Matenda a impso

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Matenda a shuga ndi nephropathy ndi lingaliro lalikulu lomwe limaphatikizapo kuwonongeka kwa impso zambiri. Itha kuyamba mpaka gawo lomaliza, pomwe wodwalayo angafunikire kuyimba pafupipafupi.

Kuchepetsa zizindikiro ndikusintha chithunzi cha chipatala, muyenera kudya zakudya zapadera. Ikhoza kukhala yotsika-chakudya pang'ono komanso mapuloteni otsika (m'gawo lomaliza la matendawa).

Zakudya za matenda a shuga a nephropathy afotokozedwera pansipa, mndandanda woyeneranso udzaperekedwa, komanso maubwino azakudya zamafuta ochepa a mtundu 1 ndi matenda ashuga a 2.

Zakudya za anthu odwala matenda ashuga nephropathy

Matendawa amakhala m'gulu lotsogola pakati pa zomwe zimayambitsa kufa kwa odwala matenda ashuga. Ambiri mwa odwala omwe ayimirira mzere wobwezeretseka kwa impso ndi dialysis ndi odwala matenda ashuga.

Matenda a diabetes ndi nephropathy ndi lingaliro lalikulu lomwe limaphatikizapo kuwonongeka kwa glomeruli, tubules, kapena zombo zomwe zimadyetsa impso. Matendawa amakula chifukwa cha kuchuluka kwa shuga m'magazi.

Choopsa cha nephropathy chotere kwa odwala matenda ashuga ndikuti gawo lomaliza limatha kukhazikika pakufunika kwa dialysis. Poterepa, mapuloteni omwe amachulukitsa ntchito ya impso sawayikidwa konse pachakudya.

• ulesi
• kulawa kwazitsulo mkamwa
• kutopa,
• miyendo kukokana, nthawi zambiri madzulo.

Nthawi zambiri, matenda ashuga a nephropathy samadziwonetsa pokhazikika. Chifukwa chake ndikulimbikitsidwa kuti wodwala yemwe ali ndi matenda ashuga azikayezetsa kamodzi kapena kawiri pachaka:

1. kuyesa kwa mkodzo kwa creatinine, albin, microalbumin,
2. Ultrasound a impso
3. kuyezetsa magazi kwa creatinine.

Popanga matenda, madokotala ambiri amalimbikitsa kudya zakudya zama protein ochepa, akumakhulupirira kuti ndi omwe amathandizira impso. Izi ndizowona, koma osati mapuloteni omwe adakhala ngati chitukuko cha matenda ashuga. Chomwe chimapangitsa izi ndi shuga wowonjezereka, omwe ali ndi poizoni pakhungu la impso.

Pofuna kupewa gawo lotsiriza la matenda a impso, muyenera kutsatira zakudya zopatsa thanzi. Mankhwala oterowo azikhala ndi zomwe zimayambitsa matendawa - shuga wambiri.

Kusankha kwazinthu pokonzekera menyu kuyenera kutengera mndandanda wawo wa glycemic index (GI).

Glycemic Product Index

Zakudya zochepa zama carbohydrate zimasunga matenda abwinobwino a shuga 2, pomwe mtundu woyamba umachepetsa kuchuluka kwa insulin yochepa komanso ya ultrashort. Ndi malo awa omwe amathandiza kupewa zovuta zambiri kuchokera ku matenda ashuga.

Lingaliro la GI ndi chisonyezo cha digito cha kudya ndi kuwonongeka kwa mafuta m'magazi, zomwe zimakhudza kuchuluka kwa glucose m'magazi, atatha kugwiritsa ntchito. Pochepetsa chizindikiro, "chotetezeka" chakudya.

Mndandanda wazinthu zomwe zili ndi GI yotsika ndizokwanira kwambiri, zomwe zimakupatsani mwayi wopanga chakudya chokwanira, osataya kukoma kwa mbale. Mlozera wotsika udzakhala mpaka mayunitsi 50, pafupifupi mayunitsi 50 mpaka 70, komanso okwera 70.

Nthawi zambiri, ndi matenda amtundu wa 1 komanso a 2 shuga, zakudya zomwe zimakhala ndi index zomwe zimaloledwa kangapo pa sabata. Koma ndi matenda ashuga a nephropathy amatsutsana.

Zakudya za shuga za nephropathy sizimangokhala zakudya zokha ndi GI yotsika, komanso njira zamatenda othandizira kutentha. Kuphika kotsatiraku ndikovomerezeka:

• kwa okwatirana
• wiritsani
• pa microwave
• simmer mumafuta ochepa,
• kuphika
• ophika pang'onopang'ono, kupatula ngati "mwachangu".

Pansipa pali mndandanda wazinthu zomwe zakudya zimapangidwira.

Zakudya za Zakudya

Zakudya za wodwala ziyenera kukhala zosiyanasiyana. Zakudya za tsiku ndi tsiku zimakhala ndi chimanga, nyama kapena nsomba, masamba, zipatso, mkaka ndi mkaka wowawasa. Mlingo wamadzi akumwa ndi malita awiri.

Ndikofunikira kudziwa kuti zipatso ndi zipatso zamabulosi, ngakhale kuchokera ku zipatso zomwe zili ndi GI yotsika, ndizoletsedwa pazakudya. Ndi mankhwalawa, amataya CHIKWANGWANI, chomwe chimagwira ntchito yolowa yunifolomu m'magazi.

Zipatso ndi zipatso zimadyedwa bwino m'mawa, osaposa 150 - 200 magalamu. Sayenera kubweretsedwa pachikhalidwe kuti asachulukitse GI. Ngati saladi wa zipatso wakonzedwa kuchokera ku zinthuzi, ndiye kuti ziyenera kuchitika mwachangu musanagwiritse ntchito kuti tisunge mavitamini ndi michere yambiri ambiri momwe tingathere.

Zipatso Zotsika za GI ndi Zipatso:

1. akuda ndi ofiira
2. jamu
3. maapulo amtundu uliwonse, kutsekemera kwawo sikukhudza kalozera,
4. peyala
5. apurikoti
6. mabuluni
7. rasipiberi
8. sitiroberi
9. zipatso zamtchire.
10. zipatso zamtundu uliwonse wa malalanje - mandimu, lalanje, mandarin, pomelo, laimu.

Masamba ndiye maziko azakudya za matenda ashuga ndipo amapanga theka la zakudya zonse. Amatha kuwadyetsa chakudya cham'mawa, onse, komanso tiyi wamadzulo ndi chakudya chamadzulo. Ndikwabwino kusankha masamba omwe ali ndi nyengo, ali ndi michere yambiri.

Masamba a otsika GI odwala matenda ashuga nephropathy:

• squash
• anyezi
• adyo
• biringanya
• phwetekere
• nyemba zobiriwira
• mphodza
• nandolo zatsopano zowuma,
• mitundu yonse ya kabichi - kolifulawa, broccoli, kabichi yoyera ndi yofiira,
• tsabola wokoma.

Kuchokera ku mbewu monga chimanga, mumatha kuphika mbale zonse ziwiri ndikuwonjezera mbale zoyambirira. Kusankha kwawo kuyenera kusamala kwambiri, popeza ena ali ndi GI yapakati komanso yapamwamba. Ndi matenda a shuga, osalemedwa ndi matenda ena, madokotala nthawi zina amalola phala ya chimanga kuti idye - GI pamitunda yayitali, popeza ili ndi michere yambiri. Koma ndi matenda ashuga nephropathy, kumwa kwake kumatsutsana. Popeza kulumpha pang'ono m'magazi a magazi kumayambitsa kupsinjika kwa impso.

Pafupifupi zonse zamkaka ndi mkaka wowawasa zomwe zimakhala ndi GI yotsika, ndizokhazo zomwe siziyenera kuphatikizidwa:

1. wowawasa zonona
2. mafuta 20% mafuta,
3. yogurt yabwino ndi zipatso,
4. batala
5. margarine
6. tchizi zolimba (kalozera kakang'ono, koma zopatsa mphamvu zopatsa mphamvu),
7. wokometsedwa mkaka
8. tchizi chowala,
9. curd misa (kuti isasokonezeke ndi kanyumba tchizi).

Mazira amaloledwa m'magulu a shuga kuposa tsiku lililonse, chifukwa yolk imakhala ndi cholesterol yoyipa. Ndi nephropathy iyi, ndikwabwino kuchepetsa kugwiritsa ntchito mankhwala mwanjira imeneyi.

Izi sizikugwira ntchito pamapuloteni, GI yawo ndi 0 PIECES, ndipo index yolk ndi 50 PIECES.

Nyama ndi nsomba zimayenera kusankha mitundu yamafuta ochepa, ndikuchotsa zotsalira za khungu ndi mafuta. Caviar ndi mkaka ndizoletsedwa. Zakudya zamafuta ndi nsomba zili m'zakudya za tsiku ndi tsiku, makamaka kamodzi patsiku.

Ndimalola nyama ndi zotere:

• nkhuku
• zinziri
• nkhuku
• nyama ya kalulu
• ng'ombe
• ng'ombe
• ng'ombe chiwindi
• chiwindi cha nkhuku
• lilime la ng'ombe.

Kuchokera ku nsomba, mutha kusankha:

Kupanga chakudya cha odwala odwala matenda ashuga kuchokera ku mitundu yonse yomwe ili pamwambapa, munthu amalandila chakudya choyenera komanso chopatsa thanzi.

Cholinga chake ndi kukhala ndi shuga m'magazi momwe muliri.

Zosintha zachitsanzo

Zosankha zomwe zili pansipa zimatha kusinthidwa malinga ndi zomwe amakonda. Chachikulu ndichakuti zinthuzo zimakhala ndi GI yotsika ndipo zimakonzedwa moyenera. Ndi zoletsedwa kuwonjezera mchere mu chakudya, ndibwino kuchepetsa mchere wambiri.

Osaloleza kufa ndi njala komanso kudya kwambiri. Zinthu ziwiri izi zimadzetsa kulumpha kwa shuga. Kudya m'magawo ang'onoang'ono, kasanu mpaka sikisi patsiku.

Ngati mukumva njala yayikulu, mumaloledwa kuti muzikhala ndi chakudya chambiri, mwachitsanzo, gawo laling'ono la saladi ya masamba kapena kapu ya mkaka wothira mkaka.

• kadzutsa woyamba - saladi wa zipatso,
• Chakudya chotsatira cham'mawa chachiwiri - omelet kuchokera ku mapuloteni ndi ndiwo zamasamba, tiyi wobiriwira wokhala ndi mkate wa rye
• nkhomaliro - msuzi wamasamba, barele wokhala ndi cutlet ya nsomba, khofi wobiriwira ndi zonona,
• tiyi wamasana - saladi wamasamba, tiyi,
• chakudya chamadzulo choyamba - tsabola wokoma wokhazikika ndi nkhuku yokazinga ndi mpunga wamafuta, tiyi,
• chakudya chachiwiri - theka kapu ya yogati.

1. kadzutsa woyamba - apulo umodzi, tchizi chanyumba,
2. chakudya chotsatira cham'mawa chachiwiri cha anthu ashuga amitundu iwiri monga biringanya, phwetekere, anyezi ndi tsabola wokoma, tiyi wobiriwira,
3. nkhomaliro - msuzi wa buckwheat, phala la barele ndi cutlet nyama yanyama, khofi wobiriwira ndi kirimu,
4. Chakudya chamadzulo - zakudya zonunkhira bwino, buledi
5. chakudya chamadzulo - masamba, nyama saladi.

