Matenda oopsa komanso matenda ashuga

Matenda oopsa komanso shuga zimayendera limodzi ndi kunenepa kwambiri komanso matenda a mtima, ophatikizika ndi matendawa. Mutu ndi chimodzi mwazizindikiro za matenda.

Ngati wodwala wapezeka ndi matenda a shuga, ndiye kuti matenda oopsa amapezeka mu 16-30% pazithunzi zonse zamankhwala. Malinga ndi ziwerengero, ndichifukwa chake kuwunika kwa wodwalayo kuyenera kukhala kokwanira komanso kosamala.

Zotsatira zamankhwala zokhala ndi matenda oopsa sizabwino kwambiri, chifukwa zimawonetsa kukhalapo kowonongeka kwambiri kwa impso m'thupi lofooka.

Matenda oopsa komanso shuga zimayendera limodzi ndi kunenepa kwambiri komanso matenda a mtima, ophatikizika ndi matendawa.

Madokotala amatha kuyimitsa njirayi m'thupi komanso kuthamanga kwa magazi, koma izi zimafuna chithandizo chanthawi yayitali.

Chithunzi cha chipatala cha matenda oopsa

Shuga wokwera amatsogolera pakuwonongeka kwakukulu kwa mtima, chifukwa chomwe makoma amitsempha yama capillaries ndi mitsempha amakhala ochepa. Zotsatira zake, motsutsana ndi maziko a matenda ashuga, ochepa matenda oopsa ndipo atherosulinosis imayamba.

Kuwonongeka kwambiri kwa impso komanso matenda ambiri a kwamikodzo amatha kuyambitsa matenda oopsa.

Kuti mudziwe matenda omwe akupezeka komanso zovuta zomwe zingakhalepo, ndikofunikira kuti mumupimidwe kachipatala kokwanira ndikutsatira mankhwala omwe mumalandira kwa moyo wanu wonse.

Ngati wodwala ali ndi matenda oopsa komanso matenda oopsa a shuga, ndiye kuti kuchuluka kwa magazi othamangitsidwa sikuyenera kupitirira 130/85 mm Hg.

Ndi chizindikiro ichi, wodwalayo akumva kukhala wabwinobwino, ndipo palibe chomwe chimapweteketsa mkhalidwe wake, koma kuchuluka kochulukirapo kumawonetsa kukhalapo kwa kukokomeza.

Mawonekedwe a mankhwalawa matenda oopsa mu shuga

Matenda oopsa a arterial ndi matenda osokoneza bongo ndi njira imodzi yophatikizira, chifukwa njira yochizira ndiyochepa, ndipo adotolo amamugwira manja.

Izi zikufotokozedwa ndikuti mankhwalawa ambiri a antihypertensive, akalowa m'thupi, amawonetsa, m'malo mwake, zotsatira zoyipa ndikuyambitsa kuchepa kwa kagayidwe kazakudya komanso kulumpha m'magazi.

Sitikulimbikitsidwa kuti muwatenge, popeza kukakamira kumakhalabe kosakhazikika pamlingo wovomerezeka, ndikuwonjezera shuga.

Ndiye chifukwa chake pophatikiza matenda awiriwa, sikulimbikitsidwa kumwa mankhwalawa chifukwa cha kuthamanga kwa magazi monga Verapamil, Propranolol, Clonidine ndi Nifedipine.

Ngati dotolo angavomereze imodzi mwazamankhwala zomwe zalembedwazo, ndiye kuti Mlingo wake uyenera kuvomerezedwa payekhapayekha, ndipo kuvomerezedwa kuyenera kuchitika moyang'aniridwa ndi katswiri.

Njira zochizira matenda oopsa mu shuga mellitus ndi munthu payekha, ndipo zimatsimikiziridwa osati kokha mwatsatanetsatane wa matendawo omwewo komanso mawonekedwe a zomwe zikukhudzidwa.

Ndikofunikanso kuganizira za gawo komanso mtundu wa matenda ashuga, ntchito zake mthupi la munthu.

Ngati mupitilizabe kuthamanga kwa magazi pansipa pa 130/85 mm Hg, ndiye kuti mtsogolomo mutha kupewa kuchulukana kwambiri kwa matenda amtima komanso kuwonjezera moyo wa wodwala wina wazaka pafupifupi 15 mpaka 20.

Komabe, pankhaniyi, kuyendera katswiri kuyenera kukhala kwachizolowezi, komanso kukhazikitsa mayeso ovomerezeka a labotale.

Malamulo apadera kwa wodwala

Chithandizo cha matenda oopsa mu shuga mellitus ndizovuta kwambiri, koma ndizovuta. Wodwalayo ayenera kuphunzira kukhala momwe iye alili, ndipo cholinga chake chachikulu ndikupewa njira zonse zotheka kuchulukitsa matenda oyamba.

Kuti muchite izi, tikulimbikitsidwa kusiya zizolowezi zonse zoyipa, makamaka, kuti muchepetse gawo loledzera. Kuphatikiza apo, ndikofunikira kutsatira moyo wokangalika, kupewa kupsinjika kwamthupi ndi m'malingaliro, kuyang'anira mosamalitsa mankhwala omwe adokotala adawauza.

