Zizindikiro zoyambirira za matenda ashuga mwa akazi ndi atsikana: kuyambika kwa zizindikiro zazikulu
Tikukupemphani kuti muwerenge nkhaniyi pamutuwu: "zizindikiro zoyambirira za matenda ashuga mwa akazi" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.
Kanema (dinani kusewera). |
Zizindikiro za matenda ashuga mwa akazi: Tsambali likukuwuzani zonse zomwe muyenera kudziwa za iwo. Wunikirani zizindikiro za magawo oyambira komanso opita patsogolo a kagayidwe kazakudya. Werengani zambiri mwatsatanetsatane za zizindikiro zowopsa komanso zizindikiro za matenda am'mbuyomu. Mvetsetsani mayeso omwe akuyenera kuwunikidwa kuti mutsimikizire kapena kutsimikizira kuti matendawa ndi owona. Zochitika za matenda ashuga mwa akazi azaka zapakati pa 30, 40 ndi 50 zimaganiziridwa. Phunzirani zamomwe mungachotsere thrush musanathandizidwe ndi mankhwala owopsa a antifungal.
Zizindikiro za matenda ashuga mwa akazi: nkhani yatsatanetsatane
Kumbukirani kuti shuga yayikulu yamagazi ndiyowopsa kwa akazi kuposa abambo. Mwachitsanzo, kwa abambo, chiopsezo cha matenda amtima chimawonjezeka katatu, komanso kwa akazi - katatu. Ziwerengero zofananira zimawonedwa pazovuta zina. Amayi odwala matenda ashuga nthawi zina amalandila chithandizo chochepa kwambiri kuposa amuna. Zifukwa zake:
Kanema (dinani kusewera). |
- azimayi amakhala ndi zowonekeratu zazovuta kuposa abambo, makamaka vuto la mtima,
- chauvinism wamwamuna wa madokotala omwe amalingalira kuti akazi hypochondriacs amawonetsedwa nthawi zina.
Dr. Bernstein ndi Endocrin-Patient.Com webusayiti imaphunzitsanso odwala matenda ashuga momwe angasungire shuga ya magazi 3.9-5,5 mmol / L maola 24 patsiku. Awa ndi mulingo wa anthu athanzi, omwe amatsimikiziridwa kuti atetezedwe ku zovuta za impso, miyendo ndi kupenya kwamaso, komanso matenda amtima. Kuti mukwaniritse kuyendetsa bwino matenda a shuga, simuyenera kudya chakudya chamadwala, kumwa mapiritsi okwera mtengo komanso oyipa, jekeseni mahatchi a insulin. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga. Malangizowa ndi oyenera kwa amayi ndi abambo omwe atha kugwira ntchito kwambiri ndi mavuto abanja komanso mabanja, makamaka olembera.
Kodi zizindikiro zoyambirira za matenda ashuga mwa azimayi ndi ziti? Kodi kagayidwe kathupi kamatenda kamawoneka bwanji?
Matenda a 2 a shuga nthawi zambiri amakhala obisika kwa zaka zingapo. Zimayambitsa zizindikiro zofatsa, pang'onopang'ono zikukula bwino komanso moyo wabwino. Monga lamulo, azimayi amapirira izi, m'malo mokweza alamu, kukhazikitsa matenda ndikuwathandizanso. Zizindikiro zoyambirira za matenda ashuga a 2 ndi kutopa, mavuto ammaso, ndikuchepetsa chidwi. Monga mukuwonera, akhoza kukhala olakwika mosavuta chifukwa cha kusintha kwachilengedwe. Mabala, mabala, mabala ndi zotupa zina za pakhungu sizichiritsa.
- ludzu lalikuru, kukodza pafupipafupi,
- kuchepa msanga kwa thupi, mwina chifukwa cha kuchuluka kwa chakudya,
- kusanza, kusanza,
- kusakhazikika, kuvuta,
- Kununkhira kwa acetone kuchokera mkamwa,
- kulira kapena kugona mmanja, makamaka m'miyendo.
- pakhoza kukhala kuwona kwamaso, kugawanika m'maso.
Zizindikiro zoyambirira za matenda ashuga ndi ziti? Momwe mungadziwire matendawa?
Pakumayambika kwa matenda ashuga, wodwalayo sangakhale ndi tanthauzo lililonse kwa zaka zingapo. Kuti muzindikire matendawa munthawi yake, ndikofunikira kuyezetsa magazi chaka chilichonse. Kapenanso mungachite bwino kuyezetsa magazi.
Maonekedwe awonetsero omwe ali pamwambapa akuwonetsa kuti shuga ya magazi mwa wodwalayo imayamba kukula. Mwina sikutalikira ndi matenda ashuga. Tsoka ilo, nthawi zambiri matendawa amayambira kuyimba foni ya ambulansi chifukwa cha chikumbumtima chosavomerezeka. Madokotala sangathe kupulumutsa 3-5% ya odwalawa kuimfa.Kuti mupewe kukhala ndi chisamaliro chamankhwala ambiri komanso mavuto ena osafunikira, musakhale aulesi kuti mupeze kuchuluka kwa shuga pakukayikira pang'ono kwa matenda ashuga.
Ngati mukufuna kukhala ndi pakati, onani zomwe zalembedwa:
- Matenda Ovuta Kubereka - Kukonza ndikusamalira amayi omwe ali ndi matenda ashuga.
- Matenda a gestational - shuga wamagazi anawonjezeka theka lachiwiri la mimba.
M'pofunika kukambirana za matenda onga omwe amachititsa kuti azimayi azikhala ndi matenda osokoneza bongo mosaletseka. Kudandaula kofala kwambiri ndikusangalatsa. Amawonetsedwa ndi kuyabwa mu nyini, kutulutsa tiziwopsezo, mavuto m'moyo wapamtima. Mutha kuthana nawo popanda kugwiritsa ntchito mankhwala oletsa poizoni, ngati mupita kudya zakudya zamafuta ochepa. Fungus ya candida albicans yomwe imayambitsa kupweteka imatha kubweretsa mavuto pakamwa.
Kuchuluka kwa shuga kwa magazi kumapangitsa kuti pakhale yisiti komanso mabakiteriya ena ambiri oyipa. Pakhoza kukhala matenda a kwamikodzo, makamaka, cystitis - kutupa kwa chikhodzodzo. Akazi amatenga nawo chidwi kwambiri chifukwa cha mawonekedwe awo apamwamba. Matendawa ndi osasangalatsa mwa iwo okha. Choyipa kwambiri, mabakiteriya amatha kufikira impso ndikuyamba kuziwononga. Pyelonephritis ndimatenda otupa a impso, omwe amayamba chifukwa cha tizilomboto tambiri toyambitsa matenda. Zimakhala zovuta kuchiza.
Khungu likhoza kukhala louma, kusenda komanso kupendekera. Matenda a shuga a Mtundu 2 nthawi zina amayambitsa khungu la khungu lotchedwa acanthosis nigricans. Komabe, kuperewera kwa shuga wa m'magazi sikuti nthawi zonse kumayambitsa mavuto a khungu. Simungathe kuyang'ana pa zizindikiro zakunja za matendawa. Nthawi zambiri, mavuto amtundu wa khungu sawoneka, ngakhale shuga wa wodwalayo atatha. Matenda a shuga amawonjezera kukalamba kwa thupi, ndipo izi zimakhudza mkhalidwe wa pakhungu. Izi zimavutitsa azimayi, koma kusintha kwa zoyipa kumachedwa. Nthawi zambiri odwala amawazolowera ndipo samakweza alamu.
Kodi zizindikiro za matenda ashuga mwa azimayi azaka zopitilira 30 ndi ziti?
Ngati kagayidwe kakang'ono ka shuga kamasokonezeka kaonekera mwa mkazi wazaka pafupifupi 30, ndiye kuti ndiamtundu woyamba wa matenda ashuga - matenda oopsa a autoimmune. Kukula kwa shuga m'magazi oyambitsidwa ndi moyo wopanda thanzi nthawi zambiri sikuti kumakula msanga. Matenda a shuga amtundu wa 1 amawonekera mofulumira. Nthawi yomweyo imayambitsa zizindikiro zopweteka zomwe zatchulidwa pamwambapa. Pazaka pafupifupi 30, simungachite mantha ndi matenda ashuga apambuyo.
Yang'anani kuchuluka kwa glucose anu mu labotale kapena osachepera ndi mita yamagazi a nyumba. Ngati matendawa atsimikiziridwa, werengani mtundu 1 wololera matenda a shuga ndikutsatira malingaliro ake. Dzilimbikitseni nokha ndikuti ndizosatheka kudziteteza ku matenda, si vuto lanu pakuwoneka kwawo. Komabe, ndiudindo wanu kupewa komanso kulimbana ndi zovuta.
Kodi ndi zinthu ziti zomwe zimapangitsa kuti shuga asokonekera mu azimayi azaka pafupifupi 40?
Amayi azaka zopitilira 40 amatha kukhala ndi mitundu iwiri ya matenda ashuga. Shuga wamagazi amatha kuchulukitsidwa chifukwa cha zakudya zopanda thanzi komanso moyo wongokhala. Kuukira kwa autoimmune pama cell a pancreatic beta omwe amapanga insulin amathanso kuyamba. Ozunzidwa awo amakhala anthu ochepa thupi komanso oonda. Sizikupanga nzeru kuyesa magazi okwera mtengo kwa ma antibodies kuti mudziwe ngati ali ndi vuto. Chifukwa sizikhudza njira zamankhwala.
Matenda a shuga a Autoimmune mwa akazi ndi amuna azaka 40 ndi akulu amatchedwa LADA. Ndizofala kwambiri kuposa momwe mumaganizira kale. Madokotala anazindikira izi pambuyo pa 2010. Tsopano akusintha pang'onopang'ono malangizo a mankhwala. Kuyambira atakwanitsa zaka 40, matendawa ndi osavuta, pokhapokha ngati wodwalayo amatsatira zakudya zamafuta ochepa. Komabe, jakisoni wa insulin yotsika mtengo ungafunike, ngakhale mutadya zakudya zabwino.
Matenda a 2 a akazi azimayi nthawi zambiri amakula patatha zaka 45.Komabe, zitha kuyamba kumayambiriro, makamaka ngati shuga anali atayamba kale kale panthawi yapakati. Matendawa ndi osavuta kuiwongolera posintha kukhala ndi moyo wathanzi. Zikadakhala kuti wodwalayo anali ndi chidziwitso chokwanira kutsatira malamulowa. Tsoka ilo, ndi matenda amtundu wa 2 shuga, kuukira kwa autoimmune pama cell a pancreatic beta kumawonekeranso. Zimatengera kudziwiratu kwa izi, ngakhale kunenepa kwambiri kudzasanduka shuga. Jakisoni wa insulini angafunikire kulipiritsa kuthana ndi autoimmune. Musakhale aulesi ndipo musaope kulandira chithandizo ndi insulin, ngati pangafunike. Makamaka panthawi ya chimfine ndi matenda ena opatsirana.
Matenda a shuga mwa akazi: Zizindikiro, zizindikiro
M'zaka zaposachedwa, pakhala kudumphadumpha koopsa kwa odwala matenda ashuga. Zomwezi zimachitikiranso anthu omwe akukhala m'mizinda ikuluikulu. Malinga ndi ziwerengero, zaka khumi zilizonse kuchuluka kwa anthu omwe akudwala matendawa kumachulukanso.
Pafupifupi 2 mpaka 3.5% ya anthu adziko lathu ali ndi matenda ashuga osiyanasiyana ovuta. Nthawi zambiri, ndi akazi omwe ali ndi vutoli. Zomwe zimachitika izi zimakhala nkhawa yokhazikika, kusowa kwa mavitamini, kusakwanira kwa chakudya, komanso kulimbitsa thupi.
Zinthu zonsezi zimapangitsa kuti munthu azikhala wotopa kwambiri, azitopa komanso azidzuka, zomwe nthawi zambiri zimatha kudziwika kuti ndizifukwa zina.
Zizindikiro zakukula kwa matenda ashuga
Zizindikiro za matenda ashuga mwa akazi zimatha kuyimiridwa pamiyeso yambiri, ngakhale atakhala ndi zaka zingati. Amatha kuchitika nthawi yomweyo komanso mosiyanasiyana muubwana ndipo atatha zaka 50. Chifukwa chake, monga lamulo, matenda a shuga a 2 amawonekera:
- kugona ndi kupanda chidwi
- ludzu losalekeza
- kuchuluka kwambiri kwa mkodzo
- kufooka ndi kuchepa kwa magwiridwe
- onenepa kwambiri, wowonetsa kunenepa kwambiri,
- matenda oopsa
- kulakalaka kwambiri
- mutu
- kuyaka khungu kosalekeza,
- kuwonda kwambiri
- pustules padziko khungu.
Ma foni oyipa omwe anganene za kumayambiriro kwa matendawa ndi oti azikhala ofooka komanso osafunikira. Ndizodziwika bwino kuti zizindikiro zodziwika bwino za matenda ashuga mwa azimayi zimawonedwa ngakhale atapuma kwautali komanso wapamwamba kapena kugona tulo tulo. Mzimayi alibe chitonthozo chamaganizidwe, mphamvu sizikula, ndipo kumva kukhala wotopa kumakulirakulira nthawi zonse.
Sizachilendo kwa odwala matenda ashuga kuti ngakhale atadya chakudya chokwanira, mkazi samatha kuchita zinthu, amaganiza bwino ndipo amangofuna kugona. Nthawi zina, zizindikiro zoterezi zimadziwika chifukwa cha kuchuluka kwa chakudya chamagulu ambiri. Komabe, ngati zoterezi zimachitika pafupipafupi, ndiye ichi ndichizindikiro chotsimikizira kuti ndi nthawi yopempha thandizo kuchipatala.
Zizindikiro zowoneka bwino komanso zolondola za matenda ashuga zimaphatikizapo kumangokhala ndi ludzu komanso pakamwa pouma. Zodabwitsazi ndizosatha, mwanjira ina, mumafuna kumamwa nthawi zonse, koma machulukidwe ake samachitika.
Izi, zimaperekanso chizindikiro china chodabwitsa cha matendawa - kukodza pafupipafupi. Zikatero, muyenera kulumikizana ndi achipatala kuti mutsimikizire kapena kupatula matendawo.
Ndikofunika kutchula padera kuti pali matenda a shuga, omwe zizindikiro zake ndi zosiyana.
Kunenepa kwambiri ndi chizindikiro chofanana ndi chitukuko cha matenda ashuga mwa akazi. Ngati mafuta owonjezera amawonedwa, ndiye kuti pali vuto lalikulu.
Panthawi imeneyi, pakhoza kukhala kuchepa kwa chidwi cha maselo ndi minyewa kuti mupange insulin, yomwe ndiyofunikira kuti mukhale ndi moyo wonse. Ndiamene amachita gawo limodzi lofunikira kwambiri mthupi lathunthu.
Insulin imayambitsa kuchuluka kwa maselo a ziwalo zonse ndi machitidwe ndi glucose.
Ngati thupi lili ndi mafuta ochulukirapo, ndiye kuti zingayambitse zopinga zomwe zimalepheretsa shuga. Izi zimabweretsa kuchepa kwa magazi ndipo, pamapeto pake, zimayambitsa kuwonongeka kwa mtima.
