Tsamba lalikulu > Kuwongolera matenda a shuga

Moni nonse! Ndine wokondwa kuti munapita patsamba langa kuti mumve zambiri. Mosasamala komanso mwanzeru, ndinasonkhanitsa zolemba zonse, sizinapange zolakwika kapena zolakwika zilizonse. Ndikukhulupirira kuti chidziwitso chomwe mudapeza kuchokera ku gwero ili chitha kukhala chothandiza kwa inu!

Tsambali ndi labwino kwa anthu odwala matenda ashuga komanso abale awo monga chidziwitso polimbana ndi matenda awo. Kupatula apo, ngakhale nzeru yotchuka imati: "Chidziwitso - chimakhala ndi zida!". Izi zikutanthauza kuti munthu wodziwa kumenyera nkhondo amenya nkhondo ndikuphunzira kukhala ndi matenda ake, ndipo iyi ndi gawo loyamba komanso lalikulupo pakuchira.

Mutha kupeza chidziwitso chonse chofunikira chomwe odwala matenda ashuga adzafunikira patsamba lino. Mitu yotsatirayi yaikidwa apa:

Wodwala matenda ashuga ayenera kulabadira kwambiri chakudya chake, popeza kuchuluka kwa glycemia kudzadalira zomwe zili mu chakudya. Patsambali mungadziwe za - zabwino koma osatero - chakudya, zakudya, ndipo mupezanso maphikidwe abwino.

Tsambalo likuthandizirani kusankha glucometer ndikuwunika bwino magazi anu, chifukwa chizindikirochi chikuwonetsa momwe thupi lilili. Kuthandiza odwala matenda ashuga osayang'anitsitsa kuchuluka kwa shuga ndikungoyendayenda mumdima.

Popeza matenda ashuga osapatsidwa chithandizo chokwanira komanso zakudya zili ndi zovuta zambiri, ndikofunikira kudziwa zizindikiro ndi njira zothanirana ndi matenda othandizira. Koma pali mbali ina ya ndalama - pomwe shuga ndi zovuta. Matendawa siachilendo, ndipo kupewa nthawi kumathandiza kupewa mavuto obwera chifukwa chodzetsa mphamvu kagayidwe kachakudya.

Malo apadera pamalo anga omwe amakhala ndi mutu wa "Matenda a shuga kwa ana," popeza kholo lililonse limawona thanzi la mwana wake monga mawonekedwe a maso ake. Tsambali lili ndi chidziwitso chodalirika komanso malingaliro odziwika a akatswiri pazokhudza matenda a shuga kwa ana.

Mutha kuganiza kuti pali zinthu zambiri zomwe mungazikumbukire ndikutsatira malingaliro onse. Koma zoona zake, mumatha kuyang'ana malowa nthawi zonse, ndipo chidziwitso ndi njira yochokera ku moyo wabwinobwino, ngakhale mutadwala kwambiri.

Pitani mozama, werengani, loloweza, chita - ndipo mudzalandira mphotho yabwino!

Khalani athanzi! Wodzipereka, woyang'anira tsamba Snitko Irina.

Ndi dokotala uti yemwe ndiyenera kulumikizana ndi shuga wamagazi akulu mwa ana ndi ana?

Ngati, malinga ndi zotsatira za kusanthula, shuga wambiri m'magazi adalembedwa, ndiye kuti wopanga adzipangana yekha ndi endocrinologist payekha. Ngati pazifukwa zina sizinachitike, muyenera kuchita nokha. The endocrinologist adzalemba zowonjezera mayeso.

Dokotala adzayesa kuwunika ndikuwona mbiriyakale. Ndikofunika kudziwa kuti njira yodziwira matenda osokoneza bongo mwa mwana ndi wamkulu ingasiyane. Choyamba, matenda omwe ali ndi zizindikiro zofananira, kuphatikizapo matenda a shuga insipidus, samachotsedwa. Zotsatira zamayeso zikapezeka, zidzatha kudziwikitsa moyenera.

Ngati munthu sakudziwa kuti ali ndi matenda a shuga, ndiye kuti zotsatirazi zingakhale chifukwa cholozera katswiri:

malaise
kuwonda kapena kuchepa thupi,
ludzu
kukodza pafupipafupi.

Ngati muli ndi zizindikirozi, muyenera kufunsa othandizira anu. Adzaikiratu kuyesa kwa magazi kuchokera chala chake. Ngati kukayikira kwa matenda ashuga kwatsimikiziridwa, katswiri wothandizika adzathandizidwanso pakuwonetsetsa.

Zofunika! Wochirala sangathe kuchiza munthu yemwe akudwala matenda ashuga, komanso angathandizenso kuzindikira matendawa. Nthawi zambiri anthu amapeza matendawa pakuwunika koyeserera, komwe amakupangira katswiri.

Kodi adotolo amatchedwa matenda a shuga amtundu wa 2 ndi ndani?

Dokotala, wotchedwa endocrinologist, akuchita nawo ntchito yokonza mankhwalawa, kuwunika ndi kusintha. Munthu akapezeka ndi matenda ashuga, amapita kwa dokotala kuti amupatse upangiri. Kuphatikiza apo, madotolo otsatirawa atha kutenga nawo mbali pothandizira matenda:

opaleshoni ya mtima
mtima
ophthalmologist
neuropathologist.

Akatswiri ena othandizira amathandizira mavuto a shuga omwe amabwera chifukwa chamankhwala osayenera kapena osafuna thandizo.

Endocrinologist amasankha chithandizo chomwe amakonda kwambiri. Mtundu woyamba wa matenda ashuga, mankhwala a insulin ndi omwe amapatsidwa. Matenda a shuga a Mtundu Wachiwiri amathandizidwa ndi mankhwala omwe amachititsa chidwi cha minyewa pakumanga insulin ndikuwonjezera kutulutsa kwake. Chofunikira pakuchiritsa ndichakudya choyenera komanso moyo wathanzi.

Kuphatikiza apo, kuti athe kuthandizidwa moyenera, munthu ayenera kuphunzira payekha kudziletsa matendawa. Ngati mankhwala a insulin agwiritsidwa ntchito, muyenera kuwunika shuga wanu wamagazi ndi glucometer. Wodwala matenda ashuga ayenera kudziwa mtundu womwe angafunikire kuti akhalebe wathanzi.

Ndikosatheka kuchiritsa matenda ashuga kwathunthu, chifukwa chake muyenera kuchita zinthu zina mosalekeza. Ndizofunikira kudziwa kuti kudziwitsa zam'mbuyomu zam'mbuyomu kumakuthandizani kuti mukwaniritse kuchotsedwa kwa nthawi yayitali mothandizidwa ndi mankhwala apiritsi. Mankhwala amakono amapereka mankhwala ambiri ogwira mtima. Ndikotheka kuchiritsa mawonetsedwe onse a matendawa. Mu magawo apambuyo pake, mankhwala a insulin amafunikira. Mawonekedwe onse amatendawa ayenera kutayidwa posachedwa.

Ndi katswiri uti yemwe amathandizira phazi la matenda ashuga?

Ngati mukufuna kudziwa kuti ndi dokotala uti amene akhudzidwa ndi matenda a shuga, muyenera kufunsa kuchipatala. Pafupifupi nthawi zonse, kuti apange regimen yopambana ya chithandizo, thandizo la akatswiri angapo odziwa ntchito likufunika.

Phazi la matenda ashuga ndi vuto la matenda ashuga, amadziwika ndi kuwonongeka kwa mitsempha ndi mitsempha yamagazi. Pamene matenda akukulira, ma necrotic njira ndi zilonda zimapezeka mu minofu yofewa. Ngati shuga wa m'magazi sanapangidwe modabwitsa, matenda angayambitse matenda opatsirana, njira yokhayo yomwe imadulidwa.

Mavuto amathandizidwa ndi endocrinologist ndi dokotala wotchedwa podiatrist. Endocrinologist wachita kuphatikiza misempha ya glucose mwa kupereka mankhwala apadera kapena insulin. Wopangayo amathandizira mwachindunji kuzilonda zam'munsi, ndikuwonetsa machiritso ndi antiseptic othandizira kuti phazi libwezere mwachangu. Ndikofunika kudziwa kuti popanda kuyika shuga mu dongosolo, ndizosatheka kuti muchotse zovuta.

Kuwonongeka kwakumapeto kwa shuga kumawopseza moyo wa munthu. Monga lamulo, phazi la anthu odwala matenda ashuga limawonekera pafupifupi zaka 7-10 zitadutsa nthawi yomwe matendawo amakula. Nthawi zambiri, izi zimachitika mwa anthu achikulire omwe ali ndi matenda a shuga a 2. Ambiri odwala matenda ashuga samapereka chisamaliro choyenera pakusokonekera ikangoyamba kumene. Ichi ndiye chifukwa chachikulu chakuwonekera kwa zilonda ndi purulent-necrotic njira pamapazi.

Ndani mu chipatalawa amene amalimbana ndi zovuta za m'maso?

Matenda a shuga amatha kuyambitsa kuwona komanso khungu. Pofuna kuti mavutowa asawoneke, ndikofunikira kuyamba chithandizo pa nthawi. Pachizindikiro choyamba cha mavuto amaso, muyenera kufunafuna thandizo la dokotala wamaso.

