Kodi chiwopsezo cha matenda a shuga a mtundu wachiwiri ndi chani mwa amayi ndi abambo?

Matenda a shuga ndi matenda ogwirizana ndi zovuta za metabolic mthupi zomwe sizitha kuyamwa moyenerera mphamvu ya chakudya.

Kukula kwa matendawa kumachitika pamene kapamba sangathe kupanga bwino chinthu chotchedwa "insulini", kapena akapanga, koma thupi limakana kuyamwa. Pankhaniyi, vuto lotchedwa insulin kukaniza thupi limachitika.

Pang'ono pa kamangidwe ka matenda

Mukamayambitsa chakudya, ma enzyme a m'magawo onse am'mimba amatha kuwononga zinthu zambiri, kuphatikizapo shuga. Thupi limafunikira kuti likhale ndi mphamvu yokwanira.

Magazi amafalikira kudzera m'magazi. Ndipo kuphatikiza mphamvu yazakudya zama cell mu cell, insulin ndiyofunikira, yomwe imatulutsa kapamba ndikuyiyendetsa mu dongosolo lozungulira magazi.

Ngati matendawa sangathe kuwongoleredwa ndi kadyedwe, ndiye kuti munthu angathe kupezeka ndi matenda a shuga.

Mtundu woyamba wa shuga

Matenda a shuga a Type 1 amadziwika ndi insulin yopanga thupi. Monga lamulo, ana kapena achinyamata amadwala nawo. Chifukwa chake, mtundu wamtunduwu wa shuga umatchedwanso wachinyamata.

Pambuyo pazaka 30, mtundu uwu wa matenda osokoneza bongo ndi osowa kwambiri. Pankhani ya matenda a shuga amtundu woyamba, mkhalidwe wa wodwalayo umakhala wofanana ndi jakisoni wokhazikika wa insulin.

Zizindikiro za matenda a shuga 1

Pokhudzana ndi kuchuluka kwambiri kwa shuga m'magazi amtunduwu wa shuga, pali:

• Ludzu lalikulu kwambiri losathetseka
• kuyabwa kwa pakhungu, makamaka m'dera la inguinal,
• kukodza pafupipafupi. Ndizodziwika kuti madzi ambiri amatulutsidwa kuposa momwe amalowa m'thupi. Izi ndichifukwa chakusokonekera msanga kwamafuta ndi mapuloteni m'thupi,
• kusokonezeka kwa magazi,
• kuchepa thupi mwadzidzidzi popanda chifukwa,
• kununkhira kwa acetone kuchokera mkamwa,
• m'mimba kupweteka, nseru.

Matendawa amayamba mwadzidzidzi, akupita patsogolo mofulumira. Nthawi zambiri amaphunzira za izi atayamba kupuma.

Type 2 shuga

Matenda a shuga a Type 2 amadziwika ngati insulini ipangidwa mokwanira, koma siyabwino kwa thupi. Zizindikiro zoyambirira za matendawa, monga lamulo, zimapezeka mwa anthu patatha zaka 40.

Zadziwika kuti odwala matenda ashuga amitundu iwiri ndi onenepa kwambiri, ndipo amathandizanso kuti azingokhala, moyo wosalira zambiri.

Zizindikiro za matenda a shuga a Type 2

Amakula pang'onopang'ono. Matendawa amatha "kugwidwa" panthawi, matenda ashuga, ndipo chithandizo chanthawi ingathe.

Momwe zimadziwonekera, mtundu wachiwiri wa shuga uli ngati mtundu 1 wa shuga, komabe pali kusiyana kwakukulu.

• Ludzu lamkati, kumakodza kwambiri komanso pafupipafupi, kutseka khungu, kuchiritsa pang'onopang'ono mabala ndi mabala, kumva kudzimva m'malire omwe amaphatikizidwa ndi mtima.

Kufanana kumatha apa. Zizindikiro zotsatirazi ndi izi:

• kulemera popanda chifukwa chodziwikiratu
• kutopa ndi kufooka,
• kulakalaka kudya, komwe kumakhala kovuta kuzimitsa,
• yafupika libido, limodzi ndi kufooka kwa kugonana ndi kusabala.

Nthawi zambiri, ndiye chizindikiro chomaliza chomwe chimapangitsa abambo kupita kwa adotolo.

Ndani kuti alumikizane?

Ngati muli ndi chizindikiro chimodzi kapena zingapo za matenda ashuga, muyenera kulumikizana ndi azachipatala komwe mumakhala, kwa ochiritsira. Adzapereka mayendedwe atenga mkodzo ndi magazi kuyezetsa shuga.

Zachidziwikire, ngati ndalama zilola, mutha kulumikizana ndi azachipatala achinsinsi. Tidzangofunikira kudziwa kuti matendawo ndi ozindikira azakhala okwera mtengo kwambiri.

Kuzindikira matendawa

1. Pamaulendo oyamba, dokotala amamvetsera mosamala madandaulo onse a wodwala za momwe alili komanso zomwe wapanga kuyendera kwakunjakuyang'anira mwachidwi momwe miyendo ya wodwalayo ilili.
2. Kenako, adotolo apereka malangizo kwa magazi ndi mkodzo mayeso a shuga. Magazi amayenera kuperekedwa kokha pamimba yopanda kanthu. Zoyenera, ngati chakudya chamadzulo ndichosavuta dzulo, maola atatu asanagone. Chizolowezi cha shuga m'magazi chimachokera ku 3,3 mpaka 5.5 mol / L. Njira ya mkodzo imatengedwanso m'mawa. Kupereka mkodzo pakuwunika shuga, muyenera kutenga gawo.
3. Pokhala ndi shuga wambiri mu umodzi mwazosanthula, malangizo amaperekedwa Kutsimikiza kwa glycated hemoglobin m'magazi. Sayenera kukhala yoposa 5.9% ya kuchuluka kwa hemoglobin.
4. Komanso nthawi zina zimapereka chitsogozo kudziwa kukhalapo kwa acetone mu mkodzo.

Popanga matenda a shuga, wodwala amayenera kupeza chake chomwe chimamuthandiza kudziwa kuchuluka kwa shuga m'magazi - ndi glucometer.

Chithandizo cha makolo

Mankhwala othandizira odwala matenda amtundu wa 1 amathandizira. Amakhala ndi jakisoni wokhazikika wa insulin.

Pochiza matenda amishuga amitundu iwiri, mankhwala ochepetsa shuga amagwiritsidwa ntchito.

Komanso, dotolo wa mtundu wina uliwonse wa matenda ashuga amalimbikitsa kudya mosamalitsa pogwiritsa ntchito zakudya komanso ndiwo zamapuloteni (ndiye kuti kukhala ndi index yotsika ya glycemic) komanso kuchuluka kwa ntchito zamagalimoto.

Kodi kuopsa kwa matenda ashuga ndi chiani?

Ndi matendawa, zovuta zambiri zimatha kuchitika chifukwa cha zotsatira zoyipa za thupi la glucose owonjezera m'magazi.

Pankhani ya shuga wodalira insulin, zotsatira zoyipa zitha kuoneka chifukwa chogwiritsa ntchito mankhwalawo, omwe owonjezera omwe amakhala ndi poizoni m'thupi.

Zitsanzo za zovuta zofala:

• matenda a impso chifukwa cha kuwonongeka kwa minofu yawo chifukwa cha shuga wambiri,
• kuwonongeka kwamawonekedwe
• kuphwanya kukula kwa makoma amitsempha yamagazi ndi ma capillaries, zomwe zimabweretsa kuchiritsidwa kwamabala mabala, komanso kuvuta kwambiri monga "phazi la matenda ashuga"
• kusabala chifukwa cha kuzungulira kwa magazi komanso kulephera kwa impso.

Chifukwa chake, ndikofunikira kwambiri mu matendawa kukhala ndi shuga wabwinobwino m'mwazi, kupewa onse a hyperglycemia (kuchuluka kwa shuga) ndi hypoglycemia (shuga yamagazi ochepa).

Matenda a shuga ndi Kugonana mwa Amuna

Kodi matenda monga matenda ashuga amakhudza kuchuluka kwa amuna?

Zachidziwikire. Koma apa ndikofunikira kumvetsetsa zomwe zimayambitsa izi.

Kutsika kwa libido ndi mawonekedwe a erection atha kukhala chifukwa cha:

• PoizoniWopangika chifukwa cha shuga wambiri m'magazi. Pankhaniyi, zimadziwika kuti, malinga ndi zakudya zoyenera komanso mankhwalawa, kuchuluka kwa glucose m'magazi kumakhala kosiyanasiyana, poizoni amachotsedwa m'thupi pakapita nthawi ndipo potency imabwezeretseka.
• Poizoni owonjezera.Ngati mufunika kulemberana makalata pakati pa kuchuluka kwa chakudya ndi mlingo wa insulin. Dokotala wodziwa bwino yekha ndi amene amatha kujambula mwatsatanetsatane mwatsatanetsatane.
• Kukhalapo kwa matenda a genitourinary sphere. Chizindikiro cha kukhalapo kwa matenda amenewa ndi kusowa kwa m'mawa. Potere, muyenera kufunsa a urologist omwe akupatseni mankhwala oyenera,
• Zolakwika zamaganizidwe. Apa ndikofunikira "kusintha chithunzicho" m'mutu. Ndipo muchoke mu kukhumudwa, pamapeto pake.

Zotsatira za matenda ashuga pakubala kwa mwana

Yankho lenileni la funsoli lingaperekedwe kokha kuchokera kwa adokotala. Pafupifupi, zitha kudziwika kuti zonse zimatengera kunyalanyaza kwa zinthu.

Ndi mbiri yayitali ya matenda m'thupi, pali kuchepa kwa testosterone, komwe kungayambitse kuyambanso kwachulukidwe (kusowa kwa ejaculation ndi orgasm). Koma amathandizika.

Chifukwa chake, ngati bambo akufuna kubereka mwana pamaso pa matenda ashuga, ayenera kuonana ndi endocrinologist.

Mankhwala achikhalidwe achi China komanso matenda ashuga

Njira zonse zamankhwala zaku China zimati palibe matenda osachiritsika. Pali msana wodwala chabe komanso wodwala wosasamala.

Pankhani ya matenda ashuga, ochiritsa achi China amakhulupirira kuti chifukwa chake ndikudontha kwa mitsempha ya 10 ndi 11 vertebrae. Kuwongolera ndi katswiri kumakongoletsa mkhalidwe wa wodwalayo.

Komanso, madokotala aku China amalimbikitsa odwala omwe ali ndi matenda osokoneza bongo kuti azikhala ndi chidwi ndi matenda awo, kuti aphunzire njira zopangira mankhwala, kuti azichita masewera olimbitsa thupi.

Zinadziwikanso kuti matendawa amakhudzidwa kwambiri ndi anthu omwe ali ndi nkhawa, omwe amakonda kukhala ndi moyo wamakina.

Kupewa matenda a shuga

Kupewa kwamatendawa kumatsatila pa moyo wathanzi, womwe umaphatikizapo:

• olemera kwambiri mapuloteni komanso mavitamini ambirikupatula zakudya zamkaka, zamzitini, zogulitsa margarine,
• zolimbitsa thupi (kuyenda, kuthamanga, yoga, masewera olimbitsa thupi, kutikita minofu yaukhondo),
• kupeza mtendere wamalingaliro (malingaliro abwino, nthabwala, kugona tulo, chosangalatsa).

Amuna azaka zopitilira 50 ayenera mosakayikira kuti adziwe shuga.

Matenda a shuga ndi matenda ovuta kwambiri. Pamafunika kusintha kwakukulu osati zikhalidwe zambiri zokha, komanso moyo. Ena mpaka amasintha ntchito.

Chofunikira kwambiri sikupewa ndikuyitanitsa banja.

Kodi kuvulala kumatanthauza chiyani?

Ziyenera kuyamba ndikuti kudziwa kumeneku kumatha kupezeka mwa amayi ndi theka la amuna. Imadziwonetsera kuchuluka kwa shuga m'magazi. Pali mitundu ingapo ya matenda ashuga.

Mwachitsanzo, ndi mtundu wachiwiri, thupi limaleka kuzindikira bwino insulini, chifukwa chomwe msanga wokwezeka wapezeka m'magazi. Koma poyambilira, kapamba amangolekera kukhazikitsa mahomoni omwe atchulidwa kale aja. Ndipo izi, zimayambitsa shuga m'magazi.

Ngati tirikulankhula za matenda omwe shuga amawopseza thanzi la wodwalayo, ndiye ziyenera kudziwika kuti zimakhudza ntchito ya ziwalo zambiri zamkati ndi machitidwe athunthu. Mwakutero, kugwira ntchito:

• mtima ndi mtima
• impso
• chiwindi
• masomphenya amawonongeka
• kukumbukira kumachitika
• ntchito zamaganizidwe zimachepa
• pali chiopsezo chotenga ketoacidosis,
• Mabala m'thupi samachira, ndipo zotsatirapo zina zoyipa sizidziwikanso.

Ponena za chiwalo kapena dongosolo linalake, matenda ashuga ndi owopsa kwambiri, ziyenera kudziwika kuti mitsempha yamagazi imavutika kwambiri. Ndipo izi zimakhudzanso ziwalo zonse za thupi la wodwalayo.

Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto lowonera. Izi zimachitika chifukwa chakuti shuga wambiri amawononga capillaries ndi mitsempha yaying'ono. Odwala amadwala atherosclerosis ndi zina zovuta chifukwa kuphwanya kapangidwe ka mitsempha yamagazi ndi capillaries.

Zachidziwikire, ngati mumayankha funso loti shuga ndi yoopsa bwanji, ndiye kuti izi zonse zimadalira shuga. Mokulira, momwe zimavulazira thupi.

