Kodi matenda ashuga angachiritsidwe?

Nkhani yakuchiritsa matenda ashuga imasangalatsidwa ndi munthu aliyense yemwe ali ndi zizindikiro za matendawa.

Tiyenera kudziwa kuti matenda oterewa ndiofala kwambiri. Munthu aliyense wokhala padziko lapansi pano ali ndi matenda a shuga.

Ngakhale kuti matendawa amakula nthawi zambiri chifukwa chogwiritsira ntchito kapamba, ziwalo zina zimakhudzidwa pambuyo pake.

Kodi ndizotheka kuchira kwathunthu ku mtundu woyamba wa matenda ashuga?

Matenda a shuga a mtundu woyamba ndi omwe ali mtundu wofala kwambiri wamatendawa. Nthawi zambiri amatchedwa "shuga mwana".

Matendawa amawonekera chifukwa cha machitidwe omwe akupanga a autoimmune.. Imawononga ma cell a beta ofunika kwambiri a kapamba, ndichifukwa chake kupanga kwa insulin kumatsekedwa.

Kukula kwachangu kwa shuga kumachitika pamene pafupifupi 80% ya maselo a beta afa. Ngakhale kutukuka kwapamwamba kwa mankhwala apadziko lonse lapansi, njirayi siingasinthe.

Madokotala sanaphunzirebe momwe angayimitsire matenda a autoimmune. Madokotala sanadziwebe vuto limodzi la matenda ashuga amtundu woyamba.

Kodi matenda amtundu wa 2 angachiritsidwe kwamuyaya?

Poyerekeza ndi odwala omwe ali ndi matenda a shuga a 2, akatswiri amapereka kale chiyembekezo chamankhwala. Koma ndizosatheka kunena ndendende momwe thupi liyenera kuchitira panthawi ya chithandizo.

Kuneneratu zotsatira za chithandizo chamankhwala kumakhala kovuta. Potere, wodwalayo ayenera kutsatira kadyedwe, kukhala moyo wapa mafoni, komanso kupewa mavuto.

Ndikofunikira kudziwa izi:

• Pamene wodwalayo akudwala, ndiye kuti thupi limalimbana kwambiri ndi katunduyo
• moyo wokhazikika umachepetsa mphamvu ya maselo ku zotsatira za insulin,
• Kukhala wonenepa kwambiri kumawonjezera mwayi wodwala matenda ashuga (makamaka ngati pali mtundu wa kunenepa kwambiri wa admin).

Kodi matenda a shuga amwana angachiritsidwe kapena ayi?

Nthawi zina, mwana amadwala chifukwa cha matenda opatsirana, mantha, kupsinjika, komanso kunenepa kwambiri.

Nthawi zambiri, ana amayamba kukhala ndi matenda a shuga omwe amadalira insulin. Tsoka ilo, ndizosatheka kuchira ku matenda ashuga amtundu woyamba.

Ma cell a pancreatic pamenepa sangathe kupanga kuchuluka kwa insulini. Momwemo, iyenera kuphatikizidwa ndi jakisoni. Chinthu chachikulu chothandizira kuchiritsa pamenepa.

Kodi asayansi aphunzira liti kuchiza matenda ashuga?

Asayansi ochokera ku UK adatha kupanga zovuta zamankhwala zomwe zimatsitsimutsa maselo a pancreatic. Momwemo, kupanga insulin pambuyo panjira ya chithandizo chichitike mu mulingo woyenera kwambiri.

Mpaka pano, mavutowa adayesedwa pokhapokha ngati ali ndi labotale. Posachedwa zakonzedwa kuti zizichita zoyeserera ndi kutenga nawo mbali kwa anthu.

Poyamba, malonda omaliza amaphatikiza mitundu itatu ya mankhwala. Pambuyo pake, alpha-1-anti-trypsin (enzyme yomwe imafunikira kubwezeretsa maselo a insulin) idawonjezeredwa ku gululi. Tikuyankhula za mtundu 1 wa shuga (wodalira insulin).

Zomveka kuchokera kwa madotolo aku China zokhudzana ndi kuthekera kwa kuchiritsidwa kwathunthu

Monga mukudziwa, zamankhwala am'mbuyomu amachita njira yosiyana ndi njira yochizira matenda ashuga. Choyamba, akatswiri amatenga zifukwa zomwe zimayambitsa matendawa.

Madokotala aku China amagwiritsa ntchito mankhwala azitsamba kuchiza matenda awa. Mankhwala amapereka bata la kagayidwe kachakudya njira.

Kuphatikiza apo, kulemera kwa thupi kumachepa ndipo zinthu zambiri zimakhazikika. Mwapadera chidwi amalipiritsa kuti matenda a magazi mu ziwalo akuvutika ndi mtima kuchepa.

Zipatala zina zaku China zimagwiritsa ntchito njira zamankhwala zozizwitsa. Mwachitsanzo, akatswiri amagwiritsa ntchito stem cell transplant. Chifukwa cha izi, ntchito za kapamba zimabwezeretsedwa mwachangu. Mwachilengedwe, yankho lotere silotsika mtengo.

Kodi mungachotse bwanji matendawa poyambira?

Ngati matendawa akadali pachigawo choyambirira, wodwalayo amatha kudzithandiza yekha.

Choyamba, muyenera kutsatira zakudya - idyani zakudya zamafuta ochepa, masamba, zipatso zatsopano, muchepetsani maswiti. Ndikofunikira kudya m'magawo ang'onoang'ono, koma nthawi zambiri (nthawi 5-6 patsiku).

Pankhaniyi, kuchuluka kwa glucose kumabwezeretsedwa, komwe kumapewa kupewa kwambiri mankhwala osiyanasiyana.

Milandu yakuchiritsa kwathunthu: kuwunika kwa wodwala

Milandu yochepa yeniyeni yokhala ndi chiyembekezo chokwanira:

• Valentina, wazaka 45. Mchimwene wanga anapezeka ndi matenda a shuga. Zowona, anali atayamba kukulira. Dokotala adapereka malingaliro onse ofunikira. Amakhudzana ndi zakudya, kukonza moyo. Patha zaka 7, matenda ashuga sanayambike. Mkhalidwe wa m'bale wanga ndi wodekha,
• Andrey, wazaka 60. Ndakhala ndikulimbana ndi matenda ashuga amtundu wa 2 kwa zaka 20. Sanachiritsidwe kwathunthu. Koma munthawi imeneyi moyo wanga wasintha kwambiri. Jekeseni nthawi zina amathandiza. Adayamba kulandira chithandizo mochedwa. Kuchiritsa matenda ashuga kumatha kukhala bwinoko.

Matenda a shuga si sentensi, koma njira ya moyo

Kwa odwala matenda a shuga, ndikofunikira kukumbukira kuti awa si sentensi. Zosintha pamenepa zimangokhalitsa thanzi labwino komanso moyo wawo.

Chofunikira kwambiri pamenepa ndikuti musanyalanyaze thanzi lanu, osangochita chithandizo chokha, koma kulumikizana ndi dokotala panthawi.

Ndi matenda a shuga, mutha kusewera masewera. Mwachitsanzo, pitani ku dziwe kapena kukwera njinga. Kudya chakudya chokoma sichiyeneranso kusiyidwa kwathunthu. M'masitolo amakono, machitidwe apadera a odwala matenda ashuga amaperekedwa.

Kuphatikiza apo, pali maphikidwe ambiri azakudya. Ndizabwino kwa odwala endocrinologist. Zakudya zomwe zimakonzedwa molingana nawo sizikhala zonyozeka pakudya wamba.

Mtundu woyamba wa shuga

Ana, achinyamata ndi okhwima omwe amavutika ndi izi. Zimachitika nthawi zambiri nthawi yophukira komanso nthawi yozizira. Amatchedwa shuga. Ma cell a Beta omwe amapanga insulini sagwira ntchito kapena pafupifupi sagwira ntchito kapamba wa wodwala. Chifukwa chake, insulin m'thupi ikusowa kwambiri, kupanga insulini ndi thupi kumakhala kochepa kwambiri kapena kulibe, hyperglycemia imachitika. Anthu oterewa amathanso kunena kuti amadalira insulin kwa moyo, amabaira jakisoni.

Zizindikiro

• ludzu
• pakamwa kowuma, makamaka kowonekera usiku
• kusanza, kusanza,
• kukodza pafupipafupi
• kuwonda kwambiri ndi chidwi chambiri,
• kusakhazikika
• kufooka wamba, makamaka masana,
• koyambirira, mawonetsedwe akhungu alipo (zilonda, chikanga, zotupa za pakhungu ndi misomali, khungu lowuma kwambiri)
• matenda osakhazikika, masenti,
• mwa ana, kuwonetseredwa ndi bedwetting.

Type 2 shuga

Monga lamulo, anthu amadwala pambuyo pa 40. Amawatcha matenda ashuga kwathunthu, chifukwa Nthawi zambiri amakula motsutsana ndi maziko a kunenepa kwambiri. Ngakhale zimatha kukhazikika ndimawonekedwe abwinobwino.
Matenda ambiri a shuga ndi matenda a shuga 2 (pafupifupi 90%).
Pankhaniyi, kapamba amapanga insulin kwambiri. Koma sililowa m'matupi chifukwa chidwi chawo ku insulin chatsitsidwa (kukana insulini). Zotsatira zake, siginecha imatumizidwa kwa kapamba kuti palibe insulin yokwanira, chinsinsi chake chikuchulukirachulukira. Komabe, zonsezi ndi zachabe, pakapita kanthawi thupi "limazindikira" (maselo a beta adatha), ndipo kutulutsidwa kwa insulin kumachepa.

