Madontho a matenda ashuga: Zizindikiro zamayendedwe amtundu 1 ndi matenda a 2

Kulowetsa mkati mwa mankhwala osiyanasiyana mu matenda a endocrine amagwiritsidwa ntchito nthawi zambiri pakavulaza zomwe zimawopseza moyo wa munthu. Dropper a shuga amagwiritsidwa ntchito pokonzekera opareshoni, komanso panthawi ya chithandizo m'chipinda chothandizira kwambiri. Mankhwala amathandizidwa ndi matenda amtundu 1 ndi mtundu 2.

Mkulu kulowerera kwa shuga mkati

Madontho a thanzi labwino

Kufunika kwa otsika kwa odwala matenda ashuga komanso kapangidwe kawo kumatsimikiziridwa ndi katswiri wozikidwa pa:

kuchuluka kwa shuga m'thupi,
kupatuka pachizindikiro cha kuthamanga kwa magazi,
owonjezera lipid wambiri.

Pankhaniyi, simuyenera kudzimvera chisoni ndipo ngati mukumva kuwawa, muyenera kufunsa dokotala yemwe angakuthandizeni kusankha kusankha mankhwala oyenera.

Mankhwalawa amathandizidwa ndi shuga kapena saline ndikuthira m'mitsempha ndi dontho la 250 ml mpaka 500 ml. Njira ya mankhwala pafupifupi njira 20.

Actovegin ali ndi zotsatirazi m'thupi la odwala matenda ashuga:

zimathandizira kusintha kulolera kwa glucose chifukwa cha insulin-like, i.e. ali ndi vuto lothandizidwa ndi matenda ashuga,
Kafukufuku wapeza kuti mankhwalawa amachotsa kapena amachepetsa mawonetseredwe a matenda amitsempha ya m'mimba: kuchepetsa ululu ndi dzanzi la madera omwe akukhudzidwa, kukonza kukhudzika kwawo. Izi sikuti zimangowongolera mkhalidwe wamaganizidwe a odwala, komanso zimakupatsani mwayi wolimbitsa thupi,
imathandizira kukulitsa mphamvu ya okosijeni wa okosijeni mu intracellular mu chiwalo chilichonse, chifukwa cha zomwe kusintha kwa hypoxic mu minofu yowonongeka panthawi yamatenda a metabolic amachepetsa,
Chifukwa cha enzyme superoxide dismutase yomwe ili mu malonda, imawonetsa katundu wa antioxidant,
ili ndi katundu obadwanso mwatsopano, komwe kuli kofunikira kwambiri pa matenda ashuga a polyneuropathy popanga zilonda zam'munsi.
ndewu ya matenda a shuga a mtima, kupewa komanso kuthandizira kuthetsa: matenda a mtima, kugunda kwa mtima, sitiroko, gangrene.

Pambuyo kulowetsedwa mankhwala ndi mankhwala, m`kamwa makonzedwe n`zotheka.

Nthawi zina, kugwiritsa ntchito mankhwalawa kumabweretsa: kufooka, thupi lanu siligwirizana komanso kuwonjezeka kwa kutentha kwa thupi.

Komanso Actovegin ndi yosavomerezeka kuti igwiritsidwe ntchito:

musanafike zaka zitatu,
ndimomwe thupi limagwirira ntchito pazigawo za mankhwala,
ndi kuphwanya ntchito ya mtima ndi mapapu,
pa mimba ndi kuchitapo.

Monga lamulo, mankhwalawa amavomerezedwa bwino ndi odwala, mavuto omwe samachitika kawirikawiri.

Mankhwala amathandizira:

Kuthanso kwamitsempha yamagazi, kukonza ma cellcirculation, omwe amachepetsa chiopsezo cha thrombosis,
kuchuluka kwawonekera m'zotengera chifukwa cha kuchuluka kwa adenic acid pamakoma awo,
kuchuluka kwamankhwala olimbitsa mtima chifukwa choletsa ntchito ya enzyme phosphodiesterase,
kumasuka kwa minofu yosalala yamitsempha yamagazi, kukulitsa pang'ono makoma awo, pomwe kwenikweni sikusintha kugunda kwa mtima,
matenda a kupuma kwam'manja mu zimakhala zamkati zamanjenje, impso, mikono ndi miyendo,
Sinthani kagayidwe kachakudya mu chapakati mantha dongosolo ndi magetsi magwiridwe ake,
kuthamanga kwa magazi kumadera otumphukira miyendo.

Kwa odwala matenda ashuga, mankhwalawa amalembera zotumphukira zamagazi zomwe zimayambitsa ma atherosulinotic pathologies (diabetesic angiopathy), trophic zilonda, ischemic mamiriro, kusokonezeka kwa magazi m'maso, ndi zina zambiri.

Katswiriyo amawona kuchuluka kwa mankhwalawa omwe amayenera kugwiritsidwa ntchito kwa wodwala, kutengera thanzi la wodwalayo komanso momwe akufunira.

Mankhwala a shuga samangoteteza nembelera komanso kumenya zopitilira muyeso, komanso amatsogolera ku:

kuchuluka kwa okosijeni wamagazi,
kusintha kayendedwe ka magazi, komanso mphamvu zake za rheological (mamasukidwe akayendedwe ndi madzi),
kuchepetsa cholesterol mthupi,
kutsegula kwa mphamvu ya maselo,
kupewa kusintha kwa pathological ndi kukonzanso kwa kusintha kwa atherosulinotic m'makoma amitsempha yamagazi.

Mexicoidol ndiyofunika makamaka mu matenda am'mimba a m'mimba, chifukwa chakutha kuthetsa kusokonekera kwa metabolic ndi mtima muubongo, komanso kubwezeretsa kuyankhula, kukumbukira, chidwi, luntha ndi mawonekedwe ena a matendawa.

Mankhwalawa sagwiritsidwa ntchito kwa hypersensitivity ku zigawo zake, komanso kusintha kwamatenda a chiwindi ndi impso, ndi zina zambiri.

Monga lamulo, otsitsa ndi Mexicoidol amapatsidwa tsiku lililonse kuyambira kawiri mpaka kawiri muyezo wa 200-500 mg kwa masiku 10 mpaka 10 ndi kuchepa kwake kopitilira.

Reopoliglyukin

Mu shuga, mankhwalawa amagwiritsidwa ntchito:

Pewani magazi
sinthani magazi osasinthika amitsempha,
sinthani zinthu zapoizoni m'thupi,
pewani kuphatikiza kwa magazi.

Reopoliglyukin ali ndi zotsutsana ndi zoyipa, kuphatikiza: kudumpha mu kuthamanga kwa magazi, chizungulire, kutentha thupi ndi mawonekedwe ena olakwika mpaka anaphylactic.

Komanso, omwe amathira shuga "Reopoliglukina" sagwiritsidwa ntchito pamodzi ndi yankho la shuga (5%).

Kugwiritsa ntchito mankhwalawa mwa kulowetsedwa kuyenera kuchitika moyang'aniridwa ndi dokotala mpaka katatu m'masiku 7, muyeso wa 400 ml. Njira ya mankhwalawa imayambira 6 mpaka 8.

Ketoacidotic chikomokere

Kuti muchotse wodwalayo chikomokere ndi chithandizo chotsatira, akatswiri mu zovuta zomwe amagwiritsa ntchito:

kulowetsa insulin m'mitsempha kapena intramuscularly kuchokera ku 10 mpaka 20 mayunitsi. Kenako, dontho lokhala ndi insulin limagwiritsidwa ntchito (mayunitsi 0,1 pa kilogalamu imodzi ya kulemera kwa wodwalayo kapena kuchokera ku magawo 5 mpaka 10 pamphindi 60),
Dzazani thupi ndi madzi pogwiritsa ntchito saline ya thupi kuchokera pa 5 mpaka 10 ml pa 1 makilogalamu amalemu 1 mpaka 3 maola,
ikani dontho ndi glucose (5%) ndi sodium chloride (0,45% yankho) pomwe kuchuluka kwa shuga mthupi kumatsikira mpaka 16 mmol / l.

Hyperosmolar chikomokere

Njira zoyambirira zochotsa wodwalayo kukomoka zimatsatiridwa ndi kulowetsedwa kwa mankhwala otsatirawa:

ndi kuchepa kwa kuthamanga kwa magazi: sodium chloride (0,9% solution) ndi shuga (5% yankho) mu voliyumu ya 100 mpaka 2000 ml,
ndi ochepa matenda oopsa, iwo amagwiritsa ntchito dontho lokhala ndi magnesium sulfate kapena kapena ku intravenous management,
kusowa kwamadzi kumatha ndi kukhuthala kwa 0,9% sodium chloride mu voliyumu kuchokera ku 1000 mpaka 1500 ml ola loyamba. Maola awiri otsatira, kuchuluka kwa mankhwalawa kumachepa ndikuchokera ku 500 mpaka 1000 ml, mtsogolo - kuchokera 300 mpaka 500 ml,
pa mphindi 60 zoyambirira 5% yankho la glucose imayambitsidwa motsika kuchokera ku 1000 mpaka 1500 ml, kenako kutsika kwa maola awiri kuchokera 500 mpaka 1000 ml, ndiye kuchokera 300 mpaka 500 ml.

Mofananamo, mankhwala a insulin omwe ali ndi ma dontho amachitika.

Wodwala amayesedwa pafupipafupi, kutengera zotsatira zake, Mlingo wa mankhwala omwe amagwiritsidwa ntchito umasiyana.

Hypoglycemic chikomokere

Ndi shuga wotsika kwambiri m'thupi, wodwalayo amapaka jekeseni (5%) m'mitsempha, jekeseni, wogwiritsa ntchito dontho kapena ngakhale enema pomwe akusungabe mtima ndi ziwalo zina.

Contraindication

Kuchepetsa kwa mankhwala a shuga amatsutsana mu:

kusowa kwa mkodzo mu chikhodzodzo (anuria),
pachimake komanso matenda a matenda a impso ndi chiwindi,
pachimake myocardial infaration,
kudzikuza,
pulmonary edema,
mtima wosakhazikika,
kuchuluka kwa mankhwala zosakaniza
mimba ndi kuyamwitsa.

Kugwiritsidwa ntchito kwa otsika kunyumba, ngakhale pofuna kupewa matenda a shuga, sikulimbikitsidwa. Ndondomeko ziyenera kuchitika mu chipatala kapena chipatala moyang'aniridwa ndi katswiri.

