Kupweteka kwam'mimba mu shuga: kusanza ndi mseru, chithandizo cha zovuta

"Matenda okoma" pachaka amapha anthu 1 miliyoni. Nthawi zambiri kufa kumachitika ndi chithandizo chosayembekezereka chifukwa chosasamala wodwala. Kupweteka kwam'mimba m'matenda a shuga ndi chizindikiro chachikulu chomwe chikuwonetsa kupitilira kwa matenda.

Kupweteka kwam'mimba kumatha chifukwa cha kusokonezeka kwa m'mimba.

Ziwerengero zimatsimikizira kuti 75% ya anthu odwala matenda ashuga amakhala ndi vuto logaya m'mimba. Nthawi yomweyo, kupweteka kwam'mimba kwambiri sikumayendera limodzi ndi zizindikiro zazikulu za matenda ashuga: polyuria, ludzu losalekeza, kusakwiya komanso kugona.

Matenda a shuga ndi kugaya chakudya

Kukula kwa matendawa kumatha kubweretsa kusintha kwakukulu m'matumbo am'mimba, monga poizoni wazakudya, zilonda zam'mimba, ndulu ndi matenda ena.

Mu matenda ashuga, dongosolo lililonse la kugaya chakudya limatha kukhudzidwa: kuyambira kummero mpaka thumbo. Chifukwa chake, zizindikiro zokhala ndi zovuta zoterezi zimasiyana. Zizindikiro zodziwika bwino zakudya m'mimba ndi izi:

1. Dysphagia ndi njira yovuta yameza yomwe imachitika chifukwa cha kufinya kwamkamwa, esophagus, mawonekedwe a tinthu tachilendo, etc.
2. Reflux - kuponya zomwe zili m'mimba mbali inayo.
3. Kudzimbidwa kapena kutsegula m'mimba, kusanza komanso kusanza.
4. Kupweteka kwam'mimba.

Matenda a shuga amatenga ziwalo zambiri, kuphatikizapo m'mimba. Ngati wodwala salamulira bwino magazi, izi zitha kubweretsanso zovuta zina zam'mimba.

Komanso, matenda ambiri am'mimba omwe amagwiritsidwa ntchito pakudya amalumikizidwa ndi kuwonongeka kwa masisitimu amanjenje.

Kuwonongeka kwa ma neurons m'mimba kumatha kukhala chida chobisalira, kutulutsa, komanso kuyenda.

Matenda a esophagus ndi m'mimba mu shuga

Nthawi zambiri odwala omwe ali ndi vuto la kuperewera kwa zakudya m'thupi, makamaka kudya zakudya zamafuta, amatha kudwala matenda a shuga. Izi zimachedwetsa zomwe zili m'mimba. Zotsatira zake, wodwala matenda ashuga amatha kupweteka m'mimba, kusanza, zizindikiro za mseru kapena kusanza. Komanso, kupsinjika m'mimba kungayambitse Reflux. Ngati pali zizindikiro zotere, muyenera kupita kwa dotolo kuti mudzakumanane naye. M'malo mwake, palibe chidziwitso cholondola cha matendawa, chifukwa endoscopy yapamwamba singathe kudziwa ndikuwunika kutulutsa kwam'mimba kuchokera pakudya komwe kumayamwa. Kuzindikira kumachitika ngati wodwalayo ali ndi madandaulo oyenera.

Pozindikira matenda a diabetes a gastroparesis, kuyesa koyesa matendawa kumawoneka kukhala kothandiza kwambiri. Phunziroli, chakudya chomwe wodwalayo ayenera kudya chimakhala ndi technetium isotope. Kenako, pogwiritsa ntchito scintigraphy, katswiri amatha kudziwa kutulutsa kwam'mimba pazomwe zili. Kwenikweni, kufufuza koteroko kumapereka zotsatira zodalirika, koma nthawi zina, mukamamwa mankhwala omwe amakhudza kuchepa kapena kuthamanga kwa m'mimba, panali zotsatira zabodza za kusanthula.

Kuti wodwala matenda ashuga aphunzire momwe angathanirane ndi gastroparesis, ndikofunikira kutsatira malamulo ena a zakudya:

1. Muyenera kudya m'magawo ang'onoang'ono, koma pafupipafupi. Kupanda kutero, matenda a shuga omwe amapezeka amatha kuyambitsa zovuta zowopsa.
2. Pewani zakudya zomwe zimakhala zamafuta kwambiri komanso zowonda kwambiri.
3. Onetsetsani kuti mumadya mbale zamadzimadzi (sopo, borscht).
4. Pewani zizolowezi zoyipa - kusuta fodya komanso mowa.
5. Muzichita masewera olimbitsa thupi mopepuka (kuyenda, masewera).

Ngati Zizindikiro zikukula, mungafunike kupita kwa ma hydra hydrate kapena chubu cha nasogastric. Pochiza matenda a shuga a gastroparesis, mankhwala osiyanasiyana angagwiritsidwe ntchito, mwachitsanzo, Raglan, Cisapride, Motilium, Erythromycin. Imwani mankhwala pokhapokha ngati wodwala kapena gastroenterologist ataikidwa pompopompo, chifukwa kudzipereka kwanu kungayambitse zotsatira zosakonzekera.

Zilonda zam'mimba komanso m'mimba m'matumbo a shuga

Padziko lapansi, 10% ya anthu onse (omwe ali ndi matenda osokoneza bongo komanso opanda matenda) amakhala ndi zilonda zam'mimba. Hydrochloric acid imatha kukhumudwitsa madera omwe ali ndi vuto lakumimba kapena kum'mero, kumapangitsa kupukusika kwam'mimba, kutentha kwa mtima, komanso kupweteka kwam'mimba.

Mu odwala matenda ashuga, kuchuluka kwa mabakiteriya okhala m'mimba ndi duodenum nthawi zambiri kumatsimikiziridwa. Ndi Helicobacter pylori yemwe amachititsa zilonda zambiri. M'malo mwake, matenda ashuga okalamba kapena achinyamata okha samathandizira kukulitsa zilonda zam'mimba.

Chithandizo cha zilonda zam'mimba mwa odwala matenda ashuga komanso anthu athanzi sichimodzimodzi. Nthawi zambiri, mankhwala amaikidwa amachepetsa secretion ya asidi - proton pump inhibitors, mankhwala othandizira - Metronidazole, Clarithromycin, etc.

22% ya odwala matenda ashuga ali ndi ziwalo zotayirira. Matenda a shuga ndi matenda am'mimba omwe amayamba popanda chifukwa. Zomwe zimachitika zimatha kukhala kupitirira kwa matenda ashuga, limodzi ndi autonomic neuropathy, vuto la m'matumbo, kapena kukwiya kwamatumbo (chodabwitsa kwambiri).

Pochiza matenda am'mimba a m'matenda a shuga, adotolo amakupangira mankhwala monga diphenoxylate, loperamide kapena Imodium, omwe amachotsa vuto la chimbudzi.

Kuphatikiza apo, antispasmodics nthawi zina amalembedwa kuti achepetse kusuntha kwa matumbo.

Mavuto a m'matumbo aang'ono komanso akulu

Pamene matenda a shuga akupita m'matumbo ang'onoang'ono, mathero amitsempha omwe amayambitsa kupweteka kwam'mimba, bata, kapena m'mimba amatha kuwonongeka. Ngati chakudyacho chachedwa kwa nthawi yayitali, kapena, mosatulutsa, m'matumbo, pali mwayi wokhala ndi vuto la kukula kwambiri kwa microflora. Zodabwitsazi zimayambitsa kupweteka kwam'mimba komanso ziwalo zotayirira.

Kuzindikira matenda amenewa kumakhala kovuta; Pambuyo pozindikira matendawa, dokotalayo amatumiza chisapride kapena metoclopramide, yomwe imathandizira kudutsa kwa chakudya, komanso maantibayotiki kuti achepetse kuchuluka kwa mabakiteriya m'matumbo.

Mukapanda kuchiza matenda operekedwa munthawi yake, kupitilira nthawi kumatha kukupweteketsani m'mimba ndi m'miyendo. Matendawa ndi ovuta kuchiza. Ndi chitukuko cha ululu wokhazikika, mankhwala othandizira pamavuto amagwiritsidwa ntchito.

Mimbulu yam'mimba imathanso kukomoka, zomwe zimapangitsa kudzimbidwa pafupipafupi. Kuti muchepetse izi, ndikofunikira kuchita njira ndi enema kapena colonoscopy. Komanso, adokotala amatha kukupatsirani mankhwala othandizira, omwe amathandizira pang'onopang'ono kuchotsa chopondapo. Kuphatikiza apo, ndi matenda oterewa, zakudya zoyenera ziyenera kuthandizidwa.

