Zizindikiro za Pancreatitis

Pancreatitis - Ichi ndi chimodzi mwazizindikiro za matenda apamba. Liwuli limagwiritsidwa ntchito ngati mankhwala, omwe m'Chilatini amatanthauza "kapamba" kutanthauza kapamba.

Zomwe zimayambitsa pancreatitis ndizolepheretsa ma pancreatic ducts, omwe amasokoneza kupanga mahomoni ndi ma enzyme, omwe amatchedwa madzi a pancreatic. Chifukwa chakuti kupanga ma enzyme ndizovuta pazifukwa zingapo, michere yama kapamba iyi yomwe imakhudzidwa mwachangu pakukamata, pomwe yogwira "ikudya", imakumba chimbudzi chokha, ndikuwononga minofu yake.

Malinga ndi ziwerengero, mayi wachinayi aliyense komanso wamwamuna aliyense wachisanu ndi chitatu amakumana ndi zizindikiro za kutupa kwapancreatic

Zizindikiro za kapamba ndi chithandizo cha matendawa zimatengera gawo la kuwonongeka kwa kapamba palokha, kuchuluka kwa kuwonongeka kwake ndi kusintha kwa matenda ndi njira zowonongeka, chifukwa chake zakudya zoyenera zimayikidwa. Chithandizo cha pancreatitis nthawi zambiri, chosasinthika, mothandizidwa ndi mankhwala, chimapanga zakudya zoyenera, zakudya, mapiritsi amagwiritsidwa ntchito kuti athetse kupweteka komanso kutulutsa matenda a pancreatic. Chithandizo choyambirira chimayambika, zimapangitsa kuti wodwalayo azidwala kwambiri.

Nthawi zambiri, zizindikiro za kuchulukitsa kwa kapamba zimapezeka mwa amayi achikulire. Mwa azimayi patatha zaka 30, kupweteka kwa pachimake kwa kapamba kumadziwika. Amuna nthawi zambiri amadwala chifukwa chomwa mowa kwambiri. Kutupa kwaphokoso kwa kapamba kumawala kwambiri, ndikutupa kumene.

Malinga ndi zamankhwala, odwala osakwana 30% okha, achikulire ndi ana, ndi omwe amakhala pa tebulo la opaleshoni, malinga ndi malingaliro onse omwe adotolo adalandira ndipo adalandira chithandizo chamankhwala mwadzidzidzi.

Mankhwalawa pancreatitis pachimake, ndikofunikira kuchitapo kanthu mwachangu kuti mutulutse katundu, kuphatikizapo kusala kudya, kupereka mankhwala apadera a antienzyme mankhwala, kupuma komanso kugona.

Kuchiza kumalimbikitsidwa kuthana ndi chiwonongeko cha matenda omwe ali ndi matenda, kuyimitsa minofu necrosis. Kutengera kuchuluka kwa zowonongeka, izi kapena zomwe mankhwalawa amasankhidwa. Ngati simukuthandizira, musatsatire malangizo a dokotala, musatsatire zakudya komanso kufa ndi njala nthawi yoyamba, ndiye izi zonse zimatha kuyambitsa zotsatirapo zomvetsa chisoni, kufupika kwa matenda a fibrosis, komanso kufalikira kwa ziwalo.

Pancreatitis yodziwika bwino imadziwonetsa ngati ululu waukulu, imamvekanso kuposa 70% ya odwala onse:

Oposa theka la odwala ali ndi 50% yoonda.
15% amakhala ndi kutopa msanga, kutsegula m'mimba pafupipafupi.
Pafupifupi 2% ya odwala amamva mseru wambiri, koma kusanza kumadzetsa mpumulo woyenera,

Nthawi zambiri pamakhala timimba m'mimba. Odwala ambiri omwe ali ndi mawonekedwe osakhazikika amadwala matenda a shuga ndi jaundice.

Zizindikiro za pamimba pamimba

Mimba yatupa ndipo yatchulidwa, yopweteka m'dera la kapamba ndi chikhodzodzo, kumverera kwakukulu kwa khungu, kuphatikizika kwa m'mimba kumapangika. Popanga njira yodziwitsira, ndikofunikira kulingalira zonse za njira ndi njira zina zodziwira, makamaka, kuyesa magazi a biochemical. Matendawa amatha kukulitsidwa ndi matenda ena am'mimba, ndikofunikira kupimidwa ndi dokotala.

Nthawi palpation pali zizindikiro za kusowa kwa mphamvu yam'mimba (paresis), kutulutsa. Kusokonezeka kwa minofu sikungawoneke poyambira pomwe muzochitika zapamwambazi pali zizindikiro zakukwiyitsa kwam'mimba ndi ziwalo zopezeka pafupi.

Malo a palpation ndi malo abwino otumphukira m'mimba ndi m'mimba mwake. Kufufuza kumachitika m'mphepete mwa chithokomiro, mu mzere wopingasa, womwe umakokedwa kuposa kukula kwa chala kuchokera pakatikati pamimba ndi diso.

Munthawi yabwinobwino, kapamba panthawi ya palpation samamveka kwenikweni, wodwalayo samva kupweteka. Pafupifupi theka limodzi lokha la azibambo omwe amakhala ndi pancreas wozama amakhala, amalumikizidwa, mwa akazi pafupifupi anayi.