Choyipa chachikulu chomwe chikuwopseza matenda a shuga ndi kukula kwa hypo- kapena hyperglycemia. Ndi mikhalidwe imeneyi yomwe imatha kubweretsa imfa.

Kodi chiwopsezo kwa anthu ndi chiani?

Anthu ambiri ali ndi funso loti chifukwa chiyani amuna amawopa matendawa. Chowonadi ndi chakuti matenda a shuga m'magulu a amuna amaphatikizidwa ndi zovuta zina.

Pali ziwerengero zina zomwe zikusonyeza kuti kwa amuna matendawa ndi owopsa.

Nthawi zambiri zimakhala ndi zovuta monga:

• kusintha kwamkodzo, mpaka kusungidwa kwamadzi akumwa kwambiri,
• kusowa kwa tsitsi ndi matenda ashuga,
• zotupa mu maliseche,
• kuchepa thupi mwadzidzidzi kapena kunenepa kwambiri,
• kuthamanga kwa magazi
• kuyabwa mu malo a anus kapena groin kumachitidwa nthawi ndi nthawi
• chifukwa chosapanga bwino testosterone, umuna umachepa kwambiri.

Ndipo, zoona, matenda ashuga amayambitsa kukanika kwa kugonana, komwe kumakhudzanso moyo wamunthu aliyense.

Koma si amuna okha omwe ali mndandanda wa omwe ali pachiwopsezo cha matendawa. Mwachitsanzo, mwana amathanso kukhala nazo. Pankhaniyi, muyenera kukhala osamala kwambiri. Inde, m'gulu ili la odwala, mtundu woyamba wa shuga umayamba, womwe umafunikira jakisoni wambiri wa insulin. Ntchito ya kholo ndikuti aphunzitse mwana kudzipatsira yekha jakisoni, kuwongolera shuga ndikuwonetsetsa momwe amachitira, matendawo amayambikanso ndi zotsatirazi:

1. kukula kodabwitsa
2. kusintha kwadzidzidzi kukula kwa chiwindi m'mwamba,
3. chiopsezo chachikulu cha hypoglycemia,
4. mkodzo wambiri, mpaka malita asanu ndi limodzi patsiku,
5. kunenepa kwambiri kumayamba,
6. Poizoni wa ketone amatha kuyamba nthawi iliyonse.

Ndikofunikira kukumbukira kuti shuga 1 yamtunduwu imatha kutsagana ndi mavuto amisala kapena machitidwe. Zachidziwikire, ndipo, zowona.

Mavuto azaumoyo azimayi

Tiyenera kudziwa kuti azimayi matendawa amawonetsedwa chimodzimodzi. Makamaka pankhani ya azimayi oyembekezera. Kuphatikiza apo, ngati matendawo akukhala mwa amayi omwe ali osangalatsa, ndiye kuti sizingakhudze thanzi la mayi wamtsogolo, komanso mwana wosabadwa, amatha kubweretsa padera.

Nthawi zonse muyenera kukumbukira kuti matenda a amayi awa amakhudza thanzi la mtima komanso amakhudza mwachindunji kupangidwe kwa ubongo mwa mwana.

Koma, ngati matendawa ayamba kukula pambuyo pake, ndiye kuti izi zitha kupangitsa kuti mwana wosabadwayo akhwime msanga. Ndipo, zoona zake, zotsatira zoyipa kwambiri za njira ya matenda ashuga mwa azimayi omwe ali ndi mwana ndikuti mwana akangobadwa, kuchuluka kwa shuga m'magazi kumatsika kwambiri. Ndipo izi, zimayambitsa kukula kwa hypoglycemia ndipo zotsatira zake zimapangitsa kuti mwanayo amwalira.

Matendawo ali ndi zovuta zina pa thanzi la mayi wamtsogolo ndi mwana wake wosabadwa. Mwakutero:

• kuthekera kwakuti mwana amabadwa wamkulu kwambiri,
• mafuta ochulukirapo amachotsedwa pakhungu la mwana,
• mwayi wokhala ndi vuto la kupuma kwamatenda,
• chiopsezo cha jaundice mwa mwana,
• mwana amatha kukhala ndi miyendo yochepa thupi komanso mimba yayikulu,
• kuchuluka kwa zinthu zomwe zimapezeka m'magazi zimasintha kwambiri,
• chifukwa cha magazi ochulukirapo, mwana amatha kudwala magazi.

Njira yoopsa kwambiri yokhala ndi pakati imatha kupezeka pomwe mayi atapezeka ndi matenda a shuga.

Komanso ngati zachitika kuti mimba yoyambirira idapundidwa ndi kubadwa kwa mwana, pomwe mwana amabadwa wolemera kuposa kilogalamu zinayi.

Kuopsa kokhala ndi matenda ashuga

Zachidziwikire, ndikofunikira kudziwa kuti matenda a shuga a mtundu wachiwiri, komanso oyamba, nawonso ndi oopsa. Kupatula apo, m'menemo, komanso kwina, zitha kutha ndi kukomoka komanso kufa kwa wodwala. Choopsa china ndikuti zizindikiro zonse zazikulu za matendawa ndi zofanana zonsezo. Chokhacho chomwe mtundu woyamba umafunikira jakisoni wambiri wa insulin. Ndipo izi zikuchitika chifukwa chakuti mwa odwala chotere sichimadziwika. Zotsatira zake, muyenera kumalowetsa thupi lonse.

Ngati tirikunena za zovuta zazikulu zomwe zingakhalepo, ndiye kuti zonse zimagwirizanitsidwa ndi chiopsezo chokhala ndi chikomokere kapena ndi zovuta zomwe zingachitike chifukwa cha ziwalo zazikulu zamkati mwa munthu, komanso machitidwe ena ofunikira.Zimakhudza molakwika kapangidwe ka mitsempha yamagazi ndi capillary, chifukwa chomwe ntchito ya ziwalo zonse imakula. Mtima ndi maso ndi okhudzidwa.

Mwa amayi, zovuta zapakati pa nthawi ya mimba ndizothekanso. Komanso, ndizowopsa kwa mayi woyembekezera komanso kwa mwana wosabadwayo.

Ponena za chikomokere, ziyenera kudziwika kuti zitha kukhala zosiyana. Mwachitsanzo, matenda ashuga amakhudzana ndi kuwonjezeka kwambiri kwa shuga m'magazi. Koma, ngati fungo la acetone limveka kuchokera kwa wodwala, ndiye izi zikuwonetsa kuyambika kwa ketoacidosis. Matendawa ndi owopsa chifukwa thupi la wodwala limakhala ndi acetone yambiri. Zotsatira zake, ntchito zonse zoyambirira za thupi zimasokonekera. Koma kuchuluka kwa shuga akatsika kwambiri, izi zikuwonetsa kukula kwa chikumbumtima cha hypoglycemic. Choyambitsa chake chimakhala kugwiritsa ntchito zakudya zosavomerezeka, mowa, ndipo ngati wodwala atenga insulin yambiri.

Ndipo, chabwino, lactic acid chikomokere. Pankhaniyi, kuchuluka kwa lactate kumadziwika. Vutoli limathanso kutha. Ndipo ndizowopsa chifukwa sizimayendera limodzi ndi zizindikiro zazikulu. Chifukwa chake, nkovuta kwa wodwala kuwona momwe izi zimayambira. Zotsatira za matenda ashuga zimatha kupezeka mu kanema munkhaniyi.

Kodi shuga imachokera kuti amuna?

Matenda a shuga amayamba chifukwa cha kuperewera kwathunthu kwa mankhwala a pancreatic - insulin, yomwe ndi yofunika kwa maselo a thupi. Insulin imapangidwa ndi kapamba, ndipo kuchepa kwake kapena kuchuluka kwake mthupi kumapangitsa kuti glucose iwonjezeke mthupi (hyperglycemia). Mkhalidwe uwu ndiwowopsa kwa ziwalo zonse ndi machitidwe, chifukwa glucose amayamba kudziunjikira m'mitsempha yamagazi, amawononga ziwalo zofunika kwambiri ndi machitidwe.

Magazi a shuga m'magazi a shuga

Kupanga kwa chitukuko cha matenda ashuga kumachitika chifukwa cha kuperewera kwa insulin kotheratu, pomwe insulini ya mahomoni singapangidwe ndi kapamba (mtundu 1 wa matenda ashuga) kapena kuchepa kwa insulin, pamene insulin ikupangidwa, koma osakwanira (mtundu wachiwiri wa matenda ashuga). Matenda a shuga amuna amtundu wachiwiri nthawi zambiri amakula patatha zaka 40, ndipo matenda amtundu woyamba amayamba kale kwambiri.

Matenda a shuga m'magulu amuna: ziopsezo

Matenda a shuga ndi matenda oopsa komanso osokoneza bongo, makamaka kwa amuna omwe samayang'anira kulemera kwawo, amadya kwambiri mafuta komanso zonunkhira, komanso omwe amamwa mowa kwambiri.

• kutengera kwa majini ndi 10% kumawonjezera mwayi wokhala ndi matenda ashuga,
• kunenepa
• kuperewera kwa zakudya m'thupi
• mtima matenda
• ntchito kwa nthawi yayitali mankhwala: diuretics, glucocorticoid mahomoni opanga, antihypertensive mankhwala,
• kupsinjika kwa mitsempha pafupipafupi, kupsinjika, kukhumudwa,
• matenda amkati
• matenda osachiritsika.

Kunenepa kwambiri - kumabweretsa chitukuko cha matenda ashuga

Zizindikiro zoyambirira za shuga mwa amuna

Pamagawo oyamba, palibe zizindikiro zodwala matenda a shuga, komanso matenda akuluakulu, abambo nthawi zambiri amadziwika kuti amakhala akugwira ntchito mopitirira muyeso. Pakapita kanthawi, kuchuluka kwa glucose akafika pamlingo wambiri, zizindikiritso zoyambirira za matenda ashuga mwa abambo zimayamba kuwonekera, zomwe zimatsagana ndi izi:

• kuchuluka kapena kuchepa kwa thupi
• kulakalaka
• kutopa posakhala kulimbitsa thupi,
• Tulo, kugona tulo,
• kubuula,
• thukuta kwambiri.

Kutopa kochulukirapo - chizindikiro cha matenda ashuga mwa amuna

Zizindikiro zomwe zili pamwambazi sizimapangitsa kuti amuna azikayikira kuti ali ndi matenda ashuga, koma matendawa akamakula, zizindikilo zake zimayamba kutchulidwa kwambiri ndipo zimawonekera bwino pa thanzi la abambo.Ndi kachitidwe ka kubereka ndi kubereka kwamuna komwe kamakumana kwambiri ndi matenda ashuga. Amuna amayamba kuwona kuchepa kwa potency, kumveka msanga, kutsika chilakolako chogonana.

Musanaganizire za matenda ashuga mwa abambo 1 ndi 2, muyenera kudziwa momwe amasiyana.

Type 1 shuga mellitus imafunikira kukonzekera kwa insulin tsiku ndi tsiku, chifukwa kapamba satulutsa insulin. Kulephera kuperekera insulin kumatha kudzetsa kukomoka kwa matenda ashuga komanso kufa.

Matenda a 2 a shuga safuna matenda a insulin. Ndikokwanira kuti wodwalayo awone momwe amadya, moyo wake, kumwa mankhwala kuti amwe insulin. Mankhwala amayenera kutumizidwa ndi adokotala okha.

Zizindikiro za shuga mwa amuna amtundu 1

Mtundu woyamba wa matenda a shuga a shuga kapena matenda amisala otengera insulin mwa amuna ali ndi zizindikiro zazikulu, zomwe zimatha kupitilira milungu ingapo. Chochititsa chidwi nthawi zambiri chimakhala matenda ena kapena kuchulukitsa kwa matenda osachiritsika. Zizindikiro zofanana ndi matenda amtundu 1 ndi:

• kumverera kwa ludzu
• Khungu
• kukodza pafupipafupi,
• kuwonda msanga
• kutopa kwambiri
• kutopa kosalekeza, kugona,
• kuchepa kwa magwiridwe.

Ludzu losatha la matenda ashuga

Poyamba, zizindikiro za matenda amishuga amitundu 1 zimatha kutsatiridwa ndi chidwi, koma matendawa akamakula, odwala amayamba kudya. Chizindikiro chizindikiritso ndicho kupezeka ndi kumva fungo linalake mkatikati mwa pakamwa, komanso mseru pafupipafupi, kusanza, kusapeza bwino komanso kupweteka m'matumbo. Amuna omwe ali ndi mbiri ya matenda a shuga omwe amadalira insulin nthawi zambiri amadandaula za kuchepa kwa potency kapena kusakhalapo kwathunthu, komwe kumawonetsedwa molakwika m'thupi komanso m'maganizo ndipo nthawi zambiri kumafunikira kukambirana ndi akatswiri ena, kuphatikizapo psychotherapists.

Zizindikiro za matenda ashuga mwa amuna a 2

Mwambiri, nthawi zambiri matendawa alipo amitundu iwiri. Kuzindikira kumakhala komwe kumachitika mwa mwayi nthawi zonse pamayeso okonzedwa kapena osaperekedwa pogwiritsa ntchito kuyezetsa magazi komwe kumakhala kuchuluka kwa shuga m'magazi. Type 2 shuga mellitus amakula pang'onopang'ono zaka zingapo. Amuna omwe ali ndi matenda a shuga 2, mabala aliwonse, ngakhale mabulidwe ang'ono, samachira, kufooka kumamvekanso, kumva bwino kumachepetsedwa, ndipo kukumbukira kumalephera. Kutayika kwa tsitsi kumadziwika, enamel ya mano imawonongeka, gamu nthawi zambiri amatuluka. Zidandaulo zowonjezera za ludzu komanso kukodza pafupipafupi nthawi zambiri kulibe. Pafupifupi nthawi zonse, matendawa amapezeka mwangozi.