Zizindikiro (motsatira mawonetsedwe awo):

• kukodza kwambiri, ludzu,
• kuwonda (mwina sichingakhale)
• kufooka
• kulakalaka
• dzanzi, miyendo, kukokana kwa minofu ya ng'ombe,
• zilonda, mabala ochiritsa osachiritsika, matenda amtundu wautali,
• kuphwanya kwamtima,
• kuyamwa
• Kuchepetsa kugonana pagalimoto (libido), kusabala,
• utachepa kowoneka bwino, "chifunga m'maso."

Kutsatizana kwa zimachitika nthawi imodzi zimatha kusiyanasiyana kutengera matenda opatsirana.

Magawo Atibwezeretse Matenda a shuga

Ndikofunikira kuzindikira mkhalidwe wolipirira wa matenda osokoneza bongo komanso kuwonekera kwa zizindikiro malinga ndi gawo lomwe mwatchulapo:

• kubwezera
• kulipira
• kubwezera.

Kuti mupeze kuchuluka kwa kufupika kwa kagayidwe kazakudya, ndikofunikira kuyeza osati kuchuluka kwa glucose m'magazi, komanso magawo amwazi amwazi:

• glycated hemoglobin m'magazi (kulipiritsa - osachepera 6.5%, subcompurance 6.5-9%, kuwabwezera - kuposa 9%),
• fructosamine (malipiro - osaposa 285 μmol / l),
• Zizindikiro za metabolism yamafuta (chipukutira - TAG triglycerides osapitirira 1.7 mmol / L, LDL lipoproteins - osakwana 3.0 mmol / L, ndi HDL - kuposa 1.2 mmol / L, cholesterol - ochepera 4.8 mmol / L),
• matupi a ketone (chipukutira - osati kwambiri kuposa 0.43 mmol / l),
• kuchuluka kwa mavuto osmotic (chipukutira - osapitirira 290 - 300 mmol / l), etc.

Pa gawo la malipiro chakudya kagayidwe kake, zizindikiro za ludzu, polyuria, hypoglycemia zimatha. Wodwalayo amamva munthu wathanzi, wamphumphu. Mulingo wambiri wa glucose ndipo mutatha kudya umasungidwa pakati pazomwe zili bwino (kusala kosakwana 6.1 mmol / L, pambuyo maola 2 7.5 mmol / L). Mafuta amkodzo samapezeka.

Ndi zopereka Matenda a wodwalayo akuipiraipira. Kuthamanga kwa shuga m'magazi 6, 1-7.0 mmol / L, patatha maola awiri - 7.5-9.0 mmol / L. W ludzu, pakamwa youma kumatha kuchitika m'mawa, hypoglycemic reaction ikhoza kusakhalapo. Glucose mu mkodzo - mpaka 5% ya shuga mtengo wa chakudya. Matupi a Ketone mu mkodzo kulibe.

Kubwezera matenda a shuga amadziwika ndi kulephera kusintha shuga m'magazi ndimankhwala. Zizindikiro zonse za shuga zimawonekera bwino. Mavuto akulu amakumana ndi kukhazikika mtima, komwe kumafunika kukonzanso mwadzidzidzi. Mulingo wothamanga wa glucose woposa 7.0 mmol / L, pambuyo maola 2 oposa 9.0 mmol / L. Gawoli limadziwika ndi chitukuko cha zovuta za pachimake - zochitika za hypoglycemic ndi hyperglycemic, ketoacidosis, glucose pamkodzo pamwamba 5% ya chakudya chamafuta. Pa nthawi ino, zovuta za matenda a shuga zimayambika (neuropathy, nephropathy, matenda amtima, retinopathy, phokoso la matenda ashuga).

Kupsinjika kwambiri kwakuthupi ndi m'malingaliro, kusadya bwino komanso kudya mankhwala ochepetsa shuga, insulin imabweretsa kuwonongeka. Odwala ambiri akulephera kufikira gawo lakulipidwa kwa matenda ashuga.

Mtundu woyamba wa matenda ashuga, kodi ndiwothandiza kapena ayi?

Pakuchitika kwa matenda a shuga a mtundu uwu, zinthu ziwiri zimakhudzidwa makamaka - uku ndikubadwa kwamtsogolo komanso njira ya autoimmune m'thupi (kulephera mu chitetezo chamthupi).

Mwachitsanzo, matenda akayamba kufooka kapena kupsinjika, vuto lomwe limachitika m'thupi ndipo chitetezo cha mthupi chimakumana ndi ziwalo ndi minofu yake. M'malo mwathu, maselo a kapamba a B omwe amapanga insulin amakhudzidwa. Chifukwa chake amasiya kupanga timadzi tomwe timayamwa, timene timayendetsa shuga.

Ndipo matenda a shuga amadzionetsa ngati zizindikilo zoyambirira, nthawi zambiri pamene maselo opitilira 80% onse amakhudzidwa ndipo palibenso insulin m'thupi. Uku ndi kuperewera kwenikweni kwa insulin. Funso ndiloti: "Kodi pali chithandizo chotani?" Kupatula apo, njira ya autoimmune ndi njira yosasintha, maselo a B sangathe kubwezeretsedwanso. Tsoka ilo, yankho ku funso lathu loyamba "Kodi ndizotheka kuchiritsa matenda ashuga amtundu woyamba?" Ndi zoipa!

Ndipo palibe kusiyanasiyana apa, mtunduwu umathandizidwa kokha ndikuyang'anira kwa insulin MOYO.

Kuchira konyenga

Nthawi zambiri (makamaka mwa ana ndi achinyamata), atazindikira kuti khansa yakhazikitsidwa ndipo chithandizo cha insulin chakhazikitsidwa, kuchuluka kwa glucose kumakhala kwachilendo, ndipo thupi limayeretsedwanso ndi acetone. Odwala amayamba kumva bwino, ndipo maselo a B omwe amakhalabe akuwongolera zochitika zawo mpaka mulingo wochepetsetsa kwambiri wa insulin umafunika kuti pakhale glycemia, kapena insulin siyofunikira konse.

Nyengo iyi imatchedwa "phwando la tchuthi". Odwala ambiri amapereka chithandizo, akukhulupirira kuti achira. Izi sizingachitike. Ngati mugwiritsira ntchito insulin kuti musunge shuga wambiri (munthawi yomweyo payenera kukhala ndi mlingo wokwanira, koma osayambitsa hypoglycemia), ndiye kuti mukulitsa chikhululukiro (nthawi iyi ya uchi) kwa chaka chimodzi kapena kupitirira, pamene Mlingo wa insulin udzakhala wocheperako.

Samalani! Kulandiridwa mwachizolowezi kwa omwe akuchita chibwibwi, omwe ali ambiri pamsika wopanda chithandizo chamankhwala, ndikupereka "kokasangalala" a matenda amtundu woyamba wa 1 kuti athandizidwe!

Momwe mungachiritsire ndikuchotsa matenda amtundu wa 2 shuga kwamuyaya?

Mayankho a mafunso awa siwapafupi.

Choyambitsa matendawa ndi matenda a shuga. Izi zikutanthauza kuti ma receptor amachepetsa kukhudzidwa kwawo ndi insulin, "amathyoledwa," koma insulin imapangidwa muyezo woyenera komanso wokwera kwambiri. Tikuyankhula za kuchepa kwa insulin.

Zinthu zazikulu zomwe zimatsogolera ku insulin kukana

• Kunenepa kwambiri.
• M'mimba mtundu wa kunenepa.
• Kuzunzika, kuperewera kwa zakudya m'thupi.
• Khalidwe labwino.
• Khalidweli.
• Age (okalamba, omwe ali pachiwopsezo chachikulu).
• Kulemera kwa wakhanda kumakhala kochepera 2.3 makilogalamu komanso kuposa 4.5 kg.

Mtundu wachiwiri wa matenda ashuga a mtundu wa 2 achilandira kuchokera kwa abale a magazi (ngati makolo onse akudwala, ndiye kuti 100%), ndipo njirayi imayamba chifukwa cha kunenepa kwambiri (pafupifupi odwala onse omwe ali ndi mtundu wachiwiri amalemera kwambiri).

Zifukwa zochizira matenda ashuga

Pali zovuta zazing'ono pakuchiritsa matenda a shuga a 2.

Choyamba, pomwe matenda a shuga adapezeka.

Kachiwiri, ngati pali zovuta, kodi amasintha kapena ayi.

Ngati matendawa apezeka koyambirira kwambiri, pomwe palibe zovuta kapena zikusintha, ndiye kuti zonse zimayamba kudalira wodwalayo. Mwa kusintha zakudya zanu ndi kuchita masewera olimbitsa thupi, kuchepa thupi, mutha kusintha shuga m'magazi anu ndikuchotsa insulin, chifukwa chake matenda a shuga.

Izi zokha zimachitika kawirikawiri, popeza mtundu wachiwiri suwonekera pang'ono, umayamba pang'onopang'ono pazaka zambiri ndipo umapezeka kwambiri pamisempha. Kuphatikiza apo, pazaka zambiri, maselo a B omwe adagwira ntchito mu njira zowonjezera amatha ndipo insulin yaying'ono imayamba kupanga.

Njira izi zimasinthika. Ndipo sipangakhale funso lililonse loti tichotse matenda osokoneza bongo mpaka muyaya. Chithandizo chokhacho chotsitsa shuga kapena chithandizo cha insulin chithandiza.

Ngati muli ndi vuto lililonse, ndiye kuti muyenera kuwongolera kuchuluka kwa glucose osachepera 1 pachaka. Kuyesedwa kwa glucose kulolerana (PTG) ndikofunikira, makamaka ngati muli ndi vuto la "glucose kulolerana". Tikukumbutsani zomwe zizindikiro za glucose ziyenera kukhala.

