Ndani amalephera kulumala?

Malongosoledwe athunthu pamutuwu: "yemwe wapatsidwa chilema cha mtundu 1 shuga" kuchokera kwa loya wodziwa kuyankha mafunso onse okondweretsa.

Tsoka ilo, shuga imawerengedwa ngati njira yosachiritsika yomwe imachepetsa kwambiri moyo wa odwala. Chithandizo cha matendawa ndikuthandizira kuchuluka kwa shuga m'magazi ndikukonza zakudya, masewera olimbitsa thupi ndi chithandizo chamankhwala.

Matendawa ali ndi mitundu yosiyanasiyana yomwe imasiyana ndi zina ndizomwe zimayambitsa komanso makina a chitukuko. Iliyonse mwa mafomuwo imayambitsa zovuta zingapo zopweteka komanso zovuta zomwe zimalepheretsa odwala kugwira ntchito mwachizolowezi, akukhala, nthawi zina, ngakhale kudzipereka okha. Pokhudzana ndi zovuta zofananira, odwala matenda ashuga aliwonse amafunsa funso ngati kulumala kumapereka shuga. Ndi thandizo liti lomwe lingachitike ku boma komanso zomwe lamulo likunena pankhaniyi, tikambirana zambiri munkhaniyi.

Matenda a shuga ndi matenda pomwe thupi limalephera kutenga nawo mbali pachimake, makamaka chakudya. Chowonetsa chachikulu cha pathological mkhalidwewu ndi hyperglycemia (kuchuluka kwa shuga m'magazi).

Pali mitundu ingapo yamatendawa:

• Fomu yodalira insulini (mtundu 1) - imakonda kupezeka motsutsana ndi maziko amtsogolo omwe amakhudzidwa ndi chibadwa, amakhudza anthu azaka zosiyanasiyana, ngakhale ana. Kasitomala satha kutulutsa insulin yokwanira, ndikofunikira pakugawa shuga mthupi lonse (m'maselo ndi minofu).
• Fomu yosadalira insulini (mtundu 2) - mawonekedwe a okalamba. Amayamba motsutsana ndi maziko a kuperewera kwa zakudya m'thupi, kunenepa kwambiri, komwe kumadziwika kuti chamba chimapanga kuchuluka kwakokwanira kwa insulin, koma maselo amataya chidwi chake (insulin kukana).
• Fomu yokomera - imakula mwa azimayi munthawi yakubereka mwana. Makina otukula amafanana ndi mtundu wa 2 matenda. Monga lamulo, mwana akabadwa, matendawa amazimiririka pawokha.

Mitundu ina ya “matenda okoma”:

• Matenda obadwa ndi maselo obisika a insulin,
• kuyanʻanila zochita za insulin pa chibadwa,
• matenda a mbali ya gland,
• endocrinopathies,
• matenda opezeka ndi mankhwala osokoneza bongo,
• matenda chifukwa cha matenda
• mitundu ina.

Matendawa amawonetsedwa ndi mtima wofunitsitsa kumwa, kudya, wodwalayo amakonda kukodza. Khungu lowuma, kuyabwa. Nthawi ndi nthawi, kuzimiririka kwina kumakhala pakhungu, lomwe limachiritsa kwa nthawi yayitali, koma kumawonekeranso kwakanthawi.

Kukula kwa matendawa kumabweretsa kukula kwa zovuta. Mavuto owopsa amafuna chithandizo chamankhwala pompopompo, ndipo odwalawo amakula pang'onopang'ono, koma samachotsedwa, ngakhale mothandizidwa ndi mankhwala.

Zomwe zimapangitsa kuti mukhale ndi matenda ashuga

Odwala ayenera kumvetsetsa kuti ngati mukufuna kulemala ndi matenda ashuga, muyenera kuyesetsa kwambiri. Tsimikizani kukhalapo kwa matenda a zamitsempha ayenera kukhala pafupipafupi. Monga lamulo, ndi gulu 1, izi zikuyenera kuchitika zaka ziwiri zilizonse, ndi 2 ndi 3 - pachaka. Gulu akapatsidwa ana, kuyambiranso kumachitika pakubala.

Kwa odwala omwe ali ndi vuto lalikulu la endocrine pathology, ulendo wopita kuchipatala pawokha umawerengedwa kuti ndi mayeso, osanena za kusonkhanitsa zikalata zofunikira pakudutsa komiti ya akatswiri azachipatala komanso chikhalidwe.

Kupeza kulumala kumatengera zinthu izi:

• mtundu wa "matenda okoma"
• kuopsa kwa matendawa - pali madigirii angapo omwe amadziwika ndi kukhalapo kapena kusakhalapo kwa chipukuta cha shuga m'magazi, mofananamo, kupezeka kwa zovuta kumazindikiridwa,
• concomitant pathologies - kupezeka kwa matenda olimba kwambiri kumawonjezera mwayi wodwala matenda ashuga,
• Kuletsa kuyenda, kulumikizana, kudzisamalira, kulephera - Iliyonse ya mndandanda walembedwedwa ndi mamembala ake.

Akatswiri amatchula kuopsa kwa mkhalidwe wa wodwalayo yemwe akufuna kulumala, malinga ndi njira zotsatirazi.

