Kudwala matenda ashuga

Mkwiyo ndi misala yochepa yomwe imawonetsa munthu wamkati panthawi yake. Kuda nkhawa, kulephera kuthetsa vuto lililonse kudziunjikira, chifukwa cha zovuta zamtundu uliwonse, kumayambitsa mkwiyo. Mkhalidwe wotere ungayambike chifukwa cha zonse zakunja ndi zamkati.

Pazifukwa zakunja, ndichikhalidwe kuti zinthu zina zachilengedwe sizomwe zimakonda munthu. Zamkati zidzakhala: kukhumudwa, kutopa mosalekeza, kusokonekera kwa ubongo ntchito, njala, kusowa tulo, kugona.

Kutulutsa mkwiyo kumakonda kupezeka mwa munthu wodwala matenda ashuga. Zovuta ngati izi zimachitika mosiyanasiyana, ndipo nthawi zina sizidziwika kwa anthu ena. Kwa wodwala zonse zimadzuka, koma kunja sakusonyeza.

Mtundu wina wa mkwiyo ndi wowononga, pakumenya wodwala matenda ashuga amatha kugwiritsa ntchito mphamvu, kuchititsa manyazi ena kapena kuwononga katundu. Ndikosatheka kudziteteza panjapo; Mwa amayi ndi abambo omwe ali ndi matenda ashuga, Zizindikiro zakukwiya zimadziwonetsa mosiyanasiyana.

Ngati mumanyalanyaza zochitika zankhanza, pakapita nthawi munthu amakhala ndi vuto lomwe limasokoneza ubale wa odwala matenda ashuga. Pachifukwa ichi:

1. vuto lotere liyenera kuonedwa mopepuka.
2. chitani zinthu moyenera munthawi yake.

Nthawi zambiri, mkwiyo wosagwirizana umangopita mwachangu momwe unayambira, koma wodwalayo amakhalabe wolakwa, maubale ndi omwe amakhala pafupi nawo amawonongeka. Kuphatikiza apo, vuto la munthu limangokulirakulira, amatha kugwa m'mavuto okhalitsa.

Mkwiyo wosalamulirika uyenera kuthandizidwa ndi dokotala yemwe adzayambitsa chomwe chimayambitsa matenda komanso kuthandiza odwala matenda ashuga kuti atuluke.

Limagwirira a mtundu 1 ndi mtundu 2 shuga

Mapapo amunthu amadziwika ndi mitsempha ya parasympathetic komanso amamvera chisoni, ulusi wawo umalumikizana kwambiri ndi maselo a cell a islet cell. Mwanjira ina, chiwalochi chimakhala ndi pulogalamu yoyeserera yomwe imayang'aniridwa ndi ubongo wamanjenje.

Pogwiritsa ntchito zizindikiritso zochokera ku dongosolo lamkati lamanjenje, kapamba amayambitsa kapena amaletsa ntchito yake. Ngati lamulo lalandilidwa kuti lichitepo kanthu, chinsinsi chake chimakambidwa, mosemphanitsa. Thupi silingathe kupereka malamulo ena. Pamaso pachiwopsezo, chowopsa, kupsinjika, thupi limasiya kugaya chakudya, limagawa mphamvu kuchokera ku ziwalo zam'mimba zomwe sizimagwira nawo ntchito yochotsa chiopsezo kwa minofu yam'mimba yomwe ikukhudzidwa ndi njirayi.

Zotsatira zake pochita zinthu zovuta, ntchito zachinsinsi za kapamba zimachepa kapena kusiya. Kuchuluka kwa chinsinsi chobisika kumadalira munthuyo, ngakhale kuti anali wokhoza kuthana ndi nkhawa, adziwongolera yekha ndikuyendetsa zinthu. Popeza pafupifupi 5% ya anthu padziko lapansi amadwala matenda ashuga, titha kuganiza kuti wodwalayo samachita bwino ndi kasamalidwe.

Kupsinjika kosasinthika kumakumana ndi anthu onse, koma momwe zimachitikira sizofanana, munthu m'modzi amadwala matenda a shuga, ndipo wachiwiri satero, zonsezi zimachitika chifukwa cha njira yoyendetsera.

Malamulo a dongosolo lamkati lamanjenje amaperekedwa mwakuganiza, kuwongolera kwamakhalidwe kumakhala yankho la psyche:

1. ku zochitika zina
2. zimaphatikizidwa pakuyankha kwa thupi.

Zinthu zimachitidwa mobwerezabwereza nthawi iliyonse, komanso machitidwe onse a magwiridwe antchito ndi ubongo.Kubwereza kukachitika, thupi la munthu limazolowera, zimachitika mwanjira inayake.

Pamene zinthu zikuipiraipira, chiwongolero cha chikumbumtima chikudutsa, njirayi imakhala yotsikirako, yodzichitira zokha ndikupita kukomoka, kungoyambira kuchitapo kanthu ndipo zotulukapo zake zakwaniritsidwa.

M'malingaliro aumunthu, kupsinjika kumachitika nthawi zambiri, zomwe zimachitika zimazindikiridwa, chifukwa chomwe chizindikiro chimadziwonetsa ngati kusintha kwa shuga m'magazi, chikhalidwe chodabwitsa cha wodwalayo. Sizowoneka nthawi zonse pamene matendawa adayamba, zomwezo zitha kunenedwa za tachycardia ndi kuthamanga kwa magazi. Chisoni chikazindikira kapena nkhawa ikakumana, mantha, kugunda kwa mtima kumakulanso, ndipo kupanikizika kumakula.

Zikondazo zimayankha nkhawa ndikochepetsa kupanga insulin, madzi a kapamba, komanso kutsitsa shuga. Madokotala akudzifunsa ngati kuyimitsa katulutsidwe ka madzi am'mimba kungayambitse kusintha kwa metabolism:

Mulimonsemo, kukula kwa matenda ashuga ndi zizindikiro zake, monga mkwiyo wopanda nzeru, kuukira kwaukali, sikudutsa popanda kukhudzidwa mwachindunji kwa kapamba.

Kuganiza komanso shuga

Poganizira kuti kapamba kamachita bwino ndi ntchito yake, ndiye kuti imapanga insulin, hypoglycemia ikhoza kufotokozedwa mosiyanasiyana. Kuchepa kwa glycemia kumadutsa wodwalayo ali omasuka, akakhala wodekha, pali ndalama zabwinobwino, kuti amasulidwe, thupi limadzimasulira yekha insulin m'magazi.

Poyang'ana koyamba, zitha kuwoneka kuti shuga yoyambirira imagwirizanitsidwa ndi kukhala ndi magazi okwanira, koma zomwe thupi limachita nthawi zonse ndizofanana, kaya ndi matenda oyamba kapena a shuga.

Amakhulupirira kuti kupsinjika kwamtundu uliwonse ndi vuto la matenda ashuga, ndipo mkwiyo ndi kupsa mtima ndi chimodzi mwazizindikiro. Zomwe zimayambira kupsinjika zingakhale zilizonse, koma momwe thupi la munthu limakhalira limafanana. Kupanikizika kukachotsedwa, kuchuluka kwa glycemia kumachepa poyankha.

Zomwe zimayambitsa kupsinjika nthawi zambiri sizokhala matenda, komanso zovuta za chilengedwe, kumva, poyizoni ndi zinthu ndi zinthu. Gwero la kupsinjika kwa malingaliro ndi zokumana nazo zosasangalatsa.

Kupsinjika kwakakhumudwa ndi izi:

1. manyazi oyaka
2. mkwiyo wakupha
3. mkwiyo wosalamulirika
4. mantha akulu.

Zochitika zilizonse ndizomwe timaganizira, onetsani bwino. Kutha kwa wodwalayo kuthana ndi vuto lakelo kukuwoneka ndi nthawi yodziwika bwino, wodwalayo akakhala pamavuto, kumakhala koyipa kwambiri kuwongolera.

Chifukwa cha kuyendetsa bwino ntchito, kulephera kuchotsa malingaliro osautsa, mkwiyo kapena manyazi, kupsinjika kwamalingaliro kumapangidwa, kuvutika kwamisala kumakulirakulira. Kuvutika kotere kumawonetsedwa ndi zowawa, kukokana, munthu amakhala wachilendo, wankhanza.

Udindo wa kapamba ndikupereka mphamvu kwa thupi lonse, chifukwa chosayendetsa bwino ntchito, ntchitoyi imasinthidwa kukhala yodzitchinjiriza, thupi limayesetsa kudziteteza ku nkhawa. Mukasintha ntchito ya chithokomiro, lembani matenda a shuga 1 kapena mtundu 2. Pachifukwa ichi, mfundo yayikulu yothandizira matenda ndikubwezeretsa ntchito ya kapamba chifukwa cha kusintha kwa kaganizidwe.

Masiku ano, madokotala akuyesera kuphunzitsa odwala matenda ashuga momwe angathanirane ndi momwe akumvera, zomwe zimathandiza kuti shuga izikhala yochepa mkati mwa 8 mmol / l.

Ngati munthu waphunzira kudziletsa, mutha kuwerengera kuchepa kwa shuga wamagazi popanda kugwiritsa ntchito mankhwala.

Momwe mungawongolere mkwiyo

Omwe akwiya amakhala chizindikiro chachikulu cha matenda ashuga, amakhala olimba kwambiri pamene wodwala atopa kapena akakhala pamavuto.Ndikulimbikitsidwa kuti muchepetse katunduyo munthawi yake kuti mukhale odziletsa, ndikuyika dongosolo lamanjenje.

Ngati wodwala matenda ashuga atopa kwambiri kuntchito, ndikofunikira kuchepetsa mndandanda wazomwe muyenera kuchita ndikupatula nthawi yopuma bwino. Ndikofunikanso kupewa zokumana nazo zosiyanasiyana, kuti mudziwe zomwe zimayambitsa mkwiyo nthawi zambiri.

Ndikulimbikitsidwa kugona mokwanira tsiku lililonse, anthu ambiri amatha kugona maola 6 okha patsiku ndipo nthawi yomweyo akumva bwino. Ngakhale wodwala matenda ashuga ayesa kukhalabe ndi mphamvu chifukwa cha khofi, izi zimasokoneza thanzi posachedwa, popeza minofu ndi ziwalo zamkati sizikhala ndi nthawi yochira, katunduyo amayamba kudzikundikira, ndikupangitsa mkwiyo komanso kupsa mtima.

Munthu wodwala matenda a shuga akazindikira kuti wakwiya komanso wakwiya, mutha kumwa tiyi wopanda shuga ndikuwonjezera kwa:

Ngati izi sizipereka zotsatira zomwe mukufunikira, muyenera kufunsa dokotala kuti akupatseni mankhwala achilengedwe kuchokera kuchipatala. Ndi kuchepa kwa kukwiya, shuga m'magazi nawonso amatsika. Dokotala nthawi zambiri amalimbikitsa mankhwala: Adaptol, Novo-Passit, Glycine, Motherwort Forte, magnesium B6.

Adaptol amatha bwino ndi neurosis, kuwonetsa kusakwiya, nkhawa komanso kugwira ntchito mwamantha, Novo-Passit amalimbikitsidwa ngati munthu akuvutika ndi zosokoneza, amakhala ndi ma neurotic. Mamawort amawerengedwa kuti azisokoneza kugona, mavuto ovutitsa, Glycine amathandizanso kulimbana ndi kusakhazikika kwa malingaliro, kusasinthika kwakukulu.

Katswiri mu vidiyoyi munkhaniyi akuwuzani zomwe mungachite kuti mutulutsidwe mkwiyo.

Magazi a shuga

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Matenda a shuga ndi limodzi mwa matenda owopsa, omwe amadziwika chifukwa cha kusowa kwa insulin mthupi la munthu ndipo chizolowezi cha shuga m'magazi chimaphwanyidwa. Monga mukudziwa, matendawa amatha kutsimikiza pogwiritsa ntchito kuyezetsa magazi, momwe shuga ndi shuga zimachulukira. Ndi matenda ashuga, shuga ndi magazi zimachuluka, izi zimatha kuyezedwa mosavuta pogwiritsa ntchito glucometer kapena kuwunika kofala. Chifukwa chake, odwala amafunika kupeleka magazi nthawi zonse chifukwa cha matenda ashuga.