Zotsatira za matenda ashuga kwa abambo

Matenda a shuga ndi matenda osachiritsika omwe amavutitsa kwambiri moyo wa munthu, amakhala ndi zotsatirapo zoyipa komanso nthawi zina zosasintha. Mwa abambo omwe ali ndi mbiri ya matenda ashuga, ali pachiwopsezo chachikulu chotenga matenda amtima wotsatira, kutsatiridwa ndi kukula kwa vuto la mtima, stroko. Matenda a shuga amawononga ntchito ya impso, chiwindi, komanso m'mimba. Kuphatikiza apo, pali kuphwanya ntchito yogonana ndi kubereka. Mlingo wa testosterone m'mwazi umachepetsedwa kwambiri, zomwe zimapangitsa kuti magazi azilowerera m'chiwalo cha m'chiuno ndikukula kwa kusabala. Kuchuluka kwake komanso umuna wake umachepetsedwa, DNA imawonongeka.

Kuchepetsa kugonana - zotsatira za matenda ashuga

Vuto lalikulu la matenda ashuga limawerengedwa kuti ndi "phazi la matenda ashuga", lomwe limadziwika ndi kuchepa kwa chidwi cha miyendo ndi chitukuko chamkati cha necrosis komanso khungu, ngakhale atavulala pang'ono kapena kudula pang'ono.Nthawi zambiri, kuphatikiza uku kumabweretsa kudula dzanja. Chizindikiro chachikulu cha "phazi la matenda ashuga" ndikumverera kwa tsekwe, komanso kukokana pafupipafupi m'miyendo. Zizindikiro izi kwa odwala omwe ali ndi matenda ashuga ayenera kukhala chizindikiro choopsa. Ndi matenda a shuga, kuwonongeka kwa impso kumadziwika. Zizindikiro zimatha kuwonekera pakapita nthawi ndipo zimadalira mwachindunji gawo la matenda ashuga. Chizindikiro chachikulu ndikuwonjezereka kwa diuresis, kenako kuchepa kwake kwakukulu.

Kutengera ndi zovuta zomwe tafotokozazi, titha kunena kuti matenda ashuga ndi matenda oopsa omwe amatha kugwira chiwalo chilichonse cha thupi. Chifukwa chake, podziwa zisonyezo ndi matenda amishuga mwa abambo, aliyense woyimira chiwalo cholimba ayenera kuyang'anitsitsa thanzi lawo ndikuyang'ana kwa dokotala matenda oyamba. Kuti muthane ndi chiwopsezo cha matenda a shuga, muyenera kupimidwa magazi nthawi ndi nthawi. Komanso, musamamwe mowa mopitirira muyeso, idyani mafuta ochulukirapo komanso zonunkhira. Kukhala ndi moyo wathanzi komanso kulemekeza thanzi lanu kokha ndi komwe kungathandize kupewa kapena kupewa kukula kwa matenda ovuta.

Zizindikiro zoyambirira za shuga

Madokotala nthawi zambiri amatcha matenda ashuga "osapha kanthu" - matendawa amatha kuchitika kwa nthawi yayitali popanda chizindikiro, kapena kudzipanga ngati matenda ena. Choyambitsa chachikulu cha matendawa ndikuchepa kwa kapangidwe ka insulin yomwe amapanga. Thupi ili limaganizira zochitika zodetsa nkhawa, manjenje amanjenje, kunenepa kwambiri.

Momwe mungadziwire matendawa kuyambira koyambirira:

• Kusintha kwakuthwa kwakanthawi kapena pansi - chakudya chamagulule amasiya kutenga nawo mbali machitidwe a metabolic, kuwotcha kwamafuta ndi mapuloteni ndikulimbikitsidwa,
• kumangokhalira kumva njala yomwe satha ngakhale mutatha kudya - chakudya chamthupi sichitha kuwonongeka popanda insulin, yomwe imapangitsa kuti munthu azikhala ndi chidwi chofuna kudya,
• ludzu, kukodza kochulukirapo usiku - shuga imachotsa madzimadzi ambiri mthupi,
• kutopa, kugona. - minofu imavutika ndi kuperewera kwa mphamvu, kufooka kwambiri kwa minofu kumachitika,
• kuyabwa koyambirira.

Anthu odwala matenda ashuga amadwala kwambiri thukuta nthawi iliyonse pachaka. Pokhala ndi shuga wambiri, masomphenya amakhala ndi vuto - amayamba kuchuluka kawiri m'maso, chithunzicho chimakhala mitambo. Mwa amuna, matenda a shuga amachititsa kuti munthu asaberekane komanso asaberekane, mavuto amatha kuyamba msanga, zaka 30 zisanachitike.

Zofunika! Zizindikiro zakunja za matenda ashuga mwa amuna koyambira sizimawonetsedwa - matendawa amayamba kuwononga ziwalo zamkati.

Zizindikiro za matenda a shuga 1

Mu mtundu 1 wa shuga, kapamba amasiya kupanga insulin - chifukwa chake, munthu ayenera kuchita jakisoni wa mahomoni tsiku ndi tsiku. Kupanda kutero, kudwala matenda ashuga ndi kufa kumatha kuchitika.

Matendawa ali ndi cholowa chathu, kupezeka kwa anthu odwala matenda ashuga mu genus kumawonjezera mwayi wokhala ndi 10%. Zina zomwe zimayambitsa matendawa ndizoti munthu azingokhalira kutengeka, ma virus, kumva kuwawa kwa ubongo, kukonda kwambiri chakudya chokoma.

Zizindikiro za matenda a shuga omwe amadalira insulin mwa amuna:

• ludzu losalekeza - munthu amamwa madzi opitilira malita asanu patsiku,
• kuyabwa
• kukodza pafupipafupi, makamaka kugona usiku,
• kutopa kwambiri
• Kuchepetsa thupi pakudya.

Matendawa akamakula, kusowa kwa chakudya kumatha, kununkhira kwina kochokera mkamwa kumawonekera, mavuto ndi potency amayamba. Nthawi zambiri matendawa amakhala ndi nseru, kusanza, kusapeza bwino m'matumbo.

Zofunika! Mtundu wa shuga wodalira insulin umapezeka kwambiri kwa anyamata. Zizindikiro zoyambirira zimatha kuonekera zaka 35, ndipo patatha zaka 40 munthu sangathenso kuchita jakisoni wa insulin.

Zizindikiro za Matenda Awiri A shuga

Mtundu wachiwiri wa matenda ashuga, insulin imalowetsedwa m'thupi, koma imagwirizana ndi maselo. Ndikofunikira kubwezeretsa zakudya, kusiya zizolowezi zoipa, kumwa mankhwala osokoneza bongo omwe amathandiza kuti insulin idyedwe. Zomwe zimayambitsa matendawa ndi kukanika kwa pancreatic, kunenepa kwambiri, matenda amtima komanso a mtima.

Zizindikiro za matenda a shuga a 2:

• mabala ndi zipsera zimachiritsidwa kwakanthawi, nthawi zambiri zimayamba kusefukira,
• Pali zovuta ndi masomphenya, patatha zaka 60, odwala matenda ashuga nthawi zambiri amapezeka ndi glaucoma ndi matenda amkati.
• kufooka, kugona,
• kusokonezeka kwa kukumbukira
• magazi m`kamwa, kuwonongeka kwa enamel mano
• kutaya tsitsi
• kutuluka thukuta kwambiri.

Mu shuga, njira za pathological zimachitika mu metabolic - izi zimakhudza kusinthasintha kwa zala ndi zala. Zimakhala zovuta kuti munthu wodwala matenda ashuga azikweza chala chachikulu kwambiri pamlingo wa madigiri 45 pamwamba. Zala zamanja sizitukuka kwathunthu, chifukwa chake, pakubweretsa manja athu, mipata imatsalira.

Zofunika! Matenda a 2 a shuga amapezeka kwambiri mwa amuna atakwanitsa zaka 50, amakula pang'onopang'ono kuposa mawonekedwe omwe amadalira insulin.

Zotsatira zake

Matenda a shuga ndi njira yoopsa, kunyalanyaza zizindikiro zoopsa kumatha kuyambitsa kuperewera kwa impso, kugunda kwa mtima, kulephera kuwona, kufa.

Matendawa ndi oopsa:

1. Zowonongeka. Poyerekeza ndi maziko a kuchuluka kwa shuga, mitsempha yamagazi m'maso amawonongeka, ndipo magazi ake amayamba kuwonongeka. Zotsatira - kufalikira kwa mandala, kufinya kwa retina, kwangozi.
2. Kusintha kwachidziwitso mu impso. Ndi matenda a shuga, aimpso glomeruli ndi tubules zimakhudzidwa - nephropathy, kulephera kwa impso kumayamba.
3. Encephalopathy - chifukwa cha kuphwanya magazi, magazi amanjenje amachitika. Matendawa amadziwoneka ngati akuphwanya mutu, kuwonongeka m'maso, kusowa chidwi, komanso kugona mokwanira. Matendawa akamakula, munthu amayamba kumva chizungulire, mgwirizano umasokonekera.
4. Zilonda zam'mimba za shuga. Matendawa amakula chifukwa cha mavuto omwe amapezeka ndimagazi, amadziwika ndi kupezeka kwa ma bose, kukomoka pafupipafupi. Ndi mawonekedwe apamwamba, gangrene amayamba, kudula kumafunika.
5. Mtima matenda. Matenda a shuga ndi mtima ndi mtima. Anthu odwala matenda ashuga amakhala ndi atherosulinosis, angina pectoris, vuto la mtima, kuthamanga kwa magazi, ndipo nthawi zambiri zimachitika zomwe zimafuna opaleshoni.

Mwa amuna omwe ali ndi matenda a shuga, kaphatikizidwe ka testosterone kamachepa - chilakolako chogonana chimazirala, mavuto okhala ndi potency amadzuka. Matendawa akamakula, kuchuluka kwake kwa umuna wake kumachepa, kusabereka kumayamba.

Zofunika! Ndi matenda anthawi yake, chithandizo choyenera komanso zakudya, matenda a shuga amatha.

Kuzindikira ndi chithandizo

Ngati pali zizindikiro za matenda ashuga, muyenera kukayezetsa kuchipatala. Njira zakuzindikira - magazi ndi mkodzo poyesa kuchuluka kwa shuga, kudziwa kuchuluka kwa hemoglobin ya glycosylated, glucose chiwopsezo, kuzindikira ma peptides enieni ndi insulini mu plasma.

Kuthamanga kwa shuga m'magazi ndi 4, 4-5, 5 mmol / l; maola awiri mutatha kudya, shuga amatha kuwonjezera mpaka 6, 2 mayunitsi. Kukula kotheka kwa shuga kukuwonetsedwa ndi mfundo za 6.9-7, 7 mmol / L. Kudziwitsa za matenda ashuga kumapangidwa pamene mitengo yoposa 7.7 yapita.

Akuluakulu, Zizindikiro za shuga ndizokwera pang'ono - 5.5-6 mmol / l zimatengedwa ngati zofunikira, malinga ngati magazi amaperekedwa pamimba yopanda kanthu. Madzi a glucose panyumba amawonetsa kuchepa kwa shuga m'magazi, kupatuka ndi mayeso a labotale kuli pafupifupi 12%.

Zochizira matenda amtundu wa 1 shuga, jakisoni wa insulin okha ndi omwe amagwiritsidwa ntchito, mapiritsi ndi njira zina zochizira sizingathandize ndi mtundu uwu wa matenda. Anthu odwala matenda ashuga ayenera kutsatira chakudya, nthawi zonse amachita zinthu zolimbitsa thupi.

Maziko othandizira matenda amtundu wa 2 ndi zakudya zoyenera, zomwe zimathandiza kukhala ndi shuga. Kuphatikiza apo, adotolo amatipatsa mapiritsi a kudya kwambiri - Siofor, Glucofage. Gwiritsani ntchito pochiza komanso kugwiritsa ntchito mankhwala osokoneza bongo a GLP-1 receptors - Viktoza, Bayeta. Mankhwala amamasulidwa mu mawonekedwe a cholembera, ma jekeseni ayenera kuchitidwa musanadye chakudya kamodzi kapena kamodzi patsiku, malamulo onse ovomerezeka amawonetsedwa mu malangizo.

Njira zopewera

Ndikosavuta kupewetsa kuyambika kwa matenda ashuga - muyenera kuyamba posintha moyo wanu ndi zakudya zanu. Ndikofunikira kusiya zizolowezi zoipa, kuchepetsa kumwa tiyi, khofi, zakumwa zoziziritsa kukhosi, zatsopano zopaka.

1. Chakudyacho chikuyenera kukhala ndi zakudya zachilengedwe zochulukirapo. Zakudya zopezeka ndi mafuta ochepa opepuka ziyenera kuchepetsedwa.
2. Kusungabe madzi ndi njira imodzi yopewera matenda ashuga. Ndi madzi osakwanira, kaphatikizidwe ka insulini amasokonezeka, kuchepa kwa madzi m'thupi kumayambira, ziwalo sizingasinthe ma acid onse achilengedwe.
3. Kuchita masewera olimbitsa thupi pafupipafupi - madokotala amati njira iyi ndiyo njira yodalirika yopewera kuyambika kwa matenda ashuga. Pa maphunziro, njira zonse za metabolic mthupi zimagwira.

Matenda a shuga ndi matenda osachiritsika omwe matendawa amakhazikika. Njira yabwino kwambiri yopeweretsera matendawa ndi kupeza panthawi yake, abambo atatha zaka 40 amafunika kuyang'ana magazi awo kamodzi miyezi isanu ndi umodzi. Popeza tili ndi vuto la matenda ashuga, ndikofunikira kuti muchepetse kuchuluka kwa zakudya zopatsa mphamvu - zimatsindika kapamba.

