Momwe mungalimbane ndi chimfine ndi matenda ashuga

Munthu yemwe ali ndi matenda a shuga amatha kupezeka pafupipafupi ndimatenda osiyanasiyana, chifukwa cha kuchepa kwa chitetezo chathupi. Nkhaniyi ifotokoza mutu wofunikira - maantibayotiki a matenda ashuga, omwe angakuwuzeni momwe mankhwalawa amafunikira, momwe amakhudzira matenda omwe amayambitsidwa ndi mankhwala omwe amayenera kulembedwa.

Kuthana ndi Matenda A shuga

Munthu yemwe ali ndi matenda a shuga, komanso anti-shuga, ayenera kumwa njira za prophylactic pafupipafupi kuti athane ndi matenda opatsirana ndi kachilombo komanso matenda opatsirana. Thupi, chifukwa cha katundu wolemera, limasiya kulimbana ndi tizilombo tating'onoting'ono tambiri, matenda ambiri samadutsa.

Nthawi zambiri, chithandizo sichingachite popanda kumwa maantibayotiki. Mankhwalawa amathandizidwa ndi adokotala okha, ndizoletsedwa kuti muziyambitsa nokha thanzi lanu.

Za mulingo wa shuga ndi zina

Chifukwa chake, popeza ngakhale kuzizira kwambiri koyamba komwe kumayambitsa kuzizira kumatha kuyambitsa zovuta, malamulo ena ayenera kutsatiridwa. Makamaka, chithandizo choyenera chimaphatikizapo kuyang'anira kuchuluka kwa shuga m'magazi. Ziri pafupi kuyeza chizindikiro ichi maola onse atatu kapena anayi.

Ngati chimfine cha matenda ashuga chikuyenda ndi kuchuluka kwa shuga, ndiye kuti muyenera kuchigwiritsa ntchito, onetsetsani kuti mumamwa pang'ono:

• madzi
• shuga wopanda ginger wodula bwino.

Nthawi zonse ndikofunikira kuwongolera zakudya ndi zakumwa zomwe zimamwa kuwonjezera pa zakudya zomwe zili ndi shuga. Izi zipangitsa kuti zitsimikizire momwe katundu ndi zakumwa zomwe zimagwiritsidwa ntchito zimakhudzira thupi la munthu. Monga gawo la matendawa, thupi laumunthu limapanga pang'onopang'ono ndikupanga insulin. Izi zimatsogolera ku hyperglycemia.

Nkhondo yolimbana ndi mankhwalawo ndikuthandizira thupi liyenera kuyang'aniridwa ndi katswiri.

Pafupifupi nthawi zonse pamafunika majakisoni apadera a insulin, omwe amaperekedwa mochulukirapo. Izi sizingakhale zazifupi zokha, komanso kukonzekera kwa ultrashort. Amalimbikitsidwa kuti azichita maola atatu mpaka anayi alionse.

Pazakudya za chimfine ndi matenda ashuga

Ndikofunika kukumbukira kuti madigiri onse a kutentha pambuyo pa 37,5 amafunika kuwonjezera kuchuluka kwa mahomoni ndi 20-25%. Pokhapokha pokhapokha, chimfine komanso matenda a shuga omwe akukulidwa ndi omwe adzayimitsidwa.

Pazinthu za boma

Kuzizira komwe kumakhala ndi matenda a shuga a mtundu woyamba ndi wachiwiri ali ndi mawonekedwe ake. Kodi ndi chiyani kwenikweni? Choyamba, kuti potengera kuzizira wamba, koyambirira, munthu sangamve njala. Komabe, ndikofunikira kwambiri kudya china chake - chipangitsa kuti mankhwalawo akhale achangu komanso olondola. Wodwala matenda ashuga amatha kusankha zakudya malinga ndi zakudya zomwe amadwala matenda ashuga.

Pa kutentha kwambiri, kusanza, kapena kukhumudwa m'mimba, kapu imodzi yamadzimadzi imayenera kumwa nthawi iliyonse. Pankhaniyi, ndibwino kumwa madzi ndikuwachita mu magawo ang'onoang'ono kwa ola limodzi. Pofuna kusintha, ndikololedwa kudya zosaposa 15 magalamu a chakudya pakatha mphindi 60 zilizonse:

1. theka chikho cha mbewu monga chimanga ndi zipatso za chilengedwe
2. zipatso zochepa.

Chifukwa chake, mankhwalawo adzakhala athunthu, koma bwanji za mankhwalawo omwe amagwiritsidwa ntchito?

Kodi ndizotheka kuchiritsa matenda ashuga?

Mankhwala ena a OTC ndiwofunikanso kwa odwala matenda ashuga. Komabe, ndikofunikira kuwonetsetsa kuti zakudya zomwe zili ndi shuga wambiri sizigwiritsidwa ntchito. Tikuyankhula za madzi aku chifuwa, chimfine, mapapo apapo, zotupa za pakhosi ndi ena ambiri. Kupatula zosowa, zimaphatikizapo shuga wambiri, ndipo sizingakhale zoyenera kuzizira zodwala. Chifukwa chake, ndikofunikira kuphunzira mosamala mndandanda wazigawo za mankhwalawo kuti mudziwe ngati mulimo shuga.

Ngati mukukayikira, muyenera kufunsa katswiri kuti chithandizo chithandizire. Kuphatikiza apo, chimfine ndi matenda ashuga atatsatana ndikutsagana, kuphatikiza, ndi kuthamanga kwa magazi, kugwiritsa ntchito mankhwala monga decongestants kuyenera kupewedwa.

Izi ndichifukwa zimatha kuwonjezera kuthamanga kwa magazi kwa munthu wodwala matenda ashuga kwambiri.

Nthawi yomwe wodwala matenda ashuga amakhala ndi zizindikiro monga:

• kupuma movutikira
• kupweteka pachifuwa
• fungo labwino la acetone kuchokera pamlomo wamkamwa,
• kutsegula m'mimba ndi kusanza kwa maola opitilira 6,

komanso palibe kusintha kwa thanzi pambuyo masiku awiri, ndikulimbikitsidwa kuyimba ambulansi.

Kupewa matenda ozizira ndi njira yofunika kuchira

Momwemonso, pamene mayesowa akuwonetsa kuchuluka kwa matupi a ketone mu mkodzo, ndi kuchuluka kwa glucose pambuyo pazotsatira zitatu zotsatilazi amakhalabe okwera (oposa 13.9 mmol pa lita imodzi) kapena otsika (osakwana 3.3 mmol pa lita), muyenera kulumikizana ndi katswiri .

About Kuteteza

Monga mukudziwa, kulandira chithandizo mosavutikira sikumapereka zotsatira 100%, ndichifukwa chake ndikofunikira kwambiri. Chifukwa chake, kusamalira mosamala malamulo onse aukhondo wa munthu payekha kudzapangitsa kupewa matenda omwe angatengeke ndi njira yopumira. Koma kusamba m'manja pafupipafupi komanso mosachepera kungapangitse kuti kuteteza kukule komanso kuchuluka kwa matenda ozizira, osati ndi matenda a shuga okha, komanso popanda iwo.

Ndikofunika kukumbukira kuti palibe katemera motsutsana ndi chimfine chomwe chimapezeka chifukwa cha matenda omwe afotokozedwawo. Komabe, tikulimbikitsidwa kukambirana ndi katswiri za mwayi wogwiritsa ntchito katemera wa fuluwenza. Izi zikuyenera kuchitika, pokhapokha ngati zingapangitse kupsinjika kwa thupi komanso kusokoneza kukonzanso kwa shuga m'magazi.

Inde, muyenera kukumbukira kuchuluka kwa zochita zolimbitsa thupi, kumwa mankhwala onse ofunikira komanso ololedwa, kuwunikira kuchuluka kwa shuga ndi zakudya zovomerezeka. Pokhapokha ngati mutero, mutha kudalira kuti kuzizira kokhala ndi matenda ashuga kudzadutsa msanga komanso popanda zovuta.

Maantibayotiki amtundu wa shuga wachiwiri: mungamwe chiyani ndi chimfine?

Matenda opatsirana amafala kwambiri mwa anthu omwe ali ndi matenda ashuga. M'pofunika kuchita nawo mankhwala antimicrobial munthawi yake kuti athetse matenda. Anthu ambiri ali ndi chidwi ndi zomwe maantibayotiki amawonetsa kuti angagwiritse ntchito matenda ashuga.

Ziyenera kufotokozedwa kuti kugwiritsa ntchito gululi la mankhwala kuyenera kuyang'aniridwa ndi dokotala komanso chilolezo chake. Kuwonjezeka kwa shuga m'magazi kumasintha njira yokhazikika ya kagayidwe. Nthawi zambiri, maantibayotiki omwe amagwiritsidwa ntchito poyambitsa matenda ashuga amawonetsa zotsatira zosayembekezeka mthupi.

Kugwiritsa ntchito maantibayotiki kungayambitse zotsatira zoyipa. Chifukwa chake, ndikofunikira kudziwa kuti ndi mankhwala ati omwe ayenera kuthana ndi matendawa, kuti achulukitse shuga.

Pali mitundu ingapo ya matenda ashuga. Mtundu woyamba wamatenda umagwirizanitsidwa ndi kuchepa kwa insulin, kuchuluka kosakwanira kumapangidwa. Matenda a shuga a Type 1 amalembetsedwa mu 10-15% ya odwala.

Zikondamoyo zomwe zili ndi matendawa sizigwirizana ndi ntchito yake, kuchuluka kwa mahomoni ophatikizidwa sikumapanga kuchuluka kwa glucose komwe kumabwera, ndipo shuga yamagazi imachuluka. Matenda a shuga amtunduwu amafuna insulin.

Ndi mtundu 2 wa matenda ashuga, insulin yokwanira imapangidwa m'thupi, nthawi zina kuposa yoperewera. Komabe, timadzi tambiri timakhala topanda ntchito, chifukwa minyewa yathupi yake imasiya kuiwala.

Ngati pali mtundu wachiwiri wa matenda, ndiye kuti insulin imagwiritsidwa ntchito kawirikawiri, pokhapokha ngati pali zovuta zovuta ndi zovuta zina za mankhwala.

Kuphatikiza apo, pali "matenda abwinobwino a shuga", omwe angatsimikizidwe kokha pogwiritsa ntchito kusanthula kwapadera. Izi zimachitika:

1. kunenepa
2. cholowa cholakwika
3. onenepa kwambiri pakubadwa (kuchokera ku 4 kg kapena kupitilira).

Kuyanjana kwa maantibayotiki ndi thupi la odwala matenda ashuga

Matenda a shuga ndi maantibayotiki amatha kugwira ntchito bwino, koma musanagwiritse ntchito mankhwala osokoneza bongo, muyenera kuphunzira zoopsa zonse zomwe zimachitika nthawi zambiri.

