Ischemic stroke ndi matenda a shuga a mellitus ndi zovuta zotheka

Tikukupemphani kuti muwerenge nkhaniyi pamutuwu: "Ischemic stroke ndi matenda a shuga a mellitus ndi zovuta zotheka" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Kodi matenda ashuga amawonjezera chiopsezo cha stroke? Mungachite bwanji? Kodi ndingatani ndi odwala? Kodi maulosi ndi chiyani? Momwe mungapangire zakudya zamagulu atatha kudya matenda a shuga?

Kanema (dinani kusewera).

Matenda a shuga ndi matenda omwe maselo amthupi amasiya kugwira shuga. Pali mitundu iwiri yayikulu yamatendawa. Mu 10% ya milandu zimachitika matenda ashugaNdalembaMomwe ma cell a beta mu kapamba samatulutsa timadzi tomwe timayamwa shuga - insulin. 90% yotsala yamilandu ili matenda ashugaMtundu Wachiwirimomwe insulin imapangidwira, koma zimakhala zake zimayamba kuchepa.

Anthu ambiri atero prediabetes - mkhalidwe pamene msuzi uli kale kale pang'ono koma wabwinobwino. Palibe zizindikiro kapena zovuta. Ambiri mwa odwalawa amakhala ndi matenda amtundu wa II pasanathe zaka 10.

Palibe vidiyo yotsimikizika pankhaniyi.

Kanema (dinani kusewera).

Stroke ya matenda a shuga a mtundu 2 ndi mtundu 1 ndiofala kwambiri kuposa anthu athanzi, amakula ali aang'ono.

Kodi chiwopsezo chimakwezedwa bwanji? Kodi pali nambala iliyonse?

Matenda a shuga ndi imodzi mwazomwe zili pachiwopsezo cha kugwidwa, komanso kusuta, kunenepa kwambiri, kadyedwe koyipa, komanso atherosclerosis. Mwa kukhalabe ndi shuga m'magazi pamlingo woyenera, mutha kuchepetsa chiopsezo cha stroke chifukwa cha 3.9%.

Malinga ndi malipoti ena, matenda ashuga amawirikiza kawiri chiopsezo chodwala, matenda aliwonse achisanu amayambitsidwa ndi iwo.

Kodi chifukwa chiyani stroke ili mwa odwala matenda ashuga?

Kuchuluka kwa nthawi yayitali m'magazi kumabweretsa kuwonongeka kwa mtima. Izi ndi zovuta, sizimamvetsetsa bwino. Kutengera kutalika kwa chotengera chomwe chakhudzidwa, magulu awiri azovuta amadziwika:

Macrovascular (m'zotengera zazikulu). Khoma la chotengera limapangidwa, calcium imayikidwamo. Mapangidwe a cholesterol amakula mkati mwake, mapangidwe amwazi amapanga nthawi. Kuwonongeka kwa mitsempha ya ziwongo kumayambitsa kusakhalitsa kwa ischemic, stroko, mitsempha yam'mtima - kwa angina pectoris, kugunda kwamtima.
Microvascular (m'matumba ang'onoang'ono). Mikhalidwe iyi imadziwika odwala matenda ashuga angiopathies. Ambiri retinopathy (kuwonongeka kwa ziwiya za patina) nephropathy (kuwonongeka kwa ziwiya za impso), mitsempha (kuwonongeka kwa ziwiya zomwe zimathandizira mitsempha).

Nthawi zambiri, pakakhala shuga m'magazi, pamachitika sitiroko yam'mimba yomwe imapangitsa kuti magazi atuluke kupita kumalo ena a ubongo. Koma hemorrhagic (chifukwa cha kutaya magazi) amathanso kuchitika.

Zina mwazovuta zimachitika chifukwa cha matenda ashuga komanso sitiroko. Ngati muli ndi mikhalidwe iwiri kuchokera pamndandanda womwe uli pansipa, zoopsa zanu zimachuluka:

Kunenepa kwambiri kwamtundu wa "apulo", pomwe kuchuluka kwa mafuta ochulukirapo kumalimbikitsidwa m'chiuno
shuga wamagazi (prediabetes),
ochepa matenda oopsa
cholesterol yayikulu.

Chifukwa chake, matenda awiriwa ali olumikizana mwamphamvu. Sikuti kumenyedwa kokha ndi matenda a shuga kungachitike, komanso motsutsana.

Pali magulu osiyanasiyana a mankhwalawa pochiza matenda a shuga a mtundu II. Kuchita kwawo kumasiyanasiyana mwa odwala osiyanasiyana, choncho mankhwalawa amayenera kusankhidwa payekha ndi dokotala.

Biguanide (metformin). Kuchulukitsa kumverera kwa minofu ku insulin ndipo kumalepheretsa kupanga shuga kwa chiwindi.
Thimazanepazi (pioglitazone). Sinthani yankho la maselo a thupi ku insulin.
Sulfonylurea (Glyclazide, Glibenclamide, Glipizide). Imayambitsa kupanga insulin ndi kapamba ndipo imathandizanso thupi kugwiritsa ntchito bwino mahomoni.
Incretins (exenatide, liraglutide). Mankhwala a Hormonal omwe amakulitsa kupanga kwa glucose m'thupi.
Alpha Glucosidase Inhibitors (Acarbose). Pang'onopang'ono kugaya ndi kupopera kwa chakudya, chifukwa, mutatha kudya, kuchuluka kwa glucose m'magazi kumakwera pang'onopang'ono.
Ma Dhib-4 zoletsa (vildagliptin, sitagliptin, saxagliptin). Tsekani enzyme DPP-4, yomwe imawononga ma insretins, potero mumakulitsa kuchuluka kwawo m'magazi.
Prandial glucose Administrators (nateglinide, repaglinide). Amakakamiza kapamba kuti apange insulin yambiri.
SGLT2 zoletsa (canagliflozin, dapagliflozin). Amachulukitsa kuchuluka kwa shuga mumkodzo, kuchepetsa magazi ake.

Anthu omwe ali ndi matenda a shuga a mtundu wa I nthawi zonse amafunika jakisoni wa insulin. Popita nthawi, kufunikira kwa iwo kumawonekera ndi mtundu II.

Kudya mokwanira kumathandiza kuchepetsa chiopsezo cha matenda osokoneza bongo komanso zovuta zina za matenda ashuga, kusintha mkhalidwe wa wodwalayo ngati ngozi zachitika kale m'mitsempha muubongo, ndikuchepetsa mwayi wokhala ndi ziwopsezo zobwereza bongo.

Tsopano ndiyenera kusiya chilichonse chosangalatsa?

Ayi. Zakudya zanu zimatha kukhala osiyanasiyana. Malangizo othandizira kudya pambuyo pa matenda a shuga:

Idyani pafupipafupi. Osadumpha chakudya.
Idyani zamasamba ambiri ndi zipatso, mbewu zonse, ndi nyemba.
Pewani zakudya zomwe zimakhala ndi shuga wowonjezera: werengani mosamala zomwe zalembedwa paphukusi.
Musanaphike nsomba kapena nkhuku, chotsani khungu. Osamawaza nyama - ndibwino kuphika. Chifukwa chake mumachepetsa kudya zamafuta oyipa.
Idyani nsomba 2 pa sabata, koma osati mafuta kapena okazinga.
Yesani kuchepetsa magawo a mbale. Ndikofunikira kuchepetsa kuchuluka kwa zopatsa mphamvu.
Mowa - mwa apo ndi apo komanso pang'ono. Pokhapokha ndi chilolezo cha adokotala.

Ndemanga zina zowonjezera pazakudya zamtundu womwe mungakonde zakugwidwa ndi stroke ndi matenda a shuga adzapatsidwa kwa inu ndi dokotala, wazakudya.

Ngati wodwala matenda ashuga akudwala matenda a ubongo kapena, m'malo mwake, matenda ashuga amakula pambuyo poti adwala, matendawa amakhala olakwika kuposa amodzi mwa mikhalidwe imeneyi. Kodi zoipa zake ndi ziti, kapena kodi pali mwayi wina wochira? Yankho la funsoli limatengera zinthu zingapo:

Mwazi wamagazi Mwachilengedwe, ngati imakonzedwa nthawi zonse - izi ndizoyipa.
Kutalika kwa matenda ashuga.
Mtundu wa stroke: ischemic kapena hemorrhagic.
Ntchito zodwala zomwe zimachitika pambuyo pake.
Mavuto okhudzana ndi thanzi: atherosulinosis, matenda oopsa, ndi zina zambiri.