• Matenda a shuga: Zizindikiro ndi chizindikiro
• Zoyambitsa matenda ashuga
• Tchati cha Mageti a Magazi
• Kodi magazi amayesedwa ndipo chifukwa ninji amafunika?
• Miyezo ya shuga yamagazi
• Ndani angayesedwe?
• Kodi pali ngozi yotani ya shuga ndi shuga?
• Kupewa ndi Matenda a shuga

Ngati matenda ashuga akungopangika, ndiye kuti njira yozungulira magazi imasokonezeka pang'onopang'ono ndipo kuchuluka kwa shuga m'magazi kumachuluka kwambiri. Chifukwa chake, muyenera kulabadira kuyesedwa kwa magazi kwa matenda ashuga ndikupangitsa kuti kufulumira, chifukwa izi ndizomwe zingakuthandizeni kudziwa mtundu wa matenda komanso njira yopewa yomwe ingakhale yabwino.

Matenda a shuga: Zizindikiro ndi chizindikiro

Monga matenda aliwonse, matenda ashuga ali ndi zomwe ali ndi zizindikilo zake zomwe zimapangitsa kuti azindikire mosavuta. Zizindikiro zazikulu za matenda ashuga ndi:

• Kuwonjezeka kwa shuga m'magazi achilendo ndikuphwanso kwa kuzungulira kwa magazi.
• Kulimbitsa kufooka, kugona, kusanza, komanso kusanza.
• Kulakalaka, kufunitsitsa kudya kapena kuchuluka kwambiri, kunenepa kwambiri, ndi zina zambiri.
• Kusabereka, kufooka kwamanzere ndi zolakwika zina zakuberekera mwa amuna.
• Ululu m'mikono, m'miyendo, kapena kuchiritsa kwakutali kwa mabala (magazi amayenda m'masamba amasokonezeka, kotero ziwalo zamagazi zimakula pang'onopang'ono).

Ndizizindikiro zomwe matenda a shuga amakhala nazo, amatha kuzindikiridwa onse ndi kuyezetsa magazi konse, komanso ndi glucometer. Mu shuga mellitus, pali kuchuluka kwa shuga ndi sucrose m'magazi, ndipo izi zimapangitsa kuti magwiridwe antchito amthupi komanso magazi azithamanga.Pankhaniyi, tikulimbikitsidwa kukaonana ndi endocrinologist yemwe akupatseni zakudya zoyenera ndikuwona chithandizo chomwe chingakhale chothandiza kwambiri.

Zoyambitsa matenda ashuga

Pali zifukwa zomwe matenda a shuga amayamba kukula mthupi la munthu ndikupita patsogolo moipa. Kwenikweni, matenda a shuga amakula pazifukwa zotsatirazi:

• Kuperewera kwa insulin ndi ayodini m'thupi la munthu.
• Kugwiritsa ntchito molakwika shuga, maswiti ndi zakudya zomwe zimakhala ndi mitundu ya nitrate.
• Zakudya zopanda pake, zizolowezi zoipa, mowa ndi mankhwala osokoneza bongo.
• Kukhala ndi moyo wopendekera, zizolowezi zoipa komanso kukula thupi.
• Zinthu zokhudzana ndi msambo kapena usinkhu (matenda a shuga amapezeka makamaka mwa achikulire ndi okalamba).

Matenda a shuga amakhala ndi zizindikiritso za shuga wamagazi, pakutsimikiza kwa omwe patebulo lapadera linapangidwa. Aliyense adzakhala ndi chiwonetsero chawo cha shuga ndi glucose, chifukwa chake amalimbikitsidwa kuyang'ana ku tebulo ndi kukaonana ndi endocrinologist yemwe amafotokoza zonse mwatsatanetsatane ndipo adzafunsira pazinthu zilizonse zosangalatsa. Mu shuga mellitus, magazi a glucose sayenera kukhala apamwamba kuposa 7.0 mmol / L, chifukwa izi zitha kusokoneza chida chonse.

Tchati cha Mageti a Magazi

Mphindi yofunikira pankhaniyi ndi zakudya zoyenera komanso kutsatira shuga wamagazi, omwe sayenera kukhala apamwamba kuposa zokhazikitsidwa ndi endocrinologists. Pofuna kuti musachulukitse kuchuluka kwa shuga m'magazi, muyenera kusiya kugwiritsa ntchito maswiti, mowa ndikuwunika shuga, chifukwa zimatengera izi ngati matendawa apita patsogolo.

Ndikofunikira kukaonana ndi endocrinologist komanso wazakudya pafupipafupi, yemwe angadziwitse matenda omwe ali ndi matendawa ndikuwonetsetsa kuti ndi njira yanji ya zakudya ndi njira zopewera zoyenera ngati nkhaniyi.

Matenda a shuga amakhala ndi zizindikiro, ndipo chimodzi mwazomwe ndimwazonse shuga. Ndizofanana ndi chizolowezi cha shuga ndi glucose omwe akatswiri amadziwa mtundu wa shuga komanso chithandizo chomwe angagwiritse ntchito pamenepa.

Ngati matenda amtundu 1 a shuga kapena gawo loyambirira, ndikulimbikitsidwa kutsatira zakudya zomwe zimamwa ndikugwiritsa ntchito mankhwalawa omwe angathandizire kuti matendawo apitirize kukula komanso zovuta zake. Komanso, akatswiri amalimbikitsa kusiya zizolowezi zonse zoipa, mowa ndi kusuta fodya, iyi ndi njira yabwino yothanirana ndi matendawa.

Matenda a shuga angayambitse matenda amasamba, m'mimba ndi mtima, ndipo izi zikuwopseza kukula kwa matenda ena owopsa komanso owopsa. Matenda a shuga amakhalanso ndi miyezo yake ya shuga, monga zikuwonekeranso ndi tebulo lomwe ma endocrinologists amapereka pakuwunika ndi kufunsana.

Ngati mumamwa insulini nthawi zonse ndikuyang'anira zakudya zoyenera, ndiye kuti kuyimitsidwa kwamatenda ndikokwera. Chofunikira ndikumalandira chithandizo koyamba, chifukwa ngati matendawa ayamba kupita patsogolo ndikusokoneza kayendedwe ka magazi, ndiye kuti pali mwayi wokhala ndi vuto.

Kodi magazi amayesedwa ndipo chifukwa ninji amafunika?

Pogwiritsa ntchito kuyezetsa magazi ambiri, mutha kudziwa mtundu wa matenda oopsa a shuga komanso ndi chithandizo chiti chomwe chikhala chofunikira kwambiri. Kuyesedwa kwa mitundu iwiri ya anthu odwala matenda ashuga ndikofunikira:

• Mvetsetsani momwe mulingo wotsegulira magazi ndi zomwe zili zofunikira (aliyense azikhala payekha, zimatengera mawonekedwe a thupi).
• Dziwani mtundu wa matenda ashuga komanso momwe amuchotsere.
• Dziwani zomwe zimathandizira kuti matendawa athe kukula ndikuchotsa zomwe zimayambitsa (chotsani zoyipa, kukhazikitsa zakudya zoyenera ndi zina).

Kwenikweni, pamenepa, ndikofunikira kukayezetsa magazi, komwe kungathandize kudziwa momwe angachiritsire matenda ashuga komanso momwe angaletsere chitukuko chakecho. Kuwunikira koteroko kuyenera kuchitika kamodzi miyezi iwiri iliyonse, ndipo mwina nthawi zambiri, kutengera zaka komanso mtundu wa matenda amishuga eni.

Kusanthula kotereku kumagawidwa kwa okalamba 1 m'miyezi iwiri, koma achinyamata ndi ana amatha kuyesedwa kamodzi pachaka. Chifukwa chake, ndibwino kufunsa dokotala, amene afotokoze mwatsatanetsatane chifukwa chake kusanthula uku kukufunika komanso ngati kuli bwino kutero. Kuphatikiza kwa magazi m'magazi a shuga ndikofunikira kwambiri, makamaka ngati matendawa akupitilizabe kukula.

Miyezo ya shuga yamagazi

Mu shuga mellitus, pali miyezo ya shuga ndi shuga m'magazi, zomwe ndikofunikira kuti muzitsatira. Akatswiri azindikira kuti chizolowezi cha shuga m'magazi ndi:

• Mwa anthu omwe ali ndi matenda ashuga - zomwe zimadziwika kuti zimachokera ku 5.5-7.0 mol / lita.
• Mwa anthu athanzi, 3,8-5.5 mol / lita.

Ndikofunika kulabadira izi ndikulingalira kuti ngakhale mafuta owonjezera m'magazi amatha kusokoneza magwiridwe antchito amthupi ndikudzutsa kukula kwa matenda a shuga mellitus mowonjezereka, ndipo izi zikuwopseza zotsatira zoyipa.

Kuti muwone glucose wamagazi, ndikofunikira kumayesedwa pafupipafupi ndikutsatira zakudya zamagulu, zomwe zimayikidwa makamaka ndi akatswiri monga prophylaxis ndi chithandizo cha matenda ashuga. Matenda a shuga amaphwanya mulingo wa shuga m'magazi, ndizoyenera chifukwa cha izi kuti matendawa amakhala oopsa komanso oopsa, chifukwa anthu omwe ali ndi chitetezo chamthupi chovuta komanso odwala mtima ali ndi matenda ovutika kwambiri.

Kuphwanya shuga m'magazi kumatha kuwopseza ziwalo, kusakhazikika kwa magazi ndi mikwingwirima, komwe kumachitika chifukwa chotaya magazi ambiri m'mitsempha.

Kuti mudziwe matenda a shuga ndi mtundu wake, ndikofunikira kukayezetsa magazi onse. Chifukwa chake, kuyesa ndi njira yofunika komanso yosasinthika kwa iwo omwe ali ndi matenda a shuga komanso owonjezera shuga.

Ndani angayesedwe?

Magazi a shuga amatha kuperekedwa ndi aliyense amene ali ndi matenda ashuga kapena wokhathamira m'magazi. Biochemistry ndi kuwunika kwathunthu sizimadalira zaka, jenda kapena magawo a shuga, chifukwa chake amaloledwa kuyesa aliyense, kapena m'malo mwake:

• Ana kuyambira ali akhanda (ngati matenda ashuga akungoyamba kumene kukula m'thupi).
• Achinyamata, makamaka ngati njira ya kutha msinkhu ndi kusokonekera kwa mahomoni zomwe zingawonetse kuti matenda ashuga akuchitika.
• Akuluakulu ndi okalamba (mosaganizira jenda ndi gawo la matendawa).

Ana ali akhanda salangizidwa kuti azichita mayeso nthawi zambiri kuposa nthawi ziwiri pachaka. Izi zimathandizira kuti thupi lisakule komanso kuti magazi azithamanga, omwe amathanso kukhala osakhazikika. Mukakhala ndi magazi okwanira, posakhalitsa akatswiri athe kudziwa mtundu ndi mtundu wa matenda ashuga, ndipo kupewa ndikuwathandizanso zimadalira izi.

Kodi pali ngozi yotani ya shuga ndi shuga?

Monga mukudziwa, matenda a shuga amatha kukhala owopsa paumoyo wathunthu ndikugwira ntchito kwa thupi, chifukwa chake amalimbikitsidwa kumwa chithandizo msanga ndikuwunika ndi endocrinologist. Matenda a shuga ndi shuga wambiri amatha kukhala owopsa pazifukwa izi:

• Shuga amaswa makoma amitsempha yamagazi kuchokera mkati, amawapangitsa kukhala olimba, osachepera komanso osayenda.
• Njira yozungulira imasokonekera ndipo zotengera zimayamba kuwala kwambiri, ndipo izi zimawopseza ndi kuchepa magazi komanso kupanga matenda ena owopsa.
• Matenda a shuga angayambitse kupweteka kwa impso, chiwindi ndi bile, ndipo m'mimba mumathanso kusokonezeka.
• Shuga wamagazi komanso magazi osakhazikika amasokoneza masinthidwe am'maso, omwe amachepa limodzi ndi zovuta za matenda ashuga.
• Mabala ndi kuvulala kwakuthupi kumachiritsa kwakanthawi komanso kovuta, chifukwa magazi amawonjezeka pang'onopang'ono komanso zowawa.
• Pangakhale zovuta za kukhala wonenepa kwambiri, kapena mosemphanitsa, kuchepa thupi mwadzidzidzi ndi matenda a anorexia chifukwa cha shuga wosagwirizana wamagazi ndi magazi osakhazikika.

