kuchuluka kwa insulin kumazungulira m'magazi. Koma amachepetsa shuga m'magazi, chifukwa ma cell sazindikira kwambiri zomwe amachita. Kunenepa kwambiri akuti kumapangitsa insulin kukana. Ndipo mosinthanitsa - kulimba kwambiri kukana insulini, kuchuluka kwa insulini kumazungulira m'magazi ndipo minofu yamafuta imasonkhana mwachangu.
Kunenepa kwambiri pamimba ndi mtundu wapadera wa kunenepa kwambiri komwe mafuta amadziunjikira pamimba, m'thupi lam'mwambamwamba. Mwa munthu yemwe wakula kwambiri m'mimba, chiuno chake chimakhala chokulirapo kuposa m'chiuno mwake. Mzimayi yemwe ali ndi vuto lomwelo amakhala ndi chiuno cha 80% kapena kupitirira m'chiuno mwake. Kunenepa kwambiri pamimba kumayambitsa kukana kwa insulin, ndipo amalimbikitsana. Ngati kapamba sangathe kupanga insulin yokwanira kuti iwaniritse kufunika kwake, matenda a shuga a 2 amachitika. Ndi matenda 2 a shuga, insulin mthupi sikokwanira, koma m'malo mwake nthawi 2-3 kuposera apo. Vuto ndilakuti maselo samalabadira bwino. Kulimbikitsa kapamba kuti apange insulin yochulukirapo ndiye kuchiritsa kwakufa.
Ochuluka a anthu potengera kuchuluka kwa chakudya masiku ano komanso moyo wongokhala amakhala pang'onopang'ono chifukwa cha kunenepa kwambiri komanso kukana insulini. Mafuta akamaunjikana m'thupi, katundu pancreas amapitilira. Mapeto ake, maselo a beta sangathe kuthana ndi kupanga insulin yokwanira. Magazi a shuga m'magazi sakhala abwinobwino. Izi zimathandizanso kuti ma cell a beta azitsamba, aphedwe kwambiri. Umu ndi momwe mtundu wachiwiri wa shuga umakhalira.
Kusiyana pakati pa matendawa ndi matenda amtundu 1 shuga
Chithandizo cha matenda a shuga amtundu 1 ndi chofanana m'njira zambiri, koma zilinso ndi kusiyana kwakukulu. Kuzindikira kusiyana kumeneku ndikofunikira kuti muwongolere bwino shuga yanu yamagazi. Matenda a 2 a shuga amakula pang'onopang'ono komanso modekha kuposa matenda amtundu 1. Mafuta a shuga a mtundu 2 a shuga sakonda kukwera mpaka ku cosmic. Komabe, popanda kulandira chithandizo mosamala, amakhalabe okwera, ndipo izi zimayambitsa kukula kwa zovuta za shuga zomwe zimayambitsa kulumala kapena kufa.
Kuchuluka kwa shuga m'magulu 2 a shuga kumayambitsa mitsempha yodutsa, kumawononga mitsempha yamtima, mtima, maso, impso ndi ziwalo zina.Popeza njirazi nthawi zambiri sizimayambitsa ziwonetsero, mtundu wa shuga wachiwiri umatchedwa "wakuphayo". Zizindikiro zoyipa zimatha kuchitika ngakhale zotupa zitasinthika - mwachitsanzo, kulephera kwa impso. Chifukwa chake, ndikofunikira kuti musakhale aulesi kutsatira njira zamankhwala ndikuthandizira, ngakhale ngati palibe chomwe chimapweteketsa. Ikadwala, imachedwa kwambiri.
Poyambirira, matenda a shuga a 2 ndi matenda oopsa kuposa matenda ashuga 1. Pafupifupi wodwalayo alibe choopseza "kusungunuka" kukhala shuga ndi madzi ndikufa movutikira milungu ingapo. Popeza palibe zizindikiro zoyipa poyamba, matendawa amatha kuperewera, pang'ono ndi pang'ono kuwononga thupi. Matenda a 2 a shuga ndiwo amachititsa kwambiri kulephera kwa impso, kudula miyendo, komanso khungu lonse padziko lonse. Zimathandizira kukulitsa matenda a mtima ndi stroko mwa odwala matenda ashuga. Mankhwalawa nthawi zambiri amakhala limodzi ndi matenda obwera ndi ukazi mwa amayi ndi kusabala kwa amuna, ngakhale izi ndizopusira poyerekeza ndi vuto la mtima kapena stroko.
Kutsutsana ndi insulin kuli m'mitundu yathu
Tonse ndife mbadwa za iwo omwe anapulumuka nthawi yayitali yanjala. Maselo omwe amawonetsa kunenepa kwambiri komanso kukana insulini ndi othandiza kwambiri ngati akusowa chakudya. Muyenera kulipira pa izi ndikukhala ndi chizolowezi chowonjezereka cha matenda ashuga 2 munthawi yabwino yomwe anthu akukhala nayo tsopano. Chakudya chamafuta ochepa nthawi zingapo amachepetsa chiopsezo cha matenda ashuga a 2, ndipo ngati ayamba kale, amachepetsa kukula kwake. Pofuna kupewa komanso kuchiza matenda a shuga a 2, ndibwino kuphatikiza chakudya ichi ndi maphunziro akuthupi.
Kukana kwa insulin kumachitika chifukwa cha majini, mwachitsanzo, chibadwidwe, koma osati iwo okha. Kuzindikira kwam'maselo kwa insulin kumachepa ngati mafuta ochulukirapo mwa mawonekedwe a triglycerides azungulira m'magazi. Wamphamvu, ngakhale osakhalitsa, kukana insulini mu labotale nyama kumachitika chifukwa cha kubayira kwa jekeseni wa triglycerides. Kunenepa kwambiri pamimba ndi komwe kumayambitsa kutupa kosatha - njira ina yolimbikitsira kukana kwa insulin. Matenda opatsirana omwe amayambitsa njira zotupa amatengera momwemo.