Matenda a shuga amawonjezeranso mwayi wakufa ndi sitiroko. Malinga ndi asayansi, opitilira 20 peresenti ya imfa chifukwa cha sitiroko imayanjanitsidwa ndi izi. Kuphatikiza apo, mwa akazi, ubalewu ndi wolimba kuposa abambo.

Kodi ndingatani kuti muchepetse vuto la sitiroko?

Malangizowo ndi osavuta:

Idyani zakudya zopatsa thanzi, ndiko kuti, komwe mumapezeka mchere pang'ono, mafuta, ndi shuga.
Khalani ndi moyo wokangalika. Kuchita masewera olimbitsa thupi kumathandizira kuwongolera shuga wamagazi ndi cholesterol, kusintha thanzi.
Khalani ndi thanzi labwino. Ngati onenepa kwambiri kapena onenepa kwambiri, pitani kwa endocrinologist, wothandizira zakudya. Madokotala adzakuthandizani kuti muchepetse kunenepa.
Lekani kusuta. Zingakhale zovuta, koma ndizoyenera.
Muchepetse mowa wambiri. Bwino kusiya izo kwathunthu. Ngati sizikuyenda, osatira machitidwe anu omwe dokotala amakupatsani ndipo osamwa kwambiri nthawi.

Malangizo ofunikira kwambiri: kutsatira malangizo a dokotala. Chilichonse chiyenera kukhala chololera, chilichonse chiyenera kukhala chopumira. Matenda a shuga si njira yokhayo yomwe munthu angadzipiritsire wekha. Izi zili ndi zovuta zowopsa.

Matenda a shuga pambuyo pa sitiroko - chithandizo, zakudya, zotsatira za matendawa

Stroke ndi matenda oopsa kwambiri pakokha. Nthawi zambiri, mukasankha chithandizo cholakwika, zotsatira zakupha ndizotheka. Ichi ndichifukwa chake ndikofunikira kuyandikira nkhaniyi ndiudindo wonse.

Ngati muchiza matendawa molondola, ndiye kuti mutha kubwerera kumoyo wabwino pakapita nthawi.

Komanso, ngati matenda ashuga aphatikizana ndi sitiroko, ndiye kuti matendawo amafunika njira yophatikizira. Nthawi zina shuga imatha kukhala ngati complication. Mulimonsemo, chithandizo choterechi chimakhala ndi zovuta zake. Ndi dokotala yekhayo amene angasankhe njira zoyenera zochiritsira malinga ndi mayeso, poganizira zomwe zimachitika m'thupi.

Stroke ndi matenda ashuga - izi maupangiri eni ake ndi owopsa ku moyo wa munthu. Ngati zikuchitika pamodzi, ndiye kuti zotsatirapo zake zingakhale zovutirapo ngati simukuyamba munthawi yake. Ndikofunikanso kumvetsetsa zomwe matendawa adzachitike pamenepa.

Malinga ndi ziwerengero, kudwala pakati odwala omwe ali ndi matenda ashuga kumakhala kokwanira nthawi 4-5 kuposa anthu ena (ngati tiwunika zomwe zimachitika, magulu azaka zofanana omwe ali ndi vuto lofanananso ndi zoopsa).

Ndizofunikanso kudziwa kuti ndi anthu 60% okha omwe amatha kugunda. Ngati mwa anthu omwe alibe matenda ashuga ,imfa ndi 15% yokha, ndiye pankhaniyi ,imfa ifika 40%.

Pafupifupi nthawi zonse (90% ya milandu), ischemic stroke imayamba, osati hemorrhagic stroke (mtundu wa atherothrombotic). Nthawi zambiri, mikwingwirima imachitika masana, pomwe kuchuluka kwa shuga m'magazi ndikokwera kwambiri.

Ndiye kuti, tikapenda chibwenzicho, titha kunena kuti: nthawi zambiri kumakhala kubaya komwe kumachitika motsutsana ndi maziko a matenda ashuga, osati motsutsana.

Zomwe zimapangitsa kuti matenda a matenda ashuga akhale ndi shuga ndi monga:

chizindikiro choyamba chikhoza kukhala chopanda tanthauzo, zizindikilo zimachulukirachulukira,
Nthawi zambiri sitiroko imayamba chifukwa cha kuthamanga kwa magazi. Chifukwa cha izi, khoma lam'mimba limakhala laling'onoting'ono, lomwe lingayambitse kuwombana kapena kusintha kwa necrotic,
kuchepa kwa chidziwitso ndi zina mwazovuta zachilengedwe,
hyperglycemia ikukula msanga, nthawi zambiri imayambitsa kukomoka kwa matenda ashuga,
Intral ya infaration ya ubongo ndiyokulirapo kuposa anthu opanda matenda a shuga,
Nthawi zambiri limodzi ndi sitiroko, kulephera kwa mtima kumakula kwambiri, komwe kumatha kuyambitsa kuphwanya kwa myocardial.

Nthawi zina matenda a shuga amathanso kukulira pambuyo stroko, koma nthawi zambiri, sitiroko imakhala chifukwa cha matenda ashuga. Cholinga chake ndikuti kuli ndi shuga kuti magazi sangathe kuzungulira bwino kudzera m'mitsempha. Zotsatira zake, hemorrhagic kapena ischemic stroke imatha kuchitika chifukwa cha kupsinjika.

Pankhaniyi, kupewa ndikofunika kwambiri. Monga mukudziwa, matenda aliwonse ndiosavuta kupewa kuposa kuwachotsa.

Pa matenda ashuga, ndikofunikira kuyang'anira kuchuluka kwa shuga, kuwunika zakudya zanu, kutsatira malangizo onse a dokotala anu kuti musasokoneze chithunzi cha chipatala ndi kupewa zovuta zina zoyipa.

Sitiroko si chiganizo. Ndi chithandizo choyenera, wodwalayo mwina akhoza kubwerera ku moyo wabwinoko posachedwa. Koma ngati mumanyalanyaza malangizo omwe dokotala amakupatsani, ndiye kuti kulemala ndi kupuma pantchito ndizo zomwe zimayembekezera munthu. Osangodutsa matendawa, komanso kuchuluka kwa anthu omwe angadzakhale ndi moyo kutengera momwe nkhaniyi ingathere.

Aliyense wodwala matenda ashuga amadziwa momwe thanzi limafunira ndi matendawa. Ngati matenda a shuga apezeka, ndiye kulosera kwa anthu angati omwe angakhale ndi moyo komanso zomwe zingawakhudze ndi matendawa kumadalira mtundu wa zakudya zomwe zimatsatiridwa.

Kudya wodwala, ngati ali ndi matenda opha ziwopsezo komanso matenda ashuga, ayenera kugwira ntchito zotsatirazi:

sinthanso shuga, kupewa kuchulukitsa kwake, komanso ndikofunikira kuti magazi a cholesterol azikhala bwino,
letsa mapangidwe a atherosselotic plaques pamitsempha yamitsempha,
zoletsa kuchuluka magazi.

Zogulitsa zina zomwe zimakhala zovulaza thanzi la wodwala omwe ali ndi matenda amtunduwu zimayambitsidwa kuti ndizoletsedwa mu shuga. Koma mndandandawu udzakulitsidwa ndi mayina owonjezerapo kuti musapweteke kapena kuwongolera mkhalidwe wa wodwalayo pambuyo poti adwala.

Nthawi zambiri, odwala oterewa amapatsidwa zakudya Na.10 - amapangidwira anthu omwe ali ndi matenda amtima. Malamulo omwewo amakhala a odwala omwe ali ndi stroke. Koma nthawi yomweyo, ngati chithunzi chachipatala chikulemedwa ndi matenda a shuga, ndiye kuti zingakhale zofunikira kuchepetsa kuchuluka kwa zakudya zamagulu ena ambiri.

Kuphatikiza apo, mndandanda wa malamulo omwe ali ndi zakudya za odwala omwe ali ndi matenda otere ayenera kuwunikidwa:

muyenera kudya m'magawo ang'onoang'ono 6-7 patsiku,
ndibwino kugwiritsa ntchito zinthu zilizonse zoyeretsedwa, zotsukidwa ndi madzi okwanira, kuti musapange katundu wina pamimba.
simungadye kwambiri,
zinthu zilizonse ziyenera kudyedwa mu mafuta owiritsa, owotcha kapena owira, owotcha, osuta, komanso amchere, zonunkhira ndizoletsedwa.
ndibwino kupereka zokonda pazachilengedwe zomwe zimakhala ndi zinthu zochepa zoyipa kuti muchepetse zotsatira zoyipa mthupi.