Sizopwetekanso kutembenukira ku mankhwala ena kuti akuthandizeni, koma njira zina zochiritsira ziyenera kukambidwanso payekha ndi dokotala.

Pochiza matenda a "matenda oopsa" komanso "matenda osokoneza bongo", chinthu chofunikira kuti munthu amuchotsere ndi njira yochizira, yomwe iyenera kutsatiridwa mpaka kumapeto kwa moyo wanu.

Ngati kunenepa kwambiri kumakhazikika, ndiye kukhazikika kwa kulemera, monga lamulo, kumakhala chinsinsi cha kuchotsedwa kwakanthawi komanso mkhalidwe wokhutiritsa wodwalayo.

Mankhwala othandizira odwala matenda oopsa mu shuga

Chakudya cha wodwalayo chimayenera kukhala chokwanira komanso chokwanira, kupezeka kwa mavitamini ofunikira komanso kufunafuna zinthu ndizofunikira. Choyamba, muyenera kupewa kudya zokometsera, zamafuta, zamkati ndi zamchere, zopangidwa ndi ufa ndi confectionery.

Koma kuchuluka kwa zakudya zama protein m'makudya a wodwalayo kuyenera kukhala kwakukulu: ndikofunikira kudya nkhuku zodala ndi nyama ya kalulu, oatmeal ndi buckwheat, tchizi cha tchizi ndi soya, nsomba za cod ndi zina.

Mu menyu tsiku ndi tsiku ayenera kukhalapo biringanya, zukini, tomato, nkhaka, beets, amadyera ndi mbatata zazing'ono. Maapulo omwe sanatchulidwe amakhalanso othandiza pa matenda oopsa.

Tiyi yobiriwira monga gwero la antioxidants komanso chida chabwino kwambiri chodzetsa magazi pamagetsi imayenera kukhala chakumwa chomwe mumakonda mukazindikira.

Koma muyenera kupewa mowa, komanso khofi, cocoa, tiyi wakuda komanso wamphamvu. Kuletsedwa kwa mchere ndi zonunkhira kumayambitsidwa, ndipo kukhalapo kwa zinthu izi mu chakudya kuyenera kukhala kochepa kapena kosakhalapo.

Dokotala yemwe amapezekapo amasankha zakudya zoyenera payekhapayekha, koma ndikofunikira kumvetsetsa: zomwe wodwalayo amadya zimatengera mkhalidwe wake komanso makamaka chizindikiro cha kuthamanga kwa magazi.

Moyo wamunthu umakhudza kwambiri thupi la wodwala yemwe ali ndi matenda ashuga. Koma vuto la matendawa limatha kuthetsedwa pongowonjezera zochita komanso kusintha kadyedwe. Onani vidiyo yotsatira momwe mungachitire izi.

Mankhwala othandizira odwala matenda ashuga

Ngati matenda oopsa a arterial alipo mwa odwala matenda a shuga, ndiye kuti maziko a mankhwalawa amagwiritsidwa ntchito ndi angiotensin-converting enzyme inhibitors.

Mankhwala otsatirawa amakhala oyimira gulu la zamankhwala:

Zomwe zimagwira popanga mankhwala zimatha kulepheretsa ntchito ya enzyme yomwe imayambitsa mapangidwe a angiotensin (mtsogolo, renin).

Popeza renin imapangidwa ndi ma cell a juxtaglomerular zida za impso, imakhala ndimitsempha yamagazi ndikuwonjezera kuthinikizidwa, zochita za ACE ndizofunikira kwambiri.

Monga chithandizo chowonjezereka, madokotala amalimbikitsa mwamphamvu kutenga ma diuretics (okodzetsa), omwe ndi othandiza kwambiri kwa odwala omwe ali ndi matenda oopsa komanso hypersensitivity to sodium.

Oyimira gulu lazachipatalazi, mwachitsanzo, Hypothiazide ndi Indapamide MV amaphatikizidwa bwino kwambiri ndi ACE zoletsa, ndipo njira yosankhidwa moyenera yamankhwala imakupatsani mwayi wopezeka ndi chizindikiritso cha matenda ashuga posachedwa.

Njira zosagwiritsidwira ntchito zachithandizo zili ndi njira yothandizira, koma pofuna kupewa kuchulukana, mankhwala aliwonse amafunika kuti agwirizane payekha ndi adokotala.

Ndikosatheka kuchiritsa kwathunthu matenda oopsa komanso matenda osokoneza bongo, koma ndi njira yolumikizana ndi vutoli, ndizotheka kuchedwetsa nthawi yachikhululukiro ngakhale patadutsa zaka zingapo.

Matenda oopsa a shuga ndi matenda a shuga amatha "kuthekera" pogwiritsa ntchito njira zosavuta zomwe munthu aliyense angagwiritsire ntchito. Tasanthulira kale chithandizo cha matenda ashuga mwanjira zotere, tsopano tiyesetsa kumvetsetsa momwe tingachepetse zotsatira za matenda oopsa m'thupi popanda mapiritsi.

