Kodi matenda amtundu wa 2 angachiritsidwe? Mtundu wachiwiri wa matenda a shuga ndi mapiritsi

Kodi mungachotse bwanji matenda ashuga? Funso lotereli limafunsidwa ndi munthu aliyense yemwe ali ndi zizindikiro za matendawa. Ndikofunika kudziwa kuti ndizofala kwambiri. Kuti muthane ndi matendawa, muyenera kudziwa mtundu wa matenda ashuga a 2 mellitus (ICD 10 E11), amatanthauza chiyani, ndi chifukwa chake zimachitika, zomwe zimabweretsa. Zonse zofunikira zimafotokozedwa m'nkhaniyi.

Matenda a shuga mellitus (DM) ndi dzina wamba la matenda angapo okhala ndi chizindikiro chachikulu chomwe chimawaphatikiza. Tikulankhula za kuchuluka kwa shuga m'magazi, ndiko kuti, kupezeka kwa hyperglycemia. Koma ndi mitundu yosiyanasiyana, chinthuchi chimakhala ndi zifukwa zake. Anthu ambiri amafunsidwa kuti: "Kodi matenda amtundu wa 2 angachiritsidwe?" Tiyeni tilingalire limodzi.

Mtundu wa shuga 1 (wodalira insulin).
Mtundu wa shuga wachiwiri (osadalira insulin).
DM, chomwe chimayambitsa matenda osokoneza bongo a chancreatitis ndi kusintha kwa mahomoni mu kusintha kwa thupi.
Matenda a amayi apakati, nthawi zambiri akamadutsa pobereka.

Mwambiri, matendawa amakhudza makamaka kapamba. Koma ndi magawo otukuka, amatha kuthana ndi machitidwe ndi ziwalo zonse.

Zizindikiro zamitundu iwiri iyi:

hyperglycemia ndi glucosuria (shuga mkodzo),
ludzu, kukodza pafupipafupi,
kufooka ndi chizungulire,
yafupika libido
kuwonongeka kwamawonekedwe
miyendo kukokana, dzanzi miyendo, kumva kuwawa,
kutentha kwa thupi kumachepetsedwa
mabala amachiritsa pang'onopang'ono ndikuchira ku matenda.

Kodi matenda amtundu wa 2 angachiritsidwe? Zambiri.

Zolemba za matenda a shuga a 2

Akamalankhula za matenda a shuga a mtundu wachiwiri, amatanthauza kulephera kwa kapamba kugwiritsa ntchito bwino shuga. Nthawi zambiri anthu patatha zaka makumi anayi amawonekera. Dzinalo lina ndi matenda ashuga athunthu. Kupatula apo, nthawi zambiri imayamba kumera motsutsana ndi maziko a kunenepa kwambiri (ngakhale itha kupezekanso ndimtundu wabwinobwino). Nthawi zambiri, amadziwika ndi kuphatikizika kwa minofu ya adipose kumtunda wapamwamba ndipo makamaka pamimba. Chifanizochi chikufanana ndi apulo. Kunenepa kumeneku kumatchedwa kuti m'mimba.

Mtundu wachiwiri umaphatikizapo 90% ya milandu yonse yamatenda. Pankhaniyi, kapamba amapanga insulin yachilendo. Koma sililowa m'matupi, chifukwa mphamvu zawo (insulin kukana) zimachepa. Zotsatira zake, thupi limapereka chizindikiro cha kuchepa kwa insulin, ndipo katulutsidwe kake kamachuluka. Pakapita kanthawi, maselo a beta adatha, thupi "limazindikira" kuti zonse zilibe ntchito, ndipo kumasulidwa kwa insulin kumachepetsedwa kwambiri.