Limagwirira a chitukuko cha matenda
Kutsutsa kwa insulin kumawonjezera kufunikira kwa insulin. Masewera okwanira a insulin m'magazi amatchedwa hyperinsulinemia. Zimafunika "kukankha" glucose m'maselo m'magulu a insulin. Kupereka hyperinsulinemia, kapamba amagwira ntchito ndi kupsinjika kwakukulu. Insulin yambiri m'magazi imakhala ndi zotsatirazi:
- kumawonjezera kuthamanga kwa magazi
- imawononga mitsempha yam'mimba kuchokera mkati,
- kumawonjezera kukana insulin.
Hyperinsulinemia ndi insulin kukana amapanga bwalo loipa, kulimbikitsana. Zizindikiro zonse zomwe zatchulidwa pamwambapa zimatchedwa metabolic syndrome. Zimatenga zaka zingapo, mpaka ma cell a beta a kapamba "atha" chifukwa cha kuchuluka kwambiri. Pambuyo pake, shuga wowonjezera wamagazi amawonjezeredwa pazizindikiro za metabolic syndrome. Ndipo mwatha - mutha kuzindikira matenda ashuga amtundu wa 2. Zachidziwikire, ndibwino kusabweretsa chitukuko cha matenda ashuga, koma kuyamba kupewa momwe angathere, ngakhale pagawo la metabolic. Njira zabwino kwambiri zopewera izi ndi chakudya chamafuta ochepa, komanso maphunziro akuthupi osangalatsa.
Matenda a shuga a 2 amakula - mwachidule. Ma genetic amayambitsa + njira zotupa + triglycerides m'magazi - zonsezi zimayambitsa kukana kwa insulin. Nayo, imayambitsa hyperinsulinemia - kuchuluka kwa insulin m'magazi. Izi zimapangitsa kuwonjezera kuchuluka kwa minofu ya adipose pamimba ndi m'chiuno. Kunenepa kwambiri kwam'mimba kumawonjezera triglycerides m'magazi ndipo kumathandizira kutupa kosatha. Zonsezi zimachepetsa chidwi cha maselo ku insulin.Mapeto ake, maselo a pancreatic beta amasiya kuthana ndi kuchuluka kowonjezereka ndikufa. Mwamwayi, kusiya njira zoyipa zomwe zimayambitsa matenda a shuga a 2 sikovuta. Izi zitha kuchitika ndi chakudya chamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.
Chinthu chosangalatsa kwambiri chomwe tapulumutsa pamapeto. Zimapezeka kuti mafuta osasangalatsa omwe amayenderera m'magazi mu mawonekedwe a triglycerides si mtundu wamafuta omwe mumadya konse. Kuchuluka kwa triglycerides m'magazi sikuchitika chifukwa cha kudya mafuta azakudya, koma chifukwa chodya zakudya zamagulu komanso kuchuluka kwa minofu ya adipose mwanjira yokhudza kunenepa kwambiri pamimba. Kuti mumve zambiri, onani nkhani yakuti "Mapuloteni, Mafuta, ndi Zosakhazikika Zomwe Zili m'gulu la Zakudya za Matenda a shuga." M'maselo a adipose minofu, osati mafuta omwe timadya amadzisonkhanitsa, koma omwe thupi limatulutsa kuchokera kumankhwala azakudya mothandizidwa ndi insulin. Zakudya zachilengedwe zachilengedwe, kuphatikiza mafuta azinyama, ndizofunikira komanso zathanzi.
Type 2 matenda a insulin
Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe apezeka posachedwa, monga lamulo, akupitiliza kupanga awo a insulin ambiri. Kuphatikiza apo, ambiri a iwo amapanga insulin yochulukirapo kuposa anthu oonda opanda shuga! Kungoti thupi la odwala matenda ashuga salinso ndi insulin yokwanira chifukwa cha kukana kwambiri insulin. Chithandizo chofala kwa matenda amishuga amtundu 2 pamenepa ndikuwonjezera kapamba kuti apangitse insulini kwambiri. M'malo mwake, ndibwino kuchitapo kanthu kuti muwonjezere chidwi cha maselo kuti muchite insulin, i.e., kuti muthandizire kukana kwa insulin (momwe mungachitire).
Ngati atachira moyenera komanso moyenera, ndiye kuti odwala ambiri omwe ali ndi matenda a shuga a 2 adzabwezeretsa shuga awo mwachizolowezi popanda jakisoni wa insulin. Koma ngati singasiyidwe kapena kuthandizidwa ndi njira “zachikhalidwe” za abambo operekera zakudya m'thupi (zakudya zam'matumbo ambiri, mapiritsi a sulfonylurea), posachedwa maselo a pancreatic beta "adzathedwa" kwathunthu. Ndipo kenako jakisoni wa insulini adzakhala wofunikira kwambiri kuti wodwalayo apulumuke. Chifukwa chake, lembani matenda ashuga amtundu wa 2 amasintha bwino kukhala mtundu woyamba wa shuga. Werengani pansipa momwe mungadzichiritsire moyenera kuti mupewe izi.
Mayankho a Odwala Amafunsa Kawirikawiri
Chithandizo chachikulu cha matenda a shuga a 2 ndichakudya chamafuta ochepa. Ngati simutsatira, koma kudya zakudya zabwino zomwe zadzaza ndi mafuta owopsa, ndiye kuti palibe nzeru. Palibe mapiritsi kapena akutsikira, zitsamba, chiwembu, etc. zingathandize. Malingaliro anga, amabweretsa zabwino zenizeni. Koma amatha kusintha ndi mavitamini B-50 m'mapiritsi. Berlition ndi dontho la alpha lipoic acid. Amatha kuyesedwa ndi matenda a shuga, kuphatikiza pa chakudya chamagulu ochepa, koma osakhala m'malo mwawo. Werengani nkhani ya alpha lipoic acid. Actovegin ndi Montidol wogwira - sindikudziwa.
