Chithandizo Chauthupi cha odwala Matenda a shuga

Matenda a shuga amayendera limodzi ndi zovuta za metabolic mthupi la munthu, zomwe nthawi zambiri zimabweretsa kulemera.

Chifukwa chake, mankhwalawa amatenga gawo lofunika kwambiri pakulimbitsa thupi ndikusintha kwathunthu pakudya ndi moyo wanu.

Pokhapokha kutsatira upangiri wa dokotala pomwe wodwala angayembekezere kulandira zotsatira zochiritsira kuchokera ku zakudya komanso kuchita masewera olimbitsa thupi.

Kufunika kochita masewera olimbitsa thupi a shuga

Kuchita zolimbitsa thupi kumalimbikitsa njira yogawa komanso kugwiritsa ntchito shuga m'matumbo amthupi, kumachepetsa kuchuluka kwa shuga m'misempha, kumathandizira kuchitanso kwa insulin, ndikukulolani kuti muchepetse kuchuluka kwa mankhwalawa. Chofunikira kwambiri ndikuchita masewera olimbitsa thupi a matenda a shuga a 2, chifukwa ndi mtundu uwu wa matenda omwe odwala amatha kukhala onenepa kwambiri.

Mitundu yosankhidwa mwapadera panthawi yochita masewera olimbitsa thupi sikuti imathandizira kuwonda, komanso kusintha shuga.

Zimathandizanso kulimbitsa chitetezo cha mthupi komanso kumawonjezera kukana kwa thupi pazinthu zoyipa, zimathandizira kugwira ntchito kwa kupuma ndi ziwalo zamtima, zimathandizira matenda a psychoemotional, komanso zimawonjezera kugwira ntchito.

Kuchita masewera olimbitsa thupi pafupipafupi kumathandizira kuchedwa kuyambika kwa matenda omwe amapezeka ndi matenda a shuga, monga gangrene, atherosclerosis, matenda a impso, ndi zina zambiri.

Chitetezo cha shuga

Mosasamala mtundu wa shuga, zovuta zolimbitsa thupi zimayenera kupanga katundu m'magulu onse a minofu. Kusunthaku kumachitika poyenda pang'onopang'ono kapena mozungulira pamtunda ndi matalikidwe ambiri. Mukamazolowera katundu, kuwonjezereka kwapang'onopang'ono kuyenera kupangidwa, komanso kuphatikizidwa kwa khoma la masewera olimbitsa thupi ndi zida zina muphunziroli. Kutengera ndi kukula kwa matendawa, nthawi yomwe phunziroli likutsimikizika ndi:

30-30 mphindi ndi matenda ofatsa
Mphindi 25 ndi matenda apakatikati,
basi Mphindi 15 ali pamavuto akulu.

Chofunikira pakuchita masewera olimbitsa thupi a shuga ndikuyenda. Liwiro ndi nthawi yoyenda iyenera kuwonjezeka pang'onopang'ono. Ndikulimbikitsidwa kuti muyambe kuphunzitsa kuchokera patali 5 kmpang'onopang'ono kubweretsa 11 km minofu yanu ikulimba. Kuphatikiza apo, zotsatira zabwino pakupanga masewera monga:

tenisi ndi badminton,
kusambira
kusenda ndi madzi oundana.

Mu matenda akulu, ophatikizidwa ndi kuchuluka kwa matenda okhudzana, amaloledwa kuyamba kuchita masewera olimbitsa thupi ndikulimbitsa minofu yapakatikati ndi yabwino, masewera olimbitsa thupi a minofu yayikulu amatha kuwonjezeredwa pokhapokha thupi limasinthasintha katundu.

Chikhalidwe chachikulu ndikuti maphunziro akuthupi amayenera kuyambitsa makutidwe a oxidative mthupi. Popeza shuga wambiri nthawi zambiri amakhala wowonjezereka m'mawa, kulimbitsa thupi kumalimbikitsidwa theka loyamba la tsiku, ngati kuli kotheka ndikofunika kubwereza zovuta madzulo.

Kuphatikiza pa masewera olimbitsa thupi, dokotala amatha kupatsa wodwala mankhwala olimbitsa thupi. Njira zamtunduwu zolimbitsa thupi ndizoyenera ngakhale kwa odwala omwe amapatsidwa gawo logona.

Zida zochitira masewera olimbitsa thupi a matenda a shuga a 2

Matenda a shuga a Type 2 ndi gawo lomwe thupi limakana kulolera insulin, chifukwa chake, cholinga choyambirira chamankhwala othandizira matendawa ndikuchepetsa hyperglycemia ndikuyambitsa njira zama metabolic, komanso kuchepetsa thupi.

Ndiwodwala wamkulu, masewera olimbitsa thupi omwe ali pa njinga yamagetsi amaonedwa kuti ndiabwino. Mitundu yamtunduwu imakhala ndi zabwino pamayendedwe wamba. Izi zikuphatikiza:

ndalama zambiri,
kusowa kwakukulu kwa kuphatikizira.

Kuchita minofu, kukulitsa kupirira, kumawonjezera glycogenolysis ndi lipolysis, zomwe zimapangitsa masewera olimbitsa thupi a matenda a shuga 2 kukhala ofunika makamaka kwa odwala.

Zida zochitira masewera olimbitsa thupi a shuga kwa ana

Ponena za ana, kuchita masewera olimbitsa thupi kumathandizira kuwonjezera chidwi chamthupi cha insulini, komanso kuchepetsa kuchepa kwa matendawa komanso kupewa kukula kwa matenda ashuga amtundu wa 2.

Ndikofunikira kuyamwa molondola ndi kuchita zolimbitsa thupi moyang'aniridwa ndi achipatala, popeza ana sangathe kudzipereka mokwanira mwakuwonetsetsa momwe amakalasi amathandizira.

Ndikulimbikitsidwa kuwonetsetsa kuti masiku osakhalako zolimbitsa thupi, kuchuluka kwa zolimbitsa thupi kwa mwana kugwere nthawi yomweyo komwe ntchito yolimbitsa thupi imachitidwira.

Zolimbitsa thupi

Kuti muchite m'malo osasunthika, akatswiri adapanga zochizira zotsatirazi zochitira masewera olimbitsa thupi:

Kuyenda koyenda. Tchera khutu ku kupumira koyenera komanso kupumira m'mphuno. Kutalika - mpaka mphindi 7.
Kusintha kwina kumayenda zala ndi zidendene. Kutalika - mpaka mphindi 7.
Kuyimilira ndi mikono mutatalikirana, itembenuzani mozungulira malo olumikizana ndi inu, kenako nanu.
Pa kudzoza, gwadani ndikugwada mawondo anu, kutuluka ndikupitilira kupumira movutikira kuti muziyenda mosinthasintha pamaondo, poyamba mbali imodzi, kenako mbali inayo.
Malo oyambira ayimirira, manja atambalala. Chitani mawonekedwe ofanana m'mapewa. Muyenera kuyamba ndi kakulidwe kakang'ono, pang'onopang'ono muwonjezere mpaka pazokwanira.
Malo oyambira atakhala pansi, miyendo imatambasulidwa padera. Pa kudzoza, pindani mwendo umodzi, kutuluka, kenako ndikubwerera momwe munayambira. Chitani chimodzimodzi phazi lina.
Malo oyambira ayimirira, ndodo yolimbitsa thupi iyenera kusungidwa pamaso panu m manja owongoka ndikuyesera kuti mutambasule.
Kugwira ndodo m'mphepete, kuyitengera kumbuyo ndi kutsamira kumanzere, kusunthira ndodoyo, kenako kuwongola, kubwereza mbali inayo.
Ikani ndodo kumbuyo kwa nsana wanu ndikuigwirizira ndi nsonga zanu. Pakupuma, pindani msana wanu, uku mukupuma, tsamira kutsogolo.
Povulaza ndodo kumbuyo kwa msana wake, kuyipangitsa kusunthika, choyamba mapewa, kenako m'munsi, kenako matako.
Kugwira ndodo m'manja mwanu, kusunthira m'mimba.
Kukhala pampando, pukutani mapazi anu ndi ndodo yolimbitsa thupi. Kusunthira kuyambira bondo kupita ku groin, ndiye kuchokera ku groin kupita kumapeto. Ndi mitsempha ya varicose, izi siziyenera kuphatikizidwa.
Kukhala pampando, yokulungira ndodo pansi.
Yesani makutu anu ndi zam'madzi.
Kuchokera pa poyambira, mutagona pansi ndi miyendo yowongoledwa, kwezani miyendo yanu m'mwamba.
Chitani masewera olimbitsa thupi "njinga".
Kuchokera pachiyambipo, chagona pamimba panu, kugwada, kupumula pansi ndi manja anu, kenako ndikukwera pamaondo anu.
Kuyenda m'malo, limodzi ndi kupuma kwambiri. Nthawi yakupha ndi mphindi 5.

Kuphatikiza pa chithandizo chochita zolimbitsa thupi chokwanira ndi matenda a shuga, ndikofunikira kuonjezera zovuta za masewera olimbitsa thupi pophunzira zam'munsi, popeza malowa ali pachiwopsezo chambiri cha kuwonongeka kwa minofu komanso kukula kwa gangrene. Zochita zotsatirazi zikulimbikitsidwa:

kulimbitsa ndikuwongola zala,
masikono kuyambira chidendene mpaka kumapazi,
kayendedwe kazungulira ndi masokosi, ochita ndi zidendene zapanikizidwa pansi,
kasinthasintha m'miyendo yolumikizidwa m'miyendo mutayimirira pamiyendo.

Komanso, pangozi yopanga phazi la matenda ashuga, kumatambasulidwa ndikulimbikitsidwa: kuyambira poyambira chagona kumbuyo kwanu ndi miyendo yokhotakhota, kwezani mwendo wanu wamanja, duleni ndi kudzikoka nokha. Bwerezani kumanzere. Kenako chitani izi pokweza miyendo yonse nthawi imodzi.

Popeza chimodzi mwazovuta ndi kuchepa kwa maonedwe owoneka, ndikofunikira kuti muphatikizepo muzochita zolimbitsa thupi zokhudzana ndi matenda a shuga a mellitus olimbitsa thupi olimbitsa mtima kulimbitsa minofu ya diso:

wovutikira ndi kuyesetsa, kenako tsegulani maso ake kuti asanyepetse kwa nthawi yayitali,
yang'anani pa chinthu chakutali, mutatha masekondi asanu osinthira kukhala chinthu chapafupi,
Kulowa kwa mphindi 1-2, mayendedwe a eyelid ayenera kukhala othamanga kwambiri,
tsitsani matope anu, kenako khalani ndi maso otsekeka kwa mphindi ziwiri.

Malangizo Ochita masewera olimbitsa thupi

Zochita zolimbitsa thupi za matenda a shuga zimatha kuyamba pasanathe ola limodzi pambuyo pobayira jakisoni ndi chakudya. Kuphwanya lamuloli kungayambitse chikomokere. Ngati munthawi ya masewera olimbitsa thupi munanjenjemera m'manja kapena ngati mwachitika njala, muyenera kusiya kuchita masewera olimbitsa thupi komanso kudya zakudya zotsekemera.

Kuphatikiza apo, amafunika kuti azichita mokwanira mthupi, kugwira ntchito mopitirira muyeso sikuyenera kuloledwa. Ngati mutatha kuphunzira mukumva kutopa kwambiri, kulimbitsa thupi kuyenera kuchepetsedwa.

Kuphwanya kwakukulu

Mikhalidwe yotsatirayi imawerengedwa kuti ndi yopanda malire kwa makalasi ophunzitsa zolimbitsa thupi:

matenda oopsa a shuga
Ogwira ntchito pang'ono, ofooka kwambiri,
kusintha kwadzidzidzi kwamagazi a shuga chifukwa cha katundu,
kukhalapo kwa matenda ophatikizika monga matenda a mtima opindika, kulephera kwa mtima ndi matenda oopsa a giredi 3.

Ndikofunika kukumbukira kuti ndi kuphatikiza kwa glucose m'magazi pamwamba pa 14 mmol / L, kuchita masewera olimbitsa thupi kumapangidwa. Chofunika kwambiri ndikutsatira gawo ili la masewera olimbitsa thupi a matenda a shuga a 2.

Ntchito yothandizira masewera olimbitsa thupi pochiza matenda a shuga

Kuchita masewera olimbitsa thupi ndi gawo limodzi lothandizira la odwala omwe ali ndi matenda a shuga. Masewera olimbitsa thupi amalimbikitsa njira ya kagayidwe kazakudya, thandizani kugwiritsa ntchito shuga mthupi la munthu.

Zambiri zakuchipatala zochitidwa ndi akatswiri asayansi zikuwonetsa kuti kuchepa kwa shuga muzochitika zina kumakhala kofalikira. Zochita zolimbitsa thupi zitha kupititsa patsogolo ntchito za insulin, ndikupangitsa kuti achepetse mlingo wake.

Nthawi zambiri, odwala matendawa amakhala onenepa kwambiri. Kuchita masewera olimbitsa thupi kumathandiza kuchepetsa mafuta m'thupi, chifukwa kumachepetsa mphamvu ya mafuta.

Komanso, zolimbitsa thupi zimathandizira kuyimitsa kuphatikizika kwa concomitant pathologies omwe amapezeka mu shuga mellitus. Tikuyankhula za matenda oopsa, matenda a m'matumbo, matenda am'mimba, matenda a impso ndi zina.

Kuphatikizanso kwina kochita masewera olimbitsa thupi ndikuti kumathandiza odwala oterewa kuthana ndi kufooka kwa minofu ndi adynamia, yomwe ilinso ndi malo omwe angakhalepo ndi izi.

Kuchita masewera olimbitsa thupi kungakhale kothandiza osati kwa mitundu yosiyanasiyana ya shuga, komanso ngakhale ndi prediabetes.

Ntchito zazikuluzikulu ndi mawonekedwe othandizira olimbitsa thupi a matenda a shuga a mellitus 1 ndi 2

Ntchito zazikuluzikulu zolimbitsa thupi:

Kuchepetsa hyperglycemia mwa odwala omwe ali ndi mtundu wa matenda a insulin (2 shuga mellitus).
Odwala omwe akudwala insulin amadalira mtundu wa matenda a shuga 1 - amalimbikitsa zochita za insulin.
Matenda a mtundu wa psycho-maikutlo.
Kuchulukirapo.
Kusintha ntchito ya kupuma.
Kupititsa patsogolo kagwiritsidwe ntchito ka mtima.

Mtundu woyamba wa matenda ashuga a mellitus, zolimbitsa thupi kuphatikiza ndi insulin kukonzekera kumathandizira kuchiritsa kwa zotsatira zam'mbuyo, ndikulimbitsa dongosolo lamanjenje.

Musaiwale za njira yoyenera yoperekera insulin. Zochita za algorithm siziyenera kusweka konse.

Mukamachita masewera olimbitsa thupi, muyenera kuyang'anira chidwi chanu kwambiri.

Odwala omwe ali ndi matenda amtundu wa shuga wambiri ndipo amalandila chithandizo cha insulin ngati atachita masewera olimbitsa thupi ayenera kufunsa othandizira awo kuti amupatse insulini yotsikayi.
Pamaso pa zizindikiro za glycemic, kuyambiranso maphunziro kumatheka pokhapokha tsiku litatha.
Ngati mkati mwa kalasi panali kunjenjemera m'manja kapena wodwalayo atamva mwadzidzidzi njala, ndiye kuti muyenera kusiya kuphunzira ndikulola kuti adye kena kake kabwino, monga chidutswa cha shuga.
Ngati mutatha kuphunzitsa wodwala nthawi zambiri amawona kufooka ndi kutopa, ndiye kuti kuchepetsa komwe kulipo kumafunikira.

Zochita zolimbitsa thupi, zomwe zimapangidwira matenda a shuga, zimakhala ndi mawonekedwe enaake. Choyamba, maphunziro ayenera kuchitika mwachangu. Kachiwiri, zimayambitsa zochita za oxidative (m'malo mwa anaerobic) mthupi, chifukwa izi zimathandiza minofu kudya glucose mwachangu. Kuti izi zichitike, pamafunika kulimba mtima pakuchita masewera olimbitsa thupi.

Ndikofunika kuyendetsa masewera olimbitsa thupi mu mpweya wabwino. Ngati izi sizingatheke, muyenera kuti mulowetse chipinda chomwe ophunzira azikachitikira.

Popeza shuga m'magazi nthawi zambiri amakwezedwa m'mawa, zimakhala zoyenera kwambiri kuchititsa maphunziro m'mawa. Komabe, zingakhale zothandiza kwambiri kubwereza masewera olimbitsa thupi madzulo.

Chithandizo chakuthupi cha matenda ashuga sichimakhala ndi zoletsa zaka. Amawonetsedwa zonse zazing'ono ndi zazikulu. Kusiyana komwe kuli mu kuchuluka kwa katundu.

Zizindikiro ndi contraindication

Zowonetsa:

Odwala onse omwe ali ndi matenda osakhwima komanso athanzi.
Odwala omwe samakula glycemia pazinthu zolimbitsa thupi.

Zoyipa:

Mtundu wowonjezera wa matenda a shuga kapena kupweteka kwambiri.
Ena mwa mtima pathologies (arrhythmias, aneurysms, circulatory kulephera).
Zosakwanira wodwala.
Zochita zolimbitsa thupi zimapereka kuyankha kwa thupi mwa njira yolumpha mu glycemia.

Chitani masewera olimbitsa thupi phazi la matenda ashuga

Matendawa odwala matenda ashuga ndiosasangalatsa komanso zovuta kwa shuga, omwe nthawi zambiri amafunikira chithandizo chamtengo. Nthawi zina kupsinjika kumeneku kumatha kubweretsa kudulidwa.

Chifukwa chake, zolimbitsa zochizira miyendo ndi njira yofunikira kwambiri yothandizira aliyense wodwala matenda ashuga. Odwala onse ayenera kukhala aluso pakuchita izi.

Ganizirani zovuta zamankhwala olimbitsa thupi:

Atagona pansi, pinda mwendo kumanja pa bondo, kwezani ndikuwongola. Kenako, kokerani phazi molunjika kwa inu, kenako tsitsani phazi lanu. Timabwereza zomwezo ndi mwendo wina.

Zofanana ndi zomwe zidachitidwa kale, ndikusiyana kokhako kuti zala zakumanja zizichotsedwa kwa inu.

Zofanana ndi masewera olimbitsa thupi oyamba, koma miyendo yonse iyenera kuchitidwa pano nthawi yomweyo.

Timachita masewera olimbitsa thupi nambala 3 ndipo timatambasulidwa miyendo timayeseza phazi ndi phazi lililonse mwendo.

Yesetsani mwamphamvu kugwirizira zala za miyendo yonse iwiri, ndikuwona momwe phazi silikhudzidwa pansi.

Kwezani ndi chepetsa chala chilichonse mwendo.

Phatikizani pamodzi ndikukweza zidendene za mwendo uliwonse.

Pophatikizani, kwezani m'mphepete mwamkati ndi kunja kwamiyendo.

Timatambasulira zala zathu, ndikugwira mawonekedwe awa kwa masekondi asanu.

Kuti mumalize zolimbitsa thupi, mufunika mpira wa mphira womwe muyenera kufinya ndi zala zanu.

Pindani mpira mosinthana ndi phazi lililonse.

Yendani ndi zala zakanikizidwa kwa mphindi ziwiri kapena zitatu.

Chilichonse chazolimbitsa thupi zimachitidwa mobwerezabwereza 10-15.

Matenda a shuga

Kusisita kwa matenda ashuga ndi imodzi mwamagawo ofunikira othandizira. Pali magawo angapo omwe nthawi yake yoikidwiratu idzakhala yoyenera. Mwa izi, wina amatha kusiyanitsa: kunenepa kwambiri (onaninso - momwe angachepetse kunenepa), zotumphukira za m'mimba, matenda a shuga a arthropathy, macroangiopathy ndi microangiopathy.

Ntchito zazikuluzikulu zochitira kutikita minofu:

Sinthani kagayidwe kanu kokwanira.
Sinthani malingaliro a wodwalayo.
Kuchepetsa ululu.
Sinthani zotumphukira zamitsempha.
Sinthani kayendedwe ka magazi m'malo amtsinje.
Pewani matenda ashuga a shuga.

Komabe, kutikita minofu kumakhalanso ndi zotsutsana. Izi zikuphatikizapo: matenda a shuga a arthropathy mu pachimake pachimake, hypoglycemia ndi hyperglycemia, angiopathy ya matenda ashuga komanso matenda a trophic, achulukitsa matenda ena.

Melo yotsitsa idzakhala dera lam'munsi kumbuyo ndi kupumula, chifukwa chakuti matenda ashuga amakhala makamaka mderalo mderalo.

Pamaso pa kutikita minofu, dokotala amayang'anitsitsa miyendo ndi mapazi a wodwalayo, amawunika momwe khungu limakhalira, zimachitika, kukhalapo kapena kusapezeka kwa zilonda zam'mimba.

Massage ikhoza kukhala yamitundu iwiri: yonse (gawo la gawo ndi nthambi yonse) ndi dera (magawo a gawo). Ngati yoyamba imachitika kawiri pa sabata ndipo imakhala kwa theka la ola, ndiye kuti yachiwiri imatha kuchitidwa tsiku lililonse kwa mphindi khumi zokha.

Pakati pa kutikita minofu, mutha kugwiritsa ntchito njira zosiyanasiyana: kugwedeza, kupera, knowing, kumenya. Pofuna kukhazikitsa njira za metabolic, kuphunzira bwino minofu yayikulu ndikofunikira. Kuphunzira mosamala makamaka kuyenera kuperekedwa kwa malo omwe minofu imadutsa m'malo ophatikizira a aponeurosis, tendon. Chowonadi ndi chakuti maderawa sathandizidwa bwino ndi magazi, ndipo ndi omwe nthawi zambiri amatha kuvutika pamene angiopathies amachitika.

Zowonekera mu madera ena zimakhalanso zomveka. Mwachitsanzo, mutha kukopa machitidwe a kapamba, ngati mumayang'anitsitsa dera lokhazikika, paravertebral dera kapena suprascapular.

Kuti muchepetse kugwira ntchito kwa kupuma kwamphamvu, muyenera kuyang'anira chidwi chopenda bwino minofu yopuma.

Zochitika zonsezi pamwambapa zatsimikizira okha momwe amathandizira odwala matenda ashuga. Ngati muzigwiritsa ntchito moyenera, simungangoletsa kukula kwa matendawa, komanso kukwaniritsa zabwino zambiri.

Ntchito yothandizira masewera olimbitsa thupi pochiza matenda a shuga

Kuchita masewera olimbitsa thupi kumathandizanso pa nkhaniyi, ndikusangalatsa komwe kugawa shuga ndikuwonekera kwake mu minofu kumachitika mu minofu ya thupi la munthu. Aoneke chidwi makamaka kwa anthu onenepa kwambiri kapena onenepa kwambiri, zomwe nthawi zambiri zimakhala ndi matenda amtundu wa 2. Anthu awa ali ndi kuphwanya pang'onopang'ono njira za metabolic, kupezeka kwa adynamia, kufooka komanso kuchepa kwa thupi wamba.

Kuphatikizika kochita masewera olimbitsa thupi a shuga mellitus sikuti kumangoyambitsa nkhondo yolimbana ndi mawonetsedwe awa, komanso kumachepetsa mulingo wa shuga m'magazi kuti ukhale wofanana. Kuphatikiza apo, kuthekera konse kwa thupi kukaniza zotsatira za zovuta za chilengedwe.

Mu shuga mellitus wamtundu uliwonse, masewera angapo olimbitsa thupi amatanthauza kulemera komwe kumagwira minofu yonse. Poterepa, kupha kwamayendedwe kumaperekedwa apa ndikutalika kokwanira, poyenda pang'onopang'ono komanso kuthamanga.

Kwa magulu ang'onoang'ono a minofu, masewera onse olimbitsa thupi amachitidwa mwachangu mokwanira. Mukazolowera zovuta zoyambirira, zolimbitsa thupi pang'onopang'ono zimakhala zovuta kulumikizana ndi zinthu komanso khoma la masewera olimbitsa thupi. Kutalika kwamakalasi pazomwe zikuchitika sikupitilira theka la ola, koma izi zikuyenera kutsimikizika kuti kulimba kwawomwe akukwaniritsa kuli pamlingo wokwera bwino.

Kuphatikizika kwa njira zochizira kuyenera kuphatikizapo kuyenda, komanso kulimbitsa mphamvu ndi nthawi yokwanira kuti ikwaniritse. Muyenera kuyamba pa 5 km ndikumaliza 11. Masewera amateur otsatirawa amasiyanitsidwa ndi zotsatira zabwino kwa odwala omwe ali ndi matenda amtundu wa shuga:

kumayenda
kusambira
wodzigudubuza
badminton
tenisi ndi tennis ya tebulo.

Komabe, chisamaliro chikuyenera kuperekedwa kuti chithandizo chamankhwala othandizira odwala matenda ashuga chiyenera kuperekedwa ndikuchitidwa moyang'aniridwa ndikuyang'aniridwa ndi achipatala mosamala.

Matenda A shuga

Kupanga kochita masewera olimbitsa thupi kumapangidwa ndikuchitika mosasunthika molingana ndi luso losankhidwa mwapadera, momwe mumakhala kuwonjezeka kwapang'onopang'ono kwa kuchuluka ndi kutalika, komwe amalembedwa kutengera kuuma ndi mtundu wa matenda:

Mitundu yambiri ya shuga yodwala imatenga mphindi 35,
kuchuluka kwa shuga wamtundu uliwonse wa shuga kumatenga mphindi 25,
Kuchita zolimbitsa thupi kwa odwala matenda ashuga kwambiri kumatenga mphindi 15.

Ndi matenda a shuga amtundu uliwonse, magwiridwe antchito olimbitsa thupi onse amakonzedwa poyenda pang'onopang'ono ndikuwonjezeka pang'onopang'ono kwa katundu. Njira iyi imakuthandizani kuti mukwaniritse bwino kwambiri. Mu shuga mellitus, njira zoyeserera ndi kutikita minofu zimatha kubweretsanso chimodzimodzi.

Zomwe zimagwiritsidwa ntchito pochiritsa odwala matenda ashuga

Maofesi apadera achire komanso njira zopewera matenda ashuga amapangidwa polingalira za matendawo. Pali mitundu itatu ya matenda ashuga:

Zonunkhira pochiza matenda a shuga: ma clove ndi katundu wake wopindulitsa

Okoma mu zakudya za odwala matenda ashuga: sorbitol - zabwino ndi zowawa zake, kodi kuli koyenera kugula maswiti pa sorbitol?

Chitani masewera olimbitsa thupi a shuga ofatsa

Kusunthidwa kumachitika ndi matalikidwe okwera kwambiri kapena kuthamanga, chifukwa minyewa yaying'ono imathamanga kwambiri. Pang'onopang'ono, zovuta zimaphatikizanso masewera olimbitsa thupi ovuta kwambiri mogwirizana ndi kayendetsedwe ka kayendedwe: zolimbitsa thupi ndi zinthu, masewera olimbitsa thupi pamagolopolo amachitidwa. Maphunziro amakhala mphindi 30 mpaka 40. Ndikofunika kuchita izi tsiku ndi tsiku.

Kuphatikiza pochita masewera olimbitsa thupi a shuga mu mawonekedwe ofatsa, kuyenda tsiku lililonse kumalimbikitsidwa. Mutha kuyamba kuchokera ku 2-3 km, ndiye kuti mtunda ukhoza kupitilizidwa ku 12 km. Musaiwale za njira zantchito monga kusambira, kuthamanga, kupalasa njinga. Makalasi onse ayenera kuchitika moyang'aniridwa ndi achipatala.

Bweretsani ku nkhani

Chitani masewera olimbitsa thupi odwala matenda ashuga okwanira

Matenda abwinobwino a shuga amaphatikizapo kukhazikitsa magulu apadera a masewera olimbitsa thupi. Mphamvu yakuyenda ndiyabwino. Mutha kupuma pakati pa masewera olimbitsa thupi a minofu yosiyanasiyana.

Popeza kusokonezeka kwa mitsempha kumatha kuchitika ndi shuga wambiri, ndikofunikira kukakamiza zochitika ndikuwonjezera katundu pokhapokha mwa chilolezo cha dokotala kapena wophunzitsa physiotherapy. Analimbikitsa tsiku lililonse kuyenda mtunda wa 2 mpaka 7 km.

Bweretsani ku nkhani

Zochita zolimbitsa thupi zochizira matenda ashuga

Matenda akulu a shuga amaphatikizidwa ndi ma pathologies amitsempha yamagazi ndi mtima, chifukwa chake, magulu oyamba a odwala omwe ali ndi vutoli ayenera kuchitika pang'onopang'ono moyang'aniridwa ndi katswiri. Katundu pa thupi uyenera kukhala wochepa. Zochita zolimbitsa thupi zimagwiritsidwa ntchito pamagulu ang'ono ndi ang'onoang'ono a minofu. Kutalika kwamakalasi (kupatula yopuma) - mphindi 10-20.

Momwe thupi limasinthira kuchita zolimbitsa thupi, masewera olimbitsa thupi a magulu akulu a minofu amatha kuphatikizidwa. Tiyenera kudziwa kuti kuyenda pang'onopang'ono komanso nthawi yayitali yochita masewera olimbitsa thupi kumathandizira kuchepetsa shuga m'magazi a plasma, chifukwa minyewa yonse ya glycogen ndi shuga wamagazi amamwa.

Bweretsani ku nkhani

Malangizo othandiza

Kuwongolera pochita masewera olimbitsa thupi ndi momwe odwala akumvera. Ngati wodwalayo akhazikika pazochita zolimbitsa thupi, ndiye kuti kuchita masewera olimbitsa thupi kumathandiza. Kuwunikira pafupipafupi kuchuluka kwa shuga musanayambe kuchita masewera olimbitsa thupi kumalimbikitsidwanso.

Kuchita masewera olimbitsa thupi ndikofunikira makamaka kwa odwala matenda ashuga amtundu wa 2, chifukwa amachulukitsa chidwi cha maselo ku insulin ndipo, kwakukulu, amachotsa zomwe zimayambitsa matenda ashuga. Ngati deta yakuthupi ilola, mutha kuyeseza masewera olimbitsa thupi, popeza kukula kwa minofu ndi njira yothandiza kwambiri yolimbana ndi insulin.

Kuzindikira kochepa kwa mahomoni nthawi zambiri kumadalira kuchuluka kwa mafuta omwe ali pamimba kuti minofu ikhale. Kuphunzitsidwa kwamphamvu ndikusintha chizindikiro ichi kuti chikhale bwino.

Kuletsa shuga kuti isagwere m'munsi mwa nthawi yovuta kwambiri m'makalasi, tikulimbikitsidwa kuti mudye zowonjezera zamagetsi zamagetsi pasadakhale: zimakulipira zolimbitsa thupi zomwe zikubwera.

Mutha kugwiritsa ntchito zipatso kapena carbohydrate smoothies. Ndikulimbikitsidwa kuti nthawi zonse mumakhala ndi mapiritsi a glucose kuti muchotse msanga zizindikiro za hypoglycemia ngati zitachitika.

Bweretsani ku nkhani

Kuchita masewera olimbitsa thupi a shuga

Matenda a shuga ndi matenda opatsirana omwe amayamba chifukwa cha kusowa kwa insulin mthupi, zomwe zimapangitsa kuti pakhale vuto lalikulu la metabolic. Chofunika kwambiri pakuthandizira matendawa ndi njira yoyenera ya moyo, yomwe imaphatikizapo kukonza zakudya zopatsa thanzi komanso masewera olimbitsa thupi apadera.

Ntchito yothandizira masewera olimbitsa thupi pochiza matenda a shuga
Zolimbitsa thupi za matenda ashuga (kanema)
Ntchito zazikuluzikulu ndi mawonekedwe othandizira olimbitsa thupi a matenda a shuga a mellitus 1 ndi 2
Zizindikiro ndi contraindication
Seti ya masewera olimbitsa thupi a matenda ashuga
Chitani masewera olimbitsa thupi phazi la matenda ashuga
Matenda a shuga

Chithunzi cha kuchipatala

Zizindikiro zoperewera za shuga ndi ludzu, polyuria, kuchepa thupi, kufooka, kugona, kuyamwa, furunculosis, mabala ochiritsa osayenda bwino, komanso kuchepa kwa ntchito. Mavuto owopsa komanso osachiritsika amakhudza kwambiri chiyembekezo cha odwala omwe ali ndi matenda ashuga, omwe aliwonse omwe amafunikira kukhudzika kwina pantchito yokonzanso.

Zovuta: hyperglycemic coma, hypoglycemic coma, diabetesicangiopathy - retinopathy, matenda ashuga nephropathy, matenda ashuga macroangiopathy - matenda amtima, kupanikizana claudication, phokoso la matenda ashuga, matenda ashuga - kuperewera kwa mafupa.

Malinga ndi malingaliro a dotolo, mankhwala amkamwa a hypoglycemic, mankhwala a insulin, komanso mankhwala ochizira matenda a shuga.

Zakudya - Maziko othandizira odwala matenda ashuga, makamaka mtundu II. Iyenera kufanana ndi zaka, kulemera kwa thupi, kuchuluka kwa zolimbitsa thupi.

Pankhani ya NIDDM, ndikofunikira: kupatulidwa kwa mitundu yonse ya Sugars, kuchepetsedwa kwa chakudya chamagulu onse, chakudya chiyenera kukhala ndi polyunsaturated, mafuta acids ndi CHIKWANGWANI

Pankhani ya IDDM, ndikofunikira: kudya kwa mafuta tsiku lililonse (osachepera 100 g patsiku, ndi kuchuluka kwa chakudya chamagalimoto), ndikofunikira kuwamwa nthawi yomweyo, zomwe zimapangitsa kuti magazi azisungunuka komanso asamamwe shuga, komanso kuchepetsa kudya zamafuta Odwala a shuga a Type I amathandizira kukulitsa ketoacidosis.

Contraindication

Contraindering for body Exercise: kwambiri maphunziro a shuga mellitus, kuvunda kwake, micro- ndi macroangiopathies okhala ndi vuto lalikulu la trophic, proliferative retinopathy, limodzi ndi kuchepa kwa masomphenya, matenda oopsa a IIB ndi luso la III. ndi apamwamba, matenda amitsempha yamagazi a magawo olimbitsa thupi a III ndi IV, kupumula kwa mtima wopitilira 100-110 kumenyedwa / mphindi, mtima ndi mtima, kusintha kwamtima kwamatenda, kulephera kwa impso, kufalikira kwa matenda okhudzana ndi matenda ashuga, matenda owopsa komanso opatsirana , makamaka limodzi ndi kuwonjezeka pang'ono kwa kutentha, thrombophlebitis, njira yolakwika yolankhulidwa pamatayidwe, makamaka mu mawonekedwe a kusinthasintha kwaukali kwambiri pamlingo wa glycemia panthawi yakuthupi maphunziro (mpaka 5-6 mmol / l kuchokera koyambirira).

Zowonjezera zolumikizana ndi zolimbitsa thupi: zaka zopitilira 65, kusakhala nawo gawo lokwanira komanso kufuna kuchita masewera olimbitsa thupi.

Pofuna kukhazikitsa dongosolo la wodwala yemwe ali ndi matenda ashuga, kuwunika kokwanira kuyenera kuchitidwa kuti athe kudziwa momwe matendawo aliri: 1) kuopsa ndi kubwezeretsedwa kwa matenda ashuga, 2) kupezeka kwa zovuta za matenda ashuga komanso kuuma kwawo, 3) kupezeka kwa matenda okhudzana, 4) magwiridwe antchito amtima. -vascular system, 5) kuchuluka kwa maphunziro a wodwalayo, b) kukwana koyankha pakulimbitsa thupi. Mwachizolowezi, mayesowa akuphatikizapo: kafukufuku wa shuga wamasana masana, katatu, kuyezetsa kwamkodzo mapuloteni, ECG yopuma komanso panthawi yovutikira yopanikizika ndi gawo lowonjezereka lovomerezeka pa msewu wa njinga kapena matayala, kuwunika kwa ophthalmologist (diabetesic retinopathy) (zotumphukira ndi zotulutsa ma neuropathies), mayeso a Cooper.

Makamaka chofunikira ndikuyesera kupsinjika. Zimakupatsani mwayi wodziwa kuchuluka kwa kugunda kwa mtima komanso kuthamanga kwa magazi, chovomerezeka chokwanira komanso chokwanira kwa wodwala winawake, popeza zimasiyana mosiyanasiyana kutengera mtundu wamtundu wa maphunziro omwe agwiritsidwa ntchito, koma, monga lamulo, kusintha kwawo kuyenera kukhala 60-75% ya gawo lololerana lomwe limayikidwa pa njinga ergometry.

Amayamba kuchita masewera olimbitsa thupi poyenda ndi pulogalamu yoyenda kapena kuyenda pang'onopang'ono. Mitundu iyi ya zochitika zamtundu wautali ndi yokwanira ngakhale kwa anthu okalamba omwe sangasunthike. Amakulolani kuti muzichita masewera olimbitsa thupi pang'onopang'ono pogwiritsa ntchito mitundu ina ya masewera olimbitsa thupi. Izi ndizofunikira kuchokera kumbali yamalingaliro. Komabe, kuphatikiza pa magawo a mphamvu, ndikofunikira kulingalira zinthu zina zofunika pamitengo iyi, zomwe zimatha kuthandiza kapena kulepheretsa kugwiritsa ntchito kwawo pophunzitsira matenda a shuga.

Diabetesic phazi matenda: Zizindikiro, Zizindikiro ndi chithandizo

Mapazi a matenda ashuga ndimayendo ndi miyendo yomwe imachitika chifukwa cha shuga wambiri. Matenda a shuga, omwe samayendetsedwa bwino, amasokoneza kuchepa kwa mitsempha (mitsempha), komanso amachepetsa magazi mu mitsempha ya miyendo. Izi zimawonjezera chiopsezo chovulala ndi matenda. Diabetesic phazi matenda - wodwala amakula zilonda, kuwonongeka mafupa ngakhale mafupa miyendo. Mabala amachiritsa bwino, tizilombo tating'onoting'ono timachulukana mwa iwo. Muzochitika zapamwamba, izi zimayambitsa gangrene ndi kudula. Otsatirawa akufotokozera zomwe zimayambitsa, Zizindikiro, kupewa komanso kuchiza matenda ashuga. Phunzirani zamomwe mungachiritsire zilonda zam'manja kunyumba ndi kuchipatala. Matenda am'mimba, kudula ndi kulumala kwamtsogolo ndizowopsa kwa matenda ashuga. Koma mutha kuziletsa ngati mutsatira malamulo osamalira mapazi.

Zifukwa
Zizindikiro
Zizindikiro
Zizindikiro
Mapazi a Charcot (diabetesic osteoarthropathy)
Kupewa
Kusamalira Mapazi: Malangizo atsatanetsatane
Momwe mungagule nsapato
Ukhondo wa kumapazi
Matenda a matenda ashuga
Momwe mungachiritsire zilonda zapazi
Mavalidwe Konse Kulumikizana ndi Cast
Mankhwala - Maantibiotic
Opaleshoni, kudulidwa
Nsapato zamatsenga
Mapeto

Ngati mwadwala matenda ashuga kwa zaka zingapo tsopano, ndipo koposa pamenepo, ngati mwakhala mukuulilamulira bwino nthawi yonseyi, ndiye kuti pali chiopsezo chachikulu cha kuwonongeka kwa mwendo wanu. Monga mukudziwa, mabala ndi kuvulala kulikonse kwa odwala matenda ashuga sikuchira. Ngakhale zowonongeka zazing'ono zimatha kukula, kuyamba kukula, ndipo phazi likufunika kuduladula. Izi ndi zomwe zimachitika. Kuti mupewe izi, phunzirani ndikutsatira mosamala malamulo osamalira mapazi, omwe alembedwa pansipa. Ngati miyendo yanu yapweteka chifukwa cha mitsempha, werengani nkhani yakuti "Mapazi akumva kupweteka matenda ashuga - momwe angathandizire." Otsatirawa akufotokozera zoyenera kuchita ngati chidwi chamiyendo cha m'miyendo chiri, m'malo mwake, chichepetsedwa. Izi zimachitika pafupipafupi. Wodwalayo samva kupweteka m'miyendo, kusintha kwa kutentha, kulemera, kudula, matuza, matalala kugwera nsapato, etc. Mutha kukhala ndivuto ili, kenako mwadzidzidzi zimapezeka kuti mwendo wayamba kuvunda, ndipo muyenera kugona pansi patebulo kuti kwa asing'anga. Tsatirani malangizo omwe ali pansipa kuti mukhale ndi mwayi woyenda nokha.

Chiwerengero cha odwala matenda a shuga omwe ali ndi vuto la miyendo chikuchulukirachulukira nthawi zonse chifukwa kuchuluka kwa matenda amishuga a 2 kukuchulukirachulukira. Pa gawo la Russian Federation ndi mayiko a CIS, maofesi apadera oposa 200 a odwala matenda ashuga m'magawo azigawo. Mothandizidwa ndi njira zatsopano zamakono, madokotala amatha kupewetsa kuti azidulidwa.

Endocrinology Research Center ya Unduna wa Zaumoyo ku Russian Federation, Department of Diabetesic Phazist. Dm Ulyanova, nyumba 11(495) 500 00 90 Endocrinological Dispensary, Dipatimenti "ya Diabetes"st. Prechistenka, 37(495) 246-6573 Likulu la Moscow "Phazi la shuga"st. Ivan Susanin, 3(495) 905-1666 Clinic of Endocrinology MMA dzina lake I.M. Sechenova, nduna ya matenda ashugast. Pogodinskaya, 5(495) 248-3866 Chipatala cha Central Clinical cha Medical Center cha Ofesi ya Purezidenti wa Russia, Dipatimenti Yopanga Opanga Opaleshoni yokhala ndi "Diabetesic phazi"st. Marshal Tymoshenko, 15(495) 414-0300 Center zochizira yofunika m'munsi miyendo ischemiaDera la Moscow, Odintsovo, st. Marshala Biryuzova, 1(495) 599-72-41

Matenda a shuga a matenda ashuga amathandizidwa ndi dokotala wapadera wotchedwa podiatrist. Osasokoneza ndi dokotala wa ana.

Center for Opaleshoni ya Neuro-Ischemic Fomu la matenda a shuga a Syndromeic ndi Synologic Low Limb Ischemiast. Leo Tolstoy, d. 6-8, akumanga 38 - chipatala cha opaleshoni yamakutu(812) 91-7-91-91 Chipatala cha War Veteran, Diabetesic Phiri Lapamwambast. Narodnaya 21a+7-911-225-72-65 Maselo a Vasulin otchedwa T. Chapamwamba ku Chipatala cha Clinical No. 122Chikhalidwe Ave., 4+7 (812) 962-92-91 Likulu la mzinda lopulumutsa manja mothandizidwa ndi St. Petersburg City Public Health Institution "City Hospital No. 14 ″st. Kosinova, d.19+7 (812) 786 76 76 Center matenda a shuga №2st. Leni Golikova, d. 29-4(812) 757-30-78 Center matenda a shuga №3st. Novocherkasskaya, d. 56, nyumba 1(812) 444-14-63 Center matenda a shuga City4Chitetezo cha Ave Obukhov, 261(812) 368-44-67 Malo Otsutsa a Matenda a Sitiroko GKDC No 1st. Siqueirosa 10-D(812) 296-35-06

Kuti mupeze akatswiri omwe ali pafupi nanu, lembani pamalo osaka "odwala matenda ashuga mzinda wanu, chigawo chapakati" kapena "khansa yachitetezo cha matenda ashuga mzinda wanu, chigawo chapakati". Pambuyo pake, mudzawona nthawi yomweyo omwe ali mabungwe azachipatala aboma komanso zipatala zapadera.

Tiyeni tiwone zomwe zimayambitsa mavuto kumapazi. Mu odwala matenda ashuga, kufalikira kwa magazi mu ziwiya zam'miyendo nthawi zambiri kumasokonezedwa. Osalandira chakudya chokwanira, khungu pamiyendo limakhala pachiwopsezo kwambiri kuwonongeka, ndipo amachira pang'onopang'ono. Frost imakhudzanso khungu la munthu yemwe ali ndi matenda ashuga, ngakhale kuti anthu athanzi amalola kuti kuzizira kuzizire popanda mavuto.

Popeza matuza, kuwotcha ndi kupsinjika kwa odwala matenda ashuga sizipweteka, sangakhale ndi chidwi ndi mavuto awo ndi miyendo yawo mpaka chigulu chayamba.

Chowonetsera china cha matenda ashuga ndi chakuti khungu kumiyendo limataya thukuta ndipo limakhala louma nthawi zonse. Khungu louma, monga mukudziwa, nthawi zambiri limasweka. Ming'alu pakhungu la zidendene zimatha kusanduka zilonda. Popeza zilonda zamtunduwu sizimapweteka, wodwala matenda ashuga satenga njira zochizira, ndipo njirayo imayamba kulowamo. Mtundu wina wa matenda a shuga a shuga ndi omwe umalepheretsa kugwira ntchito kwa minofu kumapazi. Kusagwirizana kwa minofu kumachitika, komwe kumatsogolera kukuwonongeka kwa mafupa a phazi. Kusintha kwamtunduwu kumaphatikiza zala zakakhosi kapena zala zakumaso, komanso khonde lalitali komanso phazi lopindika.

Ngati matenda ashuga amalepheretsa kuwona, ndiye kuti vuto la phazi limayamba. Chifukwa munthu samawona bwino komwe amasuntha poyenda. Komanso, chiopsezo cha phazi la matenda ashuga chimakulitsidwa ngati miyendo ya wodwala yatupa chifukwa cha mavuto a impso. Chifukwa edema imachulukitsa kuchuluka kwa mapazi. Nsapato zimakhala zochepetsedwa, kufinya ndikuvulaza mapazi poyenda.

Zoyenera kuchita Njira yayikulu yothetsera ndikubwezeretsa shuga m'magazi ndi zakudya zamagulu ochepa. Ichi ndi chida chofunikira pothana ndi matenda amtundu wa 2 komanso matenda amitundu iwiri. Sinthani shuga lanu - mawonetseredwe a matenda ashuga adzatha. Mudzawachotsa pakatha miyezi yochepa, pazovuta kwambiri - zaka 2-3. Werengani ndikutsatira njira yachiwiri yothandizira anthu odwala matenda ashuga (onani apa) kapena lembani chithandizo cha matenda ashuga 1.

Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
Mankhwala 2 a shuga: nkhani yatsatanetsatane
Mapiritsi a Siofor ndi Glucofage
Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

Kupweteka kosatha kungakhale chizindikiro cha kupindika, kupunduka kwamapazi, kuphwanya, kuchuluka kwambiri, nsapato zosayenera, kapena matenda.

Kuchepa kwa khungu ndi chizindikiro cha matenda, makamaka ngati khungu lozungulira chilondacho lasanduka lofiira. Komanso nsapato zosasankhidwa bwino kapena masokosi amatha kutikita khungu.

Kutupa mwendo ndi chizindikiro cha kutupa, matenda, nsapato zosankhidwa bwino, kulephera kwa mtima, kapena kufooka kwa magazi m'matumbo.

Kukula kwa kutentha pakhungu kumatanthauza matenda kapena kutupa komwe thupi limayesa kupondereza koma osatha kupirira chifukwa chitetezo cha mthupi chimafooka ndi matenda ashuga.

Kuwonongeka kulikonse pakhungu ndi kwakukulu chifukwa kachilomboka kitha kulowa.

Chimanga chimatanthawuza kuti nsapato sizisankhidwa moyenera, ndipo poyenda katundu pamapazi sikugawidwa bwino.

Matenda oyamba ndi misomali ndi khungu la mapazi, misomali yolowera - imatha kutsogolera matenda.

Mafinya amatuluka chilonda - chizindikiro cha matenda opatsirana.

Kuyenda movutikira kapena kuvuta kumatha kuwonetsa mavuto, kuphatikiza matenda, kapena kuvala nsapato.

Thupi kapena kuzizira kophatikizana ndi chilonda pamiyendo ndi chizindikiro cha matenda akulu omwe amaopseza imfa kapena kudula dzanja

Kuchepa kwa khungu kumafalikira kuzilonda - zomwe zikutanthauza kuti matendawa amalowa, thupi silingathe kulimbana nalo, ndipo likufunika kuthandizidwa.

Kuchuluka kwa miyendo ndi chizindikiro cha kuperewera kwa mitsempha ya mitsempha (diabetesic neuropathy).

Ululu wamendo ndi chizindikiro cha phazi la matenda ashuga, koma amathandizidwa mosiyana. Werengani nkhani "Zilonda zam'mimba zokhala ndi matenda ashuga: momwe mungachiritsire."

Zizindikiro zowonjezera zamavuto am'magazi:

kupweteka m'miyendo, komwe kumakulirakulira poyenda ndikumapumula,
Tsitsi limasiya kukula m'miyendo ndi kumapazi,
Khungu la miyendo limayamba ndipo likhala louma.

calluses
matuza
msomali
chida bursitis
mitengo yanthaka,
kupindika kwa zala,
Khungu louma ndi lodzaza
matenda oyamba ndi khungu la kumapazi (epidermophytosis ya phazi),
bowa wa msomali.

Chimanga chimatuluka pamene gawo lina la phazi likuponderezedwa kwambiri kapena kupukutira kena kake. Monga lamulo, chifukwa chake ndi nsapato zosankhidwa bwino. Ndikulimbikitsidwa kuti chimanga chizichotsa mwala ndi mwala wa pumice mukasamba. Dr. Bernstein zinthu: Osachotsa konse chimanga! Osamachita izi nokha ndipo musalole aliyense, kuphatikizapo dokotala. Chifukwa chilondacho sichikhala pomwepo ndikuchotsa chimanga, chomwe chimasintha kukhala chilonda.

Dr. Bernstein akuti kuchotsa chimanga ndichomwe chimayambitsa zilonda, zomwe zimayambitsa matenda. Chotsatira - gangrene ndi kuduladula ... M'malo mochotsa chimanga, konzani ndikuvala nsapato zabwino zamtundu wa orthopedic. Pambuyo pake, katundu pamapazi poyenda adzagawidwa molondola, ndipo chimanga chitha pang'onopang'ono.

Zilonda zikumenyetsa malo akhungu lodzaza ndi madzi. Chotupacho chimapangidwa chifukwa chakuti nsapato zimapaka malo omwewo phazi limodzi. Chotumphukira chimatha kuonekanso ngati muvala nsapato zopanda masokisi. Popewa matuza, nsapato ziyenera kukhala zazingwe, ndipo musapite popanda masokosi. Ngati pali chotupa pamwendo, wodwala matenda ashuga ayenera kuwona katswiri. Dokotala adzaika bandeji moyenera. Ngati matenda ayamba, dokotala amachotsa mafinya ku chithuza ndikuwapatsa mankhwala othandizira.

Misomali imakula ngati munthu sawadula bwino kapena kuvala nsapato zolimba kwambiri. Osamadula misomali mozungulira m'mphepete. Ndikofunika kuti musadule ndi lumo, koma muziwasanja ndi fayilo ya msomali. Wodwala matenda ashuga sangasiyidwe popanda msomali wovomerezeka; ayenera kukaonana ndi dokotala. Mwina adotolo akuganiza zochotsa mbali ina ya msomali kuti asathenso kulowa. Ichi ndi choyipa chocheperapo kuposa bala lomwe lidayambukiridwa, gangore ndi kuduladula. Ngati kachilombo kaoneka kale pachala, adokotala amupatseni mankhwala othandizira.

Bursitis ndi bulge pamphepete wakunja kwa chala chachikulu. Popita nthawi, imatha kudzaza ndi minofu ya mafupa komanso madzimadzi. Bursitis imapangidwa ngati chala chimasokera kumbali ya zala zina. Ili likhoza kukhala vuto lobadwa nalo. Zidendene zapamwamba komanso nsapato zazala zazitali zimakulanso chiopsezo chanu. Popewa bursitis kukula, dokotala angapangitse kugwiritsa ntchito nsapato zofewa. Ululu ndi kutupa zimatsitsidwa ndi mankhwala. Ngati bursitis imayambitsa kupweteka kwambiri pafupipafupi, ndiye kuti imachotsedwa modabwitsa. Popewa, Valani nsapato zomwe zikugwirizana ndi kukula kwanu.

Mitengo ya Plantar ndi zophukira zazing'ono za utoto. Nthawi zina amakhala ndi madontho akuda akuda. Mitengo yokhala ndi nthochi imayambitsa papillomavirus yaumunthu. Kachilomboka kamalowa kudzera pazilonda zochepa pakhungu la miyendo. Warts imatha kukhala yopweteka komanso kusokoneza kuyenda. Kuti muchepetse kufalikira, sambani m'manja nthawi iliyonse mukakhudza nsapato zanu. Mapazi ayenera kukhala oyera ndi owuma. Osayenda nsapato m'malo a anthu. Dokotala atha kukuwuzani kuti muchotse mankhwalawa ndi laser, nitrogen yamadzimadzi, kapena opaleshoni yamankhwala opaleshoni yam'deralo.

Makina ngati khosi lolowera zala limachitika chifukwa chakuti kulumikizana kumodzi kumiyendo yayikulu kapena ziwiri zazingwe zosakhazikika. Izi ndichifukwa choti minyewa yakumapazi imafooka chifukwa cha matenda ashuga. Ngati pali vuto lakukutikirani zala, ndiye kuti mawonekedwe a mapaziwo amasintha. Pangakhale zovuta kuyenda. Sizovuta kupeza nsapato zoyenera. Choopsa chachikulu - mabala ndi zilonda zam'mimba zomwe zimatengedwa ndi matenda zimatha kuchitika. Chithandizo - mankhwala a orthopedic insoles mu nsapato, komanso mankhwala a ululu ndi kutupa. Woopsa, opareshoni.

Khungu lowuma ndi losweka ndilakhungu ndi kusweka. Mtundu wa pakhungu amasintha, umatha kuyaka. Pali zifukwa zingapo zoyambitsa vutoli - shuga wamagazi ambiri, kuwonongeka kwa mitsempha, komanso magazi osayenda bwino kupita m'miyendo. Ming'alu pakhungu ndi owopsa chifukwa kachilomboka kamakhala mwa iwo. Sungani chinyezi komanso khungu lanu. Mafuta owirikiza nthawi zonse ndi mafuta monga tafotokozera pansipa mu gawo la "Kusamalira Mapazi: Tsatanetsatane Wowerengera". Ngati simungathe kupirira ndipo khungu likulipira, pitani kuchipatala. Mutha kupatsidwa mankhwala oti mumupangiri mafuta ambiri. Lankhulani ndi dokotala wanu za mavitamini A ndi mavitamini a zinc. Osangomvera ndalamazi! Inde, chinthu chachikulu ndikuchepetsa shuga m'magazi ndikuwasunga bwino.

Matenda oyamba ndi khungu la kumapazi amawonetsedwa ndi zizindikiro - kuyabwa, kuyaka, redness, ming'alu pakhungu. Mafangayi amachulukana pamiyendo komanso pakati pa zala. Kuti mupewe, sungani mapazi anu owuma momwe mungathere. Osamavala nsapato zomwezo nthawi zonse. Khalani ndi nsapato zingapo kuti musinthe. Mukuvala imodzi, ina imalira. Usiku, nsapato zilibe nthawi kuti ziume. M'malo apagulu musamayende opanda nsapato, valani osalala. Masokisi amayenera kupangidwa ndi zinthu zachilengedwe - thonje kapena ubweya. Mankhwala amagulitsa mafuta ndipo amapopera polimbana ndi bowa pamiyendo. Ngati ndi kotheka, dotolo adzalembera kalata yamapiritsi amphamvu.

Nail fungus - njira zofananira zofananira ndi matenda oyamba ndi khungu la mapazi. Mafangayi amapangitsa kuti misomali ikhale yolimba, zimakhala zovuta kuzidula. Mtundu wa msomali ukusintha. Nthawi zina misomali yomwe imakhudzidwa ndi bowa imagwera. Dokotala atha kukulemberani mapiritsi, kuchotsera msomali kapena mwamankhwala. Fangasi ya msomali imathandizidwanso ndi laser, koma pamakhala kutsutsana pakati pa akatswiri pazomwe njirayi imathandizira bwino.

Zizindikiro

Mavuto amendo mu shuga angayambike chifukwa cha kuwonongeka kwa mitsempha, kutsekeka kwa mitsempha yamagazi yomwe imadyetsa miyendo, kapena onse. Izi zimatchedwa neuropathic, ischemic, kapena mawonekedwe osakanikirana a matenda ammimba a shuga. Dokotala amafufuza mtundu wa matendawa ndipo amafufuza kuti apereke mankhwala oyenera.

Zomwe adotolo amachita

Amaonetsetsa miyendo yakeDziwani zizindikiro za phazi la matenda ashuga (onani pamwambapa)X-ray kapena maginito oyang'ana m'magaziOnani kuwonongeka kwamafupaYesani kuti mumve kutentha, kutentha, kukhudza, ndi mawonekedwe a bondo.Kuti mudziwe momwe wodwalayo amawonera wodwala matenda ashugaAmayendera nsapato za WodwalaKuti muwunikire momwe nsapatoyo ilili yoyenera komanso kukula, ngakhale ilibe matupi akunja, ngati singayime yokhayoImatumiza zomwe zili bala kuti ziwonetsedweDziwani mankhwala omwe angathandize ndi omwe sangathe.

Ultrasound ya ziwiya za m'munsi,
M-mode ultrasound dopplerography (USDG),
muyeso wa kalozera wamchifuwa,
transcutaneous oximetry.

Pali kafukufuku wina - radiopaque angiography. Wothandizira mosiyanitsa ndi wailesi amalowetsedwa m'magazi a wodwalayo, omwe "amawala" m'makoma a ziwiya. Phunziroli ndilothandiza kwambiri, koma lingayambitse mavuto kuchokera ku impso. Chifukwa chake, limayikidwa mosamala. Komabe, ngati opareshoni yakonzekera kubwezeretsa kutuluka kwa magazi m'matumbo, ndiye kuti ndizofunikira.

0Palibe zilonda pano, koma chiwopsezo chake ndi chachikulu - chimanga, kupunduka kwa phazi 1Zilonda zapamwamba 2Zilonda zakuya. Ma toni koma osati mafupa omwe angakhudzidwe. 3Zilonda zakuya zowonongeka ndi mafupa 4Gangrene pa zala 5Gulu lodzaza ndi miyendo

Kukula kwake kumatengera kutalika kwa matenda ashuga, momwe wodwalayo amathandizidwira, ngakhale atalimbikitsidwa kutsatira regimen. Matenda obwera ndi ofunikanso - atherosulinosis, matenda oopsa, zovuta za matenda a shuga mu impso ndi kupenya, matenda a senile. Chifukwa chake, pamene wodwala matenda ashuga apita kwa dokotala chifukwa cha zovuta za mwendo, kuyezetsa kumayenera kukhala kokwanira.

Kuyesedwa kwa Matenda a shuga - Mndandanda Watsatanetsatane
Miyezo ya shuga yamagazi - zomwe muyenera kulimbana nazo

Mapazi a Charcot (diabetesic osteoarthropathy)

Mapazi a Charcot (diabetesic osteoarthropathy) ndi vuto la matenda ashuga, chifukwa chomwe kulumikizana ndi mafinya ndi minofu yofewa ya phazi, mawonekedwe ake amasintha. Kumayambiriro, kulumikizana kumakhala kowuma ndikutupa. Pambuyo pake, minofu imafooka ndikusiya kulimbana ndi katunduyo. Chifukwa cha izi, pali mavuto ndi mafupa, phazi limakhala lopindika. Zonsezi zimachitika mwachangu.

Chomwe chimapangitsa kuti phazi la Charcot likhale ndi matenda ashuga a shuga. Mitsempha yowonongeka singathe kufalitsa chizindikiro kuchokera ku mwendo kupita ku ubongo. Chifukwa chake, munthu molakwika amaponda phazi lake poyenda. Kuwonongeka kwa mafupa ndi mafupa kumabweretsa kupweteka, koma odwala matenda ashuga samamva. Akupitilizabe kupondaponda mpaka phazi lake limaoneka bwino.

Khungu la phazi limasanduka lofiira, kutentha pamutu pake kumatuluka,
mwendo umatupa
kupweteka kumamveka, koma nthawi zambiri kulibe chifukwa cha neuropathy.

Chithandizo cha matenda a shuga a shuga - mwendo umayikidwa mu bandeji yapadera yopangidwa ndi ma polymer. Izi zimapangitsa kuti zitheke kumasula madera omwe akhudzidwa ndi phazi. Zotheka kuti dokotala amuuze wodwalayo kuti ayende ndi ndodo kapena ngakhale akhale pa wheelchair. Nthawi zina mafupa opindika amawabwezeretsa ngati opareshoni.

Kupewa

Kupewa ndikukhazikitsa malamulo osamalira bwino miyendo ndikuyang'ana miyendo tsiku ndi tsiku. Malangizo posamalira phazi amaperekedwa pansipa. Tsopano tikambirana za momwe mungayang'anire mapazi a wodwala yemwe ali ndi matenda ashuga, zomwe muyenera kuyang'ana. Mapazi amayenera kuwunikidwa tsiku lililonse, kuyambira kumwamba, kenako kuchokera kumbali ya yekhayo. Onani khungu pakati pa zala zanu mosamala. Mungafunike kalilore wa izi.Ndikofunika kuti wina achite nawo mayeso kumapazi, osati odwala matenda ashuga okha.

Ntchito yoyeserera siyiyenera kuphonya ngati chimanga chatsopano, kutupa, kufinya, malo opweteka, zotupa za pakhungu, kapena kusintha kwina. Maonekedwe, mtundu wake ndi kutentha kwa phazi kumatha kusintha. Kuzindikira kukhudza - kufooketsa kapena kukhazikika. Ngati mukuwona kuti zosinthazo zikuyipiratu - m'mawa wotsatira, funsani dokotala, osakoka. Pakhoza kukhala mafupa ang'onoang'ono ndi mafinya a mafupa, chifukwa chomwe phazi limatupa, mawonekedwe ake amasintha. Izi zimafunikira chisamaliro chofunikira kuchokera kwa dokotala.

Ngakhale zowonongeka zazing'ono zimatha kusintha kukhala zilonda zam'mimba, zomwe zimakhala zazitali komanso zovuta kuchiritsa. Pankhani ya matenda obwera ndi mabakiteriya pachilonda, khungu limakula, ndipo mungaone kuti kudulidwa kokha ndi komwe kungapulumutse wodwalayo kuimfa.

Khungu la miyendo likakhala lakuda kapena mosinthasintha, tsitsi limazimiririka - izi zikutanthauza kuti magazi m'miyendo akuchepa. Choyipa chachikulu ndikupereka kwa okosijeni ndi zakudya m'maselo, ndizowonjezera kuwonongeka kwa khungu. Onani ngati khungu lakukhudza kukhudza likukula. Kuti muchite izi, mutha kugwiritsa, mwachitsanzo, nthenga. Onetsetsani kuti wodwala matenda ashuga amatha kumva kusiyana pakati pa madzi ofunda ndi ozizira atatsitsa phazi lawo m'madzi. Musanasambe, muyenera kuwona kutentha kwa madzi ndi dzanja. Mulimonsemo, thermometer yosamba iyenera kukhala ndikuigwiritsa ntchito.

Matenda a matenda ashuga a phokoso nthawi zambiri amakula chifukwa wodwala wavulala mwendo, koma samva. Cholinga cha kuyesedwa kwa tsiku ndi tsiku ndikuwonetsa kusintha komwe odwala matenda ashuga sanawone panthawi yomwe adachitika. Madokotala tsopano ali ndi zovala zamakono zopaka bwino. Izi ndi zida zomwe zimathandizira kuchiritsa mabala m'miyendo, kupewa matenda, zilonda zam'mimba komanso kudula. Komabe, muyenera kumuwona dokotala nthawi. Pamene gangrene yayamba kale, palibe njira ina kuposa kudulira.

Tsatirani malamulo osamalira phazi, yang'anirani phazi tsiku ndi tsiku ndikuyang'ana dokotala mukangoona kuti china chake chikukusokonekera. Njira zazikulu zopewera ndi kuchiza matenda ashuga ndikuchepetsa magazi kukhala abwinobwino, ndikuwasunga moyenerera, monga mwa anthu athanzi. Izi zitha kuchitika ndi matenda a shuga amtundu wa 1 ndi mtundu wa 2 omwe amakhala ndi zakudya zotsika kwambiri za carb. Lamulirani kagayidwe kanu - ndipo ambiri mwa zizindikiro za matenda ashuga adzatha nthawi. Makamaka, chidwi cha miyendo chimabwezeretsedwa. Komanso kuwonongeka pakhungu pamiyendo kuchira. Koma, mwatsoka, ngati mitsempha ya magazi yatsekedwa, ndiye kuti mawonekedwe awo sangathe kubwezeretsedwanso. Komanso, ngati mutaduka kapena kufalikira mafupa amiyendo, ndiye kuti izi sizingathe.

Kusamalira Mapazi: Malangizo atsatanetsatane

Otsatirawa ndi malamulo osamalira odwala phazi la mtundu 1 ndi matenda ashuga 2. Ngati mphamvu miyendo itenthe, kutentha ndi kupsinjika kwambiri zimatayika, ndiye kuti ziyenera kuchitidwa makamaka mosamala. Iyi ndi njira yokhayo yopezeka pa tebulo la opareshoni kwa dokotala yemwe wachita kuduladula.

Nthawi yomweyo, ngati muchita pulogalamu ya 1 ya matenda a shuga kapena mtundu wachiwiri wa matenda a shuga ndikusungitsa shuga m'magazi anu komanso nthawi zonse, pakapita nthawi, mphamvu zamitsempha zimabwezeretseka. Pambuyo pake, chiwopsezo cha mavuto amiyendo amiyendo mu shuga amachepetsa mpaka zero. Kubwezeretsa chidwi chamanjenje kumatenga pafupifupi miyezi ingapo, ndipo nthawi zambiri zaka 1-2.

Siyani kusuta! Kusuta kumapangitsa magazi kulowa m'miyendo, motero, kumakulitsa mwayi womwe kudzicheka kuyenera kuchitidwa posachedwa.

Kuopsa kowotcha miyendo yanu ndikokwera, chifukwa chidwi chamapazi ndi kutentha sichitha. Sungani miyendo yanu kutali ndi malo otentha momwe mungathere. Izi sizitanthauza kuti ndizoyatsira moto, zotenthetsa, mabotolo amadzi otentha kapena bulangeti lamagetsi. Kusamba kapena kusamba, madzi amayenera kukhala ozizira, osatenthedwanso.

Nthawi yozizira, valani masokosi akuda kwambiri ndi nsapato zazitali m'lifupi kuti isakuikirani miyendo yanu masokosi. Ngakhale kufalikira kwa magazi m'mitsempha ya miyendo kungayang'anitsidwe ndi dokotala mothandizidwa ndi kafukufuku wopanda zopweteka wotchedwa "transcutaneous oximetry". Ngati zaphwanyika - musakhale ozizira kwa nthawi yopitilira mphindi 20 motsatana. Osamayenda wopanda nsapato, ngakhale mumsewu, ngakhale m'nyumba.

Ngati mumasambitsa mapazi anu ndi mankhwala aliwonse, ndiye kuti muzingochita monga mwauzidwa ndi dokotala. Zinthu zambiri zomwe zimagulitsidwa pa mankhwala ogulitsa mankhwala ndizowopsa pakhungu la miyendo ya wodwala matenda ashuga. Mwachitsanzo, ayodini, hydrogen peroxide ndi salicylic acid. Osagwiritsa ntchito ayodini kapena hydrogen peroxide kuti muchepetse mabala amiyendo, ngakhale dokotala atakulangizani. Gulani ayodini wapadera mu mankhwala omwe samawotcha khungu, ndikuwasunga.

Ngati muli ndi khungu louma pamapazi anu, funsani katswiri wamtima kapena wamankhwala kuti asakupatseni beta-blockers okhathamira magazi kapena mavuto amtima. Chifukwa kumwa mankhwala kuchokera pagulu la beta-blocker kudzakulitsa kusintha kwa khungu la miyendo yanu. Momwe mungachiritsire matenda a mtima popanda mapiritsi a "mankhwala" owopsa, werengani apa - awa ndi malo ochiritsira matenda oopsa, monga a Diabetes-Med.Com.

Ngati chimanga chawoneka m'miyendo yanu, ndiye musayese kuzichotsa! Osagwiritsa ntchito misomali, scalpel, kapena zinthu zina. Osadzichotsa nokha chimanga ndipo musalole aliyense kuti achite izi, kuphatikizaponso wa podiatrist. Khungu loyipa pama calluses ndikuteteza kwamiyendo kumapazi kuwonongeka chifukwa cha nsapato zosasankhidwa bwino. Mukachotsa chimanga, ndiye kuti chitetezo chimatha.

Kuchotsa chimanga mwa odwala matenda ashuga ndizomwe zimayambitsa zilonda zam'mimba, zomwe zimapangitsa kuti azidulidwa phazi. Ngati ma calluses ali ndi miyendo, muyenera kusinthira ku nsapato za orthopedic. Ngati nsapatozo zidasankhidwa molondola, ndiye kuti sipadzakhala zochulukitsa pamiyendo ya kumapazi, ndipo nthawi ndi nthawi chimanga chitha.

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi zala zoonda, ndiye muyenera kudziwa ngati bowa ndi amene amayambitsa izi. Zitapezeka kuti iyi ndi matenda oyamba ndi fungus, ndiye kuti dokotalayo adzakupatsani mankhwala omwe amafunikira kuikidwa mankhwalawa kawiri pa tsiku. Tsoka ilo, bowa nthawi zambiri amayenera kulandira chithandizo kwa miyezi 12 kapena kupitilira apo. Osati chithandizo chakuchipatala chokha chofunikira, komanso kumwa mapiritsi odana ndi fungus.

Ndikofunika kusindikiza pa chosindikizira malamulo osamalira phazi, omwe amaperekedwa pamwambapa, komanso gawo "Momwe mungasungire ukhondo wamapazi." Werengani werengani nkhaniyi nthawi ndi nthawi ndikuwonetsa am'banja lanu odwala matenda ashuga nawo. Ngati mumatsatira mwachangu mtundu wa mankhwala a matenda a shuga 1 kapena mtundu wa 2 wodwala, mungathe kukhalabe ndi shuga m'magazi. Pakupita miyezi yochepa, chidwi cha mitsempha mumiyendo chimayamba kuchira pang'onopang'ono. Osati mochedwa zaka 2-3, adzachira kwathunthu. Chiwopsezo cha matenda ammagazi a shuga kapena matenda osokoneza bongo adzachepa pafupifupi zero.

Momwe mungagule nsapato

Gulani kapena kuyitanitsa nsapato zonse m'mawa osati masana, koma madzulo, chifukwa nthawi yamadzulo kukula kwakukulu kumapazi. Nsapato ziyenera kukhala zabwino mukamayesera kwa iwo koyamba. Siyenera kukhala yofunikira kuvala nsapato zatsopano. Nsapato zokhala ndi zala zakaloledwa siziyenera kuvalira. Mumafunikira nsapato zokhala ndi malo akulu komanso ofanana kumanzere. Nsapato zam'mimba ndizosankha bwino. Sizowoneka zokongola kwambiri, koma ndizabwino komanso zimawonjezera mwayi kuti mutha kupulumutsa miyendo yanu osawonongeka.

Osamavala nsapato ndi chingwe pakati pazala zanu. Chifukwa choti zingwe zimatha kukola khungu lanu. Zotupa zimatuluka, zomwe zimasanduka chilonda. Osamavala nsapato zomwezo masiku angapo motsatana. Khalani ndi nsapato zingapo zabwino kusinthana tsiku lililonse. Nthawi iliyonse, musanavale nsapato, muziyang'ana kuchokera mkati. Sipayenera kukhala zinthu za gulu lachitatu - miyala ya kanjedza, etc.

Musamavale masokisi kapena masokosi okhala ndi zotanuka zolimba zomwe zimapondera miyendo ndikuchepetsa kuyenderera kwa magazi mu ziwiya. Osamavala masokosi okhala ndi mabowo kapena okongoletsedwa. Musamavale masokosi owonda kwambiri kapena zokhala ndi zingwe zolimba. Masokosi ovuta amatha kuwononga khungu la miyendo, kuyambitsa chithuza choyamba, kenako zilonda kenako mpaka kumavulala. Kusungika pa nsalu kumatha kutayikitsa kwambiri chifukwa cha kulumala.

Ma simulators okhala ndi ntchito ngati manja ndi miyendo ("wokwera")

Kuphatikiza minofu pang'ono. Katundu wochepa pamaloko. Wapakati mphamvu yogwiritsa ntchito. Kuchuluka kwadzidzidzi kwa kuthamanga kwa mtima komanso kuthamanga kwa magazi. Osavomerezeka a odwala matenda ashuga omwe ali ndi zovuta zamankhwala amanjenje komanso amanjenje, retinopathy.

Kwa odwala matenda ashuga, masewera samalimbikitsidwa momwe mumakhala mwayi wambiri wosalamulirika (kukwera, kukwera mapiri, kuyaluka kwamadzi, ndi zina) komanso kupsinjika (kulimbana, mafoni, ndi zina) kumachitika.

Ukhondo wa kumapazi

Tsiku lililonse muyenera kupenda mapazi a wodwala yemwe ali ndi matenda ashuga, ngati panali zovulala kapena zizindikilo zatsopano kuti nsapato sizinali bwino. Onetsetsani kuti palibe matuza, chimanga, ming'alu, zovuta za bowa kapena zowonongeka zina pakhungu la miyendo. Onaninso khungu pakati pa zala zanu. Yenderani zidendene ndi galasi. Ngati wodwala matenda ashuga sangathe kuchita izi payekha, ndiye kuti ayenera thandizo la munthu wina. Ngati mukuwona kuwonongeka kwa miyendo yanu, funsani dokotala wanu nthawi yomweyo.

Musayang'ane kutentha kwa madzi osamba ndi phazi lanu, koma ndi dzanja lanu lokha, bwino - gulani ndikugwiritsa ntchito thermometer yosamba. Kutentha kwamadzi mu bafa sikuyenera kupitilira kutentha kwa 33 digiri Celsius. Chifukwa ngakhale kutentha kwamadzi kwa madigiri 34 Celsius kumatha kuyambitsa kutentha ngati magazi m'mitsempha asokonekera.

Osamiza madzi m'madzi kwa nthawi yayitali kuposa mphindi 3-4. Kupanda kutero, khungu kumapazi limanyowa, ndipo pakhungu lowira, chiopsezo chowonongeka chikuwonjezeka. Kutsatira lamuloli, musakhale nthawi yayitali kwambiri m'bafa kapena shawa. Sambani mwachangu ndi kutuluka. Yesani kuti musanyowe. Ngati paliopseza kukulitsa phazi la matenda ashuga, ndiye kuti nyengo yamvula ndiyowopsa. Nsapato zazitali ndi mapazi - osavomerezeka.

Ngati mukufuna kusambira mu dziwe, ndiye musanakwere m'madzi, ikani mafuta am'mafuta (petroleum jelly) pakhungu lanu kuti muteteze madzi. Mukamaliza kusambira, chotsani mafuta odzola m'miyendo yanu ndi thaulo.

Ngati khungu lanu lakhazikika pamiyendo yanu, liwikeni mafuta kamodzi pachaka, pafupipafupi. Izi zimachepetsa chiopsezo cha kusweka. Mafuta azonunkhira komanso mafuta abwino ndi oyenera.

Nthawi yozizira, muzivala masokosi ofunda opangidwa ndi zinthu zachilengedwe komanso nsapato zabwino zautali woyenera. Musamavale masokosi ndi zotanuka zolimba zomwe zimakakamiza mitsempha yamagazi ndikutsitsa magazi. Ngati mukuyenda mozungulira m'miyendo yanu, osangokhala ozizira kwa nthawi yopitilira mphindi 20 motsatana.

Dulani zoseweretsa pokhapokha ngati mukuwona bwino zomwe mukuchita. Ngati sichoncho, pemphani thandizo kunja kwa izi. Ngati mukukayikira kuti zala zanu zakhudzidwa ndi bowa, musonyezeni adokotala ndipo akupatseni mankhwala. Mapazi anu ayenera kukhala owuma komanso ofunda nthawi zonse, osawuma, osatupa kwambiri, komanso osathukuta.

Matenda a matenda ashuga

Njira yodwala odwala matenda ashuga ndi njira zingapo zingapo:

Kuphunzitsa wodwalayo maluso - kupenda mapazi tsiku ndi tsiku, kusintha mavalidwe ndi zina zofunika.
Kuwongolera shuga, kuthamanga kwa magazi ndi cholesterol yamagazi.
Chithandizo chowawa - kuvala, kuchotsa opaleshoni ya minofu yosagwira.
Maantibayotiki kuti athane ndi matenda.
Mavalidwe a Total Contact Cast, omwe amathandizanso madera omwe akhudzidwa ndi phazi kukakamizidwa kwambiri.
Kubwezeretsanso magazi m'miyendo, kuphatikizapo kudzera mu opaleshoni ya mtima.

Nthawi zambiri mwa odwala omwe ali ndi matenda ashuga, mphamvu ya mitsempha imasokonekera chifukwa chake miyendo sikuvulala, ngakhale zowonongeka. Nthawi yomweyo, kuchiza matenda osokoneza bongo ndi zovuta zambiri. Chifukwa chake, odwala ena amayesedwa kuti atuluke. Zotsatira zake, adzakhala pa tebulo la opareshoni kwa dokotala wa opaleshoni. Chifukwa ngati ma virus amafalikira momasuka mabala m'miyendo, ndiye kuti amayambitsa gangore. Kudula kungathe kupewedwa pokhapokha ngati chithandizo chayamba nthawi yake ndipo boma limalangidwa.

Momwe mungachiritsire zilonda zapazi

Zilonda pamapazi a odwala matenda a shuga nthawi zambiri sizimayambitsa kupweteka chifukwa cha neuropathy - kuchepa kwa mitsempha yodutsa. Koma izi sizabwino, koma vuto. Chifukwa kusowa kwa ululu kumapangitsa odwala kuyesedwa kuti asalandire. Anthu odwala matenda ashuga oterewa amangogwira mwendo utayamba kuwola. Yang'anirani chithandizo ndi kupewa kwa matenda ashuga kuti musadwale, kuti mutha kuyenda moyenera.

Kuwongolera shuga la magazi mosamala ndikofunikira, apo ayi sipapambana.
Pangakhale kofunikira kuchotsa minofu yosagwira. Kwa izi, sikuti ndimangopanga opaleshoni yokha, komanso njira zina (onani pansipa).
Zilondazo zimayenera kukhala zoyera ndikuziteteza ku zinthu zakunja.
Yenderani malo owonongeka tsiku ndi tsiku, sinthani bandeji, ndikutsatira malangizo ena a dokotala.
Yesetsani kuyenda pang'ono mpaka zilonda zapaziyenda.
Kuyenda osavala nsapato ndizoletsedwa.

Kuyambira 2000s, madokotala adapezeka mu zida zamitundu yambiri yovala zamankhwala othandizira odwala matenda ashuga. Kuvala kumatha kuyamwa mafinya kuchokera pachilonda ndikukhala ndi mankhwala ophera tizilombo. Pogwiritsa ntchito kuvala, mutha kuyika ma enzyme ku zilonda zomwe zimachotsa minofu yosagwiritsidwa ntchito, mmalo mowachotsa opaleshoni. Zovala zamakono ndi chida chothandiza chomwe chimafulumira kuchiritsa.

Amakhala kuti mabala amasiyidwa otseguka chifukwa mpweya umawathandiza kuchira. Madokotala tsopano akudziwa kuti mabala amachira msanga, ndipo chiopsezo chotenga kachilomboka ndichoperewera ngati mungawasungunuka ndikuwaphimba mabandeji. Kuyambira koyambirira kwa 2000s, chithandizo cha zilonda zam'miyendo chakhala bwino kwambiri. Palinso mabandeji amtundu wa chitho kapena filimu yowonekera, mmalo mwa mabandeji akale. Kusankha mwanjira inayake yamankhwala kumachitika ndi adokotala. Komabe, kufunikira kwa kayendetsedwe kabwino ka shuga m'magazi sikunathetsedwe.

Ngati wodwala sakuvomerezedwa kuchipatala, koma atumizidwa kunyumba kuti akalandire, ndiye, kuwonjezera pazovala, maantibayotiki amatha kuperekedwa. Ayenera kutengedwa chimodzimodzi ndi momwe dokotala amafotokozera. Simungachepetse mankhwalawo kapena kuonjezera mwanjira iliyonse. Asanapereke mankhwala othandizira, dokotala amatha kutumiza zitsanzo za minofu kuti ziziunike kuti mudziwe kuti ndi majeremusi ati omwe amayambitsa matenda. Muyenera kupita kwa dokotala masiku onse ochepa kuti mukamayesedwe.

Zilonda pamapazi nthawi zambiri zimawonekera chifukwa chakuti katundu sawagawika bwino poyenda. Kuchiritsa wodwala kuchokera pachilonda, pangafunikire kuchepetsa kukakamiza kwa mbali ya phazi. Kuti muchite izi, gwiritsani mavalidwe a Total Contact Cast, omwe akufotokozedwa mwatsatanetsatane pansipa. Kuphatikiza pa bandeji, wodwalayo afunika kuyitanitsa nsapato zamatumbo. Mwina adokotala angakulimbikitseni kuti muzivala ndodo kwakanthawi kapena kuti musunthane pa wheelchair. Ngati izi zikuthandizira kupewa kudula, musakane.

Mavalidwe Konse Kulumikizana ndi Cast

Kuwonetsetsa kutsitsa kwa phazi lomwe lakhudzidwa ndikuwapanikizika kwambiri ndi gawo lofunika kwambiri kuti machiritso amala athe. Ndipo makamaka, zochizira matenda ashuga neuroosteoarthropathy (mapazi a Charcot). Kafukufuku watsimikizira motsimikiza kuti chida chothandiza ndikugwiritsa ntchito kuvala kwamtundu wa Total Contact Cast.

Bandejiyi imachepetsa kuyenda kwa phazi ndi mwendo. Lero, ndi chida choyamba chambiri kuchepetsa zovuta: zilonda zamkati, zofooka ndi kuwonongeka kwa mafupa, komanso gangrene, komwe kumabweretsa kuduladuka. Njira yonse yolumikizirana imatha kuyikidwa ndi endocrinologist kapena dokotala wa opaleshoni kuchipatala kapena kuchipatala.

Total Contact Cast ndi bandeji yokhazikika pamkono ndi phazi, yomwe imapangidwa ndi zida zamakono za polima.Mukamagwiritsa ntchito, gawo lomwe lakhudzidwa ndi matenda ashuga limatsitsidwa, chifukwa cha njira zotsatirazi:

Mpaka 30% ya katunduyo amawasamutsa kuchokera kumapazi kupita kumapazi.
Dera lamapazi othandizira limakulirakulira ndi 15-24%. Pankhaniyi, katundu pazigawo zosiyanasiyana amagawidwa mofanananira. Chifukwa chake, katundu wambiri pamitu yayikuluyo amatsitsidwa ndi 40-80%.
Kavalidwe kamateteza mabala kuti asasokonekera.
Kutupa kwamiyendo kumachepa.
Pambuyo povala kuti muteteze zowonjezereka komanso kulimba mtima kwa wodwala, Total Contact Cast amavala nsapato ya Cast, nsanja yokhala ndi ma clasps.

Poyenda mumsewu payokha nsapato zopangidwa ndi mafupa amagwiritsidwa ntchito. Potere, wodwalayo amalangizidwa kuti asamayende mtunda wautali 30% ya mtunda wake.

Zisonyezero pakugwiritsa ntchito polima polase:

pachimake gawo la odwala matenda ashuga,
nthawi yayitali ya osteoarthropathy, yomwe inali yovuta ndi kukula kwa chilonda cha kumapazi,
kudzipereka kwapakati (pamiyendo yonse) ya osteoarthropathy ndi / kapena zilonda zam'mapazi.

Kutsutsana kotheratu pakugwiritsira ntchito Total Contact Cast ndi njira yolowerera yopatsirana mkati mwa minofu yaku phazi, komanso gangrene kapena sepsis.

Ngati bala lili ndi kachilomboka kapena ngati pali chiopsezo chotenga kachilombo ka matenda ashuga, mankhwala opatsirana othandizira amapatsidwa mankhwala. Kuchita bwino kwake sikumangotengera kusankha koyenera kwa maantibayotiki ndi njira yoyendetsera, komanso chithandizo cha opaleshoni ya bala. Mankhwalawa amayenera kukhala a panthawi yake komanso okwanira, makamaka ngati matendawa ndi oopsa komanso akuya kwambiri. Mankhwala othandizira phazi sayenera kuchedwetsa, koma ayenera kuchitika nthawi yomweyo pamene mankhwala a antibayotiki atchulidwa. Ziyenera kukhala zowoneka bwino, i.e., zimakhudza minofu yonse yovuta komanso yosagwira.

Ngati wodwala ali ndi zizindikirazi, ndiye kuti zikuwoneka kuti akuyenera kuthandizidwa ndi maantibayotiki, komanso mu Mlingo wokwanira, ndikuyamba mwachangu. Koma mu shuga mellitus, makamaka odwala okalamba, chitetezo cha mthupi chimasandulika kukhala hyporeactive, i.e., imayankha mofooka kumatenda. Zikatero, zizindikiro zomwe zatchulidwazi sizimawoneka, ndipo adokotala amayenera kupereka mankhwala, atayang'anitsitsa mawonekedwe awomwe akutenga matendawa.

Mabala owopsa komanso osakhazikika, zizindikiro za matenda ndizosiyana. Poyamba, ndi chotupa, kutupa, kupweteka, kutentha thupi, mafinya amasulidwa ku bala. Mabala osapweteka, Zizindikiro za matendawa ndikuwoneka ngati ululu m'zilonda ndi minyewa yoyandikana nayo, fungo losasangalatsa, kuchuluka kwa zilondazo, kusintha kwa mtundu wa "kutumphuka", ndikutulutsa kwa mafinya kapena magazi kuchokera bala.

Mankhwala othandizira odwala am'miyendo ya matenda ashuga, ma mankhwalawa amatha kuthandizidwa kuchipatala, kapena wodwala atha kupita nawo kunyumba mapiritsi. Njira yoyamba ndiyofunikira ngati matendawa ali oopsa, ndipo akuwopseza moyo wa wodwalayo kapena chitetezo cha dzanja. Ngati wodwala matenda ashuga apezeka ndi phlegmon, zilonda zam'mimba kwambiri, chonyowa kapena kuti sepsis, ndiye kuti mankhwala opha maantibayotiki amachitika kudzera m'mitsempha. Amaphatikizidwanso ndi opaleshoni yamadzimadzi a purulent foci, detoxization ndi miyeso yokhala ndi shuga m'magazi. Zonsezi zimachitika m'chipatala.

Ngati purulent foci sinali yakuya ndipo pakangokhala zisonyezo zakuthambo chabe zamatenda, ndiye kuti wodwalayo amatha kumwa maantibayotiki ngati mapiritsi osapita kuchipatala. Ndikofunika kudziwa kuti chifukwa cha autonomic neuropathy, kuyamwa kwa michere ndi mankhwala osokoneza bongo m'matumbo kumatha kusokoneza. Poterepa, ndikofunikira kusinthira ku kukonzekera kwa maantibayotiki.

(kutha kwa 2011)
Yang'anani! Chidziwitsochi ndi "chinyengo cha pepala" kwa madokotala okha! Odwala - musamamwe mankhwalawa. Funsani dokotala woyenera!

Pakamlomo (mapiritsi, pakamwa)MothandizidwaStaphylococci (Staphylococcus aureus)

Clindamycin 300 mg katatu patsiku
Rifampicin 300 mg katatu patsiku
Flucloxacillin 500 mg 4 pa tsiku

Clindamycin 150-600 mg 4 pa tsiku
Flucloxacillin 500 mg 4 pa tsiku

Methicillin wosagwira Staphylococcus aureus (MRSA)

Trimethoprim 200 mg kawiri pa tsiku
Rifampicin 300 mg katatu patsiku
Doxycycline 100 mg / tsiku
Linezolid 600 mg 2 kawiri pa tsiku

Vancomycin 1 g 2 pa tsiku
Linezolid 600 mg 2 kawiri pa tsiku
Daptomycin 300-600 mg 1 nthawi patsiku

Streptococcus

Amoxicillin 500 mg katatu patsiku
Clindamycin 300 mg katatu patsiku
Flucloxacillin 500 mg 4 pa tsiku
Erythromycin 500 mg katatu patsiku

Amoxicillin 500 mg katatu patsiku
Clindamycin 150-600 mg 4 pa tsiku

Enterococci

Amoxicillin 500 mg katatu patsiku

Amoxicillin 500 mg katatu patsiku

Anaerobes

Metronidazole 250 mg 4 pa tsiku
Clindamycin 300 mg katatu patsiku

Metronidazole 500 mg katatu patsiku
Clindamycin 150-600 mg 4 pa tsiku

Coliform (E. coli, Proteus, Klebsiella, Enterobacter)

Ciprofloxacin 500 mg 2 kawiri pa tsiku
Cefadroxil 1 g 2 pa tsiku
Trimethoprim 200 mg kawiri pa tsiku

Ciprofloxacin 200 mg kawiri pa tsiku
Ceftazidime 1-2 g katatu pa tsiku
Ceftriaxone 1-2 g / tsiku
Tazobactam 4,5 ga katatu patsiku
Trimethoprim 200 mg kawiri pa tsiku
Meropenem 500 mg-1 g katatu patsiku
Ertapenem 500 mg-1 g patsiku
Ticarcillin clavulanate 3.2 g katatu pa tsiku

Genus Pseudomonas (P. aeruginosa)

Ciprofloxacin 500 mg 2 kawiri pa tsiku

Ceftazidime 1-2 g katatu pa tsiku
Meropenem 500 mg-1 g katatu patsiku
Ticarcillin clavulanate 3.2 g katatu pa tsiku

Nthawi zambiri, odwala matenda ashuga a m'mimba amaphatikizidwa ndi vuto laimpso. Zikatero, ngati mankhwala opha maantibayotiki kapena mankhwala ena ataperekedwa mu mulingo woyenera wowerengeka, kuvulaza kwakukulu kungachitike ku thanzi la wodwalayo. Chifukwa chiyani pali ngozi:

ntchito ya impso itachepa, ndiye kuti mankhwalawo ndi ma metabolites ake akhoza kukhala ndi vuto lakukula mthupi.
Odwala omwe ali ndi vuto laimpso, kulolera mavuto ambiri amachepetsa,
maantibayotiki ena samawonetsa kwathunthu ngati mawonekedwe a impso afooka.

Popeza izi, ngati wodwala ali ndi zovuta za miyendo yake kuphatikizika ndi nephropathy, ndiye kuti dokotala ayenera kusintha payekha mankhwala osokoneza bongo

Opaleshoni, kudulidwa

Kuchita opaleshoni pachilonda ndikuchotsa khungu ndi mafinya. Ziyenera kuchitidwa kuti minofu yomwe yatha sikhala malo operekera mabakiteriya ovulala.

Kodi izi zimachitika bwanji:

Khungu limatsukidwa ndikuthira mankhwala.
Zimadziwika kuti vutoli lakuya bwanji komanso ngati pali chinthu china chachilendo chomwe chinagwera.
Dokotalayo amachotsa minofu yakufa ndi scalpel ndi lumo ndikuchita opaleshoni kenako ndikuyambitsa bala.

Pamapeto pa opaleshoniyo, chilondacho chimatha kuwoneka chachikulu komanso chakuya kuposa kale. Ikhale yapinki kapena yofiyira, yowoneka ngati nyama yatsopano.

Kuphatikiza pa opaleshoni, palinso njira zina zochizira chilonda:

Ma Enzymes amatha kuyamwa omwe amasungunula minofu yosagwira.
Ngakhale mphutsi zapadera zamtunduwu zimagwiritsidwa ntchito, zomwe zimangodya maselo akufa okha. Nthawi yomweyo, amabisala zinthu zomwe zimathandizira kuchiritsa zilonda.

Njira yokhala ndi mphutsi yadziwika kuyambira Nkhondo Yoyamba Yapadziko Lonse. Kuyambira 2000s, chidwi mwa iye chabwereranso.

Chithandizo chowawa sichimawonetsedwa ngati opareshoni. Opaleshoni yeniyeni imayamba kugwira ntchito ngati njira zina zonse zalephera. Kulongosola kwa zovuta za kudulidwa sikungathe kufotokozeredwa ndi nkhaniyi. Kuchiritsa pambuyo pochita opaleshoni kumatha kutenga milungu ingapo kapena miyezi, kutengera momwe wodwalayo amalamulirira bwino matenda ake a shuga.

Nsapato zamatsenga

Nsapato zamatumbo ndiye njira yofunika kwambiri yopewera matenda ashuga a m'mimba. Ngati wodwalayo wavala nsapato zamatumbo zoyenera kwa iye, ndiye kuti izi zimachepetsa kukula kwa zilonda zapazi ndi katatu.

Chovala chachala ndi chidutswa cha zinthu zolimba zomwe zimalimbitsa masokosi a nsapato. Mukuvala nsapato zamankhwala pakakhala kuti palibe chovala chala cholimba. Pamwamba pa nsapatoyo muyenera kukhala ofewa, omasuka komanso otetezeka kwa zala zakumaso. Pasakhale zotchingira mkatikati mwa nsapato zamadzimadzi kuti pasapezeke zolakwika.

Yokhayo iyenera kukhala yolimba, i.e. yolimba, osati zotanuka. Chifukwa chake, kupanikizika komwe kumakhala kutsogolo kwa phazi lakutsogolo kumatsitsidwa, ndipo katundu pazigawo za phazi umagawidwa mofanananira. Zovala zamadzimadzi ziyenera kukhala zabwino komanso zomasuka kuchokera koyenera koyambirira.

Pambuyo powerenga nkhaniyi, mwaphunzira zonse zomwe mungafune zokhudza matenda ashuga othamanga. Zithunzi zambiri zimaperekedwa kuti zikuthandizeni kuwunika momwe zinthu ziliri - momwe miyendo yanu imakhudzidwira komanso zomwe matendawo amafala. Matendawa odwala matenda ashuga ndi vuto lalikulu la matenda ashuga omwe angayambitse kudulidwa. Komabe, si odwala onse omwe ali ndi zilema. Tsatirani malingaliro omwe aperekedwa pamwambapa - ndikuwatsimikizira kuti musunge mwayi woti musunthire nokha " Chachikulu ndikuwonana ndi dokotala panthawi mukazindikira kuti miyendo yanu yawonongeka. Madokotala tsopano amatha kuvala bwino komanso zonunkhira mu zida zawo zomwe zimalimbana ndi matenda ndikupatsanso machiritso.

Osadalira mapiritsi ochulukitsa. Osamamwa maantiyamu nokha! Chachikulu ndichakuti wodwalayo amayamba kulandira chithandizo pa nthawi yake, ngakhale miyendo yake isanayambe kupweteka. Mutha kuyesa alpha lipoic acid kuti muchepetse matenda ashuga komanso kubwezeretsa chidwi m'miyendo. Koma chinthu chabwino chomwe mungachite ndikusinthira ku chakudya chochepa chamafuta kuti musinthe shuga lanu lamagazi. Werengani zambiri za mankhwalawa a matenda a shuga a mtundu wachiwiri komanso chithandizo cha matenda ashuga a mtundu woyamba. Chakudya chamafuta ochepa sichimachepetsa shuga ndipo chimathandiza kuti chizikhala chokwanira, monga momwe zimakhalira ndi anthu athanzi. Chifukwa cha izi, matenda a shuga am'mimba amachoka. Kuzindikira m'miyendo ndikukhazikika. Iyi ndi njira yeniyeni yochira kuchokera ku phazi la matenda ashuga komanso zovuta zina.