• kadzutsa woyamba - saladi wa zipatso wokometsedwa ndi kefir,
• nkhomaliro - omeleramu ochokera ku mapuloteni, khofi ndi kirimu.
• nkhomaliro - supu yamasamba, phala balere ndi miyala yodulira kuchokera ku chiwindi cha nkhuku yoyamwa, tiyi wobiriwira,
• tiyi wamadzulo - 150 ml ya yogati,
• Chakudya chamadzulo choyamba - kabichi woyamwa ndi mpunga ndi bowa, kagawo ka mkate wa rye,
• chakudya chachiwiri ndi tiyi yemwe ali ndi matenda a shuga.

1. kadzutsa woyamba - odzola pa oatmeal, kagawo ka mkate wa rye,
2. nkhomaliro - saladi wa masamba, dzira yophika, tiyi wobiriwira,
3. nkhomaliro - msuzi wa peyala, biringanya wowotchera, wophika mkate, tiyi,
4. chakudya chamasana - magalamu 150 a kanyumba tchizi ndi zipatso zingapo zouma (maapulo owuma, mitengo yaminda, nkhuyu),
5. chakudya chamadzulo choyamba - chakudya chokhala ndi lilime la ng'ombe yophika, tiyi,
6. chakudya chachiwiri - 150 ml ya ryazhenka.

• kadzutsa woyamba - saladi wa zipatso,
• nkhomaliro - saladi wa masamba, chidutswa cha mkate wa rye,
• nkhomaliro - msuzi wamasamba, bowa wophika ndi nkhuku, khofi wobiriwira ndi kirimu,
• tiyi wamadzulo - magalamu 150 a kanyumba tchizi, zipatso zouma, tiyi,
• chakudya chamadzulo choyamba - barele, chakudya chansomba, tiyi wobiriwira,
• chakudya chachiwiri ndi kapu ya kefir yopanda mafuta.

1. kadzutsa woyamba - khofi wobiriwira wokhala ndi zonona, zidutswa zitatu za ma cookie a shuga pa fructose,
2. nkhomaliro - omammamu ndi masamba, tiyi wobiriwira,
3. nkhomaliro - msuzi wa mpunga wamafuta, nyemba za nyemba zokhala ndi nyama yamkaka, kagawo ka mkate wa rye, tiyi,
4. masana chakudya - onunkhira pa oatmeal, kagawo ka mkate wa rye,
5. chakudya choyamba - nsomba, kuphika m'chikwama ndi masamba, tiyi,
6. chakudya chachiwiri - theka kapu ya yogati.

• kadzutsa woyamba - tiyi wokhala ndi tchizi,
• chakudya cham'mawa chachiwiri - mafuta omwera kuchokera ku mapuloteni ndi ndiwo zamasamba, buledi
• nkhomaliro idzakhala msuzi wa pea kwa anthu 2 odwala matenda ashuga omwe amamwe ndi buledi wa rye, buckwheat ndi patty ya nsomba, khofi wobiriwira,
• tiyi wamadzulo - tchizi chanyumba ndi zipatso zouma, tiyi,
• chakudya chamadzulo choyamba - mphodza, chiwindi, tiyi wobiriwira,
• chakudya chachiwiri ndi kapu ya yogati.

Kanemayo munkhaniyi akufotokozera chifukwa chake kuwonongeka kwa impso kumachitika ndi matenda ashuga.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Thirani zosakaniza shuga

Kodi kufalitsa ziwalo kumapereka chiyembekezo chothandizira odwala omwe ali ndi matenda ashuga? Ndani angathandize opaleshoni iyi?

Kodi kufalitsa ziwalo ndi chiyani?

Kuphatikizika kwa chiwalo kapena kuphatikizika kwa ziwalo - kusintha ziwalo zomwe sizigwira ntchito kapena magawo a minofu imodzi yamunthu yathanzi. Sikuti ziwalo zonse zimatha kuziyika, koma mtima, chiwindi, impso, kapamba, matumbo ang'ono, mapapu. Mu shuga, impso ndi kapamba zimasokonekera.

Kodi ndichifukwa chiyani ndimafunikira chida chobwera ndi matenda ashuga

Nthawi zina mu shuga mellitus, maselo a chiwalo chimodzi kapena china chimawonongeka ndipo kupatsirana kwadzidzidzi ndikofunikira. Osati muzochitika zonse, matenda a shuga ndi chifukwa chifukwa chomwe pakufunika kufalikira kwa ziwalo, matenda ashuga amatha kupezeka chifukwa cha kupatsirana kwa ziwalo.

Asayansi sakudziwa kuti matenda ashuga a 2 amakula kangati mwa anthu pambuyo pamtima, chiwindi, impso, mapapu, kapena zina. Kafukufuku wapadera awonetsa kuti matenda ashuga amakula kamodzi mwa khumi pambuyo poti wachiberekero wina watulutsa chiwalo chimodzi.

Matenda a shuga ndi matenda oopsa. Imachulukana mwa anthu omwe adatsitsidwa chiwalo. Matenda a shuga amawonjezera mwayi wokanidwa ndi ziwalo, kubweretsa matenda owopsa, ndipo amatha kupha wodwalayo. Ndikofunika kwambiri kuyang'anira thanzi lanu mutathira chiwalo kuti musadwale matenda ashuga.

PhD, endocrinologistAlexander Vyacheslavovich Podshivalin:“Opaleshoni ndi njira yomaliza. Zimachitika pamene maselo omwe amapanga insulin amawonongeka mwachangu mu kapamba, mkhalidwe wa wodwalayo ndi waukulu. Opaleshoniyo imaphatikizana ndi kupatsirana kwa maselo othandizira pancreatic. Chowonadi ndi chakuti ndi mtundu wapamwamba wa matenda a shuga a mellitus, monga lamulo, ma cell ochepa kwambiri omwe amatha kupanga insulin amakhalabe. Ndipo popeza palibe maselo, palibe insulin. Koma popanda iwo, maselo ena amthupi lathu samamwa glucose ndipo, chifukwa chake, amataya amodzi mwa magwero azakudya. Iwo omwe amalandira insulin osati ku syringe, koma kuchokera ku maselo mkati mwa thupi lawo, amatetezeka kwambiri ndi zovuta za matenda ashuga. Njira yamatendawa imakhazikika. Tsopano, opaleshoni yotere imachitika kokha ndi matenda a shuga a mtundu I, kapena, monga amatchedwa, matenda a shuga a shuga. "

Zoyambitsa matenda ashuga pambuyo kupatsidwa chiwalo

Kupatsirana kwa ziwalo pakadali pano kumachitika bwino chifukwa cha mankhwala ndi mankhwala omwe amaletsa kukanidwa kwa ziwalo. Koma mankhwala ambiri omwe amagwiritsidwa ntchito kupondereza chitetezo cha mthupi, monga Prograf (tacrolimus) kapena corticosteroids, amatha kuyambitsa matenda ashuga kapena kuwonjezeranso matendawo.

Mankhwala sizomwe zimayambitsa matenda ashuga, zifukwa zina ndi izi:

• Kunenepa kwambiri
• Makamaka
• Anthu pambuyo pa 40
• Odwala a hepatitis C

Chithandizo cha matenda ashuga pambuyo ponga kufalikira

Matenda a shuga omwe amapezeka pambuyo poti chiwalo chitha kubereka chimakhala chosakhalitsa ndipo sichikhala nthawi yayitali. Matenda a shuga amapita kwathunthu ngati wodwalayo asintha kapena amachepetsa mlingo wa mankhwalawo. Odwala ambiri amatha kusiya kumwa ma steroid pakatha miyezi isanu ndi umodzi.

Nthawi zina, odwala ayenera kumwa mankhwala ochizira matenda ashuga. Ndikofunika kwambiri kuti musinthe moyo wanu:

• Tsatirani zakudya zopatsa thanzi
• Kuwongolera shuga
• Pitani m'masewera.

Mavitamini ndi shuga

Ziwerengero ndizosalephera: 16% yokha ya odwala matenda a shuga omwe amapatsidwa mavitamini onse ofunikira. Ndichite chiyani?

Kusakwanira kwa kufufuza zinthu ndi mavitamini m'thupi kumatengedwa ngati njira imodzi yomwe ingayambitse matenda ashuga. Kuperewera kwa mavitamini ambiri nthawi imodzi - polyhypovitaminosis - ilipo ambiri odwala matenda ashuga. Mavitamini ambiri mthupi samadzisonkhanitsa, chifukwa chake odwala omwe ali ndi matenda ashuga amafunikira mitundu yambiri ya multivitamin. Pankhaniyi, pali njira imodzi yokha - kutenga wapadera "Mavitamini a odwala matenda ashuga" (wopanga - kampani yaku Germany Vörvag Pharma).

Mavitamini ndi mchere amatha kusintha mkhalidwe wamakoma akulu ndi ang'onoang'ono ndikuwonetsetsa magwiridwe antchito amanjenje.

Kuwonongeka kwa ziwiya zikuluzikulu komanso zing'onozing'ono (retinopathy) komanso kuwonongeka kwa impso (nephropathy) ndizowopsa komanso zovuta kwambiri kwa matenda ashuga. Pofuna kupewa izi, madotolo akutembenukira ku ma antioxidants omwe amalimbitsa ma capillaries, komanso mavitamini a B. Zomwe zimatsimikiza kugwira ntchitoyo "Mavitamini a Odwala a Matenda a shuga"? Kugwiritsa ntchito bwino "Mavitamini a Odwala a Matenda a shuga" chifukwa cha kapangidwe kosankhidwa mwapadera, kamene kali ndi mavitamini ofunikira 11 ndi 2 zofunika kufufuza - zinc ndi chromium.

• Vitamini B1 imalimbikitsa kuyaka kwamphamvu kwa chakudya m'thupi, imathandizira kufalitsa kwamtsempha,
• Vitamini B2 imalimbikitsa kagayidwe kazakudya zomanga thupi ndi mafuta m'thupi,
• Vitamini B6 imaletsa kupweteka kwa neuropathic, imachepetsa kugwira ntchito kwa mitsempha ndi lipid metabolism, ndikuletsa kuchuluka kwa madzi,
• Vitamini B12 ndiyofunikira pakupewa matenda a shuga.

Ndi mavitamini, zonse ndizomveka, koma bwanji odwala matenda ashuga amafuna zinc ndi chromium?

Chrome - kufufuza chinthu chomwe chimawonjezera mphamvu ya insulin. Ubwenzi wapamtima wa insulin kukaniza ndi kuchepa kwa chromium kwatsimikiziridwa. Chromium imathandizira pakupanga mawonekedwe a stereo ofunikira mu insulin, motero timadzi timene timatha kusamutsa glucose m'maselo. Chromium imakulitsa chidwi cha insulin ndikuchepetsa shuga m'magazi mwa anthu omwe ali ndi matenda amtundu wa 2 komanso a 2. Nthawi yomweyo, kumwa mankhwala a chromium kumathandiza kuchepetsa kuchepa kwa mafuta m'thupi ndi kunenepa kwambiri kwa odwala onenepa.

Chachiwiri chofunikira kwambiri kwa anthu odwala matenda a shuga zinc. Zinc ndi gawo la insulin ndipo michere yambiri yofunikira, imathandizira kuchepetsa magazi, ndikofunikira kuti chitetezo chamthupi chizigwira bwino komanso kuchepetsa kuchepa.