Zovuta zazovuta

Matenda a matenda ashuga amakula chifukwa chowonjezeka kwambiri m'magulu a shuga - hyperglycemia. Mitundu ina yovuta ya matenda oopsa a shuga ndi ketoazidosis, hypoglycemic, ndi lactic acid. Mavuto amtundu uliwonse amatha kuchitika pawokha komanso akaphatikizana. Zizindikiro zawo ndi zotsatira zake ndizofanana komanso zoopsa: kutaya chikumbumtima, kusokoneza ziwalo zonse. Amatha kupezeka mwa amayi ndi abambo, koma amagwirizana ndi kutalika kwa matendawa, ndi zaka komanso kulemera kwa odwala.

Ketoacidosis imakonda kupezeka mwa iwo omwe ali ndi matenda amtundu wa 1, ndipo mwa ovuta kwambiri odwala omwe ali ndi matenda amtundu wa 2. Ndikusowa kwa glucose, thupi lilibe mphamvu zokwanira, ndipo limayamba kuphwanya mafuta ake. Koma popeza motsutsana ndi maziko a matendawa, kagayidwe sikakonzekere, "zinyalala" zawo zomwe zimapangidwa zimadziunjikira m'magazi. Wodwala amakhala ndi mpweya wa acetone, kufooka kwambiri, kupuma mofulumira.

Hypoglycemia, ndiye kuti, kutsika kwakuthwa kwa shuga m'magazi, kumachitika ndi matenda amtundu 1 shuga ndi matenda a 2. Zimayambitsa mulingo woyenera wa insulin, mowa wamphamvu, masewera olimbitsa thupi mopitirira muyeso. Izi zovuta za shuga zimatha kupitilira mphindi zochepa.

Mtundu wachiwiri wa matenda ashuga, anthu opitirira makumi asanu nthawi zambiri amakhala ndi hyperosmolar ndi lactic acid coma. Yoyamba imayamba chifukwa cha kuchuluka kwa sodium ndi glucose m'magazi, zomwe zimayamba pakapita masiku angapo. Wodwala chotere sangathe kuthetsa ludzu lake, nthawi zambiri komanso pokodza. Lactic acid coma imawopseza anthu omwe ali ndi vuto la mtima, aimpso, komanso chiwindi. Amadzuka mwachangu: kupanikizika kwa wodwalayo kumagwa kwambiri ndipo kutuluka kwa mkodzo kumayima.

Maso: matenda a shuga a retinopathy

Chimodzi mwazotsatira zoyipa za matendawa (nthawi zambiri mitundu ya 2) ndi myopia ndi khungu. Matenda a shuga amachititsanso tinsalu ting'onoting'ono kwambiri komwe timabaya retina. Zombo zimaphulika, ndipo zotupa m'matumba mwake zimapitilira nthawi. Vuto linanso ndi kufalikira kwa mandala, kapena kuti nganga. Retinopathy ndi myopia zimapezeka pafupifupi aliyense amene wakhala akudwala kwa zaka zopitilira 20.

Odwala matenda ashuga ayenera kukumbukira kuti retinopathy imayamba pang'onopang'ono. Chifukwa chake, ayenera kuyang'ana masomphenya awo kamodzi pachaka. Atafufuza za fundus, adokotala azindikirani kuchuluka kwa zomwe matendawa adwala kale ndi matenda ashuga, ndikuti apatseni mankhwala. Komabe, ngati myopia ikonzedweratu ndi magalasi, zikutanthauza kuti siziphatikizidwa ndi shuga!

Mtima ndi kuzungulira kwa dongosolo: angiopathy

Makoma amitsempha yamagazi, kuphatikiza bongo ndi mtima, atayika, amakhala owongoka ndipo pang'onopang'ono, magazi a wodwalayo amawuka. Minofu yamtima imakhalanso ndi matenda ashuga: odwala nthawi zambiri amakhala ndi arrhythmia ndi angina. Matenda a Type 2 pachaka chatha matenda atha kukubweretserani stroko kapena matenda a mtima! Chiwopsezochi chikuwonjezeka mwa amuna ndi akazi achikulire omwe onenepa kwambiri komanso odwala omwe amasuta.

Matenda a shuga ndi matenda opatsirana kwambiri. Zotsatira zake nthawi zina zimakhalapo kwa nthawi yayitali, koma zimawoneka nthawi yomweyo. Anthu omwe akudwala matendawa amayenera kuwunika magazi awo tsiku lililonse. Ndi kupezeka kwa shuga kwa matendawa, tikulimbikitsidwa kuti magazi azithamanga mkati mwa 130 mpaka 85 mm Hg. Art.

Nephropathy: kuwonongeka kwa impso

Pamodzi ndi maso, impso ndi chiwalo chomwe chimakhudza kwambiri matenda a shuga. Zosefera zamkati zimabooleredwa ndi ma capillaries owonda kwambiri, ndipo ngati zotengera zikhala zopanda kanthu, zosefera zimakhalanso "zimasweka". Satsuka magazi a zinthu zovulaza, koma nthawi yomweyo, mwachitsanzo, mapuloteni amatulutsa mkodzo.

Impso zimakhala ndi malire. Zizindikiro zoyambirira za kulephera kwa impso nthawi ya shuga nthawi zina zimadziwika. Chifukwa chake, ndi matenda ashuga 2, muyenera kuchita kuyesa kwamkodzo kuti mukhale ndi mapuloteni kamodzi pachaka.

Polyneuropathy: Zizindikiro ndi zotsatira zake

Vutoli limayamba pang'onopang'ono, nthawi zambiri mu kusuta amuna ndi akazi onenepa omwe ali ndi matenda amtundu 2. Zizindikiro zoyambirira zimayamba kuwoneka usiku. Poyamba, zikuwoneka ngati wodwala kuti magolovu amaikidwa m'manja mwake, ndipo matumba amatulutsidwa m'miyendo yake, ndipo khungu pansi pawo limayamba kugwirira ndi kuyaka, ndipo miyendo yake imakhala yoduka. Pang'onopang'ono, chidwi cha zala komanso nthawi yomweyo zimazimiririka. Amasiya kumva kutentha, kuzizira, komanso kukhudza, ndipo ngakhale kupweteka.

Ichi ndi polyneuropathy - kuwonongeka kwa zotumphukira, ndiko kuti, "kutali" mitsempha ya mitsempha ndi mathero. Nthawi zina matenda a shuga amayambitsa kufooka m'manja ndi m'miyendo. Anthu ena odwala matenda ashuga amavutitsidwa ndi ululu wowopsa wamanjenje, kukokana m'misempha ya manja, minofu ya ng'ombe ndi minofu ya ntchafu.

Kodi phazi la matenda ashuga ndi chiyani?

Chomwe chimayambitsa "phazi la matenda ashuga" ndikuchepa kwamphamvu kwamanjenje ndikusokoneza kwa phazi. Anthu omwe ali ndi matenda ashuga kwa zaka makumi ambiri, amakakamizidwa kuti aziwopa mabala ochepa kwambiri phazi - sangamve! Komabe, chimanga chitagundika magazi chitha kusanduka chilonda chotseguka, ndipo kaching'alu kakang'ono chidendene - ndikukhala chosowa. Zowopsa kwambiri kwa odwala omwe ali ndi matenda a shuga a 2 komanso matenda a fungal a pakhungu ndi misomali.

Zilonda zapakhosi poyang'ana kumbuyo kwa matenda oopsa a shuga 2 ndi owopsa osati chifukwa chovuta kuchiritsa. Popita nthawi, gawo la minofu limayamba kufa, zilonda zam'mimba (ndipo nthawi zina zimayamba), ndipo nthambiyo imadulidwanso. Vutoli limafala kwambiri kwa anthu omwe amasuta. Anthu omwe akudwala matenda ashuga ayenera kukhala aukhondo, simuyenera kuvala nsapato zolimba ndipo ndikosayenera kuyenda osavala nsapato.

Matenda a matenda ashuga wamba

Matenda a shuga amasokoneza kugwira ntchito kwa ziwalo zonse za anthu, ngakhale zimakhudza ena "mozama", pomwe ena "amagwira osachedwa." Chifukwa cha kuchuluka kwa magazi m'magazi, odwala matenda ashuga amadwala matenda am'mimba, gingivitis, matenda osakhalitsa: mano awo amatupa, mano otupa komanso athanzi amatha. Matenda a shuga amakhudzanso thirakiti la m'mimba - awa ndi matenda a chiwindi, kukula kwa m'mimba.

Amadwala matenda a shuga 1 komanso matenda ashuga 2 komanso dera lachiberekero.Mwa amayi, ngati sagwiriridwa, zovuta za matenda ashuga zimachitika padera, kubadwa msanga, ndipo nthawi zina mwana wosabadwayo amamwalira. Mwa abambo, mtundu 2 wa shuga wambiri am'mimba kwambiri umapangitsa kuti munthu asakhale wopanda mphamvu. Kutsika kwa libido kumaonedwa pafupifupi theka la amuna omwe ali ndi matenda ashuga a 2.

Mavuto Oyembekezera

Choopsa kwambiri ndi matenda amishuga amtundu uliwonse kwa amayi apakati, mwina ndi matenda omwe mayi adakumana nawo asanakhale ndi pakati, kapena matenda a shuga. Kunenepa kwambiri kumakulitsa kufunikira kwa insulin, ndipo ngati mayi woyembekezera adya awiri, amawonjezera mapaundi owonjezera ochepa. Nthawi zambiri, mwana akangobadwa, kagayidwe kamaberekanso mwakale, koma mwa amayi onenepa kwambiri, nthenda yachiwiri imayamba.

Matenda a shuga ndi owopsa kwa mayi ndi mwana. Kudzera mu chingwe cha umbilical ndi placenta, amalandira shuga wambiri ndipo amalemera kwambiri pobadwa, ndipo ziwalo zake zamkati sizikhala ndi nthawi yopanga. Zotsatira zazitali za matenda a matendawa zimakonda kunenepa kwambiri, makamaka anyamata, chifukwa kwa amuna matenda ashuga nthawi zambiri amakhala cholowa.

Zambiri

Zotsatira zomwe zimachitika chifukwa cha matenda a shuga ndi oopsa chifukwa zimayambitsa kusintha kosasintha m'thupi ndi ziwalo, zomwe zimabweretsa kulumala komanso nthawi zina kufa kwa odwala. Anthu opitilira 4 miliyoni amafa chaka chilichonse chifukwa cha matenda ashuga padziko lapansi.

Choyambitsa chachikulu pamavuto ndi kugonjetsedwa kwa ziwiya zazing'ono (capillary network) ndi mitsempha yotumphuka. Zombo zazing'onoting'ono kwambiri zimapezeka mu retina, mu glomeruli la impso, pamapazi a m'munsi. Chifukwa chake, pali mawu ena omwe amatanthauza kutengera kwa zovuta:

• Matenda ashuga angiopathy - amasintha mu ziwiya zazing'ono zilizonse za thupi.
• Matenda a shuga - nephropathy - amasintha ang'onoang'ono a impso.
• Dongosolo la matenda ashuga polyneuropathy - kuwonongeka kwa zotumphukira zamanjenje.
• Matenda a shuga a retinopathy - kusintha m'mitsempha yamagazi mu retina.
• Matendawa odwala matenda ashuga - kuchepa kwa chidwi m'mapazi, kusintha pakhungu, mafupa ndi zina zotero.

Zizindikiro za matenda a shuga komanso zotsatira zake zimakhala zofanana kwambiri ndi kuopsa kwa matendawa, kutanthauza kuti, matchulidwe awanenedwe, vuto limatha kuchitika mwachangu. Chifukwa chake, chifukwa cha zovuta zake komanso matendawa, zovuta zonse za matenda ashuga zimagawika pamavuto owopsa (oyambirira) komanso mochedwa (aakulu).

Kodi zovuta za matenda ashuga ndi ziti?

"> Mikwingwirima yotere imayamba, monga lamulo, chifukwa chodumphadumpha m'magazi ndimatenda ake kwa maola angapo kapena masiku. Ndikosavuta kuti muzipewa kapena kupewa m'njira zina, chifukwa vuto limatha kuchitika mwachangu kwambiri. Mavutowa akachitika, wodwalayo ayenera kuchipatala kuchipatala, chifukwa kuchedwa kapena kusowa kwa chithandizo chamankhwala kwa maola awiri awiri kungayambitse kudwala.

Mikhalidwe yotsatirayi ikugwirizana ndi zovuta zoyambirira kapena zopweteka:

1. Matenda a shuga - amapezeka ngati yankho lakuchuluka kwa glucose, kuwonetseredwa ndi kusefukira kwamphongo, kuphwanya kwamphamvu kwa kupuma, kununkhira kwamphamvu kwa asetone, kusowa kwa mkodzo kapena kuchuluka kukodza. Zitha kuchitika m'mitundu yonse ya matenda ashuga.
2. Ketoacidosis - imachitika ndi kudzikundikira kwa zinthu zamafuta a metabolic (zinyalala) m'magazi, ndipo amadziwika ndi vuto la ziwalo zonse ndikuchepa kwa chikumbumtima. Zimachitika makamaka ndi matenda a shuga 1 (amadalira insulin).
3. Hypoglycemic coma ndi mkhalidwe womwe misempha ya shuga imatsika kwambiri. Amakhala ndi zakumwa zoledzeretsa, zolimbitsa thupi, kapena mankhwala osokoneza bongo amachepetsa shuga. Zitha kuchitika ndi mitundu yonse ya matenda ashuga.

Machedwe mavuto

Zomwe zimayambitsa zovuta zoterezi ndizochulukitsa (kwa zaka zingapo) shuga wamagazi.Ayi, ngakhale chithandizo chodula kwambiri chitha kutsimikizira kuti zovuta za mtundu wa 2 shuga sizingachitike ngati mulingo wa shuga nthawi yonse ino uposa kuchuluka kwa 5.5 mmol / lita.

