Zotsatira zakuthwa ndi matenda ashuga, kudya pambuyo poti waukire

Stroke ndi imodzi mwazovuta zazikulu za matenda ashuga. Uku ndikuphwanya kufalitsa kwa ubongo, komwe kumakula kwambiri ndipo kumapangitsa kuti munthu asamayende komanso kulankhula pafupipafupi. Makamaka kwambiri, matendawa amafa kapena kufa ziwalo kwathunthu.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>

Ndi matenda a stroke komanso matenda ashuga, zakudya ndi zina mwazinthu zofunika kwambiri pakukonzanso mankhwala. Popanda zakudya zoyenera, kubwezeretsa wodwalayo ndikukhalanso ndi thanzi labwinobwino nkosatheka.

Udindo wazakudya

Nthawi yochira pambuyo pa sitiroko ndi gawo lovuta m'moyo wa munthu wodwala matenda ashuga. Monga lamulo, kumatenga nthawi yayitali, motero bungwe la zakudya zoyenera ndilofunika kwambiri kwa odwala. Nazi mfundo zoyambirira zomwe muyenera kutsatira mukamapangira menyu munthu yemwe akufunika thandizo:

• Mbale ziyenera kukhala zamagulu amodzimodzi kuti zisathe kumeza (ngati wodwalayo adya kudzera mu probe, chakudya chake chimayenera kupangidwa chamadzimadzi chochulukirapo ndikumata ndi chosakanizira kapena chopukusira nyama),
• Kutentha kwa chakudya kuyenera kutentha pang'ono, osati kutentha kapena kuzizira,
• Ndikofunika kuphika chakudya chatsopano tsiku lililonse - izi zimachepetsa mwayi wamatenda oyamba m'matumbo ndi poyizoni,
• muyenera kuchepetsa mchere mu chakudya momwe mungathere, ndipo shuga ndi zinthu zomwe zili nazo ziyenera kukanidwa bwino,
• Zinthu zomwe zakonzedwa ndi mbale zimayenera kukhala zapamwamba kwambiri komanso zopanda zinthu zoyipa.

Pogulitsa mutha kupeza zosakaniza zapadera za odwala pambuyo pa sitiroko, yomwe, mwa fanizo ndi chakudya cha ana, imakonzedwa kuchokera ku ufa wouma ndipo sikufuna kuwira. Kumbali imodzi, kugwiritsa ntchito kwawo ndikosavuta, chifukwa ndikwanira kuthira ufa ndi madzi otentha ndikuyambitsa. Kuphatikiza apo, kusasinthika kwa osakaniza omalizidwa kwathunthu kumadzimadzi, komwe kumakhala ndi phindu pa mayamwidwe. Zinthu zotere zimakhala ndi zinthu zonse zofunika kufufuza, mavitamini ndi michere yofunikira kwa wodwala. Koma, mbali inayo, kutali ndi onsewo ndi oyenera odwala matenda ashuga chifukwa cha shuga ndi mkaka wa ufa, motero, musanagwiritse ntchito zotere, ndikofunikira kufunsa endocrinologist.

Kudzimbidwa kutha kumakhala koopsa kwambiri pangozi ya ubongo. Ndizosatheka m'magulu kuti odwala oterowo amakankhira mwamphamvu ndikusokonekera panthawi yachinyengo, chifukwa izi zimatha kubweretsanso kachiwiri kapena kuwonjezeka kwakukulu kwa magazi. Kukhala chete pazovuta zodabwitsazi kumatha kubweretsa zotsatirapo zomvetsa chisoni, chifukwa chake ndikofunikira kukhazikitsa ntchito yamatumbo ndikuwonetsetsa kuti ikuchoka nthawi zonse.

Porridge ndi gwero lothandiza mafuta pang'onopang'ono omwe amapatsa thupi mphamvu yofunikira komanso kwa nthawi yayitali imapereka kukhudzika. Kwa odwala omwe adadwala nthenda ya shuga, chimanga chija chomwe chimakhala ndi index yotsika kapena yapakatikati ndi chothandiza. Izi zikuphatikiza ndi buckwheat, tirigu, oats zachilengedwe, bulgur ndi mpunga wa bulauni. Kumayambiriro kwa nthawi yochira, ndi bwino kupera mbewu yophika kuti wodwalayo asamavutike kumeza.

Ndi osafunika kudya odwala mbale za nandolo, mpunga woyera ndi semolina. Pea porridge imakwiyitsa mapangidwe a gasi ndikuchepetsa kayendedwe ka matumbo, ndikuchepetsa mpunga ndi semolina zimabweretsa chiwopsezo chambiri chamapaundi owonjezera ndikuwonjezeka kwa shuga m'magazi. Simungaphike chimanga mumkaka (ngakhale kuchokera ku chakudya chathanzi, chololedwa), chifukwa izi zimawonjezera kuchuluka kwa chakudya chamagulu mumakomedwewo ndikuipangitsa kuti isakhale yopanda chakudya.

Popeza masamba ambiri amakhala ndi index yotsika ya glycemic komanso kapangidwe kofunikira ka mankhwala, ayenera kupanga maziko a menyu wodwala. Mukamasankha njira yophikira, ndibwino kuti musankhe zophika ndi zotentha. Zamasamba zomwe zimatha kudyedwa zosaphika, muyenera kupera ndi kulowa muzakudya za wodwala monga mbatata yosenda.
Zamasamba ndichakudya chabwino chamagulu, sizimapangitsa kuti pakhale kulemera komanso zimapangitsa kuti mapuloteni azikhala bwino.

Zabwino zamasamba azidwala odwala pakukonzanso pambuyo poti adwala matenda ashuga ndi awa:

Odwala oterowo saloledwa kudya kabichi ndi mbatata, muyenera kungoyang'anira kuchuluka kwawo muzakudya ndikuwunika momwe wodwalayo amvera. Mbatata zimakhala ndi wowuma yambiri, yomwe imatha kuwonjezera kuchuluka kwa shuga m'magazi, ndipo kabichi nthawi zambiri imayambitsa kukhumudwa ndi matumbo colic.

Anyezi ndi adyo amatha kulowa m'malo mwa mchere ndi zokometsera, zomwe siziyenera kwa odwala. Muli zinthu zofunikira zomwe zimachepetsa magazi ndikuyeretsa mitsempha yamagazi ya cholesterol amana. Mlingo wapakatikati, gruel ochokera ku masamba awa, omwe amawonjezeredwa ndi chimanga kapena nyama, sizingavulaze wodwalayo komanso angasiyanitse pang'ono kukoma kwa chakudya cha mtundu womwewo. Koma ngati wodwalayo ali ndi matenda othandizira am'mimba, ndiye kuti ndi zakudya zakuthwa motere muyenera kusamala.

Nyama ndi nsomba

Kuchokera ku nyama ndikwabwino kusankha mitundu yamafuta ochepa monga nkhuku, nkhuku, nyama yamwana wang'ombe ndi ng'ombe. Mwa izi, mutha kuphika ma broths m'madzi achiwiri ndikugwiritsa ntchito popanga soses yosenda. Pophika, woyamba ndi wachiwiri maphunziro, ndibwino kuti musankhe filleti, simungaphike misuzi m'mafupa. Zakudya zonona kwa odwala omwe ali ndi matenda ashuga, makamaka pambuyo pa sitiroko, ndizoletsedwa.