Ndikofunikira kudziwa kuti "Mavitamini a odwala matenda ashuga" mulibe shuga kapena zotsekemera, ndipo mulingo wa mavitamini ndi zinthu zomwe amapanga zovuta zimasankhidwa poganizira chakudya chomwe mumadya.

Momwe angatenge "Mavitamini a odwala matenda ashuga", kukulitsa maubwino?

Njira yovomerezeka ya kuvomereza imafika miyezi iwiri, katatu pachaka.

"Mavitamini a odwala matenda ashuga"yosavuta kugwiritsa ntchito: Mlingo woyenera ndi piritsi limodzi lokha patsiku.

Pazabwino zoyenera "Mavitamini a odwala matenda ashuga" ayenera kumwedwa mutatha kudya, chifukwa mu vutoli mavitamini osungunuka omwe amapanga vitamini ndi mchere wambiri amamwa bwino.

Matenda a impso

Kuika impso ndiyo njira yabwino kwambiri yothandizira odwala omwe ali ndi vuto loti aimpso amatha. Pambuyo pakutseka kwa impso, chiyembekezo cha moyo chimakulitsidwa kwambiri poyerekeza ndi dialysis m'malo mwake. Izi zikugwira ntchito kwa onse odwala matenda a shuga komanso popanda iwo.

Nthawi yomweyo, kumayiko olankhula Chirasha ndi akunja kumawonjezeranso kusiyana pakati pa kuchuluka kwa maopaleshoni opatsirana a impso ochitidwa ndi kuchuluka kwa odwala omwe akuyembekeza kupatsidwa zina.

• Kuwonongeka kwa impso mu matenda a shuga, momwe amathandizira komanso kupewa
• Ndi mayeso ati omwe muyenera kudutsa kuti muwone impso (kutsegula pawindo lina)
• Zofunika! Zakudya za Impso za Matendawa
• Mitsempha yam'mimba

Kuzindikira kwa odwala matenda ashuga pambuyo kumuika impso

Kupulumuka kwa odwala omwe ali ndi matenda ashuga pambuyo poyambitsidwa ndi impso ndi koyipa kuposa momwe odwala omwe ali ndi shuga. Tebulo lotsatirali lakhazikika pa kusanthula kwa Moscow City Nephrology Center, komanso Research Institute of Transplantology ndi ziwalo zochita kupanga kwa nthawi ya 1995-2005.

Kupulumuka kwa odwala matenda amtundu wa 1 pambuyo pakupatsirana kwa impso

Zomwe zimayambitsa kupulumuka kochepa kwa odwala omwe ali ndi matenda amtundu woyamba 1 ndikatha kupatsirana kwa impso:

• Kutalika kwa matenda ashuga nthawi isanakwane 25
• Kutalika kwa dialysis musanagulitsidwe impso kuposa zaka 3,
• m'badwo pa nthawi yopatsirana impso pakuchitika zaka zopitilira 45,
• atachitidwa opaleshoni, kuchepa kwa magazi kumapitilira (hemoglobin Mutu: Matenda a shuga ndi impso

Adadwala matenda a shuga mu 1998, ndipo adavala mtundu woyamba. Pa insulin Lantus 25 magawo ndi Novoropid. Tsopano, shuga osala kudya ndi 6-7 komanso masana 4-4.5. Koma kulephera kwathunthu kwa impso, panali dialysis ndi zizindikiro zofunikira (creatinine 280, urea 31, uric acid 780). Tsopano creatinine 230, urea 28, uric acid ndi wabwinobwino. Ndalembetsedwera kumalo opangira dialysis. Ndili ndi zaka 55. Mu 2011, adakumana ndi vuto la mtima. Tsopano apereka mayendedwe akuchotsa impso. Ndinkakonda kwambiri zolemba zanu zonse pazakudya zamafuta ochepa komanso insulin, zonse ndizomveka. Ndidayesa ndipo shuga adatsala pang'ono kubwerera kwa ine. Izi ndizabwino kwambiri, sindimayembekezera. Zikomo chifukwa chatsamba! Funso nlakuti - kodi ndiyenera kuchita kupatsirana kwa impso ngati ndikadakhala ndi vuto la mtima ndipo nditatha mwezi ndidakhala ndi pulmonary edema mokakamizidwa? Ndimapereka kusanthula pafupipafupi. Creatinine 230, urea 31, cholesterol anali 8-10, koma tsopano zabwinobwino. Ndimamwa rosucard nthawi zonse, kuchokera kukakamizidwa ndi Vapsartan, Norvask, monocinque, Aspirin Cardio, Sorbifer, Epoetin 2000 3 pa sabata (hemoglobin 98-105), Ketosteril, folic acid, calcium Sandoz. Glycated hemoglobin 7.8%. Msinkhu 161 masentimita, kulemera kwa 69 kg. Ngati mungayankhe ndikuyambitsa ndikulimbikitsa china chake, ndidzakhala wothokoza kwambiri!

> Ndidakonda kwambiri onse anu
> zolemba zochepa zam'mafuta
> zakudya ndi insulin. Ndinayesa

Simunawerenge mosamala. Pakhona iliyonse, ndikukuchenjezani kuti pamavuto akuluakulu a impso, zakudya zamafuta ochepa sizoletsedwa. Zingokulitsa zotsatira zakupha.

Ketosteril idakulamulirani inu ndendende kuti mupatse thupi ma amino acid ndipo nthawi yomweyo mupewe poyizoni wopangidwa ndi mapuloteni osweka. Chifukwa impso zanu sizingathenso kupirira ngati mumadya zakudya zama protein.

> Kodi ndingasowetse impso

Ndingadziwe bwanji izi?

uzani mlongo wanga kuti akonzekere kumuwonjezera impso kwa m'bale wake. ali ndi zaka 60, ali ndi kuthamanga kwa magazi, matenda am'mimba, mafupa odwaladwala ndipo chaposachedwa shuga 2, adapezanso mtundu wina wa impso, impso 57, ma impso. Kodi akhoza kukhala wopereka. momwe zimathera.

Masana abwino Kuzindikirika kwa matenda amtundu 1. Mu 2012, impso zaopereka ndi kapamba zidabyala. Ndimakhala ndi chidwi chokha ngati zingatheke kubwezeretsanso impso zanga kapena sizingafanane, chifukwa sayansi siyimayima, kodi asayansi athu atha kubwera nazo?

Kodi nephrosulinosis ya impso: Zizindikiro ndi njira zochizira

Kodi mwakhala mukuyesera kuchiza KIDNEYS kwazaka zambiri?

Mutu wa Institute of Nephrology: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiritsa impso pakuzitenga tsiku lililonse.

Renal nephrossteosis ndi matenda omwe amadziwika ndi kusintha kwa minyewa yolumikizana parenchymal, yomwe imayambitsa kuchepa kukula kwake (makulidwe), kuchepa kwa magwiridwe antchito, ndipo chifukwa chake, kusiya kwathunthu ntchito kumatha.

Zimachitika makamaka chifukwa cha kuchepetsedwa kwa magazi komwe kumayambitsa matenda osiyanasiyana, komwe kumayambitsa mtima wamitsempha, motero, kusintha kwa minofu ya minyewa yolumikizira ma cell.

Ngati pali zotupa zomwe sizingachiritsidwe ndi maantibayotiki, ndiye kuti zinthu zakupha zomwe zimayambitsa khungu zimayamba kudziunjikira impso, kotero impso imayenera kuchotsedwa.

Ngati njira yotupa siyowonedwa, ndiye kuti opaleshoni sichifunika. Mwa izi zonse ziwiri, impso imodzi imasiya kugwira ntchito, inayo imalipira ntchito yake.

Koma lokha, kuthana ndi kuyeretsedwa kwa magazi kuchokera ku poizoni ndi poizoni sikugwira ntchito, kotero odwala amapatsidwa njira ya hemodialysis kapena kugwiritsa ntchito impso yochita kupanga.

Njira izi sizingalowe m'malo mwa kudziyeretsa thupi, koma kukulitsa moyo wa munthu ndikusintha moyo wake.

Njira ziwiri zothandizira matenda

Malinga ndi kapangidwe ka chitukuko, mitundu yamatendawa imadziwika:

1. Makamaka impso zokulira, zomwe zimawoneka ngati mitsempha yake ya impso iwonongeka. Matenda omwe mawonekedwe awa amapezeka ndi kuthamanga kwa magazi ndi kupezeka kwa vuto la matenda oopsa, matenda a mtima.
2. Impso yachiwiri yopakika imachitika pamene impso ya m'mimba imawonongeka chifukwa cha matenda osiyanasiyana omwe amakhudza mbali zonse za thupi ndi ziwalo zina.

Zolinga zakukula kwa matenda amisala

Njira zoyenera kukhazikitsira impso zakudyedwa ndi matenda osiyanasiyana okhudzana ndi matenda a mtima komanso matenda a kagayidwe kachakudya.

Kwa nephrossteosis yayikulu, izi zimayambitsa:

Kuthamanga kwa magazi - matenda osachiritsika, owonetsedwa ndi kuthamanga kwa magazi, pamwamba pa 140/90 mm Hg, komanso zovuta zopanikizika kwakanthawi (kuthamanga kwa magazi kwakanthawi chifukwa cha

kutaya mtima kapena thupi).

Kwa impso lokhala lopindika, matenda otsatirawa ndi othandiza:

1. Pyelonephritis - njira yotupa mu impso yoyambitsidwa ndi mabakiteriya
2. Chifuwa chachikulu ndi matenda opatsirana omwe amayamba chifukwa cha bakiteriya wa tubercle bacillus. Matendawa amakhudza pafupifupi ziwalo ndi ziwalo zonse za thupi, kuphatikiza dongosolo lamafuku.
3. Nephrolithiasis ndi matenda omwe amadziwika ndi kukhalapo kwa miyala m'matumbo a impso.
4. Matenda a shuga ndi matenda osachiritsika omwe amayamba chifukwa cha kuperewera kwa kapamba - insulin. Matendawa amayambitsa kusokonezeka kwa mitundu yonse ya kagayidwe. Kuchulukitsa kwa magazi, ndi matenda a shuga, kumawononga mitsempha ya magazi a impso, yomwe imatsogolera ku nephrossteosis. Popanda chithandizo choyenera, matendawa amakula kwambiri, zomwe zimapangitsa kuti impso zake zonse zichepe.

Magawo otukula matenda

Pali magulu anayi a matenda:

1. Yoyamba imapezeka m'mayeso a labotale okha.
2. Yachiwiri, pre-nephrotic - imadziwikanso kudzera pakufufuza, koma zizindikiro zamankhwala zimawonekeranso: mawonekedwe a magazi mumkodzo komanso kuwonjezeka pang'ono kwa mavuto.
3. Chachitatu, nephrotic - mapuloteni amawoneka mkodzo. Kupsinjika kwa magazi ndikokwera kwambiri. Nkhope imayamba kutupa, ndipo matupawo amayamba kuwoneka.
4. Chachinayi, odwala matenda ashuga - kutchulidwa edema kumaso ndi thupi, kuwoneka kwa mavuto osokonekera, kuyabwa pakhungu, kusanza. Zikuwoneka zaka zochepa atachira matendawa. Nthawi zambiri, kulephera kwa impso kumawoneka kale pamlingo wa matenda.

Zojambula pachipatala

Zizindikiro zikuluzikulu za nephrosulinosis ya impso zimaphatikizapo mitundu yosiyanasiyana yamatenda okodza pokodza:

• polyuria - kukodza kwambiri kuposa malita 2 patsiku, voliyumu imatha kufikira malita 10,
• nocturia - kukodza pokonzekera usiku, voliyumu imatha kufikira 40% ya tsiku lililonse,
• hematuria - mawonekedwe a magazi (maselo ofiira a magazi) mkodzo.