Katswiri wa zamankhwala akuchita izi:

onani maso ndi maso.
imayang'ana bwino
amayeza kukakamiza kwa intraocular.

Ngati matenda ashuga amayambitsa retinopathy, dokotala wam'maso adzalemba chithandizo chomwe chichepetse kukula kwa matenda awa. Mavuto amaso amatha kupezeka atakula.

Pambuyo pakupezeka kwa matenda ashuga, munthu ayenera kupita kukawona malo osachepera 1 pachaka kukachita mayeso a kupewa. Ngati ndi kotheka, chithandizo choyenera ndi ophthalmologist ndi mankhwala.

Zofunika! Chinsinsi cha thanzi la maso ndi shuga wabwinobwino wamagazi. Ngati palibe chikhumbo chothana ndi mavuto, ndikofunika kuyang'anitsitsa zakudya ndikumamwa mankhwala pafupipafupi.

Ndi dokotala uti yemwe angathandize kuchiritsa matenda a neuropathy?

Mu matenda ashuga, ziwiya zing'onozing'ono zimakhudzidwa. Izi zimatha kubweretsa neuropathy. Izi matenda ndi kusokonezeka kwamanjenje. Mavuto akakula, mphamvu ya munthu yogwira ntchito imachepa. Siyanitsa pakati pa neuropathy yapakati komanso yachiphuphu. Matenda a diabetes a neuropathy amaphatikizidwa ndi izi:

kuphwanya zamkati
zovuta zamagalimoto
kufooka kwa minofu.

Ngati munthu akufuna kudziwa ndendende dzina la adotolo yemwe amachititsa matenda amitsempha yam'mimba amatchedwa, ndiye kuti wothandizirayo akhoza kumuyankha. Nthawi zambiri, dokotala wamatsenga amatenga nawo mankhwalawa. Kuti mutsimikizire matenda a neuropathy, kufufuza kumachitika pogwiritsa ntchito electroneuromyography.

Ndizofunikira kudziwa kuti akatswiri a mtima, ma urologist, akatswiri a zamankhwala, ma gynecologists ndi akatswiri ena ambiri amatha kutenga nawo mbali pachipatala cha neuropathy. Chifukwa cha kuchuluka kwa matenda ashuga awa, pali mavuto ambiri. Ndikofunikira kuonedwa ndi dokotala kuti muchepetse kukula kwa mitsempha.

Pomaliza

Matenda a shuga amafunikira chithandizo chamwadzidzidzi. Ikadziwika, njira yayikulu yochizira ndi endocrinologist. Pamene zovuta ndi mawonetsedwe ena am matendawa akuchitika, akatswiri ena akhoza kulowa nawo mankhwalawo. Wodwala matenda ashuga ayenera kukhala ndi chidziwitso chokwanira chodzithandiza. Ndi matendawa, muyenera kukhala moyo wanu wonse, chifukwa chake muyenera kudziwa mawonekedwe ake onse komanso zovuta zomwe zingachitike.

Zambiri zosangalatsa za matenda ashuga zimapezeka mu kanema:

Zifukwa zoyendera endocrinologist

Wodwalayo ayenera kufunsa wa endocrinologist akakhala ndi zizindikiro: ludzu losatha, kuyabwa kwa khungu, kusintha kwadzidzidzi kwa kulemera, zotupa za fungus za mucous, kufooka kwa minofu, kuchuluka kwa chidwi.

Zizindikiro zingapo zikawoneka pamaso pa kakulidwe ka matenda a shuga, nthawi zambiri mitundu iwiri. Ndi endocrinologist wokhayo amene angatsutse kapena kutsimikizira matendawa.

Nthawi zambiri, kuti mukacheze ndi dokotala, muyenera kufunsa katswiri wa zamankhwala, wachigawo. Ngati apereka magazi, kuwunikiraku kukuwonetsa kuwonjezeka kapena kuchepa kwa glycemia, kutsatiridwa ndikutumiza kwa endocrinologist yemwe amathana ndi vutoli.

Mu matenda a shuga amtundu uliwonse, wodwalayo amalembetsa, kenako adokotala amawona mtundu wa matendawa, amasankha mankhwala, adziwe njira zothandizirana, amakonzekera mankhwala osamalira, amawunikira momwe wodwalayo akuwonera komanso momwe alili.

Ngati wodwala matenda ashuga akufuna kukhala ndi moyo wokwanira, ayenera kumayezetsa magazi nthawi zonse ndikupereka magazi chifukwa cha shuga.

Zizindikiro Za Matenda A shuga

Ngati kusintha kwachilendo kwakapezeka m'thupi, ndikofunikira kupangana ndi wothandizirayo ndikuyambitsa omwe akuwoneka. Kutengera ndi zotsatira zakuwunika kwathunthu, dokotala adzazindikira ndi kutumiza kwa akatswiri oyenera. Zizindikiro zazikulu za matenda ashuga ndi:

ludzu losalekeza
chilala chosalamulirika,
kuchepa / kuchuluka kwa thupi,
pafupipafupi tizilombo komanso matenda opatsirana,
kuchepa kwa potency ndi libido,
pafupipafupi fungal matenda.

Pambuyo poyesedwa koyambirira, endocrinologist adzatha kukhazikitsa gawo loyambirira la matenda osokoneza bongo, komanso, adzaona mulingo woyenera ndikuwonetsa njira zochizira.

Kupita patsogolo kwa matenda a shuga kungayambitse zovuta zingapo zomwe zimagwirizanitsidwa ndi ziwalo zonse zofunika za munthu. Choyipa kwambiri chotsatirachi chimatha kukhala kuti simukudziwa bwino, kupezeka kwa ziwalo zingapo komanso kuledzera kwambiri. Kuphatikiza apo, zovuta za matenda ashuga zimawoneka mutu wosadukiza, kuchepa kwa kuwona, matenda oopsa, zovuta zam'mitsempha.

Zizindikiro pamwambapa za matendawa zikutanthauza kuti matenda ashuga akupita patsogolo ndipo angayambitse zovuta. Chifukwa chake, njira zomwe zimatengedwa kuchitira mankhwalawa sizokwanira.

Ndani endocrinologist

Akakumana ndi matenda osasangalatsa monga matenda a shuga, wodwalayo angachite chidwi ndi ntchito ya dokotala yemwe amamuwona. Dokotala aliyense wazachipatala ayenera kutsatira mfundo zotsatirazi:

kudziwitsa matenda molondola,
kupereka mankhwala oyenera,
kupewa matenda omwe amapezeka mu endocrine system,
Malangizo okonza chithandizo,
kuwunika zakudya komanso kuwunika.

Kuphatikiza apo, endocrinologist amathandizira mafupa, matenda a endocrine system. Dokotala amamulembera wodwala mankhwala othandizira, amalimbana ndi mitundu yonse ya kunenepa kwambiri, komanso amathandizanso kubereka. Pa khansa, wodwalayo amafunikanso kuyesedwa ndi endocrinologist.

Zomwe madokotala amachiza matenda ashuga

Ngati munthu wapatsidwa matendawa, ndiye kuti ndi yekhayo dokotala wofunikira kwa wodwala ndi wa endocrinologist, ngakhale kuti kukambirana koyamba kumachitika ndi wothandizira, yemwe amapereka mayeso onse ofunikira ndikupereka chilolezo chofufuzidwa ndi katswiri. Dongosolo lofananalo limagwira ntchito kwa ana, koma lingaliro la chithandizo kwa ana ndi akulu ndilosiyana pang'ono. Dokotala wa endocrinologist wofunikira ana amafunika ngati mwana ali ndi matenda a endocrine glands. Kuphatikiza apo, tikulimbikitsidwa kupimidwa pazovuta zosiyanasiyana za kukula ndi chitukuko.

Mukazindikira zizindikiritso zoyambirira za shuga mwa mwana, muyenera kupita kwa dokotala posachedwa. Matenda a shuga adakali aang'ono amakula mwachangu kwambiri kuposa akulu. Izi zikutanthauza kuti chiopsezo cha matenda ophatikizika, komanso kubwereranso m'mbuyo, ndizochuluka. Popewa zotsatira zosasangalatsa, kulandira chithandizo choyenera ndikofunikira. Dokotala wa endocrinologist wa gulu la anthu okhwima atha kulandira ukatswiri mu genetics, gynecologist, dokotala wa opaleshoni, a chithokomiro, etc.

The genetic geno amalangiza wodwala ndikumuwongolera pomwe pali matendawo.

Pankhaniyi, kukonza mankhwalawa komanso njira zina zodzitetezera zimachitika molingana ndi vuto lomwe lidalipo komanso njira ya matendawa. Nthawi zambiri, dokotala uyu amakhala ndi ana omwe makolo awo amadwala matenda a shuga. Gynecologist ndi endocrinologist yemweyo, ngakhale si theka la akazi okha lomwe limamchezera. Dotoloyu akuyenera kupereka machiritso athunthu kwa akazi osabereka. Kuphatikiza apo, katswiriyu amazindikiritsa kusintha kwa m'mimba mu thumba losunga mazira.