Kugwiritsa ntchito mankhwala osokoneza bongo sikulimbikitsidwa:

• matenda owonjezeredwa
• ukalamba
• amapezeka mochedwa zovuta za matenda,
• yaying'ono ndi macroangiopathies, nephro- ndi neuropathies, komanso retinopathies,
• Kutalika kwa matendawa ndi zaka zopitilira 10,
• Kusintha kwa ntchito ya zinthu zina za chitetezo chathupi komanso thupi, mwachitsanzo, kuchepa kwa ntchito ya neutrophils, chemotaxis ndi phagocytosis.

Dotolo akazindikira ma nuances onse, amaika molondola mankhwala omwe samachulukitsa glucose m'magazi, omwe amaletsa zotsatira zoyipa zambiri.

Kuphatikiza apo, ndikofunikira kukumbukira mfundo izi:

Maantibayotiki osiyanasiyana a shuga samakhudzanso mphamvu ya mankhwala a hypoglycemic. Ndiye kuti, maantibayotiki amatha kusintha zotsatira kuchokera pamapiritsi ndi ma jakisoni omwe amachepetsa shuga ya seramu.

Macrolides ndi sulfonamides amaletsa michere yomwe imayambitsa kuwonongeka kwa zinthu zamankhwala. Zotsatira zake, othandizira ambiri amalowa m'magazi, ndipo nthawi ndi kuchuluka kwake zimakulanso. Mwachitsanzo, Rifampicin amachepetsa mavuto obwera chifukwa cha mankhwala a hypoglycemic.

Microangiopathy imatsogolera ku sclerosis ya ziwiya zazing'ono. Izi zikutanthauza kuti muyenera kuyamba mankhwala opha maantibayotiki ndi jakisoni wamkati, osati ndi minofu, mwachizolowezi. Pokhapokha thupi likadzaza ndi mulingo woyenera mungasinthe kuti muthandize pakamwa.

Matenda opatsirana ndi vuto lalikulu pakati pa anthu odwala matenda ashuga.

Popereka mankhwala a antimicrobial a matenda omwe ali ndi odwala matenda a shuga, kuyanjana kwa mankhwalawa ndi mankhwala ochepetsa shuga kuyenera kukumbukiridwa.

Ma microorganism amatha kupatsira gawo lililonse la thupi. Monga mukudziwa, nthawi zambiri amavutika:

• khungu
• kwamikodzo dongosolo
• m'munsi kupuma thirakiti.

Matenda amitsempha

Matenda oterewa amafotokozedwa ndi mapangidwe a nephropathy. Impso sizitha kuthana ndi machitidwe awo ndipo mabakiteriya amawukira mwachangu zigawo zonse za dongosololi.

Zitsanzo za UTI zitha kuperekedwa:

1. Pyelonephritis,
2. Muli ndi minyewa yaimpso,
3. Cystitis
4. Papillary necrosis.

Maantibayotiki omwe ali ndi matenda a shuga pamenepa amapatsidwa malangizo ena. Chifukwa chake, chida sichiyenera kukhala ndi mawonekedwe owonjezereka ochitapo kanthu kantchito yoyamba yamphamvu. Ngati wothandizila wa causative sakudziwika bwino, fluoroquinolones ndi cephalosporins amagwiritsidwa ntchito.

Makamaka, Augmentin amagwiritsidwa ntchito pochiza matenda a sinusitis, chibayo, khungu ndi kwamikodzo matenda. Augmentin amatanthauza ma cell a penicillin omwe amaphatikiza amoxicillin ndi potaziyamu clavulanate.

Augmentin amalekeredwa bwino ndipo ali ndi poizoni wocheperako yemwe amapezeka ku penicillin onse. Ngati mumamwa mankhwalawa kwa nthawi yayitali, muyenera kupenda nthawi ndi nthawi momwe mapangidwe a magazi, impso ndi chiwindi.

Mankhwalawa amatha kuyambitsa thupi, omwe ndi osayenera kwambiri kwa odwala matenda ashuga. Chifukwa chake, dokotala musanapange mankhwala ayenera kuwunikira mozama kuti athe kugwiritsa ntchito njirayi.

Kutalika kwa chithandizo chamitundu yamitundu ya UTI kuli pafupifupi kawiri masiku onse. Cystitis amathandizidwa pafupifupi masiku 8, pyelonephritis - milungu itatu. Ngati munthu akukula nephropathy, muyenera kuyang'anira kuwonetsa impso. Pazifukwa izi, ndikofunikira kuyeza kuvomerezeka kwa creatinine, komanso kuchuluka kwa kusefera kwa glomerular.

Ngati maantibayotiki omwe agwiritsidwa ntchito sanawonedwe, ayenera kusinthidwa.

Zilonda zamtunduwu nthawi zambiri zimapezeka mwanjira ya:

1. fasciitis
2. zamankhwala
3. furunculosis,
4. odwala matenda ashuga phazi.

Choyamba, kuti muchepetse chizindikiro chake, muyenera kuchepa matenda a glycemia. Ngati mayeso a shuga ndi osakhutiritsa, ndiye kuti izi zimapangitsa kuti matendawo apitirire komanso kuchepa pang'onopang'ono pokonzanso minofu yofewa.

Anthu omwe ali ndi matenda ashuga amatha kukhala ndi mucorosis, womwe umawerengedwa kuti ndi matenda oyamba ndi fungus. Maonekedwe a matenda opatsirana nthawi zambiri amapezeka m'mphuno, koma kenako amafalikira ku ubongo ndi maso.

Kuchiza matenda oyamba ndi mafangasi kumaphatikizapo kumwa mankhwala a antifungal.

Mfundo zina zochizira ndi:

• kupumula kosalekeza ndikumutulutsa miyendo ndikuvulala (ngati phazi likuchiritsidwa),
• kugwiritsa ntchito antimicrobials wamphamvu. Zomwe zimagwiritsidwa ntchito kwambiri ndi penicillin otetezedwa, carbapenems, cephalosporins a m'badwo wachitatu. Mankhwalawa amasankhidwa potengera luso la pathogen kwa iye komanso mawonekedwe a wodwalayo. Njira yamankhwala imatenga milungu iwiri,
• opaleshoni: kuchotsa minofu yakufa kapena kukhetsa kwina kwa malo okhala pur purya,
• kuwunikira mosalekeza ntchito zofunika. Ndi kufalikira mwachangu kwa njirayi, kungafunike kudula dzanja.

Kumapezeka kwa khungu lanu kumachitika pafupipafupi. Khungu loyenda limayambitsidwa pazifukwa zosiyanasiyana, mwachitsanzo:

1. magazi osayenda bwino
2. khungu lowuma
3. matenda yisiti.

Ndi magazi osakwanira, zotupa za pakhungu pamapazi ndi mwendo wotsika zimatha kuyamba.

Aliyense wodwala matenda ashuga amatha kuteteza khungu kuyamwa. Muyenera kugwiritsa ntchito mafuta okuta ndi zotupa kuti musenzetse khungu. Kuphatikiza apo, pakusamba, gwiritsani ntchito sopo wofatsa.

Kuti mupewe chiopsezo chotenga khungu, ndikofunikira kuti mukhale ndi moyo wabwino ndikutsatira zakudya zamagulu.

Pitani kuchipatala msanga ngati:

1. Kutentha kwakukulu, komwe sikuchepera,
2. Pamodzi ndi kutentha pamakhala kufupika ndi kupuma movutikira,
3. kufunika kwa kumwa kosalekeza
4. pali ketoacidosis,
5. kwambiri kuchepetsa thupi
6. kutayika kwa khungu, kukokana,
7. kutsegula m'mimba kapena kusanza kumawonedwa kwa maola opitilira 6,
8. chisonyezo cha matendawa sichitha, koma chikuchulukirachulukira.
9. digiri ya shuga m'magazi imaposa 17 mmol / l.

Maantibayotiki othandizira odwala matenda amtundu wa 2 omwe amakhala ndi bronchitis kapena chibayo amawonetsedwa malinga ndi dongosolo logwirizana la chipatala. Muyenera kuyamba ndi ma penicillin otetezedwa, kenako ndikuyang'ana pa thanzi la wodwalayo. Ndikofunikira kuchita mwatsatanetsatane kusanthula kwamapapu. Ikani mankhwala owonjezera.

Anthu odwala matenda a shuga amathanso kumwa mankhwala ozizira popanda mankhwala a dokotala. Koma ndikofunikira kuti zitsimikizike kuti kapangidwe kake sikokhala ndi shuga. Kugwiritsa ntchito mankhwala aliwonse, ndikofunikira kuwerenga malangizo pasadakhale, omwe akuwonetsa kuchuluka kwa shuga mu mankhwalawo.

Anthu odwala matenda ashuga sayenera kudya zakudya zam'madzi zotsekemera komanso madontho a chifuwa. Nthawi zonse muziyang'ana mawu oti "shuga wopanda", ngakhale mankhwalawo akuphatikizana ndi antiotic. Nthawi zina, mankhwala azitsamba amtundu wa shuga wachiwiri akhoza kukhala njira ina.

Ndi kuthamanga kwa magazi, ndikofunikira kupewa mankhwala okhala ndi mankhwala opatsirana, amawonjezera kuthamanga kwa magazi.

Kupereka mankhwala a antibacterial a matenda ashuga kumafuna chisamaliro komanso mtundu wothandiza kuchokera kwa dokotala. Ma Microbes akugwira odwala omwe ali ndi matenda ashuga, choncho muyenera kuganizira kugwiritsa ntchito mankhwala osiyanasiyana komanso ma probiotic kuteteza kufa kwa microflora mthupi. Njira izi zimachepetsa chiopsezo cha zotsatila m'mankhwala andewu ambiri. Kanemayo munkhaniyi akupitiliza mutu wa chisamaliro cha matenda ashuga.

Mankhwala othandizira odwala matenda ashuga. Momwe mungamwe ndi mankhwala ena?

Mavuto opatsirana mwa odwala omwe ali ndi "matenda okoma" ndizofala kwambiri. Ndikofunikira kuyambitsa mwachangu antimicrobial mankhwala kuti athetse nthawi yake. Odwala ambiri ali ndi chidwi ndi zomwe maantibayotiki amatha kupezeka ndi matenda ashuga.

Ziyenera kufotokozedwa nthawi yomweyo kuti kudya kwa gululi kwa mankhwala kuyenera kuchitidwa moyang'aniridwa ndi adokotala komanso kuchokera pakumuyendetsa. Hyperglycemia amasintha momwe zimakhalira kagayidwe kachakudya. Nthawi zambiri, mphamvu ya mankhwalawa imatha kusiyanasiyana ndi thupi lathanzi.

Ndi anthu ochepa omwe amadziwa za izi. Chifukwa chake, nthawi zambiri pamakhala zovuta zosagwiritsidwa ntchito pakugwiritsa ntchito antimicrobials omwe ali ndi "matenda okoma".

Musanagwiritse ntchito mwachindunji mankhwala, ndikofunikira kuphunzira zoopsa zonse zomwe zingayembekezere wodwala akamamwa mankhwala.