Matenda oopsa a arterial nthawi zambiri amawonedwa - kuthamanga kwa magazi, pamwamba pa 140/90.

Ngakhale kupsinjika koteroko kuonedwa kukhala koyenera kwa inu, ndiye kuti zizindikiritso zoterezi zidzakhudza madera amtsempha wamagazi pambuyo pake.

Kuchulukana kwa makoma amitsempha yamagazi, ntchito yowonjezereka ya minofu ya mtima - osati kukhazikika kwa mtima dongosolo.

Ululu m'dera lumbar, amamva ngati akukoka, kukakamiza, osadutsa. Edema yomwe imawoneka kumaso ndi khosi, kenako imafalikira pansi.

M'mayeso a labotale, kusintha kwa chizolowezi kumawonekera:

• kuwoneka kwa mapuloteni mumkodzo wachiwiri,
• kutsitsa kachulukidwe ka mkodzo wachiwiri, pansipa 1.005-1.012.

Kuthandiza odwala matenda ashuga nephropathy

Kodi mwakhala mukuyesera kuchiza KIDNEYS kwazaka zambiri?

Mutu wa Institute of Nephrology: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiritsa impso pakuzitenga tsiku lililonse.

Owerenga athu adagwiritsa ntchito bwino Renon Duo kuchiza mavuto a impso. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a diabetes ndi nephropathy ndi kuwonongeka kwamitsempha yama impso yomwe imachitika m'matumbo a shuga ndipo imayendera limodzi ndi kukula kwa aimpso. Nephropathy mu matenda a shuga pakadali pano ndiyomwe yayambitsa kufa kwa odwala omwe ali ndi matendawa. Matendawa ndiwovuta kwambiri matenda ashuga amitundu yoyamba ndi yachiwiri.

Matenda a diabetesic nephropathy (komwe ndi njira yogwiritsira ntchito zida zamafuta m'thupi ndi aimpso parenchyma osiyanasiyana a etiology) amapezeka pafupifupi mwa khumi ndi asanu mwa odwala zana limodzi ndi odwala matenda a shuga ndipo nthawi zambiri amapezeka theka la anthu. Chomwe chimatithandizira kukulitsa matendawa ndikuti pakapita nthawi, impso zimataya pang'onopang'ono ntchito zawo chifukwa cha kuwonongeka kwa minofu. Malinga ndi ziwerengero zamankhwala, pafupifupi 40 peresenti ya odwala omwe amafunikira chithandizo (njira yomwe cholinga chawo ndikuchepetsa, kuchotsa kapena kuchotsera zomwe zikuwonetsa matenda kapena kuvulala, mkhalidwe wam'magazi kapena kusokonezeka kwina kwa moyo), kulephera kwa aimpso kumadwala matenda a shuga.

Chithandizo chothandiza ndichokhazikika pakuzindikira koyambirira ndi chithandizo chokwanira, chomwe chimachitika molingana ndi gawo la matendawa. Choopsa cha matendawa ndikuti kukula kwake kumakhalabe kosadziwika kwa nthawi yayitali chifukwa chopita pang'onopang'ono ndipo sikubweretsa chisokonezo chilichonse. Pokhapokha podwala, matenda a impso amayamba kumveka, ndipo wodwala amakhala ndi madandaulo. Tsoka ilo, pa nthawi iyi yakukula kwa matendawa, sizotheka nthawi zonse kuthandiza wodwalayo.

Madokotala amalimbikitsa kuti asamalire thanzi lawo kwambiri komanso asamalire kwambiri zomwe zimachitika monga kusokonezeka kwa tulo, kusowa chilakolako cha chakudya, kutupa kwa manja ndi maimvi, komanso kutopa msanga komwe kumachitika mukamayenda. Kuzindikira nephropathy ya matenda ashuga, mwina poyambira chitukuko, chifukwa mumangofunika kupitiliza kuyesa mayeso a labotale ndikumayesedwa mayeso. Kutsata malamulo onse ndi kusankhidwa kwa katswiri wodziwa bwino kumathandiza pa matendawa.

Kuzindikira matendawa

Kuzindikira nephrosulinosis kumaphatikizapo magawo angapo ndi magawo.

Poyamba, uku ndikuwunikiridwa pafupipafupi ndi dokotala, urologist. Mulinso:

• mbiri yazachipatala yamatenda omwe alipo - imapereka chidziwitso cha nthawi yakusamba kwa zodandaula ndi madandaulo, kupita patsogolo, zopita kukaonana ndi dokotala komanso momwe mungathere kulandira ndi kupewa,
• Kutolere madandaulo - ndendende zomwe zimapezeka m'thupi la wodwalayo komanso kukula kwake,
• mbiri yazachipatala - kutolera zokhudzana ndi matenda, makamaka omwe akukhudzana ndi dongosolo la kuwonekeratu, kukhalapo kwa zizolowezi zoipa, zolimbitsa thupi, malo okhala,
• mbiri ya banja - kaya ndi matenda ati omwe amapezeka m'banjamo.
• kupindika ndi kuzindikira - kuzindikira kwa zilonda, kuwonjezeka kapena kuchepa kwa kukula kwa impso, kusowa,
• ndi mayeso akunja, kutupa, redness wapezeka.

Kuwunika kwamadzimadzi a mthupi: magazi ndi mkodzo amachitidwanso.

Njira zasayansi zochizira impso zalembedwa:

Zizindikiro za matendawa

Matenda a shuga ndi nephropathy ndimatenda omwe amapita pang'onopang'ono, ndipo chithunzi chake chachipatala chimadalira kwathunthu gawo (Gawo, Gawo (Greek) pakusintha kwa zamankhwala. Zizindikiro zingapo zimasiyanitsidwa pakukula kwa matendawa:

• Hyperfunction ya impso, yomwe imawoneka limodzi ndi matenda ashuga. Zotengera za impso zimachulukako pang'ono, palibe mapuloteni oyesa mkodzo,
• Kusintha koyambirira, komwe kumapezeka pafupifupi zaka ziwiri mutazindikira kuti ali ndi matenda ashuga. Palibe mapuloteni omwe amapezeka poyesa mkodzo,
• Kuyambika kwa matenda ashuga nephropathy, wopezeka patatha pafupifupi zaka zisanu, monga lamulo, mapuloteni amapezeka mumayeso amkodzo, omwe akuwonetsa kuwonongeka kwakukulu mu ziwiya za impso.
• Nephropathy yayikulu ya shuga imachitika patatha zaka pafupifupi khumi ndi zisanu ndipo nthawi zambiri imadziwika ndi mawonekedwe. Pakayezetsa magazi, kuchuluka kwa mapuloteni kumatsika kwambiri, komwe amafotokozedwa ndi edema. Zikachitika kuti mankhwalawa a diuretic asakugwirika kale, ndizotheka kuti kuchitapo kanthu chifukwa cha momwe madzi owonjezera amachotsedwa. Odwala amachepetsa thupi ndipo amadandaula kuti ataya mtima, kugona, ludzu,
• Magawo akuti, impso (Impso (anatomy) - gawo la nyama ndi anthu) limayamba kulephera kwathunthu. Zizindikiro zimawonetsa kuwopsa kwa moyo wa wodwalayo, muzochitika zotere, njira yokhayo yolondola ndiyotulutsa impso.

Ntchito yayikulu ya wodwalayo ndi kwa dokotala wopezekapo ndikuwonetsetsa kwakanthawi. Odwala omwe ali ndi matenda a shuga m'migawo yoyamba amayenera kuwunikidwa pafupipafupi kuti adziwe kupezeka kwa protein, kuyesedwa kotere kumaperekedwa miyezi isanu ndi umodzi iliyonse kuyambira zaka zisanu atatha matenda. Odwala (munthu kapena chamoyo chilichonse chimalandila chithandizo chamankhwala, kuyang'aniridwa ndi achipatala kapena / kapena kulandira matenda aliwonse) kamodzi pachaka. Kusamala uku kumatha kuwona nephropathy koyambira ndikuletsa njira zoyipa za matendawa.

Mankhwala Opatsirana

Popeza nephrossteosis imawoneka nthawi zambiri ndi kuthamanga kwa magazi, mankhwalawa amayikidwa makamaka pakuchepetsa kwake.

Owerenga athu adagwiritsa ntchito bwino Renon Duo kuchiza mavuto a impso. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Mankhwala amaikidwa ndi dokotala ndipo amatengedwa tsiku ndi tsiku kuteteza matenda oopsa.

Muyenera kutsatira kadyedwe kena kamene kamachepetsa mchere. Ngati pali kutupa, ndiye kuti okodzetsa ayenera kumwedwa.

Ngati kuyezetsa kwawoko kwawonetsa kuti magaziwo ali ndi poizoni wa nayitrogeni, ndiye kuti ndi koyenera kuchepetsa kuchepa kwa mapuloteni kuti asapangitse mtolo wowonjezera pa impso.

Kugwiritsa ntchito mavitamini ndi ma sorbuts kumathandizanso wodwalayo kuti azichita bwino.

Mankhwala othandizira

Nthawi zina, makamaka m'malo ovuta kwambiri, pamakhala nephrectomy yomwe imasankha zingapo:

• opaleshoni yam'mimba - mawonekedwe amachitika pamimba,
• laparoscopy - machubu angapo amayikidwa kudzera khoma lam'mimba ndipo impso imachotsedwa pogwiritsa ntchito zida zapadera,
• kuchotsera kupyoza m'munsi kumbuyo.

Njira zopewera

Cholinga chopewera ndikuletsa kupitirira kwa matendawa ndikuwongolera kuyenda kwa magazi mu impso wofota.

Mfundo yofunika ndi kuchepetsa nkhawa pa impso. Ndi mliri wa chimfine, muyenera kumwa mankhwala osokoneza bongo ndi mavitamini kuti mukulitse chitetezo chanu.

Ndi zizindikiro za chimfine chomwe chawonetsa kale, muyenera kumwa vitamini C wambiri m'masiku oyamba kuti kachilomboka asafalikire mthupi lonse.

Komanso, kudya zakudya zopatsa thanzi komanso kudya kumatha kuchepetsa nkhawa pa impso. Zakudya zamchere ndi mapuloteni ziyenera kuchepetsedwa.

Matenda am'mimba amayeneranso kuthandizidwa, makamaka kudzimbidwa. Tulo tikachedwa, poyizoni thupi ndi zinthu zapoizoni, zomwe zimakhala ndi zotsutsana ndi impso.

Kuchita masewera olimbitsa thupi kumathandizira kuti magazi azithamanga mthupi lonse komanso impso, zomwe zimathandiza kuti thupi lizisangalala.

Kuchotsa zapoizoni m'thupi, kuphatikiza impso, khungu ndi m'mimba zimalowa m'ndende. Kudzera pakhungu, kuchulukitsidwa kumachitika chifukwa cha thukuta, kotero kuchezera kwa bafa ndi sauna kumatha kukhala ndi zotsatira zabwino mthupi.

Zizindikiro komanso kuchiza matenda a impso

Matenda opatsirana a mtima komanso ma genitourinary system nthawi zina amakhumudwitsa impso, zizindikilo ndi zofananira zonse. Ngati simukufuna chithandizo chamankhwala poyambira kulephera kwa aimpso munthawi yake, imfa. Kudziyang'anira nokha pankhaniyi ndikosavomerezeka.