Komanso, kupweteka pamimba kumatha kugwirizanitsidwa ndi mitundu yambiri ya kapamba ndi chiwindi (hemochromatosis, mafuta a hepatosis). Kuphatikiza apo, kupezeka kwa miyala mu ndulu kapena impso kumatha kupweteka m'mimba, nseru, kusanza, kutsegula m'mimba, ndi zizindikiro zina zambiri. Izi matendawa amakula msanga, choncho wodwala ayenera kukaonana ndi dokotala.

Ngati wodwala akudwala m'mimba ndi matenda a shuga, izi zitha kuwonetsa kupita patsogolo kwa matendawa komanso zovuta zina. Chifukwa chake, wodwalayo amayenera kupimidwa mozama kuti adziwe zomwe zimayambitsa kupweteka kwam'mimba, ndikutsatira malangizo onse a dokotala ndikuwongolera shuga. Kanemayo munkhaniyi amafotokoza za matenda ashuga.

Matenda A shuga ndi Kupweteka Mumimba

Mavuto a matendawa nthawi zambiri amayambitsa kupweteka kwam'mimba mu shuga. Amatha kukhala osakhalitsa monga momwe amathandizira pakudya, kapena kuwonetsa matenda. Ndi matenda a shuga, njira yopweteka ya wodwalayo imachepa, motero, kupweteka kumamvekanso ngakhale ndikuphwanya kwambiri. Muzochitika zotere, muyenera kufunsa dokotala yemwe angakuwonetseni kuti mupezeke ngati mukudwala matenda ashuga komanso m'mimba. Chotsatira, chithandizo chimayikidwa mogwirizana ndi chithunzi cha odwala. Maziko a kupewa ndikutsatira zofunikira komanso zolimbitsa thupi zolimbitsa thupi.

Mavuto a shuga omwe amayambitsa kupweteka

Pankhani ya vuto la pancreatic gland komanso kulakwitsa ntchito popanga insulin, matenda a shuga amapezeka. Matenda oopsa, zovuta zomwe zimabweretsa zotsatira zosasintha. Ululu m'mimba ndi matenda a shuga umatha kukhala wa kanthawi kochepa (kuzunza kwakanthawi ndikuchoka paokha) komanso kukhala ndi nthawi yayitali (mavuto osonyeza). Zomwe zimapangitsa kupweteka kwam'mimba mu shuga:

• zilonda zam'mimba ndi zam'mimba,
• Zotsatira zamankhwala omwe amapezeka ndi metformin (chifukwa chosowa zakudya zopatsa mphamvu) komanso kugwiritsa ntchito ma biguanides mukamamwa zakumwa zoledzeretsa,
• lactic acidosis,
• matenda a chiwindi
• ketoacidosis
• aakulu a chiwindi.

Tiyenera kumvetsetsa kuti kupweteka kwa odwala matenda ashuga kumakhala kosapepuka, ndipo ngati chizindikiro chotere chikuwonetsedwa, zikutanthauza kuti zovuta kwambiri zimachitika mthupi zomwe zimafunikira chithandizo cham'chipatala msanga.

Kuzindikira kupweteka kwam'mimba mu shuga

Ndikosatheka kukhazikitsa chomwe chimapangitsa kupweteka kwam'mimba m'matenda a shuga okha. Pachifukwa ichi, maphunziro angapo a labotale amachitika. Ntchito yayikulu ndikumvetsetsa momwe wodwalayo akumvera, zomwe zimayambitsa isanayambike zizindikiro pomwe matenda ashuga adayamba. Kuti muchite izi, pangani kafukufuku wamkamwa, palpation ndikuwunika kwa wodwalayo. Kenako, muyeso wa kuchuluka kwa shuga umachitika, mbiri ya glycemic, chizindikiro cha insulin chimadziwika. Kuyesedwa kwa glucose kumachitika ndipo kuchuluka kwa hemoglobin ya glycosylated kumayesedwa. Kufufuza kwamwazi wamagazi (kusanthula kwa ma laboratory) ndi kusanthula kwamkodzo, kuyezetsa kwa Reberg ndi kuyesa kwa ma ultrility pamimba yam'mimba kumachitika.

ECG, miyeso ya acetone, kuphatikizira kwa magazi kwa magazi kumachitika ngati kuli kofunikira. Pambuyo pokhapokha podzinyenga, dokotala wopezekapo amatha kuona chithunzithunzi chokwanira komanso kupereka mankhwala. Kuzindikira sikungokhala kokha pazomwe tafotokozazi, koma phatikizani maphunziro owonjezera okhudzana ndi ululu. Kutumiza njira yakuzindikira kumaperekedwa ndi adotolo potengera mbiri yachipatala ndi mayankho a wodwala.

Chithandizo ndi kupewa

Chithandizo cha matenda a shuga chimaphatikizira kuchuluka kwa shuga komanso kusintha kagayidwe. Kuwonetsedwa kwa ululu wamkati pamimba kungathe kuchepetsedwa. Chifukwa cha izi, madokotala amatipatsa mankhwala oyenera a pakhungu. Ndikofunika kuti muchotse matenda omwe amayambitsa kupweteka, ndikupitiliza mankhwala a insulin. Gawo lofunika kwambiri mupewe kupewera komanso kupewa zakudya:

• njira zodyera zakonzedwa,
• Zakudya zopatsa thanzi zochulukirapo siziphatikizidwa.
• mafuta, zonunkhira, zakudya zopanda pake, confectionery ndi zakumwa za shuga siziletsedwa.

Pofuna kupewa zovuta zamatenda oyamba, ndikofunikira kuwunika kuthamanga kwa magazi.

Pofuna kupewa zovuta za matenda ashuga komanso matenda ena okhudzana omwe amayambitsa kupweteka kwam'mimba, muyenera kufufuza mwadongosolo ndi endocrinologist ndikudziyimira pawokha shuga. Kupumula, kuchita masewera olimbitsa thupi moyenera kumathandizanso kuti munthu ayambenso kuthamanga. Ndikofunika kuyang'anira kuthamanga kwa magazi ndikusasiya matenda obwera chifukwa sanachiritsidwe. Ziphokoso zilizonse zili bwino, simuyenera kuchedwetsa kupita kwa dokotala. Mankhwala ena obwera amaperekedwa ndi adokotala okha.

Mankhwala achikhalidwe amatha kuthandizanso kukonza thupi, koma simuyenera kuwatenga ngati matenda a panacea. Kuti muthane ndi mtundu wachiwiri wa matenda ashuga, muyenera kugwiritsa ntchito mankhwala omwe amayendetsa shuga. Pachifukwa ichi, mankhwala omwe amathandizira kapamba amagwiritsidwa ntchito kuti awonjezere chidwi cha insulin, mapiritsi omwe amawongolera kuchuluka kwa shuga m'magazi am'mimba.

Kupweteka kwa matenda ashuga

Matenda a shuga mellitus (DM) amawopseza zovuta zambiri zomwe zimakhudzana ndi kuchuluka kwa shuga mthupi. Shuga wambiri amawononga mitsempha yamagazi ndi mitsempha, komanso zimayambitsa kupweteka kwa shuga. Choyamba, maso ndi miyendo zimavutika. Pang'onopang'ono, zovuta zimagwira machitidwe angapo ndi ziwalo. Matenda ambiri omwe amachitika amaphatikizidwa ndi ululu, wodwalayo amakhala ndi chotupa pakhosi, kupweteka pachifuwa, ndi zina. Popewa izi, njira zonse zimayenera kutengedwa kuti matenda a shuga achulukane. Zokongoletsa zimangokulitsa vutolo, koma sizingakhudze kukula kwake.

Njira ya matenda ashuga

Pa gawo loyambirira la chitukuko, matenda a shuga ndizovuta kuzindikira chifukwa cha kusowa kwa matchulidwe komanso kupweteka. Zomverera zowawa zimawonekera patapita nthawi, pamene zovuta zazikulu zingapo zimachitika.

Mtundu woyamba wa shuga, kapamba samatulutsa insulin, kapena pang'ono kwambiri. Mu mtundu wa matenda a shuga a mellitus 2, insulin ndiyokwanira mthupi, koma matupi awo amawonongeka. M'njira zonsezi, pali kuwonjezeka kwa glucose m'thupi. Makristalo a shuga amatsekera zombo zazing'ono, amapanga zolembera pamakoma a mitsempha yayikulu. Kutuluka kwa magazi kumasokonezeka, zimakhala sizimalandila chakudya choyenera, zingapo za concomitant pathologies zimayamba.

Pamodzi ndi zotengera, minyewa yamanjenje imavutika, kufooka kwake kumachitika. Mitsempha satha kufalitsa zokoka, chifukwa chake matenda amiyendo nthawi zambiri amapezeka mu shuga. Zilonda zosakhazikika zimawoneka mmanja ndi miyendo, pomwe wodwalayo sakudziwa nthawi yovulala. Ululu wamtundu wa 2 komanso matenda amtundu wa 1 amayamba kuwonongeka kwa minofu ndi ziwalo. Ngati wodwala amawunika shuga, zovuta zitha kupewedwa.

