Kodi ndingathe kusuta ndi shuga?
Kusuta ndi matenda a shuga kumawonjezera chiopsezo cha zovuta za mtima ndi 4.5. Izi zikutanthauza kuti nephropathy imayamba kale ndipo imakhala yolimba kwambiri (impso imalephera), retinopathy (kutaya kwamaso), matenda ammimba a shuga (gawo la mwendo amayenera kudulidwapo). Kulemala ndi kufa chifukwa cha sitiroko, kugunda kwa mtima komanso zotsatira za matenda oopsa mwaosuta matenda ashuga ndi kawiri konse.
Pali nkhani imodzi yokhayo yokhudza osokoneza bongo a nikotini - ngati musiya kusuta, ndiye kuti mutha kubwezeretsa thanzi lanu pang'onopang'ono.
Werengani nkhaniyi
Kodi chiwopsezo cha kusuta shuga ndi chiyani?
Kusuta ndi matenda a shuga kumathandiza kuti mamolekyu achulukane ndimitsempha yamagazi. Chifukwa cha izi, zovuta zonse zam'mimba zimayamba mwachangu ndipo zimakhala zovuta kwambiri. Mwayi wa kulumala ndi kufa msanga. Kutengera ndi kafukufuku womwe wachitika pazaka 5 zapitazi, zatsimikiziridwa kuti kugwiritsa ntchito fodya:
- zimayambitsa matenda ashuga mwa anthu oganiza kuti zitha, amatenga gawo loyambitsa,
- mu azimayi osuta, ana nthawi zambiri amakhala ndi vuto la kagayidwe kazakudya ndi mafuta,
- pamaso pa chinthu china chowonjezera choopsa (kuthamanga kwa magazi, kunenepa kwambiri, cholesterol yayikulu, zaka 40, wamwamuna), yemwe amasuta matenda ashuga ali ndi nthawi khumi kufa chifukwa cha sitiroko ndi kupunduka kwa mtima.
- kusuta fodya kumachepetsa mwayi wokhala ndi matenda osokoneza bongo komanso zovuta zake.
Zinadziwikanso kuti pazifukwa 8 zazikuluzikulu zomwe zimapangitsa kuti munthu afe chifukwa cha matenda a "vinyo", kudalira chikumbumtima sikungavomereze kuti 6:
- sitiroko
- myocardial infaration
- matenda a m'mapapo
- khansa ya kupuma,
- chibayo
- chifuwa chachikulu.
Osati nthawi zonse, chomwe chimayambitsa matendawa chimasuta, koma zimadziwika kuti ngozi zikuwonjezeka:
- angina pectoris
- ochepa matenda oopsa
- fibrillation ya atria
- chotupa cha msempha
- kuchuluka kwa matenda am'mapapo (mphumu, bronchitis, emphysema, kutupa kosachiritsika),
- zotupa - kapamba, chiberekero, chikhodzodzo, mkamwa, patache, larynx, mmero, zotupa zam'mapapo, impso, chiberekero, matumbo akulu, khungu,
- kuwonongeka kwa mafupa (mafupa) ndi mano,
- kusabala
- kusamba kwa msambo, kusintha kwa msambo,
- kusowa tulo
- matenda amvula
- zilonda zam'mimba
- dazi.
Ndipo apa pali zambiri za kuphatikiza kwa cholecystitis ndi matenda ashuga.
Momwe kusuta kumakhudzira matenda a shuga
Kusuta kumawononga mtundu wa matenda ashuga, monga:
- Mphamvu ya mankhwalawa imachepa
- kumasulidwa kwa mahomoni opsinjika omwe kutsutsana ndi insulin kumawonjezeka
- chikonga chimalepheretsa chithandizo cha insulin mu matenda 1 ndi mahomoni achiwiri,
- kuchuluka kwa njala ya okosijeni yamatenda ndipo motero akuvutika ndi kusowa mphamvu.
Kukhazikika kwadziwika kuti ndi mtundu woyamba 1 ndi mtundu wachiwiri wa matenda ashuga pali zina zomwe zimachitika pakusuta.
Pa 1
Kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin, chiopsezo chikuwonjezeka:
- matenda ashuga nephropathy,
- zotupa za m'munsi,
- kubereka dongosolo.
Matenda a shuga a nephropathy amayamba chifukwa cha kufalikira kwa impso, komwe kumayambitsa shuga komanso chikonga chachikulu. Zotsatira zake, impso zimalephera kuyeretsa magazi a zinthu zopangidwa ndi metabolic komanso mankhwala oopsa. Kulephera kwamakina kumayamba, komwe kumafuna kulumikizidwa kwa makina a hemodialysis. Odwala amalephera kugwira ntchito, ndipo thanzi lawo limayamba kuwonongeka mwachangu. Kuika impso kumatha kupulumutsa moyo, zomwe sizimachitika nthawi yomweyo.
Mukasuta, kupanikizika kwa ziwiya zokhala m'munsi kumachitika. Matenda a shuga amayambitsa zovuta m'magulu a ma capillaries ndi ma arterioles ang'onoang'ono, komanso amawonongeranso ulusi wamitsempha kumapazi.Kuchuluka kwathunthu ndikuchepa kwakukulu kwa kuthamanga kwa magazi, gangrene ndi kufunika kopatsidwa mwachangu.
Njira yolerera imakhala ndi vuto losuta fodya mu matenda ashuga onse chifukwa cha kusintha kwa mahomoni komanso chifukwa chotaya magazi. Zotsatira zake mwa abambo ndi kupanda chidwi komanso kuyendetsa gawo logopa, ndipo kwa amayi ndiikhalidwe:
- kuzungulira kosalekeza
- kulephera kwa ovari
- polycystic
- kusabereka
- kusamba koyamba.
Type 2 shuga
Kuwopsa kwakukulu kwa kusuta kwa mtundu wa 2 shuga kumalumikizidwa ndi kuwonongeka kwa mitsempha yapakati komanso yayikulu. Amapanga mwachangu zigawo zomwe zimalepheretsa magazi kuyenda. Nikotini nthawi yomweyo:
- amachulukitsa cholesterol "yoyipa",
- zimayambitsa vasospasm,
- timapitiriza magazi, magazi,
- imasokoneza kupanga mankhwala omwe amateteza khoma lamitsempha,
- kumawonjezera kuthamanga kwa magazi.
Mikwingwirima ndi vuto la mtima zimachitika kale kwambiri, ndikulanda mbali zazikulu za ubongo ndi mtima, ndikuchitika zovuta. Komanso, odwala matenda ashuga asintha mwatsatanetsatane Mitsempha yamagazi - matenda ashuga angiopathy. Zowonongeka zonse chifukwa chosuta fodya ndi shuga wambiri nthawi zambiri zimapha.
Cholinga china cha odwala ndi retina. Matenda a shuga a retinopathy mwa omwe amasuta amadziwika ndi kupita patsogolo msanga, kufuna chithandizo cha nthawi yayitali. Nthawi zina masomphenya amachepera kutsitsa khungu, ndipo amangobwezeretseka pang'ono. Mikhalidwe yovuta ndi glaucoma (kuthamanga kwa mapangidwe amkati), amkati (kutsika kwa mandala), mu zomwe nicotine imachitikiranso.
Zotsatira za kusuta ndudu pa matenda ashuga
Zotsatira zazikulu za kusuta ndudu mu shuga zimayenderana ndi kuwonongeka kwa matendawa - kuchuluka kwa shuga m'magazi kumakhala kosakhazikika, ndizovuta kuzisamalira ngakhale nditadya zakudya zoyenera, insulin ndi mapiritsi. Zotsatira zake, zalembedwa:
- chiopsezo cha zovuta pachimake - hypoglycemic coma, ketoacidosis (kudzikundikira kwa matupi a ketone m'magazi),
- kupitirira kwa vuto lamitsempha - kuphwanya kwamphamvu kwa kufalitsidwa, mtima,
- kulephera kwa aimpso
- kutayika kwamaso
- kuvuta kwa magazi m'magawo otsika - kupweteka (kwapakati pang'onopang'ono), zolakwika zopanda chilonda pamiyendo, gangrene (minofu necrosis), osteomyelitis (kuchuluka kwamafupa),
- matenda amkamwa (matenda osakhalitsa) komanso kuwonongeka kwa mano,
- kuwonongeka kwa minofu yamafupa (mafupa) ndi chizolowezi chochita kupunduka ndi kuvulala pang'ono,
- pafupipafupi (pafupipafupi pafupipafupi) matenda opatsirana pamatumbo, bronchitis, chibayo,
- mavuto okhumudwitsa.
Onerani kanemayo akusuta ndi matenda ashuga:
Kodi kuopsa kwa kusuta ndudu zamagetsi kumadwala a shuga ndi kotani?
Kusuta ndudu zamagetsi ndi matenda ashuga sikwopsa, koma izi sizitanthauza kuti mwanjira iyi mutha kuchepetsa mokwanira zovuta zamavuto. Chowonadi ndi chakuti m'malo mwa zinthu zotsalira, komanso chikonga, chomwe chimawononga thupi, ma analogi amagetsi amakhala ndi zonunkhira ndi polypropylene glycol. Amakhala ndi poizoni, ngakhale amakhala ofooka pang'ono.
Amakhalanso ndi chikonga, zomwe zimatha kuwongolera, pang'onopang'ono kuchepetsa mlingo. Koma imakhalabe yoyipa, imalepheretsa kubwezeretsanso kwamitsempha yamagazi. Pankhaniyi, kuyamwa chifukwa cha kusuta sikuchitika. Mankhwala osokoneza bongo a Nikotine samasowa, koma amangotenga mitundu ina.
Chikhulupiriro chofala kwambiri chakuti ndudu zamagetsi zilibe vuto zingapereke chithunzi chakuti chingasute nthawi zonse. Zotsatira zake, wosuta amalandira kuchuluka kwake kwa mankhwalawo.
Momwe mungasiyere kusuta ndi shuga
Popeza chizolowezi cha nikotini ndimatenda, ziyenera kuchitiridwa moyenera. Kusuta kumathandiza ndi matenda ashuga:
- gawo la psychotherapy
- kulemba
- chingamu, ma aerosols - Nicorette,
- Chigamba cha Nikoderm
- Mankhwala kuti muchepetse kukhudzana ndi chikonga (thonjetsani chisangalalo ku chiphaso chake) - Champix, Tabex,
- antidepressants (zotchulidwa ndi psychiatrist kapena narcologist).
Kuti tifulumizitse kuyeretsa thupi, tikulimbikitsidwa:
- kumwa madzi oyera mpaka malita 1.5 patsiku ndi kuwonjezera supuni ya mandimu 300 ml aliyense,
- osachepera maola awiri tsiku lililonse kuyenda mu mpweya watsopano,
- pindani magawo pafupifupi 5-7 a speleotherapy m'phanga lamchere, ndipo patatha mwezi umodzi mubwereze maphunzirowo.
- kamodzi patsiku, kumwa mwatsopano wokhathamiritsa watsopano kuchokera ku karoti imodzi, apulo, masamba a sipinachi ndi supuni zitatu za tiyi yoyambira nyanja,
- mumakonda kupumira kawiri pa tsiku kwa mphindi 10,
- Lolani osachepera theka la ola kuti achite masewera olimbitsa thupi, yoga, kusambira,
- Idyani masamba awiri a saladi watsopano masamba tsiku lililonse, siyani zonse zamzitini, chakudya ndi zina zowonjezera, utoto.
Zomwe zingasiye kusuta fodya
Ndikofunikira kuti osuta adziwe kuti sangokhala ndi mavuto oyambitsidwa,komanso kusintha kwanji komwe kumachitika ngati kusuta kwayimitsidwa:
- Pambuyo pa maola 2, kuthamanga kwa magazi, kugunda kwa mtima kumachepa,
- Pambuyo maola 8, magazi ndi theka mulingo wa kaboni dayokisi,
- pakadutsa miyezi itatu
- kupuma movutikira komanso kutsokomola zimatha miyezi isanu ndi umodzi
- mchaka, chiopsezo cha matenda a mtima (angina pectoris, kugunda kwa mtima), kusabala, kusokonezeka kwachepa ndi 1.5,
- M'zaka 7 zoopsa za stroke zidzakhala zofanana ndi za osasuta.
- Pambuyo pazaka 10, chiopsezo cha zotupa zitha kutha.
Ndipo izi ndizokhudza kupewetsa mafupa.
Kusuta ndi matenda ashuga kumawerengedwa kuti ndi vuto pachitukuko chake, koopsa, kuwoneka koyambirira kwa zovuta zamafupa. Mtundu woyamba wa matenda ashuga, odwala amatha kudwala nephropathy, zotumphukira zowonjezera m'miyendo, komanso kusowa pogonana. Kusuta fodya komanso matenda amtundu wa 2 kumawonjezera mwayi wokhala ndi sitiroko, vuto la mtima, komanso kutha kwa kuwona.
Kusintha ndudu zomwe mumakhala nazo ndudu zamagetsi kumachepetsa kuvulaza, koma sikuthana ndi vutoli. Mankhwala, psychotherapy, mankhwala amagwiritsidwa ntchito. Zimaphatikizidwa ndi kuyeretsa thupi.
Kuyesedwa kwa shuga kwa glucose kumachitika ngati matenda abwinobwino amakayikira. Imatha kukhala yotalikirapo, yolimba. Kukonzekera pang'ono kumafunikira musanawunike. Zomwe zimachitika mwa amayi apakati zimatha kusintha pang'ono, ndipo zotsatirapo zake zimatha kukhala zosiyanasiyana chifukwa cha zinthu zina. Kodi nthawi yodikirira zotsatira zake ndi iti?
Kuwunikira kumachitika pa C-peptide pazochitika za anthu oganiza kuti ali ndi matenda a shuga, komanso zotupa zamafuta a m'mimba. Amawonetsa zotsalira za insulin mthupi. Zozizidwazo zimachokera ku 225 mpaka 1730 pmol / l. Ndi matenda ashuga, kusintha kwa zinthu kudzakhala kosiyana. Kodi ndi kuwunika kotani kumeneku? Mungamvetse bwino bwanji?
Zimachitika ngakhale m'mankhwala a mafupa ocheperako, omwe ndi ovuta kuchiza. Amayi ndi abambo, ngakhale ali aang'ono kwambiri, ali ndi zofunikira za matendawa. Kodi zimayambitsa mafupa? Kodi kuchitira matenda owopsa?
Ngati wodwala ali ndi cholecystitis ndi matenda a shuga nthawi imodzi, ndiye kuti ayenera kuyambiranso kudya, ngati matenda oyambawo atakula. Zomwe zimachitika zimagona mu insulin yowonjezera, uchidakwa komanso ena. Ngati pachimake kuwerengetsa kwambiri cholecystitis kwayamba ndi matenda a shuga, kungafunike opaleshoni.
Kupewera kwa mafupa am'mimba kumatha kuyamba mwa achinyamata ndi masewera olimbitsa thupi. Chofunika kwambiri mwa amayi ndi mavitamini, mankhwala osokoneza bongo. Amuna atatha 50-60 angalimbikitsidwe sukulu yoletsa matenda a mafupa. Sekondale mwa okalamba imaphatikizapo njira zothandizira kukhalabe ndi calcium, komanso njira zopewera kunyumba.
Kodi kusuta kumakhudza shuga
Kuyankha funso ili, titha kunena motsimikiza kuti kusuta kumawonjezera shuga m'magazi. Nikotini siyilola kuti insulin ipangidwe, imalepheretsa kuyamwa kwa glucose owonjezera.Zotsatira zake, ziwalo zimayamba kugwera insulin, shuga yambiri imapangidwa. Mkhalidwe wa anthu odwala matenda ashuga ukuyamba kukulira.
Kuphatikiza pa izi, osuta omwe ali ndi matenda amtundu wa 2 amasokonezeka pakupanga mahomoni ena - ma insulin antagonists - cortisol, catecholamine. Kulephera pakusinthana kwamafuta ndi shuga, kunenepa kwambiri kumawonekera.
Zofunika! Anthu odwala matenda ashuga osasuta amawononga theka la insulini pakukonza shuga ngati osuta fodya.
Kodi kuopsa kwa kusuta kwachiwiri ndi kotani?
Ngati wodwala matenda ashuga amathamangira kusuta ola lililonse, ndiye kuti ali ndi ufulu kuwerengera zotsatirazi zovuta za matenda a endocrine komanso zina za ziwalo zamkati:
- Gangrene
Zizindikiro za kufa kwa minofu zimatha kupezeka popanda mayeso apadera. Miyendo imasiya kumva khungu, khungu limasintha, zilonda zam'mimba zimayendera limodzi ndi omwe amasuta nthawi zonse.
Zowonongeka.
Nikotini imakhudza mwamphamvu ma capillaries ang'onoang'ono kuzungulira khungu lamaso. Glaucoma, matenda amtundu wamkati amakhala chotsatira cha kuperewera kwa mpweya wa minofu ya minofu.
Matenda a chiwindi.
Zosefera zamkati mwa munthu sizigwirizana ndi kuchotsedwa kwa poizoni. Uwu ndi utsi wa ndudu, mankhwala omwe munthu wodwala matenda ashuga amatenga kawiri, katatu patsiku. Chiwindi chimadzaza kwambiri ndipo chimagwira ntchito molakwika.
Matenda a metabolism.
Kulemera kumakwera, kunenepa kwambiri kwapakatikati kwapakati kumachitika. Ichi ndi chifukwa cha insulin kukaniza thupi, mavuto ndi mafuta kagayidwe.
Zofunika! Ambiri odwala matenda ashuga amaopa kuti kulemera kumadzauka chifukwa chosiya chikumbumtima. Izi ndizotheka ngati mumachotsa ndudu m'malo mwa chakudya. Pokhapokha pa zovuta za matenda ashuga komanso zakudya, sipadzakhala mapaundi owonjezera pa minofu.
Uku ndikulephera kwa impso chifukwa cha kuchuluka kwamkodzo wa mkodzo.
Kuwonongeka kwa mano ndi mano.
Ichi ndi periodontitis, caries. Mano amaola msanga ndipo amayamba kugwa chifukwa cha kusokonezeka kwa kagayidwe kazakudya.
Zilonda zam'mino ndi chingamu Stroke, matenda oopsa.
Kuchulukitsa kumalumikizidwa kwambiri ndi matenda a mtima. Fodya amawononga magazi. Amakhala viscous, ovuta kuyenda kudzera m'mitsempha, capillaries. Mapangidwe a mawonekedwe pazenera za mitsempha yamagazi. Zotsatira zake, wosuta amakhala ndi stroko kapena amwalira ndi thrombosis.
Chiwopsezo chowonjezeka cha matenda a mtima.
Kupanikizika kwa minofu ya mtima kumawonjezeka mukangosuta ndudu. Nicotine imawononga mbali yamitsempha yamagazi, magazi amayenda kumtima pang'ono, ndizovuta. Matenda a mtima, ischemia - matenda akuluakulu a omwe amasuta komanso omwe amasuta.
Anemia
Maselo a ndudu amakhudza mulingo wachitsulo, amatsitsa mofulumira. Mudzakhala mutatopa, osakwiya. Zotengera kutenga zowonjezera pazitsulo ndizochepa.
Zofunika! Malinga ndi kafukufuku wa labotale, kuchuluka kwa shuga m'magazi kumatsika mwachangu ndikubwerera mwakale atangosiya fodya. Chifukwa chake, kukoka ndi chizolowezi choyipa sikuyenera, ndikodula tsiku lililonse.
Momwe mungasiyere kusuta ndi shuga
Ngati mungasankhe kusiya chizolowezi chochita zoipa, ndiye muyenera kutero moyenera. Jambulani zomwe mungachite, musabwerere m'mbuyo kuphedwa.
Pangani mndandanda wazotsatira za kulephera. Lembani papepala. Khala patsogolo pa desiki, pafupi ndi kama, kuti muwone tsiku lililonse, ndikulimbikitsa mosalekeza. Itha kuwoneka ngati pansipa.
Ngati ndasiya kusuta, ndiye:
- Zotetezazo sizikhala ndi katundu wokhazikika, zomwe zikutanthauza kuti magazi amayenda bwino.
- Kuopsa kwa vuto la mtima, sitiroko kuyandikira kwambiri.
- Popanda utsi wa fodya, ziwalo zamkati zimabwezeretsa ntchito pazokha, simuyenera kuchita mankhwala.
- Ndikhala wamphamvu mwamphamvu, ndileka kukwiya chifukwa cholephera kusuta pamsewu, kuntchito, kuphwando.
- Khungu limakhala losalala, lokongola, makwinya.
- Zovala zanga zidzasiya kununkhira fodya.
- Kwa ndalama zomwe zapulumutsidwa, zomwe kale zidagwiritsidwa ntchito kusuta fodya, ndipita kutchuthi.
Zofunika! Pali zifukwa zambiri zoponyera. Sankhani zomwe zingakhale zamphamvu kwambiri.
Yakwana nthawi yoponya paketi ya ndudu komanso wopepuka pamatayala. Khazikitsani tsiku. Ili ndi gawo loyamba. Osasuta ndudu imodzi patsiku lokhazikitsidwa ngati mungaganize zosiya chizolowezi choopsa, kapena muchepetse ndudu ya fodya.
Lolani anzanu ndi abale anu kudziwa za chisankho chanu. Asiyeni azisunga lonjezo. Kuchita manyazi chifukwa chabodza kumangokulitsa kukhazikitsa dongosolo.
Chezerani m'chipindacho, ikani pafoni yanu pulogalamu yojambula zithunzi za khansa ya m'mapapo, zithunzi zina zowopsa. Zitha kutsegulidwa apa http://www.nosmoking18.ru/posledstviya-kureniya-foto/
Onerani makanema a omwe amasiya kusuta. Werengani mabuku. Osachita manyazi kuyankhula zakusokonekera. Kulankhulana ndi omwe amakumvetsani bwino kumathandiza kuthana ndi vuto losokoneza bongo.
Zofunika! Buku la Allen Carr, An Easy Way to Quit Kusuta, limaonedwa kuti ndiwothandiza kwambiri pakuchotsa ndudu; filimu inawombera. Gwiritsani ntchito gwero ili kuti mulimbikitse komanso kusokoneza malingaliro munthawi zovuta. Onani vidiyo yokhudza njira ya A. Carr apa:
Kugwiritsa ntchito zakudya zamagetsi, ndudu zamagetsi, mapulogalamu, mapiritsi okanira ndudu imawerengedwa kuti ndi njira yopanda tanthauzo. Munthu nthawi zambiri amadalira mphamvu za chikonga. Ndipo pakatha miyezi ingapo, amaganiza za momwe angawachotsere kale. Chozungulira chikutseka. Yesani kuchita popanda othandizira oterowo mwa kungoponya ndudu yomaliza mumgomo.
Ndiye, kodi ndingasute ndi matenda ashuga? Tsopano mukudziwa bwino lomwe zomwe siziri. Izi zimawopseza odwala matenda ashuga ndi kuwonongeka m'moyo wabwino. Zakudya, mapiritsi, njira zolimbitsa thupi sizipulumutsa. Nikotine amasintha mankhwala ndikusamalira thupi ndikungotaya nthawi.
Ngati mwakhala mukusuta kwa zaka zambiri kapena mwangoyamba kumene kumakhala ndi vuto la ndudu, siyani. Ganizirani nokha ndi chikondi, lingalirani okondedwa. Ndikothekanso kukhala ndi thanzi pokhapokha mukasiyiratu zizolowezi zoipa. Ndipo kuchita izi sikovuta kwambiri monga zikuwonekera.
Dzina langa ndine Andrey, ndakhala ndikudwala matenda ashuga kwa zaka zoposa 35. Zikomo chifukwa chakuyendera tsamba langa. Diabei za kuthandiza anthu odwala matenda ashuga.
Ndimalemba nkhani zokhudzana ndi matenda osiyanasiyana ndipo ndimalangiza pandekha anthu aku Moscow omwe amafunikira thandizo, chifukwa pazaka zambiri zapitazi ndawona zinthu zambiri kuchokera pazomwe ndakumana nazo, ndayesera njira zambiri komanso mankhwala. Chaka chino cha 2019, ukadaulo ukupanga kwambiri, anthu samadziwa za zinthu zambiri zomwe zidapangidwa pakalipano kuti akhale ndi moyo wabwino kwa odwala matenda ashuga, motero ndidapeza cholinga changa ndikuthandizira anthu omwe ali ndi matenda ashuga, momwe angathere, kukhala osavuta komanso osangalala.
Type 1 ndi Type 2 Shuga
Mtundu woyamba 1 ndi matenda a shuga a 2 ndi osiyana kwambiri. Ndi mtundu 1, thupi limakhala ndi insulini yotheratu, mahomoni ofunikira pokonzanso glucose, wokhala ndi mtundu 2, maselo othandizira samazindikira insulin yomwe ilipo ndipo pang'onopang'ono kapamba amasiya kutulutsa. Zotsatira zake ndi zofanana mu mtundu 1 ndi mtundu 2 - glucose owonjezera amawononga mitsempha yamagazi, thupi ndipo makamaka ubongo umakhala wopanda michere, ndipo pambuyo pake mafuta ndi mapuloteni onse amasokonezeka.
Koma kusuta kumavulazanso matenda amtundu uliwonse, malinga ndi kafukufuku yemwe asayansi akunja amatenga, odwala matenda ashuga omwe sanasiye kusuta akuwonjezereka kawiri konse kufa chifukwa cha matenda a mtima zaka zingapo pambuyo pakupezeka kwa matendawa.
Kuzindikira ndi chithandizo
Kuzindikira matenda ashuga sikubweretsa zovuta zilizonse, ndikokwanira kupereka magazi "chifukwa cha shuga" - mulingo wa glucose ndipo mutha kudziwa kale matenda.Munthu aliyense wazaka zopitilira 45 amayenera kumuwunika dokotala chaka chilichonse ndikuyamba kulandira chithandizo chamankhwala oyamba amitundu 2.
Ndili ndi matenda amtunduwu kuti kuzindikira kwakanthawi ndikusintha kwathunthu m'mikhalidwe ndikofunikira kwambiri. Popeza mudayamba kudya pakapita nthawi, kuchepa thupi komanso kusiya kumwa mowa komanso kusuta fodya, mutha kuyimitsa matendawa, kupangitsa kuti matenda a shuga achepe, kapena kuti achepetse kukula kwake.
Zotsatira za kusuta ndi shuga
Zotsatira za kusuta ndi shuga zingakhale zosiyana kwambiri.
Mitsempha yamagazi yotupa yomwe imakhala ndi osuta - kufota kwam'mimba kapena kuchuluka kwa magazi, imachulukirachulukira chifukwa cha kusintha komwe matenda ashuga amachititsa. Mu kusuta odwala, chiopsezo kukhala gangore a m'munsi malekezero, matenda a mtima dongosolo, matenda oopsa, matenda a fundus ndi ziwalo zina akukwera kangapo.
Kusuta fodya ndi matenda ashuga ndi njira yachidule komanso yachidule kwambiri yakhungu, kulumala, kapena kufa ndi vuto la mtima kapena sitiroko. Matenda a shuga sangathe kunenedweratu kapena kupewa, koma moyo ndi kutalika kwa matendawa kumangodalira wodwala.
Matenda a shuga ndi ofala masiku ano, matenda ashuga amtundu 1 amakhudza ana ndi achinyamata osakwana zaka 30, mtundu wa 2 wa matenda ashuga umazunza anthu okalamba onenepa kwambiri ndipo amakhala ndi chidwi chofuna kudya. Koma kwa odwala onse, kusuta fodya ndi matenda ashuga kuyenera kukhala malingaliro osagwirizana.
MUKUFUNA KUTI MUTSE?
Kenako mufunika njira yoti musiye.
Kugwiritsa ntchito kumakhala kosavuta kusiya.
Kodi ndudu zimakhudza bwanji shuga?
Ndiye, kodi kusuta kumakhudza bwanji shuga?
Ndudu za fodya zimadziwika kuwonjezera magazi.
Izi zitha kufotokozedwa ndikuwonjezereka kwa kupangika kwa zomwe zimatchedwa "mahomoni opsinjika" - catecholamines, cortisol, makamaka amene ali ndi insulin antagonists.
Kuyankhula chilankhulo chofikirika, chikonga chimachepetsa mphamvu ya thupi kukonza, kumanga shuga.
Kodi kusuta kumachulukitsa shuga kapena magazi?
Monga tafotokozera pamwambapa, yankho la funso loti kusuta limakhudza shuga wa magazi ndi lotsimikizira.
Nikotine yomwe ili mu zinthu za fodya, ikalowa m'magazi kudzera mu kupuma, imathandizira okonda insulin, chifukwa chake, titha kunena kuti kusuta kumawonjezera shuga m'magazi.
Komanso, kusuta ndi shuga wamagazi ndizolumikizana, mosasamala kanthu za kupezeka kwa shuga.
Glucose imachulukitsa odwala omwe ali ndi matenda ashuga komanso anthu athanzi, koma kwa iwo omwe akuvutika ndi matenda omwe akukambirana kuwonjezeka kwa glucose wa plasma amatchulidwa kwambiri, mwachangu, osayendetsedwa bwino. Zikonga zikalowanso m'magazi, kukwera kwa shuga ndikofunikira kwambiri.
Palibe kusintha kwa chizindikiro Izi zimatsimikiziridwa ndikuti ndi nikotini yemwe amasintha ndende ya glucose.
Zotheka
Chizolowezi ichi ndizovulaza pachokha, ndipo zotsatira zake kwa wodwala yemwe ali ndi matenda a shuga ndizowopsa. Mwa anthu oterewa, kusuta kumakulitsa kwambiri zoopsa za zovuta zowopsa, zowopsa m'moyo.
Ngati mumakonda kusuta ndi matenda a shuga a 2, zotsatira zake zimakhala zoopsa kwambiri kuposa matenda ashuga amtundu 1. Izi zikuphatikiza:
- vuto la mtima
- vuto la mtima
- kufalikira kwazovuta mpaka machitidwe achifwamba,
- sitiroko.
Fodya umachulukitsa kawiri pachiwopsezo cha mavuto a impso, kukanika kwa erectile.
Zotsatira zazikulu zakuya kwa odwala matenda ashuga omwe amagwiritsa ntchito chikonga ndi kusintha kwamitsempha. Ndudu za fodya zimapatsa katundu wowonjezera paminyewa yamtima. Izi zimabweretsa kutsuka kwa ulusi wa chiwalo.
Chifukwa cha chikoka cha chikonga, shuga wowonjezereka amachititsa kuti ziwiya zichepetse, zomwe zimakhudza machitidwe onse ofunikira. Kupanikizika kosatha kumayambitsa hypoxia yayitali ya zimakhala ndi ziwalo.
Mu omwe amasuta omwe ali ndi matenda a shuga, thrombosis m'matumbo imawonjezeka, ndipo ichi ndi chomwe chimayambitsa matchulidwe apamwamba: kugunda kwa mtima, sitiroko, kuwonongeka m'mitsempha ya miyendo. Nthambi zing'onozing'ono za kuzungulira kwa magazi zomwe zimadyetsa retina kuvutika, zomwe zimapangitsa kuchepa kwa masomphenyawo.
Kusuta ndi matenda amtundu wa 2 nthawi zambiri kumayambitsa matenda oopsa, omwe ndi osafunikira komanso owopsa mwakuwoneka kwa mtima wamitsempha yamagazi, kukula kwawo mwachangu.
Kafukufuku wambiri wachitika zomwe zapangitsa kuti anthu azindikira kuti munthu amene amafa asanabadwe amapitilira odwala matenda ashuga pafupifupi kawiri kawiri kuposa omwe sasuta.
Monga tanena kale, kusuta ndi chifukwa cha kukana insulini, zomwe zimapangitsa kuti mankhwala asamayende bwino, zomwe zikuwonjezera kuyipa kwa kuyambitsa kwa mahomoni achilendo.
Mwa odwala matenda ashuga omwe sanataye utsi, albuminuria imachitika chifukwa cha kuwonongeka kwa impso. Kuphatikiza apo, chifukwa cha zovuta zoyipa za ndudu pamitsempha yamagazi, ma neuropathies ophatikizika osiyanasiyana nthawi zambiri amapezeka mwa anthu omwe akudwala matendawa (NS amavutika).
Tiyenera kudziwa kuwonongeka kwa zinthu zomwe zili mu ndudu pamimba, motero ndizowopsa m'thupi la anthu omwe ali ndi matenda ashuga.
Zinthu zomwe zili mu ndudu zimakwiya kwambiri pamatumbo, zimayambitsa gastritis, zilonda.
Madokotala adziwa kale kuti kusuta kumakulitsa, kumachulukitsa shuga, koma posachedwa kunadziwika komwe kumapangitsa kuti shuga a m'magazi agwire. Choyambitsa cha hyperglycemia mwa omwe amasuta omwe ali ndi matenda ashuga ndi chikonga.
Pulofesa waku California wa chemistry wakhala akufufuza zitsanzo za anthu osuta magazi omwe ali ndi matenda ashuga. Anazindikira kuti nikotini yemwe amalowa m'thupi amapangitsa kuti glycated hemoglobin imere ndi gawo limodzi mwa magawo atatu.
HbA1c ndi chitsogozo chowongolera chomwe chikuwonetsa udindo wa shuga wambiri pakupanga zovuta za shuga. Amakhala ndi shuga wa plasma pafupifupi kotala lomaliza la chaka chisanachitike kutsimikiza.
Zoyenera kuchita
Ndiye, kodi kusuta fodya ndikuwonjezera matenda ashuga a 2 ndikugwirizana? Yankho ndilosamveka: ngati matenda amtunduwu akhazikitsidwa kwa munthu, kusuta kuyenera kuyimitsidwa nthawi yomweyo. Zaka zambiri pamoyo wa paketi ya ndudu ndizosinthanitsa mosiyanasiyana. Matenda a shuga ndi matenda oopsa, koma si sentensi ngati mutsatira malingaliro ena osavuta.
Kuti muchepetse kuwonetsa matendawa ndikukhala ndi moyo wonse, muyenera kutsatira malamulo ena:
- kutsatira zakudya
- kutsatira boma lolondola ndi kusinthanitsa katundu, kupumula, kugona tulo,
- gwiritsani ntchito mankhwala onse omwe adokotala adanenanso kuti mutsatire malangizo ake,
- kuyeserera munthawi yake, yang'anirani thanzi lanu,
- pewani zizolowezi zoyipa.
Zinthu zomaliza sizofunika. Kutsatira kwake kumasintha kwambiri, kukulitsa moyo, kuchepetsa zoopsa, zovuta.
Kodi mungasiye bwanji chizolowezi choyipa?
Mafunso omwe amayendera limodzi ndi kusuta fodya komanso matenda amtundu wa 2 amachokera pamalingaliro a anthu oti musataye fodya, chifukwa izi zimapangitsa kuti munthu akhale wonenepa kwambiri. Zowona m'mawu awa ndizopanda tanthauzo lililonse.
Kuchepetsa thupi pang'ono kumakhala kotheka, koma izi zimachitika chifukwa choti thupi likuchotsa kuledzera kwa nthawi yayitali, komwe kumakhala kusuta.
Munthu amachira poizoni, amadzitsuka poizoni, kuti athe kuwonjezera ma kilogalamu angapo. Koma sizichitika nthawi zonse. Kulemera mopepuka kumatha kupewedwa - chifukwa cha ichi, ndikokwanira kutsatira dongosolo lazakudya zoperekedwa ndi adokotala chifukwa cha matenda ashuga.
Mwanjira ina, uwu ndi udzu wosayenera kwa munthu yemwe akumira, ndipo mutha kuchepetsa chiwopsezo cha kilogalamu zosafunikira pochepetsa zakudya zama calorie, ntchito yowonjezera. Ndikofunika kuti muchepetse kudya nyama panthawi "yovuta", yomwe nthawi zambiri imatenga masiku 21, idyani masamba ambiri, zipatso zokhala ndi index yotsika komanso yapakati. Izi zimachepetsa zizindikiro zodzipatula.
Ndikofunika kupeza ntchito yosangalatsa yomwe mufunika kugwiritsa ntchito luso lamanja labwino, mwachitsanzo, kukonza magawo ang'onoang'ono, mikanda yoluka, kujambula zithunzi, zithunzi. Zimathandiza kusokonekera. Ndikulimbikitsidwa kukhala ndi nthawi yochulukirapo panja, kupuma mpweya, kulumikizana ndi abwenzi ndi abale.
Njira yabwino kwambiri yopewerera kusuta ndi kukhala wotanganidwa. Tsiku lomwe munthu amasuta kale, kusuta kumakhala kochepa kwambiri. Kuwerenga mabuku othandizira, kulemberana makalata ndi anthu omwe amapezeka chimodzimodzi, kuthandizana ndikuwongolera, kukana pagulu kungathandize.
Malangizo ena osavuta kwa odwala matenda ashuga omwe asankha kusiya fodya:
Makanema okhudzana nawo
Kodi ndingathe kusuta ndi shuga yachiwiri? Kodi matenda a shuga omwe amadalira insulini komanso kusuta ndi ofunika? Mayankho mu kanema:
Pofotokoza mwachidule zonse pamwambapa, titha kuona kuti zonena kuti ndizotheka kusuta ndi matenda ashuga ndi zabodza. Kukana ndudu ndi gawo lofunikira lomwe lingathandize kukhala wathanzi, kupewa mavuto ambiri, kupewa kufa msanga komanso kusintha kwambiri moyo. Kusankha njira yosiya kusuta, wodwalayo amasankha moyo wautali, wokwanira.
Kusuta komanso chiopsezo cha matenda a shuga
Kafukufuku wazaka 15 zapitazi akuwonetsa mgwirizano womwe ulipo pakati pa kugwiritsa ntchito fodya ndi chiopsezo cha odwala omwe samadalira insulini makamaka mwa amayi ndi abambo. Kafukufuku wina ku United States, zidawonetsedwa kuti 12% ya milandu yonse yokhala ndi matenda osokoneza bongo omwe amadalira insulin idayamba chifukwa cha kusuta. Komabe, pakadali pano sizikudziwika ngati mtundu 1 wa shuga ukugwirizana mwachindunji ndi kusuta.
Kafukufuku adawulula mgwirizano womwe ulipo pakati pa kuchuluka kwa fodya yemwe wadyeka ndi kukula kwa matenda ashuga a mtundu 2 Pali maphunziro ochepa kwambiri pa zomwe zimachitika pakusuta fodya. Mwambiri, Kafukufuku akuwonetsa kuti matenda a shuga sangachitike mwa anthu omwe amasiya kusuta. Komanso, kugwiritsa ntchito fodya kuchepetsedwa kumachepetsa chiopsezo cha matenda ashuga.
Kukana insulini
Kafukufuku wamakono athandiza kuwulula njira zomwe zimayambitsa kusuta pangozi ya matenda a shuga. Zawonetsedwa kuti kusuta ndudu kumayambitsa kukwera kwakanthawi kwa shuga. Kukhazikika kwa utsi wa fodya kumapangitsa kuti glucose asavutike kwambiri.
Kusuta kungawonongetsenso chiwopsezo cha ziwalo ndi minyewa kupita ku insulin. Osuta fodya nthawi zonse samvera insulin kuposa osasuta. Chochititsa chidwi, kudziwa kuti insulini imasintha pakapita nthawi.
Kusuta fodya kumalumikizidwa ndi kunenepa kwambiri kwapakatikati, komwe, kumakhudzana kwambiri ndi kukana insulini. Kugwiritsa ntchito chikonga kumatha kuwonjezera kuchuluka kwa mahomoni ambiri, mwachitsanzo, cortisol, yomwe nthawi zina imalepheretsa insulin. Kusuta fodya kumayambitsanso misempha yamagazi. Izi zimabweretsa kuchepa kwamphamvu kwa thupi kumverera kwa insulini chifukwa kuchepa kwa magazi kupita kumisempha.
Osuta ali ndi muyeso wokwanira wamafuta achilengedwe wamafuta m'magazi awo. Mafuta awa amapikisana ndi glucose pantchito yawo ngati mphamvu yopangira minofu. Izi zimachepetsa insulin chiwopsezo. Nicotine, kaboni monoxide ndi mankhwala ena a utsi wa fodya amatha kukhala ndi vuto la maselo a beta, omwe amathandizanso kulolerana ndi shuga.Kusuta fodya kumayambitsa kutupa m'mitsempha yamagazi, komanso kupsinjika kwa oxidative.
Metabolic syndrome
Metabolic syndrome ndi kuphatikiza kwamavuto, kuphatikiza kunenepa kwambiri, kulolerana kwa glucose, matenda oopsa, komanso kusokonekera kwa kagayidwe ka mafuta. Choyambitsa chachikulu cha metabolic syndrome imalephera insulin. Mgwirizano wamphamvu pakati pa kusuta ndi kukana insulini ungafotokoze kupezeka kwapafupipafupi kwa kagayidwe kazakudya kwa osuta.
Wosuta fodya nthawi zambiri amakhala ndi mafuta okwanira a triglycerides komanso otsika kwambiri a cholesterol yapamwamba kwambiri. Osuta fodya nthawi zambiri amakhala ndi kunenepa kwambiri. Komanso kusuta kumayenderana ndi chiopsezo cha khansa ya kapamba komanso chifuwa cha kapamba.
Msuzi wa shuga
Kusuta kumawononga shuga. Zatsimikiziridwa kuti osuta amafunikira insulini yambiri kuti abweretse kuchuluka kwawoko shuga kuposa omwe sasuta. Kusuta kumalepheretsa kulolera kwa glucose mwa onse omwe ali ndi matenda ashuga komanso omwe samadwala.
Kusuta ndi pakati
Amayi omwe amasuta fodya ali ndi pakati amakhala pachiwopsezo chachikulu chotenga matenda a shuga, komanso chiopsezo cha matenda a shuga kwa ana awo mtsogolo. Ngati mayi apeza matenda a shuga pakapita nthawi yobereka, ndiye kuti zoopsa zomwe zimayambitsa matenda a 2 zimawonjezeka kasanu ndi kamodzi kuyerekeza ndi azimayi omwe shuga yawo inali yathanzi.
Zotsatira za kusuta fodya
Kusuta kumawonjezera ngozi za zovuta za matenda ashuga. Kusuta fodya kumawonjezera kuchuluka kwa magazi a mahomoni omwe amafooketsa insulin, monga catecholamines, glucagon ndi kukula kwa mahomoni. Kusintha kambiri kagayidwe m'thupi la munthu amene amasuta fodya kumayambitsa matenda ashuga.
Poyerekeza ndi omwe sasuta fodya, anthu omwe amagwiritsa ntchito fodya komanso omwe amadwala matenda a shuga amalandila mphotho zotsatirazi:
- Kuchepetsa chidwi cha insulin chifukwa cha zomwe insulin ikutsutsana - catecholamine, cortisol ndi mahomoni okula.
- Kulephera kwa shuga ndi mafuta njira zopangira kagayidwe.
- Hypertension, cholesterol yambiri komanso kunenepa kwambiri.
- Chiwopsezo cha hypoglycemia mu mtundu 1 wa matenda ashuga.
- Chiwopsezo chowonjezereka cha kupezeka ndi kukula kwa Microangiopathy mu mtundu wa 2 shuga.
- Chiwopsezo chachikulu cha matenda a mtima ndi mtima, kugunda, ndi matenda amitsempha yamagazi.
Mavuto osokoneza bongo
Matenda a shuga a shuga mu matenda ashuga amakhala ndi nephropathy, retinopathy ndi neuropathy. Amagwirizana kwambiri ndi kayendetsedwe ka kagayidwe. Hyperglycemia imathandiza kwambiri kuchititsa kusintha kwa thupi komwe kumayambitsa zovuta za matenda ashuga.
Kwa odwala matenda ashuga, makamaka mtundu woyamba wa matenda, kutchulidwa koti kusuta kwa impso kumasonyezedwa. Kusintha kwantchito ndi kapangidwe kake mu glomeruli la impso kumadziwika.
Kusuta kufafaniza
Kuletsa kusuta ndikofunikira kwa odwala matenda ashuga. Izi sizingokhala ndi phindu pa thanzi laumoyo pakatikati komanso nthawi yayitali, komanso zimathandizanso wodwala amene ali ndi matenda ashuga. Kukana kwa fodya kumathandiza kuti izi zikhale bwino.
- Kuchepetsa chiopsezo cha matenda a mtima. Pambuyo pazaka 11 mutasiya kusuta fodya, chiopsezo cha matendawa chimakhala chofanana ndi cha omwe sanasute konse.
- Kuchepetsa nephropathy mwa anthu odwala matenda ashuga a 2.
- Chepetsani kuopsa kwa kufa kwathunthu ndi khansa yomwe imapha anthu. Pambuyo pazaka 11, ziwopsezozi zimakhala zofanana ndi za omwe sanasute konse.
Umboni wasayansi wokhudza kuvuta kwa utsi wa fodya pa thanzi la odwala omwe ali ndi matenda ashuga ndi ambiri komanso osatsutsika. Cholinga cha izi ndi chikonga chokha komanso magawo ena a utsi wa fodya. Kutha kwathunthu kwa kusuta ndikofunikira kwambiri pakukonzanso momwe odwala omwe ali ndi matenda ashuga amapezera.
Kafukufuku akuwonetsa kuti ndizovuta kwambiri kuti munthu wodwala matenda ashuga asiye kusuta kuposa omwe alibe shuga. Nthawi zambiri chomwe chimalepheretsa kusiya kusuta ndikuopa kulemera kwambiri, zomwe nthawi zambiri zimapezeka mwa anthu odwala matenda ashuga. Kafukufuku ku United States adapeza kuti anthu omwe ali ndi matenda amtundu woyamba wa 1 amawopa kulemera chifukwa chosiya kusuta ndiofala kwambiri pakati pa azimayi, komanso pakati pa anthu omwe ali ndi kunenepa kwambiri komanso matenda a metabolic.
Kuti mupewe mavutowa ndi kunenepa chifukwa chosiya kusuta, ndibwino kuonana ndi dokotala kuti muchepetse ngozizi. Ndikofunika kumvetsetsa kuti zabwino zomwe zimachitika pakuwongolera thanzi chifukwa chosiya kusuta nthawi zambiri zimapindulitsa kuposa kusiya kusuta.
Chiwopsezo cha Kusuta
Zaka makumi angapo zapitazi atsimikizira kuti fodya amapangitsa kuti matenda ashuga azidalira kwambiri. Ichi ndi chizindikiro chosazindikira bwino kwambiri. Sizitengera jenda komanso zaka, koma mu 15% ya anthu onse odwala matenda ashuga a 2 amapezeka chifukwa chazovuta zosuta fodya.
Awa ndi akatswiri asayansi a mabungwe a USA ndi Great Britain, omwe kwa zaka zana limodzi akhala akuchita njira yopangira matenda a matenda ashuga.
Kuyesaku kunawonetsa momwe kuchuluka kwa fodya omwe wodwala amadwala patsiku kumagwirizana ndi kuwonongeka kwa matenda ashuga, koma sanathe kukhazikitsa ubale wosagwirizana pakati pa njirazi. Ndiye kuti, masiku ano palibe chitsimikizo kuti kusiya kusuta kumabweretsa kutha kwa vuto la endocrine.
Komabe, chakuti kudzipatula ndudu kumachepetsa chiopsezo cha matenda ashuga kumadziwika.
Kodi nikotini imakhudza shuga wamagazi ndipo ndi chiyani china chomwe chiri chowopsa kwa matenda ashuga?
Zachidziwikire, chikonga chimakulitsa mkhalidwe wa odwala matenda ashuga poletsa mahomoni a kapamba kuti asamapangike mwachizolowezi ndikulowa m'magazi, ndiye kuti, amalepheretsa kuyamwa glucose, ndikuwonjezera kuchuluka kwake m'magazi.
Pali njira ziwiri zazikulu mthupi zomwe zimayambika chifukwa chakugwedezeka kwa ndudu: kukana insulini komanso metabolic syndrome.
Zowopsa zina
Wodwala yemwe ali ndi ndudu m'manja mwake ali ndi ufulu kuyembekezera zovuta zotsatirazi:
- Matenda necrosis, kuyambira ndi kuwonongeka kwa kumva kwa khungu ndi dermis mpaka kumwalira kwa malo amtundu uliwonse womwe ulibe chakudya choyenera komanso ali ndi vuto lalikulu la hypoxia.
- Kuwonongeka kwa kuwona kwamphamvu chifukwa cha mphamvu ya pyridine alkaloid pazotengera zama ocular zida ndi chitukuko cha glaucoma ndi cataract chifukwa chophwanya mpweya wakupereka kwa ziwalo.
- Chiwindi chimakonda kwambiri chikonga. Amaleka kuthana ndi kagayidwe ka chikonga, popeza kuwonongeka kwakanthawi kochepa kwa mankhwala ochepetsa shuga omwe amatengedwa ndi matenda ashuga kwa moyo komanso utsi wa ndudu kumamulemetsa.
- Zokhudza kwambiri mafuta ndi metabolism yamafuta. Poizoni wa Solanum umaphatikizidwa mu metabolism ya mafuta ndi chakudya, umachepetsa mawonekedwe awo, umatchinga zofunikira. Zotsatira zake, kunenepa kwambiri komwe kumachokera pakati kumachitika ndi zotsatirapo zonse zotsatira.
- Kusuta kumayamba chifukwa chakulephera kwa impso. Izi ndi zotsatira za kuphatikizika kwa mapuloteni osakanikirana, kuchuluka kwake kwa mkodzo ndi zotsatira zoyipa pamkodzo kwamkodzo, komanso kugwiranso ntchito kwa impso, makamaka.
- Wosuta matenda a shuga amayamba periodontitis ndi caries.Mano amawonongeka, amayamba chifukwa cha kusokonezeka kwa kagayidwe kazakudya.
- CRF, zotupa zam'mimba zimayambitsa kukula kwa matenda oopsa, omwe muyeso womwe umakhala ONMK. Mchitidwewu umakulirakulira chifukwa cha kusintha kwa mamvekedwe amwazi mothandizidwa ndi zinthu za fodya. Thrombosis, thromboembolism yokhala ndi zotsatira zakupha iyamba.
- Kuopsa kwa matenda amtima kumawonjezera kwambiri: kupsinjika kwa mtima kumawonjezereka pamene ndudu iliyonse imasuta, kupezeka kwamitsempha kumachepa, kuthamanga kwa magazi kumasokonezeka, zokumana ndi mtima ischemia, hypoxia, AMI, ndi kufa. Matenda a mtima ndi omwe amafa kwambiri kwa onse omwe amasuta, kuphatikizapo odwala matenda ashuga.
- Tar ndudu imalepheretsa kagayidwe kazitsulo, muchepetse mulingo wake m'magazi. Izi zimakhudza dongosolo lamkati lamanjenje komanso zotumphukira zamitsempha, zimalepheretsa kupezeka kwa kapamba, mitsempha yamagazi yomwe imadyetsa. Kulowa kwachitsulo kuchokera kunja, mapiritsi kapena jakisoni sasintha zinthu chifukwa cha kusowa kwa metabolic. Kusokonekera komanso kuchepa kwa magazi ndi vuto la kusuta kwa shuga.
Kusiyana kwa zoyipa za ndudu mu mtundu 1 ndi mtundu 2 wa shuga?
Mtundu uliwonse wa matenda ashuga amayankha nikotini mwanjira yake, koma mosaleka.
Matendawa amadziwika ndi kuchuluka kwa glucose okhala ndi kuchepa kwa insulin. Mwanjira ina, zamatsenga zimayamba motsutsana ndi maziko a kukanika kwa maselo a pancreatic beta.
Kusuta pamlanduwu kumabweretsa zotsatirazi:
- Kuchuluka kwa shuga m'magazi kumakwera.
- Kulekerera kwa insulin kumakwiyitsidwa.
- Mapangidwe a matupi a ketone amakondweretsedwa.
- Hypoglycemia yokhazikika imayambika, ndikomanga komanso chiopsezo cha kufa.
- Kufunika kwa ma pancreas a mahomoni kukukula chifukwa chotulutsidwa kwa okana insulin m'magazi.
Kusuta ndi imodzi mwazomwe zimayambitsa matenda a shuga. Izi zimadziwonetsera kuti zimakhudza kapamba.
Kuphatikiza pakuchepetsa gawo lolumikizira khungu la kapamba ndi maselo a ziwalo ndi minyewa ya shuga, izi zimachitika:
- Chiopsezo cha kufa mwadzidzidzi chimachulukanso.
- Chiwopsezo cha stroke chikukula.
- Mwazi wamagazi umakhala wosalamulirika.
- Mamasukidwe akayendedwe a Platelet amawonjezeka.
Komabe, kukana kwakanthawi kogwiritsa ntchito mankhwala osokoneza bongo kumabwereranso kwazomwezo, kumachepetsa chiopsezo chotukuka kwa zinthu. Muyenera kudziwa kuti kufa chifukwa cha kulephera kwa mtima ndi matenda ashuga a 2 kuli kwambiri kuposa anthu osuta. Aliyense ali ndi mwayi wodziwonera yekha.
Pali zovuta zina zomwe zimayenderana ndi matenda amtundu woyamba komanso wachiwiri pa nthawi yaukazitape wa chikonga:
- Matenda a shuga odwala matenda ashuga okhala ndi minyewa ya mtima, amataya mphamvu yake.
- Pulmonary thrombosis.
- Kusintha kwamatsenga m'matumbo a mapapo ndikuwonongeka kwa alveoli, kulephera kupuma, kusintha kwa maselo a pulmonary kukhala maselo a khansa.
- Neuropathy: Kupweteka kwambiri pamutu, kuiwala kukumbukira, kulephera kuyenda m'malo ndi nthawi, kutayika kwa masomphenya komanso kumva.
- Nephrossteosis yokhala ndi zotsatira za CKD.
- Kusakwanira
- Kukula kwa concomitant autoimmune pathologies, systemic collagenoses.
- Kulephera pakugonana.
Mapeto ake ndi omveka: muyenera kusankha pakati pa moyo wautali, wogwira ntchito ndi imfa yopweteka.
Momwe mungasiyane ndi ndudu yodwala matenda ashuga
Ngati chisankhochi chidapangidwa bwino, muyenera kunena kuti mukhale ndi chizolowezi choyipa mosavomerezeka komanso moyenera. Narcologists amapereka magawo angapo akusuta kwa omwe ali ndi matenda ashuga.
Yoyamba ndikupanga mndandanda wokhala ndi mapindu a kuthana ndi ndudu.
Iyenera kupachikidwa pamalo otchuka ngati cholimbikitsa pakuchita zabwino.
Mwachitsanzo, zitha kuwonetsa izi:
- Popanda kusuta fodya, magazi amayenda bwino.
- Myocardial infaration ndi stroke zidzachepa.
- Ziwalo zamkati zimadziwongolera zokha momwe zimagwirira ntchito.
- Mitsempha idzakhala chitsulo.
- Khungu limakhala loyera komanso mthunzi wosangalatsa.
- Zovalazi ziyamba kununkhira bwino.
- Ndalama zomwe zimasungidwa pa fodya ndizomwe zimayambira ulendo wokayenda kunyanja.
Gawo lachiwiri liyenera kufananiza cholinga chakugawana ndi chikonga: muyenera kuponya paketi ya ndudu mu zinyalala. Ili lidzakhala ora la "X" ndi gawo loyamba panjira yopita ku moyo watsopano. Tsopano palibe fodya.
Ngati ndizovuta kuchita izi popanda thandizo, muyenera kufunsa uphungu. Adzatenga mankhwala oletsa anti-nikotini malinga ndi machitidwe ake. Zotsatira zake, mlingo wa alkaloid wogwiritsidwa ntchito udzafika.
Gawo lachitatu ndikudziwitsidwa ndi abwenzi komanso abale za chisankho. Tsopano awongolera njira yogawanirana ndi mankhwala osokoneza bongo. Chinyengo chilichonse chitha kuwononga mbiri ya kusiya kusuta, koma chidzaululidwa. Chifukwa chake, ndibwino kuchita popanda zanzeru komanso zanzeru. Zonse mozama komanso moona mtima.
Zothandiza kwambiri ndi zithunzi zomwe zili ndi mapapu okhudzidwa omwe amafunika kupachikidwa mchipindacho ndikuwuzira "nthawi zonse" ndi iwo.
Gawo lomaliza, lachinayi ndichisangalalo chomwe mumakonda chomwe chingatenge nthawi yanu yonse yaulere. Kuwerenga, masewera, kuluka, zidutswa, zojambula, kuphika, kuyenda, kucheza ndi magulu amodzi.
Mutha kuyang'ana pa buku lolembedwera ndi Allen Carr yokhudza njira yosavuta yosiyira kusuta. Kugwira kwake ntchito ndikodabwitsa.
Ma narcologists amalimbikitsidwa kugwiritsa ntchito mankhwala azitsamba, zida zamagetsi, zigamba za anti-nikotini, kutafuna mano. Athandizira kukhala ndi moyo wabwino komanso kuthana ndi mavuto obwera chifukwa chofuna kusiya.
Narcologist wanu akutsimikiza: njira zopewera mavuto
Njira yokhayo yotsimikizika yopewa zovuta za kusuta ndi shuga ndikuwasiya ndudu kosatha. Chinthu chachikulu ndikuchita nthawi. Kenako kubwezeretsa kwathunthu kwa zomwe zasokonekera ndikotheka.
Kuchita izi, kuthandizira thupi:
- HLS: masewera, kuumitsa, kuyenda.
- Zakudya zoyenera zomwe zimakhala ndi masamba, zipatso, mkaka, nsomba, nyama yazakudya.
- Zochita zolimbitsa thupi: kusambira, aerobics, maulendo, yoga.
- Kuperewera kwapanthawi yovuta.
- Loto labwino.
Njira zosavuta izi zithandiza kupewa chiopsezo cha zotsatira zosafunika.
Zokhudza mtima
Kuthekera kwa kufa chifukwa cha matenda amtima (kuphatikizapo stroke, vuto la mtima, auricmm, ndi zina zotere) mwa omwe amasuta fodya amakhala ndi gawo limodzi ndi theka kupitilira kawiri kuposa kwa osasuta. Chinthu chake ndikuti kusuta kumawononga kwambiri mitsempha yamagazi.
Mwa anthu odwala matenda ashuga, zotengera zimachepetsedwa kale chifukwa cha kuchuluka kwa shuga. Chifukwa chake, ndudu iliyonse yosuta imabweretsa mtolo wowonjezera pamtima.
Matenda ofala kwambiri omwe ali ndi matenda ashuga onse, omwe amapezeka mwa 95% ya matenda, ndi matenda a shuga 2. Tsoka ilo, mtundu uwu wa matenda ndiofala kwambiri kuposa woyamba.
Zizindikiro za matenda oyipawa ndi awa:
- pafupifupi wodwala aliyense amakhala ndi kunenepa kwambiri,
- ludzu losalekeza komanso pakamwa louma
- kuyabwa kosalekeza pakhungu
- polyuria.
Ndi mtundu uwu, zovuta zambiri ndizotheka.
Ambiri omwe amawerengedwa ngati matenda a shuga ndi ophthalmopathy. Poyambirira, mavuto adzalumikizidwa ndi kupweteka m'malo olumikizirana mafupa, ndipo zonse zimachitika chifukwa kuchuluka kwa madzi amagetsi am'mimba kumachepa. Ndipo yachiwiri, kukuchitika kwadzidzidzi kwamatumbo kumachitika, komwe kumabweretsa kuwonongeka kwamawonekedwe.
Mitundu ya matenda ashuga
Matenda a shuga ndi matenda oopsa a metabolic omwe amayamba chifukwa cha kusokonekera kwa insulin ya mahomoni kapena momwe amagwirira ntchito ndi maselo a receptor. Zotsatira zake, kagayidwe kazakudya zimasokonekera m'thupi ndipo kuchuluka kwa shuga m'magazi kumatuluka - pambuyo pa zonse, ndiye insulin yomwe imawonetsetsa kuti imabweretsa ndikupanga pafupifupi ziwalo zonse ndi minofu yake.
Mtundu woyamba wa shuga. Zimagwirizanitsidwa ndi ma pathologies a kapamba omwe amapanga insulin, omwe amatsogolera kuchepa kwa mahomoni.
Type 2 matenda a shuga.Zimayambitsidwa ndi kuchepa kwa chidwi cha maselo ndi minyewa kupita ku insulini (insulin kukana) kapena kulakwitsa kwa mapangidwe ake.
Matenda a shuga opatsirana omwe amakhala mwa amayi apakati.
- Matenda a shuga omwe amayamba chifukwa cha mankhwala.
Matenda a shuga obwera chifukwa cha matenda am'mimba a endocrine, matenda oopsa, etc.
Nthawi zambiri, Type 1 ndi matenda ashuga 2 amapezeka pakati pa odwala. Komabe, kusuta kumakulitsa nthawi yonse ya matendawa.
Momwe mungathetsere vuto
Kusuta ndi matenda a shuga kumaonjezera matendawa, motero muyenera kuthetsa chizolowezicho posachedwa. Wodwala akasiya kusuta, posakhalitsa adzakhala wathanzi, azitha kupewa zovuta zambiri zamatenda ake, omwe amayamba chifukwa chosuta fodya. Ngakhale mwa munthu amene amasiya kusuta, zizindikiro zaumoyo zimachuluka, kuchuluka kwa glycemia kumachitika.
Macrovascular zovuta
Anthu odwala matenda ashuga amakonda kwambiri zovuta zomwe zimabwera chifukwa chosuta fodya. Kafukufuku wasonyeza kuti, ngakhale kusakhala ndi vuto kwa nthawi yayitali komanso kuchuluka kwa kusuta, kusiya kusuta kumachepetsa chiopsezo cha kufa kwa odwala matenda ashuga.
Kusuta kufafaniza
Kuletsa kusuta ndikofunikira kwa odwala matenda ashuga. Izi sizingokhala ndi phindu pa thanzi laumoyo pakatikati komanso nthawi yayitali, komanso zimathandizanso wodwala amene ali ndi matenda ashuga. Kukana kwa fodya kumathandiza kuti izi zikhale bwino.
- Kuchepetsa chiopsezo cha matenda a mtima. Pambuyo pazaka 11 mutasiya kusuta fodya, chiopsezo cha matendawa chimakhala chofanana ndi cha omwe sanasute konse.
- Kuchepetsa nephropathy mwa anthu odwala matenda ashuga a 2.
- Chepetsani kuopsa kwa kufa kwathunthu ndi khansa yomwe imapha anthu. Pambuyo pazaka 11, ziwopsezozi zimakhala zofanana ndi za omwe sanasute konse.
Umboni wasayansi wokhudza kuvuta kwa utsi wa fodya pa thanzi la odwala omwe ali ndi matenda ashuga ndi ambiri komanso osatsutsika. Cholinga cha izi ndi chikonga chokha komanso magawo ena a utsi wa fodya. Kutha kwathunthu kwa kusuta ndikofunikira kwambiri pakukonzanso momwe odwala omwe ali ndi matenda ashuga amapezera.
Kafukufuku akuwonetsa kuti ndizovuta kwambiri kuti munthu wodwala matenda ashuga asiye kusuta kuposa omwe alibe shuga. Nthawi zambiri chomwe chimalepheretsa kusiya kusuta ndikuopa kulemera kwambiri, zomwe nthawi zambiri zimapezeka mwa anthu odwala matenda ashuga. Kafukufuku ku United States adapeza kuti anthu omwe ali ndi matenda amtundu woyamba wa 1 amawopa kulemera chifukwa chosiya kusuta ndiofala kwambiri pakati pa azimayi, komanso pakati pa anthu omwe ali ndi kunenepa kwambiri komanso matenda a metabolic.
Kuti mupewe mavutowa ndi kunenepa chifukwa chosiya kusuta, ndibwino kuonana ndi dokotala kuti muchepetse ngozizi. Ndikofunika kumvetsetsa kuti zabwino zomwe zimachitika pakuwongolera thanzi chifukwa chosiya kusuta nthawi zambiri zimapindulitsa kuposa kusiya kusuta.
Chiwopsezo cha Kusuta
Zaka makumi angapo zapitazi atsimikizira kuti fodya amapangitsa kuti matenda ashuga azidalira kwambiri. Ichi ndi chizindikiro chosazindikira bwino kwambiri. Sizitengera jenda komanso zaka, koma mu 15% ya anthu onse odwala matenda ashuga a 2 amapezeka chifukwa chazovuta zosuta fodya.
Awa ndi akatswiri asayansi a mabungwe a USA ndi Great Britain, omwe kwa zaka zana limodzi akhala akuchita njira yopangira matenda a matenda ashuga.
Kuyesaku kunawonetsa momwe kuchuluka kwa fodya omwe wodwala amadwala patsiku kumagwirizana ndi kuwonongeka kwa matenda ashuga, koma sanathe kukhazikitsa ubale wosagwirizana pakati pa njirazi.Ndiye kuti, masiku ano palibe chitsimikizo kuti kusiya kusuta kumabweretsa kutha kwa vuto la endocrine.
Komabe, chakuti kudzipatula ndudu kumachepetsa chiopsezo cha matenda ashuga kumadziwika.
Kodi nikotini imakhudza shuga wamagazi ndipo ndi chiyani china chomwe chiri chowopsa kwa matenda ashuga?
Zachidziwikire, chikonga chimakulitsa mkhalidwe wa odwala matenda ashuga poletsa mahomoni a kapamba kuti asamapangike mwachizolowezi ndikulowa m'magazi, ndiye kuti, amalepheretsa kuyamwa glucose, ndikuwonjezera kuchuluka kwake m'magazi.
Pali njira ziwiri zazikulu mthupi zomwe zimayambika chifukwa chakugwedezeka kwa ndudu: kukana insulini komanso metabolic syndrome.
Kukana insulini
Makina omwe fodya umakhudzira kukula kwa shuga wa magazi ndiosavuta.
Kusuta fodya, komwe kumachitika komanso kumangochitika, kumabweretsa kulolera kosaloza kwa glucose.
Kugwiritsa ntchito ndudu iliyonse kumapangitsa kuti shuga azikula kwakanthawi, komwe pakapita nthawi imayamba kugwiranso shuga. Nthawi yomweyo, nightshade alkaloid amachepetsa chidwi cha ziwalo ndi minofu yake kuti apange insulin. Komabe, ngati muletsa chizolowezi choyipa pa nthawi, zinthu zimasintha.
Pancreatic hormone inertia ndi imodzi mwazomwe zimayambitsa matenda apakati pa kunenepa kwambiri.
Kusuta kumapangitsa kuti magaziwo atuluke m'magazi a cortisol, omwe amachititsa kuti munthu akhale ndi chidwi chofuna kudya.
Mofananamo, poizoni wa pyridine amasintha kapangidwe ka mitsempha yamagazi yomwe imadyetsa zimakhala zomwe zimapanga cortisol ndi catecholamines. Njala ya oxygen ndi kusowa kwa chakudya kumachulukitsa kumverera kwa njala. Wodwala akupeza mapaundi owonjezera.
Nicotine imawonjezeranso kuchuluka kwamafuta achilengedwe m'magazi, omwe, makamaka, amakhala opikisana ndi glucose monga gwero lamphamvu kwa minofu - depot ya glycogen, yomwe imayaka mafuta. Izi zimachepetsa kulekerera kwa insulin.
Utsi wa fodya umaletsa poizoni ma cell a beta omwe amapanga timadzi tambiri tomwe timatulutsa. Kupanikizika kosatha kwa okosijeni ndi kukula kwa vasculitis kumathandizanso kulolerana kwa glucose.
Metabolic syndrome
Izi ndi chifukwa cha kusintha konse komwe kumachitika mthupi: kunenepa kwambiri, kufooka kwa lipid kagayidwe kakang'ono, chitetezo chamafuta pama cell, insulin kukana.
Ntchito ya pancreatic m'malo osakhala achilengedwe, pansi pa fodya wokhazikika wa poizoni, imabweretsa chitukuko cha kutupa. Popita nthawi, amasintha kukhala khansa.
Kuphatikiza apo, chikonga chimakweza kuchuluka kwa cholesterol yotsika m'magazi, kwinaku akuchepetsa kupindulitsa, kachulukidwe kakakulu, kamene kamayambitsa matenda apakati pa kunenepa kwambiri, kukulira kwathunthu kwa atherosclerosis.
Zowopsa zina
Wodwala yemwe ali ndi ndudu m'manja mwake ali ndi ufulu kuyembekezera zovuta zotsatirazi:
- Matenda necrosis, kuyambira ndi kuwonongeka kwa kumva kwa khungu ndi dermis mpaka kumwalira kwa malo amtundu uliwonse womwe ulibe chakudya choyenera komanso ali ndi vuto lalikulu la hypoxia.
- Kuwonongeka kwa kuwona kwamphamvu chifukwa cha mphamvu ya pyridine alkaloid pazotengera zama ocular zida ndi chitukuko cha glaucoma ndi cataract chifukwa chophwanya mpweya wakupereka kwa ziwalo.
- Chiwindi chimakonda kwambiri chikonga. Amaleka kuthana ndi kagayidwe ka chikonga, popeza kuwonongeka kwakanthawi kochepa kwa mankhwala ochepetsa shuga omwe amatengedwa ndi matenda ashuga kwa moyo komanso utsi wa ndudu kumamulemetsa.
- Zokhudza kwambiri mafuta ndi metabolism yamafuta. Poizoni wa Solanum umaphatikizidwa mu metabolism ya mafuta ndi chakudya, umachepetsa mawonekedwe awo, umatchinga zofunikira. Zotsatira zake, kunenepa kwambiri komwe kumachokera pakati kumachitika ndi zotsatirapo zonse zotsatira.
- Kusuta kumayamba chifukwa chakulephera kwa impso.Izi ndi zotsatira za kuphatikizika kwa mapuloteni osakanikirana, kuchuluka kwake kwa mkodzo ndi zotsatira zoyipa pamkodzo kwamkodzo, komanso kugwiranso ntchito kwa impso, makamaka.
- Wosuta matenda a shuga amayamba periodontitis ndi caries. Mano amawonongeka, amayamba chifukwa cha kusokonezeka kwa kagayidwe kazakudya.
- CRF, zotupa zam'mimba zimayambitsa kukula kwa matenda oopsa, omwe muyeso womwe umakhala ONMK. Mchitidwewu umakulirakulira chifukwa cha kusintha kwa mamvekedwe amwazi mothandizidwa ndi zinthu za fodya. Thrombosis, thromboembolism yokhala ndi zotsatira zakupha iyamba.
- Kuopsa kwa matenda amtima kumawonjezera kwambiri: kupsinjika kwa mtima kumawonjezereka pamene ndudu iliyonse imasuta, kupezeka kwamitsempha kumachepa, kuthamanga kwa magazi kumasokonezeka, zokumana ndi mtima ischemia, hypoxia, AMI, ndi kufa. Matenda a mtima ndi omwe amafa kwambiri kwa onse omwe amasuta, kuphatikizapo odwala matenda ashuga.
- Tar ndudu imalepheretsa kagayidwe kazitsulo, muchepetse mulingo wake m'magazi. Izi zimakhudza dongosolo lamkati lamanjenje komanso zotumphukira zamitsempha, zimalepheretsa kupezeka kwa kapamba, mitsempha yamagazi yomwe imadyetsa. Kulowa kwachitsulo kuchokera kunja, mapiritsi kapena jakisoni sasintha zinthu chifukwa cha kusowa kwa metabolic. Kusokonekera komanso kuchepa kwa magazi ndi vuto la kusuta kwa shuga.
Kusiyana kwa zoyipa za ndudu mu mtundu 1 ndi mtundu 2 wa shuga?
Mtundu uliwonse wa matenda ashuga amayankha nikotini mwanjira yake, koma mosaleka.
Matendawa amadziwika ndi kuchuluka kwa glucose okhala ndi kuchepa kwa insulin. Mwanjira ina, zamatsenga zimayamba motsutsana ndi maziko a kukanika kwa maselo a pancreatic beta.
Kusuta pamlanduwu kumabweretsa zotsatirazi:
- Kuchuluka kwa shuga m'magazi kumakwera.
- Kulekerera kwa insulin kumakwiyitsidwa.
- Mapangidwe a matupi a ketone amakondweretsedwa.
- Hypoglycemia yokhazikika imayambika, ndikomanga komanso chiopsezo cha kufa.
- Kufunika kwa ma pancreas a mahomoni kukukula chifukwa chotulutsidwa kwa okana insulin m'magazi.
Kusuta ndi imodzi mwazomwe zimayambitsa matenda a shuga. Izi zimadziwonetsera kuti zimakhudza kapamba.
Kuphatikiza pakuchepetsa gawo lolumikizira khungu la kapamba ndi maselo a ziwalo ndi minyewa ya shuga, izi zimachitika:
- Chiopsezo cha kufa mwadzidzidzi chimachulukanso.
- Chiwopsezo cha stroke chikukula.
- Mwazi wamagazi umakhala wosalamulirika.
- Mamasukidwe akayendedwe a Platelet amawonjezeka.
Komabe, kukana kwakanthawi kogwiritsa ntchito mankhwala osokoneza bongo kumabwereranso kwazomwezo, kumachepetsa chiopsezo chotukuka kwa zinthu. Muyenera kudziwa kuti kufa chifukwa cha kulephera kwa mtima ndi matenda ashuga a 2 kuli kwambiri kuposa anthu osuta. Aliyense ali ndi mwayi wodziwonera yekha.
Pali zovuta zina zomwe zimayenderana ndi matenda amtundu woyamba komanso wachiwiri pa nthawi yaukazitape wa chikonga:
- Matenda a shuga odwala matenda ashuga okhala ndi minyewa ya mtima, amataya mphamvu yake.
- Pulmonary thrombosis.
- Kusintha kwamatsenga m'matumbo a mapapo ndikuwonongeka kwa alveoli, kulephera kupuma, kusintha kwa maselo a pulmonary kukhala maselo a khansa.
- Neuropathy: Kupweteka kwambiri pamutu, kuiwala kukumbukira, kulephera kuyenda m'malo ndi nthawi, kutayika kwa masomphenya komanso kumva.
- Nephrossteosis yokhala ndi zotsatira za CKD.
- Kusakwanira
- Kukula kwa concomitant autoimmune pathologies, systemic collagenoses.
- Kulephera pakugonana.
Mapeto ake ndi omveka: muyenera kusankha pakati pa moyo wautali, wogwira ntchito ndi imfa yopweteka.
Momwe mungasiyane ndi ndudu yodwala matenda ashuga
Ngati chisankhochi chidapangidwa bwino, muyenera kunena kuti mukhale ndi chizolowezi choyipa mosavomerezeka komanso moyenera. Narcologists amapereka magawo angapo akusuta kwa omwe ali ndi matenda ashuga.
Yoyamba ndikupanga mndandanda wokhala ndi mapindu a kuthana ndi ndudu.
Iyenera kupachikidwa pamalo otchuka ngati cholimbikitsa pakuchita zabwino.
Mwachitsanzo, zitha kuwonetsa izi:
- Popanda kusuta fodya, magazi amayenda bwino.
- Myocardial infaration ndi stroke zidzachepa.
- Ziwalo zamkati zimadziwongolera zokha momwe zimagwirira ntchito.
- Mitsempha idzakhala chitsulo.
- Khungu limakhala loyera komanso mthunzi wosangalatsa.
- Zovalazi ziyamba kununkhira bwino.
- Ndalama zomwe zimasungidwa pa fodya ndizomwe zimayambira ulendo wokayenda kunyanja.
Gawo lachiwiri liyenera kufananiza cholinga chakugawana ndi chikonga: muyenera kuponya paketi ya ndudu mu zinyalala. Ili lidzakhala ora la "X" ndi gawo loyamba panjira yopita ku moyo watsopano. Tsopano palibe fodya.
Ngati ndizovuta kuchita izi popanda thandizo, muyenera kufunsa uphungu. Adzatenga mankhwala oletsa anti-nikotini malinga ndi machitidwe ake. Zotsatira zake, mlingo wa alkaloid wogwiritsidwa ntchito udzafika.
Gawo lachitatu ndikudziwitsidwa ndi abwenzi komanso abale za chisankho. Tsopano awongolera njira yogawanirana ndi mankhwala osokoneza bongo. Chinyengo chilichonse chitha kuwononga mbiri ya kusiya kusuta, koma chidzaululidwa. Chifukwa chake, ndibwino kuchita popanda zanzeru komanso zanzeru. Zonse mozama komanso moona mtima.
Zothandiza kwambiri ndi zithunzi zomwe zili ndi mapapu okhudzidwa omwe amafunika kupachikidwa mchipindacho ndikuwuzira "nthawi zonse" ndi iwo.
Gawo lomaliza, lachinayi ndichisangalalo chomwe mumakonda chomwe chingatenge nthawi yanu yonse yaulere. Kuwerenga, masewera, kuluka, zidutswa, zojambula, kuphika, kuyenda, kucheza ndi magulu amodzi.
Mutha kuyang'ana pa buku lolembedwera ndi Allen Carr yokhudza njira yosavuta yosiyira kusuta. Kugwira kwake ntchito ndikodabwitsa.
Ma narcologists amalimbikitsidwa kugwiritsa ntchito mankhwala azitsamba, zida zamagetsi, zigamba za anti-nikotini, kutafuna mano. Athandizira kukhala ndi moyo wabwino komanso kuthana ndi mavuto obwera chifukwa chofuna kusiya.
Zotsatira zake
Madokotala a narcologists amatchula zovuta zingapo zomwe zimachitika mwa odwala matenda ashuga panthawi ya kusuta fodya.
Njira yayikulu kwambiri yam'mitsempha yamagazi imawonedwa ngati yowononga endarteritis. Zimakhudza malekezero am'munsi ndipo zimapangitsa kuti zikhale zosatheka kuyimilira miyendo yayitali malo amodzi kapena kuyenda popanda kupuma. Potere, zotengera zimakumana ndi kuwinduka kawiri konse kuchokera ku nicotine metabolites komanso kuchokera kumtunda wamagazi ambiri m'magazi, zomwe zimayambitsa kusokonezeka kwa metabolic ndikusintha kapangidwe ka khoma lakumaso.
Nthawi zina chinyontho cha zombo zimadzaza kwathunthu. Atherosulinosis imathandizira izi.
Opaleshoni ali pachiwopsezo cha matendawa. Kuyimirira kwakanthawi pa tebulo logwiritsira ntchito ndikusuta - kumayambitsa chiopsezo cha kusintha kwa ntchito chifukwa cha kulephera kukwaniritsa ntchito zamankhwala.
Ndikofunika kudziwa njira ina yomwe ili yofala pakati pa odwala matenda ashuga - ili ndi phazi la matenda ashuga. Apa tanthauzo lenileni la mavutowa ndi kusungunuka kwa ziwalo za miyendo, motsutsana ndi kumbuyo komwe kusintha kwa zilonda zam'mimba ndi chidziwitso zimayamba ndikupita patsogolo, nthawi zina kumadula ndikulumala.
Matenda ena akuluakulu ndi amyloidosis. Zimachitika motsutsana ndi maziko a kuphwanya mapuloteni osakanikirana, omwe amakwiya kuphatikizapo nikotini, ndi matenda ashuga - matenda a metabolic. Poterepa, amyloid amamuyika ziwalo zamkati, zomwe zimalowa m'malo mwake ndipo zimayambitsa kusagwira ntchito.
Amyloidosis ya impso ndiyowopsa makamaka, zomwe zimayambitsa kuperewera kwa impso.
Narcologist wanu akutsimikiza: njira zopewera mavuto
Njira yokhayo yotsimikizika yopewa zovuta za kusuta ndi shuga ndikuwasiya ndudu kosatha. Chinthu chachikulu ndikuchita nthawi. Kenako kubwezeretsa kwathunthu kwa zomwe zasokonekera ndikotheka.
Kuchita izi, kuthandizira thupi:
- HLS: masewera, kuumitsa, kuyenda.
- Zakudya zoyenera zomwe zimakhala ndi masamba, zipatso, mkaka, nsomba, nyama yazakudya.
- Zochita zolimbitsa thupi: kusambira, aerobics, maulendo, yoga.
- Kuperewera kwapanthawi yovuta.
- Loto labwino.
Njira zosavuta izi zithandiza kupewa chiopsezo cha zotsatira zosafunika.
Chifukwa chiyani samatha kusuta ndi shuga?
Asayansi ndi madokotala sagwirizana chimodzi pamaganizidwe awo: osuta omwe ali ndi matenda opha matenda a shuga ayenera kuganizira mwakuya za kukana ndudu. Kupatula apo, kusuta ndi matenda a shuga kumakhala ndi zoopsa zambiri - osati thanzi zokha komanso moyo. Timalemba mitu yayikulu yokha.
Zokhudza mtima
Kuthekera kwa kufa chifukwa cha matenda amtima (kuphatikizapo stroke, vuto la mtima, auricmm, ndi zina zotere) mwa omwe amasuta fodya amakhala ndi gawo limodzi ndi theka kupitilira kawiri kuposa kwa osasuta. Chinthu chake ndikuti kusuta kumawononga kwambiri mitsempha yamagazi.
Mwa anthu odwala matenda ashuga, zotengera zimachepetsedwa kale chifukwa cha kuchuluka kwa shuga. Chifukwa chake, ndudu iliyonse yosuta imabweretsa mtolo wowonjezera pamtima.
Matenda ofala kwambiri omwe ali ndi matenda ashuga onse, omwe amapezeka mwa 95% ya matenda, ndi matenda a shuga 2. Tsoka ilo, mtundu uwu wa matenda ndiofala kwambiri kuposa woyamba.
Zizindikiro za matenda oyipawa ndi awa:
- pafupifupi wodwala aliyense amakhala ndi kunenepa kwambiri,
- ludzu losalekeza komanso pakamwa louma
- kuyabwa kosalekeza pakhungu
- polyuria.
Ndi mtundu uwu, zovuta zambiri ndizotheka.
Ambiri omwe amawerengedwa ngati matenda a shuga ndi ophthalmopathy. Poyambirira, mavuto adzalumikizidwa ndi kupweteka m'malo olumikizirana mafupa, ndipo zonse zimachitika chifukwa kuchuluka kwa madzi amagetsi am'mimba kumachepa. Ndipo yachiwiri, kukuchitika kwadzidzidzi kwamatumbo kumachitika, komwe kumabweretsa kuwonongeka kwamawonekedwe.
Mitundu ya matenda ashuga
Matenda a shuga ndi matenda oopsa a metabolic omwe amayamba chifukwa cha kusokonekera kwa insulin ya mahomoni kapena momwe amagwirira ntchito ndi maselo a receptor. Zotsatira zake, kagayidwe kazakudya zimasokonekera m'thupi ndipo kuchuluka kwa shuga m'magazi kumatuluka - pambuyo pa zonse, ndiye insulin yomwe imawonetsetsa kuti imabweretsa ndikupanga pafupifupi ziwalo zonse ndi minofu yake.
Mtundu woyamba wa shuga. Zimagwirizanitsidwa ndi ma pathologies a kapamba omwe amapanga insulin, omwe amatsogolera kuchepa kwa mahomoni.
Type 2 matenda a shuga. Zimayambitsidwa ndi kuchepa kwa chidwi cha maselo ndi minyewa kupita ku insulini (insulin kukana) kapena kulakwitsa kwa mapangidwe ake.
Matenda a shuga opatsirana omwe amakhala mwa amayi apakati.
- Matenda a shuga omwe amayamba chifukwa cha mankhwala.
Matenda a shuga obwera chifukwa cha matenda am'mimba a endocrine, matenda oopsa, etc.
Nthawi zambiri, Type 1 ndi matenda ashuga 2 amapezeka pakati pa odwala. Komabe, kusuta kumakulitsa nthawi yonse ya matendawa.
Momwe mungathetsere vuto
Kusuta ndi matenda a shuga kumaonjezera matendawa, motero muyenera kuthetsa chizolowezicho posachedwa. Wodwala akasiya kusuta, posakhalitsa adzakhala wathanzi, azitha kupewa zovuta zambiri zamatenda ake, omwe amayamba chifukwa chosuta fodya. Ngakhale mwa munthu amene amasiya kusuta, zizindikiro zaumoyo zimachuluka, kuchuluka kwa glycemia kumachitika.
Zotsatira za matenda ashuga
Ino si nthawi yoyamba m'zinthu izi kuti tikakamizidwe kulabadira ubale womwe ulipo pakati pa kusuta, shuga, ndi kuwonongeka kwamitsempha. Tiyeni tiwone zovuta zomwe zimakhudzana ndi magawo osiyanasiyana a dongosolo lozungulira.
Mavuto osokoneza bongo
Njira zowonongeka zomwe zimagwirizanitsidwa ndi mitsempha yam'mimba ndizofala kwa ambiri omwe ali ndi matenda ashuga. Kusuta kumafulumira ndipo kumachulukitsa chiopsezo cha zovuta, zomwe zimaphatikizapo:
- Matenda a shuga a shuga. Kugonjetsedwa kwa ziwiya zazing'ono za thupi, ndikuphatikizira kusokoneza ziwalo zamkati.
- Nephropathy Kuphwanya zovuta kwa impso, komwe kumakhudzana mwachindunji ndi ntchito yovuta yamitsempha.
- Retinopathy Kuphwanya magazi m'magazi a retina, zomwe zimayambitsa kukanika kwa mitsempha ndi zina zoyipa.
- Matenda a shuga.Kuwonongeka kwa minyewa yamitsempha ya thupi chifukwa chakuchepa kwa shuga.
Matenda ena aliwonse amathekera, chomwe chimachititsa kugonjetsedwa kwa ziwiya zazing'ono.
Macrovascular zovuta
Pamodzi ndi ziwiya zazing'ono, zovuta zoyipa zimatha kukhudza mbali zazikuluzikulu za dongosolo. Thrombosis, mitsempha ya varicose, cholesterol plaques, ischemia ndi zotsatira zina zomwe zingayambitse imfa. Zonsezi sizongokhala ndi matenda ashuga okha, komanso zopsetsa mtima, zomwe zimathandizidwa ndi kusuta.
Kafukufuku wasonyeza kuti kusiya kusuta kumachepetsa kwambiri zoopsa, kuphatikizapo mitundu yayitali ya matenda.
Pali mgwirizano wamphamvu pakati pa kusuta fodya ndi matenda ashuga. Kusuta ndi matenda ashuga kumayambitsa mavuto osiyanasiyana, ndipo zopindulitsa za omwe ali ndi matenda ashuga kusiya chizolowezi ichi ndizosapeweka.
Osuta ali pachiwopsezo chowonjezereka cha matenda amtima, komanso magazi omwe ali m'miyendo. Ndi matenda a shuga, makamaka ndi mtundu wachiwiri wa matenda, kuopsa kwa matenda am'mtima komanso kwamitsempha m'mimba kumakhala kwakukulu.
Kuphatikizidwa kwa matenda ashuga ndi kusuta kumakulitsanso chiwopsezo cha matendawa, komanso kumakulitsa zovuta za matenda ashuga.
Matenda a shuga ndi kusuta, zomwe zotsatira zake zimawonongeka, zimakhudza ziwalo zonse za anthu. Chifukwa chake, ngati simusiya kusuta ndi matendawa, pali ngozi:
- Pezani matenda amtima
- Amayambitsa kuwonjezeka kwa kuthamanga kwa magazi,
- Pezani odwala
- Pezani matenda oopsa
- Pezani matenda a fundus
- Kuyiwala kwathunthu
- Pangani sitiroko
- Tsatsani mtima,
- Chititsani imfa mwachangu.
Kuwopsa kwa Kusuta mu shuga
Kusuta kwa munthu wathanzi kumayambitsa matenda ashuga. Nicotine, kulowa m'magazi kudzera m'mapapu, amalimbikitsa kukhazikitsa kwa lipid pamakoma amitsempha yamagazi, komanso kumawonjezera kuchuluka kwa shuga m'magazi. Kusuta kwamuyaya matenda ashuga kumathandizira:
- mtima
- zigawenga za m'munsi,
- kukanika kwa erectile
- kulephera kwa aimpso
- kutsika kwamawonedwe owoneka,
- matenda oopsa.
Katundu pa minofu ya mtima mukamasuta fodya wa 2 shuga amawonjezereka, zomwe zimapangitsa kuti afe. Kuwomba kwakukulu kuchokera ku chikonga kumagwera pamitsempha ya wodwala. Kuphipha kosalekeza kuvulaza makoma a ziwiya, motero, thrombosis ndiyotheka, kuthamanga kwa magazi kumawukanso.
Malinga ndi WHO, wosuta yemwe amazindikira kuti ali ndi matenda ashuga amatha kufa asanachitike 1.5 mpaka 2 pafupipafupi kuposa wodwala yemwe ali ndi matenda osokoneza bongo osadalira. Kudya kwa nikotini kosalekeza kumasokoneza kupanga insulin komanso kutulutsa shuga. Kuyambika kwa insulin kumachepa, shuga ilibe nthawi yokwanira, yomwe imapangitsa mkhalidwe wa wodwalayo.
Mothandizidwa ndi ma nicotine resins, kuchuluka kwa mahomoni monga cortisol, catecholamines ndi ena kumawonjezeka m'thupi. Ngati munthu akula kwambiri, mahomoni omwewo amatulutsidwa m'magazi.
Kafukufuku wasonyeza kuti zizindikiro za shuga zimachitika ndikulumpha mwadzidzidzi (nthawi zambiri kuti zikuchulukire) pamavuto aliwonse. Nicotine ali ndi vuto lofanana ndi shuga mu shuga.
Ndi mtundu wa 1 wodwala matenda a shuga omwe amadalira insulin, kusuta kungayambitse chikomokere. Palibe umboni wokwanira wosonyeza kuti pali kugwirizana pakati pa zizolowezi zoyipa ndi matenda ashuga. Koma kusinthasintha kwa shuga mumsuzi wa omwe amasuta ndikowopsa pamatenda amtunduwu. Pafupifupi 95% ya pathologies amapezeka a 2 shuga.
Zotsatira zazikulu zakusintha kwamisempha ya glucose m'thupi:
- kuchokera pakumapeto kwa utsi wa fodya, zomwe zimapangidwira ma free acid zimawonjezeka, zovuta za insulin zotulutsa zimayamba,
- ndi kuchuluka kwa cholesterol, njira za metabolic zimasokonekera, motero ngozi ya kunenepa kwambiri, komanso kunenepa kwambiri kumayambitsa kuyambika kwa matenda ashuga,
- Poizoni wa utsi wa fodya akuipiraipira kapamba, chifukwa chake, kupanga insulini kumalephera ndipo matenda a shuga amakula.
Kafukufuku wapadera watsimikizira kudalirika: mukasuta ndudu 30 patsiku, munthu amakhala ndi mwayi wambiri wodwala matenda amtundu wa 2 kuposa wosuta. Kusuta kwa Nicotine ndi chimodzi mwazomwe zimayambitsa matenda ashuga. Ngati muchotsa kudalira kwa fodya - mwayi wa matendawa popanda zovuta ukuwonjezeka.
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
Zomwe zimayambitsa kuwopsa kwa chizolowezi cha chikonga cha shuga
Nicotine ikalowa m'thupi, vuto la metabolic limayamba. Kuyankha kwa omwe amasuta insulin kumachepa, shuga amasiya kumizidwa kwathunthu. Kulumpha pang'ono m'magazi a shuga kumachepetsa chidwi cha minyewa ndi ziwalo mpaka insulin. Ndi kusuta kosalekeza, momwe amachitidwira ndizochepa. Mukasiya kusuta, ntchitoyo imabwezeretseka.
Pali kulumikizana mwachindunji pakati pa ndudu ndi kukhala wonenepa kwambiri. Kulephera pakupanga mahomoni (insulin antagonists) kumayambitsa kusokonekera kwa metabolic, kulemera kumayamba kuchuluka. Mwazi wamagazi ndi kusuta zimadalirana. Zimatsimikiziridwa kuti osasuta fodya amagwiritsa ntchito theka la insulin yomwe imagwiritsidwa ntchito pakuchepetsa shuga kuposa odwala omwe amaletsa.
Mtima wamtima
Kusuta fodya ndi matenda amtundu wa 2 kumayambitsa stroko, kugunda kwa mtima, aneurysms - kawiri monga odwala popanda kudalira. Mitsempha yamagazi mwa odwala omwe ali ndi shuga amasokonezeka ndi ma spasms osasinthika, kuthamanga kwa magazi ndikovuta. Ndudu yowonjezera imawonjezera katundu pamisempha ya mtima. Nikotini amathandiza:
- kuwonjezera magazi mamasukidwe
- chepetsa kuthamanga kwake
- kuchepa kwa kuchuluka kwa mpweya,
- kumawonjezera mwayi wamagazi.
Pambuyo puff yomaliza, katundu pamtima amadzuka kwambiri. Zotsatira zoyipa za chikonga zimapangitsa magazi kutuluka, komanso kutsekeka mkati mwa zotupa kumachepa. Osuta omwe ali ndi chidziwitso nthawi zambiri amakhala ndi vuto la mtima, ischemia. Ma capillaries amayamba kucheperachepera, ndipo ma-micro-fractures amawonekera pamakoma kuchokera pamtolo. Mu ubongo, ziwiya zowonongeka pamakoma zimayambitsa hemorrhagic stroke, yokhala ndi mawonekedwe a hemorrhage hematomas.
Gangrene wa m'munsi
Kuphazikika kosalekeza kwa khoma lam'mimba kuchokera ku utsi wa fodya kumayambitsa kuperewera kwa minofu, ululu umayamba kenako khungu limayamba. Chizindikiro cha kukhuthala kwa magazi chikuwonjezeka, ndikuphwanya kwathunthu patency yamatumbo pali necrosis (minofu necrosis).
Popewa poyizoni wa magazi ndi poizoni wa matenda opatsirana, kudula malekezero ndikofunikira. Imawonjezera njira zamavuto a necrosis ndi kuchiritsa kwa mabala mwa odwala matenda ashuga.
Matenda a ziwalo zamasomphenya
Zotsatira zophatikiza kusuta ndi shuga ndi glaucoma. Kukula kwa matendawa kumachitika m'magawo:
Timapereka kuchotsera kwa owerenga tsamba lathu!
- kuphwanya magazi m'mitsempha yamaso,
- kuwonongeka kwa mathero amitsempha,
- retinal dystrophy,
- mawonekedwe amitsempha yatsopano m'mitsempha yamaso.
- kuphwanya kwamadzi kutuluka,
- kukwera kwa intraocular anzawo.
Kuchuluka kwa shuga komanso zovuta zamagazi amaso zimayambitsa matenda amanjenje. Matendawa amapezeka pamsika uliwonse ndi kusakhazikika kwa kagayidwe kachakudya ka mandimu.
Patani chizolowezi choyipa
Pali njira imodzi yopititsira patsogolo wodwalayo - kukana kwathunthu chizolowezi cha chikonga. Kuthana ndi chizolowezi chomenya. Muyenera kutsatira zina zabwino. Akatswiri a zamaganizo amalimbikitsa kuti uchotse utsi.
Ndikofunikira kuganizira zabwino zonse za moyo watsopano ndikulemba pazinthu papepala. Mndandandawo uyenera kuyikidwa pamalo osavuta (pamwamba pa bedi, kutsogolo kwa tebulo). Pepala lazitsanzo:
- Mitsempha yamagazi ndi magazi azikhala bwino,
- Sindingakhale ndi vuto la mtima, lakuthwa,
- ziwalo zamkati zimabwereranso mwakale, palibe mankhwala ofunikira,
- Ndidzakhala wodekha komanso wowona bwino
- khungu lidzachira, makwinya amachepera
- kupulumutsa ndalama ndudu kumakupatsani mwayi wopita kunyanja.
Pali malonjezo ambiri osiya chizolowezi choyipa. Ndikwabwino aliyense payekhapayekha kusankha zolinga zomwe aliyense amasuta.
Muyenera kukhazikitsa tsiku ndi nthawi osasuta. Pa nthawi yakusowa muyenera kutaya ndudu ndi wopepuka. Simungathe kusuta tsiku lonse, ngati ndizovuta, mutha kuchepetsa kuchuluka kwa ndudu zomwe zimaperekedwa pakati.
Ndikofunikira kudziwitsa achibale ndi abwenzi pazomwe amachita. Kufunika kwakukulu kumachititsidwa manyazi pamaso pa abale ndi abale mukamachita kuwonongeka. Kuti mumveke bwino, gwiritsani ntchito zithunzi zomwe zingakhale ndi zovuta (oncology, gangrene ndi ena).
Muyenera kulumikizana mwachangu m'moyo, pamabungwe opezeka pa intaneti ndi anthu omwe akufuna kusiya kusuta. Simungachite manyazi, kulankhulana moona mtima kokha kungathandize kuthana ndi vuto laukazitape. Muyenera kudzifunsa: kodi ndizotheka kusuta ndi shuga? Ndipo yesani yankholo ndi chitsanzo cha kulephera.
Kusuta kumachepetsa kwambiri ndipo kumachepetsa mavuto a wodwala yemwe ali ndi matenda ashuga. Koma muyenera kusiya kusuta pang'onopang'ono. Mwina kuwoneka kwa zotsatira zoyipa pakukana kudalira - mapaundi owonjezera kuchokera pakulakalaka kudya maswiti.
Akatswiri azakudya zamagetsi amalimbikitsa kusiyanitsa chakudya, kuchepetsa glycemic index ndi kudya kwa calorie, komanso kuwonjezera zolimbitsa thupi. Mutha kuthana ndi vuto losokoneza bongo.
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