Diaglazide ndi mtundu wa sulfonylurea. Awa ndimapiritsi oyipa omwe amatha (atatha, "awotcha") kapamba wanu. Zotsatira zake, matenda anu amtundu wa 2 asintha kwambiri matenda ashuga 1. Kwa endocrinologist yemwe adalemba mapiritsi awa, titi moni, chingwe ndi sopo. Muzochitika zanu, simungathe kuchita popanda insulini mwanjira iliyonse. Yambani kuzibaya mwachangu mpaka mavuto atasintha. Phunzirani ndikutsatira pulogalamu yothana ndi matenda a shuga 1. Letsaninso diformin. Tsoka ilo, mwapeza tsamba lathu litachedwa kwambiri, ndiye kuti mutha kubaya insulin mpaka kumapeto kwa moyo wanu. Ndipo ngati ndinu aulesi kwambiri, ndiye kuti patapita zaka zochepa mudzakhala olumala chifukwa cha zovuta za matenda ashuga.
Dokotala wanu akunena zoona - ichi ndi prediabetes. Komabe, zoterezi, kufalitsa mapiritsi ndizotheka komanso kosavuta. Pitani pa zakudya zamafuta ochepa pomwe mukuyesetsa kuti muchepetse kunenepa. Koma musakhale ndi njala.Werengani nkhani za metabolic syndrome, kukana insulini komanso momwe mungachepetse kunenepa. Moyenera, inu, komanso zakudya, mumachitanso masewera olimbitsa thupi mosangalala.
Zomwe mukufotokozera sizinenso kapena zabwinobwino, koma sizabwino. Chifukwa m'maminiti ndi maora pomwe shuga amayamba kukwera, zovuta za matenda ashuga zimayamba kukhazikika. Ziphuphu zimagwira kumapuloteni ndikusokoneza ntchito yawo. Ngati pansi amathiridwa ndi shuga, imakhala yolimba ndipo zimavuta kuyiyenda. Momwemonso, glucose wophika mapuloteni "amamatira". Ngakhale mutakhala kuti mulibe matenda ashuga, kulephera kwa impso kapena khungu, chiopsezo chodwala mwadzidzidzi mtima kapena matenda opha ziwalo adakali okwera kwambiri. Ngati mukufuna kukhala ndi moyo, ndiye kuti tsatirani pulogalamu yathu mosamalitsa matenda a shuga a 2, musakhale aulesi.
Simunalembe chinthu chachikulu. Shuga osapitirira 6.0 - pamimba yopanda kanthu kapena mutatha kudya? Kuthamanga shuga ndi zamkhutu. M shuga wokha mukatha kudya ndi wofunikira. Ngati mutha kuwongolera bwino shuga mutatha kudya ndi zakudya, ndiye pitirizani ntchito yabwino. Palibe mapiritsi kapena insulin. Zikadangokhala kuti wodwala sanachotsere "chakudya" chanjala. Ngati mudawonetsa shuga pamimba yopanda kanthu, ndipo mutatha kudya mumayesa kuwayeza, ndiye kuti uku ndikumangirira mutu wanu mumchenga, monga nthiwatiwa zimachitira. Ndipo zotsatirazo zidzakhala zoyenera.
Mukakhala pachakudya "chanjala", mwachepetsa katundu pancreas anu. Chifukwa cha izi, adachira pang'ono pang'ono ndipo adatha kupilira. Koma ngati mungabwerere pazakudya zopanda thanzi, ndiye kuti kuchotsedwa kwa matenda ashuga kutha posachedwa. Komanso, palibe maphunziro akuthupi omwe angakuthandizeni ngati mumadya mafuta ambiri. Matenda a shuga a Type 2 amatha kutha kuwongoleredwa osati ndi zakudya zochepa zama calorie, koma ndi chakudya chamafuta ochepa. Ndikupangira kuti mupite ku icho.
Ndikotheka kuthana ndi matenda a shuga a 2 m'mbuyomu moyo wanga wonse ndikudya popanda mapiritsi ndi insulini. Koma pa izi muyenera kutsatira zakudya zamafuta ochepa, osakhala ndi calorie "yanjala", yomwe imalimbikitsidwa ndi mankhwala. Ndikamadya chakudya chamagulu, odwala ambiri amalephera. Zotsatira zake, kulemera kwawo kwamphamvu ndi kapamba "watentha". Pambuyo kulumpha kangapo, ndizosatheka popanda mapiritsi ndi insulin. Mosiyana ndi izi, zakudya zamagulu ochepa zimapatsa mtima, ndizokoma komanso zapamwamba. Anthu odwala matenda ashuga amasangalala, osagonjetsedwa, amakhala osakhala mapiritsi ndi insulini.
Ndinu ochepa thupi, palibe kulemera kowonjezera. Anthu ocheperako alibe mtundu 2 wa shuga! Matenda anu amatchedwa LADA, mtundu 1 wa shuga wofatsa. Shuga siwokwera kwambiri, koma wokwera kwambiri kuposa wabwinobwino. Siyani vuto ili osakumanapo. Yambirani chithandizo kuti zovuta pamiyendo, impso, mawonekedwe a maso asatukuke. Musalole kuti shuga iwononge zaka zagolide zomwe zikubwera.
Dokotala wanu samaphunzira za matenda ashuga, monga ambiri ogwira nawo ntchito. Anthu oterewa amathandizira LADA mwa odwala awo momwemonso matenda amtundu wa 2 wodwala. Chifukwa cha izi, chaka chilichonse odwala masauzande ambiri amafa msanga. Maninil - mapiritsi owononga, ndipo kwa inu ali owopsa kangapo kuposa odwala omwe ali ndi matenda a shuga a 2. Werengani nkhani yatsatanetsatane, "Matenda a LADA: Diagnosis and Treatment Algorithm."