Zoyambitsa ndi zotsatira zake

M'posadabwitsa kuti impso zimatchedwa fyuluta ya thupi. Chifukwa cha ntchito yawo, zinthu zoyipa ndi poizoni zimachotsedwa m'thupi. Ngati akana, ndiye kuti asiya kukwaniritsa ntchito yawo yoyeretsa. Ndiye kuti, maselo onse a ziwalo amasiya kusefa magazi ndikuchotsa urea. Pang'onopang'ono, ziwalo zonse zimadzaza ndi poizoni. Chamoyo chopangidwa poyizoni sichingagwire ntchito popanda thandizo lakunja, ndipo mwayi wopulumuka popanda kuchitapo kanthu kwina ndi zero.

Mankhwala, mitundu iyi ya kulephera kwa impso imasiyanitsidwa:

Choyamba chimachitika chifukwa chophwanya magazi mu ziwalo zamkati. Izi zimachitika kawirikawiri ndi atherosulinosis, thrombosis, komanso matenda ashuga.

Mu mawonekedwe a impso, kuwonongeka ndi kufa kwa impso kumachitika m'malo a cellular chifukwa chokhala nthawi yayitali ndi mankhwala oopsa komanso mankhwala amphamvu. Osati gawo lomaliza lomwe limaseweredwe ndimatenda oyamba a ziwalo zamkati.

Zomwe zimayambitsa kuperewera kwa kulera pambuyo pathupi ndikutseka kwa ngalande zamkodzo zomwe zimatsogolera impso, chifukwa cha miyala mu chikhodzodzo, adenomas ya Prostate, komanso kuchuluka kwa neoplasms mu minofu ya impso. Nthawi zina impso zimalephera chifukwa cha kuwotcha khungu komanso kuwonjezereka kwa thupi, kuchuluka kwa potaziyamu mu minofu yawo, ndikumatha thupi. Kulephera kwa impso kumatha kuchitika mwadzidzidzi mwa munthu, koma njirayi imatha kuchitika pang'onopang'ono. Ichi chimawonedwa mu kupweteka kwa impso.

Owerenga athu adagwiritsa ntchito bwino Renon Duo kuchiza mavuto a impso. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Mawonekedwe

Kutengera ndi zomwe zimayambitsa matenda a impso komanso kutalika kwa vutoli, Zizindikiro zimatha kusiyanasiyana. Komabe, zizindikiro zazikulu zakulephera kwa impso zimakhalapo nthawi zonse. Mwa munthu, kukodza pokodza, mkodzo sukutuluka kapena kuchoka m'magawo ang'onoang'ono. Kwa kanthawi, kuledzera kwapang'onopang'ono kwa thupi kumachitika. Pali necrosis ya impso, amasiya kugwira ntchito ndikuwonjeza urea.

Zotsatira zake, kupweteka kwa uric kapena poyizoni wa poizoni kumachitika, zomwe nthawi zambiri zimayambitsa stroko kapena mtima. Zotsatira zake, ngati chithandizo sichiyambitsidwa pazizindikiro zoyambirira, zotsatira zoyipa sizingatheke.

Mu kulephera kwakhungu kwa impso, pamene impso zalephera, zizindikiro zake ndi:

1. Kuchuluka kwamikodzo patsiku kumachepa kwambiri (zizindikiro za oliguria).
2. Magazi amawonekera mkodzo.
3. Kuyimitsa kuyimitsidwa (Zizindikiro za anuria).
4. Nkhope ndi miyendo zimatupa momveka.
5. Mseru waukulu umayamba, mpaka kusanza.
6. Kupanikizika kumakula.
7. Zofooka zazikulu.
8. Kupweteka kwambiri kumbuyo ndi m'mimba kumayamba.
9. Khungu limayamba kuyatsidwa kwambiri.

M'magawo omaliza a kulephera kupweteka kwa impso, ndi kuledzera kwa ziwalo zonse zamkati mthupi lonse, hematomas imachitika, madzimadzi amadziunjikira m'mapapu, kufupika kumayamba, kupuma kumakhala fetid, ndipo kunjenjemera kumayamba. Wodwalayo amagwa.

Kulephera kwa impso kumatha kuchitika mosayembekezereka kwa wodwala, popeza poyamba nthawi zina sizinawonekere. Kuopsa kwa matenda mwanjira iyi ndikuti njirazi zimakula mwachangu. Imfa imachitika patadutsa maola opitilira 7 zizere zoyambilira zowonekera.

Impso zikalephera kulephera kwa aimpso, Zizindikiro zake ndi:

1. Kuwonjezeka kwamkodzo tsiku lililonse kwamkodzo (zizindikiro za polyuria).
2. Kukoka pafupipafupi usiku, ndi mkodzo wocheperako nthawi.
3. Maonekedwe a puffuff.
4. Kutsekemera kwa mano.
5. Imasweka ndi kupweteka m'chifuwa ndi mafupa.
6. Pali m'mimba mokhumudwitsa.
7. Khungu limakhala ngati kuwala kwa chikasu.
8. Mpweya woyipa umawonekera.

Mosiyana ndi pachimake, matenda a impso kulephera, njira yothetsera matenda a impso imachedwa.

Poyamba, wodwalayo mwina sakudziwa matendawa. Pang'onopang'ono impso zodwala zimatha kugwira ntchito zawo moipa kwambiri, matenda osiyanasiyana amayamba - nephritis, pyelonephritis.

Monga lamulo, ngati wodwalayo anyalanyaza mkhalidwe wake, vutolo limakulitsidwa. Mutu umayamba, kuzunzidwa ndi kuthamanga kwa magazi, kuyendetsa kwa kugonana kumafooka ndikutayika, mwa amuna, potency amazimiririka.

M'magawo omaliza, kugwedeza kwamphamvu kwa manja ndi mutu kumayamba, ntchito zamaganizidwe zimasokonekera. Zilonda, zotupa zina za pakhungu zimatha kudutsa thupi, ma hematomas amawoneka. Chitetezo cha chitetezo cha mthupi chimachepetsedwa kwambiri. Zotsatira zake, wodwala amatenga mosavuta matenda aliwonse a ARI. Zotsatira zoyipa zimachitika nthawi zambiri chifukwa cha matenda a stroko kapena mtima.

Njira zochizira

Muzochitika izi pamene, pazizindikiro zoyambirira za kulephera kwa impso, munthu akafuna thandizo kuchipatala, monga lamulo, chithandizo chokwanira chimayikidwa. Kulephera kwamphamvu komanso kosatha kumatha kuchiritsidwa kwathunthu.

Pakulephera kwa impso, munthu amamuika magazi nthawi yomweyo, ndipo amapatsidwa mankhwala. Chinthu chachikulu pakupereka chithandizo ndikuletsa njira zowonongera impso ndikubwezeretsa ntchito yawo. Akulakwitsa aimpso, mankhwala ikuchitika angapo magawo.

Maantibiotic koyambirira amalembedwa kuti aletse kutupa ku impso. Zovuta mungatenge mankhwala azitsamba azitsamba ndi masamba a masamba a birch, knotweed ,grigass, tiyi wobiriwira. Ndikofunika kumwa madzi a dzungu, msuzi wa birch. M'tsogolomu, kuikidwa kwa Hofitol, Lespenefril adalembedwa kuti athetse kuwonongeka kwa impso. Zitachitika izi, mankhwala amathandizidwa kuti matenda a mtima, mtima. Gawo lotsatira ndikuyika magazi. Chifukwa chake, thupi limatsukidwa ku kuledzera. Nthawi yomweyo, zakudya zapadera zimalembedwa, zomwe zimakhazikitsidwa ndi kuchuluka kwa zakudya zama protein. Zakudyazo ziyenera kukhala zamasamba ophika kapena ophika, chimanga pamadzi, sopo wotsekemera.

M'zaka zaposachedwa, kufalikira kwa impso zaopatsa thanzi kwachitika.

Komabe, pankhaniyi, zotsatirazi sizikudziwika, chifukwa sizikudziwika ngati chiwalo chatsopanocho chikakanidwa ndi thupi la wodwalayo. Ndikofunikira kuti gulu la magazi a woperekayo ndi Rh factor likhale lofanana. Kuphatikiza apo, nthawi zambiri wopereka mphatso woyenera amayenera kuyembekeza kwa nthawi yayitali. Inde, ndipo chithandizo chotere sichotsika mtengo.

Mu magawo akulu, pamene chithandizo sichimabweretsa, ndipo kufalikira kwa ziwalo sikungatheke pazifukwa zina kapena ndikofunikira kudikirira, amatembenukira ku hemodialysis. Ndiye kuti, wodwalayo amalumikizidwa ku zida zama impso. Chofunika cha mankhwalawa ndi chophweka: chubu chimalowetsedwa mthupi momwe zinthu zakupha zimachotsedwa, potero kupewa kupewa kuledzera kwamthupi.

Zoyipa za njira yolowa mmalo ndikuti odwala ambiri moyo wawo wonse amakhala kuchipinda chachipatala. Chosangalatsa ndichakuti nthawi yawo yamoyo ikukwera chifukwa cha mankhwala. Nthawi yocheperako yogwira hemodialysis ndi zaka 20. Nthawi yomweyo, malinga ndi zomwe zapezeka posachedwa, odwala ena omwe ali ndi impso yochita kupanga akhala akukhala zaka zoposa 40. Tikukhulupirira kuti mtsogolomo, asayansi adzayankha funso lokhudza moyo wosavuta wa gulu ili la odwala. Chifukwa chake, moyo wa odwala oterowo ukuwonjezeka.

Kulephera kwamkati ndi chithandizo chanthawi si sentensi. Nthawi zambiri odwala amachiritsidwa kwathunthu. Nthawi zina, moyo wawo watsiku ndi tsiku, ngakhale ali ochepa, siwosiyana kwambiri ndi moyo waanthu wathanzi. Ali ndi kupambana kwawo, zosangalatsa, zosangalatsa, anzawo apamtima.

Chifukwa chiyani ma ketoni mu mkodzo wamkulu amatha kukwezedwa komanso chizolowezi chawo

Aliyense angathe kudziwa kuchuluka kwa ma ketoni m'magazi - chifukwa cha izi ndikokwanira kupereka magazi kuti asanthule shuga, koma kafukufuku wotere adzawonetsa kuchuluka kwa ma ketones okha mu shuga. Nthawi zina, odwala amapereka mankhwala a Lange ndi Lestrade. Mutha kuyeserera ku chipatala kapena kugula chida china chapadera mu pharmacy ndikuchititsa maphunziro kunyumba. Palinso kusanthula komwe kumakupatsani mwayi kuti mupeze ma ketones - atatha kuchitika, zotsatirazi zikuwonetsa zofanana (0-0.5 mmol / l beto-hydroxybutyric acid) kapena kuchuluka kowonjezera. Potsirizira pake, madokotala amapanga maphunziro owonjezera, ndipo, kutengera kunyalanyaza kwa matendawa, amupatseni mankhwala oyenera.

Zoyambitsa vutoli

Mapangidwe a ma ketoni amapezeka m'chiwindi, ndipo nthawi zambiri amapezeka mthupi la munthu ming'ono.

Kuchuluka kwa ma ketones nthawi zambiri kumawonetsa kuphwanya kwa kagayidwe kazakudya, makamaka - m'mimba. Nthawi zambiri, ma ketoni amakwezedwa nawonso mwa amayi apakati omwe ali ndi vuto la toxicosis. Pali zochitika za ketonuria mwa ana, komanso matenda ashuga ndi mavuto ena:

• kusowa kwa chakudya m'thupi,
• matenda endocrine
• ndi nthenga zazikulu
• poyizoni wa mowa
• kutopa.

