Kutupa kwa shuga
Gingivitis amatchedwa matenda a chingamu. Bweretsani galasi pafupi ndikuyang'ana mano anu. Kodi ndi pinki? Ichi ndi chizindikiro chabwino.
Koma ngati minyewa yake ndi yofiira (makamaka "makona atatu" pakati pa mano) ndikuwoneka yotupa, mwina ndi gingivitis. Ngakhale ndi dotolo wamano chabe amene anganene molondola 100%.
Pali zifukwa zambiri zachitukuko cha kutupa. Mwachitsanzo, ulesi posamalira mano. Kapenanso chifukwa chosafuna kupitiliza kupita kwa dotolo panthawi yake ndikuchiritsa mano. Koma zisa zikuyatsidwa koyamba. Matenda a shuga mellitus (mtundu uliwonse) amatanthauza matenda omwe amakhudzana mwachindunji ndi gingivitis.
- kayendedwe ka magazi mu minofu yofewa kumasokonekera,
- kupendekera kumachitika nthawi zambiri, kenako mabakiteriya owopsa amatha kudzikakamiza.
- enamel dzino
- chitetezo chofooka.
Ndikukhulupirira kuti kusamala kwambiri mano ndi mano anu sizingathandize kupewa gingivitis ku matenda ashuga - matendawa amatha kuchitika.
Kodi wodwala matenda ashuga angakwanitse kudya ma hazelnuts? Kodi katundu wopindulitsa ndi chiyani ndipo kodi pali vuto lililonse?
Kodi ASD-2 ndi chiyani, ndimasiyana bwanji pakati pa thupi, ndipo umagwiritsidwa ntchito ndi matenda ati?
Kodi kukhala mano okoma? Chofufumitsa zakudya - maphikidwe, malangizo ndi zidule.
Bweretsani ku nkhani
Kodi izi ndizowopsa bwanji?
Zokha - palibe. Kutupa kumakhudza nthawi zambiri m'matumbo, mafupa a m'nsagwawo samavutika. Ndizowonetsera kuti sizonse zomwe zili mwadongosolo. Koma ndi matenda a shuga palibe matenda osavuta komanso ofatsa. Chifukwa chake, gingivitis imafuna chidwi cha wodwala ndi wamano.
Milandu yayikulu kwambiri imatha mano. Ndipo ili ndi vuto lalikulu - kuteteza magazi m'kamwa, kuthandizira kwake, kuyenda kwa mano (izi ndizovuta kwambiri kapena sizilola kutafuna).
Bweretsani ku nkhani
Kodi amathandizidwa bwanji?
Dokotala wamano ayenera kukhala ndi chidziwitso chapadera cha malamulo ogwirira ntchito ndi odwala matenda ashuga.
- Kuchotsa madipoziti pameno (kumayambitsa kutupa kwa mano. Ndi dokotala yekha amene amachita izi!
- Anti-kutupa mankhwala. Pakadali pano, muzitsuka pakamwa panu kawiri, pangani zofunafuna kumaso. Kwa izi, decoctions ndi infusions wazitsamba kapena chindapusa, komanso mankhwala apadera amagwiritsidwa ntchito.
Kaloti - mokomera kapena owononga? Kodi ndibwino kuti mudye kaloti ndipo ndi mavitamini otani?
Kodi ndichifukwa chiyani mawonekedwe a matenda ashuga? Kodi kuchitira ndi momwe mungapewere?
Stevia ndi therere la uchi komanso wokoma kwambiri. Zothandiza zimatha chomera chapadera
Bweretsani ku nkhani
Kupewa matenda ashuga
- Kusamalira shuga mosamala ndi imodzi mwazomwe mungachite. Matenda a shuga ophatikizidwa ndi ochepa pazovuta, kuphatikiza mano.
- Zochenjera, popanda ulesi, ukhondo wa mano ndi mano. Mwachitsanzo, kupukuta mano anu ndi matenda a shuga sikokwanira. Ndikofunika kutsuka pakamwa panu pakatha zoseweretsa.
- Muyenera kupita kwa dotolo wamano nthawi zonse, malinga ndi nthawi yomwe dokotala amakupatsani.
- Ngati mumasuta - kusiya mwachangu, musawonjezere mavuto.
Kumbukirani kuti kuperewera kwa mafuta m'thupi kumakhala kovuta kuchiza madokotala a mano. Chowonadi ndi chakuti mwa anthu odwala matenda ashuga njira yopweteka imachepetsedwa. Ndipo amatopa msanga. Ndipo kukhala pampando wa dotolo kwa nthawi yayitali sikugwira ntchito. Chifukwa chake samalani mano ndi mano anu - izi zikuwonjezera thanzi lanu.
Mutha kusankha dokotala woyenera ndikupanga nthawi pano:
Momwe mungalimbane ndi chimfine ndi matenda ashuga
Ndi matenda osokoneza bongo monga matenda ashuga, kuzizira kulikonse kumatha kupangitsa kuti mavuto azovuta. Ichi ndichifukwa chake amafunikira chithandizo chawo mwachangu komanso mwaluso, osati ndi ayisikilimu. Izi zokha ndizomwe zingathandize kukhala ndi thanzi la matenda a shuga pamlingo wabwino, chifukwa chake, imapereka mwayi wothana ndi matendawa pawokha. Za izi ndi mochedweranso malembawo.
Za mulingo wa shuga ndi zina
Chifukwa chake, popeza kuzizira kochepa kwambiri koyambirira kumatha kuyambitsa zovuta, malamulo ena ayenera kutsatidwa, monga momwe zimakhalira ndi ma cranberries. Makamaka, chithandizo choyenera chimaphatikizapo kuyang'anira kuchuluka kwa shuga m'magazi. Ziri pafupi kuyeza chizindikiro ichi maola onse atatu kapena anayi.
Ngati chimfine cha matenda ashuga chikuyenda ndi kuchuluka kwa shuga, ndiye kuti muyenera kuchigwiritsa ntchito, onetsetsani kuti mumamwa pang'ono:
- madzi
- chakumwa cha ginger wopanda shuga ndi nthochi.
Nthawi zonse ndikofunikira kuwongolera zakudya ndi zakumwa zomwe zimamwa kuwonjezera pa zakudya zomwe zili ndi shuga. Izi zipangitsa kuti zitsimikizire momwe katundu ndi zakumwa zomwe zimagwiritsidwa ntchito zimakhudzira thupi la munthu, monga malalanje. Monga gawo la matendawa, thupi laumunthu limapanga pang'onopang'ono ndikupanga insulin. Izi zimatsogolera ku hyperglycemia.
Nkhondo yolimbana ndi mankhwalawo ndikuthandizira thupi liyenera kuyang'aniridwa ndi katswiri.
Pafupifupi nthawi zonse pamafunika majakisoni apadera a insulin, omwe amaperekedwa mochulukirapo. Izi sizingakhale zazifupi zokha, komanso kukonzekera kwa ultrashort. Amalimbikitsidwa kuti azichita maola atatu mpaka anayi alionse, komanso chinanazi.
Ndikofunika kukumbukira kuti madigiri onse a kutentha pambuyo pa 37,5 amafunika kuwonjezera kuchuluka kwa mahomoni ndi 20-25%. Pokhapokha pokhapokha, chimfine komanso matenda a shuga omwe akukulidwa ndi omwe adzayimitsidwa.
Pazinthu za boma
Kuzizira komwe kumakhala ndi matenda a shuga a mtundu woyamba ndi wachiwiri ali ndi mawonekedwe ake. Kodi ndi chiyani kwenikweni? Choyamba, kuti potengera kuzizira wamba, koyambirira, munthu sangamve njala. Komabe, ndikofunikira kwambiri kudya china chake - chipangitsa kuti mankhwalawo akhale achangu komanso olondola. Wodwala matenda ashuga amatha kusankha zakudya malinga ndi zakudya zomwe amadwala matenda ashuga.
Pa kutentha kwambiri, kusanza, kapena kukhumudwa m'mimba, kapu imodzi yamadzimadzi imayenera kumwa nthawi iliyonse. Pankhaniyi, ndibwino kumwa madzi ndikuwachita mu magawo ang'onoang'ono kwa ola limodzi. Pofuna kusintha, ndikololedwa kudya zosaposa 15 magalamu a chakudya pakatha mphindi 60 zilizonse:
- theka chikho cha mbewu monga chimanga ndi zipatso za chilengedwe
- zipatso zochepa.
Chifukwa chake, mankhwalawo adzakhala athunthu, koma bwanji za mankhwalawo omwe amagwiritsidwa ntchito?
Mankhwala ena a OTC ndiwofunikanso kwa odwala matenda ashuga. Komabe, ndikofunikira kuwonetsetsa kuti zakudya zomwe zili ndi shuga wambiri sizigwiritsidwa ntchito. Tikuyankhula za madzi aku chifuwa, chimfine, mapapo apapo, zotupa za pakhosi ndi ena ambiri. Kupatula zosowa, zimaphatikizapo shuga wambiri, ndipo sizingakhale zoyenera kuzizira zodwala. Chifukwa chake, ndikofunikira kuphunzira mosamala mndandanda wazigawo za mankhwalawo kuti mudziwe ngati mulimo shuga.
Ngati mukukayikira, muyenera kufunsa katswiri kuti chithandizo chithandizire. Kuphatikiza apo, chimfine ndi matenda ashuga atatsatana ndikutsagana, kuphatikiza, ndi kuthamanga kwa magazi, kugwiritsa ntchito mankhwala monga decongestants kuyenera kupewedwa.
Izi ndichifukwa zimatha kuwonjezera kuthamanga kwa magazi kwa munthu wodwala matenda ashuga kwambiri.
Nthawi yomwe wodwala matenda ashuga amakhala ndi zizindikiro monga:
- kupuma movutikira
- kupweteka pachifuwa
- fungo labwino la acetone kuchokera pamlomo wamkamwa,
- kutsegula m'mimba ndi kusanza kwa maola opitilira 6,
komanso palibe kusintha kwa thanzi pambuyo masiku awiri, ndikulimbikitsidwa kuyimba ambulansi.
Momwemonso, pamene mayesowa akuwonetsa kuchuluka kwa matupi a ketone mu mkodzo, ndi kuchuluka kwa glucose pambuyo pazotsatira zitatu zotsatilazi amakhalabe okwera (oposa 13.9 mmol pa lita imodzi) kapena otsika (osakwana 3.3 mmol pa lita), muyenera kulumikizana ndi katswiri .
Kodi gingivitis ndi chiani, ndipo ndichifukwa chiyani imayamba mu shuga?
Chizindikiro chachikulu cha mahomoni, kapena gingivitis wapakati. Hormonal gingivitis ndi hyperplastic zimachitika kuti tizilombo ting'onoting'ono timene timapezeka. Matendawa nthawi zambiri amawonedwa mwa amayi nthawi yapakati, nthawi zambiri akamatha msinkhu komanso kusamba. Mu pathogenesis yamatendawa, kuwonjezereka kwa milingo ya estrogen ndi progesterone yomwe imayamba chifukwa cha kusintha kwa mahomoni, komanso kugwiritsa ntchito njira zakulera zam'mlomo m'mbuyomu, zimasewera. Mothandizidwa ndi mahomoni awa, kutsekeka kwa minofu ya chingamu kumawonjezeka, zomwe zimapangitsa kuti anthu azidziona kuti ndi osafunikira.