Zisonyezo zogwiritsa ntchito dontho la ashuga

Zowonetsa kugwiritsidwa ntchito kwa dontho la matenda a shuga ndi motere:

Chikomokere cha matenda ashuga okhala ndi shuga wambiri, omwe sangathetsedwe ndi mankhwala onse.
Hypersmolar chikomokere.
Hypoglycemic coma - kuchepa kwambiri kwa shuga mumagazi mpaka pamlingo wovuta.
Kupewa matenda a mtima ndi matenda ashuga.
Zochita za opaleshoni - kuwongolera kuchuluka kwa glucose m'magazi pakuchita opareshoni.
Ketoacidosis ndi vuto lalikulu la matenda ashuga, momwe impso ilibe nthawi, imachotsa ketone m'thupi ndipo, chifukwa chake, wodwalayo amatha kugwa.
Neuropathy - kuwonongeka kwa mitsempha ndi mitengo ikuluikulu ya mitsempha. Amapezeka mu odwala matenda ashuga nthawi zambiri mdera lam'mapazi am'munsi, kumapazi.
Angiopathy ndi zotupa zam'mimba zomwe zimadziwika kwambiri kwa anthu odwala matenda ashuga.

Madontho a matenda ashuga amatha kuperekedwa nthawi ndi nthawi mwa njira ya prophylaxis, komanso mwachangu m'malo ovuta.

Dropper popewa imagwiritsidwa ntchito kuyeretsa thupi ndi poizoni, monga kubwezeretsa madzi ndi acid-base balance, komanso kukonza magazi m'magazi onse ndi m'matumba ang'onoang'ono.

Mitundu ya Droppers a shuga

Kutengera ndi momwe wodwalayo alili, monga matenda a shuga, mankhwalawa osiyanasiyana omwe amaperekedwa pamankhwala othandizira amaperekedwa ndi odwala. Izi zimachitika nthawi zambiri pang'onopang'ono moyang'aniridwa ndi katswiri komanso monga mwauzidwa ndi dokotala. Simungathe kudziwitsira nokha ma dropers, chifukwa izi zimatha kuyambitsa bongo, zovuta komanso zovuta zambiri. M'mikhalidwe yovuta, omwe akutsika akhoza kufunikira mwachangu, motero wodwalayo amatchedwa ambulansi.

Matenda a shuga

Mkhalidwe wowopsa womwe umafunikira chithandizo chamankhwala mwachangu. Matenda a shuga a mitundu inayi, kuphatikiza:

Hypoglycemic chikomokere.
Hyperglycemic chikomokere.
Hyposmolar.
Lactacidymic.

Wotsitsa shuga akhoza kuperekedwa ngati muli ndi vuto la hypoglycemic

Hyperglycemic coma ndiyo chikhalidwe chokhacho chomwe matenda a shuga amatha ndipo amayenera kuperekedwa ndi insulin. Ngati simukuchita zoyenera, ndiye kuti pali matenda aliwonse a matenda ashuga, omwe amatha kufa. Ndi lactacidic coma ,imfa amafikira 90%, motero ayenera kuchitidwa zinthu mwachangu.

Ndi hypoglycemia

Hypoglycemia ndi vuto lomwe limachepetsa kwambiri shuga. Zimachitika kawirikawiri mtundu wa 1 odwala matenda ashuga pamene kuchuluka kwa insulin sikumawerengeredwa komanso kuchuluka kwa shuga m'magazi kumakhala kovuta kwambiri. Komanso, kuchuluka kwa shuga kumatha kuchepa komanso kuchita masewera olimbitsa thupi komanso njira yolakwika yoperekera insulin. Kuphatikiza apo, shuga amachepetsedwa ndikulakwitsa zina muzakudya, kupsinjika kwambiri kapena kumwa kwambiri. Zizindikiro za hypoglycemia:

Kukongola kwa khungu.
Kugunda kofulumira.
Chizungulire komanso mutu.
Kusintha kwa machitidwe, munthu amatha kukhala wankhanza kapena mosemphanitsa kwambiri.
Kupumira kosagwirizana, mwina kutayika kwa chikumbumtima.
Usiku - kugona osagona komanso zolakwika.

Chizungulire ndi chimodzi mwazizindikiro za hypoglycemia.

Ngati sanatenge nthawi, wodwalayo amatha kufa. Nthawi zina mu mawonekedwe ofatsa ndikokwanira kupatsa munthu chidutswa chochepa cha mkate, shuga kapena chakudya china, koma m'malo ovuta izi zimatha kuvulaza kwambiri. Ngati munthu adwala kwambiri ndi gawo la 3-4 la glycemia, ndiye kuti amapaka jekeseni wa shuga wa 80-100 ml ya glucose 40% yankho. Ngati palibe mphamvu, ndiye kuti kulowetsedwa kwa dontho la 5% shuga kumachitika. Hypoglycemic coma imachitika pamene kuchuluka kwa glucose m'magazi kumagwera pansi 3mmol / lita. Mavuto atatha izi akhoza kukhala stroko kapena myocardial infaration.

Ngati wodwala ali ndi kuthamanga kwa magazi, ndiye kuti njira ya magnesium sulfate imawonjezeredwa ndi dontho.

Ndili ndi chikomokere

Ichi ndi coma china, chomwe chimadziwika ndi kusokonezeka kwakukulu kwa metabolic. Vutoli limakula patangopita milungu yochepa. Chizindikiro chofunikira ndichakuti kuchuluka kwa glucose sikuyendetsedwa ndi mankhwala. Imfa, yokhala ndi vuto lotere imafika 50%

Wokhala ndi chikumbumtima chamtopola, wodwala amapatsidwa mankhwala osokoneza bongo:

Ndi kuchepa kwa kuthamanga kwa magazi - 0,9% sodium chloride solution, ndi 5% glucose. Kuchuluka kwa otsitsira ndi 100-2000 ml.
Kuthetsa kusowa kwamadzi - yankho la 0.9% sodium kolorayidi muyeso wa 1000-1500 ml muola loyamba la boma.
Mafuta a 5% ndi kutsitsa kwa 1000-1500 ml komanso mphindi 60 zoyambirira.

Yankho la sodium mankhwala enaake amathandizira kuthetsa kuperewera kwa madzi m'thupi

Chifukwa chake, cholinga chothandizira kuchizira kwa hyposmolar coma ndikubwezeretsa kuchuluka kwa magazi ndi milingo ya shuga m'thupi.

Ndi ketoacidosis

Umu ndi momwe wodwala amakhalira ndi matupi a ketone. Mu matenda a shuga, omwe akutsikira amagwiritsa ntchito pamenepa adzauza adokotala. Nthawi zambiri, ketoacidosis ndiye woyamba chizindikiro cha 1 matenda ashuga. Imfa - mpaka 15%. Zizindikiro

Kusanza, kusanza.
Zowawa m'mimba.
Kununkhira kwa acetone kuchokera mkamwa.
Kukhalapo kwa acetone mu mkodzo (kumatha kuwoneka ndi timitengo tapadera).
Chizungulire, ulesi, kugona.

Chifukwa chiyani ikani dontho la shuga

Zotsatira zakuchuluka kwa shuga m'magazi ndikuwonongeka kwa mtima, mitsempha yamagazi, ndi dongosolo lamanjenje. Chifukwa chamankhwala osayenera, kuphwanya zakudya, kusowa kwa insulin ndi zinthu zina, thupi la odwala matenda ashuga sangathe kulimbana ndi katunduyo, mikhalidwe yoopsa ingabuke.

Matenda a kishuga amagawika m'magulu atatu momwe kulowetsedwa kwamkati kumafunikira:

ketoacidotic chikomokere kapena ketoacidosis,
hyperosmolar chikomokere,
Hyperlactacidemic chikomokere.

Munthu yemwe ali ndi matenda ashuga ali ndi chiwopsezo chokhala ndi vuto la kuchepa kwa magazi chifukwa cha kukonzekera molakwika kwa insulin.

Type 1 ndi Type 2 Shuga

Wotsitsa amayenera kuthetsa msanga vuto la hyperglycemia, lomwe ndi loopsa kwa munthu aliyense wodwala matenda ashuga.

Kukhazikitsidwa kwa kulowetsedwa kwa kulowetsedwa kwamankhwala kumawonekera pazochitika izi:

Magazi ochulukirapo m'magazi.
Kusintha kwa magazi.
Kuchuluka kwa lipids.

Pamodzi ndi matenda a shuga, kulowetsedwa kwamatenda kumathandizira kuti ziwalo zamkati zizigwira ntchito:

Mulingo wosakanikirana wa asidi m'thupi la wodwalayo umabwezeretseka.
Bongo maselo pambuyo yogwira ntchito mankhwala modzitetezera ku hypoxia.
Therapy imayendetsa microcirculation.
Zinthu zovulaza zimachotsedwa mwachangu.

Zofunika! Nthawi zambiri, omwe amadwala matenda ashuga amapatsidwa mtundu wa matenda ndi kusowa kwathunthu kwa mahomoni. Izi zimachitika chifukwa chakuti kumakhala kovuta kuwongolera kuchuluka kwa insulini ndipo nthawi zambiri munthu amakomoka.

Kwa mtima wamtima

Popeza mtima ndi mitsempha yamagazi ya odwala omwe ali ndi matenda ashuga amapanikizika ndikuwonongeka, madokotala amagwiritsa ntchito njira zingapo zothandizira kupewa. Chifukwa chake, wodwalayo amatha kukhala ndi moyo wautali, wotakataka, mosasamala kanthu kuti ali ndi matenda ake.

Pali mankhwala angapo omwe ndimagwiritsa ntchito osokoneza bongo kuti ndisunge komanso kubwezeretsanso dongosolo la mtima la odwala omwe ali ndi matenda ashuga:

Actovegin.Imathandizira njira zoyenera za metabolic ndipo imalimbikitsa kukonzanso kwa maselo ndi minofu. Amachita kuti aphwanye zotumphukira mtima, onse ochepa ndi venous. Njira ya chithandizo ndi masabata atatu a 250-500 ml. Mankhwalawa amagwiritsidwa ntchito pamitundu yonse iwiri ya matenda ashuga. Zimathandizira kuchepetsa ululu ndi dzanzi m'miyendo, zomwe nthawi zambiri zimapezeka odwala matenda ashuga.
Trental. Amasintha magazi m'magazi. Kuchepetsa kukana kwa ziwiya zonse za thupi, komanso kuchepetsera ziwiya zam'mimba. Madontho amayikidwa nthawi 1-2 patsiku, ndipo adotolo amayenera kuwerengetsa mlingo wa mankhwalawa kutengera zomwe wodwalayo ali nazo.
Mexicoidol. Imaperekedwa mosamalitsa kudzera pa dontho ndipo imathandizira kuchepetsa kuphatikizana kwa mapulosi. Njira yabwino yothetsera matenda osokoneza bongo a vasstonia, omwe nthawi zambiri amakupezeka mu mtundu wa 2 odwala matenda ashuga. Amachepetsa cholesterol. Njira ya otsalira ndi masiku 3-10, kutengera mtundu ndi vuto.
Reopoliglyukin. Izi oponya shuga kwa mitsempha yamagazi amachita ntchito yoletsa kuwoneka kwa magazi. Amachotsanso poizoni komanso amachepetsa magazi. Madontho amayikidwa katatu pamlungu, ndi mlingo wa 300-400 ml. Sitikulimbikitsidwa kuchita njira zopitilira 8 motsatana. Maphunzirowa ndi okwanira kuti athe kupeza zotsatira ndikusintha wodwalayo.