Ndi chizolowezi kutulutsa mndandanda wachakudya chilichonse, chomwe chiyenera kukhala chakudya cha odwala omwe ali ndi matenda ofananawo, komanso zakudya zoletsedwa. Kusungidwa kwa malamulowa kudzatsimikizira zakukula ndi mtundu wina wa moyo wa munthu.

Malonda omwe analimbikitsidwa ndi awa:

Tiyi yazitsamba, ma compotes, infusions ndi decoctions. Amalimbikitsidwanso kumwa timadziti, koma kuchepetsa kumwa kwa makangaza, chifukwa zimathandizira kuwonjezeka kwa magazi.
Supu yophika masamba, msuzi wosenda.
Zowaka mkaka wowonda. Kefir, tchizi tchizi ndizothandiza kwambiri, koma ndibwino kusankha zakudya zamafuta ochepa.
Masamba, zipatso. Ndi ndiwo zamasamba zomwe ziyenera kukhala maziko a zakudya za odwala. Koma kumwa nyemba ndi mbatata kuyenera kuchepetsedwa. Njira yayikulu ikakhala masamba kapena zipatso zosenda. Pakumayambika kuchira, mbatata zosenda nthawi zonse ndizoyenera ana omwe amazigwiritsa ntchito podyetsa.
Porridge. Zabwino kwambiri ngati mkaka. Mpunga, buluwheat, oat ndizabwino.

Ngati tikulankhula za zakudya zoletsedwa, muyenera kupatula zomwe zimapangitsa shuga, komanso mafuta m'thupi. Izi zikuphatikiza:

Zakudya zamafuta (tsekwe, nkhumba, mwanawankhosa). Afunika kusintha nkhuku, nyama ya kalulu, nkhuku. Zomwezi zimafunanso nsomba - nsomba iliyonse yamafuta siyoletsedwa kudya.
Chiwindi, chiwindi ndi zinthu zina zofananira.
Nyama zakusuta, soseji, nyama zam'chitini ndi nsomba.
Mafuta a nyama (batala, mazira, kirimu wowawasa). Ndikofunikira m'malo ndi mafuta a masamba (maolivi ndi abwino).
Maswiti aliwonse, makeke. Ngakhale pakadali pano shuga ali pamlingo woyenera, ndiye kuti mafuta ochulukirapo amakhalanso am'magazi.

Kuti mupewe kupanikizika kwa magazi, muyenera kupatula khofi, tiyi wamphamvu, cocoa ndi zakumwa zoledzeretsa zilizonse.

Nthawi zambiri kwa odwala omwe akungoyamba kudya okha pambuyo poti amenyedwe, ndikulimbikitsidwa kugwiritsa ntchito mankhwala osakaniza opangidwa kale. Amagwiritsidwa ntchito ngati odwala adyetsedwa kudzera mu chubu.

Ngati munthu nthawi yomweyo akudwala matenda ashuga ndipo akuvutika ndi stroko, ndiye kuti zotsatirapo zake zimakhala zoipa kwambiri kuposa zotsalazo. Chifukwa choyamba ndikuti nthawi zambiri mwa anthu oterewa sitiroko imakhala yoopsa. Ngati vutolo silingachitike chifukwa chomwalira, ndiye kuti zotsatirapo zosasangalatsa zotere zimachitika:

ziwalo
kusowa chonena
kutaya ntchito zambiri zofunika (kumeza, kuwongolera pokodza),
kukumbukira kwambiri kusokonezeka, ntchito za ubongo.

Ndi chithandizo choyenera, ntchito za moyo zimabwezeretseka pang'onopang'ono, koma mwa odwala, nthawi yokonzanso imatenga nthawi yayitali. Kuphatikiza apo, chiwopsezo cha kubwerezedwa kawiri kawiri kapena kuphwanya kwa myocardial ndichachikulu kwambiri.

Malinga ndi ziwerengero, odwala ambiri omwe ali ndi matenda ashuga atatha sitiroko amakhala osaposa zaka 5-7. Pankhaniyi, gawo limodzi mwa magawo atatu a odwala sangathe kubwereranso ku moyo wabwinobwino, atagona.

Palinso zovuta za impso, chiwindi, zomwe zimachitika motsutsana ndi maziko akumwa kwambiri.

Ngati munthu wapezeka ndi matenda a shuga, koma nthawi yomweyo pamakhala lingaliro lakukhazikika kwa vuto la stroke, dokotala amamuwonetsa njira zina zowonjezera zopewetsa matenda kuti zisamakulire. Kuti muchite izi, muyenera kusintha osati zakudya zanu, komanso moyo wanu. Nkhaniyi iyenera kufikiridwa ndi udindo wonse, chifukwa ndi izi chifukwa moyo wabwino udzadalira.

Malangizo akulu aphatikizire:

Mulingo wonse wa cholesterol wa odwala matenda a shuga ayenera kukhala m'mitundu 3.6-5.2 mmol / L. Ngati chizindikirocho chikupatuka pa chizolowezi, ndiye kuti ndikofunikira kukaonana ndi dokotala posachedwa ndikukumaliza mayeso ofunikira kuti mudziwe chomwe chimayambitsa ndikupereka chithandizo choyenera.

Cholakwika chofala kwambiri ndikutsatira kudya kokha ngati njira yoteteza kuti musadwale matenda opha ziwalo. Ngakhale zitakhala kuti zachitika kale, ndikofunikira kutsatira malingaliro onsewa kuti athe kubwezeretsa ntchito zoyambirira za thupi posachedwa, komanso kuti musamenyenso kachiwiri.

Chakudya chachikulu cha shuga chimakhudza makoma amitsempha yamagazi, chifukwa chake kudwala matenda ashuga kumachitika kawirikawiri. Mu matenda owopsa a matendawa, mbali zina za ubongo zimakhudzidwa, zomwe zimayambitsa kuukira kwachiwiri. Stroke ya matenda ashuga ndiyowopsa kuposa mwa anthu wamba, izi zimachitika chifukwa cha mtima wamankhwala am'mimba, cholesterol plaque ndi katundu wambiri pamagulu onse amthupi.

Ubongo wa munthu umafunikira mpweya wambiri kuti ugwire ntchito yoyenera ya magawo onse. Chozunguliridwa ndimitsempha yamagazi, yokhala ndi zolimba kapena zotumphukira m'modzi wa iwo, minofu hypoxia imachitika. Kuneneratu kukhumudwitsa, pakatha mphindi zingapo za hypoxia yayikulu, maselo akuyamba kufa. Matenda a shuga amakhalanso m'magulu awiri:

hemorrhagic - limodzi ndi kupasuka kwa mitsempha,
ischemic - kutsekeka kwa mitsempha yayikulu yamagazi.

Bweretsani ku zomwe zalembedwa

Matenda a shuga amabweretsa matenda ambiri, chithandizo chake chomwe chimapangidwa ndi zovuta za thupi. Stroko ndi matenda ashuga ndizogwirizana. Odwala, kuchuluka kwa mchere wamchere kumasokonezeka, makamaka ndi matenda a shuga a 2. Izi ndichifukwa choti mamolekyulu a glucose amatambasulira madzimadzi, kuchuluka kwa mkodzo kumawonjezeka, komwe kumayambitsa kukakamira pafupipafupi. Thupi la wodwalayo limasowa madzi, makoma amitsemayo amayamba kuwuma, magazi amayamba kunenepa ndikupanga kukula m'makoma ndi "mapulagi". Njira yochira chifukwa cha matenda a shuga amayamba kuchepa, pomwe magazi amafufuza mayendedwe atsopano, okhala ndi mitsempha yaying'ono. Kuchuluka kwa shuga kumabweretsa kusintha kwa atherosclerotic m'mitsempha yamagazi, kuperewera kwa zakudya m'thupi komanso kunenepa kwambiri kumakhalanso ndi zotsatirapo zake.

Stroke sichikugwirizananso ndi anthu okalamba; pazaka 10 zapitazi, 30% ya odwala ndi ana komanso achinyamata.

Vuto loti sitiroko limakhala lodetsa thupi, ngati chimodzi mwazomwe zalembedwazo zapezeka, muyenera kupempha thandizo, chifukwa zotsatira zake sizingasinthe. Mukayamba kulandira chithandizo munthawi yake, ndiye kuti wodwalayo abwereranso moyo wawo wakale. Matendawa ali ndi zizindikiro zake:

dzanzi lakuthwa mbali imodzi ya nkhope, mikono, miyendo,
kupezeka kwa ziwalo,
kusokoneza mayendedwe, mawu oletsa,
migraine
kuwonongeka kwa zida zowonekera,
chizungulire, mseru,
zovuta kumeza malovu,
kukomoka kwakanthawi
kupuma msanga ndi palpitation,
kutaya mtima.

Bweretsani ku zomwe zalembedwa

Muzochita zachipatala, mankhwala amodzi omwe atsimikiziridwa amagwiritsidwa ntchito - tPA (minofu plasminogen activator), adapangidwa kuti ayimitse kuukira. Osati kale kwambiri, mankhwala ena a PSD-95 adatulukira, omwe ali ndi vuto ndi "cork", analibe nthawi kuti adziwonetsere okha, koma ndikudziwika kuti mankhwala amtsogolo sangabwezeretsanso magazi okha, komanso magwiridwe antchito am'thupi akhudzidwa. Amachita bwino ndi kuundana kwa magazi, pambuyo popereka mankhwalawo, ziwalo zomwe zimagwira ntchito zimasungunula "magazi" ndikubwezeretsa kutuluka kwa magazi. tPA imagwira bwino ntchito maola ochepa pambuyo powaukira. Mankhwalawa amapangidwira kuti pasachitike vuto la ischemic, palinso zotsutsana. Singagwiritsidwe ntchito chifukwa cha mikwingwirima ya m'mutu (hemorrhage, kuvulala kumutu) komanso mutangochita opaleshoni posachedwa.

Pali njira yachiwiri yamankhwala - yogwira ntchito. Amakhala pochotsa zolembera, zomwe zimatchinga magazi kupita ku ubongo, njira iyi yochiritsira imagwiritsidwa ntchito kawirikawiri. Ngati chotupa cha carotid chatsekedwa, chomwe chimawopseza wodwalayo, ndiye kuti angioplasty ndi mankhwala. Mankhwala othandizira kuphatikiza pamodzi ndi mankhwala amalola kubwezeretsanso mbali yovomerezeka mwalamulo. Njira zina zochotsera ma thrombus zimagwiritsidwa ntchito mdziko lapansi, koma kulimbikira kwawo sikudziwika.

Zakudya pambuyo povutidwa ndi matenda ashuga ndizofunikira kwa onse amtundu 1 ndi mtundu 2. Menyu yoyenera ndi chinthu chofunikira chomwe chimakupatsani mwayi wobwezeretsanso thupi komanso kuchepetsa ngozi yachiwiri. Matenda 10 a shuga a matenda a shuga adapangidwa poganizira zosowa zapadera za thupi la wodwalayo. Inachepetsa kwambiri mafuta ndi chakudya, komanso inachepetsa mphamvu zamagetsi tsiku lililonse. Zakudya za stroko m'masiku oyambilira ndizokhwima, kutsimikizira kumatha kufotokozedwa, ndipo pambuyo - kusintha kwa mbale zosenda.

Chakudya chopatsa thanzi:

Anamwetsa madzi akumwa. Poyerekeza ndi maziko am'madzi, magazi amanenepa, ndikofunikira kumwa zakumwa za tsiku ndi tsiku. Kuchokera pamndandanda wololedwa: ma compotes, timadzi tosakhazikika, teti. Zokoma ndi sodas siziloledwa.
Kukana kwa zinthu zomwe zimapangitsa kuti pakhale cholesterol.
Siyani kugwiritsa ntchito mchere pophika. Pakapita kanthawi, zinthu zikadzakhala zabwinoko, mutha kuwonjezera zakudya.
Tengani potaziyamu pafupipafupi, yomwe imalimbitsa minofu ya mtima ndi mitsempha yamagazi.
"Vitamini boom", zakudya pambuyo pa sitiroko ziyenera kuphatikizapo zipatso ndi ndiwo zamasamba zambiri, zimadzaza thupi ndipo zimayamwa mosavuta popanda kupanga katundu wosafunikira. Ndikofunikira kwambiri kuzidya zosaphika.

Bweretsani ku zomwe zalembedwa

Chifukwa cha kufa kwa maselo aubongo pakuwukira, mitundu itatu ya matendawa imadziwika:

zabwino, kusintha pakapita mphindi 2-3,
wapakatikati, zovuta ndizotheka, kutayika kwa mota ntchito ya mkono, miyendo,
kupita patsogolo, chikumbumtima chimadza m'masiku ochepa.

Nthawi zambiri pamakhala matenda amitsempha omwe amafunikira chithandizo cha nthawi yayitali. Chiwopsezo cha anthu kufa pambuyo povutika chikukula. Komanso musaiwale kuti kumbuyo kwa sitiroko pali mwayi wopezeka matenda a ziwalo zina - chibayo, matenda amtima. Sitiroko yomwe ikupita patsogolo imadziwika ndi zizindikiro zowonjezereka, zomwe pamapeto pake zimayambitsa kukomoka komanso kufa.

Matenda a shuga ndi matenda ovuta omwe amasula mikhalidwe yoipa, zakudya zoipa, komanso moyo wosavomerezeka. Kutengera mtundu wamatendawa, adotolo adzalembera mankhwala ochepetsa shuga komanso zakudya. Ngati mukunenepa kwambiri, katundu wowonjezereka wokhala ndi katundu wa tsiku ndi tsiku wa Cardio ndi kutikita minofu yothandizidwa adzayambitsidwa. Izi zithandiza kuti dongosolo la mtima ndi olimba komanso "kudyetsa" ziwalo ndi minofu yake ndi mpweya. Potere, ndi adokotala okha omwe amatha kupanga chidziwitso, kuyambira pamachitidwe a wodwalayo ndikuchira.

Strika yolimbana ndi matenda ashuga: mawonekedwe a mankhwalawa komanso kupewa

Stroke ya matenda ashuga nthawi zonse imayambitsa zambiri zoyipa. Kuphatikiza apo, matenda awiriwa amatha kubweretsa kuwonongeka kwakukulu pa thanzi la munthu. Chifukwa chake, ndibwino kuteteza kukula kwa sitiroko pamaso pa matenda a shuga. Kapena, yambani kulandira chithandizo mukangoyamba kumene zizindikiro zoyambirira.

Matenda a shuga amakhala oyambitsa matenda osiyanasiyana. Mu matenda a shuga, ziwopsezo zimakhudzidwa, uku ndi mtima, impso, zida zowonera, ma capillaries ndi mitsempha. Zonsezi zimaphatikizapo kufalikira kwamomwe kumachitika zomwe zimachepetsa thanzi la wodwalayo ndikuphatikizanso kuphatikizanso kwa zina za matenda, kuphatikizira stroko.

Acute cerebrovascular ngozi (sitiroko) ndi yamitundu iwiri:

Ischemic - Ichi ndi matenda a anthu achikulire omwe amapezeka ndi magazi osakwanira m'dera la ubongo chifukwa cha kusintha kwamitsempha yamagazi. Chimodzi mwazifukwa zazikulu ndi matenda a shuga.
Hemorrhagic - Nthawi zambiri amakulira mwa achinyamata okhala ndi vuto lobadwa nalo kapena lamitsempha yamagazi, kuthamanga kwa magazi, kuvulala kapena neoplasms.

Matenda a shuga a Mtundu Wachiwiri amatsogolera ku stroke ya ischemic. Amayamba chifukwa cha cell insensitivity to insulin (mahomoni omwe amachepetsa glucose wamagazi). Pankhaniyi, glycemia wolimbikira amakula - shuga wambiri (pafupipafupi: 3.3-5.5 mmol / l).

Ngati wodwala satenga mankhwala a hypoglycemic kapena ngati sangakwanitse, kagayidwe kamthupi kamakonzedwanso. Mphamvu imakhala yosakwanira kuchepa kwa glucose mwanjira yachilengedwe, ndipo zomwe zimagwiritsidwa ntchito m'njira yopanda mpweya imayambitsa. Pankhaniyi, zinthu zopanda-oxidized zimapangidwa: lactate, pyruvate, sorbitol.