Kuti musakonde maswiti, ndikukulangizani kuti mutenge zowonjezera. Choyamba, chromium picolinate, monga tafotokozera apa. Ndipo pali chida changa chachinsinsi - ichi ndi L-glutamine ufa. Kugulitsidwa m'masitolo azakudya zamagulu. Ngati mungayitanitse kuchokera ku USA kudzera pa ulalo, zitha kukhala zotsika mtengo kamodzi ndi theka. Sungunulani supuni yothira ndi kapu ya madzi ndikumwa. Kusunthika kumadzuka msanga, chilakolako cha kususuka chimatha, ndipo zonsezi ndi zopanda vuto, ngakhale zothandiza thupi. Werengani zambiri za L-glutamine m'buku la Atkins "Supplements." Tengani pamene mukumva chikhumbo chachikulu cha "kuchimwa" kapena prophylactically, makapu awiri a yankho tsiku lililonse, mwamphamvu pamimba yopanda kanthu.
Amayi anu ali kale ndi matenda ashuga amtundu wa 2 ndipo ali ndi mtundu woyamba wa matenda ashuga. Yambani kubayila insulin nthawi yomweyo! Ndikukhulupirira kuti sinachedwe kupulumutsa mwendo kuti musadulidwe. Ngati amayi akufuna kukhala ndi moyo, muwaloleni aphunzire mtundu wa 1 wa chithandizo cha matenda ashuga ndikuwukhazikitsa. Kanani jakisoni wa insulin - osatota! Madokotala anu atawonetsa kuti alibe chidwi. Mutasintha shuga ndi jakisoni wa insulin, ndikofunika kudandaula kwa olamulira apamwamba. Patulani ma glucovans nthawi yomweyo.
Ndikukulangizani kuti musinthe mwachangu ku zakudya zamagulu ochepa ndikuwonetsetsa. Komanso muzilimbitsa thupi mosangalala. Pitilizani kumwa Diaformin, koma osayamba matenda a shuga. Chifukwa chiyani Diabetes imakhala yoyipa, werengani apa. Pokhapokha ngati masabata awiri atangokhala ndi chakudya chochepa thupi shuga wanu atatha kudya akhala pamwamba 7.0-7.5, ndiye kuti yambani kubayiranso insulin - Lantus kapena Levemir. Ndipo ngati izi sizokwanira, ndiye kuti mungafunenso jakisoni wa insulin mwachangu musanadye. Ngati muphatikiza zakudya zama carbohydrate otsika ndi maphunziro akuthupi ndikutsatira boma mwachangu, ndiye kuti mwina mungathe kuchita popanda insulini.
Miyezo yovomerezeka ya shuga ya odwala omwe ali ndi matenda ashuga ndi yokwanira kuchulukitsa 1.5 kuposa anthu athanzi. Izi ndiye chifukwa chake muli ndi nkhawa. Koma ife ku Diabetes-Med.Com tikuvomereza kuti odwala matenda ashuga onse amayesetsa kusunga shuga yawo chimodzimodzi ndi anthu omwe ali ndi chakudya chamafuta. Werengani za zolinga za matenda ashuga. Zimangothandiza kwa inu. Mwanjira iyi, palibe chodandaula. Funso lina ndikuti mupitilira nthawi yayitali bwanji? Mukutsatira boma lovuta kwambiri. Pewani matenda ashuga kudzera pa njala yoopsa. Ndikukhulupirira kuti posakhalitsa mungathe kugwa, ndipo "kubwerezanso" kudzakhala tsoka. Ngakhale ngati simukuswa, ndiye chotsatira nchiani? 1300-1400 kcal patsiku - izi ndizochepa kwambiri, sizikwaniritsa zosowa za thupi. Muyenera kuwonjezera kuchuluka kwa zopatsa mphamvu za tsiku ndi tsiku kapena mudzayambiranso kusala ndi njala. Ndipo ngati muwonjezera ma calorie chifukwa cha chakudya, ndiye kuti katundu pa zikondwererozi adzachuluka ndipo shuga adzakwera. Mwachidule, sinthani zakudya zamafuta ochepa. Onjezani zopatsa mphamvu tsiku ndi tsiku kudzera mu mapuloteni komanso mafuta. Ndipo kupambana kwanu kudzatenga nthawi yayitali.
Kuwongolera kwa shuga m'magazi: Malangizo omaliza
Chifukwa chake, mumawerenga kuti ndi mtundu wothandiza wa mtundu wa 2 wa matenda a shuga omwe ali. Chida chachikulu ndichakudya chamafuta ochepa, komanso kuchita masewera olimbitsa thupi molingana ndi njira yophunzitsira thupi mwakusangalala. Ngati zakudya zoyenera ndi maphunziro olimbitsa thupi sizokwanira, ndiye kuwonjezera pa iwo, mankhwalawa amagwiritsidwa ntchito, ndipo ovulala kwambiri, jakisoni wa insulin.
- Momwe mungachepetse shuga m'magazi kuti azikhala ndi zakudya zochepa
- Mtundu wachiwiri wa mankhwala a shuga. Mapiritsi othandizira komanso owopsa a shuga
- Momwe mungasangalalire ndi maphunziro akuthupi
- Chithandizo cha matenda a shuga omwe ali ndi jakisoni wa insulin: yambani apa
Timapereka njira zothandiza kuti tipewe kuthana ndi magazi, ngakhale ogwira ntchito. Amapereka mwayi wambiri kuti wodwala wodwala mtundu wa 2 azitsatira malangizowo. Komabe, kuti mupeze njira yabwino yothandizira matenda anu ashuga, muyenera kugwiritsa ntchito nthawi komanso kusintha kwambiri moyo wanu. Ndikufuna kupangira buku lomwe, ngakhale siligwirizana mwachindunji ndi chithandizo cha matenda ashuga, lidzakulimbikitsani. Ili ndiye buku "Wamng'ono chaka chilichonse."
