Matenda a shuga mu kutentha ndi chisanu

Mu nyengo yotentha pamakhala zoopsa zingapo.

Choyamba, insulini imatha kukhala yoipa.
Kachiwiri, ndikosavuta "kupezera" kutentha kwa dzuwa, komwe odwala matenda ashuga amakhala ovuta kwambiri kuposa munthu wathanzi.
Kutentha, kuchuluka kwa insulin pambuyo pakuwonjezeka kwa jekeseni, zomwe zingayambitse kukula kwa hypoglycemia komanso kuwonongeka kwa matenda ashuga.

Ponena za kuwonongeka kwa insulin, ndiye kuti zonse ndizodziwikiratu. Mukungoyenera kutsatira malamulo osungira ake, omwe amadziwika ndi aliyense wodwala matenda ashuga. Zikuwonekeratu kuti kuyenda ndi izi kumakhala kovuta. Ngati mutapezeka kuti muli kutali ndi firiji kwa nthawi yayitali, muyenera kugula thumba la mafuta othandizira pamalo ogulitsira zida zamankhwala.

Kuti mupewe kutentha kwa dzuwa, muyenera kugwiritsa ntchito mawonekedwe a dzuwa okhala ndi chitetezo chambiri. Tiyenera kukumbukira kuti zonona zoterezi zimatsukidwa ndi madzi, chifukwa chake, mukamachoka kunyanja kapena dziwe, muyenera kupukuta khungu lanu ndi thaulo ndikugwiritsanso ntchito khungu la dzuwa pakhungu lonse. Kuletsedwa dzuwa ngati pali madontho amadzi pakhungu: amabweza kuwala kwa dzuwa, ngati mandala amphamvu. Kuwotcha pankhaniyi ndikosapeweka. Mwambiri, kukhala nthawi yayitali pakayatsidwa ndi dzuwa kuyenera kupewedwa, ndipo makamaka osanama kwa nthawi yayitali pagombe, kuwaza ngati chidutswa cha nyama poto.

Ndipo kuti athe kulipirira kuwonjezeka kwa kuchuluka kwa insulin, ndikofunikira kuchepetsa kusiyana pakati pa jakisoni ndi zakudya.

Mavuto nyengo yozizira

Nthawi yozizira, insulin imatengedwa pang'onopang'ono. Pano chiopsezo chimakhala nthawi zambiri kudikirira wodwala wa shuga akangolowa m'chipinda chofunda kuchokera ku chisanu: atangotha kutentha, insulin imayamba kulowa m'magazi mwachangu, chifukwa chake, pamakhala chiopsezo cha hypoglycemia. Chiwopsezo chake chimakhala chachikulu ngati kuyenda mu nthawi yozizira kumatsatana ndi kumwa mowa.
Ngozi inanso - kuzizira, ndikosavuta kuswa mapazi chifukwa cha kusowa kutentha kwa kutentha. Kuti mupewe izi, nsapatozo ziyenera kukhala zazifupi, osapindika, osaphwanya. Ndikulimbikitsidwa kuti muveke thonje ndi thonje.
Simungathe kuyimirira m'malo amodzi kwa nthawi yayitali. Mwachitsanzo, ngati mukuyembekezera mayendedwe pa basi, musayime: pitani m'mbuyo, kulumpha, kupondaponda miyendo yanu, ndikuchita masewera olimbitsa thupi mopepuka. Makamaka posamalira mapazi mukuzizira. Palibenso chifukwa chochitira manyazi, kuwopa mawonekedwe amtundu wa munthu. Zaumoyo ndizokwera mtengo!
Panjira, yesani kupita kuchipinda chofunda nthawi zambiri - shopu, cafe, Museum.
Nsapato zimayenera kukhala zouma nthawi zonse. Mukamatuluka panja, onetsetsani kuti nsapato zuma pambuyo poyenda kale.

Zoopsa zina

Kutentha kwambiri ndi chisanu, chitetezo cha mthupi chimagwira ntchito ndikulimbikitsa nkhawa ndipo imatha kugwira ntchito bwino. Zotsatira zake, kachilombo ka herpes simplex kamakhudzidwa (mwa akuluakulu amapanga zotupa - "ozizira" pamilomo, ndipo mwa ana aphthous stomatitis - zilonda zamkamwa.
Osangokhala hypothermia, komanso kuchepa kwambiri kumatha kuyambitsa SARS, kuzizira zina. Makamaka ngati mukuyesera kuziziritsa pamoto pomwa madzi oundana kapena kudya ayisikilimu.
Nyengo zonse zotentha ndi kuzizira ndizowopsa pamatenda a mtima: pazochitika zonsezi, kuukira kwa angina ndikotheka.
Nthawi zambiri, alendo omwe amapita kutchuthi panyanja nthawi yotentha amadzatenga conjunctivitis yayikulu - matenda omwe ali oopsa kwambiri m'maso ndi matenda ashuga. Kuti mudziteteze ku zovuta zoterezi, ndibwino kusambira m'magulu apadera posambira.
Kuti mudziteteze ku chiwopsezo chachikulu cha ma virus, yesetsani kumasuka kuchoka ku kuchuluka kwa anthu, osakhala kwambiri, koma pang'ono, kumbali ina, kuwonongeka kwa matenda ashuga ndi kupumula komwe kungachitike.
Yesani kusayenda nsapato. Gulani ma slipper kuchokera ku pulasitiki yosinthika, momwe simungangoyenda m'mbali mwa nyanja ndikupita mumadzi, komanso kusambira. Ndizothandiza kwambiri pamafera amiyala. Nsapato zotere siziteteza kokha ku abrasions yaying'ono ndi mabala, komanso kuchepetsa chiopsezo chodwala fungus. M'dziwe, pomwepo, oterera amafunika kuchotsedwa, koma izi zitha kuchitika pomwe pamadzi pawokha.
Kubwerera kuchokera pagombe kapena kuchokera ku dziwe kupita kuchipinda chanu, muyenera mafuta anu ndi zonunkhira zowoneka ngati antifungazole.
Mwa azimayi omwe ali ndi matenda osokoneza bongo, mellitus, kumbuyo kwa kuchuluka kwa katundu wokhudzana ndi kuthawa komanso kusintha kwanyengo, vaginal candidiasis (thrush) nthawi zambiri imachulukitsidwa. Pankhaniyi, muyenera kukhala nawo muzosunga ma antifungal uke suppositories kapena mapiritsi (omwewo arimrimazole).

Kusintha kwanyengo, makamaka nyengo yanyengo paulendowu, kumafunikira chisamaliro chapadera komanso chisamaliro ku thanzi lawo kuchokera kwa odwala omwe ali ndi matenda ashuga. Nthawi zonse muzikumbukira izi!

Kodi tsambalo linali lothandiza? Gawani patsamba lanu lochezera!

Contraindication

Mitundu ikuluikulu ya matenda a shuga ogwidwa ndi chiwonetsero cha angiopathy ndi kuwonongeka kwa ziwalo zomwe zakhudzidwa, komanso chizolowezi cha ketoacidosis ndi hypoglycemia, ndichotsutsana ndi chithandizo cha spa. Saloledwa kutanthauza odwala aliwonse azovuta m'gawo la kuwonongeka ndi ketoacidosis. General contraindication kwa spa chithandizo ayenera kukumbukiridwa: matenda amisala, khunyu, kulephera kudzichitira nokha, njira zopweteka zotupa, cachexia wa chiyambi chilichonse, mobwerezabwereza magazi amtundu uliwonse.

Komanso kubwezera kwa munthu yemwe akutumiza chithandizo kwa spa ndi:

wokongola komanso wokoma,
contraindication ambiri mankhwala a spa,
njira za septic
pachimake hepatitis
matenda oncological oncological,
mtima zolakwika mu gawo la kubwezera.

Odwala ambiri omwe ali ndi matenda a shuga amakana kuyenda. Komabe, malire oterewa sathandizidwa ndi akatswiri azachipatala. Munthu amene wapezeka ndi matenda a shuga amatha kupita kunyanja komanso kupita kumalo ena. Koma ndikofunikira kudziwa kuti ulendowu usanachitike muyenera kukambirana zonse ndi dokotala ndikuchita zomwe zingateteze ena omwe ali ndi matenda ashuga.

Kodi ndizotheka kupita kunyanja kwa odwala matenda ashuga?