Kuonjezera kwina kwa endocrinologist ndikuchita opareshoni. Nthawi zambiri, dokotalayo amathandizanso odwala matenda ashuga. Amatha kutumizidwa kwa iye matendawa atafika pagulu loti liyambe kugwira ntchito. Potere, adokotala ayenera kukhazikitsa muyeso wa opereshoni. Ngati wothandizira azindikira mtundu wa matenda a shuga a 1-2 kapena matenda a shuga, katswiri wa matenda ashuga ndiwodziwa kwambiri. Kupatula apo, panthawi yonse ya matenda awa, ndikofunikira kuwunika zakudya, kuwona momwe zinthu zilili komanso kutsatira menyu wina.

Popeza matenda a shuga amachititsa kuti ziwalo zonse zisamayende bwino, wodwalayo amalimbikitsidwa kukayezetsa ndi dotolo wamankhwala, mtima, opaleshoni ya mtima ndi ophthalmologist.

Kuyesa kwa shuga m'magazi

Kuzindikira koyambirira kwa matenda ashuga kumaphatikizapo kuyezetsa magazi. Njira iyi imawerengedwa kuti ndi yofunika kwambiri koyambirira kwa kafukufukuyu. Atalandira zotsatirazi, dokotala amatha kudziwa kufunika kofunsa njira zotsatirazi.Kuphatikiza apo, potengera chizindikiro ichi, endocrinologist imatha kupereka chithandizo.

Matendawa amagawika m'magulu anayi azakhungu. Poyamba, chizindikiro cha glycemic chomwe chimaganiziridwa pano. Podziwa njira yoyenera yodziwira matendawa, dokotalayo amafunika kufunikira kwakukulu pazovuta zomwe zimayenderana ndi matendawa. Matenda a giredi 4 amabweretsa chiopsezo ku thanzi la wodwalayo. Zimatha kudzutsa kuponderezana ndikupweteka m'miyendo. Popewa zovuta, malingaliro onse a dokotala yemwe akuchiza matendawa ayenera kutsatiridwa.

Pambuyo pokhapokha wodwala akamaliza njira zonse zodziwunika ndi pomwe endocrinologist imatha kukhazikitsa gawo la matendawa ndikusankha njira yomwe ingafunikire chithandizo. Kutengera ndi zotsatira za mayeso oyamba ndi mayeso omwe adaperekedwa, adotolo amatenga njira yothandizira odwala yochotsa zonyansa zomwe zilipo m'matumbo, ndikulimbikitsa, kuponderezana ndikusintha mankhwala ndi zina zothandizira pakudya.

Kwa nthawi yayitali, ma endocrinologists amachita maphunziro azachipatala komanso ozama kuti azindikire zomwe zimayambitsa matenda ashuga komanso matenda ena a dongosolo la endocrine. Kuphatikiza apo, akupanga njira zamakono zochizira, kuzindikira komanso kupewa matenda. Pogwiritsa ntchito zotsatira zomwe zapezeka, akatswiri a endocrinology akukhazikitsa njira zamakono zamankhwala komanso mankhwala. Monga lamulo, kuwonjezera pa mankhwala othandizira odwala matenda ashuga, zakudya zina zimayikidwa kuti zithandizire kuchotsa matenda awa.

Mankhwalawa othandizira ndi kuwongolera okha ndi omwe angathandize kupewa zovuta. Mothandizidwa ndi mayeso apadera ndi maphunziro omwe achitidwa, dokotala amatha kusintha chithandizo cha munthu payekha ndikusankha zakudya zoyenera.

Monga lamulo, matenda a shuga amayenda ndi munthu moyo wake wonse. Iyi ndi nthawi yayitali, choncho cholinga chachikulu ndikusankha njira zabwino kwambiri zowuchitira wodwala wina. Dokotala amaphatikiza mankhwala ofunikira, maphunziro a vitamini, malangizo azakudya komanso zolimbitsa thupi. Chachikulu ndikuti musaiwale kuti kupita kwa dokotala wodziwa ntchito yake kumathandiza kupewa zovuta, chifukwa ndizosavuta kuposa kuchiritsa matendawa. Chifukwa chake, wodwala aliyense ayenera kulumikizana ndi katswiri pa nthawi yake.

Kodi gulu la anthu odwala matenda ashuga ndi chiyani?

Endocrinologist ndi namwino waofesi ya endocrinology. M'mayiko ambiri okhala ndi thanzi labwino, namwino amagwira ntchito zapadera, zofunika kwambiri. Nayi ena a iwo:

kuyeza kwakanthawi thupi ndi chiwongola dzanja
maphunziro a jakisoni wa insulin,
kuphunzitsa kudziyang'anira wekha wamagazi ndi glucometer,
maphunziro mu njira zophunzirira mapazi ndikuwasamalira, etc.

"Namwino waofesi ya endocrinology" ndi mphindi yabwino kwambiri m'mbiri ya zamankhwala, ntchito iyi yawonekera m'malo mwa Soviet Union.

Ophthalmologist. Matenda a shuga ndi owopsa chifukwa cha zovuta zake, omwe amachititsa khungu. Ulendo wa "Dotolo wamaso" ndizofunikira kwa odwala matenda ashuga. Pafupipafupi maulendo amatengera mtundu ndi nthawi yayitali ya matendawa.

Kutsimikizika kwa matenda a shuga poyerekeza ndi maso ndikuti m'magawo oyamba a matenda ashuga retinopathy palibe zizindikiro zenizeni, ndi ophthalmologist yekha yemwe amatha kuzindikira kusintha mothandizidwa ndi zida zapadera.

Komabe, kuyezetsa magazi mwachangu kumafunika ngati zotsatirazi zikuchitika:

"Mphezi zimawalira" pamaso,
"Chophimba" kapena mawanga akuda,
kupweteka kwakuthwa kapena kuchepa mwadzidzidzi kwa maonekedwe owoneka.

Ngakhale popanda kuda nkhawa, kuyendera pafupipafupi kwa ophthalmologist kwa matenda ashuga kumafunika.

Neurologist. Monga lamulo, zovuta zoyamba za matenda ashuga ndikuphwanya kukhudzidwa kwamiyendo (diabetesic distal polyneuropathy). Wodwala mwiniwakeyo akuwona kuchuluka kwa zala zakumaso, kumverera kwa "kukwawa", kugunda ndi zizindikiro zina.

Poterepa, katswiri wamatsenga amapanga kafukufuku wapadera wamitundu isanu yamalingaliro ndikuyambitsa kuwunika koyenera.

Ngati distal polyneuropathy sichiritsidwa pakanthawi kochepa, matenda a shuga ndi matenda ammimba amayamba. Ndi zinthu izi, thandizo la dokotala wapadera - podotherapist (amatchedwanso podiatrist, podologist) adzafunika. Opanga maopaleshoni nawonso amatenga nawo vutoli.

Cardiologist. Ziwerengero zomwe zimakhalapo zimatsimikizira kuti ndizomwe zimayambitsa matenda a shuga pamtima ndi m'mitsempha yamagazi yomwe imakhala yoyipa kwambiri kwa wodwalayo ndipo imawerengera zaka zomwe angakhale ndi moyo.

Popeza ndi matenda a shuga "mitsempha" imatha "kufa" poyambirira, kusintha kumachitika mumtima, ndipo odwala sangamve kuwawa kwambiri. Ngakhale vuto la mtima silingadziwike ndi munthu. Ndipo popanda chithandizo chapanthawi yake, zinthu zidzaipa kwambiri.

Zotsatira zoyipa kwambiri za matenda ashuga ndi kugunda kwamtima ndi kugwidwa ndi matenda ali aang'ono.

Cardiologist ndi dokotala wovomerezedwa woyendera pafupipafupi pamaso pa madandaulo ochokera pansi pamtima kapena kusintha kwa ECG.

Akatswiri ena

Nephrologist. Dokotala amalimbana ndi matenda a impso, kuphatikizapo matenda a shuga. Vutoli likhoza kukhazikitsidwa poyesedwa kwamwazi ndi kuyesa kwamkodzo kwa albumin. Izi zimachitika pafupipafupi, ndipo nthawi zambiri akatswiri amodzi amamuwatsogolera. Ngati ndi kotheka, amaperekanso malangizo kwa a nephrologist.

Gynecologist. Dokotala uyu amakhala wapadera pa gawo lokonzekera kubereka. Ngakhale zaka 10 zapitazo, mtundu 1 wa matenda ashuga nthawi zambiri unkawaganiziridwa ngati kuphwanya mimba.

Mpaka pano, odwala amatha kukhala ndi pakati ndikubala ana athanzi, koma izi zimafuna kukonzekera pakati, momwe onse endocrinologist ndi gynecologist amatenga nawo mbali.

Udokotala. Odwala amatembenukira kwa dokotala pokhapokha ngati akufunika mwachangu, nthawi zambiri amathetsa okha, akudalira kutsatsa komanso upangiri wa abwenzi. Matenda a shuga komanso vuto logonana mwa abambo limagwirizana kwambiri, kotero kuyendera dokotala sikungakhale kopanda tanthauzo.

Ndi kangati kukaonana ndi dokotala ndikuyezetsa?