Zoyipa

Nthawi zambiri, odwala matenda ashuga amakhala ndi zilonda zapakhosi, kumbuyo, nkono, mwendo, chala, komanso kupsinjika pachifuwa. Malinga ndi ziwerengero, 30% ya anthu odwala matenda ashuga amalephera miyendo. Zotsatirazi zimayambitsa izi:

Ululu m'mutu ndimakonda kwambiri matenda ashuga.

Kuwonongeka kwa dongosolo lamanjenje. Mafuta ambiri amapangitsa kuti minyewa ya mitsempha iwonongeke. Mapeto amitsempha amatsirizika ndipo sangathe kufalitsa zomwe mukumva. Kumayambiriro kwa kuwonongeka kwa mitsempha, munthu amataya mphamvu, samva ngati mikono kapena miyendo, ndipo mphamvu zamkati zamkati zimachepa. Kupita patsogolo, njirayi imadzetsa ululu waukulu.

Bweretsani ku zomwe zalembedwa

Mutu

Kwa odwala matenda ashuga a mtundu woyamba ndi wachiwiri, malingaliro angapo apangidwa kuti apewe zovuta. Nthawi zina zovuta zoyipa za shuga zimavuta kupewa ndipo munthu amayamba kudwala mutu. Choyambitsa chachikulu cha matendawa ndi madontho akuthwa mu kuthamanga kwa magazi komwe kumachitika chifukwa cha kutsika kwa magazi. Kuti muthane ndi kuukiridwaku, muyenera kuyeza kukakamizika ndikumwa mankhwala oyenera. Mankhwala achikhalidwe amalimbikitsa kusanja chala chake padzanja.

Impso zimapweteka

Nephropathy ndimatenda ofala ndimatenda a shuga. Mitsempha yamagazi imakhudzidwa ndi impso, ndichifukwa chake chiwalo chophatikizidwa sichingagwire ntchito bwino. Kutsegula m'mimba kukukula pang'onopang'ono, mapuloteni ambiri amapezeka mumkodzo. Kuti mupeze matenda a impso pakapita nthawi, muyenera kumayesedwa pafupipafupi kawiri pachaka, ndipo kangapo kawiri pachaka muyenera kuwunikira kuti mupeze mapuloteni mumkodzo.

Kupweteka kwa mtima

Pakati pa pathologies a mtima dongosolo motsutsana maziko a matenda ashuga, matenda a matenda a ubongo nthawi zambiri amapezeka. Matendawa amadziwika ndi kufalikira kwa ziwiya zazikulu ndikuwopseza ndi zovuta zambiri zomwe zingayambitse kulemala ndi kufa.

Nthawi zina ndi matenda a shuga mumakhala kupweteka kwambiri mumtima. Izi zitha kukhala chizindikiro cha atherosulinosis ndi zovuta zake. Panthawi ya nkhondoyi, olemekezeka alibe chiyembekezo. Kumva kupweteka kumachitika ndi myocardial infarction kapena matenda a mtima. Ma pathologies onsewa amawopseza necrosis ya gawo la mtima. Popewa kupezeka kwawo, muyenera kutsatira zakudya zomwe zimaperekedwa chifukwa cha matenda ashuga, komanso osanyalanyaza masewera olimbitsa thupi.

Manja apweteka, miyendo inakhudzidwa

Kuchuluka kwa matenda ashuga kumayambira. Wodwala amakhala ndi ululu chidendene, m'matumbo, kumapazi, m'manja, pomwe mankhwala osokoneza bongo samachotsa ululu nthawi zonse. Pali zifukwa zingapo zomwe zimapangitsa kupweteka kwa miyendo miyendo:

• Ndi matenda a shuga, miyendo imakhudzidwa kwambiri.

Kuwonongeka kwa magazi. Zimakwiyitsa kufa kwa minofu, kukula kwa zilonda zopanda machiritso.

Bweretsani ku zomwe zalembedwa

Kodi chinanso chomwe chimapweteka ndi matenda ashuga ndi chiyani?

Nthawi zambiri pamakhala zilonda zam'mimba komanso matenda osokoneza bongo. Monga zovuta zina, izi zimachitika chifukwa cha kuchuluka kwa shuga m'magazi. Ndi zilonda zapakhosi, kupsinjika kwa zotengera kumachitika, zomwe zimabweretsa zosasangalatsa zamunthu wopsinjika. Mwa odwala matenda ashuga, msana, mapewa ndi gawo lililonse la thupi limatha kupweteketsedwa chifukwa cha kufalikira kwa magazi. Kuyesa kuchiza matenda omwe adutsa komanso kutenga ma khunyu samakulolani kuti muchepetse zowawa, chifukwa choyambirira, muyenera kuthetsa zomwe zimayambitsa.

Kodi kuchotsa ululu?

Anthu odwala matenda a shuga sangachite chilichonse kuti athetse ululu popanda mankhwala a dokotala. Sikuti mankhwala aliwonse opweteka omwe angakupatseni zotsatira zomwe mukufuna. Kuphatikiza apo, mawonekedwe a ululu akuwonetsa kukula kwa zovuta, chifukwa chake, choyamba, muyenera kufunsa dokotala. Njira yayikulu yothetsera ululu ndikukhazikitsa matenda a shuga m'magazi. Izi zitha kuchitika kudzera pakudya, masewera olimbitsa thupi, kusapanikizika komanso zizolowezi zoyipa, kuyang'anira kuchuluka kwa shuga, kumwa mankhwala ochepetsa shuga omwe adokotala amuuzani.

Kodi m'mimba mwanga ndingamupweteke ndi matenda ashuga?

Ngati m'mimba mwa munthu wodwala matenda ashuga zimapweteka ndipo zoterezi zimachitika nthawi yayitali kapena zimakhala zazitali, ndiye kuti pali chizindikiro chomveka chokhudza kukhazikika kwa matenda. Kuchedwetsa ndikuyesera kuthana ndi zovuta zokhazokha nokha ndizowopsa pazinthu zotere. Mwa anthu omwe ali ndi matenda ashuga, njira yopweteka imachepetsedwa ndipo ngati kupweteka kumamveka kale, ndiye kuti pamakhala chiwopsezo cha matenda oopsa.

Kodi chimayambitsa kupweteka pamimba ndi chiyani?

Kuchuluka kwa shuga wamagazi kumawonetsedwa m'njira zambiri za metabolic, kuphatikizapo zimachitika zomwe zimapezeka m'mimba yakudya ndi ziwalo zina zamkati. Zinthu zoterezi zimakhudza magwiridwe antchito osiyanasiyana mthupi, zomwe zimabweretsa zosasangalatsa zosiyanasiyana. Malinga ndi ziwerengero, anthu opitilira 70% omwe ali ndi vuto la shuga m'magazi amamva kupweteka kwam'mimba m'matenda a shuga ndipo nthawi iliyonse amayamba chifukwa cha zinthu zosiyanasiyana.

Poganizira zomwe zimayambitsa kupweteka m'mimba, titha kusiyanitsa:

• Zakudya zopanda pake. Kupatuka kuzakudya, zakudya zamafuta kapena zakudya zilizonse zovulaza glycemia zingayambitse kudzimbidwa. Nthawi zina, amakhala osakhalitsa ndipo amangopita okha, koma simuyenera kuwanyalanyaza ndipo muyenera kudziwitsidwa mukapita kukaonana ndi dokotala.
• Zilonda zam'mimba kapena duodenal. Mapangidwe olusa nthawi zambiri amayamba chifukwa cha othandizira omwe amalowa mkati mwa khoma ndipo ngati thupi silitha kuletsa kufalikira kwa tizilombo toyambitsa matenda, ndiye kuti amayamba kuchulukana, ndikuyambitsa mawonekedwe amafupa. Momwemonso, choyambitsa chachikulu cha chilonda ndi Helicobacter pylori. Ndi matenda ashuga, thupi limakhala ndilibe zokwanira kulimbana ndi mabakiteriya komanso chilengedwe chomwe chimakhala ndi shuga wambiri, nthawi zambiri chimakhala chabwino.
• Gastroparesis ndichakudya cha matenda ashuga kapena chofulumira, kusungidwa kwake m'mimba. Izi zimadzetsa kusefukira ndi kupweteka kwamtsogolo, kusanza ndi zovuta zina.
• Neuropathy. Pathology imalumikizidwa ndi kuwonongeka kwa minyewa yamitsempha, yomwe imawonetsedwa ndikutumiza kwazizindikiro ku ubongo, mtundu wa machitidwe a metabolic. Kuphwanya komwe kumakhudza mbali zonse zamatumbo, kuchokera pamavuto amtumbo, flatulence, kutsekula m'mimba komanso zochitika zina zomwe zingayambitse kupweteka kwam'mimba m'matenda a shuga.
• Pancreatic kutupa kapena kukanika. Thupi ili limayang'anira kupanga insulin. Ngati pali kulumpha pazomwe zili mumadzi awa, omwe nthawi zambiri amachitika ndi matenda amtundu 1. Zinthu zotere zimakhudza chimbudzi komanso moyo wonse.
• Kuphwanya microflora, makamaka, candidiasis. Matenda a fungal amatha kufalikira ku mucosa iliyonse, ndipo shuga wambiri amathandizira kuti izi zitheke. Chifukwa cha izi, pali ululu wam'mimba, zovuta zam'mimba.
• Matenda a chiwindi. Izi zitha kuphatikizira hemochromatosis, kuchepa kwamafuta, komwe kumachitika pamene wodwalayo ali wonenepa kwambiri ndipo pakakhala kuti alibe ulamuliro kumatsogolera gawo.

