Ndi gulu lolumala la matenda amtundu 1 komanso matenda ashuga 2

Anthu odwala matenda ashuga ayenera kulimbana ndi vuto lawo kuti athetse thanzi lawo. Ndipo mu zovuta mawonekedwe a matendawa, amafunika thandizo lakunja, chifukwa matenda ashuga amamupangitsa kuti asathe komanso kudalira mankhwala ambiri. Pankhaniyi, kuthandizira boma ndikofunikira kwambiri, kotero funso loti kulumala ndi matenda a shuga limaperekedwa kapena ayi silikhala lofunikira nthawi zonse.

Ndi zinthu ziti zomwe zimapangitsa kuti munthu azindikire kulumala

Tsoka ilo, kukhalapo kwa matendawa sikupereka dongosolo la kulumala. Kuti bungwe lisankhe ngati lingapatse gululi odwala matenda ashuga, mfundo zazikulu ziyenera kuperekedwa. Ndipo kupezeka kwa shuga m'magazi popanda zovuta zoyipa komanso chitukuko cha matenda opatsana ndi maziko awa sizomwe zikuwonetsa gawo la kulemala.

Mukafunsidwa ngati matenda a shuga ndi olumala kapena ayi, pamakhala yankho loipa. Chifukwa cha izi, mikhalidwe ina imayang'aniridwa.

Kodi munthu wodwala matenda ashuga ali ndi mwayi wotani pagulu lililonse? Amayamba chifukwa choopsa cha matendawa, mtundu wake komanso matenda ena okhudzana nawo. Chifukwa chake, zimakumbukira:

• mtundu wa matenda obadwa nawo kapena obadwa nawo a shuga (2 kapena 1), wodalira insulin kapena ayi,
• kuthekera kobwezera glucose wamagazi,
• kupezeka kwamavuto osiyanasiyana motsutsana ndi matendawa.
• kupezeka kwa matenda ena mothandizidwa ndi glycemia,
• kuletsa kwa moyo wabwinobwino (kuthekera kwayendetsedwe kodziyimira pawokha, kuyang'ana kwachilengedwe, kugwira ntchito).

Maonekedwe a matendawa ndiofunikanso. Ndi matenda a shuga, pali:

• Pofatsa - mothandizidwa ndi chakudya, ndizotheka kuti shuga azikhala wathanzi kwa munthu wodwala matenda ashuga, izi nthawi zambiri zimakhala gawo loyambirira, lotchulidwa ndi zokhutiritsa popanda kuwonetsa zovuta,
• sing'anga - shuga m'magazi opitilira 10 mmol / l, amapezeka mumkodzo kwambiri, kuwonongeka kwa maso ndi kuwonongeka kwa mawonekedwe kumawonedwa, ntchito ya impso imayipa, matenda a endocrine system, gangrene akuwonjezeredwa, ntchito yokhala ndi ntchito ndi yochepa, mwayi wosamalira thupi ulipo, ambiri amakhala ofooka,
• kwambiri - zakudya ndi mankhwala osokoneza bongo amayamba kugwira ntchito, kuchuluka kwa shuga kumakhala kwakukulu kuposa kwazomwe zimachitika, zovuta zambiri zimawonekera, pali chiwopsezo cha matenda a shuga, kufalikira kwa matenda osokoneza bongo, matenda onse amthupi akudwala, komanso kulumala kwathunthu kumadziwika.

Magulu opuwala a mtundu 1 ndi mitundu yachiwiri ya ashuga

Ngakhale gulu lolemala limaperekedwa ngati munthu akudwala matenda a shuga a mtundu woyamba 1 kapena matenda a shuga a 2 osadalira insulin zimadalira kuchuluka kwa maphunziro ake, zovuta zake komanso momwe zimakhudzira zochitika zonse pamoyo. Tiyeni tikambirane mwatsatanetsatane matenda omwe gulu limatha kupezeka molingana ndi matendawa.

Gulu loyamba limaperekedwa chifukwa cha mitundu yoyipa ya matenda ashuga. Maziko olandirira ndi:

• Hypo- ndi hyperglycemic coma yodziwonetsa pafupipafupi,
• kulephera kwamtima mu digiri ya III,
• matenda osachiritsika owononga impso ndi chiwindi.
• khungu la maso onse awiri
• encephalosis, yomwe imayendera limodzi ndi kuwonongeka kwa ubongo, neuropathy, ziwalo, ataxia,
• Kugonjetsedwa kwa malekezero ndi gangore,
• matenda ashuga ketoacetosis.

Izi zimaganizira kuwonongeka kwa malo mlengalenga, kulephera kusuntha palokha ndikuchita ntchito iliyonse. Anthu omwe ali ndi gululi amafuna chisamaliro chapadera ndikuwunikira pafupipafupi ndi madokotala.

Kupeza gulu lachiwiri la matenda okhudzana ndi matenda a shuga kumatengera zotsatirazi:

• neuropathy mu digiri yachiwiri ndi paresis yayikulu,
• kuwonongeka kwa retina (II - III degree),
• matenda amisala ndi encephalosis,
• Kulephera kwaimpso, nephrosis.

Zochita zolimbitsa thupi zimachepetsedwa ndikusuntha pang'ono, kudzichitira nokha komanso kugwira ntchito iliyonse. Nthawi ndi nthawi, kuyang'anira kuchipatala ndikofunikira.

Gulu lachitatu limaperekedwa chifukwa chokhala ndi matenda a shuga. Zophwanya zazing'ono zimawonedwa, popanda zovuta zowopsa. Kutha kusuntha kuli pafupi osasokonezeka, pali mwayi wodziyang'anira pawokha ndikuchita ntchito zina. Zomwe gulu la olumala limaphatikizaponso nthawi yophunzitsira ndi kupeza ntchito ndi achinyamata odwala matenda ashuga.

Chizindikiro chachikulu cha kuperekedwa kwa gulu la olumala ndikuwoneka kosakwanira komanso kusowa kwayekha pakusamalira kwawo.

Mwana wakhanda yemwe ali ndi matenda a shuga a insulin, asanafike zaka 18, kulumala kumawonetsedwa popanda gulu. Pakatha zaka zambiri, adzafunika apatsidwe ntchito yolumala.

Zomwe mukufunikira kulumala

Kulephera ndi matenda ashuga amtundu wa 2, ngati mtundu 1, kungatheke potsatira izi:

• pitani kwa akatswiri othandizira kapena pitani kuchipatala ndipo mukamayesa mayeso onse,
• adziyesa pawokha
• pezani satifiketi yoyendetsera mayeso (ITU).

Madotolo, mayeso, mayeso

Kaya kulumala kuli koyenera kwa matenda ashuga amasankhidwa ndi ITU. Maziko a izi ndi zomwe madotolo apita, zotsatira za kusanthula ndi mayeso.

Poyamba, ndikuyimilira kwayekha kwa gulu, ndikofunikira kupita kukawona akatswiri am'deralo omwe akuwonetsa zoyambitsa kulumala. Amayenera kupereka chiwonetsero chakuyenda koyenera kwa ophthalmologist, neurologist, opaleshoni, cardiologist ndi akatswiri ena kutengera ndi matenda a matenda ashuga.

Wodwala matenda ashuga amatumizidwanso kukayesedwa ndi kukayezetsa. Kuti mupeze gululi muyenera kuyang'ana:

• kusanthula kwa magazi ndi mkodzo,
• kudya shuga komanso tsiku lonse,
• mkodzo wa shuga ndi acetone,
• glycogemoglobin,
• kuyeserera kwa shuga
• Mkhalidwe wamtima pogwiritsa ntchito electrocardiography
• masomphenya
• zovuta m'mitsempha yamanjenje,
• kukhalapo kwa zilonda ndi mafinya,
• pa milandu mukaphwanya ntchito ya impso - mkodzo limodzi ndi Rib, CBS, mayeso a Zimnitsky, mkodzo masana,
• kuthamanga kwa magazi
• mtima
• mkhalidwe wa ubongo.