Wolemba wake, Chris Crowley, ndi loya wakale yemwe, atapuma pantchito, adaphunzira kukhala momwe amakondera, kuphatikizanso, mu boma losunga ndalama mosamalitsa. Tsopano akuchita mwakhama maphunziro akuthupi, chifukwa ali ndi chilimbikitso pamoyo. Poyang'ana koyamba, ili ndi buku lonena za chifukwa chake ndikofunikira kuchita maphunziro akuthupi muukalamba kuti muchepetse ukalamba, komanso momwe mungachitire bwino. Chofunika kwambiri, amakambirana chifukwa chokhala ndi moyo wabwino komanso zomwe mungapindule nazo.Bukuli lidakhala desktop kwa mazana masauzande aopuma ku America, ndipo wolemba - ngwazi yadziko. Kwa owerenga tsamba la Diabetes-Med.Com, "zambiri zamaganizidwe" m'bukuli ndizothandizanso kwambiri.
Odwala omwe ali ndi matenda a shuga a 2, oyambira, "amalumpha" m'magazi a shuga kuchokera kumtunda wotsika kwambiri amatha kuonedwa. Zomwe zimayambitsa vutoli sizikuwonetsedweratu. Zakudya zamafuta ochepa zimapukusa bwino izi, zimapangitsa odwala kumva bwino. Komabe, nthawi ndi nthawi, shuga wamagazi amatha kutsika mpaka 3,3-3.8 mmol / L. Izi zimagwira ngakhale kwa odwala omwe ali ndi matenda a shuga a 2 omwe samathandizidwa ndi insulin.
Ngati shuga m'magazi apezeka kukhala 3.3-3.8 mmol / l, ndiye kuti si hypoglycemia yayikulu, koma imatha kuyambitsa kusasamala komanso kugunda kwamkwiyo. Chifukwa chake, tikulimbikitsidwa kuphunzira momwe mungaimire hypoglycemia, komanso kukhala ndi mapiritsi a glucometer ndi glucose nanu pankhaniyi. Werengani nkhani yakuti “Chitetezo Choyamba. Zomwe muyenera kukhala ndi matenda ashuga kunyumba komanso nanu. "
Ngati mwakonzeka kuchita chilichonse ndi matenda ashuga a 2, ngati simukuyenera kukhala "pansi" pa insulin, ndichoncho! Tsatirani mosamala zakudya zamafuta ochepa kuti muchepetse kupanikizika ndi kupangitsa maselo anu a beta akhale amoyo. Phunzirani masewera olimbitsa thupi mosangalatsa, ndipo chitani. Chitani kuchuluka kwa magazi nthawi zonse. Ngati shuga yanu ikadalipobe pazakudya zamagulu otsika pang'ono, yesani mapiritsi a Siofor ndi Glucofage.
Kuthamanga, kusambira, kuyendetsa njinga kapena mitundu ina yolimbitsa thupi - ndi kothandiza kwambiri maulendo khumi kuposa piritsi lililonse lotsitsa shuga. Nthawi zambiri, jakisoni wa insulini ndi wofunikira kwa odwala omwe ali ndi matenda a shuga a 2 omwe amakhala aulesi kuchita masewera olimbitsa thupi. Kuchita masewera olimbitsa thupi ndikosangalatsa, ndipo jakisoni wa insulin ndi kusokonezeka kwakukulu. Chifukwa chake "dziganizireni nokha, sankhani nokha."
Kodi Actovegin ndi chiyani
Actovegin adagwiritsidwa ntchito kalekale mu zovuta zochiritsira zotsutsana ndi matenda a shuga ndi matenda ena a shuga. Mankhwalawa ndi gawo la gulu la mankhwala omwe amasintha kagayidwe kazomwe zimakhala ndi ziwalo.
Metabolism imakopeka pamaselo a cellular chifukwa cha kuchuluka kwa glucose ndi oxygen m'misempha.
Actovegin ndi kufalitsa kotsukidwa komwe kumachokera ku magazi a ng'ombe. Chifukwa cha kusefedwa kwabwino, mankhwalawa amapangidwa popanda zigawo zosafunikira. Kuyimitsidwa kumeneku kulibe zinthu zomanga thupi.
Mankhwalawa ali ndi zinthu zingapo za kufufuza, amino acid ndi ma nucleoside. Ilinso ndi zapakatikati zopanga lipid ndi carbohydrate metabolism. Zinthu izi zimatulutsa mamolekyulu a ATP pakuchita.
Zofunikira zomwe mankhwalawa amapezeka ndi monga:
Zidazi zimakhudzidwa ndikuonetsetsa kuti ubongo ukugwira ntchito mwanzeru, komanso mtima. Mankhwalawa alibe zinthu zomwe zingayambitse thupi lawo.
Kugwiritsa ntchito Actovegin kwakhala kukuchitika kwa zaka zoposa 50, ndipo chida sichikutaya kutchuka kwake. Mankhwala amakonza mphamvu kagayidwe kachakudya minofu, zomwe zimatheka chifukwa:
- kuchuluka kwa ma phosphates omwe ali ndi mphamvu zambiri,
- activating michere nawo phosphorylation,
- kuchuluka kwa maselo,
- onjezani kupanga mapuloteni ndi chakudya chamafuta m'thupi,
- kuwonjezera kuchuluka kwa shuga mkati mwa thupi,
- zomwe zimayambitsa makina opanga ma enzyme omwe akuphwanya sucrose, shuga.
Chifukwa cha momwe imakhalira, Actovegin imadziwika kuti ndi imodzi mwazamankhwala othandizira ovuta kwambiri amtundu wachiwiri wa matenda ashuga. Makamaka, ili ndi zabwino izi:
- amachepetsa neuropathy
- imapereka malingaliro abwinobwino pa shuga,
- amachotsa ululu m'miyendo ndi manja, zomwe zimapangitsa munthu kuti azichita momasuka,
- amachepetsa kugona
- Kusintha minofu kusinthika,
- imayendetsa kusinthana kwa mphamvu zamagetsi ndi zina zofunikira.
Zokhudza matenda a shuga
Ndi matenda a shuga a 2, Actovegin amachita anthu, monga insulin. Izi zimachitika chifukwa cha kukhalapo kwa oligosaccharides. Mothandizidwa ndi iwo, ntchito ya anthu onyamula shuga, omwe ndi mitundu isanu, ayambiranso. Aliyense wa iwo amafunikira njira yake, yomwe Actovegin amachita.