Zomwe zimayambitsa kupweteka kwam'mimba kwa munthu yemwe ali ndi hyperglycemia zingakhale zifukwa zofanana ndi shuga wambiri. Kusiyanaku ndikusokonezeka kwakukulu kwa odwala matenda ashuga pamitundu ina yakunja, komanso njira yolakwika yosiyanasiyana yokhudza thupi.

Kodi kuchitira kupweteka kwam'mimba?

Ndi mawonekedwe osasangalatsa pamimba, simukuyenera kuyesetsa kuti muchepetse kupwetekako ndi mitundu yosiyanasiyana ya ululu kapena kusintha maphikidwe a wowerengeka. Zifukwa zingapo zimatha kupangitsa izi ndipo ndikofunikira kuzizindikira, apo ayi pali kuthekera kwakukulira kwa vutolo. Ngati nthendayi ikuvuta kwambiri, kusanza, kutentha thupi, ndowe zamagazi kapena zizindikiro zina zovuta, ndiye kuti ambulansi iyenera kuyitanidwa nthawi yomweyo. Ndi kupweteka kwapakati komanso kusapezeka kwa matchulidwe otchulidwa, tikulimbikitsidwa kukaonana ndi adokotala kapena oyang'anira.

Munthawi zonsezi, mtundu winawake wa mankhwala amasankhidwa. Kudziwitsa koyambirira kumayambitsidwa ndi kufufuza kwatsatanetsatane kuti mudziwe chifukwa chake m'mimba mumapweteka ndi matenda a shuga komanso ngati zimagwirizanitsidwa ndi shuga m'magazi. Pangakhale kofunikira kusintha njira yosungira kuchuluka kwa shuga m'magazi, zomwe zimachitika ndi matenda amtundu wa 2 kapena mlingo wa insulin udzakonzedwanso. Nthawi yomweyo, zikuchitidwa kuti athetse vuto lomwe limayambitsa m'mimba, mwachitsanzo:

1. Chakudya chokhwima chimakhazikitsidwa kupatula zakudya zamafuta, zomwe zimapangitsa kuyamwa ndi kuwonda.
2. Kutenga ma enzyme kuti mubwezeretse kapamba.
3. Kuphatikizidwa kwa mankhwala omwe amathandizira kubwezeretsa microflora yamatumbo.
4. Kusankhidwa kwa corticosteroids, sedative, njira za physiotherapy, zomwe zimasonyezedwa ndi zizindikiro za neuropathy.
5. Zothandiza

Matenda a shuga komanso kupweteka kwam'mimba

Funso: Mtsikanayo ali ndi zaka 6.5. Kwa zaka ziwiri ali ndi matenda ashuga 1.

Kuphatikiza apo, amakhala ndi nkhawa zamanjenje - amalumikizana zala ndi kupukutira mphuno yake. Amayi anali ndi vuto lodana kwambiri ndi ana.

Tsitsi lake ndi loyera komanso maso ake ndi amtambo. Amanjenjemera, akusinja ndi kutembenuka usiku. Tsiku lina usiku anati tsitsi lake limapweteka. Mantha ngati iwo amamuyang'ana iye molakwika kapena ananena mawu mopweteka.

Kuopa kupweteka - izi zimamulepheretsa kudya kwambiri. Mimba itayamba kupweteka, imakhudza zidendene ndi chinthu chakunja, popeza adauzidwa kuti wabweretsa kachilombo kuchokera kumapazi ake. Zotulutsa zala zazing'ono zamapazi ndi manja kuyimika.

Pambuyo kudya, mwana amaponyera kutentha thupi, chilichonse chikuwotcha. Thukuta ndi kuwonjezeka kwa shuga m'magazi kuchokera pa 7-8 mmol. Zokha ndizovuta pano.

Katemera wa BCG anaperekedwa kuchipatala cha amayi oyembekezera. Pobadwa, chibwano chidagwedezeka. Kuyambira chaka pakhala zilonda zoyipa pamilomo - analibe nthawi yoyenda okha, monga ena amawonekera. Ndipo zina mpaka zaka 2. Kuyambira chaka chimodzi mpaka ziwiri, mapuloteni amapezeka pakuwunika mkodzo.

Ankakonda kuyankhula molakwika, adotolo adati pali zovuta zina pakulankhula.

Kukonzekera kwa homeopathic kunatengedwa kuchokera kuzilonda - Acidum nitricum ndi Mercurius solubilis. Kuchokera pakupaka mphuno yanga mpaka pano, ndimupatsa mankhwala Qing (Artemisia vulgaris). Tuberculinum imalembedwa poyankhula, ndipo tsopano Medorrinum ya matenda ashuga.

Mu Juni 2017, adadwala matenda a rotavirus (Coxsackie virus). Zitatha izi, m'mimba mwanga mudadwala kwa nthawi yayitali, kenako ululu udachepera.

Posachedwa, kwa sabata limodzi tsopano, ngati mwana wamkazi, wakhala akudandaula za kupweteka kwam'mimba atatha kudya - kupweteka kuzungulira msana ndi kapamba. Nthawi zambiri ululu pambuyo stewed kabichi ndi nyama. Ngati mumaphika chakudya anthu angapo, ndiye kuti mukumva zabwinobwino, palibe ululu wam'mimba.

Pali ma ketoni ambiri mumkodzo. Nthawi zonse perekani madzi akumwa ndi koloko. Zitha kupweteka kuchokera ku ma ketones. Ndi chiyani chomwe chingatengedwe ndi acetone (chifukwa cha matenda ashuga) kuchokera ku zowawa?

Januware 31, 2018, 21:01

Yankho: Masana abwino. Pakakhala kuphatikiza - matenda a shuga ndi kupweteka kwam'mimba, ngakhale kupezeka kwakanthawi kapena kudalira vuto lakudya, njira yosavuta yothandizira ndikutenga mankhwala okonzekera kunyumba kuchokera ku plungum - Lycopodium 6C - 3 granules pansi pa lilime kunja kwa chakudya tsiku lililonse madzulo (bwino kwa nthawi yayitali), ndipo 5 granules mwachindunji kupweteka.

Matenda a shuga amabweza m'mimba ululu wam'mimba

Amatha kukhala osakhalitsa monga momwe amathandizira pakudya, kapena kuwonetsa matenda. Ndi matenda a shuga, njira yopweteka ya wodwalayo imachepa, motero, kupweteka kumamvekanso ngakhale ndikuphwanya kwambiri. Muzochitika zotere, muyenera kufunsa dokotala yemwe angakuwonetseni kuti mupezeke ngati mukudwala matenda ashuga komanso m'mimba.

Chotsatira, chithandizo chimayikidwa mogwirizana ndi chithunzi cha odwala.

Matenda a shuga omwe sanalipidwe: Zizindikiro, mankhwala

Maziko a kupewa ndikutsatira zofunikira komanso zolimbitsa thupi zolimbitsa thupi. Mavuto a matenda ashuga omwe amayambitsa kupweteka Pakachitika vuto la kapamba komanso kusayenda bwino kwa kupanga insulin, matenda a shuga amapezeka. Matenda oopsa, zovuta zomwe zimabweretsa zotsatira zosasintha.

Ululu m'mimba ndi matenda ashuga umatha kukhala yochepa shuga ndikubwerera pazokha ndi zovuta zazitali za mavuto. Zomwe zimayambitsa kupweteka kwam'mimba mu matenda osokoneza bongo ndi: Iyenera kumvetsedwa kuti kumva kwa zowawa mu odwala matenda ashuga kumakhala kopepuka, ndipo ngati chizindikiro choterocho chimapweteka, ndiye kuti zovuta zazikulu zimachitika mthupi zomwe zimafunikira chithandizo cham'chipatala msanga.