Matenda ofatsa amadziwika ndi mkhalidwe wopendekera womwe umakhalabe ndi glycemia umapezeka ndi kukonza zakudya. Palibe matupi a acetone m'magazi ndi mkodzo, shuga pamimba yopanda kanthu sapitirira 7.6 mmol / l, shuga mumkodzo kulibe. Monga lamulo, digiri iyi nthawi zambiri imalola wodwala kutenga gulu la olumala.

Kukula kwakanthawi kumatsatiridwa ndi kupezeka kwa matupi acetone m'magazi. Kuthamanga shuga kumatha kufika 15 mmol / l, shuga amawonekera mkodzo. Digirii amakhala ndi kukula kwa zovuta mu mawonekedwe a zotupa za zowonekera kupenda (retinopathy), impso (nephropathy), matenda a mantha dongosolo (neuropathy) popanda trophic ulceration.

Odwala ali ndi izi:

• kusawona bwino,
• kuchepa kwa magwiridwe
• kusokonekera kuthekera kusuntha.

Chiyeso chachikulu chikuwoneka ndi vuto lalikulu la odwala matenda ashuga. Miyezo yambiri ya matupi a ketone mumkodzo ndi magazi, shuga m'magazi pamwamba pa 15 mmol / l, kuchuluka kwakukulu kwa glucosuria. Kugonjetsedwa kwa owonera bwino ndi gawo 2-3, ndipo impso ndi gawo 4-5. Miyendo yam'munsi imakutidwa ndi zilonda zam'mimba, zimayamba kukula. Odwala nthawi zambiri amawonetsedwa opaleshoni yokhotakhota pamatumbo, kudula mwendo.

Kuchuluka kwambiri kwa matendawa kumawonetsedwa ndi zovuta zomwe sizimatha kupsinjika. Mawonetsedwe pafupipafupi ndimtundu wowonongeka wa ubongo, kupunduka, chikomokere. Munthu amataya kwathunthu kusuntha, kuwona, kudzipereka yekha, kulumikizana ndi anthu ena, kuyenda mumlengalenga ndi nthawi.

Gulu lirilonse la olumala limakumana ndi zomwe limapatsidwa kwa odwala. Otsatirawa ndikukambirana komwe mamembala a MSEC angapatse gulu la anthu matenda ashuga.

Kukhazikitsidwa kwa gululi ndikotheka ngati wodwalayo ali m'malire a matenda ofatsa komanso olimbitsa thupi. Nthawi yomweyo, pali zododometsa pakugwira ntchito kwa ziwalo zamkati zam'malo ochepa, koma salola munthu kugwira ntchito mokwanira ndikukhala ndi moyo.

Mikhalidwe yopezera mawonekedwe ndiyofunikira kugwiritsa ntchito zida zapadera zodzisamalira nokha, komanso kuti wodwalayo sangathe kugwira ntchito yake, koma amatha kugwira ntchito zina, zosawononga nthawi.

Zofunikira pakukhazikitsa kulumala kwa odwala matenda ashuga:

• kuwonongeka kwa mawonekedwe azakuthwa a 2-3,
• matenda a impso mu gawo lothandizira, kuperewera kwaimpso muzochitika za hardware dialysis, peritoneal dialysis kapena kupatsirana kwa impso,
• kulimbikira kuwonongeka kwa zotumphukira zamanjenje,
• mavuto amisala.

Gulu la olumala mu matenda a shuga limayikidwa mu milandu ili:

• kuwonongeka kwa diso limodzi kapena onse, kuwonekera pang'ono kapena kuwonongeka kwathunthu kwa masomphenya,
• kwambiri matenda a zotumphukira mantha dongosolo,
• zovuta zamaganizidwe,
• Mapazi a Charcot ndi zotupa zina zamkati mwa miyendo,
• nephropathy ya terminal siteji,
• nthawi zambiri kumachitika kuchepa kwakukulu kwa shuga m'magazi, kumafuna chithandizo chamankhwala mwadzidzidzi.

Odwala amathandizidwa, amasuntha kokha mothandizidwa ndi alendo. Kulumikizana kwawo ndi ena komanso mawonekedwe m'malo, nthawi imaphwanyidwa.

Ndikwabwino kukaonana ndi dokotala kapena katswiri wa akatswiri odziwa zaumoyo ndi wokhudzana ndi chikhalidwe cha anthu omwe ali ndi vuto la matenda omwe amapatsidwa kwa mwana yemwe ali ndi mtundu wodwala matenda a insulin. Monga lamulo, ana oterowo amapatsidwa mkhalidwe wolumala osafotokoza momwe aliri. Kukonzanso kumachitika pofika zaka 18. Mulingo uliwonse wamankhwala umaganiziridwa payekhapayekha, zotsatira zina ndizotheka.

Njira zopezera kulumala kwamitundu yachiwiri ya matenda a shuga zitha kupezeka m'nkhaniyi.

Njira yothandizira odwala kulumala imakhala yolimba komanso yayitali. The endocrinologist imapatsa odwala kuti atulutse olumala pazotsatirazi:

• zovuta za wodwalayo, kuperewera kwamalipiro a matendawa,
• kuphwanya magwiridwe antchito a ziwalo zamkati ndi machitidwe,
• pafupipafupi matenda a hypo- ndi hyperglycemic, com,
• matenda ofatsa kapena olimbitsa, omwe amafuna kuti wodwalayo azigwira ntchito yovuta kwambiri.