Hormonal gingivitis amayamba ndi zotupa za m'matumbo a gingival ndi papillae wapakatikati ndipo nthawi zambiri amawonedwa m'mwezi wachiwiri wa pakati. Gingivitis amawonetsedwa mu hyperemia ndi edema ya mano, makamaka papillae wapakatikati, kupweteka kwa malire a gingival. Zilonda pakhungu zimapweteka, zimatulutsa magazi mosavuta. Kutsuka mano kwa amayi apakati nthawi zambiri kumayambitsa nseru, zomwe zimabweretsa chisamaliro chokwanira pakamwa. Kuwonjezeka kwa kachilombo koyambitsa matenda komwe kamayambitsa izi kumapangitsa chiwonetsero cha gingivitis.
Hormonal gingivitis mosavuta kuchira kunyumba. Amakhala ndi chisamaliro chokwanira pakamwa, mano prophylaxis. Kubwezeretsa kumathandizidwa ndi kusinthasintha kwadzidzidzi kwa mahomoni pambuyo pobadwa mwana kapena kuwongolera kuchipatala. Nthawi zina, zizindikiro za gingivitis zimapitilira kwa nthawi yayitali, zomwe zimabweretsa ku chingamu, zimangokhala zonenepa, zapinki. Mwa amayi ena apakati, njira yotchuka ya hyperplastic imatha, zomwe zimapangitsa kuti pyogenic granuloma ipangidwe. Tizilombo tambiri tomwe timalumikizana ndi chingamu ndi zotupa zokhala ngati chotupa zimatulutsidwa.
Hormonal gingivitis
Matenda a shuga a gingivitis.
Matenda a shuga - Matenda ofala a metabolic omwe amakhudza kuchuluka kwa anthu 100 aku US, pakati pa anthu aku Latin America kuchuluka kwa matenda ashuga kumakhala kwakukulu komanso kumafika pa 15-20%. Matenda a shuga amadziwika ndi kuperewera kwa insulin (mtundu I shuga mellitus) kapena kuphwanya mayamwidwe ake ndi minofu (mtundu II shuga mellitus), zomwe zimabweretsa kuchuluka kwa shuga m'magazi. Zomwe zikuwonetsa matenda a shuga zimaphatikizapo hyperglycemia, glucosuria, polyuria, polydipsia, kuyabwa, kunenepa kapena kuchepa thupi, kufooka, kuchepa kwa chidwi cha kuona komanso khungu, kuwonjezereka kwa kachilomboka, kamwa yowuma, kumva kutentha lilime, gingivitis yosatha. Nthawi zambiri amawona zovuta zomwe zimakhudzana ndi kugonjetsedwa kwa zombo zazikulu komanso zazing'ono.
Mawonekedwe a gingivitis zimatengera kuopsa kwa matenda ashuga. Ndi chithandizo chokwanira cha matenda ashuga, malire a gingival ndi gawo lokhazikika la mano. Tizidutswa tambiri tokhala ndi mawonekedwe othina, ofiira, nthawi zina amatuluka mosavuta. Pamwambapa chifukwa cha hyperplasia imakhala convex kapena papular-nodular. Zidutsazo zimatha kukhala pamtunda waukulu kapena kukhala ndi tsinde. Pakamwa pakamwa, fungo lodziwika bwino pakupuma, kuwonongeka kwa fupa la alveolar chifukwa cha periodontitis nthawi zambiri kumadziwika. Gingivitis mu matenda a shuga ndizovuta kuchiza ngati mulingo wa glucose ukhalabe wokwera. Izi zimachitika chifukwa cha kusintha kwa mawonekedwe a kutupa komwe kumachitika minyewa ya periodontal. Kupambana kwamankhwala kumadalira kusamalira pamlomo wamkamwa, kukhalabe ndi shuga wamagulu ena mwa zakudya ndi mankhwala ochepetsa shuga, kuphatikiza insulin. Mankhwala othandizira ndi ovomerezeka pokhapokha ngati magazi a glucose ndi ochepera 200 mg / dl ndipo wodwalayo ali okhazikika.
Gum edema yokhala ndi hypothyroidism.
Hypothyroidism - matenda osowa, chiwonetsero chazachipatala chomwe chimatengera zaka zomwe adadziwonetsa, komanso kutalika kwa hypothyroidism. Ngati kusowa kwa mahomoni a chithokomiro, makamaka triiodothyronine ndi thyroxine, akuwonekera ali mwana, ndiye kuti mwana amakula. Zizindikiro zake ndi zazifupi, kufupika m'maganizo, mutu waukulu, kuzengereza, kutuluka kwa milomo ndi lilime. Mosasamala kanthu za zaka zomwe matendawa adawonetsa, khungu lowuma, lowala ndi chikaso, tsitsi loyera, chidwi chochulukirapo, komanso kugona. Akuluakulu omwe ali ndi hypothyroidism, mawonekedwe osawoneka bwino, mawonekedwe amaso osasinthika, kuchepa kwa nsidze, kuchepa kwa malingaliro ndi malingaliro, komanso kuchuluka kwa serum cholesterol kumadziwika. Chizindikiro chapamwamba ndi minofu yofewa, yomwe imatchulidwa kumaso, makamaka mozungulira maso. Zimachitika chifukwa cha kudzikundikira kwa madzimadzi mu mafuta onunkhira.
Pa palpation, chithokomiro cha chithokomiro chimakhala ndi mitundu yayikulu, koma imatha kukulitsidwa. Chowonjezera chithokomiro ndi hypothyroidism anaphatikizidwa ndi autoimmune lymphocytic kulowa kolowera (Hashimoto's chithokomiro). Matendawa, maselo a glandular amasinthidwa pang'ono ndi ma lymphocyte.
Hypothyroidism Itha kuonekanso ngati zotupa zamkamwa. Macroglossia ndi macrocheilia nthawi zambiri zimadziwika, zomwe zimapangitsa kulankhula kukhala kovuta. Zingamu zimakulitsidwa, zimakhala ndi utoto wofiirira komanso wofewa. Edema amakula pamasamba oyambira komanso mbali zina za mano. Ndi edema yachiwiri, nkhama zimakhala zofiira, pasty komanso magazi mosavuta. Chithandizo cha matendawa ndi hypothyroidism zimatengera kuuma kwake. Ndi kusakwanira kwa chithokomiro, mutha kudziletsa kuti muchepetse kusamala pakamwa, pomwe kuchepa kwa mahomoni a chithokomiro kuti muchepetse mawonetseredwe amtundu ndi am'deralo, kuyatsidwa kwa mankhwala ndi sodium levothyroxine kuyenera kuyikidwa.
Kodi periodontitis ndi chiyani, kusiyana kwake ndi matenda a periodontal
Periodontitis nthawi zambiri anthu opanda maphunziro apadera amasokonezedwa ndi matenda a periodontal, matendawa amaphatikizanso minyewa yozungulira dzino, koma imachitika mosiyanasiyana. Pali zosiyana zingapo zomwe zingakuthandizeni kuwona ndikuwona kusiyana pakati pamavuto amano.
- Periodontitis ndi njira yotupa, pomwe ikakula, m'mkamwa mumawoneka edematous ndi hyperemic, ululu umamveka. Matenda a Periodontal amawululidwa pomwe njira za dystrophic mu minofu zimadziwika, ndiye kuti, palibe kutupa komwe kumachitika pakadali koyamba kwa matendawa.
- Periodontitis imayamba masiku angapo, zizindikiro za matendawa zimakonda kutchulidwa. Matenda a Periodontal amapezeka pang'onopang'ono, kusokonezeka kwa minyewa ya dzino ndi zida zapamimba zimapangika kwa milungu ingapo ndi miyezi.
- Ndi periodontal matenda, mutha kulabadira kawirikawiri mano, mawonekedwe a ming'alu. Ndi periodontitis, zizindikiro monga kutulutsa magazi kuchokera m'mkamwa komanso kuwawa pafupifupi nthawi zonse zimayamba.
Momwe periodontitis ndi shuga zimagwirizanirana
Nthawi zambiri, malovu amachita kuyeretsa, kuteteza, kugaya chakudya choyambirira. Pamene glucose ndi kufufuza zinthu zikasokonekera, kuchuluka kwa chinthu monga lysozymeudindo woteteza minofu ya pamlomo patsekeke microflora.Ndiye kuti, nembanemba ya mucous imapeza chiopsezo cha mabakiteriya osiyanasiyana ndipo njira yotupa imayamba m'matimu mothandizidwa ndi chinthu chosalimbikitsa kwambiri. Palinso kuchepa kwakukulu kwa kuchuluka kwa malovu opangidwa, omwe amakhudza kukula kwa periodontitis.
Ndi zipatso ziti zomwe zimaloledwa ndipo ndizomwe zimayesedwa kuti ziziphatikizidwa? Werengani zambiri apa.
Kodi odwala matenda ashuga amafunika supu muzakudya zawo? Ndi ati omwe angakhale othandiza kwambiri? Maphikidwe, maupangiri.
Zizindikiro ndi zovuta zotheka
Mawonetsero akulu a periodontitis mwa odwala omwe ali ndi matenda ashuga ali ndi mawonekedwe awo. Kutupa nthawi zambiri kumayambira ndi gingivitis, ndiye kuti, ndi matenda a chingamu, izi zimasonyezedwa ndi zizindikiro zotsatirazi:
- Kutupa ndi kufupika kwa minofu.
- Pambuyo pake, zilonda zam'mimba ndizowonjezereka.
- Ngati wodwalayo alinso ndi matenda ashuga a polyneuropathy, ndiye kuti kupweteka m'kamwa kumasonyezedwa kwambiri ndipo kumakhudza kwambiri thanzi la munthu.
Ndi matenda a shuga, periodontitis imayamba molawirira kwambiri komanso nthawi yomweyo, matendawa amatha kupitilira mwamphamvu. Ndiye kuti, ikukula mwachangu, chithandizo chachizolowezi sichimatchulidwanso kuti achire. Mkhalidwe wa minyewa yamkamwa umakulirakulira ngati wodwalayo alibe chidwi ndi ukhondo, kusuta, kumwa.
Maphikidwe ophika ma makeke okonzedwa omwe aliyense angathe. Werengani zambiri mu nkhaniyi.
Kodi mumayamba kukayikira? Zomwe zimaphatikizidwa pakupezeka koyambirira kwa matenda ashuga, ndimayeso ati omwe amayenera kupatsiridwa?
Chithandizo ndi kupewa odwala matenda ashuga
Malinga ndi ambiri omwe amatsatira endocrinologists, periodontitis imachepetsedwa motsutsana ndi maziko a masanjidwe amtundu wa magazi. Kuti izi zitheke, muyenera kusungabe kuchuluka kwa glucose m'magazi ndimankhwala komanso zakudya.