Mavuto apambuyo pake akuphatikizapo:

• Kuwonongeka kwa retina, komwe kumatha kuyambitsa matenda amtundu wa maso (khungu la maso) kapena khungu.
• Kuwonongeka kwa tsitsi, mano, kusamva, matenda otupa amkamwa (kuphatikizapo periodontal matenda).
• Kuwonongeka kwa mitsempha ya mtima, yomwe imatsogolera ku kuchepa kwa coronary ndi angina pectoris, komanso mtsogolo ku infarction ya myocardial.
• Mafuta chiwindi hepatosis, omwe amapezeka chifukwa cha kuphwanya kwa mafuta ndi kagayidwe kazakudya.
• Kuwonongeka kwa impso kapena nephropathy, yomwe imakhala chifukwa chachikulu cha kufa kwa odwala matenda ashuga.

"> Zosintha pakugonana komwe kumachitika mwa abambo ndi amayi. Zotsatira za matenda ashuga mwa amuna zimadziwika ndi kuchepa kwa libido, erection, komanso kusabala kwenikweni. Mwa akazi, izi zimawonetsedwa ndi kutenga padera msanga kapena kufa kwa fetal.

Kuwonongeka kwa malekezero ena (phazi la matenda ashuga), omwe zilonda zam'mimba, zilonda zam'mimba, zimayamba. Nthawi zambiri, odwala matenda ashuga amataya mwendo umodzi kapena awiri chifukwa cha zovuta izi.

Sinthani pakukula kwa mitsempha yamagazi yomwe imakhala yopanda brittle ndi brittle. Izi zimabweretsa zotsatira zingapo mthupi lonse, chifukwa ma network amayenda bwino kwambiri ndipo ndi gwero lazakudya zonse machitidwe.

Kupewa zotsatira za matenda ashuga

Mavuto onse amabwera pokhapokha ngati pali matenda osokoneza bongo a shuga, wodwala akamaliza kudya, osayang'anira kuchuluka kwa shuga m'magazi, samatsata malamulo oyambira amoyo wathanzi, amagwiritsa ntchito zizolowezi zoyipa, samayenda kwambiri. Ndi chifuwa chachikulu cha matenda a shuga, zotsatira zake sizowopsa ndipo sizichitika mwachangu monga momwe matenda awonongera.

Ndi matenda a shuga a mtundu 2, zotsatirazi sizimadziwika ndipo nthawi zambiri zimasokoneza ndipo zimawonjezera moyo, chifukwa chake, kupewa izi, zotsatirazi ziyenera kuchitidwa:

1. Tsatirani zakudya kwambiri.
2. Lekani kusuta ndipo musamwe mowa.
3. Kusuntha kwambiri, kupita kukayenda kapena kusambira.
4. Kuchepetsa thupi.
5. Onetsetsani kuti magazi ndi osachepera 2 pa sabata ndi glucometer.
6. Nthawi zonse muzichita mankhwala a insulin kapena mumwa mankhwala ochepetsa shuga.
7. Nthawi zambiri amawonedwa ndi endocrinologist kuti adziwe momwe alili.

Chinthu chachikulu chomwe simuyenera kuchita mantha ndikuyenera kudziwa ndikuti shuga sakhala mlandu, koma chidziwitso chokhacho chomwe chitha kuwongoleredwa mosavuta ngati wodwalayo akudziwa momwe akuvutikira ndikukwaniritsa mosamala malangizidwe onse a dokotala. Zotsatira zonse za matenda a shuga zitha kupewedwa ngati mutha kuwongolera kuchuluka kwa shuga munthawi yochepa.

Zizindikiro zazikulu za shuga mwa amuna

Amuna, mosiyana ndi azimayi, omwe ali ndi vuto lochepa pang'ono, samawona dokotala, nthawi zambiri amatchula zina mwazizindikiro zamatenda owopsa chifukwa cha zovuta zakudya, kutopa kuchokera kuntchito, kusapuma mokwanira, kupsinjika kwakanthawi, poganiza zovuta zina zokhudzana ndi zaka. Amuna ambiri amanyalanyaza zizindikiro zomwe zimawoneka ngati zazing'ono kapena nthawi ndi nthawi monga:

• kukodza usiku, kuwonjezeka kwa kuchuluka kwa madzimadzi omwe amwedwa ndi kuchuluka kwa mkodzo tsiku ndi tsiku, ludzu lochulukirapo, kamwa yowuma
• dazi, kuwonda kwambiri
• mwa amuna kuchokera kukodza pafupipafupi, kutupira khungu
• kuchepa kwa ntchito, kuchuluka kwa kutopa, kufooka
• kudumpha mu kuthamanga kwa magazi
• kuchuluka kunenepa nthawi zonse, kunenepa kwambiri, kapena mosinthanitsa
• kuchepa kwamawonedwe
• kusangalatsa khungu kuyabwa, makamaka kuyabwa mu groin, kuyabwa mu anus
• mavuto obeleka, kusabala
• kuchiritsa kwa nthawi yayitali mabala, zipsera, mapapu

Koma ngati zingapo mwazizindikirozi zikuwoneka, muyenera kukhala osamala, chifukwa izi zitha kukhala zizindikiro zoyambira za amuna, motero muyenera kupereka magazi (magazi abwinobwino). Ngakhale kuchuluka kwa shuga m'magazi kukwera osafunikira komanso nthawi zina, izi zikuwonetsa kale kusintha kosasunthika m'thupi, komwe m'tsogolomu kumapita ndikukasokoneza kagayidwe, kamabweretsa zotsatira zoyipa.

Amuna opitilira 30% azindikira kuti adakweza shuga m'magazi pokhapokha, kuwonjezera pazowoneka pamwambapa, kusintha kwamtima kwakukulu kumapezeka. Komabe, ndikuzindikira koyambirira, zakudya zopatsa thanzi komanso chithandizo chokwanira cha matenda ashuga, lero mutha kukhala ndi moyo wokwanira ndipo, malinga ndi ziwerengero, odwala ambiri omwe ali ndi matenda ashuga amakhala nthawi yayitali.

Pali njira zotere zomwe zimapangitsa kupezeka kwa matenda ashuga mwa munthu, poti amachepetsa kusinthasintha kwa zala:

1. Ngati chala chachikulu sichingakweze madigiri 50-60 kuchokera pansi, ichi ndi chizindikiro cha matenda ashuga (kapena gout). Ndi njira yayitali kwambiri yothetsera vuto la metabolic, zimakhala zovuta kuti munthu athe pang'ono kukweza chala chake pansi.

2. Kuti muwone kusinthasintha kwa zala m'manja, muyenera kulumikizana ndi manja kuti zala zanu zigwirizane ndi zala za dzanja lanu linalo kutalika konse. Odwala omwe ali ndi matenda a shuga, zala zimakhala zokhazikika ndipo kuyesedwa uku ndikumalumikizidwa ndi zala zokha. Izi zimachitika chifukwa chakuchepetsa kwa tendons ndipo ndi chimodzi mwazizindikiro za matenda abwinobwino mwa amuna.

Ngati mulingo wambiri wamagazi kuchokera pachala ndi woposa 6.1, izi ndi matenda a shuga ndipo muyenera kufunsa endocrinologist.

Matenda a shuga ndi njira yobala yamphongo

Iyenera kuwatsimikizira abambo kuti kusabala mphamvu sikokwanira ngakhale pang'ono, osati chizindikiro chachikulu cha matenda a endocrine. Zotsatira za potency sizikhala ndi kusakwanira kwa insulin ya mahomoni, koma ndi kuchuluka kwa glucose m'magazi. Kuti machitidwe azisinthidwe azigawo azigonana, pamafunika njira yayitali yachipatala. Nthawi zambiri, zaka zingapo zimadutsa kuchoka pa chitukuko cha matenda ashuga kupita kuchiwopsezo cha zovuta zogonana.

Kumbali ina, kutali ndi anthu onse amadziwa za kukhalapo kwa matenda ashuga koyambirira: nthawi zina matendawa amapezeka mwangozi pomwe odwala amapita kuchipatala zokhudzana ndi zovuta zina.

Zomwe zimayambitsa kusokonezeka kwa kugonana mwa amuna ndi matenda a shuga (kuchepa kwa magazi kwa ziwalo zamkati) komanso kuchuluka kwa matupi a ketone m'magazi. Zophatikizira zotsalazo zimalowa m'magazi mkati mwa kuwonongeka kwamafuta acids, omwe thupi, osalandila zabwino kuchokera ku glucose, limagwiritsa ntchito mphamvu zowonjezera. Matupi a Ketone akuletsa ntchito ya testosterone.

Zina

Kuphatikiza apo, abambo sakhala ndi nkhawa yayikulu za thanzi lawo - kukaonana ndi dokotala nthawi zambiri amafunikira chifukwa chowonjezera chopitilira kukhala ndi thanzi labwino. Izi zimachepetsa kuchulukitsidwa koyambirira kwa matenda ashuga mwa amuna ndipo zimatsogolera pakupita patsogolo kwa zizindikiro.

Mavuto a mtima, kuchepa kwa tsitsi, kuwonda kwambiri, kuwonongeka kwa mano ndi khungu, kuchepa kwa magwiridwe antchito, ludzu losalekeza - zonsezi ndi mfundo zotheka za matenda a shuga. Ngati apezeka payekhapayekha komanso mosakanikirana, ndikofunikira kuti adziwe zoyeserera kuchipatala kuti apewe zovuta.

Werengani zambiri za zisonyezo za matenda ashuga mwa abambo ndi zovuta za matendawo pa thanzi la abambo munkhani zomwe zili mgawoli.

Zizindikiro za matenda ashuga mwa amuna azaka 30

Pa matenda a shuga, amuna amakhala ndi zotupa zamkati mwamkati. Uku ndiye kusiyana kwakukulu pakati pa zisonyezo za matenda amishuga amuna ndi akazi. Kupatula apo, mwa akazi, matendawa amadutsa mofatsa.

Matenda a shuga amawonetsedwa mwa amuna mukulakwitsa kwa njira yawo yothandizira kubereka. Potency imachepetsedwa kwambiri, chifukwa cha angiopathy, yomwe imachepetsa kuthamanga kwa magazi kupita kumaliseche. Zokhala ndi kuchuluka kwakukulu, matupi a ketone amachepetsa testosterone m'mwazi wa wodwalayo. Zotsatira zake, kutsika kwapang'onopang'ono kwa potency kumayamba. Komabe, zizindikiro zina za matenda ashuga zimawonekera.

Amakhulupilira kuti kudziwa matenda ashuga mwa bambo ndivuto kwambiri. Izi ndichifukwa choti abambo sakhala otsimikiza za thanzi lawo, mosiyana ndi akazi. Ichi ndichifukwa chake amuna samakonda kuyendera madotolo, chifukwa chake, samakonda kuyesa mayeso osiyanasiyana. Tiyeni tizindikire zizindikiro za matenda ashuga mwa amuna azaka 30.

Zizindikiro za matenda ashuga mwa amuna (kanema):

Zizindikiro za matenda ashuga mwa amuna pambuyo pa zaka 50

Ngati mnzanu, yemwe wasinthanitsa zaka khumi, wayambiranso ntchito yolumikizana ndipo adayamba kudandaula kuti watopa, ngati, m'malo mopita ku zisudzo kapena ngakhale kusewera mpira, amapumira pabedi, muyenera kuyamba kuda nkhawa. Zowonadi, ndikuphwanya potency, komanso kutopa ndi kusamveka, zomwe nthawi zambiri zimakhala chizindikiro choyamba cha matenda amtundu wa 2 mwa amuna. Cholinga chakuchepa kwa libido ndi kulephera muzochita zakugonana ndi kuchepa kwa magazi ndi ziwalo za m'chifuwa komanso kuchepa kwa testosterone - mahomoni achigololo amuna.

Nthawi zambiri, chizindikirochi chimakakamiza mwamunayo kupita kwa dokotala koyamba, samangokhala ndi chidwi ndi ena onse, ndipo samawawona ngati vuto lalikulu laumoyo.

Choyipa chachikulu, ngati ndi zonsezi, kukula kwa chiwonetsero cha mnzanu kukukula pang'onopang'ono, ndipo kuchuluka kwa tsitsi kumutu kwake kumasungunuka mosasamala. Kupatula apo, zimadziwika kuti mwa amuna ngakhale kulemera pang'ono kumawonekera ndikukula kwa matenda ashuga ndi matenda ena owopsa: mosiyana ndi amayi, kugonana kwamphamvu kumayamba kunenepa kwambiri (ndiye kuti mafuta amayamba kuyikidwira m'mimba), zomwe zimayambitsa kukakamiza kwa ziwalo zamkati.

Kuphatikiza apo, mu shuga mumakhala kuphwanya kayendetsedwe kazinthu, zomwe zingapo zimaphatikizapo kukula kwa tsitsi.

Matenda a shuga komanso kuchepa kwa tsitsi: zoyambitsa ndi kuchira (vidiyo):

Matenda a shuga ndi zizindikiro zake

Matenda abwinobwino amakhala ndi vuto kwa wodwalayo, popeza wodwalayo, monga lamulo, samazindikira ngakhale kukhalapo kwa matendawa. Ngati mukuwona kuti matenda aliwonse amathandizidwa kwambiri ngati ayambitsidwa ndipo osapezeka ndi madokotala panthawi. Pachifukwachi, ndikofunikira kukhala ndi chidziwitso chokwanira cha zofunikira za matenda owopsa kuti athe kuzindikira ndikusintha matenda am'mbuyomu, zizindikiro za amuna zimawonekera modabwitsa, ndipo mwamunayo sangatenge kufunika kwa iwo, popeza ndizofala komanso zofala m'miyoyo yathu.