Matenda a shuga ndi kukakamiza: pali ubale?

Pakadali pano, chikhalidwe cha kuthamanga kwa magazi ndi 138/92 mm RT. Art.

Koma ngati zizindikirazo zikuchulukitsidwa pang'ono, ndiye kuti izi zikuwonetsa kale kukhalapo kwa njira zazikulu za matenda. Poterepa, tikulankhula za matenda oopsa.

Ndikofunika kudziwa kuti ngati munthu mwazikhalidwe amakhala ndi chizolowezi chowonjezereka kapena kuchepetsedwa, ndiye kuti zizindikiro zimatha kusintha kwambiri nthawi ndi nthawi. Mpaka pano, zabwino za tonometer ndizotsatirazi: 121 / 11mm Hg. Art.

Chofunika kwambiri ndi muyeso wolondola wa kupanikizika. Ngakhale madokotala samakonda kuganizira za izi. Katswiri amabwera, amafulumira kuthamanga ndikuwonetsetsa kukakamiza. Izi ndi zolakwika mwamtheradi. Ndikofunikira kuti njirayi ichitike m'malo opumira.

Komabe, madokotala onse akudziwa za kukhalapo kwa matenda oyera ovala zovala. Zimakhala mu chakuti zotsatira za kuyeza kuthamanga kwa magazi muofesi ya adotolo zimakhala pafupifupi 35 mm RT. Art. apamwamba kuposa nthawi yodzipangira kunyumba.

Izi zimakhudzana mwachindunji ndi kupsinjika. Nthawi zambiri, mabungwe osiyanasiyana azachipatala amasokoneza munthu.

Koma kwa anthu omwe adazolowera kuchita masewera olimbitsa thupi mwachitsanzo, othamanga, kuthamangitsidwa kumatha kuchepetsedwa pang'ono. Mwachiwonekere, mfundo zake zimakhala pafupifupi 100/61 mm RT. Art.

Ponena za shuga la magazi, pakadali pano, si madokotala onse omwe angayankhe funsoli molondola, kuchokera momwe zimayambira zimayambitsa kuphwanya kwa kagayidwe kazakudya. Kwa nthawi yayitali manambala mpaka 6 anali abwinobwino.

Koma kusiyana pakati pa 6.1 ndi 7 kumawoneka ngati boma la prediabetes. Izi zinawonetsa kukhalapo kwa kuphwanya kwakukulu kwa kagayidwe kazakudya.

Koma mwa nzika zaku US, ziwerengerozi ndizosiyana pang'ono. Kwa iwo, malire a shuga m'magazi ndi 5.7.

Koma ziwerengero zina zonse zimawonetsa kukhalapo kwa prediabetes state. Ndi kuchuluka kwa shuga awa, munthu amangoika pachiwopsezo. Pambuyo pake, amatha kudwala matenda a shuga. Mwa zina, mavuto monga coronary atherosulinosis, komanso mavuto a kagayidwe kazakudya, amatha kumudikirira.

Izi zikusonyeza kuti wodwalayo ayenera kuchitapo kanthu nthawi yomweyo. Ngati kuchuluka kwa shuga m'magazi kukafika pachizindikiro cha 7, ndiye kuti izi zikusonyeza kukhalapo kwa matenda ashuga. Pankhaniyi, kapamba sakuchita ntchito yake.

Ngati mudutsa mayeso achiwiri a shuga, omwe amayesedwa pamimba yopanda kanthu, kawiri ndi nthawi ya tsiku limodzi, zotsatira zake zikuwonetsa kuchuluka kwa zinthu zofanana ndi 7, ndiye kuti ndi njira yodziwira matenda a shuga.

Koma kupezeka kwa matendawa kwa wodwala kumakhala pachiwopsezo chachikulu chotenga matenda oopsa a mtima.

Ndikofunika kudziwa kuti mtundu wachiwiri wa matenda ashuga ndi matenda omwe amakhudza pafupifupi ziwalo zonse ndi machitidwe a thupi.

Mkulu kuchuluka kwa shuga m'magazi kumabweretsa vuto la mantha amunthu. Pambuyo pake, ubongo, mtima, mitsempha, mitsempha ndi ma capillaries nawonso amavutika. Kusintha kwina kwamthupi lamafuta owopsa mthupi kumadziwikanso.

Monga lamulo, nthawi zambiri mtundu wachiwiri wa matenda a shuga umachitika nthawi yomweyo ndi kuthamanga kwa magazi.

Mwanjira ina, ngati mwakhala mukudwala kwa nthawi yayitali, ndiye kuti mutha kukhala ndi vuto la mtima kapena stroko.

Koma mothandizidwa ndi matenda a shuga a mtundu wachiwiri wokhala ndi matenda oopsa, mwayi wokhala ndi vuto la mtima uli pafupifupi 20%.

Kodi shuga ndimagazi zimakhudza bwanji tonometer?

Kuchuluka kwa shuga wamagazi kumakhala ndi zotsatira zoyipa pamavuto, zomwe zimapangitsa kuti magazi azithamanga.