Mexicoid ndi amodzi mwa mankhwala omwe amaperekedwa kudzera mwa omwe amagwiritsa ntchito shuga

Ubwino waukulu wa omwe akutsikira, poyerekeza ndi mapiritsi ndi jakisoni, ndikuti amapanga nthawi yomweyo, pomwe mapiritsi atatha nthawi yochepa.

Ndi neuropathy ndi angiopathy

Kuti ntchito yamanjenje igwiritsidwe ntchito moyenera, kuti singayambitse zovuta mu mawonekedwe a polyneuropathy, akatswiri amalimbikitsa othandizira kutsika pogwiritsa ntchito thioctic acid. Njira ya mankhwala ndi masiku 10 mpaka 20. Ngati pakufunika ena mankhwalawa - perekani mapiritsi ofanana.

Lipoic acid imagwiritsidwanso ntchito. Ma asidi onsewa amagwira nawo ntchito yosintha ma carbohydrate kukhala mphamvu, ndizofunikira kwa odwala omwe ali ndi matenda ashuga a 2.

Neuropathy mu odwala matenda ashuga amawonetsedwa ndi zizindikiro zotsatirazi:

Kutentha kwa mtima
Kuchuluka kwa miyendo.
Kupsinjika kwa magazi kudumpha.
Mwa amuna, mavuto ndi potency.
Ululu

Pankhaniyi, ndi mawonekedwe oopsa a neuropathy, wodwalayo amapezeka m'chipatala, ndipo amalandila asidi wa thioctic kudzera m'mitsempha ya 300-600 mg kwa masabata a 3-4.

Panthawi yochita opaleshoni

Kulowererapo kulikonse kumaloledwa pokhapokha glucose wambiri m'magazi a wodwala omwe ali ndi shuga si oposa 8 mmol / lita. Chifukwa chake, ma dropper a matenda a shuga a mtundu wa 2 pakugwidwa ntchito amalembedwa ndi insulin kuti akhalebe ndi shuga. Mlingo weniweni umawerengeredwa ndi dokotala kutengera kuopsa kwa opaleshoniyo, mkhalidwe wa wodwala, komanso kuchuluka kwa shuga komanso kuthekera kwa kudumphira kwake.

Malamulo apadera akukhazikitsa dontho la odwala matenda ashuga

Simungathe kuyika dontho lokha, izi ziyenera kuchitika ndi dokotala yemwe amawerengera bwino kuchuluka komanso kufunika kwa dontho. Malamulo onse ndi awa:

The endocrinologist amawerengera mlingo wa mankhwalawo komanso njira ya mankhwalawa atatha kupima wodwala.
Munthu wodwala matenda ashuga kuti azigwiritsa ntchito dontho azigona kapena kugona bwino, chifukwa nthawi yayitali pafupifupi theka la ola limodzi.
Zipangizo ziyenera kukhala zosalimba, zogwiritsa ntchito bwino.

Mlingo wa makonzedwe a mankhwalawa zimatengera kuikidwa kwa dokotala, womwe umaganizira zinthu zambiri, kuphatikizapo kupezeka kwa yankho.

Matenda a shuga amtundu uliwonse samangowonera kuchuluka kwa shuga m'magazi, komanso kuwunika momwe wodwalayo alili. Zimafunika kutsatira miyezo yazakudya, zochita zolimbitsa thupi ndikuwunika thanzi lanu. Chifukwa chake, nthawi ndi nthawi, oponyera amalamula kuti odwala azikhala ndi shuga, mitsempha yamagazi, komanso panthawi ya opaleshoni. Njira zothandizira mankhwalawa ndizothandiza kwambiri chifukwa zimayamba kuchitapo kanthu nthawi yomweyo. Izi ndizofunikira makamaka pazovuta zovuta za wodwala yemwe ali ndi matenda ashuga. Ndikofunikira kuti dokotala akhazikitse woperewera, chifukwa chogwirizana ndi zovuta za odwala matenda ashuga.

Mitundu ya otsikira kulimbikitsa mitsempha yamagazi mu shuga

Kuchiza ndi kupewa CVD mu shuga kumakhazikitsidwa pazipilala zitatu: shuga yamagazi, kuthamanga kwa magazi ndi cholesterol.

Ngati mitundu iyi yazizindikiro ndi yabwinobwino - otsitsira sioyenera.

Actovegin ndi angioprotector omwe amachititsa kuti kagayidwe kachakudya kazikhala ndi matipi komanso kukonza trophism. Imalimbikitsa kusinthika, kubwezeretsanso kufalikira kwa magazi. Zimawonetsedwa ndi SDS. Mankhwalawa amathandizanso kupweteka m'malire, paresthesia, kumverera kwathunthu komanso kuwotcha mkati, komanso Cardialgia. Madontho amalembedwa pamilandu iyi kwa masabata atatu, kenako ndikusintha kwa mawonekedwe a piritsi.

Mexicoidol - wothandizira ma antiplatelet, amasintha magazi m'magawo a capillaries, amalepheretsa chitukuko cha VVD, amachepetsa lipids yamagazi. Malinga ndi pulogalamu yotsikira, amagwiritsidwa ntchito masiku 10.

Trental - angioprotector, imayendetsa magazi ochepa, imawonjezera kutuluka kwa magazi, kuchepetsa mamasukidwe ake. Amawonetsedwa makamaka chifukwa cha zotupa zam'miyendo. Zimakhudza ziwiya zam'mimba, kuzikulitsa ndikuchepetsa kukokana kwa mitsempha.

Payenera kukhala zifukwa zabwino zosankhira omwe akutsikira, ndizosatheka kuchiritsa odwala onse popanda iwo, njira yokhayo. Mankhwala onse omwe amagwiritsidwa ntchito nthawi zonse amakhala ndi zovuta zake, contraindication, etc.

Zimayambitsa kulowetsedwa kwa kulowetsedwa kwa mtundu 2

Chifukwa chachikulu chothandizira kuchira kwa matenda ashuga amtundu wa 2 amati amachepetsa mphamvu chifukwa cha matenda a mtima. Pali maphunziro apadera othandizira odwala matenda ashuga.

Ngati wodwala ali ndi shuga wokhazikika, kuthamanga kwa magazi ndi kuchuluka kwa mafuta m'thupi, zakudya zoyenera ndi mankhwala ena ake zimakhala zokwanira. Muzochitika zina zonse, chithandizo cha kulowetsedwa kwapadera sichingagawidwe ndi.

Zizindikiro za dongosololi

Ndi matenda a shuga a retinopathy:

mawanga amdima ndikuwala pamaso pa maso,
kuwonongeka mu zithunzi zopepuka, zopanda pake ndi zithunzi zopanda pake,
diplopia
mutu.

kutupa ndi miyendo ndi nkhope,
AH
mkodzo wokhala ndi thovu komanso wopanda mitambo,
kufooka
nseru
kugona

Zowonongeka kumadera otsika:

kutayika kwa mikono ndi miyendo,
kulankhulirana
kupweteka kwa m'miyendo komanso kukokana minofu,
mapazi achikazi
cyanosis ya phazi, kenako zilonda zam'mphongo mpaka m'magazi amiyendo.

Zotupa za mtima:

kupweteka pachifuwa
chisokonezo chamtundu
kupuma movutikira
cyanosis
AH
pafupipafupi matenda a ischemic matenda a mtima.

zovuta zokumbukira komanso chidwi ndi cephalgia,
zosokoneza tulo
kusakhazikika mtima
chizungulire
asthenia ndi kuchepa kwa magwiridwe.

Kuzindikira ndi kuchizira

Hyperlactacidemic coma imadziwika ndi lactic acid m'thupi la wodwala wokhala ndi matenda a shuga a 2. Monga lamulo, chikomokere chimawonekera modzidzimutsa komanso molondola, komabe, chimatha kupezanso wodwala matenda osiyanasiyana kwa masiku angapo kapena masabata angapo.

Maonekedwe a mkhalidwewo ndikuphwanya kwa chapakati mantha dongosolo (kufatsa kwambiri, kugona, kupweteka kwa minofu), kuchepa magazi, kukhumudwa, kupweteka pachifuwa, nthawi zina mseru ndi kusanza. Makamaka gulu la zaka zokhwima limavutika, anthu omwe ali ndi vuto la mtima, mapapu, chiwindi ndi impso.

Kuti mudziwe yemwe, ndikofunikira kupenda zomwe zili lactic acid m'magazi, komanso kudziwa kuchuluka kwa lactate.piruvate. Chikhalidwe pakuwunika komaliza ndi 12: 1.

Kuti achepetse mkhalidwe wodwala wokhala ndi matenda ashuga a 2, ma dontho amayenera kuyikiridwa ndi njira zamchere, zothetsera shuga, insulin ndi methylene buluu. Monga m'milandu iwiri yapitayi, mwayi woti umwalira ndi 50/50%.

Mitundu yoyipa kwambiri idaperekedwa kuti mudziwe, yomwe mtundu wa 2 shuga ungasanduke. Tikukhulupirira kuti zabwino zomwe zatchulidwa pamwambapa zipangitsa kuti odwala osavomerezeka aziganiza. Ziwerengero zakufa zimaperekedwa chifukwa. Monga mukuwonera, chiopsezo ndichokwera kwambiri. Ngati simukufuna kubwezeretsanso gawo latsoka la ziwerengerozi, lingalirani za chithandizo chomwe muli nacho pakali pano.

Chithandizo cha angiopathy

Potengera maziko a kusowa kwa insulini, mkhalidwe umayamba mwa odwala omwe kuchuluka kwa glucose m'magazi amakwera kwambiri, ndipo mwakutero, kuchepa kwamadzi ndi kuwonjezeka kwa zomwe matupi a ketone amakula.

Kukula kwa ma ma ketoni kumasokoneza dongosolo lamkati lamanjenje, impso ndi chiwindi, komwe kumapangitsa kuopsa kwa chikhalidwe cha odwala ndipo kumafunikira chithandizo chamtundu wa kuchipatala.

Matenda a urinary thirakiti, chibayo, matenda opatsirana, poyizoni, poyizoni wa chakudya, komanso kuphwanya zakudya kapena makonzedwe a insulini, kulephera kuyendetsa magazi m'magazi kungayambitse ketoacidosis.

Ngati wodwala amamwa mapiritsi a shuga a 2, ndiye kuti amathetsedwa ndipo insulini yochepa imayendetsedwa molamulidwa ndi shuga ndi acetone, yomwe imachitika maola atatu aliwonse. Mpaka ma jakisoni asanu a mankhwala nthawi zambiri amagwiritsidwa ntchito patsiku, mlingo woyambirira womwe si wopitilira 20 mayunitsi.