Palibe m'badwo uliwonse wa shuga. Kwa munthu aliyense ali muyezo. (Chokhacho ndikuti kuchuluka kwa shuga kumasiyana mwa makanda).

Zozizwitsa Zopatsa Matenda a shuga

M'mabuku ambiri onena za kuchiza matendawa pogwiritsa ntchito wowerengeka azitsamba, matenda ashuga akuwoneka ngati matenda ochiritsika. Mutha kupeza maphikidwe chikwi omwe ali okonzedwa kuchokera kuzitsamba zosiyanasiyana, masamba, infusions ndi zina zambiri. Ena mwaiwo adzakhala opanda kanthu komanso osavulaza, ena azithandizira, pomwe ena amangowononga. Ganizirani malingaliro omwe amakonda.

1. Mankhwala okhala ndi zakumwa zoledzeretsa.
   Mowa umapweteketsa chiwindi ndipo ulibe malo pochiza matenda ashuga. Zitha kuyambitsa kwambiri hypoglycemia, kuletsa kutulutsa shuga ndi chiwindi.
2. Zinthu "zomwe zili ndi insulin."
   Ichi ndi nthano! Palibe zotere! Mwachitsanzo, muzu wazovomerezeka za artichok, dandelion imakhala ndi INULIN (iyi ndi molekyulu yotsika yomwe ili ndi fructose). Ndipo alibe chochita ndi insulin.
3. "Kutulutsa" masiku. Zothandiza, mwachitsanzo, kudula masiku. Amasintha zochita za insulin ndikuchotsa acetone m'thupi. KOMA! Kwa matenda amtundu wa 1 wopanda jakisoni wa insulin, masiku osala kudya amangokulitsa kagayidwe. Komabe mtundu wa 2, izi zitha kuthandizira kuchepetsa thupi komanso zimathandizira kulandira chithandizo.
4. Katemera
   Njirayi singathe kusintha njira zonse zothandizira odwala matenda ashuga. Koma acupuncture imatha kukhala ndi phindu pa kuchepa kwa chakudya komanso kunenepa, zomwe ndizofunikira kwambiri matenda a shuga a 2. Amagwiritsidwanso ntchito kuchepetsa ululu mu zovuta monga matenda ashuga a m'mimba.

Pali njira zinanso zambiri, koma musanagwiritse ntchito, werengani zabwino ndi zowawa.

Kuyerekeza mtundu wa 1 ndi matenda ashuga a 2

Tikuwona kuti zizindikiro za matenda amtundu 1 komanso matenda amtundu 2 ndi ofanana kwambiri. Kodi pali kusiyana kotani pakati pawo?

• Nthawi zambiri pamakhala matenda a shuga a 2.
• Mtundu 1 - kuchuluka kwa insulin, mtundu wachiwiri - kuchuluka ndi kuchuluka kwa insulini pachiyambipo, m'magawo amtsogolo otsika.
• Mtundu wa 1 - kulemera kumachepetsedwa, mtundu wa 2 - kunenepa kwambiri kapena kwabwinobwino.
• Mtundu 1 - wachichepere, mtundu 2 - wopitilira 40.
• Mtundu 1 - umayamba mwadzidzidzi, mwachangu, Type 2 - pang'onopang'ono.
• Mtundu 1 - kuyenda kosasunthika, kovuta kuwongolera, lembani 2 - kayendedwe kokhazikika, kuwongolera sikovuta.

Matenda a shuga

Mapeto awa akuwululidwa pomwe kuwonjezeka kwa shuga m'magazi mwa mkazi kumadziwika koyamba panthawi yoyembekezera. Nthawi zambiri mwana akangobadwa, kuchuluka kwa shuga kumakhala kwabwinobwino ndipo nthendayo imatha. Koma zimachitika kuti kukhala ndi pakati kumayambitsa matenda a shuga. Kenako, madyererowa amayamba kukhala 1 kapena 2, ndipo tidayankhula za iwo pamwambapa.

Matenda a kapamba

Izi zimaphatikizapo kapamba, zotupa, zoopsa ndi zina. Nthawi zambiri izi zimabweretsa kuwonongeka kwa ma b-cell kapena minofu ya pancreatic m'malo mwake. Ndipo zonsezi ndi njira zosasintha zomwe zimayambitsa kuperewera kwa insulin. Ndikosatheka kuchiritsa kwamuyaya, motero, chithandizo cha moyo wonse ndichofunikira.

Immunosuppressive chithandizo cha matenda a shuga 1

Asayansi akugwira ntchito mwanjira iyi, koma pakadali pano sizotheka kupanga mankhwala omwe amachepetsa kupangika kwa ma antibodies ku cell ya B ndipo sikuvulaza chitetezo chathupi chonse. Zowonjezera ndizakuti pofika nthawi yodziwitsa, oposa 80% a maselo a B amawonongedwa. Zinafika poti simungachite popanda insulin mulimonse. Koma mwina posachedwa mankhwalawa apezeka omwe amatha kupitiliza kupanga awo a insulin.

Magazi a shuga m'magazi a shuga

Malinga ndi WHO, glucose wamba ayenera kukhala ocheperako 6.1 mol / l. Ndi matenda a shuga pamimba yopanda kanthu - kuchokera 7 mol / l mpaka 9.3 mol / l.
Pali zochitika za matenda a shuga a "latent". Kuti mupeze, kuyezetsa kwa glucose test (GTT) kumachitika: choyamba, kusala kudya kwa glucose kumayesedwa, ndiye kuti munthu amapatsidwa chakumwa chamadzi otsekemera a ndende inayake ndipo theka lililonse la ola limadulidwa sampuli ya magazi kuyeza kuchuluka kwa shuga ndikupanga dongosolo.

Zomwe zimayambitsa matendawa

Matenda a shuga ndi matenda amtundu wa endocrine pomwe munthu amakhala ndi vuto la metabolic. Matendawa amadziwika ndi kuphwanya kapangidwe ka insulin ya mapuloteni ndi ma kapamba. Pazifukwa izi, odwala amakakamizidwa kuyang'anira kuchuluka kwa shuga m'magazi.

Matendawa ali ndi mawonekedwe osakhazikika, ndipo zomwe zimayambitsa kupezeka mwa anthu ndizinthu zosiyanasiyana, kuphatikizapo:

• onenepa kwambiri komanso mawonekedwe ake owonjezera - kunenepa kwambiri,
• chibadwa
• kukalamba ndi zovuta zamavuto zomwe zimadza chifukwa chake
• zochitika zosautsa zambiri, zokumana nazo,
• Zotsatira za matenda a ma virus (rubella, hepatitis, chimfine, nthomba),
• Matenda oyamba omwe amakhudza mkhalidwe wa kapamba (kapamba, khansa mu kapamba),
• kumwa mankhwala angapo (cytostatics, diuretics, glucocorticoid mahomoni opangira chiyambi),
• kuperewera kwa zakudya m'thupi mwa kuchuluka kwa chakudya chambiri komanso kusowa kwa fiber,
• kumangokhala
• kukhalapo kwa matenda amtima.

Kuphatikiza pazifukwa zomwe zafotokozedwazo, matendawa amapezeka mwa munthu motsutsana ndi maziko a zomwe zidalipo:

• matenda a chiwindi
• kuyamwa bwino
• hypercorticism
• kuchuluka kwa chithokomiro cha mahomoni a chithokomiro,
• kuchuluka kwa magazi m'thupi kwakanthawi kochepa,
• kuchuluka kwa mahomoni omwe amaletsa kupanga insulin,
• zotupa zosiyanasiyana zachilengedwe zomwe zimatuluka m'matumbo am'mimba.

Matenda a shuga a Type 1 nthawi zambiri amapezeka mwa achinyamata - ndi osachiritsika. Munthu amafunika jakisoni wa insulin yonse.

Mwa 80% ya milandu, matenda a shuga a 2 amapezeka. Akuluakulu omwe ali ndi zovuta zamafuta komanso matenda okhudzana nawo amatha kukhudzidwa.

Kodi matenda amtundu wa 2 angachiritsidwe?

Matenda a shuga a Type 2 amathandizidwa bwino, koma ndizosatheka kuti matendawa atheretu. Matendawa amadziwika ndi nthawi yayitali kwambiri yophunzira. Munthu sangakayikire kuti ali ndi matenda kwa zaka 10 kapena kupitilira.

Matendawa amakhudza kwambiri mitsempha yamagazi. Nthawi zambiri, matendawa amadziwika kuti ali ndi kusintha kosasintha. Amasandulika kukhala mawonekedwe osakhazikika, ndipo wodwalayo amafunikira chithandizo chanthawi zonse ndi kusintha kwa zakudya ndikutsatira boma linalake lachitachita zolimbitsa thupi.

Ngati munthu akuwona chakudyacho, kuyang'anira shuga ndi kumwa mankhwala ofunikira, ndizotheka kusintha moyo wake. Ndi chithandizo chamankhwala apamwamba komanso njira yoyenera ya moyo, kutalika kwake kwa odwala omwe ali ndi matenda amtundu wa 2 amatha kufikira zaka zingapo ndikukhala chimodzimodzi kwa anthu athanzi labwino.

Mfundo zoyambirira zamankhwala

Chithandizo cha matendawa chimatengera gawo la kukula kwake komanso kupezeka kwa zovuta mwa wodwala. Matendawa amathandizidwa koyambirira kwawo.

Odwala omwe apezeka ndi matendawa kumapeto amafunika chithandizo cha mankhwala. Mankhwala amafunikiranso kwa odwala omwe sangathe kuwongolera moyo wawo komanso kudya mokwanira.

Mfundo zamankhwala ndi izi:

• kuchuluka kwa ntchito zamagalimoto,
• kutsatira zakudya zapadera,
• kuyang'anira pafupipafupi magazi a glycemia,
• kuthamanga kwa magazi
• kumwa mankhwala ofunikira.