Komanso matenda ashuga amatha kusokoneza dongosolo lamanjenje, lomwe pamapeto pake limayamba kugwa ndikusakwiya. Kusokonezeka kwamaganizidwe, kupsinjika kwa m'maganizo, komanso mutu wambiri ungachitike. Chifukwa chake, kupewa matenda ashuga ndikofunikira, muyenera kuganizira bwino nkhaniyi ndikuyamba kulandira chithandizo posachedwa.

Kupewa ndi Matenda a shuga

Sitikulimbikitsidwa kudzipangira nokha chithandizo popanda kuonana ndi dokotala, chifukwa izi zingayambitse chitukuko cha matenda ashuga. Monga njira zodzitetezera, akatswiri amalimbikitsa:

• Siyani zizolowezi zilizonse zoipa, kusiya kumwa mowa, kugwiritsa ntchito mankhwala osokoneza bongo komanso kusuta.
• Bwezeretsani zakudya zoyenera ndikutsatira zakudya zomwe dokotala wakupatsani (osapatula zakudya zotsekemera, zamafuta ndi zopanda pake).
• Khalani ndi moyo wokangalika, chezani nthawi yambiri kunja ndi kusewera masewera.
• Osagwiritsa ntchito mankhwala ena aliwonse osokoneza bongo popanda kugwiritsa ntchito endocrinologist.
• Kuyesani kwathunthu, pitani kuyezetsa magazi ndi kufunsa dokotala zokhudzana ndi kupewa.

Ndi njira zopewera kuchitira kuti akatswiri amalimbikitsa kuwonetsetsa kuti matenda ndi othandizira ndi othandizadi. Kwenikweni, ma endocrinologists amakupatsani njira zochizira:

• Kutsatira zakudya ndi zakudya zoyenera, komanso kupatula zizolowezi zoipa, mowa ndi mankhwala osokoneza bongo.
• Kugwiritsa ntchito insulin ndi mankhwala ena omwe amatsutsana ndi endocrinologist.
• Penyani shuga, ndiye kuti magazi a shuga adzayamba kuyenda ndipo izi zikuthandizira kuchira.
• Osagwiritsa ntchito mankhwala aliwonse osokoneza bongo komanso othandizira masomphenya, ntchito yam'mimba ndi magazi, chifukwa izi zitha kupititsa patsogolo njira yowonjezera mawonekedwe ndi mtundu wa matenda ashuga.

Chonde dziwani kuti zimatengera magawo a kuyezetsa magazi kuti ndi shuga komanso momwe zingayendere. Kuletsa njirayi ndikuthandizira kuchira msanga, tikulimbikitsidwa kutsatira njira zonse zodzitetezera ndikutsatira mosamalitsa malangizo a endocrinologist, omwe, akuwunika ndi zotsatira za mayeso, amasankha njira zamankhwala othandizira komanso kupewa.

Komanso, chinthu chachikulu ndicho kukhala wodekha ndikutembenukira kwa endocrinologists mu nthawi, ndiye kuti matenda a shuga amatha kuchiritsidwa mwachangu popanda zovuta.

Kodi mchemwali amapanga bwanji matenda ashuga?

Matenda a shuga, ngakhale atakhala kuti ali ndi matenda, ndi matenda ovuta.

Munthu, ngakhale mothandizidwa ndi achibale, sangathe kukana kwathunthu zovuta zomwe zakhala zikuchitika ndikuchita njira zofunikira zonse motsatira ndondomeko yofunikira.

Chifukwa chiyani ndifunika kuyang'anira matenda ashuga?

Unamwino ndi kuwunikira momwe zinthu ziliri sikuti zimangothandiza wodwalayo ndi abale ake, komanso njira yopezera chidziwitso cha sayansi.

Ichi, mowonekera, ndi ntchito yasayansi yochitidwa munjira yothandiza. Kuwunikira anthu ogwira ntchito zachipatala ndikofunikira kuti chitetezo cha wodwalayo chikhale chokhazikika.

Cholinga chachikulu cha zomwe zikuchitika ndikuwonetsetsa kuti moyo wabwino ndi wodwalayo. Munthu ayenera kukhala womasuka potengera mkhalidwe wake wakuthupi, wa uzimu komanso wamakhalidwe.

Ndikofunikira kuti unamwino aziganizira chikhalidwe cha wodwalayo pakumupatsa kuchuluka kothandizirako.

Thandizo logwira ntchito liyenera kuchitika kokha ndi katswiri yemwe amadziwa zonse zobisika ndi zovuta za milanduyo, pochita zinthu zingapo, namwino ndi wodwalayo amapanga dongosolo la momwe angachitire poyenera.

Ntchito za namwino pakukhazikitsa njira ya unamwino ndikuwongolera zimaphatikizapo:

1. Kuyesa koyambirira kwa momwe munthu aliri (kuyezetsa), umalimbana ndi kuwonetsa zizindikilo zamavuto azachipatala.
2. Kugwiritsa ntchito magwero azidziwitso, monga mbiri yachipatala, zotsatira za mayeso, ndi kuyankhulana ndi munthu ndi abale ake, kuti mupeze chithunzi chonse chachipatala.
3. Chenjezo la wodwala komanso abale pachiwopsezo cha zovuta - zizolowezi zoyipa ndi mavuto amanjenje.
4. Kufunika kolemba zonse zomwe zalandiridwa chifukwa cha kuyesa koyambirira kwa boma mwa mtundu wina wotchedwa "pepala loyesa unamwino".
5. Kusintha kwakukulu ndi kusanthula kwa zomwe zapezeka zokhuza thanzi la wodwalayo.
6. Kupanga ndondomeko yosamalira motengera zomwe zapezedwa ndikuzindikira zovuta kapena zovuta zotchulidwa.
7. Kukwaniritsidwa kwa dongosolo lam'mbuyo lothandizira.

Mphamvu ya matenda ashuga imasiyanasiyana ndipo zimatengera mtundu womwe wapezeka mwa munthu:

1. Matenda a shuga 1 amtundu wa 1 kapena wodwala insulin mu 75% ya milandu amapezeka mwa anthu ochepera zaka 45. Pankhaniyi, thandizo laling'ono lofunikira limafunikira ngati matenda owonjezera sakhalapo, kukondera kwakukulu kumayang'aniridwa makamaka kuwunikira zizindikiro zomwe zimakhudza kugwira ntchito koyenera kwa ziwalo zonse ndi machitidwe.
2. Matenda a shuga a Mtundu Wachiwiri amapezeka kwambiri mwa odwala omwe ali ndi zaka zopitilira 45. Ichi ndichifukwa chake kuwongoleredwa ndi namwino kuyeneranso kukhala kwakukulu pazolimbitsa thupi la wodwalayo.

Mukamayendetsa, wodwalayo amawunikidwa kuti azitsatira mankhwala omwe amakhazikitsidwa. Namwino ayenera kuwunika zisonyezo, popeza kunenepa kwambiri ndi amodzi mwa mavuto omwe anthu omwe ali ndi matenda ashuga ali nawo.

Amawongolera - menyu, kuchuluka, komanso kupezeka kwa zakudya, ntchito ya kapamba ndi ziwalo zonse zamkati, zamaganizidwe ndi malingaliro, chifukwa kupsinjika kumakhudza njira yochiritsira.

Magawo a chitukuko cha matendawa

Mndandanda wa magawo a shuga:

Magawo ndi mawonekedwe

Gawo 1Matenda a shugaGulu loopsalo limakhala ndi anthu omwe matendawa amatha kudziwonetsa ndi cholowa (cholowa m'malo mwake). Amaphatikizanso azimayi omwe amabereka mwana wolemera oposa 4.5 kg, komanso anthu omwe amapezeka kuti ali ndi kunenepa kwambiri kapena atherosclerosis. Palibe zoletsa zilizonse zapadera pakudya; kuyesedwa pafupipafupi kumayang'aniridwa ndi shuga wamagazi (pogwiritsa ntchito glucometer). Mkhalidwe waumoyo ndi wokhazikika, palibe kusintha pa ntchito ya ziwalo zamkati 2 sitejiMatenda a shugaMatendawa amayenda modekha popanda chizindikiro. Zowonetsa kuchuluka kwa shuga zili m'malire abwinobwino (pamimba yopanda kanthu, miyeso imawonekera kuyambira 3 mpaka 6.6 mmol / l). Mavuto amadziwika kudzera mu kuyeserera kwa glucose. 3 sitejiPewani matenda ashugaMunthu amakhala ndi zizindikiro zonse za matendawa - ludzu, kusinthika kwa chakudya, mavuto ndi khungu, kusintha kwa thupi, kufooka kwambiri, kutopa kwambiri.

Mu shuga wodziwikiratu, kuchuluka kwa shuga m'magazi kumawonedwa pophunzira mayeso omwe amatengedwa, nthawi zina shuga amapezeka mumkodzo.

Pakadali pano, pali zovuta zina zomwe zimachitika pakalibe chithandizo kapena kupatuka ku chithandizo chamankhwala:

• Zowonongeka kwa CNS
• kulephera kwa impso
• kuwonongeka kwamawonekedwe
• mavuto ndi mtima ndi mitsempha yamagazi.

Matenda am miyendo amadziwikanso, mpaka kutheka kwa kayendedwe kodziyimira pawokha.

Ntchito zazikuluzikulu zosamalira odwala

Popeza chisamaliro chapamwamba cha odwala ndiukadaulo wokhazikika, wolungamitsidwa kuchokera ku malingaliro azachipatala ndi sayansi, ntchito zazikulu:

• kutonthoza kwakukulu
• Kuchotsa kwa zoipa,
• kupewa mavuto.

Kupititsa patsogolo moyo wabwino, komanso kupereka njira zingapo zachipatala zomwe sizongofuna kuthana ndi mavuto omwe tikukumana nawo, komanso kupewa zatsopano ndizolinga zazikulu zomwe zimayikidwa pantchito yoyamwitsa.

Kutengera zolinga ndi zolinga, komanso kuchuluka kwa mayeso ndi madandaulo omwe angakhalepo kuchokera kwa wodwalayo kapena abale ake, mapu atsatanetsatane amachitidwe a unamwino a mtundu 1 kapena 2 matenda a shuga omwe amapitilira nthawi imodzi kapena ina amapangidwa.

Kodi ntchito imachitika bwanji?

Ntchito yayikulu yomwe ikuphatikizidwa pakumayimilira odziyimira pawokha ndi mndandanda wazinthu zingapo zomwe zimachitika.

Namwino samangokwaniritsa zozizwitsa zomwe adokotala amapangira ndipo amaphatikizidwa mu pulogalamu yokakamiza ochizira, komanso amachita kafukufuku wokhudzana ndi mkhalidwe wa wodwalayo, womwe umalola kukonzedwa kwakanthawi kwa njira yosankhidwa kapena njira zodzitetezera.

Ntchito za ogwira ntchito zachipatala zapamwamba ndizophatikiza kupanga chithunzithunzi cha chitukuko cha matendawa, kuzindikira zovuta zomwe zingachitike mwa munthu, komanso kusonkhanitsa chidziwitso pakuwunika koyambirira ndikugwira ntchito ndi banja la wodwalayo.

Choyamba, muyenera kusonkhanitsa deta potengera kafukufuku, kufufuza ndi kuwunikira zikalata, ndiye muyenera kusanja mwadongosolo kenako ndikukhazikitsa zolinga zazikulu, zomwe ziyenera kupitilizidwa pang'onopang'ono. Zitha kukhala zazifupi kapena zazitali. Zochitika zonse za ntchito yomwe ikubwera komanso yomwe ilipo pano iyenera kulembedwa ndi namwino ndikulowetsedwa m'mbiri yamatenda a munthu.

Mchitidwewu umatengera mavuto omwe adadziwika pamayeso, kukambirana ndi wodwalayo ndi banja lake.