Amathandizira pakukula kwa ma micro- ndi macroangiopathy ndi polyneuropathy. Uku ndikusintha kwa m'matumba ang'onoang'ono, pomwe khoma la zombo zazing'ono limataya kuyimilira kwake ndipo m'malo mwake limasinthidwa ndi minyewa yotulutsa ma minyewa (microangiopathy imayamba). Zosokoneza zimachitika.

Potengera komwe kudwala matenda ashuga, matenda a atherosulinosis amakula mwachangu - matenda omwe mapangidwe a atherosulinotic amapanga pamakoma a mitsempha yayikulu komanso yayikulu. Nawonso, amachepetsa lumen yawo (macroangiopathy). Izi zimabweretsa kutsekeka kwa magazi muubongo ndikukhazikika kwa stroko.

Komanso, kuundana kwa magazi kumatha kupezeka m'malo obwebweta. Kuphatikiza pa zomwe tafotokozazi, zinthu zomwe zitha kupangitsa kuti ngozi yovuta kwambiri ya matenda a shuga ipezeke:

cholesterol yayikulu magazi,
onenepa kwambiri
ochepa matenda oopsa
hypothyroidism
matenda a impso (mwachitsanzo nephropathy),
kuchuluka kwa otsika osalimba lipoprotein ndi triglycerides m'magazi,
amalimbira hyperglycemia,
glucosuria
kusowa kwa hypoglycemic mankhwala.

Ndi chitukuko cha vuto la pachimake cerebrovascular ngozi, zizindikiro zotsatirazi zimachitika:

Kulankhula kwa wodwalayo kumayamba kusokonekera, kusokonekera kwa mawu kumachitika.
Nkhope imakhala yachilendo: theka limatha kukhala lotsika kuposa linalo, ngodya pakamwa imatsika, palibe mawonekedwe kumaso mbali imodzi, chikope chimatsika.
Ophunzirawo amakhala osiyana m'mimba mwake.
Mukamayang'ana pakamwa ndikufunsa kutulutsa lilime - limasunthira mbali imodzi.
Wodwalayo angaiwale dzina lake kapena abale ake.
Kuphwanya chikumbumtima kumachitika, mpaka kukomoka.
Woopsa, pali kuwonjezeka kapena kuchepa kwa kuthamanga kwa magazi, tachycardia, kupumira msanga.
Khunyu ndi kotheka.
Mchitidwe wokakamiza pokodza ndi kuperewera kumachitika.

Ngati kutsutsana ndi maziko awa, shuga wa magazi ndiwokwera kwambiri (kupitilira 20 mmol / l), kupweteka ketoacidotic kumayamba. Kenako mutatalikirana ndikutha kumva fungo la acetone kuchokera kwa wodwalayo, lomwe limakutidwa ndi thukuta, kupuma sikumveka. Ichi ndi chikhalidwe chovuta kwambiri chomwe chimafuna chisamaliro chachipatala mwachangu ndi kuchipatala kuchipatala.

Nthawi zambiri, sitiroko imayamba zaka zingapo chitachitika shuga. Munthawi imeneyi, mukukonzanso ziwiya zam'madzi ndi zomwe zimapangidwira. Precursors amatha kupweteketsa mutu pafupipafupi, kufooka, kutopa, kumva kutopa pambuyo pogona, kukumbukira pang'ono ndi kuthamanga kwa kuganiza.

Nthawi ndi nthawi, odwala amatha kukumbukira kapena kulumikizana kwawo kwamphamvu kumalephera. Izi zimachitika motsutsana ndi maziko a kuchuluka kwa shuga m'magazi.

Wodwala akangolowa kuchipatala, kuyerekezera makina, kuyezetsa magazi, shuga, ma coagulogram, ndi angiography yoyambira ayenera kuchitidwa. Chodziwika bwino ndi chithandizo cha iservic stroke. Imagawika pawiri komanso mosiyanasiyana.

Gawo loyamba ndichithandizo chofunikira chothandizira kutsimikizira ntchito zofunika kwambiri mthupi: kuwongolera madzi osakanikirana ndi ma elekitirodi, kudzaza magazi ndi magazi, kuchepetsa kukula kwa mitsempha ya mtima, kuonetsetsa magwiridwe antchito amtima. Izi zikusinthira sizimadalira mtundu wa sitiroko.

Ndiye mankhwala osiyanitsa amachitika. Imakhala othandiza kwambiri panthawi ya maola atatu oyamba (zenera la achire). Ngati ischemia imayambitsidwa ndi thrombus, chithandizo cha thrombolysis ndichofunikira. Mankhwala osankhidwa ndi activator wa plasminogen.

Potsimikizira matenda a ischemic stroke, wodwalayo ndi mankhwala a aspirin. Amachepetsa mwayi wobwerezabwereza wa thrombosis. Ngati mankhwala a thrombolysis apangika, pitani ku opareshoni. A thrombectomy ndi kubwezeretsa kutuluka kwa magazi m'dera lomwe lakhudzidwa ndi ubongo kumachitika.

Pambuyo pa kuthetsa pachimake chikhalidwe, wodwalayo adapangidwira antiplatelet mankhwala - antiplatelet othandizira omwe amachepetsa mafuta a cholesterol. Udindo wofunikira pakugwidwa ndi matenda a shuga mellitus ndi chithandizo chamankhwala. Muli malamulo awa:

muyenera kuyamba kudya bwino, komanso kupatula zakudya zamafuta pang'ono,
ndikofunikira kuganizira magawo a mkate (gome la magawo a mkate likupezeka pano),
Pewani kudya zakudya zamafuta
zogulitsa nyama zizikhala za nyama zopanda nyama (nkhuku, ng'ombe, kalulu),
Sizoletsedwa kumwa zakumwa zoziziritsa kukhosi,
lawani kudya zipatso, makamaka mphesa, mavwende, mapeyala, mapichesi, ma apricots,
imwani zamadzi zambiri
letsa kugwiritsa ntchito mankhwala osuta, osowa.

Zotsatira zakugwidwa ndi matenda a shuga mellitus atha kukhala osiyana kwambiri. Ndi chithandizo chapanthawi yake chothandizira, kubwezeretsa ntchito kwathunthu ndikotheka. Koma ndi izi zodziwika bwino, zam'tsogolo zikuipiraipira. Chifukwa cha khoma losinthika lamitsempha yamagazi ndi mitsempha, zotsalira zomwe zimasokoneza moyo wonse.Izi zimatha kukhala zovuta pamalumikizidwe, paresis, ziwalo, kusalankhula bwino komanso luso la malingaliro.

Pambuyo pa sitiroko kumbuyo kwa matenda a shuga, kukonza kwakanthawi kochepa ndi kugwiritsa ntchito masewera olimbitsa thupi, kutikita minofu, chithandizo cha spa ndikofunikira.

Choyamba, popewa kudwala matenda a sitiroko, muyenera kumwa mankhwala oyenera ochepetsa shuga: mapiritsi (Metformin, Glibenclamide) kapena insulin. Osanyalanyaza malingaliro a dokotala wanu pankhani ya kusintha kwa mankhwala a insulin.

Izi zikuthandizira pokhapokha ngati pakuchitika sitiroko, komanso chifukwa cha kulephera kwaimpso, matenda ashuga retinopathy, neuro- ndi angiopathy. Malangizo otsatirawa ndi othandiza:

moyo wathanzi
kuwonda
kudya chakudya chamagulu owonjezera
kupewa zakudya zamafuta m'zakudya,
kusewera masewera
kudutsa mayeso a kupewa,
glycemic control
kumwa mankhwala omwe amachepetsa kuthamanga kwa magazi,
kufunsa kwakanthawi kothandizidwa,
kumwa mankhwala ochepetsa cholesterol, otsika kachulukidwe lipoproteins ndi triglycerides (statins),
kusiya kusuta ndi kumwa mowa,
kuwunika,
kupewa kupewetsa mantha kwambiri.

Kutengera ndi zomwe tafotokozazi, zikuwonekeratu kuti zovuta zomwe zimachitika ndi matenda a shuga zitha kutsogola kukula kwa stroko. Zoterezi zimatha kupewedwa pokhapokha zizindikiro za shuga zamagazi zikuyang'aniridwa munthawi yake, ndipo ngati zizindikiro zoyambirira zizindikirika, tsatirani njira yochiritsidwira yoyambira.

Danilova, N. shuga. Njira zamankhwala achikhalidwe komanso njira zina (+ DVD-ROM) / N. Danilova. - M: Vector, 2010 .-- 224 p.
Akhmanov M. Madzi omwe timamwa St. Petersburg, Nevsky Prospect Publishing House, 2002, masamba 189, kufalitsa makope 8,000.
Balabolkin M.I. Diabetesology: chithunzithunzi. , Mankhwala - M., 2011 .-- 672 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Zizindikiro ndi matchulidwe

Ischemic ndi hemorrhagic stroke - ndi chiyani m'matenda a shuga?

Kukula kwa matendawa kumachitika chifukwa cha kuwonongeka kapena kutsekeka kwa mitsempha yamagazi.

Zotsatira zake zakuti magazi amasiya kuyendera mbali zina za ubongo, ntchito yake ikuwonongeka. Ngati dera lomwe lakhudzidwalo mkati mwa mphindi 3-4 likuwona kuchepa kwa mpweya, maselo amtundu wa ubongo amayamba kufa.

Madokotala amasiyanitsa mitundu iwiri ya matenda:

Ischemic - yoyambitsidwa ndi mitsempha yotsekeka.
Hemorrhagic - limodzi ndi kupasuka kwa mtsempha wamagazi.

Choyimira chachikulu chomwe chimazindikira kuchuluka kwa kudziwikiratu kwa matendawa ndi kuthamanga kwa magazi. Kugwiritsa ntchito mafuta enaake “oyipa” kwambiri kumatha kuyambitsa matendawa. Zowopsa zake zimaphatikizapo kusuta ndi uchidakwa.

Zofunika! Thupi la munthu litayamba kuona kuperewera kwa okosijeni, mitsempha yolimba imachulukitsa, ndikupitilira gawo lang'ambalo. Chovuta kwambiri kuposa anthu ena onse kudwala stroko, odwala matenda a shuga.

Ichi ndichifukwa cha kuphatikizika kwa atherosulinosis ya ziwiya zamiyendo, mwachitsanzo, mitsempha yambiri imalephera kutulutsa mpweya.

Pazifukwa izi, zomwe zimapangitsa kuti matenda am'mimba adwale matenda a 2 komanso azikhala 2.

Zizindikiro za sitiroko

Ngati zizindikiro za matenda opha ziwopsezo zikupezeka nokha, munthu ayenera kupita kwa dokotala nthawi yomweyo. Ngati chitukuko cha matenda oyipawa chikuyimitsidwa munthawi yake, wodwalayo amatha kubwezeretsedwanso ku moyo wathunthu. Zizindikiro zotsatirazi ndizomwe zimayambitsa matendawa:

Kufa ziwopsezo mwadzidzidzi.
Kutalika kwa kufooka kapena kutopa kwa nkhope, mikono, miyendo (makamaka mbali imodzi ya thupi).
Kulephera kupanga ndi kuzindikira kuyankhula.
Kuganiza kovuta.
Popanda chifukwa chodziwikiratu, kumachitika mutu wovuta.
Kuwonongeka kowopsa m'masomphenya owoneka m'maso amodzi kapena onse.
Kuperewera koyendetsa kayendedwe.
Kuwonongeka koyenera, limodzi ndi chizungulire.
Zovuta kapena zovuta kumeza malovu.
Kutha kwakanthawi kochepa.

Momwe mungachiritsire matenda a ischemic ku matenda ashuga

Bungwe la U.S. Food and Drug Administration la oyang'anira sitiroko limavomereza mankhwala okhawo, tPA. Mankhwala amathetsa magazi. Mankhwalawa ayenera kumwedwa pakatha maola atatu atazindikira kuti ali ndi matenda oyamba.

Mankhwalawa amakhudza magazi omwe amatchinga mtsempha wamagazi, amasungunuka, kubwezeretsa magazi m'malo a ubongo owonongeka pambuyo pake.

Ischemic stroke ku shuga imatha kuthandizidwa. Njirayi imakhala pochotsa zolembera zomwe zimapangidwa kukhoma lamkati la chotupa cha carotid. Chombo ichi chimapereka mtsinje waukulu wamagazi kupita ku ubongo.

Njira ina yochizira matenda ashuga ndi carotid endarterectomy. Njira ya njirayi ndi motere: poyamba, baluni imayikidwa mu carotid artery, yomwe imatupa ndikukulitsa lumen yopapatiza. Kenako amaikapo stent ya cellular, yomwe imaperekera maselo otseguka m'mitsempha.

Kupititsa patsogolo magwiridwe amitsempha yamagazi m'magazi a shuga, angioplasty nthawi zina amakhazikitsidwa.

Njira zopewera

Odwala omwe ali ndi matenda amtundu wa 1 kapena mtundu wa matenda ashuga a 2, omwe dokotala wazindikira kuti ali ndi matenda atherosclerosis, ayenera kutsatira moyo wathanzi ndikutsatira zakudya zapadera.

Dokotala, nayenso, ayenera kupereka mankhwala kwa wodwalayo, pambuyo poti chithandizo cha magazi chatuluka ndipo chiopsezo chokhala ndi vuto lalikulu chichepa kwambiri.

Pali njira zosavuta zopewera mikwingwirima. Kutengera ndi malamulo otsatirawa, wodwalayo amatitsimikizira kuti amatetezeka pokhudzana ndi chitukuko cha matenda opatsirana:

Mowa waukulu ndi kusuta uyenera kutayidwa.
Cholesterol iyenera kuyang'aniridwa nthawi zonse, makamaka kuwunika kwa mtundu wa "oyipa" (LDL). Ngati chizolowezi chidaposa, cholesterol iyenera kuchepetsedwa m'njira zonse.
Tsiku lililonse mukufunika kuwongolera kuthamanga kwa magazi, mutha kusungabe diary momwe zizindikiro zonse zalembedwera.
Odwala omwe alibe zovuta m'matumbo amalangizidwa kuti azimwa mapiritsi tsiku lililonse.

Mfundo yomaliza ndiyofunika kuyankhula mwatsatanetsatane. Kwa amuna ndi akazi pambuyo pa zaka 30 akuvutika ndi matenda amtundu wa 2 kapena mtundu wa 2, mitundu yaying'ono ya mankhwalawa ndivomerezeka. Koma mulimonsemo, ponena za aspirin, wodwalayo ayenera kufunsa dokotala.

Mankhwalawa sakhala otetezeka nthawi zonse, nthawi zina mukatha kumwa, mavuto obwera chifukwa cha kupweteka m'mimba amatha kuonedwa.

Matenda a shuga odwala matenda a shuga

Stroko yophatikizika ndi mtundu wa 1 kapena matenda a shuga a 2 amafunikira zakudya zinazake. Njira iyi ndiyofunikira kubwezeretsa thupi pambuyo pokumana ndi kupsinjika ndikuchepetsa chiopsezo chobwereranso.

Kwa mtundu 1 komanso mtundu 2 wa matenda ashuga ndi matenda a sitiroko, alemba No. 10. Chofunikira cha chakudyacho ndicho kupatula pang'ono zakudya zomwe zadzadza ndi mafuta ndi mafuta zamafuta m'zakudya. Chifukwa cha izi, mphamvu ya menyu tsiku ndi tsiku imatsitsidwa.

Mfundo zachakudya ndi izi:

Kukana mchere. Choyamba, malonda amapatula kwathunthu kuchokera ku zakudya. Ndi matenda a shuga, izi ndizofunikira kwambiri. Popita nthawi, momwe thanzi la wodwalayo likukhazikika, mchere umatha kuyambitsidwa pang'onopang'ono m'mbale, koma pang'ono.

Njira yakumwa. Tsiku lililonse, thupi la munthu limafunikira madzi ambiri. Izi ndizowona makamaka kwa matenda ashuga ndi mtundu 1, ndi 2. DM imapangitsa magazi a wodwalayo kukhala ochulukirapo, kotero madziwo amafunikira kuti achepetse.

Zidutswa za zipatso zowonongeka, madzi akumwa oyera, ma compotes - zonsezi ndizotheka ndi shuga, koma khofi ndi zakumwa za kaboni zimatsutsana.

Kutsitsa magazi m'thupi. Chisamaliro chapadera chiyenera kulipidwa ku cholesterol "yoyipa". Kuchokera pazakudya za wodwalayo, ndikofunikira kupatula zinthu zonse zomwe zimathandizira kupanga izi.

Muyenera kuda nkhawa ndi izi pasadakhale, osati nthawi yomwe kudzakhala kusokonezeka muubongo ndi zovuta zina zamtundu 1 komanso matenda ashuga 2.

