Matenda a Alzheimer's - matenda a shuga a 3: Mankhwala achilengedwe komanso amakono!

Thupi laumunthu ndi chinthu chodabwitsa kwambiri. Ziwalo zake zonse ndizolumikizana bwino, ndipo ngakhale mfundo zazing'ono kwambiri ndizofunikira pa chithunzi chonse. Mwachitsanzo, khungu limodzi limatha kupha (mwachitsanzo, nthawi ya khansa) kapena kupulumutsa (mwachitsanzo, poyankha mthupi ku matenda) pogwiritsa ntchito njira zingapo zovuta. Ndipo, njirazi zimalumikizananso.

Kusintha kumodzi kumabweretsa. Mkhalidwe umodzi nthawi zonse umapereka chinthu china.

Choonadi ichi nthawi zambiri chimabweretsa zinthu zodabwitsa kwambiri zomwe zimagwedeza dziko la sayansi pazomwe zidakhazikitsidwa, ndipo apa mupezapo chimodzi mwazotheka. Kupeza komwe kungasinthe kosatha momwe tikuwonera zovuta zina zamakono: matenda ashuga ndi matenda a Alzheimer's (AD).

Matenda a Alzheimer's ndi matenda ashuga atatu

KUMVETSA, ZIWANDA NDI KUSOWA KWA ALZHEIMER: KODI KULI KULankhulana?
Tiyeni tiwone ziwerengero ndi zomwe zikuchitika, popeza ndi njira yabwino kwambiri yosonyezera zomwe zikuchitika.

Malinga ndi World Health Organisation (WHO), kuchuluka kwa kunenepa kwambiri padziko lapansi kwachulukanso kuposa ka 1980. Mu 2014, achikulire oposa 1.9 biliyoni anali onenepa kwambiri, ndipo 600 miliyoni aiwo anali onenepa kwambiri.

Ndipo musanditengere zolakwika, ili si funso loti maonekedwe, koma mwamphamvu thanzi. Osalakwa (nthawi zambiri ngakhale amakhala wokongola) poyang'ana koyamba, wonenepa kwambiri amawononga thupi. Izi zimawonjezera chiopsezo cha matenda amtima (makamaka matenda a mtima ndi sitiroko) komanso mitundu ina ya khansa, koma chofunikira kwambiri chifukwa cha zomwe takambirana lero, ndikuti kunenepa kwambiri sikunayendetse matenda a shuga.

Kwazaka makumi angapo zapitazi, kuchuluka kwa anthu odwala matenda ashuga padziko lonse kwawonjezereka kuposa kawiri (kuyambira 4,3% mu 1980 mpaka 9.0% mu 2014), ndipo zomwezi mwa akazi sizabwino kwambiri (kuyambira 5.0% mu 1980 mpaka 7.9%). mu 2014). Zachidziwikire, mayiko ena ali bwino poletsa matenda kuposa ena, koma ziwerengero zake zikuwopsezabe: mu 2016, anthu opitilira 4 miliyoni ku UK adadwala matenda ashuga, ndipo ku United States chiwerengerochi chidali 30 miliyoni mchaka cha 2015. Anthu 1.6 miliyoni afa chifukwa cha matenda ashuga mu 2015.

Ndipo ndizochita zazikulu: ngati kuti mfundo zonsezi sizinakhale zoopsa mokwanira, kafukufuku waposachedwa akuwonetsa kuti matenda a Alzheimer atha kukhala amtundu wa matenda aubongo, kapena, monga momwe olemba amawatchulira "matenda atatu a shuga."

KUDZIWA KWA ALZHEIMER - ZIWANDA ZA 3
Nkhani yoyambirira idalembedwa ndi a Susan M. de la Monte, Maryland, ndi a Jack R. Chopstick, MD, ndipo adasindikiza mu 2008 mu magazini ya Diabetes Science and Technology.

Pomaliza, maphunziro ena angapo atsimikizira kuti:

AD imadziwika ndi kuperewera kwakukulu kwa insulin komanso kukana insulini mu ubongo (ndipo izi ndizomwe zimachitika m'matenda a shuga: kusiyanitsa kokhako ndikomwe kumatulutsidwa kumene kwasintha).
Matendawa a AD ndi mtundu wa 2 amakhala ofanana pamlingo wama biochemical ndi maselo (mwachitsanzo, onse awiri amatsogolera pakuwonekera kwa amyloid, omwe ndi mapuloteni am'magazi mu ubongo kapena kapamba, omwe amawonongeka ndi mitsempha yoyandikana nawo).
Anthu onenepa kwambiri azaka zakubadwa amatha kukhala ndi matenda a Alzheimer's, ndipo kunenepa kwambiri (koma osanenepa) anthu amatenga AD. Popeza kuti kunenepa kwambiri komanso kunenepa kwambiri nthawi zambiri kumayambitsa matenda ashuga, ndikothekanso kuti kwenikweni AD ndi gawo lochepa.
Popeza zonsezi, ofufuzawo adafufuza zotsatira za autopsy zamilandu yayikulu ya AD kuti adziwe ngati ali ndi kusintha kulikonse kokhudzana ndi insulin, IGF (insulin-like grow factor) 1 ndi 2, komanso ma receptor awo.

Zotsatira zake zinali zodabwitsa: zidapezeka kuti AD yomwe ikupita patsogolo idalumikizidwa kwambiri ndi insulin, IGF-1, ndi ma receptor awo. Kusintha kumeneku kumangokhala kwa anthu odwala matenda ashuga, koma pankhani iyi adalipo mu chiwalo chimodzi. Uko nkulondola, ubongo.

Ndipo omverawo analibe mtundu 1 wa shuga kapena mtundu 2!

Zotsatirazi zimatitsogolera ku chowonadi chosayembekezeka kale: Alzheimer's angakhale mtundu wina wa matenda ashuga, makamaka womwe umakhudza ubongo wa munthu. Izi sizomwe zimayendera limodzi ndi miyambo ya shuga (1 ndi 2), koma pali chinthu chinanso chowopsa: odwala matenda ashuga atha kukhala ndi chiopsezo chachikulu chokhala ndi AD.

Kodi ZIYANI ZOTSATIRA ZAKUKHUDZA KWA ANA NDI ZIWANDA?
Kafukufuku wamkulu omwe adafalitsidwa mu 2014 adachitika kuti adziwe ngati odwala omwe ali ndi matenda ashuga ali ndi chiopsezo chowonjezereka cha matenda a Alzheimer's. Phunziroli lidaphatikizapo odwala 71,433 omwe adapezeka ndi matenda ashuga komanso odwala 71,311 opanda matenda a shuga. Nthawi yowonera idayamba mu Januware 1997 ndipo idatenga zaka 11, mpaka pa Disembala 31, 2007.

Pambuyo pake, pomwe zotsatira zake zidasanthulidwa, zidapezeka kuti mwa odwala omwe ali ndi matenda ashuga, mwayi wokhala ndi AD ndi 0.48%, pomwe odwala omwe alibe shuga, chiopsezo ndi 0.37%. Zomwe zimasangalatsanso ndikuti kugwiritsa ntchito mankhwala achikhalidwe a hypoglycemic (omwe amachepetsa kuchuluka kwa glucose omwe amagwiritsidwa ntchito pochiritsira matenda ashuga) sikunachepetse chiwopsezo.

M'malo mwake, zina mwazomwe zimagwiritsidwa ntchito ngati "chithandizo" cha matenda ashuga zimakulitsa vutoli ndikupangitsa kuti matenda a Alzheimer's ayambike!

MALO OGWIRITSIRA NTCHITO ALI OGWIRITSA NTCHITO ALIYENSE ALIYENSE NDIPO ATHANDIZA KUTAYA KWA ALZHEIMER
Kuphatikiza pa kusintha kwa moyo komanso kuchita masewera olimbitsa thupi pafupipafupi, magawo awiri azachipatala omwe amathandizira odwala matenda ashuga ndi mankhwala a hypoglycemic ndi jakisoni wa insulin.

Othandizira ndi Mlingo osiyanasiyana amasiyanasiyana, koma zotulukapo zimafanana nthawi zonse: chithandizo chachilendo chimachulukitsa matenda a shuga ndikuthandizira kuyamba kwa AD. Tiyeni tiwone zina mwa njira zodziwika bwino.

Jekeseni wa mkulu Mlingo wa insulin pang'onopang'ono kumabweretsa kuwonjezeka kwa zokhudza zonse insulin. Kenako, amachepetsa shuga m'magazi ndipo amafunika Mlingo wambiri wa insulin. Zoyipa zamtunduwu ndizovuta kwambiri kusiya, ndipo, zimakhudzanso ubongo wamunthu komanso ziwalo zina zonse.
Mankhwala ena a hypoglycemic amachulukitsa mwachindunji mwayi wokhala ndi matenda a Alzheimer's. Mmodzi mwa oterewa ndi metformin, imodzi mwa mankhwala omwe amagwiritsidwa ntchito kwambiri pochiza matenda ashuga.
Nkhani yabwino ndiyakuti zovuta zonse zomwe zafotokozedwa m'nkhaniyi zitha kupewedwa, kapena kusungunuka mosamala ndi mwachidwi, ndiye kuti tisinthire motengera izi mwachangu!

Mankhwala ambiri achilengedwe amatha kuchiza matenda a Alzheimer's popanda kuwaika pachiwopsezo cha matenda a shuga. Werengani!

NJIRA ZABODZA ZOPHUNZITSIRA Matenda a ALZHEIMER, TYPE Yatsopano YA ZIWANDA
Mtundu Wachiwiri Wosintha shuga
Kodi dokotala wakuuzani kuti matenda ashuga ndi osachiritsika? Ochiritsa mwachilengedwe kulikonse angakuuzeni kuti matenda ashuga ndi njira yamoyo, zomwe zikutanthauza kuti mutha kusintha zomwe zasintha m'moyo wanu (komanso zakudya). Phunzirani njira zomwe mungagwiritse ntchito posachedwa kuti musinthe shuga m'masiku 30. . Pali zinthu zina zovuta zomwe muyenera kuzipewa kuti muchepetse kuchira kwanu.

Zakudya zaku Mediterranean
Mu 2006, kafukufuku wosangalatsa adawonetsa kuti kudzipereka kwambiri kuzakudya za ku Mediterranean kumalumikizidwa ndi chiopsezo chochepa chokhala ndi matenda a Alzheimer's. Izi zikutanthauza kuti zakudya zanu zabwinobwino zizikhala ndi zakudya zam'mera monga zipatso, ndiwo zamasamba, mtedza, njere, zonunkhira, zitsamba, nyemba ndi nyemba. Zakudya zam'nyanja ndi bwenzi lanu lachiwiri labwino, idyani kangapo pa sabata. Mwa njira, mutha kusankha nkhuku ndi zinthu zamkaka pa udzu, ndipo chinthu chomaliza patsamba lanu chizikhala nyama ndi maswiti (kamodzi kapena kawiri pamwezi).

Kukhazikika kwa matenda ashuga amtundu wa 3

Mpaka posachedwapa, zomwe zimayambitsa Alzheimer's sizikudziwika. Kalelo mchaka cha 2000, ndidali matenda osachiritsika omwe amawopsa aliyense, ndipo palibe amene angadziwe komwe adachokera.