Zizindikiro zosiyanitsa za shuga za mtundu wachiwiri:

kukodza kumachulukirachulukira, ludzu limawonekera,
Kuchepetsa thupi (osati nthawi zonse)
kufooka
kulakalaka
miyendo imayamba kuzimiririka, kulemera kuwoneka, kukokana minyewa yam'miyendo,
Mabala amachiritsa bwino, matenda satenga nthawi yayitali,
ntchito yamtima wasokonezeka,
kuyamwa kumachokera
libido yafupika, kusabala kwayamba kulowa,
kuona kwakumaso kumachepa.

Tsopano tiyeni tikambirane za mtundu wa matenda ashuga a 2 womwe ungathe kuchiritsidwa.

Zokhudza chithandizo cha matenda

Chachikulu chachipatala ndikuwunika ndi kusintha mulingo wamagazi m'magazi, kupewa kutulutsa zovuta. Popeza insulin yambiri imapangidwa m'thupi la munthu yomwe ili ndi matendawa, ndipo zolandilira mu minofu sizimatha kulumikizana nayo, yankho lolondola lavutoli lidzakhala mtundu wa receptors kuti insulin ikwaniritse ntchito zake.

Zomwe zimayambitsa kukana insulini:

M'badwo.
Zakudya zopatsa mphamvu m'zakudya.
Zochita zolimbitsa thupi.
Kunenepa kwambiri (makamaka chiwopsezo chachikulu pamaso pa android mtundu wa kunenepa kwambiri).
Matenda a chitukuko cha fetal.
Makamaka.

Chifukwa chake, munthu sangathe kuyambitsa zinthu zina. Koma otsalawo akhoza kutengeka popanda kudikirira kukalamba ndi kudzigwirira ntchito panokha. Kodi matenda amtundu wa 2 angachiritsidwe? Tipitiliza kufunafuna yankho la funsoli.

Matenda a shuga a Type 2 amathandizidwa ndimankhwala monga zakudya, jakisoni wa insulin, mankhwala, komanso, zochitika zolimbitsa thupi.

Ndikofunika kukumbukira kuti kuchotsa matenda ashuga kwamuyaya mu nthawi yathu ndikosatheka. Ngati mutsatira zakudya zoyenera, chitani masewera olimbitsa thupi, kumwa mapiritsi otetezedwa, ndipo ngati ndi kotheka, jekeseni insulini, muthanso kukhala ndi shuga wokwanira ngati munthu wathanzi. Izi zikuwonetsetsa kuti zovuta za shuga sizikukula. Ndikofunika kuti kukhala ndi moyo wathanzi kumakhala chizolowezi ndipo chimakhala tsiku ndi tsiku. Kupanda kutero, vuto la kuchuluka kwa magazi libwera posachedwa kwambiri.

Chithandizo cha matenda a shuga a mtundu wachiwiri chimaphatikizaponso chakudya.

90% ya milandu yowonjezera shuga m'magazi imayamba chifukwa cha kuperewera kwa zakudya m'thupi. Chakudyachi tsopano chili ndi zakudya zamafuta ochulukitsa zomwe sizingamwe popanda kuwononga thanzi.

Mtundu wachiwiri wa matenda ashuga umatha kupewedwa ndikamadya okhazikika, ngati mungachite izi koyambirira. Zakudya za anthu ziyenera kukwaniritsa izi:

kupatula ufa, maswiti, zokazinga ndi zokometsera, mayonesi, mowa,
kudya mkate
chakudya chamagulu (mpaka mpaka 5-6 patsiku),
kudya kochepetsa kwa calorie,
kupezeka kwa mitundu yosiyanasiyana ya nsomba ndi nyama,
kugwiritsa ntchito mafuta mkaka wotsika,
kupatula zoumba mphesa, nkhuyu, masiku, nthochi. Izi ndiye maziko othandizira odwala matenda amtundu wa 2.