Izi zikuphatikiza:

1. Mapeto a matenda.
2. Ukalamba.
3. Wapangidwa kale zovuta za matendawa (micro- ndi macroangiopathy, retinopathy, nephro- ndi neuropathy).
4. Kutalika kwa matendawa (zaka ˃10).
5. Kukhalapo kwa kusintha kwa ntchito ya zinthu zina za chitetezo chamthupi ndi chamoyo chonsecho (kuchepa kwa zochitika za neutrophils, phagocytosis ndi chemotaxis).

Dotolo akazindikira mbali zonsezi, azitha kukhazikitsa bwino mankhwala omwe wodwala amayenera kupewa ndikulimbana ndi zovuta zingapo.

Komanso, munthu sayenera kuyiwala za mfundo zofunika zotsatirazi:

1. Mankhwala osiyanasiyana othandizira odwala matenda ashuga samayambitsa kukhathamiritsa kwa mankhwala a hypoglycemic (mapiritsi a insulin ndi ma seramu-kutsitsa shuga). Chifukwa chake, sulfonamides ndi macrolides amaletsa michere, yomwe imayambitsa kuwonongeka kwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwala. Zotsatira zake, mankhwala othandizira amalowa m'magazi, ndipo zotsatira ndi nthawi ya ntchito yawo imawonjezeka. Rifampicin, m'malo mwake, amalepheretsa kukhudzana ndi mankhwala a hypoglycemic.
2. Microangiopathy imatsogolera ku sclerosis ya ziwiya zazing'ono. Chifukwa chake, ndikofunikira kuyamba mankhwala opha maantibayotiki ndi jakisoni wamkati, osati ndi jakisoni m'misempha, monga chizolowezi. Mukangokhutitsa thupi ndi muyezo wofunikira mutha kusintha mankhwalawa.

Ma tizilombo tating'onoting'ono titha kupatsira pafupifupi mbali zonse za thupi.

Zomwe zimakhudzidwa kwambiri:

• Njira yamikodzo
• Chiwonetsero cha khungu
• Otsika kupuma thirakiti.

Matenda a urinary thirakiti (UTIs) amayamba chifukwa cha kupangika kwa nephropathy. Chotchinga cha impso sichigwira ntchito ndi 100% ndipo mabakiteriya amagwiritsa ntchito dongosolo ili.

Zitsanzo za UTI:

• Muli ndi minyewa yaimpso,
• Pyelonephritis,
• Papillary necrosis
• Cystitis.

Maantibayotiki a matenda a shuga pankhaniyi amadziwika ndi izi:

1. Mankhwala ayenera osiyanasiyana mawonekedwe a zoyambira zamphamvu mankhwala. Mpaka pomwe wothandizila wa causative akhazikitsidwa ndendende, cephalosporins ndi fluoroquinolones amagwiritsidwa ntchito.
2. Kutalika kwa chithandizo cha mitundu yama UTI kuchulukitsa kwazomwe zimachitika pafupifupi kawiri. Cystitis - masiku 7-8, pyelonephritis - 3 milungu.
3. Ngati wodwalayo akula ndi nephropathy, ndikofunikira kuyang'anira kuwonetsa impso. Pachifukwa ichi, clearinine clearance ndi glomerular filtration rate zimayezedwa nthawi zonse.
4. Pokhapokha ngati mphamvu ya maantibayotiki omwe amagwiritsidwa ntchito, muyenera kusintha.

Chotupa chotere nthawi zambiri chimadziwoneka ngati:

• Furunculosis,
• Carbuncle
• Matenda a matenda ashuga
• Fasciitis.

Choyamba, kuti muchepetse chizindikiro chake, ndikofunikira kusintha glycemia. Ndiwowonjezera shuga m'magazi omwe amachititsa kuti matendawo apitirire komanso amachepetsa kukonza minofu yofewa.

Mfundo zina zochiritsira zatsalira:

1. Kuwonetsetsa kupumula kwathunthu ndikumasulira kwamanja miyendo yovulala (pankhani ya phazi la matenda ashuga).
2. Kugwiritsa ntchito mankhwala opha mphamvu. Cephalosporins mibadwo itatu, carbapenems, penicillin wotetezedwa nthawi zambiri amakhala mankhwala. Kusankha kwamankhwala kumadalira kuzindikira kwa tizilombo toyambitsa matenda komanso machitidwe a wodwala. Kutalika kwa mankhwala osachepera masiku 14.
3. Kugwiritsa ntchito njira zopangira opaleshoni (kuchotsa minofu yakufa kapena kukhetsa kwa purulent foci).
4. Kuwunikira mosalekeza ntchito zofunika. Ndi kuchulukana kwa njirayi ikhoza kukhala funso lakuchotsa manja.

Maantibayotiki othandizira odwala matenda amtundu wa 2 omwe amapezeka ndi chibayo kapena bronchitis amadziwika malinga ndi dongosolo logwirizana la chipatala. Muyenera kuyamba ndi ma penicillin otetezedwa (Amoxiclav), mopitilira pamenepa. Ndikofunika kuti nthawi zonse muziwonetsetsa momwe mapapu aliri. Njira yowonjezera yogwiritsira ntchito imagwiritsidwa ntchito.

Kupereka mankhwala a antibacterial a shuga kumafuna chisamaliro chachikulu ndi chisamaliro kuchokera kwa dokotala. Popeza majeremusi nthawi zonse amagwirira ntchito thupi la munthu ndi "matenda otsekemera", ndikofunikira kulingalira za mankhwala osokoneza bongo osiyanasiyana omwe amaletsa kufa kwa microflora yawo.

Ndi njira iyi, zitha kusintha mavuto omwe amabwera chifukwa cha mankhwala oopsa.

Malangizo & zidule

Matenda a shuga amawononga chitetezo cha mthupi, motero wodwala amadwala pafupipafupi. Maantibayotiki othandizira odwala matenda ashuga amagwiritsidwa ntchito mopitilira muyeso pakufunika kwa antimicrobial

Cholepheretsa chitetezo chimachepetsedwa, motero thupi la wodwalayo limayankha mavairasi onse a pathogenic.

Kukhazikitsidwa kwa mankhwala oopsa ngati amenewa kumachitika ndi adokotala, ngati pali zovuta za metabolic, zotsatira zake ndi zosiyana ndi zomwe zikuyembekezeredwa kapena sizimatheka konse.

Thupi la odwala matenda ashuga limakhala pangozi, choncho matenda amatha kukhudza gawo lililonse la thupi. Mukazindikira matenda, kulowerera mwachangu kumafunika. Nthawi zambiri mankhwalawa amaperekedwa pamaso pa zotumphukira:

• matenda azakhungu
• matenda a kwamkodzo thirakiti
• matenda ochepa kupuma thirakiti.

Choyamba, zotsatira zake zimachitika kwa ziwalo zomwe zili ndi katundu wambiri. Impso sizingagwire ntchito yake 100%, kotero zotupa zoperewera zimatha kubweretsa nephropathy.

Maantibiotic ndi matenda ashuga ndi malingaliro omwe amaphatikizidwa mosamala. Kusankhidwa kumachitika kwambiri, pakakhala chiwopsezo cha hypoglycemia.

Kutupa kwambiri kwa matendawa kuyenera kuchitika moyang'aniridwa ndi dokotala kuchipatala.

Chithandizo chomwa mankhwalawa chimaperekedwa ndi adotolo, poganizira momwe wodwalayo alili.

Maantibayotiki amtundu wa 2 shuga amawayikira malinga ndi zomwe zikuchitika. Choyambitsa matendawa ndi bronchitis kapena chibayo. Kuwunika kwa radiology kumachitika pafupipafupi, chifukwa njira ya matendawa imakhala yovuta chifukwa choyambirira kufooka.

Mankhwalawa amagwiritsa ntchito ma penicillin otetezedwa: "Azithromycin", "Grammidin" osakanikirana ndi mankhwala. Musanagwiritse ntchito, phunzirani malangizo, samalani ndi zomwe zili ndi shuga. Pa kuthamanga kwa magazi, maantibayotiki omwe ali ndi mphamvu kwambiri amaletsedwa.

Kuphatikiza ndi mankhwala opangira ma protein komanso zakudya zomwe zimasunga microflora komanso kupewa zomwe zimachitika, makamaka mu mtundu wa 1 odwala matenda ashuga.

Kuti athane ndi zizindikiro, odwala matenda ashuga ayenera kulabadira kuchuluka kwa shuga, popeza kuthamanga kumalepheretsa kuchiritsa ndikuletsa ntchito ya maantibayotiki. Matenda ofala kwambiri pakhungu:

• odwala matenda ashuga phazi
• furunculosis ndi carbuncle,
• necrotizing fasciitis.

Mukamachiza matenda osokoneza bongo, muyenera kukonzekera njira yayitali komanso yopweteka. Pa malekezero am'magazi zotumphukira zimapangidwa zomwe zimagawika m'magulu awiri azovuta. Kuti muzindikire, zitsanzo zimatengedwa kuchokera ku sequestra yowonongeka ndipo x-ray imatengedwa.

Mankhwala olimbana ndi matenda ashuga amapatsidwa mokhazikika komanso pakamwa. Ngati pali chiopsezo chodula miyendo, zotsatirazi zimagwiritsidwa ntchito pochiza matenda: Cephalexin, Amoxicillin. Mankhwala amatha kuphatikizidwa ndi zovuta za matendawa. Zochita zamankhwala zimachitika kwa masabata awiri.

Therapy ikuchitika mokwanira ndipo ili ndi magawo angapo:

• matenda a shuga
• kuchepetsa miyendo
• Chithandizo chokhazikika cha mabala
• kuduladula miyendo ndi purulent-necrotic lesion, mwinanso kupha.

Njira zochizira furunculosis.

Furunculosis ndi carbuncle pafupipafupi matenda. Njira yotupa imakhudzidwa pakhungu. Amachitika ndikuphwanya carbohydrate metabolism komanso osagwirizana ndi mankhwala othandizira, omwe amaphatikizidwa ndi mabala a purcin necrotic mu zigawo zakuya za khungu. Chithandizo cha antibacterial: "Oxacillin", "Amoxicillin", mapangidwe ake ndi miyezi 1-2.

Ndi necrotizing fasciitis, kugonekedwa kuchipatala kumafunikira, popeza pamakhala chiopsezo chachikulu cha kufalikira kwa matenda m'thupi. Ziwalo zofewa zamapewa, ntchafu yakunja, komanso khoma lam'mimba zimakhudzidwa. Mankhwalawa amachitika mokwanira, antibacterial mankhwala amangowonjezera opaleshoni.

1. 
   Gubergrits A.Ya., Linevsky Yu.V. Mankhwala othandizira. Kiev, yosindikiza nyumba "High School", 1989.
2. 
   Krashenitsa G.M. Mankhwala othandizira a shuga. Stavropol, Stavropol Book Publishing House, 1986, masamba 109, kufalitsidwa makope 100,000.
3. 
   Stroykova A.S. Timachiza matenda ashuga kunyumba mwa mwana. Brosha, kufalitsidwa kwa kampani Novo Nordisk, mwina 1999, masamba 31, osaneneka za kufalitsidwa

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Mitundu ya Matenda A shuga

Pali mitundu ingapo ya matenda ashuga. Mtundu woyamba wamatenda umagwirizanitsidwa ndi kuchepa kwa insulin, kuchuluka kosakwanira kumapangidwa. Matenda a shuga a Type 1 amalembetsedwa mu 10-15% ya odwala.