Njira zochizira matenda ashuga sizitanthauza kuti wodwala ali kuchipatala. Zotsatira zake, anthu odwala matenda ashuga amatha kupita kunyanja. Komabe, pogwiritsa ntchito njira yodabwitsayi, muyenera kulinganiza ulendowu ndikukambirana ndi dokotala. Pokonzekera ulendo, ndikofunikira kuganizira za zakudya, kuchita masewera olimbitsa thupi komanso kumwa mankhwala ngati vutolo silikuyenda bwino.

Momwe mungakonzekerere?

Munthu yemwe ali ndi matenda ashuga amalangizidwa kuti adziwe bwino zitsogozo zoyenda asanayende. Muyenera kugula chibangili chomwe mafoni ndi mayina a abale kapena abwenzi adzajambulidwe. Madokotala ena amakulangizani kuti mupange "pasipoti ya odwala odwala matenda ashuga," yomwe imayenera kujambula mbiri yachipatala ndi chidziwitso china chofunikira.

Kodi kuteteza tchuthi?

Mavuto osayembekezereka (kuchedwa kwa sitima, kuchepa kwa katundu, ndi zina zotere) kumatha kuchitika panjira, chifukwa cha izi ndikofunikira kuchitapo kanthu zomwe zitsimikizire kupuma, izi:

Kugulitsa ndi insulin, ma syringe, kapena cholembera, singano, kapena mapiritsi a odwala matenda ashuga. Muyenera kumwa mankhwalawa kangapo mankhwala ambiri mwadzidzidzi.
Chitani mankhwala a matenda ashuga m'chuma chamanja. Mukamayenda ndi kampani, ndikofunikira kuti mankhwala agawidwe ngati zikwama zamanja kwa onse okwera.
, zomwe zimaphatikizapo kuyendetsa katunduyu pachidwi pamalo abwino.
Tengani mumsewu njira zowunikira kuchuluka kwa shuga m'thupi ndi mizere yolumikizana yomwe ingagwiritsidwe ntchito, ma lanceti ndi mabatire pamtunda.
Konzani zokhazikika zamagetsi pamsewu (masangweji, zipatso ndi ena).
Tengani kwa dokotala zikalata zoyenera zomwe zimatsimikizira kufunika konyamula singano ndi ma syringe.

Mukapuma panyanja ndi matenda ashuga, ndikofunikira kuganizira kuti nyengo yotentha komanso yonyowa imatha kukhudza zotsatira za mita ndi zingwe zoyeserera. Zotsatira zake, wodwala nthawi zambiri amakhala ndi zizindikiro zabodza. Ichi ndichifukwa chake ndikofunikira kusamalira pasadakhale kusungidwa koyenera kwa mankhwala ndi zinthu. Ngati muli ndi mafunso, ndibwino kufunsa dokotala, amene angakuwuzeni zovuta zomwe mungachite kuti mupumule wodwala wina, mukuganizira za machitidwe ake.

Chithandizo cha matenda ashuga munyanja yakufa

Kuchiza matenda a shuga mu Nyanja Yakufa ndi njira yatsopano yomwe yakhazikitsidwa ku zipatala ku Israeli. Kwakanthawi kochepa, njira zothandizira odwala zatsimikizira njira yabwino kwa wodwala ndi matenda ndi zina zabwino. Matenda a shuga ndi njira yofala yomwe nthawi zambiri imachitika chifukwa cha kusokonekera kwa mahomoni, chifukwa chomwe wodwalayo amakumana ndimavuto ambiri. Mankhwalawa ku Nyanja Yakufa, njira zochizira zimayendetsedwa ku matenda enieniwo komanso zovuta zake.

Kusindikiza nyumba "Medgiz", M., 1958
Zosintha

Mosiyana ndi matenda a shuga a insipidus, omwe amadziwika ndi madzi ambiri am'madzi (mpaka malita 8-10 patsiku) popanda zosokoneza zina za metabolic, shuga imakhudza kagayidwe kazakudya. Pali malingaliro osiyanasiyana pamakina amisala othandizira a metabolism mu shuga mellitus. Anthu ena amakhulupirira kuti matenda ashuga, shuga amachepetsa kwambiri, zomwe zimapangitsa kuti chakudya chizikhala ndi chakudya chamthupi, zomwe zimapangitsa kuti glycogenolysis iwonjezeke komanso kupangika kwa zakudya zama protein ndi mafuta. Chifukwa chogwiritsa ntchito shuga pang'ono ndi minofu, zomwe zimapezeka m'magazi zimachuluka, ndipo zimadutsa mkodzo.

Kafukufuku wokhudzana ndi ziwalo zapadera za nyama zokhala ndi matenda ashuga adawonetsa kuti ndi matendawa, kumwa kwa shuga amachepetsa chifukwa cha kuphatikizika kwa hexose-6-phosphate, komabe, kuchepa kwa gluidose wa oxidation sikukuthandiza, kotero kuchuluka kwa glucose sikumadziwika. Ena, potengera maphunziro oyesera a metabolism omwe ali ndi matenda a pancreatic ndi alloxan, amakhulupirira kuti njira yosinthira glucose kukhala mafuta imachepetsedwa, pomwe kaphatikizidwe ka protein kuchokera ku amino acids, omwe amadziwika kuti amapereka ngati chida chothandiza kupanga mapangidwe a chakudya mu chiwindi komanso pang'ono impso (gluconeogeneis). Izi zimabweretsa hyperglycemia ndi glucosuria.

Vuto la metabolism wa carbohydrate limayimiriridwa molondola chifukwa cha kusintha kwakanema kwa michere kukhala mafuta, gluconeogeneis, komanso gawo lina la kuchepa kwa shuga m'magazi. Kuphatikiza pa chizindikiro chachikulu cha matenda a shuga - kuponderezedwa kwa kagayidwe kazakudya, pali kusokonekera kwamafuta, nayitrogeni ndi madzi kagayidwe.

Pokhudzana ndi kuchepa kwa kupezeka kwa glycogen m'chiwindi, kusunthira kwamafuta kuchokera kumalo osungirako ndikusintha kwake kupita pachiwindi kumawonedwa - njirayi, yowonetsedwa ndi kuwonjezeka kwa mafuta osaloweka m'ndime ndi lipoids m'magazi, amatchedwa hyperlipemia (mafuta okhathamira amafika 5-10%). Zinthu za cholesterol zimachulukanso, nthawi zina pamakhala mawonekedwe a cholesterol pakhungu monga maselo - matenda ashuga xanthomatosis, m'makoma a mitsempha, motero atherosulinosis ndi mnzake wa matenda a shuga ngakhale adakali aang'ono.

M'mitundu ikuluikulu ya matenda ashuga, mafuta a metabolism amapotozedwa komanso moyenera. Chifukwa chosakwanira kwamafuta m'magazi, zinthu zapakatikati zamatumbo zimadziunjikira - oximebutyric acid, acetoacetic acid, acetone, yomwe imatchedwa matupi a acetone kapena ketone. Kuchuluka kwa zinthuzi kumabweretsa poyizoni wa asidi, yemwe amatchulidwa kwambiri mu matenda a matenda ashuga. Malo akuluakulu opangika matupi a acetone ndi chiwindi, motero acidosis (ketosis) imayamba pamene zinthu zomwe zimayambitsa kunenepa kwambiri kwa chiwindi zimalowa ndi insulin.

Kuledzera kwa zinthu zama protein m'matenda a shuga kumachulukanso, ndipo sikuti amangogwiritsa ntchito mapuloteni okha, komanso mapuloteni a ziwalo ndi minofu, omwe amachititsa kuti asakhale ndi nayitrogeni komanso amathandizira cachexia wodwala wamkulu. Ma amino acids amasinthidwa pang'ono kukhala glucose ndikuthira mkodzo, zida zina za amino acid zimadutsa matupi a acetone, gawo la nayitrogeni limatsitsidwa makamaka mu mawonekedwe a urea. Ndi matenda a shuga a nthawi yayitali, matenda a nephritis omwe amapezeka nthawi zambiri, omwe kusefera kwa zinthu za nayitrogeni amachepetsa kwambiri, motero gawo la nayitrogeni yotsalira limakwera m'magazi.

Kuchuluka kwa shuga m'magazi ndi minyewa yamadzimadzi kumathandizira njira za osmosis, chifukwa chomwe minofu imachotsedwa, kumverera kwam ludzu kumakulitsidwa, ma metabolism amasokonezeka, diuresis imawonjezeka kwambiri. Kuchuluka kwa mkodzo nthawi zina kumafikira malita 5-10. Ludzu lowonjezereka limapangitsa kufunikira kotenga madzi ambiri (polydipsia).