- Pitani ku dokotala wamano ngakhale kawiri pachaka. Ngati pali zolakwika zina pamlomo wamkamwa, muyenera kukaonana ndi dokotala posachedwa.
- Ndikofunikira kuti nthawi zonse muzikhala ndiukhondo pakamwa. Ndiye kuti, muyenera kutsuka kapena kutsuka mano mukatha kudya. Monga othandizira, ndibwino kugwiritsa ntchito mankhwala azitsamba. Madokotala a mano amalimbikitsa kugwiritsa ntchito ma pastes okhala ndi zomangira pazomera chamomile ndi tchire.
Kusankhidwa kwa mankhwalawa popanga matenda a periodontitis kumachitika kwa odwala omwe ali ndi matenda osokoneza bongo chifukwa cha kuopsa kwa zizindikiro zamankhwala, kuchuluka kwa shuga m'magazi, zaka. Madokotala ena amagwiritsa ntchito bwino mankhwala monga Urolexan, ena amapereka mankhwala a oxygen komanso kutikita minofu. Zotsatira zabwino zimachitika mukagwiritsa ntchito electrophoresis ndi mlingo winawake wa insulin.
Mavuto a shuga: Kupewa ndi Chithandizo
Kwa zaka zambiri osalimbana ndi ma DIABETES?
Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.
Ngati matenda amtundu wa 2 kapena matenda ashuga 2 sawachiritsa bwino kapena samawongolera konse, ndiye kuti shuga ya wodwalayo imakhalabe yofananira. Munkhaniyi, sitikuganizira za mkhalidwe pomwe, chifukwa cha chithandizo chosayenera, kukhazikika kwa magazi m'magazi, m'malo mwake, ndizochepa kwambiri. Izi zimatchedwa "hypoglycemia." Momwe mungapewere, ndipo ngati zachitika kale, ndiye momwe mungaimitsire kuukira, mutha kudziwa apa. Ndipo pansipa tikambirana zovuta za shuga zomwe zimachitika chifukwa cha shuga wambiri.
Mavuto a matenda ashuga chifukwa cha shuga ambiri amakhala achangu komanso osachiritsika.
- Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
- Mankhwala 2 a shuga: nkhani yatsatanetsatane
- Mapiritsi a Siofor ndi Glucofage
- Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi
- Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
- Nthawi ya tchuthi ndi momwe mungakulitsire
- Njira ya jakisoni wopweteka wa insulin
- Mtundu woyamba wa shuga 1 mwa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
Anthu odwala matenda ashuga ketoacidosis ndi hyperglycemic chikomokere
Mavuto owopsa a shuga ndi matenda ashuga a ketoacidosis ndi hyperglycemic. Amakula pomwe shuga wodwala sakhala wangokhala kwambiri, koma wokwera kwambiri. Ngati sagwiriridwa kuchipatala mwachangu, ndiye kuti amachedwa ndikuzindikira komanso kufa. Werengani nkhani zina:
- Matenda a shuga ketoacidosis.
- Hyperglycemic chikomokere.
- Momwe mungachiritsire chimfine, kusanza komanso kutsegula m'mimba kuti mupewe zovuta za matenda ashuga.
Kodi matenda ashuga a ketoacidosis, hyperglycemic coma ndi njira zopewera zovuta kwambiri - onse odwala matenda ashuga ayenera kudziwa. Makamaka kwa odwala matenda a shuga 1, komanso okalamba omwe ali ndi matenda a shuga a 2.
Ngati vutoli lafika poti zovuta zayamba, ndiye kuti madotolo amayenera kulimba kuti "atulutse" wodwalayo, ndipo chiwopsezo chaimfa ndichokwera kwambiri, ndi 15-25%. Komabe, ambiri odwala matenda ashuga amakhala olumala ndipo amafa msanga osati chifukwa cha zovuta, koma chifukwa cha zovuta zina. Kwenikweni, awa ndi mavuto ndi impso, miyendo ndi mawonekedwe amaso, zomwe nkhaniyi idadzipereka.
Matenda a shuga osachiritsika
Mavuto ena obwera chifukwa cha matenda ashuga amatenga matenda osagwiritsidwa ntchito bwino kapena moyenera, koma osakhala oyipa kwambiri kuti ketoacidosis kapena hyperglycemic chikomokere. Kodi chifukwa chiyani zovuta za matenda ashuga zimakhala zowopsa? Chifukwa amakula pakadali pano popanda zizindikiro ndipo samayambitsa kuwawa. Palibe zizindikiro zosasangalatsa, wodwala matenda ashuga sayenera kukulimbikitsani kuthandizidwa mosamala. Zizindikiro za zovuta za matenda ashuga ndi impso, miyendo ndi maso zimachitika nthawi ikachedwa kwambiri, ndipo munthuyo amwalira. Mavuto osautsa a shuga ndi omwe muyenera kuwopa kwambiri.
Mavuto a matenda a shuga a impso amatchedwa "diabetesic nephropathy." Mavuto amaso - matenda a shuga a retinopathy. Amadzuka chifukwa shuga wokwera amawononga mitsempha yayikulu komanso yayikulu. Madzi amatuluka kupita kwa ziwalo ndi ma cell amasokonekera, chifukwa chomwe chimafa ndi njala. Kuwonongeka kwa dongosolo lamanjenje kumakhalanso kofala - matenda ashuga a m'mimba, omwe amachititsa zizindikiro zosiyanasiyana. Mavuto ammiyendo mu odwala matenda ashuga ndi kuphatikiza kwa mitsempha yamagazi yomwe imadyetsa miyendo yam'munsi ndikumverera kwamanjenje.
Werengani nkhani zatsatanetsatane:
- Matenda a shuga
- Matenda a shuga a retinopathy
- Matenda a shuga
- Kupweteka kwa mwendo mu shuga: chochita
Matenda a diabetes a nephropathy ndiwo amachititsa kwambiri kulephera kwaimpso. Anthu odwala matenda ashuga amapanga "makasitomala" ambiri opezekanso, komanso madokotala omwe amathandizanso impso. Matenda a shuga a shuga ndi omwe amayambitsa khungu chifukwa cha achikulire omwe amagwira ntchito padziko lonse lapansi. Neuropathy imapezeka mwa 1 mwa 3 odwala panthawi yopezeka ndi matenda a shuga, ndipo pambuyo pake mwa 7 mwa 10 odwala. Vuto lodziwika bwino lomwe limayambitsa ndikutayika kwa miyendo. Chifukwa cha izi, odwala matenda ashuga ali ndi chiopsezo chachikulu cha kuvulala kwamiyendo, gangore yodula komanso kuduladula matimu otsika.
Matenda a diabetes nephropathy komanso retinopathy nthawi zambiri samayambitsa zizindikiro asanathe kusintha. Ngati kulephera kwa impso kufika pagawo lomaliza, ndiye kuti wodwala matenda ashuga amayenera kupita kukayang'anitsidwako kwa moyo wake kapena kuti apeze mwayi wochotsa impso. Ponena za retinopathy, kutaya kwamaso kungayimitsidwe ndikuphatikiza laser Photocoagulation ya retina ndi chithandizo chokwanira cha matenda ashuga. Ngakhale ndi anthu ochepa omwe amatha kubwezeretsanso masomphenyawo. Nkhani yabwino ndiyakuti, matenda ashuga a m'mimba amatha kusintha ngati shuga wamwazi wasungidwa bwino. Tsatirani pulogalamu ya matenda a shuga 1 kapena mtundu wa matenda ashuga 2. Werengani werengani kuti “Zolinga za chisamaliro cha matenda ashuga. Zomwe ndingayembekezere shuga akayamba kuchita bwino. ”
Matenda a shuga samangowononga ochepa, komanso mitsempha yayikulu yamagazi, imathandizira kukulitsa kwa atherosulinosis. Zotsatira zake, odwala matenda ashuga amafa chifukwa cha vuto la mtima kapena matenda opha ziwalo 10-30 m'mbuyomu kuposa momwe akanatha. Komanso, kufalikira kwa ziwiya zazikulu zokhala ndi zolembedwa za atherosselotic kumabweretsa kufunikira kwa kumadula miyendo. Mwamwayi, ndizowona kuchepetsa kuchepa kwa atherosulinosis. Muyenera kutsatira pulogalamu ya 1 yothandizira odwala matenda ashuga kapena mtundu wachiwiri wa matenda ashuga, kuyang'anira shuga anu wamagazi, komanso kuthamanga kwa magazi ndi cholesterol.
- Atherosulinosis: kupewa ndi kuchiza. Atherosulinosis ya ziwiya zamtima, bongo, m'munsi.
- Kupewa matenda amtima ndi sitiroko. Zoyipa komanso momwe mungazithetsere.
- Momwe mungathanirane ndi matenda oopsa oopsa amtundu 1 ndi matenda ashuga 2.
Matenda ogwirizana
M'nkhani ya lero, tikambirana za zovuta za matenda ashuga zomwe zimachitika chifukwa cha shuga wambiri. Tsoka ilo, matenda omwe amakhalanso nthawi zambiri amawonetsedwanso, omwe si zotsatira za matenda ashuga, koma amaphatikizidwa nawo. Tionanso kuti ndi matenda ati omwe amafanana kwambiri ndi matenda amtundu woyamba wa 2 ndikufotokozera mtundu wawo wa kapewedwe ndi chithandizo chake.
Monga mukudziwa, chomwe chimayambitsa matenda a shuga 1 ndikuti chitetezo cha mthupi chimagwira molakwika. Imagunda ndikuwononga maselo a pancreatic beta omwe amapanga insulin. Kuphatikiza apo, odwala matenda a shuga a mtundu woyamba amakhala ndi vuto la autoimmune pamafuta ena omwe amapanga mahomoni osiyanasiyana. Mu mtundu woyamba wa matenda ashuga, chitetezo cha mthupi chimakonda kuthana ndi chithokomiro "cha kampani", lomwe ndi vuto la pafupifupi ⅓ odwala. Matenda a shuga amtundu wa 1 amathandizanso kutenga chiwopsezo cha matenda a autoimmune a gren adrenal, koma chiwopsezo akadali otsika kwambiri.
Anthu onse omwe ali ndi matenda amtundu wa 1 ayenera magazi awo kuwayezetsa mahomoni a chithokomiro kamodzi pachaka. Timalimbikitsa kutenga kuyesedwa kwa magazi osati kwa mahomoni oyambitsa chithokomiro (thyrotropin, TSH), komanso kuyang'ana mahomoni ena. Ngati mukuyenera kuthana ndi zovuta ndi chithokomiro cha chithokomiro mothandizidwa ndi mapiritsi, ndiye kuti mlingo wawo suyenera kukhazikika, koma masabata onse 6-12 ayenera kusinthidwa molingana ndi zotsatira za kuyesedwa mobwerezabwereza kwa mahomoni. Phatikizaninso chakudya chamafuta ochepa ndi chakudya chopanda gluten kuti thupi lanu liziyenda bwino. Kodi chakudya chopanda mafuta ndi chiyani - ndizosavuta kupeza pa intaneti.