Nthawi zina pamakhala, ndi ululu wambiri, chifukwa cha kupweteka kwambiri kwa thupilo mu mawonekedwe owopsa, kupezeka kwa matenda: zilonda zam'mimbazi ndi zotupa kapena duodenal zilonda. Kuzindikira kumalephereka kwambiri chifukwa chakuti peritoneum yokhala ndi kapamba imakhala yolimba kwambiri mwa wodwala, yomwe siyilola kuti pakhale palpation yabwino.

M'matenda osachiritsika, mu 50% ya odwala, njirayi imatha kuchitika mopepuka kapena pang'ono. Ndi kuchulukana kwamatenda komwe kumamveka, mu gawo la kuchotsedwa sikumveka bwino. Nthawi zambiri zimachulukana kukula.

Ndondomeko ikuchitika kokha pa chopanda kanthu m'mimba. Wodwalayo amafunsidwa kuti atenge exhale lakuya, kenako ndikuwongoka ndi chala chake pang'ono ndikuwunikira pang'onopang'ono, ngati kutulutsa kwa gland sikumveka ndipo wodwalayo samva kuwawa, ichi ndi chizindikiro chabwino. Mphepoyi imakhala yosayenda, osati kukulitsidwa ndipo imapangidwa ndi silinda yokhala ndi ma radius yaying'ono.

Ngati wodwala ali wofewa, makwinya, kapena mosemphanitsa kwambiri, ndiye kuti pamakhala kutupa.

Potere, ululu umatha kuperekedwa kumbuyo. Mukatsamira chamtsogolo, zopweteka zimangokulirapo.

Ikani wodwalayo kumbuyo kwake kenako mbali yakumanzere, ngati kupweteka kumatha ndiye kuti akuwonetsa pancreatitis.

Maonekedwe a mafinya mu mawonekedwe owopsa, phlegmon ya omental bursa, kutupa kwa peritoneum (peritonitis), mawonekedwe a kukokoloka ndi zilonda m'mimba zamagetsi ndizowopsa.

Zizindikiro za pakhungu

Zizindikiro za pakhungu zimapweteka pakhungu la khungu ndi jaundice, mtundu wa khungu ndi zotupa za mucous (cyanosis). Cyanosis imachitika kawirikawiri m'mitundu yayikulu komanso yamphamvu, imachulukana nthawi ndi nthawi, koma nthawi zina matendawa amatenga matendawa. Chizindikiro chachikulu cha mitundu yayikulu ya chifuwa chachikulu cha kapamba pamimba: mawonekedwe am'deralo, cyanosis mu navel, mbali zam'mimba, nkhope ikuwuluka pang'ono.

cyanosis mu navel

Grey - Turner

Zizindikiro Gray-Turner - cyanosis ya mawonekedwe apambuyo pamimba.

Chizindikiro cha "m'malovu ofiira" ndichizolowezi chowonjezera cha kapamba, kusiyana ndi zomwe tafotokozazi, zomwe zimakonda kupweteka kwambiri. Chizindikiro chake ndi mawonekedwe a mawanga ofiira owoneka bwino pakhungu la chifuwa, kumbuyo, ndi pamimba. Masamba awa ndi ma mtima aneurysms ndipo samachoka ndi chikakamizo.

Pancreatitis Jaundice

Mu 40% ya anthu omwe amapezeka ndi kapamba, kudziwitsidwa kwa khungu kumadziwika. Jaundice amayamba chifukwa cha kuphwanya matulutsa a bile kuchokera ku ma ducts a bile, pomwe kutulutsa kwa pancreatic kumachitika chifukwa cha matenda a ndulu. Ndi matendawa, kupezeka kwa miyala, kutupa kwa sphincter ndi kupindika kwake zonse kumayambitsa kuwonongeka. Panthawi yodziwika ndi palpation, nthawi zambiri zimakhala zotheka kudziwa mawanga ofiira, chizindikiro cha madontho ofiira.

Gawo lowawa kale ndi gawo la kutupa komwe kumakhala koopsa kwa moyo ndi thanzi la wodwalayo, womwe umadziwika ndi kugwedezeka komanso kugwa. Ngati mafinya alipo, kutentha kwa thupi kumakwera kwambiri, ndipo edema ndi kugwa ngakhale imatsika pansi.

Kupweteka kwa kapamba

Zizindikiro zakukula kwa kapamba, kutupa ndi kudziwikitsa kwawoko: zimapweteka pansi pamimba, kupweteka, kumatha kuwunikira (kufalikira) kumanja kapena kumanzere, ndipo ngati pali kutupa kwakatundu kwambiri, kumatha kumangirizika.

Kusungunuka ndi kuphatikizika kwa ndulu kumalumikizana ndi zowawa, munthu amamva kuwuma pamlomo wamkati, nseru, kupindika.

Kutentha ndi kuthamanga kwa magazi (BP)

Zinthu zikafika patali kwambiri, matenthedwe amatha kukwera, kuchuluka kwa kugunda kwa mtima kumawonjezeka, ndipo kuthamanga kwa magazi (kuthamanga kwa magazi) kumatha kugwa. Zizindikirozi zimaphatikizidwa ndi:

kukulira,
thukuta lamphamvu
mawonekedwe a khungu matenda: pallor, cyanosis pakhungu, nkhope yake imakhala yowoneka bwino.

Kutalika ndi kupweteka kwambiri

Mu chilonda chachikulu cha pancreatitis, ululu umatha kusakhazikika, osachokapo kwa nthawi yayitali, nthawi zina amakhala kwa maola ambiri kapena masiku.