Izi ndi zovuta zazikulu za metabolic m'matenda a shuga, koma sizifotokoza zonse za matendawa, makamaka, kuwonongeka kwa mitsempha mu mawonekedwe a neuralgia, neuritis, ndi zina, zomwe zimadziwika chifukwa cha kuchepa kwa vitamini chifukwa cha kuchuluka kwa mkate ndi ufa Zakudya za odwala matenda ashuga. Mtundu wa khungu (xanthosis) mwa odwala omwe ali ndi matenda osokoneza bongo amakhudzana ndi kuphwanya kwa vitamini A kuchokera ku carotene. Kugwira chiwindi chogwira ntchito mu shuga kumapangitsa kuti pakhale endo native hypovitaminosis.

Mwa zina zomwe zimayambitsa matenda ashuga, gawo lofunikira limaseweredwa ndi kuchepa kwa ntchito zachinsinsi za kapamba, zomwe zimatengera kuwongolera kwa zida zomwe amapanga kutulutsa insulin. Pali mitundu ya shuga yotsutsana ndi insulin yomwe imachitika pakakhala kusagwira ntchito kwa pituitary gland, adrenal gland, chithokomiro cha chithokomiro, komanso gonads. Sitimakhudzana ndi matenda amtunduwu wa matenda ashuga, popeza sangathe kuthandizidwanso ku spa.

Kukhazikitsidwa kwa insulin ngati matenda ashuga samavuta chifukwa cha kuperewera kwa lipocaine (S. M. Leites) - matenda amtundu wa kapamba, pafupifupi nthawi zonse amathetsa matenda a shuga. Chifukwa chake, kuwonjezeka kwa pathogenesis ya matenda osokoneza bongo a shuga kumachepetsedwa kuzindikiritsa pathogenesis ya kukula kwa insulin. Insulin yotsukidwa imasiyanasiyana ndi mapuloteni onse okhala ndi sulufu yayikulu ya 3,3% (kuchuluka kwa sulufule mumapuloteni ndi 0.3-2.5%), yomwe ndi gawo la amino acid cystine. Pali ntchito zambiri zomwe zimawonetsa kuti zinthu za sulufule zimagwirizanitsidwa ndi zochitika zolimbitsa thupi za insulin. Sulfur amapezeka makamaka mu oxidised kapena disulfide form (SS "), koma osati momwe amapangira magulu a sulfhydryl, chifukwa ntchito ya insulin imatayika pomwe gulu la disulfide limatsitsidwa sulfhydryl (-S-H). kapena kumapangitsa kusintha kwa sulfhydryl, kungayambitse insulin - kuchepa kwa insulin.

Munthawi iliyonse ya thupi, limodzi ndi kuchepa kwa makutidwe a oxidative mu minofu, pamene njira yochepetsera imapambana ndi omwe amaphatikiza oxidative, kusintha kwa magulu osagwirizana kumawonjezera sulfhydryl. Makamaka, mu islet minofu ya kapamba, chopinga wa oxidative njira amatha kuchitika ndi chitukuko cha kuzungulira kwa matenda mkati mwake ndi kupendekera kwa nthawi yayitali.izi zitha kuwululidwa mchikakamizo cha kuvulala kwamthupi kapena m'maganizo, pakakhala kuphwanya njira yokhazikika ya kukokomeza ndi chotupa mu ubongo, pomwe maubwenzi amwano amayamba pakati pa cortex ndi subcortical ganglia, zomwe zimapangitsa kuti pakhale kuyang'ana kwa pathological inertex.

Ngati chomalizacho chitakhala chachilengedwe mu "shuga Center", chomwe chingatheke ngati chikwiyitsidwa, ndiye kuti maubwenzi awa amakwaniritsidwa mwa mtundu wa shuga. Zowonjezereka zowonjezereka kuchokera ku "malo apamwamba a shuga", omwe amapita munjira zachifundo, sizongokulitsa kuwonongeka kwa glycogen m'chiwindi, komanso kumachepetsa kukulitsa kwa insulin, ndikuyambitsa kuphipha kwa zotengera zapancreatic. Izi zimasokonekera ndikuchepetsa kupezeka kwa oksijeni ku tinthu tokhala ndi islet, motero, kuchuluka kwa makutidwe a okosijeni kumachepa, ndipo kusintha kwamagulu okhudzana ndi sulfhydryl kumawonjezereka, i.e., ndondomekoyi imatha ndi inactivation ya insulin.

Zotsatira zofananira zimatha kuchitika chifukwa cha kusintha kwa sclerotic m'matumbo a kapamba. Zochita zolimbitsa thupi za insulin zimadziwikanso ndi kukhalapo kwa zinthu zina zomwe zimagwira mu kuchuluka kwa ma microelements, omwe ndi zinc, omwe ali ndi gawo lalikulu la kuyeretsa insulin - 0.52%. Ngati nthaka yokhala mu tinthu tambiri ta kapamba imamangidwa ndi chinthu china, mwachitsanzo, thapelo, kuperewera kwa insulin kumachitikanso.

Kuperewera kwa insulin kumatha kuchitika pokhapokha ngati pali zovuta m'matumba a kapamba, insulin yopangidwa mokwanira komanso mawonekedwe abwinobwino. Izi zimawonedwa ndi kuchuluka kwa insulinase yopangidwa ndi chiwindi (ndi chithokomiro). Tiyenera kudziwa kuti ma ayoni amkuwa amalepheretsa zochitika za insulinase. Nthawi zina, kuphatikiza pa beta cell ya islet minofu, zinthu zina zopanga lipocaine zimakhudzidwa, kunenepa kwambiri kwa chiwindi ndi acidosis. Onsewo ndi amodzi mwa anthu omwe ali ndi matenda a shuga a pancreatic kwathunthu.

Chifukwa chake, mitundu iwiri ya matenda a shuga a mellitus (pancreatic) amatha kusiyanitsa pathogenetically: 1) matenda a shuga a islet, omwe amadziwika ndi kuperewera kwa insulin, limodzi ndi hyperglycemia ndi glucosuria, 2) matenda a pancreatic a shuga, omwe ali ndi vuto la insulin komanso lipocaine, pamenepa, limodzi ndi hyperglycemia ndi glucosuria Hyperketonemia imawonedwa. Kuperewera kwa pancreatic insulin, komwe kumachitika ngati ntchito ya insulinase imachulukitsidwa, nthawi zambiri imaphatikizidwa ndi mitundu yoyamba ndi yachiwiri, chifukwa chake mitundu iwiri yoyambirira ya shuga imasiyanitsidwa.

Kuphatikiza pa kuchepa kwa lipocaine, kunenepa kwambiri kwa chiwindi, komanso chifukwa cha acidosis, kumatha kukhala chifukwa cha kuwonongeka kwa chiwindi mu hepatitis, chiwindi chikatsika glycogen ndipo mafuta amayamba kuchokera ku depot kupita chiwindi. Kunenepa kwambiri kwa chiwindi kumachitikanso ndi kuchuluka kwambiri kwa katulutsidwe ka adrenocorticotropic, kamene kamakulitsa ntchito ya adrenal cortex, ndi mahomoni okhudzidwa ndi metabolism ya mafuta, adipokinin. Mahoroni onse ophatikizika amathandizira pakukweza mafuta kuchokera ku depot, ndikutsatira kwake kuchuluka kwa chiwindi. Izi zimawonedwa ndi "yotchedwa disinhibition" ya pituitary gland yokhala ndi insulin ndipo imachulukirachulukira muubwana ndi unyamata, komanso azimayi oyembekezera, popeza nthawi imeneyi ntchito yamatumbo limayenda bwino.

Zinthu zonsezi zimabweretsa kunenepa kwambiri kwa chiwindi, kuphwanya ntchito yake. Chifukwa chake, wodwala aliyense yemwe ali ndi matenda a shuga, akuvutika, kuwonjezera pa hyperglycemia ndi glucosuria, hyperketonemia, ayenera kulandira chithandizo chokwanira cha spa chomwe chimagwiritsidwa ntchito ku chiwindi. Komabe, matupi a acetone amawonekera mkodzo poyerekeza ndi 30 mg% ya iwo amadziunjikira m'magazi, chifukwa chake kusowa kwa matupi awa: mkodzo samapereka chidziwitso chokwanira cha momwe wodwalayo alili. Chifukwa chake, kuyezetsa magazi ndikofunikira pazinthu zamatumbo a acetone (kawirikawiri osaposa 8 mg%).

