Momwe mungayambire kudwala matenda ashuga

Matenda a shuga ndi matenda omwe mawonekedwe ake akulu ndi shuga wamagazi. Pathology imagwirizanitsidwa ndi kuperewera kwa insulin (mtundu 1 matenda) kapena kuphwanya kachitidwe kake (mtundu 2).

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>

Ndi kukula kwa matenda ashuga, moyo wa anthu odwala ukuchepa. Wodwala matenda a shuga amataya kusuntha, onani, kulumikizana. Ndi mitundu yoopsa kwambiri ya matendawa, kuyikapo nthawi, malo amasokonezedwa ngakhale.

Mtundu wachiwiri wa matenda umapezeka mwa okalamba ndipo, monga lamulo, wodwala aliyense wachitatu amaphunzira za matenda ake kale motsutsana ndi mawonekedwe a zovuta kapena zovuta. Odwala amadziwa kuti matenda ashuga ndi osachiritsika, choncho amayesetsa kukhalabe ndi chiphuphu chokwanira.

Kuvutika ndi matenda a shuga a mtundu wachiwiri ndi funso lomwe limafunsidwa pafupipafupi pakati pa odwalawo, abale, odwala ndi madokotala. Aliyense ali ndi chidwi ndi funso loti mtundu wachiwiri wa matenda ashuga umapereka olumala, ndipo ngati ndi choncho, ungapezeke bwanji. Zambiri pa nkhaniyi.

Pafupifupi mtundu 2 shuga

Njira yamatendawa imadziwika ndi insulin kukaniza, ndiye kuti, momwe ma cell ndi minofu ya thupi la munthu imasiya kuyankha machitidwe a pancreatic hormone insulin. Amapangidwa ndikuponyedwa mumtsempha wamagazi wokwanira, koma amangoti "sawoneka."

Poyamba, chitsulo chimayesetsa kulipirira mkhalidwewo mwa kupanga zinthu zina zambiri zamafuta. Pambuyo pake, magwiridwe antchito amatha, mahomoni amapangidwa pang'ono.

Matenda a 2 a shuga amawoneka ngati matenda wamba, owerengera oposa 80% onse a "matenda okoma". Amakula, monga lamulo, patatha zaka 40-45, pafupipafupi motsutsana ndi maziko amomwe thupi limagwirira ntchito kapena kudwala.

Wodwala amapatsidwa liti olumala?

Matenda a shuga a Type 2 a shuga ndiwotheka, koma pamenepa wodwalayo ayenera kukwaniritsa njira zina zomwe zimayesedwa ndi mamembala a akatswiri azaumoyo ndi akatswiri:

• kuthekera kwantchito - mwayi wa munthu samangotengera zochitika zokha, komanso ntchito zina, zosavuta.
• kuthekera kosuntha mosadalira - ena odwala matenda ashuga chifukwa cha zovuta zam'mimba amafunidwa kuti akwaniritse gawo limodzi kapena onse otsika,
• kusuntha kwakanthawi, malo - zovuta mitundu yamatenda imayendera limodzi ndi mavuto amisala,
• kuthekera kolumikizana ndi anthu ena
• kuchuluka kwa thupi, kuchuluka kwake pobwezeretsera, zikuyang'anira zolemba, etc.

Zofunika! Kuunika momwe odwala alili potsatira njira zomwe zili pamwambazi, akatswiri amadziwa kuti ndi gulu liti lomwe limayikidwa m'thupi lililonse.

Gulu loyamba

Gawoli liperekedwa kwa wodwala pazinthu zotsatirazi:

• zamatsenga zojambula zowonera, limodzi ndi kuchepa kwamphamvu kwa masomphenya kapena kutayika kwathunthu m'maso amodzi kapena onse,
• kuwonongeka kwa chapakati mantha dongosolo, kuwonetsedwa ndi kusokonezeka kwa malingaliro, kusokonezeka kwa chikumbumtima, kulunjika,
• neuropathy, limodzi ndi ziwalo, ataxia,
• CRF gawo 4-5,
• kulephera kwamtima kwambiri
• kuchepa kwakukulu kwa shuga m'magazi, mobwerezabwereza.

Monga lamulo, odwala matenda ashuga oterewa sangathe kusunthira popanda thandizo, akudwala matenda a dementia, ndipo zimawavuta kulankhulana ndi ena. Ambiri amakhala ndi zokumbira zam'munsi, kuti siziyenda zokha.

Gulu lachiwiri

Kupeza gulu la olumala ndikotheka muzochitika zotsatirazi:

• kuwonongeka kwa maso, koma osati koopsa monga kulumala kwa gulu 1,
• matenda a shuga
• Kulephera kwa impso, kuphatikiza ndi kuyeretsa magazi othandizira kapena othandizira othandizira othandizira,
• kuwonongeka kwa zotumphukira zamanjenje, kuwonetsedwa ndi paresis, kuphwanya kwaphokoso kwamalingaliro,
• zoletsa pakutha kusuntha, kulumikizana, kutumizidwa palokha.

Zofunika! Odwala m'gululi amafunikira thandizo, koma safunikira maola 24 patsiku, monga momwe zinalili poyamba.

Gulu lachitatu

Kukhazikitsidwa kwa mtundu uwu wa olumala m'matenda a shuga ndikotheka ndi zovuta zamatenda, pamene odwala sangathe kugwira ntchito yawo yanthawi zonse. Akatswiri azachipatala komanso akatswiri azaumoyo amati odwala matenda ashuga otere amasintha momwe amagwiridwira ntchito kuti azigwira ntchito mosavuta.

Kodi njira yokhazikitsira kulemala ndiyotani?

Choyamba, wodwalayo ayenera kulandira kutumizidwa ku MSEC. Chikalatachi chimaperekedwa ndi a zachipatala pomwe odwala matendawa amawonera. Wodwala ngati ali ndi ziphaso zakuphwanya ntchito za ziwalo ndi machitidwe a thupi, wothandizanapo ndi chitetezo atha kuperekanso chilolezo.

Ngati achipatala akukana kupereka zofunsira, munthu amapatsidwa satifiketi yomwe angathe kudzipangira yekha kuECEC. Pankhaniyi, funso lokhazikitsa gulu lolumala limachitika ndi njira ina.

Kenako, wodwala amatenga zikalata zofunika. Mndandandandawu umaphatikizapo:

• koperani ndi choyambirira cha pasipoti,
• kutumiza ndi kugwiritsa ntchito matupi a MSEC,
• koperani ndi choyambirira cha buku la ntchito,
• lingaliro la adotolo yemwe ali ndi zotsatira zonse za mayeso ofunikira,
• kutsiriza kwa kuyesa akatswiri aafupi (dokotala wa opaleshoni, ophthalmologist, neurologist, nephrologist),
• khadi la wodwala.

Ngati wodwala adalandira kulumala, akatswiri kuchokera ku bungwe lazachipatala komanso akatswiri azaumoyo akupanga pulogalamu yapadera yokonzanso munthu uyu. Ndizovomerezeka kwa nthawi kuyambira tsiku lomwe linakhazikitsidwa kuti lizigwira ntchito mpaka pakuyambiranso.

Ubwino wa odwala matenda ashuga

Mosasamala kanthu chifukwa chomwe mkhalidwe wa chilema unakhazikitsidwa, odwala ali ndi mwayi wothandizidwa ndi boma ndi maubwino m'magulu otsatirawa:

• kukonza njira
• chisamaliro chaulere chamankhwala
• Kupanga malo abwino okhala,
• zothandizira
• mayendedwe aulere kapena otsika mtengo,
• chithandizo cha spa.

Ana nthawi zambiri amakhala ndi matenda omwe amadalira insulin. Amalandira kulumala pakukalamba, pokhapokha ngati ali ndi zaka 18 amayambiranso.

Pali milandu yodziwika yakukhazikika kwa ana a shuga a 2. Poterepa, mwana amalandila thandizo la boma mwanjira zolipila pamwezi.

Odwala ali ndi ufulu kamodzi pachaka kumasula spa chithandizo. Dokotala wopezekapo amalemba mankhwala a mankhwala ofunikira, insulin (panthawi ya insulin), syringe, ubweya wa thonje, bandeji. Monga lamulo, kukonzekera koteroko kumaperekedwa m'mabizinesi aboma mokwanira okwanira masiku 30 ochizira.

Mndandanda wazopindulitsa ukuphatikiza mankhwala otsatirawa, omwe amaperekedwa kwaulere:

• mankhwala akumwa a hypoglycemic,
• insulin
• phospholipids,
• mankhwala omwe amasintha magwiridwe antchito a kapamba (ma enzymes),
• mavitamini zovuta
• mankhwala omwe amabwezeretsa kagayidwe kachakudya,
• thrombolytics (magazi owonda)
• mtima (mankhwala a mtima),
• okodzetsa.

Zofunika! Kuphatikiza apo, anthu olumala m'magulu aliwonse amayenera kulandira penshoni, kuchuluka kwake komwe kumavomerezedwa ndi lamuloli molingana ndi gulu lolumala lomwe lilipo.

Momwe mungapezere vuto la matenda ashuga ndi nkhani yomwe mutha kumakambirana ndi akatswiri azachipatala a endocrinologist kapena akatswiri kuchokera ku bungwe la MSEC.

Ndili ndi lingaliro lomwe sindingakane: njira yopezera kulemala imawonedwa ngati njira yayitali, komabe ndikoyenera kukwaniritsa kukhazikitsidwa kwa kulumala. Munthu aliyense wodwala matenda ashuga samayenera kungodziwa zomwe ayenera kuchita (kukwaniritsa dziko), komanso za maufulu ndi mapindu ake.

Kulephera mu ana

Mwana yemwe ali ndi matenda a shuga a mellitus (omwe nthawi zambiri amadalira insulin) amapatsidwa mwayi wokhala mwana popanda tanthauzo la gululi. Akakula, wodwalayo amafufuzanso, komwe kumatsimikizira kuchuluka kwa omwe ali ndi vuto la munthu wolumala, kutengera kuwopsa kwa matendawo.

Momwe mungatsimikizire zomwe zili

Kuti mupeze chilema, wodwala yemwe ali ndi matenda ashuga ayenera kulumikizana ndi GP wapaderopo kuti akwaniritse mawonekedwe a 088 y-06. Chikalatachi chimagwira ngati maziko a mayeso a zamankhwala komanso chikhalidwe. Ngati ndi kotheka, wothandizirayo amatumiza wodwala kwa akatswiri opendekera omwe angatsimikizire za matendawo. Awa atha kukhala a ophthalmologist, nephrologist, cardiologist, gynecologist kapena urologist ndi madokotala ena. Talandira chitsimikiziro cha akatswiri, othandizira ayenera kupereka kutumizira kuti athe kuyesedwa.

Ngati dokotala akukana kuperekanso thandizo, wodwala amatha kulumikizana ndi bungwe loyang'anira zachipatala ndi mayeso pawokha kapena kudzera mwa woimira wovomerezeka. Monga chomaliza, zotumizira zitha kupezeka kudzera kumakhothi.

Kulembetsa kulemala kwa matenda ashuga ku Russia, muyenera zolemba zotsatirazi:

• mawu ochokera kwa wodwala yemwe ali ndi matenda amtundu wa 2 kapena matenda ashuga 2, kapena mawu ochokera kwa makolo kapena osamalira mwana akakumana ndi vuto,
• chiphaso (chiphaso, satifiketi yobadwa),
• kuchotsera ndi kutumiza kuchipatala chakomweko kapena ku khotilo, khadi la kunja ndi zolembedwa zotsimikizira mbiri yachipatala,
• dipuloma ya maphunziro,
• kwa ophunzira - mawonekedwe ochokera kumalo ophunzirira,
• kwa olemba ntchito - zolemba kuchokera ku dipatimenti ya ogwira ntchito zokhudzana ndi momwe amagwirira ntchito komanso momwe amagwirira ntchito, komanso chithunzi cha ntchito yolembedwa, mabuku ovomerezedwa ndi wogwira ntchito kudipatimenti yothandizira.
• satifiketi yakulemala, pulogalamu yoyeserera payekha (yowunikiranso).

Lingaliro lololeza ngati munthu wolumala ali ndi matenda ashuga limapangidwa ndi akatswiri odziwa ntchito zachipatala komanso akatswiri. Pachifukwa ichi, wodwala adzafunika kuyesa mayeso angapo. Kufufuza mosalephera kumaphatikizapo kuyezetsa magazi konse, kutsimikiza kwa shuga m'mimba pamimba yopanda kanthu ndipo masana, mayeso amomwe am'magazi a cholesterol, creatinine, urea, hemoglobin wa glycated. Kuyesa kwamkodzo kwamatenda a shuga ndi acetone kumachitika. Mu matenda a shuga a nephropathy, mayeso a Zimnitsky ndi Reberg ndi omwe amapatsidwa. Kuphatikiza apo, muyenera kupita ndi ECG, echocardiography ndikupeza malingaliro a akatswiri apadera - a ophthalmologist, neurologist, urologist, dokotala wa opaleshoni. Kwa matenda a shuga a 2, mungafunike kuyeserera kwa ultrasound, tomography, x-ray, ndi zina. Ngati phunzirolo likuwulula zolakwika zomwe zikugwirizana kapena kulumala kwathunthu, akatswiri amapereka gulu la olumala.

Kuyika kwa ntchito

Kuthekera kwantchito kumatengera momwe matendawa akuonekera komanso kupezeka kwa ma concomitant pathologies.

Ndi mtundu wocheperako wa matenda ashuga, kusakhalapo kwa matenda olimba kwambiri, wodwala amatha kugwira ntchito iliyonse. Ngati mavuto azachuma akuchulukirachulukira, kuchulukitsa kwa matenda a pathologies, kuwonongeka kwa matendawa, kapena kuchitidwa opaleshoni pamafunika, wodwalayo amalandila kulumala kwakanthawi. Nthawi yake imadalira matendawa ndipo amatha kuyambira masiku 8 mpaka 45.

Ndi matenda a shuga okwanira, mutha kugwira ntchito molingana ndi zofunikira. Ndi matenda a mtundu wachiwiri, ndikosayenera kugwira ntchito yayikulu kapena kumangokhala ndi nkhawa ya pafupipafupi ya neuropsychic. Mtundu woyamba wa matenda ashuga, ntchito yowopsa ndi ntchito yolumikizidwa ndi kasamalidwe ka kayendedwe, kayendedwe kazinthu, komanso kulikonse komwe chidwi chochulukirapo komanso zochitika zapamtima za psychomotor zimatsutsana. Ndikosayenera kwambiri kusankha ntchito yokhudzana ndi kupanga ziphe za mafakitale. Ngati matenda a retinopathy apezeka, zida zowonekera sizingawonongeke panthawi ya ntchito, ndipo ngati pali mwayi wokhala ndi vuto la matenda ashuga, ntchito yoyimirira iyenera kupewedwa.

M'mavuto akulu matendawa, gulu loyamba lazolumala liperekedwa, munthu amadziwika kuti ndi wolumala.

Kukhala wolumala ndi chizindikiro cha kufunika kwa chitetezo chamtundu. Ubwino wamagulu awa ungagwiritsidwe ntchito pakulipira zofunikira, chithandizo kuchipatala. Anthu omwe ali ndi matenda a shuga omwe ali ndi vuto la kulumala ali ndi ufulu kulandira mankhwala aulere, mita yama glucose, ndi mapindu ena. Koma mawonekedwewo amafunikira chitsimikiziro. Ngati, potengera zotsatira za mayeso, kuwonongeka kapena kusintha kwa mkhalidwe wa wodwalayo kwazindikiridwa, gulu lolumala liyenera kusintha kapena kuletsa.