Wodwala ayenera kusungitsa mndandanda wa zikalata ndikupita maphunziro ofunikira:

• mayeso azachipatala
• shuga m'magazi
• zamankhwala osokoneza bongo
• kuyesedwa kwa shuga
• kusanthula kwa glycosylated hemoglobin,
• kusanthula kwa mkodzo malinga ndi Zimnitsky,
• electrocardiogram
• echocardiogram
• ma arteryography
• rheovasography
• kufunsira kwa ophthalmologist, neurologist, nephrologist, opaleshoni.

Kuchokera pamalembo ndikofunikira kukonzekera cholembera ndi pasipoti yoyambayo, kuchotsera kwa sing'anga kupita kwa MSEC, mawu ochokera kwa wodwalayo, kuchotsera kuti wodwala amathandizidwa kuchipatala kapena nthawi yapaderadera.

Ndikofunikira kukonzekera kope ndi choyambirira cha buku la ntchito, satifiketi yokhazikika yolephera kugwira ntchito, ngati njira yobwereza ichitika.

Ndikofunikira kukumbukira kuti panthawi yoyesedwanso, gulu lingachotsedwe. Izi zitha kukhala chifukwa cha kulipidwa chipukuta misozi, kusintha kwazomwe zikuchitika komanso magawo a ma laborator odwala.

Odwala omwe akhazikitsa gulu lachitatu amatha kugwira ntchitoyi, koma ndi mawonekedwe opepuka kuposa kale. Kukula kwamphamvu kwa matendawa kumathandizira kulimbitsa thupi pang'ono. Odwala oterewa ayenera kusiya maulendo amasiku, maulendo ataliatali a bizinesi, komanso magwiridwe antchito osagwirizana.

Ngati odwala matenda ashuga ali ndi mavuto amawonedwe, ndibwino kuti muchepetse voliyumu yowonera, ndi phazi la matenda ashuga - kukana kugwira ntchito. Gulu loyamba la olumala likuwonetsa kuti odwala sangathe kugwira ntchito konse.

Kukonzanso odwala kumaphatikizapo kukonza zakudya, kulemera zokwanira (ngati zingatheke), kuyesedwa pafupipafupi ndi endocrinologist ndi akatswiri ena odziwa ntchito. Chithandizo cha Sanatorium chimafunika, kupita kusukulu ya matenda ashuga. Akatswiri a MSEC amapanga mapulogalamu amomwe amathandizira odwala omwe ali ndi matenda ashuga.

Kulemala ndi chikhalidwe chomwe magwiridwe antchito a munthu amakhala ochepa pamlingo chifukwa chakukhumudwa, kuthupi, kuzindikira kapena kuzindikira. Mu matenda a shuga, monga momwe zimakhalira ndi matenda ena, izi zimakhazikitsidwa kwa wodwala pamaziko a kuwunika kwaukadaulo wazamankhwala ndi chikhalidwe cha anthu (ITU). Gulu la olumala la mtundu woyamba wa matenda osokoneza bongo lomwe wodwala angalembetse? Chowonadi ndi chakuti kungodziwa kukhalapo kwa matendawo mwa munthu wamkulu si chifukwa choti munthu akhale ndi udindo wotere. Kulemala kumatha kusankhidwa pokhapokha ngati matendawo apita ndi zovuta zazikulu ndikuyika ziletso zazikulu kwa odwala matenda ashuga.

Ngati munthu akudwala matenda a shuga obwera chifukwa cha matenda a shuga, ndipo matendawa akupita patsogolo ndipo akukhudza kwambiri moyo wake, amatha kufunsa dokotala kuti amupatse mayeso angapo ndikulembetsa mayina okhumudwitsa. Poyamba, wodwalayo amayendera othandizira omwe amatumiza zothandizira kukakumana ndi akatswiri opapatiza (endocrinologist, Optometrist, Cardiologist, neurologist, Opaleshoni, etc.). Kuchokera pamavuto a labotale ndi othandizira, wodwala amatha kupatsidwa:

• kuyesa kwamagazi ndi mkodzo,
• kuyezetsa magazi
• Ultrasound ya ziwiya zam'munsi zokhala ndi dopplerography (ndi angiopathy),
• glycated hemoglobin,
• kusanthula mwachangu, zoyambira (kutsimikiza kwa kukwanira kwa zowoneka),
• kuyesa kwamkodzo kuti mupeze shuga, mapuloteni, acetone,
• electroencephalography ndi rheoencephalography,
• mbiri ya lipid
• kuyesa kwamwazi wamagazi,
• Ultrasound yamtima ndi ECG.

Kulembetsa kulemala, wodwala adzafunika zikalata:

• pasipoti
• Kutuluka zipatala komwe wodwala adalandira chithandizo,
• Zotsatira za maphunziro onse a labotale ndi othandizira,
• malingaliro othandizira ndi zisindikizo ndikuzindikira madokotala onse omwe wodwalayo adayendera panthawi yoyesedwa kuchipatala,
• ntchito odwala kulembera kulemala ndi kutumiza kwa ochiritsira ku ITU,
• khadi lapaulendo,
• buku la ntchito ndi zolemba zotsimikizira maphunziro omwe alandiridwa,
• satifiketi yalemala (ngati wodwalayo atsimikiziranso gululi).

Wodwala akamagwira ntchito, ayenera kulandira satifiketi kwa abwana, omwe amafotokoza momwe ntchitoyo ilili komanso mtundu wake. Ngati wodwalayo akuphunzira, ndiye kuti chikalata chofananira chikufunika kuchokera ku yunivesite. Ngati lingaliro la Commissionyo ndi labwino, wodwalayo amalandila satifiketi yalemala, yomwe imawonetsa gululi. Kubwereza mobwerezabwereza kwa ITU sikofunikira kokha ngati wodwala ali ndi gulu limodzi. M'magulu achiwiri ndi achitatu omwe ali olumala, ngakhale kuti matenda ashuga ndi osachiritsika komanso matenda osachiritsika, wodwalayo amayenera kumayesedwa pafupipafupi.

Ngati ITU ipanga chisankho cholakwika ndipo wodwalayo sanalandire gulu lina lokhala ndi vuto, ali ndi ufulu wopempha chisankho. Ndikofunikira kuti wodwalayo amvetsetse kuti iyi ndi njira yayitali, koma ngati ali ndi chitsimikizo pakuwona kuyesedwa kwa thanzi lake, ayenera kuyesa kutsimikizira zotsalazo. Wodwala matenda ashuga atha kukopa zotsatira zake polumikizana ndi ofesi yayikulu ya ITU patangotha ​​mwezi umodzi ndi mawu olembedwa, pomwe kumachitika mobwerezabwereza.

Wodwalayo akakananso kulumala komweko, atha kulumikizana ndi Federal Bureau, yomwe imakakamizidwa kupanga bungwe lake pakatha mwezi umodzi kuti apange chisankho. Nthawi yomaliza yomwe odwala matenda ashuga angakhudze ndi khothi. Itha kukhudzanso zotsutsana ndi zotsatira za ITU zochitidwa ku Federal Bureau molingana ndi njira yomwe boma limakhazikitsa.

Kulumala koopsa ndikoyamba. Amaperekedwa kwa wodwala ngati, motsutsana ndi mbiri ya matenda ashuga, amakumana ndi zovuta zazikulu zamatenda omwe samasokoneza ntchito yake yokha, komanso chisamaliro chake cha tsiku ndi tsiku. Izi ndi monga:

• kusawona kapena kudziona kwamomwekonse chifukwa cha matenda abwinobwino a matenda ashuga,
• kupindika miyendo chifukwa cha matenda ashuga a m'mimba,
• neuropathy yayikulu, yomwe imakhudza magwiridwe antchito a ziwalo ndi miyendo,
• gawo lomaliza la kulephera kwa impso komwe kunayambika motsutsana ndi maziko a nephropathy,
• ziwalo
• Kulephera kwa mtima kwa 3 degree,
• Kunyalanyaza kusokonezeka kwa malingaliro chifukwa cha matenda ashuga a m'mimba,
• Nthawi zambiri kubwereza hypoglycemic chikomokere.

Odwala otere sangathe kudzithandiza okha, amafunika thandizo kuchokera kwa achibale kapena ogwira ntchito kuchipatala. Satha kuyendera bwino m'malo, kulumikizana kwathunthu ndi anthu ena ndikugwira ntchito yamtundu uliwonse. Nthawi zambiri, odwala oterewa sangathe kuwongolera zochita zawo, ndipo mkhalidwe wawo umadalira kwathunthu thandizo la anthu ena.

Gulu lachiwiri ndilokhazikitsidwa kwa odwala matenda ashuga omwe nthawi zina amafunikira thandizo kunja, koma amatha kuchita zinthu zosavuta posamalira okha.Otsatirawa ndi mndandanda wazotsatira zomwe zingayambitse izi:

• retinopathy yayikulu popanda khungu lathunthu (ndi kuchuluka kwa mitsempha yamagazi ndikupanga zotupa zamtunduwu m'derali, zomwe zimapangitsa kuti chiwopsezo cha intraocular chikuwonjezeka komanso kusokonekera kwa mitsempha ya optic),
• gawo lomaliza la kulephera kwa impso, komwe kumachitika chifukwa cha maziko a nephropathy (koma mothandizidwa ndi kupindika bwino kwa ziwalo kapena kupatsirana kwa impso),
• matenda amisala okhala ndi encephalopathy
• kuchepa kwakanthawi kokhoza kusuntha (paresis, koma osati ziwalo zathunthu).

Kuphatikiza pa ma pathologies omwe ali pamwambapa, zofunikira zolembetsa kulemala kwa gulu lachiwiri ndizotheka kutha kugwira ntchito (kapena kufunika kopanga zinthu zapadera), komanso kuvuta kuchita ntchito zapakhomo.

Nthawi zambiri, anthu omwe ali ndi gulu lachiwiri sagwira ntchito kapena kugwira ntchito kunyumba, chifukwa malo ogwirira ntchito ayenera kukhala osinthika nawo, ndipo magwiridwe antchito ayenera kukhala ochepa momwe angathere. Ngakhale mabungwe ena omwe ali ndi udindo waukulu pamagulu amapereka ntchito zapadera kwa anthu olumala. Zochita zolimbitsa thupi, maulendo abizinesi, ndi ntchito yowonjezera ndizoletsedwa kwa ogwira ntchito oterowo. Iwo, monga onse odwala matenda ashuga, ali ndi ufulu wopuma mwalamulo chifukwa cha insulin ndi zakudya zomwe amakonda kudya. Odwala otere ayenera kukumbukira ufulu wawo komanso osalola abwana kuphwanya malamulo ogwira ntchito.

Gulu lachitatu la olumala limaperekedwa kwa odwala omwe ali ndi shuga wambiri, omwe amalephera kugwira ntchito zolimbitsa thupi, zomwe zimayambitsa zovuta zochitika zanthawi zonse zovuta komanso zovuta kuzisamalira. Nthawi zina gulu lachitatu limapangidwa ndi odwala omwe ali ndi matenda amtundu wa 1 waung'ono kuti athetse bwino malo atsopano pantchito kapena kuphunzira, komanso panthawi yowonjezera kupsinjika kwa psychoemotional. Nthawi zambiri, ndi momwe wodwalayo alili, gulu lachitatu limachotsedwa.

Ana onse odwala matenda a shuga amapezeka kuti ali ndi vuto popanda gulu linalake. Akakwanitsa zaka zakubadwa (nthawi zambiri amakhala wamkulu), mwana ayenera kupita kukatsutsidwa ndi akatswiri, omwe amasankha zochita zina pagulupo. Malinga kuti wodwalayo sakadwala kwambiri, amakhala wathanzi ndipo amaphunzitsidwa kuwerengetsa mankhwala a insulin, kulumala ndi matenda a shuga 1 amachotsedwa.

Mwana wodwala wokhala ndi mtundu wina wodwala matenda a shuga amadziwika kuti ndi "mwana wolumala". Kuphatikiza pa khadi lapaulendo ndi zotsatira zakusaka, pakulembetsa kwake muyenera kupereka satifiketi yobadwa ndi chikalata cha m'modzi wa makolo.

Polembetseratu kulemala pakukafika zaka zambiri za mwana, zinthu zitatu ndizofunikira:

• kulimbitsa thupi kosalekeza, kotsimikizika ndi makina ogwiritsa ntchito,
• polekezera kapena pang'ono malire a kuthekera kwa kugwira ntchito, kucheza ndi anthu ena, kudzipereka tokha ndikumayang'ana zomwe zikuchitika,
• kufunikira kwa chisamaliro chachitukuko ndikukonzanso (kukonzanso).

Anthu odwala matenda ashuga omwe ali ndi gulu loyamba la olumala sangathe kugwira ntchito, chifukwa ali ndi zovuta zambiri zamatendawa komanso mavuto akulu azaumoyo. Amadalira kwathunthu anthu ena ndipo sangathe kudzithandiza okha, chifukwa chake, palibe zomwe zingagwiritsidwe ntchito pankhaniyi.

Odwala omwe ali ndi gulu lachiwiri ndi lachitatu amatha kugwira ntchito, koma nthawi yomweyo, magwiridwe antchito ayenera kusinthidwa ndikuyenera kwa odwala matenda ashuga. Odwala amaletsedwa:

• gwiranani ntchito zosinthira usiku ndikukhala nthawi yowonjezera
• gwira ntchito m'mabizinesi komwe amachotsa mankhwala oopsa komanso amwano.
• kugwira ntchito molimbika,
• pitani pamaulendo azamalonda.

Anthu odwala matenda ashuga sayenera kukhala m'malo omwe amakhudzana ndi kupsinjika kwa m'maganizo. Atha kugwira ntchito zamagulu anzeru kapena kuchita masewera olimbitsa thupi mopepuka, koma ndikofunikira kuti munthu asamagwire ntchito mopitirira muyeso komanso asakonze mopitilira muyeso. Odwala sangathe kugwira ntchito yomwe imayika moyo wawo kapena wa ena pachiwopsezo. Izi ndichifukwa chakufunika kwa jakisoni wa insulini komanso kuthekera kwa thebulo la zovuta zopezeka mwadzidzidzi za zovuta za matenda a shuga (mwachitsanzo hypoglycemia).

Kulephera ndi matenda a shuga 1 sikuti ndi sentensi, koma,, chitetezo chamtundu wa wodwala ndi thandizo lochokera ku boma. Mukadutsa ntchito, ndikofunikira kuti musabise chilichonse, koma kuwuza madokotala moona mtima za zomwe akuchita. Kutengera mayeso oyendera ndi zotsatira za mayeso, akatswiri amatha kupanga chisankho cholondola ndikukhazikitsa gulu lolumala lomwe limadalira pamenepa.

Kodi matenda ashuga amapereka kuperewera ndipo gulu limapatsidwa gulu liti?

Matenda a shuga ndi matenda osachiritsika pomwe shuga m'magazi amawononga machitidwe ndi ziwalo zambiri.

Chithandizo chomwe chapangidwabe mpaka pano chimatha kuletsa kukula kwa matenda osokoneza bongo kwakanthawi, koma osatha.