Mankhwala amathandizira kuyendetsa mamolekyu a shuga, amapereka maselo ndi mpweya, komanso zimakhudza kugwira ntchito kwa ubongo ndi kufalikira kwa magazi m'mitsempha.
Actovegin imapangitsa kubwezeretsa shuga. Ngati kuchuluka kwa shuga sikokwanira, chithandizochi chimawongolera thanzi la wodwalayo ndikuwonetsa zochita zake.
Nthawi zambiri, Actovegin amagwiritsidwa ntchito ngati mtundu wachiwiri wa matenda ashuga, ngati magazi akwaniritsidwa, mabala ndi mikwingwirima imachira pang'onopang'ono. Mankhwalawa ndi othandizira kuwotcha kwa 1 ndi 2 madigiri, mavuto a radiation ndi zilonda zothina.
Mankhwala amadziwika ndi zotsatira zomwe zimapezeka pa ma cellular cell:
- Amachita bwino lysosomal cell zochita ndi asidi phosphatase ntchito,
- alkaline phosphatase ntchito imayendetsedwa,
- kuchuluka kwa potaziyamu ayoni mu maselo kumatheka, kuyambitsa kwa michere yodalira potaziyamu kumachitika: sucrose, catalase ndi glucosidases,
- intracellular pH imasintha, kuwola kwa zinthu za anaerobic glycolase kumakhala msanga,
- organ hypoperfusion imachotsedwa popanda zoipa pa systemic hemodynamics,
- magwiridwe antchito a antioxidant mu matenda amtundu wa infarction yokomera pachimake amasungidwa.
Actovegin ndi zovuta za matenda ashuga
Mu shuga mellitus, anthu nthawi zambiri amakhala ndi zovuta zosiyanasiyana zomwe mankhwalawa amapirira. Kugwiritsidwa ntchito kwa Actovegin kudzera m'mitsempha kumapangitsa kuti njira zothamangira mabala azichiritse ndikubwezeretsa ntchito za ziwalo.
Chidacho chimathandizanso kuchepetsa vuto la stroke. Mothandizidwa ndi Actovegin, kuchuluka kwa kukhathamira kwa magazi kumachepa, maselo amakhala ndi mpweya, ndipo kupita patsogolo kwa zovuta kumakhala kochepa.
Actovegin amagwiritsidwanso ntchito ngati munthu akukumana ndi ziphuphu. Actovegin adayikidwa ndi dokotala wokhazikika atapima thupi mozama ndikuchita mayeso ofunikira.
Njira yakuchiritsira imayenera kuganizira mawonekedwe a thupi la wodwalayo.
Iyenera kuwunikiridwa makamaka kuti athe kulolera ku zinthu zina za chinthucho pofuna kupewa zovuta.
Malangizo ogwiritsira ntchito mankhwalawa
Mankhwala Actovegin akhoza kuperekedwa pakamwa, toply ndi kholo. Njira yotsiriza ya kayendetsedwe kake ndiyothandiza kwambiri. Komanso, mankhwalawa amatha kuperekedwa kudzera mu kukhuthala kwamitsempha. 10, 20 kapena 50 ml ya mankhwalawa ayenera kuchepetsedwa ndi shuga kapena mchere.
Njira ya mankhwalawa imaphatikizapo 20 infusions. Nthawi zina, mankhwalawa amatchulidwa mapiritsi atatu katatu patsiku. Actovegin amayenera kutsukidwa ndi madzi pang'ono oyera. Pomwepa, mankhwalawo amagwiritsidwa ntchito ngati mafuta ophikira kapena gel.
Mafuta amagwiritsidwa ntchito ngati mankhwala ochiritsa kapena mabala. Pochiza zilonda zam'mimba m'matumbo a shuga, mafuta amtopowo amapaka pazidutswa. Dera lomwe lakhudzidwalo limakutidwa ndi bandeji kwa masiku angapo. Zilonda zonyowa, kuvala kumayenera kusinthidwa tsiku lililonse.
Malinga ndi malangizo, Actovegin a shuga mellitus amtundu wachiwiri ndi omwe amaperekedwa ngati pali:
- kuvulala kumutu kwakanthawi
- zovuta chifukwa cha matenda a ischemic,
- mawu amachepetsa,
- kuphwanya zakudya ndi khungu.
- zilonda zosiyanasiyana
- khungu lakufa ndikuwotcha.
Chitetezo
Mankhwalawa amapangidwa ndi kampani ya Nycomed, yomwe imapereka chitsimikizo cha chitetezo cha mankhwalawa. Mankhwalawa sayambitsa zovuta zowopsa. Mankhwala amapangidwa kuchokera ku magazi a nyama omwe amachokera ku mayiko omwe ali otetezeka ku matenda ndi matenda a chiwewe.
Zida zowonongeka zimayang'aniridwa mosamala mogwirizana ndi malamulo apadziko lonse lapansi. Ng'ombe zimaperekedwa kuchokera ku Australia. WHO imazindikira kuti Australia ndi dziko lomwe mulibe mliri wa spongiform encephalopathy mwa nyama izi.
Tekinoloje yopanga mankhwalawa cholinga chake ndikuchotsa othandizira.
Kwazaka zambiri, mankhwala akhala akugwiritsa ntchito mankhwalawa;
Analogs ndi mtengo wa mankhwalawo
Actovegin amagulitsidwa mumitundu yokwana 109 mpaka 2150 rubles. Mtengo umatengera mtundu wa mankhwalawa amasulidwe. Chimodzi mwazodziwika za Actovegin ndi mankhwala a Solcoseryl. Mankhwalawa amapangidwa mu mawonekedwe a mafuta, mafuta ndi njira za jakisoni.
Ubwino wa chida ichi ndi pafupifupi kudziwa kwathunthu ndi Actovegin. Mankhwala ali ndi yogwira - dialysate, yoyeretsedwa kuchokera ku mapuloteni. Zinthu zimapezekanso ndi magazi a ana ang'onoang'ono.
