Chithandizo cha matenda oopsa a matenda a shuga 2: mapiritsi, zikuonetsa

Matenda oopsa - kuthamanga kwa magazi. Kupanikizika kwa mtundu wa shuga 2 kumayenera kusungidwa pa 130/85 mm Hg. Art. Mitengo yapamwamba imachulukitsa mwayi wokhala ndi stroke (nthawi 3-4), vuto la mtima (nthawi 3-5), khungu (nthawi 10-20), kulephera kwa impso (nthawi 20-25), gangrene ndikoduladula wotsatira (nthawi 20). Kuti mupewe zovuta zotere, zotsatira zake, muyenera kumwa mankhwala othandizira odwala matenda ashuga.

Matenda oopsa: zoyambitsa, mitundu, mawonekedwe

Ndi chiyani chophatikiza matenda ashuga ndi kukakamiza? Zimaphatikiza kuwonongeka kwa ziwalo: minofu ya mtima, impso, mitsempha yamagazi, ndi kuwala kwa diso. Matenda oopsa m'magazi a shuga nthawi zambiri amakhala oyambira, amatengera matendawa.

Mitundu ya Hypertension	Mwina	Zifukwa
Chofunikira (choyambirira)	mpaka 35%	Chifukwa sichinakhazikitsidwe
Isolated systolic	mpaka 45%	Kutsika kwamitsempha, kuperewera kwa mitsempha
Matenda a shuga	mpaka 20%	Kuwonongeka kwa ziwonetsero zamafuta a impso, kuchepa kwawo, kukhazikika kwa kulephera kwa impso
Renal	mpaka 10%	Pyelonephritis, glomerulonephritis, polycitosis, matenda ashuga nephropathy
Endocrine	mpaka 3%	Endocrine pathologies: pheochromocytoma, chachikulu hyperaldosteronism, Itsenko-Cushing's syndrome

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Zomwe zimachitika mu matenda ashuga

Mtundu wa kuthamanga kwa magazi umasweka - poyeza zizindikiro za nthawi yausiku ndizokwera kuposa nthawi yamasana. Cholinga chake ndi neuropathy.
Kuchita bwino kwa ntchito yolumikizana ya dongosolo laumwini la autonomic ndikusintha: kayendedwe ka kayendedwe ka mitsempha yamagazi kamasokonekera.
Orthostatic mawonekedwe a hypotension amayamba - kuthamanga kwa magazi mu shuga. Kukwera kwakuthwa m'munthu kumayambitsa kuwukira kwa hypotension, kuyipa m'maso, kufooka, kukomoka kumawonekera.

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Kuchiza kuyenera kuyamba ndi mapiritsi a diuretic (okodzetsa). Zofunikira pakubwezeretsa kwa mitundu yachiwiri ya odwala matenda ashuga 1

Wamphamvu	Mphamvu Yapakatikati	Zofooka zofooka
Furosemide, Mannitol, Lasix	Hypothiazide, Hydrochlorothiazide, Clopamide	Dichlorfenamide, Diacarb
Anapemphedwa kuti muchepetse edema yozama, yamkaka ya edema	Mankhwala okhalitsa	Anayikidwa mu zovuta kukonza yokonza.
Amachotsa msanga madzi m'thupi, koma amakhala ndi zovuta zina. Amagwiritsidwa ntchito kwakanthawi kochepa mu pathologies acute.	Chofewa, kuchotsa kwa hypostases	Imawonjezera zochita za okodzetsa ena

Chofunikira: Diuretics imasokoneza bwino ma electrolyte. Amachotsa mchere wamatsenga, sodium, potaziyamu m'thupi, motero Triamteren, Spironolactone amalembedwa kuti abwezeretse mulingo wa electrolyte. Ma diuretics onse amalandiridwa pokhapokha pazachipatala.

Mankhwala a antihypertensive: magulu

Kusankhidwa kwa mankhwala ndikofunikira kwa madokotala, kudzipereka nokha ndiwowopsa kuumoyo komanso moyo. Posankha mankhwala opondera odwala matenda ashuga komanso mankhwala ochizira matenda amishuga a 2, madokotala amatsogozedwa ndi momwe wodwalayo alili, mawonekedwe a mankhwala, kaphatikizidwe, ndikusankha mitundu yotetezeka ya wodwala wina.