Ubwenzi wapakati pa matenda oopsa ndi shuga umatsimikiziridwa ndi kafukufuku wambiri.

Monga mukudziwa, hyperglycemia imathandizira kutsitsa kwamitsempha yamagazi. Zitha kuwonjezera magazi.

Chifukwa chiyani kuuka?

Kukhalapo kwa matenda ashuga kumawonjezera mwayi wamatenda am'mtima komanso mtima.

Matenda monga stroke, kulephera kwaimpso komanso matenda ena atha kuonekeranso.

Hypertension imangokulitsa izi.

Zizindikiro za kuthamanga kwa magazi

Zizindikiro za kuthamanga kwa magazi:

kukopa kwa nkhope,
kulimba mtima kosalekeza
kugunda kwa mtima
kukanikiza kapena kupweteka ululu mu ubongo,
tinnitus
kufooka
chizungulire.

Chithandizo cha matenda oopsa

Asanachiritse matenda, ndikofunikira kumvetsetsa komwe adachokera.

Ndikofunika kufunsa dokotala yemwe adzayezetsa ndikuzindikira yemwe wayambitsa matendawa.

Monga lamulo, chithandizo chamankhwala chimakhala ndikumwa mankhwala apadera omwe ali ndi mphamvu yotsutsa antihypertensive.

Zotheka

Zomwe zimayambitsa kutsitsa magazi ndizotsatirazi:

kusowa kwa vitamini
zosokoneza tulo
yotupa mu kapamba,
michere-misempha dystonia,
kobadwa nako matenda amanjenje,
ntchito kwa nthawi yayitali mankhwala apadera,
matenda a mtima ndi mtima,
kufooka kwamatumbo, mitsempha ndi ma capillaries.

Zizindikiro za kuthamanga kwa magazi

Hypotension imadziwika ndi zizindikiro zotere:

kolimba kukomoka, kopanda kuwonekera
kufooka
kugona
kupuma kwambiri
mapazi ozizira ndi manja
hyperhidrosis
zotsatira zakumphamvu zakumlengalenga.

Hypotension Chithandizo

Njira yopanda vuto kwambiri yowonjezera kukakamiza ndi kapu ya tiyi wamphamvu. Pamaso pa matenda a shuga, sikulimbikitsidwa kumwa zakumwa za shuga.

Ndi kuchepetsedwa kuthamanga kwa maziko a kuchuluka kwa shuga m'magazi, tikulimbikitsidwa:

kupumula kwabwino,
Zakudya zoyenera komanso zopatsa thanzi,
kutenga mavitamini apadera,
kumwa madzi okwanira
kusamba m'mawa, ndipo makamaka m'mawa,
kutikita minofu ya manja ndi thupi lonse.

Zoyenera kuchita ndi vuto la kuthamanga kwa magazi kunyumba?

Koma choti tichite asanafike akatswiri?

Zili bwino ngati dokotala amakhala pafupi. Koma, pakalibe dokotala woyenera pafupi, muyenera kupereka chithandizo choyamba pazotheka. Ndikofunikira kupeza mankhwala monga Furosemide, Dibazol, Magnesia, komanso antispasmodics osiyanasiyana.

Intraocular komanso intracranial kukakamiza odwala matenda ashuga

Kupanikizika kwa mitsempha kumapangitsa kuchepa kwa shuga.

Palinso kuthekera kwa zinthu monga ketoacidosis ndi ketoacidotic chikomokere.

Koma zokhudzana ndi intracranial anzawo, imatha kuchuluka pamaso pa mitundu yayikulu ya matenda ashuga.

Njira zopewera

Kukweza kapena kutsitsa magazi ndi gawo loopsa lomwe limatha kukhala ndi zotsatira zoyipa pa moyo.

Ngati matendawa akuwonekera pang'onopang'ono chifukwa cha zovuta za carbohydrate metabolism, ndiye kuti zovuta zovuta zikuchulukirachulukira.

Pofuna kupewa kuthinana ndi matenda ashuga, ndikofunikira kuti mukhale ndi moyo wathanzi.

Makanema okhudzana nawo

Zokhudza kuthamanga kwa matenda a shuga a mtundu wachiwiri mu kanema:

Lamulo lalikulu pakukhalabe ndi thanzi lanu liyenera kuwonedwa pafupipafupi ndi cardiologist ndi endocrinologist.Ndikofunikanso kukhala ndi moyo wathanzi, kutsatira zakudya komanso masewera olimbitsa thupi.