Yankho la funsoli m'mbali zonse ndi munthu payekha, koma titha kufupikitsidwa motere:

Gome - Nthawi zambiri kukaona madokotala omwe ali ndi odwala matenda ashuga Gome - Ndi kangati pamene odwala matenda a shuga amawunikira

Chifukwa chake, zoyesayesa pamodzi zokha za madokotala, wodwalayo ndi abale ake ndi omwe angathe kuthana ndi matenda a shuga.

Akatswiri azabwino za endocrin

Wodwala angalangizidwe kuti apangana ndi endocrinologist ngati atazindikira zina zake. Izi zimatha kuwonjezeka mwadzidzidzi kapena, mosiyana, kugwa mapaundi kapena, mwachitsanzo, ludzu losalekeza. Kuphatikiza apo, mndandanda wazizindikiro za matenda a shuga ndi monga:

chilala chosalamulirika,
kawirikawiri mapangidwe a fungal pathologies (mwachitsanzo, kukula kwa thrush),
kukumana pafupipafupi ndi ma pathologies monga chimfine kapena SARS,
kamwa yowuma.

Kuphatikiza apo, odwala matenda ashuga amatha kudandaula za kufooka kwa minofu, kuyabwa pakhungu. Ndi zizindikiro zingapo, titha kulankhula molimba mtima za mtundu wa matenda ashuga a 2. Tsimikizani kapena tsimikizani kuti mukudwala kungakhale kokha endocrinologist.

An endocrinologist ndi mawonekedwe omwe ali ndi nthambi zambiri: katswiri wazachipatala, geneticist, gynecologist, ndi ena. Chifukwa chake, dokotala woyamba amachita za pathologies a endocrine system mwa mwana. Tiyenera kumvetsetsa kuti matendawa ali mwana akupanga mwachangu, komanso ma concomitant pathologies.

Genetics imakhala yodziwika pazolemba za matenda obadwa nawo, monga matenda a shuga. Wosatchuka kwambiri ndi dokotala wazamankhwala omwe amachiza matenda omwe amachitika ndi njira yolerera mwa odwala matenda ashuga.

dokotala wa opaleshoni - amathandizira matendawa mochita kuchitika, amakulolani kukhazikitsa njira komanso kuchuluka kwa kuchitapo kanthu pochita opaleshoni,
Dokotala wa matenda ashuga ndi dokotala yemwe amathandizira odwala omwe ali ndi matenda a shuga kapena zofooka zina pakukula kwa matendawa.
Chithandizo cha chithokomiro chimadzipereka ku matenda ndi kutsimikiza kwa zofunikira zochizira matenda a endocrine gland. Zonsezi ndizofunikira kwambiri kwa odwala matenda ashuga.

Dokotala wa matenda ashuga amapereka thandizo labwino kwambiri ndi matendawa. Monga tanena kale, zikusonyeza njira zazikulu zochiritsira: mankhwala osokoneza bongo, zakudya. Ndi endocrinologist mwa akulu ndi ana omwe amakulolani kukhazikitsa chovomerezeka chazinthu zolimbitsa thupi, chimatumiza ku mayeso oyenera azachipatala.

Kwa odwala matenda ashuga, ndikofunikira kufunsa dokotala wanu pafupipafupi. Izi zimapangitsa kuti pakhale mwayi kulipira chipangizochi, kuwona momwe insulini kapena zinthu zotsitsa shuga zimathandizira. Kuphatikiza apo, ndi endocrinologist yemwe amachiza matendawa ndikuthandizira kupewa kukulitsa zovuta komanso zovuta.

Malinga ndi WHO, masekondi asanu aliwonse munthu mmodzi amakhala ndi matenda ashuga. Matendawa apatsidwa mkhalidwe wa mliri, ndipo pofika 2030 adzatenga malo achisanu ndi chiwiri pazomwe zimayambitsa kufa padziko lapansi.

Pafupifupi aliyense amadziwa za matenda apadera a matendawa - ludzu lalikulu, kukodza pafupipafupi. Kuwonetsera koteroko kumayenera kukhala chifukwa chofunikira kwambiri chochezera ndi dokotala wabanja, wothandizira. Amapereka malangizo kwa endocrinologist, yemwe ntchito yake imayang'aniridwa pakuwonetsetsa, kuchiza komanso kupewa matenda a endocrine system. Diabetesology, monga gawo la endocrinology, imagwirizana ndi matenda ashuga okha.

Kodi katswiri amatani:

Amachita kafukufuku wa endocrine system yonse.
Amapereka makina a njira zodziwira matenda.
Imazindikira matenda, mawonekedwe ndi mtundu wa matendawa, imafotokozera chithandizo (kukonza kwa mahomoni, kubwezeretsa kwa metabolism).
Amasintha ndikusankha zakudya zomwe munthu amadya.
Amapereka mankhwala angapo panjira yothanirana ndi zovuta, amakwaniritsa mankhwala ena.
Amachita zachipatala.

Endocrinologists-diabetesologists amachita ndi matenda mu ana ndi akulu mosiyana. Kusiyanaku ndikofunikira pazifukwa zingapo:

Muubwana, matenda a shuga amtundu wa 1 amakula, ndipo achikulire amakhala ndi vuto lachiwiri. Mfundo ndi njira zochizira matenda amisinkhu yosiyanasiyana ndizosiyana.
Odwala achikulire amafuna mitundu ina ya insulin.

Wodwala angathe kuonana ndi endocrinologist ngati ali ndi zina mwazizindikirozi:

khola lakuthwa kapena loponya ma kilogalamu,
ludzu losalekeza
chilala chosalamulirika,
pafupipafupi matenda oyamba ndi fungus (thrush),
pafupipafupi matenda a fuluwenza ndi SARS,
kamwa yowuma
kufooka kwa minofu
Khungu.

Ndi zizindikiro zingapo, titha kunena za chitukuko cha mtundu II shuga mellitus. Tsimikizani kapena tsimikizani kuti mukudwala kungakhale kokha endocrinologist.

M'dziko lathu, njira zoyendera endocrinologist sizophweka. Kutumiza kwa akatswiri akatswiri akhoza kungopezeka kudzera mwa akatswiri. Ndiye chinthu choyamba ndikupita kwa apolisi amchigawo. Pambuyo popititsa kuyezetsa magazi ndi kuwona glycemia, wotumizira kwa endocrinologist amatsatira.

Katswiriyu adzachita kafukufuku wake kuti atsimikizire kapena avomereze kuti ali ndi vutoli. Atazindikira kuti ali ndi matenda amtundu uliwonse, wodwalayo amalembetsa, ndiye kuti dokotalayo amachita mogwirizana ndi mfundo zotsatirazi:

kutsimikiza kwamtundu wa matenda ashuga (I kapena II),
kusankha mankhwala
kupewa matenda oyanjana,
kudya zakudya
kuwunika mayeso ndi momwe wodwalayo alili.

Wodwala moyang'aniridwa ndi dokotala amayenera kutsatira izi ngati akufuna kukhala ndi moyo wabwinobwino.

Chifukwa chake, ndi dokotala uyu yemwe ndi katswiri pochiza matenda ashuga. Katswiri wake samangokhala mu izi, ndizokwanira mokwanira ndipo chimakwirira kuphwanya kulikonse kwa endocrine system mthupi.

Hypothalamus ndi pineal gland,
Chithokomiro
Adrenal glands,
Zodulira
Zikondamoyo.

Ngati timalankhula za matenda, ndiye kuti matenda a endocrinologist - matenda:

Matenda a shuga amitundu yonse,
Kuchuluka kwa calcium kwa magazi,
Goiter
Kutupa kwa chithokomiro,
Kuchulukitsa kwa mahomoni opanga.

Kutha kwa dotoloyu komanso zovuta zina za endocrine - kunenepa kwambiri, mafupa am'mimba, kusowa kwa kugonana.

Mukafika pa endocrinologist wolemba, adzakumverani, onani mbiri yachipatala, kuyeza kuthamanga kwa magazi, kumvera mtima, ndikukonzekera mayeso ndi mayeso ofunikira.

Muofesi yake, kuwonjezera pa masikelo, payeneranso kukhala ndi tepi ya masentimita, glucometer, mita yayitali, kuyesedwa kwa strip ndi zida zothandizira kudziwa zovuta za matenda a shuga.

Zojambulazo zidalandiridwa ndi foni8 (499) 519-35-82

Onjezani Poyerekeza375

rating Murashko (Mirina) Ekaterina Yuryevna Nutritionist, Endocrinologist

Wofunsidwa wa Sayansi Yamankhwala

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8 (499) 519-35-82 Katswiri wazotsogolera wa chipatalachi. Amachita nawo chithokomiro cha chithokomiro, matenda ashuga, mafupa, kunenepa kwambiri, ma adrenal gland pathologies. Amapita kumisonkhano ya asayansi, kuphatikizapo akunja ndi mayiko ena .... Moscow, St.

Onjezani poyerekeza58

rating Ermekova Batima Kusainovna Nutritionist, Endocrinologist

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8 (499) 519-35-82 Imathandizira pakuzindikira ndi kuchiza matenda a endocrine system. Pogwira ntchito ndi anthu onenepa kwambiri, choyamba, kufufuzidwa kumapangidwa pazomwe zimayambitsa matenda awa ndikuwathetsa kwawo, ndikufikira ... g. Moscow, St.