Munthawi zonsezi, chomwe chimapangitsa kuti matupi a ketone owonjezereka akhale amodzi payekha, ndikofunikira kwambiri kuchotsa moyenera izi muzu kuti mupewe kuoneka ngati vuto mtsogolo.

Zizindikiro zazikuluzikulu za ma ketoni okwanira m'thupi

Pali zizindikiro zingapo zomwe zimayenera kukhala chizindikiro choyamba chakuonana ndi dokotala. Zizindikiro zina zimawoneka pamene kuchuluka kwa ma ketoni kumangoyamba kukwera, ena akafika pamtunda wapamwamba. Mulimonsemo, wodwala akazindikira kuti kufunsira kwa dokotala ndikofunikira, chithandizo chake chimakhala chofulumira komanso chosavuta.

Zizindikiro zazikulu zoyambirira zimadzipangitsa kumverera zitangoyamba kuchulukitsa zomwe zimachitika: kuchuluka kwa shuga m'magazi, pakamwa kowuma, nthawi zina kukodza. Chifukwa cha chizindikiro chomaliza, odwala nthawi zambiri amasokoneza matendawa ndi cystitis ndikuyamba kudzichitira okha, zomwe pamapeto pake sizithandiza.

Ndi chitukuko cha matendawa, mavuto ena amawoneka omwe amawonetsa ketoacidosis:

• khungu lowuma
• kutopa,
• kudziwa zolakwika
• kusanza pafupipafupi komanso kusanza
• kupumira msanga
• kukokana
• kununkhira kwa acetone kuchokera mkamwa.

Kuzindikira ndi chithandizo

Kugwiritsa ntchito mizere yoyesera kuti mupeze kuchuluka kwa ma ketones ndiye njira yabwino yofufuzira kunyumba. Kuti muzindikire izi, ndikofunikira kuyika Mzere mumtsuko ndi mkodzo, ndikuwonetsetsa madontho ake: kutengera kuchuluka kwa ma ketones, kutsitsa kumachitika ndi mphamvu zosiyanasiyana. Komabe, njira yopindulitsa kwambiri yopezera matenda ndi mayeso a labotale.

Njira yochizira imatengera zomwe zimayambitsa matendawa. Choyamba, wodwalayo ayenera kuyesa kuchotsa chifukwa ichi. Nthawi zina, ndizosavuta, mwachitsanzo, ngati ma ketoni amapangidwa chifukwa cha njala (zakudya zovuta), ndiye kuti muyenera kuyamba kudya bwino. Kuphatikiza apo, ndibwino kupereka magazi kuti aunikirane ndikupeza ngati thupi lili ndi chakudya chokwanira, popeza zimakhudzana mwachindunji ndi zomwe zimachitika m'chiwindi, ndipo zikalephera, mulingo wa ma ketoni umakwera.

Ndikofunikanso kuwunikira moyo wabwino - kusewera masewera, koma osadzaza, kugona maola 8 patsiku ndikudya moyenera.Zakudya zoyenera ndichinsinsi cha thupi lathanzi: siyani zakudya zomwe zingawonongeko, idyani masamba ambiri, supu, imwani zakumwa zachilengedwe ndi ma compotes. Gawani zakudya zanu osati zakudya ziwiri zokha, koma zochuluka. Kuti muchite izi, mutha kuchepetsa magawo, koma idyani nthawi 5-6 patsiku, ndi zokhwasula-khwasula zipatso ndi saladi. Ndi bwinonso kukana mchere wokhala ndi mchere wambiri komanso tsabola, muchepetse kuchuluka kwa zonunkhira zomwe zimagwiritsidwa ntchito pophika. Ndikofunika kuti odwala matenda ashuga azisankhira "tsiku losala kudya" kamodzi pa sabata, ndipo ngati ndi kotheka, sinthani insulin.

Kupewa

Maphunzirowa atatha, ndikofunikira kuyang'anira thupi lanu. Nthawi zonse muziyang'anira kuchuluka kwa ma ketoni kunyumba - chifukwa cha mayeso apadera omwe amapezeka kuzipatala popanda mankhwala, ndizosavuta. Komanso, ngati mukudziwa zamomwe thupi lanu limatengera vuto lotere, pitani kuchipatala pafupipafupi, makamaka ndi matenda a shuga. Osasiya kuyang'anira kudya kwanu komanso osanyalanyaza zizindikiritso za matendawa. Zotsatira za kukana chithandizo zingakhale zovuta za acetone, momwe poizoni umakhudzira ziwalo zambiri zamkati. Ndizovuta kwambiri kuchiritsa dziko losasamalidwa ngati ili, chifukwa chake ndibwino kuyambitsa ndewu ndi ma ketoni nthawi yomweyo, osalola kuchuluka kwawo mthupi.

Kuchiza matenda

Mukazindikira matenda a diabetes a nephropathy, chithandizo (njira yomwe cholinga chake ndi kuchepetsa, kuchotsera kapena kuchotsa chizindikiro ndi mawonekedwe a matenda kapena kuvulala, mkhalidwe wam'magazi kapena kulumala kwina), imaganiziridwa kuti ndi yothandiza kwambiri ngati matendawa atapezeka koyambirira. Chithandizo cha matenda ashuga nephropathy (chomwe ndi chotupa cha zida zamafuta a khungu ndi renal parenchyma yamaukadaulo osiyanasiyana) chimatanthawuza kupewa kwakukulu komanso kuchedwa kupitirira kwamatenda Njira zoyenera zochizira (njira yothandizira kuchepetsa, kuchotsa kapena kuchotsera zizindikiro ndi kuwonetsa kwa matenda kapena kuvulala kwina, mkhalidwe wamatenda kapena kulumala kwina,) pagawo lililonse (chitukuko, Gawo (Greek) Kukula kwa shuga m'magazi. Chifukwa cha kuyendetsa mwamphamvu kuthamanga kwa magazi mu matenda a shuga, kupewa kupezeka kwa nephropathy kumaperekedwa, ndipo kukula kwake kopita patsogolo kumachepetsedwa.

Kwenikweni, chithandizo chimadalira wodwala iyemwini, chifukwa cha momwe amatsatira mokhulupirika zakudya zomwe amadya ndikutsatira zomwe dokotala wamupangira. Nephropathy amakula pafupifupi zaka zisanu ndi chimodzi pambuyo poyambira matenda a shuga. Muzochita zachipatala, zatsimikiziridwa kuti ngati zovuta zotere sizinadziwonekere patatha zaka makumi awiri, ndiye kuti sizingatheke kuti chitukuko chake chamtsogolo chitha. Gawo loyambirira la nephropathy limachiritsidwa ndikukula motsutsana ndi maziko a matenda oopsa a shuga ndipo amadziwika ndi kuchuluka kwa mapuloteni pakuwunika. Ndikofunika kulabadira mwapadera gawo ili, chifukwa lingathe kuthandizidwa.

Choyamba, muyenera kukhala ndi shuga m'magazi anu komanso kuchepetsa kuchuluka kwa mapuloteni anu. Malinga ndi kutsimikizika kwasayansi, zimadziwika kuti kupezeka kwama protein kwambiri mthupi kumapangitsa impso kugwira ntchito mowonjezera. Madokotala amalimbikitsa kuti odwala awo azisunga zolemba ndikulemba zonse mu zakudya zomwe zimadyedwa patsiku, zomwe mutha kuwerengera mapuloteni omwe amapezeka tsiku lililonse.

Makamaka chisamaliro chimayenera kusinthidwa pakusintha kwamoyo, madokotala amalimbikitsa kudya zakudya zamafuta ochepa, kuvuta kukakamiza kusuta, komanso kuchita masewera olimbitsa thupi opangidwa ndi akatswiri azachipatala. Zikachitika kuti kuthamanga kwa magazi kukupitilirabe, kugwiritsa ntchito mankhwala omwe amawongolera njirayi ndikuletsa kuti isapitirire.

Ngati chithandizo cha matenda ashuga nephropathy sichingathandize ndipo vuto la wodwalayo limangokulirakulira, kuchiritsa kwa dialysis kapena kusefera kwa impso kapena kupatsidwa zina ndi zina kumapangitsa wodwalayo kukhalabe ndi moyo.

Zakudya ndikulola zakudya

Akatswiri amati zakudya zamatendawa ndizofunikira komanso zofunikira kwambiri zomwe zimathandiza kukhala ndi thanzi la wodwalayo (munthu kapena munthu wina wamoyo, kulandira chithandizo chamankhwala, kuyang'aniridwa ndi / kapena chithandizo chamankhwala aliwonse, mkhalidwe wamatumbo kapena mwinanso). Zakudya zotere ziyenera kukhala zomanga thupi pang'ono ndipo zakudya zotsalazo zimaloledwa kugwiritsidwa ntchito (Zogulitsa (Zogulitsa - chakudya (m'mawu akuti "chakudya")) - chakudya (m'mawu akuti "chakudya")) zakudya:

• Mafuta a azitona, chifukwa choti magazi a wodwala amachepetsa,
• Masamba okonzedwa kale ndi masamba
• Mkaka phala
• Zinthu mkaka wowawasa,
• Masamba ophika ndi owotcha,
• Zipatso ndi masamba
• Zipatso zakumwa, ma compotes ndi msuzi wa duwa lakuthengo.

Kutengera ndi izi, wogulitsa zakudya amapanga menyu yomwe muyenera kutsatira. Kuphatikiza apo, adotolo amaganizira, komanso kudya kwa mchere wa pagome tsiku lililonse, monga lamulo, odwala amalimbikitsidwa kuti achepetse kuchuluka kapena kuthetsa kwathunthu ntchito yamalonda.

Zakudya za wodwala ziyenera kupangidwa kuti ngakhale zichepetse zakudya zama protein, zakudya zizikhala zopatsa mphamvu kuti wodwalayo asamve njala.

Posachedwa, m'mbiri ya zamankhwala pali ntchito zambiri zasayansi zomwe zimadzipereka pazopindulitsa zamafuta a nsomba, mutha kuzigwiritsa ntchito pokhapokha mutakambirana ndi dokotala. Kugwiritsa ntchito soya, komwe kumakhala chitsulo chambiri komanso kochepa m'mafuta ndi chakudya, kumatha kubweretsanso phindu laling'ono, ndipo mapuloteni a soya ali ndi zotsatira zabwino pakupanga metabolism. Nthawi zambiri, mukamadya, nyama izitha kusinthidwa ndi zinthu zokhala ndi soya, koma muyenera kusamala. Tsopano zinthu zambiri za soya zimasinthidwa, chifukwa chake ziyenera kuphatikizidwa muzakudya mosamalitsa, ndipo pokhapokha mutakambirana ndi katswiri wazakudya.

Ndizabwinobwino kukana kugwiritsa ntchito zakudya zamchere, zonunkhira komanso zamafuta zomwe zimakhudza thupi la wodwalayo (munthu kapena wina aliyense wokhala moyo akulandila chithandizo chamankhwala, akuyang'aniridwa ndi / kapena chithandizo cha matenda aliwonse, matenda kapena wina) (munthu kapena cholengedwa chilichonse chimalandila thandizo kuchipatala, kuyang'aniridwa ndi achipatala kapena / kapena chithandizo cha matenda, matenda am'mimba kapena zina). Ndikutupa kutchulidwa, kudya tsiku ndi tsiku kwamadzi kuyenera kukhala kochepa. Kuphatikiza pazakudya zomwe mudapatsidwa, ndizotheka kugwiritsa ntchito mankhwala omwe amawerengeka omwe angathandize polimbana ndi matendawa, koma ndikofunikira kukumbukira kuti simuyenera kuthana ndi chithandizo chanu nokha ndipo ndibwino kukaonana ndi katswiri woyenera musanagwiritse ntchito ndalama zotere.