Kenako namwinoyo amayamba kuchita zinthu mogwirizana ndi mapulani omwe iye anakonza nalandira chidziwitso chokhudza wodwalayo. Amakhala wolamulira ndipo amayang'anira zonse zomwe zachitidwa, maudindo angapo omwe cholinga chake ndikuwonetsetsa kuti munthu akudwala matenda a shuga akusintha.

Kutulutsa Koyambira Koyamba

Mulinso zinthu zotsatirazi:

1. Kukambirana kwapakamwa ndi wodwalayo, momwe kumafunikira kuti adziwe zomwe amadya, kaya amatsatira zakudya, kaya ndi zolimbitsa thupi zochuluka motani masana.
2. Kupeza chidziwitso cha mankhwalawa, kuwonetsa Mlingo wa insulin, dzina ndi kuchuluka kwa mankhwalawa, nthawi ndi nthawi ya mankhwalawa.
3. Funso pazakuchepetsa kwa magazi ndi mkodzo mayeso, mayeso omwe amachitika ndi endocrinologist.
4. Kudziwa ngati wodwala ali ndi glucometer komanso ngati iwo ndi banja lake amadziwa kugwiritsa ntchito chipangizochi (poyankha molakwika, ntchito yake ndikuphunzitsa momwe angagwiritsire ntchito chipangizocho mogwirizana ndi moyo womwe wapatsidwa).
5. Kudziwa ngati wodwalayo amadziwa bwino matebulo apadera - magawo a mkate kapena GI, ngakhale amadziwa momwe angagwiritsire ntchito, ndikupanganso menyu.
6. Zokambirana za ngati munthu angagwiritse ntchito syringe kuperekera insulin.

Komanso, kutolera chidziwitso kuyenera kuphimba mitu yokhudzana ndi zodandaula zaumoyo, matenda omwe alipo. Nthawi yomweyo, wodwalayo amawunika kuti adziwe mtundu wa khungu, chinyezi chake komanso kupezeka kwa zikanda. Miyeso imatengedwanso - kulemera kwa thupi, kupanikizika ndi kukoka.

Kanema wokhudza matenda a shuga ndi zizindikiro zake:

Chitani ntchito ndi banja la wodwalayo

Popeza osati mbiri yamankhwala okha, komanso mkhalidwe wamaganizidwe a munthu ndikofunikira kuti chithandizo chikuyenda bwino, ntchito imachitikanso ndi banja la wodwalayo monga mbali ya njira ya unamwino.

Namwino amafunika kuti azilankhula ndi munthu yemwe ali ndi matenda ashuga komanso banja lake za kufunika kosiya zizolowezi zoipa. Sonyezani kufunikira kwa kudya, komanso kuthandizira pakukonzekera kwake. Komanso panthawiyi ndikofunikira kutsimikizira wodwalayo kuti kuchita zolimbitsa thupi ndikofunikira kuti muchite bwino.

Kuyankhulana kuyenera kuchitika komwe zimayambitsa matendawa, zomwe zimapangitsa ndi zovuta zake pakuvomerezedwa ndi zomwe dokotala akuwonetsa.

Ndikofunikira kutsimikizira wodwalayo kufunika kowunikira nthawi zonse ndi endocrinologist. Kuti mumuphunzitse kusamalira bwino miyendo yake ndikuchotsa pawokha mawonekedwe a hypoglycemia, komanso kuyeza kuthamanga kwa magazi. Malangizowa akuphatikizapo kuyendera madokotala ndi akatswiri onse, kutumiza mayeso panthawi yake ndikusunga diary, zomwe zikuwonetsa momwe zinthu ziliri pano.

Zinthu zadzidzidzi za matenda ashuga

Pali zochitika zingapo zofunikira zomwe zingachitike ngati munthu wapezeka ndi matenda a shuga:

• hypoglycemic chikomokere.
• hyperglycemic chikomokere.

Mikhalidwe ya Hypoglycemic ndiowopsa kuumoyo ndipo ikuwopseza moyo. Amawonetsedwa ndi njala yayikulu, kutopa. Amawonetsedwa ndi mawonekedwe ndikuwonjezereka kwa kunjenjemera, chisokonezo chamalingaliro ndi kuzindikira.

Chizungulire chilipo, mantha ndi nkhawa zimapezeka, nthawi zina munthu amawonetsa mkwiyo. Kugwera mu chikomokere kumayendera limodzi ndi kusazindikira komanso kukhumudwa. Thandizo limakhala ndikutembenuzira munthu kumbali imodzi, amafunika kupereka magawo awiri a shuga, pambuyo pake muyenera kuyitanitsa dokotala.

Hyperglycemia imayambitsidwa ndi kuphwanya zakudya, kuvulala kapena kupsinjika. Pali kutayika kwa chikumbumtima, mawonekedwe a fungo la acetone kuchokera mkamwa, khungu louma, kupuma kwamphamvu. Ndikofunikira kuyika munthu mbali imodzi, kutenga mkodzo ndi catheter kuti muwoneke, itanani dokotala.

Chifukwa chake, ntchito yaamwino ndi zovuta zovuta komanso zowoneka bwino. Cholinga chawo ndi kukhala ndi moyo wogwira ntchito wodwala ndikuwonetsa zizindikiro zaumoyo.

Thandizo pamaganizidwe a matenda ashuga: kufuna kapena kusowa

Maphunziro ambiri asayansi pankhani ya zamankhwala ndi zama psychology amaperekedwa kuzovuta zakusangalatsidwa ndi malingaliro a anthu pamachitidwe awo akuthupi.

Nkhaniyi idakhudzidwa pambali ya nkhaniyi - zovuta za matendawa - matenda ashuga (apa - DM) - pa psyche ya anthu, komanso zomwe mungachite ndi izi. Matenda a shuga ndi matenda omwe, ngati amapezeka, amatsagana ndi munthu kenako moyo wake wonse.

Munthu yemwe ali ndi matenda osokoneza bongo amakakamizidwa kuwunikira nthawi zonse zaumoyo wake, kuti awonetsetsetsetse kuti asamapirire komanso asamadziletse, zomwe nthawi zambiri zimabweretsa zovuta m'malingaliro.

Chithandizo cha mankhwala osokoneza bongo, chofunikira, ndizofunikira kwa odwala matenda ashuga ndipo zimathandiza kwambiri kukonza moyo wa anthu omwe akukumana ndi vutoli, koma samathetsa zovuta zamaganizidwe a anthu otere.

Mu mawu akuti "Matenda a shuga ndi njira ya moyo!" Izi ndizodziwika bwino m'mabungwe a matenda ashuga, pamakhala tanthauzo lakuzindikira lomwe limawonetsa chikhalidwe cha anthu, zamankhwala komanso zamaganizidwe aumoyo komanso zovuta zaumoyo wa anthu omwe ali ndi matenda ashuga.

Kapangidwe kake komanso kakhalidwe komwe kofunika kuti munthu akhale ndi matenda ashuga sikutheka konse popanda chidziwitso ndi luso la matenda ashuga, zomwe zimayambitsa kuchitika, kumene, chithandizo, komanso osamvetsetsa kuti matenda ashuga, monga matenda osachiritsika, amafunika kuti munthu azichitira ndi ulemu, ndidazindikira zoperewera, ndikuvomereza ndikuyamba kukonda zatsopano, ndizoperewera.

Kuzindikira koyambirira kumakhala kodetsa nkhawa kwa onse omwe ali ndi matenda ashuga, makamaka kwa ana ndi achinyamata, komanso mabanja awo. "Tithokoze" matendawa, kufunikira kwakumayendera pafupipafupi njira zake, kutsatira malangizo a dokotala, kumwa mankhwala, kulankhula ndi adotolo, ndi zina zambiri.munthu mwadzidzidzi amapezeka m'mavuto a moyo-wamaganizidwe.

Izi, mwachidziwikire, zimaphatikizapo kufunikira kwakonzanso ubale mbanja, sukulu, mu ntchito, ndi zina zotero.

Anthu omwe ali ndi matenda a shuga amadziwika ndi: zofuna zochulukitsa pa iwo komanso anthu ena, kutanganidwa kwambiri ndi thanzi lawo, kusadzikayikira, kusadzikayikira, kudzidalira kosakhazikika, chidwi chochepa chokwaniritsa zolinga komanso kufalikira kwa zolinga zopewera kulephera, ndi zina zotero.

kumva kuti ndinu osatetezeka komanso kusiyidwa,

kudzikayikira kosalekeza

kufunika kosamalirana polumikizana, chitetezo, chitetezo, kudekha.

Mu achinyamata omwe ali ndi matenda ashuga, poyerekeza ndi achinyamata ena, omwe sakusonyeza chidwi chofuna utsogoleri, kudziwika, kudzidalira komanso kudziyimira pawokha, amakhala ndi zofuna zambiri pa iwo eni.

Ndiopanda tanthauzo, kuyerekeza ndi ena, pazosowa zawo ndi zokhumba zawo, ndipo nthawi yomweyo amakhala ndi kufunikira kwachikondi ndi chisamaliro, chomwe sangathe kuzikwaniritsa, ndi udani chifukwa cholephera kuvomereza.

Omwe azindikira izi nthawi zambiri amakhala onyada, kudziona kuti ndi otsika, nkhawa, nkhawa, kukwiya, mantha, mantha, mkwiyo, nsanje ndi zina zotere, zitha kukulira, kufunikira kwa chisamaliro kuchokera kwa ena kungachuluke, kapena kudana kwambiri.

Anthu amadzimva kuti alibe chiyembekezo, amatha kuyankha ku kutayika kwa kudzimva mwa kukhumudwa komanso kusayanja.

Munthu amazindikira kuti kuyambira pano osati zonse zomwe zikuwongoleredwa ndipo akuwopa kuti maloto ake atha kukwaniritsidwa.

Chifukwa chake, munthu amayamba kuchita zinthu zina mosiyana kwambiri ndikubweza, mosangalala, mopsa mtima, mosatetezeka, ndipo amatha kuyamba kupewa kucheza ndi anthu ena.

Choyamba, ndikofunikira "kukonza" zofuna zanu, momwe mukumvera komanso zosowa zanu. Yesani kudzisamalira nokha ndi malingaliro anu mwachidwi ndi ulemu. Palibe malingaliro abwino komanso oyipa.

Ndipo mkwiyo, kupsa mtima, ndi mkwiyo, ndi kaduka - izi ndizongomva, zisonyezo za zosowa zanu zina. Osadzilanga nokha chifukwa cha iwo.

Ndikofunikira kumvetsetsa zomwe thupi lanu, momwe mukumvera ndi momwe mukumvera.

Magawo owongolera kusintha adzakhala othandiza komanso osangalatsa, omwe amathandizira kumvetsetsa zomwe mumakumana nazo, kuwulula malingaliro omwe munthu sazindikira, koma omwe amakhudza moyo wake, ubale wake ndi anthu, moyo wake wonse, amathandizira kusintha kwamunthu pamavuto ndi chithandizo .

Achibale komanso achibale a munthu wodwala matenda ashuga atha kunena izi: osachita "matenda anu ashuga" ngati munthu wofooka, mulimbikitseni kuti adziyimire payekha komanso kuti asamachite zinthu modekha, musakakamize thandizo lanu, koma ingofotokozerani kuti ngati kuli kofunikira, atha kubwera kwa Kwa inu.

Chidwi chanu chabwino (koma osati chodandaula) za matenda ake, kuleza mtima, kumvetsetsa zovuta zake komanso kuwona mtima kwanu ndi iye zidzakhala zamtengo wapatali. Osapanga matenda ashuga kukhala vuto lalikulu, chifukwa ndi malingaliro oyanjana nokha, munthu wodwala matenda ashuga amatha kukhala moyo wathunthu!

Imodzi mwamagawo oyamba othandizira anthu omwe ali ndi matenda ashuga komanso okondedwa awo akhoza kukhala upangiri wamalingaliro, imodzi mwazinthu zomwe ntchito yake ndi kuthandiza munthu kupeza zomwe ali nazo, kudzidalira, kukhala ndi malingaliro abwino, kukhazikika, kuyanjana ndi ena. Kwa odwala matenda ashuga, othandizira, osawunikira ndikofunikira kwambiri. Pofunsiranowu pali mwayi wothandizidwa, kugawana momwe mukumvera komanso zomwe mumakumana nazo, kugawana nkhani yanu, kufunsa mafunso ndikugwira ntchito ndi psychologist, ndipo koposa zonse - kuwonedwa ndi kumvedwa.