Matenda ofala omwe ali ndi matenda a shuga a 2 amakhala ochepa matenda oopsa, mavuto amafuta a m'magazi a cholesterol ndi gout. Pulogalamu yathu yachiwiri ya matenda a shuga imathandizira kuti shuga azikhala ndi magazi, komanso kuthamanga kwa magazi ndi cholesterol.
Zakudya Zochepa Zopatsa Thupi & Gout
Maziko a mtundu wathu 1 ndi mitundu yachiwiri ya matenda othandizira odwala matenda ashuga ndi chakudya chochepa kwambiri. Amakhulupirira kuti zimawonjezera zomwe zili uric acid m'magazi. Ngati mukuvutika ndi gout, imatha kukulira, komabe, zopindulitsa za ntchito zomwe timalimbikitsa pochiza matenda a shuga ndizoposa izi. Amaganiza kuti zotsatirazi zimatha kuthetsa gout:
- Imwani madzi ambiri ndi tiyi ya zitsamba - 30 ml amadzimadzi pa 1 makilogalamu a thupi patsiku,
- onetsetsani kuti mumadya fiber yokwanira ngakhale mutakhala ndi zakudya zamafuta ochepa
- Zakudya zopanda zakudya - yokazinga, yosuta, mankhwala omalizidwa,
- Imwani antioxidants - vitamini C, vitamini E, alpha lipoic acid ndi ena,
- kumwa mapiritsi a magnesium.
Pali chidziwitso, chomwe sichidatsimikiziridwe kale kuti choyambitsa gout si kudya nyama, koma kuchuluka kwa insulin m'magazi. Madzi a insulin ambiri akamazungulira m'magazi, ndiye kuti impso zake zimaphatikizanso uric acid, motero zimadziunjikira. Pankhaniyi, zakudya zamagulu ochepa sizikhala zovulaza, koma zothandiza kwa gout, chifukwa zimapangitsa kuchuluka kwa insulin. Gwero lazambiri izi (mu Chingerezi). Zikuwonetsanso kuti kuukira kwa gout kumakhala kovuta ngati simukudya zipatso, chifukwa zimakhala ndi shuga wabwino wodya - fructose. Tikukulimbikitsani aliyense kuti asadye zakudya za shuga zomwe zimakhala ndi fructose. Ngakhale lingaliro la Gary Taubes silitsimikiziridwa, matenda ashuga komanso zovuta zake, zomwe zakudya zamafuta ochepa zimathandizira kupewa, ndizowopsa kuposa gout.
Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.
Matenda a shuga
Ngati wodwala wokhala ndi matenda amtundu wa 2 kapena mtundu wa 2 sagwiriridwa bwino ntchito ndipo ali ndi shuga yayikulu magazi, izi zimapweteketsa mitsempha ndikuwonetsa kuyipa kwa mitsempha. Vutoli limatchedwa diabetesic neuropathy. Mitsempha imatumiza zizindikiritso kuchokera ku thupi lonse kupita ku ubongo ndi chingwe cha msana, komanso chizindikiritso chochokera kumbuyo uko. Kuti mufikire pakatikati, mwachitsanzo, kuyambira pachala mpaka kumapazi, chidwi cha mitsempha chimayenera kupita kutali. Munjira imeneyi, mitsempha imalandira chakudya komanso mpweya kuchokera ku mitsempha yaying'ono yotchedwa capillaries. Kuchuluka kwa shuga mu shuga kungawononge ma capillaries, ndipo magazi adzaleka kuyenda kudzera mwa iwo. Zotsatira zake, gawo la mitsempha lifa, unyolo udasweka ndipo chizindikiro sichitha kufikira mbali zonse ziwiri.
Matenda a mitsempha ya shuga samachitika nthawi yomweyo, chifukwa kuchuluka kwa mitsempha m'thupi kumachulukanso. Umu ndi mtundu wa inshuwaransi, womwe umabadwa mwa ife mwachilengedwe. Komabe, peresenti inayake yamitsempha ikawonongeka, zizindikiro za neuropathy zimawonekera. Kutalikirana kwambiri kwa mitsempha, ndizotheka kuti mavuto amabwera chifukwa cha shuga wambiri. Chifukwa chake, sizosadabwitsa kuti matenda a shuga a diabetes nthawi zambiri amayambitsa mavuto ndi kumva kwamiyendo m'miyendo, zala, komanso kusabala kwa amuna.
Kuwonongeka kwamanjenje m'miyendo ndikowopsa kwambiri. Ngati wodwala matenda ashuga aleka kumva khungu la kumapazi ake ndi kutentha ndi kuzizira, kupsinjika ndi kupweteka, ndiye kuti chiopsezo chovulala mwendo chidzawonjezeka kambirimbiri, ndipo wodwalayo sadzalabadira pakapita nthawi. Chifukwa chake, odwala matenda a shuga nthawi zambiri amayenera kudula miyendo. Kuti mupewe izi, phunzirani ndikutsatira malamulo oyang'anira matenda ashuga. Mwa odwala ena, matenda ashuga a m'mimba sayambitsa kuwonongeka kwa manjenje, koma m'malo mwake kupweteka kwamatumbo, kumva kulira ndi miyendo. Werengani "Zovuta za Mapazi a shuga - Chochita." Mwanjira ina, zilinso bwino, chifukwa odwala matenda ashuga amalimbikitsa chithandizo champhamvu.
Zovuta za Matenda a shuga ndi Masomphenya
Matenda a shuga a retinopathy ndimavuto amaso ndi maonekedwe omwe amapezeka chifukwa cha shuga wokwezeka wamwazi. Milandu yayikulu, imayambitsa kutayika kwakukulu kwa kuwona kapena khungu lathunthu. Chifukwa cha matenda ashuga a retinopathy, anthu masauzande ambiri a zaka zakubadwa ali akhungu padziko lonse lapansi chaka chilichonse.
Chofunika koposa, ndi matenda ashuga, kuwonongeka kowopsa m'masomphenya kapena khungu lathunthu kumatha kuchitika mwadzidzidzi. Kuti izi zisachitike, odwala omwe ali ndi matenda amtundu woyamba 1 amayenera kuyesedwa ndi a ophthalmologist kamodzi pachaka, makamaka kamodzi pamiyezi isanu ndi umodzi. Komanso, sikuyenera kukhala wamba ophthalmologist ku chipatala, koma akatswiri a matenda a shuga a retinopathy. Madotawa amagwira ntchito kumalo osamalirira odwala matenda ashuga. Amachita zoyeserera zomwe ophthalmologist kuchokera ku chipatala sangathe kuchita ndipo alibe zida za izi.
Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kuyesedwa ndi a ophthalmologist panthawi yodziwitsa, chifukwa nthawi zambiri anali ndi matenda a shuga "mwakachetechete" omwe amapangidwa kwa zaka zambiri. Ndi matenda amtundu wa 1 shuga, tikulimbikitsidwa kuti mudzayendere katswiri wa ophthalmologist patatha zaka 3-5 atatha matendawa. Dokotala wamaso akuwonetsa kuti muyenera kumuyang'anitsanso kangati kuchokera kwa iye, kutengera ndi momwe maso anu adzakhalire.Izi zitha kukhala zaka ziwiri zilizonse ngati matenda a retinopathy sanapezeke, kapena pafupipafupi, mpaka kanayi pachaka ngati chithandizo chofunikira chikufunika.
Chifukwa chachikulu chomwe chimapangidwira matenda a shuga a shuga ndi shuga wambiri. Poyeneranso, chithandizo chachikulu ndikugwiritsa ntchito bwino mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa chithandizo cha matenda ashuga. Zina ndizomwe zimakhudzidwa ndikupanga izi. Udindo wofunikira umachitika ndi chibadwidwe. Ngati makolo anali ndi matenda a shuga a retinopathy, ndiye kuti ana awo ali pachiwopsezo chowonjezereka. Pankhaniyi, muyenera kudziwitsa ophthalmologist kuti akhale wogalamuka makamaka. Kuti muchepetse kuwonongeka, wodwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa magazi ake (momwe angachitire izi) ndikusiya kusuta.
Kuphatikiza pa retinopathy, zovuta zina za matenda osokoneza bongo za m'maso ndizomwe zimachitika glaucoma. Glaucoma ndimatenda owonjezereka mkati mwa diso. Cataract - mitambo ya mandala (mandala). Mavuto onsewa amathanso kukuchititsani khungu ngati simunachiritsidwe. Ophthalmologist pamayeso amayenera kuwunika kuchuluka kwa kukakamiza kwa intraocular ndikuwunika ma lens, osangojambula zithunzi zokha. Werengani nkhani zatsatanetsatane:
- Matenda a shuga a retinopathy.
- Glaucoma
- Mphaka pa matenda ashuga.
Matenda a shuga
Matenda a shuga ndi matenda a shuga. Monga mukudziwa, impso zimasefa zinyalala m'magazi, ndikuzichotsa ndi mkodzo. Impso iliyonse imakhala ndi maselo apadera pafupifupi miliyoni, omwe ndi mafayilo amwazi. Magazi amayenda kudzera mwa anzawo. Zosefera za impso zimatchedwa glomeruli. Mu odwala matenda ashuga, aimpso glomeruli amawonongeka chifukwa cha kuchuluka kwa glucose m'magazi omwe amayenda kudzera mwa iwo. Zosefera, impso zamagetsi zimasokonezeka, chifukwa ma protein omwe amalowa mkodzo kuchokera m'magazi, omwe nthawi zambiri sayenera kupitako.
Choyamba, kuthothoka kwa mamolekyulu amapulogalamu ochepa kwambiri. Shuga wambiri akamawononga impso, kukulira kwa molekyulu kupezeka mu mkodzo. Pa gawo lotsatira, sikuti shuga ya magazi yokha imakwera, komanso kuthamanga kwa magazi, chifukwa impso sizitha kuthana ndi kuchotsedwa kwamadzi ambiri mthupi. Ngati simumamwa mapiritsi omwe amachepetsa kuthamanga kwa magazi, ndiye kuti matenda oopsa amathandizira kuwonongeka kwa impso. Pali bwalo loipa: kuchuluka kwa matenda oopsa, impso zimawonongeka msanga, komanso kuti ziphuphu zowonongeka kwambiri, magazi ake amawonjezeka, ndipo amayamba kugonjetsedwa ndi mankhwala.
Monga matenda a shuga a m'mbuyomu amakula, mapuloteni ochulukirapo ofunikira m'thupi amatulutsidwa mkodzo. Pali kuchepa kwa mapuloteni m'thupi, edema imawonedwa mwa odwala. Mapeto ake, impso zimasiya kugwira ntchito. Izi zimatchedwa kulephera kwa impso. Zikakhala choncho, kuti wodwalayo apulumuke, amafunika kuchitidwa dialysis pafupipafupi kapena kuchitidwa opaleshoni ya impso.