Chithandizo cha matenda a shuga ndikukhazikika kwa matenda a mtima kapena chikomine cha ketoacidosis amachitika motere:

Kuchotsa kuchepa kwa insulin mwa kukonzekera mwachangu insulin.
Kuchulukitsa kwamadzimadzi m'thupi komanso kuchepetsedwa kwa potaziyamu.
Kuchotsa kwa acidosis.
Kupanga nthawi yofananira yogwiritsira ntchito ziwiya zaubongo ndi mtima.
Kupewa kapena kuchiza matenda opatsirana
Chithandizo cha Zizindikiro

Pa nthawi yomweyo ndikuyambitsa milingo yoyamba ya insulin, dontho limayikidwa ndi saline. Imayendetsedwa ndi kuchuluka kwa malita awiri. Kusintha njira za metabolic, mndandanda wotsatira wa mankhwalawa umagwiritsidwanso ntchito: 5 ml ya ascorbic acid mu mawonekedwe a yankho la 5%, 100 mg ya cocarboxylase, 1 ampoule wa cyanocobalamin 200 μg, pyridoxine 5% 1 ml.

Madontho a shuga omwe ali ndi Mlingo wambiri wa kukonzekera kwa insulin amalimbikitsa kutulutsa kwa ma mahomoni ophatikizika, komanso kumawonjezera kukana kwa insulin. Nthawi yomweyo, kutsika kwamphamvu kwa shuga m'magazi kumakhala koopsa osati kokha ndi dziko la hypoglycemic, komanso chiwopsezo chowonjezereka cha hypokalemia, lactic acidosis ndi edema ya ubongo.

Chifukwa chake, ndibwino kugwiritsa ntchito regimen yokhazikika ya kukhazikika kwa Mlingo wochepa wa insulin. Amathandizira kukapumira pamchere pamalingo a 0,1 PESCES pa 1 makilogalamu a thupi. Mulingo wa 11 mmol / L wa glucose m'mwazi ukafikira, ndiye kuti amasintha kupita ku makina anthawi zonse. Droppers ndi insulin koyamba nyengo ya mankhwala mwachangu kubwezeretsa mtima kamvekedwe.

Kuphatikiza apo, pochiza ketoacidosis, ndibwino kukhetsa mankhwalawa kwa odwala matenda ashuga:

Ringer-Locke yankho.
Panangin kapena Asparkam.
Sodium bicarbonate 2.5% yankho (kokha ndi acidosis yofunika).
Polyglukin.

Pa tsiku lachiwiri kapena lachitatu, odwala amalimbikitsidwa kumwa madzi amchere amchere ambiri, misuzi ya zipatso, zakumwa za zipatso, komanso kugwiritsa ntchito zinthu zokhala ndi potaziyamu: malalanje, apricots, kaloti, msuzi wa nyama, oatmeal.

Pa tsiku lachisanu, mutha kuphatikiza kanyumba tchizi, nyama ndi nsomba zoyera muzakudya. Nthawi yomweyo, amasinthana ndi dongosolo wamba la insulin.

Intravenous makonzedwe a mankhwala amathanso kuchitika ndi dongosolo la odwala omwe ali ndi matenda ashuga. Mwa izi, mankhwalawa amagwiritsidwa ntchito omwe amagwira mwachindunji khoma lamitsempha, kusintha ma cellcirculation ndi metabolic mu minofu.

Gulu lodziwika bwino la mankhwala ochizira odwala matenda a shuga ndi thioctic acid. Awa ndimankhwala omwe ali ndi kutsimikizika kwachipatala mu polyneuropathy.

Lipoic acid mu shuga, mankhwala ake amawongolera njira zama metabolic komanso mafuta, kusintha mafuta m'thupi, kuchepetsa mapangidwe a ma free radicals, ndi lipid peroxidation mu minyewa yamitsempha.

Kukonzekera kwa Thioctic acid - Thiogamma, Espa Lipon, Thioctacid, Dialipon, Berlition kumapangitsa kuti magazi azituluka komanso kuthandizira, komanso kuthandiza glucose kugwiritsa ntchito minofu ya mafupa popanda kutenga insulin.

Zisonyezo zakugwiritsa ntchito mankhwala osokoneza bongo:

Matenda a shuga a polyneuropathy.
Micro ndi macroangiopathy.
Matenda a chiwindi
Hyperlipidemia ndi atherosulinosis.

Kugwiritsa ntchito mankhwalawa kumayamba ndi makonzedwe othandizira, kupatsa mankhwala a 600 mg patsiku, ndi polyneuropathy yovuta kwambiri komanso zizindikiro za phazi la matenda ashuga, mlingo ungathe kuwonjezeka mpaka 900 - 1200 mg. Madontho amayikidwa kuyambira masiku 10 mpaka 20, kenako amasintha kumwa kwa 600 mg a mapiritsi kuyambira 1 mpaka 3 pa tsiku.

Njira ya mankhwala okhala ndi thioctic acid amakonzekera kuyambira mwezi umodzi mpaka atatu. Prophylactic makonzedwe a mankhwala akhoza kukhala osavomerezeka mu Mlingo theka kutsika kuposa achire ntchito.

Kugwiritsa ntchito kwa intravenous makonzedwe a Mexicoidol pakapangidwe ka njira zothandizira odwala matenda ashuga kumathandizira kuchepetsa kuchuluka kwa mankhwalawa kuti athe kukonza matenda a hyperglycemia, kupewa zovuta za matenda osokoneza bongo komanso kuti athe kulipiritsa matendawa chifukwa chodwala. Montidol akuwonetsedwa kwa odwala omwe ali ndi vuto la lipid metabolism, komanso a pathologies oterowo:

Chachikulu matenda ashuga neuropathy.
Retinopathies.
Nephropathy ndi mawonekedwe a kulephera kwa aimpso.
Dyscirculatory kapena diabetesic encephalopathy.
Kuwonongeka kwakumbuyo, kusokonezeka kwa luntha.

Njira ya mankhwalawa itha kuchitika mkati mwa masiku 5-7 mukamagwiritsa ntchito 200 mg ya Mexidol pa 100 ml ya saline. Mlingo umasankhidwa, kuyang'ana magawo a zamankhwala am'mimba ndi lipid metabolism.

Pochiza matenda a shuga, omwe amasiyana ndi ma cell omwe amakonzekera ngati Actovegin, Wessel Dou F, Mildronat, Trental akhoza kutumizidwa. Mavitamini a Vitamini, hypotensive, ndi vasodilator amagwiritsidwanso ntchito pophatikiza zosiyanasiyana .. Kanemayu munkhaniyi ayankhula za momwe matenda ashuga amathandizira ndi kulowetsedwa.

Tsoka ilo, zimachitika kuti wodwala yemwe ali ndi matenda ashuga amabwera ndi vuto la hyperglycemic - kuchuluka kwa shuga m'magazi ndi zinthu zomwe zimakonzedwa. Madotolo amagawa matendawa m'mitundu itatu:

ketoacidotic chikomokere,
Hyperolar coma
Hyperlactacidemic chikomokere.

Ndi ketoacidotic chikomokere, chisamaliro chodzidzimutsa chothandizira chikufunika. Munthawi imeneyi, wodwalayo amasokonezeka ndi njira zonse za metabolic, kuchepa kwa madzi kumachitika, ndipo ketoacidosis ikupita patsogolo.

Zolakwika zonsezi mokwanira zimazindikira zovuta zomwe wodwala ali nazo. Zinthu izi zimakhudza ntchito ya chiwindi, impso, dongosolo lamanjenje.

Zimachitika kuti kuchuluka kwa kuphwanya konseku kumabweretsa imfa.

Ndi ketoacidosis, wodwala wodwala matenda a shuga 2 amafunika kuchipatala mwachangu. Muzipatala, nthawi yomweyo amayeza kuchuluka kwa shuga m'magazi, zomwe zimakhala ndi mkodzo ndi magazi.

Ngati anthu odwala matenda ashuga atamwa mankhwala othana ndi matenda a shuga, ndiye kuti amathetsedwa ndipo insulin imalembedwa. Ngati wodwalayo "adakhala" pa insulin, ndiye kuti atagonekedwa kuchipatala, makonzedwe ena a mankhwalawa ndi mankhwala.

Kufanana ndi jakisoni woyamba wa insulin, wodwalayo amapatsidwa dontho lokhazikika ndi isotonic solution ya sodium chloride, ascorbic acid, cocarboxylase, yankho la vitamini B6 ndi vitamini B12.

Nthawi yomweyo, pakalibe kusanza, panga zakumwa zomwe zatayikirazo pomwa madzi a mchere "Essentuki" kapena "Borjomi". Zakudya zowonjezera kwa masiku angapo zimathetseratu mafuta aliwonse. Ndi kukula kwa momwe wodwalayo alili, chakudya chimapangidwira pang'onopang'ono pobweretsa zipatso, ndiwo zamasamba, soups mkati mwake.

Hyperomolar coma imachitika popanda ketoacidosis.Ndi mtundu uwu wa hyperglycemia, kusokonezeka kwakukulu kwa metabolic, kuchepa madzi m'thupi, hypernatremia, cell exicosis, azotemia amawonekera. Ndi kukomoka kwa hypermolar, kuchuluka kwa glucose amafika 33.0 mmol / l ndipo akusunthira msanga kuchoka kuzowonetsa izi.

Ngati mwapezeka kuti muli ndi matenda a shuga a 2, ndiye kuti mwina zovuta zanu za matenda ashuga zayamba kale. Chowonadi ndi chakuti mtundu wa shuga wachiwiri suwopsa sichowopsa ndi kuchuluka kwa shuga monga zovuta zomwe zimayambitsa.

Matendawa amawononga mofulumira magwiridwe antchito amitsempha yamagazi, omwe amachititsa kuwonongeka kwamitsempha yamtima, maso, miyendo, impso.

Ku Russia, mu 2007 mokha, odwala 400,000 omwe ali ndi matenda a shuga adamwalira ndi matenda a mtima. Masekondi 30 aliwonse, kudula matupi am'munsi kumachitika padziko lapansi ndi anthu odwala matenda ashuga, anthu akhungu ambiri ndi odwala matenda ashuga, odwala ambiri omwe amagwiritsa ntchito makina opaka a impso ndi anthu omwe amakhalanso ndi matenda ashuga.

Choopsa chachikulu ndikuti ndi mtundu wachiwiri wa matenda ashuga, minyewa yamitsempha imadwala msanga, ndipo anthu omwe ali ndi matenda ashuga amasiya kumva kupweteka mtima, amaganiza kuti ali ndi thanzi. Ndikulimbana ndi kumbuyo kwa "moyo wabwino" kumene masomphenyawa amayamba kugwa, nsapato zolimba zimayambitsa mabala osachiritsa, ndipo katswiri wamtima, pakufufuza ECG, akuti pali zizindikiro za kugunda kwamtima.

Ngati mukuganiza kuti moyo wabwinobwino, wopanda zochita pa nzimbe zoyera kapena njinga ya olumala ndizofunika kwa inu, ndiye tiwone zomwe zingathandize pa izi.