Mankhwala a antihypertensive malinga ndi pharmacokinetics amatha kugawidwa m'magulu asanu.

Mtundu 2 wamapiritsi opsinjika a shuga 2

Gululi	Zotsatira za pharmacological	Kukonzekera
Beta blockers ndi vasodilating kanthu	mankhwala omwe amaletsa zochitika za beta-adrenergic receptors a mtima, mitsempha yamagazi ndi ziwalo zina.	Nebivolol, Atenolol Corvitol, Bisoprolol, Carvedilol

Chofunikira: Mapiritsi a kuthamanga kwa magazi - Beta-blockers yokhala ndi vasodilating - mankhwala amakono kwambiri, otetezeka - kukulitsa mitsempha yamagazi, imakhala ndi phindu pa carbohydrate-lipid metabolism.

Chonde dziwani: Ofufuza ena amakhulupirira kuti mapiritsi otetezeka kwambiri a matenda oopsa mu shuga, matenda osagwirizana ndi insulin ndi Nebivolol, Carvedilol. Mapiritsi otsala a gulu la beta-blocker amawonedwa ngati owopsa, osagwirizana ndi matenda oyambitsawa.

Chofunikira: Beta-blockers imatchinga zizindikiro za hypoglycemia, chifukwa chake, iyenera kukhazikitsidwa ndi chisamaliro chachikulu.

Mankhwala a antihypertensive a mtundu 2 wa matenda ashuga 3

Gululi	Zotsatira za pharmacological	Kukonzekera
Alfa blockers	Chepetsani kuwonongeka kwa ulusi wamanjenje ndi mathero awo. Amakhala ndi ma hypotensive, vasodilating, antispasmodic.

Doxazosin

Chofunika: Osankha blockers a alpha ali ndi "mphamvu yoyamba." Piritsi loyamba limatha kugwa kwa orthostatic - chifukwa cha kuchuluka kwa mitsempha yamagazi, kukwera kwakuthwa kumayambitsa kutulutsa magazi kuchokera kumutu mpaka pansi. Munthu amasiya kuzindikira ndipo amatha kuvulala.

Mankhwala ochizira matenda oopsa a 2 mtundu mellitus mndandanda 4

Gululi	Zotsatira za pharmacological	Kukonzekera
Otsutsa a calcium	Kuchepetsa kudya kwa calcium ion mkati mwa cardomycetes, minofu yamitsempha yama mitsempha, imachepetsa kuphipha kwake, kumachepetsa kupsinjika. Amasintha magazi kupita kwa minofu ya mtima	Nifedipine, felodipine,
Direct renin inhibitor	Amachepetsa kupanikizika, amateteza impso. Mankhwala sanaphunzire mokwanira.	Rasilez

Mapiritsi a ambulansi ochepetsa kuthamanga kwa magazi: Andipal, Captopril, Nifedipine, Clonidine, Anaprilin. Zochitazo zimatha mpaka maola 6.

Mapiritsi a matenda oopsa mu mtundu 2 wa matenda ashuga 5

Gululi	Zotsatira za pharmacological	Kukonzekera
Angiotensitive Receptor Antagonists	Amakhala ndi zovuta zochepa zoyipa, amachepetsa chiopsezo cha stroke, kugunda kwa mtima, kulephera kwaimpso	Losartan, Valsartan, Telmisartan

Angiotensin Kutembenuza Enzyme Inhibitors (ACE)Kuchepetsa kupanikizika, kuchepetsa katundu pa myocardium, kumalepheretsa chitukuko cha mtimaCaptopril, Enalapril, Ramipril, Fosinopril, Thrandolapril, Berlipril

Mankhwala ochepetsa kuthamanga kwa magazi sakhala pamndandanda izi. Mndandanda wamankhwala umasinthidwa nthawi zonse ndi zochitika zatsopano, zamakono kwambiri.

Victoria K., 42, wopanga.

Ndakhala ndi matenda oopsa kwambiri komanso matenda ashuga a 2 kwazaka ziwiri. Sindinamwe mapilitsiwo, ndimalandira mankhwala azitsamba, koma sathandizanso. Zoyenera kuchita Mnzanu akuti mutha kuthana ndi kuthamanga kwa magazi ngati mutenga bisaprolol. Ndi mapiritsi ati opanikizika omwe ali bwino kumwa? Zoyenera kuchita

Victor Podporin, endocrinologist.

Wokondedwa Victoria, sindingakulangizeni kuti muzimvera bwenzi lanu. Popanda mankhwala a dotolo, kumwa mankhwala sikofunikira. Kuthamanga kwa magazi m'magazi a shuga kumakhala ndi etiology yosiyanasiyana (zomwe zimayambitsa) ndipo imafunikira njira ina yothandizira. Mankhwala othandizira kuthamanga kwa magazi amaperekedwa ndi adokotala okha.

Chithandizo cha anthu ku matenda oopsa

Matenda oopsa amachititsa kuti kuphwanya kwa kagayidwe kazakudya mu 50-70% ya milandu. 40% ya odwala, ochepa matenda oopsa amakhala mtundu 2 shuga. Cholinga chake ndi kukana insulini - kukana insulini. Matenda a shuga ndi kupsinjika amafuna chithandizo chamankhwala.

Chithandizo cha matenda oopsa ndi mankhwala wowerengeka a anthu odwala matenda ashuga uyenera kuyambitsidwa ndi kusunga malamulo a moyo wathanzi: kukhalabe wathanzi, kusiya kusuta, kumwa mowa, kuchepetsa kuchuluka kwa mchere komanso zakudya zovulaza.

Njira zochizira wowerengeka zochepetsera kuthamanga kwa odwala matenda ashuga a mndandanda 2:

Decoction wa timbewu, tchire, chamomile	Amachepetsa kupsinjika chifukwa cha kupsinjika
Mwatsopano wopangidwa ndi msuzi wa nkhaka, beet, phwetekere	Imachepetsa kupsinjika, imakhala bwino
Zipatso zatsopano za hawthorn (mutatha kudya 50-100 g ya zipatso katatu patsiku)	Kuchepetsa kuthamanga kwa magazi ndi shuga wamagazi
Masamba a Birch, zipatso zaononberry, sitiroberi, mabulosi abulu, nthanga za fulakesi, muzu wa valerian, timbewu, zipatso za mandimu	Ntchito mitundu yosiyanasiyana ya ma decoctions kapena infusions omwe amalimbikitsidwa ndi endocrinologist

Chithandizo cha matenda oopsa ndi mankhwala wowerengeka a anthu odwala matenda ashuga sichothandiza konse, chifukwa chake, pamodzi ndi mankhwala azitsamba, muyenera kumwa mankhwala. Zithandizo za Folk ziyenera kugwiritsidwa ntchito mosamala, atakambirana ndi endocrinologist.

Chikhalidwe Chazakudya Zopatsa Thanzi kapena Zakudya Zoyenera

Zakudya kwa matenda oopsa ndipo matenda a shuga a 2 amachepetsa kuthamanga kwa magazi komanso kuchepetsa matenda a shuga. Zakudya zamagulu olemba matenda oopsa komanso mtundu wachiwiri wa matenda ashuga ziyenera kuvomerezedwa ndi endocrinologist ndi wathanzi.

Zakudya zoyenera (kuchuluka kwake ndi kuchuluka kwake) kwamapuloteni, chakudya, mafuta.
Low-carb, wamphamvu mavitamini, potaziyamu, magnesium, kufufuza zinthu.
Kumwa mchere woposa 5 g pa tsiku.
Wokwanira masamba ndi zipatso.
Zakudya zopatsa thanzi (osachepera 4-5 patsiku).
Kuphatikiza zakudya No. 9 kapena No. 10.

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Pomaliza

Mankhwala othandizira matenda oopsa amaimiridwa kwambiri pamsika wamankhwala. Mankhwala enieni, zamagetsi zamapulogalamu amitengo osiyanasiyana ali ndi zabwino zawo, zikuwonetsa komanso kuphwanya. Matenda a shuga ndi matenda oopsa amayenda limodzi, amafunikira chithandizo chamankhwala. Chifukwa chake, mulibe konse muyenera kudzilingalira. Njira zokhazokha zochizira matenda ashuga ndi matenda oopsa, kuikidwa kwa akatswiri ndi endocrinologist ndi mtima ndi komwe kumatsogolera ku zotsatira zomwe mukufuna. Khalani athanzi!