Kuyambira 2005, asayansi aku Brown University adachita kafukufuku pazomwe zimayambitsa, ndipo adapeza kuti zonse ndi zolakwika kusowa kwa insulini m'maganizo. Chifukwa chosowa muubongo, mawonekedwe a beta-amyloid, omwe amachititsa kuti anthu asamaiwale komanso kuti azisamalira bwino zinthu.

Matenda a shuga a Mtundu 3 amatha kutchedwa kuti matenda aubongo.

Kupeza kumeneku kumatilola kunena kuti matenda a Alzheimer salinso sentensi, ndipo amathanso kubweretsedwa mu gawo lokhululukidwa, ndikukhalabe ndi insulini yofunikira. Inde, popeza ndizobadwa mwadzidzidzi, kupezeka uku kudzakuthandizani kuyang'anira thanzi lanu pasadakhale komanso kupewa zovuta zoyipa.

Type 3 matenda a shuga - zizindikiro

Gawo loyambirira	Mochedwa
kuyiwala kusazindikira mzako kukhumudwa nkhawa chisokonezo mphwayi	kuyerekezera delirium kuyenda kovuta kusatheka kwa kuganiza kukokana

Werengani zambiri za matendawa mu kanemayo:

Kanema wa Epulo 2011.

Apa simudzamva za matenda ashuga, koma mumvetsetsa tanthauzo lonse la matendawa ndi zotsatirapo zake zoyipa.

Lembani matenda ashuga 3 a mellitus, kapena harbinger wa Alzheimer: etiology ya matenda ndi mfundo zamankhwala

Kanema (dinani kusewera).

Shuga mellitus amadziwika ndi kuperewera kwa pancreatic insulin kapena kusakhalapo kwathunthu, komanso shuga wambiri wamwazi.

Zotsatira zake ndi kuchepa kwa glucose, zomwe zimatsogolera pakupanga matenda ambiri a chapakati mantha.

Masomphenya akuyamba kuvutika, matenda amkati ndi matenda oopsa, ndipo impso zimakhudzidwa. Njira ya matenda ashuga inapezeka kale mu 70s ya zaka za zana la 20, komabe, mankhwala sanawone kuti ndikofunikira kulembetsa matenda a pathological.

Kwa boma, pali mitundu iwiri yokha ya matenda, komanso palinso matenda omwe amaphatikiza zizindikiro zonse zamtundu woyamba ndi wachiwiri. Sizikudziwika ponseponse. Amatchedwa matenda a shuga atatu. Zomwe zili komanso momwe zimathandizira, tikambirana zambiri munkhaniyi .ads-pc-2

Kanema (dinani kusewera).

Matenda a shuga a Type III ndi matenda oopsa, ofala komanso owopsa, chifukwa chake matenda odziwika bwino a Alzheimer's amayamba.

Kumayambiriro kwa zaka zam'ma 2000, panali zambiri zazokhudza iye, palibe amene amadziwa zomwe zimayambitsa maonekedwe ndi momwe angathandizire matenda awa.

Komabe, atachita kafukufuku mu 2005 kuti adziwe zomwe zimayambitsa matendawa, asayansi adatha kudziwa zowona kuti chifukwa chomwe adapangidwira ndikuchepa kwa insulin mu ubongo wa munthu. Zotsatira zake, ma beta-amyloid plaques amapanga ubongo, zomwe zimapangitsa kuti pang'onopang'ono kuiwalika komanso malingaliro athunthu.

Mtundu wa shuga wachitatu umayamba pa nthawi ya vuto la ziwalo za endocrine, chifukwa chake, endocrinologists amatenga nawo chidziwitso cha matenda. Matenda a shuga 3 amamuyerekeza kuti ndi mtundu winawake wa matendawa ndipo amaphatikiza mitundu iwiri yapitayi nthawi imodzi.

Palibe chithandizo chamankhwala chamtunduwu, chifukwa akatswiri amtundu wa endocrinology nthawi zambiri amalemba mitundu yosiyanasiyana ya zizindikiro.

Chifukwa cha kuthekera kozindikirika kolondola, ndizosatheka kusankha njira zoyenera zamankhwala. Nthawi zina, zizindikirazo zimawonekera munjira zosiyanasiyana, motero, munthawi imodzi, zizindikiro za mtundu wa I ndi II zimatha kupezeka nthawi imodzi, ndipo inayo, mosemphanitsa.

Njira zamankhwala ndi mankhwala zimasiyana pochiza matenda osiyanasiyana. Chifukwa chake, ndizovuta kudziwa njira imodzi yothanirana ndi matenda osokoneza bongo a matenda a shuga. Ndi chifukwa ichi kuti pakufunika kuwonjezeranso matendawa. Mtundu watsopano wa matenda amatchedwa mtundu wa matenda ashuga III.ads-mob-1

Pali lingaliro kuti matendawa amalowa m'thupi ndikukula panthawi yogwira ayodini chifukwa cha chakudya chomwe chilowa m'mimba.

Amakhulupirira kuti ma pathologies osiyanasiyana amkati, monga:

dysbiosis,
chilonda
kukokoloka
kutupa kwamatumbo,
matenda a virus
kunenepa.

Komanso, cholowa monga cholowa chathu komanso zomwe zimapangitsa kupsinjika nthawi zambiri zimatha kukhala chifukwa.

Ndi ma pathologies oterowo, odwala saloledwa kugwiritsa ntchito ayodini. Mankhwala, simungagwiritse ntchito mankhwala omwe amathandizira ena awiriwo.

Ngati zizindikiro za mtundu woyamba wa shuga ndizambiri, ndiye kuti matendawa amakhala ovuta, ndipo chithandizo chambiri chimakhala nthawi yambiri. Monga lamulo, Zizindikiro za matendawa sizimawoneka nthawi yomweyo, koma patapita nthawi. Ndi mwayi wocheperako, matenda a shuga amatha kuchitika nthawi yomweyo ndi kuwonjezereka kwamphamvu kwa shuga m'magazi.

Matendawa amayamba kuwoneka ndi tizizindikiro ting'onoting'ono, tomwe ndi mitundu ya mitundu iwiri yapitayi, yomwe ndi:

kufunitsitsa kumamwa madzi ambiri momwe ungathere,
kamwa yowuma
kuyabwa pakhungu,
kukodza pafupipafupi
khungu lowuma,
kuchepa kapena kuchuluka kwa thupi,
kufooka kwa minofu
kuchuluka kwa mkodzo tsiku lililonse.
Kuchiritsa kwakanthawi kwamankhwala.

Ngati zizindikirozi zapezeka, zikuwonekera padera kapena kuphatikiza, ndikofunikira kulumikizana ndi katswiri ndikupereka magazi kuti mupeze zizindikiro za glycemic zomwe zingadziwe kuchuluka kwa shuga. Type 3 shuga mellitus amayamba mofatsa ndipo amatuluka kukhala wowopsa.

Zizindikiro Zofatsa zimaphatikizapo:

kuyiwala
nkhawa
chisokonezo
zovuta m'malingaliro,
mphwayi
kukhumudwa
kulephera kudziwa bwenzi.

Kwa gawo lina lotsatira la matendawa, zizindikiro zotsatirazi ndizodziwika bwino:

zopanda pake
kuthekera kwa kulingalira
pafupipafupi kukokana
kuyerekezera
kuyenda kovuta.

Komanso, zomwe zikuwonetsa kukhalapo kwa mtundu wachitatu wa matenda a shuga ndi:

kupweteka kwambiri pafupipafupi
kupweteka kwambiri mumtima,
kukulitsa chiwindi
kupweteka kwamiyendo mukamasuntha,
kusawona bwino,
kudumphira m'magazi kuthamanga kwambiri.
zovuta m'malingaliro,
kuletsa kwamphamvu kwa khungu la thupi,
mawonekedwe a edema ya minofu yofewa (nthawi zambiri pamaso ndi miyendo).

NTHAWI zambiri za matenda ashuga ndi matenda a ana. Amadziwika ndi kuphwanya ntchito ya maselo a beta omwe amachititsa kuti pakhale insulin, komanso kuphwanya kagayidwe kazakudya.

Chifukwa cha zovuta zazikulu za matenda omwe amapangitsa kuti mahomoni azikhalapo mofulumira, matenda a shuga a steroid amatha. Komanso, nthawi zambiri zimawonekera pambuyo poti ndalandidwa kwa nthawi yayitali ndimankhwala a mahomoni.

Makamaka izi ndichifukwa choti matenda a shuga a mtundu woyamba ndi II samatha kuchiritsidwa, zimatengera izi kuti chithandizo chokwanira cha matenda a shuga a II sichitha .ads-mob-2

Komabe, pali njira zomwe zingaletse matenda kwa nthawi yayitali. Mfundo za mankhwalawa zimapangitsa kuti shuga azikhala bwino.

Chithandizo chamankhwala chimapangidwanso kuti chizikhala pang'onopang'ono chifukwa cha zovuta zomwe zili kale ndi matenda ashuga.

Chithandizo chake ndikuchotsa zizindikiro za matendawa pachifukwa chakuti samangopanga zomwe wodwalayo ali nazo, komanso amawopseza moyo wa munthu.

Njira yayikulu yothandizira ndi zakudya zomwe zimaletsa kugwiritsa ntchito zakudya zamagulu owonjezera, zomwe zimathandizanso pochiza matenda amtundu wa I ndi II. Zina zomwe siziphatikizidwa ndi ayodini.

Ndi zakudya ziti zomwe zimayenera kudya shuga komanso zomwe zimafunikira tsiku ndi tsiku? Mayankho mu TV akuwonetsa kuti "Live wathanzi!" Ndi Elena Malysheva:

Mtundu wa matenda a shuga a Type III siwodziwika bwino, koma ndi matenda wamba. Kuzindikira uku kumagwiritsidwa ntchito ngati milandu ing'onoing'ono ya insulin ndi mankhwala antidiabetes ingakwanitse. Ndi mtundu uwu, wodwala amakhala ndi zizindikiritso za mtundu woyamba wa I ndi mtundu wachiwiri wa II nthawi yomweyo, kuwonjezera apo, ena a iwo amatha kutchukira, ndipo amatha kuwoneka chimodzimodzi. Zomwe zimayambitsa matendawa sizikudziwika, koma mwina chilonda, kutupa kwamatumbo, dysbiosis, kunenepa kwambiri komanso kukokoloka kwa minyewa kungayambitse. Chithandizo cha wodwala aliyense chimasankhidwa mosamala kwambiri komanso payekhapayekha, chifukwa palibe malingaliro enieni a chithandizo.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Mtundu wa shuga wachitatu: zakudya ndi zakudya, Zizindikiro ndi chithandizo

Matendawa, omwe amadziwika kuti ndi shuga, amadziwika kuti ndi amodzi mwa anthu ambiri masiku ano. Matendawa amaphatikizidwa ndi kusokonezeka kwakukulu kwa ziwalo zomwe zili m'thupi la endocrine. Chifukwa chake, endocrinologists amathandizira pa matenda a shuga.

Pali gulu logawika lazizindikiro ndi mtundu wa matenda amtundu wa 2, komabe, mawonekedwe osiyana siyana, apadera amtundu amadziwikanso ndi mankhwala. Chikhalidwe chake ndi chakuti amaphatikiza zizindikiro za mitundu iwiri yoyambayo.

Nthawi zambiri, ma endocrinologists anali kujambula chithunzi chosamveka bwino, chosamveka bwino cha matendawa, pomwe panali mitundu yosiyanasiyana ya zizindikiro zomwe zimalepheretsa kuzindikira, kuzindikira komanso kusankha bwino mankhwala. Mwa odwala ena, zizindikiro za mitundu yonse iwiri ndi ziwiri za shuga zimayang'aniridwa nthawi yomweyo.