Ndikofunika kumwa mankhwalawa pafupipafupi, komwe kumachepetsa kwambiri zovuta za matenda ashuga komanso kusunga mawonekedwe, impso, miyendo, ndimitsempha yama mtima. Izi ndi zomwe zingakuthandizeni kukhala ndi moyo wabwino.

Kumbukirani kuti kumwa mankhwala othandizira pakudya ndi zina zofunikira m'mankhwala omwe amalonjeza kuchira kozizwitsa, mumangotaya nthawi ndikupatsa shuga mwayi wowonjezera. Kusankha, kumene kuli kwanu, koma machitidwe adziko lapansi sanamvebe za kuchiritsidwa kwa matenda ashuga mukamamwa mankhwala othandizira.

Ndi mankhwala ati omwe dokotala wanu amalimbikitsa kuti mugwiritse ntchito pafupipafupi? Awa ndi magulu anayi okha:

Kuyang'anira shuga: magazi a hypoglycemic a pakamwa. Mankhwalawa amalimbana osati ndi kuchuluka kwa shuga, komanso kuchuluka kwa insulin ndi maselo a kapamba. Ndiye kuti, ndi kudya kwawo pafupipafupi, simudzangochepetsa shuga, komanso kupewa jakisoni wa insulin. Kuongoletsa glucose kumachepetsa kukula kwa mitsempha ya mtima, koma osasiya. Chifukwa chake, poyang'anira shuga m'magulu a 2 shuga, kuwonongeka kwamitsempha m'maso (retinopathy) kumachepetsedwa ndi 21%. Zotsatira zabwino za kayendedwe ka glucose zidawonekera mu kafukufuku wa UKPDS, zomwe zikuwonetsa kuti kuwongolera shuga ndikofunikira, koma sikupereka chitetezo chokwanira cha mtima.
Kugwiritsa ntchito mankhwala omwe amateteza kagayidwe ka mafuta (triglycerides) komanso, kuwonjezera, kuteteza kutupa kwa khoma la mtima ndi kuwonongeka kwake, kusintha magazi, mafupa. Kutenga fenofibrate (Michere) yochepetsera michere kumachepetsa kupitiliza kwa retinopathy ndi chiwopsezo chachikulu cha 79%, kumachepetsa chiopsezo chodulidwa ndi pafupifupi theka - mwa 47%, kuphwanya myocardial ndi 25%, komanso kupita patsogolo kwa atherosulinosis m'mitsempha yamtima kumachepera. Ndi mchitidwe wapadziko lonse pochiza matenda a mtima: matenda a shuga: kuchepetsa mankhwalawa. Ku Russia, mankhwalawa adawonekera mu Novembala 2008, ngakhale amagwiritsidwa ntchito kwambiri m'maiko onse padziko lapansi. Mutha kufunsa funso la Tricor wa mankhwalawa patsamba lawopanga.
Kuwongolera kwa cholesterol: mankhwala a statin. Mankhwalawa samakhudza zovuta za microvascular: retinopathy, kudula, koma zithandiza kuchepetsa chiopsezo cha matenda a mtima ndi kufa mwa kuletsa kaphatikizidwe ka cholesterol m'chiwindi.
Ndipo chomaliza ndichabwino kutsata magazi. Si mankhwala onse a antihypertensive omwe ali oyenera kwa wodwala matenda ashuga. Popanda chosowa chapadera, adotolo sangapereke mankhwala a beta-blockers kapena okodzetsa, chifukwa mankhwalawa ali ndi vuto pa metabolism ya carbo ndipo angagwiritsidwe ntchito kokha posonyeza matenda a shuga. Zokonda zimaperekedwa mwina ndi mankhwala osokoneza bongo omwe amaphunzitsidwa bwino komanso omwe amaphunziridwa bwino a shuga, kapena mankhwala omwe, limodzi ndi kuwongolera kukakamiza, amasintha kagayidwe ka insulin ndikuthandizira kuchepetsa thupi.

Potsatira malamulo awa anayi a mankhwala osokoneza bongo, mutha kukhala otsimikiza kuti mudzateteza thanzi lanu komanso kukhala ndi moyo wopambana.

Ndi njira zinayi izi pa chithandizo chokwanira komanso chothandiza cha anthu odwala matenda ashuga ochokera m'matumbo am'mimba omwe aphatikiza madokotala mu pulogalamu yapadziko lonse lapansi kuti athe kuthana ndi vuto la mtima: www.r3i.org (tsamba la Chingerezi)

Yesetsani kupewa mankhwala omwe mumadzipangira nokha komanso kufunafuna "zochiritsa zozizwitsa" kapena chithandizo chamankhwala chosasinthika, popeza kuti shuga imangodikirira kuti musakhalenso ndi dokotala. Mankhwala onse amakono amaloledwa bwino ndipo samayambitsa zotsatira zosafunikira.

Mosiyana ndi zakudya zamagetsi, kutulutsa kwawo kumawongoleredwa mosadalirika, ndipo chitetezo chimatsimikiziridwa m'maphunziro akuluakulu.

Oyimira odziwika kwambiri komanso omwe amasankhidwa nthawi zambiri m'gulu lino la mankhwalawa ndi awa: Chochulukitsa cha matenda amitsempha yam'munsi ndizophatikizira kuchuluka kwa cholesterol mu lumen yamitsempha yamagazi (yaying'ono ndi yayikulu).

Pali kufooka kwa chotupa cha popliteal, komanso mitsempha ya kumbuyo. Nthawi zina zimawoneka pachala chachikulu kapena zala zina, komanso pazokhazokha, zomwe sizichiritsa kwa nthawi yayitali.

Izi zimachitika makamaka pamilandu ya kukokanso kukamwa kwamankhwala ochepetsa shuga, kukhazikitsa madera otentha, chikomokere. Muyenera kutsatira zakudya za anthu odwala matenda ashuga, kumwa mankhwala pafupipafupi malinga ndi dongosolo lomwe dokotala wakupatsani, ndikuyang'anira shuga yanu yamagazi.

Kuphatikiza apo, kugwiritsa ntchito mowa ndi kusuta fodya kwa odwala kumakhala koyipa kwambiri pakukula kwa angiopathy. Kuti muwone ntchito ya mtima, wodwalayo amapita ndi electrocardiogram, komanso kuyesedwa kwa nkhawa komwe kumakhudza ECG panthawi yowonjezera.

Magawo ochokera kwa walnuts a shuga

Matenda a diabetes angiopathy nthawi zambiri amakhudza mitsempha ya popliteal komanso nthambi zawo, zimakhala ndi njira yankhanza komanso yopita patsogolo, ndipo nthawi zambiri amabwera pakukula kwa gangrene, chomwe ndi chifukwa chodulidwa komanso kulumala kwa wodwalayo.

Kuunika kwa Ultrasound kumakupatsani mwayi wamagazi. Kuti muwone zowonongeka m'matumbo a retina (), maphunziro apadera - ophthalmoscopy kapena fluorescence angiogram - ayenera kuchitidwa ndi ophthalmologist.

Kodi pali njira zofananira zochizira matenda ashuga oyamba? Mukukhazikitsa njira yodziwitsira, katswiri, choyamba, amachita kafukufuku wodwalayo kuti adziwe zomwe akudandaula, mbiri yake komanso zomwe zimachitika pokhudzana ndi matenda a shuga.

Mikhalidwe yayikulu yothandizira pakulimbikitsa matenda angiopathy mu matenda osokoneza bongo ndi chiphuphu chifukwa cha zovuta zomwe zimayambitsa matenda komanso matenda a metabolism a protein ndi chakudya. Mavuto ena a shuga ndi osapeweka.

Matenda ashuga angiopathy ndi amodzi mwa zovuta zazikulu zomwe zimayenderana ndi mtundu wa 1 ndi matenda ashuga a 2. Makonzedwe a maphunziro ndi awa: kuyesa kozama ndi kuchita zolimbitsa thupi, kutsimikiza kwa chidendene cha brachial index ndikuwunikanso mayeso amitsempha yamagazi.

Nyemba Zofiyira za shuga

Dongosolo la matenda ashuga angiopathy makamaka limachepetsa ziwiya zazing'onoting'ono kwambiri zomwe zimakhala pafupi kwambiri ndi maselo amthupi (microangiopathy). Dziwani za matenda ashuga a retinopathy (kuwonongeka kwa ziwiya za retina) okhawo omwe amatha kupangika pa ophthalmoscopy kapena fluorescence angiogram.

Pa palpation, kufooka kwamatumbo kumamvekedwa pamiyendo yam'mimba komanso kumbuyo. Pakadali pano, munthu ali kale ndi vuto lochita kulumikizana, lomwe likuyenda bwino. Nthawi zina, njirayi imayamba pang'onopang'ono, zaka zambiri, nthawi zina makumi.

Yang'anani kutalika kwa kuyenda, komwe sikumayenderana ndi kupweteka m'miyendo, kusintha kwa khungu, khungu lotumbulika, kuchepa kwa tsitsi kumunsi, ndikupanga zilonda zam'mimba. Kupweteka kwam'mimba mu shuga sikungokhala chifukwa chokhala ndi zovuta za angiopathic ndi neuropathic.

Kuperekera Mankhwala a Ketoacidosis

Chifukwa cha kuchepa kwa kupangika kwa insulini ya mahomoni kapena kusowa kwa thupi, shuga m'magazi a wodwalayo ikukula mwachangu. Zikakhala choncho, thupi limasowa madzi.

Panthawi yodwala matenda ashuga okhudzana ndimatenda a metabolism m'thupi la wodwalayo, kuphatikiza kuchuluka kwa glucose, kuchuluka kwa matupi a ketone m'magazi kumawonjezeka, ndipo amawonekanso mkodzo. Vutoli limafunikira kuchipatala mwachangu, ndipo chithandizo sichichita popanda kulowetsedwa kwa mankhwala.

Kodi matenda amapezeka bwanji?

Ndi kusowa kapena kupezeka kwathunthu kwa insulin ya mahomoni, kupanga kwa chiwindi ndi chiwindi kumakwera, pomwe kugwiritsidwa ntchito kwake ndi minofu, chiwindi ndi minyewa ya adipose kumachepa. Njira ya pathological imabweretsa hyperglycemia.

Pankhani ya kuchepa kwa insulin, thupi limalandira mphamvu pakukonza mafuta acids aulere, omwe amatsogolera pazogulitsa - matupi a ketone. Amapangidwa mwachangu kwambiri kotero kuti alibe nthawi yoti atayidwe, ketoacidosis imayamba.

Chithandizo chamakono cha kulowetsedwa

Wotsitsa mtundu wa matenda a shuga a 2 amayikidwa nthawi yomweyo ndi kuthetseratu mapiritsi ndi kutsekeka kwa makonzedwe a insulin yokonzekera. Mu chipatala, kulowetsedwa kwamitseko kumachitika kwa nthawi yayitali.

Chithandizo cha mankhwalawa chagawika m'magawo atatu:

kuthanso kwamadzi ndi mchere wambiri,
kukonza kwa asidi-m'magazi a magazi mpaka 16,7 mmol / l, kuthandizira zizindikiro mwazotheka,
kuyang'anira glycemia mothandizidwa ndi jakisoni wa mahomoni maola 4 kapena 5 aliwonse.