Thupi laumunthu ndi dongosolo lovuta. Kuti igwire bwino ntchito, ziwalo zonse ziyenera kugwira ntchito mogwirizana. Chimodzi mwa ziwalo zazikulu ndi impso. Izi ndi zosefera, chifukwa choti zinthu zowola zomaliza, mchere, zinthu zoyipa zimachotsedwa m'thupi, magazi amayeretsedwa.

Pakakhala vuto la impso, kuwonongeka kwa ntchito zawo kumapita pang'onopang'ono. Izi zingayambitse kulephera kwa impso. Mthupi, zinthu zimayamba kudziunjikira (Zogulitsa - chakudya (m'mawu akuti "chakudya") cha mapuloteni omaliza, kuchuluka kwa ma electrolyte kumasokonezeka. Chizindikiro chofunikira kwambiri cha impso (Impso (anatomy) - gawo la nyama ndi anthu) ndi mulingo wa creatinine (chomaliza cha mapuloteni kagayidwe). Gawo lofunikira kwambiri pochiza kulephera kwa impso ndikusintha magawo a creatinine ndi chakudya choyenera.

• Zomwe zimayambitsa ndi zizindikiro za kulephera kwa impso
• Zoyambitsa Eleinated Creatinine
• Mawonekedwe ndi malamulo othandizira odwala matendawa (uwu ndi thupi lanyama, lomwe likuwonetsedwa pophwanya moyo wake wabwinobwino, moyo womwe munthu amakhala nawo, komanso kuthekera kosunga homeostasis)
• Zololedwa komanso zoletsedwa muzakudya
• Zosankha zamankhwala othandizira
• Zosintha zamasiku a tsikulo

Zomwe zimayambitsa ndi zizindikiro za kulephera kwa impso

Zoyambitsa zosiyanasiyana zimatha kubweretsa matendawa, omwe amagawidwa m'magulu angapo:

• Prerenal - matendawa amapezeka chifukwa cha kuwonongeka kwa impso. Impso imalandira magazi pang'ono, kusayenda bwino kwa mkodzo, ndipo minyewa ya impso imayamba kuwongolera.
• Real - zimagwirizana ndi kusintha kwa pathological mu minofu yaimpso. Muli ndi magazi okwanira mthupi, koma mapangidwe a mkodzo amasokonezeka.
• Postrenal - kuphwanya kutuluka kwa mkodzo kuchokera ku impso chifukwa cha zolepheretsa zomwe zilipo mu ureter.

Zizindikiro zakulephera kupezekanso kwa impso zimadalira mtundu ndi gawo (Gawo, Gawo (la buckwheat) la matendawa (uwu ndi gawo la thupi, lomwe likuwonetsedwa pophwanya moyo wake wabwinobwino, nthawi yomwe amakhala ndi moyo, komanso kuthekera kosunga homeostasis yake. Zizindikiro za nthenda yotupa, koma kuwonongeka kwa minofu ya impso kukuchitika kale.

Pa gawo la oliguric, kupita patsogolo kwa vuto la impso kumanenedweratu. Kuchuluka kwa mkodzo wotulutsidwa kumachepetsedwa. Kusamala kwamchere ndi madzi mthupi zimasokonekera.

Maselo ofiira okwera mumkodzo wa mwana: kodi izi zikutanthauza chiyani ndikuwopseza chiyani? Tili ndi yankho!

Malamulo apadera ndi njira zothanirana ndi impso za spongiform zafotokozedwera patsamba lino.

• kufooka
• ulesi
• kupuma movutikira
• arrhasmia,
• kusadya bwino
• kupweteka m'mimba.

Pa gawo la polyuric (Gawo, Gawo (Lachi Greek)), kuchuluka kwa mkodzo kumakonzedwanso, kuphatikizidwa kwa polyuria.

Kulephera kwa impso poyambira pomwe sikudzionetsera kwina. Nthawi zambiri, zizindikiro zoyambitsa zimayamba kuoneka ngati ntchito ya impso imayatsidwa ndi 80% kapena kuposa.

• general malaise
• kuphwanya katulutsidwe wa mkodzo,
• kusanza, kusanza,
• kugwedeza kwa minofu
• kumva kuwawa mkamwa
• kuphwanya chopondapo
• magazi ogwirizana ndi kuchepa kwa magazi m'magazi,
• pafupipafupi zochitika za matenda opatsirana,
• chakumapeto kumachitika ziwopsezo za mphumu ya bronchial, kuiwalako khungu ngakhalenso kukhala wopanda vuto.

Zoyambitsa Eleinated Creatinine

Creatinine ndiye chida chomaliza cha mapuloteni a metabolite (mtundu wa makoswe a banja la gologolo), omwe amachititsa kuti kagayidwe ka mphamvu maselo. Pa ntchito yachilendo impso, creatinine m'magazi amayenera kusefa ndi chiwalo chophatikizira ndikuchotsa mkodzo.

Kukula kwazomwe zimapezeka m'magazi ndi 60-110 micromol / l mwa amuna, ndi 44-97 micromol / l mwa akazi. Ngati creatinine ali pamwambapa pamtunduwu, ndiye chizindikiro cha kuwonongeka kwa impso kapena kulephera kwa aimpso.

Kuchulukitsidwa kwakanthawi kwa creatinine kungaphatikizidwe ndi:

• kumwa zakudya zowonjezera zakudya ndi mankhwala,
• kuperewera kwa madzi m'thupi pakulimbitsa thupi,
• chakudya chama protein,
• kumanga minofu mu othamanga.

Zinthu ndi malamulo azakudya zodwala

Kuchepa kwa impso kumafuna njira yokwanira yamankhwala. Zakudya zopatsa thanzi ndi gawo limodzi mwa magawo omwe amathandizanso kubwezeretsa thupi, kusintha magawo a creatinine. Kuchita kwa zida zotsalira za impso kumadalira zomwe wodwala (munthu kapena cholengedwa chilichonse chimalandila chithandizo, kuyang'aniridwa ndi / kapena chithandizo cha matenda aliwonse, matenda amisala kapena zina) adzagwiritsa ntchito thandizo la malo osungirako a nephrons. Kwa wodwala aliyense, njira yomwe munthu amadya imasankhidwa poganizira gawo ndi mawonekedwe a kusakwanira. Mu mtundu wapamwamba ndi PN, kudya No. 7 ndikulimbikitsidwa (malinga ndi Pevzner).

• kuchepetsa kukakamiza
• sinthani chimbudzi cha zinthu zoyambira mthupi,
• liperekeni mosamalitsa magwiridwe antchito a impso (Impso (anatomy) - gawo la nyama ndi anthu),
• kupewa zotsatira zoyipa ziwalo zina ndi machitidwe ena (chiwindi, mtima, dongosolo lamanjenje).

• letsa mapuloteni oyambira (mtundu wa makoswe a banja la agologolo) potengera kuchuluka kwa matenda 20-60 g patsiku, ndikukhalabe ndi asidi amino acid, mwayi uyenera kuperekedwa kwa mapuloteni azamasamba,
• chotsani mchere pachakudya kapena chepetsani kwambiri,
• kudya zakudya zokhala ndi mapuloteni ocheperako, koma okwanira kalori, tsiku lililonse zopatsa mphamvu 2500-3000 kcal,
• osagwiritsa ntchito zakudya zomwe zimakwiyitsa impso,
• kuchuluka zakudya zopezeka ndi mavitamini (zipatso zatsopano, timadziti),
• sinthani mulingo wamchere wamchere - muchepetse sodium ndi madzi pazovuta komanso edema, muchepetse potaziyamu ndi hyperkalemia kapena oliguria,
• chepetsa kudya kwa nitrogenous owonjezera ndi purines,
• njira zophikira zomwe zimaloledwa pa PN - kuphika, kutsitsa, kuphika, kusenda,
• kudya pafupipafupi komanso kwapafupipafupi (nthawi 5-6 patsiku).

Kuchuluka kwa protein tsiku lililonse kumawerengedwa aliyense payekhapayekha. M'magawo osiyanasiyana a pathological mkhalidwe, miyambo imatha kusintha. Pa gawo loyambirira la matendawa, kuletsa kwa 1 makilogalamu olemera kumakhala pafupifupi 0,8 g.Pakati pakupitilira kulephera, chiwerengerochi chimatsika mpaka 0,3 g

Zololedwa komanso zoletsedwa muzakudya

Ndi kulephera kwa aimpso komanso okwera mu creatinine mu zakudya akhoza kupezeka:

• mkate wa chinangwa, chimanga, wopanda mchere,
• phala
• masamba abwino (saladi), stewed, owiritsa (soups, borscht): kaloti, mbatata, beets, kabichi, parsley, katsabola, nkhaka,
• zipatso ndi zipatso
• mpaka 200 g patsiku la zinthu zamkaka (kupatula tchizi cha kanyumba, sikungakhale kuposa 50 g),
• mafuta a masamba
• zipatso zouma
• zakumwa: tiyi wofooka, msuzi wa rosehip, misuzi yazipatso,
• wokondedwa, kupanikizana, marmalade.

• nyama yamphongo yamafuta ochepa, nkhuku, nkhuku, kalulu,
• mazira (mpaka 3 pasabata),
• zopangidwa ndi ufa wapamwamba kwambiri,
• maswiti
• nsomba zamafuta ochepa (zander, roach, nsomba).

Onetsetsani kuti mwasamala kapangidwe ka mbale zomwe zimagwiritsidwa ntchito. Chifukwa cha kulephera kwa impso, mbatata yosenda, msuzi wowawasa, nyama yowotchera, odzola, zakudya zamafuta zimalimbikitsidwa.

Sizoletsedwa kuphatikiza muzakudya:

• zonunkhira, kusuta, zokazinga ndi zamchere,
• zinthu zomwe zimakhala ndi zoteteza (sosi, mayonesi),
• bowa
• nyama zamafuta (bakha, nkhumba),
• sorelo, sipinachi, kolifulawa (zopangidwa ndi purine ndi oxalic acid),
• nsomba zolemera ndi msuzi wa nyama,
• khofi wamphamvu
• zonunkhira, zokometsera,
• zakumwa zoziziritsa kukhosi
• mowa
• zinthu zomwe zili ndi potaziyamu (nthochi, nyemba, maapulo owuma, prunes, avocados),
• mafuta a mgwalangwa.

Zosankha zamankhwala othandizira

Zakudya zamafuta amitundu yosiyanasiyana yolephera impso nthawi zambiri zimakhazikitsidwa ndi chakudya chokwanira No. 7. Zosankha za Table 7 ndi 7a, 7b, 7g ndi 7r. Amasiyana pakumanga mapuloteni (mtundu wa makoswe a banja la agologolo) ndi ma elekitirodiya menyu. Njira iti yomwe mungalimbikitse wodwala, dokotala amachokera ku gawo la pathological process.