Chifukwa matenda a shuga nthawi zambiri amakula mwa anthu onenepa kwambiri, amafunika kuyikidwa patsogolo kuti awongolere. Matenda a kunenepa, kudya moyenerera komanso kuchita masewera olimbitsa thupi moyenera kumabwezeretsa glycemia wodwalayo mwachizolowezi.

Kuchulukitsa zolimbitsa thupi

Ntchito za locomotor ndizofunikira pothandiza odwala matenda ashuga. Amawonetsedwa makamaka kwa anthu onenepa kwambiri. Kuchita masewera olimbitsa thupi tsiku ndi tsiku kumathandizira odwala omwe ali ndi kunenepa kwambiri kuti pang'onopang'ono abwezeretsedwe.

Zochita zolimbitsa thupi monga imodzi mwazinthu zamankhwala zimatithandizira kuthana ndi mavuto awa:

• matenda a shuga
• kuchepa kwa ndende ya glucose chifukwa cha akatundu.

Minofu ya thupi la munthu imadziwika ndi kuwonjezeka kwa insulin. Chifukwa cha zochitika zatsiku ndi tsiku, odwala matenda ashuga amatha kusunganso kuchuluka kwa shuga pamlingo womwewo ndikuchepetsa thupi pang'onopang'ono.

Zakudya zamagulu

Ndi matenda 2 a shuga, wodwala amafunika kusintha kwathunthu pakudya. Sizitanthauza kufa ndi njala kapena kuchepetsa kudya kwa masiku angapo - tanthauzo la chakudya cha matendawa ndi chakudya chamagulu.

Masana, munthu amalimbikitsidwa kudya maulendo 6, pomwe mbali za mbale ziyenera kukhala zazing'ono. Wodwala amafunika kuwunika nthawi yayitali pakati pa chakudya. Kupuma pakati pa chakudya sikuyenera kupitirira maola atatu.

Zakudya zopatsa thanzi za matendawa zimaphatikizapo kugwiritsa ntchito zakudya zina ndi kukana kwathunthu zakudya zingapo.

Ndi mtundu 2 wa matenda ashuga, zotsatirazi siziphatikizidwa:

• chakudya chopatsa thanzi,
• chakudya chokazinga
• Mitundu yonse ya zakudya zotsekemera ndi zamafuta,
• mankhwala osuta
• mowa
• zakudya zonunkhira komanso zamafuta
• msuzi wonenepa,
• mitundu yonse yazakudya zachangu ndi marinade.

Zogulitsa zina ndizololedwa.

Izi ndi monga:

• semolina
• mbatata
• pasitala
• nyemba
• nkhumba yopanda mafuta
• tchizi chamafuta ochepa
• mkaka wosakhazikika
• kaloti
• obera
• chiwindi
• dzira
• mwanawankhosa
• mtedza
• mpunga, buluwheat, oatmeal.

Izi zimaloledwa kwa odwala matenda ashuga, koma pang'ono.

Malonda ovomerezeka a shuga ndi awa:

• nyama yopanda mafuta,
• masamba ophika, ophika ndi ophika,
• soya
• zipatso (pafupifupi zonse) ndi zipatso,
• nsomba.

Odwala odwala matenda ashuga amalangizidwa kuti apange menyu tsiku lililonse la sabata. Polemba, amalimbikitsidwa kuti azitsogozedwa ndi mfundo za zakudya zochepa.

Mukamakonzera menyu, muyenera kuchoka pazotsatirazi:

• chakudya chamagulu,
• kugawikana kwa chakudya (katatu pa tsiku),
• zakudya zamasiku onse
• kuphatikizidwa muzakudya za tsiku ndi tsiku za zipatso ndi ndiwo zamasamba,
• kupatula kwathunthu pazinthu zoletsedwa,
• zakudya zazing'ono
• kumwa madzi okwanira tsiku lililonse (pafupifupi 1.5 l),
• kugwiritsa ntchito decoctions ndi tiyi kutengera zitsamba.

Anthu odwala matenda ashuga ayenera kupewa njala. Zikaoneka, amalangizidwa kuti azikhazika mkaka wamafuta ochepa ndi zipatso. Ndi chithandizo chawo, ndizotheka kupewetsa kumverera kwa njala ndi kupirira mpaka chakudya chotsatira malinga ndi dongosolo. Kudya kwambiri kumaletsedwanso - simungathe kudya kwambiri ngakhale zinthu zovomerezeka. Muyenera kukwera kuchokera pagome ndikumverera kuti mutha kudya zambiri.

Kanema wa matenda a shuga:

Kuwongolera glycemic

Anthu odwala matenda ashuga amafunika kuwunika tsiku lililonse misempha yamagazi. Pazaka zambiri, matendawa amapita patsogolo ndipo amakhudza maselo a pancreatic. Amachita molakwika ndi kupanga kwa insulin. Pachifukwa ichi, pali kuchuluka kawirikawiri m'magazi a magazi.

Pakuwunikira, chipangizo chotchedwa glucometer chimagwiritsidwa ntchito. Chipangizocho chimakulolani kuti tsiku lililonse muzikhala ndi glucose wodwala pamlingo woyenera kwambiri. Ngakhale kukakamizidwa mtengo kwa chipangizocho, kulipira.

Odwala sayenera kungokhala ndi kuwongolera kwa glucose m'mwazi. Chofunikira pa chikhalidwe chaumoyo ndizizindikiro mu mkodzo wa wodwalayo.

Zingwe zoyezetsa ndi njira yodziwika yogwiritsira ntchito shuga mu shuga. Koma njirayi imagwira bwino ntchito. Mizere yoyesera imalola kuwona shuga mumkodzo pokhapokha kutulutsa kwake kupitirire 10 mmol / L. Kwa odwala matenda a shuga, chizindikiro cha 8 mmol / L ndi chovuta kale. Pachifukwa ichi, njira yodalirika komanso yodalirika yoyendetsera kuchuluka kwa shuga mumkodzo ndi kuyesa kwadongosolo mu labotale.

Kuyendetsa magazi

Kwa odwala matenda ashuga, kulumpha mu kuthamanga kwa magazi ndi kakhalidwe. Chizindikiro chimodzi chofunikira ndikuwunika magazi pafupipafupi.

Kuchuluka kwake kosalamulira kumabweretsa zotsatirapo zingapo, kuphatikizapo:

• chiopsezo chachikulu cha stroke,
• kuwonongeka kowonera mpaka kutayika kwake,
• kukula kwa aimpso kulephera.

Kuchepa kwa magazi m'thupi la anthu odwala matenda ashuga kumakhala chifukwa chomaliza cha kufera kwa ziwalo zamkati chifukwa chakuwonjezera mphamvu ndi mpweya.

Pamodzi ndi muyezo wokhazikika wa glycemia, wodwala amafunikira kuthamanga kwa magazi tsiku lililonse.

Mankhwala

Chithandizo cha mankhwala ndikofunikira kwa odwala matenda ashuga omwe matendawa adapezeka kumapeto. Kusungabe thanzi la odwala omwe ali ndi mankhwala kumafunikiranso ngati atakula kwambiri chifukwa cha matenda ashuga. Pankhaniyi, mankhwala opatsirana odwala matenda ashuga amawayikira odwala kosatha, mpaka kumapeto kwa moyo.

Ndi matenda a shuga a 2, mankhwala ndi omwe amaperekedwa:

• kukulitsa kuyamwa kwa insulin mu minofu (Biguanides) - "Glucophage", "Metformin",
• kuchepetsa kupezeka kwa shuga m'mimba ndi m'matumbo - "Acarbose",
• yokhala ndi insulini
• okhala ndi mankhwala a sulfonylurea - a Diabetes ndi ena ofanana.

Biguanides nthawi zambiri amaperekedwa kwa odwala achinyamata omwe onenepa kwambiri. Odwala akuluakulu, ngati ali ndi concomitant pathologies, mankhwalawa amalimbikitsa lactic acidosis.

Zomwe zimachokera ku sulfonylureas zimathandizira kupanga insulin ndi kapamba. Kukhazikitsidwa kwawo ndikofunikira kwa odwala omwe ali ndi zovuta za matenda ashuga. Mankhwala osokoneza bongo ambiri amachititsa kutsika kwamphamvu kwa glucose. Matendawa ndi onenepa kwambiri.

Kukonzekera kwa insulin kumayikidwa pa mtundu wa 2 odwala matenda ashuga mwapadera. Kuchiza nthawi zambiri kumayambitsa mapangidwe a matenda kukana mankhwala. Ndalama zomwe zimakhala ndi insulin zimaperekedwa kwa odwala pazinthu izi.

Kuphatikiza apo, odwala matenda a shuga amamulembera mankhwala:

• thiazolidinediones, omwe amachepetsa shuga ndikuwonjezera chidwi cha maselo amafuta kuti apange insulin,
• meglitinides omwe amachititsa kapamba kuti apange insulini.

Meglitinides ndi kuchepa kwa kuchuluka kwa shuga m'magazi sizititsogolera pakukula kwa hypoglycemia wodwala. Kugwiritsa ntchito thiazolidinediones kumapangidwa mu odwala matenda ashuga omwe ali ndi vuto la mtima.

Matenda A shuga - Kodi Mankhwala Amatha Kuchiritsidwa Kosatha? Matenda a shuga: Zizindikiro, zimayambitsa, zakudya ndi njira zochizira

Anthu opitilira 150 miliyoni padziko lonse lapansi, omwe ndi ziwonetsero za matendawa amatcha chiwerengerochi, akumenyera ufulu wokhala ndi moyo wonse, wokhala ndi mbiri ya matenda ashuga. Tsiku lililonse, anthu amene amaphunzira za matenda okhumudwitsa amawonjezeka ndi masauzande angapo. Kodi matenda ashuga angachiritsidwe kwamuyaya ndikuwonetseratu zamtsogolo?