Zakudya zama carb otsika ndiyo njira yayikulu yochepetsera shuga wamagazi, zimathandiza kuthetsa prediabetes ndikuletsa kuti isasinthe kukhala mtundu wa shuga. Zakudya zamtunduwu sizabwino zokha komanso thanzi, komanso. Pakadutsa masiku angapo kutsatira chakudya choterocho, mita adzaona kuchepa kwa shuga. Zisonyezo za kuthamanga kwa magazi ndi cholesterol ziwonekera pambuyo pake. Kodi kuchitira matenda a shuga a 2?

Nthawi zambiri odwala amapatsidwa chakudya cholakwika "chamafuta ochepa," chifukwa chomwe nthawi zambiri amakhala ndi njala komanso mkwiyo. Mwazi umadumpha kapena kukhala wokhazikika, cholesterol komanso kuthamanga kwa magazi sikuyambiranso mwakale. Madokotala omwe amavomereza kuti zakudya zamafuta ochepa azikhala ndi chakudya chamagulu ambiri zimapweteketsa odwala awo. Nthawi zambiri izi zimachitika chifukwa chosafuna kuyendera limodzi ndi nthawi komanso kusadziwa. Kutsatira kokha mfundo zoyambirira za kadyedwe komwe kumapangitsa matenda a shuga kukhala opanda magazi.

Zotsatira zabwino pothandizira matenda a shuga, musamadye zakudya zomwe zili pamndandanda woletsedwa. Sitikulimbikitsidwa kudya zipatso ndi zipatso za mtundu wachiwiri wa shuga, chifukwa zimakonda kuchuluka kwa shuga m'magazi ndipo zimavulaza kuposa zabwino. M'pofunika kukana zinthu zoletsedwa kulikonse: kunyumba, tchuthi, malo odyera, paphwando, paulendo, etc. Musadye zakudya zomwe zili ndi mafuta ochulukirapo, makamaka otsukidwa. Zogulitsa zotere zimaphatikizapo ngakhale zomwe zimawonedwa ngati zathanzi ndikulengezedwa mwachangu: chakudya chamafuta, oatmeal, mpunga wa bulauni, zipatso, zipatso. Ndikwabwino kukhala ndizakudya zazokolola kuchokera pazogulitsa zovomerezeka kapena kufa ndi njala kwa maola angapo. Tebulo 9 la matenda 2 a shuga lidzakhala labwino.

Amaloledwa kudya nyama, mazira, nsomba, masamba, zitsamba ndi mtedza, womwe umakhala ndi fiber. Kumwa madzi ambiri ndi tiyi wa zitsamba ndikulimbikitsidwa. Popeza kulephera kwa mtima ndi chiyembekezo cha edema, muyenera kumwa 30 ml ya madzimadzi pa kilogalamu imodzi ya thupi lanu. Zakudya zamtengo wapatali kwambiri ndi nsomba zam'nyanja, mapeyala, maolivi, mtedza. Izi ndi zomwe mtundu 2 wa shuga uli.

Kodi osayenera kugwiritsa ntchito ndi chiyani?

Kumwa mowa ndikosayenera, koma ndi shuga wambiri, zakumwa zomwe mulibe misuzi ya zipatso ndi shuga ndizoyenera. Njira yabwino ndi vinyo wofiira wouma. Simuyenera kumwa ma cocktails, mowa wamdima komanso vin. Zakumwa, mphamvu yake yomwe ndi madigiri 40, imatha kudyetsedwa pang'ono osagwirizana ndi mowa, matenda a kapamba ndi chiwindi.

Sikulimbikitsidwa kudya zipatso zilizonse kuchokera ku chimanga, ufa ndi nyemba. Iwo omwe amawona kuti buckwheat ndi othandiza amakhalanso wolakwika, chifukwa pambuyo poti agwiritsa ntchito kuchuluka kwa shuga amayamba pakapita mphindi, ndipo zimakhala zovuta kwambiri kuti abwezeretse kwazomwezo.

