Chimachitika ndi chiyani ngati simumachiza matenda ashuga amtundu 2?

Type 2 shuga mellitus ndi matenda omwe amapezeka omwe amalumikizidwa ndi vuto la chakudya chamafuta mthupi. Wodwala amadana ndi insulin, ndiye kuti, chitetezo chokwanira cha insulin.

Kumayambiriro kwa matendawa, kapamba amatulutsa timadzi timene timatulutsa timadzi tambiri, koma thupi limalephera kulimbana ndi shuga wambiri.

Muzochita zachipatala, pali mitundu ingapo yamatenda a shuga, koma mitundu yoyambayo ndi yachiwiri yamatenda ndiyofala kwambiri. Tsoka ilo, ndi osachiritsidwa.

Ngakhale kuti matenda ashuga sangathetsedweretu, komabe ndikuyenera kutero. Popeza chithandizo chokwanira chimathandiza odwala kukhala ndi moyo wonse, pomwe amateteza zovuta zingapo za matendawa.

Komabe, anthu ambiri akudandaula kuti chidzachitike ndi chiyani ngati matenda ashuga samathandizidwa? Kuti tiyankhe funsoli, ndikofunikira kulingalira zovuta komanso zovuta za matendawa.

Kodi chingachitike ndi chiyani ngati matenda ashuga samalandiridwa?

Matendawa sikuti amabweretsa chiwopsezo chamoyo waanthu, koma chodabwitsa cha zam'tsogolo chagona poti chadzala ndi zovuta zingapo zomwe zingakhudze chiwalo chilichonse kapena dongosolo lamkati.

Kunyalanyaza matendawa, kusowa kwa mankhwalawa kumabweretsa kulumala koyambirira komanso kufa. Palibe chodabwitsa kuti matendawa amatchedwa "wakupha chete", chifukwa munthu samada nkhawa ndi chilichonse, koma zovuta zikukula.

Mu 2007, maphunziro adachitika omwe akukhudzana ndi kuthana ndi matenda a shuga kwa amuna ndi akazi. Kafukufuku wasayansi awonetsa kuti matenda awa ndiwowopsa kwambiri makamaka pakugonana.

Amadziwika kuti matenda ashuga amakhudza kukhala ndi moyo. Ngati amachepetsa zaka zomwe amuna amakhala ndi zaka pafupifupi 7, ndiye kuti azimayi azaka zisanu ndi zitatu. Kwa oimira ogonana amphamvu, matendawa amawonjezera chiopsezo chokhala ndi vuto la mtima kapena katatu, komanso kwa akazi katatu.

Dziwani kuti matenda amtima, nawonso, amawonjezera mwayi woti umwalira maulendo 8.

Matenda a kuvutika maganizo ndi matenda a shuga ndimagwirizana pafupipafupi omwe amatha kupanga zovuta kuzomwe zimapangitsa munthu kumwalira akadali achichepere.

Kutengera ndi zomwe takambirana pamwambapa, titha kunena kuti shuga simalola kunyanyala komanso "manja" ake.

Kuperewera kwa chithandizo chokwanira kumayambitsa zovuta, kulumala ndi kufa.

Zovuta za matenda a shuga 2

Ngati chithandizo sichinyalanyazidwa, ndiye kuti odwala ali ndi matenda a diabetesic ketoacidosis, chomwe ndichotsatira cha kuchuluka kwa matupi a ketone mthupi. Nthawi zambiri vutoli limawonedwa ngati wodwala satsatira zakudya zoyenera, kapena amamuthandizira mankhwala molakwika.

Matupi a Ketone amadziwika ndi poizoni m'thupi, chifukwa chomwe izi zimapangitsa kuti musakhale ndi chikumbumtima, kenako chikomokere. Chizindikiro chodziwika bwino cha matenda amtunduwu ndi fungo la zipatso kuchokera pamlomo wamkamwa.

Ngati matenda a shuga sathandizidwa, lactic acidosis, yomwe imadziwika ndi kuchuluka kwa lactic acid, imatha kuyamba, chifukwa chomwe kulephera kwa mtima kumayamba pang'onopang'ono ndikupita patsogolo.

Popanda kuyang'anira shuga, zovuta zotsatirazi zimawonekera:

  • Mkhalidwe wa Hyperglycemic, pakapezeka shuga wambiri mthupi la wodwala.
  • Dera la hypoglycemic limadziwika ndi shuga wochepa. Zomwe zimapangitsa izi kukhala ndizambiri zolimbitsa thupi, kupsinjika kwambiri, ndi zina zambiri.

Ngati zinthu zofunika sizichitika munthawi yake, zinthu zidzaipiraipira pang'onopang'ono chifukwa cha izi.

Kuperewera kwa chithandizo choyenera kumawonjezera mwayi woti umwalira kangapo.

Zotsatira zoyipa za matenda ashuga

Kuwonekera koyipa kwa matenda okoma kumayenderana ndi kuphwanya magwiridwe amitsempha yamagazi.

Nephropathy ndi zotsatira za vuto laimpso. Potengera izi, mapuloteni amawoneka mkodzo, kutupa kwa m'munsi kwambiri, ndipo kuthamanga kwa magazi "kulumpha". Zonsezi pakapita nthawi zimabweretsa kulephera kwa impso.

Vuto lalikulu la matenda ashuga ndi kuphwanya kwamawonedwe owoneka, popeza ziwiya zamaso zimawonongeka. Choyamba, masinthidwe amayamba kuchepa pang'ono, "ntchentche" zitawonekera pamaso, chophimba chikuwonekera. Kunyalanyaza mkhalidwewo kumangotipatsa lingaliro limodzi lomveka - khungu lathunthu.

Matenda enanso obwera ndi matenda okoma:

  1. Matenda a shuga ndi chifukwa chophwanya magazi m'magawo otsika. Poona izi, zovuta zakumaso ndi zotulutsa zimatha kuchitika, zomwe zimayambitsa gangore.
  2. Ndi kuphwanya kwa mtima wamtima, makamaka, ndi kuwonongeka kwa mitsempha ya mtima, mwayi wa kufa kuchokera ku myocardial infarction ukuwonjezeka.
  3. Polyneuropathy imapezeka pafupifupi onse odwala matenda ashuga. Ngakhale iwo omwe amatsatira momveka bwino malangizo a dokotala.

Ponena za mfundo yomaliza, zotsatirapo zoyipa izi zimagwirizanitsidwa ndi kusokonezeka kwa ulusi wamitsempha yamafinya. Ngati mbali za ubongo zakhudzidwa, munthu amayamba kudwala.

Dziwani kuti ndi chithandizo chokwanira, mwayi wovuta umachepetsedwa. Panthawi yomwe wodwala samvera upangiri wa dokotala, akuyembekezera zovuta kwambiri.

Tsoka ilo, sizotheka kuchiritsa matenda ashuga. Koma chithandizo chamankhwala chokwanira komanso chokwanira chokwanira chimathandiza kukhala ndi shuga pamlingo wofunikira, chimalepheretsa kukula kwa zovuta.

Matenda a shuga

Kukula kwa zotsatira zoyipa komanso zosasinthika kumbuyo kwa matenda ashuga posachedwa zimachitika. Ngati mutsatira zakudya, kumwa mapiritsi kuti muchepetse shuga ndi njira zina zochiritsira, zovuta zimachedwetsedwa.

Koma, pakalibe chithandizo choyenera, amakula msanga, pomwe amadziwika ndi kupita patsogolo mwachangu.

Kutengera ndi kuchuluka kwa manambala, titha kunena kuti anthu opitilira 50% odwala matenda a shuga amayembekeza kulumala.