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rating Malyugina Larisa Aleksandrovna Endocrinologist

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8 (499) 519-35-82Consides expatient reception and management of wagonjwa omwe ali ndi endocrine pathology, kupangira zakudya, kupereka zakudya, kuyang'anira odwala matenda a shuga, kuyang'anira odwala omwe ali ndi matenda a chithokomiro. Moscow, St.

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rating Kuznetsova Elena Yuryevna Endocrinologist

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8 (499) 519-35-82 Amathandizira pa matenda a endocrine, odwala matenda a shuga, omwe ali ndi matenda a chithokomiro, adrenal gland, chithandizo cha odwala omwe awonongeka ndi hypothalamic-pituitary system. Nthawi zonse amatenga nawo gawo ... g. Moscow, Prospekt Mira, d. 105, p. 1. Alekseevskaya, VDNH

Ogwira ntchito m'makiriniki ambiri ali ndi endocrinologists. Ngati pali kukayikira kwa matenda a shuga, othandizira amatanthauza endocrinologist. Ngati matendawa adakhazikitsidwa kale, ndiye kuti wodwalayo amakonzekera mayeso okonzekera pawokha mwa regista.

M'mizinda yambiri yayikulu, pamakhala malo a shuga omwe wodwalayo amatha kutumizidwa kukayezetsa mwatsatanetsatane. Malo ngati amenewa amakhala ndi akatswiri ofunikira komanso zida zofunika.

Zizindikiro zingapo zikawoneka pamaso pa kakulidwe ka matenda a shuga, nthawi zambiri mitundu iwiri. Ndi endocrinologist wokhayo amene angatsutse kapena kutsimikizira matendawa.

Nthawi zambiri, kuti mukacheze ndi dokotala, muyenera kufunsa katswiri wa zamankhwala, wachigawo.Ngati apereka magazi, kuwunikiraku kukuwonetsa kuwonjezeka kapena kuchepa kwa glycemia, kutsatiridwa ndikutumiza kwa endocrinologist yemwe amathana ndi vutoli.

Mu matenda a shuga amtundu uliwonse, wodwalayo amalembetsa, kenako adokotala amawona mtundu wa matendawa, amasankha mankhwala, adziwe njira zothandizirana, amakonzekera mankhwala osamalira, amawunikira momwe wodwalayo akuwonera komanso momwe alili.

Ndi dokotala uti woti mupite naye limodzi kwa matenda ashuga

Zizindikiro za matenda ashuga zimayamba chifukwa cha kuchuluka kwa shuga. Zina mwa izo ndi:

ludzu
Kuchepetsa thupi
ulesi
Khungu
kukodza pafupipafupi, etc.

Ngati muli ndi zingapo mwazizindikirozi, ndikofunikira kuganizira zomwe mungathe kukhala nazo

Pankhaniyi, choyambirira - ochiritsira. Katswiri wa zamankhwala amupangira matenda oyambirirawo, kupereka chithandizo kwa mayeso, kufufuza kwina ndi chithandizo.

Ngakhale kutenga nawo mbali kwa othandizira komanso madokotala ena pakupeza matenda a shuga, kumapeto kwake kumatsimikiziridwa ndi endocrinologist. Dokotala yemweyo ndi amene amafufuza njira ina yochizira, makamaka ikafika pankhani ya insulin.

Popeza endocrinologist ndiye dokotala wamkulu wa matenda ashuga, kuwonjezera pa chithandizo chachikulu, amamutsogolera wodwalayo mtsogolomo. Akuthandizidwa kuti amupatse upangiri pa zaumoyo wabwino. Komanso, endocrinologist nthawi ndi nthawi amakumbutsa magulu a odwala matenda ashuga za kufunika koyezetsa magazi nthawi zonse.

Nthawi zambiri, matenda ashuga amayamba kukula mwa anthu okalamba. Popita nthawi, magwiridwe antchito a kapamba amachepetsa, zomwe zimatsogolera kukula kwa matenda a shuga a 2 omwe amadalira insulin.

Ndi dokotala uti amene amayendetsa nkhaniyi - poyamba endocrinologist yemweyo. Pambuyo pake, mankhwala akalandira ndi kukhazikitsidwa, mutha kufunsa othandizira kuti akuthandizeni.

Kuonetsetsa kuwongolera kwathunthu kwa odwala,

amatha kumufikitsa wodwala kwa akatswiri azachipatala omwe ali ochepa. Ndi dokotala uti amene muyenera kupita kutengera ndi kuchuluka kwa matendawo.

Komanso, kukhala ndi chidwi ndi omwe adokotala angathane nawo odwala matenda ashuga, nthawi zonse uzikumbukira za katswiri wazakudya. Dotoloyu apereka malangizo othandizira odwala omwe ali ndi mtundu wina wa matenda. Kuphatikiza apo, popanga chakudya, wopatsa thanzi amaganizira za momwe wodwalayo akumvera. Izi ndizofunikira kwa odwala omwe ali ndi matenda a shuga a 2.

Nthawi zina, matendawa ndi omwe amachititsa mavuto osiyanasiyana:

mitsempha
atherosulinosis
matenda a zombo zazing'ono, etc.

Zotsatira zake, kupatsidwa magazi kumasokonekera, miyendo imavutika, mabala amachiritsidwa kwa nthawi yayitali. Pankhaniyi, odwala matenda a shuga amapita kwa dokotala wa opaleshoni.

Nthawi zina matendawa amakhudza dongosolo lamanjenje, lomwe limafunikira kukaonana ndi katswiri wamitsempha. Ngakhale ophthalmologist amaonedwa ngati dokotala yemwe amathandizidwa ndi matenda a shuga. Inde, nthawi zina, matendawa amakhudza retina - omwe amatchedwa matenda ashuga retinopathy.

Onani dokotala wanu mukangokayikira shuga. Popanda chithandizo, munthu amatha khungu, kuthyoka miyendo ngakhale kufa.

Kuwombera, omwe adokotala amafunsa.

Chithandizo cha matenda oopsa monga matenda a shuga chimachitika ndi endocrinologist. Katswiriyu amayang'anira shuga, amayang'anira mkhalidwe wamahomoni. Tiyeni tikambirane mwatsatanetsatane zochitika zake.

Kuwongolera kwa odwala matenda a shuga kumachitika ndi endocrinologist. Odwala nthawi zambiri samabwera kwa katswiri wamtunduwu pokayikira matenda. Mwakuchita, munthu amabwera kwa othandizira akumaloko ndi zodandaula zosakhudzana ndi ludzu, kukodza kwambiri, chilimbikitso, kapena kuchuluka kwa glucose amapezeka mwangozi mukamayesedwa.

Ntchito ya apolisi amchigawochi ndi kukayikira matenda osokoneza bongo ndikutumiza kwa endocrinologist kuti amveketse bwino matendawa.

Chifukwa cha kufala kwa matendawa, kupangika kwapadera kwapangidwa - dokotala wa matenda ashuga (shuga mellitus). Dokotala wotere amangochita ndi odwala omwe ali ndi matenda a shuga, chifukwa kuwongolera kwawo kumafuna chisamaliro chapadera komanso njira yodziwira payekha.

Dokotala wa matenda ashuga ndiwothandiza kwambiri endocrinologist yemwe amaphunzira kuyambika ndi kukula kwa matenda ashuga.

Pa chiwerewere, abambo ndi amayi amadwala pafupifupi pafupipafupi.

Matenda a shuga ndi matenda osachiritsika omwe amakhala nthawi yayitali. Nthawi zina matenda amayambitsidwa ndi kukula kwayamba pachimake komwe kumafunikira kuchipatala. Ndi za ma comas. Ngati wodwalayo sakudziwa za kuchuluka kwa shuga ndipo amanyalanyaza zizindikiro za nthendayo, ndiye kuti shuga m'magazi ake amakwera kwambiri kotero kuti chikomokere cha hyperglycemic chikukula.

Pali zovuta zomwe zimachitika - wodwalayo adziwa kalekale matenda ake ndipo amamwa mankhwala pafupipafupi. Koma anthu achikulire, chifukwa cha kusinthika kwakukhudzana ndi zaka, amatha kumwa mapiritsi kuti achepetse shuga, kenako shuga wamagazi amatsika kwambiri ndikukula kwa chikumbumtima cha hypoglycemic.

Matenda a shuga amtundu 1 amapezeka kwambiri mwa ana, ndipo matendawa amapezeka m'masabata oyamba amoyo. Matenda a shuga omwe samadalira insulin ndiye chiyembekezo cha anthu achikulire. Pankhaniyi, pazifukwa zosiyanasiyana, kukana insulini kumachitika (maselo sangathe kuyenderana ndi insulin). Matendawa mwa anthu otere nthawi zambiri amaphatikizidwa ndi matenda oopsa, kunenepa kwambiri komanso mafuta ambiri.

chidwi mtundu = wobiriwira The endocrinologist ndi dokotala yemwe kudziwa kwake komanso kupatsanso matenda a endocrine system. / chidwi

Upangiri uwu wa mankhwala udagawika pawiri:

Pediatric endocrinology (njira za kukula ndi kukula, mtundu wa 1 shuga mellitus ndi mitundu ina ya matenda ashuga mwa ana, kusokonekera kwa mahomoni ndi khansa ya endocrine system).
General endocrinology (nkhani zamavuto azimuna ndi akazi, kusokonezeka kwa mahomoni, mavuto a neuroendocrinology, gren adrenal, chithokomiro, matenda a shuga, kufooka kwa mafupa komanso kunenepa kwambiri).