1. Kusamva kopanda ludzu komansouma pakamwa. Munthawi yotentha, munthu sangakhale ndi chidwi ndi izi.
2. Kuchulukitsa kukodza ndi mkodzo.
3. Kusintha ndi kuyang'ana pakhungu. Khungu labwinobwino limatetezedwa kuzinthu zokhala ndi pathogenic, koma milingo yokwezeka yamwazi imawononga chitetezo ichi.
4. Mavuto onenepa. Izi zitha kukhala kuwonda kwambiri, kapena makilogalamu owonjezera. Kulakalaka kwambiri pankhaniyi kumatha kuonedwa ngati chizindikiro cha matenda.
5. Kuwonetsera kosasinthika kwa kusinthasintha koipa, kupanda chidwi, kufoka.

Zizindikiro zoterezi zimatha kukhala zaka pafupifupi 5, kenako matendawa amatha kudwala.Zizindikiro zonsezi nthawi imodzi sizingawonekere, ngakhale mawonekedwe a m'modzi kapena awiri ayenera kulimbikitsa munthu kuti akaonane ndi dokotala.

Mtundu wachiwiri wa matenda a shuga umatchedwanso kuti insulini -yokha: kapamba amatulutsa insulin yachilendo kapena kuchuluka, koma maselo amthupi amalephera kuzindikira chinthu ichi. Kutumiza kwa glucose m'maselo kumasokonezeka, ndipo kumayamba kudziunjikira m'magazi. Monga lamulo, matendawa ndi ofatsa kwambiri kuposa matenda amtundu 1, popeza gawo lalikulu la glucose limapikisidwa ndi thupi.

Type 2 shuga mellitus mwa amuna nthawi zambiri amadziwika mwamwayi panthawi yoyesedwa kwa labotale. Koma izi sizitanthauza konse kuti zizindikiritso za mtundu wachiwiri wa shuga mwa azimayi ndi abambo sizikupezeka: odwala ambiri amakhala ndi ludzu, amadya kwambiri kuposa masiku onse, nthawi zambiri amakodza kwambiri. Koma popeza thupi limagwirabe ntchito, limodzi ndi zovuta, kugwiritsa ntchito shuga kupatsa maselo, kuchepa thupi kwa anthu 2 odwala matenda ashuga sikuchitika kawirikawiri. Kuphatikiza apo: odwala omwe ali ndi matenda a shuga a 2 nthawi zambiri amakhala odzaza, chifukwa ndi onenepa kwambiri omwe amachititsa kuti chitetezo cha cell chikhale chokwanira.

Ndikukulangizani kuti muwerenge vidiyoyiZizindikiro za matenda ashuga. Zizindikiro za matenda am'mbuyomu a shuga. ":

Ketoacidosis

Ketoacidosis ndi mkhalidwe momwe thupi limalephera kupanga kuchuluka kwa insulini, koma kuchuluka kwa shuga m'magazi ndi matupi a ketone kumakhala kukuchulukirachulukira. Matupi a Ketone ndi zinthu zomwe zasokonekera zamafuta, zomwe, pakudya, zomwe zimafotokozedwa ndi fungo lokhazikika la acetone. Izi ndichifukwa chophwanya mulingo woyimira asidi m'thupi komanso kuchepa kwa madzi m'thupi. Ketoacidosis imayamba msanga, ndipo imatha kuwononga kwambiri posachedwa. Zizindikiro za ketoacidosis:

• Kuchepetsa thupi osafotokoza.
• Pakamwa pakamwa, ludzu.
• Kusanza ndi kusanza.
• Kuchulukitsa kwa shuga ndi ma ketoni m'magazi.
• Kutsegula m'mimba
• Tachycardia ndi palpitations.
• Chizungulire komanso mutu.
• Kuchulukirachulukira.
• Mawonekedwe akuthwa.
• Kuuma ndi kusenda kwa khungu.
• Kuchepetsa mphamvu yogwira ntchito, yopanga ulesi nthawi zonse.
• Kuchulukitsa pokodza.
• Kununkhira kwa acetone kuchokera mkamwa.

Ngati simukufunafuna chithandizo chanthawi yake, ketoacidosis imatha kutsogola matenda a ubongo. Malinga ndi ziwerengero, mu 70% ya milandu, kuphatikiza uku kumabweretsa kudwala kwa wodwalayo.

Kulephera kwaimpso

Kulephera kwa impso ndi kuwonongeka kwa impso komwe kumayamba chifukwa cha kuchepa mphamvu kwa madzi m'thupi (madzi osowa madzi m'thupi). Pazifukwa izi, impso sizitha kuthana ndi ntchito zawo ndikusiya kugwira ntchito. Zinthu zapoizoni zimakhalabe m'thupi, ndikuziwononga kuchokera mkati. Vutoli likhoza kudziwika ndi zizindikiro zotsatirazi za kuledzera:

• Chisokonezo.
• Kutupa kwa malekezero.
• Kusanza ndi kusanza.
• Mutu.
• Kutopa.

Chotsani matupi a madzi am'madzi - njira yotsimikizika yochizira matenda aimpso. Wodwalayo amakhala ndi dialysis, kumasula magazi kuizoni. Miyezi yabwinobwino ya shuga ikafika, impso zimayambiranso ntchito.

Hypoglycemia

Hypoglycemia ndiye mkhalidwe wa wodwalayo pomwe shuga ya magazi ifika pa 2,8 mmol / l kapena kutsikira. Vutoli ndi loopsa chifukwa limalepheretsa munthu kuti azikhala pagululi komanso kumamulepheretsa kuchita zambiri. Ngati shuga afika povuta, odwala matenda ashuga amafafaniza. Kuthandizidwa mwadzidzidzi kumabweretsa kufa kapena kulumala. Nthawi zambiri, hypoglycemia imapangitsa kuwonongeka kwamkati mwa ubongo. Zina mwazovuta zazikulu za odwala matenda ashuga ndi:

• Matenda amaso (cataract, diabetesic retinopathy, glaucoma).
• Matenda aimpso.
• Neuropathy (autonomic kapena zotumphukira).
• Kuwonongeka kwa mtima wamtima.
• Matenda a mtima.
• Matenda a mtima, sitiroko.

Zotsatira zoyipa kwambiri za hypoglycemia ndi chifuwa cha matenda ashuga (hypoglycemic). Uku ndikutaya mtima kwa odwala matenda ashuga chifukwa cha shuga wamagazi ochepa. Wodwala asanayambe ntchito yake, wodwalayo amagwidwa. Pakhala pali zochitika zomwe zikagwa, munthu amatha kuthyola mafupa kapena kuwononga minofu. Pazochitika zoyipa kwambiri, edema yam'mimba imapezeka, yomwe imatsogolera kuimfa.

Kodi chifukwa nthenda yoyamba ya shuga ndiyotani?

Ana ndi achinyamata, nthawi zina achinyamata, nthawi zambiri amakhudzidwa ndi matenda a shuga omwe amadalira insulin. Matendawa amadziwika ndi kukula msanga. Zizindikiro za matendawa zimadziwoneka bwino, kuyambika kwa vuto la pachimake ndikotheka. Zotsatira zoyipa zikafika pamene wodwala wadwala matenda a shuga ndiye kuti ali ndi vuto la matenda ashuga 1.

Anthu omwe amadwala matenda a shuga omwe amadalira insulin amalangizidwa kuti azivala chibangili chidziwitso choyenera. Wodwalayo akafika modzidzimutsa, ena adzawonetsa zomwe zimayambitsa kukanika poyimba ambulansi. Wodwala adzapatsidwa thandizo la panthawi yake.

Wodwala amakakamizidwa kuwunika pafupipafupi kusinthasintha kwa shuga m'magazi kuti ateteze kukula kwa zochitika zam'magazi. Mapiritsi a shuga atengedwa pa nthawi yake amathandizira kupewa matenda oopsa a hypoglycemia.

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulin ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Ndi matenda a shuga omwe amadalira insulini, jakisoni wa insulin sangaperekedwe nawo. Kupsinjika ndi zochitika zolimbitsa thupi zowonjezera zimatha kuyambitsa kuwukira, kusintha kwakukulu kwa kuchuluka kwa shuga m'magazi.

Odwala omwe ali ndi matenda amtundu woyamba 1, ophunzitsidwa njira zodziletsa, pang'onopang'ono amayamba kudziwa mwanjira yomwe akufunika kuchita: jekeseni insulin kapena kumwa mankhwala.

Chifukwa chiyani matenda a shuga a 2 amakhala oopsa?

Odwala omwe ali ndi matenda amtundu wamtunduwu, matendawa amapezeka pokhapokha akapezeka ndi matenda opatsirana. Matenda a shuga amtunduwu amatha kuchitika popanda kuwonekera kwanthawi yayitali, kuwononga ziwiya ndi mathero a mitsempha. Wodwalayo amadwala matenda osachiritsika. Mikwingwirima, vuto la mtima, khungu, matenda am'mimba komanso kudula kwam'mphepete - izi ndizowopsa kwa matenda ashuga a 2.

Odwala omwe amamwa antipyretic mankhwala amatha kukhala ndi hypoglycemia ngati munthu wambiri. Kuchuluka kwambiri kwa shuga komwe kumayambitsa kukhumudwa.

Asayansi aku Japan apeza tsogolo la matenda a Alzheimer's kwa anthu odwala matenda ashuga a 2. Matendawa amatha kwambiri atatha zaka 60.

Ngati wodwalayo amatsatira zakudya zamafuta ochepa ndipo amalandila zinthu zolimbitsa thupi, amakhala ndi mwayi uliwonse kuti athetse matendawa.

Kodi zovuta za matenda ashuga ndi ziti?

Wodwala wodwala matenda ashuga yemwe amadziwa bwino matenda omwe ali ndi shuga ayenera kuchita chilichonse kuti apewe zovuta. Mu shuga, mitundu itatu yamavuto amadziwika:

• Limbi pafupi.
• Wodwala / Womwalira Fr.
• Wolemetsa / Womaliza Fr.

Zovuta za pachimake zimayamba chifukwa chakuchepa kwa maselo aubongo ndi poyizoni wazinthu zawo zomwe zimachitika chifukwa cha matenda a metabolism. Mavuto amatha kuchulukana mwachangu, patangopita maola ochepa, izi ndi monga:

• Ketoacidosis / ketoacidotic chikomokere, chofanana ndi matenda a shuga 1 (T1DM).
• Hypoglycemia / hypoglycemic chikomokere, chimawonedwa mu mtundu 1 shuga komanso mtundu 2 matenda ashuga.
• Hyperosmolar coma, yodziwika ndi matenda amtundu wa 2 shuga (T2DM), imawonedwa mwa anthu achikulire.
• Lactacidic chikomokere, chimakonda kuwonetsedwa mwa odwala pambuyo zaka 50.

Ketoacidosis imayamba chifukwa cha poizoni m'thupi ndi zinthu zopangidwa chifukwa chotembenuza mafuta kukhala mphamvu chifukwa cholephera kuyamwa glucose. Ketoacidosis imayamba m'masiku ochepa ndi insulin yokwanira m'thupi. Mukapanda kuchitapo kanthu, wodwalayo agwa.

Ketoacidosis ndiyowopsa makamaka paubwana, pomwe mphamvu zowonjezera thupi sizinapangidwe.

Ndi hypoglycemia, shuga m'magazi, maselo aubongo amataya zakudya. Vutoli limayamba chifukwa cha insulin yambiri. Ngati "simukudyetsa" thupi ndi chakudya, mutha kukhala ndi hypoglycemic. Cerebral edema ndi necrosis yamagawo ake payokha ndizotheka.

Kuukira kwa hypoglycemia koopsa makamaka kwa anthu okalamba omwe ali ndi ischemia ya mtima ndi ubongo, kumatha kuyambitsa stroke kapena kugunda kwa mtima. Kuchita pafupipafupi kwa hypoglycemia kumapangitsa kuti munthu awonongeke. Mwa ana, kuukira pafupipafupi kumachedwetsa kukula kwa luntha.

Hyperosmolar chikomaso ndizosowa kwambiri. Imatha kupsinjika ndi kuchepa kwa madzi m'thupi chifukwa cha kusanza, kutsegula m'mimba, kutaya magazi kwambiri, komanso kuthira mafuta m'mimba.

Vutoli limapezeka mwa okalamba omwe ali ndi matenda ashuga amtundu wa 2, amakhala m'malo osungirako okalamba, kapena osakwatira. Nthawi zambiri samatha kudziwa bwinobwino momwe alili ndikumwa madzi okwanira kulipira maulendo pafupipafupi kupita kuchimbudzi.

Lactacidic chikomaso ndichosowa, koma nthawi zambiri chimatha ndi imfa. Kukula kwake kumachitika chifukwa cha kudzikundikira kwa lactic acid m'mwazi. Mankhwala ena amathandizira pamenepa, komanso hypoxia, yomwe imayamba chifukwa chotopa thupi, kulephera kwa mtima, komanso kulephera kupuma.

Odwala omwe amamwa mankhwala a hypoglycemic omwe ali pachiwopsezo amakhala pachiwopsezo.

Mavuto osokonezeka amakula mwa odwala omwe ali ndi matenda ashuga omwe ali ndi zaka zambiri. Glucose, amene amapezeka m'magazi kwambiri, amawononga mitsempha ya magazi, imakhudza dongosolo lamanjenje. Zakudya zosokoneza thupi. Ziwalo zamkati, kukhala pa "chakudya chanjala", zimasokonekera. Impso, maso ndi khungu, kumapeto kwa mitsempha zimasiya kugwira ntchito zawo. Zida zazikulu zikawonongeka, mtima ndi ubongo zimakhala pachiwopsezo.

"Madzi okoma" omwe amayenderera m'mitsempha yamagazi amawawononga pang'onopang'ono. Makoma owonongeka a mitsempha amawonongeka, mabowo amachepa. Kamvekedwe ka zotengera adasweka, amakhala osalimba. Kuthira kwa magazi ku minofu kumakulirakulira, nthawi zina kumatha.