Simungathe kuphika nyama, ndibwino kuphika kapena kuphika, kuphika ndi kuwotcha. Kuchokera nyama yophika isanaphike, mutha kupanga ma-meatbord kapena ma meatball, omwe, mutatha kuphika, amapukusidwa mosavuta ndi foloko ndipo safuna kupukusa kowonjezera. Ndikofunika kuphatikiza nyamayo ndi masamba ophweka kapena mbewu monga chimanga, kuti isavuta kugaya komanso kusuntha mwachangu.

Mukamasankha nsomba, muyenera kulabadira zatsopano ndi mafuta ake. Nsomba zatsopano komanso zamafuta pang'ono ndizabwino kwambiri kwa wodwala pambuyo pa matenda a shuga. Nsomba zilizonse zosuta, zokazinga ndi zamchere (ngakhale zofiira) ndizoletsedwa kugwiritsidwa ntchito ndi gulu ili la odwala.

Katundu Woletsedwa

Kuletsedwa kwa chakudya kwa odwala kumayenderana ndi shuga ndi mchere. Zakudya zamafuta osavuta ndizovulaza ngakhale mu shuga popanda zovuta, ndipo mwangozi wa cerebrovascular, zimatha kuyipa kwambiri komanso lakuthwa mu thanzi la wodwalayo. Shuga ndi zinthu zomwe zimakhala nazo zimadzetsa kusinthasintha kwakukuru mumlingo wamagazi m'magazi, omwe amakhudza mitsempha molakwika. Makoma awo amasinthidwa zowawa, chifukwa chomwe magazi athunthu amapita ku ziwalo zofunika, pafupi ndi komwe amapezeka, amasokonezeka.

Mchere umasunga madzi mthupi, kotero wodwala amatha kukhala ndi edema. Kuphatikiza apo, zakudya zamchere zimawonjezera chiopsezo cha matenda oopsa (kuthamanga kwa magazi). Zonsezi ziwiri ndizowopsa kwa munthu amene wadwala matenda a stroko. Ndiye chifukwa chake kuwongolera kuchuluka kwa mchere womwe umamwekedwa ndikofunika kwambiri. Mulingo wovomerezeka wodwala aliyense ukhoza kuwerengedwa ndi dokotala, chifukwa cha zovuta za matendawa komanso ma pathologies okhudzana nawo. M'malo amchere, kuti chakudya chisasokonekere, ndibwino kugwiritsa ntchito mchere wofatsa ndi masamba odulidwa.

Zotsatirazi ndizoletsedwa kwa odwala matenda ashuga omwe akuvutika ndi stroko:

• maswiti onse ndi shuga
• mankhwala omalizidwa
• soseji, nsomba zosuta ndi mchere,
• zonunkhira
• nyama zamafuta
• zipatso zazikulu za glycemic
• semolina phala
• sipinachi, sorelo,
• tchipisi ndi zofunafuna
• bowa
• msuzi wolemera.

Ndikofunika kuti odwala omwe akuchira nthawi yatsopano azitha kudya zakudya komanso osalola nthawi yayitali yopuma. Wodwala akakhala ndi vuto pakulankhula pambuyo poti wavulala kwambiri, ndipo akumanama, ndiye kuti zimamuvuta kuti afotokozere anjala ake. Chifukwa chake, zinthu ngati izi zimachitidwa ndi achibale kapena antchito apadera omwe akusamalira odwala matenda ashuga. Sitiyenera kuiwala za kuchuluka kwa shuga pamagazi, chifukwa hyperglycemia (monga hypoglycemia) imakhala yowopsa kwa wodwalayo atalandira sitiroko. Chifukwa cha zakudya zopangidwa mwadongosolo, mutha kuchepetsa nthawi yovutikayo pang'ono ndikuchepetsa mwayi wokhala ndi zovuta zina za matenda ashuga.

Kodi stroke ndi chiyani?

Stroko ndi kusokonezeka kwakazungulira kwa ubongo komwe kumayendetsedwa ndi kusokonezeka kwadzidzidzi ndi ziwalo. Kutengera zomwe zimayambitsa matendawo, akatswiri amasiyanitsa mitundu itatu ya matenda. Uku ndi kugundana kwa ischemic (zizindikiro zamitsempha zam'mimbamo), hemorrhagic (zotupa zam'mitsempha, zomwe zimakwiyitsa hemorrhage) ndi subarachnoid hemorrhage (kuwonongeka kwa malo pakati pa meninges).

Thandizo loyambirira limaperekedwa ndipo chithandizo chimayambika, ndizochepa zomwe zimabweretsa zovuta. Chifukwa chake, zinthu zomwe zingayike pangozi sizinganyalanyazidwe, zomwe zingapangitse odwala matenda ashuga ndi abale ake kukonzekera mavuto omwe angayambike.

Zoyambitsa matenda a shuga

Pachimake kukomoka kwa magazi mu matenda ashuga amawonetsedwa kangapo kangapo kuposa kwa odwala osavulala kagayidwe kachakudya. Izi zimathandizidwa ndi kuwonongeka kwa khoma lamitsempha yama mitsempha yonse:

• chachikulu - mapangidwe a atherosclerotic amapangidwa omwe amatchinga magazi,
• intracranial (wapakati) - yochepetsedwa motsutsana ndi maziko a kupsinjika kwakukulu,
• ochepa - kuchepa patency chifukwa cha kukula kwa chipolopolo chamkati.

Izi zikuwonjezera zina zomwe zimapangitsa kuti magazi aziyenda bwino:

• mapulateleti amamangirirana komanso amakangika kukhoma lamitsempha,
• ntchito ya coagulation zinthu zimachuluka komanso kudziwa anticagulants kumachepa,
• shuga wambiri komanso cholesterol.

Chifukwa chake, mwa anthu odwala matenda ashuga pali zifukwa zitatu zonse zofunika kwambiri zotchingira chotengera: khoma lowonongeka, magazi amachepetsa, komanso magazi akhungu. Amathandizidwa ndi zovuta zama metabolic:

• kuperewera kwa oxygen m'thupi la ubongo.
• insulin kukana (kusowa poyankha insulin mu mtundu 2 matenda),
• kudziunjikira kwa mankhwala oopsa,
• kapangidwe ka mafakisoni aulere.

Zonsezi zimapanga zinthu zosakwanira mu ntchito ya maselo aubongo. Kusokonezeka kwa magazi kumawonekera kale motsutsana ndi maziko azovuta za metabolic, kuchepa kwa magazi. Izi zimayambitsa zovuta zamatenda, zovuta zamitsempha. Kubwezeretsa ndikutalika ndipo nthawi zambiri sikokwanira.

Ndipo izi ndi zina zokhudza matenda a matenda ashuga.

Mitundu ya matenda ndi mawonekedwe awo

Ndi stroke, kuthamanga kwa magazi kupita ku ma cell aubongo kumachepa, ndipo amaletsa ntchito yawo. Izi zimachitika chifukwa chotupa (ischemia) kapena kupasuka kwa mtsempha wamagazi (hemorrhage). Mwa anthu odwala matenda ashuga, mitundu yambiri ndi ischemic, koma kuchuluka kwawo kwa hemorrhagge (hemorrhagic) ndiwokwera kwambiri kuposa ena onse.

Ischemic

Mu 90% ya odwala, amapezeka kuti ali ndi chotchinga cha ziwalo zina. Cholinga cha izi ndi:

• zolembera
• kuthamanga kwambiri komanso kufa kwa minyewa yaubongo ndi kuwoneka yaying'ono-patsekeke,
• kusokonezeka kwa mtima wamatumbo (makamaka atracrillation atria) ndi kupangika kwa magazi a intracardiac. Amasunthira m'matumbo a bongo.