Monga momwe mudawonera, dotoloyu ali ndi luso lochulukirapo. Ndipo matenda ashuga ndi amodzi mwamayendedwe. Chifukwa chake, posankha katswiri nokha, ndikofunika kulabadira kuwunika kwa odwala, zomwe mwakumana nazo pantchito ndi sayansi.

Ngati mungaganize zochira kuchipatala cha boma, ndiye kuti mulibe chisankho. Nthawi zambiri pamakhala mmodzi, chabwino, madokotala awiri omwe akutsogolera kuchipatala. Ndipo nthawi zambiri awa ndi anthu achikulire omwe amalandila maphunziro mzaka zapitazi.

Kugwira ntchito pamalipiro ochepa, akatswiri otere alibe chidwi kapena mphamvu yophunzirira njira zamakono ndi mankhwala. Chinthu chofunikira kwambiri mwa madokotala chotere ndi chokumana nacho. Ngati muli ndi matenda a shuga a mtundu woyamba 1 kapena 2, ndiye kuti payenera kukhala mavuto.

Mudzalembedwera mankhwala otsika mtengo, anganene kamodzi pamwezi kuti ayesedwe shuga mu labotale, ndipo adzakutumizani kunyumba ndi mawu akuti: "Kwa msinkhu wanu, shuga 8 ndi yabwinobwino, osatengera chidwi."

Koma ngati muli ndi matenda a shuga a LADA, kapena mtundu wa 2 wodwala matenda ashuga wazaka 30, ndiye kuti kuli bwino kulumikizana ndi chipatala chawekha. M'm zipatala zoterezi, pali akatswiri ambiri achinyamata omwe alandira maphunziro apadera kunja, amawerenga magazini amakono azachipatala ndikuchita zomwe zachitika posachedwa zamankhwala.

Kuti musankhe endocrinologist wolipira wolipira, samalani:

Ndemanga za odwala pamawebusayiti odziimira pawokha.
Maphunziro ndi maphunziro osiyanasiyana opitilira maphunziro, seminare ndi zina zambiri.
Kupeza dokotala m'magulu osiyanasiyana azachipatala.
Mapepala asayansi kapena zofalitsa m'magazini.

Paphwando loyamba, muyenera kudziwa izi:

Kodi dokotalayo amayesa kukupatsani mayeso ndi mankhwala ochuluka momwe angathere, omwe angalipirire kuchipatala chawo. Ngati atero, omasuka kusiya katswiri ngati ameneyu. Dokotala wabwino wa matenda ashuga adzakhala ndi chidwi ndi matendawa ndipo sangakupatseni chithandizo chilichonse koyamba komwe.
Kutsimikiza kolondola kwa mtundu wa matenda ashuga ndi 99% chithandizo chokwanira. Samalani gawo lodziwika bwino, kodi katswiri angayankhe mitundu ina ya matenda?
Dziwani nokha ngati dokotalayo akukondweretsedwa ndi zomwe mudakumana nazo kale pamankhwala anu. Phrase: "Ndakumana kale ndi vuto ili. Chifukwa chake, muyenera ... ”amalankhula za njira yodalirika yozitengera zomwe zidachitika kale kapena ayi.

Owerenga tsamba lathu adzakhala osavuta kumvetsetsa kuchuluka kwa adotolo. Ngati ndinu woyamba, onani zigawo za mitundu ya matenda ashuga, zomwe zimayambitsa ndi chithandizo.

chidwi mtundu = chikasu Kumbukirani kuti kuzindikira ndi chithandizo choyenera cha matenda ashuga ndichinsinsi cha moyo wachimwemwe komanso wokwaniritsa.

Ngati mukupeza cholakwika, chonde sankhani gawo ndikusindikiza Ctrl Enter.

Munthu akangodziwa yekha mwa iye kapena mwana wake, ndikulimbikitsidwa kulumikizana ndi dotolo wa banja kapena othandizira kumalo komwe akukhalamo. Akatswiri awa ayenera kufotokozera dongosolo loyenera lofufuzira, kutsimikizira kapena kukana kuzindikiraku.

Dokotala wa matenda a shuga amatchedwa endocrinologist. Gawanani dokotala yemwe amathandizira ndi ana mu matenda ndi ana payokha. Kupatukana uku ndikofunikira pazifukwa zingapo:

Kwa ana, kukula kwa matenda ashuga amtundu 1 amadziwika, akuluakulu, chachiwiri ndi chofala,
Mfundo zoyendetsera mwana ndi wamkulu ndizosiyana kwambiri,
Odwala okalamba amafuna milingo ina ya insulin poyerekeza ndi ana.

Ndiudindo wa endocrinologist kupereka njira zapadera zothandizira kuzindikira matenda omwe amatsimikizira kuti ali ndi matendawa. Atazindikira matendawa, katswiriyo amawauza chithandizo chofunikira, kutengera mtundu ndi matendawo.

Dotolo amalimbana ndi matenda a shuga ndipo amamuwongolera wodwalayo kuyambira pomwe azindikira. Nthawi ndi nthawi, wodwalayo ayenera kulumikizana ndi endocrinologist kuti akumane ndi mayeso ofunikira, kukonza insulin mankhwala ndi kukhazikitsidwa kwa chithandizo chowonjezera.

Mu shuga mellitus, zizindikiro zoyambirira sizingatchulidwe kapena kutchulidwa. Komabe, zikafika pakuwonjezeka kwa shuga wamagazi, samalani ndi ludzu ndikutulutsa mkodzo mkati mwa maola 24.

Kodi ndingayambire pati ndi anthu omwe akuwaganizira kuti ali ndi matenda ashuga?

Anthu nthawi zambiri samathamangira kwa dokotala ndi mavuto awo, ndipo akuyembekeza kuti matendawa adutsa okha. Koma matenda ashuga ndi matenda osachiritsika, ndipo nkosatheka kuchira.

Ndi zovuta ziti zomwe ziyenera kukhala chifukwa chochezera endocrinologist:

ludzu losaletseka ndi kamwa yowuma
kukodza pafupipafupi
Khungu lowuma ndi loyenda, zotupa
kuwonda kwambiri, kapena, kunenepa kwambiri,
kufooka ndi thukuta,

Poikapo koyamba, endocrinologist amawunika wodwalayo. Pambuyo pa mankhwala a matenda anaziika:

kusanthula kwa magazi ndi mkodzo,
kuyezetsa magazi kwa kulolerana ndi shuga.

Mayeso osavuta awa amapangitsa kuti 99% ikhazikitse kukhalapo kwa matenda kapena kuchotsa kukayikira kwa matenda ashuga.

Ngati matenda oyamba atsimikiziridwa, dokotalayo amakulemberani zowonjezera:

kuchuluka kwa shuga masana
kusanthula kwa mkodzo chifukwa cha acetone,
kusanthula kwamomwe kumachitika kwa triglycerides, cholesterol,
ophthalmoscopy posankha maonedwe owoneka,
kuyesa kwamkodzo kwamkati mwachisawawa, albuminuria, creatinine, urea.

Asanayambe chithandizo, endocrinologist imayesanso kuthamanga kwa magazi a wodwala, imamuwuza kuti apite pachifuwa ndi ray ndi miyendo yotsika ya miyendo.

Kutengera ndi zomwe zapezeka, endocrinologist imazindikira mtundu wa shuga, kuchuluka kwake kwa matendawa, ndikuwonetsa mankhwala. Zimayamba ndi mankhwala osokoneza bongo kuphatikiza kusintha kwa zakudya.

Kuyankhulana ndi akatswiri ena

Katswiri wamkulu yemwe amachiza matenda ashuga ndi matenda ashuga. Kapangidwe kakang'ono ka dotolo kumamupatsa mwayi wogwiritsa ntchito payekha zida zapamwamba. Chidziwitso chimakupatsani mwayi kuti muzindikire ndikusanthula njira zonse zamatenda zomwe zimapezeka motsutsana ndi maziko a matenda ashuga.

Nutritionists, mlongo wama processic, othandizira ma labotale, komanso akatswiri azamisala amathandizanso othandizira odwala ndi kuwongolera. Amaphunzitsa payekhapayekha komanso gulu m'mapulogalamu apadera.

Wodwala aliyense ayenera kudziwa momwe matendawo amawonekera, zomwe zimayambitsa zochitika zadzidzidzi ndi thandizo loyamba. Odwala ayenera kuphunzira kudziimira pawokha komanso kuwongolera kuchuluka kwa shuga kunyumba.