Ndikosatheka kukhazikitsa chomwe chimapangitsa kupweteka kwam'mimba m'matenda a shuga okha. Pachifukwa ichi, maphunziro angapo a labotale amachitika. Ntchito yayikulu ndikumvetsetsa momwe wodwalayo akumvera, zomwe zimayambitsa isanayambike zizindikiro pomwe matenda ashuga adayamba. Kuti muchite izi, pangani kafukufuku wamkamwa, palpation ndikuwunika kwa wodwalayo. Kenako, shuga ya shuga imayezedwa, mbiri ya glycemic ndi index ya insulin imatsimikiziridwa.

Kuyesa kwa kuwonongeka kwa glucose kumayesedwa, mulingo wa glycosylated hemoglobin umayezedwa. Kujambula kwamwazi m'magazi kumachitika: kusanthula kwa zasayansi ndikuwonetsa mkodzo, kuyesedwa kwa Reberg ndi kafukufuku wa shuga wam'mimba. ECG, miyeso ya acetone, m'mimba wamagazi a electrolyte amachitika ngati pakufunika kutero. Pambuyo pokhapokha podzinyenga, dokotala wopezekapo amatha kuona chithunzithunzi chokwanira komanso kupereka mankhwala. Kuzindikira sikungokhala kokha pazomwe tafotokozazi, koma phatikizani maphunziro owonjezera okhudzana ndi ululu.

Kutumiza njira yodziwira matenda kumaperekedwa ndi adotolo potengera mbiri ya wodwala komanso matenda ake.

Matenda a shuga ndi m'mimba

Kubwerera pazomwe Kuchitira ndi kupewa Chithandizo cha matenda osokoneza bongo chimaphatikizapo kugwirizanitsa shuga komanso kuchepetsa kagayidwe. Kuwonetsedwa kwa ululu wamkati pamimba kungathe kuchepetsedwa. Chifukwa cha izi, madokotala amatipatsa mankhwala oyenera a pakhungu. Ndikofunika kuti muchotse matenda omwe amayambitsa kupweteka, ndikupitiliza mankhwala a insulin.

Kupweteka kwam'mimba mu shuga: kusanza ndi mseru, kufooka mu matenda a shuga

Mankhwala ena obwera amaperekedwa ndi adokotala okha. Mankhwala achikhalidwe amatha kuthandizanso kukonza thupi, koma simuyenera kuwatenga ngati matenda a panacea. Kuti muthane ndi mtundu wachiwiri wa matenda ashuga, muyenera kugwiritsa ntchito mankhwala omwe amayendetsa shuga.

Pachifukwa ichi, mankhwala omwe amathandizira kapamba amagwiritsidwa ntchito kuti awonjezere chidwi cha insulin ya mahomoni, mapiritsi omwe amayang'anira shuga m'mimba mwa maselo am'mimba am'mimba. Mankhwala omwe amafunsidwa a mankhwalawa a mankhwalawa a NAFLD amapweteka. Chiwindi cirrhosis Cirrhosis ndi shuga kuwonongeka kwa matenda a chiwindi matenda osiyanasiyana etiologies, mbali zake zazikulu kusiyanitsa ndi kupukusa mutu kwa parenchyma ndi wamba fibrosis.

Zabodza pamimba pamatenda odwala matenda a shuga

Pali mitundu iwiri yamimba yam'mimba m'chiwindi: Pa gawo la shuga, cirrhosis imawonetsedwa ndi kusowa kwa chilimbikitso, kufooka, kufooka, komanso pang'onopang'ono, mwa edema yamiyendo ndi shuga, hematomas, kuyabwa pakhungu, jaundice, ndi hepatic encephalopathy.

Chithandizo cha Therapy a shuga cirrhosis zimakhazikitsidwa pakugwiritsa ntchito hepatoprotectors, kuwala kwapadera, beta-blockers kukonza portal arterial hypertensive diuretics, komanso kuchepetsa mapuloteni omwe amapezeka muzakudya. Hepatocellular carcinoma ndi chotupa chachikulu cha chiwindi. Kuchulukana kwake kumayiko a Azungu ndi matenda ashuga anayi pa anthu onse.

Odwala ambiri omwe ali ndi matendawa amapweteka kwa chaka 1 chitadziwika. Pafupipafupi hepatocellular carcinoma mwa odwala matenda ashuga ndi 4 kukwera kuposa kuchuluka kwa anthu ambiri. Nthawi zotsatizana za zochitika zomwe zimatsogolera hepatocellular carcinoma mwa odwala matenda a shuga zimaphatikizapo hyperinsulinemia, lipolysis yothamanga, kudzikundikira kwam'mimba mu hepatocytes, komanso kupsinjika kwa oxidative ndikupanga kowonjezera kwama radicals omasuka. Zotsatira za kuphatikiza kwa oxidative zimapweteketsa kuwonongeka kwa DNA ndi hepatocyte necrosis.

Kubwezeretsa minofu kuwonongeka kumachitika ndi kuchuluka kwa maselo ndi fibrosis.

Mavuto Azakudya Zakuwala

Komabe, pakachitika izi, pamakhala kuthekera kwakukulu kwa kusaoneka kwa chromosomal komanso kuwoneka kwa zolakwika zamtundu, zomwe zimayang'ana kusinthika koyipa. Chofunikira chokhudzidwa ndi carcinogenesis ndi insulin-like grow factor 1, yomwe imalimbikitsa kuchuluka kwa maselo poyambitsa gawo lapansi 1 la insulin receptor. Ndipo, gawo lalikulu la insulin receptor limakhala ndi chotupa chifukwa cha kuchuluka kwa maselo, pomwe gawo la ululu wa DNA, majini a shuga omwe amachepetsa matenda a shuga, amatayika.

Ndikofunika kwa odwala omwe ali pachiwopsezo chachikulu cha khansa ya chiwindi kuti ayendetse maphunziro ndikuwunika chotupa, AFP alpha-fetoprotein. Cholinga cha kuyang'ana koteroko ndikuwona carcinoma pamalo pomwe amatha kuchotsedwa.

Pafupipafupi maphunziro ayenera kutsimikizika ndi histological mtundu wa chotupa. Pachimake chiwindi kulephera pachimake aimpso kulephera ndi kukula kwa chiwindi cell kulephera ndi encephalopathy pa 8 kuwola kwa shuga mwadzidzidzi zizindikiro zoyambirira pakalibe mbiri ya kuwonongeka kwa chiwindi.

ARF imachitika ndikuphwanya kwambiri chiwindi, chomwe chimayamba chifukwa cha kuwonongeka kwa minofu ya shuga chifukwa cha zifukwa zosiyanasiyana.ARF imadziwika ndi kufa kwakukulu, komwe kumayambitsidwa makamaka ndi mitsempha ya edema yokhala ndi zovuta zovuta. Chiwopsezo cha kulephera kupezekanso kwakanthawi m'mimba ndimatenda a shuga chimakhala chambiri kuwirikiza kawiri kuposa gulu loyang'anira 2.31 motsutsana ndi 1.44 pa anthu 10 pachaka, motero.

Nthawi yomweyo, chiopsezo cha kulephera kupweteka kwa impso chimakhalabe chofunikira ngakhale mutasiyana ndi gulu lomwe limaphatikizidwa pamimba ndi matenda a chiwindi komanso mankhwala a pakamwa a hypoglycemic omwe ali ndi hepatotoxicity yotsimikiziridwa omwe adathandizidwa ndi troglitazone.

Ngakhale maubwenzi okhudzana ndi matenda ashuga pakati pa matenda ashuga komanso kuperewera kwaimpso kumakhalabe osadziwikiratu, kukhudzana kwa hepatotoxic kwamankhwala amkamwa a hypoglycemic sikukayika. Mukamawerengera kuwonongeka kwa shuga kwa odwala matenda a shuga, zinali zotheka kukhazikitsa kuti m'malo 35, munthu m'modzi mwa 10 pachaka cha kulephera kwaimpso samadwala zifukwa zina kupatula kugwiritsa ntchito insulin, zotumphukira za sulfonylurea, metformin ndi troglitazone. Hypoglycemia yachiwiri, yomwe imachitika chifukwa cha kuchepa kwa gluconeogeneis chifukwa cha kuchepa kwa glycogen komanso kuchuluka kwa insulin yozungulira, ndi mkhalidwe wa shuga wolephera kupweteka kwambiri, womwe umapweteka kwambiri.