Chithandizo cha odwala omwe ali ndi matenda ashuga kumalo osungira amakhala ndi mbiri yayitali. Pachifukwa ichi, makamaka zokochoka panyanja, komanso zina zam'mlengalenga, zidagwiritsidwa ntchito kale, ndipo ngati sizotheka kukwaniritsa kuchira kwathunthu, ndiye kuti kuwongolera kwakukulu pakuwonekera. Ngati tikukumbukira kuti zaka zonsezi kunalibe insulini, ndiye kuti zotsatira zake sizingachitike kuti ndizofunika kwambiri. Mankhwala othandizira odwala matenda ashuga ndiwofunika kwambiri makamaka pazifukwa zina chifukwa cha kugwiritsa ntchito insulin. Ndizotheka kupeza zotsatira zabwino pochiza matenda amishuga mu protein ya preorbid komanso mwa mawonekedwe ofatsa, pogwiritsa ntchito zokhazokha komanso zothandizira odwala.

Malo omwe amagwiritsidwa ntchito pochiza matenda osokoneza bongo ndi monga Essentuki, Borjomi, Berezovsky mineral water, Jermuk, Dzau, Sairme, Liepaja ndi ena, koma Essentuki adadziwika kwambiri pakati pawo kwazaka zambiri. Odwala opitilira 2000 amayendera komwe amachokera chaka chilichonse (A. S. Vishnevsky).

Chithandizo kumahotelo ziyenera kukhala zokwanira ndi njira yosiyanitsa mosiyanasiyana kwa wodwala aliyense, kutengera zovuta za pathojeniis yamatenda, omwe ziwalo ndi machitidwe zimakhudzana ndi njirayi. Mfundo yabwino pamankhwala omwe akukonzedwa ikuyenera kuganiziridwa kuti ikugwirizana ndi kupatukana kwathunthu kwa wodwala ku zochitika za tsiku ndi tsiku. M'malo opumulira mu sanatorium, boma limapangidwa lomwe limateteza ku zosalimbikitsa zonse. Chifukwa chake, wodwalayo amalandira kupumula kwathunthu, kumasula mwamphamvu momwe angathere kuchokera ku kupsinjika kwakuthupi kwakuthupi ndi kwamaganizidwe, kotero kuti njira yobwezeretsa thanzi ipitirire ndi kupambana kwakukulu.

Pazinthu za spa zomwe zapezeka kuti zikugwiritsidwa ntchito pochiza matenda osokoneza bongo, izi zitha kutchulidwa: 1) madzi amchere chifukwa chazomwe amagwiritsa ntchito mkati ndi kunja, 2) matope othandizira, 3) climatotherapy, 4) achire othandizira olimbitsa thupi, 5) physiotherapy, 6) mankhwala othandizira odwala. Kuphatikiza pa ndalama zomwe zatchulidwa, mankhwalawa amayenera kutchedwa omwe muyenera kutengera matendawa kwambiri.

Madzi ochepa amagwiritsidwa ntchito kwambiri m'mahotela pochiza matenda a shuga pakugwiritsira ntchito mkati ndi kunja. Mukamamwa madzi amchere, kufunikira kwawo kumakhala ndi zotsatira zopindulitsa pamatenda am'mimba, koma kuthekera kwa kuthamanga kwamadzi pang'onopang'ono kwa matenda sikuthandizidwa, chifukwa kafukufuku wambiri ndi wazachipatala wopangidwa ndi mabungwe a balneology awonetsa kuti mchere wam'madzi umagwira monga zopangira zapadera, zimakhudza ntchito zosiyanasiyana za thupi, kusintha trophism, motero mulingo wa metabolic njira. Kuphatikiza apo, kuphatikizika kwa ionic kwamadzi amchere kumatha kukhudza mwachindunji ntchito zamagetsi zamagetsi (zinc ion) ndi ntchito ya zida za enzyme (mkuwa) yomwe imaphwanya insulin (S. M. Leites).

Komabe, sikuti miyala ya mkuwa ndi zinc yokha ndi yomwe ingakhale ndi phindu pa ntchito ya zida zamagetsi. Asayansi ambiri awonetsa momwe madzi amchere amachitikira pakukula kwa njira za redox. Makamaka, madzi a kaboni dayokisa osiyanasiyana ionic kapangidwe kake amathandizira njira zowonjezera zamankhwala m'thupi, zomwe zimatha kuwonedwa ngati chowonadi chokwanira, zomwe zimapangitsa kuti pakhale magulu a disulfide mu molekyulu ya insulin.

Zambiri zakuchipatala ndi zoyeserera zasonkhanitsidwa, kuwonetsa kuti mchere wamadzi amchere amachititsa kagayidwe kazachilengedwe. Pochiza odwala matenda a shuga mellitus ku Essentuki resort B.I. Levit, odwala 71 mwa 84 adawona kuchepa kwa shuga m'magazi mpaka 30 mg% m'maola ochepa atangomwa madzi a mchere a Essentuki No. 17. A. B. Vartanyan ananenanso kuti kumwa gwero lamadzi amchere Jermuk amachititsa kuchepa kwa shuga m'magazi mpaka 151 mg% mwa 90% ya odwala matenda ashuga ndipo ndi 10% yokha mwa odwala omwe sanasinthe mozindikira.

Zotsatira zamkati zam'madzi am'mimbamo sizimangokhala ndi mphamvu zawo pakubwera kwa redox ndi kagayidwe kazakudwala: kupindula kwamadzi kumafikira ku mitundu ina ya kagayidwe - lipoid, nayitrogeni, mchere wamadzi, omwe nthawi zambiri amakhala ndi vuto la odwala matenda a shuga. Arnoldi et al. Zindikirani kuwonjezeka kwa magazi a mchere wa alkaline ndi kuchepa kwa acidosis akumwa madzi am'mimbamo a Karlovy Vary, komwe ndikofunikira kwambiri pochiza matenda a shuga ndi ketosis. Kusintha kwa maubale mu acid m'thupi kudadziwika mu ntchito za K.M. Bykov, E. E. Martinson, A.I. Lidskoy, ndi ena.

Pochiza matenda a shuga mellitus, zotsatira zabwino zimapezeka pogwiritsa ntchito sodium bicarbonate (Borjomi), sulfate, sodium ndi calcium, makamaka madzi ophatikizika amakanidwe, omwe ndi kuphatikiza kwa madzi a magulu oyamba ndi owerengera, i.e., madzi a mtundu wa Essentuki No. 17, Jermuk, Isti-Su ndi ena: Malo achitetezo a Czechoslovak ku Karlovy Vary okhala ndi madzi a hydrocarbonate-sodium sodium ndi malo achitetezo aku France otchuka kwambiri ku Vichy.

Madzi okhala ndi colloidal sulfure kapena hydrogen sulfide amagwiritsidwanso ntchito. Olemba ena amakonda kunena kuti madziwa ndi ofunikira kwambiri chifukwa cha kuchuluka kwa magulu a sulfhydryl, omwe nthawi zina amakhala ngati gwero la maselo a insulin. Izi sizingaganiziridwe kuti zatsimikiziridwa kwathunthu, koma gawo lamadzi a hydrogen sulfide pothana ndi matenda a khungu, omwe nthawi zambiri amakhudzana ndi matenda a shuga, ndiwotsimikizika.

Pochiza matenda ashuga ndi madzi akumwa, amapatsidwa mankhwala katatu patsiku, 200 ml iliyonse, ngati pakufunika kutero, mlingo utha kuwonjezeka mpaka 400 ml (A. S. Vishnevsky). Nthawi yayitali pakati pa chakudya ndi madzi zimasiyanasiyana kutengera chinsinsi cha m'mimba ndi zomwe wodwalayo ali nazo. Ndi mlingo umodzi waukulu (400 ml), ndibwino kuti musamwe madzi nthawi yomweyo, koma muigawike mu 2 Mlingo umodzi pakapita mphindi 30 mpaka 40. Mu acidosis, mchere wa madzi amchere ukhoza kutumikiridwa pakati pa chakudya. Kuchuluka kwa madzi am mchere omwe amamwa patsiku amatha kusiyanitsa pakati pa 600 ndi 1200-00 ml.