Ndi zovuta zomwe zimachitika, wodwalayo amafunika kumuyesa pachaka kuchokera kwa akatswiri okhudzana:

Vuto lalikulu la matenda a shuga ndi “retinopania. Dokotala amayeza kukakamiza kwa intraocular, amawunika maonedwe achilengedwe, kuchuluka kwa mitsempha yamagazi, kuwonekera kwa thupi ndi mandala.
Ndi nephropathy, kuwonongeka kwa impso ndi kusokonezeka kwa msambo, odwala amawonetsedwa ndi nephrologist. Dokotala amawunika momwe minyewa yam'mitsempha imalumikizirana: kukhudzika kwawo, chidwi, minofu.
Matenda a shuga a ziwiya zazikulu, atherosulinosis, venous thrombosis amalangizidwa ndi opaleshoni ya mtima.
Ndi ma neuropathies, kuwonongeka kwa zotumphukira zamanjenje, odwala amalembera mayeso ndi katswiri wamitsempha.

Kuunika kwapachaka kwa odwala matenda a shuga kumaphatikizapo kupita kukaonana ndi gynecologist.

Kuwunika kwa odwala omwe ali ndi matenda ashuga kumachitika kuzipatala zam'chigawo kumalo olembetsa. Kuti mulembetse, muyenera kubweretsa pasipoti yanu, ndondomeko, khadi ya SNILS, chiganizo.

Thandizo lapadera limaperekedwa mu zipatala za endocrinology, zipatala zachigawo ndi zamizinda. M'mizinda yayikulu, malo apadera a shuga ndi zipatala zamitundu yosiyanasiyana zimagwira ntchito. Kuphatikiza pa akatswiri a matenda ashuga, madokotala azachipatala osiyanasiyana amawafunsa: akatswiri azakudya, opaleshoni ya mtima, andrologists, a reproductologists, and genetics.

Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto lofanana - phazi la matenda ashuga.

Zizindikiro zoyambirira za vutoli zikaonekera mwa wodwalayo, pamakhala funso loti ndi dokotala uti amene amathandiza odwala matenda ashuga, komanso ndi njira ziti zomwe amagwiritsa ntchito.

Nthawi zambiri, wodwala matenda ashuga amathandizidwa ndi endocrinologist yemwe adachita maphunziro apadera a matenda awa.

Ntchito ya dotolo pochiza matenda ashuga ndi kuyesa wodwalayo komanso kusankha njira yabwino kwambiri. Pokonzekera, dokotala amawunika kuchuluka kwa zowonongeka m'mitsempha yamagazi, ndikuzindikiranso zomwe zimapangitsa kuti pakhale zovuta.

Zida za retina zimakhudzidwa mwachangu, kotero kufunsira kwa akatswiri a maso kumangofunika kuti khungu lisakule.

Katswiri wotsatira ndi dokotala wamatsenga yemwe amatha kuzindikira kutayika kwa chidwi komanso kupereka mankhwala apadera.

Kuti muwongolere kwambiri odwala matenda ashuga, kufunsira kwa akatswiri okhudzana ndi ngozi kumafunika. Chifukwa chake, mphindi yofunika kwambiri pochiza matenda amtundu uliwonse ndi chakudya. Poterepa, katswiri wazakudya amathandiza.

Sangakuphunzitseni kokha bwino kuwongolera kugwiritsa ntchito chakudya, komanso kupanga zakudya zomwe zingakuthandizeni kusintha thupi. Monga mukudziwa, izi ndizothandiza kwa odwala omwe alibe shuga.

Tiyeneranso kukumbukira kuti, pakapita nthawi yayitali, makamaka kuwonongeka, matenda a shuga amakhumudwitsa osiyanasiyana. Pankhani imeneyi, taganizirani izi:

tanthauzo la zovuta ndi kupatuka pantchito yamagulu ang'onoang'ono (arterioles, capillaries), omwe amatchedwa microangiopathy.Kuphatikiza apo, mitsempha yayikulu imavutikanso - iyi ndi macroangiopathy (atherosulinosis),
chisamaliro chapadera chimaperekedwa ku matenda a mitsempha ya mitsempha (neuropathy),
Zotsatira zake, minofu ya thupi, makamaka miyendo, imavutika ndi kuperewera kwa magazi,
zilonda zam'mimba zimapangidwa, pakapita nthawi yayitali kuwonongeka kochepa sikuchira. Zonsezi zimathandizidwa kokha ndi dokotala wa opaleshoni.

M'malo ovuta kwambiri, ndikofunikira kuti muchepetse mbali zomwe zakhudzidwa, mbali zina za miyendo. Nthawi zambiri awa ndi zala kapena mapazi, omwe amalumikizidwa ndi mawonekedwe a necrosis. Poganizira izi, ndikulimbikitsidwa kuti mufufuze chithandizo cha matenda ashuga komanso thandizo la akatswiri posachedwa.

Chizindikiro china cha microangiopathy ndi matenda a shuga a retinopathy, omwe ndi mafupa am'mimbamo. Popeza matenda akupitirirabe, wodwala matenda ashuga amatha khungu. Kuti mupeze matenda ake pakanthawi kake komanso kusintha kwina koyenera kwa mankhwala, kufunsidwa pafupipafupi ndi ophthalmologist kumalimbikitsidwa.

Ndikufuna mayeso aliwonse kwa dokotala?

Palibe chifukwa chodziyesa nokha pasadakhale. Dokotala wopezekapo yekha adzalembetsa mayeso ofunikira, kutengera madandaulo, chithunzi cha chipatala ndi zotsatira zake. Maphunziro oyenera ndi:

shuga wamagazi
urinalysis
kuyeserera kwa shuga
glycated hemoglobin,
Ultrasound ya kapamba.

Izi ndizofunikira zochepa. Katswiriyu angapatse ena mayeso. Ngati mukufuna kuchita zoyeserera za ultrasound, muyenera kukhala ndi phokoso ndi inu.

Ndani ayenera kuyesedwa ngati matendawo atsimikiziridwa?

Matendawa amagawika m'magulu anayi azakhungu. Poyamba, chizindikiro cha glycemic chomwe chimaganiziridwa pano. Podziwa njira yoyenera yodziwira matendawa, dokotalayo amafunika kufunikira kwakukulu pazovuta zomwe zimayenderana ndi matendawa.

Matenda a giredi 4 amabweretsa chiopsezo ku thanzi la wodwalayo. Zimatha kudzutsa kuponderezana ndikupweteka m'miyendo. Popewa zovuta, malingaliro onse a dokotala yemwe akuchiza matendawa ayenera kutsatiridwa.

Pogwiritsa ntchito zotsatira zomwe zapezeka, akatswiri a endocrinology akukhazikitsa njira zamakono zamankhwala komanso mankhwala. Monga lamulo, kuwonjezera pa mankhwala othandizira odwala matenda ashuga, zakudya zina zimayikidwa kuti zithandizire kuchotsa matenda awa.

Mankhwalawa othandizira ndi kuwongolera okha ndi omwe angathandize kupewa zovuta. Mothandizidwa ndi mayeso apadera ndi maphunziro omwe achitidwa, dokotala amatha kusintha chithandizo cha munthu payekha ndikusankha zakudya zoyenera.

Monga lamulo, matenda a shuga amayenda ndi munthu moyo wake wonse. Iyi ndi nthawi yayitali, choncho cholinga chachikulu ndikusankha njira zabwino kwambiri zowuchitira wodwala wina.

Dokotala amaphatikiza mankhwala ofunikira, maphunziro a vitamini, malangizo azakudya komanso zolimbitsa thupi. Chachikulu ndikuti musaiwale kuti kupita kwa dokotala wodziwa ntchito yake kumathandiza kupewa zovuta, chifukwa ndizosavuta kuposa kuchiritsa matendawa. Chifukwa chake, wodwala aliyense ayenera kulumikizana ndi katswiri pa nthawi yake.

Khalani athanzi!

Ngati wodwalayo ayenera kufunsira kwa endocrinologist, ndiye kuti adzakhala ndi phwando lalitali lokhala ndi mafunso, mayeso ndi kukhazikitsidwa kwa maphunziro ambiri. Kenako, matenda amapangidwa ndipo chithandizo chimalembedwa.

Mtundu 1 umathandizidwa ndi insulin ndi jakisoni, ndipo kwa wachiwiri, mankhwala ochepetsa shuga amasankhidwa. Ngati, chifukwa cha zovuta zomwe zayamba, wodwala ali ndi vuto la matenda ashuga, amatha kulandira mankhwala kwaulere ndi mankhwala ena apadera.

Ngati mankhwala a hypoglycemic akasankhidwa bwino, ndipo glucose ali pafupi kwambiri ngati sangathe, odwala amapitilizidwa kuonedwa kwa dokotala wawo, ponena za endocrinologist pokhapokha pakubwera kapena pakachitika mwadzidzidzi. Kuwunika mphamvu zamagulu a shuga kumachitidwanso ndi akatswiri.

Tikafunsidwa kuti ndi dokotala uti yemwe akuthandiza odwala matenda ashuga, yankho sikuti limasiyana. Ndiye kuti, sikuti endocrinologist yekha yemwe ali ndi katswiri wodziwa zamatsenga angakuyang'anitseni ngati kuwunika kukutsimikiziridwa.

Chimodzi mwazolinga zazikulu ndikupewa zovuta - chifukwa chake, kukambirana ndi ophthalmologist, immunologist, cardiologist ndi madokotala ena amathanso kuikidwa. Ngati pangafunike kupanga mankhwala azitsamba, phytotherapist athana ndi nkhaniyi.