Momwe ululu ululu umatha kuchepera ndikuyambiranso ndi nyonga yatsopano, kangapo patsiku. Zowawa zimatha kupitilira masiku awiri kapena kupitilira apo.

Ngati kutupa kumayamba, ululu umatha kudzidzimutsa m'chifuwa ndi malo a mtima. Izi ndikofunikira kuziganizira mukamazindikiritsa, popeza kuti kukayikira zabodza mwa wodwala ndikotheka.

Monga kupsinjika ndi kupsinjika kwa matenda owonjezera otupa, matenda monga:

chibayo
pulmonary edema,
chiwindi
exudative pleurisy (kudzikundikira kwa madzi am'mimbamo),
chotupa cha m'mapapo.

Zomwe zimayambitsa pancreatitis pachimake, zomwe zingayambitse kutupa, zimatha kukhala zilonda zam'mimba komanso zilonda zam'mimba, kuphwanya kwamatumbo microflora (dysbiosis), matenda a chiwindi, ndi cholecystitis.

Zizindikiro za chifuwa chachikulu

Zizindikiro za chifuwa chachikulu cha khansa chimatha kukhala chofanana ndi chibadwa cha kapamba, komabe ndiwofatsa, nthawi yayitali, wodwalayo amadandaula za kupweteka kosamveka. Zizindikirozi zimawonetsedwa bwino ndi kupezeka kwa matenda am'matumbo, monga, mwachitsanzo, cholecystitis, kupezeka kwa miyala mu ducts ya bile, flatulence, bloating, dysbiosis yamatumbo ndi matenda ena angapo. Matendawa amathanso kudzetsa matendawa, ndikuwamasulira nthawi yayitali.

Kutengera mitundu yosiyanasiyana ya chizindikiro, zizindikiritso zingapo za pancreatitis yayitali zimatha kusiyanitsidwa.

Zizindikiro za chifuwa chachikulu:

Ululu wamankhwala - kwa mitundu iyi, zizindikiro zomenyera ndizodziwika, nthawi zambiri mukatha kudya kapena kumwa mowa, kusapeza kumakhala kawirikawiri pamimba.
Asymptomatic (latent siteji) - matendawa amatha zaka zambiri pang'onopang'ono kuwononga kapamba, wodwalayo samamva chilichonse chosasangalatsa, kapena zimabweretsa zovuta zosavuta zomwe zimapereka zifukwa zingapo zosavuta, monga kudya kwambiri.
Mtundu wa pseudotumor - wosowa, mwa mawonekedwe onse ofanana ndi khansa. Zizindikiro za khansa ya pancreatic ndi jaundice wa thupi ndi sclera ya diso. Mutu wa kapamba umakhudzidwa. Imachulukana kukula chifukwa cha kusintha kwa minofu yake.
Dyspepsia imafotokozedwa ndi kukhumudwa m'mimba (dyspepsia), kutsekula m'mimba kapena kudzimbidwa, kutulutsa magazi, kuchepa thupi popanda chifukwa.

Chithandizo cha chifuwa chachikulu chimayamba ndi njira yodutsira wodwala, pamaziko a kusanthula ndi maphunziro a zomwe wodwala akudandaula komanso madandaulo ake. Chithandizo chiyenera kukhala chokwanira malinga ndi chithandizo chamankhwala, kadyedwe komanso moyo wathanzi, kusiya zizolowezi zoipa makamaka mowa.

Ndikofunika kuwonjezera njira yazakudya kwa pafupifupi milungu itatu. Suzi, kofi ndi tiyi ndizoletsedwa. Woopsa, kusala kudya kwa masiku atatu ndi chakudya cholimbitsa thupi kumayikidwa mapuloteni hydralizates ndi emulsions yamafuta, odwala amayikidwa m'mawodi osamalira kwambiri.

Pambuyo pokhazikitsa magawo a hemodynamic okhazikika ndikuletsa zovuta, titha kunena kuti zoyipitsitsa zimayambitsa wodwalayo. Vutolo likatha, amatha kupereka mankhwala opaleshoni, opaleshoni pogwiritsa ntchito laparoscopy, drainage. Ngati matendawa aphatikizidwa ndi njira zopatsirana, maantibayotiki amaikidwa.

Mankhwala ochizira kapamba

Mankhwala ochepetsa mphamvu ya kutupa ndi mapiritsi amagwiritsidwa ntchito kwambiri pancreatitis:

papaverine hydrochloride,
palibe-shpa
fenicaberan

Subatyane: platyphyllin hydrotartrate kapena gastrocepin mkati.

Kuphatikiza pa kukonzekera kwa enzyme:

Chiboni
mbawala
madyerero
Chimbudzi, mankhwala ena amagwiritsidwa ntchito pochiza.

Kuti muchepetse ntchito ya michere ya pancreatic, kallikrein-proteinase inhibitors, omwe ndi gawo la zosakaniza za "lytic", adalembedwa:

"Trasilol" (50-100 mayunitsi.),
"Contrakal" (magulu 20,000),
Gordoks (mayunitsi 50-100).

Kukonzekera kwa calcium, mankhwala a choleretic, sedative, enveloping mankhwala. Mankhwala ena amatha kukhala moyo wonse. Pa chithandizo, ndikofunikira kutsatira zakudya, kusiya mowa ndi kusuta, ndikukhala ndi moyo wathanzi.

Mowa Pancreatitis

Zizindikiro za mowa pancreatitis zimatchulidwa kwambiri mutangodya zakudya zonunkhira kapena zowawasa, mwachitsanzo, kudya zipatso za acidic, masamba osapsa, ndi zina zambiri. Ngakhale zochulukirapo, zizindikirazo sizikhala ndi chizindikiro chilichonse. Mawonetseredwe azachipatala ali ofanana ndi kutupa kwina komwe kumayamba chifukwa chodalira mowa. Chithandizo chimakhala kukana mowa, kudwala kwa matendawa ndikosakhala bwino, ngakhale mwa anthu omwe adasiya mowa omwe akhala zaka 10 ndikupitilira kapena osakwana theka apezeka ndi mawonekedwe amowa.

Kumayambiriro kwa matendawa kumatha kudzimbidwa, ndimatenda a kutuluka kwa timadzi ta bile (hypomotor dyskinesia of the ducts of bile) komanso kuphwanya kayendedwe ka ndowe mu colon (mota ntchito yamatumbo akulu). Kupitilira apo, kutsegula m'mimba kumatha kuphatikizidwa ndikusintha kwa kudzimbidwa komanso mosinthanitsa. Pali kusweka kwathunthu kwa chimbudzi chachilengedwe. Kutsekula m'mimba ndi chizindikiro chodziwika bwino cha mankhwala osokoneza bongo. Mowa wa mawonekedwe osatha umayambitsa kuphwanya kwa kutuluka kwamadzi mu zikondamoyo, kuwonongeka kwa poizoni mu zinthu zomwe ziwonongeka chifukwa cha mowa, Mowa. Izi zimayambitsa njira zosasinthika mu ndulu yakey yake, kuwonongeka kwa minofu yake. Mowa umapha kapamba.

Mowa umatha kuganiziridwa kuti ndi chimodzi mwazifukwa zazikulu pamene zizindikiro zikuwoneka mwa abambo. Mowa umawononga thupi ndi zinthu zake zopangidwa ndi mankhwala. Zotsatira zake, mapangidwe (secretion) a mapuloteni mu kapamba amawonjezereka, m'chiwindi kupanga kwa bile m'mimba ya hydrochloric acid. Ndi kuchuluka kwa gastric acid mu duodenum, kupanga kwa cholecystokinin yamafuta kumachulukitsa kakhumi.

Zonsezi zimaphwanya chizolowezi chabwinobwino, timatsekeka ndimakunguti timapangidwa, timene timapangitsa kuti madzi azikhala phula la pancreatic mu duodenum. Kupanikizika kumachulukanso, ma enzymes ake (phospholipase, pepsin, elastazin, chymotrypsin agent) amalowa m'maselo a chiwaloacho.

Izi zimadzetsa kuwonongeka kwa chithokomiro pachokha chifukwa cha chimbudzi cha chimbudzi chokha komanso kufa kwa maselo, chifukwa palibe china choti chitha kugaya pamenepo. Izi zimatchedwa minofu necrosis. Kuwonongeka kwa maselo kumabweretsa kutulutsidwa kwa maselo a serotonin ndipo motero kutupa kumachulukanso.

Kukhalapo kwa njirazi kumadzetsa moyo pachiwopsezo ndipo kumafuna chisamaliro chamankhwala, ndizosatheka kuti mukhale nokha. M'miyezi yoyambirira, zizindikirazi zimawoneka ngati zizindikiro za colic biliary:

kusanza bile
kupweteka m'mbali yakumanja, kubwezera.

Cholangiogenic kapamba

Ndi cholangiogenic, ndi kutupa kwa kapamba am'mimba omwe amapezeka chifukwa cha miyala. Zizindikiro za cholangiogenic zimapezeka mukatha kudya, mukafunikira kukulitsa michere ya chimbudzi chake, makamaka choleretic. Kupanga kwa ma enzymes a choleretic ndikofunikira kuti chimbudzi chamafuta achulukidwe mwanjira ya zakudya yokazinga, pokonzekera mapuloteni, ma acid: alkaloids, sanguinarine, protopine, mafuta ofunikira. Chithandizo chimachitika pogwiritsa ntchito opaleshoni pa ducts ya bile, yotchedwa cholecystectomy.

Matenda a cholecystitis ndi kapamba ali ndi zofananira.Matenda amatha kupatsana wina ndi mnzake kufupi ndi kufupi kwa ziwalo komanso mgwirizano wamagulu awo. Nthawi zina matendawa amaphatikizidwa ndikupanga dzina limodzi. cholecystopancreatitis. Zomwe zimayambitsa matendawa ndizofanana ndipo zitha kuti cholecystitis imayambitsa kutupa kwa kapamba ndi mosemphanitsa. Mwachitsanzo, pamene chinsinsi chalowa mu duct ya bile, ndulu imayatsidwa. Kukhalapo kwa cholecystitis nthawi zambiri kumayambitsa matenda. Kuchiza kuyenera kubwezeretsanso magwiridwe antchito a ziwalozi, kukonza "duet".

Reactive Pancreatitis

Reactive pancreatitis ndi zizindikiro zake zimayambitsidwa, choyambirira, kuperewera kwa zakudya m'thupi, kugwiritsa ntchito mankhwala osokoneza bongo komanso osapatsa thanzi, matenda okhudzana ndi kugaya chakudya:

cholecystitis
ma gallstones
gastritis yamitundu yonse
zizolowezi zoipa, mowa, kusuta
chakudya chopanda pake
mankhwala omwe mumadzipangira nokha komanso uchi osasamala. kukonzekera

Zizindikiro zake ndizofanana ndi pancreatitis pachimake ndipo akupanganso mwachangu. Nthawi zambiri izi ndi zakudya ndi zakumwa zomwe zimakwiyitsa gland. Odwala ambiri omwe ali ndi pancreatitis yogwira ntchito ndi ana, komanso achikulire omwe amamwa mowa kwambiri.

Ntchito Yamafukufuku

Mwazi wa shuga wamagazi mwa akazi umatengera zochitika zina.

Zizindikiro zama gluu m'thupi la akazi zimakhudzidwa makamaka ndi kusintha kwa mayendedwe a mahomoni ndi kuperewera kwa zakudya m'thupi.

Kuphatikiza pazomwe tafotokozazi, mutha kupatsanso dzina:

zinthu zomwe zimapanikizika
kusuta fodya komanso mowa
onenepa kwambiri
zolimbitsa thupi.

Akuluakulu, pakhoza kusintha pamndandanda wamagulu a shuga pamatenda:

zodabwisa
chithokomiro
gren adrenal.

Zimachitikanso ndimatenda a chiwindi, onenepa kwambiri komanso pakati. Kwa anthu omwe ali ndi vuto lolephera, kuyeza shuga m'magazi kumawerengedwa kuti ndiwo mayeso akuluakulu kukhazikitsa matenda ashuga.

Ngati shuga ali ndi hyperglycemia, yomwe imakhala ndi zomwe imayambitsa. Makamaka, izi zimadziwika mu matenda a mahomoni:

Cushing's syndrome
gigantism
pheochromocytoma,
thyrotoxicosis,
acromegaly
somatostatinoma.

Hyperglycemia imawonedwanso ndimatenda a kapamba:

kapamba
cystic fibrosis,
hemochromatosis,
zotupa zapachifuwa.

Mchitidwe wamagulu a shuga umakwera, ngati pali:

ntchito kwa chiwindi ndi impso,
Mikwingwirima, mtima,
kugwiritsa ntchito mankhwala okhala ndi khofi, estrogen, thiazide,
ndi ma antibodies kuma insulin receptors,
nkhawa ndi nkhawa,
kusuta fodya komanso kumwa mowa mwauchidakwa,
jakisoni wa adrenaline.

Oposa 40% ya anthu onse omwe ali ndi glucose ochulukirapo magazi akuvutika ndi kapamba.

Ngati kuchuluka kwa shuga m'magazi mwa akazi ndikochepa, titha kulankhula za hypoglycemia. Zoyambitsa zazikulu zamikhalidweyi ndi:

kuphwanya mayamwidwe a michere, kusala kudya kwanthawi yayitali,
kusowa kwa glucagon, adenoma, hyperplasia, insulinoma,
matenda am'mimba, carcinoma, hematitis,
matenda oncological
adrenogenital syndrome, matenda a Addison, hypopituitarism,
mawonekedwe osakhala a pancreatic,
kudziwiratu kwa mayi,
insulin
kuledzera ndi chloroform, arsenic, antihistamines,
malungo
poyizoni wa mowa
kumwa amphetamine ndi propranolol,
kuchuluka kwambiri.

Zomwe zimapangitsa kudziwa ma shuga

Kuti mupeze cholinga, mayesero azachipatala amafunikira nthawi zambiri. Mothandizidwa ndi njira zofufuzira za labotale, ndikotheka kutenga miyezo ya shuga ya magazi, chifukwa amatenga magazi kuchokera pachala.

Kutsimikiza kwa shuga m'magazi mwa anthu kumachitika pambuyo pa chakudya kapena pamimba yopanda kanthu. Zotsatira zimathandiza kukhala ndi tebulo lapadera. Palinso njira yakunyumba yodziwira kuchuluka kwa shuga mthupi, tikulankhula za glucometer ya chipangizocho. Iyi ndi njira yosavuta yofufuzira, zomwe zimayesedwa ndiye kuyerekezera ndi zomwe ndizovomerezeka shuga.

Zolakwika zimatha kuchitika pakusanthula ngati mpweya umalumikizana ndi malo ozindikira a mizere yoyeserera. Pamene chubu la chipangizocho silitsekedwe kwathunthu, kupangidwako kwa mankhwala kumabweretsa zosokoneza zotsatira zake, ndipo kafukufuku wotereyu sakhala wodalirika.

Mutha kuwerenganso zam'mimba zopanda kanthu. Zida zimatengedwa m'mawa pakati pa maola 9-11. Anthu sayenera kudya chakudya maola 10 njira isanachitike.

Ndi zoletsedwa kumwa mowa madzulo mchitidwe usanachitike.

Miyezo ya Amayi Aakulu

Thupi limafunikira kuchuluka kwa glucose kuti likhale ndi mphamvu. Ngati voliyumu yake imakhala yocheperako kapena yocheperako, ndiye kuti izi zimayambitsa matenda osiyanasiyana, makamaka matenda a shuga.

Chifukwa chake, ndikofunikira kudziwa miyezo ya shuga yamagazi mwa akazi, ndikuyerekeza ndi zomwe zikuwoneka pano. Zimavomerezeka kuti mulingo wabwinobwino wamagazi m'magulu akuluakulu pamimba yopanda kanthu kuchokera pa 3.3 mpaka 5.5 mmol / L.

Akuluakulu azaka zopitilira 50, shuga azikhala okwera pang'ono. Miyezi yovomerezeka ya shuga wofika mpaka zaka 50 ali mgulu la 3.3 - 5.5 mmol / L. Kupitilira apo, mulingo wabwinoko mumadontho / l:

Zaka 51 - zaka 60: 3.8 - 5.8,
Zaka 61 - zaka 90: 4.1 - 6.2,
kuyambira 91 zaka 4,5 - 6,9.

Muyenera kudziwa komanso kuchuluka kwa shuga m'magazi mwa amuna pambuyo pa zaka 60. Zomwe zimachitika pena moles: L ndi izi:

kusala magazi kuyambira chala m'mawa: 5.50-6.00,
Mphindi 60 mutadya: 6.20-7.70,
Patatha mphindi 120 mutadya: 6.20-6.78,
muyezo wamagulu a shuga mwa amuna 5 mutatha kudya ndi 4.40-6.20.

Zizindikiro zakuchuluka kwa shuga

Akuluakulu shuga kuchuluka kwa shuga kumabweretsa mtima. Kuwala kwawo kutayika, ndipo amachedwa.

Mitsempha yamagazi ikapangika, khoma la chotchinga limaphulika ndikuyamba kutulutsa magazi mkati.

Pamaso pa chizindikiritso m'magazi pamwamba pazonse, zizindikiro zotsatirazi zimawonekera:

ludzu lalikulu
khungu lowuma
kukodza pafupipafupi chifukwa chakumwa pafupipafupi komanso kuyamwa kwa makhoma a chikhodzodzo ndi mkodzo wokoma,
kugona ndi kuchepa mphamvu chifukwa chakuyenda bwino kwa magazi.

Shuga wambiri ndi amene amachititsa njira zingapo zoyipa:

Kukula kwa magazi. Madzi ochepa osagwira amayenda mozungulira thupi, chifukwa chake ndikuphwanya kwa magazi. Zotsatira zake, thrombosis imachitika, ndipo thrombi amawoneka m'matumba ang'onoang'ono.
Mwazi wamagazi umasokoneza magazi m'magulu osiyanasiyana. Nthawi yomweyo, maselo samalandira zakudya zofunikira, motero zinthu zapoizoni zimadziunjikira. Kutupa kumapangidwa, mabala amapola pang'onopang'ono, ndipo ntchito ya ziwalo zonse imasokonezedwanso.
Kusowa kwa okosijeni kumayambitsa kusokonezeka kwa maselo aubongo.
Mtima pathologies amapangidwa.
Kusintha kwachidziwikire impso kumayamba.

Munthu akakhala ndi zizindikirozi, ndizofunikira kukayezetsa shuga omwe ali m'thupi, chifukwa izi zitha kuwonetsa kukhalapo kwa matenda ashuga. Kutengera ndi zotsatira zake, adotolo amawerengera za chithandizo chofunikira.

Mlingo wabwinobwino wa akazi mu akazi sayenera kusinthika, koma muyenera kudziwa chomwe chizowonetsa chimakhala chamakono.

Izi ndizofunikira makamaka pazaka 40-50, pomwe kukonzanso kwakukulu kwa mahomoni kumayamba.

Zizindikiro zakunyumba zowopsa

Insulin ndi mahomoni apamba. Ngati shuga ikukula, ndiye kuti thupi limakulitsa kupanga insulin.

Ngati kuchuluka kwa glucose m'magazi kumadziunjikira, ndiye kuti matenda a shuga amayamba pakapita nthawi. Ubongo umatha kuyamba kugwiritsa ntchito shuga ochulukirapo kuti uthetse mafuta ochulukirapo.

Popita nthawi, shuga amayamba m'chiwindi, zomwe zimakhumudwitsa matenda a shuga. Vutoli limakhala lowopsa chifukwa chakuti chinthu chochuluka chimayamba kuyanjana ndi khungu collagen, chofunikira kuti pakhale kutanuka komanso kusalala. Collagen imawonongeka pang'onopang'ono, zomwe zimapangitsa kuti pakhale mawonekedwe akuya, otumphukira mu akazi azaka 60.

Kukula kwa shuga nthawi zambiri kumayambitsa kusowa kwa vitamini B, komwe kumayambitsa matenda achikazi. Zinthu zophatikiza ndi mavitamini sizimakhudzidwa mokwanira ndi thupi mu shuga. Kuchuluka kwa shuga kumapangitsa kuti michere isavutike, ndikuvutika:

Matenda a shuga amachepetsa chitetezo cha mthupi, motero munthu amatha kutenga kachilomboka chifukwa thupi limataya chitetezo chake.

Kwa atsikana, komanso kwa abambo, kuchuluka kwa shuga m'magazi kumachitika kawirikawiri. Za mtundu wanji wa shuga wamagazi omwe muyenera kudziwa osalephera.

Kupewera matendawa kumaphatikizapo masewera komanso njira yochizira, yomwe imayenera kutsatira nthawi zonse.

Kugwirizana kwa shuga ndi glycated hemoglobin

Glycated hemoglobin ndi gawo limodzi lofunika la hemoglobin. Masewera a glucose ochulukirapo, ndiye hemoglobin yambiri. Pamaso pa matenda a shuga, adokotala amafufuza kuchuluka kwa hemoglobin ya glycated. Glycated hemoglobin assay ndi yodalirika, yomwe imaposa mayeso a shuga.

Palibe kusiyana kwa msana mu hemoglobin ya glycated. Dotolo, pakuwona zosinthazo, amasankha kuti ndi mankhwala ati omwe amafunikira chithandizo komanso nthawi yayitali bwanji.

Ubwino wa mayeso ndikuwonetsetsa kuti cheke chimatha kukhalabe kwa nthawi yayitali bwanji popanda chakudya. Kuchita masewera olimbitsa thupi amathanso kuchitika, komwe sikungakhudze kudalirika kwa zotsatira.

Ma hemoglobin amtunduwu sakhudzidwa ndi:

chimfine
kutupa
nkhawa.

Chifukwa cha kafukufuku wokhudza kuchuluka kwa hemoglobin yotere, matenda a shuga amatha kupezeka kale. Phunziro lotere ndilodula pang'ono kuposa mayeso a shuga ndipo limafuna zida zapadera.

Dr. Bernstein amalankhula za kuchuluka kwamatenda a glycemic mu kanema munkhaniyi.

Kodi shuga ndimagazi yanji?

Glucose (shuga) - ndiofunikira m'thupi la munthu. Inde, masiku ano, anthu amakhala "mopitilira muyeso". Kuti muchite chilichonse, mumafunikira mphamvu zambiri. Ndikosavuta kuti? Zachidziwikire, kuchokera ku shuga.

Mlingo wa shuga mthupi la munthu umayezedwa m'mamilimita. Ngati zizindikirozo ndizabwinobwino, ichi ndi chitsimikizo kuti ziwalo zamkati zimagwira bwino ntchito, popanda kusintha kwa ma pathological.

Kugawa shuga kwamwazi kumadalira kapamba ndi insulini yomwe amapanga. Ndiye amene amayang'anira kuchuluka kwa shuga mumthupi.

Kodi zikuyenda bwanji? Kugwiritsa ntchito zigawo zamahomoni, maselo amapanga shuga ndikusintha kukhala mphamvu. Ngati glucose sikokwanira, thupi limakumana ndi nkhawa kwambiri, izi zimatha kuchititsa kuti musakhale ndi chikumbumtima, chizungulire, migraine.

Ali ndi zaka 60, azimayi amayenera kudziwa momwe matenda a shuga amawonekera, yemwe ali mgululi ...

Kufunika kwa shuga m'magazi sikungapepukidwe. Amayi ambiri, kuyesera kuti achepetse thupi, kupatula mafuta omwe amakhala ndi zovuta ma carbohydrate, fructose, glucose, ndi sucrose pazakudya zawo. Izi sizingachitike, apo ayi chikhalidwe chazachipatala chidzaipa kwambiri.

Muyezo wa shuga akazi pambuyo makumi asanu ndi limodzi

Mulingo wa shuga m'magazi a mkazi pambuyo pa zaka 60 umachokera ku 4.1-6.2 mmol / l. Ndikofunikira kudziwa komwe mpanda unachokera:

Magazi ochokera mu mtsempha. Kukula kwake ndi 5-6.2 mmol / l. Kusinthasintha kakang'ono m'munsi kapena pansi ndikololedwa. Potere, adotolo amafufuza kuwunikiranso kwachiwiri ndikuyang'ana zomwe zikuwonetsa zikuwonetsa kuyeserera. Ma mfundo pamwambapa 7.0 mmol / L akuwonetsa kuti mzimayi ali ndi matenda a shuga.
Mwazi kuchokera pachala. Kukula kwake ndi 3.3-55 mmol / l. Mitu yofunikira mpaka 6.0 mmol / L ndiyopikisana. Kusanthula kumapangidwanso, magazi a venous amatha kutengedwa. Ngati chizindikirocho chili pamwamba pa 6.1 mmol / l, mayiyo amapezeka ndi matenda a shuga, insulin imayikidwa.

Kuti kusanthula shuga m'magazi kukhala kothandiza, muyenera kutsatira izi:

Masiku 2-3 musanapereke magazi, simungamwe mowa,
kukana mankhwala omwe angakhudze kuchuluka kwa shuga m'magazi,
ngati ndi kotheka, sinthani zolimbitsa thupi ndi nkhawa,
muyenera kukonzekera pamimba yopanda kanthu, mumaloledwa kumwa madzi 8-10 maola musanatsimikizidwe,
musasute (osachepera maola 6).

Chizungulire pazachipatala amatchedwa "vertigo syndrome." Zizindikiro - kusokonezeka kwakanthawi mu ...

Potsatira malamulo achinyengo awa, simungadandaule za kulondola kwa shuga m'magazi azaka zopitilira 60.

Zomwe zimayambira ndikupatuka pamulingo kuchokera pazomwe zikuchitika

Kuchuluka kwa shuga m'thupi kumatha kusinthasintha. Ngati shuga wapamwamba kapena wocheperako, zosintha zotsatirazi zimachitika:

mwayi wokhala ndi matenda a shuga ndi kunenepa kwambiri ukuwonjezeka,
zosokoneza mu ntchito ya mtima
chitetezo chokwanira chikuchepa, ma virus ndi mabakiteriya amawoneka ndi kusakhazikika kosakhazikika,
chromium akusowa mu thupi,
kukalamba kumayamba mwadzidzidzi: makwinya akuya amawonekera, kamvekedwe ka khungu limasintha.

Ngati shuga wambiri kuposa momwe zimakhalira, mkazi amamva kutopa kwambiri, pakamwa pouma. Madokotala amachitcha izi hyperglycemia. Zomwe zimayambitsa zimatha kukhala zakuthupi kapena za chilengedwe.

Matenda omwe amalimbikitsa shuga:

Mavuto a chithokomiro. Pankhaniyi, kulephera kwa mahomoni kumachitika, maselo alibe nthawi yosintha shuga ndikuisintha kukhala mphamvu.
Matenda a kapamba: kapamba, hemochromatosis.
Matenda a chiwindi ndi impso.
Stroke, vuto la mtima, matenda oopsa.

Madokotala amazindikiranso zifukwa zingapo zathupi:

Kusuta.
Mowa.
Kutopa, zolimbitsa thupi.
Kupanikizika kosalekeza, kukhumudwa.
Kumwa mankhwala a caffeine komanso adrenaline.

Mkazi aliyense pambuyo pa zaka 60 amayenera kuwunika kuchuluka kwa shuga m'magazi ndikuyesedwa pafupipafupi. Osadandaula ngati chaka chilichonse zizindikirozo zimawonjezeka pang'ono. Akatswiri amalingalira izi ngati zofunikira, akumafotokoza kuti thupi likukalamba, njira zikuchepa.

Kuchepa kwa shuga kumatchedwa hypoglycemia. Zifukwa zake ndi izi:

Zakudya zokhazikika, kusala, kudya.
Kuphwanya njira za mayamwidwe michere.
Matenda a kapamba.
Oncology.
Cirrhosis, hepatitis.
Matenda a Endocrine.
Khalidweli.
Kuledzera.
Kutenga ma steroid.
Kuchita zolimbitsa thupi mwamphamvu.

Ngati shuga amatsitsidwa, njira zonse mthupi zimachepa. Munthu amakhala ndi kufooka, kutopa, kusowa chidwi.

Zizindikiro Zokwera Kwambiri

Zizindikiro zotsatirazi zitha kuwonetsa kuchuluka kwa shuga m'thupi la mkazi:

Ludzu lalikulu. Mkazi amakhala ndi ludzu pafupipafupi. M ludzu sutha ngakhale mutamwa madzi ambiri. Chizindikiro chimatchulidwa makamaka usiku.
Kulemera kwa thupi. Mkaziyo amayamba kunenepa kwambiri.
Khungu loyera lilipo. Pankhaniyi, khungu limakhala loyera, lopanda zotupa ndi zilonda.
Kutupa kwakukulu kumawonekera.
Kupuma pang'ono. Dona sangakwere yekha masitepe.
Thukuta thukuta.
Kuchulukitsa chilakolako. Ndimafuna kudya chilichonse chokoma.
Kuchulukitsa pokodza.
Zowonongeka.

Kodi chiwopsezo cha shuga wambiri ndi chiyani?

Ndikofunikira kuti mayi wokalamba aletse kuchuluka kwa shuga m'magazi. Izi zimatha kudzetsa mavuto amtima wamagazi, kugwidwa ndi mtima komanso kuwonongeka kwa mtima. Pambuyo pazaka 60, ndizovuta kwambiri kupirira zovuta zotere, nthawi zambiri anthu amakhalabe olumala.

Chizindikiro chimodzi chofunikira kwambiri chokhala ndi thanzi la cholesterol, chochuluka mwa akazi pambuyo pa 60 ...

Insulin ndi mahomoni apamba.Pakakhala kufupika kwake, shuga ochulukitsa amadziunjikira m'thupi, njira zosayenerana zimachitika, ndipo shuga imayamba.

Nthawi zambiri ubongo umalowa munjira, shuga umayikidwa m'chiwindi, ndipo gawo lofunikira ili limakhala lotupa. Ndi matenda awa, opaleshoni ndiyofunikira.

Shuga amathanso kuyamba kuyanjana ndi collagen, yomwe imayang'anira kutanuka ndi kukongola kwa khungu. Mkaziyo amayamba kukalamba kwambiri, makwinya ozama amawonekera.

Tiyenera kukumbukira kuti ndi matenda ashuga, thupi silimamwa michere ndi mavitamini ofunika kwambiri kwa amayi mu ukalamba.

Glucose amawononga chitetezo cha mthupi, mzimayi nthawi zambiri amayamba kudwala, thupi limalimbana mwamphamvu ndi ma bacteria komanso ma virus.

Ndiye chifukwa chake muukalamba ndikofunikira kuti mulamulire kuchuluka kwa shuga, kuti muchepetse kuchuluka kwake.

Malingaliro a madotolo

Madokotala ati pakati pa azimayi pali omwe ali ndi chiopsezo chachikulu cha "kulandira" matenda a shuga atakalamba. Zina mwa izo ndi:

matenda oopsa
azimayi omwe ali onenepa kwambiri
odwala atherosulinosis,
azimayi omwe m'mabanja awo anali abale a shuga

Odwala oterewa amalimbikitsidwa kuti azichita kuyezetsa magazi kawiri pachaka. Komanso musaiwale za njira zodzitetezera:

Zolimbitsa thupi zolimbitsa thupi.
Kupsinjika pang'ono.
Menyu yopangidwa moyenera.
Kuperewera kwamphamvu zakudya ndi njala.

Ndikofunika kuti anthu okalamba afunefune chithandizo chamankhwala posinthira momwe alili. Kuwonjezeka kwa shuga m'magazi kwa amayi opitilira 60 kumachitika kawirikawiri. Ndikofunikira kwambiri kuzindikira matenda ashuga koyambirira, kupewa mavuto.

Kumbukirani, matenda awa ndi ovuta kuchiza. Chifukwa chake, popanda thandizo la dokotala, siligwira ntchito.