Popeza kuti njira zosiyanasiyana zimagwiritsidwa ntchito pochiza matenda osiyanasiyana, zinali zovuta kudziwa njira yeniyeni yochizira. Chifukwa chake, gulu lafutukuka. Mtundu watsopano wachitatu wa matenda ashuga wawonekera, koma World Health Organisation sanazindikire izi.

Kalelo mu 1975, asayansi adagawa shuga m'mitundu iwiri. Komabe, panthawiyo nthawi, wasayansi Bluger adazindikira kuti nthawi zambiri kumachitika nthawi zambiri pamakhala zochitika zomwe zizindikiro zake sizigwirizana ndi zamtundu wina uliwonse.

Mtundu woyamba wa shuga umadziwika ndi kusapezeka kwa timadzi timene timatchedwa insulin m'thupi. Kuti mukhale ndi moyo, zomwe zili mkati mwake ziyenera kubwezeretsedwanso mothandizidwa ndi ma jakisoni apadera, omwe amayenera kuchitidwa mosamalitsa ndi zakudya. Mtundu wachiwiri wa matenda amadziwika ndi madipoziti a adipose minofu ya chiwindi.

Kuwonekera kwa njirayi ndi motere:

Pali kulephera kwa kagayidwe kazakudya zam'mimba, chifukwa chomwe kumakhala kuphwanya koyenera kwa lipids m'thupi la munthu.
Chiwindi nthawi yomweyo chimayamba kulandira kuchuluka kwamafuta acids.
Chiwindi sichingathe kuwagwiritsa ntchito munthawi yake.
Zotsatira zake, mafuta amapangidwa.

Pazachipatala, amadziwika kuti njirayi siikhala ya matenda amtundu woyamba. Komabe, mtundu wachitatu wa matenda a shuga akapezeka, zizindikiro zonsezi zimakhalapo nthawi imodzi.

Matenda a shuga a Mtundu 3 amadziwika kuti ndi ovuta kwambiri.Mloza wodwala wamagazi umafikira 14 mmol / L, pomwe glycemia pafupifupi 40 - 5 ° g / L imadziwikanso panthawi yamakodzo a mkodzo. Komanso, ndi mtundu wa 03, chizolowezi cha ketoacidosis, komanso kusinthasintha kwakuthwa kwa glycemia.

Magwiridwe antchito a odwala oterowo amathandizidwa ndi insulin yayikulu. Panthawi, wodwala ayenera kulandira zoposa 60 magawo a mahomoni. Mutha kuunikiranso chizindikiro chakudwala kumeneku, monga chotupa cha magazi m'magazi osiyanasiyana.

Chithandizo, chomwe chimaphatikizaponso zakudya zoyenera, chimayenera kukhala chapanthawi yake.

Ngati matenda a shuga adapezeka mwa odwala kwa nthawi yoyamba, kuopsa kwake kumatha kutsimikiziridwa pokhapokha kuyesedwa kotsatizana, komanso kutsata mphamvu ya chizindikiro chomwe chapezeka. Pambuyo pokhapokha ngati mutatha kugwiritsa ntchito njira izi pomwe endocrinologist imapereka mankhwala okwanira. Chifukwa cha hyperglycemia, chithandizo ndi chakudya ndizogwirizana kwambiri.

Ndizofunikira kudziwa kuti mtundu uliwonse wa matenda ashuga umayamba pang'onopang'ono ndi kuwonjezeka pang'onopang'ono kwa zizindikiro zake. Pakati pazisonyezo zoyambirira, zotsatirazi zimatha kusiyanitsidwa:

Ludzu la nthawi zonse lomwe silitha ngakhale wodwala atamwa. Munthu wodwala matenda ashuga amatha kumwa malita opitirira asanu malita tsiku.
Kuuma kwambiri kwa mucous nembanemba mkamwa. Izi sizitengera kuchuluka kwa mankhwalawa tsiku lililonse.
Kusintha kwamphamvu kwa kulemera kwake, kutayika kwake kapena phindu.
Hyperhidrosis imatanthawuza thukuta lalikulu, lomwe limatchulidwa kwambiri m'manja.
Kutopa kumayendetsedwa ndi kufooka kwa minofu, ngakhale osakhala ndi zochitika zolimbitsa thupi.
Ndi matenda a shuga amtundu uliwonse, kuchiritsa kwa nthawi yayitali kumawonedwa. Ngakhale kukanda pang'ono kumatha kukhala bala loyipa lomwe limayambitsa matenda.
Khungu limakutidwa mosaganizira ndi ma pustule.

Ngati munthu wazindikira chimodzi mwazizindikirozi pamwambapa, ndikofunikira kufunsidwa ndi endocrinologist. Ngati kafukufuku atawonetsa zisonyezo za hyperglycemia mu mtundu 2 wa shuga, titha kufotokoza za chitukuko cha matenda ashuga a mtundu woyamba, wachiwiri kapena wachitatu.

Polankhula mwachindunji za mtundu wachitatu wa matenda ashuga, ndikofunikira kudziwa kuti zitha kuwerengeka ndi kuphatikiza kwapadera kwa zizindikiro. Kumayambiriro, madokotala amatha kusiyanitsa zizindikiritsozo mu matenda ashuga:

Osakhazikika, nkhawa.
Kukhumudwa ndi kumverera kwa chidwi pa chilichonse, kuphatikizapo thanzi lawo.
Chisokonezo, kulephera kuzindikira zomwe zimadziwika kale.
Kuyiwala

Ngati zizindikirozo sizinaperekedwe chisamaliro chabwino, zimapita patsogolo. Otsatirawa akuwonekera:

Kupenyerera, kunyengerera ndi zovuta zina za chikumbumtima.
Chovuta kugwira ntchito zoyenda.
Kuvuta kwamalingaliro.
Zowukira.

Matenda a Alzheimer's amadziwika ndi kutaya kukumbukira komanso kudzikonda. Zaka zingapo zapitazo, zomwe zidayambitsa matendawa sizinadziwike bwino, mpaka 2000 anali matenda osachiritsika omwe amawopsa aliyense.

Mu 2005, kafukufuku wina adachitika motsogozedwa ndi asayansi ochokera ku Brown University, pomwe zidawululidwa kuti chachikulu chomwe chimayambitsa matendawa chimadziwika kuti ndikusowa kwa insulin m'mitsempha ya muubongo.

Kuperewera kwa mahomoni kumayambitsa mapangidwe a beta amyloid malo. Maphunzirowa, amachititsa kuti pang'onopang'ono kuiwalika, komanso malingaliro athunthu.

Pachifukwa ichi, munthu amatha kumva kuti mtundu wa shuga wa 3 ndi matenda a shuga a bongo.

Likukhalira kuti matenda a Alzheimer's sangatchulidwenso kuti chiganizo, chifukwa amathanso kusamutsidwira kuchikhululukiro pakukhalabe ndi insulin yokwanira.

Matenda a shuga a Mtundu 3 amayenera kuthandizidwa mokwanira. Ndizofunikira kudziwa kuti mankhwalawa amadziwika kuti ndi othandizira. Komabe, mankhwala ochepetsa shuga ndi Mlingo wa insulin si onse.

Zakudya zimatengedwa ngati njira imodzi yovomerezeka ya odwala matenda ashuga amtundu uliwonse.Chakudya chiyenera kukhala choyenera. Amuna ayenera kumangidwa makamaka kuchokera ku zakudya zama protein, ndi kudya zakudya zamagulu a shuga.

Chakudya chamtunduwu chimakhala ndi kudya zakudya zamagulu ochepa. Zakudya zoyenera ndizofunikira popanda chithandizo chomwe sichingatheke.

Kuphatikiza apo, wodwalayo ayenera kusiya zoipa zilizonse posachedwa. Kusuta fodya komanso mowa kumapangitsa kuti maselo azikhala ndi insulin. Kuti muchepetse vuto la kunenepa kwambiri chifukwa cha mtundu wachitatu wa matenda a shuga, ndikofunikira kuchita masewera olimbitsa thupi moyenera.

Ngakhale kuti shuga sachiritsidwanso, Zizindikiro zake zitha kuchotsedwa potsatira malangizo onsewa. Kanema yemwe ali munkhaniyi akuwonetsa zoyenera kuchita ndi matenda ashuga.

Kuwoneka kwa matenda ashuga kumachitika chifukwa chakuti dongosolo la endocrine la anthu limaleka kugwira ntchito. Zotsatira zake, insulin ya mahomoni, yomwe imatha kuwongolera kuchuluka kwa shuga m'thupi, siyobisidwa. Mitundu iwiri ya shuga imadziwika mdziko lapansi: yoyamba ndi yodalira insulini ndipo yachiwiri siyodalira insulini. Komabe, posachedwapa, madokotala awulula mtundu wina wamatendawa - matenda ashuga a 3. Ngakhale kuti sichikudziwika, endocrinologists aphunzira kuzindikira zizindikiro zazikulu, kuzindikira zomwe zimayambitsa matenda.

M'mawu osavuta, ndi matenda aubongo kapena matenda a Alzheimer's. Posachedwa, zomwe zimayambitsa matendawa zimayambika, motero, panali chiyembekezo chakutha. Chochititsa chachikulu chomwe chimayambitsa matenda aubongo ndikusowa kuchuluka kwa insulini mthupi. Zotsatira zake, pamakhala kutayika kwa kukumbukira, chifukwa.

Mtundu wachitatu wa matenda ashuga wapezeka kumapeto kwa zaka za zana la 20 ndi Bluger, wasayansi wotchuka. Adanenanso kuti adaonapo matenda omwe samagwirizana ndi zizindikiritso zazikulu za mitundu iwiri ya matenda ashuga. Malinga ndi malipoti ena, kusowa kwa insulin ndi kukumbukira kumatha chifukwa cha kuyamwa kwa ayodini ndi matumbo, omwe amalowa mthupi kudzera mu chakudya chomwe chimadyedwa.

Izi zimatha kuchitika chifukwa cha ma pathologies a ziwalo zamkati mwa munthu:

dysbiosis,
kukokoloka
kutupa kwamatumbo,
zilonda.

Chifukwa chake, anthu omwe ali ndi mtundu wachitatu wa shuga ayenera kuchepetsa kuchuluka kwa ayodini omwe amwedwa. Matenda a Alzheimer's si sentensi. Akatswiri ambiri otsogolera sanathe kudziwa zomwe zimayambitsa matendawa, komanso kuti apeze njira yosinthira kuchikhululukiro.

Kupatula kuti mtundu wachitatu wa shuga umatchedwa matenda a Alzheimer's, umatchedwanso kuti pancreatogenic. Izi ndichifukwa choti chifukwa chachikulu chowonekera cha matendawa ndicho kupatuka kwenikweni kwa kapamba.

Pa nthawi ya pancreatitis, zigawo zikuluzikulu zomwe zimasintha m'matumbo, chifukwa chake pali kuphwanya kupanga kwa insulin komanso ntchito ya zida za endocrine. Kuphatikiza pa kapamba, zomwe zimayambitsa matendawa zimatha kukhala:

kuvulala komwe kumayambitsa mavuto a pancreatic,
othandizira opaleshoni
Kutalika kwa mankhwala
kunenepa
kuchuluka kwa lipids
kumwa mowa.

Pali magawo awiri a mawonekedwe a matenda a shuga 3:

Kumayambiriro, komwe kumawonekera mu mawonekedwe a kuyiwalako, kukhumudwa, kusokoneza, nkhawa, kusayang'anira.
Pambuyo pake, momwe zizindikiro zazikulu zimadutsira kuwonekera kwa kuyerekezera zinthu, kuvuta mayendedwe, mawonekedwe a kupweteka.

Ndikosatheka kudziwa kuopsa kwa matendawa poyeserera pafupipafupi. Pachifukwa ichi, mayeso apadera amaperekedwa omwe amakupatsani mwayi kuti muzitsatira zoyeserera zakukula kwa matenda. Nkhaniyi imayankhulidwa ndi endocrinologists, ndi omwe amachititsa kuti wodwalayo athandizidwe ndikuchira.

Matenda a shuga, ngakhale atakhala amtundu wanji, amakula pang'onopang'ono, chifukwa chake zizindikiro zoyambirira zomwe zingafotokoze zovuta mu endocrine system ndi:

Kukula kwa ludzu komwe kumatha osamwa.
Nthawi zonse pakamwa pouma.
Njira yotayika yosalamulira kapena kuwonda,
Kuchulukitsa thukuta, makamaka m'manja.
Maonekedwe a dziko lotopa, lomwe limatsagana ndi kufooka m'matumbo.

Zizindikirozi zikaonekera, muyenera kulumikizana ndi katswiri, yesetsani mayeso ofunikira ndikuchita kafukufuku. Zizindikiro izi zimawoneka ngati mtundu umodzi wa matenda ashuga.

Ponena za mtundu wachitatu wa matenda, akatswiriwo anazindikira izi:

nkhawa
kuda nkhawa kosalekeza
kuyiwala
mavuto pakuchita zosiyanasiyana zoyenda.

Anthu odwala matenda ashuga a mtundu wachitatu ali ndi mawonekedwe awo:

olimbitsa thupi
kusowa kwa chibadwa
chizolowezi chopanga hypoglycemia,
matenda a pakhungu
Kukhazikika kwa matendawa kumawonekera patatha zaka 6.

Mtundu wachitatu wa shuga uyenera kuthandizidwa pokhapokha:

mankhwala
zakudya zoyenera
kusiya zizolowezi zoipa,
kukhalabe ndi moyo wokangalika.

Choyamba, muyenera kusankha njira yoyenera yamankhwala. Amasankhidwa mosamalitsa malinga ndi malangizo a endocrinologist, yemwe amawona chithunzi chonse cha odwala. Dokotala amasankha mankhwala ofunikira komanso njira zochizira matendawa.

Ndi chithandizo chamankhwala, adotolo amafotokozera ma enzyme, kuchepetsa shuga, ma analgesic ndi mavitamini. Ponena za kukonzekera kwa enzyme, ayenera kukhala ndi lipase, amylase ndi peptidase.

Cholinga chachikulu chogwiritsira ntchito mankhwalawa ndikuthekera kukonza njira yogaya chakudya, kubwezeretsa kagayidwe kazachilengedwe. Zotsatira zake, chiopsezo cha zovuta zidzachepa, ndipo zidzatha kuwongolera kuchuluka kwa shuga m'thupi.

Kukonzekera kwachilengedwe kofala kwambiri pochiza matenda a shuga a 3 ndi Creon. Amatsitsanso zizindikiro za kapamba, amasintha mkhalidwe wathupi lathunthu.

Ndikofunika kukumbukira kuti mankhwalawa omwe amasintha matenda a shuga a mtundu woyamba kapena wachiwiri amatha kusokoneza thupi la odwala matenda ashuga omwe ali ndi mtundu wachitatu wa matenda.

Popeza palibe chitsimikiziro chovomerezeka cha matendawa, chifukwa chake, palibe mankhwala okhala ndi mawu okhala nawo. Pankhaniyi, ma endocrinologists akulimbana ndi vutoli palokha, kutengera kuzindikira kwa munthu.

Ndi matenda a shuga a mtundu 3, kutsatira kwambiri zakudya kumafunikira, momwe ntchito yamafuta, yokazinga, zakudya zamafuta samaloledwera. Zakudya zazikulu za anthu odwala matenda ashuga ndizochepa-carb. Pazosankha za anthu odwala matenda ashuga, zinthu zokha ndizomwe zimaloledwa zomwe chidziwitso cha glycemic sichidutsa 30%.

Kutsatira malamulo a zakudya za odwala matenda ashuga ndi njira imodzi yofunika kwambiri yomwe munthu wodwala matenda ashuga ayenera kutsatira. Zakudya zoyenera zokha ndizofunikira: protein, low-carb. Pali mtundu wina wa zakudya zamagulu owonjezera.

Nutritionists apanga "mkate" wapadera momwe mungadziwire kuchuluka kwa chakudya chamafuta. Imeneyi ndi mfundo yofunika kwambiri, chifukwa ma carbohydrate amatha kuwonjezera kuchuluka kwa shuga m'thupi.

Pa matenda ashuga, zakudya zimatha kuphatikiza: buledi wonyezimira, msuzi, nyama yophika, nsomba zophika, masamba amphaka, maapulo, kiwi, mandimu, malalanje. Posankha chakudya choyenera chazakudya, mutha kusiyanitsa kadyedwe kanu, ngakhale kukhala ndi zoletsa zina pazakudya. Ngati mukufunika kusiya maswiti, ndiye kuti mutha kusintha m'malo mwa zipatso, m'malo mwa zakudya zabwino, yambani kudya zabwino komanso zopatsa thanzi.

Matenda a shuga a Mtundu 3 limodzi ndi mitundu ina ya matenda amawopsa pamoyo wa munthu.Zizindikiro zoyambirira zikaonekera, muyenera kupita kwa katswiri kuti mugwiritse ntchito nthawi yake.

Type 3 shuga mellitus ndi matenda omwe adayankhidwa pagulu lina mu 2011, koma mankhwala omwe amagwiritsidwa ntchito ku WHO samazindikira kuti alipo. Chithandizo chamankhwala masiku ano chimazindikira mtundu wa 1 ndi mtundu wachiwiri wa matenda ashuga okha.

Matenda a shuga a Type 3 ndi njira yodziwika bwino yomwe imaphatikiza zizindikiro za mitundu yonse iwiri, nthawi zambiri imakhala yolingana, komanso, chithandizo cha matenda ashuga omwe ali ndi mawonekedwe awa sikuthandiza. Kafotokozedwe ka mitundu itatu ya matenda a zam'mimba adaperekedwa kale mu 1975 ndi katswiri wa maphunziro A.F. Bluger, koma Unduna wa Zaumoyo sunawone kuti ndikofunikira kuti alembetse mwadongosolo zizindikiro zomwe sizikhalidwe zamtundu uliwonse. Nanga bwanji masiku ano?

Kwa zaka 7 izi, madotolo sanaphunzire momwe angazindikirire, mwa anthu 87% amapezeka kuti ali ndi matenda ashuga 2, mu 7% - omwe ali ndi matenda ashuga 1. Zolakwika ngati izi zimawonjezera moyo wa anthu odwala matenda ashuga.

Omwe akutsimikizira kuti pali mitundu itatu ya matenda ashuga amakhulupirira kuti zimachitika motsutsana ndi maziko a matenda a kapamba (chifukwa chake, tanthauzo lake ndi pancreatogenic shuga mellitus).

Mwa njira, shuga 3 imawerengedwa lero harbinger wa matenda a Alzheimer's. Chifukwa chiyani? Kafukufuku mu 2005 adawonetsa kuti ndi matenda amtundu wa 3 matenda a shuga mumakhala ubongo.

Zotsatira zake ndi beta-amyloid plaque, yomwe imakula ndikuwonjezera ma neuron, zomwe zimapangitsa kutsika pang'ono kukumbukira, ndiye kutayika kwake ndi malingaliro athunthu.

Choyambitsa matenda ambiri ndi chifuwa chachikulu. Sizimatha popanda kufufuza m'matumbo athunthu, makamaka, m'matumbo.

Apa pali kuyamwa kwa ayodini, komwe kumayambitsa kusokonekera kwa thupi lonse.

Zina mwazomwe zimayambitsa mawonekedwe a 3 mitundu ya pathology sizinakhazikitsidwe. Komabe, kutchula zinthu zomwe zingachitike pachiwopsezo ndikotheka. Zina mwa izo ndi:

cholowa
kunenepa kwambiri, koma osati kunenepa kwambiri,
Matenda a kapamba, momwe ma insulin imapangidwira iyenso amalephera - pancreatitis yayikulu, opaleshoni ya gland, hemochromocytosis,
kachilombo matenda - chimfine, chiwindi,
kulolerana kwa kupsinjika
zaka 40
amuna.

Type 3 shuga mellitus amakula nthawi zambiri, pafupifupi, zaka 5 atawonongeka ndi kapamba. Odwala ambiri sangatchule tsiku la matendawa, popeza mawonekedwe oyamba amtundu wa 3 mu mawonekedwe a ululu wa epigastric ndi zimbudzi zotayirira samalumikizidwa ndi shuga.

Mu shuga 3, ma cell a beta a zisumbu za Langerhans amafa, omwe akuphatikizidwa ndikupanga insulin.

Imfa imachitika chifukwa cha kuperewera kwa chakudya kwa maselo amenewa. Ndi kugonjetsedwa kwa maselo, sikuti kupangika kwa insulin kokha, koma kupanga ma enzymes a pancreatic kumayimanso, chifukwa chomwe chopondapo chimavutika.

Kwa odwala matenda a shuga amtunduwu ndi:

Munthu samva shuga wake wambiri, mpaka kuchuluka kwa 12 mmol / l.
Hyperglycemia si yoyendetsedwa bwino,
Nthawi zambiri kuchuluka kwa glucose kumatsika komanso mikhalidwe ya hypoglycemic imachitika,
Nthawi zambiri munthu amadwala chimfine,
Chotupa nthawi zambiri chimayamba kuwonekera pakhungu.

Ndi njira yachitatu, zovuta zamtundu wa ketoacidosis ndi vuto la hyperosmolar sizichitika kawirikawiri, ndipo impso ndi maso sizikhudzanso.

Koma ubongo wamanjenje umadwala kwambiri, monga matenda amtundu 1. Izi zikuwonetsa kuti insulin ilowa muubongo. Kusinthana kwa mavitamini ndi mchere kumasokonekera: hypovitaminosis A, E, pali kuchepa kwa mkuwa, zinki ndi magnesium, kuyamwa kwawo kumakhalanso ndi vuto.

Zizindikiro za matenda ashuga amtundu wa 3 sizosiyana, kukhala ndi mawonekedwe osakanikirana. Ndizosatheka kudziimira pakokha mtundu wa matenda. Zizindikiro za pathology sizipezeka mu 1 tsiku, zimakula pang'onopang'ono.

Matenda a shuga a Mtundu 3 amatha kuganiziridwa kale m'mawa mutadzuka kapena pakati pa chakudya munthu akakhala ndi vuto la njala.

Amayamba kunjenjemera mwamphamvu ndi manja, kumanjenjemera miyendo, nkhawa komanso kufooka kwa minofu. Vutoli limatha kugwira mzere kwa masiku angapo, likuthandizira kwakanthawi kudya kwa maola awiri ndi atatu. Ino ndi gawo loyambirira la matendawa.

Zikondamoyo zimatulutsa insulini yambiri. Zizindikiro izi zimafunika kale kusiyanitsa chithunzicho ndi insulinoma - chotupa momwe mumakhalanso insulin yambiri.

Kupanga kwa insulini kuchepa, zizindikiro za matenda ashuga zimayamba:

ludzu lotopetsa kwambiri mpaka wodwalayo amamwa mpaka malita anayi a madzi patsiku.
youma mucous nembanemba
Zizindikiro - kusinthasintha kowonekera kwina kulikonse,
thukuta lopanda pake,
machiritso olakwika a mabala, ming'alu, kukanda, kuwotcha khungu,
mawonekedwe a pustules pakhungu,
kutopa ndi kufooka kwa minofu, kuchepa mphamvu,
kuchuluka kukodza ndi polyuria.

Mtundu wovuta wa matenda ashuga 3 umaphatikizira izi:

Zowonongeka.
Cephalgia ndi cardialgia,
Hepatomegaly,
Kuchepa kwa khungu, makamaka pamiyendo.
Zowawa zam'm miyendo mukuyenda,
Zimapweteka pamiyeso yovuta kwambiri.
Kutupa kumaso ndi miyendo,
Kuzindikira "Opusa".

Palibe kusanthula kwenikweni. Ngakhale amakhulupirira kuti kufa kwa maselo a pancreatic kumachitika chifukwa cha kuwukira kwa ma antibodies, palibe anti anti m'magazi a odwala.

Matendawa atha kuchitika pamaziko omaliza a zamankhwala: wodwalayo ali ndi chifuwa chachikulu, samanenepa kwambiri, samva kuwonjezeka kwa shuga - mpaka 11.5 mmol / l, pali chotupa cham'mimba m'chigawo cha mutu wake, palibe chowonekera chapamwamba. matenda - ndi ketoacidosis, polydipsia wamphamvu ndi polyuria.

Kuzindikiraku kumatsimikiziranso kuti ngati ma pancreatic Enzymes (moyenera Creon) akawonjezeredwa kwa wodwala wotere, mkhalidwe umakhala bwino ndipo shuga amawongoleredwa bwino.

Panacea ya matenda ashuga 3 kulibe, komabe, kuyambira 1 ndi 2. Mutha kungokwanitsa kuchotsedwa kwakanthawi. Chithandizo cha mitundu itatu chimaphatikizidwa ndi magawo omwe amayenera kupitiliza zolimbitsa thupi.

Ndikofunikira kuyambitsa chithandizo ndi zakudya No. 9, koma chodabwitsa ndichakuti zinthu zomwe zimapanga iodini komanso mankhwala osokoneza bongo siziphatikizidwa konse.

Zokoma zimatha kudyedwa, koma ndi zotsekemera. Insulin imayendetsedwa mu milingo yocheperako ndikuthandizira ndi PSSP (kukonzekera kwa sulfonylurea). Mankhwala omwe amagwiritsidwa ntchito pochiza matenda amtundu 1 ndi mtundu wa 2 sagwiritsidwa ntchito pano.

Mankhwala a insulin kapena othandizira omwe amathandizira kugwira ntchito kwa kapamba samapereka zotsatira. Njira ndi mankhwala amasankhidwa ndikuphatikizidwa kotero kuti amagwira ntchito pamitundu yonseyi.

Mankhwalawa ndi awa:

Zakudya sizakudya zochepa za carb. Zopatsa mphamvu za calorie sizochepera 2 - 2,5 kcal, pomwe mapuloteni - 20%, chakudya - mpaka 60%, mafuta - 20-30%.
Ma encyme a pancreatic ndiofunikira koyamba. Adza kukonza mayamwidwe azakudya,
Kuchepetsa shuga - Glibenclamide, Maninil ndi ena sulfonylureas. Ngati pali kuchepa kwa insulin, ndiye kuti insulin - koma mpaka 30 magawo patsiku.
Kuvomerezeka Vit. A, E ndi mchere (Zn, Mg, Cu).
Ululu wam'mimba - Omeprazole / Rabeprazole ndi antispasmodics (Buscopan, Mebeverin).
Kutulutsa mowa mwa kuchuluka kulikonse.

Pankhani ya matenda a shuga a mtundu wachitatu, opaleshoni ingathandize - kusinthanitsa kwa awo mabungwe a Langerhans palimodzi ndi kapamba kapena kuphatikizanso kwa kapamba.

Chithandizo chotere chimachitika kokha m'malo apadera.

Mu mtundu woyamba wa matenda, kusowa kwa insulini mthupi kumatha - kumachitika.

Ndi matenda amtundu wachiwiri, mafuta amadziunjikira m'chiwindi - mafuta hepatosis.

Limagwirira izi ndi:

Miyezo yama chakudya ndi lipids m'thupi imasokonekera.
Kuchuluka kwa ma asidi omwe amalowa m'chiwindi kumakwera kwambiri.
Chiwindi alibe nthawi yoti awataye.
Pali hepatosis.

Zadziwika kuti ndi mtundu 1 izi sizichitika.

Koma ngati matenda a shuga a mtundu wachitatu apezeka, mawonetseredwe amawu onsewo amadziwika nthawi imodzi. Ngati zizindikiro za mtundu 1 zikuyambira, maphunzirowa ndi oopsa. Zomwezo zitha kunenedwa za matenda a shuga a 2 omwe ali ndi zizindikiro zazikulu za thyrotoxic. Pochiza matenda amtundu 2 kuchipatala, ndikofunikira kuwongolera kunenepa kwambiri.

Kalinina L.V., Gusev E.I. Matenda obadwa nawo a metabolism ndi phacomatosis omwe amawononga dongosolo lamanjenje, Mankhwala - M., 2015. - 248 p.
Bulynko, S.G. Zakudya zamankhwala komanso zakudya zamagulu a kunenepa kwambiri komanso matenda a shuga / S.G. Bulynko. - Moscow: World, 2018 .-- 256 p.
Kazmin V.D. Chithandizo cha matenda a shuga ndi wowerengeka azitsamba. Rostov-on-Don, Nyumba Yofalitsa ya Vladis, 2001, masamba 63, kufalitsa 20,000.
Shustov S. B., Halimov Yu. Sh., Trufanov G. E. Zogwira ntchito komanso zodziwika bwino mu endocrinology, ELBI-SPb - M., 2016. - 296 p.

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 pamalowo kuti athetse zovuta 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.

Mbiri yakupezeka

Kuwonekera kwa njirayi ndi motere:

Pali kulephera kwa kagayidwe kazakudya zam'mimba, chifukwa chomwe kumakhala kuphwanya koyenera kwa lipids m'thupi la munthu.
Chiwindi nthawi yomweyo chimayamba kulandira kuchuluka kwamafuta acids.
Chiwindi sichingathe kuwagwiritsa ntchito munthawi yake.
Zotsatira zake, mafuta amapangidwa.

Pazachipatala, amadziwika kuti njirayi siikhala ya matenda amtundu woyamba. Komabe, mtundu wachitatu wa matenda a shuga akapezeka, zizindikiro zonsezi zimakhalapo nthawi imodzi.

Matenda a shuga a Mtundu 3 amadziwika kuti ndi ovuta kwambiri. Mloza wodwala wamagazi umafikira 14 mmol / L, pomwe glycemia pafupifupi 40 - 5 ° g / L imadziwikanso panthawi yamakodzo a mkodzo. Komanso, ndi mtundu wa 03, chizolowezi cha ketoacidosis, komanso kusinthasintha kwakuthwa kwa glycemia.

Chithandizo, chomwe chimaphatikizaponso zakudya zoyenera, chimayenera kukhala chapanthawi yake.

Ludzu la nthawi zonse lomwe silitha ngakhale wodwala atamwa. Munthu wodwala matenda ashuga amatha kumwa malita opitirira asanu malita tsiku.
Kuuma kwambiri kwa mucous nembanemba mkamwa. Izi sizitengera kuchuluka kwa mankhwalawa tsiku lililonse.
Kusintha kwamphamvu kwa kulemera kwake, kutayika kwake kapena phindu.
Hyperhidrosis imatanthawuza thukuta lalikulu, lomwe limatchulidwa kwambiri m'manja.
Kutopa kumayendetsedwa ndi kufooka kwa minofu, ngakhale osakhala ndi zochitika zolimbitsa thupi.
Ndi matenda a shuga amtundu uliwonse, kuchiritsa kwa nthawi yayitali kumawonedwa. Ngakhale kukanda pang'ono kumatha kukhala bala loyipa lomwe limayambitsa matenda.
Khungu limakutidwa mosaganizira ndi ma pustule.

Osakhazikika, nkhawa.
Kukhumudwa ndi kumverera kwa chidwi pa chilichonse, kuphatikizapo thanzi lawo.
Chisokonezo, kulephera kuzindikira zomwe zimadziwika kale.
Kuyiwala

Ngati zizindikirozo sizinaperekedwe chisamaliro chabwino, zimapita patsogolo. Otsatirawa akuwonekera:

Kupenyerera, kunyengerera ndi zovuta zina za chikumbumtima.
Chovuta kugwira ntchito zoyenda.
Kuvuta kwamalingaliro.
Zowukira.

Matenda A shuga ndi Alzheimer's

Kuperewera kwa mahomoni kumayambitsa mapangidwe a beta amyloid malo. Maphunzirowa, amachititsa kuti pang'onopang'ono kuiwalika, komanso malingaliro athunthu.

Pachifukwa ichi, munthu amatha kumva kuti mtundu wa shuga wa 3 ndi matenda a shuga a bongo.

Likukhalira kuti matenda a Alzheimer's sangatchulidwenso kuti chiganizo, chifukwa amathanso kusamutsidwira kuchikhululukiro pakukhalabe ndi insulin yokwanira.

Matenda a shuga a Mtundu 3 amayenera kuthandizidwa mokwanira. Ndizofunikira kudziwa kuti mankhwalawa amadziwika kuti ndi othandizira. Komabe, mankhwala ochepetsa shuga ndi Mlingo wa insulin si onse.

Zakudya zimatengedwa ngati njira imodzi yovomerezeka ya odwala matenda ashuga amtundu uliwonse. Chakudya chiyenera kukhala choyenera. Amuna ayenera kumangidwa makamaka kuchokera ku zakudya zama protein, ndi kudya zakudya zamagulu a shuga.

Chakudya chamtunduwu chimakhala ndi kudya zakudya zamagulu ochepa. Zakudya zoyenera ndizofunikira popanda chithandizo chomwe sichingatheke.

Ngakhale kuti shuga sachiritsidwanso, Zizindikiro zake zitha kuchotsedwa potsatira malangizo onsewa. Nkhaniyi ikuwonetsa zomwe ungachite ndi matenda ashuga.

Sonyezani shuga lanu kapena sankhani jenda pamayendedwe Kusaka OsapezekaKusaka Kuyang'ana kosapezeka

Type 3 matenda a shuga: zimayambitsa, Zizindikiro, mankhwalawa

A matenda monga matenda ashuga limayamba chifukwa cha kusokonezeka kwa kagayidwe kazakudya michere ndi madzi m'thupi la munthu. Aliyense amadziwa mtundu woyamba wa 2 ndi matenda ashuga, koma kodi matenda amtundu wa shuga atatu ndi otani, sichoncho?

Zotsatira zakuphwanya, ntchito ya kapamba, yomwe imatulutsa mahomoni ena apadera, imavutika – insulin Hormoni iyi imachita gawo lalikulu pakupanga shuga. Ndi mahomoni ochepa opangidwa, thupi limalephera kupereka glucose m'maselo kuti akhale ndi thanzi.

Kodi pali mtundu wachitatu wa matenda ashuga?

Ngati mayeso azachipatala awonetsa momwe kuchuluka kwa glucose m'magazi kumapitilira muyeso wovomerezeka, ndiye ichi ndichizindikiro chachikulu cha matendawo, dzina lake ndi matenda a shuga.

Matendawa amadziwika ndi insulin yokwanira, koma nthawi yomweyo, magazi amakhala ndi shuga wambiri, ndipo ma cell amakhala ndi vuto la kuchepa kwa glucose, chifukwa zomwe impso, dongosolo lamitsempha lamkati limakhudzidwa, zovuta zowonekera, komanso matenda oopsa. Kuzindikira ndi kuchitira matenda a zamatsenga kumachitika ndi katswiri wa endocrinologist.

Mankhwala ovomerezeka masiku ano amangodziwa mtundu 1 wa shuga. Komabe, matenda omwe amaphatikiza Zizindikiro za mitundu iwiri yonseyi ya shuga ndiofala kwambiri. Sizingatheke kukhala mtundu woyamba kapena wachiwiri, chifukwa zimaphatikizapo gawo lofanana la zisonyezo zamitundu yonseyi.

Koma kumbuyo m'ma 70s. wazaka zana zapitazi, katswiri wamaphunziro A.F. Bluger adafotokoza zamtundu wa shuga wachitatu. Ngakhale izi, Unduna wa Zaumoyo sunawone kuti ndizofunikira kulembetsa mwalamulo zizindikiro zomwe sizodziwika ndi mtundu uliwonse wa matenda ashuga.

Mosiyana ndi kusazindikira kwake, mtundu wina wa shuga 3 ulipo. Kuzindikira kumeneku kumanenedwa ngati milandu yaying'ono ya insulin ndi mankhwala antidiabetes ingakwanitse.

Matenda a shuga ndi matenda ake

Zizindikiro za matenda amtundu wa 3 zimaphatikizira kuwonetsa kwa matenda amtundu wa 1 ndi 2 wa matenda ashuga. Ngati zizindikiro za mtundu wa 1 zikupambana kwambiri, ndiye kuti matendawa amatchuka kwambiri, ndipo chithandizo chimakhala chovuta kwambiri.

Werengani nawonso Mitundu ndi mitundu ya matenda ashuga

Nthawi zambiri, zizindikiro za matendawa zikuchulukira, ndiye kuti, matendawa samawoneka nthawi yomweyo, koma pang'onopang'ono. Ndipo pokhapokha pokhapokha, matenda a shuga amawonekera nthawi yomweyo ndi kuwonjezereka kwa shuga m'magazi.

Kukhazikika kwa matendawa kumadziwika ndi kukhalapo kwa zizindikiro zofunika.

Kumva kosalekeza pakamwa kowuma.
Chilichonse chofuna kumwa. Odwala azunzidwa ndi ludzu lalikulu, amatha kumwa mpaka malita anayi a madzi oyera tsiku lililonse.
Kukodza pafupipafupi, ndipo kuchuluka kwa mkodzo tsiku ndi tsiku kumachuluka.
Kusintha kwakuthwa kwamphamvu thupi, mmwamba ndi pansi.
Kuuma ndi kuyabwa kwa khungu.
Kuchulukitsa komwe kumawoneka ngati ma pustule pamtunda wapamwamba wa epithelium komanso pamtundu wofewa.
Kuchulukitsa kwakukulu.
Kufooka minofu.
Kuchiritsidwa kwakanthawi kwamankhwala kapena mabala osiyanasiyana pakhungu.

Zizindikiro zomwe zalembedwazo ndi chizindikiro choti mudzacheze kwa katswiri ndi zopereka zamagazi kuti muzindikire ziwonetsero za glycemic, ndiko kuti, zomwe zili ndi shuga m'magazi.

Mtundu wovuta wa matenda ashuga 3 umaphatikizanso ndi zotsatirazi.

Zowonongeka.
Ululu m'mutu.
Ululu mumtima.
Kukula kwa kukula kwa chiwindi.
Kuletsa kwamphamvu kwa khungu la thupi. Chizindikiro chimatchulidwa kwambiri pakhungu la miyendo.
Ululu wamendo, makamaka poyenda.
Zimapweteka pamiyeso yovuta kwambiri.
Kupezeka kwa edema ya zimakhala zofewa, makamaka pankhope ndi miyendo.
Kuzindikira "Opusa".

Zizindikiro zomwe zalembedwa zikuwonetsa kuti mankhwalawa sagwiritsidwa ntchito mokwanira ndipo amafunikira kukonza koyenera komanso kokwanira.

Matenda a shuga ndi zomwe zimayambitsa kukula kwake

Chifukwa chachikulu chomwe chikulembedwera matendawa chimatchedwa kuyamwa kwa ayodini ndi matumbo chifukwa cha kusintha kwa maselo a mtundu wina wa chiwalochi. Mwachitsanzo, kusagwira bwino ntchito kwamatumbo kumatha chifukwa cha dysbiosis, kukokoloka, njira zotupa kapena matenda a celiac - kusalolera kwa thupi la gluten ndi mbewu zina zingapo.

Odwala odwala matenda ashuga amtundu wa 3 amapatsidwa zakudya zomwe zimachepetsa kugwiritsa ntchito mankhwala okhala ndi ayodini.

Chithandizo chamankhwala sichizindikira kupezeka kwa mtundu wachitatu wa matenda, chifukwa chake nkovuta kudzipatula ndizomwe zimayambitsa matendawa. Komabe, zomwe zingayambitse zomwe zimayambitsa chiopsezo zitha kulembedwa.

Choyipa.
Kulemera kwambiri kwakanthawi kuposa kunenepa (kunenepa kwambiri).
Mavuto ndi kapamba, chifukwa cha momwe ma insulin amapangidwira amasokonezedwa.
Matenda akale omwe adatsitsidwa ndi ma virus (chimfine, hepatitis).
Kuwonetsedwa pazochitika zopsinja.
Zaka zokhwima. Matenda a shuga amakhalanso nthawi zambiri amapezeka mwa odwala opitilira 40. Pambuyo pa m'badwo uwu, chiopsezo chotenga matendawa chikuchulukirachulukira.

Werengani komanso: Kodi shuga imabadwa?

Chithandizo cha matenda a 3

Mankhwala masiku ano alibe chidziwitso chomwe chingathandize kupeza chithandizo, chomwe chingachotse zonse zomwe zimawonetsedwa. Popeza kulibe mtundu wa Iabetes mellitus kapena mtundu II shuga mellitus womwe ungathe kuchiritsidwa kwathunthu, kwa mtundu wachitatu, chithandizo chomwe chingatsimikizire kuthetsa vutoli kulibe.

Chithandizo cha mankhwalawa ndicholinga chofuna kukhazikika kwa magazi m'magazi.

Chithandizo cha mankhwalawa ndicholinga chofuna kupewa kapena kuchepetsa kufalikira kwa zovuta zomwe zili kale ndi matenda ashuga. Chifukwa ndendende zomwe zizindikiro za kuphatikizika kwa matendawa zimabweretsa pachiwopsezo osati kuumoyo wokha, komanso ku moyo wa wodwala.

Kuthandiza moyenera kumadalira wodwalayo kuti azidzidzidzimutsa, popeza chinthu chachikulu chomwe chimafunikira kuti azisamalira mawonekedwe owonekera a glycemic ndikuwunika kwawo nthawi zonse. Pazomwezi, zakudya zimayikidwa, zomwe, kuphatikiza ndi kuphatikiza mankhwala omwe ali ndi shuga (omwe amadziwika ndi mitundu yoyambirira ndi yachiwiri yamatenda), zimatanthauzanso kuphatikizidwa kwa mankhwala okhala ndi ayodini.

Zakudya sizongopangidwira maphunziro ochepa, ziyenera kulemekezedwa mu moyo wonse, kukhala chizolowezi. Koma izi sizowopsa chifukwa zimawoneka kwa odwala omwe adapezeka ndi matenda ashuga. Chakudya choterocho sichimapatula kugwiritsa ntchito zinthu zambiri zodziwika bwino kwa onse. Muyenera kusinthana ndi ma glucose m'malo, koma ali pafupi ndi shuga weniweni kuti alawe.

Kukula kosalekeza ndi kuwongolera kupita patsogolo kwa sayansi kumapangitsa odwala kuti asamamve kuti ali ndi malire posankha. Ndikofunikira kumvetsetsa kuti matenda ashuga si mathero amoyo. Inde, chithandizo sichichotsa matendawa kwathunthu, koma chimakupatsani mwayi wokhala ndi thupi pamlingo wotere womwe umapangitsa kukhala ndi moyo wabwinobwino.

Mtundu wa shuga wachitatu: Zizindikiro, mankhwala, zakudya

Kodi pali matenda amtundu 3 wa shuga ndipo ndi chiyani? Kukhalapo kwa nthawi yotere sikudziwika. Izi ndizosadabwitsa, chifukwa sizipezeka (zidaperekedwa kwa odalirika). Komabe, pamakhala zokambirana zambiri za mtundu 3 pakapita nthawi.

WHO imakana kwathunthu kupezeka kwa mtundu wotere, kusesa mikangano yonse mnjira yake, ndikuzindikira mitundu iwiri yokha ya shuga - wodalira insulin komanso osadalira insulini. Koma pachabe. Kupatula apo, zilipodi, zili ponseponse, ndipo ndi ngozi kwa anthu.

Chithandizo chamankhwala sichizindikira mawonekedwe awa, komabe mtundu wa 3 wodwala mellitus sichinthu chongophatikizika mwa munthu m'modzi wamitundu iwiri yovomerezeka ya matendawa. Pankhani imeneyi, amatchedwanso shuga kapena yosakanikirana.

Zimakhala zovuta kudziwa komanso kuchiza. Mtundu wa matenda a shuga a mtundu 3 umawoneka ngati matenda ovuta kwambiri komanso oopsa kuposa mitundu 1 ndi 2. Vutoli limakulirakulira chifukwa chakuti si madokotala onse omwe amazindikira matendawa. Ndipo, monga mukudziwa, ndikudziwunika kosayenera komanso kulandira chithandizo mosayenera zomwe zimabweretsa zotsatira zoyipitsitsa, zoyipa kwambiri ndizo imfa.

Koma palinso akatswiri omwe samayanjanitsa matenda ashuga amtundu wa 3 ndi 1 ndi 2. Amati izi zimayamba motsutsana ndi chiyambi cha zovuta m'mitsempha yamkati yamanjenje. Monga mukudziwa, ndi mtundu wosakanikirana wamatenda, limbic system ya ubongo, hippocampus, imakhudzidwa. Ndipo asayansi ambiri akuti nayenso ali ndi udindo wopanga insulin.

Chifukwa chakuti mtundu wa 3 matenda ashuga safuna kuzindikira "malingaliro owala" a dziko lapansi, pali zambiri zochepa zokhudza izi, chifukwa siziphunziridwa.

Monga tanenera kale pamwambapa, asayansi ena amakonda kunena kuti pali mgwirizano pakati pa mtundu wachitatu wa matenda ashuga ndi dongosolo lamanjenje lapakati. Izi zikutanthawuza kukhazikika kwa malingaliro amatsitsi am'mitsempha.

Mwachitsanzo, kusintha kofananako kwa mtundu 1 wa shuga kumayambitsa kuphwanya magwiridwe antchito a kapamba omwe amapanga insulin.

Palinso umboni wotsimikizira kuti matendawa amapezeka chifukwa cha njira zina zopanda pake zomwe zimayambitsa kuti matumbo amamwa ayodini wambiri.

Mwachitsanzo, imatha kukhala ndi dysbiosis kapena njira zingapo zotupa ndi zotupa. Nawonso, izi zimabweretsa kusokonekera kwa dongosolo la endocrine.

"Matenda Aubongo."

Mu 2005, ogwira ntchito ku American Brown University adasamala kufunafuna zomwe zimayambitsa matenda oopsa komanso osamvetsetseka a Alzheimer's. Ndipo adampeza.

Zomwe asayansi adatha kujambula zimatilola kukangana pa ubale wamatendawa komanso matenda a shuga, komanso zimapangitsa kuti matenda ashuga a Alzheimer's asakhale 3. Chabwino, kapena matenda a shuga.

Cholinga chake ndikuchepa kwa insulin mu ubongo (hippocampus imatulutsa), yomwe imakulitsa kuchuluka kwa beta-amyloid - mapuloteni omwe amapezeka mwa anthu onse.

Kuchuluka kuchokera pazomwe zimakhazikika kumabweretsa neoplasms yotchedwa amyloid plaques. Amathandizira pakukula kwa matenda a Alzheimer's. Ngakhale munthu yemwe alibe wachibale ndi mankhwala amatha kusaka ubale pano, chifukwa mawu ofunikira ndi kuchepa kwa insulin.

Zizindikiro za matenda a Alzheimer's amadziwika, mwina, kwa anthu ambiri. Makamaka, matenda amzeru amadziwika ndi kusokonezeka kwathunthu, kuyerekezera zinthu m'maganizo, kutaya kuganiza bwino.

Mtundu wa shuga wachitatu: Ndikufuna chakudya?

Chifukwa cha asayansi ndi madotolo omwe adazindikira kuti ali ndi matenda a shuga atatu, komanso kukhazikitsa ubale pakati pawo ndi matenda a Alzheimer's, kafukufuku wokhudzana ndi kusowa kwa insulin muubongo wasunthika pansi. Ndizotheka kuti posachedwa akatswiri athe kupeza njira yochizira matendawa ndikufotokozera momwe angapewere matendawa.

Tsopano, chithandizo cha matenda osakanikirana chimachitika poyerekeza ndi zomwe zimawoneka mwa wodwala. Pano, monga akunenera, moyo wa wodwala uli m'manja mwa dotolo. Kupatula apo, kupambana kwamankhwala kumadalira momwe amapangira njira yochizira.

Zachidziwikire, vuto ndi shuga. Ndipo sizinali pachabe kuti adayamba kuzitcha kuti zotsekemera poizoni zaka zingapo zapitazo. Chifukwa chake, iyenera kusiyidwa mulimonsemo.

Komanso, mwakuthekera kwa 99.9%, titha kunena kuti opezeka mu endocrinologist amapereka mndandanda wapadera - ichi ndi chakudya chamafuta ochepa. Makamaka ngati munthu amakonda kunenepa kwambiri, kapena ali ndi kunenepa kwambiri kale.

Pakadali pano, palibe mankhwala ena apadera ochizira matenda amtundu wa 3, ndipo mankhwalawa omwe amatengedwa ndi mafomu 1 ndi 2 amatha kuipitsa wodwalayo. Mankhwala ovomerezeka sazindikira mtundu uwu, ndipo mpaka ataphunziridwa mokwanira, endocrinologists apitilizabe kulimbana nawo pawokha komanso poyeserera ndi kulakwitsa.

Malangizo & zidule

Zochitika

Matenda a shuga a Type III ndi matenda oopsa, ofala komanso owopsa, chifukwa chake matenda odziwika bwino a Alzheimer's amayamba.

Kumayambiriro kwa zaka zam'ma 2000, panali zambiri zazokhudza iye, palibe amene amadziwa zomwe zimayambitsa maonekedwe ndi momwe angathandizire matenda awa.

Palibe chithandizo chamankhwala chamtunduwu, chifukwa akatswiri amtundu wa endocrinology nthawi zambiri amalemba mitundu yosiyanasiyana ya zizindikiro.

Njira zamankhwala ndi mankhwala zimasiyana pochiza matenda osiyanasiyana. Chifukwa chake, ndizovuta kudziwa njira imodzi yothanirana ndi matenda osokoneza bongo a matenda a shuga. Ndi chifukwa ichi kuti pakufunika kuwonjezeranso matendawa. Mtundu watsopano wamatenda umatchedwa mtundu wachitatu wa matenda ashuga.

Zifukwa zachitukuko

Pali lingaliro kuti matendawa amalowa m'thupi ndikukula panthawi yogwira ayodini chifukwa cha chakudya chomwe chilowa m'mimba.

Amakhulupirira kuti ma pathologies osiyanasiyana amkati, monga:

dysbiosis,
chilonda
kukokoloka
kutupa kwamatumbo,
matenda a virus
kunenepa.

Komanso, cholowa monga cholowa chathu komanso zomwe zimapangitsa kupsinjika nthawi zambiri zimatha kukhala chifukwa.

Ndi ma pathologies oterowo, odwala saloledwa kugwiritsa ntchito ayodini. Mankhwala, simungagwiritse ntchito mankhwala omwe amathandizira ena awiriwo.

Mankhwala okhala ndi insulin samapereka chithandizo chilichonse, chifukwa cha matenda a III muyenera kusankha njira inayake yomwe imatengera chithunzi cha matenda ashuga.

Pambuyo pa izi, ndikofunikira kukonza zonse, kusankha njira yothandizira komanso mankhwala omwe angathandize kuthana ndi mitundu yoyamba ndi yachiwiri ya matendawa.

Ndikofunikanso kuyang'anira chidwi chachitukuko chifukwa chakulemera kwambiri.

Ndi zakudya ziti zomwe zimayenera kudya shuga komanso zomwe zimafunikira tsiku ndi tsiku? Mayankho mu TV akuwonetsa kuti "Live wathanzi!" Ndi Elena Malysheva:

Ndi mtundu uwu, wodwala amakhala ndi zizindikiritso za mtundu woyamba wa I ndi mtundu wachiwiri wa II nthawi yomweyo, kuwonjezera apo, ena a iwo amatha kutchukira, ndipo amatha kuwoneka chimodzimodzi. Zomwe zimayambitsa matendawa sizikudziwika, koma mwina chilonda, kutupa kwamatumbo, dysbiosis, kunenepa kwambiri komanso kukokoloka kwa minyewa kungayambitse.

Chithandizo cha wodwala aliyense chimasankhidwa mosamala kwambiri komanso payekhapayekha, chifukwa palibe malingaliro enieni a chithandizo.

Mtundu woyamba wa shuga: kudya ndi kuchiza matendawa malinga ndi malamulo

Ngakhale nthenda yosavuta kwambiri yolumikizana ndi anthu imatha kukhala vuto lalikulu chifukwa cha zovuta. Chifukwa chake matenda a shuga mellitus, momwe wodwalayo amatha kukhazikika mpaka atakalamba kapena kumubweretsera munthu kutaya mtima kwakanthawi.

Muyenera kumvetsetsa kuti ngati mtundu wa 1 shuga mellitus, chithandizo chamankhwala ndi insulin, zochitika zolimbitsa thupi zitha kupanga moyo komanso kukhala wopatsa chidwi. Tsatirani malangizo a dokotala ndikudziwa za nkhaniyi, muziganizira zochitika zina.

Mdani amayenera kudziwa payekha

Mankhwala, matenda a shuga amakhalanso m'magulu awiri (1 ndi 2), omwe ali ndi dzina wamba, koma njira ya mapangidwe, kakulidwe ndi zovuta zomwe zimadza ndizosiyana.

Mtundu woyamba umatanthawuza kusintha kwamtundu kapena autoimmune pomwe mphamvu ya kapamba yakupanga insulin kuti isinthe ma carbohydrate kukhala glucose.

Glucose wolondola amagwiritsidwa ntchito ndi maselo mphamvu ndi njira zonse mthupi. Ntchitoyi imatayika yonse kapena gawo limodzi. Munthu sangathe kuchita popanda ma jakisoni a jakisoni, omwe amatenga gawo lalikulu pama metabolic metabol.

Ngati matendawa apezeka, ndiye kuti choyambitsa kulephera chitha kukhala matenda opatsirana ndi kapamba. Chitetezo cha mthupi chimayesera kuteteza thupi, koma si virus yomwe imapha, koma ma cell a beta ofunikira, amatenga ngati owopsa. Zomwe zimachitika sizikudziwika.

Zochita za antibody zimapangitsa kuchuluka kwakutaya kwa beta cell. Ngati amalimbikira ngakhale ndi gawo lachitatu, wodwalayo ali ndi mwayi wochepetsa kuchuluka kwa insulini kuchokera kunja ndi njira yoyenera yamankhwala.

Type 1 shuga mellitus ndi owopsa chifukwa shuga ambiri amapangidwa m'magazi, omwe khungu silingagwiritse ntchito mwa mawonekedwe ake osakwanira. Thupi sililandira mphamvu, kulephera kumachitika m'moyo wonse zomwe zimatha kubweretsa zovuta kapena kufa.

Mtundu wachiwiri wa matenda ashuga, kulephera kwa kagayidwe kazakudya kumachitika chifukwa cha kuchepa kwa mphamvu ya insulini m'maselo omwe amangovomereza shuga losandulika. Ntchito ya kapamba siyisokonezedwa poyambira, pokhapokha ngati wodwalayo akukulitsa vutolo ndi mkhalidwe wake wolakwika.

Anthu odwala matenda ashuga amtundu wa 1 amafunikira insulin, koma ngati mulingo wake siwolondola, palinso chiwopsezo - kuchuluka kwa mankhwalawa kumabweretsa glycemic coma (shuga yochepa), mlingo wosakwanira sungathe kusintha shuga.

Chifukwa chake, lembani 1 anthu odwala matenda ashuga ayenera kuphunzira momwe angawerengere molondola mankhwalawa ndikusunga shuga mkati mwa malire ovomerezeka kwa munthu wathanzi. Ndipo ngakhale zitakhala kuti miyeso yatengedwa, sipangakhale kulumpha. Kenako sipadzakhala chifukwa chokhalira ndi zovuta zazikulu, mndandanda womwe ndiwokulira mtundu uliwonse wa matenda ashuga.

Kusiyana pakati pa mtundu woyamba ndi wachiwiri ndikuti matendawa amapezeka mwa anthu adakali aang'ono, kuyambira pa kubadwa mpaka zaka 35. Ndizovuta kwambiri kuchiza odwala matenda ashuga ochepa omwe samvetsetsa chifukwa chomwe zoletsa zimakhazikitsidwa komanso chifukwa chake jakisoni wofunikira umafunikira. Thupi lomwe likukula limafunikira mphamvu zochulukirapo kuti magwiritsidwe ntchito kosalala a machitidwe onse.

Kupambana pankhondo yolimbana ndi matenda omwe amadalira insulini posunga kuchuluka kwa shuga mkati mwa malire omwe amawoneka kuti ndi abwinobwino kwa munthu wathanzi.

Chithandizo choyenera cha matenda a shuga 1

Odwala matenda ashuga ayenera kumvetsetsa kuti shuga imatha kuwongoleredwa komanso matendawa saloledwa kukhala alendo. Mosasamala za zaka zomwe matendawa adapezeka ndi matenda, mfundo yake ndi yofanana kwa aliyense:

Yang'anani zomwe zikulowa mkamwa mwanu. Mvetsetsani mfundo za zakudya zoyenera ndikusankha kudya limodzi ndi endocrinologist kapena wathanzi, poganizira zovuta zilizonse zaumoyo.
Lembani zolemba zamatumbo, zakudya, kuchuluka kwa digito pazida zopimira, Mlingo wa insulin.
Nthawi zonse onaninso kuchuluka kwa shuga m'magawo 4 pa tsiku.
Khalani ndi moyo wokangalika ndi masewera olimbitsa thupi.
Pezani katswiri yemwe ali ndi njira yoperekera mankhwala a shuga. Izi ndizofunikira kwambiri, chifukwa mtundu wa mahomoni ndiosiyana ndipo mwina ungakhale wosayenera pankhani inayake.

Ngati kusankha kwa insulin ndi kuwerengera kwa muyezo wake munthawi yodziwika kuyenera kufikiridwa payekhapayekha, ndiye kuti zakudya zochizira matenda amtundu wa 1 zimangodalira msinkhu wa wodwalayo (mwana kapena wamkulu), pakusalolera payekha pazinthu ndi ndalama.

Pazonse, mfundo za zakudya ndizofanana - cholinga chake ndi kusungabe kuchuluka kwa shuga mkati mwa mtundu wabwinobwino wamunthu wathanzi.

Ndikofunikira kuphunzira momwe zinthu zingapangidwire, pangani mndandanda wazomwe zimaloledwa kukhala ndi matenda ashuga. Ndikofunika kuyang'anira muyeso mu chakudya, chifukwa ngakhale zakudya zopatsa thanzi zochulukirapo zimabweretsa kupsinjika kwa chakudya. Gawo lililonse liyenera kulemedwa ndi kuwerengera kalori. Muyenera kugula miyeso yamagetsi yomwe imayeza kulemera kwa malonda mumagalamu.

Kusankha chakudya chamagulu 1 a shuga

Akatswiri a matenda ashuga nthawi zonse amalimbikitsa odwala kuti asinthe zakudya zina, zomwe zimawoneka ngati maziko othandizira matenda okoma. Vutoli likakhudzana ndi kadyedwe, ndiye kuti muyenera kupatula zinthu zomwe zimapangitsa kuti magazi azikula kwambiri m'moyo wanu.

Ngati kapamba atatulutsa insulini m'mavoliyumu ofunikira kuti asinthe mafuta onse, ndiye kuti palibe zovuta zazikulu. Koma kulumikizana uku mu metabolism ya carbohydrate kumangika ndipo sikungatheke kukonza shuga ochulukirapo mwachangu popanda mlingo woopsa wa mahomoni mu majekeseni.

Si odwala onse omwe amatha kuwerengera bwino insulin kapena yayitali kuti ailowetse komanso kuchuluka kwake. Ngati kapamba mwachilengedwe, njirayi imagwira ntchito ngati wotchi ndipo imangopereka gawo labwino, ndiye kuti munthu akhoza kulakwitsa powerengera ndi kubaya madzi ambiri kapena ocheperako.

Pali njira imodzi yokhayo - kuphunzira momwe mungasankhire zakudya zomwe sizimapatula kuwonjezeka kwa shuga m'zakudya, ndikupanga mndandanda wa tsikulo, mutapatsidwa phindu la mbale makamaka kwa odwala matenda ashuga.

Anthu odwala matenda ashuga ayenera kusankha pakati pa zakudya ziwiri:

Kusamala - endocrinologists adalembedwa kwa nthawi yayitali, poganiza kuti ndikofunikira kupatula mafuta osavuta (othamanga) pazakudya ndikungoganiza zopatsa zovuta, ndikuwaphatikiza ndi mapuloteni komanso mafuta. Zakudya zomanga thupi zovuta zimapereka shuga wofunikira, koma osatembenuza mwachangu, makoma am'mimba amatenga zinthu pang'onopang'ono, popanda kupanga kumverera kwa njala mwa munthu motalikirapo kuposa chakudya chambiri.
Carb-Yotsika - kutengera kupatula pazinthu zonse (zomanga thupi) zomwe zimakhala ndi shuga kapena zotsekemera. Kutsindika ndi mapuloteni ndi mafuta. Chinsinsi cha zakudya ndikuti mafuta ochepa omwe amalowa m'mimba, insulin yocheperako imafunikira kuti isinthe. Izi zimakuthandizani kuti muchepetse kuchuluka kwa jakisoni wa insulin kangapo.

Pali lingaliro - ngati si maselo onse a beta omwe adamwalira mu kapamba, ndimatenda oyenera, zimatha kusinthira kokha ku insulin yanu, ndikuchotsa kwathunthu kudalira jakisoni. Zakudya zamafuta zoyenera pang'ono osachulukitsa shuga, zomwe zikutanthauza kuti mahomoni achilengedwe ndi okwanira kuti asinthe kukhala mphamvu.

Zakudya zonse ziwiri zimapangidwira kuchiza matenda amtundu wa 2 komanso mtundu wachiwiri wa shuga, koma mfundo zake ndizosiyana.
Ngati maphikidwe oyenera amathandizira kuti zakudya zizikhala zosiyanasiyana komanso zosangalatsa, ndiye kuti carb yotsika sikumayesa kuyesa kudya zilizonse zokoma, kuchokera pazogulitsa zosiyanasiyana za anthu odwala matenda ashuga.

Amakhulupirira kuti zinthu zonse zapadera zimasinthira lingaliro, koma osapatula shuga owopsa pakuphatikizika. Kuti mumvetsetse kusiyana pakati pa zakudya ndi kusankha zomwe muyenera kusankha, muyenera kuphunzira mfundo za chilichonse.

Zakudya zoyenera za shuga

Zakudya zoyenera zamagulu a shuga zimatchulidwanso 9 tebulo. Zakudya zina zimaphatikizidwa popanda kugwiritsa ntchito kuti odwala matenda ashuga sangapindule, koma amangowonjezera kuchuluka kwa shuga.

Zakudya zoletsedwa zimagawidwa ngati michere yambiri ya glycemic, yomwe imasanduka shuga ndikuwonjezera thupi kwakanthawi kochepa. Kumva njala kumabwera msanga ndipo ubongo umafunikira gawo lina la chakudya, ngakhale kuti glucose samatengedwa ndi maselo.

Atatha kuphunzira momwe zinthu zingagulitsidwe, akatswiri othandizira zakudya, limodzi ndi endocrinologists, adalemba mndandanda wazinthu zoletsedwa zamtundu woyamba wa diabetes. Izi sizipindulitsa pachithandizo cha matenda a shuga a mtundu wachiwiri.

Piritsi la matenda ashuga No. 9 limapereka lingaliro loti zakudya zotsatirazi siziyenera kulekedwera kuchokera muzakudya

Maswiti aliwonse opanga mafakitale - chokoleti, maswiti, ayisikilimu, kupanikizana ndi shuga.
Zinthu zophika buledi zopangidwa ndi ufa wa tirigu, mitundu iliyonse ya ma muffins, ma bun, ma cookie, ma cookie a gingerbread ndi zina zambiri. Zogulitsa zoterezi zimakhala ndi zosakaniza zingapo, kuwonjezera pa ufa, zotsekemera, mafuta, zowonjezera zosiyanasiyana zilipo.
Zakudya zokhala wowuma kwambiri ndizoletsedwa, koma osati okhwima. Ndizololedwa kudya mbatata ndi nyemba mpaka magalamu 100 patsiku, koma osati tsiku lililonse.
Sopo sayenera kuphika mu mafuta msuzi. Zakudya zophika masamba zomwe zimapangidwa kuchokera ku mitundu yochepa yamafuta ndi nsomba ndi kuwonjezera kwa mitundu ina ya chimanga ndizololedwa.
Mafuta amkaka amkaka kwambiri sayenera kuphatikizidwa kuchokera kumenyu ya odwala matenda ashuga.
Zakudya zilizonse, zakumwa za shuga za kaboni, zakumwa za zipatso za mafakitale sizikhala kunja kwa zakudya za munthu wodwala matenda ashuga kosatha. Pokonzekera, pamakhala shuga wambiri, womwe umapha thupi la munthu wathanzi.
Zipatso zokhala ndi shuga zachilengedwe zimayesedwa ngati chakudya chokhala ndi index yayikulu ya glycemic (nthochi, pichesi, mphesa).
Simungagwiritse ntchito zopakidwa, zamchere, ngakhale zopanga zawo. Kuti zinthuzo zisawonongeke, shuga, mchere, viniga zimafunika, zomwe zimaperekedwa kwa onse odwala matenda ashuga.
Soseji, zakudya zamzitini sizisungidwa popanda shuga wowonjezera. Chifukwa chake, mu zakudya zamtundu wa 1 wodwala matenda ashuga, sayenera kuphatikizidwa. Masoseji anu omwe amapangidwa ndiomwe amavomerezeka pomwe chinsinsi chikadziwika ndikukonzedwa.

Mndandanda wazakudya zovomerezeka zamtundu woyamba wa shuga ndizabwino kwambiri ndipo simuyenera kuchita mantha kuti wodwalayo amalandidwa chisangalalo chonse chamadya. Mukungofunika kuphunzira mndandandandawu ndikupanga menyu yosinthira sabata.

Type 3 matenda a shuga - Zizindikiro, mankhwala, zakudya

Mitundu iwiri ya shuga imadziwika mdziko lapansi: yoyamba ndi yodalira insulini ndipo yachiwiri siyodalira insulini. Komabe, posachedwapa, madokotala awulula mtundu wina wamatendawa - matenda ashuga a 3.

Ngakhale kuti sichikudziwika, endocrinologists aphunzira kuzindikira zizindikiro zazikulu, kuzindikira zomwe zimayambitsa matenda.

Izi zimatha kuchitika chifukwa cha ma pathologies a ziwalo zamkati mwa munthu:

dysbiosis,
kukokoloka
kutupa kwamatumbo,
zilonda.

kuvulala komwe kumayambitsa mavuto a pancreatic,
othandizira opaleshoni
Kutalika kwa mankhwala
kunenepa
kuchuluka kwa lipids
kumwa mowa.

Zoyambitsa matenda ashuga

Pa matenda ashuga, zakudya zimatha kuphatikiza: buledi wonyezimira, msuzi, nyama yophika, nsomba zophika, masamba amphaka, maapulo, kiwi, mandimu, malalanje. Posankha chakudya choyenera chazakudya, mutha kusiyanitsa kadyedwe kanu, ngakhale kukhala ndi zoletsa zina pazakudya. Ngati mukufunika kusiya maswiti, ndiye kuti mutha kusintha m'malo mwa zipatso, m'malo mwa zakudya zabwino, yambani kudya zabwino komanso zopatsa thanzi.

Matenda a shuga a Mtundu 3 limodzi ndi mitundu ina ya matenda amawopsa pamoyo wa munthu. Zizindikiro zoyambirira zikaonekera, muyenera kupita kwa katswiri kuti mugwiritse ntchito nthawi yake.