Padziko lonse lapansi, anthu masauzande ambiri amatembenukira ku mabungwe othandiza chaka chilichonse chifukwa amalephera impso chifukwa cha matenda ashuga. Ambiri mwa "makasitomala" ambiri a madokotala ochita opaleshoni ya impso, komanso malo opangira dialysis, ndi odwala matenda ashuga. Kuthandiza kulephera kwa impso ndikokwera mtengo, kupweteka, ndipo sikupezeka ndi aliyense. Mavuto a shuga a impso amachepetsa nthawi yomwe wodwalayo amakhala ndi moyo komanso amachepetsa mphamvu yake. Njira zoyendetsera matenda osokoneza bongo ndizosasangalatsa kotero kuti 20% ya anthu omwe amawatsatira, pamapeto pake, amawakana mwakufuna kwawo, podzipha.
Udindo wofunikira pakukula kwa zovuta za matenda a shuga mu impso ndi chibadwidwe. Ngati makolo akudwala matenda ashuga a nephropathy, ndiye kuti ana awo ndiwotheka kwambiri. Komabe, ngati mukusamalira thanzi lanu pakapita nthawi, ndiye kuti kupewa kulephera kwa impso mu mtundu woyamba wa 2 ndi mtundu wa shuga ndi weniweni, ngakhale mutakhala ndi majini oyipa. Kuti muchite izi, muyenera:
- Sinthani kwambiri shuga m'magazi mwa kupanga pulogalamu ya matenda a shuga 1 kapena mtundu wachiwiri wa matenda ashuga,
- amatenga magazi ndi mkodzo miyezi itatu iliyonse yomwe imayang'ana ntchito ya impso,
- khalani ndi magazi owonera bwino kunyumba ndipo mumayezera kuthamanga kwa magazi, makamaka kamodzi pa sabata.
- Kuwonongeka kwa impso mu matenda a shuga, momwe amathandizira komanso kupewa
- Ndi mayeso ati omwe muyenera kudutsa kuti muwone impso (kutsegula pawindo lina)
- Diabetes nephropathy: magawo, Zizindikiro ndi chithandizo
- Zofunika! Zakudya za Impso za Matendawa
- Mitsempha yam'mimba
- Matenda a impso
Ngati matenda oopsa ayambika ndipo sangathe kuyang'aniridwa popanda mapiritsi a "mankhwala", ndiye muyenera kuwona dokotala kuti akupatseni mankhwala - ACE inhibitor kapena angiotensin-II receptor blocker. Werengani zambiri zamankhwala othandizira odwala matenda ashuga matenda ashuga. Mankhwala ochokera m'makalasi amenewa samangochepetsa kuthamanga kwa magazi, komanso ali ndi chotsimikizika choteteza impso. Amakulolani kuti muchepetse gawo lomaliza la kulephera kwa impso kwa zaka zingapo.
Kusintha kwawonekera kwa odwala omwe ali ndi matenda amtundu wa 2 komanso amtundu wa 2 ndiwothandiza kwambiri kuposa mankhwala chifukwa amachotsa zomwe zimayambitsa kuwonongeka kwa impso, osati "kungodumphitsa" zizindikirazo. Ngati mungalangize pulogalamu yanu yothandizira odwala matenda ashuga kapena mtundu wachiwiri wa matenda ashuga komanso kukhalabe ndi shuga, ndiye kuti matenda ashuga sangakuopsezeni, komanso mavuto ena. Zochita zomwe timalimbikitsa zimalimbikitsa shuga m'magazi ndi kuthamanga kwa magazi kuti zithandizike.
Mitsempha yamagazi imasweka bwanji
Ngati matenda a shuga sawongoleredwa bwino, chifukwa chomwe wodwalayo amakhala ndi shuga wambiri kwa miyezi ndi zaka, izi zimawononga makoma amitsempha yamagazi kuchokera mkati. Amakutidwa ndi ma atherosselotic zolembera, m'mimba mwake mwake, kutaya kwa magazi kudzera m'matumbo kumasokonekera. Odwala omwe ali ndi matenda a shuga a 2, nthawi zambiri pamakhala kuchuluka kwa shuga m'magazi, komanso kunenepa kwambiri komanso kusachita masewera olimbitsa thupi. Chifukwa chokhala moyo wopanda thanzi, amakhala ndi mavuto a cholesterol yamagazi komanso kuthamanga kwa magazi. Izi ndi zinthu zina zowopsa zomwe zimawononga ziwiya. Komabe, shuga wokwezeka wamwazi chifukwa cha matenda amtundu 1 kapena 2 amathandizira pakukula kwa atherosclerosis. Ndiowopsa nthawi zambiri kuposa kuyesa matenda oopsa kapena kuyesa kolesterol koyenera.
Chifukwa chiyani atherosulinosis ndiyowopsa ndipo iyenera kuyang'aniridwa kuti isawononge chitukuko chake? Chifukwa mtima, mikwingwirima ndi mavuto m'miyendo mu matenda ashuga zimayamba ndendende chifukwa zotengera zimatsekeka ndi zolembedwa za atherosclerotic, ndipo magazi amayenda kudzera mwa iwo akusokonezedwa. Mtundu woyamba wa 2 komanso wa matenda ashuga 2, kuwongolera kwa atherosclerosis ndi njira yachiwiri yofunika kwambiri mutakhala ndi shuga. Myocardial infaration ndi pamene gawo la minofu ya mtima limamwalira chifukwa chosakwanira magazi. Mwambiri, nthawi zambiri mtima wa munthu usanayambike, mtima wake umakhala wathanzi. Vutoli silili mumtima, koma m'mitsempha lomwe limadyetsa magazi. Momwemonso, chifukwa chosokonezeka m'magazi, ma cell a ubongo amatha kufa, ndipo izi zimatchedwa stroke.
Kuyambira 1990s, zapezeka kuti shuga ndi magazi kwambiri zimakwiyitsa chitetezo cha mthupi. Chifukwa cha izi, zinthu zambiri zozungulira zotupa zimachitika mthupi, kuphatikiza mkati mwake khoma lamitsempha yama magazi. Mafuta a cholesterol amamatira kumadera omwe akhudzidwa. Izi zimapanga mapangidwe a atherosclerotic pamakoma amitsempha yamagazi, omwe amakula kwakanthawi. Werengani zambiri za "Momwe matenda a matenda a shuga amapezekera mu shuga." Pamene kulumikizana kwa njira zotupa ndi atherosclerosis kukhazikitsidwa, ndiye kuti izi zinali zopambana zenizeni. Chifukwa adapeza zisonyezo za kutupa komwe kumayenderera m'magazi.
Tsopano mutha kukayezetsa magazi pazifukwa za mtima komanso kuunika moyenera kuopsa kwa vuto la mtima ndi sitiroko kuposa momwe mayeso a cholesterol angachitire. Palinso njira zoponderezera kutukusira, motero kuletsa atherosulinosis ndikuchepetsa chiopsezo cha ngozi yamtima. Werengani zambiri "Kuthana ndi vuto la mtima, kugunda kwa mtima ndi matenda a mtima."
Mwa anthu ambiri, shuga wamagazi samakhazikika, koma amawuka patangotha maola ochepa chakudya chilichonse. Madokotala nthawi zambiri amatcha kuti prediabetes. Shuga amatha ndikatha kudya amawononga kwambiri mtsempha wamagazi. Makoma a mitsempha amakhala amtengo ndikuwotcha, zolembera zamtundu wa atherosclerotic zimamera pa iwo. Kutha kwa mitsempha yamagazi kupumula ndikukulitsa m'mimba mwake kuti kayendedwe ka magazi akuwonongeka. Matenda a shuga amatanthauza chiopsezo chowopsa cha matenda a mtima ndi sitiroko. Kuti mum'thandize bwino komanso kuti musakhale ndi matenda a shuga, muyenera kumaliza magawo awiri oyamba a pulogalamu yachiwiri ya matenda ashuga. Izi zikutanthauza - kutsatira zakudya zamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.
Mavuto a shuga ndi moyo wapamtima
Type 1 ndi matenda ashuga 2, ngati sawongolera bwino, ali ndi zotsatira zoyipa pa moyo wapamtima. Mavuto a matenda ashuga amachepetsa chilakolako chogonana, amachepetsa mwayi, ndikuchepetsa kukhutitsidwa. Kwambiri, abambo amakhala ndi nkhawa ndi zonsezi, ndipo zambiri zomwe zidziwitso pansipa ndi za iwo. Komabe, pali umboni kuti azimayi omwe ali ndi matenda ashuga amakhala ndi matenda a anorgasmia chifukwa cha kuwonongeka kwamitsempha. Komanso, moyo wawo wapamtima umakulirakulira chifukwa cha pafupipafupi matenda obwera ndi ukazi. The bowa omwe amachititsa kuti shuga azidyetsa kwambiri shuga, ndipo odwala matenda ashuga osawoneka bwino amapanga malo abwino oti ziberekane.
Takambirana za zovuta za matenda obwera chifukwa cha matenda ashuga pa moyo wa abambo ndi momwe mungachepetse mavuto. Kukonzekera kwa mbolo yachimuna ndikovuta motero. Kuti chilichonse chitha bwino, zinthu zotsatirazi ziyenera kuchitika nthawi imodzi:
- kuchuluka kwa testosterone m'mwazi,
- Zida zomwe zimadzaza mbolo ndi magazi ndizopanda zoyera,
- Mitsempha yomwe imalowa mu autonomic mantha system ndikuwongolera erection imagwira ntchito nthawi zambiri,
- kutsitsa kwa mitsempha yomwe imapereka malingaliro okhutitsidwa pogonana sikusokoneza.
Matenda a shuga a shuga amawonongeka mitsempha chifukwa cha shuga wambiri. Itha kukhala yamitundu iwiri. Mtundu woyamba ndi kusokonezeka kwamanjenje yamatenda amanjenje, yomwe imapereka mayendedwe osazindikira. Mtundu wachiwiri ndi kuwonongeka kwa mitsempha yomwe imalowa mu autonomic mantha system. Dongosololi limawongolera machitidwe ofunikira kwambiri osadziwika bwino m'thupi: kugunda kwa mtima, kupuma, kuyenda kwa chakudya kudzera m'matumbo ndi ena ambiri. Dongosolo lamanjenje la autonomic limayendetsa kukonzekera kwa mbolo, ndipo dongosolo la somatic limayendetsa makutu amasangalalo. Njira zamanjenje zomwe zimafika kudera lamtunduwu ndizitali kwambiri. Ndipo atakhala nthawi yayitali, amakhala pachiwopsezo cha kuwonongeka kwawo mu shuga chifukwa cha shuga wambiri.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Ngati magazi akuyenda m'mitsempha ali ndi vuto, ndiye kuti, kumangika kumakhala kofooka, kapenanso palibe chomwe chingagwire ntchito. Takambirana pamwambapa momwe matenda ashuga amawonongera mitsempha yamagazi komanso momwe imayambira. Atherosclerosis nthawi zambiri imawononga mitsempha yamagazi yomwe imadzaza mbolo ndi magazi kale kuposa mitsempha yomwe imadyetsa mtima ndi ubongo. Chifukwa chake, kuchepa kwa potency kumatanthauza kuti chiopsezo cha matenda a mtima ndi stroke chikuwonjezereka. Tengani izi mozama momwe mungathere. Yesetsani kuletsa matenda a atherosulinosis (momwe mungachitire izi). Ngati pambuyo vuto la mtima ndi sitiroko muyenera kusintha kulumala, ndiye kuti mavuto omwe ali ndi potency akuwoneka kuti akukuuzani zopanda pake.