Zizindikiro zoyambirira za matenda a shuga kwa ana

Ndidapeza magazini angapo a Chibelarusi Diabetesic, omwe adasindikizidwa ku Minsk zaka 15 zapitazo posindikiza pang'ono ndipo posakhalitsa adaleka kukhalapo chifukwa chazovuta zachuma mzaka ziwirizi.

Matenda a shuga mu ana ndi mtundu woyamba wa matenda ashuga, omwe amayamba ali ndi matenda omwe amakhala ndi majini atatha kutengera kachilombo. Mwatsatanetsatane ndikuyerekeza mitundu iwiri ya shuga, ndilemba m'masiku omwe akubwera, koma pakadali pano, kumbukirani kuti kuchuluka kwa glucose kosavuta ndizabwino 3.3 - 5.5 mmol / l.

Ngati m'magazi muli oposa 10 mmol / l, ndiye kuti impso sizitha kubwezeretsanso glucose (amuchotsetsa kuchokera mkodzo kulowa m'magazi), ndiye kuti shuga amawonekera mkodzo. Shuga (ngati mchere) amakopa madzi osmotically, kotero pali mkodzo wowonjezereka.

Mwanayo nthawi zambiri amakodza ndi kumwa madzi ambiri. Popeza ma virus amawononga kapamba, amatulutsa insulini pang'ono, popanda glucose yemwe sangatengeredwe ndi thupi (more). Zodabwitsa: magazi amadzaza ndi shuga, ndipo maselo akumva njala, mwana akuchepa.

“Ndakhala ndikudwala matenda a shuga kwa zaka 18. Mwana wanga wamwamuna anali ndi zaka zisanu ndi chimodzi. Alibe matenda ashuga, koma ndikuwopa kwambiri kuti majini anga azigwira ntchito posachedwa, ndipo adzadwalanso. Phunzitsani ana anu kuteteza mwana wanu kuti asatenge matenda oopsa kwa nthawi yayitali.

Mizereyi kuchokera ku kalata yomwe amalandila amalandila amawabwereza funso lomwe endocrinologists amakonda kumva kuchokera kwa makolo omwe ali ndi matenda ashuga. Ndiyesa kumuyankha, koma ndikufuna ndikambe pang'ono pokhudzana ndi zovuta zamavuto.

Ngakhale kuti chiyembekezo chobadwa nacho cha matenda ashuga ndi umboni wotsimikiziridwa ndi sayansi, sizofunikira konse kuti mwana yemwe makolo ake kapena achibale ena ali ndi matenda a shuga adwale.

Palibe chifukwa choyembekezera izi ngati mwala wakupha. Mantha, kukhala tcheru kwambiri, kukakamiza amayi ndi abambo kuti azisamalira mwana wathanzi labwino ngati wodwala, kuti amuteteze ku chilichonse chomwe chikufunika kuti akule bwino m'maganizo ndi m'maganizo, atha kungoyipa kwambiri kuwona dziko lozungulira ngati ngozi yoopsa yolowera paliponse.

Ndikufuna kukuthandizani, owerenga okondedwa, kuthana ndi mantha awa mwa inu nokha - sizingatheke kuti mukhale wothandizira, ngati tsogolo lanu lingasankhe kuti mwana wanu ayambe kudwala matenda ashuga. Koma chitsimikizo chodekha kuti mukudziwa momwe mungachitire pankhaniyi chikuthandizani inu ndi omwe okuzungulirani, omwe, mosiyana ndi inu, ali ndi malingaliro osamveka bwino pankhani ya matenda a shuga.

Tsoka ilo, zimakhala m'mabanja "osawunikiridwa" amenewo kuti mwana amapezeka ndi matenda a shuga nthawi zambiri pomwe amatha kale kuchita zinthu zina zosasintha m'thupi.M'mabanja otere, matendawa amawoneka ngati buluu wochokera kubuluu, ngakhale zambiri zanenedwa za njira yake, yomwe idanyalanyazidwa.

Sayansi silingapereke yankho lenileni ku funso lokhudza zomwe zimayambitsa matenda ashuga, ngakhale zikuwonekeratu kuti mizu yake imayambira pakumvana kwakubadwa, kupatsirana kachilombo, komanso matenda okhudzana ndi matenda.

Ngati izi zikuchitika muubwana, makamaka adakali aang'ono, nthawi yotsala (yotsika) yomwe idayamba kukula kwa matenda ashuga ndiyochepa kwambiri - pomwe makolo amatha kulabadira pokhapokha ngati mwana mwadzidzidzi adayamba kumwa kwambiri ndipo, mwachilengedwe, kukodza pafupipafupi, nthawi zambiri kuphatikiza usiku.

Chikhumbo chake chasinthidwa - mwina akufuna kudya nthawi zonse, kapena, mosiyana, akukana kudya. Amataya thupi msanga, amayamba kudwala, kugona. Zowoneka bwino za tsambali ndikuti zilibe zizindikiro zodziwika kuchokera ku matenda wamba a ana - palibe malungo, chifuwa, kapena zotupa.

Ndipo makolowo akungolosera, thupi la mwanayo limathawa chitetezo chomaliza, kulimbana kwambiri ndi matenda omwe atengedwa kale. Ndipo kenako pali mseru, kusanza, kupweteka pamimba, kupuma kumasokonezeka - nthawi yamapeto yatha, vutoli limachepa kwambiri. Ngati thandizo ladzidzidzi siliperekedwa kwa mwana pano, akhoza kufa.

Tsoka ilo, pakadali pano, ana awiri mwa atatu omwe ali ndi matenda ashuga amabwera kwa madokotala omwe ali ndi vuto lalikulu akalandira chithandizo. Mtsogolomo, nthenda yawo imakhala yovuta kulipirira, zomwe zimapangitsa kuti pakhale zovuta zofananirana kuposa momwe chithandizo chachipatala chidafika panthawi pang'ono, ndikuletsa kuyitanidwa kwa "ambulansi".

Koma nthawi ya kumwa kwambiri kuchokera pamalopo a matenda ashuga amakono ndi deti lachedwa kwambiri lopangira matenda. Munthawi imeneyi, kapamba wa mwana samathanso kupanga insulini yokwanira kuti amwe shuga, ndipo thupi, litakhala ndi vuto m'manjamo, limayamba kugwiritsa ntchito mphamvu zake zosungika momwe zilili mokwanira.

Mwa zisonyezo zina, kukula kwa matenda ashuga koyambirira kumatha kuganiziridwa. Ndipo ngati kudandaulira kwa endocrinologist, kuwunika kwa labotale kumatsimikizira kuti kapamba amasweka, kupanga insulini kumachepetsedwa - izi, mwatsoka, sizingathandize kuteteza mwana ku matenda ashuga, koma kukulira matendawa kungachepetsedwe pang'ono ndikuthandizira mphamvu za ana, zomwe zikufunika kwambiri pophunzira, kukula ndi ntchito zina. Zizindikiro izi ndi ziti?

• Kufunika kowonjezereka kwa maswiti (maselo a ziwalo ndi minofu ayamba kuyamwa kwambiri, koma amafunikira momwe iwo amakhalira).
• Ndizovuta kupirira kupuma kwakukulu pakati pa chakudya, kumverera kwanjala kumakulitsidwa, mitu yamutu "wamanjala" imabuka.
• Pambuyo pa maola 1.5-2 mutatha kudya, kumverera kofooka.

Zizindikiro izi zodwala, monga momwe mukuwonera mosavuta, zimapezeka mu ana ndi akulu ambiri - chabwino, ndi mwana uti yemwe samakonda maswiti komanso amene sagona pakudya chamadzulo chamadzulo. Komabe, zizindikilo izi ziyenera kukhala nthawi yolumikizana ndi endocrinologist, makamaka ndi ana omwe wachibale wawo ali ndi matenda ashuga (kuchuluka kwaubwenzi ndi zaka za matendawa sizofunikira pano).

Makolo ayenera kuchita zomwezo ngati zizindikirozi zikuonekera mwa mwana motsutsana ndi matenda ena amkhungu - neurodermatitis, furunculosis, pyoderma, ichthyosis, komanso periodontitis, komanso kuwonongeka kwa mawonekedwe.

Mwa njira, kuthekera kwodziwidwa koyambirira kwa matenda ashuga kumawonekera pakati pa madokotala osati kale kwambiri. Amakhala ndi mayeso apadera kuti azindikire chitetezo chaumunthu m'maselo a beta omwe amapanga insulin.

Mayeso awa amatenga gawo lofunikira popewa matenda a shuga a ana ndipo ayenera kuchitika makamaka m'magulu omwe ali pachiwopsezo. Magulu achiwopsezo amapangika pakati pa ana omwe kuthekera kwa kudwala matenda ashuga kumakhala kwakukulu kuposa komwe anzawo amachita.Madokotala amazindikira izi pazinthu zingapo:

• Pali odwala matenda ashuga pakati pa abale a mwana,
• kulemera kwa kubala kudaposa 4.5 kg
• ali kale ndi zovuta zina za metabolic,
• chitetezo chokwanira chimachepetsedwa pazifukwa zina.

Ndikubwerezanso, sikofunikira konse kuti ana omwe amadziwika ndi zomwe zalembedwa pamwambapa (onse kapena gawo lawo) azikhala ndi matenda ashuga. Koma ali ndi chidziwitso cha matendawo, omwe amatha kuchitika mothandizidwa ndi zinthu zakunja.

Koma kwa ana otere ndikofunikira kuti asamangopanga "greenhouse", koma kuphunzitsa chitetezo cha mthupi, kupereka chakudya chokwanira komanso chopatsa mphamvu cha mavitamini, koma osakoma kwambiri (kuti asadzaze kwambiri kapamba), moyo wosangalatsa.

Belarusian Republican Center for Pediatric Endocrinology yakhazikitsa pulogalamu yapadera yoletsa komanso kudziwitsidwa koyambirira kwa matenda a shuga kwa ana. Amapangidwa kuti azigwirizana kwambiri ndi endocrinologists, ana, makolo, ana asukulu ndi a kindergarten

imapereka maphunziro a matenda ashuga omwe amayang'ana chidwi cha ana omwe ali pachiwopsezo. Gawo lapadera la pulogalamuyi limayang'aniridwa kwa achinyamata a mdera la Gomel, komwe zaka zingapo zapitazi pakhala kukula komanso kubwezeretsanso kwa matenda a shuga kuposa ambiri padziko lapansi.

Etiology ya matenda ashuga

Matenda owopsa aubwana amathandizadi kukulitsa shuga kwa ana. Malinga ndi a M. M. Bubnova ndi M. I. Martynova, matenda oterewa amaphatikiza mavuvu, nthomba, chikuku,

Zonsezi zimatithandizira kuti tiyese mayeso a mkodzo kwa ana mwezi umodzi atasamutsa matenda enaake.

Kuvulala kwam'mutu komanso kwakuthupi. Olemba ambiri amati gawo lodziwika bwino lomwe limapangitsa kuti matenda ashuga azikhala ndi vuto la m'maganizo komanso m'thupi, ndipo ena amadzigwirizanitsa mwachindunji ndi zowawa zam'mbuyo zaposachedwa.

Komabe, zambiri pamatenda a shuga mwa akulu sizitipatsa mwayi kuti tigwirizane ndi lingaliro ili. Zikuwoneka kuti, kuvutika kwamaganizidwe ndi thupi kumangopangitsa kuti matenda asamve bwino a shuga, i.e.

Tidaona chitukuko cha matenda ashuga msungwana wazaka 6 atadwala kwambiri: patatha milungu iwiri kupweteka kwambiri m'mimba, adamva ludzu, mtsikanayo adayamba kuchepa thupi, ndipo kafukufuku adawonetsa 5% shuga mkodzo, womwe umafuna kuti pakhale insulini.

Mwa mwana wazaka 9, matenda ashuga, malinga ndi amayi ake, adadziwika atachita mantha mwamphamvu - galu yemwe adamasuka kumakolo adathamangira kwa mwana. Pambuyo pa masiku 8, adadwala kwambiri, adayamba kuchepa thupi, ndipo shuga mu 6% adapezeka mumkodzo wake.

Mwambiri, hyperglycemia ndi glycosuria pambuyo pamavuto am'mutu komanso mwakuthupi ndizinthu zodziwika bwino, koma nthawi zambiri zimatha posachedwa ndipo matenda ashuga samayamba.

Zakudya zopatsa thanzi, mwachidziwikire, zimayipa boma pazida za insulin. Zitsanzo zokhala ndi shuga mu anthu omwe amadyetsedwa mopitirira muyeso kwa zaka zambiri, monga lamulo, nthawi zambiri amakhala mu zitsanzo zamasamba omwe ali ndi matenda ashuga a shuga.

S. G. Genes, N. S. Weller amakhulupirira kuti matenda a shuga amakhalanso ambiri mwa anthu omwe amadya kwambiri mafuta: sikuti chakudya, koma mafuta omwe, atagwiritsidwa ntchito mopitilira muyeso, amathandizira kuti maselo a beta athe. Izi zimatsimikiziridwa ndikuwona zowerengera ndi kafukufuku woyesa.

Komabe, kugwiritsa ntchito maswiti kwambiri ndi ana sikungachititse kuti chiwonjezeko cha ntchito zamagetsi chizikhala. Malinga ndi a M. M. Bubnova ndi M. I. Martynova, mwa ana 140 omwe ali ndi matenda ashuga, 10% anali ndi mbiri yokhudza kumwa kwambiri maswiti nthawi yayitali.

Ndi kudya kwambiri, kulemera kwa chakudya komwe kumatengedwa ndikofunikira kuti pakhale katemera wa insulin yambiri.

Udindo wa zaka. Olemba ambiri omwe aphunzira za matenda ashuga mwa ana akuwonetsa kuti kuchuluka kwa matenda ashuga kwa zaka 6-8 ndi zaka 11 mpaka 13 kumawonjezeka kuposa nthawi zina za ubwana.

Zowopsa kwambiri zaka izi zimafotokozedwa ndikuti zowonjezera zazikulu zimafunidwa pazida za insulin panthawi yanthawi yakukula kwambiri. Matenda a shuga amatha kupezeka aliwonse. Milandu yodwala ya mwana wazaka chimodzi imafotokozedwa, komanso ngakhale milungu yoyambirira.

Pakadali pano, akukhulupirira kuti pazaka zonse za anthu odwala matenda ashuga, pafupifupi 5% amawerengera zaka 10.

Udindo wobadwira: Steinberg ndi Jackson amakhulupirira kuti matenda ashuga amatha kukhala matenda obadwa nawo, monga momwe zimakhalira nthawi zambiri makolo a ana omwe ali ndi matenda ashuga amapezeka ndi zida zobayira.

Malinga ndi V. M. Kogan-Yasnogo, matenda a shuga amakhalanso ndi matenda obadwa nawo mu 10-47% ya anthu otere.

Kafukufuku wambiri akuwonetsa kuti shuga imawonedwa nthawi zambiri m'mabanja amodzi, koma olemba osiyanasiyana amapereka zambiri pazokhudza izi. Chifukwa chake, D. D. Sokolov adavumbulutsa cholowa cha 7% cha odwala matenda a shuga, Grot - mu 53.2%, Hest - mu 30%, Aysell - mu 62%, A. M. Bialik - mu 13.3% ya odwala .

Zikuwoneka, kusiyanasiyana kwa zidziwitso kumadalira njira yowunikira cholowa: mukamayang'ana momwe zida za makolo zimakhalira ndi odwala, zovuta zake zimapezeka nthawi zambiri kuposa pophunzira ma anamnesis okha.

M'zaka zaposachedwa, kafukufuku wosangalatsa kwambiri wapezeka m'derali. Chifukwa chake, kuwonongeka kwa alloxan ku zida zapakudya za akalulu, kufowoka kwazomwezo mwa ana, kumachulukira mibadwo yotsatira, ndi kuchepa kwapang'onopang'ono kwa kuchuluka kwa maselo a beta, matenda a shuga adayambika popanda kugwiritsa ntchito alloxan.

Nkhani yofunikira yomwe ikulingaliridwa, mwatsoka, siyinaphunziridwe mokwanira, koma zomwe zimapezeka kale ziyenera kuganiziridwa mukamadziteteza, makamaka pa nkhani ya zakudya za ana.

Zotsatira za matenda ashuga bongo

Zizindikiro zingapo zomwe zikuwonetsa zovuta za matendawa ku ubongo zimawonekera ndikuchedwa. Zizindikiro zophatikizana ndi kuchuluka kwa shuga m'magazi zimachedwa kwambiri. Zimadziwika kuti pakapita nthawi, ziwiya za wodwala zimawonongeka, kuphatikizapo ziwiya zazing'ono, zomwe zimalowa mu ubongo. Kuphatikiza apo, hyperglycemia imawononga zinthu zoyera.

Thupi limawonedwa ngati gawo lofunikira la ubongo womwe umakhudzidwa ndi kayendetsedwe kazinthu zamafupa. Kuwonongeka kwa ulusi kumayambitsa kusintha kwa kuganiza, ndiye kuti, wodwala matenda ashuga amatha kusokonezeka chifukwa cha kuchepa kwa mitsempha kapena kusokonezeka kwa chidwi.

Wodwala aliyense amene ali pachiwopsezo cha kuwonongeka kwamitsempha yamagetsi, komabe, pali zinthu zingapo zomwe zimathandizira kapena kuchepetsa nthawi. Ndi ukalamba, chiopsezo cha kuchepa kwa mitsempha chimachuluka, koma izi zimagwira makamaka kwa odwala omwe ali ndi matenda amtundu woyamba 1, omwe amawongoleredwa bwino.

Ndizofunikira kudziwa kuti odwala omwe ali ndi mtundu wachiwiri wa matenda ashuga amakonda kuonekera kwambiri kwamtundu uliwonse wamatenda, popeza ali ndi vuto lochepa la metabolism, high triglycerides, otsika a cholesterol yabwino, komanso kuthamanga kwa magazi. Kupitilira muyeso kumakhudzanso kuphatikiza kwake.

Kuti muchepetse zovuta zamagulu okhudzana ndi ubongo, kuchuluka kwa shuga m'magazi kuyenera kuyang'aniridwa mosamala. Ndikofunika kudziwa kuti gawo loyamba la chithandizo likumwa mitundu yonse ya mankhwala ochepetsa shuga.

Kuphatikiza apo, zatsimikiziridwa kuti shuga imalepheretsa kupanga cholesterol, komwe ndikofunikira pakugwira ntchito moyenera kwa bongo, komwe limapanga chinthu chake. Izi zimatha kusintha magwiridwe antchito amanjenje, kuphatikiza ndi ma receptor omwe amayang'anira kuwongolera kulakalaka, kukumbukira, chikhalidwe, kupweteka ndi ntchito yamunthu.

Asayansi apeza mgwirizano wama molekyulu pakati pa chizindikiro cha insulin chobisalira mu ubongo ndi machitidwe ofanana ndi a schizophrenia ngati mbewa. Amadziwika kuti anthu omwe ali ndi matenda ashuga amakhala ndi kusinthasintha kwa machitidwe ena komanso mavuto ena amisala.

Insulin, timadzi timene timayendetsa kagayidwe kachakudya m'thupi, kamakonzanso kuperekera kwa dopamine ku ubongo. Dopamine ndi neurotransmitter yoyang'anira zochitika zamagalimoto, chidwi komanso chisangalalo.

Asayansi adayang'ana njira yomwe imabwera chifukwa cha kusintha kwa ma insulin mu ubongo ndi kusokonekera kwa dopamine komwe kumatsogolera ku chikhalidwe cha matenda a schizophrenia.

Ofufuzawo adapanga mbewa zokhala ndi vuto la insulin kusaina kokha mu ma neuron (adasokoneza ntchito za mapuloteni a Akt, omwe amapatsira ma insulin ma cell mkati mwa maselo). Asayansi apeza kuti mbewa zimakhala ndi zodetsa nkhawa zofanana ndi zomwe zimawonedwa nthawi zambiri mwa odwala a schizophrenic.

Asayansi adawonetsanso momwe zoperewera muzizindikiro za insulin zimasokonezera kuchuluka kwa ma neurotransmitters mu ubongo: mbewa, dopamine inachepa ndipo norepinephrine inakulirakulira mu preortalal cortex (malo ofunikira njira zachidziwitso).

Zikuwoneka kuti, transporter yowonjezera ya NET imagwira dopamine yonse ndikuisintha kukhala norepinephrine. Poterepa, mkhalidwe wa hypodopaminergia (otsika dopamine) umayamba mu ubongo.

Mbiri pang'ono

Zizindikiro za matenda a shuga zafotokozedwa ndi madotolo onse odziwika kuyambira nthawi za prehistoric. M'zaka za m'ma 2000 BC, Demetrios, yemwe adachiritsa Agiriki akale, adapereka matendawo dzina la "shuga", lomwe limamasulira kuti "Ndikuwoloka." Ndi mawu awa, adotolo adalongosola mawonekedwe owonetsera - odwala mosalekeza amamwa madzi ndikutaya, ndiye kuti, madzi samasungidwa, amayenda kudutsa thupi.

Kwa zaka zambiri, madotolo ayesera kuti adziwe chinsinsi cha matenda ashuga, kuzindikira zomwe zimayambitsa ndikupeza chithandizo, koma matendawa adakhalabe akupha. Odwala a Type I amwalira achichepere, anthu omwe amadwala ndi mawonekedwe odziimira a insulin amathandizidwa ndi zakudya komanso masewera olimbitsa thupi, koma kukhalapo kwawo kunali kowawa.

Makina a matendawa adayamba kuonekera pokhapokha atachitika m'zaka za zana la 19. sayansi pazokhudza magwiridwe antchito a endocrine - endocrinology.

Katswiri wazachipatala Paul Langerhans adazindikira maselo a pancreatic omwe amapanga insulin. Maselo amatchedwa "zilumba za Langerhans, koma asayansi ena pambuyo pake anakhazikitsa mgwirizano pakati pawo ndi matenda a shuga.

Mpaka 1921, pamene Canada a Frederick Bunting ndi a Charles Best adadziwitsira insulin kuchokera ku zikondamoyo za galu, palibenso njira yochizira matenda ashuga.

Pazotulukazi, asayansi ayenera kulandira Mphotho ya Nobel, komanso odwala matenda ashuga - mwayi wokhala ndi moyo wautali.

Insulin yoyamba idapezeka kuchokera ku zimbudzi za ng'ombe ndi nkhumba, kuphatikiza kwathunthu kwa mahomoni a anthu kunatheka kokha mu 1976.

Kuchiza matendawa pokhapokha ngati muli ndi insulin komanso mankhwala ochepetsa shuga sikugwira ntchito mokwanira. Munthu yemwe ali ndi matenda ashuga asinthe kwambiri moyo wake, asinthe kadyedwe kake, ndi kudziletsa.

Zotsatira zamaphunziro, ubale unapezeka pakati pa kuchuluka kwa zamaganizidwe ndi glucose wamagazi. Dongosolo la mantha a autonomic limakwaniritsa kufunikira kwa mphamvu powonjezera kuchuluka kwa shuga m'magazi.

Mwachikhalidwe, mtundu wa I shuga (wodalira insulini) ndi mtundu II (osadalira insulini) umasiyanitsidwa. Koma palinso matenda a shuga, omwe ndi oopsa kwambiri.

Ndi mawonekedwe awa, kusintha kwadzidzidzi kwa glucose kumachitika masana.Palibe chifukwa chowonekera cha kudumpha, ndipo kulephera kusintha kwa insulin kumayambitsa hypoglycemia, chikomokere, kuwonongeka kwamitsempha yamagazi ndi mitsempha yamagazi. Njira yotere ya matendawa imawonedwa mwa 10% ya odwala, makamaka achinyamata.