Zikondamoyo zomwe zili ndi matendawa sizigwirizana ndi ntchito yake, kuchuluka kwa mahomoni ophatikizidwa sikumapanga kuchuluka kwa glucose komwe kumabwera, ndipo shuga yamagazi imachuluka. Matenda a shuga amtunduwu amafuna insulin.

Ndi mtundu 2 wa matenda ashuga, insulin yokwanira imapangidwa m'thupi, nthawi zina kuposa yoperewera. Komabe, timadzi tambiri timakhala topanda ntchito, chifukwa minyewa yathupi yake imasiya kuiwala.

Ngati pali mtundu wachiwiri wa matenda, ndiye kuti insulin imagwiritsidwa ntchito kawirikawiri, pokhapokha ngati pali zovuta zovuta ndi zovuta zina za mankhwala.

Kuphatikiza apo, pali "matenda abwinobwino a shuga", omwe angatsimikizidwe kokha pogwiritsa ntchito kusanthula kwapadera. Izi zimachitika:

1. kunenepa
2. cholowa cholakwika
3. onenepa kwambiri pakubadwa (kuchokera ku 4 kg kapena kupitilira).

Zofooka pakhungu ndi minofu yofewa

Zilonda zamtunduwu nthawi zambiri zimapezeka mwanjira ya:

1. fasciitis
2. zamankhwala
3. furunculosis,
4. odwala matenda ashuga phazi.

Choyamba, kuti muchepetse chizindikiro chake, muyenera kuchepa matenda a glycemia. Ngati mayeso a shuga ndi osakhutiritsa, ndiye kuti izi zimapangitsa kuti matendawo apitirire komanso kuchepa pang'onopang'ono pokonzanso minofu yofewa.

Anthu omwe ali ndi matenda ashuga amatha kukhala ndi mucorosis, womwe umawerengedwa kuti ndi matenda oyamba ndi fungus. Maonekedwe a matenda opatsirana nthawi zambiri amapezeka m'mphuno, koma kenako amafalikira ku ubongo ndi maso.

Kuchiza matenda oyamba ndi mafangasi kumaphatikizapo kumwa mankhwala a antifungal.

Mfundo zina zochizira ndi:

• kupumula kosalekeza ndikumutulutsa miyendo ndikuvulala (ngati phazi likuchiritsidwa),
• kugwiritsa ntchito antimicrobials wamphamvu. Zomwe zimagwiritsidwa ntchito kwambiri ndi penicillin otetezedwa, carbapenems, cephalosporins a m'badwo wachitatu. Mankhwalawa amasankhidwa potengera luso la pathogen kwa iye komanso mawonekedwe a wodwalayo. Njira yamankhwala imatenga milungu iwiri,
• opaleshoni: kuchotsa minofu yakufa kapena kukhetsa kwina kwa malo okhala pur purya,
• kuwunikira mosalekeza ntchito zofunika. Ndi kufalikira mwachangu kwa njirayi, kungafunike kudula dzanja.

Kumapezeka kwa khungu lanu kumachitika pafupipafupi. Khungu loyenda limayambitsidwa pazifukwa zosiyanasiyana, mwachitsanzo:

1. magazi osayenda bwino
2. khungu lowuma
3. matenda yisiti.

Ndi magazi osakwanira, zotupa za pakhungu pamapazi ndi mwendo wotsika zimatha kuyamba.

Aliyense wodwala matenda ashuga amatha kuteteza khungu kuyamwa. Muyenera kugwiritsa ntchito mafuta okuta ndi zotupa kuti musenzetse khungu. Kuphatikiza apo, pakusamba, gwiritsani ntchito sopo wofatsa.

Kuti mupewe chiopsezo chotenga khungu, ndikofunikira kuti mukhale ndi moyo wabwino ndikutsatira zakudya zamagulu.

Matenda opatsirana a thirakiti

Pitani kuchipatala msanga ngati:

1. Kutentha kwakukulu, komwe sikuchepera,
2. Pamodzi ndi kutentha pamakhala kufupika ndi kupuma movutikira,
3. kufunika kwa kumwa kosalekeza
4. pali ketoacidosis,
5. kwambiri kuchepetsa thupi
6. kutayika kwa khungu, kukokana,
7. kutsegula m'mimba kapena kusanza kumawonedwa kwa maola opitilira 6,
8. chisonyezo cha matendawa sichitha, koma chikuchulukirachulukira.
9. digiri ya shuga m'magazi imaposa 17 mmol / l.

Maantibayotiki othandizira odwala matenda amtundu wa 2 omwe amakhala ndi bronchitis kapena chibayo amawonetsedwa malinga ndi dongosolo logwirizana la chipatala. Muyenera kuyamba ndi ma penicillin otetezedwa, kenako ndikuyang'ana pa thanzi la wodwalayo. Ndikofunikira kuchita mwatsatanetsatane kusanthula kwamapapu. Ikani mankhwala owonjezera.

Anthu odwala matenda a shuga amathanso kumwa mankhwala ozizira popanda mankhwala a dokotala. Koma ndikofunikira kuti zitsimikizike kuti kapangidwe kake sikokhala ndi shuga. Kugwiritsa ntchito mankhwala aliwonse, ndikofunikira kuwerenga malangizo pasadakhale, omwe akuwonetsa kuchuluka kwa shuga mu mankhwalawo.

Anthu odwala matenda ashuga sayenera kudya zakudya zam'madzi zotsekemera komanso madontho a chifuwa. Nthawi zonse muziyang'ana mawu oti "shuga wopanda", ngakhale mankhwalawo akuphatikizana ndi antiotic. Nthawi zina, mankhwala azitsamba amtundu wa shuga wachiwiri akhoza kukhala njira ina.

Ndi kuthamanga kwa magazi, ndikofunikira kupewa mankhwala okhala ndi mankhwala opatsirana, amawonjezera kuthamanga kwa magazi.

Kupereka mankhwala a antibacterial a matenda ashuga kumafuna chisamaliro komanso mtundu wothandiza kuchokera kwa dokotala. Ma Microbes akugwira odwala omwe ali ndi matenda ashuga, choncho muyenera kuganizira kugwiritsa ntchito mankhwala osiyanasiyana komanso ma probiotic kuteteza kufa kwa microflora mthupi. Njira izi zimachepetsa chiopsezo cha zotsatila m'mankhwala andewu ambiri. Kanemayo munkhaniyi akupitiliza mutu wa chisamaliro cha matenda ashuga.

Chifukwa chiyani kuzizira kumawonjezera shuga m'magazi a odwala matenda ashuga?

Mukayamba kuzizira, pali mwayi kuti shuga yanu yamagazi inyuke. Izi zimachitika thupi lanu litatumiza mahomoni kuti akamenyane ndi kachilomboka. Ngakhale mahomoni amatha kuthandizira kuthana ndi chimfine, amatetezanso thupi lanu kugwiritsa ntchito bwino insulini.

Magazi a shuga akayamba kuvuta kuthana ndi chimfine kapena matenda ena, mutha kukhala ndi mavuto, monga ketoacidosis, ngati muli ndi matenda ashuga 1. Ketoacidosis ndiko kudziunjika kwa asidi ochulukirapo m'magazi ndipo kumatha kukhala pachiwopsezo cha moyo. Ngati muli ndi matenda a shuga a 2, makamaka ngati ndinu okalamba, mutha kukhala ndi vuto lalikulu lotchedwa hyperglycemic hyperosmolar non-ketone coma, lomwe limatchedwanso kuti diabetesica, vuto lomwe limayambitsidwa ndi shuga wambiri.

Kodi ndiyenera kuwona kangati shuga wanga wamagazi kuti asazizire?

Mukakhala ndi chimfine, onetsetsani kuti magazi anu alipo pafupifupi maola atatu kapena anayi alionse. Dokotala wanu angakulimbikitseni kuti mugwiritse ntchito kwambiri insulin ngati shuga yanu yayitali kwambiri.

Kudziwa kuchuluka kwa shuga m'magazi anu kudzakuthandizani kuti musinthe njira yanu yochizira matenda ashuga ngati mulingo wa glucosewo uli kutali ndi gulu labwino.

Ndiyenera kudya chiyani ngati ndili ndi matenda ashuga komanso chimfine?

Ndi zizindikiro zoyambirira za chimfine, chidwi chanu sichitha. Koma ndi matenda ashuga, ndikofunikira kuyesa kudya china chake. Mutha kusankha zakudya zamagulu anu muzakudya zamagulu onse.

Ndikulimbikitsidwa kudya pafupifupi magalamu 15 a zakudya zamafuta tsiku lililonse. Mutha kumwa 100 magalamu a madzi a zipatso, theka kapu ya kefir kapena theka kapu ya chimanga chophika. Ngati simukula, shuga wanu wamagazi akhoza kutsika kwambiri.

Ngati muli ndi malungo, kusanza, kapena kutsegula m'mimba, onetsetsani kuti mumamwa kapu ya madzi ola lililonse. Mutha kumwa madzi m'malo momamwa zonse nthawi imodzi, chinthu chachikulu ndikumazizira ndikupewa kusowa kwamadzi.

Ngati shuga wanu wamagazi ndiwambiri, imwani madzi ambiri, madzi, kapena tiyi wazitsamba. Ngati mukufuna kukweza shuga m'magazi anu, gwiritsani ntchito kapu ya apulosi kapena theka la kapu ya tiyi ya zitsamba. Nthawi zonse muziyang'ana zomwe mumadya kapena zakumwa ndi zakudya zanu zomwe zimapangidwa nthawi zonse matenda ashuga kuti muwonetsetse kuti zakudyazi ndi zakumwa zimaloledwa m'zochitika zanu.

Kodi ndimazizira iti omwe ndingatenge matenda ashuga?

Anthu omwe ali ndi matenda ashuga amatha kumwa mankhwala ozizira. Koma onetsetsani kuti mupewa mankhwala apamwamba a shuga. Mankhwala ozizira amadzimadzi nthawi zambiri amakhala ndi shuga. Werengani malangizo kuti mudziwe ngati mankhwalawo ali ndi shuga. Ngati mukukayika, funsani dokotala. Muthanso kugwiritsa ntchito mankhwala wowerengeka azitsamba, chifuwa cham'mimba komanso mpweya wambiri chifukwa cha chimfine.

Anthu omwe ali ndi matenda ashuga ayenera kupewa mankhwala okoma a chifuwa, kutsokomola, ndi mankhwala ozizira amadzimadzi. Onani mawu oti "free shuga" mukamagula zinthu ngati izi. Ngati muli ndi kuthamanga kwa magazi, pewani zodzikongoletsera zomwe zingakweze magazi anu kwambiri.

Kodi ndingapewe bwanji kuzizira ngati ndili ndi matenda ashuga?