Testosterone ndi mahoni ogonana amuna. Kuti bambo achite zogonana ndikusangalala, payenera kukhala muyezo wina wa testosterone m'mwazi. Mlingowu umachepa pang'onopang'ono ndi zaka. Kusowa kwa testosterone ya magazi nthawi zambiri kumapezeka mwa anthu azaka zapakati komanso akulu, komanso makamaka odwala matenda ashuga. Posachedwa, zimadziwika kuti kusowa kwa testosterone m'mwazi kumawonjezera maphunziro a shuga, chifukwa amachepetsa chidwi cha maselo kuti apange insulin. Pali bwalo loipa: shuga imachepetsa kuchuluka kwa testosterone m'mwazi, ndipo testosterone yocheperako, imakhala yolimba kwambiri shuga. Pomaliza, mahomoni omwe ali m'magazi a munthu amasokonezeka kwambiri.
Chifukwa chake, matenda ashuga amakakamiza kugonana amuna m'njira zitatu nthawi imodzi:
- amalimbikitsa zotsekera zombo zokhala ndi zolembedwa za atherosulinotic,
- zimabweretsa mavuto ndi testosterone m'mwazi,
- imasokoneza kuchepa kwa mitsempha.
Chifukwa chake, sizosadabwitsa kuti amuna omwe ali ndi matenda ashuga nthawi zambiri amakumana ndi zolephera m'miyoyo yawo. Oposa theka la amuna omwe ali ndi matenda ashuga a 2 kwa zaka 5 kapena kupitilira amadandaula za zovuta za potency. Ena onse amakumananso ndi mavuto omwewo, koma samadziwika ndi madokotala.
Za chithandizo, nkhani ndi zabwino ndi zoyipa. Nkhani yabwino ndi chakuti ngati mumatsatira pulogalamu ya matenda a shuga a mtundu woyamba kapena pulogalamu yachiwiri ya shuga, ndiye kuti pakapita nthawi, kudzitsekera kwa mitsempha kumabwezeretseka. Kutembenuza mtundu wa testosterone m'mwazi kumakhala zenizeni. Gwiritsani ntchito ntchito imeneyi njira zomwe dokotala wamuuza, koma musagulitse katundu “mobisa” ku malo ogulitsira. Nkhani yoyipa ndiyakuti ngati mitsempha ya magazi idawonongeka chifukwa cha atherosulinosis, ndiye kuti ndizosatheka kuchiritsa lero. Izi zikutanthauza kuti potency sangathe kubwezeretsedwa, ngakhale akuyesetsa.
Werengani nkhani yatsatanetsatane, "Matenda a shuga ndi Kulephera Kwa Amuna." Mumaphunzira kuti:
- momwe mungagwiritsire ntchito moyenera Viagra ndi "abale" ake osadziwika,
- njira zothetsera matenda a testosterone m'magazi,
- penile prosthetics ndi njira yomaliza ngati zonse zalephera.
Ndikukulimbikitsani kuti mutenge kuyesedwa kwa magazi a testosterone, ndipo, ngati kuli koyenera, funsani dokotala momwe mungapangire kuchuluka kwake. Izi ndizofunikira kuti zisangobwezeretsanso potency, komanso kuwonjezera kuchuluka kwa maselo kuti apange insulin ndikuwongolera njira ya matenda ashuga.
Matenda a shuga komanso vuto la kukumbukira
Matenda a shuga amasokoneza kukumbukira ndi ntchito zina za ubongo. Vutoli limapezeka mwa achikulire ngakhale kwa ana omwe ali ndi matenda a shuga a mtundu woyamba 1. Chifukwa chachikulu chomwe chimapangitsa kuti anthu azikumbukira matenda ashuga ndi kusawerengera bwino shuga. Komanso, ntchito yabwinobwino yaubongo imasokonezedwa osati ndi shuga wowonjezereka, komanso nthawi zambiri za hypoglycemia. Ngati ndinu aulesi kwambiri kuchitira wodwala wanu shuga ndi chikhulupiriro chabwino, ndiye musadabwe zikakhala zovuta kukumbukira zakale komanso kukumbukira zatsopano.
Nkhani yabwino ndiyakuti ngati mutatsatira mosamala pulogalamu ya matenda a shuga 1 kapena mtundu wa 2 wodwala matenda ashuga, ndiye kuti kukumbukira kwakanthawi kochepa komanso kwanthawi yayitali kumakhala bwino. Izi zimamvekanso ngakhale ndi anthu okalamba. Kuti mumve zambiri, onani nkhani yakuti “Zolinga zakuchiritsira matenda amtundu 2 komanso matenda ashuga a 2. Zomwe ungayembekezere shuga wako ukayamba kuchita bwino. ” Ngati mukuwona kuti kukumbukira kwanu kwakulirakulira, ndiye kuti muziyamba kuwongolera shuga kwa masiku atatu kapena atatu. Izi zikuthandizani kudziwa komwe mudalakwitsa komanso chifukwa chake matenda anu ashuga adachoka. Nthawi yomweyo, odwala matenda ashuga ndi okalamba, monga anthu onse. Ndipo ndi ukalamba, kukumbukira kumatha kufooka ngakhale mwa anthu opanda shuga.
Njira yothetsera vutoli imatha kuchitika chifukwa cha mankhwala, omwe mbali yake imakhala yotopetsa, kugona. Pali mankhwala ambiri otere, mwachitsanzo, mainkinkiller, omwe amaperekedwa kwa matenda a shuga. Ngati ndi kotheka, khalani ndi moyo wathanzi, yesani kumwa mapiritsi ochepera "mankhwala".Kusunga kukumbukira kwazaka zambiri, samalani ndi zoletsa za matenda a atherosclerosis, monga tafotokozera m'nkhaniyi "Kupewa matenda a mtima, sitiroko komanso mtima kulephera". Atherosulinosis imatha kudzetsa ubongo mwadzidzidzi, ndipo izi zisanachitike pang'onopang'ono zimapangitsa kukumbukira.
Matenda a matenda ashuga
Type 1 and 2 diabetesics nthawi zambiri amasiya kumva m'miyendo chifukwa cha matenda ashuga. Ngati izi zikuwonekera, ndiye kuti munthu wokhala ndi khungu la kumapazi sangamvekenso kuchepa, kuziziritsa, kuzizira, kuwotcha, kufinya chifukwa cha nsapato zosavomerezeka komanso mavuto ena. Zotsatira zake, wodwala matenda ashuga amatha kukhala ndi mabala, zilonda zam'mimba, zilonda zam'mimba, kuwotcha kapena frostbite pamiyendo yake, yomwe sangaikayikira mpaka gangore iyamba. M'malo ovuta kwambiri, odwala matenda a shuga samalabadira ngakhale mafupa osweka a phazi.
Mu shuga, matenda nthawi zambiri amakhudza mabala amiyendo omwe samachiritsidwa. Mwanjira zambiri, odwala adadwalitsa mitsempha yodutsitsa ndipo, nthawi yomweyo, kuthamanga kwa magazi kudzera m'mitsempha yodyetsa miyendo yam'munsi ndikovuta. Chifukwa cha izi, chitetezo cha mthupi sichitha kukana majeremusi ndipo mabala amachiritsidwa. Zotsatira zoyipa zimachitika pamene matendawa afalikira kwambiri, amakhudza ngakhale mafupa ndikupangitsa poyizoni wamagazi.
Poizoni wamagazi amatchedwa sepsis, ndipo matenda amfupa amatchedwa osteomyelitis. Ndi magazi, tizilombo tating'onoting'ono timatha kufalikira thupi lonse, ndikupatsira matupi ena. Izi zikuopseza moyo kwambiri. Osteomyelitis ndizovuta kuchiza. Nthawi zambiri maantibayotiki amphamvu kwambiri samathandiza, ngakhale atapatsidwa mankhwala olimbitsa thupi. Pankhaniyi, kudula kwadzidzidzi konse kwa phazi kapena mwendo wonse ndi komwe kungapulumutse moyo wa odwala matenda ashuga.
Matenda a shuga angayambitse kuphwanya kwamiyendo ya phazi. Izi zikutanthauza kuti pakuyenda, kukakamizidwa kumayikidwa m'malo omwe sanapangidwire izi. Zotsatira zake, mafupawo ayamba kuyenda, ndipo chiwopsezo cha kufalikira chidzakulanso. Komanso, chifukwa cha kupanikizika kosaneneka, chimanga, zilonda ndi ming'alu zimawoneka pakhungu la miyendo. Pofuna kupewa kudula phazi kapena mwendo wonse, muyenera kuphunzira malamulo osamalira odwala ashuga ndikuwatsata mosamala.
Ntchito yofunikira kwambiri ndikutsata mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wa 2 wodwala matenda a shuga kuti muchepetse shuga lanu lamagazi ndikulisunga bwino. Zotsatira zake, mitsempha yodutsika komanso kumva kukoka m'miyendo kudzachira patatha milungu ingapo, miyezi kapena zaka, kutengera zovuta zakukula kumene. Pambuyo pa izi, matenda ammimba a shuga sangathenso kuopsezedwa.
Mutha kufunsa mafunso mu ndemanga zokhudzana ndi zovuta za matenda ashuga, oyang'anira tsamba samayankhidwa mwachangu.
Kodi chifuwa chachikulu ndichipatala?
Matenda amtundu uliwonse wa chifuwa ndi osowa kwambiri mu shuga. Nthawi yomweyo, izi ndizotheka, chifukwa thupi la odwala matenda ashuga limafooka ndipo limapezeka mosavuta kumatenda. Kuphatikizapo kupuma, komwe kumakhala kovuta kulimbana nako. Pazomwe zimayambitsa kukula kwa matenda, ziwonetsero ndi njira zakuchira mtsogolo.
Pazomwe zimayambitsa matenda
Kuti chifuwa chachikulu ndi shuga chikule, zinthu zingapo ziyenera kuyenderana. Makamaka, kachilombo ka kachilombo ka matenda komwe kakuyimiridwa. Izi zimatha kuchitika ndi m'malovu, komanso mukatha kulumikizana nthawi yayitali ndi munthu yemwe ali ndi kachilomboka.
Komanso, thupi la munthu wodwala matenda ashuga limatha kufooketsedwa ndi chimfine chomwe chimakhala nthawi yayitali, kuchepa kapena shuga. Zotsatira zake, mafinya amtundu wa chibayo, omwe samayenda mwachindunji ngati ali ndi chifuwa chachikulu, koma amakhala mu umodzi wa conjugate. Ndikofunika kukumbukira kuti mu shuga mellitus mitundu ya zamatsenga monga zabodza imakonda kupezeka, yomwe nthawi zambiri imapangidwa mu osuta.
M'mawu awo oyamba, ali ofanana ndi chifuwa chachikulu, komabe, mukazindikira, kusiyana pamalingaliro owonongeka mu dongosolo la pulmonary kumawonekera. Matendawa amatha kuthandizidwa mosavuta, mosiyana ndi chifuwa chenicheni.
Chifukwa chake, chifukwa chachikulu cha kakulidwe kazake ndi kachilombo kapena kachilombo ka mabakiteriya, kubadwanso komwe m'thupi la munthu kumaonekera m'zizindikiro zowonekera.
Pazizindikiro komanso matenda
Ndi matenda amtundu wa 1 komanso matenda a shuga a 2, omwe amaphatikizidwa ndi chifuwa chachikulu, akuwonetsa zotsatirazi:
- kutsokomola kosatha, komwe kumapangidwa ndi kukomoka, m'mawa ndi madzulo,
- secretion wa sputum, ntchofu ndi zina zotsatira za matenda. Ngati matendawa ndi oopsa, hemoptysis amapanga,
- kutsokomola kwa zizindikiro monga kutentha thupi, kuchuluka kwa thanzi lonse.
Munthu amayamba kuchepa thupi msanga, kusiya kudya. Mwa odwala matenda ashuga, kapangidwe ka chifuwa kamasintha - kamakhala kopanda tanthauzo. Ndi matenda owopsa, munthu yemwe ali ndi kachiromboka amakhala akugonja nthawi zonse. Kukoma kwake kumasintha, kukhala pang'onopang'ono ndikugwedezeka.
Kuphatikiza apo, zizindikiro zina zapadera zimawonekera, mwachitsanzo, kusowa kwamphamvu, kusakhazikika maganizo kapena kusasamala. Pakakhala chithandizo chanthawi yake komanso kukulitsa matenda osokoneza bongo, zovuta, ngakhale imfa, zimachitika mwachangu kwambiri. Kuti mupewe izi, zizindikiro zoyambirira zikaonekera, ndikofunikira kuzindikira.
Magawo oyambilira ndi fluorography ndikutulutsa kwa sputum kuti muzindikiritse majeremusi ndi zina zoyipa. Izi zithandizira kudziwa kuti njira yayikulu ndi iti, komanso njira zomwe zikuyenera kugwiritsidwa ntchito.
About njira zamankhwala
Ndi chifuwa chachikulu komanso chifuwa chachikulu cha matenda a shuga, kuchira kuyenera kukhala kosasinthika, komabe, ngati vutoli silikulipiridwa, kuchitapo kanthu kwa opaleshoni ndikololedwa. Kugwiritsa ntchito mankhwala osokoneza bongo kumaphatikizapo kugwiritsa ntchito mucolytics, komanso mankhwala azitsamba omwe amakulitsa kupuma kwamphamvu.
Gawo lokakamiza la chithandizo ndikukhazikitsa mabungwe olimbitsa thupi.
Ndi matenda ashuga, iyenera kukhala yogwira ntchito kwambiri, chifukwa thupi la odwala matenda ashuga limagwira ntchito pang'onopang'ono kuposa matenda omwe aperekedwa. Ma olimbitsa olimbitsa thupi ayenera kuchitika tsiku lililonse, ndipo zinthu zake zimasankhidwa payekha ndi pulmonologist ndi endocrinologist.
Kupitiliza kosamala kwa chifuwa chachikulu komanso kuchuluka kwa machiritso ake zimawonetsedwa. Ngati kwa miyezi 1-2, kutengera zaka za wodwalayo ndi zovuta zina, mpumulo suchitika, muyenera kuganizira za opareshoni.
Njira ina yodziwika bwino yothanirana ndi spa. Ili ndi maubwino angapo, makamaka:
- kuchuluka kwakukulu: 75% ya odwala amachiritsidwa kwathunthu a chifuwa chachikulu,
- kuthekera kokhala moyo wokangalika,
- kuyang'anira kudya kofunikira, komanso kuyang'aniridwa ndi achipatala.
Matenda a wodwalayo akayamba kusintha, mutha kusamalira njira zodzitetezera.
About Kuteteza ndi Kubwezeretsa
Njira zabwino zopewera chifuwa chachikulu m'matumbo a shuga ndizoperekera Katemera kopitilira muyeso, kupatula kulumikizana kulikonse ndi anthu omwe ali ndi kachilombo, komanso kukhalabe ndi moyo wathanzi. Izi zikuthandizira kulimbitsa thupi momwe zingathere, kuthamangitsa njira yochizira chifuwa.
Amalangizidwanso kukhala ndi moyo wokangalika, pumani mpweya wabwino. Ndikulimbikitsidwa kugwiritsa ntchito inhaler yapadera yomwe imatsuka mapapu. Zakudya zoyenera siziyenera kunyalanyazidwa. Ndikofunika kupatula mbale zamafuta, zosuta, mchere ndi tsabola, pogwiritsa ntchito masamba.
Ndi njirayi, zitha kunena kuti chifuwa chachikulu cha matenda a shuga sichowopsa. Izi zikuthandizira kusunga 100% ntchito yofunika kwambiri, zizindikiro zapamwamba kwambiri. Chofunika kwambiri, muyenera kukumbukira kuti matenda aliwonse ndiwosavuta kuchiritsira koyambirira kuposa omwe amayamba.
About Kuteteza
Monga mukudziwa, kulandira chithandizo mosavutikira sikumapereka zotsatira 100%, ndichifukwa chake ndikofunikira kwambiri. Chifukwa chake, kusamalira mosamala malamulo onse aukhondo wa munthu payekha kudzapangitsa kupewa matenda omwe angatengeke ndi njira yopumira. Koma kusamba m'manja pafupipafupi komanso mosachepera kungapangitse kuti kuteteza kukule komanso kuchuluka kwa matenda ozizira, osati ndi matenda a shuga okha, komanso popanda iwo.
Ndikofunika kukumbukira kuti palibe katemera motsutsana ndi chimfine chomwe chimapezeka chifukwa cha matenda omwe afotokozedwawo. Komabe, tikulimbikitsidwa kukambirana ndi katswiri za mwayi wogwiritsa ntchito katemera wa fuluwenza. Izi zikuyenera kuchitika, pokhapokha ngati zingapangitse kupsinjika kwa thupi komanso kusokoneza kukonzanso kwa shuga m'magazi.
Inde, muyenera kukumbukira kuchuluka kwa zochita zolimbitsa thupi, kumwa mankhwala onse ofunikira komanso ololedwa, kuwunikira kuchuluka kwa shuga ndi zakudya zovomerezeka. Pokhapokha ngati mutero, mutha kudalira kuti kuzizira kokhala ndi matenda ashuga kudzadutsa msanga komanso popanda zovuta.
Matenda a shuga ndi miyendo. Matenda a shuga amapweteka miyendo - chithandizo
Matenda a shuga nthawi zambiri amapereka zovuta kumiyendo. Mavuto a phazi pamoyo wonse amapezeka 25-25% ya onse odwala matenda ashuga. Ndipo okalamba akamadwala, zimawonekera kwambiri mwadzidzidzi. Matenda amiyendo omwe ali ndi matenda ashuga amabweretsa mavuto ambiri kwa odwala ndi madokotala. Miyendo imapweteka ndi matenda ashuga - mwatsoka, yankho losavuta lavutoli sililipo. Ndiyenera kuchita zonse zomwe ndingathe kuti ndichiritsidwe. Komanso, muyenera kuthandizidwa kokha ndi dokotala waluso, ndipo popanda vuto ndi "wowerengeka azitsamba". Munkhaniyi, muphunzira zoyenera kuchita. Zolinga za Chithandizo:
- Pulumutsani ululu m'miyendo, komanso bwino - zichotsani,
- Sungani mphamvu yakusamuka "nokha."
Ngati simupereka chidwi ndi kupewa komanso kuchiza matenda a shuga pamiyendo, wodwala amatha kutaya chala chonse kapena phazi.
Mu matenda a shuga, miyendo imapweteka chifukwa ma atherosulinosis amachepetsa kuyeza m'mitsempha yamagazi. Tiziwalo tamatumbo timalandira magazi osakwanira, "osakwanira" chifukwa chake timatumiza ma ululu. Opaleshoni yobwezeretsa magazi m'mitsempha yam'munsi yam'munsi imatha kuchepetsa ululu ndikuwongolera moyo wa odwala matenda ashuga.
Pali ziwonetsero ziwiri zazikulu pamavuto am miyendo ndi matenda a shuga:
- Shuga wokwezeka kwambiri amakhudza minyewa yamitsempha, ndipo amasiya kuchita zokakamiza. Izi zimatchedwa diabetesic neuropathy, ndipo chifukwa cha izi, miyendo imatha kutaya mtima.
- Mitsempha yamagazi yomwe imadyetsa miyendo imakhala yotseka chifukwa cha atherosulinosis kapena kapangidwe ka magazi (magazi). Ischemia akufotokozera - mpweya njala ya zimakhala. Pankhaniyi, miyendo imapweteka.
Matenda a matenda ashuga
Kuwonongeka kwa m'mitsempha chifukwa cha kukweza kwa magazi kwam'mimba kumatchedwa diabetesic neuropathy. Kupanikizika kwa shuga kumeneku kumabweretsa kuti wodwalayo amalephera kumva kukhudza miyendo yake, kupweteka, kupsinjika, kutentha ndi kuzizira. Tsopano ngati wavulala mwendo, sangamve. Ambiri odwala matenda ashuga omwe ali ndi vutoli amakhala ndi zilonda m'miyendo ndi m'miyendo, yomwe imachira nthawi yayitali.
Ngati chidwi cha miyendo chofooka, ndiye kuti mabala ndi zilonda zam'mimba sizimapweteka. Ngakhale kutayika kapena kufalikira kwa mafupa a phazi ndiye kuti sizikhala zopweteka. Izi zimatchedwa matenda a shuga. Popeza odwala samva kupweteka, ambiri aiwo ndi aulesi kwambiri kuti atsatire malangizo a dokotala. Zotsatira zake, mabakiteriya amachulukana m'mabala, ndipo chifukwa cha gangrene, mwendo nthawi zambiri umadulidwa.
- Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
- Mankhwala 2 a shuga: nkhani yatsatanetsatane
- Mapiritsi a Siofor ndi Glucofage
- Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi
Matenda a m'mitsempha ya m'matenda a shuga
Patency yamitsempha yamagazi itagwa, ndiye kuti minyewa ya miyendo imayamba "kufa ndi njala" ndikutumiza ma sign a ululu. Ululu umatha kupumula kapena pokhapokha pakuyenda. Mwanjira ina, ngati miyendo yanu imapweteka ndi matenda a shuga ndilabwino kwambiri. Chifukwa kupweteka m'miyendo kumalimbikitsa wodwala matenda ashuga kuwona dokotala ndikuchira ndi mphamvu zake zonse. M'nkhani ya lero, tikambirana zinthu ngati izi.