Magulu Olumala A shuga

  • Gulu lachitatu ndi gulu lopepuka, ndipo limapatsidwa njira yodwaladwala. Pankhaniyi, pali kuphwanya pang'ono magwiridwe antchito ofunikira a ziwalo ndi machitidwe ofunikira, koma mkhalidwe wamtunduwu umakhudza luso logwira ntchito.
  • Gulu lachiwiri kapena lachitatu limaperekedwa kwa odwala omwe amafunikira chisamaliro chokhazikika. Ali ndi mavuto kale ndi machitidwe am'mimba, zimakhala zovuta kuti azichita pawokha.

Odwala amalandira kulemala ngati ali ndi mitundu yayikulu ya impso kapena mtima, vuto lalikulu la mitsempha, lomwe limawonetsedwa ndi kusokonezeka kwa malingaliro.

Kuphatikiza apo, vuto lachiberekero, kuwonongeka kwakanema, matenda ashuga komanso zovuta zina zimabweretsa kulumala kwathunthu, chifukwa, kulumala.

Matenda a shuga ayenera kuyendetsedwa moyo wonse. Pokhapokha ngati tili ndi chithandizo chokwanira chokwanira ndikutsatira malangizo a dotolo, ndizotheka kulipirira matendawa, kuchepetsa mwayi wokhala ndi vuto lodana ndi zovuta zina. Kanemayo munkhaniyi akufotokozerani momwe mungachitire matenda ashuga a 2.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Mavuto 7 owopsa omwe angachitike ngati matenda ashuga samathandizidwa

Mavuto omwe amatha kuchitika chifukwa cha matenda ashuga a mitundu yonseyi ndi owopsa chifukwa amachititsa kusintha kwamtundu ndi ziwalo, zomwe zimabweretsa kulumala ndipo nthawi zina kufa kwa odwala. Anthu opitilira 4 miliyoni amafa chaka chilichonse chifukwa cha matenda ashuga okha mdziko lapansi.

Mtundu woyamba wa matenda ashuga, thupi limasiya kutulutsa insulin, timadzi tambiri timene timapanga shuga m'magazi. Mtundu wachiwiri wa matenda ashuga, thupi silingagwiritse ntchito bwino insulin yomwe wodwala amapanga. Nthawi yomweyo, kuchuluka kwa lipoproteins okwera kumatsika (mwanjira ina, "zabwino" cholesterol), ndipo kuchuluka kwa mafuta "oyipa" m'magazi, omwe amatchedwa triglycerides, m'malo mwake, amawonjezeka. Kuphwanya kwamphamvu kwa insulin kumayambitsa kupangika ndi kuchepetsedwa kwa mitsempha, ndipo izi zimapangitsa kuthamanga kwa magazi. Zotsatira zake, pafupifupi 70% ya anthu omwe ali ndi matenda amtundu woyamba 1 amakhala ndi kuthamanga kwa magazi, komwe kumakhala chiwopsezo cha sitiroko, matenda a mtima, komanso matenda a maganizo.

2. Kuchepetsa maonedwe owoneka

Anthu opitilira 4 miliyoni omwe ali ndi matenda ashuga ali ndi digiri ya retinopathy, komanso kuwonongeka kwa minofu yazithunzi zapakhoma lamaso. Izi ndichifukwa choti glucose wambiri amawononga ziwiya zabwino za maso. Njirayi imatha kuchitika m'thupi zaka 7 musanazindikire matenda.

Poyambirira, wodwalayo samazindikira zilizonse, koma mukayamba matendawa, zotsatirapo zake zimakhala zoyipa. Kafukufuku wina mwa odwala omwe ali ndi matenda a shuga a 2 adawonetsa zotsatirazi: pamene kuchuluka kwa hemoglobin ya glycosylated kukwera ndi gawo limodzi, chiwopsezo cha mavuto ammaso chikuwonjezeka ndi gawo limodzi mwa magawo atatu. Zaka 20 pambuyo poti matendawa atayamba, pafupifupi 80% amadwala retinopathy, ndipo odwala 10,000 amasiya kuwona pachaka.

Kwa zaka zambiri, kuchuluka kwa glucose m'magazi kumakwera, zomwe zimayambitsa ma nephrons. Ma Nefi ndi glomeruli yaying'ono yomwe imathandiza kusefa magazi.

Mu shuga, magazi omwe ali ndi shuga wambiri amadutsa impso. Glucose imakoka madzi ambiri limodzi ndi iyo, yomwe imakulitsa kupanikizika mkati mwa nephron iliyonse. Chifukwa cha izi, capillaries mkati mwa glomeruli pang'onopang'ono amadzaza. Ngati glomeruli itasiya kugwira ntchito, ndiye kuti impso zimasefa magazi.

4. Kusintha kwamanjenje

Pafupifupi 7.5% ya anthu ali kale ndi zovuta zamavuto amanjenje kapena kutopa kwamanjenje chifukwa cha kuchuluka kwa shuga. Malinga ndi ziwerengero, theka la odwala omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2 m'kupita kwa nthawi amakumana ndi mavuto amanjenje.

Madokotala amati poyamba odwala ambiri sazindikira chilichonse kapena amakhala ndi miyendo ing'onoing'ono. Koma ndi kukula kwa matendawa, neuropathy imayambitsa kupweteka, kufooka komanso kugaya chakudya m'mimba.

5. Kudulidwa mwendo

Ndi matenda a shuga m'munsi m'munsi, mitsempha ndi mitsempha ya magazi. Izi ndichifukwa cha kuchuluka kwa glucose m'magazi. Kuphatikiza apo, miyendo imasiya kumva. Potengera maziko awa, kuwonongeka kulikonse, ngakhale zazing'ono kwambiri (chimanga, burows, mikwingwirima yaying'ono), kumatha kubweretsa zovuta.

Zotsatira zake, zolakwika zam'mapazi zam'mapazi, mabala osapweteka, osapweteka, zotupa zamafupa (osteomyelitis) ndipo, pamapeto pake, zimachitika. Ngati simutenga nthawi moyenera, izi zimatha kudula miyendo.

6. Kukonzekereratu ku mavuto amtima

Mwazi wamagazi ambiri umawononganso mitsempha, mitsempha, ndi minyewa yamtima. Odwala omwe ali ndi matenda ashuga, pamakhala chiwopsezo chowopsa cha mtima, ndipo chiwopsezo chakuwonjezeka chiwonjezeredwa kanayi. Asayansi amati kugunda kwa mtima ndi omwe amapha anthu 1 odwala matenda ashuga. Stroko ikhoza kuyambitsa ziwalo komanso mavuto ena akulu.

7. Kufupikitsa moyo

Mavuto onsewa azaumoyo amatha kufa msanga. Kafukufuku waposachedwa adapeza kuti azimayi omwe ali ndi matenda amtundu woyamba 1 amakhala pafupifupi pazaka 13 poyerekeza ndi azimayi omwe alibe matendawa. Matenda a shuga amakhala nambala 7 pakati pa matenda omwe amabweretsa imfa.

Mtsikanayo adakweza intaneti yonse m'makutu mwake, akuwonetsa momwe shuga imawonekeradi .. Zizindikiro zodetsa nkhawa za prediabetes: musalole kuti matendawa afike pafupi!

Kodi mitundu 1 ndi 2 ya matenda ashuga imatha kuchiritsidwa?

Pakadali pano, pali njira yolimbikitsira yogwira kuti pali njira zochizira matenda monga matenda a shuga. Izi ndichifukwa cha kuchuluka kwakukulu kwamilandu yomwe yapezeka ndi matendawa muzaka zaposachedwa. Matendawa amakhudza anthu amisinkhu yosiyanasiyana, omwe amakhudza kwambiri moyo. Ndipo musanakhulupirire zotsatsa zotere zamankhwala ambiri komanso okwera mtengo, muyenera kupeza yankho ku funso ili: kodi matenda ashuga angachiritsidwe?