Solcoseryl amagwiritsidwa ntchito pochiza matenda omwe amayamba chifukwa cha kusowa kwa oxygen m'maselo, komanso pochiritsa kupsa ndi mabala azosiyanasiyana. Kuvomerezedwa ndikosayenera panthawi ya kubereka ndi kuyamwitsa. Mtengo wa mankhwalawa umachokera ku ruble 250 mpaka 800.
Dipyridamole ndi Curantil zimathandizira magazi ndipo amatha kukhala analogue Actovegin pa matenda a zotumphukira zamitsempha. Mtengo wa mankhwalawa umayambira ma ruble 700.
Monga gawo la Curantil 25, chinthu chachikulu ndi dipyridamole. Mankhwalawa amapatsidwa mankhwala ochizira matenda osiyanasiyana a thrombosis, amathandizanso kukonzanso pambuyo poti myocardial infarction. Chidachi ndi choyenera pa analogi ya Actovegin.
Curantyl 25 imapezeka mu mawonekedwe a dragees, mapiritsi kapena jakisoni. Mankhwalawa ali contraindicated mu pachimake matenda a mtima, zilonda zam'mimba, ochepa matenda oopsa, kuphwanya impso ndi chiwindi ntchito, pakati ndi chidwi chachikulu kwa thunthu. Mtengo wapakati ndi ma ruble 700.
Mapiritsi a Vero-trimetazidine amagwiritsidwa ntchito pochiza matenda a ischemia. Ali ndi mtengo wotsika mtengo kwambiri, mtengo wake ndi ma ruble 50-70 okha.
Cerebrolysin ndi mankhwala osokoneza bongo omwe ndi mankhwalawa a nootropic ndipo amagwiritsidwa ntchito ngati analogue ya Actovegin pang'onopang'ono chifukwa cha kusokonekera kwa dongosolo lamkati lamanjenje. Mtengo wa cerebrolysin ndi wochokera ku 900 mpaka 1100 rubles. Mankhwala Cortexin amathandizira kukonza metabolism yaubongo, mtengo wake, pafupifupi, ndi ma ruble 750.
Mitundu yosiyanasiyana yofananira yopanga yaku Russia ndi yakunja imapangitsa kusankha chiwonetsero choyenera komanso chapamwamba kwa mankhwala Actovegin.
Nootropil ndi mankhwala omwe amagwiritsidwa ntchito kwambiri ngati mankhwala. Chofunikira chake chachikulu ndi piracetam. Nootropil imawoneka ngati analogue yapamwamba kwambiri ya Actovegin. Amamasulidwa mu mawonekedwe a:
- jakisoni njira
- mapiritsi
- madzi a ana.
Nootropil imayendetsa bwino ndikubwezeretsa kugwira ntchito kwathunthu kwa ubongo wa munthu. Mankhwalawa amagwiritsidwa ntchito pochiza matenda osiyanasiyana amanjenje, makamaka matenda amisala. Chida ichi chili ndi zotsutsana zotsatirazi:
- yoyamwitsa
- mimba
- kulephera kwa chiwindi
- magazi
- Hypersensitivity kuti piracetam.
Mtengo wapakati wa mankhwalawo uli m'mitundu kuyambira 250 mpaka 350 rubles.
Zotsatira zoyipa ndi zotsatira zogwiritsa ntchito
Ndi matenda a shuga a 2, ndikofunikira kutsatira malangizo onse a dokotala. Kutsatira malangizowo, mutha kugwiritsa ntchito Actovegin moyenera komanso mosatetezeka. Mankhwalawa samayambitsa zovuta mwadzidzidzi.
Chithandizo chiyenera kuganiziranso kuchuluka kwa kuzindikira kwa mankhwala. Ngati pali tsankho la munthu pazinthu zina zomwe ndi maziko a mankhwalawa, dokotala sangaphatikizire mankhwalawa mu regimen yothandizira.
Zochita zachipatala zimadziwa milandu yomwe mankhwalawa adagwiritsa ntchito:
- kutupa
- kuchuluka kwa kutentha kwa thupi
- chifuwa
- malungo amunthu.
Nthawi zina, Actovegin imachepetsa ntchito yamtima. Izi zitha kufotokozedwa pakupuma mwachangu, kuthamanga kwa magazi, kuthana ndi thanzi, kapena chizungulire. Kuphatikiza apo, pamakhala mutu kapena kuwonongeka kwa chikumbumtima. Pankhani ya kukonzekera pakamwa pakachitika kuphwanya Mlingo, nseru, kusanza ndi kupweteka m'mimba zitha kuoneka.
Mankhwala Actovegin amagwira ntchito ngati chida chothandiza polimbana ndi matenda ashuga. Izi zimatsimikiziridwa ndi machitidwe omwe amagwiritsidwa ntchito kale. Mphamvu ya kugwiritsa ntchito mankhwalawa imafotokozedwa mwachangu, pafupifupi, patatha masiku 15.
Ngati nthawi ya chithandizo Kwa wodwala, kuyezetsa kumatsimikiziridwa komwe kukuwonetsa zomwe zimapangitsa kuti thupi lizisintha.
Mankhwalawa adzasinthidwa ndi mankhwala omwe ali ndi makhwala ofanana.
Contraindication
Actovegin amaletsedwa kuti azigwiritsidwa ntchito ndi ana osakwana zaka 3 ndipo anthu omwe amakhala ndi chidwi chachikulu ndi mankhwalawa.
Komanso, siziyenera kugwiritsidwa ntchito ndi akazi panthawi yachuma ndi pakati. Kugwiritsa ntchito Actovegin sikulimbikitsidwa kwa azimayi achichepere omwe adakumana ndi mavuto okhala ndi pakati.
Gwiritsani ntchito mankhwalawa mosamala mwa anthu omwe ali ndi mavuto a mtima ndi m'mapapo. Komanso, mankhwalawo amaletsedwa kuti azigwiritsidwa ntchito ndi anthu omwe ali ndi mavuto pochotsa madzimadzi.