Kaya muli ndi matenda a shuga kapena ayi, muzigwiritsa ntchito ukhondo nthawi zonse kuti muchepetse matenda opumira monga chimfine kapena chimfine. Pewani kuzizira, onetsetsani kuti inu ndi banja lanu mumasamba m'manja nthawi zonse. Palibe katemera wa chimfine, koma lankhulani ndi dokotala wanu kuti mupeze kuwombera pachimfine chaka chilichonse kuti mupewe kutenga kachilombo ka chimfine, komwe kangathe kuwonjezera kupsinjika kwa thupi lanu ndikusokoneza kasamalidwe kanu ka shuga.

Njira yopanga zizindikiro

Kuti mumvetsetse chifukwa chomwe chisonyezo china chake chikuwonekera, muyenera kudziwa njira zake

• Polydipsia (ludzu losalekeza) limapangidwa chifukwa chakuti shuga imakopa madzi, pomwe pali kutulutsa kowonjezera kwamadzimadzi kuchokera m'thupi. Kupanga zotayika, thupi "limapempha" zochulukirapo zamadzi kuchokera kunja,
• Kuyankha mwachangu kumalumikizidwa ndikuti molekyu yamadzi imamangilira ku molekyulu ya glucose, yomwe imatsogolera kutulutsa kowonjezereka kwamadzimadzi kuchokera mthupi pogwiritsa ntchito zida zosefera.
• Kuchepetsa thupi kumawonedwa nthawi zambiri mu mtundu woyamba wa shuga chifukwa chakuti kapamba sangapangitse insulini yake, pomwe glucose sangathe kulowa m'maselo ndi minyewa. Thupi limakhala ndi mphamvu nthawi zonse. Ndi mtundu 2, kuwonjezeka kwa kulemera kwa thupi kumawonedwa, pomwe kutsutsana ndi maziko a kunenepa kwambiri, glucose sangathe kulumikizana ndi minofu, chifukwa ma receptor omwe amawamanga samagwira ntchito bwino,
• Ululu m'mutu, kugona, kufooka kumalumikizidwa ndi kufa ndi ludzu laubongo, chifukwa glucose ndiye gwero lalikulu lamphamvu kwa chapakati mantha dongosolo (CNS),
• Kuchiritsa mabala osavomerezeka kumalumikizidwanso ndi milingo yambiri ya shuga, chifukwa shuga ndi malo abwino oswana pofuna kufalitsa microflora ya mabakiteriya (mabakiteriya, mavairasi). Pogwira maselo oyera am'magazi, glucose amafunikiranso, yomwe siyokwanira. Chifukwa chake, maselo oteteza magazi sangathe kuwononga tizilombo toyambitsa matenda,
• Fungo la acetone limawonekera chifukwa cha makutidwe ndi okosijeni a lipids (mafuta), kuchuluka kwa matupi a ketone m'magazi.

Gulu

Ichi ndi chiyani Matenda a shuga angakhale amitundu iwiri - wodalira insulin komanso osadalira insulini.

Mtundu woyamba wa shuga

kumachitika motsutsana maziko a insulin akusowa, chifukwa chake amatchedwa insulin-kudalira. Ndi matenda amtunduwu, kapamba sagwira ntchito kwathunthu: siipanga insulini konse, kapena siyimatulutsa zokwanira kuti ikonzeke ngakhale shuga yaying'ono yaying'ono yomwe ikubwera. Zotsatira zake, pali kuwonjezeka kwa glucose wamagazi. Monga lamulo, anthu owonda osakwana zaka 30 amadwala matenda a shuga a mtundu woyamba. Zikatero, odwala amapatsidwa insulin yowonjezera kuti ateteze ketoacidosis ndikukhala ndi moyo wabwino.

Type 2 shuga

mpaka 85% ya odwala onse omwe ali ndi matenda osokoneza bongo amavutika, makamaka anthu achikulire kuposa zaka 50 (makamaka azimayi). Odwala onenepa kwambiri amadziwika ndi matenda amtunduwu: opitirira 70% mwa odwala ndi onenepa kwambiri. Zimaphatikizidwa ndikupanga insulin yokwanira, yomwe minyewa yawo imatha kuchepa.

Zomwe zimayambitsa kukula kwa matenda a shuga a mtundu I ndi mtundu II ndizosiyana kwambiri. Odwala omwe ali ndi matenda a shuga 1, ma cell a beta omwe amapanga insulin amayamba chifukwa cha kachilombo koyambitsa matenda kapena ukali wa autoimmune, chifukwa cha kuchepa kwake kumayamba ndi zotsatirapo zake zonse zoopsa. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, maselo a beta amatulutsa insulin yokwanira kapena kuchuluka, koma zimakhala zimalephera kudziwa chizindikiro chake.

Kusintha

Gawo lofunika kwambiri m'gulu la anthu odwala matenda ashuga ndi kulekanitsa kwawo pang'ono.

1. Ili ndi njira yabwino kwambiri yamatenda omwe chithandizo chilichonse chimayenera kuyeserera. Pamlingo wotere, umalipiriridwa mokwanira, kuchuluka kwa glucose sikudutsa 6-7 mmol / l, palibe glucosuria (excretion ya glucose mu mkodzo), ndipo glycosylated hemoglobin ndi proteinuria sizipitilira muyeso wamba.
2. Gawo ili la ntchitoyi likuwonetsa kubwezera pang'ono. Pali zizindikiro za zovuta za matenda ashuga komanso zotupa za ziwalo zodziwika bwino: maso, impso, mtima, mitsempha yamagazi, mitsempha, malekezero otsika. Mkulu wa glucose amawonjezeka pang'ono ndipo amafika ku 8-10 mmol / L.
3. Njira imodzimodziyo ya ndondomekoyi ikuwonetsa kupitilirabe kwake komanso kusatheka kwa kayendetsedwe ka mankhwala. Nthawi yomweyo, kuchuluka kwa glucose kumasiyanasiyana 13-14 mmol / l, glucosuria wolimbikira (kutulutsa kwa shuga mumkodzo), proteinuria yayikulu (kukhalapo kwa mapuloteni mumkodzo) imayang'aniridwa, ndipo pali mawonetsedwe omveka bwino komanso osafunikira akuwonongeka kwa ziwalo za shuga. Kuwona acuity pang'onopang'ono kumachepa, mphamvu yamitsempha yamagazi imapitilira, kumva kumachepetsa ndikuwoneka ngati kupweteka kwambiri komanso dzanzi lakumapeto.
4. Digiri iyi imadziwika ndi kubwezerera kwathunthu kwa njirayi ndikukula kwa zovuta zovuta. Pankhaniyi, glycemia imakwera mpaka ziwonetsero zowopsa (15-25 kapena kupitirira mmol / l), sangathe kusintha mwanjira iliyonse. Kukula kwa aimpso kulephera, zilonda zam'mimba ndi zilonda zam'mphepete ndizochita. Chitsimikizo china cha matenda a shuga a grade 4 ndi chizolowezi chokhala ndi matenda ashuga pafupipafupi.

Mayiko atatu omwe amalipira ndalama za matenda a carbohydrate metabolism nawonso amasiyanitsidwa: kulipidwa, kulipidwa, komanso kuwalipitsidwa.

Zizindikiro za matenda ashuga mwa akazi ndi abambo

Matendawa amatchedwa hyperglycemia, ndipo amakhala ndi zotsatirapo zingapo zoyipa.

Pazomwe zili zovomerezeka komanso ndizani muyezo wa shuga wamagazi mwa amayi akuluakulu, kuphatikiza azimayi oyembekezera komanso pambuyo pobadwa, zokhudzana ndi zizindikiro, zizindikilo ndi zomwe zimayambitsa milingo yayitali - nkhani yathu.

Pali zisonyezo zingapo za matenda ashuga omwe onse amtundu 1 ndi matenda 2 amatchulidwa. Izi zikuphatikiza:

1. Kumva ludzu losatha komanso kukodza mwachangu, komwe kumapangitsa madzi,
2. Chimodzi mwazizindikiro ndi pakamwa pouma,
3. Kutopa,
4. Kukugwa, kugona.
5. Zofooka
6. Mabala ndi mabala amachiritsa pang'onopang'ono,
7. Kusanza, mwina kusanza,
8. Kupuma pafupipafupi (mwina ndi fungo la acetone)
9. Zosangalatsa pamtima
10. Kuluma kwamtundu ndi kuyabwa kwa khungu,
11. Kuchepetsa thupi
12. Kuchulukitsa pokodza
13. Zowonongeka.

Ngati muli ndi zizindikiro zomwe zili pamwambazi za matenda ashuga, mosakayikira muyenera kuyeza shuga lanu lamagazi.

Choyamba, chithandizo chimagwiritsidwa ntchito kuti muchepetse magazi. Matenda a shuga amathandizidwa ndi mankhwala.

Mtundu woyamba wa matenda amathandizidwa:

• Insulin, zakudya zoyenera komanso zakudya.
• Insulin imagwiritsidwa ntchito moyo wonse ngati jakisoni.
• Mlingo ndi mankhwalawa amaperekedwa ndi dokotala yemwe amayang'anira wodwalayo.

Mtundu wachiwiri wa matenda a shuga amathandizidwa:

• Ndi mapiritsi omwe amachepetsa shuga.

Chithandizo cha wowerengeka azitsamba:

Muli ndi insulin, yomwe imakhudza kufalikira kwa magazi, komwe kumapatsa mphamvu munthu. Chicory amatengedwa ngati chakumwa.

Nyemba za nyemba zouma zimathiridwa ndimadzi otentha ndikusiyidwa kuti ukamwe usiku umodzi. Masana, muyenera kumwa pafupifupi 200 ml ya decoction iyi.

Magawo a walnuts.

Ali ndi katundu wambiri wopindulitsa, kuphatikizapo kutsitsa magazi. Kuti mukonze tincture, muyenera kudzaza magawo 50 g ndi kapu yamadzi otentha. Kuumirira theka la ola, kenako mavuto ndi kumwa 1 tbsp. pamaso chakudya chilichonse.

• Itha kuchitika ndikutsimikiziridwa ndi dokotala,
• Kuchita masewera olimbitsa thupi pang'ono kumathandizira kuchepa thupi komanso kuwongolera kunenepa.
• Thandizani kusintha kwa magazi ndi zochita za insulin.
• Mitundu yotheka: Kuyenda maola awiri ndikuyenda moyera, kusambira, masewera olimbitsa thupi, kuvina, aerobics, yoga.

Pakadali pano, chithandizo cha matenda ashuga m'milandu yambiri ndizachidziwitso ndipo cholinga chake ndikuwachotsa zomwe zilipo popanda kuthetsa zomwe zimayambitsa matendawa, chifukwa chithandizo chokwanira cha matenda ashuga sichinayambike.

Ntchito zazikulu zomwe dokotala amathandizira pa matenda ashuga ndi:

1. Kubwezera kwa kagayidwe kazakudya.
2. Kupewa komanso kuchiza zovuta.
3. Matenda a kulemera kwa thupi.
4. Kuphunzitsa wodekha.

