Mavuto a chithokomiro mu shuga

Pafupifupi matenda aliwonse, mwanjira inayake, amatha kutsagana ndi zovuta zingapo zam'mbuyo zomwe zimachitika chifukwa cha njira mthupi. Matenda a shuga, omwe samangopeza ma subtypes osiyanasiyana, siwosiyana ndi iwowa, komanso amawonongeranso vuto la ziwalo zambiri zamkati. M'nkhaniyi, tikufuna kuwona zovuta za chithokomiro cha chithokomiro ndi shuga, zomwe zimayambitsa ndi njira zamankhwala.

Zomwe zimayambitsa ndi zizindikiro za zovuta za chithokomiro

Zomwe zimaphwanya kwambiri ntchito yake hyperthyroidism, yomwe imathamanga kwambiri kupanga kuchuluka kwa mahomoni triiodothyronine ndi thyroxine. Ma hormone awa amatsogolera ku kuwonongeka msanga kwa glycogen. Nthawi yomweyo, njira zowonongeka za kukonzekera kwa insulin ndi insulin yamkati yamunthu zimapangidwa kwambiri.

Mwa amuna, gynecomastia (kuwonjezeka kwa chithokomiro champhongo champhongo) imatha kuyamba chifukwa cha hyperthyroidism.

Zovuta zingapo za hyperthyroidism:

Kuchepetsa thupi kwambiri
Kutukwana
Hyperglycemia
Kudzimbidwa
Kubweza
Tachycardia
Zowonjezerera
Jaundice, ndi matenda ena a chiwindi

Koma kusowa kwa mahomoni a chithokomiro (hypothyroidism) ikuwonetsa kuti njira za metabolic zimayamba kuchepa, zomwe sizimayambitsa chilichonse chabwino. Mufunsa momwe mungamvetsetsere izi?

Hyperthyroidism komanso kusowa kwa mahomoni zimapangitsa munthu kumva kufooka kwambiri, nseru, komanso kudana ndi chakudya.

Monga lamulo, mawonekedwe totupa (myxedema) amawoneka pakhungu, ngati mungazindikire china chake, mwachangu dokotala ndipo musazengereze ndi chithandizo chodziyimira nokha.

Matenda a chithokomiro England mu shuga: zovuta zotheka ndi njira zowalepheretsera

Ngati pali matenda monga matenda a shuga, amakhudza chithokomiro.

Dokotala amatha kudziwa bwino ngati zovuta zili kale.

Kufikira pano, nkovuta kuzindikira matenda ngati amenewo. Aliyense amadziwa za kuwopsa kwa cholesterol yamagazi.

Chifukwa chake, ena amachepetsa, ngakhale zitakhala zachilendo. Kuti achite izi, amamwa mankhwala, osadziwa kuti angayambitse matenda a shuga.

Chithokomiro komanso matenda ashuga

Chithokomiro cha chithokomiro ndi gawo lofunikira m'miyoyo ya anthu, chifukwa zinthu zomwe zimabisidwa kwa iwo, zotchedwa mahomoni, ndizomwe zimapangitsa mphamvu ya metabolism yamthupi. Moyo wamunthu umatengera kuchuluka kwawo.

Matenda amatha kukhala cholowa komanso kulandira. Nthawi zambiri zimawoneka ngati zonenepa, zofooka. Mosasamala, njira yayitali ya matendawa, mucous edema imapangidwa - munthuyo amatupa, maonekedwe amasintha, kulemera kwa thupi kumawonjezeredwa.

Matenda a shuga ndi matenda osachiritsika a endocrine system. Matendawa amaphatikizidwa ndi metabolic ndi pancreatic dysfunction, yomwe imapanga insulin.

Zomwe zingakhudze kukula kwa matenda ashuga:

kugwira ntchito kwambiri, kusokoneza mtima,
zaka zopitilira 40
kukhalapo kwa hypothyroidism (tidzakambirana pambuyo pake),
zomwe zili ndi TSH - mahomoni opatsa chithokomiro, omwe ali pamwambapa 4, akuwonetsa kuphwanya kwa endocrine system, yomwe imabweretsa zovuta zina mthupi,
mankhwala omwe amachepetsa cholesterol yamagazi, ma statins,
kukhalapo kwa intracellular methylation enzyme gene SNP (MTHFR - methylenetetrahydrofolate reductase), yomwe ingakhudze kukula kwa matenda ambiri.

Matenda a shuga ndi chithokomiro amalumikizidwa. Anthu ambiri odwala matenda ashuga ali ndi vuto logwirizana ndi vuto la chithokomiro. Malinga ndi kafukufuku wasayansi, zovuta zake zimawonjezera vuto la matenda ashuga amtundu wa 2, ngakhale munthu atadwala matenda a shuga pamene magazi a shuga amakwera kwambiri.

Momwe mungadziwire prediabetes?

Zizindikiro zomwe zingatchulidwe sizitha kuonedwa, koma zimaphatikizapo: kukodza pafupipafupi, ludzu losalekeza, njala, kununkhira kwa acetone kuchokera mkamwa, kusawona kwakanthawi.

Katetezedwe kuti matendawa asasanduke shuga 2 akhale: moyo wathanzi, masewera olimbitsa thupi omwe amathandizira kuchepetsa thupi, ngati pali owonjezera, nthawi zina mankhwala.

Ndikofunika kudziwa kuti dokotala sangazindikire matendawa mukamayesedwa pafupipafupi. Koma ngati mafinya awonekera kale mu chithokomiro cha chithokomiro, ndikofunika kuchitapo kanthu mwachangu ndikuchotsa kusokonekera uku. Kupanda kutero, ngati mulibe vuto, izi zimatha kukhudza matenda a impso, omwe amakhala osadziwika kwa nthawi yayitali mpaka atadziwulula.

Mavuto omwe ali ndi matenda a shuga amatha kuwonekeranso, chifukwa zomwe zimayambitsa kupezeka kwake zimatengera boma la chithokomiro.

Ndipo izi zimabweretsa zovuta mu minofu ya mtima, masomphenya, khungu, tsitsi ndi misomali.

Atherossteosis, matenda oopsa, zilonda zam'mimba, zotupa, zosokoneza m'maganizo zimatha kukhazikika (mwachitsanzo, zimatha kuwoneka ngati nkhanza).

Hypothyroidism (matenda a Hashimoto)

Hypothyroidism ndimatenda omwe amayamba chifukwa cha kuchuluka kwa mahomoni a chithokomiro.

Zoyambitsa hypothyroidism:

kuchuluka kapena kusowa kwa ayodini. Izi zimapangidwa ndi chithokomiro cha chithokomiro. Kusowa kwa chinthu kumapangitsa kuti thupi lizigwira ntchito molimbika, zomwe zimabweretsa kukula. Lingaliro pa kusowa kwa ayodini limangoperekedwa ndi dokotala.
chilengedwe chowononga
Vitamini D akusowa
matenda a chithokomiro
mavuto ndi magazi, malo okhala,
matenda obadwa ndi chithokomiro,
kupezeka kwa magazi a ambiri odziletsa a synthesis a mahomoni a chithokomiro.
ntchito yolakwika ya pituitary, hypothalamus (ziwalo zovomerezeka).

Chifukwa cha hypothyroidism, pakhoza kukhala zovuta:

Mu metabolic dongosolo - kupatuka ku chizolowezi cha cholesterol ndi mafuta athanzi. Kuperewera kwa mahomoni a chithokomiro kungayambitse mavuto a metabolic (kudzimbidwa), kulemera kwakanthawi chifukwa chakuchepa kwa metabolism.
Mu mtima. Zotsatira zakuchepa kwa lumen yamkati, atherosulinosis ndi stenosis, ndikuwonetsa kuthekera kopezeka ndi sitiroko ndi vuto la mtima.

Zizindikiro za hypothyroidism: kufooka kwa minofu, arthralgia, paresthesia, bradycardia, angina pectoris, arrhythmia, kusokonekera kwamtunduwu wamanjenje (mantha, mkwiyo), kugona, kuchepa kwa ntchito, kutopa, kulekerera kutentha, kumva kutentha kwa maso.

Komanso, odwala ali ndi manja akunjenjemera, kusamba kwa msambo, chiwopsezo cha kusabereka komanso kuyambika kwa kusintha kwa msambo, mawonekedwe a timinofu ndi zisa mu chiberekero, thumba losunga mazira ndi tiziwalo ta mammary, mavuto amtima, kusokonekera kwa khungu, komanso ludzu.

Kodi matenda a chithokomiro angayambitse matenda ashuga?

Matenda a shuga angayambitsidwe ndi zifukwa zingapo zosiyanasiyana komanso zoyambitsa. Za matenda a chithokomiro, nthawi zina amatha kukhala omwe amayambitsa kukula kwa matenda ashuga.

Nthawi zambiri, zimatha kukhudza molumikizana ndi zifukwa zina zazikuluzikulu za matenda ashuga, monga:

Kunenepa kwambiri
Khalidweli
Khalidwe labwino
Matenda a kapamba (mwachitsanzo, khansa, kapamba)
Kupsinjika
Ukalamba

Matenda a chithokomiro omwe ali ndi vuto la ntchito komanso ntchito sizingangokhala ndi shuga, komanso zimawonjezera zovuta za wodwala yemwe ali ndi matenda ashuga, zimasokoneza kwambiri matendawa. Nthawi zambiri chimakhala chosiyana ndi ichi, kuti chifukwa cha matenda ashuga, matenda a chithokomiro amakula, chifukwa chiŵerengero chake chiopsezo chimakula kwambiri.

Matenda a chithokomiro cha Autoimmune ndi matenda osokoneza bongo amalumikizana makamaka. Ngakhale matenda amtundu wa 2 samakhala matenda a autoimmune, pankhani iyi, nawonso, chiwopsezo cha matenda a chithokomiro chizikhala chachikulu.

Chifukwa chake, nthenda za chithokomiro zimachepetsa kwambiri matenda a shuga, chifukwa mumafunikira kupezeka kwa zifukwa zina. Kwenikweni, ndi matenda a shuga omwe amapereka omwe amachititsa kuti pakhale matenda osiyanasiyana a chithokomiro.

Kukambirana kwa endocrinologist

Akatswiri a Northwestern Endocrinology Center amathandizira kuzindikira ndi kuchiza matenda a endocrine system. Ma endocrinologists a likulu pantchito yawo adakhazikitsidwa ndi malingaliro a European Association of Endocrinologists ndi American Association of Clinical Endocrinologists. Tekinoloje yamakono komanso zamakono zamankhwala zimapereka chithandizo chokwanira.

Zotsatira za chithokomiro England pa matenda ashuga.

Chotengera chachikulu kwambiri cha dongosolo la endocrine laumunthu ndicho chithokomiro. Kapangidwe kake kamakhala ndi maselo a follicular omwe amapanga mahomoni a thyroxine (T4) ndi triiodothyronine (T3), ndi maselo a parafollicular omwe amapanga ma calcitonin.

Ma Horone awa ndiofunikira makamaka pakugwira ntchito ndi kusinthana kwa mitundu yonse ya thupi. Amayang'anira mwachindunji kutulutsa kwa insulini komanso kusinthana kwa shuga m'thupi, komanso zimapangitsa kuti masoka a beta azitulutsa bwino.

Kuchita mopitirira muyeso komanso kusowa kwa mahomoniwa kumapangitsa kuti kagayidwe kachakudya kagayidwe kazakudya kakulidwe kazinthu kakang'ono komanso kuwonjezeka kwa minofu yolimbana ndi insulin ya mahomoni.

Matenda a shuga a mellitus (DM) ndi matenda a nthawi yayitali omwe amapezeka chifukwa cha kupunduka kwa kapamba. Hemeni wa insulin umapangidwa m'chiwalochi. Amayambitsa kusinthana kwa glucose ndikupereka kwake ku minofu ya thupi la munthu. Glucose ndi gwero lamphamvu. Pali mitundu iwiri yayikulu:

Matenda a shuga amtundu 1 amayanjana ndi kusowa kwa insulin, ndiye kuti, amadalira insulin. Ndi mtundu uwu m'thupi la munthu, insulini siyipangidwa konse kapena tizigawo ting'onoting'ono, komwe sikokwanira pakugwiritsa ntchito shuga. Chifukwa chake, pali kuwonjezereka kosatha kwa shuga m'magazi. Odwala oterewa amafunika kupaka jakisoni nthawi zonse kuti akhale ndi moyo.
Matenda a shuga a Mtundu Wachiwiri samadalira insulin. Ndi mtundu uwu, kuchuluka kwa insulini kumapangidwa mokwanira ndipo nthawi zina ngakhale mopitirira muyeso, koma zimakhala sizikuzindikira, ndipo zimakhala zopanda ntchito. Apanso, shuga amadzuka.

Kupezeka kwa matenda ashuga kumakhudzanso ziwalo zina, kuphatikizapo chithokomiro. Ganizirani matenda ofala kwambiri.

Hyperthyroidism

Hyperthyroidism ndikupanga kowonjezera kwa mahomoni a chithokomiro a chithokomiro. Palinso mayina ena a matendawa, monga matenda a Graves kapena multicodal toiter. Matenda osiyanasiyana opsinjika ndi opatsirana, kuzunzika ndi cholowa chimayambitsa matendawa.

Pathology imadziwonetsera motere:

kuchuluka kagayidwe, kuchepa kwambiri kwa thupi,
mantha, mtima arrhythmias (arrhythmia, tachycardia),
kunjenjemera kwa mutu, milomo, zala, zodabwitsa zakugwa pansi kuchokera m'manja,
kutuluka thukuta kwambiri
mawonekedwe amaso: mawonekedwe owopsa, exophthalmos, blink yachilendo, lacusation yopanda tanthauzo.

Matenda a shuga ndi hyperthyroidism ndi osowa kwambiri ndipo makamaka ndi okalamba. Zizindikiro zingapo zimawonjezedwa apa: kumverera kukamwa kouma, kukodza pafupipafupi, kuchepa kwa ntchito.

Ngati simukufunsira kwa katswiri kwa nthawi yayitali, ndiye kuti zotsatirapo zoyipa ndizotheka - wodwala matenda ashuga.

Pankhaniyi, njira za metabolic zimathandizira kwambiri ndipo chiwopsezo cha acidosis (kuchuluka kwathunthu kwa thupi) chikuwonjezeka.

Matenda a shuga

Matenda a shuga ndi chiopsezo cha matenda ashuga a 2. Amawonetsedwa ngati kusintha kwa kagayidwe kazinthu kamene kamapangitsa kuti inshuwaransi ichulukane kapena kugwira ntchito kwa maselo a pancreatic beta amayamba kuzimiririka. Carbohydrate, kusinthana kwa mapuloteni kumasokonekera, zomwe zimabweretsa kuwonjezeka kwa shuga wamagazi a anthu.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kuti mupeze zonyansa, mayeso am'mawu a glucose kulolerana (PTG) amagwiritsidwa ntchito makamaka. Potsatira mayeso, kuchuluka kwa shuga m'magazi kumatsimikiziridwa koyamba pamimba yopanda kanthu komanso maola awiri mutatha kutenga 75 g shuga. Kuthamanga kwamtunda ndi 3,3 - 5.5 mmol l ndipo pambuyo maola 2 osakwana 6.7 mmol l. Ngati mfundo zili pamwambazi, ndiye kuti chiwopsezo cha matenda a shuga chimawonjezeka kwambiri.

Chiyeso chazeso ndikuwerenga za insulin yofulumira komanso glycated hemoglobin. Koma nthawi zambiri amakhala osazindikira.

- pali abale omwe akudwala komanso ali ndi matenda ashuga,
- ochepa matenda oopsa ndi cholesterol okwera ndi triglycerides m'magazi,
- Kusowa zolimbitsa thupi,
- kukhalapo kwa hypoglycemia yapakati,
- kugwiritsa ntchito khofi wamtundu uliwonse koposa katatu patsiku,
- kugwiritsa ntchito mankhwala kwakanthawi (diuretics, steroids, estrogens).

Zizindikiro zimawonetsedwa chimodzimodzi ndi shuga, koma osatchulidwa. Mitu ikuluikulu ndi:

W ludzu, kamwa yowuma ndi kukodza pafupipafupi,
- kuchepa kwa zowoneka bwino,
- passivity, kutopa msanga.

Dongosolo la shuga, monga matenda a shuga, limafuna chithandizo chamankhwala choyenerera.

Chithandizo cha chithokomiro

Chithandizo cha hyper- ndi hypothyroidism chimachitika makamaka ndi mahomoni omwe adayikidwa ndi adokotala phwando. Popewa zovuta zoyipa, katswiri ayenera kusankha mankhwalawa.

Ndi hyperthyroidism, mankhwala amaikidwa omwe amachepetsa ntchito ya chithokomiro. Therapy imapita ku kukula kwa mahomoni a chithokomiro.

Ngati pali chotupa kapena chotupa mu gland, ndiye kuti amachotsedwa. Pambuyo pa izi, mankhwala a mahomoni amapatsidwa moyo.

Hypothyroidism, imathandizidwanso ndi mankhwala omwe amakhala ndi mahomoni opanga. Komanso, mankhwala okhala ndi ayodini amaphatikizidwa.

Pafupifupi matenda onse, saiwala kupereka zakudya zapadera, mavitamini ndi michere.

Chithandizo cha matenda ashuga

Matenda a shuga a Type 1 amathandizidwa ndi insulin. Chithandizo choterechi chimaperekedwa kwa moyo wonse. Odwala amapaka insulin mphindi 20-30 asanadye. Malo a jakisoni amayenera kusinthidwa: ntchafu, pamimba, kumtunda kwachitatu kwa phewa.

Matenda a 2 a shuga amathandizidwa aliyense payekhapayekha. Pano, mankhwala ochulukirapo a volumetric akhazikitsidwa kale kwa odwala:

zakudya zapadera
zolimbitsa thupi
kugwiritsa ntchito tsiku ndi tsiku mankhwala ochepetsa shuga malinga ndi zomwe adotolo adalemba,
1 nthawi patsiku magazi amayamwa kugwiritsa ntchito glucometer.

Tsopano pali mankhwala ambiri ochepetsa shuga komanso onse omwe ali ndi makina osiyana ochitira. Kwenikweni, mankhwala onse ali ndi cholinga chokulitsa chidwi cha insulin. Derivatives of sulfonylureas (Glimeperid), biguanides (Glucofage, Metformin-Acre), alpha-glucosidase inhibitors (Glucobai), ndi dongo amapatula.

Ngati sizotheka kusankha mlingo wa mankhwalawa, ndiye kuti amapatsidwa Mlingo wa insulin.

Ndi matenda a chithokomiro England komanso matenda a shuga, matendawo amasintha, chifukwa ndikofunikira kukhudza thupi m'njira zovuta. Zikatero, wodwalayo amatumizidwira mwachangu kwa endocrinologist kuti adziwe matenda oyenera komanso chithandizo choyenera.

Kupewa ndi malingaliro

Choyamba, munthu ndi umunthu wonse ayenera kudzisamalira komanso kukhala ndi thanzi.

Kuti musagwere m'mavuto, njira zoteteza ziyenera kuonedwa:

Zakudya zoyenera komanso zopatsa thanzi,
kudya nthawi zambiri m'magawo ochepa,
zolimbitsa thupi pang'onopang'ono,
lekani zizolowezi zoyipa,
yang'anani shuga yanu yamagazi
onetsetsani zochitika za tsiku ndi tsiku
Valani nsapato zabwino
kukhala ndi chidutswa cha shuga kapena maswiti m'thumba lanu,
kuyendera katswiri wamkulu kawiri pa chaka kuti akakuyezeni.

Anthu omwe ali ndi zizindikiro zazikulu za matendawa amalangizidwa kuti azilumikizana mwachindunji ndi endocrinologist. Adzaunika moyenera ndikusankha chithandizo choyenera.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Shuga wambiri ndi owopsa kwambiri.

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

Matenda a chithokomiro komanso matenda a shuga

Anthu ochepa amadziwa kuti pali kulumikizana pakati pa matenda a shuga mellitus (DM) ndi chithokomiro cha chithokomiro.Madokotala nthawi zambiri samangokhala chete pankhani imeneyi, koma vuto la chithokomiro limatha kubweretsa zovuta za matenda a shuga, monga khungu kapena vuto la impso. Kuphatikiza apo, chiwopsezo chokhala ndi matenda amtundu wa 2 mwa odwala omwe ali ndi vuto la chithokomiro chikuwonjezeka ndi 40%. Yemwe akuchenjezedwa ali ndi zida, chifukwa chake, ubale wapakati pa 2 pathologies uyenera kuphunziridwa pofuna kupewa zovuta.

Kodi chithokomiro chimakhudza bwanji matenda ashuga?

Gland ya chithokomiro ndi chimodzi mwazinthu zofunika kwambiri za endocrine system, chifukwa imapanga mahomoni a thyroxine (T3) ndi triiodothyronine (T4). T3 ndi T4 amatenga nawo mbali mu kagayidwe kazachilengedwe, mafuta ndi mapuloteni, amapereka mulingo wokhazikika wa mpweya ndi calcium m'thupi. Ndi matenda a shuga, kapamba amadwala, amene amasiya kutulutsa insulin yokwanira. Insulin imathandizira kuyamwa kwa shuga ndi thupi kuti lisakhazikike m'mitsempha yamagazi. Kwa odwala matenda ashuga ndi kuphwanya kagayidwe kachakudya mthupi, makamaka chakudya.

Matenda a chithokomiro amasiyana m'njira ziwiri: Kupanga kwambiri kwa mahomoni - hyperthyroidism kapena,, kusakwanira - hypothyroidism. Hypothyroidism imabweretsa njira zotsatirazi za matenda a shuga kapena munthu wodwala matenda a prediabetes:

lipid metabolism imasokonekera, momwe mulingo wa cholesterol "yoyipa" ukuwonjezeka, ndipo kuchuluka kwamafuta athanzi kumachepa,
Mitsempha yamagazi imakhudzidwa, atherosulinosis imayamba, yomwe imakulitsa chiopsezo cha stroke kapena kugunda kwa mtima,
kutupa kwa ziwalo kumawonekera chifukwa cha kuchepa kwa magazi a mahomoni a chithokomiro (myxedema).

Hyperthyroidism ndiowopsa, kuchuluka kwamafuta a chithokomiro, komwe kumathandizira njira zonse mthupi, ndikumawonjezera shuga. Zomwe zimachitika pambuyo pake zimayamba chifukwa cha kuchuluka kwa zinthu zomwe zimasokoneza ma hormone. Mwazi umakhala wambiri ndi zinthuzi, zomwe zimapangitsa kuti shuga azikhala ndi shuga kudzera khoma la matumbo. Chifukwa cha izi, zovuta zimakhala ndi matenda ashuga. Chifukwa chake, pali mgwirizano wosagwirizana pakati pa matenda a chithokomiro komanso matenda ashuga.

Goiter ndi hyperthyroidism

Mawu akuti "goiter" amatanthauza kuti chithokomiro chakukulidwa, ndipo mawonekedwe owopsa amadziwika ndi njira yofulumira ya pathological ndikupanga kwambiri mahomoni a chithokomiro. Mwanjira ina, matendawa amatengedwa ngati chifukwa chachikulu cha hyperthyroidism. Zinthu zachitukuko sizinaphunziridwe kwathunthu, koma cholowa chimakhala ndi gawo lapadera. Ndikosavuta kuphonya kachakudya kakumwa poizoni, popeza zizindikiro zake ndizowoneka bwino:

kufooka kwathunthu ndi kutopa,
kusakhazikika
Kuchepetsa thupi ndi chidwi chachikulu,
thukuta
arrhasmia,
chithokomiro chokulirapo,
nsidze.

Bweretsani ku zomwe zalembedwa

Njira zoyesera ndi kulandira chithandizo

Matenda a shuga amatha kupezeka nthawi yoyesa magazi, kapena mukazindikira matenda a chithokomiro. Mukazindikira matenda a shuga atapangidwa kale, muyenera kuwunika nthawi yomweyo chithokomiro cha chithokomiro. Kuzindikira kwa mavuto a chithokomiro kumaphatikizapo njira zothandizira, zasayansi, komanso njira zolimbitsa thupi. Njirazi ndi monga:

Palpation wa limba ndi njira yophunzitsira yothandiza kwambiri.

palpation - njira yodziwira kukula kwa ndulu, ndikuyang'ana timinofu,
kuyezetsa magazi
enzyme immunoassay, yomwe ithandiza kudziwa kuchuluka kwa mahomoni a chithokomiro,
Njira zasayansi zopangira ma labotale zimaphatikizapo ultrasound, MRI, ndi thermography.

Mankhwala omwe amadzipatula okha samakhazikitsidwa pamatendawa, chifukwa zomwe zimachitika zimatha kubala olumala kapena kufa. Matenda a chithokomiro akayamba kuoneka, makamaka ngati pali mtundu wachiwiri wa matenda ashuga, muyenera kufunsa chithandizo kuchipatala msanga.

Atazindikira vuto la chithokomiro, nthawi yomweyo amayamba kulandira chithandizo, ndipo pokhapokha amathandizidwa ndi matenda a shuga. Chithandizo cha hyper- ndi hypothyroidism chimachitika chifukwa cha mankhwala a mahomoni. Kuti muchepetse kuchuluka kwa mahomoni opangidwa ndi chithokomiro cha chithokomiro, L-Thyroxine kapena mankhwala a Eutirox amagwiritsidwa ntchito. Mankhwala omaliza angagwiritsidwe ntchito ngati kupewa mavuto a chithokomiro. Kuphatikiza pa chithandizo cha mahomoni "Eutiroks", zakudya zapadera zimayikidwa, zakudya zomwe zimaphatikizapo zakudya zam'madzi.

Chithandizo cha chithokomiro

Chithandizo cha chithokomiro:

mankhwala mothandizidwa ndi mankhwala apadera omwe amasintha kuchuluka kwa ayodini m'magazi. Pali zotsutsana pamatenda a chiwindi, sizisonyezedwa kwa amayi apakati, amayi oyamwitsa, komanso omwe akuvutika ndi leukopenia,
radioiodine mankhwala ogwiritsidwa ntchito kwa odwala azaka zopitilira 40 mothandizidwa ndi ayodini. Pali zovuta pamankhwala, zovuta zimatheka,
opaleshoningati njira zina sizinathandize.
wowerengeka azitsambaomwe amalimbana ndi zomwe zimayambitsa matendawa, osati ndi zomwe zimachitika.

Zithandizo za anthu amtundu wawo zili ndi zida zake zonse zothandizira mankhwalawa ndikubwezeretsa kwina kwa kayendedwe ka chithokomiro pakutha kuchuluka kwa ayodini mothandizidwa ndi: mchere wopanda mchere, mtedza, nyanja kale, subpestilence, udzu osonkhana ngakhale patakhala vuto lofooka la chiwalo.

Kuchokera pakuwonjezeka kwa kuchuluka kwa mahomoni a chithokomiro m'magazi, omwe amachititsa kuti thanzi likhale lolemera komanso lonyamula katundu pazithandizo, thandizirani: cinquefoil yoyera, kuchitira hyperthyroidism, tiyi kuchokera ku yazuznik, kulowetsedwa kwa chiuno cha rose ndi blackcurrant.

Zomwe zimagwirizanitsa matenda a shuga ndi hypothyroidism?

Matenda a shuga ndi chithokomiro cha chithokomiro zimagwirizanitsidwa ndi kugwiritsidwa ntchito molakwika kwa mahomoni, omwe ndi insulin ya matenda a shuga ndi thyroxine ya hypothyroidism.

Mahoroni awiriwa osiyana kwambiri amapanganso zovuta zofananira, zomwe zimatha kuthana ndi kuchepa kwa mafupa, mawonekedwe a mafupa, komanso kupezekanso kwa ma fractures mukalandira kuvulala pang'ono .ads-mob-2

Munthu amene ali ndi vuto la m'magazi a chithokomiro komanso matenda a Hashimoto (hypothyroidism) amatha kuwonetsa zizindikiro za matenda ashuga. Komanso, anthu omwe ali ndi matenda ashuga amatha kudwala matenda oopsa.

Ngati matenda a Hashimoto sanadziwikebe, koma pali kuchuluka kwa shuga m'magazi, matenda a shuga, ndikofunikira kupezeka ndi matenda kuti mupeze zovuta ndi chithokomiro cha chithokomiro. Ngati matendawa apezeka, chithandizo chake chikuyenera kuthandizanso kuti pasakhale zovuta pakuwongolera shuga.

Zizindikiro zomwezo mu matenda a shuga ndi chithokomiro, omwe angagwiritsidwe ntchito kuzindikira kuti matendawa alipo:

kutopa, kutopa,
chisokonezo tulo, kugona tulo,
kutengeka ndi matenda, kuzizira pafupipafupi,
misomali yovunda, kukula kwatsoka, kuchepa kwa tsitsi,
kuthamanga kwa magazi, arrhythmia,
chidwi chachikulu ndi mchere, kulakalaka chakudya,
kuchiritsa kwamabala.

Kodi chimachitika ndi chiyani kwa thupi?

Choyamba, mitsempha yamagazi imakhudzidwa, ndiye kuti vuto la impso limayamba. Zinyalala zimasungidwa m'magazi, madzi ndi mchere zimasunthika m'thupi, kutupa m'miyendo (ma phewa) kumachitika. Kuyamba kumawonekera. Palinso kuphwanya kachitidwe ka mitsempha, chikhodzodzo chifukwa cha matenda.

Makanema okhudzana nawo

About matenda a chithokomiro mu shuga mu kanema:

Mu shuga mellitus, njira yodziwira payekha komanso kuchiza kwa endocrine system yonse, kubwezeretsa kuchuluka kwake, kotero kuti thupi lokha likhoza kupanga kuchuluka kwa insulin ndi thyroxine, ndikofunikira. Komanso kwa iwo omwe agwera pachiwopsezo, musaiwale za njira zodzitetezera zomwe anagwirizana ndi adotolo.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Wotsutsa nkhani yasayansi yokhudza zamankhwala ndi zaumoyo, wolemba pepala lasayansi - Mikhail Cheryomkin, Alexey Alexandrovich Grigorenko

matenda a shuga amakhudza minyewa yonse yamunthu ndi ziwalo, motero chithokomiro ndimachita chimodzimodzi. Kafukufukuyu akuchitika pakuphunzira kusintha kwa morphological mu stroma ndi parenchyma ya chithokomiro England mu 2 mtundu wa mellitus. Zomwe zimaphunziridwazo zinali zodutsa 50 za chithokomiro cha odwala omwe adamwalira, omwe amagawidwa m'magulu amaganizira zaka komanso nthawi yayitali ya matendawa. Chifukwa cha ntchitoyi, zidapezeka kuti ku chithokomiro cha chithokomiro chokhala ndi mtundu wachiwiri wa matenda a shuga, matenda ashuga, michereopathy ndi dystrophic, sclerotic, komanso njira za atrophic zomwe zimathandizira kuti pakhale vuto la magwiridwe antchito.

ZINASINTHA KWA MORPHOLOGIC MU GUZANI WA TYRIDIDI NDI DIABETES 21

Matenda a shuga amakhudza pafupifupi zimakhala ndi ziwalo zonse za thupi la munthu kuphatikizapo chithokomiro. Kufufuzaku kumachitika pakusintha kwa morphological mu stroma ndi parenchyma ya chithokomiro. Matenda a chithokomiro makumi asanu a odwala omwe adafa adatengedwa ngati zinthu zasayansi, atagawika m'magulu malinga ndi nthawi ya matenda ashuga komanso msinkhu. Pofufuza izi tidazindikira kuti diabetesic microangiopathy ndi dystrophic, atrophic, sclerotic process yomwe imapangidwa mu chithokomiro cha chithokomiro cha odwala matenda ashuga. Ndipo njirazi zimatha kuyambitsa chisokonezo.

Ndime ya ntchito yasayansi pamutu wakuti "Kusintha kwa ma Pathomorphological mu chithokomiro cha chithokomiro mu mtundu wachiwiri wa matenda ashuga"

UDC 616.441 - 091: 616.379 - 008.64 M.I. Cheryomkin, A.A. Grigorenko

ZOSINTHA ZA PATOMORPHOLOGICAL OF THE THYROID GLAND MU TYPE 2 DIABETES

Amur State Medical Academy, 675000, ul. Gorky, 95, tel.: 8 (4162) -44-52-21, Blagoveshchensk

Matenda a shuga ndi imodzi mwazovuta zovuta zamankhwala amakono. Izi ndichifukwa cha kufalikira kwake kofala, makamaka m'maiko olemera, momwe izi zikuchulukirachulukira chaka chilichonse. Kuphatikiza apo, shuga imayenderana ndi zovuta zambiri, zomwe pambuyo pake zimatha kufa 4, 5.

Ndi matenda a shuga, pamakhala vuto osati chakudya chokha, komanso mitundu ina yonse ya kagayidwe, kamene kamakhudza magwiridwe antchito a ziwalo zonse, kuphatikizapo chithokomiro cha chithokomiro.

Gawo lalikulu la maphunziro a chithokomiro mu mtundu 2 wa matenda a shuga (DM-2) limatengera zotsatira zakuwunika kwa mahomoni, ma lipoprotein, zinthu zomwe zimagwira ntchito m'magazi komanso glucose wamagazi. Mpaka pano, zidakhazikitsidwa kuti m'gulu lina la odwala omwe ali ndi matenda a shuga a 2 osakhala ndi organic pathology, mawonekedwe a chithokomiro 9, kusintha kwa 10. Nthawi zambiri, kusayenerera kwa mahomoni a chithokomiro mwa odwala oterewa kumawonetsedwa pakupanga subclinical hypothyroidism, nthawi zambiri motsutsana ndi maziko a kuwonongeka kwa carbohydrate metabolism. Vutoli limatha kukhudza kwambiri maphunzirowa ndi kudziwa kwa SD-2.

Komabe, kutsimikiza ngakhale mawonekedwe onse azinthu zomwe zaphunziridwazo sikuwonetsa bwino momwe gulu limapangidwira. Popeza mulingo womwewo wa mahomoni m'magazi, gawo lina la chithokomiro limatha kubisika. M'mabuku athu pa chithokomiro cha chithokomiro mu CD-2, 2, 8, pali zotsutsana zingapo, kuphatikiza apo, nkhani zina zomwe zikukhudzana ndi vutoli sizinakonzedwebe mpaka pano.

Cholinga cha phunziroli chinali kuzindikira kusintha kwa ma morcological komwe kumachitika m'mitsempha yamagazi ndi minofu ya chithokomiro mu mtundu 2 wa shuga.

Zipangizo ndi Njira

Zinthu zachiwonetsero za chithokomiro cha anthu 50 omwe ali ndi matenda a shuga a 2 anaphunziridwa. Zinthu zake zidatengedwa pamaziko a dipatimenti yachipatala cha Amur Regional Clinical Hospital. Ambiri mwa odwala matenda a shuga a 2 adamwalira chifukwa cha kulowerera kwa mtima, chifukwa cha kulephera kwa mtima (milandu 20). Malo achiwiri amakhala ndi ngozi ya pachimake ya kukokoloka kwa mitsempha ndi ma ischemic ndi hemorrhagic stroke (9 milandu). Nthawi zina, zoyambitsa kufa kwa odwala zinali: ziwalo zingapo (6 milandu), aimpso

Ndi matenda a shuga, zimakhala ndi ziwalo zonse zaumunthu zimakhudzidwa, chifukwa chake chithokomiro cha chithokomiro chimachita chimodzimodzi. Kafukufukuyu akuchitika pakuphunzira kusintha kwa morphological mu stroma ndi parenchyma ya chithokomiro England mu 2 mtundu wa mellitus. Zomwe zimaphunziridwazo zinali zodutsa 50 za chithokomiro cha odwala omwe adamwalira, omwe amagawidwa m'magulu amaganizira zaka komanso nthawi yayitali ya matendawa. Chifukwa cha ntchitoyi, zidapezeka kuti ku chithokomiro cha chithokomiro chokhala ndi mtundu wachiwiri wa matenda a shuga, matenda ashuga, michereopathy ndi dystrophic, sclerotic, komanso njira za atrophic zomwe zimathandizira kuti pakhale vuto la magwiridwe antchito.

Mawu ofunika: shuga mellitus, morphology, chithokomiro cha chithokomiro.

M.I. Cheryomkin, A.A. Grigorenko

ZINASINTHA ZA MORPHOLOGIC MU GUZANI WA TYRIDIDI NDI DIABETES 2

The Amur state medical academy, Blagoveshchensk Summary

Mawu ofunika: matenda ashuga, morphology, chithokomiro.

zokwanira (milandu ya 6), kulephera kupuma (milandu 4), sepsis (milandu itatu), pulmonary embolism (2 milandu).

Zomwe adaphunzirazo zidagawika m'magulu atatu kutengera nthawi ya DM-2 ndikuganizira zaka za womwalirayo. Gulu lomwe ndidaphatikizira anthu omwe ali ndi matendawa kwa zaka 5 mpaka 10, zaka zawo zinali zaka 40-50, Gulu Lachiwiri - odwala atadwala zaka 11 mpaka 15, zaka za odwala kuyambira zaka 51 mpaka 60, Gulu Lachitatu lidakhala ndi anthu omwe ali ndi nthawi yayitali woposa zaka 15, woposa zaka 60. Zaka zapakati pa onse akufa

Gulu la Chisonyezo I (zaka 40-50) Gulu lachiwiri (zaka 51-60) Gulu la III (zaka zopitilira 60)

kuwongolera, n = odwala 10 *, n = 17 kuwongolera, n = odwala 10 **, n = 17 kuwongolera, n = odwala 10,, = =

Kuchuluka kwa stroma (%) 25.31 ± 2.23 35.6 ± 3.25 r

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