Simungadye shuga ndi shuga yachiwiri, chifukwa ndi gwero lama glucose komanso zovulaza ngakhale pang'ono. Tiyi amafunikiranso kuphunziridwa kumwa osakhuta. Ndizoyenera kuganizira kuti muzinthu zambiri zomalizidwa shuga amawonjezeredwa mwachinsinsi kuchokera kwa ogula, mwachitsanzo, mumasamba azamasamba. Kugwiritsa ntchito zotsekemera kumakhumudwitsidwa kwambiri, chifukwa zimachulukitsa kwambiri misempha ya insulin. Maswiti pa fructose ndi poizoni wabwino.

Kuvutika ndi matenda a shuga a mtundu wachiwiri sikulinso koyenera, chifukwa kwa nthawi yayitali sikungatheke kukhala ndi moyo wotere, ndipo pamapeto pake zonse zidzatha mu kususuka.

Chifukwa chake, cholinga chachikulu cha chakudyacho ndikuchepetsa kumwa shuga wosavuta ndi cholesterol. Komabe, nditakumana ndi zovuta za matendawa, kusintha kwa zakudya kokha sikungathandize kupirira zomwe zikuwonetsa. Pankhaniyi, chakudyacho chimathandizidwa ndikumwa mankhwala ndi maphunziro akuthupi.

Zochita zolimbitsa thupi ziyenera kukhala zolimbitsa thupi, zolimbitsa thupi (ntchito yochepetsedwa) ndizotsutsana. Odwala omwe ali ndi matenda ashuga a 2 osakhalitsa amafunika kubaya insulin. Amalembanso ntchito, kuvulala. Ndikofunika kudziwa kuti mulingo wotsatira zakudya zokhala ndi carb wotsika uli pafupifupi nthawi 2-7 poyerekeza ndi madokotala. Kuti muchepetse shuga m'magazi ndikukhala otsika kwambiri, muyenera kugwiritsa ntchito njira zonse zothandiza. Type 2 matenda a shuga a mellitus (ICD 10 E11) ndi matenda oopsa. Muyenera kukumbukira izi.

Lembani mapiritsi a shuga a 2

Mankhwala ndi gawo lachitatu lothandizira odwala matenda a shuga pambuyo pakudya komanso kuchita masewera olimbitsa thupi, pamene sizithandiza kusunga shuga m'magazi omwe amakhala abwinobwino. Ngati mapiritsi nawonso alibe ntchito, gawo lomaliza limatsalira - jakisoni wa insulin.

Magulu otsatirawa a mankhwala (kupatula insulin) amadziwika:

mankhwala omwe amachititsa chidwi cha maselo a beta kupita ku insulin,
mapiritsi a insulin abwinobwino
mankhwala atsopano, kuphatikiza magulu awiri a mankhwala omwe ali ndi zochitika za insretin,
mankhwala "Glucobai", omwe amalepheretsa kuyamwa kwa shuga m'magazi am'mimba, omwe nthawi zambiri amachititsa kugaya chakudya komanso kusakhala ndi tanthauzo pakudya.

Kugwiritsa ntchito moyenera mankhwalawa kumaphatikizanso kusunga kwa mfundo ziwiri zofunika: kukana kumwa mapiritsi omwe amalimbikitsa katulutsidwe katemera wa insulin (meglitinides ndi sulfonylurea), ngati muli ndi zisonyezo zochizira ndi insulin, muyenera kubaya jakisoni, osayesa kubweza chilichonse. Yankho la funso loti matenda ashuga angachiritsidwe kwamuyaya, tapereka kale.

Vuto la anthu omwe ali ndi matenda ashuga ndikuchepetsa chidwi cha maselo pazovuta za insulin, ndiye kuti ngati ali ndi insulin. Milandu iyi, kumwa mankhwala omwe amathandizira kapamba kuti apange katemera wa insulin ndiye kuti n'kulakwa. Mothandizidwa ndi mapiritsi oterewa, ma cell a beta omwe amagwira ntchito ndi mphamvu zochulukazo amafa kwambiri, kupanga insulini kumachepa, ndipo matenda amtundu wa 2 amakula. Kuphatikiza apo, mankhwalawa amayambitsa hypoglycemia ngati wodwala watenga mlingo wolakwika kapena sanadye panthawi. Kafukufuku akuwonetsa kuti zochokera ku sulfonylurea zimayambitsa kufa kwakukulu mwa anthu omwe amatenga.