Zomwe zimachitika ndi matenda a shuga awa ndizowonjezereka kwa zizindikiro, kuchuluka kwa matenda ambiri (mutu, kusanza, kusokonezeka kwa chikumbumtima)

• kufooka ndi kusakhazikika miyendo mbali imodzi ya thupi,
• nkhope yosenda
• Zosintha pamawonekedwe
• mawu achipongwe
• kutaya mtima.

Njira ya stroko imadziwika ndi kuwonjezeka kwa zizindikiro, kusayenda kochepa kwa chithandizo, komanso kubwezeretsa pang'onopang'ono ntchito zomwe zidatayika.

Kwa nthawi yayitali, odwala amakhala osagwidwa, ndipo kayendedwe ka kayendedwe ka magazi ndi minyewa ya m'mitsempha zimakhudzidwa pafupifupi ziwalo zonse.

Chifukwa chake, zovuta zambiri zimapezeka:

• mabedi okhala ndi machiritso ochulukirapo, matenda, kakulidwe ka sepsis (poyizoni wamagazi),
• kutupa kwamapapo, kwamikodzo thirakiti la antioxotic,
• kulephera kwa mtima ndi kusayenda kwa magazi m'mapapo, chiwindi, edema, kudzikundikira kwa madzi m'chifuwa, m'mimba.

Kapangidwe ka mphuno mu mitsempha yakuya ya miyendo imatsogolera kayendedwe kake kulowa mu chotupa cham'mapapo, kufalikira kwa nthambi zake. Zonsezi zimatha kupha wodwalayo.

Hemorrhagic

Nthawi zambiri kumachitika shuga ndi matenda oopsa. Kupsinjika kwamphamvu kumapangitsa kuti mitsempha ipangike, kupangika kwa hematoma (kuchuluka kwa magazi), ndikudzaza kwamitsempha yamagazi m'magazi. Kulingalira koteroko kumachepetsa mawonekedwe aubongo, kumapangitsa kutsekeka kwa kutuluka kwa madzi amkati, ndikuyambitsa edema.

Kutulutsa magazi m'magazi kumadziwika ndi kuyambika kwadzidzidzi, kuwonjezereka kwa mutu, mawonekedwe a kugwidwa, komanso kusokonezeka kwa chikumbumtima. Odwala amataya ntchito zotere:

• miyendo
• khungu
• kumvetsetsa kwa mawu
• katchulidwe koyimira mawu,
• kulowera m'malo, nthawi.

Nthawi zambiri palibe kukumbukira, kuwunika kwenikweni komwe ali. Kuphatikizika kwa magazi m'mitsempha yamaubongo kungayikidwe ngati wodwala:

• kutentha kwa thupi kumakwera
• kumveketsa chikumbumtima kumatayika msanga
• kukokana komanso kusokonezeka kwa minofu kumbuyo kwa khosi
• kumeza sikuphwanya.

Choopsa kwambiri ndikukwatirana kwa medulla oblongata mu occipital foramen, kuponderezedwa kwa malo opumirako ndi kuwongolera mtima komwe kuli. Vutoli nthawi zambiri limabweretsa imfa mwachangu. Choyambitsa chachiwiri chakubwera pafupipafupi ndikukubwerezanso.

Thandizo loyamba kwa wodwala

Kuphwanya magazi kwazizindikiro kumatha kuganiziridwa ndi zizindikiro zoyambirira:

• mukamayesa kukweza manja (maso atatsekeka), kuyimirira kamodzi,
• kumwetulira "kupindika" chifukwa chosamukira pakona pakamwa kamodzi,
• khola la nasolabial lakhazikika mbali imodzi,
• nsidze zimakweza m'mizere yosiyanasiyana
• Lilime lodzitchinjiriza limasuntha chammbali,
• wodwalayo sangathe kunena momveka bwino dzina lomaliza ndi dzina loyamba, dzina lapakati kapena samamvetsetsa tanthauzo la mawu omwe adayankhulidwayo.

Zikatero, muyenera kuyitanitsa ambulansi mwachangu. Ikani wodwalayo pambali yopingasa (pansi, kama, pansi). Pansi pa mapewa ndi mutu anagona pilo kapena zovala zokutidwa. Patsani mpweya wabwino, tsegulani lamba, mabatani kumtunda.

Ngati pali kusanza, ndiye kuti mutu umatembenukira kumbali yake, ndikofunikira kuonetsetsa kuti zamkati zatsukidwa zimatsukidwa, mano amachotsedwa. Pogwidwa ndi matenda a khunyu pakati pa mano, chinthu chochepa thupi (mwachitsanzo, supuni yokutidwa ndi mpango) chingasokoneze. Chikhodzodzo cha ayezi chimayikidwa kumutu kumbali yoyang'anizana ndi miyendo yofooka.

Choopsa china pa matenda ashuga ndikuti kungochoka mwadzidzidzi, kukokana kumatha kukhala chizindikiro cha kudwala mtima.

Chifukwa chake, tikulimbikitsidwa kuti, ndi mphamvu yakumeza yosungidwa, lolani chidutswa cha shuga kapena supuni ya uchi kuti isungunuke. Osakhudzika, njira yokhazikika yokhazikika pansi pa lilime imayendetsedwa kwa odwala matenda ashuga.

Ngati dokotala wazindikira kuti ali ndi vuto la vuto la kufooka m'mimba atatsimikiziridwa kale, ndikulimbikitsidwa kupera mapiritsi 10 a glycine ndikuyika ufa patsaya kapena pansi pa lilime. Mankhwala ena onse, kuphatikiza Nitroglycerin, Corvalol, madontho a mtima, amatsutsana.

Matenda a matenda a shuga

Wodwala akafika kuchipatala, amamuthandiza kuti apatsidwe mankhwala amphamvu:

• onse odwala matenda ashuga amawonetsedwa ndi insulin (mwanjira ina kapena kudzera m'mitsempha), koma kuchepa kwambiri kwa shuga sikulimbikitsidwa,
• othandizira omwe amalepheretsa matenda a edema ya ubongo - Mannitol, magnesium sulfate kapena Dexamethasone (kutengera kuthamanga kwa magazi), Diacarb,
• angiotensin otembenuza enzyme zoletsa - Enap, Prenes,
• anticonvulsants - diazepam, valproic acid,
• zothetsera - Reopoliglyukin, zokhudza thupi, Trisol, GIC.

Pambuyo pakutsimikizira mtundu wa sitiroko, chithandizo chamankhwala chimayikidwa. Pa ubongo ischemia, tikulimbikitsidwa:

• anticoagulants (anticoagulants) - Zibor, Fraxiparin (wopanikizika chifukwa cha kupanikizika kwapamwamba kwa 175 mmHg, chikomokere, zopweteka komanso kuwonongeka kwakanthawi kwa ubongo),
• antiplatelet agents (oletsa kulumikizana kwa mapulateleti) - Aspirin, Plavix, Tiklid,
• okonza zowongolera - zowonjezera (kuyambira mayunitsi 180) Enap, Ebrantil, pamitengo yotsika (mpaka 120 mm Hg), Dobutamine, Reopoliglyukin,
• kusintha kagayidwe ka maselo aubongo ndi minyewa ya mitsempha - Actovegin, Espa-lipon, Ceraxon, Cytochrome.

Ndi hemorrhage, njira yayikulu yothandizira ndikupewa matenda a mitsempha. Kwa izi, Mannitol, magnesium sulfate, Albumini ndi omwe adayikidwa. Kupanikizika kumakhalidwa pamlingo wa 130-150 mm RT. Art. mothandizidwa ndi Berlipril, Naniprus osakanikirana ndi Nimotop. Kubwezeretsa ntchito za ubongo gwiritsani ntchito Ceregin, Semax.