Kulowetsedwa mankhwala a endocrine dongosolo matenda

Malangizo amaperekedwa kudzera m'mitsempha:

Kuchuluka kwa yankho lililonse komanso nthawi ya njirayi zimatengera momwe munthu akuvutikira, zaka zake komanso machitidwe ake.

Mtsempha wa magazi kulowetsedwa kwa endocrine dongosolo matenda

Ogwetsa kukonzekera opareshoni

Mu shuga mellitus, ma dontho amaikidwa pamaso pa opareshoni ya insulin ya ultrashort komanso yochepa. Njira zopangira opaleshoni yochitika pambuyo pake zimachitika pambuyo poti shuga alibe kuposa 8 mmol / l musanadye. Ngati palibe mavuto ndi chiwindi komanso kuchuluka kwambiri kwa thupi, munthu wodwala matenda ashuga adzafunika kuti akhale ndi shuga, insulin ndi potaziyamu - osakaniza woyenera amaperekedwa kwa maola 5.

Mungafunenso dongosolo lotsatirali:

potaziyamu chloride njira yothanirana ndi hypokalemia,
Mankhwala obweza plasma,
sodium bicarbonate ndi ketoacidotic chikomokere,
albin.

Kusamalidwa mwadzidzidzi kwa zovuta za shuga

Chithandizo cha neuropathy, angiopathy

Madontho a shuga a mtundu 2 amaperekedwanso kuti ateteze zotsatira zoyipa za kusayenda bwino kwa dongosolo la endocrine. Ndi kuwonongeka kwa mitsempha yamagulu odwala matenda ashuga, ma dontho amaikidwa kwambiri ndi thioctic acid. Mankhwala amalimbana ndi polyneuropathy.

Thiogamma, dialipon ndi mankhwala ena amagwiritsidwa ntchito pokonzanso magazi m'magazi amanjenje. Lipoic acid imayambitsidwa kuti iwongolere njira za metabolic, cholesterol yotsika. Zisonyezero za chithandizo choterechi chidzakhala polyneuropathy, angiopathy, hyperlipidemia.

Mankhwala ndi kuchepetsedwa ndi shuga kapena sodium mankhwala enaake njira isanayambike.

Njira yodziwika bwino ya mankhwalawa imakhala ndi njira 20 ndipo ili ndi zotsatirapo zakepi la odwala matenda ashuga:

imapangitsa minofu kusinthika,
imathandizira kagayidwe
amachotsa zowonongeka zosiyanasiyana m'mitsempha yamagazi.

Mu matenda ashuga, Actovegin amachepetsa zizindikiro zowawa monga kupweteka, kusasangalala mumtima, kumva kowotcha, kumva kugunda kwamphamvu. Chimodzi mwazomwe zimadziwika ndi mankhwalawa ndi matenda ashuga a polyneuropathy. Droppers ya odwala matenda ashuga ndi Actovegin pambuyo 3 milungu m'malo ndi mapiritsi.

Popeza kuchuluka kwa glucose m'magazi, mitsempha, mtima imazunzika. Kulimbitsa thupi, kukonza bwino thanzi la wodwala, omwe akutsikira amapatsidwa shuga kwa mitsempha.

Polyneuropathy	Thioctic acid, lipoic acid. Njira ya mankhwalawa imatenga masiku 10 mpaka 20, kenako pitilizani kumwa mankhwalawa mapiritsi kwa miyezi 1-3.
Ketoacidosis	Insulin, saline, potaziyamu, sodium bicarbonate. Mlingo umatengera mkhalidwe wa anthu odwala matenda ashuga komanso kuopsa kwa matenda amisempha.
Kulimbitsa mtima	Actovegin, Mexicoidol, Trental. Njira yamankhwala imadalira thanzi la wodwalayo mtima. Mankhwala amaperekedwa kuyambira masiku atatu mpaka milungu itatu.
Hyperosmolar chikomokere	Hypotonic, isotonic, njira ya shuga.
Pamaso pa opareshoni	Saline solution, m'malo mwa plasma, njira ya shuga, sodium bicarbonate ndi ena.

Mkulu mankhwala kulowetsedwa shuga

Kuthekera kwa contraindication ku njirayi

Mu matenda ashuga, osiyidwa amawayika pokhapokha ngati adokotala atazindikira bwino lomwe.

M'matenda otsatirawa, mankhwala opangira mankhwala mwanjira imeneyi sangathe kulowa m'thupi la wodwalayo:

myocardial infaration
kuchuluka kwa madzimadzi mu minofu,
Kugwiritsa ntchito bwino kwa chiwindi ndi impso,
pulmonary edema,
Mimba ndi kuyamwa
magazi osagwirizana
matenda oopsa
kusalolera payekha mankhwala.

Zofunika! Chenjezo ndi kulowetsedwa kwa mtsempha uyenera kuchitidwa ngati wodwala matenda ashuga apanga opaleshoni posachedwapa.

Popeza kuzindikira kwa matenda ashuga kumawonjezera chiopsezo cha matenda a mtima ndi mtsempha wamagazi ka 5, kupewa matendawo nthawi zambiri kumawalozera ku ziwalo zofunika izi.

Kugwiritsa ntchito antchito pakanthawi kochepa kumachepetsa chiopsezo cha zilonda zam'mimba.
Kulowetsedwa kwa mtsempha wamagetsi kumapangitsa kuti zochita za pathological ziyime, kusiya zoyipa zake.
Chiwerengero cha zovuta komanso zovuta zingapo zimachepetsedwa.
Katundu pa zotengera ndi dongosolo lamanjenje amachepa.

Mkuluyu adzakondwera ndi chithandizo choyenera, kusintha kwathunthu kwa moyo wanu komanso zakudya. Kupititsa patsogolo moyo wa odwala matenda ashuga, komanso kupewa zovuta zambiri za matenda a endocrine, amalola kulowetsedwa koyenera.

Zakudya Zabwino za shuga

Kupumulitsanso Baralgetas Nkhani yina yothandiza kupangitsa ziwiya zokhala m'munsi ndi ku Baralgetas. Monga ulamuliro, pa gawo loyamba la kukula kwa angiopathy kwamiyendo, matchulidwe osintha ndipo zizindikiro za matendawa sizinawonedwe.

Pakapita nthawi, ululuwo umakhala wokhazikika ndipo sutha usana kapena usiku. Kuthamanga kwa magazi kumiyendo yonse, ndi mikono ndi miyendo ziyenera kukhala zofanana. Ngati mutsatira malingaliro onse a dokotala ndikutsatira malangizo onse omwe mungalandire pothana ndi kupewa, ndiye kuti chitukuko cha matenda ashuga am'madera am'munsi chitha kuchedwetsa kapena kuchedwetsa njira yomwe yayamba kale.

Zolemba pamitu yachipatala zidasindikizidwa m'mabuku azofalitsa (manyuzipepala) komanso pazamasamba osiyanasiyana pa intaneti. Kuchiza kwamatenda a mtima m'magazi a shuga kumaphatikizanso kuwongolera kuthamanga kwa magazi, komanso kuthandizira pafupipafupi shuga.

Matenda a shuga ndi miyendo. Matenda a shuga amapweteka miyendo - chithandizo
Madontho a mtima ndi mitsempha yamagazi kwa matenda ashuga
Chithandizo cha mabala amiyendo mu matenda a shuga amayandikira ku chithandizo
Kuwonongeka kwa Vascular ku matenda ashuga - Nkhani Zaumoyo

Chithandizo chimachepetsedwa makamaka pakumwa mankhwala a pharmacological ndikutsatira kudya. Kuti mutsimikizire matenda a shuga, pakupezeka kwa matenda, ndikofunikira kuzindikira kuchuluka kwa shuga m'magazi, pogwiritsa ntchito chiwembu china cha izi, chomwe endocrinologist ikuuzani.

Mimba gestational matenda a shuga

Kuyesedwa kwachipatala kwa mankhwalawa kwawonetsa kuti samangokhala ndi chumacho, komanso amachepetsa magazi. Kugwiritsa ntchito mayeso angapo, ntchito ndi kapangidwe ka zotengera zokhala m'munsi, zomwe nthawi zambiri zimakhudzidwa ndi matenda a shuga, zimatsimikizika.

Ichi ndi chiopsezo cha moyo chomwe chikufunika njira zochizira mwachangu. Chomwe chimaphatikizira izi: kusowa kwa insulin kopitilira muyeso ndi kuphwanya kwakuthwa kwamitundu yonse ya kagayidwe kameneka ndi izo, kuchepa kwa thupi, komanso kuwonjezereka kwa ketoacidosis.

Kuphatikizidwa kwa matendawa kumapangitsa kuopsa kwa zomwe zili paliponse, maonekedwe ndi kupita patsogolo kwa kusintha kwa magwiridwe antchito kuchokera ku dongosolo lamkati lamanjenje, impso, chiwindi, zomwe mwina sizigwirizana ndi moyo.

Zomwe zimayambitsa kukula kwa ketoacidosis imatha kukhala chibayo, kuchuluka kwa matenda a pyelonephritis, furunculosis, toborosis ya zakudya, ndi zina zambiri, komanso kuphwanya njira yochizira wodwalayo.

M'masiku otsatirawa, ndikofunikira kukhalanso ndi mtundu womwewo wa mankhwala: insulin yosavuta imayendetsedwa motsutsana ndi maziko a zochita za insulin yokonzekera. Tiyenera kukumbukira kuti ndi kuthetsedwa kwa ketoacidosis, chidwi cha insulin, ndipo mlingo wake uyenera kuchepetsedwa pang'onopang'ono motsogozedwa ndi shuga wamagazi (mbiri ya glycemic).

Ngati ketoacidosis imachiritsidwa ndi insulin imodzi yochepa, ndiye kuti pambuyo pake (patatha masiku 3-4 atachotsa acetonuria), imasinthidwa ndi mankhwala osakhalitsa.

M'masiku otsatirawa, chakudyacho chimakulitsidwa pang'onopang'ono, ndikuwonjezera chimanga chamadzimadzi, masamba osenda ndi zipatso, kefir yotsika-mafuta, owotchera, kenako amayamba kupereka msuzi wosenda, tchizi tchizi, nsomba yophika ndi nyama.

1) chithandizo chamankhwala ndikulimbitsa mwachangu insulin, popeza kuchepa kwa insulin kumapangitsa kukula kwa zovuta zoyambitsa matenda,

Njira yayikulu yochiritsira ndi kuphatikiza shuga, kuthamanga kwa magazi, cholesterol. Kuphatikiza pa mankhwala osokoneza bongo, zakudya zamagulu ochepa zimafunikanso m'mitsempha yamagazi. Kuchepetsa hyperglycemia, insulin, PSSP ndi mankhwala.