Zambiri zomaliza
Actovegin ndi mankhwala othandiza kuchiza matenda ashuga omwe ali m'magawo akulu matendawa. Pogwiritsa ntchito moyenera ndikutsatira malingaliro a dokotala, mankhwalawa ali otetezeka kwathunthu kwa thupi.
Chifukwa cha Actovegin, mayendedwe a glucose amayenda mwachangu. Gawo lililonse la thupi limatha kumaliza bwino zinthu zofunika. Zotsatira za kafukufuku wamankhwala zimati zotsatira zoyambirira zogwiritsa ntchito mankhwalawa zimabwera sabata lachiwiri la mankhwala.
Mitundu ya mankhwala
- loopback - ntchito kudzera m'chiuno cha Henle nefron ("Torasemide", "Furosemide", "Ethacrine acid"),
- thiazide - kuchepetsa matenda oopsa, nthawi zambiri amalembera odwala matenda ashuga ("Hypothiazide", "Dichlothiazide", "Indapamide", "Arifon", "Noliprel"),
- osmotic - yogwiritsidwa ntchito kamodzi ndikuchotsa kuchuluka kwamadzimadzi ("Mannitol", "Urea", "Potaziyamu acetate"),
- kuteteza kwa potaziyamu - kukhalabe osamala electrolyte ("Spironolactone", "Triamteren", "Veroshpiron").
Mankhwala a diuretic a shuga amawagawa m'magulu:
- mphamvu zochepa (5%),
- sing'anga (10%),
- mkulu (kupitirira 15%).
Ma diuretics a shuga a mtundu 2 ndi mtundu 1 ali ndi opanga osiyanasiyana, ali m'magulu osiyanasiyana amitengo. Zina mwa izo zimagulitsidwa ndi mankhwala, zina zimagulitsidwa popanda. Mitundu yambiri ya okodzetsa amatha kutsitsa wodwala koma osayimira mtunduwo. Muyenera kuphunzira mosamala malangizo, pharmacodynamics, momwe mungachitire, contraindication komanso mwayi wophatikiza ndi zina zomwe zimagwira. Mphamvu ya diuretic imakhazikika pa sodium excretion.
Zizindikiro za matenda ashuga
Ndi matenda ashuga, mtundu 2 ndi mtundu 1 okodzetsa amatchulidwa:
- kuthetsa kupusa,
- mpumulo wa kulephera kwa mtima,
- kutulutsa mkodzo chifukwa cha matenda a impso komanso kukokoloka kwa ntchito,
- Chithandizo cha kuthamanga kwa magazi
- Kuchotsa poizoni ndi ziphe.
Chifukwa cha kusintha mthupi, sodium mu matenda ashuga amadziunjikira.Amachotsedwa ndi okodzetsa a mtundu 2 shuga. Ndi kugwiritsidwa ntchito kwawo, kuthinikizidwa kwa mtima wama mtima kumachepa ndipo mphamvu zamagetsi zimabweranso mwakale. Kugwiritsa ntchito diuretic diuretics, madokotala amapereka okakamiza diureis (kuchotsa poizoni ndi impso ndi mankhwala), ngati kuli kotheka, mankhwalawa.
Kusankhidwa kwa mankhwala ofanana: ma syonms, ma generics ndi zina
Kutupa kwa mitsempha ndi mitsempha ya muubongo, kusokonezeka kwamitsempha yama mtima ndi zotsatira zake, kuchiritsa kwa zilonda (zilonda zam'magazi osiyanasiyana, kusokonezeka kwa trophic), kuwotcha kwamoto ndi mankhwala, hypoxia ndi ischemia ya ziwalo zosiyanasiyana zamankhwala ndi minyewa ndi zotsatira zawo, kupewa komanso kuchiza kuvulala kwama radiyo pakhungu, mucous membrane , minyewa yamitsempha, kuwonongeka kwa ziphuphu ndi sclera, keratitis, chilema cha epithelial mwa odwala omwe ali ndi magalasi.
Kutengera ndi kuwuma kwa chithunzi cha chipatala, yankho la jakisoni limayendetsedwa mu / a, mu / mu (kuphatikiza ndi mawonekedwe a kulowetsedwa) ndi / m.
Thupi lawo siligundika (urticaria, kutupa kwa khungu, kutentha thupi), kunyeza kwa anaphylactoid, kuchepa kwamadzi, jakisoni wa sclera (khungu la maso).
Kukonzanso
Metabolic, kuchiritsa mabala, kubwezeretsa. Pa mulingo wa maselo, Actovegin imapangitsa kuchuluka kwa kugwiritsidwa ntchito kwa oksijeni ndi kumwa (kumawonjezera kukana kwa hypoxia), kumawonjezera mphamvu kagayidwe kachakudya ndi shuga. Imalimbikitsa mphamvu yam'maselo, makamaka mu hypoxia ndi ischemia.
Mphamvu yolimbikitsira machiritso a mabala imachitika chifukwa chogwiritsa ntchito glucose mosasamala kanthu komwe mabala adachokera komanso ngakhale pakakhala insulin.
Mphamvu ya mankhwalawa imawonekera pasanathe mphindi 30 kuchokera pakubala kwa makolo kapena pakamwa ndikufikira pazambiri pakatha maola atatu.
Yogwira ntchito amathetsedwa hemoderivative ya ng'ombe ya ng'ombe.
Mwinanso kugwiritsa ntchito kuphatikiza ndi Instenon. Njira yothetsera jakisoni imagwirizana ndi isotonic sodium chloride solution, 5% shuga kapena njira ya fructose.
Ngati zinthu zoyipa zimachitika, chithandizo chimayimitsidwa ndipo ngati kuli koyenera, ma antihistamines, glucocorticoids, ndi ena amagwiritsidwa ntchito .. I / m imayendetsedwa pang'onopang'ono osati zosaposa 5 ml, chifukwa yankho limakhala ndi ziwopsezo za hypertonic. Ikani yankho lomveka bwino.
Pamalo amdima pofunda.