Kutengera mtundu wa shuga, odwala amapatsidwa mankhwala a insulin kapena pakamwa. Odwala azitsatira zakudya, zomwe zili zovomerezeka komanso zochulukirapo zomwe zimatanthauzanso mtundu wa matenda ashuga.

mtundu 2 shuga

lipereke zakudya ndi mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi: glibenclamide, glurenorm, gliclazide, glibutide, metformin. Iwo amatengedwa pakamwa pambuyo pa kusankha kwa mankhwala enaake ndi mlingo wake ndi dokotala.

mtundu 1 shuga

mankhwala mankhwala a insulin ndi zakudya. Mlingo ndi mtundu wa insulin (yocheperako, yapakati kapena yayitali) amasankhidwa payekha kuchipatala, moyang'aniridwa ndi shuga ndi mkodzo.

Matenda a shuga ayenera kudwala popanda kutero, apo ayi amakhala ndi zovuta zowopsa, zomwe zidatchulidwa pamwambapa. Munthu akapezeka ndi matenda ashuga posachedwa, pamakhala zovuta zambiri kuti zovuta zoyipa zitha kupewedwa ndipo moyo wabwinobwino umakhala ndi moyo.

Mankhwala a insulin

Chithandizo cha insulini ndicholinga chokwanira kubwezeretsa kwa kagayidwe kazakudya, kupewa hypo- ndi hyperglycemia, motero kupewa mavuto a shuga. Kuchiza kwa insulin ndikofunikira kwa anthu odwala matenda amtundu wa 1 ndipo angagwiritsidwe ntchito pazinthu zina kwa anthu omwe ali ndi matenda a shuga a 2.

Zisonyezo poika insulin mankhwala:

1. Mtundu woyamba wa shuga
2. Ketoacidosis, matenda ashuga hyperosmolar, hyperlacticemic chikomokere.
3. Mimba komanso kubereka ndi matenda ashuga.
4. Kubwezera kwakukulu kwa matenda ashuga a 2.
5. Kuperewera kwa chithandizo ndi njira zina zamtundu wa 2 shuga.
6. Kuchepetsa kwambiri shuga.
7. Matenda a shuga.

Pakadali pano, pali zokonzekera zambiri za insulini zomwe zimasiyana nthawi yayitali (ultrashort, yochepa, yapakatikati, yayitali), pankhani ya kudziyeretsa (monopic, monocomponent), mitundu ya mitundu (umunthu, nkhumba, bovine, genetically engineering, etc.)

Popeza kunenepa kwambiri ndi kupsinjika kwamalingaliro, insulin imayikidwa pa 0,5-1 unit pa kilogalamu imodzi ya thupi patsiku. Kukhazikitsidwa kwa insulin kumapangidwira kutsata chinsinsi cha thupi pokhudzana ndi izi, zofunika zotsatirazi zimayikidwa patsogolo:

1. Mlingo wa insulin uyenera kukhala wokwanira kugwiritsa ntchito shuga kulowa m'thupi.
2. Insulin yovulazidwa iyenera kutsanzira kupansi kwa kapamba.
3. Jakisoni wovulazidwa amayenera kutsata nsonga za postprandial za insulin secretion.

Pankhani imeneyi, pali otchedwa insulin Therapy. Mlingo wa tsiku ndi tsiku wa insulin umagawika pakati potalika pang'ono kapena mwachidule. Ma inshuwiti owonjezera nthawi zambiri amathandizidwa m'mawa ndi madzulo ndipo amayeseza kubisala kwapansi kwa kapamba. Ma insulin omwe amagwira ntchito mwachangu amathandizidwa pakudya kulikonse komwe kumakhala chakudya, muyezo umatha kusiyanasiyana ndi mgawo womwe umaperekedwa pa chakudya chomwe wapatsidwa.

Insulin imayendetsedwa pang'onopang'ono pogwiritsa ntchito syringe ya insulin, cholembera kapena pampu yapadera. Pakadali pano, ku Russia, njira yodziwika kwambiri yothandizira kupangira insulin pogwiritsa ntchito zolembera. Izi zimachitika chifukwa chophweka kwambiri, kusapeza bwino komanso kusamasuka kwa makasitomala poyerekeza ndi syringes yachilendo. Cholembera cha syringe chimakulolani kuti mwachangu komanso mosapweteka mulowe mu insulin yofunika.

Mankhwala ochepetsa shuga

Mutha kuchepetsa shuga

• Chapakatikati, sonkhanitsani chotupa cha lilacs, kutsanulira 2 tbsp. supuni 2 ozungulira madzi otentha. Muyenera kuteteza kwa maola 6, mutha kukhala mu thermos.Zosefera, kenako wonongerani masana
• 40 gr magawo kuchokera ku mtedza zipolopolo kuthira madzi ½. Valani moto wochepa kwa mphindi 60, ozizira, sefa. Gwiritsani 1 tbsp. supuni nthawi iliyonse chakudya chachikulu chisanachitike,
• Kabati mwatsopano horseradish muzu, kusakaniza wowawasa mkaka kapena yogurt mu chiyerekezo cha 1:10. Gwiritsani 1 tbsp. supuni ya osakaniza musanadye katatu patsiku,
• Tengani 1 chikho cha oats ndikumatsanulira makapu 6 a madzi otentha otentha, onjezani kutentha pang'ono kwa mphindi 60. Kuziziritsa, zosefera ndi kumwa mukafuna komanso kuchuluka kulikonse. Sungani zakumwazo pamalo abwino,
• Pukuta masamba 10 a bay, amathira mu thermos ndikutsanulira 1 chikho cha madzi otentha. Kuumirira tsiku lonse, zosefera, imwani zotentha ¼ chikho pamaso chakudya chachikulu, osapitirira 4 pa tsiku.

Mapiritsi ochepetsa shuga amathandizidwa ndi odwala omwe samadalira shuga m'melitrate kuwonjezera pa zakudya. Magulu otsatirawa amachepetsa shuga amadziwika ndi njira yochepetsera shuga:

1. Biguanides (metformin, buformin, ndi ena otero) - amachepetsa kuyamwa kwa matumbo m'mimba ndikupangitsanso kuchuluka kwa zotumphukira. Biguanides amatha kuwonjezera kuchuluka kwa uric acid m'magazi ndikupangitsa kuti pakhale vuto lalikulu - lactic acidosis mwa odwala omwe ali ndi zaka zopitilira 60, komanso anthu omwe akudwala chiwindi ndi impso, matenda opatsirana. Biguanides nthawi zambiri amalembera odwala omwe amadwala matenda a shuga osadalira insulin.
2. Kukonzekera kwa Sulfonylurea (glycidone, glibenclamide, chlorpropamide, carbamide) - kumathandizira kupanga insulini ndi ma pancreatic β-cell ndikulimbikitsa kulowa kwa glucose m'matipi. Mlingo wosankhidwa bwino wa mankhwala m'gululi sizigwira shuga.

Wofuna kulandira chithandizo chonse cha matenda amtundu 1

Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kumwa mankhwala aliwonse osalandira mankhwala a dotolo ndikoyipa kwa thanzi lanu.

Verapamil ndi wa gulu la mankhwala - calcium tubule blockers. Gulu la mankhwalawa linapangidwa kuti muchepetse kusweka mtima komanso minofu ya mtima, komanso lothandiza mu matenda oopsa, matenda a mtima, komanso mtima wamitsempha.

Koma posachedwa, zapezeka kuti verapamil calcium chimbale blocker inhibits (ziletsa) kufotokoza kwa mapuloteni a TXNIP (omwe amayambitsa matenda a shuga mellitus) - chifukwa chomwe akuti amapha ma pancreatic β-cell komanso amamuchitira mtundu woyamba wa shuga. Chifukwa chake, mankhwala adapezeka koyamba pomwe omwe angati amachiritsa matenda ashuga kwathunthu. Zotsatira zabwino kwambiri zidapezeka mu vitro komanso mbewa. Mu mbewa, zinali zotheka kuletsa kufa kwa maselo a β-komanso kusintha momwe amwalira.

Mayesero azachipatala mwa anthu adayamba kumayambiriro kwa chaka cha 2015. Uku ndi kafukufuku wakhungu womwe wakhudza anthu 52. Zotsatira zidzatulutsidwa koyambirira kwa 2016.

Mlingo wofufuzidwa wa Verapamil wochizira matenda a shuga ndi 120-160 mg katatu patsiku.

Maulalo ofufuzira, zolemba ndi zokambirana:

Nkhaniyi idakondweretsa kwambiri odwala ambiri omwe adazindikira kuti ali ndi matenda amtundu woyamba 1 kotero kuti adayamba kumwa verapamil, osadikirira kutha kwa mayeso azachipatala. Ndipo akuti mtundu wawo wa C-peptide wayamba kukwera. Palibe amene amakayikira kuti verapamil amatenga matenda amtundu woyamba. Akatswiri amakhudzidwa ndi funso limodzi lokha - akhoza verapamil kugonjetseratu mtundu 1 wa shuga, kapena adzafunika kutengedwa moyo wonse.

Nkhani zambiri zabwino. Verapamil imalepheretsa kagayidwe kake kudzera pa cytochrome. Ndipo chifukwa chake, mlingo wake umatha kuchepetsedwa pakapita nthawi ndikukhala chimodzimodzi.

Koma funso ndi. Kodi Verapamil ndiyabwino kapena yoipa bwanji thupi lonse? Kupatula apo, timakhala ndi chidwi ndi zoletsa kukalamba. Kuti tichite izi, tiyeni tiwone mu kapangidwe kamankhaniyi za zotsalira zabwino ndi zoipa za mankhwalawo ndikumaliza: - kodi kwatisonyeza kapena ayi.

Mokulira amaonjezera mwayi wowachiritsa khansa

Verapamil ndi zoletsa zamphamvu za P-glycoprotein. Kodi izi zikutanthauza chiyani? P-GP (P-glycoprotein kapena mapuloteni ambiri okana) ndi mapuloteni omwe amapezeka mu nyama ndi bowa kuti ateteze ku zinthu zovulaza - kuphatikizapo mankhwala. Ndi protein iyi yomwe imalepheretsa mankhwala kuwonetsa mphamvu zawo zonse. Ndipo zinanso. Mitundu ina ya zotupa za khansa imachulukitsa mapuloteni a P-GP, motero zimapereka kukana kwa mankhwala. Ndipo ngati mutachotsa chitetezo ichi, ndiye kuti mutha kuchepetsa kwambiri kuchuluka kwa mankhwala ochepetsa khansa, kukwaniritsa zomwezo. Ndipo izi ndizofunika kwambiri - chifukwa chocheperako chomwe timagwiritsa ntchito, zochepa zomwe timachita mthupi lathu ndi mankhwalawa.

Verapamil, poletsa ntchito ya P-GP ya mapuloteni, imawonjezera kwambiri kuchuluka kwa mankhwala amtundu uliwonse wa chemotherapy (komanso mankhwala osokoneza bongo otupa) ku ubongo. Ndipo izi zimawonjezera mwayi wopulumuka ndikuchira kwathunthu kwa mitundu yolimbana ndi zotupa za bongo zopweteka. Mwachitsanzo, ikhoza kuphatikizidwa ndi mankhwala ochizira glioblastoma (chotupa cha muubongo).

M'matumbo, mapuloteni a P-GP amawonetsedwanso mwamphamvu. Izi zimachepetsa kwambiri kuyamwa kwa mankhwala ambiri. Ndipo ma verapamil amatha kukulitsa luso lawo la bioavailability.

Verapamil amateteza mwamphamvu ubongo kuti usakalambe

Verapamil amateteza ubongo ku imfa ya maselo a mitsempha:

• kuletsa kutupa ndi ntchito ya micoglia (maselo omwe amawononga ma cell am'mitsempha)
• kuletsa kulowa kwa kashiamu mu neurons

Verapamil mu maphunziro awonetsa chitetezo champhamvu kwambiri mu ubongo kuposa curcumin, memantine, ndi baikalein.

Maulalo ofufuzira:

Pafupifupi 1% ya anthu opitilira 60 amadwala matenda a Parkinson, omwe ndi vuto lachiwiri lolimba kwambiri pakati pa okalamba atadwala matenda a Alzheimer's. Verapamil amachepetsa chiopsezo cha matenda a Parkinson.

Lumikizani phunziroli:

Verapamil chida champhamvu chogwiritsa ntchito

Chimodzi mwazomwe zimayambitsa kukalamba kwa anthu ndi kudziunjikira kwa zinyalala za mkati mwake. Njira zazikulu zothanirana ndi zinyalala zamkati mwazinthu ndi autophagy. Za zomwe autophagy imapezeka pano. Mu mtundu wakale, autophagy imayendetsedwa kudzera kupsinjidwa kwa mTOR kinase shughuli. Kusala kudya kwakanthawi, zakudya zama calorie otsika, ndipo mankhwala ambiri amachita izi: metformin, glucosamine, ndi ena ambiri. Koma vuto lochepetsera ntchito ya mTOR kinase ndikuti limasokoneza kumanga kwa minofu, komanso kupanikizika kwambiri kwa zochitika za MTOR, sarcopenia (kuchepa kwa minofu misa) kumachitika. Koma verapamil imaphatikizaponso kukweza kwa MTOR.

Maulalo ofufuzira:

Verapamil zotsutsana

• Odwala sinus syndrome ndi kugunda kwa mtima.
• Bradycardia yayikulu (kupumula kovunda kosakwana 50 pamphindi kwa munthu amene samachita nawo zamasewera)
• Kulephera kwa mtima kapena kupweteka kwambiri kwamtundu wa 3 kapena kuposerapo.
• Chinsinsi
• AV block II ndi III degree (kupatula odwala omwe ali ndi mbiri ya pacemaker),
• Wolf-Parkinson-White Syndrome,
• Morgagni-Adams-Stokes Syndrome,
• Makonzedwe apakati pa beta-blockers (mwachitsanzo, propranolol)
• Zaka za ana - mpaka zaka khumi ndi zisanu ndi zitatu
• Tiyenera kukumbukira kuti verapamil ndi mankhwala a kuthamanga kwa magazi. Chifukwa chake, kudya kwake kuyenera kuyambitsidwa, pang'onopang'ono kukulitsa mlingo.

Ngakhale verapamil ndiyabwino mtima ndipo imagwira matenda amtima ambiri, komabe ndi owopsa pamavuto ena amtima omwe atchulidwa pamwambapa. Chifukwa chake, musanagwiritse ntchito, ndikofunikira kuti mupange electrocardiogram ya mtima kupatula matenda awa.

Zotsatira zoyipa za verapamil

Protein P-GP (yemwe wafotokozedwa koyambirira kwa nkhaniyi) amateteza maselo a hematopoietic stem ku poizoni. Ndipo kuletsa kosalekeza kwa ntchito za P-GP ndi verapamil kungayambitse kuwonongeka kwa DNA ya maselo a tsinde awa. Mwinanso - izi sizitanthauza kuti zidzabweretsa kuwonongeka. Koma ngati izi ndi choncho, ndiye kuti verapamil ikhoza kuyambitsa kukalamba kwa maselo a tsinde, zomwe zikutanthauza kuti ingafupikitse moyo wokhala ndi moyo wosagwiritsidwa ntchito mosalekeza. Izi zikuyenera kutsimikiziridwa poyesa. Kutengera izi, tikuganiza kuti verapamil sayenera kugwiritsidwa ntchito pafupipafupi. Ndipo ziyenera kuyikidwa m'maphunziro. Mwachitsanzo, mukamalandira chithandizo chamankhwala odana ndi khansa kuti mukulitse kwambiri bioavailability. Nthawi ndi nthawi, maphunziro othandizira mafupa, nthawi ndi nthawi kugwiritsa ntchito maphunziro sikungadzetse mavuto, koma nthawi yayitali amatha.

Ndipo lero, kwa ife, verapamil ndi mankhwala ofunikira omwe amatenga matenda amtundu wa 1, komanso chida champhamvu kwambiri chogwiritsira ntchito kwambiri mankhwala othandizira khansa.

Chenjezo: Verapamil amachepetsa mphamvu yochepetsera shuga ya metformin

Lumikizani phunziroli:

Zomwe zili m'nkhaniyi sizingagwiritsidwe ntchito pakudzipangira nokha mankhwala. Kumwa mankhwala aliwonse osalandira mankhwala a dotolo ndikoyipa kwa thanzi lanu.

Tikukupemphani kulembetsa ku nkhani zamakalata zatsopano za blog.

Wokondedwa Reader Ngati mukuwona kuti zofunikira mu bulogu iyi ndizothandiza ndipo mukufuna kuti nkhaniyi ipezeke ndi aliyense, ndiye kuti mutha kuthandizira kulimbikitsa blog yanu potenga mphindi zochepa chabe za nthawi yanu. Kuti muchite izi, tsatirani ulalo.

Kupangira mankhwala opha tizilombo

The causative othandizira matenda angakhudze dera lililonse la thupi. Matenda akuluakulu amafunikira chithandizo chamankhwala mwachangu, chifukwa kufalikira kwamatenda ang'onoang'ono kumatha kusokoneza shuga. Munthu akamachiritsidwa matendawa, amakhala wathanzi.

Kumwa mankhwala omwe mumalandira kudzakupangitsani kumva bwino

Nthawi zambiri, mankhwalawa amaperekedwa mu milandu yotsatirayi:

• matenda a pakhungu
• matenda a kwamkodzo thirakiti
• kuwonongeka kwa m'munsi kupuma thirakiti.

Mankhwala othandizira odwala matenda ashuga ndi njira yabwino yochotsera zovuta. Matenda omwe ali pamwambawa ndi okhudzana ndi zovuta za matenda ashuga.

Zomwe zimachitika:

• chithandizo cholakwika
• Zakudya za matenda ashuga
• kudumpha mankhwala ofunikira.

Ndikofunika kukumbukira kuti mankhwala ochepetsa mphamvu ya chiberekero amakhala ndi zowononga osati ma tizilombo tating'onoting'ono tokha, komanso microflora yopindulitsa.

Chifukwa chake, ndikofunikira kuyang'ana pakumwa mankhwala otsatirawa:

1. Ma prebiotic ndi ma proiotic - asintha matumbo, amateteza ku kukula kwa dysbiosis.
2. Njira ya multivitamini - adzakulitsa kuchepetsedwa chitetezo chathupi, kuteteza chitetezo chokwanira ku matenda opatsirana.

MUTU: Ma multivitamini ayenera kumwedwa monga momwe dokotala wanenera.

Ndikofunikira kuwonjezera apo:

• Linex, Acipol, Bifidumbacterin,
• "Katundu wa Doppelherz", "Verwag Pharma".

Dermatological pathologies

Matenda omwe amapezeka kwambiri kwa anthu odwala matenda ashuga ndi awa:

• odwala matenda ashuga phazi
• necrotic fasciitis,
• zithupsa ndi mafuta amoto.

Ngati maantibayotiki apatsidwa mtundu wa matenda a shuga a 2, onetsetsani kuti magazi anu ndi abwinobwino. Zizindikiro zopitilira muyeso zitha kubisa kuchuluka kwa mankhwala osabweretsa zotsatira zomwe mukufuna. Kuonjezera shuga kumalepheretsa kuchiritsidwa kwa minofu yowonongeka.

Matenda a matenda ashuga

Kuzindikira kumatanthauza kumachitika kwa zilonda zosachiritsa pamagombe amunsi. Muzochitika zotsogola, kudula kumatheka. Pofuna kuti musamakokomeze, muyenera kupita kwa dokotala. Amupima mayeso, adzaika X-ray ya phazi kuti awonetsetse kuti minofu yamafupa siyikukhudzidwa.

Nthawi zambiri maantibayotiki amalembedwa mokhazikika kapena pakamwa. Magulu a cephalosporins ndi penicillin amagwiritsidwa ntchito. Nthawi zina amatengedwa palimodzi.

Kuthandizira matendawa ndi ntchito yovuta komanso yayitali. Ndikofunikira kutenga maphunziro angapo kuti mukwaniritse zotsatira. Mankhwala othandizira matenda amfupa m'matenda a shuga amatengedwa kwa milungu iwiri, kenako ndikupuma.

Therapy imakhala ndi izi:

• kutsitsa shuga wambiri ndi mankhwala komanso zakudya,
• kuchepa kwamphamvu pamagawo akumunsi,
• mankhwala a mabala kapena kumwa kwawo,
• ngati muli ndi matenda opatsirana, kudula miyendo ndikuchita, ngati sichoncho ndi ngozi.

Zilonda ndi ma carbuncle

Izi ndi njira zotupa zomwe zimachitika pa ma secs a tsitsi. Matendawa amatha kuchitika kangapo, ngati simutsatira malangizo a dokotala, kuphwanya zakudya, kudumpha ndikumwa mankhwala.

Ngati zosokoneza kagayidwe kachakudya, mapangidwe a pustular protrusions pamitundu yambiri amapezeka. Kuletsedwa kukhudza mapangidwe, kufinya. Kuchokera pamenepa, matendawa amakula pamlingo wokulirapo.

Lemberani mankhwala opha mabala osachiritsika omwe ali ndi matenda ashuga. Njira ya chithandizo ndi yayitali, imatenga miyezi iwiri. Nthawi zambiri amathandizira opaleshoni, kuyeretsa mapangidwe ake.

Chithandizo cha mankhwalawa ndi awa:

• ukhondo wabwino,
• Chithandizo cha mafuta
• kumwa mankhwala osokoneza pakamwa.

Necrotic fasciitis

Kuzindikira kumeneku kumakhala ndi vuto lalikulu chifukwa sikuzindikirika nthawi yomweyo. Awa ndi matenda opatsirana omwe minofu yama subcutaneous imawonongeka, ndipo chidwi cha matenda chimatha kufalikira thupi lonse.

Mawonekedwe ofiira, ofiirira amawoneka pakhungu, pakadutsa amatha kulowa pakhungu, pambuyo poti kudula kumafunika. Milandu yakufa ndiyofala ngati chithandizo sichinatenge nthawi.