Zikondamoyo zopanga

Iyenera kuyeza kuchuluka kwa glucose m'magazi, kuwerengetsa mlingo wa insulini zokha komanso uziperekenso kwa magazi. Pakadali pano sizinachitike kuti ipangike zotheka, zotsika mtengo, zomwe zimakwaniritsa zofunikira zonse za chipangizocho. Mavuto amabwera ndikufunika kotsimikizika kotsimikizika kwama glucose (komwe sikosavuta) ndikutulutsa kwa chipangizo cha insulin. Pakadali pano, zida zambiri sizikugwira ntchito bwino.

Kodi matendawa amawonetsedwa bwanji?

Cinthu cofunikira popanda kuti thupi la munthu ligwire bwino ntchito ndi shuga. Chinthu china chimathandizira kuti shuga alowe mthupi - insulin, yomwe imapezeka chifukwa cha kapamba.

Matenda a shuga ndi matenda pamene algorithm yopanga insulin kapena kukweza kwake kwa mayamwidwe a shuga ndi minofu ndi maselo amasokonekera. Shuga wosadziwika wotsekedwa m'magazi amayamba kudziunjikira.Mmodzi ndi mmodzi, pali zizindikiro za matenda ashuga, ndipo chifukwa chake, chitetezo cha mthupi chimatembenuza mawonekedwe a chikomokere, momwe machitidwe ofunikira amayenda pang'onopang'ono.

Chimodzi mwazomwe zimayambira kuphwanya shuga kagayidwe kakang'ono ndi khungu. Chizindikiro ichi sichimapereka chifukwa choganiza chomwe chimayambitsa matendawa, chifukwa chimafanana ndi zomwe sizikusangalatsa. Zotsatira zake, wodwalayo amayamba kumwa antihistamines, ndipo glucose wokhazikika, pamenepa, amawononga makoma amitsempha, amachepetsa ulusi wamitsempha ndipo pang'ono ndi pang'ono amaletsa ziwalo zamkati.

Magulu owopsa

Zizindikiro zoyambirira za matenda ashuga zimapezeka mwa akazi makamaka atakwanitsa zaka makumi asanu. Kuphatikiza apo, matendawa samangokhala okha ndipo nthawi zambiri amakhala ovomerezeka ndi matenda a mtima, matenda oopsa, komanso vuto la mtima. Mwa amuna, gawo la mibadwo imakhala yotsika, ndipo chiopsezo chachikulu ndi cha anthu achikulire pambuyo pa zaka 65.

Pamene, atalandira matenda okhumudwitsa, odwala amakhala ndi chidwi chofuna kudziwa ngati matenda a shuga angathe kuchiritsidwa kwathunthu, amapeza yankho losasangalatsa. Chowonadi ndi chakuti mwa anthu akuluakulu, matendawa samachitika mwa iwo okha, amapanga zinthu zoyipa zingapo zomwe zimapezeka m'moyo wonse. Mwachitsanzo, kunenepa kwambiri ndikusunthira kosasunthika kolimbana ndi insulin - kuchepa kwa chidwi cha maselo kupita ku insulin ya mahomoni.

Kuyesera kuchiritsiratu matendawa ngati muli ndi matenda ashuga kuli ngati kuyang'ana keke yonse kapena kukhala pakama masiku angapo. Ndizosatheka kuthetsa matendawa, koma kuzipangitsa kuti zikhale zopanda mkwiyo kwambiri kapenanso kukhala pafupifupi osawoneka ndizotheka.

Gulu lina lomwe lili pachiwopsezo ndi ana omwe ali ndi vuto lobadwa nalo la kuphwanya mapangidwe a insulini mu kapamba. Kuchuluka kwa glucose kumawononga thupi la mwana wosakhazikika kale magawo a matenda. Matenda a shuga a ana amadalira insulin. Kufunika kogwiritsa ntchito mankhwalawa nthawi yomweyo kumapitilira moyo wonse.

Njira yamatenda a shuga imawonedwa mwa amayi ena panthawi yomwe ali ndi pakati, koma atabereka mwana, misempha ya shuga m'magazi nthawi zambiri imadzikhazikika. Pakachitika kupatuka ndi kuchuluka kwa shuga mkati mwa nthawi ya bere, chiwopsezo chokhala ndi mwana chokhala ndi majini komanso kufooka chitetezo chamthupi chimakulirakulira, ndipo mkazi mwiniyo amakhala ndi chiwopsezo cha matenda a shuga 2.

Zoyambitsa matenda a shuga

Mwa zina mwazomwe zimayambitsa matenda a shuga 1, vuto la autoimmune limadziwika. Maselo a kapamba, omwe amawazindikiridwa molakwika ndi chitetezo cha mthupi ngati adani, amayamba kuwonongeka ndikutayika kwakanthawi. Zomwe zimayambitsa ntchitoyi zimadalira sizinafotokozedwe bwino.

Kukaniza kwa insulini kwam'mimba kumawerengedwa kuti kumayambitsa matenda a shuga. Nthawi yomweyo, thupi, pazifukwa zosadziwika, limaleka "kuwona" ake omwe amapanga insulin ndipo limakwiyitsa kapamba kuti achulukitse mahomoni. Mafuta a shuga samathekabe, ndipo pamakhala kuchuluka kwazowonjezereka m'magazi. Matenda a mtundu wachiwiri atha kukhala mtundu wobadwiranso wa chibadwa kapena zotsatira za moyo.

Mwa azimayi, panthawi yakubala, kuwonjezeka kwa shuga m'magazi kumachitika chifukwa cha kuponderezedwa kwa insulin ndi mahomoni omwe amapangidwa pokhapokha ngati ali ndi pakati.

Wopeza shuga mellitus amapangidwa chifukwa cha izi:

• onenepa kwambiri
• kusadya bwino,
• kumangokhala
• kuwonetsedwa pafupipafupi, kukhumudwa,
• matenda a mtima
• ntchito pafupipafupi okodzetsa, mankhwala a antihypertensive, mankhwala a mahomoni.

Mitundu ya Matenda A shuga

Type 1 shuga mellitus nthawi zambiri amapezeka mwa ana omwe makolo awo kapena achibale awo omwe adadwala matendawa adadwala. Matendawa akuwopseza kukula kwa zovuta monga nephropathy, mtima matenda, retinopathy, microangiopathy, ndipo amaikidwa ngati autoimmune.

Type 1 shuga mellitus amadalira insulin ndipo amafunikira pafupipafupi kuchuluka kwa muyezo wa mankhwalawo komanso pafupipafupi, katatu patsiku, muyeso wa shuga m'magazi a shuga a magazi a kunyumba. Kutsatira zakudya komanso kuchita masewera olimbitsa thupi kungathandize kupewa kuchitika kwa hyperglycemia, motero kuchepetsa kwambiri kugwiritsa ntchito mankhwala.

Kupanga insulin makonzedwe nthawi zambiri safunika kuchita mtundu 2 matenda ashuga. Thupi silimakumana ndi nkhawa monga mtundu woyamba wa matenda - kupanga kwa insulin kumachitika mwachangu, koma chifukwa cha zinthu zosiyanasiyana, mphamvu ya mahomoni m'maselo imafooka. Pankhaniyi, chiwindi, minofu ndi adipose minofu imakhudzidwa kwambiri.

Kodi ndizotheka kuchiritsa matenda amtundu wa 2 popanda kugwiritsa ntchito mankhwala osokoneza bongo? Pofuna kupewa zovuta, chithandizo ndichofunika mulimonse. Pa gawo loyambirira la matenda a shuga, kumwa mankhwala kumatanthauza kuchirikiza thupi kwambiri kuposa momwe zimakhalira ndi matenda. Mutha kukana mankhwala ngati mutayandikira kwambiri nkhani ya zakudya komanso kusintha kwa moyo wanu pofuna kuchepetsa kunenepa kwambiri komanso kukana zizolowezi zoyipa.

Ngati zizindikiro za hyperglycemia zikuchitika, mapiritsi otchulidwa ndi endocrinologist ayenera kumwedwa mosalephera.

Zizindikiro

Zizindikiro za matenda a shuga a mtundu woyamba amadzisonyeza poyambira matenda. Popeza ana kapena achichepere nthawi zambiri amadwala matenda amtunduwu, kuchepa kwawo mwadzidzidzi, ulesi komanso thanzi lathanzi sizingadziwike.

Zizindikiro zotsatirazi ndizomwe zimayimira mitundu yonse ya matenda ashuga:

• njala yosalekeza, kumva kusakhuta, ludzu,
• kukodza kopweteka kawirikawiri,
• mkhalidwe wolemerera, wosasamala,
• Khungu loyera, kuwuma kwa khungu,
• Kuchepetsa kuwona, nthawi zambiri
• machiritso autali a mikwingwirima, mabala, mabala.

Nthawi zina matenda a shuga amtundu wachiwiri amawonekera mu mawanga, ofanana ndi pigmentation. Pofika chizindikiro ichi, anthu nthawi zambiri amawona kufooka m'miyendo, kupweteka, komanso nthawi zina kupunduka kwamapazi.

Zovuta zotheka

Kuperewera kwa insulini m'thupi kumabweretsa zovuta zomwe zimayamba kukula, ndipo pakakhala chithandizo choyenera komanso kuwongolera kuchuluka kwa shuga m'magazi kumabweretsa zotsatira zosasinthika:

• zotupa za m'mphepete zomwe zimatsogolera kudula,
• pang'ono kapena kutayika kwathunthu kwa masomphenya, Photophobia,
• kulephera kwa aimpso
• zotupa za pakhungu ndi mapangidwe a zilonda zosapola,
• kuwonongeka kwa mtima.