Kukhalapo kwa matendawa sikuti kukuwonetsa kulemala, komwe kumayikidwa pakakhala zovuta zomwe zimasokoneza ntchito ya chiwalo, kuchepetsa moyo, komanso kulanda anthu ntchito. Zilibe kanthu kuti wodwala ali ndi matenda otani (1 kapena 2).

Gululi limaperekedwa kwa odwala omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2, limodzi ndi kuchepa kwakukulu kwa ziwalo zina, komanso ngati kuwonongeka.

Chowonjezera ndi matenda a shuga, omwe shuga samatuluka masana kuposa momwe amapangira odwala matenda ashuga, ngakhale atadya.

Odwala omwe amafunikira kupatsidwa mwayi wolumala sangathe kudzipulumutsa okha ndikulephera kugwira ntchito. Achinyamata amatha kupatsidwa gulu kuti akhale ndi mwayi wosinthira kuntchito yosavuta.

Magulu osiyanasiyana amapatsidwa ntchito kutengera mphamvu yakuchepa kwa ziwalo, kukula komanso kusowa kwa maphunzirowo.

Gulu loyamba la olumala Tumikirani zigawo zotsatirazi:

• Maso: Kuwonongeka kwa khungu, khungu la maso onse.
• Mitsempha yamafupa: kusatheka kwa kayendedwe kaumodzi mu miyendo, kusokonezeka kwa mgwirizano wa minofu yosiyanasiyana.
• Mtima: cardiomyopathy (matenda a minofu ya mtima), kulephera kwamtima kwamatenda atatu madigiri.
• Mitsempha yamagazi: Kukula kwa phazi la matenda ashuga, malo osokoneza bongo.
• Ntchito yayikulu yamanjenje: kusokonezeka kwa malingaliro, kusokonezeka kwa luntha.
• Impso: kuchepa kwakukulu kwa ntchito mu gawo lothandizira.
• Nthawi zambiri chikomokere chifukwa cha shuga ochepa.
• Kufunika kosamalidwa kosalekeza kwa anthu osaloledwa, kusatheka kwa kayendetsedwe kodziyimira pawokha, kuyang'ana.

Gulu lachiwiri chilema chimaperekedwa motere:

• Gawo lamasomphenya: kuwonongeka kwam'mbuyo kwa madigiri 2-3.
• Impso: kuchepa kwakukulu kwa ntchito, koma pokhapokha ngati dialysis kapena kupatsidwa mphamvu.
• Ntchito yayikulu yamanjenje: kusintha kosalekeza mu psyche.
• Kufunika kothandizidwa, koma chisamaliro chofunikira sichofunikira.

Gulu lachitatu chilema chimaperekedwa motere:

• Kuwonongeka koyenera kwa chiwalo.
• Njira yamatendawa ndi yofatsa kapena yochepa.
• Kufunika kosinthira kuntchito ina ngati pali ma contraindication a ntchito yayikulu ya wodwalayo.

Ngati muli ndi matenda amtundu 1 kapena mtundu wa matenda ashuga 2, ndi gulu lolemala liti lomwe limaperekedwa pamenepa? Tiyeni tikambirane funsoli mwatsatanetsatane.

Kupeza kulumala sikudalira mtundu wa matenda ashuga, koma kupezeka kwa zovuta ndi zovuta kwa ziwalo.

Njirayo iyenera kuyamba ndi wothandizira kuchipatala komwe amakhala.

Mayeso onse oyenera amachitidwa (mayeso wamba, ma ultrasound a ziwalo), apadera, mwachitsanzo, mayeso opsinjika ndi shuga.

Njira zowonjezera: kuwunika kwa ECG, mphamvu yamagazi, proteinuria tsiku ndi tsiku, mayeso a Zimnitsky, rheovasography ndi ena. Kuyendera kwa akatswiri ndikofunikira.

Pamaso pa matenda a shuga a retinopathy, a ophthalmologist amafunika kufunsidwa, kuwunikira ndalama. Katswiri wamitsempha amawunika zochitika zapamwamba zamanjenje, mkhalidwe wa psyche, magwiridwe antchito a mitsempha, kupezeka kwa zoletsa kuyenda, ndi kuyendetsa electroencephalography. Dokotalayo amayesa kusintha kwa ma trophic miyendo, necrosis, makamaka phazi.

Kugonekedwa kuchipatala kungafunike kuti mumupime mokwanira. Ndikofunikira kufunsa endocrinologist - dokotala yemwe akuchita nawo chizindikiritso cha matenda a shuga.

Wochiritsirayo amadzaza njira yowunikira, komwe gulu lolemala lidzakhazikitsidwa. Koma ngati dokotala sapeza chifukwa chomutumizira, wodwala ali ndi ufulu kupita kumeneko yekha.

Mndandanda wamakalata ofunikira kutumizidwa ku ITU:

• pasipoti
• cholembedwa chantchito (chikalata chotsimikizika), dipuloma ya maphunziro,
• mawu a wodwala, kutumiza kwa othandizira,
• Khalidwe la magwiridwe antchito.

Ngati wodwala amafunikanso kuyang'anidwanso, chikalata chakulemala ndikuyenera kukonza.

Choyamba muyenera kulumikizana ndi dokotala pachipatala cha ana kumalo komwe akukhalamo. Adzaunikira mayendedwe ofunikira ndi mayeso a akatswiri.

Kutumizidwa ku ITU, muyenera kusonkhanitsa mindandanda:

• pasipoti kapena satifiketi yobadwa (mpaka zaka 14),
• mawu oyimira boma
• kutumiza kwa ana, khadi la kunja, zotsatira za mayeso,
• mawonekedwe ochokera pamalo ophunzirira.

Gulu loyamba la olumala limatanthawuza kulumala kwa wodwala. Odwala omwe ali ndi maphunziro ochepa kapena ofatsa amatha kugwira ntchito zopepuka komanso zamaganizidwe, zomwe zimachotsa kuthekera kwa kuchuluka kapena kusangalala.

Anthu odwala matenda ashuga omwe amamwa insulini sayenera kukhala m'malo omwe amafunikira kuyankha bwino komanso kusankha mwachangu.

Ngati pali matenda a chiwalo cha masomphenyawo, ntchito yokhudzana ndi vuto la maso siyenera kuyikidwa pambali. Odwala omwe ali ndi zowonongeka m'mitsempha ya m'mitsempha sayenera kuyatsidwa ndi kugwedezeka.

Anthu odwala matenda ashuga amatsutsana m'mafakitale owopsa. Ndikofunikira kupatula mwayi wodziwika ndi mankhwala opangidwa ndi mafakitale, ziphe. Komanso gwiritsani ntchito kosinthana usiku, pamaulendo aku bizinesi sioyenera.

Okondedwa owerenga, zomwe zalembedwako zingakhale zachikale, gwiritsani ntchito kufunsa kwaulere poyimba: Moscow +7 (499) 350-74-42 , Saint Petersburg +7 (812) 309-71-92 .

Kuti magazi a shuga abwerere mwakale, muyenera kudya supuni imodzi m'mawa pamimba yopanda kanthu.

Malinga ndi lamuloli, munthu yemwe wapezeka ndi matenda oopsa omwe angapangitse kuti asokonezeke machitidwe ake komanso zolakwika zina zam'mimbayo, ali ndi ufulu kulandira ulemu kwa wolumala. Zomwezi zimagwiranso ntchito kwa odwala matenda a shuga. Ganizirani omwe ali ndi vuto la matenda ashuga amtundu woyamba.

Odwala omwe amadalira matenda a insulin amadyedwa gulu loyamba, lachiwiri kapena lachitatu la olumala, kutengera zovuta zomwe matendawa adabweretsa. Koma, kuti wodwala alandire chisankho choyenera, ndikofunikira kukwaniritsa nthawi imodzi:

• Chitetezo chamtundu wa anthu ndikuchiritsanso ndikofunikira kwa wodwala,
• Munthu walephera pang'ono kudzipereka payekha, zimamuvuta kuti ayende yekha, kapena kusiya kuyenda m'mlengalenga,
• Zimakhala zovuta kuti wodwala azilankhulana ndi anthu ena ndikugwira ntchito,
• Palibe zodandaula, komanso kulakwitsa kosagwira bwino kwa ziwalo ndi machitidwe omwe adadziwika chifukwa cha mayeso.

Vutoli ndilofunika makamaka kwa iwo omwe ali ndi mtundu wa 1 matenda a shuga - omwe gulu lolemala lingapatsidwe kwa anthu otere, ndi mtundu wanji wa ziletso zomwe zingawakhalire.

Kulemala kudalira zovuta za matenda ashuga

Kukhalapo kwa matenda ashuga sikuli koyenera kukhala wolumala komanso zoletsa zantchito. Munthu sangakhale ndi gawo lovutitsitsa la matendawo.

Zowona, izi sizinganenedwe za mtundu wake woyamba - anthu omwe amapezeka ndi omwe amaphatikizidwa ndi jakisoni wa insulin moyo wonse, ndipo izi palokha zimayambitsa zovuta zina. Koma, kachiwiri, iye yekhayo samakhala chowiringula kuti akhale wolumala.

Amayamba chifukwa cha zovuta:

• Zophwanya zapakati pa magwiridwe antchito ndi ziwalo, ngati zimabweretsa zovuta pantchito kapena kudzichitira nokha ntchito,
• Kulephera komwe kungapangitse kuchepa kwa ziyeneretso za munthu kuntchito kapena kuchepa kwa zokolola zawo,
• Kulephera kuchita ntchito wamba zapakhomo, kusowa kwakanthawi kapena kosowa thandizo kwa achibale kapena akunja,
• Gawo lachiwiri kapena lachitatu la retinopathy,
• Neuropathy, yomwe idatsogolera ku ataxia kapena ziwalo,
• Mavuto amisala
• Encephalopathy
• Matenda a matenda ashuga odwala matenda am'mimba, gangren, angiopathy,
• Kulephera kwakukulu kwaimpso.

Ngati chikomokere chimawonedwa mobwerezabwereza chomwe chimayambitsa machitidwe a hypoglycemic, mfundoyi ikhoza kukhalanso chifukwa chabwino.

Kulephera kwamkaka kumatha kuchitika kwambiri.

Ngati retinopathy ilipo, ndipo zatsogolera kale khungu m'maso onse, munthu ali ndi ufulu gulu loyamba, lomwe limapereka chomasulidwa kwathunthu kuntchito. Mlingo woyamba, kapena wocheperako wa matenda amtunduwu umapereka kwa gulu lachiwiri. Kulephera kwa mtima kuyeneranso kukhala kwachiwiri kapena kachitatu zovuta.