Zomwe zingathe kukhala: zakudya, kuyenda

Panthawi yovuta kwambiri yamatenda, odwala ali m'chipatala. Pakutha sabata yoyamba, ndikulimbikitsidwa kuti muyambe kupuma zolimbitsa thupi, kukulitsa miyendo, ndi kutikita minofu yaying'ono. Kuchita masewera olimbitsa thupi kumachitika mwa njira yosuntha komanso yosalala m'malumikizidwe onse (kusinthasintha, kuwonjezereka, kuzungulira) ndi thandizo lakunja mbali yakhudzidwa. Ndikofunikanso kuthandiza wodwalayo kugona pakama kuti apewe kupanikizika.

Chakudya panthawiyi chimatha kupakidwa kudzera m'machubu am'mimba. Ngati kumeza sikudasokonezedwa, ndiye kuti kudyetsa kumachitika ndi chakudya champhamvu chokhala ngati madzi. Zakudya zoziziritsa kukhosi zimaloledwa:

• phala wa oatmeal,
• msuzi wamasamba wokhala ndi nyama yophika kapena nsomba,
• mafuta a chakudya chamwana, kuchokera kwa masamba (kupatula mbatata), zipatso zopanda zipatso,
• tchizi chatsopano chatsopano kuchokera ku kefir, yogati, mkaka ndi calcium chloride (calcined),
• mkaka wowiritsa mkaka wopanda zowonjezera, wokonzekera bwino popanda kudziyambitsa pazikhalidwe zosambitsa mankhwala,
• compotes (yokhazikika), timadziti tomwe timayamwa kumene (kupatula mphesa).

Onerani kanema wazakudya pambuyo povulala:

Imavomerezedwa kwa nthawi yonse yochira pambuyo poti adwala:

• kupsinjika kwamalingaliro, kutopa, kutopa komanso kuganiza,
• kusuta, mowa, zakumwa zoziziritsa kukhosi,
• kugwiritsa ntchito shuga, ufa, nyama yamafuta, yokazinga kapena zokometsera, mafuta ochokera ku nyama, bowa, nsomba,
• mchere wambiri pamenyu, zakudya zam'chitini, kusuta, msuzi wokonzekera, chakudya mwachangu,
• kudya kwambiri, zakudya zosowa.

Zakudya atachoka ku chipatala

Pofuna kuthandiza thupi kubwezeretsa ntchito zotayika, zotsatirazi ziyenera kukhala muzakudya:

• masamba ophika - kolifulawa, broccoli, squash, squash, biringanya, dzungu,
• saladi wa phwetekere, zitsamba, nkhaka, kabichi (ngati nzolekerera), kaloti watsopano, beets ndi supuni imodzi ya mafuta a masamba,
• nyemba - nandolo zobiriwira, nyemba zobiriwira, mphodza,
• chimanga - mbewu za oats, buckwheat, quinoa, bulauni, mpunga wakuda,
• tchizi chatsopano chatsopano cha mafuta 2-5%, kefir, yogati, yogati,
• zamasamba maphunziro oyamba
• mafuta omeled a mapuloteni (ma yolks atatu amaloledwa pa sabata),
• nsomba yophika, nsomba zam'nyanja, filimu yankhuku kapena ya turkey yophika zodulira zouma, zomangira nyama, zomangira nyama,
• Zipatso zopanda zipatso ndi zipatso, zipatso, msuzi wamtchire, wakuda, chicory.

Pochulukirapo, mkate wopangidwa kuchokera ku ufa wa rye, mbatata (osaposa gawo limodzi patsiku), kaloti wowiritsa ndi beets, tchizi yofatsa, zipatso zouma za ma compotes kapena zowonjezera phala zimaloledwa.

Pophika, osagwiritsa ntchito kuwaza kapena kudyetsa mafuta. Kupaka chofufumitsa mosamala, nyemba, kusenda ndi kudula masamba ndi zipatso zimavomerezeka. Izi ndizofunikira kuti zisayambitse kutulutsa, makamaka odwala ogona. Mchere umangowonjezeredwa ku mbale yomalizidwa. The pafupipafupi chakudya ayenera kukhala osachepera 5 pa tsiku fractional kuchuluka.

Zotsatira zakuthwa kwa odwala matenda ashuga mellitus

Chiwopsezo cha kufa chifukwa cha matenda opha matenda ashuga ndi pafupifupi kanayi kuposa anthu ena onse. Ndi zotsatira zabwino, nthawi yayitali yozindikirika imadziwika. Amayamba chifukwa cha matenda ashuga:

• kumva pang'ono chifukwa cha kuwonongeka kwa mitsempha ya mitsempha (diabetesic neuropathy),
• magazi ochepa m'miyendo (zotupa zam'mimba ndi mitsempha),
• kusintha kwa khungu komwe kumalepheretsa kutikita minofu, zolimbitsa thupi (zilonda zam'mimba, chikanga, dermatitis),
• utachepa olowa woyenda (arthropathy),
• kusokonezeka kwa kayendedwe musanachitike sitiroko,
• chizungulire, kusakhazikika poyenda,
• kulolera pang'ono,
• matenda ambiri ophatikizika.

Chifukwa chake, kukonzanso kumachedwetsedwa, ntchito zamagalimoto ndi mphamvu zamagetsi sizitha kusinthidwa mokwanira. Kupezeka kwa encephalopathy (kusintha kwa magwiridwe antchito a ubongo) kumapangitsa kuti zikhale zovuta kukonza zolankhula, kuloweza zidziwitso, komanso kugwira ntchito mwamphamvu kwa malingaliro. Zochitika zonsezi zamtundu wam'mbuyo pambuyo pa sitiroko zimayambitsa kuchuluka kwakukulu kwa kulumala kwa mitsempha ndi kulumala.

Kuzindikira kwa kuchira

Ngakhale ndi matenda oyamba komanso opezeka munthawi yake, chithandizo chokwanira cha matenda opha ziwopsezo, kawirikawiri kupezeka kwa chipatala kumatheka. Mwayi wochira kwathunthu umachepetsedwa motere:

• zaka 50
• kukhalapo kwa zovuta zina zamatenda a shuga (kuwonongeka kwa impso, minofu ya mtima, miyendo, retina),
• nthawi yayitali yamatendawa (wapeza matenda a shuga kwa zaka zoposa 7),
• kuchuluka kwa hemoglobin wa glycated (woposa 7-7.5%),
• kuvulala kwambiri
• kwa miyezi itatu palibe kusunthika kosalekeza kwa kayendedwe ndi kumverera kwa miyendo,
• mu nyengo ya pachimake panali ubongo wa edema, chikomokere,
• wapezeka ndi matenda atherosclerosis, mankhwala oletsa kuthana ndi magazi, kunenepa kwambiri.

Kuneneratu koyipa kwa omwe amasuta odwala omwe ali ndi chidakwa, komanso omwe sanalamulire kuchuluka kwa shuga m'magazi asanachitike sitiroko, sanamvere malamulo oletsa kudya, adakhala moyo wongokhala.

Zikatero, nthawi zambiri pamakhala zotsatirapo zotsalira - kufooka kwa miyendo, kugwedezeka poyenda, kugwa, chizungulire, komanso kuwonongeka kwa mawonekedwe.