Mavitamini Zakudya za wodwalayo ziyenera kukhala ndi masamba ndi zipatso zambiri, chifukwa chake, mbale zokhala ndi zinthu izi zimalimbikitsidwa poyambirira. Zipatso ndi ndiwo zamasamba zimatha kudyedwa mwatsopano kapena zofunikira, ndizothandiza kwambiri. Mulimonsemo, zakudya zopezeka ndi shuga wambiri zimayenera kupangidwa poganizira mbali zonse za matenda ashuga.

Kulandila kwa potaziyamu. Chamoyo chowonongeka ndi sitiroko chimafuna machulukidwe ndi potaziyamu. Chifukwa chake, ndikofunikira kuti muphatikize muzakudya zomwe wodwala amakhala nazo zomwe ndizambiri.

Kukana khofi. Izi zakumwa ndi sitiroko zimatsutsana kwambiri. Simungadye zakudya zokhala ndi caffeine panthawi yakukonzanso.

Munthu amene wadwala matenda a hemorrhagic kapena ischemic mu ubongo pang'ono kapena amalephera kwathunthu kumeza chakudya payekha. Zofanana ndi izi zitha kuonedwa mwa anthu odwala matenda ashuga, omwe matenda awo adakula kwambiri.

Ndiwodwala, wodwalayo amapatsidwa zakudya zoyenera kutsata, ndipo ndi matenda ashuga, menyu wochokera pazakumwa zamadzimadzi akuwonetsedwa. Malonda onse amapangidwa kudzera mu sieve, ndipo zakumwa zimaperekedwa kudzera mu udzu.

Zizindikiro za Khosi

Ngati mukuzindikira kuti muli ndi vuto la stroke pakapita nthawi, ndiye, mutakambirana ndi dokotala, mutha kupewa zotsalazo ngakhale kufa.

Ndikofunika kuyang'ana zinthu ngati izi:

ziwalo zamiyendo
kufooka
mbali zina za nkhope kapena nkhope yonse ikayamba kuchita dzanzi, dzanzi la miyendo,
kuphwanya zida zamau,
kutayika kwa mawu,
kuganiza kumakhala kovuta
migraine
kuwonongeka kwamaso m'maso amodzi kapena awiri,
kugwirizanitsa m'malo ndikovuta
chizungulire ndikutayika koyenera,
malovu akumeza zolimba
chikumbumtima nthawi zina chimatha, chomwe chimayamba ndi kukomoka,
zovuta zosowa tulo, kugona tulo.

A stroke ku matenda ashuga amadziwika ndi kuyamba mwadzidzidzi ndi kuwongolera mkhalidwe. Kufa ziwalo kale ndi chizindikiro cha kuukira.

Zomwe zimadziwika ndi ischemic stroke ku matenda a shuga:

Zizindikiro sizimawoneka nthawi yomweyo, pang'onopang'ono zikukula. Zizindikiro zoyambirira zitha kukhala zomveka.
Chifukwa cha kuthamanga kwa magazi, makhoma amitsempha yamagazi amatha kuchepera, kenako ndikuphulika. Izi zimabweretsa necrotic neoplasms.
Ndikosavuta kuzindikira, kusanthula ndi kusanthula zambiri. Pali zovuta zofunika kukumbukira. Ma aligorms ochitira mogwirizana ndi chilengedwe komanso malo omwe anthu amakhala nawo amasokonekera.
Pali odwala matenda ashuga chifukwa chodumphadumpha mu seramu glucose.
Vuto la matenda ashuga limapereka zilonda zambiri kuposa odwala ena omwe alibe matenda ashuga.
Pali chiopsezo chachikulu chakulephera kwa mtima. Kuphatikizapo kupezeka kwa myocardial infarction.

Magazi akasiya kuyendayenda kudzera m'mitsempha yama mtima, monga mwa anthu athanzi, ndikuyambitsa kusokonekera, pamakhala chiwopsezo cha matenda a shuga. Nthawi zambiri, potengera momwe matendawa amachitikira, zimachitika, pali zochitika zosinthira, koma nthawi zambiri.

Zizindikiro

Kutengera ndi kuopsa kwa vuto la wodwala, anamnesis amatengedwa. Kuyesedwa kwakunja kumachitika. Kusiyanitsa ndi matenda ena: kuvulala koopsa kwa ubongo, khunyu, poizoni wa poizoni. Mtundu wa sitiroko watsimikiza.

Kenako chida chowunikira chimachitika. Pogwiritsa ntchito tomography, kudziwa kwa zotupa, kukula kwake, kuchuluka kwa edema yam'mimba, ndi kuwunika kwa aneurysm yamatumbo kumamveka bwino.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Zikachitika mwadzidzidzi, madzimadzi a cerebrospinal amaphunziridwa - kuchiritsa kochita kuimbidwa kumachitika.

Kuti mupeze zomwe zimayambitsa, kuyezetsa magazi, ECG, urinalysis, echocardiography kumachitika.

Kulumikizana pakati pa matenda ashuga ndi sitiroko

Makoma a mitsempha yaubongo amakhudzidwa ndi matenda ashuga, kuukiridwa mobwerezabwereza kumayambitsa. Chifukwa cha cholesterol plaques, kuipitsidwa kwamankhwala kumawonjezera katundu pa thupi lonse.

Zowopsa zikuwonjezeka ndi:

kunenepa kwambiri, makamaka pakakhala mafuta ochulukirapo m'chiuno,
kuthamanga
cholesterol owonjezera
prediabetes - kuchuluka kwa shuga.

Matenda a shuga ndi sitiroko amalumikizana, ziwanani.

Zambiri za mankhwalawa a stroke

Munthu amene wamenyedwayo amapatsidwa thandizo loyamba. Maganizo a chotupa chotheka amachepetsedwa, kuchitidwa opaleshoni ndikuchitidwa. Nthawi zambiri, ischemic stroke imapezeka mu shuga.

Pangopezeka chidikera chomwe chimatseka chotengera, njira zochotsera zimasankhidwa. Pakachotsedwa magazi, magaziwo amayambitsidwa. Ndi thrombus mu carotid artery, moyo wa wodwalayo uli pachiwopsezo chachikulu, ndipo angioplasty amachitidwa.

Chithandizo cha matenda a shuga ndi sitiroko chimachitika ndi dotolo, adapangidwanso mankhwala. Izi ndi:

Timapereka kuchotsera kwa owerenga tsamba lathu!

anticoagulants
mankhwala omwe amalimbitsa mtima,
kukonzekera kwa okosijeni
Vitamini B ndi Vitamini C.

Wodwala akangokhala wakhazikika, zosankha zingapo zachitukuko ndizotheka:

wodwalayo amabwerera mwakale pakapita mphindi zochepa popanda zovuta,
magawo owonongeka aubongo omwe amayambitsa kuyankhula, musculoskeletal system,
Pakapita kanthawi, matendawa akupitilizabe kukulira ndi matendawa.

Potengera momwe matenda ashuga ndi sitiroko, matenda ena amkati amkati amatha. Kuchiza pamilandu iyi ndi chizindikiro.

Malangizo a munthu payekhapayekha atha kudya akhoza kuuzidwa ndi adokotala. Kudya zakudya zopatsa thanzi kumachepetsa kubwerezanso kwa sitiroko, pomwe zakudya zimapangidwa mosiyanasiyana.

Kwenikweni muyenera:

Muzidya pafupipafupi malinga ndi mapulani a chakudya omwe adapangidwa ndi munthu wazakudya.
Samalani kwambiri pakudya zipatso, ndiwo zamasamba, mbewu monga chimanga.
Pali ma porridge amkaka. Mutha kudya, mpunga, nsapato.
Nthawi zonse yang'anirani kapangidwe kazinthu zomwe zidawonongedwa - onani zomwe zalembedwa pa phukusi.
Nyama iyenera kuwiritsa, osaphika. Izi zimachepetsa kuchuluka kwamafuta omwe amwedwa.
Calorie chiletso. Kutumiza makulidwe angachepetse.
Kuchotsa mowa. Makoma a zotengera amakhala osalimba, ndipo kuthamanga kwa magazi kumatha kudumpha kwambiri, zomwe zimakwiyitsanso.
Imwani zakumwa zambiri kuti muchepetse kuchepa kwa madzi m'thupi. Kuphatikiza apo, magazi amakhala a viscous ndipo kuti awachepetse, ndikofunikira kugwiritsa ntchito madzi okwanira. Zokonda zimaperekedwa kwa timadziti ta sitimadzi tokonzedwa, zakumwa za zipatso, madzi opanda zodetsa zilizonse.
Pambuyo pa sitiroko, potaziyamu amafunikira. Ndikofunikira kuphatikiza pazakudya zoyambira zomwe zidali ndi zinthu zokwanira. Zothandiza minofu ndi mitsempha yamagazi.
Zakumwa zotsekemera ndi koloko siziphatikizidwa.
Zakudya zamtundu uliwonse wothamanga ndizoletsedwa: makeke, maswiti.
Zakudya zokhala ndi mafuta (mazira, batala, mayonesi) ziyenera kusinthidwa ndi mafuta a masamba.