Matenda a shuga m'magulu aanthu amawoneka chifukwa cha zovuta m'magulu amtundu wa endocrine, zomwe zimapangitsa kuti pakhale kusakwanira kwathunthu kapena kwachilengedwe kutulutsa timadzi tating'onoting'ono. monga insulin. Cholinga chapadziko lonse lapansi cha izi ndikuphwanya njira zovuta za metabolic m'thupi. Malinga ndi kuyesa kwa magazi pamaso pa matenda a shuga, kupezeka kwa chodabwitsa monga hyperglycemia, ndiko kuti, kuchuluka kwa glucose m'magazi komwe sikikugwirizana ndi zofunikira. Matendawa ndiwowopsa, chifukwa chifukwa chake pamakhala kuphwanya kagayidwe kazakudya zomanga thupi, mapuloteni, mafuta, mchere, komanso mulingo wamchere.

Matenda a shuga ndi zizindikiro zake

Musanamvetsetse ngati shuga amathandizidwa, muyenera kudziwa mtundu wa matenda. Matenda a shuga ndi matenda osachiritsika omwe amatha kubereka kapena kutengeka.

Matenda a shuga obadwa nawo sangachiritsike, amapezeka ali mwana zaka zoyambirira za moyo, atangobadwa kumene. Zomwe zimayambitsa matenda obadwa nawo matendawa ndi chibadwa chamunthu. Izi ndichifukwa chakulephera kwa kapamba kuti apange insulini ya mahomoni, ndichifukwa chake pamakhala kuchuluka kwa shuga m'magazi a mwana.

Zomwe zimayambitsa matendawa:

  • kumangokhala
  • kuperewera kwa zakudya m'thupi ndi kudya kwambiri,
  • kunenepa kwambiri (amakhulupirira kuti anthu onenepa kwambiri ali pachiwopsezo cha matendawa),
  • kukhalapo kwa matenda ena angapo (matenda a mtima, matenda oopsa, matenda a m'matumbo, matenda a impso, ndi ena).

Ndikofunikanso kuwonetsa zingapo mwatsatanetsatane zomwe zikusonyeza kukhalapo kwa matendawa:

  • kupezeka kwa ludzu losatha
  • kamwa yowuma
  • kukodza pafupipafupi,
  • kusinthasintha kowonda m'thupi, koma nthawi zambiri kutsika kwake kwakukulu,
  • azimayi amakhala ndi mkwiyo pakhungu komanso dermatitis pakhungu la kunja kwa maliseche ndi kuyabwa kwambiri.
  • kutaya tsitsi
  • kuchepa kowoneka bwino.

Odwala ambiri nthawi zambiri amadandaula za kusweka kokhazikika, komwe kumachitika chifukwa cha kusinthasintha kosalekeza komwe kumachitika shuga m'magazi.

Kodi ndizotheka kuchiza matenda a shuga komanso chifukwa chake ndi oopsa?

Kutengera kuti ndi matenda amtundu wa endocrine amawonedwa, funso loti ngati matenda a shuga angachiritsidwe amatha kuyankhidwa kuti ndizosatheka kuchiza. Koma ndikakonzanso zakudya zoyenera, kusintha kwa moyo komanso kumwa mankhwala pafupipafupi, matendawa sangadzikumbutse nokha kwazaka zambiri. Mukazindikira zizindikiritso za matendawa, muyenera kufunsa dokotala, chifukwa shuga wambiri amatha kuyipitsa thanzi. Ndipo pakuchepa kwake, munthu amatha kudwala matenda ashuga.

Mu matenda a shuga, magazi amawonda kwambiri ndipo nthawi zambiri amayendayenda m'munsi, zomwe zimatha kudula.

Chifukwa chake, matenda a shuga amatha kuthandizidwa kokha moyang'aniridwa ndi dokotala. Katswiri wodziwa bwino yekha ndi amene angasankhe njira yabwino yothandizira. Komanso, chithandizo chilichonse chimagwiritsidwa ntchito pomwa mankhwalawa obwezeretsa insulin, chifukwa njira zomwe zimasokoneza kagayidwe kachakudya zimakhala zabwinobwino. Choyamba, adokotala ayenera kudziwa kuchuluka kwa shuga m'magazi. Momwe mungachiritsire matenda ashuga panthawi yomwe yaperekedwa imatha kutsimikiziridwa molingana ndi zotsatira za ziyeso zonse zofunika.

Kodi pali mankhwala omwe angachiritse matenda ashuga? Ayi, koma mutha kukhalabe ndi thupi labwinobwino. Ngati wodwala satulutsa yake insulin, ndiye kuti palibe njira zochizira matenda ashuga, ndipo ngati atapangidwa pang'ono, mwayi wolipiridwa mwachangu kwa anthu odwala matenda a shuga ukuwonjezeka. Pankhaniyi, muyenera kuyang'anira shuga yanu nthawi zonse. Powunikira pafupipafupi kuchuluka kwa shuga, pali zida zapadera (glucometer), madokotala awo amalimbikitsa kuti azigula popanda chifukwa ndipo nthawi zonse zimakhala nazo. Zipangizo zoterezi ndizosavuta kugwiritsa ntchito ndipo zimagwirizanitsidwa poyenda. Kupezeka kwawo, komanso kupezeka kwa mankhwala kwa odwala matenda ashuga, ndikofunikira.

Mitundu ya Matenda A shuga

Kafukufuku akuwonetsa kuti padziko lonse lapansi odwala matenda a shuga amakhudza pafupifupi 9% ya anthu achikulire. Zikafika poti matenda a shuga amatha kuchiritsidwa, ndiye kuti ndiwachiwiri matenda. Chowonadi ndi chakuti pali magawanidwe a shuga m'mitundu mitundu omwe amatha kutulutsa insulin ndi thupi. Ndipo ngati mukuganiza ngati piritsi lidzachiritsa matenda ashuga, muyenera kudziwa kaye zomwe zimachitika mthupi ndi matenda ena ake. Ndi mtundu woyamba wa matenda ashuga, izi sizithandiza, chifukwa ndi izi pali kudalira kwathunthu kwa insulin. Mtundu wachiwiri, matenda ashuga amatha kuchiritsidwa ndikutsatira malamulo ena.

Kuti muchite izi, muyenera kusintha ndikuwonetsetsa momwe muliri, onjezerani moyo wokangalika ndi kusiya zizolowezi zoyipa. Mtundu wachiwiri umatha kupezeka nthawi yapakati mwa amayi. Matenda a shuga omwe amadziwika kuti ndi gestational amayamba chifukwa cha kubereka ndipo amapezeka nthawi yowunika piritsi, kapena zaka zingapo atabadwa. Amayi omwe ali ndi zofunikira zofunikira zoterezi, ndibwino kuganizira thanzi lawo mosamala. Ngati mumadya moyenera ndikuyang'anira thanzi lanu, simungangochira matenda ashuga okha, koma osadwala nawo. Nthawi zonse muyenera kukumbukira kuti kupewa matenda ndikosavuta kuposa kuchiza.

Momwe mungachiritsire matenda amtundu wa 1 ndikulembanso matenda ashuga a 2 kwathunthu?

Milandu ya matenda oopsa a endocrine - matenda a shuga - ayamba kufalikira padziko lonse lapansi. Izi matenda, nthawi zambiri, ndi moyo wonse. Anthu akuganiza ngati shuga ingachiritsidwe kwathunthu.