Chisamaliro chabwino chimapatsidwanso zotupa za mtima: ma beta-blockers, angiotensin otembenuza enzyme inhibitors (ACE inhibitors), Ca channel blockers, diuretics amagwiritsidwa ntchito kutsitsa kuthamanga kwa magazi m'magazi a shuga, ndipo kuchuluka kwa cholesterol kumatsika ma statins.

Kuopsa kwa kuundana kwa magazi kumachepa ngati ma antiplatelet agents - Aspirin, Plavix, ndi zina zotchulidwa. Chithandizo cha matenda ashuga retinopathy - ndikofunikira kulipiritsa zovuta za metabolic.

Pachifukwa ichi, anabolic steroids amagwiritsidwa ntchito: Nerobol, Nerobolil, Retabolil - amachititsa maphunziro atatu pachaka. Madokotala amagwiritsanso ntchito laser chithunzi. Hypercholesterolemia - Clofibrate, Miskleron, Atromidine, Liponorm, Lipavlon ndi ena. Amatsitsa milingo ya LDL, ndi synergistic ndi othandizira antiplatelet.

Angioprotectors - Anginin, Prodectin, Parmidin, ndi zina zotchulidwa kwa miyezi 6. Ngati zotupa za m'mimba zimachitika mu retin - hemostatic Dicinon. Chithandizo cha laser chimagwiritsidwanso ntchito.

Kuwonongeka kwa ziwiya zamiyendo mu shuga mellitus - mu matenda a shuga, matenda amitsempha yayitali yakhala vuto lalikulu kotero kuti mizinda yapadera idapanga zipinda zapadera za odwala omwe amathandizanso kupweteka kwam'mimba.

Ichi ndi chizindikiro kuti kuwonongeka kwa mapazi mu shuga kumakhala kofunika kwambiri. Matenda a chifuwa cha matenda ashuga amatanthauza kuwonongeka kwa zimakhala zonse za phazi (minofu yofewa, khungu, mafupa ndi mafupa) chifukwa chotupa cham'mitsempha yaying'ono komanso yayikulu komanso mitsempha yam'munsi.

Nthawi zonse pamafunika chithandizo chamanthawi. Kupatula izi, ndikuwunika tsiku ndi tsiku momwe mapazi, kupewa kuwonongeka, kusintha kwa moyo ndi zakudya.

Kuphwanya mitundu yamitundu yonse yamatenda nthawi zambiri kumayambitsa matenda, kuvulala, zilonda zam'mimba za trophic ndikusintha kwa gangren.

Nthawi zambiri, gangrene amaopseza kuti adzadula phazi kapena mwendo wotsika. Chithandizo cha SDS chimayamba ndi matenda a hyperglycemia komanso zakudya zama carb ochepa.

Ngati palibe zoterezi, chithandizo chonsecho sichingachite chilichonse. Ngati matenda ali ndi kachilomboka, mankhwala opatsirana a antibayotiki amatchulidwa nthawi zonse, okhala ndi zilonda - mankhwala a antiseptic tsiku ndi tsiku komanso kuvala mabala.

Mukapereka mankhwala othandizira, ndikofunikira kudziwa mtundu wa tizilombo toyambitsa matenda komanso mphamvu yake ku mtundu wina wa antibacteria mothandizidwa ndi bacteriosis.

Kuteteza matenda kufala, magazi osagwirizana amalembedwa - Aspirin, Cardiomagnyl, Plavix. Pa chifukwa chomwechi, kumapeto kwa matendawa, chithandizo chamankhwala chikakhala chosagwira, komanso panjira yayikulu ya pathologies, nthawi zambiri pamafunika njira zopangira opaleshoni: kukomoka kwa ziwiya zowonongeka, opaleshoni yodutsa ukadaulo wa laser.

Opaleshoni yam'mimba - m'malo mwa malo owonongeka mumtsempha wamagazi ndikubwezeretsa kutuluka kwa magazi. Kuphwanya malo owonongeka, shunt imayikidwa. Mulingo wake bwino, tsamba lamtambo wamkulu wa ntchafu kapena chubu chopanga ndimakonda kugwiritsidwa ntchito. Kumalekezero amodzi amakongoleredwa pamwambapa.
Endarterectomy - Uku ndikuyeretsa mwachindunji kwamitsempha yamagazi m'matenda a shuga: kudula chimbudzi cha mtsempha wowonongeka ndikuwatsuka.
Angioplasty - catheter imayikidwa mu mtsempha wamagazi kudzera mu gawo la inguinal kulowa mu mtsempha wamagololo achikazi. Ili ndi baluni yofiyira kumapeto. Wopereka catheter amapeza malo owonongeka ndikuwonjezera chotengera chofedwacho pokweza balloon - zonsezi zimayendetsedwa ndi chowonera.
Ndikuluma - ma mesh apadera amayikidwa mchombo, chomwe chimakulitsa chotengera ndikuchilepheretsa kuti chingagwere. Fungo limathandizira kuthana ndi ochepa stenosis. Nthawi zambiri wophatikizidwa ndi angioplasty. Catheter yam'mbuyomu, yomwe imakulitsa mtsempha wamagetsi, imachotsedwa, ndi waya wamoyo amayikidwa m'malo mwake.
Laser chithandizo - Amagwiritsidwa ntchito kwambiri mu retinopathy - dokotala wa opaleshoniyo amawonetsa mitsempha yamagazi m'maso ndi ma laser.

Ndi shuga, momwe mungapangire ndikusambitsa mitsempha yamagazi? Gulu lonse lazamankhwala limagwiritsidwa ntchito ndipo decoction ya masamba a bay ndiyotchuka kwambiri.

Ndi nephropathy, okodzetsa amatchulidwa - Lasix, Diacarb, Spironol, Furosemide.

Chithandizo chowonjezera ndi physiotherapy: kusamba, kutikita minofu, kudya, kuchita masewera olimbitsa thupi, mankhwala azitsamba, etc.

Chithandizo cha zotupa zam'mimba nthawi zonse chimafuna kuwunika kwa glycemia nthawi zonse. Komanso mulingo wa michere ya chiwindi, popeza mankhwala ena ali ndi poizoni, mwachitsanzo, ma statins.

Kuchepetsa shuga m'magazi, Diabetes, Reklid, Metfogamm, ndi zina zotchulidwa. Kukhazikitsidwa kwa akatswiri osiya maphunziro 5 mpaka 10 masiku ano kuli kofunikira kwambiri masiku ano popewa masoka achilengedwe.

Madontho amawongolera kagayidwe, kukonza mbiri ya lipid, kukhazikika kwa wodwalayo, mkhalidwe wamakoma azotengera nawo umayenda bwino, amathandizira kuyeretsa ziwiya ndipo thupi limasinthasintha kuti cholesterol ikhale yachilendo.

Kugwiritsa ntchito ma dontho nthawi yogwira ntchito

Coma yopanda acidotic imatha kukula ndikuwonjezereka kwa shuga m'magazi, omwe amatha kupitilira 55 mmol / L. Kuphatikizika kwa shuga kumeneku kumadziwika kwa anthu okalamba, omwe ali ndi ludzu lochepera omwe sazindikira kutaya madzi. Diabetesic acidosis sikukula, popeza zotsalira za insulin zimasungidwa.

Kuopsa kwa vutoli kumachitika chifukwa chakuwonekera kwakuya kwamadzi chifukwa cha kutulutsa kwambiri kwa shuga mumkodzo, komwe kumakopa madzi. Kuchulukitsa kwa osmotic diuresis kumayambitsa kulephera kuzungulira, komanso kuyimitsa kutulutsa kwamkodzo pambuyo pa polyuria.

Chovuta pakuchiza hyperosmolar coma ndikuwunika koyenera kwa mawonekedwe a mitsempha, omwe amafanana ndi matenda a ubongo. Nthawi yomweyo, kutenga ma diuretics m'malo obwezeretsa thupi kumabweretsa kufa.

Zomwe zimayambitsa mayankho mu hyperosmolar coma:

Ndikosatheka kuyambitsa yankho la isotonic sodium chloride m'maola oyamba, chifukwa mumakhala mchere wambiri wa sodium m'magazi.
Kuthanso magazi kumachitika bwino kwambiri ndi yankho la shuga la 2,5% kapena njira ya 0,45% ya sodium kolorayidi.
Insulin imayendetsedwa mu Mlingo wocheperako kapena ayi.
Ndikofunikira kuchepetsa glycemia pang'onopang'ono, osaposa 5 mmol / l pa ola limodzi, popeza kutsika kwakuthwa kwa shuga kumatsogolera ku edema yamapapu.
Kuchepetsa chiwopsezo cha kuundana kwa magazi mwa okalamba, heparin amagwiritsidwa ntchito pazing'ono.

Ikawonetsedwa, mankhwala osokoneza bongo ndi mankhwala othandizira amatha kuperekedwa.

Odwala onse omwe amachitidwa opaleshoni yam'mimba, komanso ngati pali chosemphana ndi zomwe amapeza pakudya pambuyo pa opaleshoni, amasamutsidwira ku insulin yochepa-yochepa komanso insulin yochepa kwambiri mu ma dropper a matenda a shuga 2, komanso matenda amtundu wa 1, mosasamala kanthu momwe adachitikira chithandizo chisanachitike.

Ntchito zomwe zimakonzedweratu zimachitika pokhapokha kusala kudya kwa glycemia sikokwanira kuposa 8 mmol / l, ndipo pazokwanira mukatha kudya sioposa 11.2 mmol / l. Kulipiritsa matenda a shuga panthawi ya opaleshoni komanso pambuyo pa opaleshoni, insulin ndi yankho la glucose kapena potaziyamu wa calcium zimayendetsedwa kudzera m'mitsempha. Glucose patsiku imayenera kufika pafupifupi 130 g.

Kwa opaleshoni ya intravenous mwa omwe amasiya ntchito pa ntchito, osakaniza shuga, potaziyamu ndi insulin amagwiritsidwa ntchito - GKI yankho. Mmenemo, muyezo wa insulin ndi shuga ndi 0,3 PESCES pa 1 g. Kusakaniza uku kumaperekedwa kwa nthawi yayitali ya maola 5. Ngati odwala akuwonongeka kwa chiwindi kapena kunenepa kwambiri, ndiye kuti mlingo wa insulin ukuwonjezeka.

Komanso, odwala matenda a shuga mukam'chita opareshoni amatha kuperekedwa:

Potaziyamu mankhwala ena oteteza Hypokalemia.
Plasma kusinthana mayankho.
Sodium bicarbonate ndi zizindikiro za ketoacidosis.
Albumin 10% yankho popewa kuteteza insulin kuti ithetse dongosolo.

Mitundu yachiwiri ya mapiritsi a shuga omwe amakhudza insulin, kuchuluka kwa shuga - Mankhwala amtundu wa shuga 2 ndi otchuka

Amayi omwe akudwala matendawa amasangalala ndi momwe angakhalire ndi pakati, kupilira komanso kubereka mwana wathanzi. Ngati mumayendetsa shuga m'magazi, chitukuko cha matenda ashuga nephropathy chimalepheretsedwa ndi oposa 65%, ndipo chiwopsezo cha matenda a mtima chimachepetsedwa ndi 35%.