Matenda atangovutika ndi odwala matenda a shuga 2 komanso matenda amtundu wa atherosulinosis, pamafunika zakudya zapadera.

Anthu omwe adwala matenda a shuga amagwiritsa ntchito zakudya za tebulo 10. Zakudya izi zimachepetsa mphamvu ya kudya kwa tsiku ndi tsiku, chifukwa cha kupatula mafuta ambiri ndi chakudya. Zomwe zimapangitsa kuti thupi lizisintha pambuyo pamavuto.

Kuchuluka kwamchere kumachepa pakuphika ndipo sikumayikidwa koyamba pambuyo pa chochitikacho mpaka kubwinobwino kwa thanzi.

Odwala omwe achira ku sitiroko atha kugwiritsa ntchito zosakaniza zapadera izi. Ngati pali zovuta kutafuna ndi kumeza masamba, ndiye kuti kudyetsa kumachitika kudzera mu chakudya chapadera.

Zakudya zonse zomwe zimapanga cholesterol siziyenera kuperekedwa kuchakudya.

Thupi la wodwala limafunikira mavitamini. Pankhaniyi, chakudya chokhala ndi masamba ndi zipatso zambiri ndizofunikira. Awo kumwa n`zotheka onse mu mawonekedwe otentha komanso atsopano. Magulu a glucose amayenera kukumbukiridwa m'magazi.

Kupewa ndi malingaliro

Ndi matenda a shuga, muyenera kudutsa pasukulu ya odwala matenda ashuga, momwe zovuta ndi zidziwitso zonse zimafotokozedwera. Izi zikuthandizira munthawi yake. Pofuna kupewa izi, moyo pawokha umasinthidwa, womwe umaphatikizapo zinthu zambiri m'moyo wa munthu.

Kukhala moyo wongokhala. Ndikofunikira kuti thupi likhale lathanzi labwino: Chitani masewera olimbitsa thupi, muziyenda moyenera, ndipo ngati kuli kotheka pitani dziwe.

Mubwezereni thupi mwachangu momwe mungathere. Yendetsani kulemera kwanu.

Mowa ndi ndudu zimasiyidwa. Amakhala ndi zotsatira zoyipa kwambiri pamitsempha yamagazi komanso magazi.

Pewani zovuta zomwe zingachitike ngati zingatheke.

Nthawi zonse muzitsatira zakudya. Ichi ndi chimodzi mwazitsulo zofunika kwambiri pakufutukula moyo.

Pofuna kupitilira zambiri zilizonse zomwe zapezeka ndi glucometer, amalumikizana ndi dokotala kuti amupime mokwanira.

Amuna ndi akazi a zaka zopitilira 30 amamwa mankhwalawa ochepetsera matenda ena owonjezera. Amagwiritsa ntchito aspirin mosamala, asanakumane ndi dokotala wawo, chifukwa zotsatira zoyipa ndizotheka.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Chithandizo cha matenda ashuga pambuyo pa sitiroko

Pali magulu osiyanasiyana a mankhwalawa pochiza matenda a shuga a mtundu II. Kuchita kwawo kumasiyanasiyana mwa odwala osiyanasiyana, choncho mankhwalawa amayenera kusankhidwa payekha ndi dokotala.

Biguanide (metformin). Kuchulukitsa kumverera kwa minofu ku insulin ndipo kumalepheretsa kupanga shuga kwa chiwindi.
Thimazanepazi (pioglitazone). Sinthani yankho la maselo a thupi ku insulin.
Sulfonylurea (Glyclazide, Glibenclamide, Glipizide). Imayambitsa kupanga insulin ndi kapamba ndipo imathandizanso thupi kugwiritsa ntchito bwino mahomoni.
Incretins (exenatide, liraglutide). Mankhwala a Hormonal omwe amakulitsa kupanga kwa glucose m'thupi.
Alpha Glucosidase Inhibitors (Acarbose). Pang'onopang'ono kugaya ndi kupopera kwa chakudya, chifukwa, mutatha kudya, kuchuluka kwa glucose m'magazi kumakwera pang'onopang'ono.
Ma Dhib-4 zoletsa (vildagliptin, sitagliptin, saxagliptin). Tsekani enzyme DPP-4, yomwe imawononga ma insretins, potero mumakulitsa kuchuluka kwawo m'magazi.
Prandial glucose Administrators (nateglinide, repaglinide). Amakakamiza kapamba kuti apange insulin yambiri.
SGLT2 zoletsa (canagliflozin, dapagliflozin). Amachulukitsa kuchuluka kwa shuga mumkodzo, kuchepetsa magazi ake.

Anthu omwe ali ndi matenda a shuga a mtundu wa I nthawi zonse amafunika jakisoni wa insulin. Popita nthawi, kufunikira kwa iwo kumawonekera ndi mtundu II.

Zakudya za stroke ndi matenda a shuga

Tsopano ndiyenera kusiya chilichonse chosangalatsa?

Ayi. Zakudya zanu zimatha kukhala osiyanasiyana. Malangizo othandizira kudya pambuyo pa matenda a shuga:

Idyani pafupipafupi. Osadumpha chakudya.
Idyani zamasamba ambiri ndi zipatso, mbewu zonse, ndi nyemba.
Pewani zakudya zomwe zimakhala ndi shuga wowonjezera: werengani mosamala zomwe zalembedwa paphukusi.
Musanaphike nsomba kapena nkhuku, chotsani khungu. Osamawaza nyama - ndibwino kuphika. Chifukwa chake mumachepetsa kudya zamafuta oyipa.
Idyani nsomba 2 pa sabata, koma osati mafuta kapena okazinga.
Yesani kuchepetsa magawo a mbale. Ndikofunikira kuchepetsa kuchuluka kwa zopatsa mphamvu.
Mowa - mwa apo ndi apo komanso pang'ono. Pokhapokha ndi chilolezo cha adokotala.

Ndemanga zina zowonjezera pazakudya zamtundu womwe mungakonde zakugwidwa ndi stroke ndi matenda a shuga adzapatsidwa kwa inu ndi dokotala, wazakudya.

Stroko ndi matenda ashuga: zakukula

Mwazi wamagazi Mwachilengedwe, ngati imakonzedwa nthawi zonse - izi ndizoyipa.
Kutalika kwa matenda ashuga.
Mtundu wa stroke: ischemic kapena hemorrhagic.
Ntchito zodwala zomwe zimachitika pambuyo pake.
Mavuto okhudzana ndi thanzi: atherosulinosis, matenda oopsa, ndi zina zambiri.

Kodi ndingatani kuti muchepetse vuto la sitiroko?

Malangizowo ndi osavuta:

Idyani zakudya zopatsa thanzi, ndiko kuti, komwe mumapezeka mchere pang'ono, mafuta, ndi shuga.
Khalani ndi moyo wokangalika. Kuchita masewera olimbitsa thupi kumathandizira kuwongolera shuga wamagazi ndi cholesterol, kusintha thanzi.
Khalani ndi thanzi labwino. Ngati onenepa kwambiri kapena onenepa kwambiri, pitani kwa endocrinologist, wothandizira zakudya. Madokotala adzakuthandizani kuti muchepetse kunenepa.
Lekani kusuta. Zingakhale zovuta, koma ndizoyenera.
Muchepetse mowa wambiri. Bwino kusiya izo kwathunthu. Ngati sizikuyenda, osatira machitidwe anu omwe dokotala amakupatsani ndipo osamwa kwambiri nthawi.

Malangizo ofunikira kwambiri: kutsatira malangizo a dokotala. Chilichonse chiyenera kukhala chololera, chilichonse chiyenera kukhala chopumira. Matenda a shuga si njira yokhayo yomwe munthu angadzipiritsire wekha. Izi zili ndi zovuta zowopsa.