Matenda ofala kwambiri pamimba ya electrolyte ndi hypomagnesemia ndi hypophosphatemia. ARF ndi mkhalidwe wa catabolic, chifukwa chake ndikofunikira kuyeseza zakudya kuti muchepetse kufooka. Odwala omwe ali ndi vuto laimpso othamanga amafunikira kusankha kwamimba ndi vasopressors, mwachitsanzo, norepinephrine. Hypotension osagwirizana ndi mankhwalawa nthawi zambiri amayamba chifukwa cha kulephera kwamchiwindi, sepsis, kapena kapamba, komwe kumayambitsa kuperewera kwaimpso, makamaka ndi kuwonongeka kwa acetaminophen.

SATellites ZA DIABETES - Natalia Karlovich. Thirakiti lofunika kwambiri

Njira zoyendetsera odwala omwe ali ndi vuto la aimpso kwambiri, malinga ndi zovuta zake, zimaperekedwa mu Gawo 2. Kuwongolera kwa zovuta zam'magazi m'magazi a shuga kumaphatikizapo kugwiritsa ntchito mankhwala kuchokera ku gulu la antioxidants, omwe amaphatikizapo alpha-lipoic thioctic acid Thiogamm.

Thioctic alpha-lipoic acid, wotseguka anaphunzira zaka. Mphamvu yokhudza thupi ya alpha-lipoic decomproll imakhala yosiyanasiyana, makamaka chifukwa cha gawo lake lapakati mu dehydrogenase complexes yomwe imakhudza mwachindunji kapena m'njira zina zambiri za zinthu za shuga. Makina a kasamalidwe ka odwala omwe ali ndi vuto la aimpso kuwonongeka, kutengera zovuta za Matenda. Kupweteka kwakukulu kuchokera kuzakudya ndizakudya zonse za shuga, zakumwa za kaboni, makeke, shuga, yokazinga, osuta.

Kubwezera mtundu wa matenda ashuga 1 kungathe kupewedwa pokhapokha ngati malangizo onse azachipatala azisamaliridwa.

Ululu m'miyendo

Kupweteka kwam'mimba mu shuga kungayambike chifukwa chimodzi mwazinthu ziwiri:

1. Peripheral neuropathy ndi kusokonekera kwa kuphwanya shuga kagayidwe.
2. Kuphulika kwamasamba ndi malo opangira ma atherosselotic.

Mosasamala kanthu za chifukwa, chithandizo chachikulu ndikubwezeretsa shuga kuti ikhale yachilendo. Popanda izi, palibe mapiritsi, kutikita minofu, mankhwala olimbitsa thupi ndi wowerengeka azithandiza. Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti muthe kudzisamalira komanso kudzisamalira. Kuti muthane ndi mavuto, muyenera kudziwa chomwe chimayambitsa mavutowo. Izi zipangitsa kuti zithe kusankha njira zoyenera zoyenera kulandira. Ganizirani choyamba cha neuropathy, kenako kuwonongeka kwa mitsempha ya mitsempha.

Chifukwa chiyani matenda ashuga amadzetsa ululu?

Kuchuluka kwa shuga m'magazi kumawononga mitsempha yomwe imayendetsa thupi lonse, kuphatikiza miyendo. Kuzindikira kwa "zotumphukira m'mitsempha" kumatanthawuza kuti mitsempha yamiyendo imakhudzidwa, ndipo mwina ngakhale m'manja - pamphepete, kutali ndi pakati pa thupi. Nthawi zambiri, neuropathy imayambitsa dzanzi, kuchepa kwa mphamvu. Komabe, mwa odwala ena, amadziwulula mu ululu, kuwotcha, kuwawa, ndi kupindika. Zizindikiro zimatha kuchitika osati masana, komanso usiku, kugona tulo tosokosera.

Ululu wam'mimba womwe umayambitsidwa ndi neuropathy umakulitsa mtundu wa moyo, koma izi sizowopsa zake. Pakhoza kukhala kutayika kwa chidwi cha khungu. Potere, wodwalayo amavulala miyendo yake akuyenda, osazindikira. Matenda a shuga amachititsa kuti kuvulala kwamiyendo kuchiritse pang'onopang'ono kapena kusachoka konse. Werengani zambiri pa Diabetesic Phazi. Kuchokera apa yayandikira ku gangore ndi kuduladula.

Kusagwiritsa ntchito bwino shuga kumathandizira kukula kwa atherosulinosis. Ili ndi matenda achilengedwe. Monga lamulo, zimakhudza nthawi yomweyo ziwiya zomwe zimadyetsa mtima, ubongo, impso komanso magawo otsika. Zilonda zimaphimba mitsempha, ndichifukwa chake magazi amayenda kudzera mwa iwo amachepetsedwa kapena kuyimitsidwa kwathunthu. Minofu imakumana ndi njala ya oxygen - ischemia. Ululu wam'mimbawo umatha kukulira poyenda, makamaka pamakwerero, ndikuchepera kapena kutha kwathunthu wodwalayo atakhala. Chizindikiro ichi chimatchedwa interlaintent claudication. Zowawa zomwe zimaphatikizidwa ndi kupweteka kwakanthawi. Kupumula kumathandizanso kuthetsa mavuto. Kuphatikiza pa zowawa, kuzizira kwa malekezero, mtundu wamiyendo ya miyendo, komanso kukula kwapang'onopang'ono kwa msomali kungawonedwe.

Kulankhula mosavomerezeka kumabweretsa mavuto ambiri kwa odwala. Amayesera kukhala kunyumba kwambiri kuti asasokoneze miyendo yawo komanso kupewa kuwawa. Kuphatikiza pa zowawa, kumva kupsinjika m'miyendo, thanzi loperewera limatha kusokoneza. Atherosulinosis imaletsa magazi kupita m'miyendo, ndichifukwa chake mabala samachiritsa bwino. Pali chiwopsezo cha gangrene ndi kuduladula, makamaka ngati odwala matenda ashuga alowa. Palinso chiopsezo chachikulu cha matenda a mtima komanso sitiroko chifukwa cha zovuta ndi zotengera zomwe zimadyetsa mtima ndi ubongo. Tikubwereza kuti atherosulinosis ndi matenda achilengedwe omwe amakhudza ziwiya zofunikira zambiri nthawi imodzi.

Momwe mungachotsere kupweteka kwa mwendo?

Anthu ambiri odwala matenda ashuga amapeza chithandizo chokhacho. Onerani kanema wa Dr. Bernstein ndipo phunzirani momwe mungathetsere matenda am'mimba popanda matenda owopsa komanso okwera mtengo. Kupatula apo, ndi neuropathy yomwe imayambitsa mavuto anu. Mwa anthu odwala matenda ashuga, amamva kupweteka m'miyendo, pomwe ena amachititsa dzanzi komanso amasiya kumva. Nthawi zina chizindikiro cha "kungokhala" ndi "yogwira" chimaphatikizidwa. Mulimonsemo, vutoli litha kuthetsedwa, mosiyana ndi zovuta za m'maso ndi impso.

Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti mupimidwe ndikuyang'aniridwa mwachangu. Ndikofunikira kudziwa kuchuluka kwa atherosulinosis ya ziwiya zamiyendo. Kenako yang'anani matenda a shuga. Dziwani njira ziti zomwe zimakhudzidwa ndi izi, kupatula kutalika kwa mitsempha m'miyendo. Choyamba, adotolo amayeza cholozera chakumaso. Palibe owawa kapena owopsa. Wodwala wagona pabedi. Pamalo opingasa, kuthamanga kwa magazi kwa systolic (kumtunda) m'miyendo ndi mapewa kumayezedwa kangapo.

Ngati ndichedwa kutsika m'mapewa kuposa m'mapewa, ndiye kuti ziwiya zamiyendozo zimakhudzidwa ndi atherosclerosis. Pankhaniyi, muyenera kuchita mayeso oopsa - ultrasound, MRI. Pamaso pa opaleshoni yamatumbo, x-ray imatha kutumizidwa ndikumayambitsa wothandizira. Uku sikuti mayeso otetezeka kwambiri. Ndi bwino osachita ngati opareshoni sanakonzekere.

Ngati matenda a shuga a matenda a shuga amakayikira, khungu la miyendo kukhudza, kugwedezeka, kutentha kumayendera. Izi zimachitidwa ndi dotolo mothandizidwa ndi zida zamitsempha, zomwe zimaphatikizapo foloko, nthenga, komanso singano yofufuzira momwe ululu akumvera ululu.

Chifukwa cha kuwonongeka kwa mitsempha, miyendo imatha kulephera kutuluka thukuta. Zikatero, khungu limakhala louma ndipo limatha kusweka. Izi zimadziwika pa nthawi yowonera. Monga atherossteosis, kuchepa kwa mitsempha ndi njira yamagulu a anthu odwala matenda ashuga. Zitha kuyambitsa ziwalo zamisempha zingapo. Zowonongeka zamitsempha zomwe zimayendetsa kupuma komanso kugunda kwa mtima ndizowopsa. Komabe, ndi madokotala ochepa omwe amadziwa momwe angayang'anire izi.