Zolemba Zofunika

Mndandanda wamakalata ofunikira ukuphatikizapo:

• mawu ochokera kwa munthu amene akufunika kulumala kapena womamuyimira boma,
• zizindikiritso - pasipoti, satifiketi yobadwa,
• Mayendedwe ku ITU, opangidwa kutengera mtundu wa fomu - 088 / у-0,
• Kutulutsa mchipatala kuchokera ku chipatala komwe kumachitika,
• khadi la wodwala,
• malingaliro a akatswiri adutsa,
• zotsatira zoyesedwa - zithunzi, kusanthula, ECG, ndi zina zambiri.
• kwa ophunzira - chikhalidwe chopangidwa ndi aphunzitsi,
• kwa ogwira ntchito - makope amatsamba kuchokera m'bukhu lothandizira ndi mawonekedwe kuchokera kumalo antchito,
• kwa omwe akhudzidwa ndi ngozi kuntchito - chochitika changozi pomaliza kwa katswiri, kumaliza kwa gulu la zamankhwala,
• ngati mutabwezera mobwerezabwereza kulumala - chikalata chotsimikizira kupezeka kwa chilema, pulogalamu yokonzanso.

Momwe mayeso onse akatsirizidwa ndipo zolembedwa zasungidwa, gawo la gulu lofunikira limasankhidwa kutengera zotsatira za ITU. Ngati wodwalayo sakugwirizana ndi kumaliza kwa ntchitoyi, zitha kutsutsidwa. Poyamba, mawu osagwirizana ndi mawu omaliza a ITU amaperekedwa. Pakatha mwezi umodzi, njira zoperekera matenda olumala ziyenera kuchitika. Kupanda kutero, mutha kupita kukhothi ndi mlandu. Komabe, mlanduwo utatha sanaperekenso apilo mlandu.

Zopindulitsa

Monga mukuwonera, sikuti aliyense wodwala matenda ashuga ali ndi ufulu wopatsa anthu olumala. Kuti munthu alandire chithandizo chamtunduwu, ayenera kutsimikizira kuchuluka kwa matenda ashuga komanso kusakhazikika kwawokha. Anthu omwe akudwala matendawa nthawi zambiri amadzifunsa ngati ali ndi penshoni ya matenda ashuga. Koma ndalama za penshoni zimangochitika ukangofika zaka zapuma pantchito. Pankhani ya matenda, thandizo la ndalama limangoperekedwa pamaso pa magulu aliwonse olumala.

Ngakhale izi, aliyense yemwe ali ndi matenda ashuga ali ndi ufulu zovomerezeka. Zaulere m'mafakitala a boma, odwala matenda ashuga atha:

• insulin
• syringes za jakisoni
• glucometer
• kuyezetsa magazi pang'onopang'ono kwa shuga wamagazi,
• mankhwala ochepetsa shuga.

Komanso, pofuna kupewa, kwaulere, ana odwala matenda ashuga amapatsidwa malo opumulira kamodzi pachaka.

Kupeza kulumala ndi chifukwa chabwino ndikofunikira kwambiri kwa munthu wodwala matenda ashuga. Kugawa gulu kumalola munthu wodwala matenda ashuga kulandira thandizo la ndalama, zomwe amafunikira, osatha kugwira ntchito. Kuphatikiza apo, anthu olumala omwe ali ndi matenda ashuga ayenera kutumizidwa kuti akonzenso. Izi zimathandiza kukonza momwe odwala matenda ashuga amathandizira ngakhale kukulitsa moyo wake.

Komabe, mosasamala kanthu za zotsatira za kuyesedwa kwa kulumala, ndikofunikira kuyang'anira palokha thanzi lanu, kutsatira mosamala malingaliro a madokotala ndikufunafuna chithandizo msanga ngati mukudwala.