Kusiyana kwa amuna ndi akazi, ana ndi achikulire?

Katswiriyu amapanga lingaliro pazotsatira zoyesa magazi (amayendera shuga). Nthawi zambiri, matendawa amapezeka mwangozi pomwe wodwalayo amuyeza.

Nthawi zina, munthu amasankha kupita kuchipatala chifukwa chodwaladwala. Wochiritsira samachiza glycemia. Kuti muthane ndi matendawa, muyenera kulumikizana ndi katswiri wina. Chithandizo cha matenda a shuga chimachitika ndi endocrinologist.

Amathandizanso wodwala. Kutengera zotsatira za kusanthula, adotolo omwe amapezekapo amawunika kuchuluka kwa matendawa ndikupereka chithandizo choyenera, kuphatikiza ndi zakudya. Ngati matenda ashuga apereka zovuta ku ziwalo zina, wodwalayo ayenera kuyendera akatswiri otsatirawa: dokotala wamankhwala, komanso dokotala wa opaleshoni ya mtima.

Malinga ndi mawu omaliza pa zaumoyo, endocrinologist imasankha poika mankhwala othandiza. Chifukwa cha iwo, thupi limakhazikika.

Ndi mafunso ati oti mufunse adotolo?

Popeza mwapangana ndi katswiri woyenera, yesani kudziwa mwatsatanetsatane momwe matendawa angakhudzire moyo wanu. Khalani omasuka kufunsa mafunso. Mitu ikuluikulu ndi:

Kodi ndi zakudya zamtundu wanji zomwe ziyenera kutsatiridwa?
Zoyenera kuchita ndi kukula kwa pachimake chikhalidwe?
Kodi mumafunikira kuthana ndi glucose kangati?
Ndingatani zolimbitsa thupi?

Kodi endocrinologist angathandize bwanji odwala matenda ashuga?

Dziwani kuti matenda a shuga akhoza kungokhala othandizira (dokotala wabanja, chigawo) molingana ndi zotsatira za kuyesa kwa magazi kwa glucose. Matendawa amatha kuululidwa mwangozi, mukamayesedwa pafupipafupi kapena ngati muli ndi zizindikiro zina.

Wochiritsira samachiza glycemia. Kuti muthane ndi matendawa, muyenera kupita kwa katswiri wina kuti akuthandizeni. Ndiye ndi dokotala uti amene amathandizira matenda ashuga? Uyu ndi endocrinologist. Ndiokhazikika kwake kuti azilamulira odwala matenda ashuga.

Malinga ndi zotsatira za mayeserowa, dokotala yemwe adzapite amawunika kuchuluka kwa matendawa ndikupereka chithandizo choyenera kuphatikiza ndi zakudya. Pomwe matenda ashuga atabweretsa zovuta ku ziwalo zina, wodwalayo ayenera kuyendera akatswiri opendekera:

ophthalmologist
neuropathologist
mtima
opaleshoni ya mtima.

Malinga ndi mfundo yawo yokhudza thanzi la ziwalo zoyenera, endocrinologist ikuganiza zoika mankhwala ena kuti akhale othandizirana.

Endocrinologists samangolemba mtundu wa I ndi mtundu wachiwiri wa shuga, komanso matenda ena, kuphatikiza:

kunenepa
Goiter
mavuto a chithokomiro
oncology ya endocrine system,
kusokonezeka kwa mahomoni
matenda a mafupa
kusabereka
hypothyroidism syndrome.

Matenda ambiri sangathe kuthana ndi endocrinologist mmodzi. Chifukwa chake, endocrinology imagawidwa padera.

Opaleshoni ya Endocrinologist. Kuchita ndi matenda ashuga. Ngati vuto likupezeka mwa zilonda, zilonda zam'mimba, akuganiza zochita opareshoni kapena ayi.
Endocrinologist geneticist. Dokotala yemwe amayang'anira mavuto obisika. Uku ndikudwala, shuga kapena kukula kwakukulu.
Endocrinologist-diabetesologist. Dotoloyu akuthandizani kusankha zakudya zoyenera komanso zakudya zoyenera za mtundu I, mtundu wa matenda ashuga II.
Endocrinologist-gynecologist amathetsa vuto la kusabereka kwa amuna ndi akazi.
Endocrinologist-chithokomiro. Katswiri yemwe amathandizira pakuzindikira komanso kuchiza matenda a chithokomiro.
Ana endocrinologist. Katswiri wa matenda a endocrine glands. Kuchita ndi zovuta za kukula ndi kukula kwa ana.

Gawo lazokhudza zoperewera limalola akatswiri kuti azilowa matenda amtundu umodzi, mwakutero kukhala odziwa zambiri pazinthu zawo.

Kodi ndingathe kuyitanitsa dokotala yemwe amasamalira matenda ashuga kunyumba?

Kuchoka kwa endocrinologist kunyumba kukachitika ngati kufunsira kapena kupangana kwake kuli kofunikira, ngati wodwalayo sangathe kukafika payekha kuchipatala (kuduladula chifukwa cha chiwalo cham'munsi).

Mu zipatala zachigawo, komwe kulibe endocrinologist, funso "lomwe adokotala amatenga matenda ashuga" silimabuka, popeza maudindo onse a oyang'anira amagwera m'mapewa a dotolo wadera. Koma, monga lamulo, othandizira amayesa kutumiza odwala otere kuti akalandire ku likulu lachigawo.

Momwe mungathane ndi matenda ashuga

Matenda a shuga ndi amitundu iwiri, I ndi II. Amasiyana pakumwa insulin.

Matenda a shuga a Mtundu Wachiwiri ndi opepuka kuposa oyambawo ndipo amadziwika kuti ndi insulin yodziimira pawokha. Mudamva kuti munthu ali ndi matenda ngati amenewo, musataye mtima. Sichiritsika kwathunthu, koma ndizotheka kuti chitukuko chikule.

Zakudya ndi njira yayikulu yothandizira. Kukana zakudya zotsekemera, zamafuta, zonunkhira komanso ufa ndizotheka kulola kuchuluka kwa shuga kupitirira malire ovomerezeka. Mwayi uyenera kuperekedwa kwa ndiwo zamasamba, nyama yopendekera, msuzi wopanda shuga. Kukongoletsa ndi phala yokongoletsa, koma osatengeka nawo.

Ndikotheka kumwa mankhwala osakanikirana ndi zakudya kuti muchepetse kuchuluka kwa shuga m'magazi.

Ndikofunikira kuyang'anira thanzi lanu nthawi zonse ndikuyesera mayeso munthawi yake. Kutsatira malangizowa, mutha kuwona kusintha kwa zomwe zikuwonetsa shuga ndikusintha kwakanthawi kachitidwe ka chithandizo.

Matenda a shuga 1 amtundu wa insulin amatchedwa wodalira insulin. Mwazi wamwazi ndiwambiri. Kudya kamodzi sikumawachepetsa, motero insulin imayikidwa. Mlingo ndi kuchuluka kwa mabungwe kungathe kufotokozedwa ndi endocrinologist.

Zomwe wochita zamatsenga amachita

Ndikulimbikitsidwa kupita kwa ochiritsira pakusintha koyamba pazomwe zikuchitika. Ndikulimbikitsidwa kuti:

mutatenga anamnesis, njira zonse zodziwira matenda zimachitika (mayeso a labotale a shuga, mayesowo a mkodzo, kukana insulini),
Kutengera izi, zowonjezereka zimaperekedwa pakuthandizira komanso kuyendera madokotala omwe ali ndi chiyembekezo chochepa,
Ndikofunika kufunsa othandizira posachedwa, chifukwa munthu akakulitsa vuto lakelo, mavuto obwera mwa munthu amakhala mwa iye. Ali ndi zovuta zowopsa za matenda ashuga.

Kudziwika kwake ndikuthekera kwina kuposa nkhondo yolimbana ndi matenda opumira ndi chimfine zina. Dokotalayu ayenera kuthandizidwa ngati muli ndi madandaulo okhudza zomwe zikuchitika.

Dziwani matenda amtima ndi mitsempha yamagazi - ngati muli ndi matenda otere, ntchito yake, limodzi ndi dokotala wamtima, kuwunika momwe muliri,
Yang'anirani odwala omwe ali ndi vuto la kuchepa magazi, komanso omwe akukumana ndi diathesis ndi matenda am'mimba,
Ngati mwadzidzidzi mwayamba kuledzera, kapena kuphwanya ntchito ya kupuma mthupi - ntchito yothandizira ndikuthandizani.

Katswiriyu amagwiranso ntchito zina:

Zophunzitsa. Ngati munthu akumva kuti samva bwino, osamvetsa zomwe zimalumikizana ndi izi - zimagwiranso ntchito kwa zizindikiro za matenda ashuga, zomwe zimatha kukhala zizindikilo ndi matenda ena - dotolo ayenera kufunsa ndikukonzekera mayeso,
Kugawa. Ngati madandaulo anu ali achindunji komanso akukhudzana ndi madokotala ena apadera, adzakuuzani omwe muyenera kulumikizana nawo,
Kuwongolera. Ngati pali odwala ku dokotala omwe ali ndi matenda osachiritsika, kapena odwala matenda ashuga omwewo, amakakamizidwa kuwunika momwe alili.