Malo osungirako mafuta omwe amakhalanso ndi gawo lofunikira. Mwachitsanzo, ngati pali mapaundi owonjezera mchiuno ndi matako, ndiye kuti milandu ngati imeneyi siyowopsa. Ngati mafuta amadzaza pamimba ndi m'chiuno, ndiye kuti ndizofunikira mwachindunji kuyambika kwa matenda oopsa, mavuto amtima, komanso kusokonezeka kwa kagayidwe kazakudya.
Kuwonetsedwa kwa matenda oopsa, makamaka kuthamanga kwa magazi, pamodzi ndi kunenepa kwambiri, ludzu losatha komanso chilakolako chokwanira, zimakhala zofunikira kwambiri komanso zoyambirira za kuyambika kwa matenda ashuga mwa munthu aliyense.
Ngati pali chikhumbo chosalekeza komanso chosagwedezeka cha kudya maswiti, ndiye izi zikuwonetsa kuti ubongo, komanso minyewa ina ndi ziwalo zina sizilandira kuchuluka kwa shuga. Chifukwa chake, maselo amafa ndi njala ndipo nthawi zonse amawonetsa kuti m'mimba muzidya chakudya chochulukirapo. Poona izi, azimayi ena amangokhala ndi chidwi chofuna maswiti komanso zakudya zina.
Nthawi zina, mothandizidwa ndi matenda a shuga, kuonda kwambiri kumawonedwa. Izi ndi zomwe azimayi omwe sakonda kukhala onenepa kwambiri. Kuphatikiza apo, imatha kukhala yosasangalatsa pakhungu, imakhala yosasangalatsa komanso yosasangalatsa ngati ikhudza malo a groin.
Osati nthawi zonse chizindikiro choterocho chimawonetsera chiwonetsero cha matenda osokoneza bongo, chifukwa kuyabwa kumatha kukhala chizindikiro cha matenda ena, mwachitsanzo, kukwiya, kupweteka, kapena matenda opatsirana pogonana.
Ngati mayi ali ndi matendawo amawonetsa zingapo za matendawa kuphatikiza ndi kuyamwa kwa pubis, ndiye kuti izi zitha kuonetsa shuga.
Matenda otere amatha kuwoneka ndi mutu wokhazikika komanso zotupa pakhungu. Mutu umathanso kukhala chifukwa cha zifukwa zina koma popanda mawonekedwe ena a shuga sangakhale chizindikiro.
Zizindikiro za mitundu yosiyanasiyana ya shuga mwa akazi
Mankhwala amakono amasiyanitsa mitundu iwiri yayikulu ya shuga. Chifukwa chake, choyamba chimadalira insulini, ndipo chachiwiri sichodalira insulin.
Matenda a shuga a Type 1 amachitika chifukwa cha kuwonongeka kwa kapamba ndi maselo ake. Zikatero, kupanga insulin kumatha kuchepa kapena kusiya. Ndi chifukwa cha matenda amtunduwu omwe azimayi ochepa komanso owonda amatha kuganiziridwa.
Zizindikiro zazikulu za matenda a shuga omwe amadalira insulin ndi monga:
kufooka pafupipafupi, kutopa msanga, komwe kumabweretsa kunenepa.
- Pakamwa pokhapokha pomauma ndi ludzu, lomwe limasokoneza kukodza kwambiri,
- kulawa kwazitsulo pamkamwa,
- khungu lowuma, mikono ndi miyendo, ziribe kanthu kuti mafuta omwe amagwiritsidwa ntchito ndi ati,
- kupezeka kwa acetone mu mkodzo,
- kusakwiya ndi kusokonekera, mutu, mavuto ogona, kukhumudwa, manjenje,
- nseru ndi kugwedezeka
- furunculosis,
- matenda obwera kumaliseche
- kukakamira ndi zowawa m'matumbo, zowawa pamtima,
- kuwonongeka kowonekera mwachangu.
Ngati tizingolankhula za insulin-yodziyimira payokha, ndiye mu nkhani iyi, kupanga insulin sikuperewera. Vuto lalikulu la matenda amtunduwu ndi kuchepa kwamphamvu kwa chidwi cha minofu kuti chimalandire insulin. Zizindikiro za matenda amtunduwu mu mfundo zina ndi zofanana ndi mtundu woyamba, koma mwa ena onse ndi osiyana ndi iwo. Chifukwa chake, kwa mtundu wachiwiri wa matenda ashuga ndi mawonekedwe:
- ludzu losalekeza
- kuyabwa mu perineum
- dzanzi pafupipafupi mikono ndi miyendo, komanso kuchepa kwa chidwi chawo,
- kuchepa kwa mawonekedwe ndi maso owala
- mawonekedwe a mabala omwe samachiritsa kwa nthawi yayitali, komanso matenda ena akhungu.
- kufooka kwa minofu ndi kugona pambuyo chakudya,
- utachepa chitetezo cha mthupi komanso matenda opatsirana pafupipafupi komanso a virology,
- Chifukwa cha kuchuluka kwa chakudya, kulumpha mwadzidzidzi kunenepa kwambiri komanso kunenepa kwambiri kumawonedwa,
- kutayika kwa tsitsi kumalekezero akumunsi, mawonekedwe a tsitsi laling'ono kumaso, chibwano,
- kukula kwa xanthomas - m'malo mwake khungu laling'ono la chikaso.
Kodi matenda a shuga angapewere bwanji?
Simagulu onse aanthu omwe amatha kukhala ovutitsidwa ndi matenda osasangalatsa awa, komabe, iwo omwe ali ndi cholowa chosagwirizana ndi matenda a shuga amatha kukhala pachiwopsezo, chifukwa ngakhale m'modzi mwa makolo adadwala matenda a shuga, ndiye kuti ana angathe kudwala matendawa kuthekera kwakukulu, ndichifukwa chake kupewa matenda a shuga ndikofunikira kwambiri.
Anthu omwe akuvutika ndi matenda oopsa komanso atherosulinosis ya mtima, komanso odwala omwe ali ndi zaka zopitilira 45, atha kukhala nawo m'gulu lowopsa. Amayi omwe adabereka mwana wamwamuna wamkulu wokwanira (makilogalamu 4 wolemera) ayenera kumvetsera mwachidwi, panthawi yomwe ali ndi pakati panali kuphwanya mayamwidwe a shuga kapena matenda a shuga.
Zachisoni kuti, matenda obadwa ndi matenda obadwa nawo ndi osatheka kupeweratu, chifukwa kaya wodwala ali ndi zaka zingati, mtundu wa 1 kapena mtundu wa 2 wodwala ulipobe. Komabe, pakadali pano, pali zinthu zina zomwe zachitika pakuwunika kwa matenda omwe amachititsa kuti munthu adziwe matenda oyambira, makamaka ngati kulibe zizindikiro zazing'ono.
Kodi mungapewe bwanji kuyambika kwa matendawa?
Monga mukudziwa, ndikosavuta kupewa vutoli kuposa kuyesetsa kuthana ndi mavutowo. Njira zomwe zithandizire kukonza moyo komanso kuchedwetsa matenda osokoneza bongo ndi monga: kuyesetsa kuchita masewera olimbitsa thupi, zakudya zapamwamba komanso zopatsa thanzi, komanso kuthana ndi mavuto.
Kuchita zolimbitsa thupi pafupipafupi kudzakhala chinsinsi cha thupi lathanzi. Makamaka ngati munthu wakhala akugwira ntchito kwa zaka zambiri. Kuti ziyenera kulipidwa moyenerera ndikuyenda mu mpweya watsopano, ntchito, komanso zochitika m'magulu azamasewera kapena makalabu. Izi zidzakulitsa thanzi kwazaka zambiri.
Zotsatira zabwino zitha kuchitika mukamachita masewera olimbitsa thupi otchedwa Bodyflex. Sizovuta kuchita, komabe, mphindi 15 izi zophunzitsira zithandizira kulimbitsa minofu, kukonza njira za metabolic ndipo nthawi yomweyo zimawotcha mapaundi owonjezera. Pazinthu zovuta, mutha kulangiza ndikuwunika miyambo ya cholesterol yamagazi mwa akazi.
Ndikofunika kulipira chidwi chanu pafupi ndi zakudya, chifukwa zimatha kupewa kupewa matenda ashuga. Kukhala bwino kugwiritsa ntchito mkate wa rye m'malo mwa makeke ndi makeketi, omwe sangakhale ndi phindu limodzi mthupi.
Ndikofunika kupatula kwathunthu m'zakudya zosiyanasiyana zakonzedwe, zakumwa zoledzeretsa ndi mbale zaonunkhiritsa.
Ndikofunikira kuti muzikhala mosangalatsa nthawi zonse, chifukwa moyo wonse wa munthu umadalira. Mutha kuchita yoga, malingaliro osiyanasiyana. Zochitika ngati izi zimathandizanso kumanganso thupi ndikuthandizira kuti zisamalimbane ndi matendawa, komanso kupewa, ngakhale atakhala ndi zaka zingati.
Ngati mayi akhazikitsa chidwi chake pamatenda ake komanso matendawa ku matenda osiyanasiyana, ndiye kuti ndizotheka kupewa matenda ashuga.
Kodi zizindikiro za matenda ashuga mwa akazi ndi atsikana ndi ziti?
Tsiku labwino, owerenga okondedwa ndi alendo a blog! Oyimira kugonana moyenera amachita ntchito zambiri pagulu ndipo onsewa amafunikira udindo.
Chifukwa chake, dona wokondedwayo ayenera kuyang'anitsitsa thanzi lake mosamala momwe angathere, kusamalira ngakhale zovuta zazing'ono.Lero tikulankhula za matenda ashuga pakati pa azimayi ndi atsikana, za zizindikiro zoyambirira ndi mtundu wa 1 ndi 2, komanso matenda am'mbuyomu, komanso mawonetseredwe azimayi oyembekezera.
Tsoka ilo, malinga ndi ziwerengero zamankhwala, azimayi azaka zapakati nthawi zambiri amakhudzidwa ndi matenda okoma. Izi zitha kuphatikizidwa ndi kunenepa kwambiri pakati pa theka labwino.
Kulemera kwambiri nthawi zambiri kumayamba kuwonjezeka panthawi ya kusintha kwa thupi, ndiye m'badwo uwu pomwe matenda a shuga amapezeka kwambiri mwa akazi. Chowonadi ndi chakuti mu nyengo yamkuntho, kuchuluka kwa mahomoni kumakonzedwanso, kuchuluka kwa estrogen, secretion ya kukula kwa mahomoni, etc. kwambiri kumatsika.
Matenda a shuga amakhalanso kudikirira hafu yokongola nthawi yomwe ali ndi pakati, pomwe kukwera kwakukulu kwa thupi, palinso chiwopsezo chotenga matendawa, komanso kusintha kwa mahomoni apadziko lonse. Mtunduwu wa shuga umatchedwa gestational kapena shuga yapakati.
Zizindikiro zoyambirira za matenda ashuga mwa akazi
Kenako, tikambirana za zazikulu za matenda ashuga, amene mkazi ayenera kuyang'anira mwachangu kuti achitepo kanthu nthawi. Kupatula apo, kupewa matenda kumakhala kosavuta nthawi zonse kuposa kuchiza pambuyo pake. Zizindikiro zamitundu yosiyanasiyana ya shuga ndizosiyana pang'ono, palinso kusiyana pamlingo wakukula kwa matendawa.
Zizindikiro za matenda a shuga a 2 azimayi wazaka 40-50
Nthawi zambiri, mtundu wachiwiri wa shuga umapezeka mwangozi: ndi prof. mayeso, pokonzekera opareshoni kapena njira zina zochitira opaleshoni.
Ambiri amadwala azaka zapakati pa 40 mpaka 60, matendawa amakula pang'onopang'ono komanso pang'onopang'ono.
Ngakhale m'zaka khumi zapitazi, matenda ashuga a 2 asandulika "achichepere" ndipo m'magulu anu mumatha kukumana ndi amayi achichepere ochepera zaka 30 ngakhalenso mafumu ang'onoang'ono a chubby.
Kuwonetsedwa kwa matenda okoma kumachitika pamene mayi akuphwanya njira zonse zodzitchinjiriza. Ndipo izi ndizabwino kwambiri. Chifukwa pofika zizindikiro zoyambirira, zovuta zina za matenda ashuga zimatha kuyamba. Kukhazikika kwa matendawa kudalembedwa, monga lamulo, zaka zingapo zisanachitike mawonedwe ndipo mkaziyo sangakhale akudziwa izi.
Ichi ndichifukwa chake nthawi zonse ndimalangiza azimayi onse omwe ali ndi vuto lina la kunenepa kuti "ayang'anire" kupezeka kwa shuga wambiri. Izi zimachitika makamaka kwa azimayi azaka zoyenera. Osati shuga wamagazi okha, komanso kuyesedwa ndi a mammologist ndi gynecologist. Komabe, si aliyense amene amamvera malangizowa. Koma pachabe ...
Mawonekedwe oyamba amitundu yachiwiri ya matenda ashuga mwa akazi ndi:
- kamwa yowuma
- ludzu
- kuwonda kapena kuchepa thupi
- kukodza pafupipafupi, makamaka usiku
- kufooka ponseponse komanso kuchepa kwa magwiridwe antchito
- khungu louma komanso mucous nembanemba
- Zizindikiro zakunja pakhungu (ziphuphu, dermatopathy, lipomalosis, etc.)
- Khungu
- kuchepa kwamawonedwe
- kusamba kwa msambo
Amayi ali ndi chizindikiro china chofunikira chomwe chimayenera kuwachenjeza azachipatala ndi akatswiri othandiza venereologist. Ndikutanthauza kuti sichoncho, wogulitsa mkazi yemwe amagulitsa mkaka, koma chovala cha fungal.
Zizindikiro za thrush mwa amayi omwe ali ndi matenda ashuga ndi:
- kuyamwa kosaletseka
- redness ya perineum ndi vulva
- kutulutsa kosaloledwa
Kusasokonekera kwambiri kwa vutoli kumapangitsa azimayi kupita kwa madokotala a zamtunduwu, koma si madokotala onse omwe amayankha molondola ndikupereka chithandizo chamankhwala chokha.
Nthawi zambiri amaiwala, limodzi ndi chithandizo chokwanira cha thrush, kuti alangize kukacheza kwa endocrinologist ndikuwonetsetsa magazi. Ndipo ndi odwala angati omwe amatha kuzindikirika m'magawo oyamba ndi matendawa!
Candidiasis imachitika chifukwa cha kuchepa kwa chitetezo cha mthupi komanso chifukwa cha kuchuluka kwa shuga. Yisiti bowa, zambiri zomwe zimapezeka paliponse, maswiti achikondi komanso malo amchere. Kwa iwo, zinthu zomwe zilipo pano ndizabwino kwambiri kuti ziberekenso.
Nthawi zambiri, madotolo amayesetsa kuchiritsa matenda osapweteka, chifukwa mwa odwala amayamba kubwereranso, ndipo zomwe muyenera kuchita ndikusintha magazi. Koma matenda ashuga sindiye chifukwa chokha chomwe chimapangitsa kuti mayi atenge matenda oyamba ndi maliseche.
Munthu ayenera kukumbukira nthawi zonse kuti bowa amakula mthupi la munthu, makamaka amakhala ndi vuto lomwe limachepetsa chitetezo cha mthupi. Muyenera nthawi zonse kuyesetsa kupeza cholumikizachi ndikuchichotsa.
Pokhapokha ngati pamachitika izi padzakhala chithandizo chokwanira komanso kuchepetsa mwayi obwereranso.
Kuwonetsedwa kwa matenda amtundu wa 1 asungwana ndi amayi ochepera zaka 30
Pankhani ya matenda a shuga amtundu woyamba, kuzindikira kwakeko ndikosavuta. Zizindikiro zoyambirira zimawoneka pafupifupi nthawi yomweyo, chifukwa ndi mtundu uwu ndi kuchepa kwathunthu kwa insulin - mahomoni a kapamba, omwe amachititsa kuti ndalama zibwere mofulumira.
Kwa miyezi ingapo, zovuta sizikhala ndi nthawi yopeza ndipo sizingatheke ngati, pambuyo podziwitsa matendawa, shuga amasungidwa wamba monga momwe angathere. Ndikupangira kuwerenga nkhani "Matenda a shuga 1: zizindikiro ndi zizindikiro."
Tiyenera kudziwa kuti mtundu woyamba wa matenda ashuga sungachitike mwa amayi okhwima, komabe izi ndi zochuluka za ana, atsikana ndi amayi achichepere osakwana zaka 20-30. Zizindikiro zazikulu za matendawa ndi izi:
- ludzu ndi kamwa yowuma
- kuwonda msanga
- kulakalaka
- kukodza pafupipafupi
- mawonetsedwe akhungu lakunja mu mawonekedwe a ziphuphu zakumaso, dermatitis
- fungo la acetone kuchokera mkamwa komanso kuchokera mthupi
- kufooka wamba
- mawonekedwe owoneka
- kusamba kwa msambo
Matendawa nthawi zina amakula mwachangu mpaka pomwe mayi wachichepere amayenera kuthandizidwa. Vutoli limafunikira kuchipatala mwachangu - ketoacidosis. Ketoacidosis ndi chiopsezo komanso chowopsa chomwe chimafuna chithandizo chamankhwala mwachangu.
Poyamba, munthu amamva kuwonjezeka kwa zizindikiro zomwe zili pamwambapa, kenako kupweteka kwam'mimba, kusanza ndi kutsegula m'mimba kuphatikizana, chifukwa ma acetone opangidwa m'magazi amawononga thupi. Ngati simuyankha pazizindikiro, ndiye kuti pang'onopang'ono munthuyo amadzuka kugona, ndipo kuchokera pamenepo amapita ketoacidotic chikomokere, chomwe mwina sangabwerenso.
Zizindikiro za matenda ashuga mwa amayi apakati
Kuti muwone zizindikiro za matenda amishuga pakanthawi kochepa, azimayi onse oyembekezera, ngakhale osawonda kwambiri, amayesedwa shuga. Monga lamulo, izi ndi pachiyambi pomwe polembetsa ku chipatala cha anakubala, mu trimester yachiwiri pamasabata 25-27, komanso musanabadwe.
Wachiwiri trimester amadziwika kuti ndi nsonga yotsutsa insulin panthawi yomwe ali ndi pakati. Ndi munthawi imeneyi pamene mayi woyembekezera, ngati ali ndi ziwonetsero ndi kulemera kwakukulu, kuphatikiza, amapemphedwa kukayezetsa mayeso a glucose (mayeso a kulolera glucose).
Matenda a shuga pa nthawi yomwe ali ndi pakati pamakina nthawi zambiri amafanana ndi matenda a shuga a 2. Ndi kawirikawiri pamene mayi akula mtundu wa 1 pakubala kwa mwana. Chifukwa chake, matendawa amatha kunenedwa kuti samvera chisoni insulin ndipo atsikana ndi amayi achichepere m'thupi nthawi zambiri amakhala ndi izi, komanso omwe amawonjezera kilogalamu yama kilogalamu wachitatu.
Pansipa ndalemba mndandanda womwe umawonetsa ziwopsezo zambiri zakuyamba kwa matenda ashuga mwa amayi apakati:
- zaka zopitilira 40
- matenda ashuga apabanja
- mtundu wopanda mzungu
- kunenepa kwambiri komanso kunenepa kwambiri musanakhale ndi pakati
- kusuta
- kubadwa kwa mwana wolemera zoposa 4.5 kg
- kubalabala
Zizindikiro za shuga yam'mbuyomu mwa akazi
Apa, zachidziwikire, sizomveka kwambiri, chifukwa shuga yam'mbuyomu imatchedwa chifukwa ilibe zizindikiro. Komabe, ndinganene kuti ndili ndi matenda ochedwa, pali zizindikiro kapena zizindikilo zomwe zingayambitse lingaliro lakuyamba matendawa.
Chifukwa chake, ngati ndinu onenepa kwambiri komanso ndinu mayi wokalamba, ndiye kuti mfundo iyi yokha ndiyomwe iyenera kukulimbikitsani kuti mumayesedwe.Ndipo ngati ndinu mtsikana wachinyamata wokonda kudya, koma kuchepa thupi msanga, mwachidziwikire muyenera kulumikizana ndi endocrinologist ndipo ngati simunayo matenda a shuga, ndiye kuti mwina pali zovuta ndi chithokomiro cha chithokomiro.
Kuphatikiza apo, pakalibe zizindikiro zenizeni za matendawa, azimayi ena achichepere amavutika ndi kutopa, kuzizira, kugona, ngakhale mdima. Nkhaniyi ikhoza kukhala chabe kuwukira kwa hypoglycemia, ndiko kuti, kuchepa kwa shuga m'munsi mwabwinobwino.
Monga lamulo, azimayi mwachilengedwe amayambira kudya zakudya zamagulu ndipo nthawi yomweyo amamva bwino.
Izi zimachitika mwa amayi onenepa kwambiri omwe ali ndi insulin yambiri m'magazi. Ndipo ndikumapumira nthawi yayitali chakudya, insulini yowonjezera imeneyi imatha kuchepetsa kuchuluka kwa shuga kulowa pakhomo, ndikupangitsa izi zosasangalatsa. Pali njira imodzi yokha yotulukira - kupita kukasankhidwa ndi adokotala ndikuyamba kuchepetsa thupi mwachangu.
Ma epicode a hypoglycemia amatha kuchitika kalekale zisanachitike zizindikilo zakunja za matenda a shuga, thupi, titero, limakuchenjezani kuti pakuchitika zinazake zoipa ndipo muyenera kuchitapo kanthu. Itha kuchitika chifukwa cha kuyambirira kwa matenda ashuga, ndipo mwina alipo kale.
Zotsatira za matenda ashuga kwa akazi
Kungakhale kupusa kuganiza kuti matenda ngati amenewo sangayang'anitsidwe ndi theka la akazi. Kuphatikiza pazovuta zazikulu zomwe zimakhalapo ndikubwezera koyipa kwa mtundu woyamba wa 1 ndi mtundu wa 2, azimayi amakumana ndi mavuto obeleka. Ndi kovuta kubereka komanso koopsa kwa mwana wosabadwa ngati vuto la shuga silabwino.
Mwa zonse pamwambapa, ndikufuna ndikumaliza ndi kulimbikitsa kwa akazi onse. Okondedwa atsikana ndi akazi, dalirani kwambiri nokha ndi thanzi lanu. Osanyalanyaza khungu lanu, chifukwa mukayambitsa matenda aliwonse mudzawononga nthawi yochulukirapo komanso ndalama kuti muchepe.
Ndipo za mawonetsedwe a shuga mwa amuna, werengani nkhaniyi.
Ndi chisangalalo ndi chisamaliro, endocrinologist Dilara Lebedeva
Zizindikiro za matenda ashuga mwa akazi: Zizindikiro zoyambirira komanso zoyipa
Zizindikiro za matenda ashuga mwa akazi: Tsambali likukuwuzani zonse zomwe muyenera kudziwa za iwo. Wunikirani zizindikiro za magawo oyambira komanso opita patsogolo a kagayidwe kazakudya. Werengani zambiri mwatsatanetsatane za zizindikiro zowopsa komanso zizindikiro za matenda am'mbuyomu.
Mvetsetsani mayeso omwe akuyenera kuwunikidwa kuti mutsimikizire kapena kutsimikizira kuti matendawa ndi owona. Zochitika za matenda ashuga mwa akazi azaka zapakati pa 30, 40 ndi 50 zimaganiziridwa. Phunzirani zamomwe mungachotsere thrush musanathandizidwe ndi mankhwala owopsa a antifungal.
Zizindikiro za matenda ashuga mwa akazi: nkhani yatsatanetsatane
Kumbukirani kuti shuga yayikulu yamagazi ndiyowopsa kwa akazi kuposa abambo. Mwachitsanzo, kwa abambo, chiopsezo cha matenda amtima chimawonjezeka katatu, komanso kwa akazi - katatu. Ziwerengero zofananira zimawonedwa pazovuta zina. Amayi odwala matenda ashuga nthawi zina amalandila chithandizo chochepa kwambiri kuposa amuna. Zifukwa zake:
- azimayi amakhala ndi zowonekeratu zazovuta kuposa abambo, makamaka vuto la mtima,
- chauvinism wamwamuna wa madokotala omwe amalingalira kuti akazi hypochondriacs amawonetsedwa nthawi zina.
Dr. Bernstein ndi Endocrin-Patient.Com webusayiti imaphunzitsanso odwala matenda ashuga momwe angasungire shuga m'magazi 3.9-5,5 mmol / L maola 24 patsiku. Awa ndi mulingo wa anthu athanzi, omwe amatsimikiziridwa kuti atetezedwe ku zovuta za impso, miyendo ndi kupenya kwamaso, komanso matenda amtima.
Kuti mukwaniritse kuyendetsa bwino matenda a shuga, simuyenera kudya chakudya chamadwala, kumwa mapiritsi okwera mtengo komanso oyipa, jekeseni mahatchi a insulin. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga.
Malangizowa ndi oyenera kwa amayi ndi abambo omwe atha kugwira ntchito kwambiri ndi mavuto abanja komanso mabanja, makamaka olembera.
Mtundu wa shuga wachiwiri Mtundu 1 shuga 1 Zakudya za patebulo la nambala 9 Mitu ya sabata: zitsanzo
Ndi mawonetsedwe ati a shuga omwe amawonekera pakhungu?
Khungu likhoza kukhala louma, kusenda komanso kupendekera.Matenda a shuga a Mtundu 2 nthawi zina amayambitsa khungu la khungu lotchedwa acanthosis nigricans. Komabe, kuperewera kwa shuga wa m'magazi sikuti nthawi zonse kumayambitsa mavuto a khungu.
Simungathe kuyang'ana pa zizindikiro zakunja za matendawa. Nthawi zambiri, mavuto amtundu wa khungu sawoneka, ngakhale shuga wa wodwalayo atatha. Matenda a shuga amawonjezera kukalamba kwa thupi, ndipo izi zimakhudza mkhalidwe wa pakhungu. Izi zimavutitsa azimayi, koma kusintha kwa zoyipa kumachedwa.
Nthawi zambiri odwala amawazolowera ndipo samakweza alamu.
Kodi zizindikiro za matenda ashuga mwa azimayi pambuyo pa 50 ndi ziti?
Matenda a shuga a Autoimmune LADA komanso anthu owonda nthawi zambiri samayamba ali ndi zaka 50.
Komabe, matendawa amatha kuyamba zaka zingapo m'mbuyomu, kenako ndikukhala obisika kwanthawi yayitali, atazindikira mochedwa.
Chifukwa chake, ziyenera kukumbukiridwa ngati chimodzi mwazomwe zimayambitsa shuga wambiri. Komabe, odwala matenda ashuga a mtundu wachiwiri ndi omwe nthawi zambiri amayambitsa vutoli.
Kuchepa kwa akazi kumachulukitsa kagayidwe, kumayambitsa kukhazikika kwa kunenepa kwambiri, komanso kumawonjezera chiopsezo cha matenda ashuga ndi mtima. Komanso, matendawa amatha kubisika kwa zaka zambiri. Zizindikiro zofatsa komanso zopweteka zalembedwa pamwambapa. Ngati mwabwera patsamba lino, ndiye kuti mwachiwonekere ndinu wodekha mtima.
Chifukwa chake, simudzachita chilichonse chopusa, kunyalanyaza zizindikiro za kagayidwe kakang'ono ka shuga. Yesani magazi kuti mupeze shuga. Ndikofunika kuyang'ana hemoglobin wa glycated. Komanso, ngati ndi kotheka, gwiritsani ntchito njira ya 2 ya matenda a shuga. Kapenanso tsatirani pulogalamu yoyeserera matenda a shuga 1 yomwe ilinso yoyenera ku LADA.
Zizindikiro zoyambirira za matenda ashuga mwa akazi ndi atsikana: kuyambika kwa zizindikiro zazikulu
Matenda a shuga mwa amayi samatengedwa ngati matenda oopsa. Pakadwala, ma capillaries ndi mitsempha yamagazi amakhudzidwa ndi thupi laumunthu, ndipo ziwalo zimalephera kugwira bwino ntchito. Chovuta chachikulu komanso chovuta kwambiri cha matenda ashuga ndi mphaka, zomwe nthawi zambiri zimayambitsa khungu.
Pali nthawi zina pamene mawonekedwe osalephera a impso amalephera, kusabala, kukula kwa zilonda zam'mapazi zamapazi, ndikugonjetsedwa kwina ndi gulu lawo lomwe limakula.
Monga lamulo, zotsatira za matendawa ndi neuropathy, pomwe kumverera kowawa kumayambika m'miyendo, kenako khungu limataya mphamvu.
Kuphatikiza apo, shuga imakhudzanso chiwindi, ndipo nthawi zambiri imayambitsa matenda ena.
Zizindikiro zoyambirira za matenda ashuga mwa akazi pambuyo pa zaka 30, 40, 50, 60
Masiku ano, matenda a shuga agawidwa m'magulu awiri. Mtundu uliwonse wa matendawa umadziwika ndi zonse zosadziwika bwino komanso zoyambira zake.
Zizindikiro zazikulu za matenda ashuga mwa akazi ndi:
- ludzu losalekeza
- kukodza pafupipafupi
- kuwonda kwakukulu, komwe kumatha kufika ma kilogalamu khumi ndi khumi,
- kufooka kwa thupi ndi kutopa msanga kwa wodwala,
- kukhalapo kwa kununkhira kwa acetone kuchokera mkamwa,
- nebula wa masomphenya
- chizungulire ndi kulemera m'miyendo.
Ponena za nthendayo yosakhudzana ndi matendawa, ndiye kuti imaphatikizapo:
- chithandizo cha matenda osachiritsika (chitetezo chokwanira chimafooka chifukwa cha matenda ashuga),
- mabala okhalitsa,
- kutsitsa kutentha kwa thupi
- kukokana kumaonekera m'malo a ng'ombe.
Zizindikiro zikuluzikulu za matendawa mwa akazi nthawi zambiri zimatengera magawo a thupi la mkazi.
Kapangidwe kakapangidwe ka mahomoni awo ndi kupezeka kwa mahomoni azakugonana achikazi, osati zachilendo, kuyimira kuwopsa kwa matenda osokoneza bongo siosiyana kwenikweni ndi amuna.
Komabe, ngakhale izi, zizindikiro zambiri za matenda ashuga mwa akazi, zomwe zikuwonetsa kukhalapo kwa matendawa, zilipo. Ndikofunikira kuti musangowasiyanitsa, komanso kufunsa dokotala (endocrinologist) munthawi yothandizidwa panthawi yake.
Chifukwa chake, zizindikiro zazikulu za matenda ashuga mwa akazi ndi:
- Kuchepetsa thupi kapena kuwonda msanga,
- kudya kwamadzi ambiri, komwe sikutanthauza kutupa m'mawa,
- kuchepa kwamtima kapena kuchuluka
- Kulephera msambo,
- wotulutsa nkhope pakhungu, komanso pakhungu la manja,
- Khungu
- kuchepa kwa tsitsi ndi misomali,
- mpweya wabwino wa acetone,
- kufooka ndi chizungulire.
Zizindikiro zonsezi za matenda ashuga mwa azimayi zimapangitsa kuzindikira nthawi yayitali matendawa, komanso amatenga zinthu zofunika popewa zovuta.
Ngati muli ndi zizindikiro zina za matenda ashuga, ndiye kuti ichi si chifukwa choti musachedwe kukwiya ndikuyamba kuchita mantha. Kuzindikira kosatsutsika komanso kolondola kumatha kukhazikitsidwa ndi dokotala pochita mayeso a labotale.
Kwenikweni, matenda a shuga samakula nthawi imodzi. Poyamba, kulolera kwa glucose kumalephera. Kupitirira apo, kuperewera kwa insulin kumawonjezereka, kenako matenda a shuga.
Tisaiwale kuti zonse zazikuluzikulu za matenda ashuga mwa akazi zimatha kudzipangitsa kukhala zizindikiro komanso matenda ena akuluakulu. Ichi ndichifukwa chake ndikofunikira kuti mayi aliyense azikayezetsa, zomwe zimaphatikizapo kukayezetsa magazi.
Ndi kuwonjezeka pang'ono kwa shuga m'magazi, ndizovuta kukhazikitsa matenda a shuga. Vutoli limatchedwa kuti malire ndipo limatanthawuza kulekerera kwa glucose.
Ndi nthawi imeneyi pomwe pamakhala chiwopsezo chachikulu chotenga matenda a shuga. Komabe, izi ndizosintha.
Ngati mumatsatira malangizo a dokotala, mutha kupewa matenda oopsa.
Podziteteza ku matenda ashuga, mkazi aliyense ayenera kutsatira kadyedwe ndikudya pang'ono, ndiye kuti kasanu patsiku. Ndikofunikira kuti muchepetse kumwa kwa mafuta onse oyeretsedwa wamafuta ndi mafuta okwanira (uchi, jamu, shuga, etc.).
Zakudya zanu zimatha kukhala michere yambiri komanso zakudya zomwe zimakhala ndi mafuta osungunuka pang'ono.
Ngati tiwapatsa chakudyacho mwa kuchuluka, timalandira zotsatirazi: zophatikiza ndi mafuta sizikhala zosachepera makumi asanu ndi limodzi peresenti, mafuta - pafupifupi makumi awiri, mapuloteni - osapitilira makumi awiri.
Muyenera kusankha nyama yoyera yokha, zakudya zamasamba, mankhwala osambira azitsamba, nsomba zamafuta ochepa. Zakudya zokazinga zimayenera kusinthidwa ndi zakudya zowiritsa kapena zosafunikira. Maswiti, zakumwa ndi shuga, nyama zosuta, zakumwa zozizilitsa kukhosi komanso mchere siziyenera kuyikidwa kunja kwa zakudya, ndikuchita masewera olimbitsa thupi. Pankhaniyi, kupewa matenda anu a shuga kumathandizadi.
Zizindikiro za matenda ashuga mwa akazi, abambo ndi ana - zizindikiro zoyambirira ndi kuwonetsa matendawa
Ndi mwambo kuti munthu akhale woyenerera kukhala ndi matenda ashuga monga endocrinological matenda okhala ndi chithunzi chachikulu chachipatala. Komanso, nthawi zambiri magawo oyamba a matendawa amakhala asymptomatic kapena amadziwika ndi mawonekedwe a polymorphic. Komabe, pali zizindikiro zina za pathology zomwe mungaphunzirepo kuchokera pazinthu zotsatirazi.
Zizindikiro za matenda ashuga mwa akazi
M'moyo wonse, thupi logonana mosiyanasiyana limasinthidwa kusintha kwa mahomoni ambiri. Zotsatira za kusinthaku nthawi zambiri kumachitika chifukwa cha matenda ashuga amtundu wa 2.
Tiyeneranso kukumbukiranso kuti azimayi amakhala ndi vuto la “kulanda” zamaganizidwe ndi chakudya chochuluka. Izi zimakhudzanso zovuta za njira ya metabolic.
Ponena za matenda a shuga a mtundu woyamba, amakula mwa atsikana aang'ono osakwana zaka 25 ndipo sizimatengera mphamvu ya mahomoni.Pamodzi ndi izi, omwe ali pachiwopsezo ndi azimayi panthawi yoyembekezera, omwe amapezeka ndi matendawa pafupipafupi. Zina mwazomwe zimadziwika ndi matenda ashuga mwa akazi ndi:
- kupoleka pang'onopang'ono
- kugona
- kutaya tsitsi
- kuyamwa kwa kutulutsa kosiyanasiyana
- ludzu losalekeza
- kuwonda popanda zakudya
- kulakalaka
- pafupipafupi pokodza.
Kugonana kwamphamvu, nthawi zambiri, kumakonda kunyalanyaza ma alarm omwe akuvutitsa thupi. Poyerekeza ndi kunenepa kwambiri kwam'mimba mwa abambo, nthawi zambiri pamakhala kuperewera kwapadera kwa kupanga kwa glucose transporter hormone.
Mosiyana ndi adrenaline, insulini siyitha kuthana ndi kuchuluka komwe kwatsala. Chifukwa chogwira ntchito yamahomoni opsinjika, kuchuluka kwamafuta achilengedwe amathamangira m'chiwindi, zomwe zimasokoneza thanzi labwinobwino la minofu chifukwa cha shuga.
Mwambiri, Zizindikiro za matenda ashuga mwa amuna ndizofanana ndi zomwe matendawa amapezeka mwa akazi.
Kodi shuga imakhala bwanji mwa ana
Miyezi yambiri ya shuga m'magazi mwa mwana imatha kukhala chifukwa cha kunenepa kwambiri kapena chifukwa cha kutengera kwa chibadwa. Komabe, amakambirana pafupipafupi pakati pa asayansi zokhudzana ndi chibadwa cha matenda.
Malingaliro oterewa akhoza kuthandiziridwa ndi zomwe akatswiri ena omwe amati shuga imakhala ndi matenda a shuga (makamaka ana a shuga) ndi vuto la katemera wa pambuyo pake.
Zotsatira zake, akulu ayenera kuyankha moyenera ngati mwana ali ndi zotsatirazi za katemera:
- ludzu losalekeza
- kuyamwa,
- kusanza
- Kuchepa kwa thupi chifukwa chakukonda kudya,
- matenda apakhungu achinsinsi
- amachepetsa magalimoto komanso zamaganizidwe.
Zizindikiro zoyambira
Kuzindikira matendawa kumayambiriro kwa chitukuko sikophweka chifukwa cha polymorphism yazizindikiro zake. Monga lamulo, zizindikilo za thupi zimatengedwa kuti zimagwira ntchito mopitirira muyeso komanso kutopa.
Chithunzi cha chipatala chokhala ndi mtundu wachiwiri wa matenda atha kukhalapobe mpaka wodwalayo atayamba kudwala matenda a mtima kapena matenda opha ziwalo.
Matenda a mtundu woyamba, kwakukulu, amawonetsedwa ndi mikhalidwe yoipa mwa mawonekedwe aukadaukire kwambiri. Komabe, ndikofunikira kudziwa kuti zizindikiro zoyambirira za matenda ashuga zimatha kuchitika motere:
- Wodwala sangathe kung'amba pansi chala chake chachikulu pansi.
- Manja akamagwira, zala zokhazo ndi zomwe zili pamalo olumikizana mwachindunji.
- Pali bedwetting (ngati ndi mwana).
- Mavuto a mano amawoneka.
- Kuwonongeka kwakuthwa m'masomphenya kumachitika.
Zizindikiro za Matenda Atsopano
Nthawi zambiri, matendawa amakula mosavuta. Kuwonetsedwa kwa njira yobisika kumachitika motsutsana ndi maziko a kupsinjika, zotupa ndi autoimmune zotupa. Kuphatikiza apo, matenda osokoneza bongo a m'mbuyomu amaonedwa ngati owopsa kuposa ochulukitsa.
Akatswiri amati ndi matendawo mtundu wa matenda, zovuta zoyipa za kapamba zimapezeka nthawi zambiri, pakati pa omwe amadziwika kuti ndi matenda am'mimba a shuga.
Pankhaniyi, ndikoyenera kutchulanso zizindikiro zazikulu za matenda am'mbuyomu:
- kamwa yowuma
- mutu
- mkodzo wa acetone
- kutopa.
Momwe mungasiyanitsire mtundu wa matenda ashuga
Amadziwika kuti shuga yayikulu m'magazi imawoneka chifukwa cha kukhumudwa kwa kagayidwe kazakudya.
Pakuwonetsa zisonyezo zilizonse za matenda ashuga mwa amuna, akazi, kapena ana, ndikofunikira kunena kuti mtundu uliwonse wa matenda amadziwika ndi kuchuluka kwa kuwonongeka kwa maselo (ma langerhans islets) omwe ali mthupi la kapamba ndikupanga insulin, yomwe ndiyofunikira kwambiri kwa thupi. Ndi kugonjetsedwa kwathunthu kwa mitundu iyi, kupanga zinthu zamagetsi zofunikira pakufalitsa glucose kumakhala kosatheka.
Mtundu wachiwiri wa matenda a shuga amadziwika ndi kusungidwa kwa magwiridwe antchito a mabulangete a Langerhans, koma insulin yomwe idayamba siitha kuperekera glucose ku minofu ndi ziwalo chifukwa cha kuchuluka kwamafuta acid mthupi la munthu. Odwala omwe ali ndi mtundu uwu wa matenda omwe ali ndi moyo wokangalika komanso zakudya zapadera nthawi zambiri amaperekedwa ndi utsogoleri wa mahomoni.
Zizindikiro zoyambirira za matenda amtundu wa 1 mwa akazi
Mtundu woyamba wa matenda ashuga umayamba ngati matenda a autoimmune wokhala ndi chibadwa chamtsogolo. Kuphwanya kapangidwe ka ma chromosomes omwe amachititsa chitetezo chokwanira kumayambitsa kuwonongeka kwa kapamba.
Kupatuka kotereku sikungakhale kokha ndi matenda a shuga, komanso ndi nyamakazi, systemic lupus erythematosus ndi chithokomiro, zomwe zimakhudza azimayi nthawi zambiri kuposa amuna. Chiwopsezo cha matendawa chikuwonjezereka m'mabanja momwe achibale apamtima anali ndi matenda ashuga.
Njira yoyambitsa chitukuko cha matendawa mu atsikana imatha kupatsirana matenda opatsirana ndi ma virus, makamaka nthomba, matenda a cytomegalovirus ndi mliri wa hepatitis ndi mumps.
Zizindikiro zoyambirira za matenda ashuga mwa akazi omwe ali ndi mtundu wa insulin -
- Kuchulukitsa ludzu ndi kamwa youma, komwe sikudutsa pakumwa madzi.
- Kulawa kwazitsulo mkamwa
- Kuchulukana mobwerezabwereza
- Kuchuluka khungu lowuma ndi kutayika kwa elasticity.
- Kufooka nthawi zonse, kuchepa mphamvu pambuyo pakuchita masewera olimbitsa thupi.
Potere, azimayi achichepere amachepetsa thupi ndi chidwi chambiri. Mukatha kudya ndi zakudya zamagulu am'madzi, kugona kwambiri kumatha ola limodzi. Kusanza ndi kusanza zitha kuwoneka. Mkhalidwe wamaganizidwe umasinthanso - kusakwiya, kuwonjezeka kwa chisangalalo, kukhumudwa kumayamba, kupweteka kwakumutu kumadandaula.
Khungu ndi tsitsi zimakhala zopanda moyo, zowuma, tsitsi limatha kugwera pamutu ndi miyendo ndikukula mwamphamvu pankhope. Kuphatikiza apo, kuyabwa pakhungu, makamaka manja ndi miyendo, totupa pakhungu limasokoneza.
Nthawi ya msambo imasokonezedwa nthawi zambiri, kusabereka kapena kusakhazikika kwina kumayamba. Ndi kuchuluka kwa shuga m'magazi, matenda oyamba ndi fungus amalumikizana, makamaka candidiasis, kwa omwe amachititsa kuti shuga azikhala ndi michere yambiri.
Kuphatikiza apo, odwala oterowo amatembenukira kwa othandizira gynecologists omwe ali ndi chizindikiro cha bakiteriya vaginosis kapena dysbacteriosis. Kuuma kwa nyini ndi kuyabwa kumabweretsa zowawa ndi zosasangalatsa, zomwe, limodzi ndi kuchepa kwa chilakolako chogonana, zimasokoneza kugonana.
Type 1 shuga mellitus nthawi zambiri imakhala ndi njira yofulumira, popeza imadziwonetsa yokha ndi chiwonongeko chachikulu cha maselo apancreatic. Zizindikiro zoyambirira za matenda ashuga mwa akazi zimatha kuyamba ndi ketoacidosis. Pa magawo oyamba, fungo la acetone limawoneka m'mphepo yotulutsa mphamvu, ngati simukufuna thandizo, ndiye kuti wodwalayo amagwa chifukwa chosooka insulin.
Palinso mtundu wina momwe zizindikiro za matenda ashuga mwa azimayi zimapitirira pang'onopang'ono, shuga yambewu yotere imatha kulipiriridwa kokha ndi zakudya ndi mapiritsi ochepetsa shuga.
Pambuyo pa zaka 2-3, ndi kuchuluka kwa ma antibodies ku ma cell a pancreatic, amasinthana ndi chithandizo chamankhwala omwe amapezeka nthawi zonse.
Zizindikiro zoyambirira za matenda ashuga 2 mwa akazi
Mtundu wachiwiri wa shuga umadziwika ndi kukula kwa insulin - kutaya mphamvu kwa ma cell receptors poyankha insulin m'magazi. Kuphatikiza pa kubadwa kwa makolo, matenda okhudzana ndi zakudya amathandizira pakuchitika kwake.
Ndi kudya kwambiri komanso kunenepa kwambiri, zomwe zimatchedwa metabolic syndrome zimayamba, momwe mulingo wa cholesterol ndi glucose m'magazi umakwera, komanso kuchuluka kwa magazi. Chachilendo cha kuchuluka kwa mafuta mu matendawa kumachitika makamaka pamimba (mtundu wam'mimba).
Zizindikiro za matenda ashuga mwa akazi zimayamba ndi mtundu wachiwiri wa matenda atatha zaka 40.Ndikayamba kusintha kwa msambo, zimapita patsogolo. Izi zimachitika chifukwa chodumphadumpha mu mahomoni ogonana pakukonzanso dongosolo la endocrine. Komanso, zochitika zopsinjika zimatha kukhala zofunikira.
Gulu lachiwopsezo limaphatikizanso amayi omwe ali ndi polycystic ovary, komanso ngati ali ndi pakati pamayendedwe a shuga, ngati mwana wabadwa ndi kulemera koposa 4.5 kg, adadwala matenda opatsitsika kapena ali ndi pathupi wosabereka, wosabereka.
Zizindikiro zoyambirira ndizomwe zimayambitsa matendawa:
- Kufooka nthawi zonse ndikuchepetsa kugwira ntchito.
- Kuchulukitsa ludzu komanso kupumira kwamantha.
- Nocturnal diuresis imatheka, monganso kuchuluka kwamkodzo kothira.
- Kuvutika kugona ndi kugona tulo masana, makamaka mukatha kudya.
- Kukokana m'munsi malekezero, kuwawa ndi kuyabwa kwa khungu.
- Kulemera kopitilira muyeso.
Pa khungu la eyelids brownish tubercles amatha kupanga - xanthomas, monga mawonekedwe a cholesterol okwera ndi triglycerides m'magazi.
Kuphwanya kwa lipid kagayidwe komanso kuthamanga kwa magazi kumayendera limodzi ndi chiopsezo chotenga matenda a mtima ndi kuwonongeka kwa mitsempha yama ubongo, yomwe mwa machitidwe a hyperglycemia imatsogolera kugwidwa ndi mtima.
Matenda a shuga m'magulu azimayi amabweretsa matenda opatsirana pafupipafupi, kuchepa kwa chitetezo cha mthupi, komanso kuchiritsa pang'onopang'ono kwa zotupa za pakhungu. Mafinya, ziphuphu, mawonekedwe a zilonda pakhungu. Khungu loyenda ndi kuwuma kwawume, komanso misomali yothina ndi tsitsi, zitha kukhala zizindikilo za shuga wambiri.
Nthawi zambiri kumayamba kuchepa kwa masomphenya, kuwonetseredwa ndi ntchentche zazing'onong'ono pamaso pa maso, kuthinana ndi kuthinana kwa zinthu. Ndi kukula kwa matendawa, matenda ashuga retinopathy, amphaka amayamba.
Kuwonongeka kwathunthu m'mawonedwe a shuga ndikothekanso.
Kutsimikizika kwa matenda
Kuti mumvetsetse zomwe muyenera kuyamba kuchiza matenda, muyenera kutsimikizira kuti mukudwala matenda ashuga. Chifukwa cha izi, zizindikiro za matendawa zimawerengedwa, chifukwa zimatha kuchitika mu ma pathologies ena, kuyezetsa magazi kwa zinthu zam shuga kumachitika.
Chizindikiro choyamba chofufuza ndi kuyesa magazi kwa shuga. Mu shuga, zomwe zimakhala ndi shuga zimaposa 5.9 mmol / L pamimba yopanda kanthu. Komanso, ngati mukukayikira pakuwunika, ngati zizindikiro za matenda a shuga zapezeka, koma hyperglycemia sinakhazikike, kapena ngati pali chilichonse chomwe chingayambitse matenda a shuga, kuyesa kwa glucose kumachitika.
Imachitika ndi muyezo wosala wamagazi m'magazi, ndipo patatha maola awiri mutatha shuga a 75 g. Matenda a shuga amawoneka ngati amatsimikiziridwa ngati chizindikiro chikapitirira 11 mmol / L. Kuphatikiza apo, kuchuluka kwa hemoglobin ya glycated imayang'aniridwa kuti isanthe kusinthasintha kwa shuga m'magazi m'miyezi itatu yapitayi, komanso zomwe zili mu cholesterol ndi lipids m'magazi.
Kuphatikiza apo, maphunziro ngati awa atha kutumizidwa:
- Urinalysis kwa shuga.
- Kuyesa kwa magazi kwa creatinine.
- Kuyesa kwa magazi ndi mkodzo pamatupi a ketone.
- Tanthauzo la C-peptide.
- Kuyesa kwamwazi wamagazi kwa hepatic ndi aimpso.
Ngati kuzindikira kwa matenda ashuga kumatsimikiziridwa ndi endocrinologist, ndikofunikira kutsatira zakudya ndi zoletsa zina kupatula zakudya zosavuta (shuga, mitanda yoyera ya ufa, zipatso zotsekemera) ndi zakudya zomwe zimakhala ndi cholesterol yambiri (nyama yamafuta, impso, chiwindi, ubongo).
Ndikulimbikitsidwa kuti musinthe moyo wanu powonjezera zolimbitsa thupi. Chofunikira kwambiri kwa odwala matenda a shuga ndikuwongolera kuchuluka kwa glucose, komanso, kotero kuti njira yoyambira yamankhwala singasokonezedwe motsutsana. Nkhaniyi ikunena za woyamba matenda a shuga.
Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.
Zizindikiro zoyambirira za shuga mwa akazi - momwe mungazindikire zizindikiro za alamu
Zabwino zonse, abwenzi okondedwa a blog ya Aleksey Shevchenko "Okhala Ndi Moyo Wathanzi". Matenda a shuga a mitundu yonse ndi mliri weniweni wa gulu lamakono. Ziwerengero zikuwonetsa kuti pafupifupi zaka khumi zilizonse kuchuluka kwa milandu kumawonjezeka, ndipo izi zikuwopseza anthu onse.
Masiku ano, pafupifupi theka la anthu mabiliyoni amadwala matenda oopsa awa, ndipo pafupifupi theka la odwala omwe sakudziwa za matendawo, chifukwa chake samalandira chithandizo chomwe chingachedwetse kukula kwa matenda ashuga komanso kupewa olumala. Kutha kukayikira matenda opusitsika awa munthawi ndikofunikira kwambiri, ndipo ndikufuna kupereka nkhaniyi pamutu wa zizindikiro zoyambirira za matenda ashuga mwa akazi.
Mwa mawu oti "matenda ashuga", madokotala amamvetsetsa gulu lonse la matenda omwe amachokera m'magazi a munthu. Izi zimachitika chifukwa kuphwanya kapangidwe ka insulin, komanso momwe imagwirira ntchito.
Matenda a shuga samasungira wina aliyense. Amatha kukhudzidwa ndi ana, akulu, abambo ndi amayi. Zowona, anthu ena ali pachiwopsezo chachikulu. Chifukwa chake, munthu wamkulu akamakula, amakumana ndi matenda ashuga. Kukhala wa liwiro la a Mongoloid kapena Negroid komanso kangapo kumakulitsa chiopsezo chokhala ndi matenda a shuga, osati chifukwa chophwanya kwambiri zakudya, komanso popanda chifukwa chodziwika bwino.
Tsoka ilo, ziwerengero zikuwonetsa kuti shuga imatenga miyoyo yambiri ya amayi kuposa amuna. Izi zikuchitika chifukwa cha kusiyanasiyana kwa thupi la mkazi kuchokera kwa wamwamuna.
- Mavuto ambiri a shuga kwa akazi ndi ovuta kwambiri kuzindikira kuposa amuna.
- Mbiri yamafuta achikazi imabweretsa zovuta zina.
- Matenda a shuga amakhudzanso mtima wa azimayi, koma madokotala osazindikira amakhalanso ndi chidwi ndi zovuta zamtima pakati pa amuna.
Popeza matenda ashuga amakhudza anthu mosaganizira kuti ndi amuna kapena akazi, zizindikiro zambiri ndizofanana. Madokotala amawagawa kukhala a pulayimale ndi sekondale. Gulu lalikulu limaphatikizapo zotsatirazi.
W ludzu (kapena polydipsia). Mu shuga, munthu amakhala ndi ludzu lapadera. Ndizosatheka kuzimitsa ndi zakumwa zilizonse. Ndikufuna kumwa mosalekeza, ngakhale ataledzera bwanji.
Polyuria - ndiye kuti, kukodza pafupipafupi komanso mopitirira muyeso. Zimachitika chifukwa chakuti glucose amapezeka mumkodzo wa wodwalayo (ngati munthu ali wathanzi, ndiye kuti palibe mkodzo m'mkodzo). Ngakhale usiku, wodwalayo ayenera kudzuka kupita kuchimbudzi.
Kuchuluka kwanjala (polyphagy). Chifukwa cha matenda ashuga, maselo sangalandire gwero lawo lamphamvu lamphamvu - glucose. Chifukwa chake, iwo amalira kwenikweni ndi njala, ngakhale munthu adya kwambiri.
Emaciation kapena, Mosiyana, kuthamanga komanso kopanda phindu.
Zizindikiro za matenda ashuga, zizindikiro zoyambirira ndi njira zakuchiritsira kwa akazi
Masiku ano, kuchuluka kwa odwala matenda ashuga kukukulira chaka chilichonse. Kukula kwa matendawa kukuwonetsa kuti kuchuluka kwa anthu omwe akhudzidwa ndi matendawa ndi pafupifupi 3.5% yaanthu onse. Zizindikiro za matenda ashuga sizimawoneka nthawi yomweyo, uku ndikovuta kwa matendawa. Ponena za matenda ashuga 2.
Chodabwitsa cha matenda awa ndikuti sichiwoneka m'masiku oyamba matenda. Kwa zaka 10, amatha kuwononga thupi, pomwe wodwala sangadziwe kuti ali ndi matenda a shuga.
Izi ndi chizindikiro choyamba cha matenda ashuga, pozindikira kuti muyenera kupita kukayezetsa nthawi yomweyo. Wodwala adzayesedwa kukayezetsa magazi. Malinga ndi mabuku ena, kuchuluka kwa shuga kwa magazi kumayambira 3.3-5.7 mmol / L. Ngati wodwala akudziwitsa, ndiye kuti ayenera kuwongolera zowerengera zake za shuga, ndipo izi zitha kuchitika kunyumba, pogwiritsa ntchito glucometer yosavuta.
Mabuluzi: mankhwala osintha shuga a azimayi, ogwiritsidwa ntchito pazizindikiro zoyambirira ...
Poyamba, ndikofunikira kudziwa kuti matenda oterewa akhoza kukhala amitundu iwiri:
- Mtundu wodalira insulin.Anthu omwe amapezeka kuti ali ndi mtunduwu amafunika kukhala pachakudya chokhazikika, kwinaku akuba jakisoni wa insulin. Chofunika kwambiri cha matendawa ndicho kuwonongeka kwa maselo a pancreatic. Tsoka ilo, kuchotsa matendawa ndikosatheka. Matenda a shuga ndi matenda osachiritsika
- Mtundu wodziyimira pawokha wa insulin. Anthu omwe ali ndi vutoli samatsimikiziridwa kuti ali ndi insulin, koma chithandizo ndi mapiritsi ndichowona. Nthawi zambiri, mtundu uwu umaperekedwa kwa anthu opitirira 40 omwe onenepa kwambiri. Dokotala amakhazikitsa wodwalayo pazakudya zomwe ayenera kutaya makilogalamu atatu pamwezi. Ngati palibe njira yabwino, lembani mankhwala.
Zizindikiro za shuga mwa akazi, ngati zingakhale zoyamba:
- Kuchepetsa thupi mwadzidzidzi kumabweretsa kuti mkazi azimva kufooka mosalekeza,
- Kulakalaka kumamwa madzi nthawi zonse, komwe kumakhudza kukodza pafupipafupi,
- Mawonekedwe otsekemera otuluka mkamwa, komanso maume,
- Kupweteka pafupipafupi pamutu, komwe nthawi imodzi kumabweretsa mantha, kuopseza kumatha kuchitika,
- Kuwonongeka kwakutheka,
- Nthawi zambiri pamakhala azimayi omwe ali ndi ululu wamisempha, kukokana kosalekeza,
- Kuyabwa kwadzaoneni.
Zizindikiro zoterezi mwa akazi sizowonetsedwa m'magulu oyamba a matendawa. Matendawa amatha kupezekanso miyezi yambiri. Uku ndikovuta kwa matenda ashuga kuti samawonekera m'magawo oyamba.
Zikafika pamtundu wachiwiri, momwe zimagwirira matendawa sizingasokoneze kupanga kwa insulin. Nthawi zambiri, kuchepa kwa minofu kumverera kwa insulin kumachitika. Zizindikiro zake za matendawa ndi zofanana ndi mtundu woyamba, koma pali zosiyana:
- Chitetezo chochepa. Anthu odwala matenda ashuga a 2 sangathe kupirira chimfine. Matenda okhalitsa okhudzana ndi matenda komanso matenda opatsirana,
- Kulakalaka kwambiri, komwe kumabweretsa kulemera,
- Kutayika kwa tsitsi (pamiyendo), kukula kwa tsitsi kumaso ndikotheka.
Monga mtundu woyamba wa matenda, kuyabwa, kugona, kutopa, ludzu ndizotheka.
Ngati mwasankha kale kupita kwa dotolo, ndiye kuti muyenera kudziwa zomwe katswiri ayenera kuchita atapita. Wodwala atatha kudziwa zonse zomwe zikuwonetsedwa, ayenera kuyesedwa koyesedwa kwa magazi komwe kumachitika pamimba yopanda kanthu ndikuwonetsa kuchuluka kwa shuga m'matimo. Ndikothekanso kuyang'ana kulolera kwa glucose. Izi zimachitika pobayira shuga m'thupi.
Phunziro lofunikira ndikuwunika mphamvu zakukula kwa zovuta; chifukwa izi zimawunikira tsiku lililonse. Kuyesedwa kwamkodzo kumachitika, zomwe zimayenera kuwonetsa kukhalapo kwa acetone m'magazi.
Ndikofunikira kwambiri kuyendera dokotala wamaso kuti muwone ngati zili ndi ziwonetserozo mkati. Kungowunika kwathunthu kumene kudzawonetsa mtundu wa matenda ashuga.
Akatswiri amalimbikitsa anthu onse kuti azipereka magazi kuti azifufuza pofuna kupewa matendawa. Ndipo apa tikulankhula za matenda ambiri omwe samawonetsedwa ndi zizindikiro zakunja m'masiku oyamba ogonjetsedwa.
Ngati simuyamba kulandira chithandizo cha matenda a shuga pakapita nthawi, ndiye kuti mutha kudziika pachiwopsezo chachikulu. Nthawi zambiri anthu omwe ali ndi shuga yayikulu sachitapo kanthu, zomwe zimabweretsa zotsatirapo zoyipa, ngakhale madokotala amati kudwala kumeneku sikubweretsa chiopsezo chachikulu kwa anthu.
Zomwe zimayambitsa matenda ashuga zomwe zimayambitsa kwambiri:
- Coma Zotsatira zoyipa kwambiri za matenda ashuga. Wodwalayo amakhala ndi chikumbumtima chodzidzimutsa, samadzimva zenizeni, pambuyo pake amatsitsidwa. Ngati simungatembenukire kwa dokotala, ndiye kuti zotsatira zake ndi zomwe zingachitike,
- Kutupa. Zotsatira zenizeni kwambiri zomwe zitha kuwonetsa kukula kwa mtima kulephera. Ngati wodwala ali ndi edema, pitani kuchipatala msanga
- Zilonda zam'mimba. Izi ndizotheka kwa anthu omwe akhala akulimbana ndi matenda kwa nthawi yayitali,
- Gangrene Zotsatira zopanda pake zenizeni za matenda ashuga. Itha kuchitika mwa anthu omwe amathandizidwa ndi matenda ashuga koposa chaka. Chinsinsi cha gangrene ndiko kugonjetsedwa kwa zombo zazikulu / zazing'ono.Matendawa samathandizidwa. Nthawi zambiri, imakhudza miyendo ya wodwalayo, ndipo pamapeto pake imadula mwendo.
Zizindikiro za matenda ashuga zimatha kuchitika nthawi iliyonse, ngakhale mutapanikizika pang'ono. Popeza matendawa sadziwoneka pomwepo, koma muli ndi chidwi ndi izi, yesetsani kuchitapo kanthu.
Zaka makumi angapo zapitazi, chiwerengero cha odwala matenda a shuga chikukula kwambiri. Ofufuzawo akuti zomwe zimayambitsa kuchuluka kwa miliri, kuchuluka kwa vuto la kuperewera kwa zakudya m'thupi komanso kugwiritsa ntchito zakudya zabwino. Chifukwa chake, 80% ya anthu odwala matenda ashuga a 2 amakhala m'maiko otsika ndi ndalama zochepa. Mtundu wachiwiri umapezeka mu 90% ya onse odwala matenda ashuga, makamaka amapezeka mwa achikulire ndipo mwafupikitsafupikitsa moyo ndi zaka 10. Zinawululidwa kuti mtundu 2 wa matenda ashuga ndiwowonjezereka nthawi 3.3 mwa akazi kuposa amuna. Chifukwa chake, ndikofunikira kudziwa zoyamba za matenda ashuga mwa azimayi ndikuchitapo kanthu popewa zovuta.
Mwa azimayi omwe ali ndi matenda a shuga a mtundu wachiwiri, amafa am'matenda amtundu wamtima amakhala okwera kwambiri kuposa amuna. Matenda a shuga a Type 1 alibe kusiyana pakati pa amuna ndi akazi. Miyezi yambiri ya hemoglobin yokwezeka mwa akazi imachulukitsa ngozi ya stroko. Mukazindikira mtundu uliwonse, mwamaganizidwe, azimayi amavutika kwambiri kuposa amuna. Ndipo chifukwa chakuchepa kwa chitetezo cha thupi la akazi, chiopsezo cha kufa mwa akazi ndichokulirapo kuposa chachimuna. Amuna, nawonso, ali ndi mwayi wokhala ndi matenda a chifuwa chachikulu katatu.
Atherogenic dyslipidemia yokhala ndi msambo wosungidwa pambuyo pa zaka 50 mwa akazi inali yofala kuposa amuna komanso kuphatikiza zina zomwe zimayambitsa matenda a mtima.
Kodi pali kusiyana kotani pakati pa amuna ndi akazi omwe amayambitsa matenda ashuga? Choyamba, kugonana kwa akazi kumakhala kosavuta kutengera kusintha kwa mahomoni osiyanasiyana, monga kutenga pakati, kusamba, etc., zomwe nthawi zambiri zimapangitsa kuti thupi lizikula kapena kunenepa kwambiri. Kachiwiri, ndizofala kwambiri kuti azimayi azitha kutenga nkhawa pazakudya zotsekemera, pomwe abambo amakonda mowa. Kuchokera pomwe omwe anali ndi mavuto amalemera komanso kapamba, komanso omaliza ndi kuwonongeka kwa chiwindi ndi umunthu. Zina zomwe zili pachiwopsezo zilipo:
- onenepa kwambiri
- olemedwa ndi chibadwa,
- kuchepa thupi
- zakudya zopanda thanzi
- atherosulinosis
- ochepa matenda oopsa
- islipoproteinemia.
Kulimbana ndi kupsinjika tsiku ndi tsiku, kudya zakudya zomwe zimasangalatsa, kudya kwambiri, azimayi achichepere osazindikira kuti pang'onopang'ono kuwonjezera thupi lawo. Chifukwa chake, kupanga insulin kukana.
Kodi pali kusiyana kotani pakati pa zisonyezo zoyambirira za matenda ashuga mwa akazi ndi amuna? Zizindikiro zake zimakhala zofanana, kusiyapo gynecology:
- kuyamba kwa kusamba ndi kusintha kwa thupi,
- osati kuchuluka kwa kusamba,
- pafupipafupi amatithandizira kuzungulira
- matenda obwera chifukwa cha ukazi.
Zizindikiro zina zonse zimawonekera mwa amuna, ndipo izi:
- kuwonongeka kwa tsitsi, misomali, khungu,
- Kunenepa kwambiri
- kusakhutitsidwa ndi njala ndi ludzu,
- kukodza pafupipafupi,
- kuyabwa kwa khungu mthupi lonse ndi perineum,
- kutopa kwambiri ndi kufooka,
- kuchiritsa kwamabala
- mutu ndi chizungulire,
Ngati mwazindikira chizindikiro chimodzi kapena zingapo, musachite mantha, koma onetsetsani kuti mwapita kwa dokotala. Pimayesani matenda a shuga ndikupeza chomwe chimayambitsa matendawa.
Matenda a shuga ndi matenda osachiritsika omwe ali ndi zovuta zake zowopsa, kulumala koyambirira komanso kufa msanga. Ndiye wozunzanso kwambiri mu gawo lomaliza la kulephera kwa impso, kudula kosadukiza kwazovuta komanso khungu.Choyamba, mtima wamasamba umadwala, ziwiya zazikulu, zazing'ono komanso zazikulu zimakhudzidwa. Chofunikira kwambiri pakukula ndi kupita patsogolo kwa zovuta zamtima ndi hyperglycemia ndi ochepa hypertension.
Matenda a shuga amatha kuyenda mwakachetechete, kuwononga thupi lanu pang'onopang'ono. Chifukwa chake, ndikofunikira kwambiri kuzindikira prediabetes munthawi komanso kuchitapo kanthu kuti muchepetse kukula kwa matendawa. Ngati zinaoneka kuti mayesowo adawonetsa kuchuluka kwa shuga m'magazi kuposa momwe zimakhalira, funsanani mwachangu ndi endocrinologist yemwe akupatseni chithandizo choyenera. Monga lamulo, chakudya cha matenda a shuga a 2 chimayikidwa ngati gawo loyamba lobwezera zizindikiro za shuga kukhala zabwinobwino.
Kuti tipewe matenda opatsirana awa, ndikofunikira kuyang'anira zakudya zoyenera, osadya kwambiri ndikuyamba moyo wovuta. Nthawi zonse mumakayezedwa kuchipatala kamodzi pachaka. Yang'anirani thupi lanu mosamala ndikukambirana ndi dokotala kusintha komwe simungamvetse. Pankhani yodziwitsa chizindikiro, kupambana kwa kupewa kumatheka pokhapokha ngati dokotala ndi wodwalayo azigwirizana kwambiri.
Danilova, N.A. Momwe mungapezere matenda a shuga / N.A. Danilova. - M: Vector, 2010 .-- 128 p.
Tsonchev Laboratory diagnostic matenda amisempha / Tsonchev, ena V. ndi. - M.: Sofia, 1989 .-- 292 p.
Frenkel I.D., Pershin SB. Matenda a shuga ndi kunenepa kwambiri. Moscow, Kron-Press Publishing House, 1996, masamba 192, kufalitsa makope 15,000.- L.V. Nikolaychuk "Mankhwala othandizira odwala matenda ashuga." Minsk, The Modern Mawu, 1998
- Buku la Antsiferov, M. B. kwa odwala omwe ali ndi matenda a shuga a 2 mellitus / M.B. Antsiferov. - Moscow: Sukulu Yapamwamba, 2010. - 564 c.
Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.
Kodi mtundu wa 2 umawonekera bwanji?
Wosakwanira kupanga insulini amapanga bwino. Mlingo wa wodwala kwa nthawi yayitali akhoza kukhalabe wopanda malire.
Zotsatira zoyeserera zimasinthira kuipiraipira matenda ashuga akapita pachimake. Kufikira pano, odwala samatengera kufunikira kwa kuwonda kwambiri ndikuchepetsa ntchito zamagalimoto.
Kuphatikiza pa zizindikiro zomwe zili pamwambapa, ndi matenda amtundu wa 2, zosintha zotsatirazi pakuchita bwino kwa thupi zitha kuonedwa:
- kutopa,
- kugona
- matenda a mafupa
- kutopa
- matenda a impso, omwe nthawi zambiri amatsogolera ku matenda a shuga,
- mabala osachiritsa pakhungu,
- kuyabwa
- kutayika kwa tsitsi mwadzidzidzi
- chisokonezo
- kumva kulira ndi kunenepa kwa miyendo.
Zizindikiro zazikuluzikulu ndi matenda ashuga mwa akazi
Matenda a shuga - matenda a endocrine. Chizindikiro cha matendawa ndikuwonjezereka kwa shuga m'magazi chifukwa chakuchita bwino kwa kapamba ndi kuchepa kwa insulin.
Insulin ndi timadzi tofunikira timene timayendetsa magazi. Chomwe chitukuko cha matenda ashuga chimakhalira ndizosowa insulini, komanso kusakhazikika kwa maselo ake.
Pafupifupi 3% ya anthu omwe akudwala matendawa amakhala mdziko lapansi. Komanso chiwerengero cha nzika zodwala chikuwonjezeka chaka chilichonse. Mwa ana, kuchuluka kwa odwala kumawonjezeranso. Nthawi zambiri matendawa amapezeka mwa ana osakwana zaka 10.
Zomwe zimayambitsa matendawa
Chimodzi mwaz matenda omwe amafanana ndi mliri ndi matenda ashuga. Zizindikiro mwa akazi ndi abambo nthawi zambiri zimakhala zofanana. Koma mitundu yamatenda machitidwe ambiri ndi jenda.
Mitundu yotsatirayi ya matenda imadziwika kuti ndi yofala kwambiri:
- Mtundu wodalira insulin. Matendawa ndi amtundu woyamba. Kenako, imagawidwa m'magulu awiri: matenda aanthu onenepa kwambiri, komanso matenda aanthu onenepa kwambiri. Mu mtundu wamatendawa, kuwonongeka kwa maselo a pancreatic omwe amatulutsa insulin. Pali maselo ochepa kwambiri omwe amagwira ntchito omwe amatha kutulutsa mahomoni - pafupifupi 10%.
- Mtundu wodziyimira pawokha wa insulin, kapena Wachiwiri. Ndi matenda amtunduwu, insulin imapangidwa mokwanira kapena yambiri. Komabe, maselo a thupi pachifukwa chimodzi kapena china amatenga mphamvu m'thupi. Izi zimapangitsa kuti glucose asalowe m'maselo a minofu, minofu imakhala ndi njala. Chimodzi mwazithandizo zamankhwala ndi kuwonda.
Chithandizo sichitha kuthetseratu zizindikirazo, koma kungachepetse kwambiri zizindikiro zoyambirira za matenda ashuga mwa akazi ndi abambo.
Zinthu zambiri zomwe zimathandizira kuti matendawo atukuke zimatha kukhalamo magulu angapo:
- Khalidweli. Ngati pali matenda mwa makolo, kuyambika kwa matendawo kwa mwana kumakhala kotheka. Ngakhale komwe makolo ake amakhala, mwana amakhala pachiwopsezo, ngakhale ali ndi zaka zingati,
- Zotsatira zoyipa za ma virus. Matenda a shuga angayambike kutsutsana ndi maziko a rubella, hepatitis, nthomba ndi mumps. Ndizofunikira kudziwa kuti mkhalidwe wokukula kwa matendawa ndi mtundu wa munthu wokhala ndi matenda ashuga. Ndi mu gawo loti zinthu ziwiri izi zimatha kudzetsa matenda.
- Matenda a autoimmune. Dzinali limatanthauzira matenda angapo omwe thupi limalakwa molakwika ndi maselo ake, kuwatengera kumaselo achilendo. Matendawa ndi monga hepatitis, lupus, autoimmune chithokomiro. Chifukwa cha kusayenda bwino kwa kapamba chifukwa cha matendawo, mavuto a shuga wambiri amayamba
- Kunenepa kwambiri. Kudya kwambiri ndipo, chifukwa chake, kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matenda a shuga a mtundu wachiwiri. Mwachitsanzo, munthu amene kulemera kwake kumakula kuposa 20% ali ndi mwayi wopeza matenda a shuga, zomwe zimachitika mwa magawo anayi. Kafukufuku akuwonetsa kuti munthu wonenepa kwambiri amatha kuchepetsa chiopsezo chotenga matendawa pochepetsa thupi lake ndi 10% yokha. Chithandizo cha kunenepa kwambiri chimachitika, choyambirira, kuti apulumutse munthu ku matenda ena.
- Kupsinjika. Kudziwitsani pafupipafupi zinthu zovuta kukhala chimodzi mwazinthu zomwe zimayambitsa matenda a shuga. Kupsinjika kwa m'maganizo kumayambitsa kuvutikira kwakuthupi, motero amalephera makamaka kwa anthu omwe ali ndi chiyembekezo chodwala,
- M'badwo. Okalamba, makamaka atakwanitsa zaka 60, amakonda kwambiri kuchuluka kwa shuga m'magazi, chifukwa chake, ndi msinkhu, ndikofunikira kupatula zinthu zomwe zili pamwambapa momwe tingathere kuti tipewe matendawa.
Zizindikiro za matenda ashuga mwa akazi
Mosasamala kanthu kuti pali matendawo. Chifukwa chokhala ndi moyo wokangalika, zizindikiritso zoyambirira nthawi zambiri sizimadziwika. Kulemba malaise kutopa, munthu amanyalanyaza zizindikilo za thupi, zomwe zimamupangitsa kuti awonjezere mkhalidwe wake.
Zizindikiro za matenda ashuga mwa akazi pambuyo pa 30 zimatchulidwa kwambiri ndikupezeka mwachangu, zomwe zimakupatsani mwayi woyambira nthawi.
Zomwe zimayambitsa matendawa zimatha kukhala zosiyanasiyana, Zizindikiro zodwala mwa akazi ofanana:
- Kutopa kwapafupipafupi, kuchepa kwakukulu pantchito, kutsika kwa mphamvu yayikulu, mphwayi,
- Mukatha kudya, mumakhala kugona, kufuna kupuma. Chizindikiro ichi chimadziwika ndi anthu omwe amakonda kudya mopitirira muyeso, omwe, omwe, ndi owopsa kwa thupi.
- Kusintha kwa ma mahomoni kumayendera limodzi ndi mawonekedwe amisamba pakhungu,
- Udzu wokhazikika. Chizindikiro chimodzi chovuta kwambiri cha matenda ashuga mwa akazi ndi amuna. Chikhumbo chosatha chakumwa chizikhala chifukwa chololeza kulumikizana ndi akatswiri,
- Zizindikiro zoyambirira za matenda ashuga mwa akazi zimawonetsedwanso mu mawonekedwe a kukakamiza pafupipafupi kukodza. Poyerekeza ndi zakumwa zakumwa zambiri, pamakhala pakamwa pouma komanso kumayamwa pafupipafupi,
- Kulakalaka kwambiri. Maselo ndi minyewa yosalandira glucose imakumana ndi njala yeniyeni. Chifukwa chake, ngakhale mutadya chakudya chaposachedwa, mungafune kudya. Njala yokhazikika imatha kuwonetsa momwe vuto la maselo omwe sazindikira insulin amawonekera. Amayi amakhala ndi chidwi chofuna maswiti chifukwa chosowa shuga m'maselo a thupi,
- Kudumpha lakuthwa. Mu matenda a shuga a mtundu woyamba, kutsika msanga kwa thupi ndi kakhalidwe. Ngakhale nditakhala ndi thanzi labwino, mawonekedwe enieniwo sabwerera mwakale. Ndi mtundu wachiwiri, kusokonezeka kwa metabolic kumawonedwa, zomwe zimatsogolera ku phindu lochulukirapo,
- Ngati, limodzi ndi zizindikiro zapamwambazi, mutu wambiri umawonedwa, izi ziyenera kukhala zizindikiro za matendawo mwa mkazi,
- Zizindikiro za matenda ashuga mwa akazi pambuyo pa 40 amatchulidwa kwambiri komanso amakhala ndi zizindikiro zowopsa.
Zizindikiro ndi njira zochizira matenda ashuga mwa akazi
Zizindikiro za matenda ashuga mwa akazi zitha kuoneka nthawi yomweyo, matendawa ndi operewera. Izi zikuwonetsedwa ndikuti kukula kwa matendawa kumatha kukhala nthawi yayitali: nthawi zina nthawi imeneyi imatenga zaka 5, kapena 10.
Matendawa amatengedwa kuti ndi owopsa: kagayidwe kazakudya m'thupi kamasokonekera, mitsempha yamagazi imakhudzidwa, ma capillaries amasiya kugwira ntchito nthawi zonse.
Ziwerengero zokhudzana ndi matenda a shuga zikuwopseza lero, zizindikiro zake zikukula mosalekeza, ndipo pali ana ambiri, amayi oyembekezera pamndandanda. Endocrinologists akuwonetsa alarm.
Kupatula apo, chachikulu chomwe chimayambitsa matendawa ndikulemera mopitirira muyeso komwe anthu ambiri amadwala, kudya mosalekeza, zakudya zopanda zakudya, zamafuta, zamafuta ndi shuga, pomwe shuga m'magazi akukulira mosavutikira.
Hulin insulin imaleka kupanga, kapamba amasiya kugwira ntchito mwachizolowezi. Matenda a endocrine amalakwitsa, matenda ashuga amayamba kukula.
Kusowa kwa insulini kumasokoneza shuga wokwanira kuti asinthidwe kukhala minofu ndi chiwindi, ndipo mphamvu yolowa m'thupi imakhalabe yosagwira ntchito chifukwa ziwalo zam'thupi sizipanganso oxidize kapena kuwononga shuga.
Matenda a shuga amatha kukhala oyamba pancreas insulin ikasiya kupangidwa kwathunthu, ndipo yachiwiri ikadzakhala ndi insulini yopanga zokwanira, koma osamwetsa ndi ma cell a chiwindi ndi minofu yake, imatha kukonzedwa.
Kodi ndimayani omwe amayambitsa matenda ashuga?
Pali zifukwa zambiri zoyambitsa matendawa. Zitha kupangitsa matenda:
- kunenepa
- chibadwa chamtsogolo, cholandira kuchokera kwa abambo kapena amayi kupita kwa ana mu 30% ya milandu, mu 50% ya milandu, ngati makolo onse anali ndi matenda, izi ndi zomwe zimapangitsa kuti matenda ashuga asakhale achabechabe.
- kupsinjika kwamanjenje
- kupezeka kwa kachilombo ka HIV mthupi.
Matenda a shuga amatha kuyamba kudya ndi shuga wambiri, kusuta, kuperewera, komanso kumwa mowa kwambiri. Ngati mahomoni omwe amapanga maselo awonongeka, kupanga insulini kumayima.
Ndi kuchepa kwake, shuga amayamba kudziunjikira, kumangika kwambiri, kukhala poizoni kwa anthu, mwakutero amawonjezera mamvekedwe amwazi, kusokoneza mitsempha yamagazi, ndi kusokoneza kagayidwe.
Mkhalidwe wowopsa ndi womwe minofu imayamba kumva kuperewera kwa okosijeni, maselo amatenga kachilomboka, kamene kamatsogolera ku zovuta zawo, zilonda zam'mimba, zilonda zam'miyendo ndi miyendo yotsika pambuyo pake.komanso kumatha kuyambitsa kukomoka.
Nthawi zambiri shuga imapereka zovuta mu mawonekedwe a kutayika kwa khungu la mawonekedwe, minyewa yamatenda imawonekera. Nthawi inanso, maselo amafuta amayamba kudziunjikira pamene glucose sakulowetsedwa mwa iwo.
Vuto lachiwopsezo cha kapamba ndi zinthu za poizoni zomwe zimapezeka m'thupi nthawi yapakati. Malinga ndi gawoli, matenda ashuga amatha kukhala: odalira insulini komanso osadalira insulini (omwe ali ndi vuto la kuperewera kwa m'thupi). Matenda a shuga amatha kugwira ntchito molakwika m'thupi la munthu, kupeza mankhwala osokoneza bongo, poizoni, komanso majini.
Momwe mungadziwire matenda a shuga?
Zizindikiro zoyambirira za matendawa ndi zapamwamba:
- manja ndi miyendo zikuyamba kuyima ndimagazi akulu,
- Tsitsi limakhala lophwanyika, limayamba kugwa chifukwa cha kusokonezeka kwa metabolic,
- Ndimagona nthawi zonse, chifukwa ma cell am'mimba mulibe shuga.
- matenda omwe alipo mthupi amakhala otupa, amachotsedwa bwino kapena osachotsedwa konse. Ndi matenda ashuga oyamba, Zizindikiro, zizindikiro zimayamba kuwonekera mofulumira. Ku sekondale, sakhala achindunji, amatenga nthawi yayitali kuti apange mawonekedwe, ndipo mwina sangadziwike konse.
Zizindikiro za shuga mwa akazi zimawoneka ngati:
- kuchuluka kwambiri kwa thupi
- kusowa kwa chakudya,, kapena, kuchuluka kwake,
- kukodza mwachangu
- kufooka kosalekeza
- kamwa yowuma, ludzu,
- kupweteka pafupipafupi mumtima,
- mavuto atulo
- mutu
- kukokana mu minofu ya ng'ombe
- kuchuluka mantha, irritability.
Zizindikiro zimatha kusiyanasiyana kutengera zaka za azimayi komanso mtundu wa matenda ashuga. Mu matenda oyamba a shuga, pali:
- kusasangalala ndi njala komwe kumakhalako ngakhale ndikudya zakudya zopatsa thanzi kwambiri, ndimafuna kudya pafupipafupi,
- kukodza pafupipafupi
- ludzu losatha, kamwa yowuma,
- kununkhira kwa acetone kuchokera mkamwa.
Ndi shuga yachiwiri, zotsatirazi zatchulidwa:
- kutopa kumachuluka kwambiri,
- masomphenyawo amachepa, chithunzi chimakhala chosalimba, pamakhala kuphimba pamaso.
- mucosa wamwamuna amakhala wouma,
- kutentha kwa thupi kutsikira mpaka 35 ° C,
- minofu imachepetsa kusinthika kwawo, zilonda, mabala olira samachira,
- manja ndi miyendo nthawi zambiri zimatha kuzimiririka, pamakhala kumangika, kukokana,
- kumaso, tsitsi limayamba kukula, ndipo pamiyendo - ikugwera,
- Zilonda zachikaso zimatuluka m'thupi,
- Njira zotupa zimayambira mu nyini, dysbiosis imadziwika.
Zizindikiro zake zimadalira kutha kwa matendawa.
- Mu nkhani yofatsa yoyamba, kuchuluka kwa glucose sikudutsa 8 mmol pa lita, palibe fungo la acetone kuchokera mkamwa.
- Ndi shuga wambiri wa 12 mmol pa lita imodzi, zizindikiro za ketoacidosis zimadziwika.
- Milandu yayikulu, glucose imaposa 12 mmol pa lita, ntchito yaimpso imalephera, ndipo retinopathy imadziwika.
Zizindikiro zonse zimapangitsa kuti matendawa adziwe koyamba, chithandizo chanthawi yake chimapulumutsa pakukula kwina kwa matendawo, zovuta zina.
Ngati pali zizindikiro za matenda ashuga, simukuyenera kuchita mantha, ndibwino kuti mukafunse kwa endocrinologist. Pambuyo pakupereka mayeso, mayeso a labotale, dokotala amatha kupereka mankhwala okwanira, chakudya chamunthu aliyense. Matendawa samakula nthawi yomweyo.
Zonse zimayamba ndi kuchepa kwa shuga. Mukabwezeretsa nthawi, zotsatira zambiri zitha kupewedwa.
Amayi onse amayenera kupimidwa pafupipafupi, kukayezetsa magazi kuchuluka kwa glucose, koma nthawi zambiri ndimakhala ndi shuga yochepa kwambiri sizotheka kuti azindikire mosavuta. Kukula kwa matenda ashuga kuli m'malo otchedwa malire.
Munthawi imeneyi m'pamene mwayi wokhala ndi matendawa ungathe, koma matendawa amasinthiratu. Matenda a shuga sangayambitse kukula kwake ndi kupita kwa dokotala komanso kukwaniritsidwa kwakwanthawi kwake konse.
Matenda a shuga amatha kukhala atypical, okhawo omwe amawazindikira ndi omwe angadziwe izi, izi:
- kuyezetsa magazi kwa shuga,
- kudutsa mayeso a mkodzo pamlingo wa shuga momwemo, kuwunika mawonekedwe a wodwala,
- mbiri yakuchipatala, kuthekera kwa cholowa kudzathandiza adotolo kusankha njira zoyenera zochiritsira payekha, simuyenera kuchita mantha, matenda a shuga lero si chiganizo.
Kodi ndimatani pochiza matenda ashuga?
Ambiri omwe ali ndi matenda ashuga ayenera kukhala kwamuyaya. Izi zikutanthauza kuti ndikofunikira kuyambiranso moyo wanu, kadyedwe, kusintha nthawi yogwira ntchito komanso nthawi yopuma, ndikuthana ndi zizolowezi zoyipa, kusuta fodya komanso mowa.
Kuchiza kumazikidwa pakukhazikitsa insulin. Kwa amayi ambiri, izi zimakhala njira yokhazikika, amangodalira mankhwalawa. Koma zakudya zochizira odwala matenda ashuga ndizofunikira.
Choyamba, ndi matenda ashuga muyenera kuiwala za shuga. Zakudya zochiritsira zimasankhidwa payekha, kutengera gulu la matendawa, kuchuluka kwake.
Cholinga cha kadyedwe: kusintha kagayidwe kazakudya m'thupi, kupewa kuphwanya kwa kagayidwe kazakudya panthawi, kudziwa kuchuluka kwa chakudya chamagulu chomwe munthu ayenera kuyamwa. Kupatula apo, kuchuluka kumeneku kumakhala kwa aliyense payekha, chifukwa chake mlandu uliwonse umaganiziridwa.
Aliyense wodwala matenda ashuga amafunika zakudya zopatsa thanzi, chakudya chimatengedwa nthawi zambiri, koma pang'ono. Simungathe kuphonya nthawi yakudya yotsatira ndi matendawa, kumva njala, mavuto amtundu uliwonse ndizotheka mtsogolo.
Menyu siyenera kukhala yolimba mtima, ndibwino kukana nkhumba, koma nkhuku, msuzi wa bowa ndi kuwonjezera kwa masamba ndizothandiza. Komanso, ndimatenda a shuga, muyenera kudya chimanga: tirigu ndi chinangwa, oatmeal, buckwheat, barele la ngale, barele. Kuphatikiza tchizi chamafuta ochepa, ndiwo zamasamba, batala kumbale sizikhala zapamwamba.
Mu shuga, kugwiritsa ntchito kabichi, biringanya, zukini, letesi, nkhaka, phwetekere, maungu ndizololedwa, koma zipatso ndizothandiza pokhapokha ndi fructose: nthochi, nkhuyu, madeti, mphesa, mphesa. Mutha kumwa khofi, tiyi, koma popanda shuga, masamba ndi zipatso, madzi amchere, ndi msuzi wa rosehip.
Caviar, nsomba yamafuta, nyama zosuta, zakudya zamzitini, soseji pazakudya ziyenera kuphatikizidwa, komanso kirimu wowawasa, mayonesi, margarine, zipatso zowuma.
Sikoyenera kutsutsana ndi malingaliro a anthu kuti zakudya za matendawa ndizosavomerezeka komanso zodalirika. Popeza tawonetsa kulingalira, ndizotheka kupanga mndandanda wazinthu zambiri zololedwa, ndikupanga kukhala kosangalatsa komanso kosangalatsa.
Mapulogalamu otsatirawa atha kugwiritsidwa ntchito ngati zitsanzo komanso gwero la kudzoza:
- chakudya cham'mawa idyani tchizi chamafuta ochepa mkaka,
- kanthawi kena - phala lopendekera ndi mafuta a masamba,
- chakudya chachitatu - msuzi kapena kabichi msuzi ndi ng'ombe,
- chakudya chamadzulo - nthochi 1-2,
- chakudya chamadzulo - nsomba yophika kapena masamba odulira, tiyi wopanda shuga,
- pa chakudya chachiwiri - chikho 1 cha kefir musanagone.
Mukuyenera kudziwa chiyani popewa?
Zakudya ndi zakudya zopatsirana ziyenera kutsatiridwa ndi mkazi aliyense. Zakudya zamafuta, chakudya chamagulu a shuga, uchi, kupanikizana ziyenera kuchepetsedwa. Ndi mafuta osungunuka a fiber omwe ayenera kukhala maziko a zakudya.
Muyenera kutsatira malamulowa a zakudya: zakudya zimayenera kukhala 60%, mapuloteni - 20%, mafuta - 20%. Kugwiritsa ntchito bwino kwa kupewa ndi kugwiritsa ntchito mbale zamasamba, nsomba zamafuta ochepa, nkhuku zoyera, msuzi wamasamba. Simungathe kuphika chakudya, ndibwino kungophika kapena kuwiritsa.
Ndikwabwino kuiwala za zakumwa zoziziritsa kukhosi (carbonated zakumwa), zosuta m'maso, zakudya zotsekemera, kuti musapangitse matenda. Kuchita masewera olimbitsa thupi ndikofunikira.
Pokhapokha ndi njira iyi yothana ndi vuto lalikulu ngati matenda ashuga mwa akazi, simungadandaule ndi zotsatirapo zake.
Matenda a shuga mwa akazi: Zizindikiro ndi chithandizo
Gawo: Zovuta za Akazi: 4800
Matenda a shuga mu akazi ndi njira yofala yomwe imachitika motsutsana ndi maziko a kusokonekera kwa dongosolo la endocrine. Pali zovuta za metabolic zamadzimadzi ndi chakudya, zomwe zimayambitsa kuperewera kwa kapamba, yemwe amayang'anira kupanga insulin.
Zinthu zonse ziwiri zoyambitsa matenda komanso zowopsa zomwe zitha kukhala vuto. Payokha, madokotala amapatula azimayi amiseche nthawi yamatumbo.
Zizindikiro za matenda ashuga mwa akazi pambuyo 30, monga zaka zina zilizonse, amalembedwa ndi matenda. Ambiri omwe amakhala ndi ludzu losasintha, kusamba kwa msambo, kutopa, kuchepa kapena kuwonjezeka kwa thupi.
Njira zazikulu zodziwonera ndi kuyeserera kwa labotale komwe kumawonetsa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, njira zothandizira ndi kuyang'ana koyambirira kumachitika.
Matenda a shuga m'magulu azimayi amathandizidwa pogwiritsa ntchito njira zolepheretsa, pakati pomwe kudya mankhwala (nthawi zina, nthawi yayitali) komanso chithandizo chamankhwala chimadziwika.
Matenda a shuga mwa akazi amatchedwa kuphwanya njira yopanga insulin ndi kapamba kapenanso kusakwanira kwathunthu kwa thupi ku timadzi timeneti. Shuga sangasinthidwe kukhala shuga, monga zimakhalira, koma amadziunjikira m'magazi ambiri. Ndikofunika kudziwa kuti kuchuluka kwa shuga mwa akazi ndi kuyambira 3,8 mpaka 6.0 mmol / g.
Zomwe zimayambitsa matenda ashuga kwambiri mwa azimayi omwe amagwirizana ndi matenda:
- njira za autoimmune - chitetezo chamthupi cha munthu chimazindikira minofu yake (pamenepa, kapamba) monga wakunja, kupanga ma antibodies ndikuwawononga.
- oncology kapena kuwonongeka kwa kapamba,
- matenda a dongosolo la m'mimba
- ma virus a m'mbuyomu monga hepatitis, rubella, chimfine, mononucleosis, nthomba,
- matenda oopsa oopsa,
- osiyanasiyana ovulala pancreatic.
Zomwe zimayambitsa kukonzekera kwa matenda ashuga mwa akazi omwe alibe maziko:
- olemedwa ndi chibadwa,
- onenepa kwambiri
- kudya kwambiri
- kumangokhala
- kusiya kwa nthawi yayitali zizolowezi zoipa,
- Kugwiritsa ntchito mankhwala mosasamala - osapereka mankhwala kwa dotolo kapena osagwirizana ndi kuchuluka kwa tsiku kapena nthawi yayitali,
- kuperewera kwa chakudya - kusuta kwa maswiti, zakumwa zozizilitsa kukhosi, zotupa, zakudya zamafuta ndi zonunkhira
- kupsinjika kwakanthawi
- kukalamba kwa thupi la munthu.
Ndikofunika kudziwa zomwe zimayambitsa matenda ashuga mwa amayi apakati:
- polyhydramnios
- wokhala ndi mwana wosabadwa wamkulu,
- chibadwa
- zaka zopitilira 35
- kuchuluka magazi kamvekedwe,
- kusiya zizolowezi zoipa,
- shuga wam'mbuyomu pamimba yapitayi.
Ndizofunikira kudziwa kuti nthawi zina ndizosatheka kukhazikitsa zomwe zimayambitsa matenda ashuga mwa amayi - pankhaniyi, amalankhula za matenda ashuga a idiopathic.
Kutengera ndi zomwe zimayambitsa matenda, endocrinologists akunena za kukhalapo kwa mitundu yamatendawa:
- shuga yeniyeni kapena yoyamba
- monga chizindikiro kapena matenda ashuga.
Mtundu woyambirira wa matendawa umayimiriridwa ndi mitundu:
- lembani 1 shuga mellitus kapena insulin-wodalira - ngati insulini siipangidwa konse ndi kapamba kapenanso kuti silinapangidwe kokwanira,
- mtundu 2 matenda a shuga kapena oletsa insulini - ma insulin amapangidwa mokwanira kapena mokweza, koma matupi amthupi amakhala osaganizira za mahomoni.
Kutengera kwa kutha kwa zizindikiro za matenda am'mimba mwa azimayi azaka 50, komanso m'gulu lina la mibadwo, mitundu ingapo ya matendawa imasiyanitsidwa:
- wofatsa - Zizindikirozi zimafotokozedwa pang'ono, ndipo kuchuluka kwa shuga m'magazi sikupitirira 8 mmol / l,
- zolimbitsa - kuwonongeka kwakukulu kumawonedwa, ndende ya shuga ndiyosakwana 12 mmol / l,
- kwambiri - zovuta zimachitika chifukwa chakuti shuga yambiri imaposa 12 mmol / l.
Payokha, ndikofunikira kuwonetsa matenda ashuga mwa amayi apakati komanso mawonekedwe a matendawa, omwe amayamba nthawi yamisala. Mitundu yotere ya matendawa imakhala ndi kusiyana kwakukulu:
- Matenda a shuga oyembekezera ndi nthawi yomwe mayi anapezeka kuti asanabadwe mwana.
- Matenda a shuga a Gestational akuti ndi pomwe misempha ya shuga m'magazi imakwera nthawi yapakati, yomwe imakonda kupezeka 2nd trimester.
Mulimonsemo, chithandizo chidzakhazikitsidwa pobayira insulin ndikuwona zakudya zosavomerezeka, chifukwa ndizoletsedwa kumwa mapiritsi munthawi yobala mwana azimayi ochepera zaka 30 komanso msinkhu wokalamba wobereka.
Zizindikiro zakunja za matenda ashuga mwa azimayi zimayang'aniridwa ndi mawonekedwe a matendawa. Kukula kwa matenda am'mimba kumayambira chimodzimodzi. Zizindikiro zoyambirira za matenda ashuga mwa akazi:
- kusintha kwa thupi, zazing'ono komanso zazikulu,
- kumangokhalira kumva ludzu komanso ludzu, ngakhale muli ndi chidwi chambiri komanso kumwa madzi ambiri,
- kuyendera chimbudzi kuti muchotse chikhodzodzo, makamaka usiku,
- kugona pakati pausiku ndi kugona tulo usiku,
- kutopa,
- kufooka ndi kuchepa kwa magwiridwe
- kuyabwa kwambiri pakhungu,
- kuphwanya msambo
- kutuluka thukuta kwambiri
- kuchepa kowoneka bwino,
- kulephera kutenga pakati, ngakhale ndimagonana nthawi zonse.
Zizindikiro za matenda ashuga mwa akazi pambuyo pa 50, monga zaka zina zilizonse, okhala ndi mawonekedwe a insulin:
- kuwuma, kutsekemera ndi khungu
- kutaya tsitsi
- kugwiritsa ntchito madzi ambiri patsiku - kuchokera pa malita 5 mpaka 10,
- kutuluka thukuta kwambiri
- kutopa ndi kufooka kosalekeza,
- kuwonda
- kusinthasintha kwa kutentha ndi kamvekedwe ka magazi,
- kuchepa kwa mphamvu yogwira ntchito,
- chilakolako chosakwanira
- vuto la kugona
- kufuna kutulutsa mkodzo,
- kuchepa chitetezo chokwanira,
- kutupa kwa nkhope
- kuwona kawiri pamaso panga,
- dziko lokhumudwa
- kunenepa kwam'mimba,
- Khungu
- Fungo la acetone lamkati,
- kusakhazikika mtima.
Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 40 kapena m'badwo wina wokhala ndi mtundu wolephera wa insulin ali ndi mawonekedwe awo. Chifukwa cha mitundu iyi ya matendawa ndi awa:
- kuchuluka kwa madzi amadzimadzi tsiku lililonse,
- kukodza kwambiri,
- kamwa yowuma
- kuchepa kwa moyo,
- kusintha kwa kuchuluka ndi kuchepa kwa kuthamanga kwa magazi,
- zithunzi zoyera pamaso pake,
- kukhudzana pafupipafupi ndi chimfine kapena matenda otupa,
- kuchiritsa kwakanthawi ngakhale mabala ang'ono kwambiri
- kuchepa chilakolako chakugonana,
- vuto la kugona
- kulawa kwazitsulo mkamwa
- kuyabwa kosalekeza - kuyabwa pakhungu ndi matenda ashuga mwa akazi nthawi zambiri kumayang'aniridwa mu groin ndi anus,
- kunenepa
- kupewera chakudya
- zotupa pakhungu zam'munsi,
- kupweteka mutu.
Mawonetseredwe azachipatala mwa azimayi omwe ali pamalopo amagwirizana kwathunthu ndi zizindikiro zomwe tafotokozazi.
Zizindikiro za matenda ashuga mwa akazi
The endocrinologist amadziwa momwe matenda amadziwonekera momwe amadziwira komanso momwe angadziwire shuga ndikupeza njira zowerengera.Palibe zovuta pakukhazikitsa chidziwitso choyenera, koma kuwunika kuyenera kukhala kokwanira.
Choyamba, adotolo ayenera:
- kudziwa mbiri yakale ya matendawa osati ya wodwala, komanso abale ake apamtima - kuti apeze zomwe zitha kukhala zotchuka,
- Kupeza ndi kusanthula mbiri ya moyo - kuzindikira oyambitsa za thupi,
- muzifufuza bwino mayiyo
- kuyeza kutentha ndi kamvekedwe ka magazi,
- funsani wodwalayo mwatsatanetsatane - kuti mudziwe ngati zizindikiro zoyambirira za matenda ashuga ndi kuuma kwawo, zomwe zingapangitse kuti matendawo adziwe momwe matendawa aliri.
- ambiri matenda a magazi ndi mkodzo,
- magazi zamankhwala
- mayeso a mahomoni.
Kuti mutsimikizire kapena kukana malingaliro a dokotala zokhudzana ndi zovuta, ndikofunikira kutsatira njira zotsatirazi:
- Ultrasound ya chiwindi ndi impso,
- pandakopanda
- kusanthula kwa ziwiya za m'munsi,
- rheovasography
- ophthalmography,
- EEG waubongo,
- CT
- MRI
Brain EEG
Kuti mukwaniritse wodwalayo momwe muliri, mutha kugwiritsa ntchito mankhwala komanso zakudya.
Gawo loyamba la njira zamankhwala likuphatikiza:
- mankhwala obwezeretsa insulin kwa moyo wonse, koma pokhapokha atazindikira mtundu wa matenda a shuga 1,
- kumwa mankhwala ochepetsa shuga - akuwonetsa mtundu wachiwiri wa matenda ashuga.
Zizindikiro za matenda ashuga mwa akazi zimachotsedwa potsatira malangizo otsatirawa pakudya:
- kukana kwathunthu kwamakina oyengereza,
- pafupipafupi komanso zakudya zazitali,
- kuwerengetsa tsiku lililonse pakumwa mkate, chimanga, mafuta amkaka, mbatata ndi chimanga, zipatso ndi zipatso,
- kusiyanasiyana ndi menyu wa maswiti aliwonse ndi mafuta a organic.
Njira imodzi yothanirana ndi chithandizo chambiri ndiyothandiza, koma zolimbitsa thupi mokhazikika.
Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 30 kapena zaka zina zonse zikanyalanyazidwa kwathunthu ndipo akukana chisamaliro choyenera, izi zimabweretsa zotsatira zowopsa:
Zotsatira za matenda ashuga amtundu wa 2 mwa azimayi apakati zimaphatikizira kusokonezeka kwa padera ndi kusabereka padera.
Kupewera kwapadera kwa matenda ashuga mwa akazi sikunapangidwe. Malamulo osavuta awa akhoza kuchepetsa mwayi wokhala ndi matenda:
- moyo wathanzi
- Zakudya zoyenera komanso zopatsa thanzi,
- kugwiritsa ntchito bwino mankhwala
- matenda oyamba ndi kuwonongedwa kovuta kwa endocrine pathologies,
- kukayezetsa pafupipafupi kuchipatala kudzathandiza kuzindikira zizindikiro za matenda ashuga mwa amayi pambuyo pa 50 momwe angathere.
Kodi chiwopsezo cha matenda a shuga ndi chiani, mayi sadzapeza chikhulupiliro chabwino potsatira njira zoyeselera komanso kutsatira malangizo a dokotala.
Matenda okhala ndi zofananira:
Matenda a shuga ana (Zizindikiro zophatikiza: 13 mwa 20)
Matenda a shuga m'magazi a ana ndi vuto la metabolic, kuphatikizapo chakudya chamafuta, chifukwa cha kukanika kwa pancreatic.
Chiwalo chamkati chimagwira ntchito yopanga insulin, yomwe mu shuga imakhala yochepa kwambiri kapena chitetezo chathunthu chimatha kuwonedwa.
Ziwerengerozi ndi mwana m'modzi mwa ana 500, ndipo pakati pa akhanda - wakhanda m'modzi mpaka 400 zikwi.
... Matenda a shuga mwa amuna (zofananira: 12 mwa 20)
Matenda a shuga m'magulu a amuna ndi matenda a endocrine system, kumbuyo komwe kumakhala kuphwanya kusintha kwa madzi ndi michere m'thupi la munthu. Izi zimabweretsa kukanika kwa pancreatic, yomwe imayang'anira kupanga mahomoni ofunikira - insulin, chifukwa chomwe shuga sichisintha kukhala shuga ndikupanga magazi.
... Alport syndrome (cholowa m'mbuyomu) (Zizindikiro zophatikiza: 7 mwa 20)
Alport syndrome kapena cholowa nephritis ndi matenda a impso omwe amabadwa nawo. Mwanjira ina, matendawa amagwira ntchito kwa okhawo omwe ali ndi vuto la chibadwa.
Amuna amatenga matenda mosavuta, koma azimayi nawonso amadwala. Zizindikiro zoyambirira zimawonekera mwa ana kuyambira zaka 3 mpaka 8. Matendawa pawokha amatha kukhala asymptomatic.
Nthawi zambiri amapezeka nthawi yoyezetsa kapena pofufuza matenda ena oyambira.
... Matenda a shuga (Zizindikiro zofananira: 7 mwa 20)
Matenda a shuga ndi vuto lomwe limayambitsa matenda ashuga. Izi zikutanthauza kuti kuchuluka kwa shuga m'magazi kumawonjezeka, koma osati mwamphamvu kuti munthu adziwike. Gulu lomwe likuyika pachiwopsezo chachikulu ndi anthu opitilira zaka 40 mpaka 48, komabe, matendawa amathanso kuchitika mwa ana.
... Pangipopituitarism (zomwe zikufanana: 7 mwa 20)
Panhypopituitarism (sy. Skien syndrome, matenda a Simmonds) ndi kuchepa kwa mahomoni, ndiko kuti, kusowa kwa mahomoni onse a gululi. Potengera maziko awa, kugwira ntchito kwa ziwalo zambiri zamkati ndi kachitidwe kumasokonekera.