Izi zikuthandizira kuwongolera thupi kuti mupewe kupezeka kwa matenda osokoneza bongo komanso matenda oopsa pambuyo pake. Ndikofunikanso kutenga mavitamini apadera omwe amathandiza kudzaza kuchepa kwa michere.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kupsinjika kwa magazi ndi matenda a shuga

Nthawi zambiri kuthamanga kwa magazi a wodwala kumatuluka ndi matenda ashuga, omwe amaphatikizidwa pazifukwa zosiyanasiyana. Mwa odwala matenda ashuga, matenda oopsa amapezeka m'malo opitilira theka. Chiyanjano cha pathologies chikufotokozedwa ndizomwe zimapangitsa chidwi komanso njira yachitukuko. Potengera maziko a kuphwanya, mapangidwe a insulin kukana kumachitika, matenda amagwirizanitsidwa ndi kunenepa kwambiri. Mtundu wa 2 kapena mtundu 1 wa shuga umabweretsa mosavutikira ntchito ya hypothalamus, ndichifukwa chake wodwalayo amakhala ndi nkhawa chifukwa cha kuthamanga kwa magazi, nthawi zambiri amakumana ndi zizindikiro za kuthamanga kwa magazi.

Pankhani ya matenda a mtundu woyamba kapena wachiwiri sikofunikira kuti musinkhasinthe komanso kuyesa kudziyimitsa modekha zomwe zikuwonetsa pa tonometer. Ndikofunikira kuonana ndi dokotala posachedwa, yemwe angasankhe chithandizo chabwino ndikupereka zakudya za anthu odwala matenda ashuga.

Kodi zopatuka zikugwirizana bwanji?

Mwazi wa wodwala ukasintha, ndiye kuti machitidwe ena, kuphatikizapo mtima, amatha kusokonezeka. Poyerekeza ndi maziko a matenda, matenda amatha kupanikizika nthawi zambiri ndipo matenda oopsa amatha. Kugwirizana kwa matenda ndikusowa kwa insulini, komwe kumayambitsa kuphwanya kwa magazi. Matenda onsewa amatha kuipiraipira mzake komanso kukulitsa zovuta za thupi. Ngati simuchepetsa kuthamanga kwa magazi pakapita nthawi ndi matenda ashuga, ndiye kuti mavuto a impso, ubongo ndi mtima ndiwotheka. Kupatuka kumalumikizidwa ndi kuchepa kwa kutanuka ndi kusinthasintha ndi zotengera, zomwe zimapangitsa kuthamanga kwa magazi ndi shuga.

Potengera maziko a kupatuka, osati matenda oopsa okha omwe amatha kukhala komanso, hypotension, momwe kuthamanga kwa magazi kumatsikira kuposa mtengo wamba. Kuthamanga kwa magazi kwa anthu odwala matenda ashuga sikukuwonongeranso thanzi la munthu wodwala matenda ashuga. Kupatuka kofananako kumawonetsedwa nthawi zambiri mwa amayi omwe ali ndi matenda. Pankhaniyi, wodwala kwa nthawi yayitali sangathe kuwona kuchepa kwa magazi komanso mawonekedwe ake a pathological. Posakhalitsa, kutuluka kwa magazi kukhala ziwalo zofunika kumasokonekera ndipo minofu imafa.

Kodi zikuwonetsa chiyani?

Shuga akamachulukitsa, wodwalayo amadandaula ndi zizindikiro zosasangalatsa. Ngati kwa nthawi yayitali simunatsitsire zizindikiro ndipo simumamwa mapiritsi apadera, ndiye kuti wodwalayo amapita kuchimbudzi pafupipafupi kuti asoweka pang'ono, kulemera kwa thupi kumachepa, mabala omwe amapangidwa amachira kwa nthawi yayitali. Kuchepetsa magazi ndi kuwonjezereka kumakwiyitsa mutu, chizungulire, pomwe wodwala matenda ashuga nthawi zambiri amatsuka. Zotsatirazi zimakhudza chitukuko cha matenda oopsa mu shuga mellitus:

mitsempha ya mitsempha,
kusokonezeka kwa dongosolo la endocrine, momwe ma adrenal gland kapena gland gland sagwira ntchito moyenera,
kupsinjika pafupipafupi, kuda nkhawa komanso kusakhazikika kwa maganizo
zochita zolimbitsa thupi,
kusintha kwa thupi kogwirizana ndi ukalamba,
kulephera kutsatira zakudya zamatenda a shuga,
kusowa kwa michere ndi mavitamini,
mavuto ndi magwiridwe antchito a kupuma, chifukwa choti wodwala amakhala ndi vuto la kupumula kwa usiku.
chibadwa
kukhudzana ndi mankhwala oyipa.

Bweretsani ku zomwe zalembedwa

Kuzindikira ndi kuyang'anira kuthamanga kwa magazi

Ngati shuga wambiri wapangitsa kuti muchepetse kuthamanga kapena kuthamanga, ndiye kuti muyenera kufunsa dokotala yemwe angakuthandizeni kukhazikika. Onetsetsani kuti mwakwereza magazi pafupipafupi kunyumba kapena kuchipatala. Kupitilira pakufufuza kwathunthu, ndizotheka kusankha mankhwala othandiza kwambiri pa matenda oopsa. Kuti mudziwe chomwe chayambitsa kuphwanyidwaku, mankhwalawa akutsatiridwa:

zasayansi kuphunzira mkodzo ndi magazi,
electrocardiography ndi echocardiography,
Doppler ndi / kapena arteriography,
kuyesa kwa ultrasound kwamkati,
kuzindikira kwa fundus, yomwe ingasokonezedwe motsutsana ndi maziko a kuthamanga kwambiri.

