Chithunzi cha kuchipatala

Mawonetsedwe azachipatala a matendawa amayambitsidwa osati ndi mtundu matenda ashuga, komanso pofika nthawi ya maphunziridwe ake, kuchuluka kwa kubwezeretsa kwa kagayidwe kazakudya, kupezeka kwa zovuta zamagazi ndi mavuto ena. Mokhazikika, zizindikiro zamankhwala zimagawidwa m'magulu awiri:

Zizindikirokuwonetsa kuwonongeka kwa matendawa,

Zizindikiro zokhudzana ndi kukhalapo komanso kuuma matenda ashuga angiopathy,mitsemphandi enazovuta kapena zophatikizika ma pathologies.

Hyperglycemiaamachititsa mawonekedwe a glucosuria. Zizindikiro za shuga wambiri (hyperglycemia):polyuria,polydipsia, kuchepa thupi ndi chidwi chambiri, kamwa yowuma, kufooka

microangiopathies (wodwala matenda ashuga retinopathy,mitsempha,nephropathy),

macroangiopathies (atherosulinosismitsempha yam'mimba,mawa,Zombo za GM, malembedwe apansi), matendawodwala matenda ashuga

zambiri zamawu: furunculosis,colpitis,vaginitis, matenda a kwamkodzo thirakiti ndi zina zotero.

Zizindikiro

Muzochitika zamankhwala, njira zokwanira zodziwira matenda a shuga 1 ndi kupezeka kwa zizindikiro za hyperglycemia (polyuria ndi polydipsia) ndi hyperglycemia yotsimikizika - kutsika kwa shuga m'magazi oposa 7.0 mmol / l ndi / kapena nthawi iliyonse masana yoposa 11.1 mmol / l l gwero silinatchulidwe masiku 556

Mukakhazikitsa matenda, dokotala amachita malinga ndi algorithm yotsatira.

Matenda okhawo omwe amawonetsedwa ndi zizindikiro zofanana (ludzu, polyuria, kuchepa thupi): shuga insipidus, psychogenic polydipsia, hyperparathyroidism, kulephera kupweteka kwa aimpso, ndi zina. Gawo lino likutha ndi mawu a labotale a hyperglycemia syndrome.

Mtundu wa nosological wa matenda a shuga umafotokozedwa. Choyamba, matenda omwe amaphatikizidwa ndi gulu la "Mitundu ina ya matenda ashuga" samachotsedwa. Ndipo pokhapokha vuto la matenda a shuga 1 kapena mtundu wa matenda ashuga 2 amathetsa. Kudziwitsa kuchuluka kwa C-peptide pamimba yopanda kanthu ndikatha kuchita masewera olimbitsa thupi. Mlingo wa ndende yama antibodies a GAD m'mwazi umawunikiranso.

Mavuto

Hypoglycemic chikomokere(chifukwa cha kuchuluka kwa insulin)

Matenda a shuga ndi zazikuluangiopathy- kuphwanya kwazovomerezekazombo, akuwonjezera kusokonekera kwawo, kukulira kuchuluka kwathrombosisKukulaatherosulinosismitsempha yamagazi

Matenda a shuga a polyneuropathy—polyneuritiszotumphukiramitsemphakupweteka pamizere yamanjenje,paresisndiziwalo,

Matenda a shuga- kupweteka mkatimafupa, "Crunch", kuchepetsa kuyenda

Matenda a shuga ophthalmopathy- kukula koyambiriraamphaka(kuthina kwa mandala)retinopathies(kugonjetsedwaretina),

Matenda a shuga- kuwonongeka kwa impso ndi mawonekedwe a mapuloteni ndi magazi m'mkodzo, komanso ovuta kwambiri ndi chitukukoglomerulonephritisndikulephera kwa aimpso,

Matenda a shuga encephalopathy- zosinthapsychendi zakumaso, kutengeka mtima kapenakukhumudwaZizindikiro za kuledzeraCNS .

Mfundo zithandizo za Chithandizo

Zolinga zazikulu za chithandizo:

Kutha kwa matenda onse am'matenda a shuga

Kukwaniritsa kagayidwe koyenera ka nthawi.

Kupewa kwambiri komanso zovuta za matenda ashuga

Kuwonetsetsa kuti ali ndi moyo wabwino kwambiri kwa odwala.

Kuti mukwaniritse izi:

dosed zolimbitsa thupi (DIF)

kuphunzitsa odwala kudziletsa komanso njira zosavuta zochiritsira (kuyang'anira matenda awo)