Kumwa mankhwalawa ndi madzi amchere sikumapatula njira zina zomwe amagwiritsa ntchito mkati. Makamaka, pamaso pa matenda ophatikizana am'mimba, thirakiti la m'mimba, ngalande zam'mimba, njira zosiyanasiyana za njira za rectal pogwiritsa ntchito madzi amchere zimatha kutumikiridwa. Pochiza matenda a shuga, madzi amchere amagwiritsidwanso ntchito ngati osamba. Pachifukwa ichi, madzi osiyanasiyana a ionic ndi mpweya amagwiritsidwa ntchito, koma makamaka kaboni wa hydrogen sulfide, yemwe amasintha njira zama malamulo, motero metabolism.

Komabe, popereka mankhwala osamba kwa odwala omwe ali ndi matenda osokoneza bongo, ndikofunikira kuganizira za zomwe aliyense wa iwo ali. Kusankhidwa kwa balneotherapy kumadalira matenda oyanjana, pazowonetsa ndi zotsutsana pakugwiritsa ntchito madzi amodzi. Madzi ochepa, makamaka gasi, amatha kutumizidwa kwa odwala onse, makamaka, sangathe kulembedwa kwa odwala omwe ali ndi zotupa zamagulu ndi machitidwe ena (chifuwa chachikulu, kulowetsedwa kwa myocardial, ndi zina zambiri).

Mukamapereka mankhwala osamba kwa odwala omwe akuwonetsedwa, njira zotentha ndi zozizira ziyenera kupewedwa pazochitika zonse, chifukwa kwambiri hypothermia ndi kutentha kwambiri m'matumbo a shuga sikuyenera, chifukwa onsewa amaphwanya kagayidwe, kamene kamakhala kale ndi zovuta izi. Kuphatikiza pa kusintha kwa kagayidwe kamene kamayendera limodzi ndi njira zonse zomwe zimagwiritsidwira ntchito, ma baths amakhala ndi zotsatirapo zabwino pamatenda amanjenje ndi mtima komanso chitho cham'mimba, zomwe nthawi zambiri zimapangitsa kuti matenda ashuwere.

Kuchokera pakuwona kwathu, kugwiritsa ntchito malo osambira gasi, makamaka kaboni dayokisi ndi hydrogen sulfide, yokhala ndi hydrogen sulfide m'madzi, imapereka thandizo lofunikira kwambiri polimbana ndi zovuta zamagazi, kukonza kayendedwe ka magazi, motero, njira zopewera oxidation, zomwe ndizofunikira kwambiri polimbana ndi insulin kusakwanira.

Mukamagwiritsa ntchito malo osambira a radon, m'malingaliro athu, ndibwino kupewa kuthamanga, chifukwa madzi omwe ali ndi kuchuluka kwa radon amalepheretsa njira za redox, zomwe ndizosafunikira kwambiri pochiza matenda ashuga. Kuphatikiza apo, kafukufuku woyesera wolemba a S. N. Molchanov ku Essentuki resort ndi G. A. Smirnova (Central Institute of Balneology) adawonetsa kuti njira yosinthira glucose kukhala glycogen imachepetsedwa kwambiri ponse paŵiri ndi kunja kugwiritsa ntchito madzi a radon ambiri, chifukwa chake pali kufooka kwa chiwindi ndi glycogen, pomwe kuphatikiza ndi mafuta. Madzi okhala ndi radon yotsika ayenera kuonedwa kuti ndi othandiza kwambiri pochiza matenda ophatikizana, makamaka a masculoskeletal system.

Matalala othandizira odwala matenda a shuga amagwiritsidwa ntchito ngati matenda ophatikizika, mwachitsanzo, zotupa za minofu ndi mafupa a m'magazi, chifukwa cha matenda am'mimba, matenda am'mimba. Asayansi ena (S. M. Leites) amakhulupirira kuti ntchito zamatope zomwe zimagwiritsidwa ntchito kumbuyo, motengera momwe zimakhalira, zimatha kupangitsa kuti vasodilator Reflex, i.e, kusintha kwa kayendedwe ka magazi mu kapamba ndipo potero kusintha kwa kayendedwe ka oxidative momwe kumathandizira kuti pakhale magulu a disulfide yogwira mu molekyulu ya insulin.

Zochitika pa chithandizo cha matenda osokoneza bongo omwe amapezeka m'matope akuwonetsa kuti kunalibe zovuta zoyipa zamatope pama metabolism a carbohydrate. Mwa mitundu ya njira zamatope, kugwiritsa ntchito kumagwiranso ntchito kwambiri. Kukula kwawo, kutalika ndi magawo pakati pawo zimadalira momwe wodwala aliyense amaganizira, momwe amachitidwira panjira iyi, koma, monga ndi ma mchere am'madzi amchere, njira zabwino kwambiri komanso zotentha ziyenera kupewedwa.

Nyengo Nyengo yabwino kwambiri yothandizira odwala omwe ali ndi matenda ashuga amaonedwa kuti ndi otentha pang'ono - monga osasamala, osachititsa mkwiyo wambiri. Mwa mitundu ya climatotherapy, yodziwika kwambiri ndiyomwe imayenda mu mpweya wabwino, mpweya komanso malo osambira dzuwa. Komabe, kuikidwa kwa otsirizawa kuyenera kufikiridwa mosamala kwambiri, popeza kuphwanya malamulo a mtima kapena njira ya chifuwa chachikulu, sikuwonetsedwa. M'pofunikanso kuganizira za momwe mankhwalawo amadzidalira ndi msinkhu wa wodwalayo, koma ngakhale muzochitika zomwe dzuwa limatulutsa ndikusonyezedwa, kutentha kwambiri, chifukwa chake, kusamba kwakutali, sikuyenera kuloledwa, chifukwa izi zimayambitsa kusokonezeka kwa metabolic.

Kuchita masewera olimbitsa thupi kwa odwala omwe ali ndi shuga yochepa komanso yopitilira muyeso ndi njira yabwino yochiritsira, yopangidwa ndi masewera olimbitsa thupi aumoyo, kuyenda (izi zimaphatikizapo kupita kumagwero, kumanyumba azithandizo), njira yaumoyo, masewera osiyanasiyana akunja (matauni, volleyball), kutikita minofu. Monga kuphatikiza kwa njira iliyonse yomwe imagwiritsidwa ntchito popanga matenda ashuga kumalo osungirako nyama, kuikidwa kwa chikhalidwe chamathupi kuyenera kuganiziridwanso momwe wodwalayo akuvutikira, matenda ake. Chifukwa chake, mitundu yayikulu ya matendawa, palibe mtundu uliwonse wa chikhalidwe chamathupi olimbikitsidwa omwe ungalimbikitsidwe, popeza mitundu yonse ya masewera olimbitsa thupi mwa odwala oterewa imayendetsedwa ndi kusokonezeka kwakukulu kwa metabolic, kukulitsa kutopa komwe kulipo kale.

Mu shuga wofatsa komanso wolimbitsa thupi, masewera olimbitsa thupi omwe ali osankhidwa bwino ndi othandizira, koma ngakhale pazochitika izi, wina ayenera kuganizira zaka, kukhalapo kwa matenda obwera, mkhalidwe wamtima wamthupi, kulimbitsa thupi ndi wodwalayo, komanso machitidwe ake ena. Palibe chifukwa chomwe muyenera kuchuluka kwa odwala - mitundu yonse yochita masewera olimbitsa thupi, masewera, kuyenda sayenera kupitilira mphindi 25-30. V. N. Moshkov akutsimikizira masewera olimbitsa thupi motere: masewera olimbitsa thupi - kuyambira mphindi 3 mpaka 6, masewera olimbitsa thupi pakhomalo lochita masewera olimbitsa thupi - kuyambira mphindi 5 mpaka 8, masewera olimbitsa thupi komanso osinthika ndi masewera olimbitsa thupi - mphindi 5, masewera olimbitsa thupi - mphindi ziwiri.

Chikhalidwe chodziwika bwino chokhala ndi thupi chimathandizira kukonza kagayidwe kazinthu, ndipo choyamba, makutidwe ndi okosijeni m'thupi. Kugwiritsidwa ntchito kwa shuga kumakulitsa (K.I. Omelyants et al.), Njira zakuyambiranso kwa zinthu, zomwe zimatsimikizira mphamvu zamagulu amthupi (glycogen, macroergic phosphorous). Ichi ndiye maziko azotsatira zabwino zamakhalidwe akuthupi pochiza odwala matenda ashuga.