Kuchuluka kwa magazi mu shuga kumakhudza impso, ubongo, mtima, maso ndipo zimayambitsa vuto lalikulu. Kuti mupewe zovuta zomwe zovuta kuti odwala matenda ashuga azilole, ndikofunikira kuthana ndi kukakamizidwa kangapo patsiku ndipo, ndikuwonjezereka kwake, imwani mankhwala apadera omwe amachepetsa.

Mankhwala Oletsedwa

Kukonzanso kupsinjika kwa mtundu wa 2 shuga kumatheka pokhapokha ngati mayeso athunthu atatha. Mapiritsi olembetsa magazi amasankhidwa ndi adokotala ndipo zimatengera kuopsa kwa kuphwanya. Pophwanya lamulo, mankhwala ophatikizidwa nthawi zambiri amagwiritsidwa ntchito omwe amasintha ntchito ya mtima komanso kusintha magazi. Ngati mukufuna kuwonjezera kukakamizidwa ngati muli ndi matenda a shuga, ndiye kuti mankhwala ena amtundu wa mankhwala amaperekedwa. Mankhwala abwino kwambiri amaperekedwa pagome.

Chithandizo cha ochepa matenda oopsa mu shuga

Matenda oopsa a arterial amamveka kuti akuwonjezeka akapanikizika kuposa 140/90 mm. Izi nthawi zambiri zimawonjezera chiopsezo cha kugunda kwamtima, kugwidwa, matenda a impso, ndi matenda a shuga. Matenda oopsa a matenda amitsempha amachepa: kukakamizidwa kwa ma syling kwa 130 komanso kupanikizika kwa diastolic ya 85 millimeter kukuwonetsa kufunikira kwa njira zochizira.

Chifukwa chiyani matenda a shuga amakwera m'matenda a shuga

Zomwe zimayambitsa matenda oopsa mu shuga mellitus ndizosiyana ndipo zimatengera mtundu wamatenda. Chifukwa chake, ndimatenda omwe amadalira matenda a insulin, matenda oopsa kwambiri nthawi zambiri amayamba chifukwa cha matenda a impso a matenda ashuga. Ochepa ochepa odwala amakhala ndi matenda oopsa oopsa, kapena osokonekera kwa matenda oopsa.

Ngati wodwala amadwala matenda a shuga osadalira insulin, ndiye kuti matenda oopsa amakhazikika nthawi zina kale kwambiri kuposa matenda ena a metabolic. Mwa odwala, ochepa matenda oopsa ndi omwe amachititsa matenda. Izi zikutanthauza kuti adotolo sangadziwe chomwe chimayambitsa maonekedwe ake. Zomwe zimayambitsa matenda oopsa m'magazi ndi izi:

pheochromocytoma (matenda wodziwika ndi kuchulukana kwa makatekolamaini, chifukwa chomwe tachycardia, kupweteka kwa mtima komanso matenda ochepa)
Itsenko-Cushing's syndrome (matenda omwe amayamba chifukwa chopanga mahomoni a adrenal cortex),
hyperaldosteronism (kuchuluka kwa mahomoni aldosterone ndi magene a adrenal), omwe amadziwika ndi zotsatira zoyipa pamtima,
matenda ena osowa a autoimmune.

Gawaninso matendawa:

kuchepa kwa magnesium m'thupi,
kupanikizika kwa nthawi yayitali
kuledzera ndi mchere wazitsulo zazikulu,
atherosulinosis ndi kufupika kwa mtsempha waukulu.

Mawonekedwe a matenda oopsa mu shuga yomwe amadalira insulin

Mtundu wa matendawa nthawi zambiri umalumikizidwa ndi kuwonongeka kwa impso. Amakhala mu gawo limodzi mwa odwala ndipo ali ndi magawo awa:

microalbuminuria (mawonekedwe a mkodzo wa albumin),
proteinuria (mawonekedwe a mkodzo wa mamolekyulu akuluakulu),
aakulu aimpso kulephera.

Kuphatikiza apo, mapuloteni ochulukirapo amachotsekedwa mu mkodzo, ndikumalimbikitsidwa. Izi ndichifukwa chakuti impso zodwala zimakhala zoyipa kwambiri pakuchotsa sodium. Kuchokera pamenepa, zinthu zamadzimadzi m'thupi zimachuluka ndipo, chifukwa chake, mavuto amakwera. Ndi kuchuluka kwa shuga m'magazi, madzi a m'magazi amawonjezereka. Izi zimapanga bwalo loipa.

Amakhala m'thupi kuti thupi likuyesera kuthana ndi kusagwira bwino kwa impso, pomwe likuwonjezera kukakamiza kwa impso glomeruli. Iwo pang'onopang'ono akufa. Uku ndiko kupita patsogolo kwa kulephera kwa impso. Ntchito yayikulu ya wodwala yemwe ali ndi matenda a shuga amachepetsa shuga.