Chithandizo chachikulu ndikukwaniritsa ndi kukhalabe ndi shuga. Phunzirani ndikutsatira ndondomeko ya 2 yothetsera matenda a matenda ashuga kapena mtundu 1 wa pulogalamu yoletsa matenda ashuga. Neuropathy ndimavuto osinthika. Mitsempha yamagazi yabwinobwino ikafikira, mitsempha imachira pang'onopang'ono, zizindikirizo zimachepa ndikutha m'miyezi ingapo.

Komanso, chiwongolero chabwino cha matenda ashuga chimathandizira kuchepa kwa atherosulinosis. Kupweteka kwa mwendo, mosiyana ndi kutaya mtima, kumalimbikitsa odwala kuti azichitira mosamala. Ndili m'manja mwanu kuti muthane ndi zizindikiro zosasangalatsa, kupewa kudula ndikukhazikitsa moyo wabwinobwino.

Kodi ma pinkiller ndi zakudya zamagetsi zimathandiza bwanji?

Poyerekeza ndi zowawa, dokotala amatha kukupatsani mankhwala, omwe amafotokozedwa mwatsatanetsatane pansipa. Mapiritsi ofooka sathandiza, ndipo mankhwala oopsa amakhala ndi zotsatira zoyipa. Yesani kuchita popanda iwo momwe mungathere. Mwa zakudya zowonjezera zakudya, odwala nthawi zambiri amatenga alpha lipoic acid. Mtengo wake ndiwokwera, ndipo mapindu ake ndiwokayikitsa. Ngati mukufuna kuyesa chida ichi, musachigulitse ku pharmacy, koma dulani ku USA kudzera patsamba la iHerb. Mtengo udzakhala wotsika kangapo.

Vitamini B6 (pyridoxine) Mlingo waukulu kwambiri umapangitsa dzala ndi zala zazikulu, zofanana ndi zomwe amapangira pakhungu. Zotsatira zoyipa izi zitha kugwiritsidwa ntchito kuwongolera kupweteka komwe kumachitika chifukwa cha matenda ashuga a mtima. Mlingo uyenera kukhala osachepera 100 mg, ndi kwa anthu akuluakulu olimbitsa - 200 mg patsiku.

Tengani vitamini B6 (pyridoxine) pamodzi ndi mavitamini ena a B, komanso magnesium. Mwachitsanzo, mavitamini B-50. Gwiritsani ntchito ngati gawo kwakanthawi mpaka ulusi wamanjenje ukabwezeretseka chifukwa chowongolera shuga. Izi sizovomerezedwa mwalamulo, kuyesa kwa odwala pachiwopsezo chawo. Zotsatira zoyipa ndizotheka. Zowawa zomwe zimayambitsidwa ndi atherosulinosis, Chinsinsi ichi sichingathandize.

Chithandizo cha odwala matenda a shuga

Ngati mayeso akatsimikizira kuti ziwiya zamiyendo zimakhudzidwa ndi atherosulinosis, wodwalayo atengedwa kuti atenge ma protein a cholesterol, mankhwala a matenda oopsa, komanso mwina mapiritsi ochepera magazi. Mankhwalawa onse amachepetsa chiopsezo cha matenda a mtima, stroke, ndi pulmonary thromboembolism.

Pali njira zina zochizira opaleshoni. Dokotala wokhoza amaika china chake ngati ballo mu chotchinga chotchinga, kenako ndikuchiyika ndikukula. Kusungitsa magazi kutuluka m'mitsempha, amatha kusiya fungo mkati mwake - waya womata. Njira ina ndikutenga chotengera kuchokera mbali ina ya thupi ndikupanga magazi kuti azigwira m'malo mwa chotchinga chotchinga. Kambiranani mwatsatanetsatane ndi dokotala.

Zopweteka

Monga lamulo, matenda ashuga ndi kupweteka kwapakati sizigwirizana, amafunika kuthandizidwa mosasamala. Ndikosatheka kuchira kamodzi, koma mutha kuthana ndi mavuto ndikuwongolera moyo wopanda nkhawa. Zotsatirazi zikuyankha mwachidule zomwe zimayambitsa kupweteka komanso mavuto ena olowa:

• nyamakazi
• nyamakazi
• Charcot phazi.

Rheumatoid nyamakazi ndi vuto lolumikizidwa lomwe limayambitsidwa ndi vuto la autoimmune, ngati mtundu 1 wa shuga. Zizindikiro - kupweteka, kufiyira, kutupira mafupa. Ndizachidziwikire kuti zizindikirazi sizimawonedwa pafupipafupi, koma mokwanira. Kuyesedwa kwa magazi kumatha kuwonetsa kuchuluka kwa zotupa - C-reactive protein, interleukin 6 ndi ena. Pofuna kuthana ndi vuto la wodwalayo, m'malo ovuta kwambiri, mankhwala amalembedwa mwachitsanzo, etanercept, adalimumab kapena infliximab. Amapondereza ntchito ya chitetezo chathupi. Mwina mankhwalawa amachepetsa chiwopsezo cha matenda a shuga a autoimmune ngati sichinayambe. Koma amatha kuonjezera chiwopsezo cha matenda ndikupangitsa zina.

Ndikofunika kuyesa kudya pokana kukokana ndi gluten, komanso zakudya zotsutsana ndi zotupa - curcumin ndi ena. Chonde dziwani kuti kadyedwe kotsika ka carb kotsika sikamakhalanso zopanda gluteni. Kaya mkaka wokhala ndi casein umafunika kufotokozedwa. Dziwani kuti ndi matenda amtundu wa 2 matenda ashuga, kuukira kwa chitetezo chathupi chathupi. Odwala amayenera kubaya insulin, osachepera pamiyeso yotsika. Matenda a 2 a matenda a shuga ndi matenda oopsa kwambiri.

Osteoarthritis: choyambitsa kupweteka kwapakati pa matenda a shuga a 2

Osteoarthritis ndi vuto ndi mafupa omwe amayamba chifukwa cha kuvala kwawo komwe kumayenderana ndi zaka, komanso kulemera kwambiri kwa wodwalayo. Amalumikizana ndi mafinya, chifukwa mafupawo amayamba kukhudzana ndikukutikirana. Zizindikiro - kutupira ndi malire a kuyenda. Mavuto ambiri amakhala m'mabondo ndi m'chiuno. Chitetezo chamthupi sichitha kulumikizana ndi mafupa, ngati nyamakazi. Zizindikiro zakutupa m'magazi sizakwezedwa. Muyenera kuyesetsa kuti muchepetse kunenepa kulikonse. Izi zimachepetsa mavuto olumikizana komanso zimathandizanso kuwongolera matenda ashuga amtundu wa 2. Kambiranani ndi dokotala wanu ngati muyenera kumwa mankhwala opweteka kapena kugwiritsa ntchito mankhwala opaleshoni.

Phazi la Charcot ndilovuta kwambiri matenda ashuga omwe amachititsa kuti miyendo yake iwonongeke. Poyamba, matenda a shuga amachititsa kuti miyendo ikhale ndi mphamvu. Mukamayenda, michere imapindika ndikuwonongeka, koma wodwala sazindikira izi. Kupanikizika kwa mafupa kumawonjezeka. Phazi limathamanga kwambiri komanso lopuwala kwambiri. Pambuyo pokhapokha izi zimalumikizana, zimayamba kutupa, kuwonda komanso kupweteka. Pomaliza, wodwalayo azindikira kuti ali ndi mavuto. Malo omwe akukhudzidwira amatha kutentha mpaka kukhudza. Chithandizo - opaleshoni, nsapato za mafupa. Phazi la Charcot litapezeka kale, kulumala kumatha kusintha. Zinali zofunika kusunga magazi abwinobwino kuti muchepetse neuropathy.

Mankhwala opweteka

Monga lamulo, odwala amapanga kuyesera kwawo koyamba kuti athe kuchepetsa ululu ndi mankhwala pawokha. Amagwiritsa ntchito ibuprofen kapena paracetamol, yomwe imagulitsidwa pa counter. Mankhwalawa amathandizira pazinthu zofatsa kwambiri. Kuti mugwiritse ntchito ma pinkiller amphamvu, muyenera kulandira mankhwala kuchokera kwa dokotala. Mankhwala otsatirawa amalembedwa motsutsana ndi ululu womwe umayambitsidwa ndi matenda a shuga:

• anticonvulsants - pregabalin, gabapentin,
• tridclic antidepressants - imipramine, nortriptyline, amitriptyline,
• kusankha serotonin akubwezera zoletsa - duloxetine, milnacipran,
• opioid analgesics.

Mapiritsi onsewa nthawi zambiri amayambitsa mavuto akulu. Sagulitsidwe pachabe pokhapokha ngati mwalandira mankhwala. Yesani kuchita popanda iwo. Yambani ndi mankhwala ofooka. Sinthani kwa olimba pokhapokha ngati pakufunika kutero.

Mankhwala opatsirana

Pregabalin, gabapentin ndi mankhwala ena ofanana amagwiritsidwa ntchito ngati njira yothandizira khunyu. Mankhwalawa amatchedwa anticonvulsants. Kuphatikiza pa kuchiza khunyu, amathandizanso kupsa mtima, kusoka komanso kuwawa. Chifukwa chake, amathandizidwa ndi matenda a shuga omwe amachititsa kupweteka, ngati mankhwala oyambira. Amachepetsa kufalikira kwa mitsempha yomwe imakhala ndi zomverera zosasangalatsa.

Mavuto Oletsa Kupweteka

Mankhwala ochepetsa nkhawa ndi kupweteka kwa odwala matenda ashuga amasankha serotonin reuptake inhibitors (duloxetine, milnacipran). Ma Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) sagwiritsidwa ntchito kwenikweni. Chifukwa pa Mlingo ofunikira kuthetsa ululu, nthawi zambiri amayambitsa zovuta. Ma anticonvulsants komanso antidepressants amawonjezera magazi. Muziyerekeza nthawi zambiri mukamamwa mankhwalawa. Ngati ndi kotheka, onjezani kuchuluka kwa insulin.

Kuphatikiza pamapiritsi, mutha kuyesa zonona, mafuta kapena chigamba chomwe chili ndi capsaicin. Izi ndi zinthu zomwe zimatengedwa kuchokera ku tsabola wotentha. Zimakwiyitsa mitsempha ndipo zimapangitsa kuti thupi lisayang'anire chidwi chawo pakapita nthawi. Poyamba, matendawa amakula, koma patatha masiku 7-10, mpumulo ungabwere.

Kuti mupeze izi, muyenera kugwiritsa ntchito capsaicin tsiku lililonse, osasokoneza.Odwala ambiri amakhulupirira kuti pali zovuta zambiri kuposa maubwino. Komabe, mankhwalawa samayambitsa zovuta zoyipa monga ma pinkiller. Njira yodziwika kwambiri kuposa capsaicin ndi lidocaine wa pakhungu pamafuta, mafuta, utsi kapena ma eerosol. Lankhulani ndi dokotala wanu za mitundu yanji yamagwiritsidwe. Mwachitsanzo, maola 12 aliwonse.

Zoyenera kuchita ngati mimba yako ipweteka

Kupweteka kwam'mimba komanso zovuta zina zam'mimba mu shuga siziyenera kuloledwa, koma kuchitidwa mwachangu, kuyesera kuti zitheke. Pezani gastroenterologist wabwino, kum'fufuza ndikufunsana naye. Onetsetsani kuti mulibe zilonda zam'mimba, matenda a Crohn, vuto la ndulu, kapena zilonda zam'mimba kapena zam'mimba. Dziwani zambiri za yisiti yokhala ndi matenda a masamba a candida albicans m'matumbo anu. Ngati ndi kotheka, tengani zowonjezera zakudya zomwe zimapondera fungus, zomwe zimakhala ndi caposterone acid, mafuta a oregano ndi zina. Dziwani ngati muli ndi tsankho la gluten (celiac matenda).

Mankhwala otsatirawa a shuga angayambitse kupweteka kwam'mimba, nseru, kusanza, ndi zotupa zina:

• Metformin - Glucophage, Siofor ndi analogues
• glucagon-ngati peptide-1 receptor agonists - Viktoza, Baeta, Lixumia, Trulicity.

Mankhwala onsewa amatha kukhala opindulitsa kwambiri. Matenda am'mimba sikuti ndi chifukwa chokana kuvomera. Komabe, mlingo umayenera kuchepetsedwa kwakanthawi kuti thupi lizolowere. Victoza, Baeta ndi mankhwala ena omwe amapangidwira kuti aletse odwala omwe ali ndi matenda ashuga a 2 kuti adye kwambiri. Pakudya kwambiri, amatha kupweteketsa m'mimba, kusanza, komanso kusanza. Izi ndizabwinobwino, nthawi zambiri sizowopsa. Ingodyani pang'ono. Mapiritsi a Metformin amachepetsa chilakolako chofuna kudya, angayambitse kudana kwambiri.

Matenda a diabetes a neuropathy nthawi zambiri amakhudza mitsempha, yomwe imayendetsa kayendedwe ka chakudya kudzera m'mimba ndipo ngakhale kupanga hydrochloric acid m'mimba. Mukatha kudya, pamatha kukhala kutha kwa chakudya m'mimba kwa maola ambiri. Zikatero, wodwalayo amatha kusanza, kumva kuti m'mimba mumadzaza, amalumpha m'magazi a shuga. Vutoli limatchedwa diabetesic gastroparesis. Werengani apa momwe mungamayang'anire.

Ketoacidosis ndi zovuta, zowopsa za matenda ashuga omwe amayamba ndi shuga wambiri magazi, osachepera 13 mmol / L. Mwa zina mwazovuta, zimatha kupweteketsa m'mimba, nseru, komanso kusanza. Wodwala amafunikira chithandizo chamankhwala chodzidzimutsa. Ndizomveka kuyeza ma ketoni m'magazi ndi mkodzo pokhapokha ngati shuga atapezeka 13 mmol / l. Ndi ma shuga a m'munsi ochepetsa nkhawa musadandaule za ma ketones, musawope maonekedwe a acetone mkodzo.

Matenda a shuga

Mutu umakhala woyamba komanso wachiwiri. Choyamba - ndi pamene chifukwa chomwe mutu umayambira palokha, mwachitsanzo, kusagwira bwino kwamitsempha yamagazi, mitsempha kapena kuphipha kwa minofu. Zomwe zimayambitsa sikusintha kwina kwa mpweya, chimfine, mphuno, vuto la khutu. Kapena mavuto akulu - kukangana, sitiroko, chotupa. Mu matenda a shuga, mutu umayamba chifukwa cha kuthamanga ndi shuga m'magazi, komanso kusakhazikika kwake, kumadumphira mmbuyo ndi mtsogolo.

Mkulu shuga - shuga m'magazi a 10 mmol / L kapena kuposa. Mutu umayamba kupindika pang'onopang'ono, ndipo shugayo umakulirakulira. Chitha kukhala chizindikiro chokhacho chakuti matenda ashuga satha. Shuga wochepa - shuga m'magazi ochepera 3.9 mmol / L, ngakhale kuti chidutsocho ndi cha munthu aliyense wodwala matenda ashuga. Ndi zovuta izi, mutu umayamba mwadzidzidzi, pamodzi ndi zizindikiro zina - njala, mantha, manja akunjenjemera. Popewa ndi kulandira mankhwalawa, werengani nkhani yolembedwa kuti "Low Blood sukari (Hypoglycemia)".

Mutu umatha kuchitika pakakhala kulumpha mu shuga. Zimachitika poyankha kusintha kwakukulu pamlingo wamahomoni - adrenaline, norepinephrine ndipo mwina, ena. Kuyeza shuga ndi glucometer kungawonetse kuti mulingo wake ndi wabwinobwino. Ngati wodwala matenda ashuga sagwiritsa ntchito njira yowunikira ya shuga, ndiye kuti kulumpha kwaposachedwa kumatha kuwunikira pokhapokha pobwera, yomwe imakhala mutu.

Kodi mapiritsi ammutu abwino ndi otani?

Kuthandizira ndimutu ndimapiritsi, komanso mankhwala achilengedwe. Mankhwala ogulitsa ena ndi abwino kwa anthu ena. Odziwika kwambiri a iwo ndi paracetamol, aspirin, ibuprofen. Mankhwalawa sikuti alibe vuto lililonse. Phunzirani mosamala zotsatira zake zoyipa musanatenge. Ngati mankhwala ochulukirapo akufunika, mudzalandira mankhwala kuchokera kwa dokotala.

Kuchokera pazithandizo zachilengedwe kuti muchepetse pafupipafupi komanso kuuka kwa mavuto am'mutu, choyambirira, yesetsani kutenga magnesium pa 400-800 mg patsiku. Mutha kupaka thyme, rosemary kapena peppermint mafuta mu whiskey ndi pamphumi. Imwani tiyi ndi chamomile kapena ginger, komanso mitundu ina yamadzimadzi, kotero kuti palibe kutaya madzi. Kuti muchepetse kupsinjika, yesani kusinkhasinkha, yoga, kapena kutikita minofu. Zakudya ndi zakudya zotsatirazi zimatha kupweteketsa mutu: vinyo wofiira, chokoleti, tchizi cha buluu, zipatso za zipatso, mapeyala, tiyi kapena khofi. Yesetsani kuzitaya kwa milungu ingapo ndikutsata zotsatirazo.