Madotolo ati matenda ashuga ovuta ndi vuto la m'maganizo kuposa lamoyo. Mtundu woyamba wa matenda ashuga wofotokozedwa ndi a Michael Somogy mu 1939, ndikufanizira kumasulidwa kwa glucose kosasunthika ndi kuwonongeka kwa ndege chifukwa chosagwiritsa ntchito poyendetsa ndege zokha.

Mlingo waukulu wa insulin ulowa mthupi, shuga amachepetsa, chiwindi "chimathandiza" ndi glycogen ndipo zonse zimakhala zabwinobwino. Monga lamulo, hypoglycemia imachitika usiku wodwala atagona.

M'mawa amadzimva wosasangalala, shuga wake amakhala wokwera. Poyankha madandaulo, adotolo amawonjezera mlingo wa insulin, womwe sugwirizana ndi momwe zilili.

Chifukwa chake bwalo loipa limapangidwa, lomwe limakhalavuto kutuluka.

Kuti muwone zomwe zimapangitsa kuti pakhale lability, ndikofunikira kuyeza hemoglobin usana ndi usiku kwa masiku 7-10 maola 4 aliwonse. Kutengera ndi zolemba izi, adokotala amasankha insulin yoyenera.

Ma psychosomatics a shuga amtundu uliwonse amakhala ndi mikhalidwe yomwe ili mwa anthu ambiri omwe ali ndi matenda ashuga:

1. Kutetezedwa, kumva kuti mwasiyidwa, kuda nkhawa,
2. Kuzindikira kowawa kwa zolephera
3. Chikhumbo chokhazikika ndi mtendere, kudalira okondedwa,
4. Chizolowezi chodzaza chisowa cha chikondi ndi malingaliro abwino ndi chakudya,
5. Zofooka zomwe zimayambitsidwa ndi matendawa nthawi zambiri zimataya mtima,
6. Odwala ena amawonetsa kuti alibe chidwi ndi thanzi lawo ndipo amakana chilichonse chomwe chimakumbutsa za matendawa. Nthawi zina zionetsero zimachitika chifukwa chomwa mowa.

Mkhalidwe wamaganizo wamunthu umakhudzana mwachindunji ndi thanzi lake. Sikuti aliyense amakwanitsa kukhalabe ndi malingaliro atazindikira matenda osachiritsika. Matenda a shuga samalola kuiwala za inu nokha; odwala amakakamizidwa kumanganso miyoyo yawo, kusintha zizolowezi, kusiya zakudya zomwe amakonda, ndipo izi zimakhudzanso magawo awo a malingaliro.

Kuwonetsedwa kwa matenda amitundu I ndi II ndizofanana, njira zamankhwala ndizosiyana, koma psychosomatics ya matenda osokoneza bongo amakhalabe osasinthika. Njira zomwe zimachitika mthupi ndi matenda ashuga zimayambitsa kukula kwa matenda ophatikizika, zimasokoneza kugwira ntchito kwa ziwalo, zamitsempha yamagazi, mitsempha yamagazi ndi ubongo. Chifukwa chake, zovuta za shuga pa psyche sizingadziwike.

Matenda a shuga nthawi zambiri amakhala ndi mitsempha komanso kukhumudwa. Endocrinologists alibe lingaliro limodzi pa ubale wa causal: ena akutsimikiza kuti mavuto amiseche amapangitsa matendawa, ena amatsata mbali yotsutsana.

Ndikosavuta kunena motsimikiza kuti zoyambitsa zamaganizidwe zimayambitsa kulephera kwa shuga. Nthawi yomweyo, sizingatheke kukana kuti chikhalidwe chamunthu pakudwala chimasintha moyenera. Popeza kulumikizana koteroko kulipo, chiphunzitso chinapangidwa kuti, pogwiritsira ntchito psyche, matenda aliwonse akhoza kuchiritsidwa.

Malinga ndikuwona kwa akatswiri azamisala, mwa anthu omwe ali ndi matenda ashuga, zokhudzana ndimaganizo zimawonedwa nthawi zambiri. Kupsinjika pang'ono, kupsinjika, zochitika zomwe zimayambitsa kusinthasintha zimatha kubweretsa kusweka. Kuchitikako kumatha kuchitika chifukwa chotulutsa shuga m'magazi, momwe thupi silingathe kulipira shuga.

Akatswiri odziwa za endocrinologists adazindikira kale kuti shuga imakonda kukhudzana ndi anthu omwe akufunika chisamaliro, ana opanda chikondi cha amayi, odalira, osowa lingaliro, omwe sangathe kupanga zisankho payokha. Zinthu izi zitha kuchitika chifukwa cha zomwe zimayambitsa matenda ashuga.

Munthu amene adziwa za matenda ake ali ndi nkhawa. Matenda a shuga amasintha moyo wamasiku onse, ndipo zotulukapo zake zimakhudza osati maonekedwe, komanso mkhalidwe wamkati. Mavuto amakhudza ubongo, ndipo izi zimayambitsa kusokonezeka kwa malingaliro.

Zokhudza matenda a shuga pa psyche:

• Kudyetsa pafupipafupi. Mwamunayo adadzidzimuka ndi mbiri ya matendawa ndipo akufuna "kuti awononge zovuta." Mwa kuyamwa chakudya chochuluka, wodwalayo amavulaza kwambiri thupi, makamaka ndi matenda amtundu wa II.
• Ngati kusintha kumakhudza ubongo, nkhawa zosalekeza komanso mantha zimatha kuchitika. Mkhalidwe wopatsirana nthawi zambiri umatha mu kupsinjika kosatheka.

Matenda othamanga komanso ophatikizika amatsogolera ku psychosis ndi schizophrenia.

Odwala omwe ali ndi matenda a shuga omwe ali ndi zilema zamaganizidwe amafunikira thandizo la dokotala yemwe angapangitse munthu kuti afunikire kuchitapo kanthu kuti agwirizane ndi vutoli. Titha kulankhula za kupita patsogolo kwamachiritso ngati vutolo likukhazikika.

Zovuta zam'mimba zimapezeka pambuyo pakuyesa kwa magazi. Ngati vuto lakelo la mahormeli lisintha, wodwalayo adzapatsidwa mwayi wothandizidwa ndi katswiri.

Malinga ndi kafukufuku, magawo awiri mwa atatu a odwala amatsimikizira kupatuka kosiyanasiyana. Nthawi zambiri, anthu sazindikira mavutowo ndipo samapita kuchipatala.

Kwa odwala matenda ashuga, matenda a astheno-depression state kapena matenda a kutopa kwambiri ali ndi mkhalidwe, omwe odwala ali nawo:

1. Kutopa nthawi zonse
2. Kutopa - kotenga mtima, luntha komanso thupi,
3. Kuchepetsa ntchito
4. Kusakwiya ndi mantha. Munthu sakhutitsidwa ndi chilichonse, aliyense ndi iye,
5. Kusokonezeka tulo, nthawi zambiri kugona tulo masana.

Mu chikhalidwe chokhazikika, Zizindikiro zake zimakhala zofatsa ndikuchiritsika ndi kuvomereza ndi kuthandizira wodwalayo.

Matenda osakhazikika a astheno-depression amasawonetseredwa ndikusintha kwakukuru kwamaganizidwe. Vutoli silabwino, chifukwa chake, kuyang'anira wodwalayo ndikofunikira.

Kutengera ndi kuopsa kwa vutoli, mankhwala amalembedwa ndipo zakudya zimasintha, zomwe ndizofunikira kwambiri kwa matenda ashuga a II.

Kudzimva kwamantha ndi kusakhutira, zomwe nthawi zambiri zimadwalitsa odwala matenda ashuga, kuyenera kuzindikiritsidwa, kusanthula ndi kuthandizidwa.

Vutoli limachitika pafupipafupi. Munthu, m'njira zambiri, moyenera, amadera nkhawa zaumoyo wake, koma nkhawa imakhala yodziwika bwino.

Nthawi zambiri, hypochondriac amamvera thupi lake, amadzitsimikizira yekha kuti mtima wake, ziwiya zopanda mphamvu, etc. sizimenya bwino.

Zotsatira zake, kukhala bwino kumakulirakulira, kusowa kwa chakudya kumatha, mutu umapweteka, kumadetsedwa m'maso.

Odwala omwe ali ndi matenda ashuga ali ndi zifukwa zenizeni zosakhazikika, mtundu wawo wotchedwa depression-hypochondriac. Osasokonezeka ndi malingaliro achisoni pankhani yathanzi lofooka, wodwalayo amataya mtima, amalemba madandaulo ndi zofuna, mikangano kuntchito, amanyoza abale am'banja chifukwa chopanda mtima.

Mwa kukopana, munthu amayambitsa mavuto enieni, monga matenda a mtima kapena sitiroko.

Hypochondriac-diabetesic ayenera kuthandizidwa mokwanira - ndi endocrinologist ndi psychologist (psychiatrist). Ngati ndi kotheka, dokotala adzalembera antipsychotic ndi ma tranquilizer, ngakhale izi ndizosayenera.

Pali mitundu iwiri ya matenda ashuga: osadalira insulin komanso odalira insulin. Zizindikiro zawo ndi zofanana, monga momwe matendawa amakhalira, njira zamankhwala zimasiyana kwambiri.

Kusokonezeka kwa m'maganizo kumachitika chifukwa cha kusayenda bwino kwa ziwalo zamkati, kuphatikiza ozungulira ndi ma lymphatic.

Madokotala ambiri poyamba amati wodwala yemwe ali ndi vuto la endocrine system angafunikire thandizo lamankhwala. Mwachitsanzo, maphunziro apanthawi yake a autogenic amathandiza wodwala yemwe ali ndi vuto losinthasintha.

Zochitika zama psychology a odwala omwe ali ndi mtundu 1 ndi matenda ashuga a 2

Zambiri kuchokera ku kafukufuku ambiri zimatsimikizira kuti anthu omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi zovuta zamaganizidwe ambiri.

Kuphwanya kotereku kumakhala ndi phindu lalikulu osati pakubwezeretsako kokha, komanso pazotsatira za matendawo.

Kwenikweni, njira yosinthira (chizolowezi) chazovuta cha pancreatic sikuti mtengo womaliza, chifukwa zimatengera kuti matendawa adzachitika ndi zovuta kwambiri kapena ayi. Kodi zovuta zina zamaganizidwe zipita kumapeto, kapena zitha kupewedwa pambuyo pake?

Matenda a mtundu woyamba amatha kusintha kwambiri moyo wa wodwala endocrinologist. Atazindikira kuti ali ndi matendawa, matendawa amadzisinthira moyo. Pali zovuta zambiri komanso malire.

Nthawi zambiri atazindikira, nthawi yomwe imatchedwa "nthawi ya uchi", nthawi yomwe imakhala kuyambira masiku ochepa mpaka miyezi ingapo.

Munthawi imeneyi, wodwalayo amasinthana bwino ndi zofooka zake komanso zofunikira zina zamankhwala othandizira.

Monga ambiri amadziwa, pali zotsatira ndi zosankha zambiri pakupanga zochitika. Chilichonse chitha kutha ndikuwoneka zazing'ono zovuta.

Zotsatira za matendawa pa psyche yamunthu

Kuzindikira kwa munthu kumadalira mtundu wa magwiridwe antchito. Matenda a wodwalayo atha kukhala momwe akuwonera.

Anthu omwe amakonda kugwiritsa ntchito mankhwala osokoneza bongo mosavuta, samayanjananso ndipo amangochoka, ndizovuta kwambiri kuti adziwe kuti ali ndi matenda ashuga.

Nthawi zambiri, odwala endocrinologists, kuti athe kuthana ndi matendawa, m'njira iliyonse yomwe angathere amakana kuti ali ndi mavuto azaumoyo. Zinapezeka kuti ndi matenda ena amtunduwu njira imeneyi inali yothandiza komanso yopindulitsa.

Kuchita kodziwika bwino kotereku kumadziwika pakakhala matenda a shuga kumabweretsa zotsatira zoyipa.

Mavuto ambiri am'maganizo omwe ali ndi matenda ashuga

Pakadali pano, kufunikira kwa anthu odwala matenda ashuga ndiokulirapo kotero kuti matendawa ndiofala pakati pa anthu amisinkhu yosiyanasiyana. Nthawi zambiri pamakhala zinthu zomwe zimatchulidwa motsutsana ndi maziko a mitsempha, asthenic komanso kukhumudwa.