Zizindikiro zolembetsa matenda osokoneza bongo omwe amadalira insulin

Ngakhale isanayambike zizindikiro za matenda, wodwalayo akuyamba kukana insulin. Kutsutsa kwa minofu ku timadzi timeneti kumachepetsedwa. Thupi likuyesayesa kuthana ndi chidwi chochepa cha minofu ya thupi kupita ku insulini ndikupanga insulin yambiri kuposa momwe iyenera. Ndipo izi, zimathandizira kukakamizidwa.

Chifukwa chake, chinthu chachikulu pakukula kwa matenda oopsa mu shuga ndi chizindikiro cha insulin. Komabe, mtsogolomo, matenda oopsa amachitika chifukwa cha kuchuluka kwa atherosulinosis ndi vuto laimpso. Kuwala kwa ziwiya pang'onopang'ono kumachepera, chifukwa chake zimadutsa ochepa magazi.

Hyperinsulinism (ndiye kuti, kuchuluka kwa insulin m'magazi) ndi yoyipa kwa impso. Amayamba kukulira komanso madzi akumwa mthupi. Ndipo kuchuluka kowonjezereka kwamadzi m'thupi kumabweretsa chitukuko cha edema ndi matenda oopsa.

Momwe matenda oopsa amadziwonekera mu shuga

Amadziwika kuti kuthamanga kwa magazi kumayenderana ndi mtundu wa circadian. Usiku umapita. M'mawa, ndi 10-20 peresenti kutsika kuposa masana. Ndi matenda a shuga, phokoso lozungulira lotere limasweka, ndipo limakhala lokwera tsiku lonse. Komanso, usiku ndizambiri kuposa masana.

Kuphwanya kotereku kumalumikizidwa ndi kukula kwa imodzi mwazovuta za matenda a shuga - matenda ashuga. Chofunikira chake ndikuti shuga yayikulu imakhudza kugwira ntchito kwa dongosolo la mantha aumwini. Zikatero, zombo zimataya mwayi wochepetsetsa ndikukula kutengera kutengera katundu.

Iwona mtundu wa matenda owonongera tsiku lililonse. Njira ngati izi zikuwonetsa pofunika kumwa mankhwala oletsa kuthana ndi matenda oopsa. Nthawi yomweyo, wodwalayo ayenera kuchepetsa kuchuluka kwa mchere.

Mankhwala othandizira matenda ashuga

Mankhwala olimbana ndi matenda oopsa ayenera kutengedwa kuti muchepetse magazi omwe asankhidwa kukhala a shuga / mamilimita 130. Kuchiza ndi zakudya kumapereka mfundo zabwino zamagazi: mapiritsiwo amathandizidwa ndipo amapereka chokwanira.

Chizindikiro chodziwikiratu ndi mtundu wazotsatira pochotsa matenda oopsa. Ngati mankhwalawa samachepetsa kupsinjika m'milungu yoyamba yamankhwala chifukwa cha zovuta, ndiye kuti mutha kuchepetsa pang'ono. Koma pakatha mwezi umodzi, chithandizo chowonjezereka chiyenera kuyambiranso ndipo mankhwala ayenera kumwedwa pamankhwala omwe akuwonetsa.

Kuchepetsa pang'onopang'ono kuthamanga kwa magazi kumathandizira kupewa zizindikiro za hypotension. Inde, mwa odwala omwe ali ndi matenda ashuga, matenda oopsa amatha chifukwa cha orthostatic hypotension. Izi zikutanthauza kuti posintha kwambiri kayendedwe ka thupi, kugwa kolimba pakuwerengedwa kwa tonometer kumawonedwa. Vutoli limaphatikizidwa ndi kukomoka ndi chizungulire. Mankhwala ake ndiwodziwikiratu.

Nthawi zina zimakhala zovuta kusankha mapiritsi a matenda oopsa mu shuga. Izi ndichifukwa choti kusintha kwa kagayidwe kazakudya kumasiya chizindikiro chawo pazotsatira zamankhwala onse, kuphatikizapo zama hypotensive. Posankha chithandizo ndi mankhwala kwa wodwala, dokotala amayenera kuwongoleredwa ndi mfundo zambiri zofunika. Mapiritsi osankhidwa bwino amakwaniritsa zofunikira zina.

Mankhwalawa amachepetsa bwino matenda omwe amakhala ndi matenda oopsa a shuga komanso amakhala ndi zovuta zina.
Mankhwala oterewa samayambitsa kuwongolera koyenera kwa shuga wamagazi ndipo samachulukitsa cholesterol.
Mapiritsi amateteza impso ndi mtima ku zotsatira zoyipa za shuga m'magazi.

Ndi magulu ati a mankhwala omwe amagwiritsidwa ntchito

Pakadali pano, madokotala amalimbikitsa odwala awo omwe ali ndi matenda ashuga kuti atenge mankhwala a magulu ngati amenewo.