Ngati mungayang'anire matendawa mosamala, kutsatira zakudya nthawi zonse ndikuchita masewera olimbitsa thupi (kugwiritsa ntchito jakisoni wa insulin ngati pakufunika), ndiye kuti maselo a beta osokonezeka amatha kubwezeretsanso ntchito yawo. Muyenera kuwerengera mosamala malangizo a mapiritsi a shuga, ndipo ngati ali m'gulu losafunikira, ndibwino kukana. Ngati mapiritsi ophatikiza okhala ndi sulfonylurea ofunikira ndi metformin adafotokozedwa, ndikofunikira kusintha posinthidwa ndi "pure" metformin ("Glucofage", "Siofor").

Mankhwala omwe amachititsa chidwi cha maselo pazovuta za insulin

Pali mitundu ingapo ya mankhwala omwe amathetsa pang'ono vutoli pochepetsa chidwi cha maselo ku zotsatira za insulin (insulin kukana). Mankhwala awiri amapezeka kwambiri: metformin (Glucofage ndi Siofor) ndi pioglitazone (Pioglar, Aktos, Diglitazon). Kukhazikitsidwa kwawo ndikofunikira ngati odwala sangachepetse thupi ngakhale atatsata zakudya kapena kutsika shuga mpaka malire. Malangizo a mankhwalawa amayenera kupangidwa pambuyo pa kuwongolera kwathunthu shuga mkati mwa masiku 3-7. Kutengera nthawi yakupatuka kwazake, kumatsimikizika pamene kuli bwino kumwa mapiritsi.

Ngati shuga amadzuka m'mawa, ndiye kuti ndibwino kugwiritsa ntchito "Glucofage" kuchitira usiku. Muyenera kuyamba ndi mlingo wocheperako ndikuwonjezera pang'onopang'ono. Ngati shuga amuka pambuyo pa chakudya chilichonse, muyenera kudya maola awiri izi zisanachitike mwachangu "Siofor". Ngati chiwonjezerochi chikuwonetsedwa nthawi yonseyo, mutha kuyesa kugwiritsa ntchito "Siofor" mu mlingo wa 500 kapena 850 mg musanadye komanso usiku.

Ngati muphatikiza zakudya, zolimbitsa thupi zolimbitsa thupi ndi mapiritsi omwe atchulidwa pamwambapa, mwayi wopambana matenda a shuga popanda jakisoni wa insulin ukuwonjezeka kwambiri (kapena mlingo wake umakhala wochepa).

Mankhwala atsopano a shuga

Mankhwala atsopano akuphatikiza mankhwala otsatirawa: Victoza, Baeta (gulu limodzi) ndi Galvus, Januvia, Onglisa (gulu lachiwiri). Pazonse, amayenera kugwiritsidwa ntchito kuti muchepetse shuga mutatha kudya, koma kwenikweni mphamvu zake zimakhala zopanda mphamvu, komabe zimatha kutsimikizira zotsatira za pioglitazone ndi metformin. Monga adanenera dokotala, mankhwalawa amagwiritsidwa ntchito ngati chithandizo chachitatu cha matenda ashuga. Victoza ndi Baeta amathandizira kuti azilakalaka kudya komanso amathandizira kuchepetsa kudalira chakudya chamagulu omwe amadya. Poyerekeza ndi momwe amagwiritsidwira ntchito, odwala amakhala ndi zakudya zabwino. Mankhwalawa odziwika ndiwotsika mtengo, koma amathandizira kwambiri kumva kuti mukukonda popanda zotsatira zoyipa.

Kugwiritsa ntchito molakwika mankhwala osakaniza

Mankhwala osakanikirana a shuga amapangidwa nthawi zambiri ndi makampani opanga mankhwala kuti apeputse maupangiri, kapena kukulitsa mzere wawo wamalonda pofunafuna phindu ndi kuwonjezereka kwa malonda. Kugwiritsa ntchito kwawo nthawi zambiri sikubweretsa chilichonse kapena kuvulaza. Makamaka owopsa ndi kuphatikiza komwe kumachokera ku sulfonylurea, komanso mankhwala a DPP-4 zoletsa ndi metformin. Zotsirizirazi sizoyipa, koma ndizokwera mtengo popanda chifukwa, ndipo nthawi zambiri zimakhala bwino kugula mapiritsi awiri osiyana a matenda a shuga a 2.

Ndemanga zikutsimikizira kuti sizotheka kuchotsa matenda ashuga amtundu wa 2.Koma ndi malingaliro onse a dokotala ndi chithandizo choyenera, mutha kukhala moyo wonse.

Matenda a shuga: mitundu ndi zizindikiro za matendawa

Matenda a shuga ndi matenda omwe amaphatikizika ndi kuperewera kwa glucose metabolism m'thupi. Insulin, timadzi timene timapangidwa mu kapamba, ndiye amachititsa kuti zinthu izi zizichoka pakompyuta. Ngati, pazifukwa zina, insulini sikokwanira kapena minofu imasiya kuyilabadira, ndiye kuti shuga yomwe timapeza kuchokera kuzakudya imadziunjikira m'matumbo ndi ziwalo zina (mwa iwo ndi minofu yamanjenje, impso, mucous membrane am'mimba, komanso zina). Pali kusiyana: "njala pakati pazambiri." Ngakhale minofu ina imavutika popanda glucose, ina imawonongeka chifukwa cha kuchuluka kwake.

Chifukwa chiyani matenda ashuga akuchitika? Yankho lomveka bwino la funsoli lilibe, komabe, asayansi chaka chilichonse amafotokoza njira zopangira matendawa. Zakhazikitsidwa kuti matenda amayamba m'njira ziwiri:

ngati kufa kwa maselo opanga insulini (chifukwa cha cholakwika chosagonja komwe minofu ya thupi imadziwika kuti ndi yachilendo ndikuwonongeka),
ngati minyewa yathupi ikulimbana ndi mahomoni awa - insulin kukana, yomwe imalumikizidwa ndi chakudya chambiri chama carbohydrate (izi zimawonedwa mwa anthu onenepa).

Poyamba, madokotala azindikira matenda amtundu 1. Awa akadali matenda osachiritsika, omwe popanda kulandira chithandizo chamankhwala mwachangu amapangitsa kuti wodwalayo afe. Mkhalidwe wachiwiri ndiwofanana ndi mtundu wachiwiri wa matenda a shuga, matenda okalamba ndi onenepa kwambiri.

Osakwana 10% ya odwala omwe ali ndi matenda amtunduwu amadwala matenda amtundu 1 shuga. Zimakonda kupezeka mwa achinyamata, ndipo zizindikilo zake zimawonekera mwachangu. Zoyambira kwambiri:

kukodza pafupipafupi komanso kopatsa chidwi,
njala ndi ludzu,
kuchepa thupi mwadzidzidzi (wodwalayo amatha kutaya oposa 10 kg masiku ochepa chabe),
kufooka, kugona, kuwonongeka kowoneka,
fungo la zosungunulira mkamwa.

Zizindikiro zonsezi zimagwirizanitsidwa ndi shuga wambiri m'matumbo: thupi limayesetsa kupatula shuga pang'onopang'ono, kuwachotsa ndi mkodzo. Ngati wodwala sangathandizidwe ndi jakisoni wa insulin, zotsatira zake zingakhale zowopsa.

Chizindikiro cha matenda a shuga a 2 ndicho njira yayitali yamatenda: anthu omwe ali ndi insulin kukaniza kwa zaka zambiri sangadziwe za matendawa ndipo samawachiza. Zotsatira zake, pofika nthawi yomwe adzaonana ndi dokotala, mkhalidwe wawo ungasokonezeke kwambiri ndi matenda a mtima ndi mitsempha yamagazi, mphamvu yamanjenje, maso, impso, ndi khungu.

Yesetsani kukhalapo kwa mtundu 2 wa shuga m'malembedwe ndi izi:

Nthawi zambiri matendawa amapezeka mwa anthu okalamba onenepa, chifukwa chake kuphatikiza kwa izi ziwiri palokha ndi nthawi yoyeserera magazi pafupipafupi ndi shuga,
Zizindikiro zowopsa - ludzu, matenda a shuga, kufooka - kwambiri sangayang'anidwe, kudandaula kwakukulu kwa wodwalayo kudzakhala kuyabwa pakhungu ndi kufooka,
zotupa zapakhungu zomwe sizinachitike m'mbuyomu: zotupa, zodzikongoletsera, zilonda m'miyendo ndi - kuchiritsa kwapang'onopang'ono kwa mabala,
Nthawi zambiri chifukwa chokayikira mtundu wa matenda a shuga 2 amawonetsedwa pamavuto: amkati, kupweteka m'miyendo ndi mafupa, angina pectoris, etc.

Mtundu woyamba wa shuga

Kuyambira tsiku lomwe adotolo adatsimikizira kuti ali ndi matenda ashuga 1 - moyo wa munthu ukusintha mosasinthika. Kuyambira pano, kuti asafe, azilowa jekeseni tsiku ndi tsiku, kubwezera zomwe zimachitika kuti thupi lake lipangike. Kuphatikiza apo, wodwalayo amasunga malamulo omwe amakhazikitsidwa mpaka kumapeto kwa moyo wake, womwe, ndikulangizidwa koyenera, kumulola kupewa zovuta zamatendawa ndikukhala bwino mpaka ukalamba.

Moyo . Pofuna kupewa kusintha kwakukulu m'magazi a glucose (onse akuwonjezeka ndikucheperako amapha ndipo angayambitse chikomokere), wodwala matenda amtundu wa 1 amakakamizidwa kuwunika mosamalitsa zakudya, kuvutikira kwakuthupi ndi m'maganizo, kuganizira zovuta, matenda ndi zina zomwe zingakhudze kukhala ndi moyo wabwino. Pofuna kuchepetsa kuchuluka kwa magazi, wodwala aliyense amagwiritsa ntchito mita ya shuga m'magazi - zida zomwe zimakupatsani mwayi woyeza kuchuluka kwa shuga kunyumba. Komanso, odwala matenda ashuga nthawi zambiri amayendera shuga wa mkodzo pogwiritsa ntchito zingwe zoyeserera ndikuyendera dokotala mwezi uliwonse.
Mankhwala . Chithandizo chachikulu cha odwala matenda ashuga ndi insulin, yomwe imatulutsidwa momwe ma syringe amapangira mobwerezabwereza. Mwa nthawi zonse, wodwalayo amakhala ndi zida ziwiri zotere: chimodzi chimakhala ndi mahomoni olimbitsa thupi kwa nthawi yayitali (1-2) patsiku, ndipo enanso - "insulin" yochepa kwambiri, jekeseni omwe amafunikira mukatha kudya komanso kusintha kwina. Kuphatikiza apo, odwala amatenga mankhwala osiyanasiyana omwe amalepheretsa zovuta za matendawa (mwachitsanzo, mankhwala othandizira kupewa atherosulinosis kapena kuwonongeka kwa mitsempha ya zotumphukira).
Zakudya ndi matenda amtundu wa 1 shuga, ndikofunikira, koma ntchito yake ndikuwonjezera chakudya (kuwona kuchuluka koyenera kwa michere). Odwala amasunga chakudya chamagulu omwe amagwiritsa ntchito mkate (XE), ndikuyerekeza kuchuluka kwa shuga omwe adadya panthawi ya chakudya. Izi zimafunika kuti musankhe Mlingo wa insulin.

Type 2 shuga

Zimangotengera osati kokha pakumalandira mankhwala, koma kutengera kwa wodwalayo. Chofunikira pakukhazikitsa shuga m'magazi ndikutsatira uphungu wa endocrinologist wokhudza moyo ndi zakudya. Komabe, izi sizovuta, kutengera zaka komanso zizolowezi za odwala ambiri.

Zakudya - Chofunikira kwambiri pochiza matendawa. Kukana maswiti ndi zakudya zina zamafuta ambiri kumabwezeretsa kuchuluka kwa shuga m'magazi (chidziwitso pazakudya ndi zoletsedwa za odwala omwe ali ndi matenda osokoneza bongo amaphatikizidwa mu "Table No. 9" dongosolo lazakudya zamankhwala malinga ndi Pevzner). Kuphatikiza apo, zakudya zama calorie otsika zimabweretsa kuchepa thupi, zimathandizira kagayidwe kazinthu ndikuwonjezera chidwi cha minofu ndi ziwalo zathupi kuti zitheke.
Moyo . Akatswiri amati nthawi zambiri odwala matenda ashuga amene amachepetsa thupi, amakhululukidwa (kuzimiririka kwakanthawi kwa zizindikiro). Ngati shuga azikhazikika kwazaka zambiri, madokotala amatha kunena za kuchira kwathunthu. Koma vuto lofunika kwambiri chotere ndi kulimbana ndi kunenepa kwambiri. Chifukwa chake, odwala matenda ashuga ayenera kulingaliranso zamakhalidwe awo - kuthera nthawi yochulukirapo yophunzitsa zolimbitsa thupi tsiku lililonse, kusiya kusuta, kudya. Ndi kunenepa kwambiri kwa pathological, komwe sikumasiya mwayi wodziyimira pawokha, kuchitidwa opaleshoni ya bariatric - kuchepetsedwa kwa kukula kwa m'mimba.
Mankhwala . Ngakhale gawo lalikulu la zakudya, mankhwalawa amateteza odwala omwe ali ndi matenda ashuga a 2 kuchokera ku zolakwika zazakudya. Tikulankhula za mankhwala ochepetsa shuga, omwe nthawi zambiri amagulitsidwa mu mawonekedwe apiritsi. Amathandizira kuchepetsa kuyamwa kwa shuga kuchokera ku chakudya, kusintha kukhudzidwa kwa minofu ku glucose komanso kumalimbikitsa endocrine kapamba. Ngati njirayi itakhala kuti siyothandiza, dokotalayo amalemberabe mankhwala oti mupeze insulin m'chipinda chake.

Anthu ambiri amavomereza kuti matenda ashuga ndi osachiritsika ndipo anthu omwe ali ndi vuto loti hyperglycemia (glucose) amakhala ndi mwayi wochepa wokhala ndi moyo wachimwemwe. Komabe, sizili choncho. Nthawi zambiri, odwala amati amathokoza matenda ashuga mwanjira yawo pakuwaphunzitsa kukhala ndi thanzi labwino, kusunga matupi awo bwino, komanso kuwakakamiza kusiya kugwiritsa ntchito zakudya zoyipa, mowa ndi fodya. Zachidziwikire, matendawa amakhala oopsa nthawi zonse, koma njira yovomerezeka yothandizira mankhwalawa imapereka mwayi wopangitsa matendawa kukhala ogwirizana komanso kuti athetse mavuto ambiri azaumoyo kwa zaka makumi ambiri zikubwera.