Pambuyo pake, ma syndromes amatsogolera pakupatuka kotere:

1. psychoorganic. Iye, mavuto akulu amakumbukidwe. Madokotala amazindikiranso mawonekedwe a zovuta mu psychoemotional ndi sphere. Psyche imakhala yokhazikika
2. psycho-organic syndrome yokhala ndi zizindikiro zama psychotic. Potengera komwe kudwala matenda oyamba, kuchepa kwa luntha-luntha komanso bodza lotchulidwa. Kupatuka uku m'kupita kwa zaka kumatha kukhala chinthu china monga dementia,
3. wosakhalitsa wopanda chikumbumtima. Matendawa amadziwika ndi: kutaya chidwi, kumva kusokonekera, kukomoka, komanso kukomoka.

Kuzunza

Mankhwala, pamakhala lingaliro lotchedwa kukakamiza kudya kwambiri.

Uku ndikulowetsa chakudya mosasamala, ngakhale osasangalala. Munthu kwathunthu samvetsa chifukwa chake amadya kwambiri.

Kufunika pano sikungakhale kwachilengedwe, koma kwamisala.

Kuchulukitsa

Matenda a shuga amakhala ndi mphamvu pa psyche ya wodwalayo.

Pamaso pa asthenic syndrome mwa munthu, zizindikiro zotere zopanda pake monga kuwonjezereka kwa mkwiyo, kukwiya, kusakhutira nokha zimatsata. Pambuyo pake, munthu amayamba kuvutika ndi tulo.

Zimachitika ndi kukhumudwa. Nthawi zambiri imakhala gawo la neurotic ndi asthenic syndromes. Koma, komabe, nthawi zina zimachitika zokha.

Psychoses ndi schizophrenia

Pali ubale wapakati pa schizophrenia ndi matenda ashuga.

Anthu omwe ali ndi vuto la endocrine ali ndi vuto lotha kusintha mosinthasintha.

Ichi ndichifukwa chake nthawi zambiri amakhala ndi ziwopsezo zankhanza, komanso machitidwe ngati a schizophrenic.

Mu matenda ashuga, wodwala amafunikira thandizo. Kuphwanya zakudya za odwala matenda ashuga kungayambitse kufa mwadzidzidzi. Ichi ndichifukwa chake amagwiritsa ntchito mankhwala apadera omwe amachepetsa chilakolako chofuna kudya ndikusintha mkhalidwe wa munthu.

Makanema okhudzana nawo

Zomwe zimayambitsa komanso zizindikiro za kukhumudwa mu odwala matenda ashuga:

Matenda a shuga amatha popanda zovuta pokhapokha ngati mukutsatira malingaliro a dokotala.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Momwe matenda a shuga amakhudzira anthu

Kuzindikira matendawa kukukhala kovuta kuzolowera. Wodwala aliyense ndiwovuta kudziwa momwe matendawa amadziwika.

Khalidwe la munthu limasintha, amatsutsa kukhalapo kwa endocrine pathology, pali mkwiyo kwa ena. Chifukwa chake, munthu akuyesera kusintha ndikumvetsa zomwe akudwala, kuvomereza zomwe kale sizingatheke kukonza.

Madokotala adazindikira ma syndromes atatu omwe amawonekera mwa odwala omwe ali ndi matenda a shuga.

Umu ndi momwe matenda a shuga amakhudzira psyche yamunthu:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• Loyamba ndi lamanjenje. Matendawa amakhala ndi kusakhazikika pamalingaliro, munthu amakhumudwitsidwa pazifukwa zilizonse, amakhala wokwiya.
• Lachiwiri limatchedwa asthenic. Vutoli limawonekera ngati mawonekedwe osinthasintha, okakala mtima kwa anthu ena komanso mkhalidwe woipa mdera. Wodwalayo samazindikira matendawa, amakana kukhalapo kwake. Kugona kumasokonezeka, kusowa tulo kumawonekera. Madzulo, m'malo mwake, mkhalidwe umakhala watulo.
• Mtundu wachitatu ndi wokhumudwitsa. Amadziwika ndi kuchepa kwa kusinthasintha, mkhalidwe wopsinjika. Popita nthawi, izi zimabweretsa kukhumudwa kwakukulu, komwe wodwalayo akulephera kupirira ndipo amakakamizidwa kufunafuna thandizo. Odwala amamva kuda nkhawa, zimachitika zimafulumira, hysteria imayamba. Alibe chidwi ndi moyo, ngati kuti ukutha kale ndipo nkosatheka kusintha kalikonse.

Matenda a shuga amakhala ndi vuto lalikulu pamavuto azomwe anthu amachita kuyambira pachiyambi pomwe. Ndizovuta kuti anthu azolowere kukhalapo kwa matenda omwe sangathe kuchiritsidwa. Chifukwa chake kusokonezeka kwa malingaliro, kukwiya, mantha.

Kulephera kwa zakudya

Kusokonezeka kwa malingaliro kumawonedwa ndi kuperewera kwa vuto la kuperewera kwa thupi. Matenda a shuga ndi matenda oopsa omwe amayamba chifukwa cha kuchepa kwathunthu kwa insulin.

Zakudya zoyenera ndizolimbana ndi moyo wathanzi. Zimathandizira kuchepetsa kunenepa, kumenya kunenepa. Chifukwa cha izi, mkhalidwe wamaganizidwe ndi wofanana.

Komabe, zakudya zathanzi zimatha kukhala vuto la kusokonezeka kwa malingaliro. Mankhwala, vutoli limatchedwa kukakamiza kudya. Wodwala samvetsetsa chifukwa chake ali ndi zochuluka. Amadya ngakhale pakalibe kudya.

Matenda amtunduwu amatha kuchitika pamene kugwira ntchito kwa thupi komwe kumayambitsa kupangika kwa insulini ya mahomoni, kapamba, kumalephera. Ichi ndiye chomwe chimayambitsa kupsinjika kwa shuga.

Amawonetsedwa ndi kutopa kwambiri, kutopa kwambiri. Amakhulupirira kuti kupsa mtima kumathandizira kukulitsa matenda ena amisala ndi matenda ena.

• kunjenjemera kwa zala zokha,
• migraine
• kufooka
• myalgia
• kuchuluka kukwiya
• zochitika m'maganizo zimadziwika ndi zoletsa.

Zizindikiro zachiwiri zaukali ndizokwera kwa khungu, asymmetry mu kutentha kwa thupi, komanso kuchepa kwa hemoglobin. Nthawi zina amawonekera mu dysmenorrhea mwa akazi ndi potency mwa amuna.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Mantha

Madokotala amatcha endocrine pathology kuti ndi matenda odabwitsa, chifukwa ali ndi zovuta zambiri.

Kupezeka kwa VVD sikudalira kuwonongeka kwa minyewa yamanjenje. Mitsempha imawonekera mu neurasthenia, psychasthenia, hysteria.

Kuwonongeka kwa matenda ashuga kumawonedwa pafupipafupi pakati pa okalamba chifukwa cha zotupa za mu ubongo.

Odwala ambiri akufunsa momwe angachotsere mankhwalawa mu shuga. Izi zimafuna chisamaliro chachikulu. Nthawi zina amachiritsidwa pamenepa, ndikokwanira kumwa mankhwala osokoneza bongo.

Ndipo nthawi zina kuchipatala kwa wodwala kumafunika. Mankhwala amawoneka mwa kugwidwa mwamanyazi, wodwalayo amathamangira osakudziwa, kuluma ndi kukhumudwa, popanda chifukwa amayamba kukuwa kapena kuseka.

Chochitika chofala kwambiri ndichosautsa mtima. Vutoli limawonedwa mwa achinyamata 50% omwe ali ndi matenda a shuga 1.

Kukhumudwa kumawerengedwa ngati vuto laubongo. MRI idawonetsa kuti ubongo mwa anthu omwe ali ndi vutoli amawoneka osiyana.

Momwe zimayambitsa zamaganizidwe (monga kupsinjika ndi ma psychosis) zimagwirizanitsidwa ndi matenda a shuga:

• izi zimakhudzidwa ndi kuvuta koyendetsa matenda a endocrine,
• malingaliro olakwika pa moyo wanu
• matenda ashuga angayambitse zovuta zomwe zimayambitsa kukhumudwa.

Mkhalidwe wam'maganizo umadziwonetsera kuchepa kwa chidwi muzochita zomwe zimakonda kale, kukhumudwa, malingaliro opanda pake, kusowa kudya, komanso kuchepa mphamvu.

Psychology yovutitsa imayambitsa kukhumudwa, kusowa chiyembekezo komanso kutaya mtima. Vutoli limaphatikizidwa ndi kusowa tulo, kuchepa thupi, kuchepa thupi komanso malingaliro. Odwala ena amaganiza zodzipha, kufa.

Schizophrenia

Kuyanjana kwa matendawa ndi matenda a shuga kunazindikiridwa m'zaka za zana la 19 ndi madokotala ofufuza. Kusokonezeka kwa malingaliro kumabweretsa kukula kwa matenda a endocrine.

Anthu omwe ali ndi matenda ashuga amakonda chizolowezi chonga matenda a schizophrenia. Ali ndi kuthekera kwatsatanetsatane kosinthasintha.

Kupanga insulin kwa insulin kumabweretsa chisokonezo m'maganizo. Izi zimachitika ndi hyperglycemia komanso kunenepa kwambiri.

Komanso boma la schizophrenic limachitika chifukwa chowonjezera pa NET transporter, yomwe imagwira neurotransmitter dopamine (mahomoni achisangalalo) ndikuisintha kukhala norepinephrine. Poterepa, mkhalidwe wotchedwa hypodopamyria umayamba mu ubongo.

Dopamine imathandizira kusowa kwazinthu zokhudzana ndi ntchito ndipo imakhala ngati chiyambi cha kuwonekera kwa zizindikiro zoyambirira zamavuto amisala, kuphatikizapo kudzipatula ndi kukhumudwa.

Thandizo la Psychological la matenda a shuga

Choyamba, thandizo la zamaganizidwe limakhala ndikudalira dokotala. Pezani dokotala yemwe angakhale womasuka kulankhula naye, womupatsani chidwi kwambiri.

Kuti muchepetse kuvulaza kwa matenda ashuga, muyenera kutsatira kadyedwe koyenera, chitani homeopathy ndi kumwa mavitamini. Ndikofunikira kutsatira njira ya chithandizo, kuti musapatuke panjira ya insulin.

Ndikofunika kumvetsetsa kuti kuchiritsa matenda osokoneza bongo sicholinga chokha m'moyo. Mtendere wamaganizidwe ndi ziwalo zabanja ndizofunika kwambiri kuposa zovuta zilizonse zathanzi. Khazikikani mwamaganizidwe abwino.

Anthu odwala matenda ashuga amathandizidwa ndi akatswiri amisala ndi akatswiri azamisala. Muzochitika zilizonse zotsutsana, kulephera kudziwongolera kumapita kwa madokotala, kukalankhula za zovuta, kuvomereza zomwe zilipo.

Mutha kuthawa matenda. Pali njira zambiri zochitira izi. Mwachitsanzo, kuwerenga kwambiri, kunyamulidwa ndi kuyenda, kuchita kuluka, kulipira chidwi cha zidzukulu kapena ana. Maulendo aku Cinema, maulendo apakati pa sabata kunja kwa mzinda amasokoneza. Amayi amasokonezedwa bwino ndi malingaliro oyipa pogula.

Simungathe kunyalanyaza kugwiritsa ntchito mankhwala osokoneza bongo. Ngati dokotala akukulemberani mankhwala, muyenera kutsatira njira imeneyi.Mankhwala a Psychotropic adzabwezeretsa wodwalayo mwachangu.

Zotsatira zabwino zimawonedwa pambuyo pa physiotherapy komanso kumwa kulowetsedwa kotonthoza kunyumba.

Mavuto a m'maganizo nthawi zina amatha kumapuma, kotero ndikofunikira kuzindikira vutoli munthawi yake ndikuyang'ana kwa dokotala kuti akuuzeni zamankhwala.

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