Ma diuretics, kapena okodzetsa. Mankhwalawa amachepetsa kuthamanga kwa magazi pamagazi. Thupi limachotsa madzi ndi mchere wambiri. Mankhwala a gululi amagwiritsidwa ntchito chifukwa cha kulephera kwa mtima, chifukwa amachepetsa katundu pamtima ndi m'mitsempha yamagazi. Mankhwala a diuretic amalimbana ndi edema bwino. Dokotala wanu adzakuthandizani kusankha mankhwala oyenera kwambiri.
Beta blockers. Mankhwalawa amakhudza bwino dongosolo lamanjenje lamanjenje. Amagwiritsidwa ntchito moyenera pochiza matendawa ngati njira yoyamba. Oletsa kubetcha amakono ali ndi zovuta zochepa zoyipa.
ACE zoletsa. Mankhwalawa amagwira ntchito popanga puloteni yomwe imayambitsa matenda oopsa mwa anthu.
Angiotensin II receptor blockers. Mankhwalawa amathandizira mtima m'magazi akuluakulu. Amatetezanso chiwindi, impso ndi ubongo kuti zisokonezeke.
Otsutsa a calcium. Mankhwalawa amalepheretsa kulowa kwa ayoni a zitsulozi m'maselo a mtima. Chifukwa chake, ndizotheka kukwaniritsa kuwerengera kwamphamvu kwa tonometer ndikupewa zovuta kuchokera ku mtima.
Ma Vasodilators amasangalatsa bwino makhoma amitsempha yamagazi motero amachepetsa kuthamanga kwa magazi. Komabe, pakadali pano, mankhwalawa amakhala ndi gawo lofunikira pochiza matenda oopsa, popeza ali ndi zovuta zoyipa komanso amakhala ndi vuto.

Ntchito ya zakudya mankhwalawa matenda oopsa

Kugwiritsa, mwina, kuphatikiza mafuta ochulukitsa kwa matenda oopsa ndi matenda ashuga ndi njira yeniyeni komanso yopambana pakukhalabe ndi thanzi. Kulandira chithandizo kotereku kumachepetsa kufunika kwa insulini ndipo nthawi yomweyo kumabwezeretsanso kuchuluka kwa mtima wamagetsi.

Kuchiza ndi zakudya zama carb ochepa kumapha mavuto angapo nthawi imodzi:

amachepetsa insulin komanso shuga m'magazi
Imaletsa kukula kwa zovuta zamtundu uliwonse,
amateteza impso ku kuwopsa kwa shuga.
amachepetsa kwambiri chitukuko cha atherosulinosis.

Chithandizo chochepa kwambiri pa carb ndi chabwino ngati impso zisanadziwike mapuloteni. Ngati ayamba kugwira ntchito mwachizolowezi, kuchuluka kwa magazi a shuga kumayambiranso kukhala kwabwinobwino. Komabe, ndi proteinuria, zakudya zotere ziyenera kugwiritsidwa ntchito mosamala.

Mutha kudya zakudya zokwanira kuchepetsa shuga. Izi ndi:

zopangidwa ndi nyama
mazira
nsomba zam'nyanja
masamba obiriwira, komanso bowa,
tchizi ndi batala.

M'malo mwake, kuphatikiza kwa matenda oopsa ndi matenda ashuga, palibenso njira ina yazakudya zotsika mkatikati. Mankhwalawa amagwiritsidwa ntchito mosasamala mtundu wa shuga. Shuga amachepetsa kukhala wamba m'masiku ochepa. Muyenera kuyang'anira zakudya zanu nthawi zonse, kuti musayike pachiwopsezo komanso kuti musachulukitse shuga. Zakudya zama carb ochepa ndizabwino, ndizokoma komanso zathanzi.

Nthawi yomweyo, ndi chakudya ichi, zizindikiro za tonometer zimasintha. Ichi ndi chitsimikizo cha thanzi labwino komanso kusapezeka kwamavuto owopsa.

Kuthamanga ndi kuthamanga kwa magazi mu shuga mellitus: kuphatikizika ndi shuga, chithunzi cha chipatala ndi njira zamankhwala

Tiyeni tiwone bwinobwino chifukwa chake nthenda zofala kwambiri komanso zowopsa monga matenda oopsa komanso matenda a shuga zimachokera.

Malinga ndi ziwerengero, kuthamanga kwa magazi pamaso pa kagayidwe kazakudya kachulukidwe kangakhale kangapo kangapo poyerekeza ndi chiopsezo chogundidwa ndi mtima.

Ngakhale kuphatikiza uku, kuoneka ngati kulephera kwa impso ndikotheka. Chiwopsezo chotenga matenda ophatikiza ndi mawonekedwe owoneka chikukula kangapo. Matendawa amathanso kuchitika, pomwe nthawi zambiri kumadulidwa.

Kupsinjika kochepa kwa odwala omwe ali ndi vuto la mtundu woyamba wa 2 ndikuwonjezera mtundu wa 2 wa minititus kumapangitsa kufa kwa minyewa komanso kufa kwawo kwina. Ndikofunikira kuti anthu oterowo aziyang'anitsitsa kuthamanga kwa magazi awo komanso shuga wawo wamagazi.

Ngati thanzi lanu likuipiraipira, muyenera kufunsa dokotala. Kupanikizika ndi matenda ashuga - pali ubale kapena ayi? Yankho likupezeka munkhaniyi.