Mndandanda wazovuta zovuta zokhudzana ndi matenda a shuga:

• Neuropathy.
• Nephropathy
• Retinopathy
• Furunculosis.
• Matenda oopsa
• Kusagonana.
• Encephalopathy

Mlingo wa shuga ndiwopamwamba kuposa wabwinobwino kwaoposa zaka 5 wodwala amathandizira kukulitsa matenda a shuga. Matendawa amawonetsedwa ndi kutayika kwa miyendo, miyendo.

Nthawi zambiri, matendawa amawonekera mwa odwala atali zaka 40 omwe amamwa mowa mopitirira muyeso.

Kuchepetsa shuga kukhala mwachizolowezi kumathandizira kuchepetsa zizindikiro za neuropathy komanso mpaka kuzimiririka.

Impso mu odwala matenda ashuga zimayambira. Nthawi zambiri zothandiza kuwonongeka kwa impso zimawonedwa mu mtundu woyamba wa shuga.

Nephropathy imadziwika kuti ndiyo yoyambitsa imfa chifukwa cha matenda ashuga.

Retinopathy, kuwonongeka kwa retina, kumawonedwa nthawi zambiri mwa odwala matenda a shuga omwe ali ndi "mbiri yayitali". "Ntchentche" zimawulukira pamaso, mawonekedwe opuwala.

Ndi matenda a shuga, zoteteza khungu zimachepa. M'malo opaka thukuta ndi malo omwe thukuta limakulirakulira, zithupsa zimatha kupangika.

Pofuna kupewa mawonekedwe a zithupsa, ndikofunikira kugwiritsa ntchito njira zopewera - physiotherapy.

Kukula kwa matenda oopsa a matenda a shuga amtundu woyamba kumalimbikitsidwa ndi mavuto a impso oyambitsidwa ndi nephropathy.Mtundu wachiwiri wa odwala matenda ashuga, matenda oopsa oopsa nthawi zambiri amapezeka matenda a hyperglycemia asanapezeke.

Chowoneka pakati pa maphunziro othandizira odwala matenda ashuga ndi kuchuluka kwa kukakamizidwa komwe sikumachepetsedwa usiku. Kupsinjika komwe kumatha kumachitika pakakhala kusintha kwakuthwa pamalo pamene akukweza kuchokera pabedi, ndikuyamba kukomoka.

Mwa amuna, kusokonezeka kwa mitsempha ndi neuropathy kungayambitse kusabala. Women kukhala frigidity motsutsana maziko a kuchuluka dryness wa mucous nembanemba.

Pali zovuta zenizeni zobereka amayi ndi abambo omwe ali ndi matenda ashuga.

Zizindikiro za encephalopathy zimawonedwa mwa odwala omwe ali ndi matenda ashuga omwe akudziwa: kusokonezeka kwa malingaliro, kusintha kwa machitidwe. Amakonda kukhumudwa, odwala nthawi zambiri amasintha momwe amakhala. Anthu odwala matenda ashuga amakhala ndi phokoso komanso kuwonjezeka kwamanjenje.

Panthawi yovuta, pamene kusinthasintha kwakukuru mu shuga kumachitika, chiwonetsero cha encephalopathy chikuwonekera kwambiri.

Ndikofunikira kwambiri kuyang'anira shuga wamagazi nthawi zonse. Zomwe zimakhala zowopsa kwa matenda ashuga ndizovuta zazikulu zomwe zimadza chifukwa cha "kunyalanyazidwa" matendawa.

Mndandanda wazovuta zazikulu za matenda ashuga:

• Matenda a shuga.
• Zilonda zam'mimba.
• Khungu.
• Kulephera kwina.
• Stroko
• Matenda a mtima
• Dementia.

Mavuto osaneneka a shuga amakhala ndi vuto loopsa lomwe silidalira insulin ngati wodwala anyalanyaza malangizo a dokotala ndipo samachiza matenda osachiritsika.

Odwala omwe ali ndi vuto la neuropathy ayenera kuwunika momwe miyendo yawo ilili. Zilonda zosakhudzika kapena kuphwanya kwa phazi zimatsogolera ku mawonekedwe a chilonda (phazi la matenda ashuga). Akasiyidwa osavulazidwa, khungu limatha kuchitika kenako kudzicheka kumafunika.

Matenda a shuga ndi mtundu wa zilonda zam'mimba zomwe zimayambika chifukwa cha kusokonezeka kwa ntchito yaying'ono yamiyendo ndi miyendo ya capillaries. Ngati ntchito ya zida zam'mimba zimasokonekera, zilonda zam'mimba zimawonekera m'dera la shin. Zowonongeka zazikulu za necrotic ndizotheka.

Zilonda za trophic nthawi zambiri zimawonekera mwa odwala omwe ali ndi T2DM.

Ngati simugwiritsa ntchito mankhwala okwanira, nephropathy imayamba kulephera. Kuika impso kungafunike.

Retinopathy yopanda mawonekedwe imatha kuyambitsa khungu. Kusokonezeka kosasinthika pamagalasi amaso kumayambitsa chitukuko cha ng'ala.

Ndi matenda ashuga, kutanuka ndi patency yamitsempha yamagazi imasokonekera. Ndi nthawi yayitali ya matendawa, mwayi wokhala ndi matenda opha ziwopsezo ndi matenda a mtima kumawonjezeka. Stroke silivomerezedwa ndi odwala, nthawi zambiri imayendera limodzi ndi edema ya ubongo. Pali mwayi waukulu woti ungafe.

Kugwedezeka kwa odwala matenda ashuga nthawi zambiri kumachitika masana motsutsana ndi kukakamizidwa kwakukulu.

Anthu omwe ali ndi matenda a shuga ali pachiwopsezo cha kugunda kwamtima koyambirira ndi mwayi wa 50%. Matendawa ndi akulu, mtima umatha kudwala.

Chifukwa chakuchepa kwa chidwi cha minofu, wodwalayo sangakayikire kudwala kwa mtima kwakanthawi osakumana ndi zowawa zamtima ndi vuto la mtima.

Wodwala akamadwala matenda a shuga, m'pamenenso amayamba kukhala ndi vuto la ubongo. Odwala omwe ali ndi shuga omwe amadalira insulin, matenda a dementia (cementia) amakula nthawi zambiri kuposa odwala matenda a shuga.

Malinga ndi madotolo, kuchuluka kwa shuga sikungayambitse matenda a dementia, koma kukhala ndi thanzi labwino kwambiri. Mwazi wambiri umakhala wosavuta kuvomereza, koma dementia imayamba pang'onopang'ono motsutsana ndi maziko ake.

Matenda a shuga ndi matenda oyipa omwe amakhala ndi zotsatirapo zoyipa ngati sanachiritsidwe. Kukwaniritsidwa kwa mankhwala amakono kumathandiza wodwala kupewa zovuta komanso kukhala moyo wabwino.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri.Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Pathology

Ngati matenda a shuga sachiritsidwira, zotsatirapo zake zimakhala zazikulu pankhani ya kusintha kwa ziwalo ndi minyewa ya munthu, zomwe zimatsogolera kulumala ndi kufa. Anthu opitilira mamiliyoni anayi amafa chaka chilichonse padziko lapansi chifukwa cha zovuta za matendawa. Cholinga chachikulu cha izi ndi kuwonongeka kwa ma capillaries ndi zotumphukira zamitsempha, zomwe zimakhala m'maso, miyendo ndi impso. Mankhwala, mitundu iwiri yamatendawa imasiyanitsidwa: wodalira insulin komanso osadalira insulin. Zotsatira za matenda enieniwo zimatengera kuopsa kwa matendawa, komanso kuopsa kwa zizindikiro zake. Ndi chizolowezi kusiyanitsa magulu atatu azovuta za matendawa: pachimake, mochedwa komanso aakulu.

Zovuta zazovuta

Mavuto a fomu yovuta kwambiri ndi owopsa pamoyo wa wodwala. Izi zimaphatikizapo zinthu zomwe kukula kwake kumatenga maola awiri kapena masiku angapo. Nthawi zambiri, izi zimachitika chifukwa cha matenda ashuga omwe amafa, chifukwa chithandizo chamankhwala chiyenera kuperekedwa nthawi yomweyo. Mavutowa akuphatikizapo:

1. Ketoacidosis, zomwe zimayamba chifukwa cha kuchuluka kwa zinthu zofunika m'thupi la wodwalayo, zomwe zimapangitsa kuti asamaiwale, asokoneze ziwalo ndi machitidwe.
2. Hypoglycemia, yomwe imadziwika ndi kuwonjezeka kothamanga kwa shuga m'magazi, komwe kumayambitsa kukomoka.
3. Coma hyperosmolaryodziwika ndi ludzu losasunthika. Nthawi zambiri izi zimakhala zotsatira za matenda amishuga amtundu wa 2, omwe amachitika munthu akamakalamba. Kusokonezeka kotereku sikungadziwike pasadakhale, popeza zizindikiro zake sizabisika.
4. Coma lactic acid, omwe amapezeka mwa anthu omwe ali ndi zaka zopitilira makumi asanu, ndipo amadziwika chifukwa chodzindikira, kuchepa kwa magazi.

Chifukwa chake, kuwonetsera kulikonse kwa izi ndi zikhalidwe zikuwonetsa kufunikira kwa odwala kuchipatala msanga. Ngati palibe chithandizo chomwe chaperekedwa kwa maola awiri, pamakhala ngozi.

Mavuto a malemu fomu

Zotsatira zomaliza za matenda ashuga mwa azimayi ndi abambo zimakula kupitilira zaka zingapo, ndipo pang'onopang'ono zimawonjezera vuto la odwala. Chithandizo choyenera sichitanthauza kuti zovuta zotere sizichitika. Zotsatira zomaliza za matendawa ndi monga:

1. Retinopathy, yomwe imadziwika ndi matenda a ocular retina, omwe amatsogolera kukha magazi mu fundus ndikuwonongeka kwamaso. Nthawi zambiri, matendawa amakhala obadwa mwa anthu omwe ali ndi mtundu wachiwiri wa matenda ashuga, komanso kwa omwe akhala akudwala matenda ashuga kwa zaka zopitilira makumi awiri.
2. Angiopathy, omwe amayamba chifukwa cha kuphwanya kwamphamvu mtima, kulephera kwawo, maonekedwe a thrombosis ndi atherosulinosis. Matendawa amakula chaka.
3. Polyneuropathyyodziwika ndi kuchepa kwa chidwi cham'munsi komanso chapamwamba. Matendawa amadzionetsa ngati dzanzi komanso kumva kuwotcha m'manja ndi m'miyendo, komwe kumawonjezeka usiku.
4. Matenda a shuga, komwe ndi kuvuta komwe zilonda zam'mimba zimayambira kumapazi ndi matenda a shuga, zotupa kapena madera a necrosis.

Mavuto Aakulu

Kwazaka khumi za matendawa, matenda a shuga amayamba pang'onopang'ono kukulira matenda osiyanasiyana. Kuphatikiza apo, nthenda zonse zamatenda a shuga zimatenga mawonekedwe osakhazikika. Popita nthawi, zakhudzidwa:

1. Zotengera. Makoma amitsempha yamagazi amakhala othandiza kupangitsa kuti michere iziyenda bwino, minyewa yake imachepa, motero zimakhala sizimalandirira mpweya wokwanira. Zotsatira zake, chiopsezo cha kukhala ndi stroko, kugunda kwa mtima, matenda a mtima wamtima ukuwonjezeka.
2. Khungu. Magazi amapaka pakhungu pang'onopang'ono amachepa, chifukwa cham'mimba mwake mumakhala zilonda zam'mimba. Tsitsi limayamba kutuluka.
3. Machitidwe amanjenje. Mchitidwe wamanjenje wa odwala umasintha kwambiri, kuyambira ndi kuwonongeka kwa miyendo ndikutha ndi kufooka ndikuwoneka ngati ululu wokhazikika.
4. Impso. Popita nthawi, kuphwanya ntchito mu impso kumachitika, kulephera kwa impso kumayamba, komwe kumayamba kukhala mawonekedwe osakhazikika. Nthawi zina, nephropathy imayamba, chifukwa omwe odwala matenda ashuga amafa.

Mtundu woyamba wa shuga

Zotsatira za matenda amtundu woyamba 1 ayenera kuthandizidwa. Kuti retinopathy isayambike, madokotala amalimbikitsa kuti azichita kuyezetsa magazi pafupipafupi, cholesterol, komanso kuthandizira kuthamanga kwa magazi. Ngati njirazi zitsatiridwa, ngozi yakukulitsa khungu imachepetsedwa pang'ono. Mwa amuna, vuto laimpso limawonedwa, 35% ya odwala nephropathy amakula, omwe amatha kupha.

Mwa azimayi omwe ali ndi matenda amtundu wa 1, kufooka kwa magazi, maselo amitsempha am'mitsempha, omwe amachititsa kuti magazi azitha kuchepa komanso magazi ayambe kuyenda m'miyendo. Izi zimapangitsa kuvulala, nthawi zambiri pamakhala chilonda cham'miyendo pamiyendo, zomwe zimatha kudula dzanja. Kusokoneza kwamanjenje kumayambitsa kugaya kwam'mimba dongosolo, nseru, kusanza ndi kutsegula m'mimba kumatha kuonekera.

Pankhani ya matenda a shuga a mtundu woyamba 1, amuna ndi akazi omwe ali ndi kuphwanya kugonana. Mwa amuna, erection nthawi zambiri amachepetsa, kusabala kumawonekera.