Owerenga athu adagwiritsa ntchito bwino Renon Duo kuchiza mavuto a impso. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Ndikulimbikitsidwa PN yolemetsa, komanso creatinine wapamwamba m'magazi. NaCl imaphatikizidwa kuti igwiritsidwe ntchito. Zakudya za tsiku ndi tsiku zopatsa mphamvu ndi 350 g (kuphatikizapo 80 g shuga), mafuta 75-85 g, mapuloteni 20-25 g. Pafupifupi 70% ya mapuloteniwa ayenera kukhala ochokera ku nyama. Zopatsa mphamvu zama calorie ndi 2100-2200 kcal / tsiku.

Uku ndi mtundu wa kupitiriza kwa tebulo nambala 7a. Ili ndiye gawo lokonzekera kuti lisinthe kupita pagome la 7 lokhazikika. Ndikulimbikitsidwa panthawi yochira. Zakudya zoterezi zimayikidwa masabata atatu pambuyo poti kuchulukana kwa PN.Mapuloteni amaloledwa kudya 40-60 g, mafuta mpaka 30 g, chakudya - 450 g. Kalori ayenera kukhala 2500-3000 kcal / tsiku.

Ndikulimbikitsidwa pa mafuta gawo la PN, chithandizo chikuchitika ndi hemodialysis. Mapuloteni a tsiku ndi tsiku ndi 60 g, zakudya - 450 g, mafuta 110 g. Zopatsa mphamvu za calorie ziyenera kukhala 2700-3000 kcal / tsiku.

Amagwiritsidwa ntchito pazifukwa zosakwanira ndi hyperuricemia. Zomwe amapangira mapuloteni ndi 70 g (2/3 ayenera kukhala mapuloteni azomera), chakudya - 450 g, mafuta - 90 g. Zopatsa mphamvu - 2800 kcal / tsiku.

Dziwani zambiri zamomwe zimayambitsa mikwingwirima yoyipa mumkodzo panthawi yomwe muli ndi pakati komanso za chithandizo cha matenda omwe angafunike.

Kugwiritsa ntchito moyenera kwa edema pakulephera kwaimpso akufotokozedwa patsamba lino.

Pitani ku http://vseopochkah.com/lechenie/preparaty/nolitsin.html ndikuwerenga malangizo ogwiritsa ntchito mapiritsi a Nolicin a cystitis.

Thirani matenda a shuga

Mu matenda ashuga, munthu nthawi zambiri amakhala ndi zovuta kwambiri monga nephropathy, zomwe zimayambitsa kuwonongeka pakutsuka ndi zotchinga za impso, kuthekera kwawo kuyeretsa zakumwa zamagazi kumachepa, ndipo izi zonse zimapangitsa kuwoneka ngati kulephera kwa impso. Nthawi zambiri, matenda ashuga a m'matumbo amayamba pambuyo pazaka zisanu kapena kupitirira kuyambira matendawa, koma ndi mtundu wachiwiri wa matenda ashuga, zovuta zoterezi kuchokera ku impso zimapezeka nthawi yomweyo atazindikira kuti ali ndi matenda. Malinga ndi ziwerengero, 30-50% ya odwala ali ndi nephropathy, ngakhale vutoli silimawoneka modzidzimutsa, ndimayendedwe apang'onopang'ono komanso pang'onopang'ono.

Zizindikiro zakuphatikizira

Gawo lotsiriza la kulephera kwa impso kwa munthu wodwala matenda a shuga kumabweretsa kuthandizira kudziwa kuyimba kwa peritoneal dialysis, hemodialysis, kapena kumuika impso. Kuthana kumakhala ndi zabwino zambiri pazanjira zina zomwe zatchulidwa, chifukwa pambuyo pa opaleshoniyo thanzi la wodwalayo limasinthidwa kwambiri, ndipo chiyembekezo cha moyo chimakulitsidwa ndi zaka zambiri.

Kuika impso ndikofunika kwambiri kwa ana, chifukwa hemodialysis, mwachitsanzo, simalola kukula koyenera, pomwe pambuyo podzisokoneza mwana azikhala moyo wokhazikika komanso wowonjezera, kuphatikiza, pambuyo pa opaleshoni, simudzafunika kuyang'anira kuchuluka kwa ntchito madzimadzi ndi zakudya.

Mavuto omwe angakhalepo mwa anthu odwala matenda ashuga ndi kupatsirana kwa impso

Ngakhale zili ndi zabwino komanso zabwino, kusindikiza kwa chiwalo ichi mu shuga ndi ntchito yayikulu, pambuyo pake wodwala atha kukumana ndi zovuta zingapo. Choyamba, munthu pambuyo pothira wina amatha kulemera msanga, amawonjezera mwayi wokhala ndi matenda olowa, zilonda zam'mimba, matenda opatsirana.

Ndipo chachiwiri, nthawi zina zimachitika kuti thupi limakana othandizira, kenako zovuta zina zimawonekera pothandizidwa ndi odwala matenda ashuga. Pali mitundu ingapo yakukanidwa kwa impso yosaloledwa:

• aakulu - ndizovuta kudziwa, imayenda nthawi yayitali ndipo imapezeka ndi zotsatira za kusanthula,
• pachimake - amapezeka masabata angapo kapena miyezi iwiri kapena itatu atachitidwa opaleshoni,
• Kwambiri Kwambiri - kumakula patangotha ​​maola ochepa kuchokera pakuwonjezera, koma ndikosowa kwambiri.

Zizindikiro zazikulu zakukanidwa kwa ziwalo ndi kuthamanga kwambiri kwa magazi, kutentha kwambiri kwa thupi, kupweteka, mkodzo wachepa - ndikofunikira kudziwitsa dokotala wanu zamatenda zilizonse.

Contraindication kuti ndikusintha

Kuchita kotereku sikulimbikitsidwa ngati wodwala ali ndi:

• Edzi
• zotupa zoyipa
• kusokonezeka kwa m'maganizo ndi mavuto akulu
• chifuwa chachikulu (mawonekedwe otseguka),
• mtima wamkati, mapapu, mtima wamatenda omwe amaika pachiwopsezo moyo wa wodwalayo komanso amachepetsa zotsatira zabwino za ntchito iyi.

Matenda a shuga ndi impso - pang'ono popewa

Wodwala aliyense amafunika kuwunika nthawi zonse ntchito ndi impso zake, chifukwa mufunika kupatsa mkodzo wa albumin, magazi a urea nayitrogeni, kuyezetsa magazi ku Reberg, etc. magazi magazi, ACE zoletsa.

Kuika impso kwa odwala omwe ali ndi matenda ashuga

Matenda a shuga ndi matenda omwe amalanda dziko mwachangu. Zonenedweratu za ochita kafukufuku zakhumudwitsa: pofika chaka cha 2030, chiwerengero cha anthu omwe apezeka ndi matenda a shuga adzakwera kufika pa 330 miliyoni. Nthawi zambiri matendawa amatengera kulephera kwa impso, nephritis, komanso matenda oopsa. M'zaka zaposachedwa, nthawi yopanga matenda a shuga, yotsiriza kulephera kwa impso, yafupika kwambiri.

Mu matenda a shuga, mitsempha yaying'ono ya magazi imavulala. Izi zimalepheretsa impso kuyeretsa magazi moyenera. Thupi limasungabe madzi ndi mchere wambiri, zomwe zimabweretsa kulemera kwambiri komanso kutupa kwa miyendo. Kuphatikiza apo, mkodzo wa odwala omwe ali ndi vutoli, mapuloteniwo amawonjezeka, ndipo magazi "amatsekeka" ndi zinthu zovulaza. Ndikotheka kuti kuwonongeka kwa mitsempha m'thupi. Pankhaniyi, kukodza kumakhala kowawa, kukakamira kwa chikhodzodzo kumawonjezeka, komwe kumakhudza ntchito ya impso.

Matenda a shuga ali ndi mitundu iwiri: Mtundu 1 (thupi silingatulutse insulini) ndipo Mtundu 2 (thupi limagwirizana ndi insulini, silingagwiritse ntchito bwino mahomoni). Masiku ano, padziko lapansi pali anthu odwala matenda ashuga pafupifupi 200 miliyoni, omwe 90 peresenti yawo ndi anthu omwe ali ndi matenda a mtundu wa 2. Matendawa amathanso kukhudza aliyense, koma enafe tili pachiwopsezo chachikulu. Izi zimachitika chifukwa cha chibadwa cha mtundu, chiyambi cha mafuko, kunenepa kwambiri, moyo wamunthu komanso zina.

Odwala omwe ali ndi mtundu woyamba wa matenda ashuga komanso aimpso kulephera nthawi zambiri amapatsidwa dialysis ndi kumuwonjezera impso kuchokera kwa wopereka wamoyo, kumuika kwachikondwerero (kenako ndikuwonjezera impso), kuphatikizika kwa impso ndi kapamba, kapena kumuwonjezera impso kuchokera kwa wopereka wakufa. Kwa odwala omwe ali ndi mtundu wachiwiri wa matenda, madokotala amalimbikitsa kuti azichotsa impso kuchokera kwa wamoyo kapena womwalirayo.

Oposa 97 peresenti ya anthu odwala matenda ashuga omwe adalandira impso kuchokera kwa wachibale wamoyo amakhala omasuka patatha chaka chimodzi atachitidwa opaleshoni impso, 83% yaopulumuka amakhala ophunzitsidwa bwino wazaka 5. Pafupifupi 93% ya anthu omwe adalandira chiwalo kuchokera kwa omwe siogwirizana ndi omwe amakhala ndi moyo wopitilira chaka, oposa 75% - zoposa zaka zisanu.

Ziwerengerozi zitha kuwoneka zowopsa, koma anthu omwe ali ndi vuto la impso chifukwa cha matenda ashuga sangakhale ndi moyo wokwanira ndipo, mwatsoka, amwalira posachedwa. 33% yokha mwa odwala dialysis adakhala zaka zoposa 5. Ngakhale kuperekera ziwalo zopereka ndi ntchito yovuta, mtundu uwu wa chithandizo ndichabwino kwambiri kwa anthu odwala matenda ashuga.

Thupi lathu limatha kubisala zinthu zakunja ndi ziwalo zina. Kuti amupusitse, madokotala amayesa kusankha impso zoyenera kwambiri kwa wodwala aliyense, kutengera mtundu wa ma antigen a leukocyte aanthu kuchokera kwa woperekayo ndi omwe amawalandira. Kugwirizana kumathandiza kwambiri pakusintha ziwalo kuchokera kwa wopereka wamoyo. Pankhani ya kufalikira kwa impso kuchokera kwa munthu wakufa, chizindikiro ichi sichofunikira kwenikweni posankha wodwala yemwe akufunika kumuika.

Komabe, ngakhale mulingo wa antigen wa leukocyte wa anthu ndi wofanana ndi wopereka ndi wolandirayo, thupi silimazindikira impso zatsopano ngati zake. Ichi ndichifukwa chake odwala omwe ali ndi chiwalo chatsopano amakakamizidwa kumwa mankhwala osiyanasiyana pamoyo wawo wonse. Mankhwalawa amatchedwa immunosuppressants. Amachepetsa chitetezo cha mthupi, kuteteza thupi kukana impso yodalitsidwayo. Chitetezo chofooka sichili cholimba polimbana ndi matenda ena. Komanso, mankhwala opondereza chitetezo ali ndi zovuta zingapo.

Ngakhale izi, kupatsirana kwa impso ndikadali njira yothandiza kwambiri yothanirana ndi matenda a impso oyambitsidwa ndi matenda ashuga, chifukwa nthawi iliyonse kumuika, madokotala amayang'anitsitsa thupi la wodwala lomwe likufuna chiwalo chatsopano kuti awonetsetse kuti atha kuthana ndi zovuta zonse zomwe zingachitike.