Ngati kuchuluka kwa shuga kumatenga nthawi yayitali ndi mtundu wachiwiri wa matenda ashuga, mankhwalawa amayenera kukhala okwanira ndi chakudya choyenera komanso kudya mitundu yonse ya mankhwala osokoneza bongo. Kupanda kutero, shuga wambiri amatha kukhala wowonjezera wa hyperglycemic coma kapena matenda a Alzheimer's.

Mukuyenera kudziwa kuti ndi mulingo wofanana wa shuga mwa mwamuna ndi mkazi, ndi bambo amene ndi woyamba kumva kuwonongeka kwa thanzi, chifukwa chake, zovuta mu akazi zimawonjezeka nthawi zambiri kuposa amuna.

Kulephera mu shuga mellitus kumakhazikitsidwa ngati mosalekeza, kukhazikika kwa insulin ndikofunikira.

Kuzindikira matenda ashuga

Chidziwitso choyambirira cha matenda ashuga ndi kusonkhanitsa kwa anamnesis kutengera zizindikiro zosokoneza za munthu. Monga lamulo, zifukwa zomwe munthu amakakamizidwa kukaonana ndi endocrinologist amakhala akukodza pafupipafupi ndi madzi ambiri, akumazunza ludzu pafupipafupi, amatopa nthawi zonse.

Kutolere kwa chidziwitso kumatha ndikuwonetsetsa koyambirira, kutsimikizira kuti ndi mayeso ati a labotale omwe adayikidwa, chidziwitso kwambiri chomwe chimayesedwa kwa glycosylated hemoglobin. Maphunziro a Hardware a shuga akuphatikiza ndi ma ultrasound a ziwalo zamkati kuti kupezeka kapena kusowa kwa mawonekedwe.

Kutengera ndi zomwe zapezeka pazotsatira zakusaka, endocrinologist imapanga njira yochitira ndi matenda ashuga kuwonetseredwa kwina. Tanthauzo la mankhwala onse ndikukhazikitsa glucose m'thupi kutali ndi mbali yovuta yomwe mavuto amakula. Zizindikiro zothamanga zamagazi siziyenera kukhala zabwinobwino kuposa 6 mmol / L, ndipo mukatha kudya - mpaka 7 mmol / L.

Ndikofunikira kuchiza matenda a shuga a mitundu yoyamba ndi yachiwiri motsutsana ndi chakudya chokhwima, koma matenda amtundu wa 1 amatanthauzanso kukakamiza kwa timadzi tambiri tosiyanasiyana tsiku lonse. Jekeseni aliyense wa insulin amayenera kupitilira powerengera kuchuluka kwa magazi kuti awerenge molondola kwambiri. Nthawi zambiri, insulini yokhala ndi nthawi yochepa imayendetsedwa musanadye, ndipo masana, ndikuyang'ana pazofunikira za glucometer, amapanga jakisoni 1-2 wopangidwira nthawi yayitali.

Momwe mungachiritsire matenda ashuga ndipo ndikotheka kutsatira mfundo yoti "chakudya chimapha, koma chimachiritsa" ku matenda a 2? Zitha. Ngati zinthu zonse zokhala ndi shuga wochita kupanga zichotsedwa pachakudya cha wodwalayo koyamba mtundu wachiwiri wa matenda ashuga, ndiye kuti ma glucometer sangakhale opitilira muyeso wovomerezeka. Koma kusinthika kwa chakudya chokhwima sikutanthauza kuti muyenera kunyalanyaza miyezo yokhazikika ya shuga ndikuiwala kuwonetsa kwa dokotala kamodzi pa nthawi yoikidwiratu.

Maudindo a 2 a endocrinologist omwe adankhidwa ndi awa:

• khwawa
• alpha glucosidase zoletsa,
• zolimbikitsa insulin,
• othandizira sulfonylurea
• prandial glycemic owongolera.

Ndi kupatuka kwakukulu kuchokera ku mfundo zamtundu wa shuga wamagazi ndikuchepetsa chiopsezo cha zovuta, wodwalayo adalandira insulin.

Zakudya za shuga

Njira yotchuka yopatsa thanzi matenda a shuga mellitus - tebulo nambala 9 - idapangidwa makamaka pochiza matenda oyamba awiri, osaneneka a matenda mwakuwonjezera pang'ono kapena zabwinobwino kwa wodwala. Cholinga cha izi chinali kukhazikitsa kagayidwe koyenera ka chakudya m'thupi komanso kukonza digestibility ya mankhwala omwe amachepetsa shuga.

Zakudyazi zimaphatikizapo kudya kuyambira 1900 mpaka 2300 kcal patsiku ndikusiyidwa kwathunthu kwa shuga (mutha kusinthidwa ndi xylitol) ndikugwiritsa ntchito kwambiri mafuta a nyama ndi zakudya zamafuta othamanga. Werengani kuwerengera chakudya patsikulo potengera malangizo awa:

• 100 g mapuloteni
• 80 g mafuta
• 300 g chakudya
• mpaka 12 g mchere,
• 1.5 malita a madzi.

Gawo 9 la anthu odwala matenda ashuga limafotokozera kuchuluka kwa zinthu zomwe zimachitika tsiku lililonse m'magawo 6. Makonda mumenyu amapatsidwa mavitamini, michere yazakudya ndi lipotropic.

Kodi zakudya zokhala ndi matenda ashuga ndizotani:

• zopangidwa ndi tirigu: buledi wochokera kwa ufa wopanda milingo yotalikirapo kuposa kalasi lachiwiri, buluwumu, mapira, oat, barele la ngale,
• nyama ndi nsomba: kalulu, nkhuku, ng'ombe, nsomba yochepa yamafuta,
• masamba: zukini, dzungu, tomato, biringanya, nkhaka, kabichi, letesi, mbatata (pang'ono), beets ndi kaloti,
• zipatso zokhala ndi matenda ashuga zimatha kudyedwa lokoma ndi wowawasa, ndipo kuchuluka kwazomwe zimaloledwa zosaposa 250 ml patsiku popanda shuga,
• Zinthu zamkaka ndi zamkaka zosaloledwa zimaloledwa pang'ono.

Zosatheka:

• makeke ophika ndi ufa wa ufa woyamba komanso woyamba kwambiri,
• nyama iliyonse yamafuta kapena nsomba,
• zakudya zamzitini
• maswiti osuta ndi soseji,
• zipatso zabwino zoletsedwa chifukwa cha matenda ashuga: mphesa, zipatso, nkhuyu, zipatso, mphesa, nthochi,
• zakumwa zoziziritsa kukhosi
• maswiti odziwitsa.

Zomwe zingatheke pakudya kwa shuga tsopano komanso zomwe zidaletsedwa kale:

Zogulitsa kuchokera ku gulu lotsiriziralo zimaloledwa pa tebulo pang'ono.

Kupewa matenda

Kotero kodi ndizotheka kuchiritsa matenda omwe amapezeka ndi shuga pakukwaniritsa maziko onse a endocrinologist? Zotsatira kuti kutsatira zovuta, koma malamulo ofunikira, mtundu wa 2 shuga sungamveke m'moyo wanu.

Maziko omwe gawo lachiwiri la prophylaxis limakhalapo pakudya ndi masewera olimbitsa thupi ndiko kutenga kwamphamvu kwambiri kwa thupi komanso kukana kwathunthu zizolowezi zoyipa. Izi zitha kuchitika ngakhale mita isanawonetse kuchuluka, kungodziwa zam'tsogolo zanu za matendawa.

Kupewa, komwe kumathandizira kupewa kulephera ku matenda a shuga, kumatanthauza kusintha kwa chakudya chomwe chatchulidwa pamwambapa. Uwu ukhoza kukhala njira ina iliyonse yochitira zolimbitsa thupi pafupipafupi: kuyambira pa kubweza ndi kuthamanga m'mawa kupita kumakalasi ovina kapena olimbitsa thupi.

Magazi a shuga amatha kudumphadumpha kuchokera pakukhala ndi nkhawa, kukhumudwa kwakanthawi, kusakhutira ndi moyo, zomwe zikutanthauza kuti kumwa mankhwala okhala ndi neurologist kungakhale gawo lofunikira pamankhwala, ngati wodwalayo ali wosakhazikika.

Mu shuga, miyendo imakhudzidwa kaye. Ming'alu pa chidendene, nsapato zolimba kututira chimanga, kukhuthala pakati pa zala kumatha kukhala kosaphonya, komwe kumabweretsa kudula dzanja. Chilonda chilichonse pamiyendo yomwe ili pansi pa bondo chimayenera kupezeka ndi mankhwala opha tizilombo toyambitsa matenda, ndikuchira nthawi yayitali chizikhala chifukwa chofunsa dokotala.

Kuphatikiza pa kuyendera pafupipafupi kwa endocrinologist, ndikofunikira kuyesedwa ndi a ophthalmologist ndi neurologist kamodzi miyezi ingapo.

Momwe mungachiritsire matenda amtundu wa 1 ndikulembanso matenda ashuga a 2 kwathunthu?

Milandu ya matenda oopsa a endocrine - matenda a shuga - ayamba kufalikira padziko lonse lapansi. Izi matenda, nthawi zambiri, ndi moyo wonse. Anthu akuganiza ngati shuga ingachiritsidwe kwathunthu.

Pakatha zaka 40, abambo ndi amayi nthawi zambiri amakumana ndi thanzi labwino. Ndizotheka kuchiritsa matenda a shuga, koma izi ndizotheka pokhapokha ngati chithandizo chayambika munthawi yake, palibe zovuta komanso zovuta zina.