Pakatha zaka 40, abambo ndi amayi nthawi zambiri amakumana ndi thanzi labwino. Ndizotheka kuchiritsa matenda a shuga, koma izi ndizotheka pokhapokha ngati chithandizo chayambika munthawi yake, palibe zovuta komanso zovuta zina.

Madokotala ati ngati mukuchita masewera olimbitsa thupi, musapatuke pachakudya, komanso kudziwa momwe mungawongolere shuga wamwazi, mutha kutenga msewu kuti muchotse matenda a shuga.

Zoyambitsa matenda a shuga

Kuti mumvetse momwe dokotala amachiritsira matenda ashuga, muyenera kumvetsetsa zifukwa zomwe zakhalira akatswiri olimbikitsa. Kuwonjezeka kokhazikika kwa glucose amadziwika ndi matenda. Mitundu yayikulu yamatenda amadziwika:

  • choyambirira
  • mtundu wachiwiri
  • matenda ashuga
  • mitundu ina yomwe imalumikizidwa ndi kusokonezeka kwa mahomoni.

Type 1 shuga mellitus amadalira insulin. Matendawa amawoneka ndi insulin yokwanira, yomwe imapatsa maselo a beta a kapamba. Matenda a 2 a shuga amakhala osagwirizana ndi insulin. Insulin imapangidwa mokwanira mthupi la munthu, koma ma receptor samazindikira. Pali shuga wambiri osati m'mwazi, komanso insulin.

Matenda a gestational a shuga amapangidwa nthawi yapakati, yomwe imagwirizanitsidwa ndi njira ya metabolic. Mutha kudzichiritsa nokha mutabereka mwana.

Mitundu ina yamatendawa imalumikizidwa ndi kusagwira bwino kwa gland ya endocrine, monga lamulo, amavutika:

Matenda oterewa amatha kuthandizidwa ndikuchiritsa matenda a zida za endocrine.

Matenda a shuga ndi dzina lodziwika bwino la ma pathologies angapo omwe ali ndi chizindikiro chomwecho - kuchuluka kwa shuga m'magazi, ndiko kuti, hyperglycemia. Koma chizindikiro ichi ndi mitundu yosiyanasiyana yamatenda chimayamba chifukwa chosiyana.

Matenda owopsa a endocrine system amatha kupanga chifukwa cha kapamba kapenanso kusintha kwa mahomoni.

Matenda a shuga amatchedwa matenda a kapamba. Chifukwa cha kupita patsogolo, matenda ashuga amatsogolera pakusokoneza machitidwe ndi ziwalo zosiyanasiyana. Maselo a pancreatic amapanga mahomoni omwe amachititsa shuga kagayidwe. Amapangidwa m'maselo a pancreatic mabungwe a Largenhans.

Maselo apadera a alpha amapanga glucagon, omwe amawonjezera kuchuluka kwa shuga m'magazi ndikuwongolera kagayidwe kazachilengedwe. Maselo a Beta amatulutsa insulini, yomwe imatsitsa shuga m'magazi ndikuthandizira kutulutsa shuga.

Mfundo yoti pali matenda ashuga ingamveke bwino ndi izi:

  • ludzu, kuyamwa kosalekeza,
  • kufooka, chizungulire,
  • kuchepa kowoneka bwino,
  • yafupika libido
  • kulemera kwamiyendo, kukokana, dzanzi,
  • hyperglycemia ndi glucosuria,
  • kutsitsa kutentha kwa thupi
  • kuchiritsa kwamabala.

Mawonekedwe a Chithandizo

Nthawi zambiri anthu amakwiya kwambiri akamva kupezeka kwa matenda ashuga. Nthawi zambiri funso lawo loyamba kupita kwa adotolo ndiloti, "kodi ndizotheka kuthetsa matenda?" Anthu omwe ali ndi matenda ashuga achiwiri amachiritsidwa.

Matenda amadutsa mukachotsa zomwe zimayambitsa kapena zomwe zidapangitsa. Ndikosatheka kuchiritsa matenda oyamba a mitundu 1 ndi 2.

Muyenera kudutsa m'njira zosiyanasiyana zomwe zimapangitsa kuti shuga azikhala opanda malire. Kodi matenda ashuga amatha? Mwina sichoncho, komabe:

  1. kuchepetsa zizindikiro
  2. khalani ndi kagayidwe kazakudya kwakanthawi,
  3. kupewa mavuto
  4. kukonza moyo wabwino.

Ngakhale mawonekedwe omwe matendawa amapezeka, kudziletsa kumaletsedwa. Madokotala - endocrinologists ndi akatswiri azachipatala amathandizira odwala matenda ashuga.

Dokotala atha kukulemberani mapiritsi, komanso njira zingapo zomwe zimakhala ndi chithandizo chamankhwala.

Ndi chithandizo choyenera, matenda omwe akudutsa akuwonetsedwa pakuchepetsa zizindikiro.

Chithandizo cha matenda a shuga 1

Mukazindikira, funso limabuka ngati ndizotheka kuchira matenda ashuga amtundu 1. Ndikosatheka kuchiritsiratu matenda. Kuchiritsa kumatha kukhala kwamphwayi, ndi chithandizo chovuta.

Achinyamata nthawi zambiri amafunsa ngati matenda a shuga amatha. Matenda a shuga amtundu woyamba amakhudza anthu amtunduwu. Kupanga matenda ashuga, kufa kwa 80% yama cell a pancreatic ndikofunikira. Izi zikachitika, mwatsoka, matendawa sangathe kuchiritsidwa. Ngati madokotala sangathe kuthetsa matendawa, ayenera kusintha mkhalidwe wawo mwa kusiya kusuta fodya komanso mowa.

Pafupifupi 20% yotsala yachilengedwe yomwe imakhala yachilendo imapangitsa kukhalapo kwa metabolic mthupi. Therapy ndikupereka insulin yakunja. Popewa kufooka kwa ziwalo poyambira, muyenera kutsatira malangizo a dokotala. Akuti apangitse njira yochizira ndi mankhwala a insulin.

Mlingo umasinthidwa miyezi isanu ndi umodzi iliyonse. Chithandizo cha matenda ashuga chimatha kusintha ngati pakufunika kutero. Malangizo a insulini amapangidwa kuchipatala. Chithandizo cha mankhwalawa chimaphatikizapo:

  • kumwa mankhwala othandizira kupanga insulin,
  • kugwiritsa ntchito mankhwala omwe amachititsa kagayidwe.

Therpatent chithandizo chimaphatikizapo kupewa mavuto ku:

Pankhani ya zilonda zam'mimba, michere yazakudya ziyenera kupititsidwa bwino. Mapangidwe oterowo ndi chiwonetsero choyambirira cha matenda. Ziwalo zosagwira bwino ntchito zimafotokozera chifukwa chake matenda ashuga amawonekera.

Katundu wambiri womwe umachitika nthawi zambiri umayambitsa kuchepa kwamphamvu kwa shuga ndikuchulukitsa kwa lactic acid, komwe ndi kowopsa ndi zovuta. Zochita zolimbitsa thupi ndizoletsedwa ndi kuwonongeka kwa matendawa.

Zakudya zopatsa thanzi zimathandiza kuchiritsa matenda a shuga. Menyu imayenera kuwerengedwa, poganizira zomwe zili ndi caloric ndi mlingo wa insulin. Ndikofunika kupatula zakudya:

  • mankhwala a ufa
  • maswiti
  • zakumwa zoledzeretsa.

Zakudya zopatsa thanzi zimachokera ku kuchuluka kwa mkate. Chiwerengero cha chakudya chamafuta chimawerengeredwa.

Wothandizirawu sanatulukirebe zomwe zingathe kuchiritsa matenda ashuga amtundu woyamba. Ntchito ya odwala matenda ashuga tsopano ndikuletsa mavuto. Imfa ya munthu imachitika ndendende chifukwa cha iwo. Kafukufuku wambiri akuchitikanso ku Russia kuti

Mwinanso m'tsogolomo, kufalikira kwa kapamba kungathandize kuchiritsa matenda ashuga 1. Tsopano maphunziro oyenera amachitika pa zinyama. Mwa anthu, kulowererapo sikunachitikebe.

Magulu a asayansi pakalipano akupanga mankhwala omwe amateteza khungu ku pancreatic beta, omwe angathandize kuchiritsa matenda ashuga.

Type 2 shuga

Kuyankha funso la momwe mungachiritsire matenda ashuga amtundu wa 2, muyenera kuganizira za kuthetsa zomwe zimayambitsa matendawa. Monga lamulo, anthu amadwala pambuyo pa zaka 45. Matenda a shuga a mtunduwu amadziwika ndi kuchepa kwa chiwopsezo cha insulin yamkati. Matendawa amalemedwa osati ndi glucose wambiri m'mwazi, komanso ndi kuchuluka kwa insulin.

Matenda a 2 a shuga amathanso kuchiritsidwa pokhapokha malipiro okhazikika. Pazifukwa izi, kudya popanda mowa komanso kuchuluka kwa chakudya kumawonedwa. Chifukwa chake, chidwi cha ma receptor ku insulin yamkati chimawonjezeka. Ngakhale kuchepa thupi pang'ono kumapangitsa kuti achepetse katundu pa zikondamoyo, ndiye kuti chakudya chimayamba kuyamwa ndikugaya bwino.

Ndi matenda amtunduwu, zowonjezera zitsamba ndizothandiza, zomwe zimachepetsa shuga ndikuchichotsa m'matumbo. Kutenga kwazitsamba kwa matenda amtundu wa 2 komanso mtundu 1 kumatha kukonzedwa palokha kunyumba.

Njira zimawonetsedwa kuti zimapangitsa kuti metabolism ikhale yachilendo, imathandizira kagayidwe kazakudya, kuchepetsa shuga m'magazi.

Odwala ambiri omwe ali ndi matenda a shuga amalandila:

Othandizira amachepetsa shuga m'magazi ndikuwonjezera kukoka kwa receptor.

Ndemanga ina imati kugwiritsa ntchito mapiritsi sikubweretsa zotsatira zomwe zikuyembekezeka. Zikatero, muyenera kusinthira jakisoni wa insulin. Zochitika zenizeni zimawonetsa kuti kusintha koyambirira kwa majakisoni otere kumapewetsa zovuta.

Ngati pali zochitika zina zabwino, ndiye kuti mutha kubwerera kumapiritsi.

Chakudya chopatsa thanzi komanso kuwonda

Mwambiri, mankhwala si njira yokhayo yolimbana ndi matendawa. Ngati matenda a shuga amtundu wachiwiri adapezeka m'mayambiriro, ndiye kuti kuchita masewera olimbitsa thupi komanso kudya kumatha kupirira. Ndi onenepa kwambiri, mudzafunika nthawi zonse, koma kuchepa thupi pang'onopang'ono, kuti musavulaze mtima.

Palinso milandu yakuchepetsa thupi mwadzidzidzi. Muzochitika zoterezi, muyenera kubwerera pazisonyezo zachilendo ndikukula.

Chakudya chimakhudza mwachindunji kuchuluka kwa shuga m'magazi. Zakudya zotsatirazi ndizoletsedwa kwa anthu odwala matenda ashuga:

  1. mpunga
  2. barele ndi semolina phala,
  3. Zakudya zotsekemera, kupatula zakudya zotsekemera,
  4. mikate yoyera ndi makeke,
  5. mbatata zosenda
  6. ankasuta nyama
  7. nthochi, mapeyala, mphesa, mavwende,
  8. zipatso zotsekemera
  9. zopota za curd
  10. kufalikira ndi batala,
  11. mankhwala omalizidwa
  12. mchere
  13. zokometsera ndi zonunkhira.

Muyenera kuphatikiza pazosankha zanu:

  • masamba
  • bulwheat ndi oatmeal,
  • msuzi wa phwetekere
  • nyama yokonda
  • mazira olimba
  • zopangidwa mkaka.

Kamodzi pamwezi, mutha kukonzekera tsiku losala kudya ndi kefir kapena buckwheat.

Osatengera mtundu woyamba wa matenda kapena wachiwiri, muyenera kuyang'ana pa tebulo la zakudya zoletsedwa komanso zoletsedwa. Chakudyacho chiyenera kukhala chamagulu ndi mafuta, chakudya, mavitamini ndi mapuloteni. Kudya kumayenera kukhala kokwanira 6 pa tsiku, ndi izi:

Zakudya zazing'onozi zimapangidwanso kawiri patsiku kuti apange ma calorie omwe akusowa.

Ubwino wakuchita zolimbitsa thupi

Poganizira funso la momwe mungachiritsire matenda osokoneza bongo, ndikofunika kudziwa phindu la zolimbitsa thupi zolondola. Kuchita masewera olimbitsa thupi kumawonjezera kuchuluka kwa insulin komanso kumachepetsa shuga. Pofuna kuvulaza thupi, malamulo ena ayenera kutsatiridwa.

Asanayambe makalasi, kuchuluka kwa shuga m'magazi a munthu sikuyenera kupitirira 15 mmol / L ndipo m'munsimu 5. Ndikofunikira kupewa hypoglycemia, ndikudya mkate kapena zakudya zina musanayambe makalasi. Wodwala matenda ashuga ayenera kudziwa zomwe zimayambitsa hypoglycemia ndikusiyiratu kuchita masewera olimbitsa thupi ngati alipo.

Kuphatikiza pa njira zachikhalidwe zothanirana ndi matenda ashuga, palinso zina. Chithandizo cha anthu sichikuthandizira, izi ndi zowonjezera pamankhwala. Mutha kugwiritsa ntchito:

  • msuzi wa tirigu
  • msuzi wa barele
  • kulowetsedwa kwa chicory.

Ndikofunika kugwiritsa ntchito ma acorns, anyezi ndi zitsamba za shuga. Madokotala amalimbikitsanso kudya msuzi wa sauerkraut ndi amayi. Popewa kuyambika kwa matenda ashuga a mtundu woyamba mwa ana aang'ono, kuyamwitsa ndikofunikira, komwe kumayenera kukhala pafupifupi chaka.

Pankhani yodwala matenda a shuga a mtundu wachiwiri, ndikotheka kutsatira zakudya zomwe zili ndi zochepa zamagalimoto kuti mupewe, komanso kukhalabe ndi masewera olimbitsa thupi komanso kupewa nkhawa.

Kuchita masewera olimbitsa thupi m'magazi kumapangitsa kuti shuga azitha kudya mofulumira. Pazifukwa zochizira, mutha kuchita yoga, Pilates ndikusambira. Kuchita masewera olimbitsa thupi mwadongosolo m'mawa kumathandizira kuchepetsa insulin.

Kutengera njira zopewera komanso kupatula zinthu zomwe zingachitike pachiwopsezo, mutha kukhala moyo wanu wonse osaganizira funsoli: kodi matenda ashuga angachiritsidwe? Kufikika kwakanthawi kwa madokotala komanso kupatsidwa chithandizo chamankhwala moyenera kuti athe kukhala ndi thanzi labwino, kukhala wokangalika ndipo musaganize za matenda anu. Kanemayo munkhaniyi akuwukitsa za chithandizo cha matenda ashuga.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Chifukwa chiyani mtundu wachiwiri wa matenda ashuga umayamba ndipo ndani wakhudzidwa

Kuzindikirika kwa matenda ashuga kumachitika pamene kuchuluka kwamphamvu kwa glucose kwapezeka m'magazi am'kati mwa wodwala pamimba yopanda kanthu. Mulingo wapamwamba kuposa 7 mmol / l ndi chifukwa chokwanira kunena kuti kuphwanya kwa kagayidwe kazachilengedwe kunachitika m'thupi. Ngati miyeso ikuchitika ndi glucometer yosunthika, zikuwonetsa za shuga pamtunda wa 6.1 mmol / l zimawonetsa matenda osokoneza bongo, mwanjira imeneyi kuwunika kwa labotale ndikofunikira kutsimikizira matendawa.

Kukhazikika kwa matenda a shuga a 2 nthawi zambiri kumayendetsedwa ndi kuphwanya insulin. Shuga kuchokera m'magazi amalowa m'matumbo chifukwa cha insulin, kukana, kuzindikira kwa insulini ndi maselo kumalephera, zomwe zikutanthauza kuti shuga sangatengeke ndikuyamba kudziunjikira m'magazi. Zikondazo zimayang'anira kuwongolera kuchuluka kwa shuga, zimathandizira ntchito yake. Mapeto ake amatha.Ngati sanalandiridwe, pakatha zaka zochepa, insulin yowonjezera imaloŵedwa m'malo ndi kusapezekapo kwake, ndipo glucose wamagazi amakhalabe wokwera.

Zoyambitsa matenda ashuga:

  1. Kunenepa kwambiri. Adipose minofu amakhala ndi ntchito ya metabolic ndipo imakhudza mwachindunji kukana kwa insulin. Choopsa kwambiri ndicho kunenepa kwambiri m'chiuno.
  2. Kusayenda kumabweretsa kuchepa kwa minofu ya glucose zofunika. Ngati ntchito zolimbitsa thupi kulibe, kuchuluka kwa shuga kumatsalira m'magazi.
  3. Kuchuluka kwa zakudya zamafuta omwe amapezeka mosavuta - ufa, mbatata, mchere. Ma carboamu opanda fiber yokwanira amalowa m'magazi mwachangu, zomwe zimapangitsa kuti ntchito za kachulukidwe komanso kolimbikitsa kukana insulin. Werengani nkhani yathu yolekerera shuga.
  4. Makamaka kumawonjezera mwayi wofanana ndi matenda amtundu 2, koma sikuti ndi chinthu chobanika. Zizolowezi zathanzi zimathetsa chiopsezo cha matenda ashuga, ngakhale titakhala ndi matenda oyipa.

Mavuto mu kagayidwe kazakudya amadziunjikira kwa nthawi yayitali, kotero ukalamba umawonedwanso ngati chinthu china chachiwiri cha matenda ashuga. Nthawi zambiri, matendawa amayamba patatha zaka 40, tsopano pali chizolowezi chochepetsa zaka zapakati pa odwala matenda ashuga.

Mitundu ndi kuopsa kwa matenda ashuga

Matenda a shuga amakhalanso amagawa pulayimale ndi sekondale. Matenda oyamba a shuga sangasinthe, kutengera mtundu wa zovuta, mitundu iwiri yapadera:

  • Mtundu 1 (E10 malinga ndi ICD-10) umadziwika ngati kuchuluka kwa shuga m'magazi kumachitika chifukwa chosowa insulini. Izi zimachitika chifukwa chachilendo mu kapamba chifukwa cha mphamvu ya ma antibodies muma cell ake. Mtundu wa shugawu umadalira insulini, ndiye kuti, pamafunika jakisoni wa insulin tsiku lililonse.
  • Mtundu 2 (code MKD-10 E11) kumayambiriro kwa chitukuko amadziwika ndi kuchuluka kwa insulin komanso kukana kwamphamvu kwa insulin. Mavuto akachulukirachulukira, matenda a shuga ayandikira kwambiri.

Matenda a shuga achiwiri amachitika chifukwa cha zovuta zamtunduwu mu ma chromosomes, matenda a kapamba, kusokonekera kwa mahomoni. Pambuyo pochiritsa kapena kukonza mankhwalawa chifukwa cha matendawa, shuga wa magazi amabwerera mwakale. Matenda a shuga a Gestational amakhalanso yachiwiri, amapanga kuwonekera kwake panthawi yoyembekezera ndipo amadutsa pambuyo pobadwa kwa mwana.

Kutengera ndi kuopsa, shuga imagawika m'magawo:

  1. Digiri yofatsa imatanthawuza kuti zakudya zochepa zama carb ndizokwanira kuti shuga azikhala bwino. Mankhwala sakhazikitsidwa kwa odwala. Gawo loyamba silisowa chifukwa chazindikira mochedwa. Ngati simusintha momwe mumakhalira pakapita nthawi, digiri yofatsa imayamba kulowa pakati.
  2. Pakatikati ndizofala kwambiri. Wodwala amafunikira ndalama kuti achepetse shuga. Palibenso zovuta za matenda ashuga kapena ofatsa ndipo sizikuwakhudza moyo. Pakadali pano, kusowa kwa insulin kumatha kuchitika chifukwa cha kutayika kwa ntchito zina zapanchipala. Pankhaniyi, imayendetsedwa ndi jakisoni. Kuperewera kwa insulin ndi chifukwa chomwe amachepetsa kulemera kwa matenda ashuga omwe amakhala ndi calorie. Thupi silitha kuphatikiza shuga ndipo limakakamizidwa kusiya mafuta ndi minofu yake.
  3. Matenda akulu a shuga amadziwika ndi zovuta zingapo. Ndi chithandizo cholakwika kapena kusapezeka kwake, kusintha kumachitika m'matumbo a impso (nephropathy), maso (retinopathy), matenda ammimba a shuga, kulephera kwa mtima chifukwa cha angiopathy yamatumbo akulu. Mchitidwe wamanjenje umadwalanso mtundu wachiwiri wa matenda a shuga, masinthidwe osinthika amatchedwa diabetesic neuropathy.

Kodi pali kusiyana kotani pakati pa matenda ashuga amtundu wa 2 ndi 1st

KusiyanaMtundu umodzi wa matenda ashuga2 mtundu wa matenda ashuga
Kuyamba Kwa KuphwanyaUbwana kapena unyamataPambuyo pa zaka 40
Kupita patsogolo kwa matendaKukwera kwakuthwa kwa shugaKukula kwakutali
Zokhudza machitidweNdikusowaNdi chinthu chofunikira kwambiri pakukula kwa matendawa
Zizindikiro kumayambiriro kwa matendawaChowala, chikukula msangaKusowa kapena kufotokozedwa
Zosintha pakapangidwe ka magaziantigenPaliAyi
insulinAyi kapena ochepaKoposa zofananira
Chithandizomankhwala ochepetsa shugaZothandiza, zitha kutumikiridwa pokhapokha ngati kunenepa kwambiriKwothandiza kwambiri, kuvomerezedwa kuchokera pagawo lapakati.
insulinZofunikaFotokozani ngati palibe mankhwala okwanira

Zizindikiro za matenda a shuga a 2

Mwa odwala ambiri, Zizindikiro za matenda amtundu wa 2 ndizofatsa kwambiri kotero nkosatheka kukaikira matendawa. Nthawi zambiri, matenda a shuga amawonekera poyesa magazi nthawi zonse.

Kuti muchepetse magazi okoma kwambiri, thupi limafuna kuchuluka kwamadzimadzi, kotero ludzu kapena kuuma kwa ziwalo za mucous kumatha kuwonedwa. Ndi kuchuluka kwa madzi, kuchuluka kwa mkodzo kumachulukanso.

Chifukwa cha shuga wambiri, kufalikira kwa magazi m'makung'onoting'ono ang'onoang'ono kumasokonezedwa, mafangasi amayamba. Odwala omwe ali ndi matenda ashuga amatha kumva kuwawa pakhungu ndi mucous nembanemba, kutupa kumachitika pafupipafupi mwa azimayi. Zilonda zimayamba kuchira kwambiri, zotupa za pakhungu zimachitika ngati malo okhala ndi zotupa kapena zotupa zazing'ono.

Zakudya zopanda minofu chifukwa cha kukana kwamphamvu kwa insulin kumawonetsedwa ndi kumva kutopa, kufooka kwa minofu.

Zizindikiro za matenda a shuga a nthawi yayitali amakhala ozizira, zilonda zam'mimba, matenda oopsa, kulephera kwa mtima ndi impso, komanso kuwonongeka kwa mawonekedwe.

Kodi matenda angachiritsidwe bwanji?

Chithandizo cha matenda amtundu wa 2 ndichokhazikika, matendawa atadziwika, endocrinologist amalembera zakudya ndi mankhwala ochepetsa shuga. Ngati wodwala amatha kuthetsa matenda poyambapo, ndipo mwamphamvu amalola kuti muzitsatira kwambiri zakudya zabwino, mankhwala amatha. Kutengera malangizo onse a dotolo pazakudya ndi ntchito, matendawa samayambitsa zovuta, zomwe zimapangitsa kuti odwala matenda ashuga azitha kumverera ngati anthu athanzi.

Mankhwala

Gulu la mankhwala osokoneza bongoNjira yamachitidweMayina Mankhwala Osokoneza bongoZotsatira zoyipa
BiguanidesPopewa kupanga shuga ndi chiwindi, muchepetse insulin kukokana ndi mayamwidwe am'mimba kuchokera m'mimba.Siofor, Glycon, Langerine, Glucophage, GlyforminKuchulukitsa chiopsezo cha lactic acidosis, kusokoneza mayamwidwe a vitamini B12.
GlitazonesYambitsani kugwiritsidwa ntchito kwa glucose mu zimakhala.Avandia, Roglite, PioglarKuchulukitsa kulemera chifukwa chosungidwa ndi madzimadzi ndi kukula kwa minofu ya adipose.
Zochokera ku sulfonylureasLimbikitsani kaphatikizidwe ka insulin.Glidanil, Glidiab, GlucobenePogwiritsa ntchito nthawi yayitali, amalephera kugwira ntchito.
Glucosidase InhibitorsPewani kusokonezeka kwa ma saccharides m'matumbo.Glucobai, DiastabolZotheka zimachitika m'mimba thirakiti: kutulutsa, kutsegula m'mimba, kusanza.
SGLT2 Protein InhibitorChotsani shuga kwambiri kudzera mkodzo.Forsiga, Jardins, InvocanaChiwopsezo cha matenda amkodzo thirakiti.

Mankhwala enieni omwe amathandizira komanso mlingo wake amasankhidwa ndi dokotala kutengera chitetezo cha kapamba, kukana insulini, kulemera kwa wodwala komanso matenda ena okhudzana ndi matendawa.

Kugwiritsa ntchito insulin

Jakisoni wa insulini amatchulidwa ngati sizotheka kubwezeretsa shuga mwachizolowezi pogwiritsa ntchito njira zamankhwala. Izi zimachitika ndi kukula kwa shuga, komwe kumayendetsedwa ndi kuchepa kwa kapangidwe kake ka mahomoni ake. Mankhwala a insulin a matenda a shuga a 2 ayenera kukhala ndi vuto ngati, kutsatira zakudya ndi kugwiritsa ntchito ma hypoglycemic othandizira, hemoglobin ya glycated imakwezeka kuposa 9%.

Pokhazikika, insulini imatha kutumikiridwa pakulimbana kwambiri ndi zovuta za matenda ashuga, musanayambe kugwira ntchito komanso nthawi yomwe mukugwira ntchito, ndikulimbana ndi matenda a mtima ndi stroko, matenda akuluakulu opatsirana panthawi yakukonzekera.

Pafupifupi, ngati ali ndi matenda ashuga a 2, amasintha kupita ku insulin zaka 9 atazindikira kuti ali ndi matendawa. Ziwerengerozi zimaphatikizapo onse omwe ali ndi odwala omwe safuna insulini kwazaka zambiri, komanso anthu omwe safuna kusintha moyo wawo.

Kuonjezera kwa insulin panthawiyo pamankhwala othandizira kumathandizira kuti pakhale ntchito zotsalira za kapamba, kukonza bwino shuga, ndikuchepetsa kuyambika.

Wodwala matenda a shuga a 2 omwe amadalira kwambiri insulin nthawi zambiri amasiya popanda chithandizo chofunikira chifukwa choopa jakisoni ndi kuopa mankhwala osokoneza bongo. Inde, kuchuluka kwa insulin yochepa kwambiri kungayambitse kuperewera kwa hypoglycemic. Koma ndi matenda a shuga, basal, insulin yayitali imayikidwa, yomwe imayenera kuperekedwa kamodzi kapena kawiri pa tsiku limodzi. Sizokayikitsa kupangitsa kuti shuga achepetse ndi majekeseni otere. Ndipo majakisoni enieni ogwiritsa ntchito zolembera zama syringe okhala ndi njira yoyenera amakhala osapweteka.

Kufunika kochita zolimbitsa thupi

Glucose ambiri mthupi amadyedwa panthawi yogwira minofu yambiri. Chifukwa chake, kuchita masewera olimbitsa thupi ndikofunikira kuti tifulumizitse kutuluka kwa shuga kuchokera m'magazi kupita m'matipi. Kuchita masewera olimbitsa thupi kwakanthawi katatu pa sabata kumachepetsa kukana insulini, kumathandiza kuthana ndi kunenepa kwambiri.

Pochiza matenda ashuga, masewera olimbitsa thupi amakonda. Kuti muwone kukula kofunikira, muyenera kuwerengera zamkati mopuma (m'mawa, osadzuka pabedi).

Mlingo wamtima (HR) wochita masewera olimbitsa thupi amawerengedwa ndi njira: (220 - zaka - kugunda kwamtima m'mawa) * 70% + kugunda kwa mtima m'mawa. Ngati wodwala yemwe ali ndi matenda a shuga ali ndi zaka 45, ndipo kutuluka kwake kwam'mawa kuli 75, pamasukulu muyenera kukhala ndi (220-45-75) * 70/100 + 75 = 150 kumenyedwa pamphindi. Kuthamanga pang'onopang'ono, masewera alionse olimbitsa thupi pakalabu yolimbitsa thupi, kusambira, kuvina, kuseketsa ndi ntchito zina zambiri ndizoyenera.

Muyenera kusankha mtundu wa zochita malinga ndi zomwe mumakonda komanso kupezeka kwanu, chifukwa mudzayenera kuthana ndi matenda a shuga a 2 moyo wanu wonse. Kwa okalamba komanso onenepa kwambiri, kuyenda mwachangu kumawathandiza kugunda kwamtima. Ndikofunikira kuti ndiyambe nawo ngakhale nditakhala olimbitsa pang'ono, osinthira katundu ochulukirapo.

Zithandizo zothandiza za anthu

Mankhwala ofotokoza umboni, zitsamba sizikugwiritsidwa ntchito pochiza matenda ashuga. Mphamvu zawo zochiritsa zimadalira dera la kukula, nthawi yosonkhanitsa, kuyanika koyenera ndikusungira. Chifukwa chake, momwe mbewu zimagwirira ntchito sizingatsimikiziridwe ndi kafukufuku, monga zimachitika mankhwala atsopano akagulitsidwa pamsika. Chokhacho chomwe opanga amatsimikizira ndi chitetezo ngati chikugwiritsidwa ntchito molingana ndi malangizo.

Zithandizo za Folk zitha kugwiritsidwa ntchito pokhapokha matenda a shuga kapena ngati cholumikizira ku mankhwala omwe ali pakati.

Kodi wothandizira hypoglycemic amagwiritsidwa ntchito bwanji:

  • Wort wa St.
  • mankhwala chamomile,
  • mabulosi abulu
  • makungwa a Aspen,
  • akavalo
  • masamba a nyemba
  • sinamoni.

Kuchokera kumagawo azomera zamankhwala, infusions ndi decoctions amakonzedwa. Mulingo wamba wa tsiku ndi tsiku ndi supuni kapena supuni mu kapu yamadzi. Cinnamon amagwiritsidwa ntchito ngati zonunkhira - amawonjezera zakumwa, zakumwa zoziziritsa kukhosi kapena mbale zam nyama. Onani nkhani yokhudza kugwiritsa ntchito sinamoni pa matenda ashuga.

Momwe mungadye ndi matenda a shuga a 2

Pamtima wa matenda a shuga a 2 ndi kusokonekera kwa kagayidwe kachakudya, chomwe chimayambitsa, pakati pazinthu zina, kusapezeka bwino kwa zakudya. Zakudyazo zimapangidwira pafupifupi matenda onse akuluakulu, ndipo nthawi zambiri odwala amawanyalanyaza. Ndi matenda a shuga, njirayi imagwira ntchito. Apa, zakudya ndi maziko a chithandizo. Mankhwala ochepetsa shuga popanda kudya sangathe kulimbana ndi kuchuluka kwa shuga.

Zomwe zimapangidwira zakudya za odwala omwe ali ndi matenda osokoneza bongo omwe amatha kupukusa mosavuta, mafuta ochulukirapo ayenera kukhala ocheperako (pafupi ndikufulumira komanso pang'ono pang'onopang'ono). Mvetsetsani kuchuluka kwazinthu zambiri zithandizira tebulo la glycemic indexes (GI). Kukwera kwambiri kwa GI, kukwera kwakukulu kwa shuga kumachitika mutatha kudya, zomwe zikutanthauza kuti kukana insulini kudzachulukanso, kuwonongeka kwa mitsempha ya magazi kumachitika, ndipo wodwalayo akumva zowawa.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Zakudya zowonjezera pang'onopang'ono zamoto zimaloledwa. Kukhalapo kwawo muzakudya ndizochepa malinga ndi kuchuluka kwa matenda ashuga komanso kupezeka kwambiri. Mankhwala owonjezera bwino amawerengedwa, omwe amaloledwa kudya tsiku lililonse. Kwa nthawi yoyamba, munthu wodwala matenda ashuga a mtundu 2 adzafunika magome a khitchini komanso magome a zopatsa thanzi. Popita nthawi, odwala matenda ashuga amaphunzira kudziwa “ndi maso” kuchuluka kwa chakudya chamagulu.

Zakudya zopatsa thanzi ndi zakudya zama carb ochepa ziyenera kukhala zazing'ono. Maola 4 aliwonse, thupi limayenera kulandira michere. Zakudya zomanga thupi zimagawidwa moyenerera pazakudya zonse.

Kodi ndizotheka kupita mwachangu

Njira ina yothanirana ndi matenda ashuga amatchedwa kusala "konyowa". Amapereka kukana kwathunthu chakudya chilichonse komanso kuchuluka kwamadzi wopanda malire. Nthawi yopanda chakudya iyenera kukhala yotalikirapo - osachepera sabata. Cholinga cha kusala kudya ndikukwaniritsa ketoacidosis, ndiko kuti, kuwonongeka kwa maselo amafuta ndikutulutsa kwa acetone m'magazi. Otsatira a ochizira kusala kudya amatsutsa kuti thupi lopanda chakudya limachokera ku carbohydrate metabolism kupita ku mafuta, maselo a pancreatic amapeza nthawi yopumula ndikuchira.

M'malo mwake, izi ndizowona kuti sizowona. Magulu a shuga m'thupi la munthu akamatha, shuga m'magazi amatsimikizika kudzera mu gluconeogeneis. Thupi kudzera mu kusintha kovuta kwa mankhwala kumapanga shuga kuchokera ku mafuta ndi mapuloteni. Mafuta omwe amaikidwa pamenepa amasungunuka kwenikweni, koma nthawi yomweyo minofu imawonongeka. Zikondazo sizidzapumulanso - shuga wopambanalo ayenera kuperekedwa m'maselo, zomwe zikutanthauza kuti insulini ikufunika. Mutha kukwaniritsa kuthana ndi mafuta ndikutayika kochepa, pogwiritsa ntchito zakudya zamafuta ochepa okhala ndi zopatsa mphamvu zama kalori.

Kusala kudya ndizowopsa kwa odwala matenda ashuga omwe amamwa mankhwala a hypoglycemic. Amatha kudwala mosavuta hypoglycemia, yomwe patapita maola ochepa imangokhala kukomoka. Sizoletsedwa kufa ndi njala komanso pamaso pamavuto - kulephera kwa mtima ndi impso, matenda amitsempha.

Kuteteza matenda a shuga a 2

Mtundu wachiwiri wa matenda ashuga umatha kupewedwa ngakhale titakhala kuti tili ndi vuto lakelo. Kuti muchite izi, ndikokwanira kukhala ndi kulemera pafupi ndi nthawi zonse, monga masewera olimbitsa thupi tsiku lililonse, musamadye kwambiri, musafe ndi njala komanso muchepetse chakudya - maswiti ndi ufa.

Kuphatikiza kupewa kupewa matenda ashuga komanso kuyesa magazi pafupipafupi. Mwazi umaperekedwa kwa glucose kamodzi pachaka chilichonse. Ndi chibadwa chamtsogolo kapena moyo wopanda thanzi - chaka chilichonse.

Palinso kusanthula kwa labotale komwe kumatha kuzindikira zovuta zazing'ono za metabolic, kuyesa kwa glucose. Kusintha kwa zamatenda koyambira kumatha kuchiritsidwa kwathunthu. Nthawi ikakusowa, matenda ashuga amatha.

Kutalika kwa moyo

Kaya matenda ashuga apita patsogolo, zimadalira wodwalayo. Madotolo ati thandizo lawo pachipatala limaposa 20%.

Kwezani zaka za moyo ndikupewa zovuta kumathandiza:

  1. Kuwongolera kwa hemoglobin ya glycated, kuchepa kuchokera 10 mpaka 6% kumapereka zaka zitatu za moyo.
  2. Kusungabe kutsika. Ndi kupsinjika kwapamwamba kwa 180, wodwala matenda ashuga wazaka 55 amasulidwa zaka 19 za moyo. Kutsikira kufikira 120 kumakulitsa zaka zapakati pazaka pafupifupi 21.
  3. Kuchuluka kwa cholesterol m'magazi kudzaperekanso zaka zingapo.
  4. Kusuta kufupikitsa moyo ndi zaka zitatu.

Zambiri za zaka zoyambira kukhala ndi matenda a shuga 2 pakadali pano zikuwoneka motere: bambo wazaka 55 yemwe amayang'anira matenda ake amakhala zaka 21.1, mzimayi - zaka 21.8. Popanda chithandizo ndikuwongolera shuga, ziwerengerozi zimachepetsedwa kukhala 13.2 ndi 15, motsatana. Komanso, wodwalayo amalandira osati zowonjezera zaka 7, komanso mwayi wowazitenga mwachangu popanda kuvutika ndi zovuta zingapo.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yosungira shuga m'manja? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

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