Ngati zovuta zonse zikungoyamba kuwonekera, mutha kupeza gulu lachitatu, lomwe limapereka ntchito yanthawi yayitali.

Anthu odwala matenda a shuga omwe amadalira insulin amayenera kusamalira mosamala ntchito yomwe adzagwire. Tiyenera kupewa:

• Ntchito yakuthupi pamavuto - monga, mufakitale kapena fakitale, komwe muyenera kuyimirira ndi mapazi anu kapena kukhala nthawi yayitali,
• Kusintha kwa usiku. Mavuto ogona sangapindulitse wina aliyense, kupatula matenda opweteka omwe amaperekedwa,
• Nyengo zovuta
• Mafakitale omwe amagwira ntchito limodzi ndi zinthu zoopsa komanso zovulaza,
• Zovuta zamanjenje.

Anthu odwala matenda ashuga saloledwa kuyenda maulendo atabizinesi, kapena kugwira ntchito yosasinthika. Ngati ntchito zamaganizidwe zimafunikira nkhawa yayitali komanso yamanjenje - muyenera kuyisiya.

Monga mukudziwa, matenda amtundu 1 amadalira insulin, choncho muyenera kumwa mankhwalawa pafupipafupi. Pankhaniyi, ntchito yolumikizidwa ndi chidwi chochulukirapo komanso kuchitapo kanthu mwachangu, kapena koopsa, kukupatsirani.

Mtundu wa 1 wodwala matenda ashuga omwe walandila gulu limodzi kapena linzake lolumala ali ndi ufulu osati chololeza china kuchokera kuboma, komanso chiphaso chamagulu, chomwe chimaphatikizapo:

• Ulendo waulere m'mitima yamagetsi (mtawuni),
• Mankhwala aulere amafunikira
• Chithandizo chaulere mu sanatorium.

Komanso pali zotsatirazi:

• Kuchotsedwa pa ntchito yaboma pakuchita nawo ntchito,
• Masiku 30 amachoka chaka chilichonse
• Kuchepetsa maola ogwirira ntchito sabata iliyonse,
• Tchuthi mwanjira zanu mpaka masiku 60 pachaka,
• Kuvomerezedwa ku mayunivesite chifukwa cha mpikisano,
• Kuthekera kolipira misonkho,
• Ntchito yodabwitsa m'mabungwe osiyanasiyana.

Komanso, anthu olumala amapatsidwa kuchotsera msonkho nyumba kapena nyumba.

Momwe mungapezere gulu loyimira matenda a shuga 1

Udindo uwu umaperekedwa kukayezetsa pawokha pazachipatala ndi chikhalidwe cha anthu - ITU. Musanakumane ndi bungwe ili, muyenera kutsimikizira kupezeka kwa zovuta.

Izi zitha kuchitika pochita izi:

• Zidandaula kwa akatswiri azachipatala omwe angakukonzekeretseni, mutatha kuyesa mayeso onse ndikudutsa mayeso, mawonekedwe omaliza azachipatala a ITU,
• Kudzipangira nokha - mwayi woterewu ulinso, mwachitsanzo, ngati dokotala akukana kuthana nanu. Mutha kutumiza pempho panokha komanso osapezeka,
• Kupeza chilolezo kudzera khothi.

Chisankho chisanachitike - chabwino kapena chosayenera - muyenera:

• Pimani kuyesedwa kwa ultrasound - impso, mtima, mitsempha yamagazi,
• Yesani kukana kwa glucose,
• Patsani mkodzo wambiri ndi magazi.

Mungafunike kupita kuchipatala kwakanthawi, kapena kukaonana ndi katswiri wopapatiza - mwachitsanzo, wamisala, urologist, ophthalmologist, kapena mtima.

Onetsetsani kuti mukupimidwa pafupipafupi, kuyeza shuga ndi glucometer, yesani kudya moyenera komanso kupewa kukhala phee.

Dongosolo la portal sikuti limalimbikitsa kuti musamadzichiritse nokha, ndipo pazoyambitsa matendawa, akukulangizani kuti mukaonane ndi dokotala. Tsamba lathu limakhala ndi madokotala aluso kwambiri, omwe mungapange nthawi yokumana pa intaneti kapena pafoni. Mutha kusankha dokotala woyenera kapena mutha kukusankhirani zaulere. Komanso pokhapokha pojambula kudzera mwa ife, Mtengo wakufunsira udzakhala wotsika kuposa chipatala chokha. Izi ndi mphatso yathu yaying'ono kwa alendo athu. Khalani athanzi!

Masana abwino Dzina langa ndi Sergey. Ndakhala ndikupanga malamulo kwa zaka zoposa 17. Ndikukhulupirira kuti ndine katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amabwera pamalowa kuti athetse zovuta osati ntchito. Zambiri za tsambali zimasonkhanitsidwa ndikuyang'aniridwa mosamala kuti zidziwitso zonse zofunikira zitheke. Komabe, kugwiritsa ntchito zonse zomwe zafotokozedwa patsamba - kufunsa MANDATORY ndi akatswiri ndizofunikira nthawi zonse.