Madokotala akuti ngati mukuchita masewera olimbitsa thupi, musapatuke pachakudya, komanso mukudziwa momwe mungapangire shuga wamagazi moyang'aniridwa, mutha kutenga njira yothana ndi matenda a shuga.

Zoyambitsa matenda a shuga

Kuti mumvetse momwe dokotala amachiritsira matenda ashuga, muyenera kumvetsetsa zifukwa zomwe zakhalira akatswiri olimbikitsa. Kuwonjezeka kokhazikika kwa glucose amadziwika ndi matenda. Mitundu yayikulu yamatenda amadziwika:

• choyambirira
• mtundu wachiwiri
• matenda ashuga
• mitundu ina yomwe imalumikizidwa ndi kusokonezeka kwa mahomoni.

Type 1 shuga mellitus amadalira insulin. Matendawa amawoneka ndi insulin yokwanira, yomwe imapatsa maselo a beta a kapamba. Matenda a 2 a shuga amakhala osagwirizana ndi insulin. Insulin imapangidwa mokwanira mthupi la munthu, koma ma receptor samazindikira. Pali shuga wambiri osati m'mwazi, komanso insulin.

Matenda a gestational a shuga amapangidwa nthawi yapakati, yomwe imagwirizanitsidwa ndi njira ya metabolic. Mutha kudzichiritsa nokha mutabereka mwana.

Mitundu ina yamatendawa imalumikizidwa ndi kusagwira bwino kwa gland ya endocrine, monga lamulo, amavutika:

Matenda oterewa amatha kuthandizidwa ndikuchiritsa matenda a zida za endocrine.

Matenda a shuga ndi dzina lodziwika bwino la ma pathologies angapo omwe ali ndi chizindikiro chomwecho - kuchuluka kwa shuga m'magazi, ndiko kuti, hyperglycemia. Koma chizindikiro ichi ndi mitundu yosiyanasiyana yamatenda chimayamba chifukwa chosiyana.

Matenda owopsa a endocrine system amatha kupanga chifukwa cha kapamba kapenanso kusintha kwa mahomoni.

Matenda a shuga amatchedwa matenda a kapamba. Chifukwa cha kupita patsogolo, matenda ashuga amatsogolera pakusokoneza machitidwe ndi ziwalo zosiyanasiyana. Maselo a pancreatic amapanga mahomoni omwe amachititsa shuga kagayidwe. Amapangidwa m'maselo a pancreatic mabungwe a Largenhans.

Maselo apadera a alpha amapanga glucagon, omwe amawonjezera kuchuluka kwa shuga m'magazi ndikuwongolera kagayidwe kazachilengedwe. Maselo a Beta amatulutsa insulini, yomwe imatsitsa shuga m'magazi ndikuthandizira kutulutsa shuga.

Mfundo yoti pali matenda ashuga ingamveke bwino ndi izi:

• ludzu, kuyamwa kosalekeza,
• kufooka, chizungulire,
• kutsika kwamawonedwe owoneka,
• yafupika libido
• kulemera kwamiyendo, kukokana, dzanzi,
• hyperglycemia ndi glucosuria,
• kutsitsa kutentha kwa thupi
• kuchiritsa kwamabala.

Zolemba zamankhwala

Nthawi zambiri anthu amakwiya kwambiri akamva kupezeka kwa matenda ashuga. Nthawi zambiri funso lawo loyamba kupita kwa adotolo ndiloti, "kodi ndizotheka kuthetsa matenda?" Anthu omwe ali ndi matenda ashuga achiwiri amachiritsidwa.

Matenda amadutsa mukachotsa zomwe zimayambitsa kapena zomwe zidapangitsa. Ndikosatheka kuchiritsa matenda oyamba a mitundu 1 ndi 2.

Muyenera kudutsa m'njira zosiyanasiyana zomwe zimapangitsa kuti shuga azikhala opanda malire. Kodi matenda ashuga amatha? Nthawi zambiri sichoncho, komabe:

1. kuchepetsa zizindikiro
2. khalani ndi kagayidwe kazakudya kwakanthawi,
3. kupewa mavuto
4. kukonza moyo wabwino.

Ngakhale mawonekedwe omwe matendawa amapezeka, kudziletsa kumaletsedwa. Madokotala - endocrinologists ndi akatswiri azachipatala amathandizira odwala matenda ashuga.

Dokotala atha kukulemberani mapiritsi, komanso njira zingapo zomwe zimakhala ndi chithandizo chamankhwala.

Ndi chithandizo choyenera, matenda omwe akudutsa akuwonetsedwa pakuchepetsa zizindikiro.

Chithandizo cha matenda a shuga 1

Mukazindikira, funso limabuka ngati ndizotheka kuchira matenda ashuga amtundu 1. Ndikosatheka kuchiritsa matenda athunthu. Kuchiritsa kumatha kukhala kwamphwayi, ndi chithandizo chovuta.

Achinyamata nthawi zambiri amafunsa ngati matenda a shuga amatha. Matenda a shuga amtundu woyamba amakhudza anthu amtunduwu. Kupanga matenda ashuga, kufa kwa 80% yama cell a pancreatic ndikofunikira. Izi zikachitika, mwatsoka, matendawa sangathe kuchiritsidwa. Ngati madokotala sangathe kuthetsa matendawa, ayenera kusintha mkhalidwe wawo mwa kusiya kusuta fodya komanso mowa.

Pafupifupi 20% yotsala yachilengedwe yomwe imakhala yachilendo imapangitsa kukhalapo kwa metabolic mthupi. Therapy ndikupereka insulin yakunja. Popewa kufooka kwa ziwalo poyambira, muyenera kutsatira malangizo a dokotala. Akuti apangitse njira yochizira ndi mankhwala a insulin.

Mlingo umasinthidwa miyezi isanu ndi umodzi iliyonse. Chithandizo cha matenda ashuga chimatha kusintha ngati pakufunika kutero. Malangizo a insulini amapangidwa kuchipatala. Chithandizo cha mankhwalawa chimaphatikizapo:

• kumwa mankhwala othandizira kupanga insulin,
• kugwiritsa ntchito mankhwala omwe amachititsa kagayidwe.

Therpatent chithandizo chimaphatikizapo kupewa mavuto:

Pankhani ya zilonda zam'mimba, michere yazakudya ziyenera kupititsidwa bwino. Mapangidwe oterowo ndi chiwonetsero choyambirira cha matenda. Ziwalo zosagwira bwino ntchito zimafotokozera chifukwa chake matenda ashuga amawonekera.

Katundu wambiri womwe umachitika nthawi zambiri umayambitsa kuchepa kwamphamvu kwa shuga ndikuchulukitsa kwa lactic acid, komwe ndi kowopsa ndi zovuta. Zochita zolimbitsa thupi ndizoletsedwa ndi kuwonongeka kwa matenda.

Zakudya zopatsa thanzi zimathandiza kuchiritsa matenda a shuga. Menyu imayenera kuwerengedwa, poganizira zomwe zili ndi caloric ndi mlingo wa insulin. Ndikofunika kupatula zakudya:

• mankhwala a ufa
• maswiti
• zakumwa zoledzeretsa.

Zakudya zopatsa thanzi zimakhazikitsidwa ndi kuchuluka kwa mkate. Chiwerengero cha chakudya chamafuta chimawerengeredwa.

Wothandizirawu sanatulukirebe zomwe zingathe kuchiritsa matenda ashuga amtundu woyamba. Ntchito ya odwala matenda ashuga tsopano ndi kupewa mavuto. Imfa ya munthu imachitika ndendende chifukwa cha iwo. Kafukufuku wambiri akuchitikanso ku Russia kuti

Mwinanso m'tsogolomo, kufalikira kwa kapamba kungathandize kuchiritsa matenda ashuga 1. Tsopano maphunziro oyenera amachitika pa zinyama. Mwa anthu, kulowererapo sikunachitikebe.

Magulu a asayansi pakalipano akupanga mankhwala omwe amathandizira kuti asawononge ma cell a beta, kapangidwe kake komwe kamayenera kuthandiza kuchiza matenda ashuga.

Type 2 shuga

Kuyankha funso la momwe mungachiritsire matenda ashuga amtundu wa 2, muyenera kuganizira za kuthetsa zomwe zimayambitsa matendawa. Monga lamulo, anthu amadwala pambuyo pa zaka 45. Matenda a shuga a mtunduwu amadziwika ndi kuchepa kwa chiwopsezo cha insulin yamkati. Matendawa amalemedwa osati ndi glucose wambiri m'mwazi, komanso ndi kuchuluka kwa insulin.

Matenda a 2 a shuga amathanso kuchiritsidwa pokhapokha malipiro okhazikika. Pazifukwa izi, kudya popanda mowa komanso kuchuluka kwa chakudya kumawonedwa. Chifukwa chake, chidwi cha ma receptor ku insulin yamkati chimawonjezeka. Ngakhale kuchepa thupi pang'ono kumapangitsa kuti achepetse katundu pa zikondamoyo, ndiye kuti chakudya chimayamba kuyamwa ndikugaya bwino.

Ndi matenda amtunduwu, zowonjezera zitsamba ndizothandiza, zomwe zimachepetsa shuga ndikuchichotsa m'matumbo. Kutenga kwazitsamba kwa matenda amtundu wa 2 komanso mtundu 1 kumatha kukonzedwa palokha kunyumba.

Njira zimawonetsedwa kuti zimapangitsa kuti metabolism ikhale yachilendo, imathandizira kagayidwe kazakudya, kuchepetsa shuga m'magazi.

Odwala ambiri omwe ali ndi matenda a shuga amalandila:

Othandizira amachepetsa shuga m'magazi ndikuwonjezera kukoka kwa receptor.