Odwala ali pachiwopsezo chodzidzimutsa pafupipafupi, kupunduka kwa mtima. Amalandira mankhwala mosalekeza - mankhwala ochepetsa magazi, kutsitsa cholesterol, kuteteza ubongo (neuroprotectors). Kuwunikira pafupipafupi kuyezetsa magazi, kufunsana pafupipafupi kwa endocrinologist ndi neuropathologist, optometrist amafunikira.

Ndipo izi ndizambiri zazokhudza azimayi.

Kugwidwa ndi matenda ashuga kumatha kuwononga thupi lomwe likudwala kale. Pofuna kuchepetsa zovuta zotupa kwambiri, chithandizo cha inpatient chiyenera kuyambitsidwa mwachangu. Kuyambira sabata yoyamba, achire olimbitsa thupi, akuwonetsa. Chakudya chofatsa, chimamangidwa poganizira zoperewera zamafuta, chakudya chamafuta ochepa. Pambuyo pa sitiroko, kukonzanso kwathunthu kumafunikira.

Kuopsa kwa stroke ndi matenda ashuga

Ndi matenda a shuga, kuchuluka kwa glucose m'magazi kumapangidwa. Amatulutsa madzimadzi kuchokera ku madzi a m'magazi, amathandizira kuphwanya kagayidwe kamchere wamchere. Izi zimabweretsa zovuta:

• kukula kwa magazi, kuchepa kwamadzi kumayenda kudzera m'matumbo a shuga,
• kuchepa kwa minyewa ya endothelial elasticity yopita ku fragility,
• Kupangidwa kwa ma conglomerates kuchokera ku glucose ndi cholesterol, omwe amatsekera
• kukula kwa atherosulinosis.

Ngati wodwala samatsata zakudya, ndiye kuti ndi wonenepa kwambiri, samwa mankhwala a insulin, omwe ali ndi matenda a shuga a mellitus. Ma membala a glucose okhala ndi cholesterol amasuntha kudzera m'matumbo a ubongo, mumawatseka. Izi zimabweretsa necrosis (necrosis) yamanjenje yamanjenje.

Kubwezeretsa thupi pambuyo pogwidwa ndi matenda a shuga ndikovuta. Mwazi wa wozunzidwayo ndi wokulirapo, kotero chotchinga chotchokeranso chotchacho.

Zambiri za maphunziro a sitiroko

Ndi matenda ashuga, magazi adakokomeza, amakhala ndi cholesterol yambiri, glucose, ndi zinthu zopangidwa. Vutoli limakulirakulira ndi kusowa kwamadzi, komwe kumayamba chifukwa cha mamolekyulu am'magazi komanso kukodza pafupipafupi. Chifukwa chake, mtsinje wamagazi ukufunafuna ma workaround kuchokera ku ziwiya zazikulu, kulowa zazing'ono. Ngakhalenso mamembala ocheperako a shuga amatseka lumen.

Kuchira kwamthupi chifukwa cha zovuta kumakulirakulira:

• kuchepa kwa kagayidwe kachakudya, chifukwa komwe sikusinthanso (kukonzanso kwa ma cell) a minofu yowonongeka,
• kuchuluka kwa malekezero chifukwa cha kufalikira kwa ma capillaries ang'onoang'ono,
• kuchuluka kwa msana wa endothelium, womwe umaphwanya kapena kukankha,
• kuchuluka kwa kuthamanga kwa magazi.

Kuti abwezeretse wodwalayo, dokotalayo amapereka mankhwala othandizira kuti athetse matenda ashuga komanso zotsatira zake ngati akumenyedwa.

Kodi kuchitira odwala sitiroko ndi matenda ashuga?

Pali mitundu iwiri ya chitukuko cha stroke:

• ischemic - kuchepa kwa lumen ya endothelium, kuchititsa kuchepa kwa magazi kulowa gawo laubongo,
• hemorrhagic - kutumphuka kwa endothelium, kutulutsa kwa zomwe zili mu ubongo.

Cholinga cha njira zamankhwala zimatengera mtundu wa zotupa. Ngati zimayenderana ndi kuchuluka kwa shuga m'magazi, dokotalayo amapereka mankhwala ena omwe amachepetsa.

Mankhwalawa amachitika mokwanira, mankhwala, wowerengeka azitsamba, physiotherapy, komanso zakudya amagwiritsidwa ntchito. Kuchulukitsa kwa wodwala kumadalira madera akhungu.

Mankhwala

Matenda a ischemic, chifukwa cha zovuta za matenda ashuga, imwani mankhwala:

• minofu plasminogen wothandizira, kuthetsa kuukira,
• othandizira omwe amawononga magazi, omwe amathandiza kuti magazi asatulukire (akuwonetsa zotsatira zake atayambitsidwa mu ola loyamba pambuyo poti adwala)
• nootropics yomwe imasintha magazi kupita ku ubongo,
• kusintha kwa insulin kuti mupewe kachiwiri.

Wodwala akayamba matenda a hemorrhagic, amamuchita opaleshoni kuti atenge magazi kuchokera mu ubongo. Zitatha izi, mankhwalawa amalembedwa kuti apewe kachiwiri.

Zithandizo za anthu

Ndi stroko yoyambitsidwa ndi matenda ashuga, ogwiritsira ntchito awa amagwiritsidwa ntchito:

Madokotala amalangiza kuphatikiza ndalama ndi wina ndi mzake, nthawi ndi nthawi kusintha magawo. Kusintha kwa njira yochizira wowerengeka kumachitika miyezi iwiri iliyonse. Amathandizira osati kungochotsa zovuta za ischemia, komanso kukonza mtima ndi kusasowa kwa zovuta za retina.

Njira zina zochiritsira sizigwiritsidwa ntchito ngati monotherapy. Izi ndizowonjezera pakulimbitsa thupi la munthu pogwiritsa ntchito mankhwala, physiotherapy, komanso ma opaleshoni.

Kukonzanso

Pakachitika vuto, ziwalo za thupi la munthu zimawonongeka. Kuwonongeka kwakumva, kuwona, kuyankhula, kusuntha kwa minofu. Nthawi zambiri pamakhala kupuwala. Kubwezeretsa ntchito, kutsatira malamulo okonzanso:

• kugwiritsa ntchito mankhwala opangidwa ndi dokotala,
• kuchititsa maphunziro a kutikita minofu,
• njira zolimbitsa thupi
• khalani ndi makalasi ophunzitsa,
• Katemera
• kudya mwamphamvu chifukwa cha stroke,
• ngati wodwala amatha kusuntha, ayenera kutuluka nthawi zambiri, kumayenda ndi kupuma mpweya wabwino kuti asatayike konse kugwira ntchito kwa minofu ya mafupa.

Nthawi yodzikonzanso imatengera mtundu wa kuwonongeka, kuchuluka kwa kuwonongeka kwa thupi, zomwe zachitika, komanso mkhalidwe wamunthu wamaganizidwe. Wodwala amafunikira chithandizo chamankhwala kuti apewe kapena athetse kukhumudwa.

Zotsatira za kugwidwa ndi matenda ashuga

Pambuyo kuukira, munthu amakhala ndi zovuta:

• kuchepa kwamagetsi,
• kutayika kwa minofu
• kusazindikira zam'malo,
• makutu osamva, masomphenya (diabetesic retinopathy), malankhulidwe,
• ziwalo
• zovuta zamitsempha
• Kukumbukira (kwathunthu kapena pang'ono),
• mavuto a matenda a mtima (CVD),
• chikomokere
• kukula kwa zovuta zina kuchokera ku matenda ashuga (kutaya masomphenya, matenda amtima, thrombosis).

Ngati njira zamankhwala sizitengedwa mwachangu, wodwalayo amwalira.

Kuti athetse zotsatirapo za vuto lakelo, munthu ayenera kusintha. Ndi dokotala yekhayo amene amakupatsani njira zochizira kapena zochizira. Njira yachiwiri ikuwonetsedwa kwa anthu omwe adakumana ndi matenda a hemorrhagic.

Kuzindikira kwa stroke ndi matenda ashuga

Kukula kwa matendawa kumatengera thanzi la wodwalayo, kuchuluka kwa minofu yowonongeka, mawonekedwe a sitiroko, mtundu wa chithandizo. Ngati gawo laling'ono la minofu likukhudzidwa, wodwalayo amatsatira malamulo a zamankhwala, matendawo amakhala abwino. Thupi lidzachira pakapita nthawi.

Ngakhale gawo laling'ono la minofu likakhudzidwa, koma munthuyo akukana chithandizo, matendawo amakhala osavomerezeka. Ngati matenda a shuga sanalandiridwe, ischemia kapena hemorrhage adzayambanso.

Ngati ambiri akukhudzidwa, matendawo sakhala bwino. Moyo wamunthu ukuwonongeka. Njira zochiritsira sizingathandize.

Matenda a shuga ndi matenda omwe amayambitsa ziwalo. Ndi stroko, pali chiopsezo ku moyo wa munthu. Ngati manipulumo azachipatala aperekedwa, munthu amatha kugona. Kuti abwezeretse minofu, amafunika kudutsa nthawi yobwezeretsa, kutsatira njira yochizira yomwe adokotala adapereka.

Zakudya Zopatsa Matenda Akochita Matenda Pambuyo pa Stroko

Chifukwa cha zovuta zakumeza, wozunzidwayo amafunika chakudya chamadzimadzi komanso chotentha. Maphala amkaka amayenera tanthauzo ili. Mutha kugwiritsa ntchito mitundu yonse ya chimanga, kupatula semolina.

Amapanga gawo lofunika la zakudya zonsezo zikangchitika komanso nthawi yokonzanso. Mitundu yayikulu yomwe mungagwiritse ntchito chomera panthawi ino:

• Raw, koma ofewa komanso osadulidwa (monga zipatso), mu mawonekedwe a saladi - tsiku lililonse.
• Wotsukidwa.
• Msuzi wokazinga wamasamba, nthawi zina amakhala ndi nkhuku.
• Casseroles ndi mphodza.

Zochuluka zilizonse komanso zololedwa tsiku ndi tsiku:

• Tomato
• Kholifulawa ndi broccoli.
• Biringanya ndi zukini.
• Kaloti (analimbikitsa yaiwisi ngati gawo la saladi).

Nthawi zina zomwe zimaphatikizidwa mumenyu zimaloledwa:

Zosintha zachitsanzo

• Chakudya cham'mawa - yophika phala yowonda mumkaka kuchokera ku mapira kapena oatmeal ndi kuwonjezera kwa zipatso zouma, 1 nthochi ndi kapu ya tiyi.
• 2nd zk - tchizi chochepa-mafuta chokoleti, chosakhazikika ku boma lamadzi amchere ndi yogati, kapu ya madzi osenda bwino.
• Chakudya chamadzulo - msuzi wosenda wonenepa ndi masamba, chinangwa ndi pinki nsomba, mabulosi odzola.
• Zosakhazikika - saladi wa masamba masamba, osadulidwa grater wopaka ndi owazidwa mafuta a masamba ndi mandimu.
• Chakudya chamadzulo - chomenyedwa pang'ono ndi kuphika kwa phwetekere komanso masenda a nkhuku yofinya, opanda shuga.
• Maola 2 asanagone, mumaloledwa kumwa 1 st. kefir.

Zololedwa ndi Zoletsedwa za Matenda a shuga

Pakachulukidwe kakakonzedwe ka chakudya m'masiku ogwiririra, amaloledwa kugwiritsa ntchito stewing m'madzi, akuwoneka. Masamba opaka ma coarse amayenera kuphwanyidwa ndikuwaphika kuti asayambitse kupweteka komanso kutulutsa m'matumbo.

Zakudya zoyambirira zimakonzedwa monga masamba amiphika ndi masamba, masamba, zitsamba, msuzi ndi msuzi wa kabichi zimakonzedwa kuchokera ku masamba atsopano, kamodzi pa sabata, menyu akhoza kukhala msuzi ku msuzi wankhuku yachiwiri.

Mkate umaloledwa imvi, rye, ndi kuwonjezera kwa oat kapena buckwheat chinangwa, tirigu wathunthu. Popeza ufa woyera umakweza kuchuluka kwa shuga m'magazi, kuphika kulikonse, mkate wopangidwa kuchokera ku premium ufa sugwiritsidwa ntchito pakudya kwa odwala matenda a shuga.

Maphunziro achiwiri, mbale ndi zinthu zoterezi zingalimbikitsidwe:

• Nsomba: imaphatikizidwa menyu tsiku lililonse, mitundu yosakhala yamafuta imasankhidwa - pike perch, saffron cod, pike, perch river, cod. Momwe mungaphikire nsomba kuti mukhale ndi matenda ashuga abwino? Nthawi zambiri, nsomba zimadyedwa patebulo, yophika, yophika, yophika kapena yotsekemera.
• Zakudya zam'madzi ndizothandiza monga gwero la ayodini kuti magazi a cholesterol asachulukane. Zakudya zimakonzedwa kuchokera ku mussels, shrimp, scallop, squid, sea kale.
• Mazira: yophika yofewa imatha kukhala yopanda zidutswa zitatu pa sabata, omelet ya protein ingapezeke pamasamba tsiku lililonse.
• Nyama imagwiritsidwa ntchito nthawi zambiri kuposa nsomba. Mutha kuphika nkhuku ndi nkhuku popanda khungu ndi mafuta, ng'ombe, kalulu.
• Zakudya za mbali zam'mphepete zimaphika kuchokera ku buckwheat ndi oatmeal, mitundu ina sigwiritsidwa ntchito nthawi zambiri. Ndi mafuta onenepa kwambiri pophatikizidwa ndi mbale amatha kukhala kamodzi patsiku.

Masamba ophika ndi ophika, ndipo casseroles ndi masamba a masamba amathanso kuvomerezeka. Popanda zoletsa, mutha kugwiritsa ntchito zukini, tomato watsopano, kolifulawa, broccoli, biringanya. Pafupipafupi, mumatha kudya nandolo zobiriwira, nyemba ndi dzungu. Ndikwabwino kuphatikiza kaloti muzakudya zosaphika, monga saladi. Rawu masamba osasamba ayenera kukhala pamndandanda tsiku lililonse.

Zinthu zamkaka zimasankhidwa ndi mafuta ochepa. Kefir, yogati ndi yogati ndizothandiza kwambiri. Seramu imathandizanso pa matenda a shuga a 2.

Zakudya za mkaka wowawasa ziyenera kukhala zatsopano, makamaka zophika kunyumba pogwiritsa ntchito zikhalidwe zoyambira. Tchizi tchizi chimatha kukhala 5 kapena 9% mafuta, ndimatcheni ophika tchizi amaphika mu uvuni, casseroles, masamba onunkhira onunkhira. Thukuta lofatsa limaloledwa.

Monga zakumwa, mankhwala azitsamba, msuzi wa rosehip, chicory, umapangira shuga mmalo amtundu wa blueberries, lingonberry, yamatcheri, maapulo, komanso madzi kuchokera kwa iwo osaposa 100 ml patsiku amaloledwa.

Kuchokera pa mndandanda wa odwala matenda ashuga pambuyo sitiroko ayenera kusiyidwa:

1. Shuga, kupanikizana, maswiti, wokondedwa, ayisikilimu.
2. Zakumwa zoledzeretsa.
3. Mafuta ophikira, margarine.
4. Khofi ndi tiyi wamphamvu, mitundu yonse ya chokoleti, koko.
5. Semolina, mpunga, pasitala, mbatata.
6. Zakudya zamatenda, zipatso, kusuta nyama.
7. Mafuta amitundu mitundu, nsomba, mkaka.
8. Turnip, radish, radish, bowa, sorelo, sipinachi.

Kuletsedwa kwapadera pa mtima wamatenda a shuga kumayikidwa pa ma hamburger ndi mbale zofanana, zokhwasula-khwasula, zopaka zonunkhira, tchipisi, zakumwa zoziziritsa kukhosi za kaboni, komanso timadziti tosungidwa ndi zinthu zomalizidwa. Sangathe kugwiritsidwa ntchito pazakudya, ngakhale mtundu wa glucose ndi cholesterol ungafikire. Kanema wapezeka munkhaniyi akuwuzani zoyenera kuchita ndi matenda a matenda a shuga.

Zinthu Zowonetsedwa

Zakudya zopatsa thanzi chifukwa cha matenda a sitiroko ndi matenda a shuga ndicholinga chokweza kagayidwe ndi kupewa kupita patsogolo kwa atherosulinosis. Amakweza kusintha kwa m'thupi ndi matenda a kunenepa.

M'masiku oyamba a vuto lalikulu, wodwalayo amapatsidwa chakudya chochepa chokha, monga kuvuta kumeza. Panthawi yovuta, yesani kugwiritsa ntchito kafukufuku wapadera.

• Supu yophika masamba popanda mafuta.
• Ana zipatso ndi masamba zakumwa.
• Mkaka Porridge.
• Zosakaniza zokonzeka za ana.
• Zinthu zamkaka.

Pamene ntchito yameziyo ikabwezeretsa, chakudya chake chimakulanso. Zilolezo zololedwa popanda zokometsera ndi mchere munthawi zonse kapena pofundira owira kawiri, masaladi ochokera masamba ndi zipatso.

Tcherani khutu! Mafuta ochokera kwachinyama, chakudya chamafuta ochepa chimakhala chochepa, ndipo zonse zopatsa mphamvu zimachepa. Msuzi ndi mchere ndi kwathunthu kapena pafupifupi kwathunthu kulibe kwa wodwala menyu.

Mukamasankha malonda, chidwi chimakopeka ndi zomwe zimakhala ndi potaziyamu, magnesium, lipotropics zomwe zimabwezeretsa kagayidwe ka lipid. Yothandiza kanyumba tchizi, mtedza, nsomba zam'nyanja. Thupi lori lomwe likuchira liyenera kulandira michere yokwanira kuti likhalenso ndi mphamvu.

Chakudyacho chimaphwanyidwa, osachepera 5 pa tsiku m'magawo ang'onoang'ono. Ngati kuthamanga kwa magazi ndikwabwinobwino, pakapita nthawi amalola mchere wambiri ku 10 g mu chakudya, chifukwa cha kuthamanga - osaposa 5 g.

Njira zopewera

Panthawi yochira, ndikofunikira kuti munthu wodwala matenda ashuga azitsatira malamulowo kuti vutolo lithe ndipo vuto loti angayambenso kudwala ndilosachepera:

• Siyani kusuta ndi kusiya mowa.
• Nthawi zonse yang'anirani kuchuluka kwa mafuta m'thupi m'magazi, mosamala - LDL, muchepetse nthawi ngati chizindikirocho chakwera. Chitsogozo ndi mtengo wa 100 mg / dl, wokhala ndi vuto lalikulu kwambiri lobwereza - 70.
• Osanyalanyaza kapena kunyalanyaza malangizo ndi malangizo a dokotala yemwe akupezekapo, tsatirani zonse zotchulidwa pakudya ndi chithandizo.
• Pimani mwatsatanetsatane ndikuyang'ana kusintha kwake.
• Popereka mankhwala a aspirin, musaiwale kumwa mankhwalawa tsiku lililonse pa mlingo womwe mwakambirana.

Zakudya zapadera za odwala omwe ali ndi matenda a shuga omwe akuchira chifukwa cha matenda opha ziwopsezo zimakhala zam'chiritso ndipo zimathandiza wodwalayo kuti afike mofulumira. Zomwe madotolo awonetsa zimatsimikizira kuti dongosololi likugwirizana ndi miyezo ndi kubala zipatso, zomwe zikufulumizitsa kukonzanso anthu. Mu matenda ashuga, kuphatikiza zakudya zopatsa thanzi ndikofunikira, ndipo kupenyerera kwake kumakupatsani mwayi woperewera kuti musakhale ndi mavuto obwera ndi magazi kupita ku ubongo, ndikuthandizira kubwerera ku moyo wabwinobwino.

Zowopsa za Sitiroko ya Matenda A shuga

Matenda a shuga ndi omwe ali ponseponse. Chifukwa chake, mankhwala omwe aperekedwa katatu amawonjezeranso mwayi wokoka magazi. Zowopsa za akatswiri zimagawidwa kukhala zosasinthika komanso zosinthika. Zoyambazo sizingafanizidwe m'njira ina iliyonse; Zowopsa zomwe sizinafotokozedwe zimaphatikizapo:

• zaka - atakwanitsa zaka 55, chiopsezo chotaya magazi chimachuluka ndi 50%,
• jenda - abambo ali ndi mwayi wambiri wokhala ndi stroko,
• cholowa - Nthawi zambiri chizolowezi chotaya magazi chimafalikira kudzera mzere wa amayi.

Matenda a shuga ndi sitiroko amatha kulumikizidwa chifukwa cha zinthu zosintha, mwachitsanzo, matenda oopsa. Monga momwe mumadziwira, chifukwa cha kuthinana kwambiri, mwayi woti musangokhala mikwingwirima yokha, komanso kugunda kwamtima kumawonjezeka. Zina mwa zinthuzi ndi monga kupweteka kwam'mbuyomu, kunenepa kwambiri, matenda a mtima, matenda a lipid metabolism. Zovuta zomwe zimayambitsa matenda ashuga zimaphatikizira kupindika kwa mitsempha ya carotid, mtima kulephera, chikomokere ndi uchidakwa, komanso zochitika zina zopsinjika komanso kuchita masewera olimbitsa thupi pang'ono.

Zizindikiro zamatsenga

Kugwidwa koopsa sikumawonetsedwa nthawi imodzi ndi zizindikiro zingapo. Monga lamulo, wodwala matenda ashuga amatha kupuwala mwadzidzidzi (kwa thupi kapena nkhope), yomwe kwa ambiri ndicho chizindikiro chachikulu. Komabe, kwenikweni, zizindikirazo ndizosiyanasiyana, koma chifukwa cha kuchuluka kwa matenda ashuga, samvera izi. Tikuyankhula za kumverera kwofooka, dzanzi la nkhope, miyendo (kumanja kapena kumanzere).

Matenda a shuga ndi matenda opha ziwopsezo zimatha kuyenda limodzi ndi kulephera kupanga komanso kumvetsetsa zolankhula za ena. Zomwezo zimagwiranso pakukula kwa luso la malingaliro, kupezeka kwa mutu wosafunikira popanda chifukwa. Zizindikiro zake zimaphatikizapo:

• kukula kwakukulu kwa mawonekedwe owoneka, omwe amadziwika m'maso amodzi kapena onse,
• mgwirizano wogwirizana,
• kutaya bwino komanso chizungulire,
• kusapeza kwachilendo, kuvuta kumeza malovu,
• kuchepa kwakanthawi kochepa.

Maphunziridwe athunthu amathandizira kuchotsa zizindikirazi ndiku kupewa mavuto.

Mankhwala ochizira matenda a shuga

Wodwala matenda a shuga ayenera kumwedwa kuchipatala mofulumira. Ngati maola ochepera asanu ndi limodzi adadutsa kuchokera ku chiyambi cha matenda, ndiye kuti ischemic stroke, chithandizo cha thrombolytic chikuchitika. Zili zokhudzana ndi kuyambitsa kwa mankhwala omwe amasungunuka magazi. Ndi hemorrhagic hemorrhage, ngati inali yapamwamba, ntchito yodzidzimutsa yochotsa hematoma ndiyotheka.

Mankhwala othandizira odwala matenda ashuga, mitundu ingapo ya mankhwala ingagwiritsidwe ntchito, mwachitsanzo, owongolera ozungulira mu ziwiya zaubongo (Fezam). Nootropics (Piracetam), antiplatelet agents (Heparin) ndi antiplatelet agents (Aspirin) amagwiritsidwa ntchito. Stroke amathanso kuthandizidwa ndi antihypoxants (Mildronate) ndi angioprotectors (Cerebrolysin).

Chisamaliro chachikulu chiyenera kuperekedwa kwa achire. Ngati palibe contraindication, tikulimbikitsidwa kuti muyambitse kwenikweni tsiku loyamba pambuyo sitiroko. Chisamaliro chapadera chimaperekedwa kwa zakudya za odwala matenda ashuga.

Zakudya zobwezeretsa

Zakudya za stroke ndi matenda ashuga zimatha kuchepetsa kusinthasintha kwa shuga komanso mavuto omwe amabwera chifukwa cha kufalikira kwa magazi. Mawonekedwe a chakudya ayenera kuganizira:

• theka lamadzimadzi zakudya mu pachimake siteji, kufunika kwa komwe kumafotokozedwa ndi kumeza mphamvu mu matenda ashuga,
• kutha kudyetsa kudzera pang'onopang'ono mitundu yamatenda,
• kuphatikiza pa menyu a supu zamasamba osenda ndi mapasa amkaka, zakumwa za mkaka wowawasa, khofi wopanda khansa (wopanda shuga). Zosakaniza zomwe zakonzedwa kale zingagwiritsidwe ntchito.

Pambuyo povulala ndi matenda ashuga, pamene wodwala apezanso mwayi woti am'meze payekha, kusankha chakudya kukukulira. Komabe, chakudyacho chimayenera kuwiritsa ndi kuphika kumene, popanda kuwonjezera mchere ndi zonunkhira. Zinthu zomwe zili ndi cholesterol siziyenera kuphatikizidwa kuchokera kuzosankha.

Chikhala cholondola kwambiri kudya zakudya zokhala ndi mchere wa magnesium ndi potaziyamu. Zomwezo zimagwiritsidwa ntchito ndi lipotropic mankhwala omwe amatulutsa metabolism yamafuta. Zakudya zathanzi ndizakudya zam'nyanja, komanso tchizi tchizi komanso mtedza.

Chakudya pambuyo sitiroko odwala matenda ashuga ayenera kukhala ndi kuchuluka kwa mavitamini, CHIKWANGWANI ndi mafuta osakwaniritsidwa asidi.

Zonsezi zimaphatikizidwa ndi mafuta a maolivi ndi masamba ena.

Maphikidwe a odwala matenda ashuga atatha kuwukira

Anthu odwala matenda ashuga amatha kuphika supu ya nkhuku. Kuti muchite izi, thirani malita awiri amadzi mu poto ndikuwubweretsa. Pambuyo pake, anyezi, mbatata ndi kaloti zimasenda ndikudula, zimaponyedwa m'madzi otentha. Kenako muyenera:

• Mitsuko yopukutira bwino ndikuwonjezera mumtsuko wophikira,
• fillet yankhuku (yopanda kalori yayikulu) imadulidwa m'magawo. Mwachangu pang'ono kumbali zonse pamafuta ochepa (mwachitsanzo, maolivi) ndikuwonjezera zamasamba,
• ndiye zimangobweretsa msuzi wokonzekera.

Kuti apange zakudya zopatsa thanzi ndi stroke komanso matenda a shuga amellitus kukhala othandiza monga momwe mungathere, amadyera bwino akanadulidwa amawonjezerapo chakudya chisanachitike.

Chinsinsi china chothandiza kwa odwala matenda ashuga omwe ali ndi vuto la kukha magazi muubongo ndi saladi yam'madzi. Pakukonzekera kwake, kaloti amawotchera, kusenda, kuduladula, kapena kuwaza pa grater yayikulu kwambiri. Anyezi amapendedwa ndikuwadula bwino kwambiri momwe tingathere. Kenako, nsomba zam'nyanja zimaphatikizidwa ndi kaloti ndi anyezi, wokometsedwa ndi mafuta a masamba, ngati pakufunika, gwiritsani ntchito mchere. Tsopano Chinsinsi cha chakudya chokoma cha mtundu wa 2 odwala matenda ashuga chitha kuonedwa kuti ndiokonzeka kudya.

Zotsatira za matendawa

Ngati sitiroko itayamba ndi matenda a shuga, matendawa amakhala osavomerezeka. Zotsatira zazikulu ziyenera kuganiziridwa ngati kupunduka ndi paresis yokhudzana ndi zovuta zamagalimoto. Nthawi zambiri, amakhala amodzi (hemiplegia). Wodwala matenda ashuga amatha kuphwanya zida zolankhulira, kuchuluka kwa kukumbukira.

Zosintha zina za pathological zimaphatikizapo kuchepa kwa mbali imodzi kapena mbali ziwiri pantchito zowoneka, kuwonjezeka kwa zochitika zamaganizidwe, komanso kusintha kwamunthu komwe kumayenderana ndi vuto la malingaliro. Zizindikiro zilizonse za zovuta zisamayang'anitsidwe ndi katswiri, pomwe odwala matenda ashuga sayenera kudzipweteka.

Njira zopewera

Kupewa kwamatenda obisika mu ubongo kumatanthauza kupatula koyambira komanso kwachiwiri. Choyamba, uku ndiko kuletsa mapangidwe a atherosulinosis. Yalangizidwa ndi:

• kudya
• kuyang'anira kuchuluka kwa mafuta m'thupi m'magazi,
• kugwiritsa ntchito mankhwala ochepetsa mphamvu ya lipid monga momwe adanenera ndi endocrinologist, ngati vuto la lipid metabolism lidapezeka kale.

Kuchita masewera olimbitsa thupi mosalekeza kumalimbikitsidwa kupewa kunenepa kwambiri, kupitirira kwa matenda a shuga 2 komanso matenda oopsa. Ndikofunika kusiya kusuta, komwe kumawonjezera mwayi wopanga matenda amtima, atherosclerosis.

Anthu odwala matenda ashuga amalimbikitsidwa kwambiri kuti azitha kuwongolera, kupewa komanso kuchitira nthawi yake matenda oopsa komanso matenda amwazi omwe amayambitsa thrombosis. Chofunikanso kwambiri ndicho kulimbana ndi mavuto. Zimatsimikiziridwa kuti otsirizawa akuwonjezera kwambiri mwayi wa ischemic kapena hemorrhagic stroke.