Physiotherapy. Mu milandu yomwe zinthu zachilengedwe sizingagwiritsidwe ntchito pochiza matenda ashuga pazifukwa zina, njira zina zothandizira thupi zolimbitsa thupi zimagwiritsidwa ntchito, zomwe ndi zina mwazovuta. Njira zofala kwambiri pankhaniyi ndi hydrotherapy, electrotherapy, Phototherapy. Koma onsewa amagwiritsidwa ntchito pochiza matenda ophatikizika, omwe, monga mukudziwa, nthawi zambiri amapezeka a shuga ndipo amalembedwa, monga njira iliyonse, podalira kwambiri wodwalayo. Chidwi chopatsa chidwi makamaka pakukhazikitsa njira ziyenera kuyang'ana pa kagayidwe kazakudya, poganizira shuga ndi mkodzo. Ngati njira yoikidwiratu ikupangitsa kuti matendawa achulukane pang'ono, iyenera kuthetsedwa.

Panthawi yamadzi, ndikofunikira kutsatira ulamuliro wambiri - gwiritsani ntchito njira ndi kutentha kosagawanika, kupewa kuzizira komanso kutentha, komwe kungayambitse kuchuluka chifukwa cha kusintha kwakukulu pamlingo wa kagayidwe kachakudya.

Mankhwala othandizira. Chithandizo cha matenda a shuga mellitus m'malo opumulira amafunikira zakudya zopangidwa mwadongosolo, zomwe pakadali pano ndizokhazikitsidwa ndi mfundo zosiyananso (zatsopano) zopangidwa ndikuikidwa patsogolo ndi olemba angapo a Porges, Adlersberg, S. G. Genes, Reznitskaya ndi ena. Amawonedwa ndikofunikira kuwonjezera kuchuluka kwa chakudya chamagulu m'thupi la odwala matenda ashuga.

Omwe amathandizira pa njira yakale yodziwira matendawo amawona kuti ndi ofunika kusintha magazi ndi mkodzo, osamalira momwe wodwalayo alili, momwe amagwirira ntchito, ndikumchepetsa. Odwala ankasungidwa kwa zaka zambiri pazakudya zomwe zimakhala ndi kuchuluka kwa chakudya. Ndi njira iyi ya chithandizo, zinali zotheka kukwaniritsa kuchepa kwa shuga m'mwazi ndi kuchepa kwake mu mkodzo, koma nthawi zambiri pamtengo wotopa kwambiri. Kuyang'ana kwa nthawi yayitali kwa S. G. Genes ndi ogwira nawo ntchito adawonetsa kuti zotsatira zabwino zitha kuchitika ngati maziko othandizira odwala omwe ali ndi matenda ashuga asamutsidwa kuchokera ku mankhwala othandizira kupita ku insulin akuwathandiza ndi chakudya chofunikira, koma kugawa bwino kwa masana ndikofunikira.

Panthawi ya chithandizo cha spa ndikofunikira kuti muganizire kuchuluka kwa balneological ndi katundu wa wodwala, msinkhu wake, kulemera, ntchito. Wodwala wonenepa kwambiri amapatsidwa zakudya zopatsa mphamvu zopatsa mphamvu (kutengera kuchuluka kwa kunenepa), ndi kuchepa kwa thupi, chakudya cholimbikitsidwa chopanda kuledzera chimalimbikitsidwa. Kuti muwerenge ndalama zomwe wodwalayo amakhala nazo kumalo osungira, munthu akhoza kugwiritsa ntchito njira zopangidwa ndi Institute of Nutrition of the USSR Academy of Medical Sayansi poganizira zofunikira za boma la spa.

Kuchuluka kwa chakudya chamagulu m'zakudya kumadalira momwe wodwalayo alili, pa mawonekedwe ndi kuuma kwa matendawa, kuchuluka kwake kwa insulini, etc. Chifukwa cha kunenepa kwambiri, mafuta ochulukirapo sayenera kupitirira 200 g, ndipo kwa odwala omwe ali ndi vuto la ketosis komanso kuchepa thupi kwambiri, amatha kuwonjezeredwa mpaka 500 g. Ndi mitundu yonse ya matenda ashuga, zakudya zamafuta zomwe zimamwa mwachangu ziyenera kupewedwa: shuga, kupanikizana, uchi, ndi zina. Ndi bwino kupereka mankhwala omwe amaphatikiza zovuta zam'mimba monga starch, insulin, yomwe ili ndi ufa komanso masamba. Zakudya zamafuta ochulukirapo mu chakudya zimatha kutsogolera, komanso kuchepa kwawo, pazinthu zosafunikira, zotsatira zowonjezera zam'thupi zimatsogolera, monga mukudziwa, ku hyperglycemia, ndipo ngati mchere wambiri uposa 250-300 mg, pamakhala zosakhumudwitsa zamagetsi zomwe zimapangidwa kale. Ntchito yeniyeni imasokonekera, kagayidwe kamadzi.

Kuphatikiza pazakudya zazikuluzikulu, chakudya cha wodwalayo chimayenera kupatsidwa mphamvu ndi mavitamini, makamaka mavitamini a B ndi C, chifukwa chake ndikofunikira kuyambitsa mbale monga zakudya zamkaka zosiyanasiyana, mazira, batala, masamba, zakumwa za yisiti, zipatso, ndi zina zambiri m'zakudya za wodwalayo. Ndikofunikira kuti mutsatire kuphika koyenera komwe kumakuthandizani kuti musunge mavitamini anu. Gome loyesedwa limalembedwa kwa odwala akafika kumalo osungirako malo kuti azindikire kulolera kwawo kwa shuga ndipo amagwiritsidwa ntchito ngati tebulo la mankhwala popanda kugwiritsa ntchito insulin kwa odwala omwe ali ndi mtundu wovuta wa shuga wosapitirira patsogolo. Odwala omwe ali ndi kunenepa kwambiri kwa digiri ya 2-3 amachepetsa ma calorie mpaka 1850 zopatsa mphamvu chifukwa cha chakudya chama 200 (200 g). Kuphatikiza apo, kunenepa kwambiri ndikofunika kusintha chakudya chochepa m'mankhwala okhala ndi zakudya zamafuta ambiri (mapuloteni 100 g, zakudya 200 g, mafuta 125 g, zopatsa mphamvu 2000), kuti apatsenso zida zoyenera. Pazakudya zilizonse, wodwalayo amatha kukhala masiku 4-5. Pogwiritsa ntchito zakudya zoterezi limodzi ndi masiku osala kudya, odwala onenepa kwambiri amachepetsa thupi, akumva bwino, hyperglycemia ndi glucosuria amachepetsa popanda kugwiritsa ntchito insulin.

Zakudya No. 9 imagwiritsidwa ntchito pochiza odwala omwe ali ndi shuga yochepa komanso yapamwamba. Ndi zakudya izi, insulin sikugwiritsidwa ntchito, kapena kutumikiridwa pang'ono. Popeza odwala amalandila masewera olimbitsa thupi chifukwa chokhazikitsidwa chifukwa chokhazikitsa achire, zochokera ku balneotherapy ndi climatotherapy, zakudya zimatha kukulitsidwa. Zakudya No. 9a imalembedwa kwa odwala omwe ali ndi shuga wambiri komanso wowopsa yemwe ali ndi acidosis, atatopa kwambiri, ali ndi pakati, matenda oopsa (chifuwa chachikulu, opaleshoni) komanso matenda a shuga kuubwana ndi unyamata. Zakudya izi zimasiyana ndi tebulo wamba (Na. 15) pokhapokha kuti mulibe zakudya zomwe zimakhala ndi shuga wambiri.

Pochiza matenda a shuga, masiku osala kudya amagwiritsidwanso ntchito ngati wodwala alandila zipatso ndi ndiwo zamasamba, zomwe zimathandiza kuchepetsa kulemera kwa odwala onenepa, kuchepetsa hyperglycemia ndi glucosuria. Pochiza matenda a shuga, kagawidwe koyenera ka chakudya tsiku lonse - kuyenera kufanana ndi kagawidwe ka insulin. Ndikwabwino ngati odwala alandira chakudya cham'mawa koyamba m'mawa - 8-9 m'mawa, kenako ndikudya chakudya chamadzulo pa maola 3-4, omwe amathetsa mwayi wa hypoglycemia madzulo ndi usiku. Chakudya cham'mawa chachiwiri (maola 11-12) ndi chakudya chamadzulo (maola 7-8), insulini siliperekedwa. Ngati insulin imayendetsedwa katatu, ndiye kuti mafuta azakudya ayenera kugawidwa mofanananso pakati pa kadzutsa, chakudya chamadzulo ndi chakudya chamadzulo.

Insulin iyenera kuperekedwa pokhapokha kuchepa kwa thupi, chifukwa kusowa kwa insulin kungayambitse kuwonjezeka kwa ntchito zamagetsi, zomwe zimapangitsa kutsika kwake, kuchuluka kwa insulini kungayambitse kuchepa kwa minyewa ya islet. Chizindikiro cha kukwana kwa insulin makonzedwe ndiko kusowa kwa zochitika za hypoglycemic, kupindika kwa glycemic kuyandikira kwabwinobwino, komanso kusapezeka kapena shuga pang'ono mkodzo.

Kuchuluka kwa insulin yomwe imayendetsedwa zimatengera kuopsa kwa matendawa komanso kuchuluka kwa zopatsa mphamvu pakudya. Ngati wodwala amadya kwambiri shuga wambiri ndipo amakonda kunenepa kwambiri ali ndi 200 g, ndipo zopatsa mphamvu siziposa 1800, pafupifupi inshuwaransi ya insulin 45 imaperekedwa. M'mitundu yoopsa yamatenda, komanso kuwonjezeka kwa chakudya chopatsa mphamvu ndi zakudya zonse za calorie, mlingo wa insulin umakulitsidwa mpaka magawo 56 omwe amakhala ndi zopatsa mphamvu zopatsa mphamvu 3500 zopatsa mphamvu komanso zopatsa mphamvu zama 500 500 (S. G. gen).

Zotsatira zamankhwala ovuta kumisamba kwa odwala omwe ali ndi matenda a shuga, njira zowongolera ndi zoperekera mphamvu zimalimbikitsidwa kwakukulu kapena pang'ono malinga ndi momwe thupi liliri. Hyperglycemia ndi glucosuria zimachepa, ketonuria imazimiririka, kulolerana kwa shuga kumawonjezeka ndipo chakudya chimayamba kugwira bwino. Odwala omwe adwala, kulemera kumawonjezeka, ndipo odwala onenepa kwambiri amachepetsa chifukwa cha njira zochiritsira zosankhidwa bwino, komabe, kulimbikira pazotsatira zomwe zimapezeka makamaka zimadalira momwe wodwalayo amasungirabe machitidwe omwe adasankhidwa.

Kupambana kwamankhwala kumasamba kumadalira makamaka momwe kusankhidwa kwa sanatorium-resort kwa odwala kunachitikira. Odwala omwe ali ndi shuga yochepa komanso yochepa amalabadira chithandizo.

Kusankhidwa kwa odwala. Wodwala aliyense yemwe akudwala matenda ashuga ayenera kuyang'aniridwa bwino, cholinga chake ndikutanthauza kulekerera chakudya chamthupi. M'pofunikanso kulabadira gawo la matendawa. Milandu yakufika kutali (matenda akulu a shuga omwe amakonda acidosis) sawonetsedwa pa chithandizo cha spa. Ponena za kusankha kwa nyengo, ndi chithandizo cholinganizidwa bwino, chipambano chitha kupezeka nthawi iliyonse pachaka ngati nthendayi siyomwe imalemedwa ndi kuvutika kwa minofu ndi mafupa am'mimba (nyamakazi, neuritis, ndi zina). Zikatero, chithandizo chimachitika bwino kwambiri mchilimwe ndi chilimwe.

Kusankhidwa kwa malo ochepera kumakhala kocheperako, kumbali ina, ndi mtundu wa chithandizo chamankhwala ndi kukhazikitsidwa kwa zakudya zamankhwala pamalo ena othandizira, komanso, ndi mkhalidwe wa wodwalayo. Essentuki ndi Borjomi akuwonetsedwa kuphatikiza kwa matenda osokoneza bongo a shuga ndi kunenepa kwambiri, gout, uric acid diathesis, matenda a chiwindi ndi matenda a biliary. Kwa odwala omwe ali ndi matenda a impso, koma pogwiritsa ntchito luso lokwanira, chithandizo ku Zheleznovodsk akuwonetsedwa. Gombe lakumwera kwa Crimea likhoza kusankhidwa ngati mitundu yovuta ndi chifuwa chachikulu cha m'mapapo m'magawo omwe akuwonetsedwa kuti athandizidwe ku Crimea m'miyezi yopanda kutentha. Malo ena okhala ndi zakudya zoyenera amagwiritsidwanso ntchito.

Zizindikiro ndi contraindication kwa spa mankhwala

Zowonetsa: 1) shuga wofatsa, 2) shuga wambiri onenepa, 4) kuphatikiza kwa matenda ashuga komanso matenda am'mimba, 5) kuphatikiza ndi cholecystopathy ndi matenda am'mimba, 6) kuphatikiza kwa neurotic phenomena (neuritis, radiculitis etc.).

1) shuga yayikulu ndi acidosis komanso chizolowezi chokhala ndi chikomokere, 2) kuphatikiza ndi matenda akulu a impso parenchyma.

Muubwana komanso unyamata, matenda ashuga ndizovuta kwambiri, chifukwa chake, kutumiza ana ku sanatorium ndizotheka pokhapokha ngati pali mafomu a pancreatic ndikuwonetsetsa kuti chisamaliro ndi kuyang'anira kwa akatswiri (madokotala) zadongosolo. Zowonera zomwe zidachitika ku Essentuki resort (A.K. Slyusareva) zawonetsa kuti chithandizo chokwanira cha spa cha ana omwe ali ndi matenda osokoneza bongo, makamaka kumwa madzi am'migodi (Essentuki No. 17 ndi 4), zimathandizira pamikhalidwe yawo yonse, zimathandizira kukula kwa mwana.

Moni kwa onse! Wolumikizidwa Lebedev Dilyara, endocrinologist, wolemba blog Saxarvnorme.ru

Kakalendala ndi chilimwe, ngakhale izi sizikuwoneka mumsewu chaka chino. Ndipo izi zimalimbikitsanso kupita kumalo otentha, kufupi ndi dzuwa, nyanja ndi mchenga woyera-ngati chipale.

Komabe, funso limabuka ndi kuthekera kwa tchuthi chakunyanja chotere kwa anthu odwala matenda ashuga 1. Zoyenera kuyang'ana, zoopsa zomwe zikuyembekezera, zomwe mungatenge nanu panjira ndi zina.

Ndiyenera kunena nthawi yomweyo kuti tchuthi sichimakhudzana konse ndi matenda osokoneza bongo, muyenera kungokhala tcheru ndi inu.

Monga munthu wathanzi, munthu wodwala matendawa amakhala pakudikirira kuti apumule: kutentha kwambiri ndi kutentha kwa dzuwa, kutentha kwa khungu, ngozi zamadzi. Njira zopewera ngozi zimathandizanso aliyense.

Funso lofunika kwambiri ndilokhudza insulin, Mlingo ndi zina zokhudzana ndi matenda a shuga.

Insulini ndi chinthu chama protein chomwe chimasungunuka (chotheka) chikayatsidwa ndi kutentha kwambiri.

Chifukwa chake, patchuthi, chisamaliro chimayenera kutengedwa kuti zitsimikizidwe kuti mankhwala ofunika kwambiri m'moyo wa munthu wokoma amabisika mosavomerezeka pamoto wambiri ndi dzuwa lowongoka.

Njira yothetsera vutoli ndi kugula zigawo zapadera ndi chikwama cha thermo chomwe chimasunga kutentha kwambiri mkati mwa kuziziritsa cholembera ndi mahomoni.

Koma ngakhale kukhala mchikwama kapena pompopompo mukufunikabe kubisala dzuwa. Timayika nkhani yokhala ndi ma syringe pansi pa thumba la pagombe ndikuwaphimba ndi zovala kapena thaulo pamwamba. Buffer yowonjezera idapangidwa.

Zinthu zonse za insulin ziyenera kusungidwa m'chipinda cha firiji pakhomo. Onetsetsani kuti palibe kulumikizana ndi zinthu zozizira. Kwa insulini, kutentha ndi chisanu ndi kowopsa.

Nthawi zonse tengani insulin pamwezi paulendo. Mukamauluka, sungani zinthu pakati pa zovala zokulunga masutukesi kapena zijambuleni m'manja.

Chifukwa choyenda pafupi ndi equator, kufunika kwa Mlingo kumatha kugwa. Chifukwa chake, musaiwale kujambula zabwino pamizere yoyesera, muyenera kuyeza pafupipafupi.

Zabwino kwa iwo omwe ali ndi kuwunika kwa glucose. Apa mufunika maula ochepa, koma osayiwala kutenga masensa.

Kutengera ndima yoyamba, muyenera kukhala okonzekera zigawo za hypoglycemia, chifukwa chake musunge mapiritsi kapena miyala yayitali ndi glucose, chabwino, kapena timadziti pangozi. Ndikofunika kupezanso timadziti tambiri mu hotelo, chifukwa amati timadziti tating'onoting'ono tomwe timayamwa ndi madzi mopanda manyazi, ndipo simudziwa kuti mumamwa zochuluka motani.

Sindikulimbikitsa kupita kukayenda panyanja kukagwira ntchito ndi insulin. Njira zamadzi ndizovuta kwambiri ndipo zimatha kuthana ndi shuga panthawi yovuta kwambiri, mukakhala kutali ndi gombe, komanso mchere wamadzi amchere)))

Pankhaniyi, ndibwino kudikirira nsonga ya insulin kapena kudya zakudya zowonjezera zowonjezera. Ndikwabwino kudula owonjezera kuposa kudikirira opulumutsa mukayamba kumira shuga.

Samalani ndi mowa! Kumbukirani kuti chiopsezo cha hypoglycemia usiku chikukula.

chozama kapena thumba lamafuta kuti muteteze insulin kuti isamatenthe

chipinda choyezera kutentha kwa thupi m'chipindacho ndi mkati mwa mafuta otentha

Spike Glucose Meter

kuchuluka kwa singano zama cholembera ndi ma lancet kwa owboola

mabatire a mita ndi mulingo

mkodzo woyeserera mkodzo ndi acetone (ngati kuwonongeka ndi ketoacidosis)

Mankhwala a pafupipafupi matenda atchuthi (lembani zofunikira):

antipyretic (Nurofen ndi / kapena paracetamol)

antiviral (Kagocel, Anaferon, etc.)

zikwama zam'mphuno zamchere zokhala ndi mchere wamchere (Dolphin)

njira zochizira pakamwa (Malavit)

matumbo am'mimba (Polysorb kapena Smecta)

antidiarrheal (Loperamide kapena Imodium)

kukonzekera kwa enzymatic (Creon)

kukonzekera kwa bakiteriya (Maxilac kapena Primadofilus)

antiallergic (Zirtek, zonona Advantan)

mankhwala a mtima (halidi, nitroglycerin, ndi ena otero)

mankhwala a matenda omwe alipo

Kodi pakakhala mavuto pamachitidwe olamulira?

Kuti mukhale ndi mtendere wam'maganizo, tengani setifiketi kuchokera kwa endocrinologist kuti mumapezeka kuti ali ndi matenda osokoneza bongo ndipo amafunika jakisoni wa insulin. Chidziwitso ichi chikulembedwe ndi zisindikizo zonse zomwe zimakhala ku chipatala zokha.

Kuwunikira masensa pamtundu wa munthu kudutsa mosamala kudzera mu chowunikira chachitsulo pa eyapoti. Ndikwabwino kuti musabweretse omwe awerengi ndi omwe amawerenga, koma ayikeni mu tray ina, ngakhale tidadutsa mu X-ray ndipo zonse zinali bwino.

Kodi matenda ashuga amakhala bwanji mundege?

Palibe amene angakuuzeni momwe shuga ingakhalire pa ndege pamtunda wa makilomita ochepa kuchokera pansi. Chamoyo chilichonse chimakhala chosiyana ndi chilichonse ndipo chilichonse chimakhala ndi chake.

Ngati mukuyenera kuwuluka kwa nthawi yayitali, kwa maola 8-10, konzekerani kuti m'malo osasuntha kufunika kwa Mlingo wa insulin kukwera kwambiri.

Khalani ndi kupumula kwabwino komanso malingaliro owoneka bwino!

Ndi chisangalalo ndi chisamaliro, endocrinologist Lebedev Dilyara

Matenda a shuga komanso ozizira

Nyengo yachilimwe si nthawi yabwino kwambiri kwa aliyense, ngakhale munthu wathanzi. Anthu omwe ali ndi matenda ashuga amatengeka mosavuta chifukwa cha kuzizira kwa mafunde. Njira zotsatirazi zazomwe zimachitika mthupi:

chitetezo chokwanira chimachepetsedwa, chomwe chimakhala chowopsa motsutsana ndi maziko oyamba chifukwa cha matenda ashuga,
ntchito zolimbitsa thupi zimachepa, ndipo izi zimadzetsa kuchepa kwa magwiritsidwe a shuga ndi minofu,
magazi amayenda kwambiri, makamaka m'munsi.
ndikovuta kuwongolera shuga, chifukwa mfundo zolakwika ndizotheka chifukwa cha manja ozizira,
chiopsezo cha kukhumudwa chimakwera kwambiri, zomwe zimakhala zowopsa kwambiri kwa wodwala matenda ashuga.

Chifukwa cha kuchepa chitetezo chokwanira, chimfine chimalowa mosavuta, chomwe chimatsogolera ku hyperglycemia. Kuchita masewera olimbitsa thupi kochepa kumathandizanso kutero. Popeza ma glucose metres nthawi zambiri amawonetsedwa molondola, ndizovuta kusunga insulin yokwanira.

Komabe, ngakhale zovuta ndizovuta, pali zida zothandizira kuthana ndi kuzizira. Odwala omwe ali ndi matenda ashuga angalimbikitsidwe:

Pewani msokonezo ndipo pewani echinacea kuti muchepetse kuzizira,
musaphonye katemera malinga ndi kalendala ya dziko,
zolimbitsa thupi tsiku lililonse zimafunika,
Nthawi zonse muziyang'anira kuchuluka kwa shuga m'magulu azachipatala ndikufananiza ndi glucometer,
pewani kuzizira kwa insulin,
ndikofunikira kuwonjezera zochitika zogonana - izi sizingopeza malingaliro osangalatsa, komanso kukonza magwiritsidwe a shuga.
kuyenda masana dzuwa, lomwe lingathandize kuthana ndi kukhumudwa,
khalani ndi chidwi chachikulu pa kutentha mu mikono ndi miyendo - gwiritsani magolovesi ndi nsapato zoyenera nyengo.

Malangizo osavuta angakuthandizeni kupulumuka nthawi yozizira, ndipo chisangalalo cholankhula ndi okondedwa chitha kusiya kukhumudwa.

Zovuta zakuthambo zakuthambo komanso mpweya pa matenda ashuga

Kusiyana kwapanthawi yachilengedwe, mvula, mphepo ndi chipale chofewa ndizosangalatsa nthawi iliyonse pachaka. Kupangika kwamtunda kumayambitsa hypothermia, ndiye kuti pamakhala chiwopsezo cha kuchuluka kwa shuga chifukwa chochepa ntchito. Chifukwa chake, ngakhale mutakhala kunyumba, ndikofunikira kuti musasiye kuyendetsa masewera olimbitsa thupi, omwe adzakulitsa kagayidwe. Mvula ngati singalembe, ndiye kuti kuyenda kwa theka la ola pansi pa ambulera komanso zovala zotentha sikungavulaze konse. Koma miyendo imayenera kukhalabe youma, chifukwa zotengera zimakhala malo osatetezeka kwambiri m'matenda a shuga.

Vutoli limapangitsa kuti madzi azikhala mwamphamvu kwambiri. Kusintha kwamphamvu kumachitika chifukwa chovala magazi m'mitsempha mu ubongo, chifukwa chake, chiopsezo chamikwingwirima chimawonjezeka. Ndikofunikira kuyendetsa magazi, omwe akuyenera kukhala osaposa 140/90. Onetsetsani kuti mukutenga mankhwala ochepetsa magazi ndi dotolo wanu kuti mwina magazi azitha. Ngati mukupatuka kulikonse m'dera laumoyo, muyenera kufunsa chithandizo chamankhwala msanga.