Nthawi zambiri, ndi mtundu wachiwiri wa matenda ashuga, insulini m'magazi ndi yokwanira, koma maselo sawachita bwino. Chithandizo cha matenda amtundu wa 1 shuga ndi jakisoni wa insulin, kudya moyenera, komanso kuchita masewera olimbitsa thupi nthawi zonse. Koma ngati mwana wabadwa wathanzi, ndiye kuti chiwopsezo cha kufalikira kwa matenda a shuga kuchokera kwa mayi sichitha - 1-1,5% yokha.

Dropper a shuga mellitus mtundu 2 ndi mtundu 1
Madontho a matenda ashuga omwe amaperekedwa kwa Type 1 and Type 2 diabetes
Vuto la matenda a shuga a mellitus Atherossteosis
Dontho ndi utsi Otrivin. - MEDSIDE
Mayankho @ Email. Ru Kodi mungakonzekere bwanji obwereza, chifukwa.

Pankhaniyi, zopangidwa ndi zinthu zambiri zimapangidwa - matupi a ketone. Mimba yokhala ndi matenda a shuga 1 iyenera kukonzedwa. Sinthani kasamalidwe kanu ka shuga m'miyezi ingapo musanatenge mimba.

Chithandizo cha matenda a shuga ndi wowerengeka azitsamba kunyumba

Matenda a shuga a shuga amakhala pachiwopsezo cha moyo, amakhala ndi zoopsa zotsatirazi: Zakudya zamafuta ochepa zimapangitsa kuti muchepetse kuchepetsa insulin ndi nthawi 2-7 komanso munthawi yomweyo kukonza magazi. Kunenepa kwambiri komanso Mlingo wambiri wa insulini umakhala wozungulira: Gulu loipa lomwe lamufotokozedwali likuwonekera kwa odwala omwe ali ndi matenda amtundu wa 1, osangokhala pakati pa odwala omwe ali ndi matenda a shuga a 2.

Chifukwa ndi glucose ochulukirapo palibe chomwe mungachite kuposa kusandutsa mafuta. Anthu odwala matenda ashuga omwe amadya zakudya zoyenera amatha kudya zopatsa mphamvu zambiri.

Mitsempha yamagazi ya shuga ya mellitus mtima komanso kuyeretsa kwam'mimba.
Kuwonongeka kwa mtima mu shuga
Matenda a shuga amawonetsa momwe angatetezere mitsempha ya m'magazi - owonera matenda ashuga
Matenda a matenda ashuga komanso mankhwala a matenda ashuga popanda.

Komabe, atatha jakisoni woyamba wa insulin, pazifukwa zina, amayamba kugwira ntchito bwino. Zizindikiro za matenda ashuga a ketoacidosis: Zomwe zimayambitsa matenda a shuga 1 sizikudziwika bwino mpaka pano.

Kuti muthane bwino matenda a shuga 1, muyenera kuphunzira zambiri zosiyanasiyana. Mabwalo opezeka pa intaneti ali ndi nkhani zambiri zapaubwino kwa amayi omwe ali ndi matenda a shuga 1. Kukwera kwake m'magazi, kumakhala kovuta kwambiri kuchepetsa thupi.

Pazaka zambiri zofufuza zikufunika kuti zitsimikizire kuti magwiridwe antchito ndi otetezeka. Asayansi abwino kwambiri amagwira ntchito kuti akwaniritse cholingachi.

Polyarthritis yothandizira matenda a shuga

Amabzala pamabedi m'nyumba zaboma kapena osavuta kupeza m'matanthwe ndi minda. Komabe, mankhwala samayima, ndikupanga mankhwala osokoneza bongo ndi njira zochepetsera mkhalidwe wa anthu omwe amadalira insulin. Komabe, pomwe matendawa amadziwika msanga ndipo njira yoyambira imayambika, amachepetsa chiopsezo chovuta kwambiri.

Koma ngakhale poganizira izi, kugwiritsa ntchito kwawo kumangopindulitsa wodwala. Mwachitsanzo, ndizothandiza kwambiri nthawi imodzi kutsatira malingaliro onse omwe adokotala amapereka. Izi ndichifukwa choti zomwe zimapangidwa pafupifupi zomera zonse zimaphatikizapo zambiri zofunikira kufufuza zinthu ndi mavitamini.

Lembani mapiritsi a shuga a 2 omwe amakhudza insulin, kutulutsa shuga
Mankhwala ochepetsa shuga m'magazi a 2 shuga
Mankhwala a mtundu wachiwiri wa shuga ndi mndandanda wa mapiritsi.
Mbewu za mpendadzuwa zimapindula komanso zimavulaza, nthawi zonse pakudya.

Koma, ngati simukufuna kuphatikiza nokha zinthu zopanda pake, ndiye kuti mutha kugwiritsa ntchito mafuta omwe amagulitsidwa ku malo ogulitsa mankhwala kapena m'mabungwe ena apadera. Anthu omwe akudwala matendawa ayenera kuyang'anira zakudya zawo mosamala komanso kuti azidalira insulini yowonjezera nthawi zonse.

Droppers: contraindication

Kufunika kwachipatala kwa otsalira a shuga kungakhale chifukwa cha thanzi la wodwalayo, zotsatira zoyesedwa zosawerengeka komanso shuga wambiri wa magazi.

Nthawi zina, anthu odwala matenda ashuga amakhala ndi chiopsezo chotenga chikomokere. Kuletsa izi kumathandizira kulowetsedwa kwa mankhwala. Kuphatikizika kwa zida zamankhwala kumatsimikiziridwa payekhapayekha. Kuphatikiza pa kuthetsa chiopsezo cha chikomokere, omwe amadwala matenda ashuga ali ndi zifukwa zotsatirazi:

kukhazikika kwa njira zotumphukira zamagawo,
chitetezo ku hypoxia yamaselo aubongo,
Kubwezeretsa madzi ndi acid-base moyenera, kulimbana ndi acidosis,
chithandizo chochepa kwambiri
kuyeretsa poizoni ndi zoopsa.

Coma imayamba kugwiritsidwa ntchito ndi odwala omwe ali ndi vuto lalikulu la amadzi amkati. Izi zimapangitsa kuti zikhale zovuta kuwunika momwe wodwalayo alili. Chifukwa chake, anthu oterewa amalimbikitsidwa kulowetsedwa kwa anthu odwala matenda ashuga nthawi zambiri kuposa odwala ena. Contraindication kukapanda kuleka kwa mankhwala omwe adapezeka ndi matenda ashuga:

anuria
pachimake komanso matenda a impso ndi chiwindi,
kutupa
mtima wosakhazikika,
pachimake myocardial infaration,
kumva zamankhwala
pulmonary edema,
mimba ndi mkaka wa m`mawere.

Njira yothetsera shuga amapatsidwa:

hypoglycemia (shuga wotsika wamagazi),
kuperewera kwa zakudya m'thupi
kuledzera komwe kumayambitsa matenda a chiwindi (chiwindi, hepatitis),
matenda oopsa (poizoni woyambitsidwa ndi ma virus omwe amalowa mthupi ndi chakudya),
hemorrhagic diathesis (matenda amitsempha yamagazi, owoneka m'magazi otuluka magazi),
kuperewera kwam'mimba chifukwa cha kutsekula m'mimba, kusanza kapena nthawi yovutikira,
kuledzera,
kugwa (dontho lakuthwa mu magazi),
kudabwitsa.

Glucose angagwiritsidwe ntchito pokonza njira zothetsera mankhwalawa kudzera m'mitsempha yamkati, komanso gawo la anti-shock ndi madzi osintha magazi.

Glucose 5% imatha kulowetsedwa m'thupi mwa njira iliyonse (kudzera m'mitsempha, modutsa, mu rectum), chifukwa kuthamanga kwa osmotic kumafanana ndi kuthamanga kwa magazi a osmotic. Hypertonic glucose solution amaperekedwa kokha kudzera mu minyewa, chifukwa kuthamanga kwawo kwa osmotic kumadutsa kwambiri mu minofu ndi magazi.

Ndikulimbikitsidwa kuti mukulitse kuchuluka kwa shuga ndi makonzedwe amkamwa (mapiritsi) mothandizidwa ndi 0,5-1 g ya mankhwalawa nthawi. Kugwiritsa ntchito njira ya shuga ya 5% yokhala ndi enema kumaphatikizapo kukoka kwa 200 ml, 500 ml kapena 1000 ml ya mankhwala osokoneza bongo nthawi, pomwe mlingo wa tsiku ndi tsiku sayenera kupitirira 2000 ml.

Yankho la shuga 5% limatha kuperekedwa kudzera m'mitsempha yamagazi (drip) kapena subcutaneously mu voliyumu ya 300-500 ml.

Hypertonic glucose solution itha kutumikiridwa mu mawonekedwe a jakisoni imodzi ya 10-100 ml kapena dontho la 200-300 ml (tsiku ndi tsiku).

Kugwiritsa ntchito Mlingo wa glucose wolimbikitsidwa, monga lamulo, sizimayambitsa mavuto. Nthawi zina, mankhwalawa amatha kuyambitsa kutentha kwa thupi, hyperglycemia (kukweza magazi m'magazi), kuperewera kwamanzere kwamitsempha, hypervolemia (kuchuluka kwa magazi), komanso kuchuluka kwamikodzo.

Zomwe zimachitika mderalo pogwiritsira ntchito shuga zimatha kukhala ngati thrombophlebitis, kuphulika, chitukuko cha matenda, ululu wam'deralo.

Mukamagwiritsa ntchito glucose 5% monga zosungunulira zina za mankhwalawa, kuwonetsa kwa zovuta zake kumachitika chifukwa cha zochita za mankhwalawa.

Kukula kosakhudzidwa ndi mankhwalawa m'magazi kungakhale koopsa ngati:

shuga yowonjezereka (nthawi zonse shuga wambiri),
kulolerana kwa shuga,
hyperglycemia,
hyperosmolar coma (mtundu wapadera wa matenda a shuga),
hyperlactacidemia (milingo yokwera ya lactic acid m'magazi okhala ndi matenda osokoneza bongo).

Kusamala ndikofunikira popereka njira yothetsera shuga kwa odwala omwe ali ndi vuto laimpso, hyponatremia, komanso kuwonongeka kwa mtima kosalephera.

Kugwiritsa ntchito shuga pa nthawi ya pakati komanso mkaka wa m`mawere ndikuloledwa. Tiyenera kukumbukira kuti mwa amayi omwe amakhala ndi ana, kuchuluka kwa glucose mkodzo kumakwera, chifukwa cha hyperglycemia komanso kuperewera kwa insulin kokwanira. Pofuna kupewa kukula kwa matenda ashuga, ndikofunikira kuyang'anitsitsa kusinthasintha kwa glucose pakapita nthawi.

Contraindations akuphatikiza: