Shuga wamagazi 22 ndizowopsa
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Matenda a shuga ndi matenda omwe amayenera kuwunikidwa nthawi zonse kuti asadzetse zovuta mthupi. Kuti izi zitheke, odwala matenda ashuga nthawi zambiri amayesa magazi kuti apange shuga pogwiritsa ntchito pulogalamu yapadera ya glucometer. Kuphatikiza apo, adokotala amakupangira chithandizo chofunikira, mankhwala kapena insulin.
Ngati simutenga nthawi ndi kudumphira kukhazikitsidwa kwa mahomoni m'thupi, kuchuluka kwa shuga kwa magazi kumatha kudumphira mpaka magawo 15 kapena 20. Zizindikiro zoterezi zimakhala zowopsa pa thanzi la odwala matenda ashuga, chifukwa chake, ndikofunikira kuwona dokotala ndikuchotsa zomwe zimapangitsa kuti wodwalayo asokonezeke.
Matenda a shuga
Ndiye, titani ngati shuga wambiri wawonjezereka mpaka magawo 15 ndi 20? Kupatula kuti muyenera kufunafuna chithandizo chamankhwala, muyenera kuwerenganso zakudya zomwe anthu amadwala matenda ashuga. Mwambiri, shuga m'magazi amalumpha kwambiri chifukwa cha kuperewera kwa zakudya. Kuphatikiza chilichonse chomwe muyenera kuchita kuti muchepetse shuga m'thupi, ngati zizindikiro zikufikika.
Kuchepetsa shuga m'magazi kuyambira pa 15 mpaka 20 mayeso kukhala mulingo wabwinobwino ndikotheka ndi zakudya zochepa. Ngati wodwala matenda ashuga alumpha shuga, palibe chakudya china chokwanira chomwe chingathandize.
Zizindikiro za mayunitsi 20 kapena kuposerapo kumanenanso za ngozi yomwe imawopseza wodwala ngati chithandizo champhamvu sichinayambike. Atasanthula ndikupeza zotsatila za mayesowo, adotolo amakupatsani mankhwala ndi zakudya zamagulu, zomwe zimachepetsa shuga m'magazi mpaka 5.3-6.0 mmol / lita, chomwe ndi chizolowezi kwa munthu wathanzi kuphatikiza odwala matenda ashuga.
Zakudya zamafuta ochepa zimapangitsa wodwalayo kukhala ndi mtundu uliwonse wa shuga, ngakhale atadwala.
Matenda a mtunduwo amawonekera kale patsiku lachiwiri kapena lachitatu pambuyo pakusintha kwa zakudya.
Izi, zimachepetsa shuga m'magazi 15 ndi 20 mpaka kutsika ndipo zimapewa kukula kwa matenda achiwiri omwe nthawi zambiri amayenda ndi matenda ashuga.
Kuti musiyanitse zakudya, ndibwino kugwiritsa ntchito maphikidwe apadera pophika zakudya osangochepetsa shuga wamagazi, komanso kusintha mkhalidwe wa munthu wodwala matenda ashuga.
Zomwe Zimayambitsa Madzi Akuluakulu a shuga
Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale. Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi. Nthawi zambiri shuga m'magazi amakwera ngati wodwala ali ndi vuto lakukonza chakudya.
Chifukwa chake, zifukwa zazikulu zowonjezera kuchuluka kwa shuga m'magazi 20 kapena kuposerapo ndizosiyanitsidwa:
- Zakudya zopanda pake. Mukatha kudya, kuchuluka kwa shuga m'magazi nthawi zonse kumakwezedwa, chifukwa pakadali pano pali njira yogwira ntchito yopangira chakudya.
- Kulephera kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kuli ndi phindu lililonse pa shuga.
- Kuchulukitsa kwa malingaliro. Panthawi yamavuto kapena kupsinjika mwamphamvu, kulumpha mu shuga kumatha kuonedwa.
- Zizolowezi zoipa. Mowa ndi kusuta zimakhudza kwambiri zomwe zimachitika mthupi komanso kuwerenga kwa glucose.
- Kusintha kwa mahomoni. Mu nthawi ya premenstrual syndrome ndi kusintha kwa thupi kwa azimayi, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka.
Kuphatikiza pazomwezo zingakhale zovuta zamtundu uliwonse, zomwe zimagawidwa malinga ndi gawo lomwe lakhudzidwa.
- Matenda a Endocrine chifukwa cha kuperewera kwa mahomoni amatha kuyambitsa matenda ashuga, pheochromocytoma, thyrotoxicosis, matenda a Cushing. Mwanjira imeneyi, msuzi wa shuga umakwera ngati kuchuluka kwa mahomoni kumachulukitsa.
- Matenda a kapamba, monga kapamba ndi mitundu ina ya zotupa, amachepetsa kupanga insulin, komwe kumayambitsa mavuto a metabolic.
- Kumwa mankhwala ena kungapangitsenso kuchuluka kwa shuga m'magazi. Mankhwalawa amaphatikizapo mahomoni, diuretics, njira zolerera komanso mankhwala a steroid.
- Matenda a chiwindi, komwe glucose amasungirako glycogen amasungidwa, amachititsa kuchuluka kwa shuga m'magazi chifukwa chovuta kugwira ntchito mkati. Matendawa ndi monga cirrhosis, hepatitis, zotupa.
Zonse zomwe wodwalayo ayenera kuchita ngati shuga atakwera mpaka magawo 20 kapena kupitilira apo ndikuchotsa zomwe zimayambitsa kuphwanya kwa umunthu.
Inde, vuto limodzi kumawonjezera kuchuluka kwa shuga magawo 15 ndi 20 mwa anthu athanzi silimatsimikizira kupezeka kwa matenda ashuga, koma pankhani iyi zonse ziyenera kuchitidwa kuti zinthu zisamakulire.
Choyamba, ndikofunikira kukonza zakudya zanu, ndikuchita masewera olimbitsa thupi nthawi zonse. Poterepa, tsiku lililonse muyenera kuyeza shuga wamagazi ndi glucometer kuti musabwerenso zomwe zikuchitika.
Mwazi wamagazi
Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chisonyezo chidzatsitsidwa ndi 12 peresenti.
Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.
Ngati wodwala wakweza shuga m'magazi, dokotala atha kuyitanitsa kuyesedwa kwa glucose kuti athandize kudziwa mtundu wa prediabetes. Nthawi zambiri, kuwunika koteroko kumayikidwa kuti kupatula kukhazikitsidwa kwa matenda ashuga mwa wodwala ndikuwona kuphwanya shuga m'mimba.
Chiyeso chololera glucose sichimalamulidwa kwa aliyense, koma anthu opitirira 40, odwala onenepa kwambiri komanso omwe ali pachiwopsezo cha matenda a shuga amapitilira.
Kuti achite izi, wodwalayo amapititsa kuyezetsa magazi pamimba yopanda kanthu, pambuyo pake amupeza kuti amwe kapu ya shuga yowonjezera. Pambuyo maola awiri, kuyezetsa magazi kumachitidwanso.
Pa kudalirika kwa zotsatira zomwe zapezeka, zotsatirazi ziyenera kuonedwa:
- Nthawi kuchokera pachakudya chotsiriza mpaka kuwunikiridwa iyenera kudutsa osachepera maola khumi.
- Musanapereke magazi, simungagwire ntchito yogwira ntchito zolimbitsa thupi ndipo katundu onse wolemera pamthupi sayenera kupatula.
- Ndikosatheka kusintha kwambiri zakudya musanayambe kusanthula.
- Yesetsani kupewa kupsinjika ndi nkhawa.
- Musanafike pakuwunikiridwa, ndikofunikira kuti mupumule komanso mugone bwino.
- Pambuyo poyamwa shuga atamwa, simungathe kuyenda, kusuta ndi kudya.
Vuto lololera glucose limapezeka ngati kuwunikako kunawonetsa deta pamimba yopanda pafupifupi 7 mmol / lita ndipo mutatha kumwa shuga 7.8-11.1 mmol / lita. Ngati zizindikirozo ndizotsika kwambiri, musadandaule.
Kuti muzindikire chomwe chikuwonjezera shuga m'magazi amodzi, muyenera kuyang'aniridwa ndi kapamba ndi kukhululuka koyeserera kwa magazi kwa ma enzymes. Mukamatsatira malingaliro a madokotala ndikutsatira zakudya zochizira, kuwerengera kwa glucose posachedwa kumakhala kokhazikika.
Kuphatikiza pa kusintha kwamagazi a shuga, wodwalayo atha kuona zotsatirazi:
- Kukodza pafupipafupi
- Pakamwa pakamwa ndi ludzu losatha,
- Kutopa, kufooka komanso kuyipa matenda,
- Kuchulukitsa kapena, mosachepera, kunachepa, pomwe kulemera kumacheperachepera kapena kulipidwa,
- Chitetezo cha mthupi chimafooka, pomwe mabala a wodwala amachira.
- Wodwalayo amamva mutu pafupipafupi
- Masomphenya akuchepa
- Kuyabwa kumawonedwa pakhungu.
Zizindikiro zotere zikuwonetsa kuchuluka kwa shuga m'magazi ndikufunika kuchitapo kanthu mwachangu.
Zakudya zowonjezera zowonjezera shuga
Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.
Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya. Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.
Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya. Ndikulimbikitsidwa kudya pafupipafupi, koma m'malo ochepa. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.
Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.
Shuga wamagazi kuyambira 22 mpaka 22.9: ndizowopsa ndipo muyenera kuchita chiyani?
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Zimabwezeretsa kupanga kwa insulin
Matenda a shuga ndi matenda omwe amadziwika ndi nthawi yayitali komanso amafunikira kuwunikira nthawi zonse kuti muchepetse zovuta zomwe zingayambike. Kuwongolera kumachitika ndikumwa mankhwala, insulin, zakudya.
Ngati mukupatuka pa njira yolimbikitsidwa, musamwe mankhwalawo nthawi yake kapena musamamwe jakisoni, ndiye kuti pali kuwonjezeka kwa glucose mthupi la munthu, kukhala bwino kumakulirakulira, chiopsezo cha chikomokere chikuchulukirachulukira.
Mwazi wamagazi ukakhala ndi zaka 22, zotsatira zake zimakhala zosayembekezereka kwambiri. Ngati simuletsa ntchito yowonjezera shuga pakapita nthawi, ndiye kuti izi zimapangitsa kuti pakhale matenda a shuga, ketoacidosis, kulemala, ngakhale kufa.
Matenda a shuga angayambitse zotsatira zoyambirira komanso mochedwa za vuto linalake, zina zomwe sizingasinthe. Chifukwa chake, ndikofunikira kulingalira zovuta zingapo za matenda, ndikupeza momwe mungathanirane nawo.
Shuga pamwamba pamagulu 22: zovuta zowopsa
Matenda a shuga ndi matenda opatsirana, omwe amadziwika chifukwa chophwanya shuga m'magazi. Mitundu yodziwika bwino ya shuga ndi yoyamba komanso yachiwiri.
Muzochita zachipatala, pali mitundu ya matenda a shuga, monga Lada ndi Modi shuga, koma ndi osowa. Mwina pa chifukwa choti nthawi zambiri pamakhala zolakwika pakuzindikira kwawo.
Choopsa chachikulu komanso chowopsa ndichomwe chimayambitsa matenda oyamba. Chowonadi ndi chakuti izi ndizovuta zomwe zimawopseza moyo wa wodwalayo.
Ganizirani zovuta zamatenda a shuga:
- Mwazi wamagazi wopitilira mayunitsi 22 ungayambitse kukula kwa ketoacidosis. Ndipo mkhalidwe wamtunduwu ndi chotsatira cha kuchuluka kwa zinthu za metabolic m'thupi. Nthawi zambiri amapezeka mu mtundu wa 1 odwala matenda ashuga.
- Hyperglycemic mkhalidwe - kuchuluka kwa shuga m'magazi, pamwambapa omwe amadwala matenda ashuga. Vutoli limapezeka kawirikawiri kwa okalamba omwe ali ndi matenda a shuga a 2.
- Mkhalidwe wa hypoglycemic umadziwika ndi kuchepa kwambiri kwa shuga mu thupi. Dzikoli lili ndi mitundu iwiri ya odwala matenda ashuga. Zifukwa: Mlingo wolakwika wa insulin, mankhwala.
- Lactacidic coma imadziwika ndi kudzikundikira kwa lactic acid m'thupi la munthu. Milandu yambiri imawonedwa mwa anthu odwala matenda ashuga atatha zaka 50.
Ziyenera kunenedwa kuti mtundu wovuta wa zovuta m'matendawa umadziwoneka mu chithunzi chimodzi cha matenda, onse akulu ndi odwala ochepa. Matenda aliwonse owopsa amatha kuchitika mwadzidzidzi, kupita patsogolo mofulumira, kupita koopsa patatha maola ochepa.
Ngati thanzi lanu layamba kufooka kwambiri, zizindikiro zomwe tafotokozazi zikuzindikiridwa, ndikulimbikitsidwa kuti mupite kuchipatala msanga.
Mavuto aakulu chifukwa cha shuga
Ngati zovuta zopezeka ndi matenda osachiritsika zimatha kukhala mwadzidzidzi, chifukwa cha momwe thupi limakhalira ndi kuchuluka kwambiri kwa magazi m'thupi, ndiye kuti izi sizili choncho.
Wodwala akakhala ndi shuga wambiri, yemwe amasintha kuchokera ku 15 mpaka 22, vutoli silimatha popanda kufufuza.
Kuchuluka kwa shuga kwa nthawi yayitali kumakhudza ziwalo zonse zamkati ndi machitidwe, kusokoneza kwambiri magwiridwe ake. Komabe, ziwalo zolimbana ndizowonongeka. Awa ndi impso, maso, ndi ubongo.
Matenda a shuga:
- Matenda a shuga a retinopathy ndi ena omwe amachitika chifukwa cha kuchuluka kwa shuga. Zochita zachipatala zimawonetsa kuti amapezeka pafupifupi 90% ya odwala. Matendawa amakhudza ziwiya za m'mimba, zomwe zimapangitsa kuti azitha kuona. Kunyalanyaza vutoli kumabweretsa khungu.
- Nephropathy ndikuphwanya kovuta kwa magwiridwe antchito a impso. Amayamba chifukwa cha zovuta zomwe zimabweretsa mkati mwa ziwalo zowola zam'mimba ndi zam'mimba, zomwe zimapangidwa motsutsana ndi maziko a matenda okoma. Ziwerengero zimati kuchuluka kwa mavutowa ndi 75%.
- Neuropathy - kuphwanya mafupa am'mitsempha yam'mphepete, kumachitika pafupifupi pachikondwerero chilichonse. Magawo osiyanasiyana amkati amanjenje amatha kukhala nawo pantchito yosokoneza. Ndizovuta izi zomwe zimatha kufalikira, chifukwa chomwe phazi la matenda ashuga limayamba.
- Encephalopathy imadziwika ndi kuphwanya kwapang'onopang'ono kwa magwiridwe antchito a ubongo, chifukwa cha zovuta zoyipa zamavuto am'mthupi.
Zilonda pakhungu ndi shuga. Zotsatira zamtundu woyipa zimawoneka ngati kusintha kwamachitidwe mu epermermis. Mawonekedwe: kuzungulira kwa kutukuka kosiyanasiyana, mawanga amisinkhu, mawonekedwe abwinobwino.
Matenda a shuga. Izi ndizovuta kusintha kwa anatomical ndikugwira ntchito komwe kumachitika mu 30-40% ya anthu odwala matenda ashuga. Pathology imadziwoneka ngati mawanga pakhungu, zilonda zam'munsi, phazi, phalanges zala.
Phazi la matenda ashuga limafunikira kuchipatala msanga. Kuperewera kwa chithandizo chokwanira kumayambitsa matenda am'miyendo, chifukwa, kumadula kumachitika kuti apulumutse moyo wa wodwalayo.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Matenda a shuga enieniwo sawopseza moyo wa wodwalayo, zomwe sizinganenedwe pazovuta zina. Ichi ndichifukwa chake ndikofunikira kwambiri kulipirira matendawa, ndikuwonetsetsa shuga ya magazi nthawi zonse.
Mavuto obwera chifukwa cha matenda ashuga
Zotsatira zoyipa zomwe zimachitika chifukwa cha matenda osatha a shuga zimaphatikizira kuphwanya magwiridwe antchito am'thupi ndi machitidwe amthupi la munthu. Monga lamulo, mitsempha yamagazi ndi mathero amanjenje zimakhudzidwa koyamba.
Makoma otupa amitsempha yamagazi amakhala olimba, amachepetsa mphamvu komanso amakhala olimba mtima, amakhala ndi fragility yayitali, motero, amatha kuvulala mwachangu komanso mosavuta. Poona izi, kutulutsa magazi pang'ono kumawonedwa.
Pamalo omwe magazi amkamwa amatumphukira kwakanthawi, kwakanthawi, mawonekedwe a minofu yolumikizana. Zotsatira zakukulaku, mitsempha yamagazi imakhala yolimba, kuzindikira kwawo kumachepa, chifukwa chake, kuperewera kwa michere kumapezeka.
Popeza mitsempha yamagazi ndi mathero amanjenje zilipo mu chiwalo chilichonse chamkati, zitha kunenedwa kuti matenda a shuga amachititsa kuti thupi lonse lizigwira ntchito.
Matenda a shuga amatha kutsogolera ku angioretinopathy, chifukwa cha momwe zida zowonekera zimakhudzidwira. Njira yokhayo yothandizira kupewa izi ndi kubwezera kwakanthawi komanso kwakanthawi matenda a shuga.
Matenda okhalitsa amakhudza miyendo yam'munsi. Monga chiwalo chilichonse, mitsempha yamagazi ndi mathero amanjenje zimayamba kukhudzidwa. Kutengera ndi zomwe zakuphwanya, zovuta zimasiyanitsidwa:
- Angiopathic complication, pamene mitsempha yamagazi imakhudzidwa kwambiri.
- Neuropathic complication, pamene mitsempha imakhudzidwa kwambiri.
- Mtundu wosakanikirana wa kuwonongeka kwa miyendo.
Tiyenera kudziwa kuti njira yayitali ya matenda a shuga imayambitsa kuphwanya mphamvu zam'munsi, ndipo amayamba kugonja ndi zinthu zakunja. Zotsatira zake, zikanga zazing'ono, ming'alu ndi zowonongeka zina pakhungu sizimadziwika.
Mtsogolomo, matenda opatsirana amatha kulumikizana ndi mabala kumtunda, mabala samachiritsidwa kwa nthawi yayitali, zomwe zimapangitsa kuti pakhale zovuta pa zotsatirapo zonse.
Ketoacidosis mu shuga
Ketoacidosis mu milandu yambiri imawonedwa mwa odwala omwe ali ndi matenda oyamba. Mkhalidwe wamtunduwu umadziwika ndi kuphwanya njira za metabolic, zomwe zimakwiya chifukwa chosowa insulini.
Ngati wodwala ali ndi glucose pafupifupi mayunitsi 22, ndiye kuti mwina, limodzi ndi shuga wambiri, matupi a ketone adzawonetsedwa mu mkodzo, ndipo acidity yamadzi yotulutsa (magazi) idzachuluka.
Vutoli limakula m'magawo angapo. Choyamba, mu mkodzo, kudzera mu mayeso a labotale, shuga amadziwika (nthawi zambiri sayenera kukhala). Pambuyo pa zochita za kagayidwe kachakudya umaonedwa, zizindikiro za poyizoni wa thupi zimapezeka.
Zizindikiro za pathological:
- Kuzindikira kwa thanzi labwino.
- Kutaya chikumbumtima.
- Kuperewera kwa mawonekedwe.
- Stupor.
Ngati palibe chomwe chikuchitika pamlingo wa chizindikiro ichi, ndiye kuti wodwalayo ali ndi boma labwino. Ndipo gawo lomaliza ndi chikomokere. Pamapeto omaliza, pamene matenda ashuga a ketoacidosis amakula, pamakhala kulakwika kwa pafupifupi ziwalo zonse zamkati, njira za metabolic m'thupi zimasokonezeka kwathunthu.
Zomwe zimayambitsa zovuta ndi izi: kuphwanya zakudya, kumwa mankhwala. Kudzilowetsa m'malo amodzi ndi mankhwala ena, kuchuluka / kuchepa kwa mulingo wa mankhwalawa.
Dziwani kuti ketoacidosis imatha kupezeka pambuyo pa kusiya mankhwala ochepetsa shuga.
Hyperosmolar chikomokoma - zovuta za matenda ashuga
Hyperosmolar coma imasiyana ndi mitundu ina ya chikomocho pazizindikiro zake. Potengera momwe izi zidakhalira, kuwonjezereka kwa sodiumamu yokhala ndi shuga m'thupi la odwala matenda ashuga kumadziwika. Zotsatira za "izi", vuto la zoperewera zimachitika pama cellular. Ndipo izi zimayambitsa kusokonezeka kwa ziwalo zamkati, kuphatikizapo ubongo.
Mwambiri, mtundu wankhwawa umapezeka mwa anthu okalamba. Pachigawo choyambirira cha matenda, kuchepa kwa thupi, kusowa kwa timadzi timadziwika.
Kutalika kwa madzi kwakhungu kumayambitsa kukula kwa ziwonetsero zachiwiri: kusokonezeka kwa m'mimba ndi kugaya kwam'mimba, kutsutsana ndi mseru komanso kusanza, kuphwanya magwiridwe antchito amkati.
Vutoli limayenda pang'onopang'ono, ndikupanga sabata zingapo. Poyamba, zizindikiro zotsatirazi zimawonekera:
- Udzu wokhazikika.
- Kuchepetsa thupi.
- Kuchulukana mobwerezabwereza.
- Kutalika kwakanthawi kwamiyendo.
Ngati palibe chomwe chimachitika pamlingo wazizindikiro zoterezi, ndiye kuti zovuta zake zimayamba kupita mwachangu. Wodwalayo amasiya kuzindikira, kenako amakomoka.
Chithandizo cha zovuta izi ndi njira yovuta yochizira, yomwe imaphatikizapo kumwa mankhwala, kuthana ndi mavuto.
Cholinga sikuti kungochepetsa zizindikirozo, komanso kuchotsa zomwe zinayambitsa.
Nephropathy monga chifukwa cha matenda ashuga
Matenda a shuga a nephropathy amakhala ndi vuto laimpso, zomwe zimapangitsa kuti impso iziperewera. Monga lamulo, matenda amtunduwu amapezeka mu 80% ya odwala omwe adwala matenda ashuga kwa zaka zoposa 10.
Tiyenera kudziwa kuti kuphatikiza pamenepa ndiwopseza kwambiri moyo wa wodwala wodwala matenda ashuga. Kafukufuku akuwonetsa kuti ndi mtundu woyamba wa matenda ashuga, matenda awa ndi omwe akuchititsa imfa.
Matenda a shuga a nephropathy amakhala m'magawo atatu. Gawo loyamba limadziwika ndi kukhalapo kwa mapuloteni ochepa mumkodzo. Mu gawo lachiwiri, kuchuluka kwa mapuloteni kumawonjezeka. Gawo lachitatu ndi kulephera kwa impso.
Chithandizo cha matenda ashuga nephropathy ndi motere:
- Kumwa mankhwala omwe amachepetsa kuthamanga kwa magazi.
- Lamula mapiritsi kuti magazi azisintha mu impso.
- Zakudya zaumoyo.
- Kukhazikitsidwa kwa insulin.
Kuchepetsa mwayi wokhala ndi zovuta zambiri, kungoyang'anira matenda a shuga kokha ndi komwe kungakuthandizeni. Zimaphatikizapo kutsatira malingaliro onse a dotolo - uwu ndi mankhwala ochizira matenda a shuga komanso zolimbitsa thupi zolimbitsa thupi.
Kuti mupewe mavuto, muyenera kusamala ndi zomwe muli nazo, osanyalanyaza zizindikiro zomwe zimawonekera mukadwala. Kufikira dokotala moyenera kumathandizira kuti ayambe kulandira chithandizo chokwanira, ndipo nthawi zina amapulumutsa moyo.
Mu kanema munkhaniyi, njira zochizira wowerengeka zamagazi zimaperekedwa.
- Imakhazikika pamisempha ya shuga kwa nthawi yayitali
- Zimabwezeretsa kupanga kwa insulin
Zambiri zakuopsa kwa hepatitis C komanso chithandizo chake cha matenda ashuga
- Za chithandizo
- Za mankhwala
- Pa hepatoprotectors ndi chithandizo chokwanira kwambiri
- About Kuteteza
Anthu omwe ali ndi matenda a shuga amakhalanso ndi matenda a chiwindi, B, C, D. Chifukwa chake, pakati pa anthu odwala matenda ashuga omwe amadwala matenda a shuga, kuchuluka kwa anthu odwala matenda ashuga kumakhala kokwanira 8-10 kuposa kuchuluka kwa anthu ena onse. Matenda omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga nthawi zambiri amagwirizanitsidwa ndi anicteric komanso subclinical, ndiko kuti, mawonekedwe asymptomatic, kupewa komwe kungatheke ndi chimanga ndi zinthu zina zofanana.
Tiyenera kudziwa kuti odwala matenda ashuga ndi amodzi mwa gulu la anthu omwe ali ndi chiopsezo chotenga kachilomboka ndi ma virus onse omwe amachititsa hepatitis. Pali zifukwa zambiri pazinthu izi, mwachitsanzo:
- kutsitsa kwadzaukulu kwambiri (chifukwa cha kubayira pafupipafupi),
- kufooka kwa chitetezo chathupi, chomwe chimakhudzidwa ndi matenda "akulu" - matenda a shuga.
- kuchuluka kwa ma virus komwe kumawoneka popanda zisonyezo komanso ngakhale ndi mandimu ndi zipatso zina.
Therapy, motero, ili ndi mndandanda wonse wamavuto. Mfundo yofunika kuikumbukira ndi yoti aliyense wa anthu odwala matenda ashuga amafunika kuwongolera kwambiri. Izi zikufotokozedwanso, chifukwa chakuti mankhwala ambiri amatha kupangitsa kuti glycemia ayambe, monga anyezi wophika, komanso kuwongolera ntchito yofunikira monga kagayidwe kazakudya. Kuti mubwezeretse mulingo woyenera wa glycemia, mudzafunika kuwunikira momwe kuchuluka kwa shuga m'magazi kulili.
Musanayambe chithandizo, ndikofunikira kuti mugwire osati kungosanthula palokha komanso zamankhwala amodzi, komanso coagulogram limodzi ndi chidziwitso cha HCV-PHK cha PCR. Pansi pa mankhwalawa a hepatitis C amapangidwa ndi kuphatikiza kwa mankhwala angapo osokoneza bongo ofanana ndi kaloti. Ndi za ribavirin ndi inretferon-alpha.
Wachiwiri wa iwo waphatikizidwa mu mawonekedwe a kuwonongeka kwa matenda a shuga, chifukwa chake chisamaliro chapadera chofunikira pakugwiritsidwa ntchito. Kuphatikiza apo, mlingo umachepetsedwa kapena kuthetsedwanso pamene wodwala akukulira kuwonjezeka kwa chakudya cha metabolism, chomwe sichitha kuyimitsidwa ngakhale ndi radish. Zikatero, akatswiri nthawi zambiri amapita ku monotherapy. Zambiri pazamankhwala omwe ali pansipa.
Za mankhwala
Kuti chiwindi C ndi chiwindi chotsatira chikhale ndi mankhwala othandizira odwala, mankhwalawa omwe ali ndi ursodeoxycholic acid ndi phospholipids amafunika.
Ndalama zomwe zaperekedwa zimathandizira kuyimitsa zinthu zosafunikira monga kuwonjezeredwa kwamafuta amtundu wa peroxide.
Mankhwalawa alinso abwino chifukwa amakhala okhazikika ndikuthandizira kubwezeretsa maselo a chiwindi. Chifukwa cha izi:
- zimapewa zowononga zamafuta ndi zotsalira zamagulu zopanda ufulu,
- sikuti kutupa kokha kumakulitsidwa, komanso kusintha komwe kumachitika pachiwindi komwe kunayambitsa izi,
- zosafunikira mapangidwe a zolumikizana minofu kutha,
- Pambuyo pake, mapangidwe a matenda monga fibrosis ndi cirrhosis chiwindi chimasiya. Ichi ndiye chomaliza komanso chofunikira kwambiri pazinthu zonse pamwambapa.
Zokonzekera zomwe zimakhala ndi ursodeoxycholic acid, mwachitsanzo, "Ursosan", zimasiyana mosiyana ndi kukhazikika kwa ma membrane am'mimba. Chifukwa chake, amathandizira kuwonongeka kwa maselo a chiwindi ndi kupezeka kwa njira yotupa mu chiwalo ichi.
"Ursosan", monga mankhwala ena aliwonse, amadziwika ndi choleretic zotsatira ndipo amathandizira kupititsa patsogolo kumasulidwa kwa cholesterol limodzi ndi bile. Ndizokhudzana ndi izi kuti kugwiritsa ntchito kwake mu dongosolo la metabolic syndrome ndikofunikira. Kuphatikiza apo, Ursosan amafufuza njira zomwe zayikidwa kuti athetse bile (ndizofala kwambiri mu ndulu ndi ma pancreatic gland).
Kuphatikiza apo, mankhwala osokoneza bongo amathandizanso ku ziwalo zonse zoperekedwa mu shuga. Zonsezi ndizofunikira kwambiri kwa chiwindi C, chomwe chikukulitsidwa ndi matenda odalira insulin.
Pa hepatoprotectors ndi chithandizo chokwanira kwambiri
Monga gawo la mankhwala, sizingatheke, koma ngakhale omwe amatchedwa hepatoprotectors ayenera kugwiritsidwa ntchito. Sizimadziwika ndi zotsatira zoyipa ndipo, ngakhale izi, zimasintha kwambiri kugwira ntchito kwa chiwindi. Ndizofunikanso kugwiritsa ntchito ma immunomodulators.
Ndalamazi zimakupatsani mwayi wolimbikitsa chitetezo cha mthupi, komanso zimapatsanso thupi mwayi wothana ndi zotupa.
Chithandizo cha matenda a chiwindi C komanso kudwala matendawa chimakhala chodula. Kuphatikiza apo, ndizovuta kwambiri kulekerera ndi onse odwala matenda ashuga. Pankhani imeneyi, kufunsana ndi katswiri matenda opatsirana pakufunika kwake ndikofunikira kwambiri. Mlingo wogwira ntchito mochizira matenda a chiwindi a hepatitis nthawi zambiri umawunikidwa ndi zizindikiro zomwe zimadziwika kale.
Ndiko kusanthula kwamwazi ndi kukosanso magazi, komanso kupezeka kwa HCV-PHK. Kupangidwe kwa zotsatirapo zilizonse kumawonetsanso kuyezetsa magazi konse.
About Kuteteza
Udindo wofunikira monga njira yodzitetezera umaperekedwa kwa:
- kuchepa kwa mndandanda wamthupi,
- onjezani zolimbitsa thupi,
- zakudya zapadera zomwe zimachepetsa kuchuluka kwa cholesterol kwa mafuta a mtundu wofulumira.
Nthawi zina, zimafunikira kuwerengera XE (magulu a buledi) ndi kudya kwambiri kwa kalori. Popeza kufunika kwakanthawi yomweyo kolipitsa insulini, kufunsira pafupipafupi ndi katswiri kumalimbikitsidwa. Izi zikuthandizira kupewa zovuta zazikulu. Mwachitsanzo, kapamba, khansa ya chiwindi kapena kapamba ndi matenda ena.
Chifukwa chake, pakukayikira pang'ono kwa hepatitis C, yomwe imayendera limodzi ndi matenda amtundu uliwonse, ndikofunikira kuyamba chithandizo posachedwa. Izi zikuthandizira kubwezeretsa thanzi mwachangu. Kusankha zochita pawekha ndikumalandira chithandizo popanda kukambirana ndi akatswiri zitha kukhala zowopsa.