Type 2 shuga

Matenda a shuga ndi zovuta zingapo amawonedwa mwa iwo omwe ali ndi mtundu wachiwiri wa matenda. Odwala nthawi zambiri amakhala ndi kuperewera kwa khungu, misomali yothina, tsitsi komanso kuwonongeka mano. Nthawi zina, thrombocytopenia ndi magazi amawonedwa. Anthu omwe ali ndi matenda amtundu wa 2 amatha kukhala ndi mavuto ambiri azaumoyo: arteriosulinosis ya mitsempha, ischemic stroke, nephropathy, neuropathy, matenda opatsirana a m'munsi, matenda a genitourinary system, retina ndi zina zambiri.

Nthawi zambiri, pamakhala kuphwanya kwamphamvu kwamanjenje, komwe kumadziwonetsera kuwonongeka kwa mitengo ya parasympathetic komanso chisoni, yomwe imayambitsa kusokonezeka kwa ziwalo ndi machitidwe a thupi. Munthu angadandaule kuti akumva zolemetsa, kutulutsa magazi, kutsika magazi, arrhythmias, kusabala, kudzimbidwa kapena kutsekula m'mimba, kulephera kuchita zolimbitsa thupi, ndi zina zambiri.

Matenda a shuga

Matenda a shuga amawoneka kuti ndi amtundu wa matendawa. Matendawa amatenga popanda kuonekera chifukwa chake nkovuta kuzindikira. Madokotala oyambirawa adakhulupirira kuti okhawo omwe ali ndi shuga wambiri omwe amakhala ndi zovuta, koma izi tsopano zasintha. Zinadziwika chifukwa chake matenda ashuga owopsa ali oopsa, momwe mulibe zopatuka kuzinthu zomwe zimawunikidwa ndipo munthu akumva bwino. Chifukwa chake, ndi mtundu uwu wa matendawa, zotengera zimawonongeka pang'onopang'ono, chifukwa chake, matenda amtima angayambe. Ngati matendawa sanalandiridwe, kulephera kwa mtima, kuwonongeka kwamaso, ndi kuphwanya kwamanjenje kungachitike.

Hyperosmolar chikomokere

Hyperosmolar coma imachitika muyezo wa matenda a shuga, omwe amayimitsidwa ndimankhwala komanso zakudya zomwe dokotala amafotokozera. Ziwerengero zimawonetsa kuti mu 60% ya munthu yemwe wamwalira, 40% yotsalayo, wodwalayo amakumana ndi zovuta zazikulu. Mtundu wamtunduwu umasiyanitsidwa ndi kuphuka kwakukulu mu shuga wamagazi, pomwe ndende ya glucose imafika 55 mmol / l. Chifukwa cha hyperosmolar coma mu diabetes, chotupa cha ubongo chimachitika, pambuyo pake amasiya kumva, kuona. Matenda a neurological ndi Alzheimer's syndrome amakula.

Zizindikiro zakutsogolo za matenda ashuga

Madokotala amalimbikitsa kupita kukadwala kuchipatala ngati zizindikiro zotsatirazi zikuwoneka:

- totupa pakhungu, furunculosis,

- mavuto ndi mano komanso mano,

- kusokonezeka kwa magonedwe,

- kuchepa kwa chidwi cha khungu ndi miyendo.

Matendawa amatha mpaka zaka zisanu, pambuyo pake matendawa amakhala osachiritsika, omwe samachiritsidwa.

Mavuto azamisala

Nthawi zambiri, zotsatira za matenda ashuga zimakhudza psyche yamunthu. Choyamba, wodwalayo samakhala wokonzeka nthawi zonse kuvomereza kuti ali ndi matenda a shuga. Munthu amakumana ndi magawo onse azolowera matenda. Choyamba, amakana kukhalapo kwa matendawa, mkwiyo ndi kukwiya, kuwoneka kukhumudwa, pambuyo pake akudziwa bwino momwe alili.

Pa nthawi yomwe akukana matendawa, munthu amanyalanyaza zizindikiro za mawonekedwe ake, amasiya kuyendera dokotala. Matendawa atadziwika, amakwiya komanso amakwiya, amakwiya, komwe kumakhudzana ndi kufunika koletsa, kulephera kwa matendawa. Pang'onopang'ono, psyche ya wodwala imazolowera matendawa. Mwamuna amalola kulolera, koma amayembekeza chisonkhezero champhamvu yaumulungu, pambuyo pake amakhumudwa pang'ono, komwe ndiko kutengera kwachilengedwe pamavuto. Munthawi imeneyi, kusinthaku kumacheperachepera, kusakhala ndi chidwi kumakhala kosagwirizana ndi dziko lapansi. Kenako pakubwera kudzichepetsa, ndipo munthu amaphunzira kukhala moyo watsopano.

Matenda a shuga akupitilizabe kukhudzidwa ndimaganizo okhalapo. Nthawi zambiri odwala amakhala ndi nkhawa, kusokonezeka kwa kugona, kusokonezeka kwa chitetezo, komanso kupsinjika kwakanthawi. Kuphatikiza apo, zovuta zamtunduwu, kusintha kwa umunthu wa munthu kumaonekera, amayamba kudzikonda, kusakwiya komanso kugona. Iwo amene amamvetsetsa za zomwe zikuchitika ndipo amatha kuwongolera matenda awo amatha kuzindikira matenda awo.

Mavuto Amtundu

Matenda a metabolism nthawi zambiri amabweretsa zotsatira zoyipa mu magawo apafupi. Matendawa amagwirizanitsidwa ndi kukokoloka kwa erectile, pamene potency mwa amuna imavutika, kusokonezeka kwa mahomoni kumawonedwa mwa akazi, ndipo dongosolo laumwini la autonomic limavutika. Nthawi zambiri, izi zimachitika chifukwa cha gawo la malingaliro. Chifukwa chake, mwa odwala zizindikiro zotere zitha kuonedwa:

- Kuchepetsa kugona pagalimoto,

Matenda a shuga amawonetsedwa kwambiri mwa amayi apakati, zotulukapo zake zimakomoka, popeza mwana wosabadwayo yemwe amakhala mwa mayi nthawi zambiri amwalira, amatha kupwetekedwa nthawi zonse. Madokotala amalimbikitsa kuti amayi apakati azisamala zaumoyo wawo, azichitira matenda opatsirana, kuwunika kuchuluka kwa shuga m'magazi, ndiye kuti chiwopsezo cha kufa kwa fetal chimachepa. Ngati wodwalayo aphwanya dera lamatumbo, ndiye kuti madokotala amapereka mankhwala a mahomoni ndi mtima kuti athetse zizindikirazo. Ndikulimbikitsidwanso kuti abambo aziyang'anira kagayidwe, asiye kusuta fodya ndi mowa, komanso azichitira zamanjenje komanso zamankhwala.

Matenda ogwirizana

Zotsatira za matenda a shuga ndizotheka kukhala ndi zovuta zomwe zimayenderana ndi zovuta za metabolic.Odwala atha kukhala ndi matenda monga matenda oopsa, kunenepa kwambiri, gout, matenda a chithokomiro, vitiligo, nyamakazi, matenda a Graves, kuopsa kwa mabakiteriya ndi fungus kumawonjezeka, ndipo chifuwa chachikulu chimatha. Chifukwa chake, odwala matenda a shuga amatha kukhala ndi matenda opatsirana, autoimmune ndi matenda ena.

Mapeto

Kumbukirani kuti matenda ashuga siwawonso kuphedwa, koma kungodziwitsa kokha omwe angachiritsidwe. Ndikofunikanso kuti wodwalayo azindikire za momwe alili ndipo amatsatira malangizo onse a dokotala. Zotsatira zonse za matendawa zitha kupewedwa ngati mukulamulira moyo wanu. Pakadali pano pali mankhwala ambiri omwe amachepetsa shuga ya magazi. Wopezeka pa endocrinologist adzakuthandizani kusankha njira yoyenera yomwe mudzafunikira kugwiritsa ntchito tsiku lililonse kupewa zotsatira zoyipa mtsogolo.

Lactic acidosis chikomokere

Mtundu wamtunduwu umapezeka mwa anthu omwe ali ndi matenda ashuga omwe amayenda ndi hypoxemia. Muna kuma kiaki, diambote kasadila nluta muna mpasi zavioka, ke diambote ko. Chifukwa chosowa mpweya m'thupi, kuchuluka kwa glycogen kumawonjezeka, zomwe zimapangitsa kuti chiwopsezo cha lactic acid chiwonjezeke. Lactocidotic chikomaso ndi chosowa kwambiri, ndipo zimachitika chifukwa cha kuwonongeka kwa impso. Malinga ndi ziwerengero, mu 80% ya milandu, zimabweretsa kudwala kwa wodwalayo.

Zotsatira zomaliza za matenda ashuga

Monga lamulo, zovuta za shuga zomwe zimachitika pambuyo pake zimawoneka zaka zingapo atazindikira koyamba. Amakhala owopsa chifukwa pang'onopang'ono koma nthawi zonse amawonjezera thanzi la odwala matenda ashuga. Ngakhale chithandizo chamankhwala choyenera sichimatsimikizira munthu kuchita bwino. Mavuto apambuyo pake akuphatikizapo:

• Microangiopathy.
• Carbral infaration.
• Kukha magazi.
• Matenda a shuga a retinopathy.
• Matenda oopsa.
• Myocardial infaration.
• Atherosulinosis
• Kuchepetsa thupi.
• Nephrossteosis
• Atherosclerosis, gangrene.
• Matenda
• Neuropathy (kudziyimira pawokha ndi zotumphukira).

Matenda a shuga a retinopathy

Uku ndi kuphwanya kwamitsempha yamaaso, komwe kumakhudza kuphwanya magazi. Chifukwa chakuyenda bwino kwa magazi m'thupi la odwala matenda ashuga, atrophy ndi dystrophy ya ujasiri wa optic kumachitika, ma retina exfoliates, omwe angayambitse khungu. Choopsa cha kupsinjika ndikuti chimatha popanda zisonyezo. Odwala osowa nthawi zambiri amawona kuwonongeka kwakuthwa m'masomphenyawo ndikuwoneka ngati malo oyandama m'maso. Ndizovuta kwambiri kuzindikira, chifukwa ndikofunikira kuyesedwa ndi akatswiri angapo ndikuchita njira zambiri zoyeserera zasayansi.

Matenda a shuga

Angiopathy imachitika chifukwa cha kuwonongeka kwa mitsempha yamagazi ndi dongosolo lamanjenje. Matendawa ndi owopsa chifukwa amatsogolera ku khungu lathunthu. Angiopathy imachitika mwa akulu komanso mwana. Chifukwa cha kuchuluka kwa glucose m'magazi, makoma azotengera amawonongeka, zomwe zimaphwanya mayendedwe a capillaries. Izi zimabweretsa kutsekeka kwa mitsempha yamagazi ndi matenda a metabolic.

Matenda a shuga

Matenda a shuga ndi imodzi mwazovuta zazikulu za matenda a shuga, omwe amawonedwa ndi kuwonongeka kwa minyewa yam'munsi. Zilonda ndi zilonda zam'mimba zomwe zimakhazikika pamiyendo zimachira kwakutalika, ngakhale chisamaliro mosamala, zomwe zimawonjezera chiopsezo cha matenda. Ngati simuyamba kulandira chithandizo chanthawi yovulala kwambiri kumapazi, gangrene imatha kupitilira nthawi. Gawo lomaliza la matendawa limabweretsa kudula mwendo.

Matenda a shuga

Matenda amtunduwu amaphatikizapo kukula kwa matenda ashuga panthawi yomwe ali ndi pakati. Izi zikufotokozedwa ndikuti thupi la mayi wamtsogolo limagwira ntchito kawiri, ndipo nthawi zambiri pamakhala mavuto a metabolic, ndichifukwa chake mulingo wa kuchuluka kwa glucose m'magazi umakhala ndi chizindikiro chosasimbika. Matendawa ndi owopsa kwa mai ndi mwana wosabadwa.Pali zochitika za kakulidwe ka matenda osokoneza bongo kwa ana kuyambira pakubadwa, pomwepo pali vuto la matenda ashuga mwa mkazi nthawi yapakati, ngakhale mavuto atakhala ndi shuga m'magazi asanakhale ndi pakati.

Anthu odwala matenda ashuga nthawi zambiri amakhala ndi vuto lalikulu ndi mitsempha yamagazi. Kuthamanga kwa magazi kumachulukitsa kwambiri matenda a mtima. Njira zowonongeka zimathandizira pazinthu izi:

• Kusuta.
• Kugwiritsa ntchito zakumwa zoledzeretsa.
• Kulephera kudya.
• Kulephera kuchita zolimbitsa thupi.

Mitsempha yamagazi imawonongeka chifukwa cha kutulutsa bwino shuga. A shuga wambiri ali mthupi amalimbikitsa kukhathamira kwamitsempha. Izi zimaphatikizapo vuto la metabolic, lomwe limakhudza kugwira ntchito kwamakina onse. Pagulu lalikulu lomwe lili pachiwopsezo ndi mtima.

Ndi matenda a shuga, impso nthawi zambiri zimawonongeka kwambiri. Kupezeka kwa shuga m'magazi kumabweretsa kulephera kwa impso, ndichifukwa chake odwala matenda ashuga amakakamizidwa kuti ayese dialysis - kuyeretsa magazi a poizoni, chifukwa impso sizingathe kugwira ntchito iyi. Pa nthawi yayitali ya kulephera kwa impso, kufalikira kwa chiwalo kungafunike. Zotsatira zakupha sizingapewe ngati chithandizo cha matendawa sichinayambike.

Mwachidule. Matenda a shuga ndi matenda oopsa komanso osokoneza bongo omwe amatha kugwira gawo lililonse la thupi. Ngati mungazindikire zizindikiro zilizonse zomwe zikukuvutitsani, musalole chilichonse kupita mwangozi ndikufunsira kwa dokotala. Kupanda kutero, zitha kukhala mochedwa kwambiri, ndipo matenda a shuga amapezeka bwino kwambiri kuyambira koyambira.