Mavuto a m'mitsempha yamagazi omwe amadyetsa miyendo amatchedwa "matenda opindika a mtsempha wamagazi". Peripheral - amatanthauza kutali ndi pakati. Ngati lumen m'matumbowo ndi ochepa, ndiye kuti nthawi zambiri mumadwala matenda ashuga, kumachitika pakapita nthawi. Izi zikutanthauza kuti chifukwa cha kupweteka kwambiri m'miyendo, wodwalayo amayenera kuyenda pang'onopang'ono kapena kuima.
Ngati matenda apakati pa mtsempha wamagazi amaphatikizidwa ndi matenda ashuga a m'mimba, ndiye kuti ululuwo umakhala wofatsa kapenanso kuti palibe. Kuphatikizika kwa kufooka kwa mtima komanso kuchepa kwa chidwi cha kupweteka kumawonjezera mwayi womwe wodwala matenda ashuga ayenera kudula miyendo imodzi kapena yonse. Chifukwa ziwalo zamiyendo zikupitilirabe kuchepa chifukwa cha "njala," ngakhale wodwalayo samva kuwawa.
Ndimayesedwe ati ngati miyendo yanu imapweteka ndi matenda a shuga
Ndikofunikira kupenda bwino miyendo yanu ndi miyendo yanu tsiku ndi tsiku, makamaka ukalamba. Ngati magazi atuluka m'matumbo asokonezeka, mutha kuzindikira zizindikilo zakunja kwa izi. Zizindikiro za gawo loyambirira la matenda otumphukira:
- Khungu pamiyendo likhala louma
- mwina ayamba kuboola, kuphatikizika ndi kuyabwa,
- kutulutsa khungu kapena kuchotsedwa pakhungu kumatha kuwonekera pakhungu,
- Kwa amuna, Tsitsi lakumunsi limasenda imvi.
- Khungu limakhala lotuwa nthawi zonse kuti lizitha kugwira,
- kapena mosinthanitsa, imatha kutentha ndi kupeza mtundu wa cyanotic.
Dokotala wodziwa bwino amatha kudziwa ngati wodwala ali ndi mitsempha yotani yomwe imadyetsa ziwalo zamiyendo. Imeneyi ndiye njira yosavuta kwambiri komanso yotsika mtengo kwambiri yopezera zotumphukira zamagazi. Nthawi yomweyo, kupindika pa mtsempha wamagetsi kumayimitsidwa kapena kuchepa kwambiri pokhapokha ngati lumen yake imachepetsedwa ndi 90% kapena kuposa. Sachedwa kwambiri kuti tipewe kufa ndi minofu.
Chifukwa chake, amagwiritsa ntchito njira zowerengera zovuta pogwiritsa ntchito zida zamakono zamankhwala. Kuyerekeza kwa systolic ("kumtunda") kwamitsempha yam'munsi yam'munsi ndi chithokomiro cham'mimba kumawerengedwa. Izi zimatchedwa ankle-brachial index (LPI). Ngati ili mu mndandanda wa 0.9-1.2, ndiye kuti magazi m'miyendo amadziwika kuti ndi abwinobwino. Kupanikizika kwa minyewa yayikulu kumayesedwanso.
Mlozera wa buluzi umapereka chidziwitso cholondola ngati zotengera zimakhudzidwa ndi atherosulinosis ya Menkeberg, ndiye kuti, zimakutidwa ndi "kukula" kochokera mkati. Mwa odwala okalamba, izi zimachitika nthawi zambiri. Chifukwa chake, njira ndizofunikira zomwe zimapereka zotsatira zolondola komanso zokhazikika. Izi ndizofunikira makamaka pakuthetsa nkhani ya opaleshoni kuti ibwezeretse patency yamitsempha kuti miyendo isapweteke.
- Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
- Njira ya jakisoni wopweteka wa insulin
- Mtundu woyamba wa shuga 1 mwa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
- Momwe mungachepetse kuwonongeka kwa impso
Transcutaneous Oximetry
Transcutaneous oximetry ndi njira yopweteka yopanda phokoso yomwe imakupatsani mwayi wofufuza momwe minofu yokhala ndi mpweya wabwino ulili. Transcutaneous amatanthauza "kudutsa pakhungu." Sensor yapadera imagwiritsidwa ntchito pakhungu, lomwe limapanga muyeso.
Kulondola kwa mayeserowa kumatengera zinthu zambiri:
- mkhalidwe wam'mapapo wodwala,
- kuchuluka kwa hemoglobin wamagazi ndi mtima wake,
- kuchuluka kwa mpweya mumlengalenga,
- makulidwe a khungu komwe sensor imagwiritsidwa ntchito,
- kutupa kapena kutupa m'malo oyeza.
Ngati mtengo womwe wapezeka uli pansi pa 30 mm RT.Art., Ndiye yovuta ischemia (kufa ndi mpweya wa okosijeni) ya miyendo imapezeka. Kulondola kwa njira yosinthira ma oximetry sikokwanira. Koma imagwiritsidwabe ntchito, chifukwa imawerengedwa kuti ndi yophunzitsa ndipo siyimabweretsa mavuto kwa odwala.
Ultrasound yamitsempha yamagazi yopereka magazi ku miyendo
Kusanthula kwapadera (ultrasound) kwamitsempha yamagawo am'munsi - amagwiritsidwa ntchito poyang'ana momwe magazi amayendera asanayambe kuchita opareshoni yamitsempha. Njira imeneyi imawonjezera mwayi kuti zitheka munthawi yake kuti mupeze chotupa cha mtsempha kapena chopindika kapena kuchepera kwa lumen m'matumbo mutachitidwa opaleshoni (restenosis).
Ultrasound yamitsempha yamagazi imakupatsani mwayi kuti muphunzire madera ovuta, ndiko kuti, zigawo zomwe "zidachotsedwa" m'magazi chifukwa chakukula kwa matendawa. Pogwiritsa ntchito njirayi, mutha kuwunika bwino momwe ziwiya ziliri ndipo konzani pasadakhale opareshoni kuti mubwezeretsere kukhalabe kwawo.
X-ray kusiyanitsa angiography
X-ray kusiyanitsa angiography ndi njira yowunikira momwe wophatikizira wosemphana amaloŵetsamo mtsempha wamagazi, ndiye kuti ziwiya "zimatulutsa" ndi x-ray. Angiography imatanthawuza "kuwunika mtima". Iyi ndiye njira yophunzitsira kwambiri. Koma ndizosasangalatsa kwa wodwalayo, ndipo koposa zonse - wothandizira wosiyanayo akhoza kuwononga impso. Chifukwa chake, tikulimbikitsidwa kugwiritsa ntchito pokhapokha ngati pakufunsidwa funso la opareshoni yobwezeretsanso minyewa yam'mimba.
Magawo a zovuta za shuga pamiyendo
Pali 3 madigiri a zotumphukira magazi kusokonezeka mwa odwala matenda a shuga.
Digiri yoyamba - palibe umboni ndi matenda amitsempha yamagazi m'miyendo:
- kusintha kwam'mimba kumamveka
- ankolo-brachial index ya 0.9-1.2,
- cholowera kumanja> 0,6,
- mitengo ya transcutaneous oximetry> 60 mmHg. Art.
Digiri yachiwiri - pali zizindikiro kapena zizindikiro, koma pakadali pano palibe vuto lakufa la oxygen.
- kupindika pang'ono (miyendo yopweteka)
- ankolo-brachial index ya 30 mm RT. Art.
- transcutaneous oximetry 30-60 mm RT. Art.
3 digiri - yovuta mpweya njala ya zimakhala (ischemia):
- kukhathamira kwa systolic m'mitsempha ya m'munsi mwendo Kodi chithandizo ngati miyendo imapweteka ndi matenda a shuga
Ngati miyendo yanu yapweteka ndi shuga, ndiye kuti chithandizo chikuchitika m'njira zitatu:
- Zotsatira pazinthu zomwe zimathandizira kukulitsa kwa atherosulinosis, kuphatikiza mitsempha ya miyendo,
- kukhazikitsa mosamala malangizo othandizira kupewa komanso kuchiza matenda ammiyendo, omwe amafotokozedwa mwatsatanetsatane mu nkhani ya "Diabetesic foot syndrome",
- yankho la nkhani ya opareshoni yobwezeretsanso magazi kuti ibwezeretse magazi
Mpaka posachedwapa, pa nthawi yodziwika bwino, odwala adalandira mankhwala pentoxifylline. Koma kafukufuku wawonetsa kuti palibe phindu lenileni kwa odwala matenda a shuga omwe ali ndi matenda osokoneza bongo.
Ndi zovuta za matenda a shuga pamiyendo, opaleshoni yobwezeretsa magazi m'mitsempha ingakhale yothandiza kwambiri. Madokotala amalingalira za momwe wodwalayo alili ndi wodwala aliyense, poganizira zomwe angachite atachitidwa opaleshoni.
Odwala omwe ali ndi ululu wam'miyendo mu shuga, monga lamulo, adanenanso zovuta zamatumbo a metabolism (shuga yamagazi ndizambiri), matenda ammimba a shuga, komanso kuwonetsa zovuta zina za matenda ashuga. Kuti muwathandize kwenikweni, muyenera kuyitanitsa gulu la akatswiri pazachipatala.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Matenda a diabetes a phazi amathandizidwa ndi podiatrist wapadera (kuti asasokonezedwe ndi dokotala). Choyamba, kuchitira opaleshoni mabala kumapazi kungakhale kofunikira kuti mupewe matenda osokoneza bongo, ndipo pokhapokha - kubwezeretsanso kuchuluka kwa mitsempha yamagazi.
Matenda a shuga ndi Mwendo: Zotsatira
Tikukhulupirira kuti nkhaniyi yakufotokozerani mwatsatanetsatane zoyenera kuchita ngati miyendo yanu ipweteka ndi matenda a shuga. Muyenera kusinthira kukhala ndi moyo wathanzi kuti muthe kusintha shuga m'magazi ndikuletsa chitukuko cha atherosulinosis. Ndi dokotala, mudzatha kusankha pa opaleshoni yomwe idzabwezeretse kuchuluka kwa ziwiya zamiyendo. Muyeneranso kufufuzidwa pazovuta zina za matenda a shuga ndikuzichitira.
Chonde musayesetse "kupewetsa" kupweteka kwa kupweteka kwapamsi mothandizidwa ndi mapiritsi ena. Zotsatira zake zoyipa zimatha kukulitsa vuto lanu komanso chiyembekezo chamoyo. Funsani dokotala woyenera. Pa matenda ashuga, ndikofunikira kusamala ndiukhondo kumapazi kuti mukhale wokhoza kuyenda nokha.
- Momwe mungachepetse shuga ndimagazi kuti zizikhala bwino,
- Chithandizo cha matenda a shuga a Type 2 ndichothandiza kwambiri
- Momwe mungapangire jakisoni wa insulin mopweteka.