Mankhwala ovuta amadziwika, koma munthawi imeneyi ndi matenda a shuga, maantibayotiki sakhala njira yayikulu yothandizira. Zimangophatikizidwa ndi kulowererapo kwa opaleshoni. Chitani zotayidwa kwathunthu ngati minofu yowonongeka kapena miyendo - iyi ndiyo njira yokhayo.

• kuchiza ndi kuvala mabala omwe ali ndi antibacterial agents,
• kumwa maantibayotiki mu zovuta, mitundu iwiri.

Gome - Tizilombo toyambitsa matenda ndi mayina a mankhwala:

Matenda amitsempha

Matenda amitsempha yam'mimba amayamba chifukwa cha zovuta za impso. Wodwala matenda ashuga ali ndi katundu wambiri pazinthu zamkati, nthawi zambiri samatha kupirira ntchito yawo.

Matenda a diabetes nephropathy ndimwambo wamba, wowonetsedwa ndi zambiri zizindikiro. Njira yodutsitsa mkodzo ndi njira yabwino kwambiri yopatsira matenda.

Chithandizo chachikulu ndikukukwaniritsa kuchepa kwa shuga m'magazi, mutatha - kumwa maantibayotiki. Matenda a shuga ndi mankhwala othandizira amatha kuthana ndi mankhwala ngati atchulidwa mosamala. Kusankhidwa kwa wothandizira antimicrobial kumadalira pathogen komanso kuopsa kwa matendawa. Zonsezi zimadziwika pambuyo pakupereka ziyeso zofunika.

MUTU: ngakhale mutalembera dokotala, muyenera kuganizira mofatsa zakumwa za shuga. Mankhwala ena amatha kukulitsa kuchuluka kwa shuga, mwachitsanzo, ma tetracycline antibayotiki.

Otsika kupuma thirakiti

Matenda a kupumula amatha kupezeka odwala matenda ashuga. Chifukwa chochepa chitetezo chokwanira, matenda a chifuwa, chibayo chimachitika. Kupita patsogolo kwa matenda ashuga kumatha kubweretsa vuto la wodwala, chifukwa chake, atatsimikizira kuti ali ndi matendawa, ndikofunikira kuyang'anitsitsa momwe wodwalayo alili kuchipatala.Wodwala amatchulidwa kuti ayesedwe ndi X-ray, yomwe imayang'anira kuwonongeka kwa thanzi.

Dokotala amamulembera mankhwala a matenda a shuga a mtundu wachiwiri kapena matenda amtundu 1 monga mwa dongosolo lililonse. Nthawi zambiri, makonzedwe a penicillin amagwiritsidwa ntchito limodzi ndimankhwala ena omwe amathandizira zochizira zina zomwe zimayamba kukhosomola, chifuwa, kutentha thupi. Mankhwala onse sayenera kukhala ndi shuga, yoyenera kwa odwala matenda ashuga.

Kuletsa pamankhwala oyambitsa matenda

Mankhwala akuluakulu oterewa amaperekedwa mosamala kwambiri kwa wodwala matenda ashuga. Nthawi yomweyo, mkhalidwe wake umayang'aniridwa nthawi zonse, kuchuluka kwa shuga kumayendera mothandizidwa ndi glucometer, ndipo mlingo wa mankhwala ochepetsa shuga umasinthidwa ngati pakufunika.

Mankhwala ochepetsa ululu saloledwa ngati:

• woposa zaka 60
• Matendawa akuwonjezeka,
• pakhala kusintha kwa chitetezo chamthupi.

Ndizofunikira kudziwa kuti magulu osiyanasiyana a maantibayotiki amayambitsa zosiyana mthupi. Dokotala yekha ndi amene angadziwe kuti ndi mankhwala ati omwe angatengedwe ndi matenda ashuga. Shuga sangangokulitsa, komanso kuchepa.

Maantibayotiki amatha kuthana ndi mankhwala a shuga ndikusintha mawonekedwe awo. Mfundo zonsezi zikuyenera kuganiziridwa ndi dokotala popereka chithandizo. Ndikofunika kukumbukira kuti ngakhale kugwiritsa ntchito nthawi yayitali mankhwala opatsirana pogwiritsa ntchito matenda opatsirana sikuyenera.

Matenda a shuga cystitis

Moni, dzina langa ndi Valeria. Ndikudwala matenda ashuga a 2 kwa zaka zitatu. Zizindikiro za cystitis zawoneka posachedwa, adokotala sanakhalepo. Ndiuzeni, kodi maantibayotiki ndi matenda ashuga amagwirizana?

Moni, Valeria. Kumwa mankhwala kungachitike mutapita kukaonana ndi dokotala komanso kukayezetsa. Koma pazonse, chithandizo chamankhwala ndi motere: choyamba muyenera kuwonetsetsa kuti mulingo wa shuga, suyenera kukhala yochuluka kwambiri. Chithandizo chitha kuchitidwa ndi maantibayotiki, monga Nolitsin, Tsiprolet, pakatha masiku 7.

Pamodzi ndikofunikira kuti mutenge "Linex" kuti musinthe matumbo am'mimba ndi ma multivitamini. Pambuyo pa maphunziro a antimicrobial, muyenera kumwa Kanefron. Mlingo wokhawo udzaperekedwa ndi adokotala kutengera mtundu wake. Musaiwale za zakudya komanso kumwa mapiritsi kuti muchepetse shuga.

Chithandizo cha matenda azamatenda

Moni, dzina langa ndi Pauline. Tandiwuzani, kodi ndi mankhwala ati a matenda a shuga omwe angatengedwe kuti athe kuchiza matenda amisala? Kodi chololedwa kugwiritsa ntchito:

Moni Pauline. Kuchiza ndi mankhwalawa omwe mumawakonda ndikuloledwa kwa matenda ashuga. Ndizoyenera kuganizira zina mwazinthu zina: Metronidazole imatha kusokoneza shuga.

Kodi kuzizira kumayambira bwanji shuga?

Matenda a shuga amasokoneza ntchito ya pafupifupi kachitidwe konse mthupi la munthu. Hormonal kusalingani, kusintha kwa kagayidwe kachakudya, kuchepa kwa chitetezo chathupi ndizinthu zabwino pakupanga matenda a virus. Kwa munthu wamba, SARS ndi chimfine ndimatenda ofala. Chithandizo chimatenga masiku 7, ndipo zovuta zimachitika mwa munthu zana.

Anthu omwe ali ndi matenda ashuga amavutika kudwala. 97% ya odwala ali ndi zovuta pambuyo pozizira komanso kuwonongeka kwa ndende ya magazi m'magazi.

Zizindikiro za chimfine mu matenda ashuga chimatchulidwa. Pali kutentha thupi, kupweteka mutu, kufooka kwambiri. Kuwonjezeka kwa kutentha kwa thupi ndi chizindikiridwe chakuwonetsetsa kuchuluka kwa shuga. Zimapangitsa kuwonjezeka kowopsa kwa shuga m'magazi ndi hyperglycemia.

Kodi dokotala akufunika liti?

Vutoli litalowa mthupi, nthawi yomwe makulidwe amayamba. Amakhala masiku atatu mpaka 7. Pakadali pano, munthu akumva bwino. Patatha sabata limodzi, zizindikiro za kachilomboka zikuonekera:

• kufooka
• mutu ndi chizungulire,
• kupweteka kwa maso
• kutentha kwa thupi kumakwera
• zilonda zapakhosi
• zotupa zamitsempha
• mphuno
• kuvutika kupuma.

Zizindikirozi zikawonekera, muyenera kufunsa thandizo kuchokera kwa dokotala. Pofotokoza Zizindikirozi, matenda ashuga ayenera kuyankhulidwa. Dokotala amasankha mankhwalawa ndi njira zomwe zingagwiritsidwe ntchito pa matenda awa.

Matenda ofala ashuga sangathe kuthandizidwa pawokha. Mankhwala osokoneza bongo amabweretsa zovuta ndikuwonongeka.

Mlingo wa shuga

Kwa chimfine ndi chimfine, kuyesa shuga ndikofunikira. Kuchokera kutentha kwambiri, kuchuluka kwa shuga m'magazi kumawonjezeka. Zizindikiro zowunikira ziyenera kukhala maola atatu aliwonse.

Ndi kachilombo kavairasi, insulini yambiri imafunikira kuti shuga isapangidwe. Ndikofunika kuganizira kuti nthawi yozizira, shuga pambuyo insulin amachepetsedwa m'masekondi. Chifukwa chake, mlingo wa mankhwalawa uyenera kumwedwa mosamala.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Zovuta zimasiyana malinga ndi mtundu wa matenda ashuga:

• mtundu 1 shuga - chiopsezo chotenga ketoacidosis ndi kufa,
• matenda a shuga 2 - hypersmolar hypoglycemia.

Patsiku la 4 pambuyo pa kuyambika kwa zisonyezo zoyambirira za kupuma kwa ma virus kapena fuluwenza, urinalysis iyenera kutengedwa kuti mudziwe kukhalapo kwa acetone.

Chithandizo chozizira chikuyenera kuyambika mutangoyamba kumene kwa zizindikiro zoyambirira. Kuperewera kwa chithandizo kumabweretsa zovuta zotsimikizika.

Kupewa ndi malingaliro

Anthu omwe ali ndi matenda ashuga salangizidwa kuti apatsidwe matenda oyambitsidwa ndi ma virus. Kuti mudziteteze, muyenera kutsatira malangizo othandiza kupewa:

• Chakudya chizikhala nthawi zonse komanso chokwanira. Maziko ake azikhala ndi zipatso ndi ndiwo zamasamba, komanso zinthu zamkaka. Muli zinthu zopindulitsa, mavitamini ndi mabakiteriya.
• Patsani zakudya zanu zakudya zamagulu a vitamini C (kiwi, blackcurrant, zitsamba).
• Khalani ndi moyo wokangalika ndikuchita masewera. Kuyenda mokhazikika mlengalenga, kusambira kapena kulimbitsa thupi kumalimbitsa chitetezo chathupi ndikuyambitsa ntchito yake.
• Onani zaukhondo. Pambuyo poyendera malo opezeka anthu ambiri, sambani m'manja ndi sopo wa antibacterial.
• Pakachitika mliri, pewani malo okhala, mashopu, ndi malo ogulitsira. Kachilomboka kamafalikira chifukwa cha ma dropa ndipo zimayambitsa matenda m'malo mwake.
• Kuyeretsa kwamadzi ndi antiseptic solution.
• Ndikofunikira kuti mpweya uzikhala mchipinda chambiri ndikusintha chinyezi. Chinyontho chimathandizira kukhalabe chinyezi cha m'nyumba.

Kuzizira ndi matenda ashuga kumalimbitsana mawonekedwe owoneka bwino. Ndikofunikira kutsatira malamulo opewera kukhala ndi thanzi.

Ngati kachilomboka walowa mthupi la munthu yemwe ali ndi matenda ashuga, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuyamba kulandira insulin.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu