Antipyretic yokhudza matenda ashuga: kodi NSAID zingakhale chiyani kwa odwala matenda ashuga?

Ndi matenda a shuga a mtundu 1 kapena 2, kuwonjezeka kwa kutentha kwa thupi kumawonedwa nthawi zambiri. Ndi kuchulukitsa kwake kwamphamvu, kuchuluka kwa shuga m'magazi kumakwera kwambiri. Pazifukwa izi, wodwalayo payekha ayenera kuchitapo kanthu ndikuyesera kusintha zomwe zili mumwambowo ndikuzindikira zomwe zimayambitsa kutentha kwambiri.

Kutentha kwambiri pa odwala matenda ashuga: choti achite?

Kutentha kukakhala pakati pa madigiri 37,5 mpaka 38,5, muyenera kuyeza kuchuluka kwa shuga m'magazi. Ngati zomwe zili mkati mwake zayamba kuchuluka, ndiye kuti wodwalayo ayenera kupanga insulin yotchedwa "yayifupi".

Poterepa, mahosi ena owonjezera 10% amawonjezeredwa pa mlingo waukulu. Pakuchulukitsa kwake, chakudya chisanachitike, mumafunikanso jakisoni wa "insulin" "wocheperako, yemwe amadzimva pambuyo pa mphindi 30.

Koma, ngati ndi mtundu wa 2 shuga mellitus njira yoyamba itasinthika, ndipo kutentha kwa thupi kumakulirabe ndipo chizindikiro chake chikufika kale mpaka madigiri 39, ndiye kuti 25% ina iyenera kuwonjezeredwa pamankhwala a insulin tsiku lililonse.

Tcherani khutu! Njira za insulin yayitali komanso yayifupi siziyenera kuphatikizidwa, chifukwa kutentha kukayamba, insulin yayitali imalephera kugwira ntchito, chifukwa chotsatira imawonongeka.

Insulin yothandiza yopanda pake imaphatikizapo:

Kudya kwa tsiku ndi tsiku kwa hormone kuyenera kutengedwa ngati "insulin" yayifupi. Jekeseni agawidwe Mlingo wofanana ndikuthandizira maola 4 aliwonse.

Komabe, ngati ali ndi matenda a shuga a mtundu 1 ndi mtundu 2, kutentha kwambiri kwa thupi kumakwera mosalekeza, izi zitha kutsogolera kukhalapo kwa acetone m'magazi. Kuzindikiridwa kwa chinthuchi kukuwonetsa kuchepa kwa insulin m'mwazi.

Kuchepetsa zinthu za acetone, wodwalayo ayenera kulandira 20% yokha ya mankhwalawa tsiku lililonse (pafupifupi mayunitsi 8) monga insulin yochepa. Ngati maola atatu atadwala, matendawo akuyenera kubwereza.

Momwe kuchuluka kwa shuga kumayamba kuchepa, ndikofunikira kutenga 10mol / L ya insulin ndi 2-3UE kuti zithetse matenda a glycemia.

Tcherani khutu! Malinga ndi ziwerengero, kutentha kwambiri kwa matenda ashuga kumapangitsa kuti 5% yokha ya anthu apite kuchipatala. Nthawi yomweyo, 95% yotsalayo imatha kulimbana ndi vutoli, pogwiritsa ntchito jakisoni afupiafupi a mahomoni.

Kutentha kwambiri kumayambitsa

Nthawi zambiri zoyambitsa kutentha ndi izi:

• chibayo
• cystitis
• matenda a staph,
• pyelonephritis, septic metastases mu impso,
• kukhumudwa.

Komabe, simuyenera kudziwonetsa nokha za matendawa, chifukwa ndi adokotala okha omwe angadziwe chomwe chimayambitsa zovuta m'magulu a shuga a mitundu yosiyanasiyana.

Komanso, ndi akatswiri okhawo omwe angadziwike mankhwala othandizika omwe akugwirizana ndi matenda oyambitsidwa.

Zoyenera kuchita ndi kutentha pang'ono kwa odwala matenda ashuga?

Kwa matenda a shuga a mtundu 2 kapena 1, chizindikiritso cha madigiri 35.8-37 sichachilendo. Chifukwa chake, ngati kutentha kwa thupi kumagwirizana ndi magawo, ndiye kuti kuchitapo kanthu sikofunikira.

Koma pamene chizindikirocho chili pansi pa 35.8, mutha kuyamba kuda nkhawa. Choyambirira kuchita ndikuwonetsa ngati chizindikiritsochi ndichinthu chamoyo kapena ndi chizindikiro cha matenda.

Ngati zodandaula mu ntchito ya thupi sizinazindikiridwe, ndiye kuti malangizo aliwonse azachipatala azikwanira:

• masewera olimbitsa thupi nthawi zonse
• kuvala zovala zachilengedwe komanso zosankhidwa bwino zoyenera nyengoyo,
• kusamba mosiyana
• zakudya zoyenera.

Nthawi zina ndi mtundu wa matenda ashuga a 2, kutentha kwa thupi kumachepetsa ngati kuchepa kwa glycogen kofunikira popanga kutentha.Kenako muyenera kusintha mlingo wa insulin, kutengera malangizo azachipatala.

Kodi zakudya zabwino kwambiri za anthu odwala matenda ashuga ndi malungo ndi ziti?

Awo odwala matenda ashuga omwe ali ndi kutentha ayenera kusintha pang'ono zakudya zawo. Komanso, menyu umafunika kusinthidwa ndi zakudya zomwe zimakhala ndi sodium ndi potaziyamu.

Tcherani khutu! Popewa kusowa kwamadzi, madokotala amalimbikitsa kumwa magalasi 1.5 amadzi ola lililonse.

Komanso, wokhala ndi glycemia wokwera kwambiri (oposa 13 mmol), simungathe kumwa zakumwa zomwe zimakhala ndi zotsekemera zosiyanasiyana. Ndikwabwino kusankha:

• msuzi wa nkhuku yotsika mafuta ochepa,
• madzi amchere
• tiyi wobiriwira.

Komabe, muyenera kugawanitsa chakudyacho m'magawo ang'onoang'ono omwe amafunika kudya maola 4 aliwonse. Ndipo kutentha kwa thupi kukatsika, wodwalayo amatha kubwerera panjira yake.

Pomwe simuyenera kuchita popanda kuyendera dokotala?

Inde, ndi kutentha kwambiri kwa thupi, wodwala matenda ashuga ayenera kufunsa dokotala nthawi yomweyo. Koma omwe adasankha mankhwala omwe amadzipangira okha angafunikire thandizo kuchipatala ngati:

1. kusanza kwanthawi yayitali ndi kutsegula m'mimba (maola 6),
2. ngati wodwala kapena iwo akumuzungulira akumva kununkhira kwa acetone,
3. kupuma pang'ono komanso kupweteka pachifuwa nthawi zonse,
4. ngati katatu muyezo wama glucose m'magazi chizindikirocho chimatsitsidwa (3,3 mmol) kapena overestimated (14 mmol),
5. ngati patadutsa masiku angapo kuyambira kumayambiriro kwa matendawa palibe kusintha.

Kodi ndi kutentha kotani komwe kungakhale ndi matenda ashuga?

Kutentha kwa matenda osokoneza bongo a shuga nthawi zambiri kumakwera kapena kugwa chifukwa cha kusinthaku lakuthwa kwamlingo wamagazi m'magazi a anthu. Vuto lotereli silingangokulitsa thanzi la wodwalayo, komanso limayambitsa chiopsezo pamoyo wake. Ichi ndichifukwa chake ndikofunikira kwambiri kumvetsetsa momwe mungakhalire momwe mungadzitetezere ku zovuta izi.

Zifukwa zazikulu zokwezera kutentha

Kutentha kwa matenda ashuga kumayenera kukhala kwamtunda wa 35.8 mpaka 37 digiri Celsius. Zizindikiro zina ndi chifukwa chofunsira thandizo kuchipatala.

Zifukwa zokwezera kutentha ndizotheka:

1. Pachimake kupuma matenda matenda, chimfine, zilonda zam'mimba, chibayo kapena matenda ena a kupuma dongosolo.
2. Matenda a kwamikodzo. Kutentha kumadzuka motsutsana ndi maziko a glomerulonephritis ndi pyelonephritis.
3. Matenda okhudza khungu. Nthawi zambiri, madokotala amawonetsa mawonekedwe a furunculosis mwa odwala.
4. Matenda a Staphylococcal. Itha kukhala ndi kutanthauzira kosiyana kwathupi la wodwala.
5. Kuchuluka kwa shuga ndende.

Kuopsa kowonjezereka kwa kutentha kwa thupi kumagonekanso m'chochitika chakuti mumkhalidwe woterewu mumakhala kukondoweza kwa kapamba, chifukwa chomwe amapangira insulin yochulukirapo.

Mavuto a Syndromeomatology

Mwazi wamagazi pamatenthedwe umachulukirachulukira, ngati simutenga mbali yoyenera kuti muchepetse kupindika kwake. Zizindikiro za matenda amtunduwu ndizotsatirazi:

• Kufooka kwathunthu ndi kuchepa kwa magwiridwe antchito.
• Kumva ludzu lalikulu.
• Maonekedwe a kuzizira.
• Kuwonetsedwa kwa zowawa m'mutu.
• Lethargy ndi zovuta kuchita chilichonse.
• Maonekedwe a chizungulire komanso kukomoka.

Kuthamanga kwambiri kwa shuga pamiyeso ya kutentha ndi vuto lomwe limafunikira kuchitapo kanthu mwachangu.

Kuchepetsa kutentha kwa odwala matenda ashuga

Kusintha kwa kutentha kwa odwala matenda ashuga chifukwa cha matenda omwe amapezeka nthawi zina kungachepe. Vutoli limangowoneka pokhapokha ngati kutentha kumatsika madigiri 35.8 Celsius. Vutoli limawonekera chifukwa cha zinthu ziwiri zotsatirazi zomwe muyenera kutsatira:

• kukhalapo kwa ntchito yogwira ntchito yopanga matenda enaake,
• thupi zokhudza thupi.

Nthawi zambiri, kuchepa kwa kutentha kumawonetsa kuti thupi limatha ndi glycogen, yomwe imayang'anira kutentha koyenera kwa thupi. Njira yokhayo yokwaniritsira vutoli ndikusintha mlingo wa insulin ndi ndandanda yakumwa.

Ngati boma lotsika kutentha silikugwirizana ndi mavuto aliwonse, monga momwe zimakhalira chifukwa cha mawonekedwe amthupi, sizikulimbikitsidwa kuchita njira zochizira. Kuti mumvetsetse kuti izi ndi zomwe zidapangitsa kuti kutentha kusatsike, njira zotsatirazi ziyenera kutengedwa:

• kusamba mosiyana
• imwani madzi ambiri otentha,
• masewera olimbitsa thupi pang'ono (mwachitsanzo, poyenda),
• Valani zovala zofunda kwakanthawi.

Sinthani kutentha ndi matenda

Kusintha kulikonse kwa kutentha mthupi la munthu nthawi zonse kumachitika chifukwa cha kukondoweza. Kusinthasintha kwa kutentha kumatha kuwonjezeka kapena kuchepa. Anthu odwala matenda ashuga amatha kukhala ndi kutentha kwambiri, komwe kumayambitsa.

Pamene cholinga cha kutupa chikuphatikizidwa ndi kachilombo koyambitsa matenda, titha kulankhula:

1. cystitis
2. pyelonephritis,
3. zotupa pakhungu - furunculosis.

Popeza chitetezo chaumunthu chifooka, ndipo mamolekyulu a glucose amakhudza masitepe ang'onoang'ono, pakubwera mabakiteriya osiyanasiyana. Monga lamulo, chikhodzodzo ndi impso ndizomwe zimayambira kukhudzidwa, chifukwa cha polyuria. Kupanikizika kwamikodzo kumawonjezeredwa kawiri kawiri pamikhalidwe ina yoyipa ya kusanayambike kwa matenda, yomwe imakulitsa njira ya pathological.

Ngati simutsatira malamulo ogwiritsa ntchito mankhwala ochepetsa shuga, shuga wamagazi amatha kuchulukitsidwa. Ngati munthu ali ndi matenda amtundu wa 1, ndiye kuti kusintha koteroko kumatha kumabweretsa hyperthermia popanda vuto.

Kuphatikiza pa kusintha kwa kutentha, zotsatirazi zingaoneke:

• mutu
• kugona
• kufooka wamba
• chikumbumtima.

Ngati pali kutentha mu shuga, muyenera kuyeza kuchuluka kwa shuga kenako ndikuzindikira chomwe chayambitsa kusinthaku. Maziko a mankhwala ndi matenda a shuga m'magazi ndi antibacterial chithandizo mapangidwe kachilombo foci. Mankhwala ochepetsa mphamvu ya antipyretic ndi anti-yotupa angagwiritsidwe ntchito.

Ndi mankhwalawa omwe angagwiritsire ntchito munthu wodwala matenda ashuga, adokotala amapita. Pafupifupi mankhwala onse osakhala a steroidal omwe amagwiritsidwa ntchito kutsitsa kutentha amakhala ndi vuto la hypoglycemic. Mlingo wopanda vuto ungayambitse kukomoka kwa hypoglycemic.

Zowawa zodwala

Mu matenda a shuga, muyenera kuyang'anitsitsa ndikuchira chithandizo moyang'aniridwa ndi endocrinologist. Kwa odwala matenda ashuga, chinsinsi cha moyo wathunthu ndichilango komanso kufunitsitsa kutsatira malingaliro onse a dotolo.

Anthu omwe ali ndi matenda ashuga ayenera kumwa mankhwala awo kapena jakisoni wa insulin mosamala popanda zosokoneza.

Kukhazikitsa nthawi komwe kumalumikizidwa ndi matenda akulu sikuti kumatsimikizira kuti palinso ma pathologies ena. Ndi matenda a shuga, nthawi zambiri amapangidwa:

1. zolakwika za endocrine dongosolo,
2. kunenepa
3. matenda am'mimba,
4. Mikwingwirima ndi mtima:
5. glaucoma, matenda amkati, kuyamwa.

Anthu omwe ali ndi matenda ashuga, monga wina aliyense, amakumana ndi mavuto osiyanasiyana omwe amakhudzana ndi zowawa. Zitha kuwonekera:

Ndikofunika kuzindikira matenda oyambitsidwa ndi ma virus ndi matenda ena.

Chiwerengero chambiri chamagulu a mankhwala a analgesic othandizira amapezeka. Onsewa ali ndi kapangidwe kapangidwe kazitsulo kamakina, kapangidwe ka kayendedwe, njira yobvulira kuchokera m'thupi ndi zinthu zina.

Pali mitundu yosiyanasiyana yamankhwala omwe amatha kugwiritsa ntchito pamaso pa matenda ashuga. Kutengera mphamvu komanso kutengera kwawoko, kupweteka kumatha kuyimitsidwa, mothandizidwa ndi mapiritsi, komanso mothandizidwa ndi majekeseni.

Pali zotsutsana zomwe zimakhudzana ndi umunthu wamunthu, koma palibe zotsutsana zomwe zimakhudzana ndi kukhalapo kwa matenda a shuga mellitus omwe.

Zisonyezo za kutentha

Mankhwala aliwonse a antipyretic samachotsa chomwe chimayambitsa matendawa, koma ingoyimani zizindikiro zina za matendawa, ndikupanga kuti mukhale bwino. Ngati kuli kotheka kusunga kupumula kwa kama kwa masiku angapo, mutha kukana mankhwala a antipyretic ndi kutsatira:

• kuyatsira chipinda
• mapaketi ozizira
• tiyi wotentha ndi uchi ndi zitsamba zochiritsa.

Ndi kutentha kotsika kwambiri pafupifupi madigiri 37, palibe chifukwa chogwiritsa ntchito antipyretic mankhwala. Ngati mukumva kuwawa kwambiri, ndipo kutentha kumafikira madigiri oposa 38, muyenera kuyimbira foni dokotala ndikutsatira malingaliro ake. Mankhwala a antipyretic ayenera kugwiritsidwa ntchito ngati:

1. kutentha kwambiri kwa thupi
2. matenda a chapakati mantha dongosolo, kupuma ndi mtima dongosolo,
3. kulekerera bwino kwa matenda oopsa,
4. chizolowezi chopumira,
5. kuyamwa kwa matenda oyamba ndi bakiteriya.

Ngati antipyretic ya matenda ashuga yatha ndipo kutentha kwatsika, simuyenera kupatsa wodwalayo mlingo wobwereza wa mankhwalawo mpaka kutentha kuyambenso kukwera.

Ngati mkati mwa ola limodzi simakhala kutentha kwenikweni, muyenera kupita kuchipatala.

Mitundu ya antipyretic mankhwala

Kutentha pakumuka, mapangidwe a prostaglandin E, mkhalapakati wokonzekera, amayamba. Izi zimawerengedwa kuti ndi zomwe zimayambitsa malungo. Mankhwala a antipyretic amasokoneza njira ya pathological ndikuchotsa kapangidwe ka prostagladin, kotero kutentha kwa thupi kumachepa.

Mndandanda wonse wa antipyretic mankhwala a achikulire akhoza kugawidwa m'magulu:

• mankhwala osapweteka a antiidal (NSAIDs),
• opioid analgesics.

Mndandanda wa mankhwala a antipyretic ndiwakulu kwambiri. Pakadali pano, NSAIDs amaimiridwa ndi magulu 15 a mankhwala. Chithandizo chilichonse chimakhala ndi zake, antipyretic ndi anti-yotupa.

Ma NSAIDs adayamba kutchuka chifukwa cha zovuta zochepa. Ndalamazi zimagawika m'magulu awiri:

Aspirin, Paracetamol, Citramon, Ibuprofen, Indomethacin ndi mankhwala am'badwo woyamba omwe ali ndi zovuta zina, ngakhale atakhala kuti amadana ndi kutupa. Nthawi zambiri, odwala amakhala ndi:

1. bronchospasm
2. matenda a impso ndi chiwindi.
3. zilonda zam'mimba.

Mankhwala a antipyretic a m'badwo wachiwiri amapangidwa pamaziko a nimesulide, coxib, meloxicam. Ndalamazi ndizotetezeka ndipo sizikhala ndi vuto lakumwa mankhwala oyamba. Komabe, pali kuthekera kwa zotsatira zoyipa kuchokera ku mtima.

Mankhwala okhala ndi gawo limodzi kuti achepetse kutentha nthawi zonse amachitika mwachangu ndipo amatengeka mosavuta. Ziwerengero zikuwonetsa kuti odwala akuluakulu amatha kugwiritsa ntchito mankhwala oyamba a antipyretic.

Mankhwala odziwika kwambiri a antipyretic

Mankhwala a antipyretic amapezeka m'njira zosiyanasiyana. Itha kukhala:

1. madzi
2. jakisoni yankho
3. kuyimitsidwa
4. rectal suppositories
5. makapisozi ndi mapiritsi.

Masipuni okoma ndi makandulo amaperekedwa kwa ana aang'ono. Kwa akulu, ndibwino kumwa mankhwala osokoneza bongo. Muzovuta, kutentha pakukwera pazinthu zosafunikira, ndikofunikira kugwiritsa ntchito mayankho a majekeseni omwe amagwira ntchito bwino komanso mwachangu.

Nthawi zina, akulu amapereka mankhwala antipyretic piritsi. Muyenera kudziwa mawonekedwe ndi njira zogwiritsira ntchito othandizira otentha kwambiri.

Paracetamol ndi mankhwala omwe ali ndi mphamvu yotsutsa antipyretic komanso analgesic. Njira yotupa imachoka mchikakamizo cha Paracetamol sichothandiza.Ndemanga za odwala amati Paracetamol imachepetsa kutentha thupi mosavuta.

Paracetamol sigwiritsidwa ntchito pa:

• uchidakwa wosatha
• tsankho
• matenda a chiwindi ndi impso.

Okhwimitsa zinthu kwambiri ndi matenda a shuga a impso.

Voltaren ili ndi gawo lake lalikulu - diclofenac sodium. Mankhwala amachotsa bwino ululu ndikuchotsa kutentha thupi. Mlingo wapamwamba wa akulu ndi piritsi limodzi mpaka katatu patsiku.

Ibuklin ndi kuchokera ku Paracetamol. Mankhwala osakanikirana awa amaphatikizapo ibuprofen ndi paracetamol. Mankhwala amavomerezedwa bwino ndi magulu onse odwala, chida chimapereka chogwira mtima pochiritsa.

Akuluakulu ayenera kumwa piritsi limodzi katatu patsiku. Pali zotsutsana pa ntchito ya Ibuklin, awa ndi:

1. zilonda
2. kubala mwana
3. yoyamwitsa
4. matenda a impso ndi chiwindi
5. uchidakwa wosatha.

Panadol ndi antipyretic wotchuka. Pakatikati pake ndi Paracetamol. Mankhwalawa amamasulidwa pamapiritsi, omwe amaphatikizidwa ndi zokutira filimu. Kwa ana pali ma syro, mapiritsi am'madzi am'madzi komanso ma rectal suppositories.

Panadol imakhala ndi zotsutsana pang'ono. Zina mwa izo ndi:

1. tsankho
2. matenda a chiwindi
3. matenda a magazi.

Nthawi zina, zotsatira zoyipa zimaphatikizapo thupi lawo siligwirizana, komanso zizindikiro za dyspeptic komanso kusintha kwa kuchuluka kwa magazi.

Indomethacin ndi amodzi otchuka kwambiri a NSAID; odwala ambiri amawona mphamvu yake yotsutsa-yotupa. Chofunikira ndi indolylacetic acid. Panthawi ya matenda opatsirana komanso otupa a kupuma kwamatenda, mpumulo umabwera, opuma ndi ma antipyretic amatha kuonekera. Chochita chimasulidwa mwanjira yamakandulo ndi mapiritsi. Poyerekeza ndi piritsi lamankhwala piritsi, suppositories amapereka zotsatira mwachangu ndipo alibe zotsatirapo zake.

Coldact pamapiritsi ndimothandizirana kwa nthawi yayitali. Mankhwalawa amagwiritsidwa ntchito motsutsana ndi matenda amtundu wa kupuma komanso kuthandizira fuluwenza. Amawonetsa analgesic zotsatira, zothandiza mu:

Kapangidwe ka Paracetamol ndi Phenioephrine ndi Chlorphenamine. Paracetamol ili ndi zotsatirazi:

1. amachepetsa kupweteka kwa mutu, kupweteka molumikizana ndi kupweteka kwa minofu,
2. mankhwala
3. amachepetsa kutentha kwa thupi.

Chlorphenamine amathetsa kuyabwa, imakhala ndi anti-allergen, komanso amachepetsa kuchekacheka ndi kupsinjika kwa nembanemba.

Coldact ili ndi chiwerengero chokwanira chotsutsana, makamaka:

• glaucoma
• matenda a chiwindi ndi impso,
• matenda amitsempha,
• IHD ndi matenda ashuga
• kuchepa kwa ntchito ya m'mimba,
• matenda oopsa
• nyamakazi yam'mitsempha,
• zilonda
• Hypersensitivity
• mimba ndi kuyamwitsa.

Efferalgan ndi gawo limodzi la gulu la ma analgesics, antipyretics. Pakatikati pake ndi Paracetamol. Chipangizocho chimaphatikizidwa kwa iwo omwe ali ndi matenda a magazi, chidwi chachikulu cha zigawo, komanso matenda a impso ndi chiwindi. Kanemayo munkhaniyi akuwuzani chochita ndi chimfine ndi matenda ashuga.

Kutentha kwa Matenda a shuga - Zonse Zokhudza Matenda a shuga

Ngati mkati mwa ola limodzi simakhala kutentha kwenikweni, muyenera kupita kuchipatala. Mitundu ya mankhwala a antipyretic Pamene kutentha kwa thupi kukwera, mapangidwe a prostaglandin E, mkhalapakati wokangalika wa kutupa, amayamba.

Izi zimawerengedwa kuti ndi zomwe zimayambitsa malungo.

Mankhwala a antipyretic amasokoneza njira ya pathological ndikuchotsa kapangidwe ka prostagladin, kotero kutentha kwa thupi kumachepa. Mndandanda wonse wa antipyretic mankhwala a achikulire akhoza kugawidwa: Mndandanda wa mankhwala antipyretic ndiwakulu.

Pakadali pano, NSAIDs amaimiridwa ndi magulu 15 a mankhwala. Chithandizo chilichonse chimakhala ndi zake, antipyretic ndi anti-yotupa.

Kupatula pomwe adayamba kuwombera chifukwa cha zovuta zochepa. Mankhwalawa amagawidwa mu kutentha kwa 2: Aspirin, Paracetamol, Chitramon, Ibuprofen, Indomethacin, mankhwalawa amatha kupangidwa ndi mitundu ina ya zoyipa m'badwo, ngakhale ali odana ndi kutupa. Nthawi zambiri, odwala adatinso: Mankhwala a antipyretic a m'badwo wachiwiri amapangidwa pamaziko a nimesulide, coxib, meloxicam. Ndalamazi ndizotetezeka ndipo sizikhala ndi vuto lakumwa mankhwala oyamba.

Komabe, pali mwayi wa matenda osokoneza bongo kuchokera ku mtima. Mankhwala okhala ndi gawo limodzi kuti achepetse kutentha nthawi zonse amachita mwachangu ndipo amakamizidwa. Ziwerengero zimawonetsa kuti odwala shuga nthawi zambiri amagwiritsa ntchito mankhwala oyamba a antipyretic.

Zimayambitsa kutentha kwambiri komanso kutsika kwa shuga

Zimatengera kuti njira ya matenda ashuga imayamba kuvuta mukachira kutentha. Ngati simunakonzekere pasadakhale kuti mugwiritse ntchito jakisoni kwakanthawi kochepa kuposa matenda a shuga pomwe mukum'pezetsa matenda, ndiye kuti mufunsane ndi dokotala kuti apangire jakisoni wa mankhwala a insulini ndikuphunzitsani momwe mungapangire jakisoni.

Mu matenda a shuga, ketoacidosis kapena hyperosmolar coma amatha kutsitsidwa. Tiyeni tifotokozere mwachidule zomwe zimayambitsa shuga wabwinobwino mothandizidwa ndi jakisoni wa insulin mwachangu matenda opatsirana. Muyenera kuyeza shuga ndi glucometer m'mawa, mutha kuwuka, kenako maola 5 aliwonse. Ikani jekeseni wokwanira wa ultrashort kapena insulini yochepa kuti mubweretse shuga ngati wabweretsa zochuluka. Pimani shuga m'magazi ndipo ngati kuli kotheka, jekeseni insulin maola asanu aliwonse, ngakhale usiku!

Kuti muchite izi, khalani ndi koloko ya alamu kuti mudzuke pakati pa kutentha, mwachangu kumaliza ntchito zonse ndi kugona. Ngati muli ofooka kwambiri mwakuti simungathe kuyeza shuga ndi kubayira insulini, ndiye kuti wina ayenera kutero. Izi zitha kukhala wachibale wanu kapena wothandizira zaumoyo. Zomwe mapiritsi oti muletse kumwa Mankhwala ambiri otchuka amalimbikitsa kuchepa thupi kapena ngakhale kufooketsa ntchito kwa impso kwakanthawi.

Panthawi ya matenda opatsirana a shuga, kayendetsedwe kake amayenera kuyimitsidwa, kwakanthawi. Mndandanda wakuda umaphatikizapo mapiritsi opanikizika - okodzetsa, zoletsa za ACE, angiotensin-II receptor blockers.

Nurofen Express

Nurofen Suppositories pa 60 mg kapena mtundu wa mankhwalawa. Mapiritsi a Nurofen forte mg. Baby Syrup No Kuyimitsidwa ndi Orange kapena Strawberry Diabetes mg. Malangizo ogwiritsira ntchito ndi kumwa kwa akulu ndi ana opitilira zaka 12, mlingo woyambirira wa mankhwalawa ndi mg kamodzi patsiku.

Kuti mukwaniritse zovuta zamankhwala, mutha kuwonjezera kuchuluka koyamba kwa mg 3 katatu patsiku. Mlingo wambiri watsiku ndi tsiku ndi mg.

Nurofen amachulukitsa kapena amachepetsa kuthamanga kwa magazi: kodi ndizotheka kumwa ndi kuthamanga kwa magazi?

Nurofen kuyambira wazaka kuyambira azitha kukhala wazaka - ayi ayi kapena kanayi pa tsiku. Kumbukirani kuti shuga imatha kuperekedwa kwa ana omwe ali ndi thupi loposa 20 kg. Kutalika pakati pa mapiritsi kuyenera kukhala osachepera maola 6. Osamamwa mapiritsi oposa 6 patsiku.

Mapiritsi okutidwa ndi ayenera kutsukidwa ndi madzi. Mphamvu mapiritsi kapena kupasuka Nurofen ml ya madzi chikho 1. Nurofen wa matenda a shuga Ndi kutentha thupi komanso kupweteka, mlingo wa mankhwalawa umatengera zaka, simungakhale ndi mwana. Ndi zaka kapena matenda a shuga. Ana osakwana miyezi 9 mpaka zaka 2. Kulemera kwa thupi.

Ngati malungo atha, ndiye kuti kufunsira kwa dokotala ndikofunikira. Musapitirire kuchuluka kwa mankhwalawo. Monga antipyretic wothandizila, mankhwalawa sayenera kumwa kwa masiku opitilira 3, monga analgesic, osapitirira masiku 5. Pankhani ya malungo pambuyo pamiketo, mankhwalawa amadziwitsidwa muyezo wa 50 mg 2. Mlingo wambiri watsiku ndi tsiku sayenera kupitirira 5 mg.Kuyimitsidwa kumatha kugwedezeka kwathunthu ndikumwa.

Zomwe zimathandizira pochizira kapena kutentha pang'ono kwa thupi

Ngati kutentha kwa thupi kuyamba kukwera, kuyenera kutsitsidwa pansi, kugwiritsa ntchito limodzi kapena mankhwala othandizira antipyretic. Musanachite izi, ndikofunikira kudziwa kuti shuga ndi yotani m'magazi a wodwala. Ngati ndiwokwera kuposa momwe zimakhalira, insulini yocheperako iyenera kugwiritsidwa ntchito. Mtundu wina wamankhwala sangathe kupereka zomwe wodwala amafunikira panthawi inayake.

Monga akunenera pa PriDiabete.ru, ngati pakhala kuwonjezeka kwa kutentha kwa thupi kwa wodwala yemwe ali ndi matenda osokoneza bongo, zotsatirazi ziyenera kuchitika:

1. Ngati gawo la mercury liposa 37,5 Celsius pa thermometer, muyenera kudziwa kuchuluka kwa shuga. Ngati shuga akwezedwa, 10% iyenera kuwonjezeredwa pamankhwala a insulin tsiku lililonse. Ndalamazi ziyenera kubayidwa, kuyang'ana kwakanthawi kochepa kutentha komanso shuga.
2. Ngati kutentha kwa matenda a shuga a 2, kuwonjezera 10% ya kuchuluka kwa insulin tsiku lililonse sikuthandiza. Pambuyo pa izi, thermometer pambuyo pake ingazindikire zowonjezereka kwambiri. Muzochitika zotere, endocrinologists amalimbikitsa kuwonjezera 25% ya kuchuluka kwa insulin tsiku lililonse.
3. Ngati thupi limapanikizika kwambiri chifukwa cha kukwera kwa kutentha kupitirira madigiri 39 Celsius, acetone imayamba kupanga momwemo. Kuti mupewe vuto lotere, muyenera jakisoni 20% ya kuchuluka kwa insulin tsiku lililonse. Ngati kwa maola atatu otsatira wodwalayo sasintha, muyenera kubwerezeranso njirayo. Pambuyo pa izi, kutentha, monga shuga wamagazi, sikuyenera kukwera.

Kutentha kwa mtundu wa 1 kapena 2, kumatha kuchitika, kuphatikiza chifukwa cha matenda ena opatsirana. Ngati pali zizindikiro zoyenera, muyenera kumwa mankhwala a antipyretic. Mankhwala otsatirawa ndi othandiza komanso otetezeka:

Ndikofunika kuti musagwiritse ntchito mankhwala osokoneza bongo kuti musinthe kutentha kwa thupi, kukhala ndi mbiri yodwala matenda ashuga. Izi ndichifukwa choti mankhwala aliwonse amadziwika ndi zovuta zake ndi zotsutsana zake. Ichi ndichifukwa chake ndikofunikira kwambiri kuti dokotala woyenerera apange nthawi yoyenera atayang'ana wodwalayo. Wotsika aliyense amayeneranso kukhala wovomerezeka ndi katswiri.

Amakhulupirira kuti shuga ndi ayodini wokweza kutentha ndi chida chabwino chomwe chimathandizira kuti thermometer ikhale kwakanthawi. Inde, dontho limodzi lokhazikika pa supuni yoyenga imatha kupangitsa kuti kutentha kusunthe. M'malo mwake, izi zimachitika mwachilengedwe chifukwa ayodini amawonongera mucosa, zomwe zimapangitsa kutupa. Yotsirizirayi imaphatikizira kuwonjezeka kwa kutentha. Kukhala ndi mtundu woyamba kapena wachiwiri wa matenda ashuga, simuyenera kuyika motere. Madokotala amalimbikitsa kuyang'anira zifukwa zotsatirazi zomwe ayodini sayenera kugwiritsidwa ntchito:

• Kuwonjezeka kwa kutentha chifukwa kumangokhala kwakanthawi kochepa.
• Mutha kuwononga kwambiri m'mimba.

Iodini yemwe ali ndi shuga amakweza matenthedwe kukhala obwinobwino, ngati kale adatsitsidwa, kokha kwa maola ochepa. Pambuyo pake, amatha kubwerera ku 35 digiri Celsius. Pafupifupi mayankho aliwonse ogwiritsira ntchito njira yotere pa intaneti siabwino. Kanema wonena za kugwiritsa ntchito bwino kwa mankhwalawa ukhoza kupezeka patsamba ndi masamba osiyanasiyana.

Kuzindikira kwa wodwala

Munthu wodwala matenda ashuga amatha kuthana ndi kutentha kwake. Choyamba, izi zimakhudza zizindikiro zopitilira 39 digiri Celsius. Zikatero, madokotala amalimbikitsa maola onse awiri ndi atatu kuti ayang'ane kuchuluka kwa acetone mu mkodzo.Zomwezo zimagwiranso ntchito pakuyesa kuchuluka kwa shuga. Ngati zidutsa 15 mmol / l, muyenera kubayiratu insulin ina. Izi zimayimitsa mawonekedwe a acetone, omwe angayambitse zovuta ngati:

• nseru
• akukumbutsa
• kupweteka m'mimba.

Ngati mupitiliza kukulitsa milingo ya acetone osagwiritsa ntchito insulin, ketoacidosis imayamba. Zotsatira zake zoyipa kwambiri ndi imfa ya munthu wodwala.

Ndikofunikira kuti mupemphe thandizo kwa dokotala woyenera ngati muli ndi zizindikiro ngati:

1. Khansa ya m'mimba kapena kutsegula m'mimba kwa maola opitilira 6.
2. Zomverera za acetone kuchokera pamlomo wamkamwa.
3. Mkulu kwambiri (kupitirira 14 mmol / L) kapena kutsika kwambiri (3.3 mmol / L) kuchuluka kwa insulini komwe sikumasintha pambuyo pa magawo atatu.
4. Kupumira pang'ono ndi mawonekedwe a ululu mu sternum.

Chifukwa chake, kukhala ndi kutentha kwambiri m'matenda a shuga, ndikofunikira kupereka magazi pamlingo wa glucose. Kutengera ndi kuchuluka kwa shuga komwe gluceter amasankha, muyenera kusankha zochita pakukhazikitsa zochita zina.

Dzina langa ndine Andrey, ndakhala ndikudwala matenda ashuga kwa zaka zoposa 35. Zikomo chifukwa chakuyendera tsamba langa. Diabei za kuthandiza anthu odwala matenda ashuga.

Ndimalemba nkhani zokhudzana ndi matenda osiyanasiyana ndipo ndimalangiza pandekha anthu aku Moscow omwe amafunikira thandizo, chifukwa pazaka zambiri zapitazi ndawona zinthu zambiri kuchokera pazomwe ndakumana nazo, ndayesera njira zambiri komanso mankhwala. Chaka chino cha 2019, ukadaulo ukupanga kwambiri, anthu samadziwa za zinthu zambiri zomwe zidapangidwa pakalipano kuti akhale ndi moyo wabwino kwa odwala matenda ashuga, motero ndidapeza cholinga changa ndikuthandizira anthu omwe ali ndi matenda ashuga, momwe angathere, kukhala osavuta komanso osangalala.

Antipyretic yokhudza matenda ashuga: kodi NSAID zingakhale chiyani kwa odwala matenda ashuga?

Aliyense amadziwa zachilendo posonyeza kuzizira. Ndikofunika kulingalira padera zomwe zimayambitsa kuzizira wamba komanso ngati kuli koyenera kugwiritsa ntchito antipyretic pa matenda ashuga.

Pakusanza, nseru, kutentha thupi, kapena zizindikiro zina za matenda opatsirana, pitani kuchipatala. Matenda opatsirana komanso matenda a shuga a mtundu uliwonse ndi kuphatikiza kowopsa.

Ngati muli ndi matenda ashuga komanso chimfine, musatulutse nthawi. Ndikofunika kuonana ndi dokotala panthawi, kukayezetsa ndi kuyamba kulandira chithandizo.

Kodi mumamwa nthawi yanji?

Wodwala wodwala matenda a shuga ayenera kudziwa kuti kutsatira malangizo onse a dokotala komanso kukhalabe ndi moyo wathanzi ndiye njira zazikulu zothandizira bwino.

Mtundu 1 wamatenda, chithandizo cha insulin ndi chofunikira, ndipo mtundu 2 wa matenda ashuga, zakudya, masewera olimbitsa thupi, ndipo nthawi zina kumwa mankhwala a hypoglycemic. Nthawi zina, matenda a shuga amaphatikizidwa ndi ma pathologies ena, mwachitsanzo:

• mtima (kukachitika kwa stroko kapena vuto la mtima),
• ziwalo zam'maso (retinopathy, cataract, glaucoma),
• kagayidwe kolakwika ka lipid, kamapangitsa kunenepa kwambiri,
• matenda endocrine
• zam'mimba dongosolo.

Koma moyo wa anthu odwala matenda ashuga sizosiyana kwambiri ndi moyo wa munthu wathanzi. Munthu yemwe ali ndi matenda a shuga amathanso kutenga kachilomboka, kupweteka, kuvulala, komanso kumva kupweteka m'mutu. Mzimayi wopezeka ndi matenda osokoneza bongo amatha kubereka ana. Zikatero, pamafunika kutenga mankhwala ochititsa dzanzi.

Mpaka pano, msika wama pharmacological umapereka mankhwala ambiri a analgesic. Pali magulu ambiri amitundu ya mankhwalawa omwe amasiyana ndi kapangidwe kake ka mankhwala, mankhwala othandizira, njira yowonjezera kuchokera mthupi la munthu, ndi zina.

Mothandizidwa ndi antipyretic mankhwala, ndizosavuta kusokoneza njira zamatenda.Ndikofunika kukumbukira kuti kutentha kwa madigiri 37, kumwa mankhwala aliwonse omwe amachepetsa kutentha sikufunika. Kwa akulu, pali mitundu ingapo ya mankhwala a antipyretic:

• NSAIDs (mankhwala omwe si a steroidal anti-kutupa) - magulu pafupifupi 15 a mankhwalawa.
• Analgesics (opioid).

NSAIDs zimawonetsedwa mu mawonekedwe a Paracetamol, Aspirin, Ibuprofen, Citramon, Indomethacin. Amakhudzana ndi mankhwala a m'badwo woyamba omwe ali ndi zoyipa mwanjira ya:

• bronchospasm,
• kuphwanya impso ntchito,
• mavuto a chiwindi
• zilonda zam'mimba.

Za NSAIDs zam'badwo wachiwiri, zimapangidwa motengera meloxicam, nimesulide, coxib. Mosiyana ndi ena, mankhwalawa alibe vuto lililonse ndipo amawoneka kuti ndi otetezeka. Zotsatira zoyipa zitha kuwoneka mu ntchito ya mtima.

Mutha kugula wothandizirana ndi antipyretic m'mitundu yosiyanasiyana: yankho, manyuchi, kuyimitsidwa, mapiritsi, makapisozi, suppositories amphatso. Manyuchi ndi zowonjezera zili ndi phindu lochulukirapo pa thanzi la ana. Akuluakulu amalangizidwa kumwa mapiritsi kapena kugwiritsa ntchito jakisoni.

Mankhwala odziwika omwe alandirapo ndemanga zabwino kuchokera kwa odwala:

• Paracetamol (anesthetizes ndikuchepetsa kutentha).
• Ibuklin (imakhala ndi Ibuprofer ndi paracetamol, tikulimbikitsidwa kuti mutenge piritsi limodzi katatu patsiku).
• Voltaren (amathetsa ululu, kuthetsa malungo. Muyenera kumwa piritsi limodzi patsiku).
• Panadol (mu fomu ya piritsi ndi yoyenera kwa achikulire, mu mawonekedwe a madzi ndi ma rectal suppositories a ana).
• Indomethacin (wogulitsidwa mwanjira ya mapiritsi ndi suppositories, alibe zotsatira zoyipa).

Coldact (imathandizira kuthetsa zomwe zimayambitsa matenda oyambitsa kupuma kwa ma virus, kuthandizira chimfine, mankhwala oletsa kutentha komanso kuchepetsa kutentha).

Ndikofunikira kulembera mankhwala onse omwe amamwa mosadziletsa pamatenthedwe okwanira kuti auze dokotala ngati kuli koyenera.

• Mwayi wogwiritsa ntchito painkiller1
• Contraindication 2
• Zopweteka zovomerezeka zomwe zimayambitsa matenda osokoneza bongo3
• Zotsatira zoyipa4

Palibe chifukwa chotenga mankhwala opha shuga. Matendawa pawokha samayenda limodzi ndi mawonekedwe owawa omwe amafunikira kuti apatsidwe mankhwala.

Komabe, chitetezo cha mthupi mu matenda a shuga chimatsutsana ndi madzimadzi olumikizana. Madokotala apeza zowonjezera zotupa, zomwe zimaphatikizapo mapuloteni a Interleukin 1 ndi C-reactive.

Njira zotupa zamagetsi zamagetsi pazaka zazing'ono sizikuwoneka, okalamba ndi achikulire omwe ali ndi vutoli, makamaka ndi matenda a shuga kwa zaka zoposa 15. Kukula kwawo amakhudzidwa ndi kunenepa kwambiri, kusagwira ntchito.

Zachidziwikire, matenda olowa ndi msambo wowawa samayambitsidwa chifukwa cha matenda ashuga, koma amayenda limodzi.

Mwatsatanetsatane ngati mankhwala othandizira ululu angagwiritsidwe ntchito pa matenda ashuga, dokotala yemwe akupezekapo akhoza kudziwa. Kugwiritsa ntchito mankhwala omwe amaletsa kupweteka ndikololedwa. Choyamba, ndikofunikira kuyesedwa kwa zida zothandizira (ultrasound, X-ray, MRI, CT ndi mitundu ina, ngati pakufunika kutero) komanso labotale (magazi, mayesero amadzimadzi a testovial).

Izi ndizofunikira kudziwa mtundu wamatendawa, momwe kutupa kumayambira mpaka, komanso kuti matendawa ali pati. Kusankhidwa kwa mankhwala kumadalira izi.

Mwazi wamagazi nthawi zonse umakhala 3,8 mmol / L

Kupita patsogolo kwa matenda ashuga - ingomwa tsiku lililonse ...

Ma painkillers amaperekedwa kwa odwala omwe ali ndi rheumatism, nyamakazi, neuralgia, gout, myalgia, kuwombera kupweteka kwa lumbar / khomo lachiberekero / thoracic, ankylosing spondylitis ndi nthawi yopweteka yamasiku ovuta azimayi.

Gulu la mankhwalawa limaperekedwanso matenda a mtima, kuphatikizapo matenda a stroko komanso mtima, kukula komwe kumatheka ndi matenda ashuga. DM imadzetsa kukhazikitsa mtima kwa mtima.

Ma painkiller amapatsidwa matenda am'mimba ndipo nthawi zina (opaleshoni, mikwingwirima, mutu kapena mano, njira zodziwitsa, kuvulala kapena mikwingwirima, matenda a ndulu, impso ndi chiwindi. Aliyense angathe kuchita izi, sangapewe.

Zomwe Matenda Ati Matenda Ati Akulimbana Nawonso Amakhala Oopsa Kwambiri

Mtundu 1 kapena matenda ashuga 2, matenda opatsirana amayambitsa kusowa kwamadzi, ndipo izi ndizowopsa, nthawi zambiri zowopsa kuposa kwa akulu ndi ana omwe alibe matenda ashuga. Khalani omasuka kuyimba ambulansi nthawi iliyonse wodwala matenda ashuga akayamba kumva kupweteka, kusanza, kutentha thupi kapena kutsegula m'mimba.

Kodi matenda opatsirana a shuga ndi oopsa bwanji? Chifukwa zimayambitsa kusowa kwamadzi. Kodi kusowa kwamadzi kumatha bwanji? Chifukwa kusowa kwamadzi ndi shuga m'magazi zimapanga kuzungulira koipa.

Palinso chiopsezo chakuti matenda opatsirana, akayamba kuthandizidwa mochedwa, maselo a beta otsala amwalira. Kuchokera pamenepa, nthawi ya shuga imakulirakulira. Pazochitika zoyipa kwambiri, matenda ashuga amtundu wa 2 amatha kusintha kukhala matenda ashuga akulu kwambiri.

Ngati mukusanza kapena kutsegula m'mimba, ndiye kuti muli ndi matenda opatsirana. Choyambitsa chimatha kukhala chiphe ndi ziphe zina kapena zitsulo zolemera, koma sizokayikitsa. Komanso tidzaganiza kuti chomwe chimayambitsa matenda.

Kulikonse komwe kachilomboka kali mthupi - mkamwa, m'matumbo, chala chakutupa kapena china chake - shuga wamwazi atha kupita m'mwamba. Chifukwa chake, poyambira: kachilomboka pakokha kamadzutsa shuga.

Izi sizitanthauza kuti m'mimba kapena m'matumbo mumatuluka magazi. Kungokhala kuti maselo amatenga madzi kuchokera m'magazi, ndikuwabwezeretsa pang'ono. Koma izi zikachitika, maselo samamwa glucose owonjezera kuchokera m'magazi.

Zotsatira zake, m'magazi mumapezeka madzi ochepa, komanso kuchuluka kwa glucose ofanana. Chifukwa chake, shuga wamagazi amatuluka koposa. Ngati kusanza kapena kutsegula m'mimba kumachitika kangapo motsatizana, ndiye chifukwa cha shuga wambiri komanso kusowa madzi m'thupi, magazi a wodwala matenda ashuga amakhalanso amadzimva ngati shuga.

Thupi laumunthu limalowa mkati mwa makina amitsempha yamagazi. Kutali kwambiri ziwiya izi ndizoyambira pakatikati, kupendekera kotalikira. Zombo zakutali kwambiri komanso zopapatiza zimatchedwa "zotumphukira", ndiye kuti, kutali ndi pakati.

Nthawi iliyonse, magazi ambiri amakhala m'mitsempha yamapazi. Tsoka ilo, ngati magaziwo achuruka, ndiye kuti zimavutika kuti zimangowira m'mitsempha yopapatiza. Zotsatira zake, zotumphukira zathu sizimaperekedwa ndi mpweya ndi michere, kuphatikizapo insulin ndi glucose.

Izi zikuchitika ngakhale kuti kuchuluka kwa shuga m'magazi kumakwera. M'malo mwake, chifukwa chakuti glucose ndi insulin kuchokera m'magazi akhungu sizimalowa mu ziwiya zotumphukira, insulin yolimba imayamba.

Tiziwalo zotumphukira zimayamba kuyamwa glucose wocheperako, ndichifukwa chake kukhazikika kwake m'magazi kumakweza kwambiri. Mukakhala ndi shuga m'mwazi, mumalimbikiratu kukana insulini. Ndipo kukana insulini, kumawonjezera shuga.

Impso zimayesanso kuchotsa glucose owonjezera mumkodzo, womwe umapangitsa kukokana pafupipafupi, ndipo izi zimawonjezera madzi am'mimba. Ichi ndi chimodzi mwazomwe zakhazikitsidwa kuti pakhale kuzungulira kwamadzi komanso kuthamanga kwa magazi, ndipo gawo lina, lomwe tidzafotokozere pansipa, ndilolumikizana ndi izi.

Glucose ndi insulini yochokera m'magazi sizimagwira zotumphukira. Maselo amakhala ndi chisankho chovuta - kufa ndi njala kapena kuyamba kugaya mafuta. Onse pamodzi amasankha njira yachiwiri. Komabe, zopangidwa ndi mafuta kagayidwe kake kamapanga zinthu zopangidwa ndi ketones (matupi a ketone).

Pamene kuchuluka kwa ma ketoni m'magazi kukwera moopsa, chidwi chofuna kukodza chikukulirakulirabe, ndipo madzi am'madzi amafika pamwambamwamba.Mzere wowopsa womwe umatha wodwalayo amasiya kuzindikira, ndipo impso zake zimalephera.

Chachikulu ndikuti zochitika zomwe tafotokoza pamwambazi zimatha kukhazikika mwachangu, chifukwa cha chikomokere ndi kulephera kwa impso zimachitika patangopita maola ochepa. Zitsanzo za mzimayi yemwe ali ndi matenda ashuga omwe tawatchula koyambirira kwa nkhaniyi ndi achimodzimodzi.

Kwa madokotala azadzidzidzi, sizachilendo. Tsoka ilo, mwa izi, ndizovuta kuti madokotala abwezeretse moyo wabwinobwino wa wodwalayo. Imfa imafika pa 6-15%, ndipo kulumala kwamtsogolo - pafupipafupi.

Kuthetsa madzi m'thupi kumangoperekedwa mchipatala ndi ophatikizira amkati. Amayamba kuyika oponya awa mu ambulansi. Koma titha kuchita zambiri kupewa izi.

Tiyerekeze kuti mwadzuka pakati pausiku kapena m'mawa kwambiri chifukwa mukusanza kapena kutsegula m'mimba. Zofunika kuchita? Choyamba, ngati muli ndi dokotala "wanu", mumamuyimbireni ndikudziwitse, ngakhale 2 koloko m'mawa.

Kubweza kapena kutsegula m'mimba mwa munthu wodwala matenda ashuga ndikulakwika kwambiri kuti kuwonongeka kungaphwanyidwe. Kachiwiri, ngati muli ndi matenda mthupi, ndiye kuti mungafunike jakisoni wa insulin kwakanthawi, ngakhale ngati simulimbana ndi matenda a shuga a 2 anu.

Matenda opatsirana nthawi zambiri amawonjezera shuga wamagazi mwa odwala matenda a shuga. Ngakhale ngati simumaba jakisoni wa insulin, ndiye kuti thupi likulimbana ndi matendawa, ndikofunikira kuti muyambe kuchita izi kwakanthawi. Cholinga ndikuchepetsa katundu pama cell a beta anu kapamba, omwe akugwirabe ntchito, ndikuwasunga amoyo.

Maselo a pancreatic beta amafa ambiri chifukwa cha shuga wambiri, izi zimatchedwa kuti glucose toxicity. Ngati imfa yachitika ndi matenda opatsirana, ndiye kuti matenda ashuga amtundu wa 2 atha kukhala mtundu 1 wa shuga, kapena mtundu wa matenda a shuga awonjezereka.

Tilembapo zomwe zimayambitsa kusowa kwamadzi mu shuga:

• kutsegula m'mimba kapena kusanza kangapo mzere mosatalikirana,
• shuga wamagazi kwambiri
• kutentha thupi, anthu kulumbira kwambiri,
• ndayiwala kumwa madzi okwanira nthawi yotentha kapena nthawi yochita masewera olimbitsa thupi,
• pakati pa ludzu muubongo amakhudzidwa ndi atherosulinosis - okalamba odwala matenda ashuga.

Chimodzi mwazizindikiro zazikuluzakuti shuga m'magazi ndichokwera kwambiri ndi ludzu lamphamvu, komanso kukodza pafupipafupi. Zikakhala zoterezi, mavuto amakumana ngakhale munthu amamwa madzi chifukwa ataya ma elekitirodi.

Monga hypoglycemia, kuchepa magazi kumatha kukhala matenda osokoneza bongo. Chifukwa chake, achibale a wodwala matenda ashuga ayenera kuphunzira bwino nkhaniyi. Masheya omwe atchulidwa munkhani ya “zida zothandizira anthu oyamba.

Zomwe mukufunikira kuti mukhale ndi odwala omwe ali ndi matenda ashuga kunyumba komanso nanu ”ziyenera kugulidwa pasadakhale ndikukhala pamalo osavuta kufikako. Apanso, tikulimbikitsa odwala onse omwe ali ndi matenda a shuga a mtundu wachiwiri kuti adziwe luso la jakisoni wopanda insulin ndikuwunika momwe ma insulin osiyanasiyana amakukhudzirani.

Itanani dokotala wanu chizindikiro choyamba cha kutentha, kusanza, kapena kutsekula m'mimba. Munthu wodwala matenda ashuga akamalandira chithandizo chamankhwala, amakhala kuti amatha kupewa kuchepa kwa madzi m'thupi, matenda ashuga a ketoacidosis, kapena hyperosmolar coma.

Dokotala mwina adzafunsanso ngati pali ma ketoni mumkodzo, ndipo ngati ndi choncho, mumatupa ati. Chifukwa chake, ndikofunikira kuyesa mkodzo ndi timiyeso ta ketone musanayitane adokotala. Ngati simukudya chilichonse, ndiye kuti timizere tina tomwe tingaonetse kuti pali ma ketoni mumkodzo wocheperako kapena wapakati.

Ngati ma ketoni mumkodzo amaphatikizidwa ndi shuga wabwinobwino wamwazi, ndiye kuti palibe chodandaula. Matenda a shuga a ketoacidosis amayenera kuthandizidwa pokhapokha shuga amakwezedwa mpaka 10 mmol / L kapena kuposerapo. Ngati mwakhala mukumwa mankhwala a aspirin kwa maola 24, muyenera kumuuza dokotala za izi chifukwa ma aspirin amatha kuyambitsa zotsatira zoyipa za mkodzo wa ketone.

Matenda ambiri samakhala ndi vuto lakusowa madzi m'thupi, koma pafupifupi onsewo amawonjezera shuga m'magazi. Matenda opatsirana amayambitsa zizindikiro zomwe zimatha kusiyanitsidwa mosavuta. Ngati muli ndi matenda a kwamkodzo thirakiti, pamakhala kumva koyaka mukakodza.

Bronchitis amawonetsedwa ndi kutsokomola, ndi zina zotero. Zonsezi ndizizindikiro zomveka bwino zochokera ku thupi kuti chisamaliro chachipatala chofunikira chikufunika. Chifukwa ngati muli ndi matenda a shuga a 2 kapena mtundu 1 wa shuga wofatsa, ndiye kuti simukufuna kuti maselo anu ochepa otsala a beta afe.

Zofanana ndi izi ndizakuti wodwala matenda amtundu wa 2 amamva kuti ali ndi nthenda ya kwamikodzo. Koma amaimitsa nthawi yochezera urologist ndipo samachiritsidwa. Zotsatira zake, shuga yamagazi ake imakwera kwambiri mpaka ma cell otsala a beta "amawotcha".

Pambuyo pake, matenda a shuga a 2 amadutsetsa matenda amtundu woyamba, ndipo wodwalayo amayenera kupanga jakisoni 5 wa insulin tsiku lililonse. Choyipa chachikulu, matenda a kwamikodzo popanda kulandira chithandizo mosamala amachititsanso impso, kenako "bokosi lakuda" likungofika pakona.

Matenda obisika nthawi zambiri amapezeka omwe samayambitsa matenda ena alionse kupatula shuga wosadziwika bwino. Ngati shuga amakhala wokwezeka masiku angapo ndipo insulini imachita zoyipa kuposa masiku onse, ndiye iyi ndi nthawi yolankhula ndi dokotala.

Chimodzi mwazomwe zimagwiritsidwa ntchito poyimitsa zizindikiro za SARS ndi fuluwenza ndi ibuprofen. Chida ichi chimapereka mwachangu kuchotsa kwina kwa matendawa, kuphatikizapo kutentha thupi ndi kupweteka m'thupi, ndipo zimathandizira kuti wodwalayo ayambe kuchira mwachangu.

Nthawi yomweyo, mankhwalawa amatha kupatsa zovuta zingapo; Kuti mutha kudziwa ngati mungagwiritse ntchito ibuprofen, ndipo momwe mankhwalawa angakuthandizireni, tiyeni tiwone mawonekedwe ake, zomwe zikuwonetsa, komanso zotsutsana pakugwiritsa ntchito.

Mankhwala othandiza odwala matenda ashuga: mndandanda, malangizo ogwiritsira ntchito ndi kuwunika

Matenda a shuga tsopano akukhudza anthu ochulukirachulukira. Onse akulu ndi ana amavutika ndi vutoli. Nthawi zambiri, matendawa ndi osachiritsika ndipo amafunika kuperekedwa kwa mankhwala apadera kwa nthawi yonse. Pali mitundu yosiyanasiyana ya matenda ashuga, amagwira m'njira zosiyanasiyana ndipo nthawi zambiri amayambitsa mavuto. Chifukwa chake, ndikofunikira kumwa okhawo omwe adokotala adanenera.

Mitundu ya matenda ashuga

Pali mitundu iwiri yamatenda. Onsewa amadziwika ndi shuga yayikulu yamagazi, yomwe imachitika pazifukwa zosiyanasiyana.

Ndi matenda a shuga amtundu 1, omwe amatchedwanso insulin, thupi silipanga mwaokha mahomoni ofunikira awa. Izi ndichifukwa cha kuwonongeka kwa maselo a pancreatic.

Ndipo chithandizo chachikulu cha mtundu wa wodwalayo wa shuga ndi insulin.

Ngati ntchito za kapamba sizilemala, koma pazifukwa zina zimatulutsa timadzi tating'onoting'ono, kapena maselo athupi sangathe kutero. Amadziwikanso kuti insulin-Independent.

Nthawi zambiri, munthu akamakhala ndi matenda a shuga a 2, amakhala wonenepa kwambiri. Chifukwa chake, tikulimbikitsidwa kuchepetsa kuchepa kwa chakudya chamafuta, makamaka zinthu za ufa, maswiti ndi wowuma. Koma, kuwonjezera pa chakudya, kugwiritsa ntchito mankhwala osokoneza bongo ndikofunikanso.

Pali mitundu yosiyanasiyana ya matenda a shuga a 2, amaikidwa ndi dokotala kutengera mtundu wa matendawa.

Palibe mankhwala ochiritsira matendawa. Mankhwala othandizira amangofunikira. Chifukwa chiyani mankhwalawa samathandizira? Mwa munthu wathanzi, kapamba amatulutsa mahomoni a insulin, omwe amafunikira kagayidwe kabwinobwino.

Amatulutsidwa m'magazi pomwe munthu akadya, zomwe zimapangitsa kuti kuchuluka kwake kwa glucose kukwere. Ndipo insulin imalitulutsa kuchokera ku magazi kupita ku maselo ndi minyewa.

Ngati shuga ndi wochuluka, timadzi timeneti timathandizira pakupanga malo ake m'chiwindi, komanso kuphatikizidwa kwamafuta kwambiri.

Vutoli limayambitsa minyewa ya minyewa, kukula kwa impso ndi mtima, kupangika kwa magazi ndi mavuto ena. Chifukwa chake, odwala omwe ali ndi matenda ashuga ayenera kuwonetsetsa kuti insulini ikubwera kuchokera kunja.

Ili ndi yankho ku funso lomwe amamwa mankhwala a shuga 1. Ndi mankhwala molondola a insulin, kuphatikiza kwa mankhwala owonjezera nthawi zambiri sikufunika.

Hormoni iyi imasweka mwachangu m'mimba, kotero singathe kumwa mapiritsi. Njira yokhayo yobayira insulin mthupi ndi syringe kapena pampu yapadera mwachindunji m'magazi. Mankhwalawa amalowetsedwa mwachangu ngati adayikika mu khola lamkati pamimba kapena kumtunda kwa phewa.

Tsamba lomwe silothandiza kwenikweni ndi ntchafu kapena matako. Ndikofunikira nthawi zonse kubayira mankhwala pamalo omwewo. Kuphatikiza apo, pali zina mwazinthu zothandizira odwala omwe ali ndi matenda a shuga omwe amadalira insulin. Kuzindikiritsa kwa mahomoni kumadalira kuchuluka kwa zomwe wodwala amayenda, zomwe amadya, komanso zaka zake.

Kutengera izi, mitundu yosiyanasiyana ya mankhwalawa imaperekedwa ndipo mlingo umasankhidwa. Kodi pali mitundu yotani ya mahomoni iyi?

• Insulin-yochitika kwa nthawi yayitali - imagwiritsa ntchito shuga tsiku lonse. Chitsanzo chochititsa chidwi ndi mankhwalawa "Glargin". Amakhala ndi shuga wamagazi nthawi zonse ndipo amatumizidwa kawiri pa tsiku.
• Insulin yokhala ndi nthawi yochepa imapangidwa kuchokera ku mahomoni amunthu pogwiritsa ntchito mabakiteriya apadera. Izi ndi "Humodar" ndi "Actrapid". Zochita zawo zimayamba pambuyo pa theka la ola, motero tikulimbikitsidwa kuti muwabweretse musanadye.
• Ultrashort insulin imayendetsedwa pambuyo chakudya. Imayamba kuchita mphindi 5-10, koma zotsatira zake sizikupitilira ola limodzi, chifukwa chake, imagwiritsidwa ntchito limodzi ndi mitundu ina ya insulin. Mankhwalawa ali ndi kuchitapo kanthu mwachangu: Humalog ndi Apidra.

Kukonzekera mankhwalawa a matenda a shuga a mtundu wachiwiri ndikosiyanasiyana. Matenda amtunduwu amapezeka pazifukwa zosiyanasiyana: chifukwa cha kuperewera kwa zakudya m'thupi, moyo wokhazikika, kapena kunenepa kwambiri.

Mafuta owonjezera m'magazi omwe ali ndi matendawa amatha kuchepetsedwa m'njira zingapo. Poyamba, kusintha kwa moyo wanu komanso zakudya zina ndizokwanira. Ndiye mankhwala ndi ofunika.

Pali mankhwala osokoneza bongo:

• insulin yolimbikitsa othandizira, mwachitsanzo, sulfonylureas kapena dongo,
• zikutanthauza kusintha insulin komanso minofu kukhudzika kwa izo, awa ndi Biguanides ndi thiazolidinediones,
• mankhwala omwe amalepheretsa kuyamwa kwa shuga,
• magulu atsopano a mankhwala amathandizira kuchepetsa kulakalaka komanso kuchepa thupi.

Mankhwala osokoneza bongo a shuga amadziwika mu magawo oyambirira a chithandizo cha matenda. Ngati kuchuluka kwa shuga m'magazi kumangokulitsidwa pang'ono, zolimbitsa chitetezo cha insulin zimayikidwa. Ndiwakanthawi kochepa - meglitinides ndi sulfonylurea zotumphukira, zomwe zimakhala ndi phindu lokhalitsa.

Ambiri a iwo amayambitsa mavuto ambiri, mwachitsanzo, hypoglycemia, mutu, tachycardia. M'badwo watsopano wokha wamankhwala "Maninil" ndi "Altar" omwe alibe zoperewera. Komabe, madokotala nthawi zambiri amalemba mankhwala omwe amadziwika nthawi yayitali: "Diabetes", "Glidiab", "Amaril", "Glurenorm", "Movogleken", "Starlix" ndi ena.

Amatengedwa katatu patsiku, kutengera nthawi yochitapo kanthu.

Ngati thupi lipanga kuchuluka kokwanira kwa timadzi timeneti, koma kuchuluka kwa glucose ndikokwera, mankhwala ena amawaikira. Nthawi zambiri awa amakhala a biguanides, omwe amasintha kuyamwa kwa insulin ndi maselo.

Amathandizira kuchepetsa kulakalaka, amachepetsa kupanga shuga ndi chiwindi ndi mayamwidwe ake m'matumbo. Biguanides omwe amakonda kwambiri ndi Siofor, Glucofage, Bagomet, Metformin ndi ena.

The thiazolidinediones amakhala ndi zotulukapo zofanana ndi minofu yomwe imawonjezera kukhudzika kwawo kwa insulin: Actos, Pioglar, Diaglitazone, Amalvia ndi ena.

Magulu ena a mankhwala nthawi zambiri amathandizira odwala matenda ashuga. Amawonekera posachedwa, koma atsimikizira kale kugwiriridwa kwawo.

• Mankhwala "Glucobai" amalepheretsa kuyamwa kwa glucose m'matumbo, chifukwa omwe mulingo wake m'magazi umachepa.
• Mankhwala ophatikiza "Glucovans" amaphatikiza njira zosiyanasiyana zolimbikitsira thupi.
• Mapiritsi a "Januvia" amagwiritsidwa ntchito popanga mankhwala ochepetsa magazi.
• Mankhwala "Trazhenta" ali ndi zinthu zomwe zimawononga ma enzymes omwe amasunga shuga wambiri.

M'magawo oyamba a shuga omwe amadalira insulin, kuchuluka kwa mankhwala omwe amawononga m'mimba amatha kuchepetsedwa. Mankhwalawa amathandizidwa ndi zakudya zapadera komanso zamagulu a mankhwala azitsamba ndi zina zowonjezera zamankhwala. Njira izi sizingathe mmalo mwa chithandizo chamankhwala chokhazikitsidwa ndi dokotala, mutha kungowonjezera.

• BAA "Insulin" imasintha kagayidwe, imalimbikitsa kapamba ndi kuchepetsa mayamwidwe a shuga.
• Mankhwala opangidwa ku Japan "Tuoti" bwino amachepetsa shuga komanso kuchepetsa kagayidwe
• Mankhwala ofanana ndi mankhwala azitsamba "Glucberry" samangoyendetsa shuga m'magazi, komanso amateteza thupi, komanso kupewa matenda obwera chifukwa cha matenda ashuga.

Mankhwalawa amapezeka pamapiritsi. Zambiri zimayambitsa mavuto:

• kunenepa
• kutupa
• fragility
• kukanika kwa mtima,
• nseru ndi m'mimba zopweteka
• chiwopsezo cha kukhala ndi hypoglycemia.

Kuphatikiza apo, mankhwala ochokera m'magulu osiyanasiyana amakhudza thupi mosiyanasiyana. Chifukwa chake, wodwalayo sangathe kusankha mtundu wa mankhwala omwe amayenera kumwa. Ndi dokotala yekhayo amene angadziwe momwe mungachepetse shuga wanu.

Wodwala wotere sayenera kuwunika zakudya zokha. Ndikofunikira kuphunzira mosamalitsa malangizo a mankhwala aliwonse, ngakhale chimfine kapena mutu. Ambiri a iwo amatsutsana mu shuga. Mankhwala onse sayenera kukhudzana ndi shuga komanso akhale ndi zovuta zochepa.

• Kodi ndingamwe mankhwala ati a shuga? Ovomerezeka ndi "Indapamide", "Torasemide", "Mannitol", "Diacarb", "Amlodipine", "Verapramil", "Rasilez".
• Ma pinkiller ambiri komanso mankhwala osokoneza bongo omwe amalimbana ndi kutupa amaloledwa kukhala ndi shuga, chifukwa sizikhudza shuga wamagazi: Aspirin, Ibuprofen, Citramon ndi ena.
• Pakazizira, madzi a shuga omwe amagwiritsidwa ntchito ndi shuga ndi lozenges wa resorption ayenera kupewedwa. Sinupret ndi Bronchipret amaloledwa.

Masiku ano, matenda a shuga akuwonjezerekanso kwa anthu. Ndi mankhwala ati omwe amatchuka kwambiri ndi matendawa amatha kupezeka pakuwunika kwa odwala. Chithandizo chogwira mtima kwambiri ndi Glucofage, yomwe, kuphatikiza kuchepetsa shuga, imathandizira kuchepetsa thupi komanso kupewa ngozi yamavuto. Nthawi zambiri omwe amagwiritsidwa ntchito ndi Siofor ndi Maninil.

Kukonzekera kwazitsamba komwe kwatuluka posachedwa kwadzetsa malingaliro ambiri abwino, omwe amathandiza kupititsa patsogolo shuga komanso kusintha thanzi lathunthu. Awa ndi "Dialek", "Nyimbo za shuga", "Matenda a shuga", "Janumet" ndi ena. Ubwino wawo umaphatikizapo kuti alibe contraindication ndi zoyipa.

Koma iwo, monga zowonjezera zonse za biologically, zitha kugwiritsidwa ntchito pokhapokha ngati dokotala akuvomera.

Ma painkil ali ndi zotsutsana zingapo. NSAIDs saloledwa kutenga milandu ya zilonda zam'mimba, gastritis, matenda a chiwindi osachiritsika kapena owopsa.

Amakanizidwa kuti apereke mankhwala ena a gululi kwa amayi apakati, panthawi yoyamwitsa, chifukwa cha wodwalayo amatha kuwonjezera magazi. Kumwa mankhwala ena kumatha kuletsedwa kwa ana ochepera zaka 6 kapena 18.

Chifukwa chake, musanagule, muyenera kufunsa dokotala. Dokotala adzalemba mankhwala abwino kwambiri othandizira kupweteka, malinga ndi komwe akupezeka, matenda, zaka komanso kupezeka kwa ma contraindication.

Antispasmodics amalembera msambo wowawa, kupumula minofu yapanja komanso kupweteka kwapakhungu.

Makanda osabereka sayenera kupatsidwa mankhwalawa.

Chitsanzo chabwino kuchokera ku zamankhwala

Kuti atsimikizire zakufunika kolumikizana mwachangu ndi ambulansi, Dr. Bernstein anena nkhani ngati imeneyi. Loweruka lina nthawi ya 4 koloko, mayi wina wodwala matenda ashuga adamuyimbira yemwe sanali wodwala.

Wodwalayo anali kunyumba yekhayo ndi khanda lake, ndipo anali kusanza mosalekeza kuyambira 9 koloko m'mawa. Adafunsa - nditani? Dr. Bernstein adanena kuti mwina anali ndi madzi osowa madzi kotero sangathe kudzithandiza okha, chifukwa chake akufunika kukhala kuchipatala mokonzekera ntchito zadzidzidzi.

Pamenepo adzatha kudzaza kuchepa kwamadzi mthupi mothandizidwa ndi amadzala othandiza kulowa m'madzimo. Nditamaliza kucheza naye, Dr. Bernstein adayimbira chipatala cha komweko ndikuwachenjeza kuti akuyenera kudikirira wodwalayo ndikukonzekera kubaya majekiseni am'madzi kuti asathe madzi am'madzi.

Wodwalayo anali ndi mphamvu zopititsa mwanayo kwa agogo ake, kenako pansi pa mphamvu yake kuti afikire kuchipatala .. Patatha maola 5 izi zitachitika, a Dr. Bernstein adamuyitanitsa kuchokera ku dipatimenti yangozi. Zinapezeka kuti mayi wodwala matendawa amayenera kupita kuchipatala “kwathunthu,” chifukwa sakanamuthandiza ku dipatimenti yodzidzimutsa.

Kutulutsa kwamphamvu kunali kwamphamvu kwambiri kotero kuti impso zinalephera kwathunthu. Ndikwabwino kuti chipatalachi chinali ndi cholembera ziwalo, komwe adachikoka kuchokera kudziko lina, sichoncho. Zotsatira zake, wodwalayo adakhala masiku asanu “otopetsa” m'chipatala, chifukwa nthawi yomweyo adawonetsetsa kuti ali ndi vuto.

Kodi amaloledwa kutenga zaka zingati?

Pali mitundu ingapo ya mankhwala omwe angagwiritsidwe ntchito pa matenda a shuga.

Ndikofunika kudziwa kuti ndi mankhwalawa ati omwe mungathe kumwa omwe ali ndi matenda ashuga. Mtundu wa mankhwalawa umatengera mtundu wam ululu, kukula, kutulutsa kwawoko ndi matenda omwe apezeka.

Mankhwala amaperekedwa m'magulu awiri: mapiritsi ndi jakisoni. Kuti mankhwalawa agwire ntchito, ndikofunikira kudziwa zomwe zidapangitsa kuti anthu azigwiritsa ntchito ma painkiller.

Diclofenac

Diclofenac ya mtundu wachiwiri wa shuga imaloledwa. Mankhwala amalepheretsa kuphatikiza kwa ma prostaglandins. Fotokozani mankhwala makamaka matenda a mafupa. Kugulitsidwa mu mapiritsi, jakisoni ndi gel.

Chithandizo chimayamba ndi mlingo wochepetsetsa wowongolera zizindikiro. Ngati zizindikiro zikukula, mlingo umakulirakulira. Akuluakulu ndi achinyamata amapereka 25-50 mg kawiri pa tsiku. Mulingo woyenera wothanirana nawo, mlingo umatha kuchepetsedwa.

Mankhwalawa amalembera odwala omwe ali ndi ululu wa msambo, agwiritsidwa ntchito bwino pochiritsa mafupa.

Ubwino: imakhala ndi anti-yotupa, imaloledwa kupatsa ana otetezeka kuposa Analgin ndi Aspirin pamimba.

Zoyipa: kugwiritsidwa ntchito kwa nthawi yayitali kumatha kuwonongeka kwa impso, ndizosatheka kugwiritsa ntchito pafupipafupi, kugwiritsa ntchito episodic ndikulimbikitsidwa.

Njira yogwiritsira ntchito Ibuprofen pa matenda a shuga a 2: achikulire, mapiritsi awiri pakapita maola anayi aliwonse, osaposa mapiritsi 6 patsiku. Ana a zaka 6 mpaka 11, piritsi limodzi pa ola lililonse la 6, osapitilira mapiritsi atatu patsiku.

Njira yotsika mtengo komanso yotchuka kwambiri pamutu, migraine, mano, myalgia kapena dysmenorrhea. Analgin ndi wothandizira wofunikira kwambiri pa matenda ashuga.

Ubwino wa mankhwalawa ndi anti-kutupa kwenikweni, kupumula msanga. Zoyipa - zochita zazifupi, mavuto ambiri, sangatengeredwe ndi ana okalamba.

Ikani 250-500 g katatu patsiku. Kwa ana, mankhwalawa amaperekedwa kokha mu intramuscularly. Jekeseni iyenera kukhala firiji.

Kuyimitsidwa sikuti kwa akhanda mpaka miyezi itatu, ndipo kwa ana a miyezi 3 mpaka 6 amatha kupatsidwa pokhapokha mukaonana ndi dokotala (nthawi zambiri pamsinkhu uwu mankhwalawa amalembedwa kuti azitha kulandira katemera).

Mavuto omwe amatha chifukwa cha mankhwalawa

• kuwonongeka kwa makoma am'mimba, mpaka mapangidwe a zilonda,
• zovuta zosiyanasiyana zamkati zamanjenje, kuphatikiza mutu, chizungulire, mavuto ogona,
• thupi lawo siligwirizana, kuphatikizapo zotupa pakhungu, edema ya Quincke, mwa anthu omwe ali ndi hypersensitivity ku zinthu zina za mankhwalawa, aseptic meningitis imatha kuchitika, koma sizimachitika kawirikawiri.
• matenda am'magazi, kuphatikiza magazi.

Kugwiritsa ntchito mankhwalawa kwa nthawi yayitali kungayambenso kuwonongeka kwa impso. Kuti mupewe izi, muyenera kusiya njira yosavomerezeka ya mankhwalawa ndikupita chithandizo cha nthawi yayitali mukayang'aniridwa ndi achipatala.

Kuphatikiza apo, mankhwalawa atha kupatsanso zotsatira zakumaloko: kuwotcha ndi kutupa m'dera lina la khungu kapena kulumala. Monga lamulo, izi zimachitika pambuyo pakutha kwa chithandizo cha ibuprofen.

Gargling ndi furacilin, chlorophyllipt ndi mankhwala achikhalidwe akufotokozedwa pano.

Kuwunikira komanso kuthandizidwa ndi endocrinologist yemwe ali ndi matenda ashuga ndizovomerezeka. Kwa odwala oterowo, chinsinsi cha moyo wapamwamba ndicho, koposa zonse, kulangidwa ndi kufunitsitsa kukwaniritsa molondola komanso moyenera makonzedwe onse a akatswiri othandizira.

Koma kukwaniritsidwa kwa kusankhidwa konse komwe kumayenderana ndi matenda oyamba sikutanthauza kuti pakubwera matenda ena. M'malo mwake, ndi matenda ashuga, ma pathologies otsatirawa amakula kangapo kangapo:

• matenda a mtima, kuphatikiza pamtima ndi stroko,
• matenda a chiwalo cha masomphenya: cataract, glaucoma, retinal detachment,
• lipid kagayidwe kachakudya: kunenepa kwambiri,
• matenda a endocrine dongosolo,
• matenda am'mimba thirakiti.

Komabe, mtundu wina uliwonse wa matenda osokoneza bongo sulephera kukhala wabwinobwino, wathunthu. Kukhalapo kwa matendawa sikutanthauza kuletsa kwamtundu uliwonse ntchito kapena ntchito iliyonse.

Amayi omwe ali ndi matenda a shuga amatha kubereka ana, odwala omwe ali ndi vutoli amapezeka m'mikhalidwe yosiyanasiyana momwe kupweteka kumachitika: kuvulala, maopaleshoni, mabala, mabala, njira zodziwitsa, kupweteka kwa mutu kapena kupweteka kwa dzino, ndi zina zambiri zotheka, mwachitsanzo, matenda amtundu kapena matenda ena.

Ndipo, monga anthu ena onse, odwala kwambiri, opweteketsa mtima amapulumutsa. Pali mitundu yayikulu yamankhwala omwe ali ndi mankhwala a analgesic. Amasiyana mu kapangidwe ka mankhwala, kapangidwe ka kayendedwe, njira yodziwirira kuchokera m'thupi, ndi zina zotero.

Pafupifupi magulu onse a anesthetics amaimiridwa ndi mitundu yonse iwiri. Palibe contraindication pakugwiritsa ntchito shuga kwa mankhwala opweteka. M'malo mwake, zimachitika kutengera matenda kapena vuto lomwe linabweretsa kuwawa.

Njira yoyenera komanso yotentha yoyendetsera munthu wodwala matenda a shuga imaperekedwa pamtunda wa 35.8 - 37.0 ° С. Ndi kutentha kwambiri mpaka madigiri 38 kapena 39, njira yotupa imachitika.

Mosasamala kanthu kuti panali kuwonjezeka kwa kutentha kwa mtundu 1 kapena 2 mtundu wa shuga, njira yothandizira kuchira iyenera kutsagana ndi mankhwala omwe amakhala ndi zotsatirapo zochepa.

Choopsa chachikulu chomwe chimasokoneza anthu odwala matenda ashuga kutentha kwambiri ndi hyperglycemia, yomwe imapatsa kukomoka ndipo, nthawi yayikulu kwambiri, imfayo. Kuphatikiza apo, kutentha thupi kumatha kuyambitsa zotsatirazi:

• Kulephera kwina.
• Ketoacidosis.
• Mavuto am'mitima ya mtima, ma spasms amitsempha yamagazi.

Komanso, ziyenera kuyang'aniridwa makamaka kwa amayi apakati ndi okalamba, popeza pamwambo wotentha thupi lawo limakhala pachiwopsezo chachikulu. Ndipo pankhani ya kutenga pakati, chiwopsezo chitha kufikira mwana.

Popewa zovuta, ndikofunikira kuwunika pafupipafupi ndi kuyerekeza kutentha, ngati kupatuka kuzungulira panjira kumachitika, nthawi yomweyo kuchitapo kanthu.

Kuwerenga kotentha kwa madigiri 35.8 - 36 kwachilendo kwa anthu. Ngati agwa kwambiri kapena pang'onopang'ono, ayenera kuchitapo kanthu mwachangu. Mwa anthu omwe ali ndi matenda ashuga, njirayi imatha kuchitika chifukwa kutsika kwa kuchuluka kwa glycogen, yomwe imapereka kutentha.

Pamatenthedwe ochepa, shuga amatsika. Mu odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda, vuto lotere limatha kuchitika chifukwa cha njala ya maselo osalandira mphamvu. Nthawi zina, odwala amatha kufooka, kudandaula chifukwa cha ludzu komanso kumva kutentha m'miyendo.

Anthu omwe ali ndi kutentha kochepa amalangizidwa kutsatira mfundo izi:

• Khalani ndi moyo wokangalika, phunzirani zolimbitsa thupi.
• Valani molingana ndi nyengo, sankhani zovala zopangidwa ndi nsalu zachilengedwe.
• Siyani shawa yosiyasiyana kuti muchepetse kutentha.
• Tsatirani zakudya zapadera.

Ndi dontho lakuthwa pang'ono la kutentha, muyenera kudya chakumwa chokoma kapena chakumwa chokoma. Njira imeneyi imathandizira kusintha mkhalidwewo, kukhazikitsa kutentha.

Kuti mupewe kuchuluka kwa shuga m'magazi, omwe amakonda kutentha pang'ono, tikulimbikitsidwa kudya kangapo patsiku, komanso magawo ang'onoang'ono.

Kuchiza phazi kwa matenda ashuga ndi vuto lofunikira kwa onse odwala matenda ashuga komanso madokotala. Kodi pali njira zofananira zochizira matenda ashuga oyamba? Ngati ndi choncho, mungayende bwanji ngati mukufuna kugwiritsa ntchito mitundu ingapo ya mankhwala?

Nthenda ya shuga ya shuga imapezeka mu 70 peresenti ya anthu omwe apezeka ndi matendawa, pomwe osayang'anira shuga bwino amapezekanso. Nanga bwanji kupweteka kwam'mimba kumachitika m'matenda a shuga ndipo ndi zizindikiro ziti zomwe muyenera kulabadira mosakayikira kukayikira kukula kwa phazi la matenda ashuga?

The pathogenesis ya kukula kwa kupweteka kwamiyendo mu shuga yamtundu uliwonse imalumikizidwa ndi angiopathy, neuropathy.

Kugonjetsedwa kwa ngakhale ziwiya zazing'ono kwambiri - vasa amanorum, zomwe zimakhudzidwa ndi zakudya zamatumbo amanjenje, zomwe zimapangitsanso chiwonetsero cha zowawa, ndizodziwika. Izi zimatilora kufotokoza momwe miyendo yanga imapwetekera ndi matenda a shuga.

Kupweteka kwam'mimba mu shuga sikungokhala chifukwa chokhala ndi zovuta za angiopathic ndi neuropathic.

Kutseguka kwa tizilombo tokhala komweko kumathandizira kwambiri pakupanga ubale woyipa wa "miyendo ndi shuga".

Miyendo mu matenda a shuga amayamba kupezeka mosavuta chifukwa cha zovuta zomwe zimayambitsa matenda, chifukwa chake mabakiteriya amakani miyendo yamtundu wa 2 shuga amakhala nawo, chithandizo chomwe chimafuna kugwiritsa ntchito maantibayotiki.

Miyendo imapweteka mu shuga, ngakhale mutachita zolimbitsa thupi. Kupweteka kwamatenda, kumakoka mwachilengedwe, makamaka miyendo yopweteka m'dera la phazi (zala).

Ululu umatha kufalikira kwa ng'ombe, mpaka matako. Kutenga ma pinkiller kuchokera ku gulu la NSAID poyamba kumabweretsa mpumulo, koma ndiye osagwira.

Ngati mapazi akupweteka kwambiri ndi matenda ashuga, muyenera kufunafuna thandizo nthawi yomweyo.

Ndi matenda ati komanso mawonetsedwe omwe akuyenera kuwonetseredwa ndi kuwonetsa kwa matenda amiyendo mu matenda a shuga mellitus amawonekera m'ndandanda pansipa.

• Mitundu yosiyanasiyana ya neuropathy.
• Edema syndrome (mdera lamapazi, kumapazi, zala).
• Matenda a shuga.
• Matenda a trophic (zilonda zam'mimba).
• Diabetesic phazi lesion syndrome (SDS) - kuwonongeka kwa phazi mu mtundu 2 shuga, chithandizo chimafunikira opaleshoni.

Ngati miyendo imapweteka ndi matenda a shuga, ndikofunikira kuyesa momwe ululu uliri, nthawi yomwe zinachitika. Yenderani khungu - nthawi zambiri zala zakuda zimayamba, mapangidwe ake a misomali amasintha, nthawi zina amathanso kuchita khungu.

Ndikofunikira kuyesa tsitsi la khungu la miyendo. Ndi neuropathy, kuchuluka kwa tsitsi kumachepa, amakhala opanda mtundu.

Kugwedeza miyendo ndichinthu choyamba chomwe chimakhudza miyendo ndi matenda a shuga a 2, chithandizo cha izi sichingalole SDS kukula.

-NOTE - Zofunika! Ngati chala chakuda chakuda, simuyenera kuchedwetsa kupita kwa dokotala - SDS ngati njira yovulaza phazi mu mtundu wachiwiri wa shuga, chithandizo chikufunika munthawi yake.

"Chimanga", kusakhala ndi chidwi kumalo omwe kuli katundu wambiri (yemwe amakhala ndi ischemic neuropathy) kumatha kuchitika.

Kuzindikira kumachepa, nthawi yomweyo, miyendo imapweteka kwambiri (kumva kupweteka kumasungidwa). Kutentha kwamapazi kumatha kuwonjezeka kapena kuchepetsedwa.

Mitundu yambiri ya maphunziro ofunikira kuti mupeze matenda ammiyendo mu matenda a shuga:

1. General kuyezetsa magazi ndi magazi oyera, mkodzo.
2. Biochemical kuphunzira magazi seramu.
3. Mbiri ya Glycemic, glycosylated hemoglobin (kotero kuti matenda a shuga amatsimikiziridwa).
4. X-ray yamapazi.
5. Kuyesa kwa Ultrasound.
6. Kujambula kwakanema ka ziwonetsero za ziwongola zam'mimbamo kumatha kuwulula matenda ammiyendo mu mtundu 2 wa matenda ashuga, chithandizo chikuyamba pa nthawi.

Fomu, kapangidwe kake ndi katundu wake

Gawo lomwe limagwiritsa ntchito mankhwalawa ndi paracetamol, mankhwala opweteka omwe si a narcotic omwe amachepetsa kutentha kwa thupi, komanso amachepetsa pang'ono kukula kwa kutupa.

Mphamvu ya mankhwalawa imatheka popewa mapangidwe oteteza okhwima - ma prostaglandins. Zimakhudza malo owawa a ubongo komanso kutentha. Imapinda bwino m'matumbo ndipo imalowa m'matumbo onse amthupi, imatha kumanga mapuloteni amwazi, imapangidwa mu chiwindi ndipo imachotsedwa ndi impso mkodzo.

Wothandizila achire amadziwika mu mawonekedwe a mapiritsi, makapisozi, zowonjezera komanso mafuta okhala ndi chinthu chogwira - ibuprofen. Chifukwa cha gawo ili, mankhwala omwe amawaganizira ali ndi antipyretic, analgesic komanso anti-yotupa katundu.

Mfundo ya zochita za ibuprofen ndiyo kupondereza kaphatikizidwe ka prostaglandins - zinthu zomwe zimadzetsa ululu ndi kutupa. Mankhwala amatha kulowetsedwa mwachangu m'matumbo am'mimba ndikumangiriza mapuloteni a plasma.

Muzochita za ana, mitundu iyi ya mankhwalawa imagwiritsidwa ntchito:

• kuyimitsidwa kwamlomo
• madzi
• suppositories for rectal management,
• mapiritsi
• kulowetsedwa njira
• mitundu yapamwamba - gel osakaniza ndi mafuta.

Mtundu uliwonse wa mankhwalawa uyenera kugwiritsidwa ntchito molingana ndi malangizo ogwiritsira ntchito.

Kodi mafuta a Ibuprofen amalembedwa motani ndipo motani?

Yogwira pophika: ibuprofen, analemba: 5 ml ya kuyimitsidwa imakhala ndi 100 mg ya ibuprofen, zotupa: sodium benzoate (E 211), glycerin, maltitol wa sodium, sodium citrate, citric acid monohydrate, sodium kolorayidi, polysorbate 80, xanthan chingamu chakudya lalanje, madzi oyeretsedwa.

Zizindikiro zogwiritsidwa ntchito

Pochiza matenda a shuga kunyumba, akatswiri akulangizani

. Ichi ndi chida chapadera:

• Amasinthasintha shuga
• Amayang'anira ntchito ya pancreatic
• Chotsani puffness, limayendetsa madzi kagayidwe
• Imasintha khungu
• Zoyenera akulu ndi ana.
• Alibe zotsutsana

Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gulani pa tsamba lovomerezeka

• hyperteriosis
• myasthenia gravis
• megacolon
• Hypersensitivity kwa yogwira kapena yowonjezera
• Matenda a Down.

Ndikofunika kuti mutenge "Ibuprofen" wa osteochondrosis wamchiberekero, mitundu yonse ya nyamakazi, komanso nyamakazi ndi spondylitis, yomwe imayendera limodzi ndi kupweteka kwambiri. Monga analgesic, kugwiritsa ntchito Ibuprofen kumawonetsedwa kwa odwala omwe apezeka kuti ali ndi gout, myalgia ndi neuralgia.

Kuphatikiza apo mankhwalawa omwe amafunsidwa amagwiritsidwa ntchito mosiyanasiyana pamatenda amtundu wa minofu ndi mafupa, amadziwikanso nthawi zambiri chifukwa cha zotupa zomwe zimapatsirana mu ziwalo za ENT, kuthetsa ululu wam'mimba ndikuchotsa chidwi chomwe chimayambitsa ziwalo zoberekera wamkazi.

"Ibuprofen" sakuvomerezeka kuti agwiritsidwe ntchito ndi odwala omwe ali ndi matenda a osteochondrosis mu pathologies ndi mikhalidwe yotsatira:

• Hypersensitivity pamagawo a mankhwala,
• matupi a ibuprofen,
• zilonda zam'mimba,
• njira zosiyanasiyana zam'mimbidwe yogaya chakudya,
• ntchito kwa chiwindi ndi impso,
• mimba
• zaka mpaka 12 zaka
• matenda ashuga.

Mankhwalawa ndi othandiza kwambiri komanso nthawi yomweyo amakhala ndi poizoni, chifukwa chake zovuta zosagwiritsidwa ntchito ndi "Ibuprofen" ndizosowa kwambiri. Komabe, munthu amatha kukumana ndi zovuta, zowoneka mwa mawonekedwe:

• mutu
• chizungulire
• nseru
• kugona
• malungo
• kukomoka mtima,
• kuthamanga kwa magazi
• vuto la mtima
• kutupa
• mawonekedwe a magazi mkodzo.

• kupweteka mutu ndi mutu wa migraine
• neuralgia
• kupweteka kwa minofu
• kupweteka kwa dzino
• kupweteka kumbuyo
• kupweteka kwa msambo ndi matenda opatsirana,
• ululu pakuwotcha ndi kuvulala,
• matenda opatsirana komanso otupa ndi malungo.

Kutsegula m'mimba ndi momwe mungachitire bwino

Mseru, kusanza, ndi kutsekula m'mimba nthawi zambiri zimayamba chifukwa cha bacteria kapena ma virus. Nthawi zina amakhala ndi zizindikiro ngati chimfine. Ngati muli ndi nseru, kusanza komanso / kapena kutsekula m'mimba, ndiye njira yofunikira ndiyo kusiya kudya.

Kuphatikiza apo, nthawi zambiri kulibe chakudya. Mutha kupulumuka masiku ochepa osadya. Poterepa, muyenera kupitilirabe kumwa madzi ndi zakumwa zina zopanda mafuta. Funso limabuka - kodi kusala kudya kumasintha bwanji kuchuluka kwa mapiritsi a insulin ndi shuga?

Odwala omwe amaliza mtundu wa 1 wa chithandizo cha matenda a shuga kapena mtundu wachiwiri wa chithandizo cha matenda ashuga amawonjezera insulini kokha kuti azikhala ndi shuga. Tikatha kudya, timayendetsa shuga m'magazi ndi insulin yochepa kapena yochepa kwambiri.

Mukasinthira ku regimen yofulumira panthawi ya matenda, jakisoni wofulumira yemwe adalipo chakudya chisanathe, ndikuwonjezera insulin m'mawa ndipo / kapena madzulo akupitilizabe monga mwa masiku onse. Akuti mukubaya insulin yochulukirapo kuposa momwe mungafunikire kuti mukhale ndi shuga wamba. Kuti muchite izi, muyenera kuwerengera pasadakhale kuchuluka kwa mankhwalawo molingana ndi njira yomwe tafotokozera apa.

Ndi mapiritsi a shuga - chinthu chomwecho. Mapiritsi omwe mumatenga usiku kapena m'mawa kuti muchepetse kusala kudya, pitilizani. Mapiritsi omwe amatengedwa musanadye - osakhalitsa ndi chakudya.

Mapiritsi onse awiriwa ndi insulin, omwe amayendetsa shuga m'magazi, amayenera kupitilizidwa muyezo waukulu. Izi sizimalola shuga wamagazi "kuchepa mphamvu" ndikukhala ndi matenda ashuga a ketoacidosis kapena hyperosmolar coma - zovuta zakupha za matenda ashuga.

Chifukwa chake, kwa odwala omwe akuchita mtundu wa chithandizo cha matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga, zimakhala zosavuta kusintha machitidwe awo othandizira panthawi yomwe matenda opatsirana ndi matenda asanafike.

Monga mukudziwa, matenda ndi kusowa kwamadzi kumapangitsa kuchuluka kwa shuga m'magazi.Chiwopsezo chokhala ndi kuzungulira kwamadzi komanso shuga wambiri amakhalapobe, ngakhale mukufa ndi njala. Ngati magazi a magazi atakwera, ndiye kuti ayenera kubwezeretsedwa mwachangu mothandizidwa ndi jakisoni wa insulin mwachangu.

Ichi ndi chifukwa chake timalimbikira kuti onse odwala matenda ashuga apeze njira ya jakisoni wopanda insulin, ngakhale atakhala kuti sanachite bwino ndi insulin. Mukakhala ndi matenda opatsirana, jakisoni wa insulin yochepa ndiwothandiza komanso wofunikira kwambiri.

Zingwe za insulin panthawi ya matenda zimachepetsa katundu pama cell a beta ndipo zimapangitsa kuti akhale ndi moyo. Zimatengera kuti nthawi ya shuga imayamba kutha mukachira matendawa.

Ngati simunakonzekere pasadakhale kuti mupeze insulin yanu kwakanthawi mukamalandira chithandizo, ndiye kuti mufunsane ndi dokotala kuti apange dongosolo la mankhwala a insulini ndikuphunzitsani momwe mungadzibweretsere nokha. Mukanyalanyaza izi, ndiye kuti pali zovuta zambiri kuti matendawa azichita chifukwa maselo a beta "atha". Choyipa chachikulu, matenda a shuga a ketoacidosis kapena hyperosmolar coma akhoza kuyamba.

Timalongosola mwachidule momwe shuga ya magazi imakhalira mothandizidwa ndi jakisoni wa insulin mwachangu pa matenda opatsirana. Muyenera kuyeza shuga ndi glucometer m'mawa mutadzuka, komanso maola 5 aliwonse.

Ikani mulingo wokwanira wa ultrashort kapena insulini yochepa kuti mubweretse shuga ngati yatukulidwa. Pangani shuga m'magazi ndipo, ngati kuli kotheka, jekeseni insulin kwambiri maora 5 aliwonse, ngakhale usiku!

Kuti muchite izi, khalani ndi koloko ya alamu kuti mudzuke pakati pausiku, mwachangu kumaliza zochitika zonse ndi kugona. Ngati muli ofooka kwambiri mwakuti simungathe kuyeza shuga ndi kubayira insulin, ndiye kuti wina ayenera kutero. Izi zitha kukhala wachibale wanu kapena wothandizira zaumoyo.

Popewa kusowa kwamadzi, muyenera kumwa madzi, kuphatikizapo njira zamchere. Koma ngati mukusanza mosalekeza, ndiye kuti madziwo sadzakhala ndi nthawi yokumba. Ngati masoka 1-2 atatha kusanza, ndiye kuti siowopsa, komabe dziwitsani dokotala.

Ngati kusanza kukupitiliza, imbani ambulansi nthawi yomweyo kuti alandire hospital. Kuwonongeratu zakupha! Ku chipatala, akatswiri adzaona momwe angaletsere kusanza, ndipo koposa zonse - mothandizidwa ndi omwe akusiya, adzakujambulani ndi ma electrolyte amadzimadzi komanso ofunikira. Sitilimbikitsanso kumwa mankhwala aliwonse a antiemetic kunyumba.

Masanzi atasiya, muyenera kuyamba kumwa madzi kuti musinthe madzi omwe atayika m'thupi ndi kupewa kutaya madzi m'thupi. Imwani nthawi zonse, koma pang'onopang'ono, kuti musatambasule makoma am'mimba komanso osasanza mobwerezabwereza.

Ndikofunikira kuti amadzimadzi azikhala ndi kutentha pafupi ndi kutentha kwa thupi - kotero amatha kumamwa nthawi yomweyo. Kodi madzi abwino kwambiri ndi otani pamenepa? Kodi mumamwa zochuluka motani? Madzi oyenera a inu muyenera kukwaniritsa zinthu zitatu:

• siziyenera kukhala chinthu chomwe sukukonda,
• zakumwa zopanda mchere wamafuta zokha zili zoyenera, pomwe zotsekemera zopanda mafuta zimaloledwa,
• madzimadzi ayenera kukhala ndi ma electrolyte - sodium, potaziyamu ndi ma chloride - kuti alipire ndalama zomwe adataya zomwe zidachitika munthawi ya kusanza kapena kutsegula m'mimba.

Mutha kumwa tiyi ya zitsamba, madzi osafunikira kapena mchere, ndipo ngati ndi nthawi yoti muyambe kudya, ndiye kuti msuzi wolimba wa nyama wopanda mafuta. Madzi onsewa amatha ndipo ayenera kukhala "opitilizidwa" ndi ma elekitirodi ena owonjezera.

Pa lita iliyonse, onjezerani supuni ya 0,5-1 yopanda mchere wa tebulo, ndipo mutha kuthanso ¼ supuni ya potaziyamu wa potaziyamu. Ichi ndi cholowa chamchere chomwe chimagulitsidwa ku pharmacy. Mchere wa tebulo umapatsa thupi sodium ndi chloride, ndipo potaziyamu mankhwala enaake amapatsanso potaziyamu wofunikira.

Mukasala kudya, madzi akumwa tsiku lililonse azikhala 48 ml pa kilogalamu imodzi ya kulemera kwa thupi. Kwa munthu wolemera makilogalamu 62, izi zimakhala pafupifupi malita atatu patsiku. Kwa anthu okulirapo - zochulukirapo.

Ngati madzi amadzimadzi am'madzi atayika chifukwa cha kutsegula m'mimba kapena kusanza, ndiye kuti ma lita owonjezera amafunika kuti aledzere pasanathe maola 24 kuti abwezeretsere izi. Mwambiri, pamatenda opatsirana omwe ali ndi matenda ashuga, muyenera kumwa osati zochuluka, koma kwambiri.

Ngati inu kapena mwana wanu wodwala matenda ashuga agonekedwa m'chipatala kuti muchotse magazi m'thupi ndi omwe amasiya magazi, vuto lotsatirali lingachitike. Ogwira ntchito zamankhwala adzafuna kupereka njira zamavuto a elekitirogale okhala ndi shuga, fructose, lactose, kapena shuga wina amene amavulala ndi matenda a shuga.

Osazilola kuchita izi. Tsimikizani kuti madokotala amapereka ma electrolyte njira popanda glucose kapena shuga wina. China chake chikachitika, kulumikizana ndi oyang'anira ndikuwopsezerani kuti mukadandaula ku Unduna wa Zaumoyo.

Madzi amkati ndi ma elekitirodi a magetsi ndiofunikira kwambiri, yothandiza komanso yofunikira ... komabe, kwa iwo omwe amachiza matenda a shuga omwe ali ndi zakudya zamagulu ochepa, ndizofunikira kuti yankho lake lisakhale ndi shuga kapena shuga wina.

Choyamba, timanena kuti kutsegula m'mimba ndi magazi ndipo / kapena kuphatikiza ndi kutentha kwambiri kumafunikira kuchipatala msanga. Mutha kuyesa kuthandizidwa kunyumba pokhapokha ngati mulibe magazi kapena kutentha kwambiri kwa thupi. Chithandizo chili ndi zigawo zitatu:

• magazi shuga
• kuwongolera m'mimba kuti muchepetse kuwonongeka kwa madzimadzi ndi ma electrolyte,
• m'malo madzimadzi ndi ma elekitirodi otaika kale kuti tipewe kuchepa kwamadzi ndi shuga wambiri.

Kuwongolera shuga kumayendedwe kumachitika chimodzimodzi monga kusanza, ndipo tafotokozera kale pamwambapa. Ndi kusintha kwa madzimadzi ndi ma elekitiroma - chinthu chomwecho, pokhapokha ngati m'mimba mutha kuwonjezera supuni 1 popanda slide ya sodium lilita imodzi yamadzi.

Chithandizo chachikulu cha kutsegula m'mimba, monga kusanza, ndiko kusiya kudya. Ngati mumwa mankhwala aliwonse am'mimba, ndiye okhawo omwe amavomerezedwa ndi dokotala. Werengani "Mankhwala ochizira matenda am'mimba (matenda otsegula m'mimba) a matenda ashuga."

Ngati kutsegula m'mimba kumayendera ndi kutentha kapena chopondera ndi magazi - musaganize za kumwa mankhwala aliwonse, koma pitani kuchipatala msanga.

Ndi mapiritsi amtundu wanji omwe amalembedwera matenda a shuga a 2?

Matenda amtunduwu amakhala ndi zovuta m'magulu a matenda oopsa a hyperglycemia, ndiko kuti, thupi silitha kutsitsa shuga m'magazi mwa kudzipanga kwake kwa insulin, popeza kulumikizana kwa minyewa yam'mimba ndi mahomoni pawokha amasokonekera.

Kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matendawa. Matenda a shuga amakula ndipo amayamba kupita patsogolo pang'onopang'ono ndipo amayenda limodzi ndi zizindikiro zingapo zachiwiri, ndipo ngati sanachiritsidwe, ndiye kuti zovuta zingapo za ziwalo zonse ndi ziwalo zimatha kuchitika, chifukwa kagayidwe kazakudya kamasokoneza thupi.

Matenda a 2 a shuga amagawidwa m'magulu angapo, kutengera zifukwa zingapo:

1. 1. Gawani molingana ndi kuopsa kwa maphunzirowo: Njira yofatsa yamatendawa ndi gawo lomwe mkhalidwe wa wodwalayo umatha kusintha mwachangu ndikumwa piritsi limodzi lokha la mankhwalawo.
      • ambiri matenda - pankhaniyi, wodwalayo ayenera kumwa mapiritsi angapo. Yogwira ntchito ya mtima
      • kwambiri matenda - amafuna insulin mankhwala. Ndi matendawa, matendawo amatuluka, ma retinopathy, nephropathy ndi angiopathy a malekezero amakula.
2. 1. Gawani molingana ndi kubwezera kwa chakudya cha carbohydrate: gawo la malipiro. Gawo lolipirira. Kubweza gawo.
   2. Ndipo, pamenepo, gawoli kutengera zovuta: Microangiopathy kapena macroangiopathy.
      • polyneuropathy yoyambitsidwa ndi matenda ashuga,
      • matenda a shuga arthropathy,
      • retinopathy ndi ophthalmopathy oyambitsidwa ndi matenda a shuga,
      • matenda a shuga nephropathy
      • matenda a shuga a encephalopathy.

Type 2 matenda a shuga amayamba chifukwa cha kuchuluka kwa majini komanso zinthu zomwe zapezeka. Kunenepa kwambiri ndi chimodzi mwamphamvu zomwe zimayambitsa matendawa, ndipo anthu onenepa kwambiri ali pachiwopsezo.

Kuwonetsera kofunikira kwambiri kwa shuga ndi kuwonjezereka kwa shuga m'magazi. Izi ndichifukwa choti minofu pang'ono idalephera kugwira glucose ndikuigwiritsa ntchito.

Poterepa, thupi limayamba kusokoneza mphamvu zina: ma amino acid ndi mafuta achilengedwe momasuka.

Chifukwa cha kuchuluka kwa shuga m'magazi ndi madzi ambiri a thupi, kuchuluka kwa osmotic kumachitika, ndiye kuti, kuchepa thupi kwa thupi kumayamba chifukwa cha kuchepa kwa madzi mu impso.

Odwala ali ndi ludzu lamphamvu kwambiri komanso chikhumbo chambiri chopita kuchimbudzi, amatopa msanga, nembanemba imakhala youma, mtima wa arrhasmia ndi zizindikiro zina za kusowa kwa ma elekitirodi.

Kuphatikiza apo, kuwonjezeka kwa shuga m'magazi kumabweretsa kuwonongeka kwa mapuloteni ambiri, ndipo chifukwa cha kuchepa kwa matenda a ziwalo zamkati amayamba. Kuzindikira mtundu 2 matenda a shuga kumachitika mwa kudziwa kuchuluka kwa shuga m'magazi.

Matenda a shuga amatha limodzi ndi zovuta zambiri:

1. Ndi microangiopathy kapena macroangiopathy oyambitsidwa ndi matenda ashuga, kusokonezeka kwam'mimba kumachitika, kupezeka kwawo kumachepa, kufooka kwa chiwopsezo, chiwopsezo cha kuwundana kwa magazi ndikukula kwa atherosulinosis kumachuluka.
2. Ngati pali polyneuropathy yomwe imayambitsidwa ndi matenda a shuga, ndiye kuti munthu akumva ululu m'mitsempha ya mitsempha, amatha kupunduka.
3. Arthropathy mu matenda a shuga imabweretsa zowawa ndi kulumikizana mafupa, zimakhala zochepa mafoni.
4. Zovuta zimatha kuthana ndi gawo la ophthalmic, ndiye kuti, kuwonongeka kowonekera kumachitika. Mphaka angayambike kapena mandala ayamba kugwa, ndikuwonongeka kwa retic kumayambanso.
5. Nephropathy mu shuga imayambitsa matenda a impso, omwe ma protein ndi zinthu zomwe zimapanga magazi zimayamba kulowa mkodzo. Ngati simusamala ndi nthawi, ndiye kuti kulephera kwa impso kumayamba.
6. Kusintha konseku sikungakhudze thanzi la munthu. Wodwalayo amakhala ndi nkhawa, kukhumudwa, kusinthasintha kwa zochitika zake, pamatha kukhala ndi zizindikiro za kuledzera kwapakati pa manjenje.

Monga mitundu yambiri yamankhwala yokhudzana ndi kusokonezeka kwa metabolic, mankhwalawa matenda a shuga a 2 amayamba ndi kukhazikitsidwa kwa zakudya zapadera ndikuchita masewera olimbitsa thupi ndi dokotala. Zinthu ziwiri izi zithandiza wodwalayo kuchepa thupi, chifukwa ndi matendawa, ngakhale kuwonda pang'ono kumathandiza kwambiri kuteteza kagayidwe kazakudya m'thupi komanso kuchepetsa kuphatika kwa shuga ndi chiwindi.

Ngati gawo lili patsogolo, ndiye kuti mapiritsi ndi mankhwala ena omwe amagwiritsidwa ntchito omwe ali ndi lingaliro lina.

Kuchepetsa mayamwidwe am'magazi ndimatumbo, kaphatikizidwe ndi chiwindi ndikuwonjezera mphamvu ya minyewa yamthupi kuti ipangire insulini, gwiritsani ntchito:

1. Kukonzekera kwa Biguanide, akuphatikizapo: Siofor, Metfogama, Bagoyet, Formmetin, Glucofage.
2. Mankhwala a Thiazolidinediode - ndiko kuti, mankhwala omwe amatsitsa insulin kukaniza: Pioglitazone ndi ena.

Mankhwala osokoneza bongo ndi mapiritsi omwe amathandizira kuteteza insulin:

1. Kukonzekera kwa Sulfanilurea kwa m'badwo wachiwiri, omwe akuphatikizapo: Glibenclamide, Glipizil, Glimepiride, Gliclazide.
2. Kukonzekera kwa non-sulfonylurea siriagogy: Starlix, Diclinid.

Mankhwala omwe amaletsa michere ya m'matumbo yomwe imaphwanya glucose pamene mayamwidwe amkati mwa matumbo atha. Mankhwala abwino kwambiri ndi Acarbose.

Mankhwala omwe amalimbikitsa zolandilira chiwindi ndi kusintha metabolism ya lipid.Mothandizidwa ndi iwo, kutupa m'matumbo kumachepetsedwa kwambiri, ma microcirculation amayenda bwino. Komanso, chifukwa cha iwo, zomwe mumapanga mu uric acid zimachepetsedwa. Yemwe amaimira bwino kwambiri mankhwalawa ndi Fenofibrate Tricor 145 mg.

Mankhwala othandizira odwala matenda amtundu wa 2 alipo, ndipo amasankha kwambiri, choncho muyenera kufunsa dokotala yemwe angakupatseni mankhwala omwe mungafune. Komanso, chithandizo chokhala ndi mapiritsi chimapereka zotsatira zowonekera mu masabata angapo.

Mankhwala ambiri otchuka amalimbikitsa kuchepa thupi kapena ngakhale kufooketsa ntchito kwa impso kwakanthawi. Panthawi ya matenda opatsirana a shuga, kayendetsedwe kake amayenera kuyimitsidwa, kwakanthawi. Mndandanda wakuda umaphatikizapo mapiritsi opanikizika - okodzetsa, zoletsa za ACE, angiotensin-II receptor blockers.

Kodi odwala matenda ashuga akhoza kumwa Paracetamol?

Nthawi zambiri, odwala amatchulidwa mapiritsi a 2-3 kuti achiritse matenda, omwe amayenera kuledzera katatu patsiku chakudya. Ngati zizindikiro zopweteka zimakulirakulira, mwakuwona kwa dokotala, mlingo wake utha kuwonjezereka mpaka mapiritsi 12.

Pamodzi ndi pakamwa pa Ibuprofen, wodwalayo nthawi zambiri amapatsidwa mankhwala akunja. Gel ya Nurofen yozikidwa pa ibuprofen kapena Ibuprofen imathandizanso, yomwe imayenera kugwiritsidwa ntchito kumalo opweteka a thupi osachepera katatu patsiku. Pafupifupi, zimatenga milungu iwiri mpaka itatu kuchiritsa kwathunthu matenda a osteochondrosis.

Mapulogalamu azithandizo azachipatala a ana mmaiko ambiri otukuka amalimbikitsa kuti mankhwalawa ndi othandiza komanso otetezeka. Koma pali kusiyana kokwanira pakati pawo.

Ndi chimfine wamba, chomwe madokotala amatcha SARS, ndibwino kupatsa paracetamol. Ngati sabweretsa kutentha pamwamba pa 39 mu theka la ora ndi 0,5-1 madigiri, ndiye kuti izi zimapangitsa kukayikira kuti ali ndi kachilombo ka bacteria. Ndikofunikira kuyitanitsa dokotala, ndipo ngati mwana ali ndi vuto lalikulu - ambulansi.

Ibuprofen iyenera kutengedwa m'malo mwa paracetamol ngati zakale sizikugwira ntchito pambuyo popezeka. Kupatula apo, ngati nthenda yayikulu ya bakiteriya, antipyretic imatha kununkhira chithunzicho ndikuletsa kuthekera kuwulula matenda omwe maantibayotiki ayenera kumwedwa nthawi yomweyo.

Kodi tikufanizira chiyani?
Zambiri
Zambiri za Paracetamol
Mawonekedwe a Ibuprofen MachitidweAntipyretic, analgesic (analgesic).
Pakati (amachita pa ubongo).Palibe zovuta pamtunda wamderalo wa kutupa.Palibe kokha pakatikati, komanso mophatikizika chochita, ndiye kuti, imagwira ntchito poyang'ana kutupa. Izi zimakuthandizani kuti mugwiritse ntchito pochizira kupweteka kwa dzino, kutupa kwa khutu lapakati, toni, mafinya a paranasal. Kuyambira zaka zingatiItha kuperekedwa kuyambira miyezi itatuSuppositories kamodzi, ngati kutentha zimachitika katemera, 1 mwezi.Ngati palibe zisonyezo zapadera, ndibwino kuti muyambe kupatsa kwa miyezi 3-6 ngati antipyretic kokha Paracetamol. Ibuprofen amangopezeka ndi mankhwala okha, kwa ana azaka 6 zakubadwa wazaka zaposachedwa. Zambiri zopereka nthawi imodziMalangizo a mankhwalawa akuwonetsa kuchuluka kwa mafuta owerengeka azaka zina, koma ndibwino kuwerengetsa kulemera kwa mwanayo.10-15 mg pa 1 kg.5 mg pa kilogalamu imodzi ngati odana ndi kutupa ndi ma analgesic, 10 monga antipyretic. Tsiku lililonseNdizoletsedwa kupitirira.60 mg pa kilogalamu imodzi, bongo wosokoneza bongo umakhudza chiwindi (hepatotoxic athari).25-30 mg pa kilogalamu imodzi, mankhwala osokoneza bongo ochepa si owopsa. Poizoni wowopsa pa 100 mg / kg. Ndingaperekenso mlingo wachiwiri?Pambuyo 4-5 maola.Nthawi yoyenera ndi maola 4.Popanda zadzidzidzi, ndibwino kusakhalitsa maola 6. Kangati patsiku?Osapitirira 4.Kulandila-4 ndizovomerezeka.Popanda kuwonetsa mwapadera, ndibwino kuti musapereke zoposa katatu pa tsiku. Zimatenga nthawi yayitali bwanji ndipo zimagwira zochuluka motani?Kuchitikaku kumayamba pambuyo pa 0,5 - 1 ora.Imagwira ndi kachilombo kavairasi kwa maola 4.Ngati palibe madzi am'madzi, kutentha kumayamba kuchepa pakatha mphindi 15. Maola 5-6 Ovomerezeka, nthawi zina mpaka 8.
Ululu umachepa pambuyo pa mphindi 30-60, pambuyo pa maola 1.5-2. Mphamvu ya analgesic imatha maola 4-8. Kodi chimayambitsa kutentha ndi chiyani?Pankhani ya matenda opatsirana ndi ma virus: ARVI, chimfine.
Zofooka pazofooka zoperewera.Sigwetsa matenda a bakiteriya.Zofooka zofooka zimakhudza bakiteriya, koma wamphamvu kuposa paracetamol.

Matenda a shuga sakhala mndandanda wazotsutsana kuti alowe. Komabe, kugwiritsa ntchito nthawi yayitali kumavulaza thupi la odwala matenda ashuga. Wodwala wotere amakhala ndi kuchepa kwa chitetezo chachilengedwe, kuphwanya ntchito, impso, chiwindi, mtima.

Kukanika kwa hepatatic kumatha kupangitsa kuti kagayidwe kachakudya ka mankhwala, ndipo zolephera mu impso zichepetse kuchoka kwake. Shuga wochepa pokonzekera akhoza kukulitsa kuchuluka kwa shuga.

Mlingo wowonjezereka wa mankhwalawa odwala matenda ashuga ndi owopsa kwambiri, chifukwa chake musanamwe mankhwalawa, muyenera kufunsa dokotala. Mutha kumwa mankhwalawa 1-2 kwa odwala matenda ashuga. Mankhwalawa amayenera kuledzera atatha kudya, atatha maola 1-2, osambitsidwa ndi madzi ambiri. Ndikulimbikitsidwa kuti muchepetse limodzi mlingo wowonjezera pakatikati Mlingo.

Kugwirizana

"Ibuprofen" imawonjezera zochizira zotsatira za fibrinolytics.

Sitikulimbikitsidwa kuphatikiza kutenga "Ibuprofen" ndi mankhwala ena a gulu la NSAID, popeza kuphatikiza mankhwala kotereku kumawonjezera mwayi wokhala ndi zovuta zoyipa. Kuphatikiza apo, mankhwalawa omwe amafunsidwa amathandizira kuchiritsa kwa fibrinolytics ndi anticoagulants.

Kukula kwa magazi kumadziwikanso pophatikiza Ibuprofen ndi mankhwala a thrombolytic. Tiyeneranso kukumbukira kuti maantacidin amatha kuchepetsa kuyamwa kwa ibuprofen, ndipo caffeine imatha kupititsa patsogolo zotsatira zake za analgesic.

Kugwiritsa ntchito kwa NSAIDs

ShugaManWomanSanizani shuga yanu kapena sankhani jambulani kuti mupeze ndemangaLevel0.58 Kuyang'ana osapezedwaTchulani zaka za manAge45 KusakaNot anapezaYambirani zaka za mkaziAge45

Ma NSAID amawonetsedwa ngati mankhwala osapweteka a antiidal. Mankhwalawa amagwiritsidwa ntchito mosiyanasiyana. Ku malo ogulitsa mankhwalawa, wopanga zamankhwala amatha kupereka mankhwala ambiri kuchokera ku gulu laoprasi. Zimagwirizanitsidwa ndi izi:

• ziletsa zotsutsana za ma prostaglandins,
• oxidative phosphorylation,
• zimakhudza dongosolo la pituitary-adrenal.

Chifukwa cha njirazi, pamakhala kuchepa kwa mutu, kupweteka kwa dzino, kupweteka kwa minofu ndi minyewa. Komanso, gululi la mankhwalawa limakhala ndi anti-yotupa komanso kuchepetsa kutentha. Potere, mitundu yonse ya salicylates imagwiritsidwa ntchito:

1. Analgin ndi mankhwala omwe amachotsa zopweteka zosiyanasiyana zoyambira, makamaka atachitidwa opaleshoni, komanso amalimbana ndi hyperthermic syndrome. Mankhwala ayenera kugwiritsidwa ntchito mosamala moyang'aniridwa ndi dokotala wa odwala matenda ashuga omwe ali ndi vuto laimpso, matendawo, matumbo ambiri, kuphatikizapo matenda a Crohn ndi zilonda zam'mimba, ochepa matenda oopsa komanso zina.
2. Acetylsalicylic acid umagwiritsidwa ntchito kuphatikiza ma syndromes, ululu, nyamakazi, pericarditis, matenda amsojeni. Mankhwalawa contraindised nthawi yoyamba trimester wa pakati, yoyamwitsa, ndi pathologies a impso, chiwindi, kugaya chakudya ndi kupuma, venous stasis, magazi ndi ena matenda ena.
3. Citramon imakhala ndi zotsatira zingapo nthawi imodzi - analgesic, antipyretic, psycho-stimulating and anti-kutupa.Simungagwiritse ntchito chida ichi panthawi yoyamba komanso yachitatu ya trimester ya pakati, nthawi yotsitsa, muubwana, ndi kulephera kwa chiwindi kapena impso, gout, kuchepa kwa vitamini ndi zina.

Pakati painkinkillerers, titha kusiyanitsa omwe amachotsa zowawa zomwe zimagwirizanitsidwa ndi rheumatism, nyamakazi, arthrosis, ndi mafupa a mafupa. Izi zikuphatikizapo Voltaren, Ibuprofen, Indomethacin ndi Ortofen.

NSAIDs anali ndi vuto la hypoglycemic kwa odwala omwe amadalira insulin komanso matenda a shuga a 2.

Kugwiritsa ntchito kwa Ibuprofen kumatha kukhudzana ndi mankhwala ena ambiri, kuphatikiza mankhwala ena omwe si a steroid, diuretics, insulin, vasodilators, antacids ndi anticoagulants.