Ndemanga ina imati kugwiritsa ntchito mapiritsi sikubweretsa zotsatira zomwe zikuyembekezeka. Zikatero, muyenera kusinthira jakisoni wa insulin. Zochitika zenizeni zimawonetsa kuti kusintha koyambirira kwa majakisoni otere kumapewetsa zovuta.

Ngati pali zochitika zina zabwino, ndiye kuti mutha kubwerera kumapiritsi.

Chakudya chopatsa thanzi komanso kuwonda

Mwambiri, mankhwala si njira yokhayo yolimbana ndi matendawa. Ngati matenda a shuga amtundu wachiwiri adapezeka m'mayambiriro, ndiye kuti kuchita masewera olimbitsa thupi komanso kudya kumatha kupirira. Ndi onenepa kwambiri, mudzafunika nthawi zonse, koma kuchepa thupi pang'onopang'ono, kuti musavulaze mtima.

Palinso milandu yakuchepetsa thupi mwadzidzidzi. Muzochitika zoterezi, muyenera kubwerera pazisonyezo zachilendo ndikukula.

Chakudya chimakhudza mwachindunji kuchuluka kwa shuga m'magazi. Zakudya zotsatirazi ndizoletsedwa kwa anthu odwala matenda ashuga:

1. mpunga
2. barele ndi semolina phala,
3. Zakudya zotsekemera, kupatula zakudya zotsekemera,
4. mikate yoyera ndi makeke,
5. mbatata zosenda
6. ankasuta nyama
7. nthochi, mapeyala, mphesa, mavwende,
8. zipatso zotsekemera
9. zopota za curd
10. kufalikira ndi batala,
11. mankhwala omalizidwa
12. mchere
13. zokometsera ndi zonunkhira.

Muyenera kuphatikiza pazosankha zanu:

• masamba
• bulwheat ndi oatmeal,
• msuzi wa phwetekere
• nyama yokonda
• mazira olimba
• zopangidwa mkaka.

Kamodzi pamwezi, mutha kukonzekera tsiku losala kudya ndi kefir kapena buckwheat.

Osatengera mtundu woyamba wa matenda kapena wachiwiri, muyenera kuyang'ana pa tebulo la zakudya zoletsedwa komanso zoletsedwa. Chakudyacho chiyenera kukhala chamagulu ndi mafuta, chakudya, mavitamini ndi mapuloteni. Kudya kumayenera kukhala kokwanira 6 pa tsiku, ndi izi:

Zakudya zazing'onozi zimapangidwanso kawiri patsiku kuti apange ma calorie omwe akusowa.

Ubwino wakuchita zolimbitsa thupi

Poganizira funso la momwe mungachiritsire matenda osokoneza bongo, ndikofunika kudziwa phindu la zolimbitsa thupi zolondola. Kuchita masewera olimbitsa thupi kumawonjezera kuchuluka kwa insulin komanso kumachepetsa shuga. Pofuna kuvulaza thupi, malamulo ena ayenera kutsatiridwa.

Asanayambe makalasi, kuchuluka kwa shuga kwa munthu sikuyenera kupitirira 15 mmol / L ndipo m'munsimu 5. Ndikofunikira kupewa hypoglycemia, ndikudya mkate kapena zakudya zina musanayambe makalasi. Wodwala matenda ashuga ayenera kudziwa zomwe zimayambitsa hypoglycemia ndikusiyira masewera olimbitsa thupi ngati alipo.

Kuphatikiza pa njira zachikhalidwe zothanirana ndi matenda ashuga, palinso zina. Chithandizo cha anthu sichikuthandizira, izi ndi zowonjezera pamankhwala. Mutha kugwiritsa ntchito:

• msuzi wa tirigu
• msuzi wa barele
• kulowetsedwa kwa chicory.

Ndikofunika kugwiritsa ntchito ma acorns, anyezi ndi zitsamba za shuga. Madokotala amalimbikitsanso kudya msuzi wa sauerkraut ndi amayi. Popewa kuyambika kwa matenda ashuga a mtundu woyamba mwa ana aang'ono, kuyamwitsa ndikofunikira, komwe kumayenera kukhala pafupifupi chaka.

Pankhani ya matenda a shuga a mtundu wachiwiri, ndikotheka kutsatira zakudya zomwe zili ndi mafuta ochepa kupewa, komanso kukhalabe ndi masewera olimbitsa thupi komanso kupewa nkhawa.

Kuchita masewera olimbitsa thupi m'magazi kumapangitsa kuti shuga azitha kudya mofulumira. Pazifukwa zochizira, mutha kuchita yoga, Pilates ndikusambira. Kuchita masewera olimbitsa thupi mwadongosolo m'mawa kumathandizira kuchepetsa insulin.

Kutengera njira zopewera komanso kupatula zinthu zomwe zingachitike pachiwopsezo, mutha kukhala moyo wanu wonse osaganizira funsoli: kodi matenda ashuga angachiritsidwe? Kufikika kwakanthawi kwa madokotala komanso kupatsidwa chithandizo chamankhwala moyenera kuti athe kukhala ndi thanzi labwino, kukhala wokangalika ndipo musaganize za matenda anu. Kanemayo munkhaniyi akuwukitsa za chithandizo cha matenda ashuga.

Mavuto a shuga

Kutalika kwa shuga kumabweretsa mavuto. Pang'onopang'ono, zovuta za kagayidwe kazakudya zimayamba kukhudza ziwalo zonse ndi machitidwe:

• mtima matenda (ochepa matenda oopsa, mtima atherosulinosis, m'munsi miyendo atherosulinosis, matenda a mtima),
• kusokonezeka kwa mashuga a shuga (retinopathy),
• neuropathy (zopweteka, kukomoka kwa chapakati mantha dongosolo, kufooka ubongo kufalikira),
• matenda a impso (limodzi ndi kutulutsidwa kwa mapuloteni mkodzo),
• matenda ashuga - wovulala phazi (zilonda zam'mimba, puritis, necrosis)
• chiwopsezo cha matenda (zilonda pakhungu, matenda oyamba ndi khungu, misomali, ndi zina).
• chikomokere:
  • hypoglycemic - pamene kuchuluka kwa shuga m'magazi kumachepa kwambiri (mwina ndi insulin yambiri),
  • hyperglycemic - wokhala ndi shuga ambiri m'magazi,
  • matenda ashuga - pomwe pali matupi ambiri a ketone m'magazi,
  • Hyperosmolar - yolumikizidwa ndi kuchepa mphamvu kwa thupi.

Chithandizo cha matenda ashuga

Chithandizo cha matenda osokoneza bongo a shuga amachepetsa kuwongolera ndi kusintha kwamasamba amwazi, kupewa zovuta.

Chithandizo cha matenda a shuga amtundu 1 chimaphatikizapo jakisoni wa insulin wa moyo wonse.
Mtundu wachiwiri wa matenda ashuga oyambilira atha kupewedwa ndi chakudya chokhwima:

• osapatula zotsekemera, ufa, mowa, zokazinga ndi zonunkhira, mayonesi,
• Idyani mikate yoyera,
• kuchepetsa zopatsa mphamvu,
• chakudya champhindi 5-6 patsiku,
• kudya tsiku lililonse nyama ndi nsomba,
• gwiritsani ntchito mafuta amkaka ochepa,
• kupatula mphesa, zoumba, nthochi, nkhuyu, masiku.

Zakudya zimakhala ndi kuchepetsedwa kwakukulu kwa zovuta zosavuta, kutsitsa mafuta m'thupi. Imakhala njira ya odwala omwe ali ndi matenda ashuga a 2. Mphamvu yoyenera ya kachulukidwe kochepa cholesterol m'mwazi.
Mu magawo amtsogolo, mankhwala ochepetsa shuga amawonjezeredwa. Nthawi zina (panthawi ya opareshoni, kuvulala) komanso m'magawo akulu matendawa, insulin imayikidwa.

Odwala onse amawonetsedwa zolimbitsa thupi ndipo kusachita zolimbitsa thupi kumatsutsana ndi (kuchepa kwa ntchito).

Kupatsirana kwa kapamba

Chiwerengero cha ntchito zoterezi chikukula chaka chilichonse. Kuchita bwino ndi pafupifupi 70%. Kwenikweni, kumuyika kumachitika kwa wodwalayo yemwe wamuika nthawi yomweyo ndi impso. Opaleshoniyo n'njovuta kwambiri chifukwa cha mayendedwe achilengedwe. Kuphatikiza apo, chitetezo cha mthupi chimalepheretsa kumangika kwa ziwalo zakunja chifukwa chake ayenera kumwa mankhwala omwe amachepetsa njirayi.

Lolani njira izi kuti zithandizire anthu ochepa. Mankhwala okhawo samayima, akupitilizabe njira zatsopano zochizira matenda ashuga. Ndipo tikukhulupirira kuti padzakhala mwayi wotero kuchiritsa matenda ashuga kosatha. Koma, mwatsoka, izi sizinafike.

Musalole kuti oyipa anu onse asokoneze malingaliro anu ndikusiyanitsa zenizeni ndi zikondwerero. Ndikofunikira kuvomereza matenda a shuga osati matenda, koma monga njira ya moyo.

Fryrich Dürrenmat (mlembi waku Swiss) adadwala matenda a shuga ali ndi zaka 25. Izi zisanachitike, sanakhale ndi moyo wathanzi. Mwachitsanzo, zinali zachilendo kwa iye kumwa mabotolo awiri a vinyo madzulo. Wolemba adayenera kulingaliranso machitidwe ake. Frederick adakhala zaka 70. Ndipo kumapeto kwa moyo wake wopatsa thanzi, adanena za matenda ake: