Kodi akutenga - gulu lankhondo lomwe lili ndi matenda ashuga?
Monga lamulo, anthu okhawo omwe ali ndi pathologies owonekera komanso ovuta, monga kuchepa kwa malingaliro, schizophrenia, khungu, ugonthi, kusowa kwa miyendo, ndiosayenerera kwathunthu kunkhondo.
Nthawi zina, funso limakhala lokhudza chithandizo (ndiye kuti kuchedwetsa kumachitika kenako kuyesedwa kwachiwiri kukufunikira), kapena pafupi kuchuluka kwa ziwalo zina zolakwika.
Matenda owopsa (kuyankhula modekha, kwamikodzo, kusakhazikika kwa mtima, kulephera kwa mtima, ndi zina zotere) ndi chifukwa chotsalira. Muzoyambitsa mikangano, lingaliro limakhalabe ndi gulu lachipatala.
Matenda owopsa
Active pulmonary ndi extrapulmonary chifuwa chachikulu, kachilombo ka HIV, khate - ndi matenda otere samatengedwa m'gulu lankhondo. Ndi chifuwa chachikulu komanso chifuwa, kuchira ndikotheka.
Matenda amkati, mabakiteriya ndi matenda opatsirana omwe amapatsirana ndi arthropods, riketitsi, gonococcal, matenda a chlamydial, mycoses (matenda oyambitsidwa ndi bowa) ndi matenda ena atapezeka koyamba pachipatala chachipatala apangitsa kuti wodwalayo atumizidwe chithandizo. Ngati nthendayo singachiritsidwe, zomwe zalembedwazo zimawerengedwa kuti ndi zosayenera kugwira ntchito.
Neoplasms
Kuphwanya ndi chosaopsa ndi kuponderezana pantchito yankhondo, ngati chotupa sichingachotse kwambiri, pali ma metastases kapena kusowa kwazinthu zina zilizonse.
Kuphatikiza apo, satenga nawo m'gulu lankhondo omwe akukana chithandizo chotupa. Anthu omwe akuchitiridwa mankhwala a neoplasms adzapatsidwa chosowa, mtsogolomu adzayesedwanso.
Anthu onenepa kwambiri 3 ndi 4 madigiri sakhala oyenera kupita kunkhondo. Afunsidwa kuti akalandilidwe chithandizo chomwe chimachedwetsa. Ngati chithandizo sichikuthandizira, kuwerenganso mobwerezabwereza kumatsimikizira kuti ntchito siyabwino.
Matenda ena a endocrine
Matenda a chithokomiro, zotupa, chithokomiro, matenda a m'mimba, matendawa, matendawa, vuto la kudya, hypovitaminosis, gout ndi zotsutsana ndi ntchito yankhondo ngati akuphatikizidwa ndi vuto la ziwalo zoyenera ndipo sangathe kusintha. Ngati matenda a chithokomiro (goiter) akusokoneza kuvala yunifolomu yankhondo, cholembedwacho chimanenedwanso kuti sichoyenera kugwira.
Kuperewera kwa Thupi Lathupi (Matenda Oopsa a BMI)
Ngakhale munthawi ya kulembedwa kukakamiza anyamata amakhala ndi mayeso azachipatala chaka chilichonse, kutengera momwe ntchito yawo muusimu imatsimikizidwira m'tsogolo, ndiko kuti, kuyenerera kapena kusayenerera. Achichepere omwe ali ndi mavuto akulu azaumoyo samasulidwa kukakamizidwa kulowa Gulu Lankhondo zadziko. Kodi ali m'gulu lankhondo lomwe ali ndi matenda ashuga? Kodi matendawa amagwera m'gulu D (kusakwanira kokwanira) malinga ndi "Dongosolo la Matenda"?
Matenda a shuga ndi matenda omwe ali ndi mitundu ndi mitundu yosiyanasiyana. Izi ndi zovuta za endocrine m'thupi zomwe zimakhudzana ndikupanga insulin, chifukwa - kuyamwa kwa shuga. Matenda a shuga amaphatikizidwa ndi hyperglycemia wolimbikira, kuphwanya mitundu yonse ya kagayidwe kachakudya mthupi. Ili ndi mitundu iwiri - wodalira insulin komanso osadalira insulini:
- Ndi mtundu wachiwiri, kulembetsa kungatumizidwe kumalo osungirako nthawi yankhondo, koma ngati matendawo sangakulemetseni ndi zovuta zake. .
- Ndi mtundu 1, matenda ashuga komanso gulu lankhondo siligwirizana kwathunthu, bambo wachinyamata yemwe ali ndi matenda otere amadziwika kuti ndi osayenera.
Zomwe zimalepheretsa ntchito ndi zingapo:
- zakudya zina ziyenera kutsatiridwa
- chakudya chimayenera kumwedwa mosamala paola ina, kutengera manambala a jakisoni wa insulin,
- kugwiritsa ntchito mankhwala mosalekeza kapena jakisoni wa insulin ndikofunikira,
- masewera olimbitsa thupi komanso masewera owonjezera kumatha kubweretsa kusintha kwakukulu pamasamba a shuga, omwe ali oopsa kwambiri kwa odwala matenda ashuga,
- Njira ya matendawa imadziwika ndi kutopa kwambiri.
Malinga ndi lamulo la Boma la Russian Federation, lomwe lidayamba kugwira ntchito pa Julayi 4, 2013 ndikusintha pa Marichi 30, 2019, dongosolo la matenda lidavomerezedwa ndi magawo oyenerera kapena osayenera kwa gulu lankhondo. Pakupanga kwamalamulo uku, Art. 13 ("Matenda a endocrine system, mavuto azakudya ndi zovuta zama metabolic").
Nkhaniyi ikuwonetsa kuti odwala matenda ashuga omwe alowa m'gulu B, ndiye kuti, omwe amalembetsedwa omwe glycemia amawongolera pokhapokha ngati amadya ndipo osapitirira 8.9 mmol / lita imodzi pakatha tsiku limodzi, angathe kuzindikiridwa kuti ndi gawo loyenerera kugwira ntchito.
Kodi ndi odwala matenda ashuga ati omwe sangatengedwe?
Matendawa amatengedwa kuti ndi amodzi a gulu lovuta kwambiri la endocrine la pathologies. Izi ndichifukwa choti ndi matenda ashuga pamakhala chiwopsezo chachikulu chotenga zovuta komanso kuwonjezera kwa zina zothandizirana ndi matekinoloje. Pamaso pazophwanya zotsatirazi, akatswiri azachipatala amakana kulembedwa kuti atumikire ngakhale m'nthawi ya nkhondo:
- Uku ndiye angiopathy ndi neuropathy. Nthawi zambiri, malekezero am'munsi amakhudzidwa, pomwe, ndi kuvulala pang'ono, mawonekedwe a zilonda zam'mimba amatha kuwonekera.
- Chifukwa cha kugonjetsedwa kwa microvasculature (capillaries), miyendo imasowa mpweya, zomwe zimapangitsa kuti ischemia ipangike, yomwe imatsogolera ku gangrene.
- Mu matenda a shuga, ntchito ya impso imalephera, zomwe zimayambitsa kufooka kwa ziwalo. Izi zili ndi zidakwa komanso vuto lalikulu. Nephropathy
- Retina imayankhanso pakukula kwa hyperglycemia. Poyamba, masomphenya amachepa, koma pakalibe chithandizo chokwanira chamankhwala komanso kutsatira zakudya ndi jakisoni, khungu limatha kuchitika. Retinopathy
- Popeza ziwiya zimakhudzidwanso, pali chiwopsezo chachikulu cha kupangika kwa phazi la matenda ashuga. Pankhaniyi, wodwala matenda ashuga amaloledwa kuvala nsapato zapadera, zomwe sizingatheke m'gulu lankhondo.
Kuphatikiza apo, malinga ndi ziwerengero zamankhwala, anthu omwe ali ndi matenda ashuga amayenera kuyang'anira kuthamanga kwa magazi kupewa kuteteza matenda oopsa.
Ngati mukufuna kutumikiradi
Ngakhale anthu ambiri amakhulupirira kuti oyang'anira amalemba makamaka amayesa, pali ambiri omwe amafunitsitsa kukakhala nawo m'Magulu ankhondo. Ndipo nthawi zina anyamata amayesetsa kubisala ku chipatala chawo kuti ali ndi matenda ashuga. Kuchita izi nkosatheka. Akatswiri azachipatala amasamalira mosamala osati zolemba zokha zomwe wachinyamatayo adalandira, komanso zotsatira zoyesa zomwe ziyenera kuperekedwa atalandira lisamanisi.
Ngati kukayikira kocheperako kungachitike, chikalatacho chidzatumizidwa kuti chikawonjezedwe. Chokhacho chomwe chitha kupezeka ndi matenda osadalira insulini ndikupita kuchipatala. Zitatha izi, mudzayesaninso kukayezetsa kuchipatala, ndipo ngati pali kusintha kwakukulu, mutha kuyeneretsedwa kuchita ntchito zoletsedwa. Komanso ndizovutanso, chifukwa ngakhale atakhala kuti ali ndi matenda osakhalitsa, pakatha chaka amatha kukula ndikuvuta.
Ngati, ndi zolembedwa zonse zokhudzana ndi matenda ashuga zomwe mudatumizidwabe ku gulu lankhondo, dziwani kuti izi zikutsutsana ndi malamulo. Momwe mungachitire pazinthu zotere, mutha kudziwa kuchokera kwa owerenga athu. Funsani mafunso, timayankha mwachangu ndikuthandizira olemba nawo kuthana ndi zovuta zovuta.
Ntchito zankhondo ndi ntchito yomwe imalemekezeka kwa anyamata ambiri achinyamata.Ichi ndichifukwa chake achinyamata omwe ali ndi matenda ena osachiritsika amadzifunsa kuti: Kodi iwo akumwa gulu lankhondo ali ndi matenda ashuga? Ndikofunikanso kudziwa zonse za yemwe ndi yemwe amawunika kuyenera kwa ntchitoyi, yomwe ma pathologies akupikisana.
Ndani komanso momwe amawerengera kuyenerera kupita kunkhondo?
Kuyenera kwa zolembedwa pazothandizira kumatsimikiziridwa ndi madokotala akatswiri. Pamenepa, wachinyamata aliyense amayenera kukayezetsa kuchipatala, malinga ndi zomwe zisankho zidzagamulidwe ngati angatenge usilikali. Akatswiri azindikira magawo angapo, kutengera momwe mtundu wa kukonzekera ntchito umayesedwa:
- A - kusowa kwa zoletsa zilizonse,
- B - zoletsa zazing'ono,
- B - ntchito zochepa
- G - kukhalapo kwa kuvulala kwakukuru, kusokonezeka kwakanthawi kwa ziwalo zina zamkati,
- D - Kusakwanira kwathunthu pazankhondo.
Mukamawunika achinyamata omwe ali ndi matenda ashuga, akatswiri amaganizira njira zina. Chofunikira kwambiri ndikuzindikiritsa mtundu wina wa matenda ashuga. Ndi mitundu 1 ndi 2, zoletsa zimasiyana, makamaka, mtundu wachiwiri posowa zovuta zimadziwika ndi mndandanda wocheperako, kuwonjezera pazoletsa zina. Pamenepa, odwala matenda ashuga amenewa amapatsidwa gawo B (ntchito zochepa).
Kukula ndi kutalika kwa matendawa kumaunikiranso. Chiphuphu cha shuga chowonjezeredwa nthawi zambiri sichikhala kuphwanya lamulo pantchito. Ngati tikuyankhula za boma lowumbirali, ndiye kuti liyenera kukhazikika. Matenda a shuga omwe amakhala nthawi yayitali mokwanira amalimbikitsidwa kuti ayesedwe ngati ali ndi zovuta chifukwa amachepetsa kapena kuletsa ntchito yankhondo.
Ndi zovuta za matenda zomwe zimatsogolera pakusankhidwa kwa achinyamata. Nthawi zambiri ndi mtundu 2 zovuta zimakhala zochepa kapena mawonekedwe pambuyo poti matendawo atenga nthawi yayitali. Mtundu woyamba wa matenda ndiovuta malinga ndi malamulo, chifukwa chake kuwunika nthawi zonse ndikofunikira. Kusintha kwa kuchuluka kwa shuga m'magazi ndi njira yovuta kwambiri, yomwe imabweretsa zovuta zingapo. Ichi ndichifukwa chake matenda amtundu woyamba 1 ndi gulu lankhondo amayenera kuthandizidwa mosiyana.
Kodi odwala matenda ashuga omwe ali ndi matenda omwe amadalira insulin amalembedwa m'gulu lankhondo?
M'magulu a anthu odwala matenda ashuga omwe ali ndi matenda omwe amadalira insulin, amatengedwa panjira zina, ndipo ziyenera kumvetsedwa kuti mtundu wa ntchito ndiowopsa. Anthu odwala matenda ashuga adzafunika kupaka jakisoni tsiku lililonse m'maola angapo, pambuyo pake ndizosavomerezeka kudya chakudya kwakanthawi. Dziwani izi:
- Panthawi yausisitikali, boma lomwe liperekedwa siliyenera kupezeka nthawi zonse,
- Gulu lankhondo sililekerera kuphwanya dongosolo lomwe likhazikitsidwa, chifukwa chake, oyang'anira ayenera kuchita chilichonse malinga ndi dongosolo linalake,
- ndi matenda ashuga, kuchuluka kwa shuga kumatha kuchepa nthawi iliyonse, ndipo munthu amafunikira kudya chakudya chofunikira.
Kuyankhula za ngati atenga gulu lankhondo ndi matenda amtundu 1, amalabadira kuti povulala mwakuthupi wodwala ali pachiwopsezo chachikulu cha bala kapena chala cham'mimba. Kuphatikiza apo, vuto la zigawo zam'munsi kapena zovuta zina zitha kuonekera, chifukwa chomwe kudulidwa kumakhala kofunikira.
Kuti shuga isakhale yokhazikika, muyenera kutsatira boma linalake. Zimafunikanso nthawi ndi nthawi kupuma pakati pa zochita zolimbitsa thupi komanso kupatula kuchita masewera olimbitsa thupi. Gulu lankhondo, palibe chomwe chingachitike ngati ichi sichingachitike popanda mkulu wa wamkulu.
Pakulimbitsa thupi pafupipafupi komanso modabwitsa, munthu wodwala matenda ashuga sangamve bwino chifukwa iye sangathe kupirira ntchito iliyonse.Kuphatikiza apo, kuchita masewera olimbitsa thupi mopitilira muyeso kungathe kuthana ndi zovuta zazikulu. Ndiye chifukwa chake mtundu 1 wa matenda ashuga komanso usirikali ndi malingaliro osagwirizana.
Kodi ndimabodza ati omwe akuphwanya ntchito?
Ndi zolakwika zina mu ntchito ya thupi, wodwala matenda ashuga satengedwa kupita kunkhondo. Polankhula za izi, choyambirira, chidwi chimaperekedwa kwa neuropathy ndi angiopathy am'munsi, makamaka pamaso pa zilonda zam'mimba. Miyendo imatha kutupa nthawi ndi nthawi, yomwe nthawi zina imakhudza mawonekedwe a zilonda zapamapazi. Pankhaniyi, osati thandizo la endocrinologist, komanso akatswiri ena omwe akufunika, chithandizo kuchipatala chitha kufunikira. Pofuna kupatula kuthekera kuti mubwererenso, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi.
- contraindication ndi nephropathy, yomwe imasokoneza impso,
- magawo oyambilira, amakonzanso kukhazikikanso kwa ma rebu tubules, kenako kusefa. Izi zimakwiyitsa kuoneka ngati kulephera kwa impso, kulephera kwa woyamba, kenako impso yachiwiri,
- pakakhala kudzipatula kwathunthu kwa zinthu za metabolic, thupi la munthu pang'onopang'ono lidzadwala poizoni. Popanda njira yovomerezeka ya sabata kapena impso yochita kupanga, munthu amakumana ndi poizoni woopsa, kenako nkufa.
Maso, ngati impso, amayankha makamaka ku vuto la hyperglycemic, chifukwa chake mu ntchito ya ziwonetsero zomwe matendawa adayamba kuwonekera. Kugonjetsedwa kwa ziwiya za fundus koyambirira kumayambitsa chidwi chowoneka bwino. Ngati palibe chithandizo chokwanira, ndipo kubwezeretsa shuga sikungatheke, ndiye kuti titha kulankhula za khungu lathunthu, ngakhale tili aang'ono. Ichi ndichifukwa chake nthawi iliyonse pakukonzekera retinopathy, usilikali umaponderezedwa.
Matenda a shuga ndi vuto lina lomwe limayamba chifukwa cha kuwonongeka kwa ziwiya ndi mitsempha yam'munsi. Kuphatikiza pa machitidwe othandizira azachipatala okhudzana ndi kuteteza khungu, kuwongolera kuchuluka kwa shuga m'magazi, ndikofunikira kuvala nsapato zapadera, zomwe mwa zochitika zankhondo sizingatheke. Ndizodziwikiratu kuti muutumiki ndizosowa kwambiri kuyang'anira ukhondo, chifukwa chake pamakhala chiwopsezo chachikulu chotenga kachilomboka.
Chifukwa chake, chovuta kwambiri ndikugwira ntchito yankhondo mu mtundu 2 wa matenda ashuga. Pamaso pa fomu yodalira insulin, matendawa amachitika pokhapokha chifukwa mutsogolomo ntchito zimakhala zovuta. Kuphatikiza apo, pali contraindication okhwima omwe amalepheretsa gulu lankhondo kwa odwala matenda ashuga: retinopathy, phazi la matenda ashuga ndi ena.
Atalandira ziphasozo, anyamatawa atumizidwa ku ofesi yolembetsa asitikali kukayezetsa kuchipatala. Kutengera zotsatira zomwe zapezeka atapimidwa mozama, kuyesedwa kwa mbiri yachipatala, kuyesedwa kwa chikalata, chigamulo chimaperekedwa pakuyenera kwake kugwira ntchito yankhondo. Funso loti mulembetse usilikali ndi matenda ashuga ndilothandiza kwa achinyamata omwe akudwala matendawa. Ndikosavuta kupereka yankho lomveka bwino pankhaniyi. Anthu ambiri odwala matenda ashuga atsimikiza, ngakhale ali ndi matendawa, kuti alowe nawo gulu lankhondo. Komabe, pali zoletsa zina zolembedwa ndi lamulo.
Magulu oyenerera ntchito
Kuyesedwa kwa dokotala kumachitika m'malo ophunzitsira, mwa bungwe lopangidwa mwapadera, kutsatira zotsatira zomwe zisankho zoyenera zimachitika: kufunikira kwa mnyamatayo, kufunikira kwakuloleza kapena kumasulidwa kwathunthu pantchito yankhondo pazifukwa zathanzi. Magawo otsatirawa alipo:
- Gulu "A". Draftee ndiwathanzi kwathunthu ndipo ndioyenera kupita kunkhondo, popanda zoletsa.
- Gulu "" . Pali zoletsa zina zazing'ono zomwe zingagwire ntchito yankhondo.
- Gulu "". Zimaphatikizapo ntchito yocheperako ngati wachinyamata amkakamizidwa kulowa usodzi pankhondo pankhondo.
- Gulu "G". Kutumizidwa pamaso pa mavuto osakhalitsa azaumoyo: matenda othandizika, kuvulala kosiyanasiyana, kusokonezeka kwamkati.
- Gulu "D". Kupezeka kwa ma pathologies ovuta omwe sagwirizana kwenikweni ndi gawo la ntchito. Matenda a shuga amakhalanso m'gulu lovomerezeka la matenda ().
Kodi ophunzirawo amawunika bwanji ntchito yawo?
Malinga ndi malamulo aku Russia, omwe adalandiridwa ndi Boma la Russian Federation mu 2003, ndi madotolo apadera okha omwe ali m'gulu la achipatala omwe angadziwe kuti ali ndi mwayi wankhondo kapena kuloledwa kulowa usilikali.
Makomiti amayenera kukayezetsa kuchipatala, pambuyo pake zimadziwika ngati adzalembetsedwe m'gulu lankhondo ndi matenda ashuga komanso ngati odwala matenda ashuga alandila tikiti yankhondo. Pakadali pano, nthawi zambiri wodwala amakana kubwezeretsedwanso m'malo mwa asitikali ankhondo chifukwa chakusokonekera chifukwa chazachipatala.
Lamulo la ku Russia likuwonetsa magulu angapo molingana ndi kuopsa kwa matenda. Woyang'anira dipatimentiyo amapatsidwa gulu linalake, lomwe limayang'ana pa zotsatira za mayeso azachipatala ndi mbiri yakale yakuchipatala, pamenepa izi zimamveka ngati atakhala usirikali.
- Gulu A limatumizidwa kwa omwe akukonzekera kulowa usilikali ndipo sakhala ndi zoletsa zina paumoyo.
- Ndi choletsa pang'ono chifukwa cha thanzi, gulu B limapatsidwa ntchito.
- Ngati gulu B lapatsidwa usilikali, munthuyu atha kutumikiridwa, koma ochepa.
- Ngati vuto lavulala kwambiri, kusagwira bwino ntchito kwa ziwalo zamkati, kukhalapo kwa matenda aliwonse osakhalitsa, gulu G limayikidwa.
- Ngati atatha mayeso okachipatala atapezeka kuti mnyamatayo sakuyenerera kupita kunkhondo, adzapatsidwa gulu D.
Popeza matenda ashuga komanso gulu lankhondo siligwirizana nthawi zonse, munthu amene akulembetsa ayenera kukhala ndi matenda odekha kuti akhale woyenera kulowa usilikari. Pakufufuza kwamankhwala, adokotala amapeza mtundu wa matenda a shuga, momwe matendawa alili, ngakhale pali zovuta. Chifukwa chake, nkovuta kwambiri kuyankha funsoli mosasamala ngati matenda a shuga amatengedwa ngati gulu lankhondo kapena ayi.
Chifukwa chake, ngati munthu wapezeka ndi mtundu wachiwiri wa matenda ashuga, samakhala ndi zosokoneza poyendetsa ziwalo zamkati, amapatsidwa gawo B.
Pankhaniyi, wankhondo wokhwimira kwathunthu amalembedwa zachinyamata, koma chikalatacho chimalembetsedwa kusungidwe, ndipo ngati kuli kotheka, angathe kugwiritsidwa ntchito ngati gulu lankhondo lowonjezereka.
Mtundu woyamba wa Matenda a shuga ndi Gulu Lankhondo
Pankhani ya matenda a shuga a mtundu woyamba, kupita kunkhondo kwa wachinyamata ndi kotsutsana kwathunthu, chifukwa chake sangalandiridwe usilamu mulimonse. Komabe, ena omwe amadwala matenda ashuga amayesetsa kudzipereka mwa kufuna kwawo usirikali, ngakhale akudwala kwambiri, ndipo akuyesa kudziwa ngati angamupatse ntchitoyo.
Kutsutsa ntchito yankhondo nthawi zambiri kumayenderana ndi chifukwa choti oyang'anira tsiku lililonse amakhala m'malo ovuta, omwe wodwala matenda ashuga sangathe.
Munthu ayenera kungoganiza za zovuta zovuta zomwe akukumane nazo kuti amvetsetse kuti kulowa usilikali kungakhale koopsa kwa munthu amene ali ndi matenda a shuga 1.
- Anthu odwala matenda ashuga amafunika kubayira insulin tsiku lililonse mosatengera maola ena, pambuyo pake ndizoletsedwa kudya chakudya kwakanthawi. Panthawi yankhondo, boma lotere silipezeka nthawi zonse. Si chinsinsi kuti gulu lankhondo sililekerera kuphwanya malamulo okhwima, chifukwa chake, asitikali amachita chilichonse malinga ndi dongosolo linalake. Komabe, ndi shuga, shuga amatha kutsika kwambiri nthawi iliyonse ndipo munthu adzafunika kudya mwachangu kuchuluka kwa chakudya.
- Ndi kuvulala kulikonse, wodwalayo ali pachiwopsezo chachikulu chokhala ndi zilonda zam'maso, zala zam'miyendo, zipsinjo zam'munsi kapena zovuta zina, zomwe zimapangitsa kuti omwe akukakamizidwa azidula nthambi yam'tsogolo mtsogolo.
- Kuti chizindikiro cha shuga chizikhala chazolowereka, muyenera kutsatira njira inayake, kupumula kwakanthawi pakati pazochita zolimbitsa thupi komanso kupewa kuchita masewera olimbitsa thupi. Pakadali pano, izi sizingachitike m'gulu lankhondo pokhapokha chilolezo chikaperekedwa kwa wamkulu wa wamkulu.
- Ngati mumakonda kuchita masewera olimbitsa thupi pafupipafupi, wodwala matenda ashuga amamva bwino, chifukwa sizotheka kuthana ndi vutoli nthawi zonse. Kuphatikiza apo, kuchita masewera olimbitsa thupi mopitilira muyeso kumatha kupangitsa kuti pakhale zovuta zambiri.
Chifukwa chake, munthu yemwe ali ndi vuto la matenda ashuga sayenera kukhala wankhalwe ndikulowerera usirikali. Pazifukwa zomwezi, simuyenera kubisa mwachidziwikire matenda anu komanso momwe aliri. Ndikofunika poyamba kuti azisamalira thanzi lanu.
Kuti atsimikizire ufulu wakakana kulowa usilikali, wodwala matenda ashuga ayenera kulandila gulu lolemala panthawi.
Kodi ndi ma pathologies ati omwe satenga kuti akagwire ntchito yankhondo
Popeza matenda ashuga ndi matenda oopsa, omwe, ngati malamulo ena sanatsatidwe, angayambitse zovuta zazikulu, ngakhale kufa, muyenera kudziwa zomwe ndizomwe zimapangitsa kuti akane kulowa usilikali.
Ngati dokotala azindikira matenda a neuropathy ndi angiopathy a miyendo, nthambi zam'munsi ndi zapamwamba zimakutidwa ndi mitundu yosiyanasiyana ya zilonda zam'mimba. Makamaka, miyendo ya wodwalayo imatupa mwamphamvu, zomwe nthawi zambiri zimakwiyitsa kukula kwa miyendo. Pankhani ya matendawa, ndikofunikira kulandira chithandizo choyenera moyang'aniridwa ndi endocrinologist pamalo oyenera. Popewa zovuta zotere m'tsogolomu, ndikofunikira kuyang'anitsitsa shuga yamagazi anu.
Kulephera kwamkati kumayambitsa vuto laimpso. Vutoli limakhudzanso thanzi lonse ndipo limabweretsa kuwonongeka kwamkati.
Ndi matenda a retinopathy, mitsempha yamagazi yamaso imakhudzidwa. Zotsatira zake, pakakhala kuti palibe chithandizo chamanthawi yake, wodwala matenda ashuga amatha kutaya ntchito.
Ngati wodwala ali ndi matenda ashuga, zilonda zambiri zotseguka zimatha kuoneka m'munsi. Popewa kukula kwa zovuta zoterezi, chisamaliro chapadera chiyenera kulipidwa kuti ayeretse miyendo ndikugwiritsa ntchito nsapato zapamwamba zokha.
Chifukwa chake, odwala matenda ashuga amatha kutengedwa m'gulu lankhondo pokhapokha ngati pali zizindikiro ndi matenda. Komanso, matendawa amayenera kukhala adakali achichepere komanso osakhala ndi mavuto akulu azachipatala. Ndiye kuti, matenda ashuga komanso gulu lankhondo likhoza kukhala logwirizana ndi matenda achiwiri kapena a prediabetes.
Ndani komanso momwe amawerengera kuyenerera
Kuyenera kwa achinyamata omwe ali ndi matenda ashuga pazankhondo kumatsimikiziridwa ndi madokotala a akatswiri angapo. Aliyense amapita kokayezetsa kuchipatala, zotsatira zake zimatengera mwachindunji ngati mnyamatayo atumikire. Achinyamata onse amayesedwa chimodzimodzi, kuyerekezera kumeneku kutengera zotsatira zomwe zilipo, popanda kufufuza kowonjezera.
- Ndipo - ngati palibe zoletsa komanso zosemphana ndi nkhondo,
- B - zoletsa zazing'ono,
- B - ntchito yankhondo ndi yochepa, pali zotsutsana,
- G - pamaso pavulala, osagwira ntchito kwakanthawi ziwalo zina,
- D - chimbale chaching'ono sichili choyenera kupita kunkhondo.
Mukamayesa achinyamata omwe ali ndi matenda ashuga, akatswiri amaganizira izi.
- Chofunika kwambiri ndikusankha mtundu wa matenda ashuga. Mu mtundu woyamba ndi wachiwiri, zoletsa ndizosiyana. Ndi matenda a shuga a mtundu woyamba, ndikothekanso kuti mnyamatayo akhale pamayimidwe kapena osaloledwa kuti atumikire. Mtundu wachiwiri pakalibe zovuta ulibe zotsutsana, kupatula malire ena. Chifukwa chake, anthu oterewa amapatsidwa gawo B.
- Kukula, nthawi ya matendawa imawunikanso. Matenda ophatikizidwa a shuga amatha kutumikiridwa. Dziko lowumbirali liyenera kuyamba kukhala labwinobwino koyambirira. Matenda a shuga okhalitsa amayenera kuwunikidwa pazovuta zomwe zimaletsa kapena kuletsa ntchito yankhondo.
- Mavuto a shuga amatenga gawo lalikulu pakusankhidwa kwa achinyamata. Nthawi zambiri ndi mtundu wachiwiri wamavuto ndi ochepa kapena amakula pambuyo poyambira matenda. Mtundu woyamba umakhala wovuta kuwongolera, kotero kuwongolera ndikofunikira. Kusintha kosalekeza m'magazi a glucose ndizovuta ndipo kumabweretsa zovuta, zomwe zikuwonetsa kusakwanira kwa achinyamata omwe ali ndi mtundu woyamba wa gulu lankhondo.
Kodi ndizotheka kutumikirana ndi mtundu woyamba wa matenda ashuga
Ntchito zankhondo mu mtundu woyamba wa matenda ashuga ndizotheka. Koma mtundu wa ntchito pawokha ukhale woipa. Mnyamatayo ayenera kuyang'anira kuchuluka kwa shuga m'magazi, amawopa kuvulazidwa, chifukwa zovuta kwambiri ndizotheka. Chifukwa chake, adotolo sangatenge udindo wolola mwana wachichepereyu kuti akwaniritse ntchito yankhondo.
Pofuna kumvetsetsa, timapereka zochitika zomwe zimafunikira kuyang'anizana pafupipafupi.
- Muyenera kubayira insulin tsiku lililonse panthawi yofunikira. Mukatha kudya jakisoni. Ngati mutasowa jakisoni imodzi kapena chakudya chimodzi, nthawi yomweyo mudzafunikira chakudya chamagalimoto, chomwe chimabwezeretsa kuchuluka kwa shuga m'magazi. M'magawo ankhondo, nthawi yamaphunziro nthawi zambiri sizotheka kudya nthawi inayake, ichi ndi chimodzi mwazinthu zofunikira kwambiri pokana kukana kulowa ntchito ndikuti thupi liloze.
- Popeza kagayidwe kachakudya kamasokoneza shuga, ndipo chitetezo chokwanira chimachepa, kuwonongeka kulikonse popanda chithandizo choyenera kungayambitse zilonda zam'mimba, zotupa zodukiza, kuduladula miyendo.
- Kutopa kochulukirapo kwa odwala matenda ashuga kumalepheretsa maphunziro olimbitsa thupi komanso kulimbitsa thupi. Kupirira kwa odwala matenda ashuga kumatsitsidwa, mogwirizana ndi ena, chifukwa chake, chifukwa cha thanzi lawo, sangathe kuthamanga mtunda womwewo popanda kupumira kwakanthawi kuti apumule. Ndipo pafupifupi zochita zolimbitsa thupi tsiku lililonse zimasokoneza thanzi la mnyamatayo.
Langizo: Matenda a shuga amtundu wa 1 sikuti kuphwanya lamulo lankhondo pokhapokha patakhala kulumala. Koma achichepere amachita manyazi ndi izi ndipo amakhulupirira kuti kupunduka kumawononga moyo wawo wamtsogolo. Ndikofunikira kuwatsimikizira kuti ntchito yausilamu siziwona ngati njira yopambana komanso kuti kuchokera kwa munthu m'modzi zinthu sizisintha. Ndikofunika kwambiri kuti mukhale ndi thanzi lanu ndikutha chaka chonse mukuwerenga, kuthandiza anthu osavala yunifolomu komanso ndi mfuti, koma m'njira zina: kukhala dokotala, wokambirana, loya.
Mwachidule za matenda ashuga
Matenda a shuga ndi matenda omwe magazi a wodwala amakwera. Amayamba motsutsana ndi maziko a insulin hormone akusowa.
Pali mitundu iwiri ya matenda ashuga:
- Wodalira insulin. Khalidwe la anthu ochepera zaka 25. Imayamba mosaganizira, imatha kubereka kapena kutenga. Kukhazikika kumafuna jakisoni wa insulin, kudya, komanso kuchita masewera olimbitsa thupi. Amayamba chifukwa cha kuperewera kwambiri kwa insulin.
- Insulin yodziyimira payokha. Nthawi zambiri anthu okalamba amakhala achikulire. Amayamba pang'onopang'ono. Chithandizo chimaphatikiza zakudya, masewera olimbitsa thupi, ndi mankhwala ochepetsa shuga. Amayamba chifukwa cha kuchepa kwa insulin.
Pa gawo loyamba, matendawa ndi asymptomatic. Zikamakula, pofuna kupitiliza kuchita zinthu zofunika kwambiri, wodwala amakakamizidwa kumwa insulini, kutsatira zakudya zabwino komanso kudya kwambiri. Munthu watopa msanga, amafunikira kupumula kowonjezereka.
Kodi ndizowona kuti anthu omwe ali ndi matenda ashuga adalembedwa usilikali?
Ngati mukufuna kudziwa ngati ali m'gulu lankhondo omwe ali ndi matenda ashuga, musakhale ndi nkhawa. Mosatengera mtundu wa chitukuko cha matendawa, ndikosatheka kuthandizira nawo.
Ndemanga ya gulu lolimbitsa thupi ikuchitika molingana ndi ndime "b" ndi "c" mu Article 13 ya ndandanda ya Matenda. Pamaso pa kuuma pang'ono kapena pang'ono, ofesi yolembetsa ndi kulembetsa asitikali amakakamizidwa kuvomereza gulu "B" lolembetsa. Nzika zotere zitha kuyitanidwa kuti zizigwira ntchito pankhondo.
Mwa mawonekedwe owopsa, limodzi ndi zovuta, kuyeserera kumachitika pansipa "a" ya nkhani yomweyi. Achinyamata amatenga khadi yankhondo yokhala ndi gulu "D". Izi zikutanthauza kuti munthu sangakwanitse kugwira ntchito yake yankhondo.
Kodi mungalandire bwanji khadi lankhondo la anthu odwala matenda ashuga?
Nthawi zina pokambirana ndi maloya othandizira, othandizira amafunika kuwunikira funso kuti: Kodi kulembedwa ndi matenda ashuga kungakhale m'gulu lankhondo? Ngati njira zoyeserera zichitidwa molingana ndi malamulo aku Russia, zoterezi siziphatikizidwa.
Pofuna kuti asamasukidwe, mnyamatayo ayenera kudziwitsa anthu omwe ali m'bungwe lachipembedzo lachipani chokhudza matenda ake ndikupereka zikalata zakuchipatala. Pambuyo pake, ayenera kumupatsa iye kutumizira mayeso owonjezera kuti atsimikizire kuti ali ndi matendawo. Ngati dokotala yemwe amachititsa kafukufukuyu akatsimikizira matendawa, ndiye kuti pamsonkhano wokonzekera kulemba zilembedwezo azilandira olimbitsa thupi "B", atatha (atatenga zikalata zonse zofunika) adzapatsidwa chiphaso chausirikali.
Pamwambapa, ndidafotokoza bwino malo omwe angapangidwire shuga. Komabe, sizingakhale ndi chitsimikizo kuti munthu wodwala sangakhale usilikali. Mwachitsanzo, atha kupita kunkhondo ngati:
- cholembedwacho sichinenapo kanthu za matenda ake,
- kulembanso zochitika zikhala zotsutsana.
Kumbukirani, ngati mukuphwanya ufulu wanu woti musachotsedwe, mutha kukadandaula motsutsana ndi chigamulo chokomera gulu lokonzalo.
Pakulemekezani inu, Mikheeva Ekaterina, Mutu wa Dipatimenti Yazamilandu Yothandizira Ntchito Zothandizira Ma Drafomiti.
Timathandizira okonzekera kulemba zikalata zankhondo kapena kuimitsa boma mwalamulo: 8 (800) 333-53-63.
Magawo omwe adapatsidwa makomiti oyang'anira
Mukamayang'ana momwe wachinyamata alili, gulu limamupatsidwa. Zotsatira zake, zikuwonekeratu ngati adzalembetsedwe gulu lankhondo ndi matenda amtundu wa 2 ndi mtundu wa 2, kapena chikalata chausirikali chidzaperekedwa nthawi yomweyo.
Masiku ano, magulu otsatirawa akuwunika:
- gulu "A" . Mnyamatayo ali ndi thanzi labwino. Akhoza kugwira ntchito yankhondo iliyonse,
- gulu "B" . Pali zovuta zina zazing'ono. Koma wachichepere angatumikire. Madokotala amawonjezeranso magawo anayi omwe amatsimikiza kuti angagwire ntchito yankhondo,
- gulu "B" . Gawoli limakupatsani mwayi woti musagwire ntchito mwachindunji, koma pakakhala lamulo lankhondo, munthu amkakamizidwa kulowa gulu lankhondo.
- gulu "G" . Gawoli lidzapatsidwa matenda oopsa koma ochiritsika. Izi zimatha kuvulaza kwambiri, mavuto okhala ndi ziwalo zamkati. Pambuyo pamankhwala, kalata imaperekedwa mwa magawo ali pamwambawa,
- gulu "D" . Makina okhala ndi gawoli sangathe kugwira ntchito ngati pakhale malamulo ankhondo. Izi ndizotheka pamaso pa matenda ovuta. Matenda monga shuga.
Mapeto ake ndi osagwirizana - shuga komanso gulu lankhondo siligwirizana. Chokhacho chomwe chithandizo chitha kugwiritsidwa ntchito ndi mtundu wa 2 shuga. Pofuna kupewa mafunso ku ofesi yolemba anthu chisamaliro, chisamaliro chiyenera kutengedwa pasadakhale komanso.
Matenda a shuga ndi Asitikali
Bwanji osatenga gulu lankhondo ndi matenda ashuga 1? Ndi matenda ashuga, munthu amakhala ndi vuto lofooka, lonse komanso minofu, munthu amakhala ndi chidwi chambiri, pomwe amachepetsa thupi, munthu amafunitsitsa kumwa ndipo, monga chotulukapo chake, kukodza pafupipafupi, osaganizira nthawi yatsiku.
Pali zifukwa zinayi zomwe zingasokoneze ntchitoyi:
- kotero kuti shuga nthawi zonse amakhala wabwinobwino, ndikofunikira kudya nthawi inayake, muzitsatira mankhwalawa osati kuwonongeratu masewera olimbitsa thupi. Odwala ayenera kulandira jakisoni panthawi inayake, kenako adye.Asitikali amafunika boma lokhala ndi zakudya komanso zolimbitsa thupi. Izi zitha kuchitika. Wodalira insulin sangathe kupirira izi,
- Amadziwika kuti anthu odwala matenda ashuga ndizovuta kulekerera kuvulala ndi mabala. Msirikali, pakuchita masewera olimbitsa thupi, atha kukhala ndi mabala, kapena kuvulaza miyendo yake, izi zimatha kubweretsa chilonda. Pambuyo pake, chiopsezo chodulidwa ziwalo ndizambiri,
- matenda ashuga angayambitse kufooka kwambiri nthawi iliyonse. Munthu adzafunika kupumula posachedwa, komwe gulu lankhondo silingachite,
- Asitikali ankhondo amaphunzitsidwa zolimbitsa thupi. Mitolo ikhoza kukhala yoopsa kwambiri. Msirikali wodalira insulin sangalimbane ndi ntchito zoterezi. Izi zimatha kudzetsa mavuto akulu azaumoyo.
Zomwe zimadziwika zimadziwika kuti ndizoletsedwa kugwira anthu omwe ali ndi matenda oyamba kupita kunkhondo:
- chitetezo chamunthu chimachepetsedwa kotero kuti ngakhale kuvulala koyipa kwambiri kungayambitse poyizoni wa magazi, kuchepa, ndikupanga zovuta m'magawo onse ndi zotsatirapo zake zonse. Chifukwa chake, ndi matenda a shuga mellitus amatengedwa kupita kunkhondo pokhapokha,
- kuti muthandizire kukhalapo kwa matenda ashuga, ndikofunikira kutsatira mosamalitsa pamalamulo odziwika a mankhwala, kupumula. Sizingatheke kuchita izi asitikali,
- anthu odwala matenda ashuga saloledwa kuchita masewera olimbitsa thupi.
Mwachidule mwachidule: mpaka njira zoyenera zothandizira zimachitika, odwala matenda ashuga ndi gulu lankhondo sangakhale palimodzi. Ntchito zankhondo mu mtundu woyamba ndizotsutsana kwathunthu. Izi zitha kukhala chiwopsezo cha moyo ndi thanzi.
Ngakhale ngati mukufunitsitsadi kutumiza, simungabisire matenda anuwo. Pakatha chaka chimodzi chokha, kudzivulaza kumatha kusokonekera.
Kodi malingaliro osalabadira thanzi lanu angatsogolere bwanji?
Achinyamata ambiri, ngakhale ali ndi malingaliro akuti pafupifupi onse olembetsa amalota kuti "achoke" kwa gulu lankhondo, amafunitsitsa kuchita chilichonse.
Komanso, samangokhala ndi chidwi ndi mavuto azaumoyo, komanso amabisa matenda omwe amaletsa kutumikiridwa. Kunyalanyaza koteroko kumangodzipweteketsa tokha, komanso kumabweretsa mavuto akulu kwa omwe angakhale chapafupi.
Pali mbali yokhayo yakakhalidwe komanso udindo wa munthu pazomwe zimachitika. Kuphatikiza pa ogwira nawo ntchito, omwe amangokhalira kuda nkhawa ndi bwenzi lomwe likudwala, akuluakulu apamwamba amathanso kukhala ndi mavuto. Pamavuto akulu azaumoyo, udindo wovulaza udzagona ndi oyang'anira.
Pankhaniyi, sikuti tikulankhula za mbali ya chikhalidwe, komanso za zilango zenizeni komanso zazikulu. Ogwira nawo ntchito nawonso adzavutika, omwe, pofunsidwa ndi msilikali wodwala, amabisa mavuto. Chifukwa chake, wachinyamata yemwe amabisa matendawa amayika pachiwopsezo osati iye yekha, komanso anthu omwe amamuzungulira. Matenda a shuga ndi asirikali ndi mfundo ziwiri zomwe, ndi kukhumba kwawo kwakukulu, sangapeze malo omwe amagwirizana.
Tsopano makamaka za matenda omwe angachitike:
- Mapazi kumapazi atha kuphimbidwa ndi zilonda zopweteka komanso zotuluka magazi. Otchedwa
- kupezeka kwa kulephera kwa impso ndi kuwonongeka kwa ntchito ya thupi lonse.
- manja, komanso mapazi a odwala, amatha kudwala zilonda zam'mimba. Matenda amatchedwa: ndipo linanso ndi angiopathy. Zotsatira zoyipa kwambiri ndikudula miyendo,
- ngozi yakuchititsani khungu kwathunthu. Ndi matenda a shuga komanso osagwirizana ndi zochitika zamankhwala. Zotsatira zake - kutayika kwathunthu kwa masomphenya.
Chifukwa chake, ngati pali matenda monga matenda ashuga, muyenera kuiwala za ntchito yankhondo. Koma tikumbukire kuti pali zinthu zina zambiri zomwe zingapindulitsenso dzikolo, koma nthawi yomweyo sizivulaza thanzi.
Makanema okhudzana nawo
Mndandanda wamatenda omwe gulu lankhondo silatengedwa:
Yankho la funso loti ali m'gulu lankhondo omwe ali ndi matenda ashuga ndiwodziwikiratu.Ngati mtundu wachiwiri wa matenda udaperekedwa, ndiye kuti chithandizo chitha kuchitika pakafunika thandizo. Mtundu woyamba umaletsa mwamtundu wa ntchito. Koma atapima mayeso athunthu, zimawonekera ngati nkotheka kupita kukatumikira. Kupereka ntchito yankhondo ndi chinthu cholemekezeka kwambiri. Kuti izi zichitike, ndikofunikira kuyambira ndili mwana kuti ndikhale ndi moyo wathanzi. Pokhapokha izi ndizotheka kuti musakhale wathanzi lokha, komanso mwamakhalidwe ndi okhwima.
Type 1 shuga mellitus ndi gulu lankhondo, zachidziwikire, sizigwirizana, koma ngati simunapemphe kulumala panthawiyi, mudzakumana ndi mavuto ambiri. Chaka chogwira ntchito zankhondo imatha kuchepetsa thanzi la munthu wodwala matenda ashuga, ngakhale matenda ake atalipidwa.
Matenda a shuga sikuti sikulepheretsa anthu kulowa usilikali. Komabe, izi ndizoyenera mtundu wachiwiri wa matenda ashuga, nthawi yake yomwe ndi yopanda tanthauzo ndipo palibe zovuta zomwe zimapangitsa kuti moyo ukhale wopweteka komanso zimapangitsa thupi kukhala pamavuto akulu. Kwa mtundu woyamba, njira yabwino kwambiri ndikukhazikitsa kulumala ndikukhalanso wathanzi pamlingo womwewo, chifukwa zovuta za matenda a shuga sizitha kuchiritsidwa.
Matenda a shuga ndi Asitikali
Matendawa amagawidwa kukhala mtundu wodalira insulini komanso wodziyimira payekha. Poyamba, jakisoni wokhazikika, kutsatira kwambiri zakudya ndi zochitika za tsiku ndi tsiku, komanso kuletsa kuchita masewera olimbitsa thupi ndikofunikira kuti moyo wa wodwalayo ukhale wabwino. Mtundu wachiwiri umakhudza kudya kwa panthawi yake mankhwala osakanikirana ndi zakudya zomwe zimayikidwa.
Mulimonsemo, odwala matenda a shuga amakakamizidwa kutsatira malamulo ena: kupatula kuyesetsa kwambiri, kudya mokwanira nthawi inayake, kutsatira zakudya. Komanso, matenda am'madzi amadziwika ndi kutopa kwakukulu, mogwirizana ndi izi, kupumula kwakanthawi kokwanira ndikofunikira.
Mukufuna kumasulidwa ku gulu lankhondo?
Pezani uphungu kuchokera kwa loya wankhondo zokhudzana ndi vuto lanu ndi ofesi yolembetsa usilikali. Mukaphunzira momwe mungapezere Khadi lankhondo likuyenda sitepe ndi sitepe osati kulowa usitikali.
* tikutsimikizira chinsinsi cha data yanu
Pophwanya malamulo ofunikira kuti odwala matenda ashuga azitha, matendawa amayamba kuyenda bwino, zomwe zimabweretsa zotsatira zoyipa.
Choyamba, kulangizidwa m'gulu lankhondo, kumatanthauza kutsatira mosamalitsa kwa boma limodzi lokhazikitsidwa kwa asitikali onse, chifukwa chake ntchito sizigwirizana ndi matendawo, mosasamala mtundu ndi gawo la matendawa.
Ntchito kwa matenda a shuga a 2.
Matenda a shuga ndi amodzi mwa matenda oyipa omwe amagwera m'gulu lomwe omwe amadziona kuti ndi osayenera. Koma asanaganize zokhala ndi khadi lankhondo ndi kuchotsedwa ntchito, madokotala amayesa kufufuza ndi kufufuza mosamala mbiri yachipatala ya mnyamata yemwe akudwala matendawa. Choyamba, chidwi chimaperekedwa kwa:
kudziwa mtundu wa matenda
kudziwa momwe ziliri zovuta
kudziwa kukhalapo kwa zovuta ndi ma pathologies omwe amagwirizana nawo.
Mnyamata amene ali ndi matenda a shuga a 2, pakakhala zovuta zina mthupi, atha kutumizidwa gulu "B".
Izi zikutanthauza kuti mnyamatayo sangatumikire mokwanira, koma m'nthawi yankhondo akhoza kutchedwa mphamvu yowonjezera.
Achinyamata omwe ali ndi matenda a shuga 1, ngakhale ali ndi chidwi chachikulu, sangathe kutumiza.
Zomwe ma pathologies satengedwa chimodzimodzi
Kodi alembedwa m'gulu lankhondo omwe ali ndi matenda ashuga? Tengani! Komabe, pali zovuta zina zomwe zimapangitsa kuti ntchito yosungidwa isungidwe. Izi zimasokoneza moyo wabwinobwino wamunthu, chifukwa chake ntchitoyo imawoneka ngati gehena, ndipo zovuta zimayendera mosalephera chifukwa cha kusayang'anira kokwanira kwamphamvu yamagazi m'magazi komanso chithandizo chamankhwala chofunikira.
Zowonongeka zamitsempha ndi ziwiya zamagawo akumunsi
Nthawi zambiri, ma neuropathies ndi angiopathies amakhudza miyendo yam'munsi.Kugonjetsedwa kwa mitsempha ndi mitsempha yamagazi kumadziwonetsera ngati zilonda zam'mimba. Kuphatikiza apo, miyendo nthawi zambiri imatupa chifukwa cha kuthekera kwa kutuluka kwa magazi a venous. Osati kuperekera kwa magazi ochepa omwe amadzaza ndi mpweya, ischemia imachitika, yomwe imatsogolera kukula kwa gangrene.
Pa magawo oyambilira a ma pathologies awa, muyenera kufunsa katswiri ndikupita kuchipatala. M'tsogolomu, muyenera kuyang'anira shuga wanu wamagazi nthawi zonse. Popeza mikhalidwe ya hyperglycemic imathandizira pakupita patsogolo, kudula kumafunika pambuyo pake. Kugonekedwa kuchipatala ndikofunikira chifukwa mabala ndi zilonda zotseguka zimayenera kuchizidwa tsiku lililonse kuti athetse chiwopsezo cha matenda.
Zowonongeka kwa impso
Nephropathy imawoneka mwachangu kuposa zovuta zina. Pa magawo oyambawo, kubwezeretsanso m'matumbo a impso kumayipa, kenako kusefedwa. Izi zimabweretsa kulephera kwa impso, kulumikizana kuntchito, woyamba, kenako impso ina. Kupanda kudzipatula kokwanira kwa zinthu za metabolic, thupi limapatsidwa poyizoni pang'onopang'ono ndi zinthu zopangidwa ndi metabolic, popanda kugwiritsa ntchito impso sabata iliyonse, munthu amalandila poyizoni wamkulu, kenako nkufa.
Kuwonongeka kwa ziwiya zamaso
Maso, ngati impso, ndiye oyamba kuyankha mkhalidwe wa hyperglycemic, chifukwa chake mu ziwalozi ndi pomwe zovuta zoyambirira za matenda a shuga zimawonekera. Kugonjetsedwa kwa ziwiya za fundus m'magawo oyamba kumabweretsa kutsika kwa zowoneka bwino. Palibe chithandizo choyenera komanso chindapusa cha matenda a shuga, khungu lathunthu limatheka ngakhale adakali aang'ono.
Matenda a shuga
Vutoli limachitika chifukwa cha kuwonongeka kwa ziwiya ndi mitsempha ya kumbuyo. Kuphatikiza pa njira zoyenera zakuchipatala zothandizira kupewetsa magazi, kuyang'anira kuchuluka kwa shuga m'magazi, ndikofunikira kuvala nsapato zina, zomwe ndizosatheka pazankhondo. Kuphatikiza apo, mu ntchito sizowunikira kuyang'anira ukhondo wama phazi, zomwe zikutanthauza kuti pali chiopsezo chachikulu chotenga kachilomboka.
Kutengera ndi zonse zomwe tafotokozazi, titha kunena kuti okhawo omwe achinyamata omwe ali ndi vuto la shuga sangatenge nawo gawo la asitikali, palibe zovuta kuchokera ku ziwalo kapena machitidwe. M'magulu ankhondo ndi maphunziro, sizotheka kutsatira zofunikira zonse zaukhondo, zakudya, chithandizo chamankhwala. Kupitilira chaka chimodzi, matendawa atha kukulira ndipo chithandizo chinanso sichidzabwereranso momwe zidalili. Chifukwa chake, ndikofunikira kulingalira ndikusankha kuti kulowa usirikali wankhondo chifukwa cha matenda ashuga ndi zotsutsana.
Funso "ngati ali m'gulu lankhondo omwe ali ndi matenda ashuga," limadandaula anyamata onse azaka zankhondo omwe akudwala matendawa. Kudwala koopsa kumafuna kusintha kwa moyo wa wodwalayo, womwe nthawi zambiri sugwirizana ndi zomwe gulu lankhondo limachita tsiku lililonse.
Kodi ntchito zaletsedwa liti?
Olemba omwe akufuna kudziwa ngati angalembetsedwe sangakhale ndi nkhawa. Gulu lowongolera siliwazindikira kuti ali oyenera kuchitidwa. Mosatengera mtundu wa chitukuko cha matendawa, ndikosatheka kuthandizira nawo.
Ngati pali kuwuma pang'ono kapena pang'ono, achinyamata amawunika molingana ndi ndime "b" ndi "c" mu Article 13 ya Ndondomeko ya Matenda. Ofesi yolembetsa usirikali ndikulembetsa anthu amasankha kupanga bungwe la "B" la anyamata. Nzika zoterezi zimangoyitanidwa pankhondo.
Mwa mawonekedwe owopsa, limodzi ndi zovuta, kuyeserera kumachitika pansipa "a" ya nkhani yomweyi. Achinyamata amatenga khadi yankhondo yokhala ndi gulu "D". Izi zikutanthauza kuti munthu sangakwanitse kugwira ntchito yake yankhondo.
Ngati mukufuna kutumikira
Kufunitsitsa kubweza ngongole kudziko lakutali. Koma ngakhale alembedwewo ngati ali odziimira pawokha ku ofesi yolembetsa asitikali ndi kulembetsa ndi pempho lomutengera kuutumiki, lingaliro la Commission yolembetsedwako lidzakhala lachigawo - losayenera.
Zolinga zakulephera ndizoyenera. Kwa okakamizidwa kupezeka ndi matenda a shuga, ntchito yankhondo imaperekedwa.
Kukhala ndi rookie m'gulu lankhondo kumabweretsa zovuta.Ndi zovuta zamavuto, kuvulala kulikonse kumawopseza kulowa gangdom. Kulephera panthawi yolondera kapena yophunzitsa kumisasa nkowopsa kwa wodwala ndi anzake.
Kuthekera kwa kudutsa bwino mayeso achipatala ndi kulowa mu ntchito kumakhala kotsika. Ngakhale bungwe lolembetsedwa kulowa usilikali lingachitike, akapezeka kuti ali ndi matenda amuchotsa ntchito usilikali pazifukwa zamankhwala.
Ngati wolembayo ali ndi matenda ovuta kwambiri ngati matenda ashuga, amadzifunsa ngati angatengeredwe usilikali? Ndime 13 ya Ndondomeko ya Matenda imathandiza kuyankha funso ili. Gulu la odwala matenda a shuga lidzagwiritsiridwa ntchito polemba kuchuluka kwa zovuta zaumoyo zomwe zalembedwa.
Matenda a shuga ndi oopsa kwa munthu aliyense yemwe ali ndi vuto lathanzi komanso kuchepa kwa moyo. Chifukwa cha kuchuluka kwa glucose m'magazi, komwe kungatheke kapena kovuta kwambiri kukonza, matenda ovuta a ziwalo zamkati amakula. Nthawi zambiri, odwala matenda ashuga amakhudzidwa kwambiri ndi zotengera ndi mitsempha ya mitsempha, zimayambitsa njira ya atherosulinotic. Ndi zovuta zazikulu za matenda ashuga (ndiye kuti, posintha zosasinthika m'matumba akulu ndi ang'ono, makamaka maso, impso ndi miyendo), anthu olemba anzawo sanatengeredwe usilikali. Mukawunika, lembalo limalandira gulu la anthu olimba mtima "D" - osayenera kupita usilikali - ngati pali chimodzi mwazovuta izi:
- kuchuluka retinopathy,
- wotchedwa angiopathy ndi neuropathy wam'munsi,
- zowonetsedwa ndi zilonda zam'mimba,
- zigawenga ziyime
- edopathic edema,
- Matendawa,
- matenda ashuga nephropathy ndi macroproteinuria ndi mkhutu nayitrogeni ntchito impso,
- kubwerezanso ketoacidotic precoma ndi chikomokere.
Nthawi yomweyo, chikhalidwe cha mankhwalawo komanso kuchuluka kwake kwa glucose m'magazi sikutengedwa.
Zizindikiro za matendawa, omwe azikumbukiridwa komanso omwe samaloleza kulowa usilikali, ndi awa:
- Kukodza pafupipafupi (kuphatikiza usiku).
- Nthawi zonse ndimakhala ndi ludzu komanso ludzu. M ludzu ndilovuta kuthetsa ndi zakumwa.
- Kufooka (kufuna kupuma).
Matendawa samalandiridwa, munthu ayenera kumwa mankhwala moyo wake wonse, kuwunika shuga, magazi ndi ukhondo, kuthana ndi zovuta za matenda oyambitsidwa, chifukwa chake titha kunena kuti ntchito yausirikali nditsutsana ndi matenda ashuga. Pazonse, sizikhala zofunikira kwambiri kuti munthu ali ndi vutoli azikhala ndiutali wotani, kuchuluka kwa zovuta zomwe zimapangitsa moyo wake, komanso kuchuluka kwa kuwonongeka kwaumoyo, kutsimikizira kwa matenda ashuga kudzakhala maziko olandila gulu la "B" - lolemba okha gulu lankhondo, lowerengedwa. Ngati titatembenukanso ku mutu 13, ndime "c", titha kutsimikizira zonena zathu: matenda atakhala ochepa, shuga atakhala wokhazikika muzakudya, pomwe glycemia singakhale wamkulu kuposa 8.9 mmol / lita (patsiku), wolembetsa ali ndi ufulu wowerengera kulandira khadi yachipatala.
Pali nthawi zina pamene anthu omwe ali ndi matenda ashuga amalembedwa asankhidwe, koma pokhapokha ngati awapeza koyambirira komanso ngati palibe umboni wakupezeka kwa matenda owonjezera. Nthawi zambiri, ana aang'ono enieni amayesetsa kupita kunkhondo. Mulimonse momwe zingakhalire, ndikofunikira kwambiri kuwunikira za ngoziyo pasadakhale. Ndi matenda "okoma", kupeza matendwe osasinthika ndiwokwera kwambiri, chifukwa Chithandizo cha zovuta zamatenda ziyenera kuchitika moyang'aniridwa ndi adokotala. Kumbukirani kuti shuga imadziwika ndi kukhalapo kwa zovuta kwambiri:
- kuchuluka kwa zinthu za metabolic m'magazi,
- kutsika kwakuthwa komanso kwakukulu kwa shuga,
- kusowa kwamadzi, shuga komanso sodium yayikulu,
- mtima kulephera kapena aimpso.
Amakula mwachangu, pakangotha maola ochepa, ngati nthawi yomweyo palibe chithandizo chamankhwala, funso lamoyo wamunthu lidzauswa.Ndikofunikira kuti munthu wodwala matenda ashuga adziwe za kusiyanasiyana kwa matendawa. Ngati wachinyamata akufuna kutenga nawo mbali pantchito yankhondo, ndiye kuti ayenera kuyika patsogolo, kutsatira malangizo ofunikira.
Momwe mungayesere kuthandizira kwa matenda ashuga
Malinga ndi ndandanda ya matenda, ndikofunikira kuzindikira kuchuluka kwa kuwonongeka m'moyo wamalembedwe. Draftee mwachidziwikire sangathe kupitilizidwa kukhala ndi moyo wankhondo wokhala ndi zilonda zam'mimba, kuphwanya kwaimpso. Awa akhale mavuto akulu azaumoyo. Kutsika kwa kuthekera kwa mitsempha yamagazi kupatsa ziwalo ndi ma cell amitsempha ndimagazi ndi oxygen kumapangitsa kuti matenda awoneke ngati ali ndi matenda ashuga.
Ndi matenda oyambitsidwa ndi matenda a shuga, popanda zovuta, mwina mwayi woti ulembedwe upitikabe usilikali. Komabe, chithandizo chitha kukhala chovuta kwa omwe alembedwa ndi matenda ashuga. Moyo wa munthu wodwala matenda ashuga umadalira kutsatira malamulo ena. Ndikofunika kuyang'anira kudya kwa anti-glucose, kuwongolera kwa glucose tsiku ndi tsiku, kutsata njira zamankhwala, boma la kupumula, komanso kupewa zosokoneza zazakudya. Zilonse, ngakhale mabala ang'onoang'ono kapena mabala sangathe kuchiritsa kwa nthawi yayitali, zomwe zimayambitsa mapangidwe a zilonda zam'maso. Chifukwa cha kuchepetsedwa kwa zinthu zazing'ono, chiopsezo chovulala - ma fractures, chiwopsezo chomwe chilipo pakuvuta kwa machiritso a mabala odwala matenda ashuga, amatha kuchuluka. Thandizo lathunthu pazachipatala mukamaphunzitsidwa usirikali sangathe kupereka, komanso kuthandizira kuthana ndi zizindikiro zopweteka. Kuti muzindikire kuchuluka kwa zovuta mu mtundu woyamba wa 2 ndi mtundu wa matenda ashuga, munthu akalandira chithandizo ayenera kukhala ndi zotsatira za kuyesedwa kwathunthu kuchipatala kuti aunikidwe ndi madokotala a IHC.
Ngati mukufunsabe mafunso kapena mukufuna kuti mulandire kwaulere pa mbiri yanu yamankhwala, lemberani mafunso pa intaneti.
Kuteteza Dziko Lachilichonse munthawi iliyonse inali ntchito yabwino komanso yolandirika. Amuna achichepere omwe amayesa kupewetsa mwayi wokakamizidwa sanatchulidwe kuti ndi amuna enieni. Pakadali pano, zinthu sizikuwoneka bwino kwambiri, koma anyamata ambiri amafunabe ntchito yawo yankhondo. Mwa ana azaka zankhondo, anthu athanzi labwino kwambiri ndi ocheperako pachaka chilichonse.
Ngati zonse zili zomveka bwino ndi phazi lathyathyathya kapena kutenga pakati kwa mkazi, ndiye kuti momwe zingathekere kuphatikiza shuga ndi gulu lankhondo sizikudziwika bwino kwa aliyense. Kodi munthu wodwala matenda ashuga ali ndi ufulu kusiya ntchito yankhondo, kapena zimangochitika zokha kuchipatala?
Kuunika kuyenerera kwa anyamata a ntchito zamgulu lankhondo
Malinga ndi malamulo a Russian Federation, kuchuluka kwa ntchito zankhondo kumadziwika ndi madokotala a akatswiri apadera. Makomiti onse amapita kukayezetsa kuchipatala, chifukwa chomwe akatswiri amapanga malingaliro pa zaumoyo wa anyamata komanso kuyenerera kwawo usilikali.
Mukamapanga mawu, madokotala amatsogozedwa ndi magulu asanu:
- Popanda kuletsa ntchito iliyonse yankhondo, munthu wolembedwa amasankhidwa kukhala gulu A,
- Ngati pali zoletsa zazing'ono, anyamata amagwera gulu B,
- Omwe adagawidwa ngati Gulu B ali ndi mwayi wogwira ntchito zochepa,
- Ngati pali matenda osakhalitsa (kuvulala, matenda osachiritsika), gulu G ndiloyikidwa,
- Kusakwanira konse kwa moyo wankhondo ndi gulu D.
Amuna odwala matenda ashuga akapita kukayezetsa thupi, akatswiri amaganiza za matenda, kuuma kwawo, ndi zovuta zake.
Kodi alembedwa m'gulu lankhondo omwe ali ndi matenda ashuga? Palibe yankho lotsimikizika, chifukwa fomu yofatsa, yodziyimira payekha, wosunga kalata angalandire gulu B. Sadzakhala munthawi yamtendere, ndipo munthawi yankhondo adzakhala akugwira ntchito kumalo osungirako.
Kodi ndizotheka m'gulu lankhondo lomwe lili ndi matenda ashuga 1
Anthu odwala matenda a shuga omwe amadalira insulin samayitanidwa kuti adzagwire ntchito yankhondo. Ngakhale kulembedwa kuyambira ali mwana amalota za usirikali ndikulimbikira kutsatira lamulo lankhondo. Ingoganizirani za asirikali tsiku lililonse la odwala matenda ashuga:
- Insulin imakomedwa mosamalitsa malinga ndi pulogalamuyo ndipo nthawi yomweyo iyenera "kuthinitsidwa" ndi zakudya zama carb zotsika kuchokera kuzakudya. Gulu lankhondo limakhala ndi zochitika zake tsiku ndi tsiku, ndipo nkovuta kuzolowera. Ndi hypoglycemia yosayembekezereka, chakudya chowonjezera chimafunikira mwachangu.
- Kulimbitsa chilala chochulukirapo ndi vuto la njala zitha kutsatana ndi kuwonda kwambiri, kufooka kwa minofu.
- Kukakamira pafupipafupi kuchimbudzi (makamaka usiku), ludzu losalamulirika losatha limatulutsa anthu osaphunzitsira.
- Kukanda kulikonse pakhungu, makamaka, kuvulala, chilonda sichichiritsa kwa miyezi. Ndi matenda komanso kusowa kwa chisamaliro chokwanira, mabala amatsukidwe, zodulira zala kapena mapazi, gangrene phazi ndizotheka.
- Kusintha kwa shuga, odwala matenda ashuga amakumana ndi kufooka, kugona. Boma lankhondo silikulolani kuti mugone ndikupumula popanda dongosolo lapadera.
- Mitundu yofooka ya minofu imatha kukulira bwino komanso kukhala yoposa mphamvu ya odwala matenda ashuga.
Ngati kukonzekera kuli ndi matenda amtundu woyamba wa shuga, munthu ayenera kulumala ndikuchita zonse zofunikira kuti apereke usilikali ndikupeza tikiti yankhondo.
Ntchito zausisitiri zimachitika chaka chonse, ndipo thanzi limatha kufooka kwa moyo wonse.
Kodi zovuta za matenda ashuga ndi ziti?
Ndi mtundu uliwonse wa matenda ashuga (komanso m'zaka zaposachedwa, chifukwa cha zolakwika m'zakudya komanso kutaya mtima, kuchuluka kwa matenda a ana ndi matenda amtundu wa 2 akukula), zovuta zoyipa zomwe zimachitika chifukwa cha zovuta zotsekemera zimatheka: matenda a impso, mavuto amiyendo, kuwonongeka kowonekera. Ndi zovuta zanji zokhudzana ndi ntchito yankhondo zomwe ndiyenera kuyiwala?
- Angiopathy ndi neuropathy kwamiyendo. Kunja, matendawa amadziwika ndi mawonekedwe a zilonda zam'mimba m'manja ndipo, nthawi zambiri, pamiyendo. Kutupa kumakula, kubadwa kwa phazi sikuphatikizidwe. Ngati zizindikiro zotere zikuwoneka, chithandizo chamankhwala chofunikira. Popanda chithandizo chachikulu kuchipatala komanso kuphatikiza kagayidwe kazakudya, zotsatira zake zimakhala zomvetsa chisoni.
- Zotsatira zam'mimba. Ndi matenda ashuga, katundu pazinso impso ukuwonjezeka, ngati sangakwanitse ntchito zawo, izi zimakhudza magwiridwe antchito ndi ziwalo zambiri.
- Retinopathy Zida zamaso ndizosalimba komanso zowonekera. Ndi kuwonongeka m'magazi, mawonekedwe amawonongeka, pang'onopang'ono matenda osokoneza bongo amachititsa khungu.
- Matenda a shuga. Ngati mumavala nsapato zosasangalatsa kapena simupatsa chisamaliro chokwanira kwambiri, kuwonongeka kulikonse pakhungu la phazi ndi kuchepetsetsa mphamvu zamitsempha kumatha kupweteka zilonda zotseguka panyumba.
Chitetezo cha dziko la abambo ndi ntchito yabwino. Ndizotheka kwa wankhondo wamtsogolo kapena ayi, zimatengera momwe amaonera usirikali. Ogwira ntchito zankhondo nthawi zambiri amakhala ndi chithunzi chomvetsa chisoni pamene munthu wathanzi komanso wokakamira kulembedwa mwa njira zonse amalepheretsa matenda kuti "achotse ntchito," ndipo wodwala matenda ashuga wofowoka chifukwa cha matenda amayesa njira zonse kuiwala za vuto lake kuti amve ngati munthu wokhazikika.
Kugwira ndi botolo la insulini m'thumba lanu ndizovuta kwambiri, chifukwa chake mamembala azachipatala, akaganiza za matenda a shuga, atumizirani mnyamatayo kuti akamupimenso.
Ngati matendawa atsimikiziridwa mu labotale, mbiri yakale imapezeka mu ID yausitikali: "Poyenera kuphunzitsidwa pochita kubowola." Ndi malingaliro oyenera kuumoyo wake, wophunzirayo ayenera kumvetsetsa kuti muumoyo wankhondo palibe chifukwa chobwezeretsanso kagayidwe kazakudya, komanso malo okhala ndi zovuta za matenda ashuga.
Kuunikira kufunika kwa zolembedwa zankhondo
Mu 2003, Boma la Russian Federation linapereka lamulo malinga ndi momwe madokotala apadera, omwe amapanga bungwe la zamankhwala, ali ndi ufulu wodziwa kuti ali ndi mwayi wankhondo.
Makomiti amafufuzidwa, kenako zimamveka ngati mnyamatayo akuyembekezera kupita kunkhondo kapena sanalembere usilikali chifukwa chakuwoneka bwino ndi thanzi lake.
Pamalo opanga malamulo, magulu amagawidwa malinga ndi momwe madokotala amadziwitsira ngati munthu ali nawo usilikali:
- Ngati, atamufufuza zamankhwala, zikuwoneka kuti zomwe zalembedwazi zikuyenera kugwira ntchito yankhondo ndipo alibe zoletsa zilizonse, amapatsidwa gawo A.
- Ndi zoletsa zazing'ono zazing'ono, gulu B. limalumikizidwa.
- Ntchito zankhondo zochepa ndizosungidwa kwa achinyamata omwe ali ndi gulu B.
- Pamaso pavulala, kusokonezeka pakugwira ntchito kwa ziwalo ndi ma pathologies ena osakhalitsa, gulu G. limaperekedwa.
- Ngati munthu sakukwanira usilikari, amapatsidwa gulu D.
Ngati pakuchitika kuti mayesowo akudwala matenda ashuga, madokotala azindikira mtundu wa matenda, kuuma kwa njira yake, kukhalapo kwa zovuta zilizonse. Chifukwa chake, yankho lenileni la funso loti anthu ashuga kapena ayi atengedwa kupita kunkhondo mulibe.
Chifukwa chake, ndi matenda a shuga a mtundu wachiwiri komanso kusowa kwazinthu zokhudzana ndi ziwalo, wachinyamata amapatsidwa gawo B.
Poterepa, munthuyu sayenera kugwira ntchito yausirikali, koma ngati pangafunike, adzaitanidwa kuti akhale usitikali wankhondo.
Gulu Lankhondo la Type 1 Shuga
Wodwala akapezeka kuti ndi wolandiridwa, sangalandiridwe usilikali. Komabe, achichepere ena omwe amafuna kutumikila nthawi zambiri amayesa kudziwa ngati angadzipereke kulowa nawo gulu lankhondo la Russia, ngakhale atadwala kwambiri.
M'malo mwake, kuyankha funso ngati ili sikovuta. Omwe akuyenera kungoganiza za momwe ulembedwe uzikhala tsiku lililonse komanso momwe zimavutira kuzindikira matenda ashuga.
Mutha kulembapo zochitika zingapo zovuta zomwe mungakumane nazo muutumiki:
- Insulin imalowetsedwa m'thupi tsiku lililonse panthawi inayake, kenako osatha kudya kwakanthawi. Ngakhale ali pantchito yankhondo, boma loterolo silimatheka kuwona. Monga mukudziwa, m'gulu lankhondo chilichonse chimachitika molingana ndi dongosolo lokwanira. Pakadali pano, wachinyamata amatha kugwa kwambiri nthawi iliyonse, zomwe zingafune kudya kowonjezera mwachangu.
- Ndi zovuta zilizonse zakuthupi zamatenda, pamakhala chiwopsezo chowoneka ngati mabala amadzimadzi oyera, kukula kwa chala cham'mimba ndi zovuta zina, zomwe zingayambitse kudula kwam'munsi.
- Kudwala koopsa kumafuna kupumula kwakanthawi komanso kupuma pakati pa masewera olimbitsa thupi. Komabe, ndizoletsedwa pagulu lankhondo kuchita izi popanda kupeza chilolezo kwa akulu-akulu.
- Kuchita masewera olimbitsa thupi pafupipafupi kumakhala kovuta kulekerera komanso kuyambitsa zovuta.
Kutengera ndi zonse zomwe tafotokozazi, ndikofunika kuti poyamba muzidera nkhawa zaumoyo wanu komanso kuti mukhale ndi gulu la olumala munthawi yake.
Simuyenera kubisa matenda anu kuti mugwire ntchito, chifukwa kukhala chaka chimodzi chodzabadwa kumatha kudwalitsa ena.
Kodi ndi ma pathologies ati omwe angayambitse kukana ntchito
Chifukwa chakuti matenda ashuga amakhala omwe amachititsa kuti mitundu yonse ya zamatenda ichitike, ndikofunikira kuganizira mtundu wamatenda omwe wachinyamata sangatenge kupita nawo kunkhondo:
- Ndi neuropathy ndi angiopathy am'munsi, mikono ndi miyendo yokutidwa ndi zilonda zam'mimba. Komanso, miyendo imatha kutupa, yomwe nthawi zina imabweretsa kukula kwa phazi. Ndi matenda oterewa, thandizo la endocrinologist limafunikira, yemwe adzakulangireni chithandizo chofunikira kuchipatala. Kuti mupewe izi, ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi.
- Kulephera kwa aimpso, ntchito yaimpso imalephera. Izi zimapangitsa kuwonongeka kwa thupi lonse.
- Kuwonongeka kwa mtima kumachitika m'maso, izi zimapangitsa kuti masomphenyawo asathenso.
- Ndi phazi la matenda ashuga odwala matenda ashuga, mapazi amaphimbidwa ndi zilonda zambiri zotseguka.Popewa zovuta, ndikofunikira kuwunika ukhondo wamiyendo ndikuvala nsapato zapamwamba kwambiri.
Mwanjira ina, gulu lankhondo ndiokonzeka kuvomereza m'magulu ake okha achichepere omwe alibe zizindikiro pamwambapa. Pankhaniyi, matenda a shuga akhoza kukhala oyamba okha, popanda zovuta zilizonse.
Kugwira ntchito zankhondo kwakhala kuli udindo wa abambo nthawi zonse, koma malingaliro pazomwe adachita pazaka zapitazi zasakanizika. Mu nthawi za Soviet, ntchito yausilamu imadziwika kuti inali mayeso olemekezeka komanso abwino, omwe munthu aliyense wodzilemekeza amayenera kupitapo.
Kuwonongeka kwa Soviet Union, achinyamata adayamba kuthawa kulowa usilikali, natchulapo kuti m'gulu lankhondo muli "chisokonezo" komanso "kusayeruzika", ndipo amayi a asitikali amtsogolo adachita mantha ndi mawu owopsa "owopsa".
Zaka zaposachedwa, komanso kuwonjezeka kwa dziko lathu, malingaliro okhudzana ndi usilikali asintha. Achinyamata ochulukirapo ali okonzeka kupereka ngongole zawo kudziko lakwawo. Malinga ndi kafukufuku waposachedwa kwambiri wa VTsIOM, mchaka chapitachi chiwerengero cha omwe amalemekeza gulu lankhondo chakwera kuchokera 34 mpaka 40 peresenti.
Komabe, si aliyense amene akhoza kugwira ntchito yankhondo. Achinyamata omwe ali ndi mavuto akulu azaumoyo samamasulidwa ku ntchito ya Gulu Lankhondo.
Mu 2003, boma lathu linakhazikitsa lamulo loti kuyenerera kulowa usilikali kuyenera kutsimikiziridwa ndi madokotala aluso. Pambuyo popimidwa kuchipatala, zidzadziwika kuti mnyamatayo ndi woyenera kuthandizidwa kapena ayi.
Ntchito zankhondo si mwayi woteteza dziko lathu lokha, komanso kuti mukhale ndi maphunziro komanso ziyembekezo zina
- Gawo "A" litanthauza kuti wolembetsa akhoza kulowa usilikari.
- Gulu B lipatsidwa ntchito ngati mnyamatayo angalembetse ntchito, koma ali ndi zovuta zazing'ono zomwe sizisokoneza ntchitoyo.
- Gawo "B" litanthauza kuti mnyamatayo ndi ochepa omwe amayimba.
- Gawo "G" limaperekedwa ngati wosungidwayo ali ndi matenda okhudzana ndi matenda amisala m'thupi.
- Gawo "D" litanthauza kusakwanira kwathunthu pazankhondo.
Kuyenerera kupita kunkhondo kumatsimikiziridwa ndi bungwe lapadera la zamankhwala
Asitikali ndi matenda ashuga
Ndizosatheka kuyankha mosakayikira funso ngati odwala matenda ashuga adalembedwa usilikali. Kupatula apo, matenda ashuga, kutengera mtundu wa matenda, amatha kuchitika mosiyanasiyana.
Ngati munthu ali ndi matenda ashuga amtundu wa 2 ndipo popanda zovuta zina mthupi, ndiye kuti amatha kupatsidwa gawo la "B". Izi zikutanthauza kuti sangatumikire, koma munthawi ya nkhondoyi akhoza kutenga nawo gawo.
Ngati walembedwayo ali ndi matenda amtundu woyamba wa shuga, ndiye kuti sangakhale m'gulu lankhondo, ngakhale iye atakhala ofunitsitsa kulowa m'gulu la achitetezero a Fatherland.
Monga lamulo, gulu lankhondo ndi matenda ashuga ndi malingaliro osagwirizana
Tilembapo zifukwa zochepa chabe zomwe zingalepheretse odwala oterewa kulowa usilikali:
- Pankhani ya shuga wodalira insulin, odwala amafunika kupatsidwa jakisoni wa insulin panthawi yoikika, pambuyo pake amafunika kudya pakapita nthawi. Komabe, m'gulu lankhondo, chakudya chimatengedwa mosamalitsa malinga ndi boma, ndipo izi zitha kubweretsa chiwopsezo chakuchepa kwamphamvu kwa shuga mwa odwala matenda ashuga.
- Panthawi yochita masewera olimbitsa thupi omwe asitikali amakumana nawo, amatha kuvulala kapena kuvulala. Kwa odwala matenda ashuga, izi zimatha kubweretsa zovuta, mpaka ku gangrene ya m'munsi.
- Matenda a shuga nthawi zambiri amakhala ndi kufooka, kukhudzika ndi ntchito, kufuna kupuma. Zachidziwikire, izi siziloledwa usilikari popanda chilolezo cha maulamuliro.
- Kuchita masewera olimbitsa thupi omwe asitikali athanzi amatha kuthana nawo mosavuta sikungakhale kovuta kwa odwala matenda ashuga.
Langizo: Ngati muli ndi matenda a shuga 1, musangobisala matendawa! Chaka chimodzi chogwira ntchito ya usirikali ndi matenda ako kumatha kudzetsa mavuto osaneneka, omwe mudzakumana nawo pamoyo wanu wonse.
Chifukwa cha matenda ashuga, munthu atha kukhala ndi ma pathologies omwe sanatengeke kuti akagwire ntchito yankhondo:
- Kulephera kwamkati, komwe kumatha kuwononga ntchito ya thupi lonse.
- Zowonongeka m'matumbo amaso, kapena retinopathy, zomwe zingayambitse khungu lathunthu.
- Phazi la matenda ashuga, momwe miyendo ya wodwalayo imakutidwa ndi zilonda zotseguka.
- Angiopathy ndi neuropathy yam'munsi yotsika, yomwe imafotokozedwa chifukwa chakuti manja ndi miyendo ya wodwalayo imakutidwa ndi zilonda zam'mimba. Nthawi zina, izi zimatha kudzetsa phokoso la phazi. Pofuna kupewa kuchulukitsa kwa zizindikirozi, ndikofunikira kuyang'aniridwa ndi endocrinologist, kuti azilamulira kuchuluka kwa shuga m'magazi. Ndi zizindikirozi, odwala ayenera kuvala nsapato zapadera, kulipira chisamaliro chapadera paukhondo wamiyendo, etc.
Kutsiliza: Anthu omwe ali ndi matenda ashuga ali ndi zolepheretsa zambiri zomwe sizimalola kuti atumikire ku Gulu Lankhondo. Izi ndizoletsa pazakudya, mawonekedwe a boma ndi ukhondo omwe sangathe kutsimikiziridwa muzochitika zankhondo. Chifukwa chake, matenda a shuga amaphatikizidwa pamndandanda wamatenda omwe gulu lankhondo silatengedwa.
Zomwe amachititsa asitikali ndi matenda a shuga 1 sagwirizana.
Pankhaniyi, imapanga chisankho chosagwirizana ndikugawa gulu la "D", lomwe limapatula kwathunthu mwayi wotumikiridwa panthawi iliyonse.
Amuna ena omwe ali ndi matenda amtundu woyamba amakhala ndi chidwi chofuna kubweza asitikali awo mwakufuna kwawo ndi kubweza ngongole kwawo, ngakhale akudwala kwambiri.
Odwala omwe ali ndi matendawa amadalira kwathunthu makonzedwe a insulin, kutsatira malangizo ndi zakudya. Komanso matendawa amadziwika ndi kufooka, kuphatikiza minofu, kupatula kuchita masewera olimbitsa thupi. Poganizira zonse, mnyamatayo sangatumikire tsiku loyenera . Zifukwa zazikulu:
Jakisoni wa insulini amaperekedwa tsiku lililonse malinga ndi chiwembu chokhazikika, nthawi yakudya imatengera jakisoni. Palibe kupatuka pamankhwala okhazikitsidwa sikuvomerezeka. Sizotheka kutsatira dongosolo lotere muutumiki. M'gulu lankhondo, chilichonse chimachitika molingana ndi boma lokhazikika. Mlingo wa glucose ukhoza kugwera mwadzidzidzi wodwala wodalira insulin, pambuyo pake ndikofunikira kuti mnyamatayo achitepo kanthu mwachangu ndikudya maswiti. Kupanda kutero, kuukira kumatha kubweretsa zotsatira zoyipa, mpaka kukomoka
Anthu odwala matenda ashuga nthawi zambiri amakhala ndi kufooka mwadzidzidzi akafunika kupumula mwachangu. Dongosolo lankhondo silitanthauza kusokonezedwa ndi zinthu ngati izi.
Odwala omwe ali ndi matenda a shuga, kuchepa kwa chitetezo chathupi kumawonedwa, mabala aliwonse ngakhale kuvulala kwazing'ono kumachiritsa pang'onopang'ono. Msirikali atha kuvulazidwa, chifukwa chomwe pamakhala chiwopsezo cha zovuta zingapo munthawi ya kupsinjika, gangrene, komwe pambuyo pake kumatha kubweretsa kufunika kokadula dzanja lomwe lakhudzidwa.
Asitikali ali ndi zofunika kuchita zolimbitsa thupi. Chifukwa cha kutopa kwambiri, mnyamata wodalira insulin sangathe kulimbana ndi katundu wolemera wokhazikika, yemwe amawopseza kuti azikhala bwino komanso azisokoneza matendawa.
Chifukwa chake, chaka chimodzi chautumiki chitha kufooketsa thanzi, komanso kukhala chiwopsezo ku moyo wa odwala matenda ashuga.
Chikhumbo cha anyamata achichepere omwe amazindikira kuti ali ndi matenda ashuga kulipira usilikali kudziko lakwawo chikulemekezedwa. Komabe, ndikofunikira kusamalira zaumoyo, ndipo palibe chifukwa chomwe mungabisire kukhalapo kwa matenda akulu kuti mukalowe m'gulu la anthu omwe adzalembetsedwe motere. Kunyalanyaza thanzi kumatha kubweretsa zotsatirapo zoipa.
Akatswiri athu amadziwa bwino malamulo ankhondo ndipo akutenga nawo mbali popereka chithandizo, kuphatikizapo kupezeka kwa matenda omwe sagwirizana ndi ntchito yankhondo. Ngati mukufuna thandizo, lowetsani kuyankhulana kwapadera poyimba 8-800-775-10-56 kapena.
Mupeza omwe apanga chisankho chomaliza pankhaniyi, komanso chidziwitso chothandiza chakuchipatala.
Kodi ndingathe kulowa usilikali?
Kugwira ntchito yankhondo nthawi zonse kumawonedwa ngati chinthu choyamikika komanso chapadera. Amuna omwe amayesa kuletsa kulowa usilikali amadziwika kuti ndi amantha komanso osayenera kutchedwa amuna enieni. Masiku ano, zinthu zasintha pang'ono, komabe, pali ambiri omwe ali ndi chisangalalo chofuna kulowa nawo gulu lankhondo.
Koma bwanji za anyamata azisamba omwe ali ndi matenda ashuga? Kodi mfundo ziwiri izi ndizogwirizana konse: shuga komanso gulu lankhondo? Kodi munthu wodwala matenda ashuga angalowe nawo usilikali ndi chidwi? Kodi ali ndi ufulu wokana ntchito, kapena sayenera kuloledwa konse? Tiyenera kuyankha mafunso awa mopitilira.
Ndani akuyerekeza kuyenera kwa anthu omwe amalemba usilikali?
Kalelo mu 2003, Boma la Russian Federation lidapereka lamulo loti kuyeneretsedwa kwa zilembedwe kumatsimikiziridwa ndi madokotala akatswiri. Wolembera aliyense ayenera kukayezetsa, ndipo zotsatira zake zidzatsimikiziridwa: ngati wachinyamata ali woyenera pazifukwa zaumoyo kapena ayi.
Pali magawo angapo, kutengera komwe kusankhidwa kwa makomiti kumawunikiridwa:
- Ngati munthu alibe zoletsa pa ntchito, amapatsidwa gulu A.
- Ngati pali zoletsa pang'ono, gulu B limaperekedwa.
- Gulu B limaphatikizapo ntchito zochepa.
- Ngati mukuvulala, kusokonezeka mu ntchito ya ziwalo zilizonse ndi zina zakanthawi, gulu G limaperekedwa.
- Gulu D limaganiza kuti ndi zosakwanira ntchito yankhondo.
Mnyamata yemwe ali ndi matenda ashuga akayezetsa, madokotala amalingalira za mtundu wa matenda, momwe zimakhalira zovuta, komanso ngati pali zovuta zina. Kutengera izi, ndizosatheka kuyankha mosaganizira kuti ali m'gulu la asitikali kapena ayi, chifukwa ngati munthu ali ndi matenda amtundu wa 2 ndipo pakakhala kuti palibe kuphwanya kwakukulu komwe kumachitika mthupi, atha kupatsidwa gulu B. Mwa kuyankhula kwina, sangatengedwe kupita kunkhondo. koma munthawi yankhondo azikhala nawo m'gulu lankhondo.
Kodi ndingathe kulowa usirikali ndi matenda amtundu 1 wa shuga?
Mutha kunena motsimikiza kuti ndi matenda ashuga amtundu 1 (omwe amadalira insulin) simudzalembetsa nawo. Nthawi yomweyo, anyamata ena amafunsa funso lotsatirali: Kodi ndingadzifunse pagulu lankhondo lolimba la Russia ndikadwala matenda ashuga?
Yankho la funsoli ndilosavuta, koma nthawi imodzimodzi, zambiri zimatha kukufotokozerani. Tangoganizirani momwe zingakhale zovuta kuti mukhale m'mikhalidwe yomwe ilipo lero. Nachi zitsanzo cha zinthu zochepa zomwe zingakhale zovuta kuzisamalira:
- Jakisoni wa insulin ayenera kuchitika malinga ndi regimen okhazikika, pambuyo pake adye chakudya. Izi sizotheka nthawi zonse kuchitira gulu lankhondo. Chilichonse chimachitika pa dongosolo pano, koma wodwala matenda ashuga amatha kutsika kwambiri m'magazi, zomwe zimafunikira chakudya chowonjezera, komanso mwachangu.
- Kuvulala kulikonse, bala limatha kubweretsa zotsatira zoyipa - gangrene ya zala, kuduladula mwendo, mabala amatsukidwe, etc.
- Kufooka wamba, kufuna kugona pansi kuti mupumule, ngakhale kuti ndizoletsedwa kuchita izi popanda chilolezo.
- Kuchita zolimbitsa thupi pafupipafupi kumatha kukhala kosalephera kwa odwala matenda ashuga.
ZOFUNIKIRA: Ngati muli ndi matenda a shuga 1, onetsetsani kuti muli ndi gulu la olumala, osabisala ndipo akukana kulowa usilikali. Thanzi lanu ndilofunika kwambiri kuposa ntchito yankhondo, yomwe imangokhala chaka chimodzi chokha, ndipo thanzi liyenera kukhala moyo.
Ndi ma pathologies ati omwe simungavomerezedwe kulowa usilikari?
Ngati mukuganiza zolemba usirikali m'gulu la anthu odwala matenda ashuga, ndikofunikira kuganizira mitundu ingapo ya ziwalo zolimbitsa thupi zomwe muyenera kuiwala zokhudzana ndi usilikali.
Monga mukudziwa, matenda ashuga amathandizira kuti pakhale zovuta zambiri zomwe zitha kukhala zowopsa paumoyo wa anthu komanso thanzi.Pamaso pazophwanya zotsatirazi, gulu lankhondo silingakambidwe konse:
- Angiopathy ndi neuropathy yam'munsi yotsika. Pathology imawonetsedwa chifukwa chakuti zilonda zam'mimba zimawonekera pamanja makamaka miyendo. Miyendo yam'munsi imatupa nthawi ndi nthawi, pang'onopang'ono phazi limatha. Ndi zizindikiro zoterezi, muyenera kulumikizana ndi endocrinologist ndikuchita chithandizo cha mankhwala, pambuyo pake ndikofunikira kuyang'anira kuchuluka kwa shuga.
- Kulephera kwina. Ntchito zoyambira impso zimalephera, chifukwa chomwe machitidwe onse amthupi amawonongeka.
- Retinopathy Matenda owopsa pamene ziwiya za m'maso zamagetsi zimakhudzidwa. Kuwonongeka kwamaso kotereku kumatha kuyambitsa khungu.
- Matenda a shuga. Uku ndikovuta kwakukulu pamene zilonda zotseguka zipezeka pamapazi a wodwala. Kuti mupewe izi, ndikofunikira kuvala nsapato zoyenera, kusunga ukhondo wamiyendo.
ZOFUNIKIRA: Monga momwe inu mumamvekera, ndi anyamata okhawo omwe alibe zizindikiritso pamwambapa omwe amatengedwa kupita kunkhondo omwe ali ndi matenda ashuga, ndipo, kwakukulu, matenda a shuga ndi osakhalitsa. Chowonadi ndi chakuti m'gulu lankhondo simungathe kutsatira njira zoyenera zosamalirira phazi, kuyang'anira magawo a shuga, kutsata zakudya zoyenera, ndi zina zambiri. Ngakhale mutagwira ntchito chaka chimodzi, thanzi lanu limatha kuwonongeka kwambiri mpaka pambuyo pake mumanong'oneza bondo kuti munapita usilikali.
Kumwa Fobrinol sikuti amangochiza matenda ashuga okha, koma amathandizanso wodwala pazotsatira za matendawo, kuthetsa.
Insulin ndi imodzi mwamafuta ofunika kwambiri omwe amapangidwa ndi thupi la munthu. Ndiye.
Tisanapite mwachindunji pamutuwu, timvetsetsa za insulin.
Kuyika kwa zinthu kuchokera ku intaneti pa intaneti ndikotheka ndi ulalo wammbuyo ku portal.
Kodi akupita kunkhondo limodzi ndi matenda ashuga?
Kugwira ntchito zankhondo kwakhala kuli udindo wa abambo nthawi zonse, koma malingaliro pazomwe adachita pazaka zapitazi zasakanizika. Mu nthawi za Soviet, ntchito yausilamu imadziwika kuti inali mayeso olemekezeka komanso abwino, omwe munthu aliyense wodzilemekeza amayenera kupitapo.
Kuwonongeka kwa Soviet Union, achinyamata adayamba kuthawa kulowa usilikali, natchulapo kuti m'gulu lankhondo muli "chisokonezo" komanso "kusayeruzika", ndipo amayi a asitikali amtsogolo adachita mantha ndi mawu owopsa "owopsa".
Komabe, si aliyense amene akhoza kugwira ntchito yankhondo. Achinyamata omwe ali ndi mavuto akulu azaumoyo samamasulidwa ku ntchito ya Gulu Lankhondo.
Mu 2003, boma lathu linakhazikitsa lamulo loti kuyenerera kulowa usilikali kuyenera kutsimikiziridwa ndi madokotala aluso. Pambuyo popimidwa kuchipatala, zidzadziwika kuti mnyamatayo ndi woyenera kuthandizidwa kapena ayi.
Ntchito zankhondo si mwayi woteteza dziko lathu lokha, komanso kuti mukhale ndi maphunziro komanso ziyembekezo zina
Magulu oyenerera ntchito
Pakadali pano pali magulu asanu olimbitsa thupi pa kukonzekera:
- Gawo "A" litanthauza kuti wolembetsa akhoza kulowa usilikari.
- Gulu B lipatsidwa ntchito ngati mnyamatayo angalembetse ntchito, koma ali ndi zovuta zazing'ono zomwe sizisokoneza ntchitoyo.
- Gawo "B" litanthauza kuti mnyamatayo ndi ochepa omwe amayimba.
- Gawo "G" limaperekedwa ngati wosungidwayo ali ndi matenda okhudzana ndi matenda amisala m'thupi.
- Gawo "D" litanthauza kusakwanira kwathunthu pazankhondo.
Kuyenerera kupita kunkhondo kumatsimikiziridwa ndi bungwe lapadera la zamankhwala
Ndemanga
Kukopera zinthu kuchokera pamalowa ndizotheka ndi ulalo wokha patsamba lathu.
CHIYAMBI! Zambiri patsamba lino ndizodziwika bwino ndipo sizitanthauza kuti zili zolondola kuchokera ku nkhani zamankhwala. Kuchiza kuyenera kuchitika ndi dokotala woyenera. Kudziziritsa nokha, mutha kudzipweteka!
Utumiki kapena ID yankhondo: kodi odwala matenda ashuga amalowa usirikali?
Lamulo la Russia likufuna anthu omwe afika zaka khumi ndi zisanu ndi zitatu kuti agwire ntchito yankhondo. Achinyamata, atalandira lisamanisi, pitani kumalo ophunzitsira.
Izi ngati sizichitika, ndiye kuti mnyamatayo akhoza kulangidwa, mpaka kumangidwa.
Pazifukwa zathanzi, achinyamata atha kupewa ntchito. Komanso, pali zinthu zingapo zomwe zimaletsa izi. Chidziwitso cha Asilikali chitha kuperekedwa pazifukwa za thanzi.
Ngakhale kusukulu, ophunzira akafika msinkhu wolembedwa, amalowa mayeso apachaka. Pankhani ya matenda, pakhoza kukhala kuchedwa kapena kumasulidwa kwathunthu. Mwa zina mwa matenda omwe ID ingatengere usirikaliwo ndi monga matenda a shuga.
Komiti yojambulayiyo imauzanso mnyamatayo kuti akamukayezetsa, ndipo atapangana lingaliro loti amupatse gulu lina.
Kodi akupita kunkhondo limodzi ndi matenda ashuga?
Matenda a shuga sikuti sikulepheretsa anthu kulowa usilikali. Komabe, izi ndizoyenera mtundu wachiwiri wa matenda ashuga, nthawi yake yomwe ndi yopanda tanthauzo ndipo palibe zovuta zomwe zimapangitsa kuti moyo ukhale wopweteka komanso zimapangitsa thupi kukhala pamavuto akulu. Kwa mtundu woyamba, njira yabwino kwambiri ndikukhazikitsa kulumala ndikukhalanso wathanzi pamlingo womwewo, chifukwa zovuta za matenda a shuga sizitha kuchiritsidwa.
Kodi mungathetse bwanji shuga mpaka kalekale?
Ziwerengero za anthu odwala matenda ashuga zikuwonjezeka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera.
Kuteteza Dziko Lachilichonse munthawi iliyonse inali ntchito yabwino komanso yolandirika. Amuna achichepere omwe amayesa kupewetsa mwayi wokakamizidwa sanatchulidwe kuti ndi amuna enieni. Pakadali pano, zinthu sizikuwoneka bwino kwambiri, koma anyamata ambiri amafunabe ntchito yawo yankhondo. Mwa ana azaka zankhondo, anthu athanzi labwino kwambiri ndi ocheperako pachaka chilichonse.
Ngati zonse zili zomveka bwino ndi phazi lathyathyathya kapena kutenga pakati kwa mkazi, ndiye kuti momwe zingathekere kuphatikiza shuga ndi gulu lankhondo sizikudziwika bwino kwa aliyense. Kodi munthu wodwala matenda ashuga ali ndi ufulu kusiya ntchito yankhondo, kapena zimangochitika zokha kuchipatala?
Ndiye kodi ndizotheka kutumikiranso ndi insulin m'thumba lanu?
Monga lamulo, mamembala a mabungwe azachipatala, ataphunzira kuti adziwe zolembalemba, amutumiza kumalo opimzira kuti apimzenso. Ndipo ngati matendawa atsimikizira, ndiye kuti pa khadi la ankhondo amalemba kuti:Yoyenera kubowola ". Ndi mbiri yotere, inde, ndizosatheka kulowa gulu lankhondo, koma munthawi yankhondo msirikali wodwala matenda ashuga atha kukhala wothandiza.
Ngakhale, pali zingapo zomwe sizingasinthe ntchito ngati muli ndi matenda ashuga:
- Chikhumbo chofala komanso chosalekeza chokhala pansi kapena kugona pansi kuti mupumule.
- koma nthawi yomweyo lakuthwa kwambiri.
- Kukodza kosalekeza (zonse masana ndi).
- Constant.
Chifukwa chake fotokozerani za momwe msirikali angakhalire ndi mtundu wamtundu womwe ungagwiritsidwe ntchito ndi matendawa!
Achinyamata azaka zankhondo omwe ali ndi vuto la matenda osokoneza bongo samalandiridwa m'gulu lankhondo, ngakhale nthendayo itapitirira popanda zovuta (kusawona bwino, ulesi, mawonekedwe a zithupsa zosakhazikika pakhungu).
Matenda a shuga ndi amodzi mwa matenda osachiritsika omwe munthu amakakamizidwa kuti akhale ndi moyo, osungabe kuchuluka kwa shuga m'magazi ndimankhwala komanso zakudya. Ndipo m'gulu lankhondo mulibe zinthu zosintha kagayidwe kake mthupi, chifukwa chake odwala matenda ashuga, ndizokayikitsa kuti mudzatha kuphunzira maphunziro a kubowoleza.
Ngati inu kapena anzanu omwe ali m'gulu lankhondo akudwala matenda ashuga, mwina mumaganiza kuti: kodi akualowa usilikali kapena ayi? Nkhaniyi ifotokoza mwatsatanetsatane funso loti kupezeka ndi matenda ashuga osokoneza bongo kumakhudzira bwanji ntchito yankhondo.
Mupeza omwe apanga chisankho chomaliza pankhaniyi, komanso chidziwitso chothandiza chakuchipatala.