Ndi mtundu wanji wa mainkinkiller omwe mungathe kumwa a shuga?

Ambiri odwala matenda ashuga amasamala mtundu wamankhwala omwe amamwa mankhwala osokoneza bongo omwe amayenera kumwa.

Popeza mankhwala ena ochepetsa shuga sagwirizana ndi ma pinkiller, vutoli ndilothandiza kwa omwe ali ndi vutoli.

Nkhaniyi idzaulula mitundu yayikulu ya ma painkiller, kugwiritsidwa ntchito kwawo mu syndromes ndi ululu wothandizira.

Kodi mumamwa nthawi yanji?

Wodwala wodwala matenda a shuga ayenera kudziwa kuti kutsatira malangizo onse a dokotala komanso kukhalabe ndi moyo wathanzi ndi njira zazikulu zopangira chithandizo chokwanira.

Mtundu 1 wamatenda, chithandizo cha insulin ndi chofunikira, ndipo mtundu 2 wa shuga, zakudya, masewera olimbitsa thupi, ndipo nthawi zina kumwa mankhwala a hypoglycemic. Nthawi zina, matenda a shuga amaphatikizidwa ndi ma pathologies ena, mwachitsanzo:

• mtima (kukachitika kwa stroko kapena vuto la mtima),
• ziwalo zam'maso (retinopathy, cataract, glaucoma),
• kagayidwe kolakwika ka lipid, kamapangitsa kunenepa kwambiri,
• matenda endocrine
• zam'mimba dongosolo.

Koma moyo wa anthu odwala matenda ashuga sizosiyana kwambiri ndi moyo wa munthu wathanzi. Munthu wodwala matenda a shuga amathanso kutenga kachilomboka, kupweteka, kuvulala, kumva kupweteka mutu komanso kupweteka. Mzimayi wopezeka ndi matenda osokoneza bongo amatha kubereka ana. Zikatero, pamafunika kutenga mankhwala ochititsa dzanzi.

Mpaka pano, msika wama pharmacological umapereka mankhwala ambiri a analgesic. Pali magulu ambiri amitundu ya mankhwalawa omwe amasiyana ndi kapangidwe kake ka mankhwala, mankhwala othandizira, njira yowonjezera kuchokera mthupi la munthu, ndi zina. Mankhwala omwe amadziwika kwambiri ndi NSAIDs ndi antispasmodics. Koma ndi mankhwala ati omwe ndi bwino kugwiritsa ntchito? Katswiri wakupezekako angakuthandizeni kuzindikira izi.

Ndi mitundu yanji yamapiritsi okakamiza kuti amwe?

• 1 Matenda oopsa
• 2 zoyambitsa
• 3 Zizindikiro za matendawa
• 4 Mankhwala
  • 4.1 Kodi chithandizo cha kuthamanga kwa magazi kwa odwala matenda ashuga ndi chiyani?
• 5 yochepetsedwa kupanikizika
• 6 Chifukwa chiyani chikukwera ndipo chikuwoneka bwanji?
  • 6.1 Chithandizo cha matenda amisempha

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Kupsinjika kwa magazi kwamtundu wa shuga wachiwiri nthawi zina kumachoka pa chizolowezi. Matenda a shuga ndi chotsatira cha masinthidwe a zochita za thupi. Awa ndi matenda osachiritsika. Matenda a shuga amadziwika ndi kupanga kosakwanira kwa insulin. Pathology imakhudza mkhalidwe wam'magazi, imasinthasintha kufanana kwa magazi, ndikupangitsa kuti ikhale yambiri, yomwe imakhala ndi vuto la kuthamanga kwa magazi.

Kugwiritsa ntchito kwa NSAIDs

Ma NSAID amawonetsedwa ngati mankhwala osapweteka a antiidal. Mankhwalawa amagwiritsidwa ntchito mosiyanasiyana. Ku malo ogulitsa mankhwalawa, wopanga zamankhwala amatha kupereka mankhwala ambiri kuchokera ku gulu laoprasi. Zimagwirizanitsidwa ndi izi:

• ziletsa zotsutsana za ma prostaglandins,
• oxidative phosphorylation,
• zimakhudza dongosolo la pituitary-adrenal.

Chifukwa cha njirazi, pamakhala kuchepa kwa mutu, kupweteka mano, kupweteka kwa minofu ndi minyewa. Komanso, gululi la mankhwalawa limakhala ndi anti-yotupa komanso kuchepetsa kutentha. Potere, mitundu yonse ya salicylates imagwiritsidwa ntchito:

1. Analgin ndi mankhwala omwe amachotsa zopweteka zosiyanasiyana zoyambira, makamaka atachitidwa opaleshoni, komanso amalimbana ndi hyperthermic syndrome.Mankhwalawa ayenera kugwiritsidwa ntchito mosamala moyang'aniridwa ndi dokotala wa odwala matenda ashuga omwe ali ndi vuto laimpso, matendawo, matumbo ambiri, kuphatikizapo matenda a Crohn ndi zilonda zam'mimba, ochepa matenda oopsa komanso zina.
2. Acetylsalicylic acid umagwiritsidwa ntchito kuphatikiza ma syndromes, ululu, nyamakazi, pericarditis, matenda amsojeni. Mankhwalawa contraindised nthawi yoyamba trimester wa pakati, yoyamwitsa, ndi pathologies a impso, chiwindi, kugaya chakudya ndi kupuma, venous stasis, magazi kuvala ndi matenda ena.
3. Citramon imabweretsa zotsatira zingapo nthawi imodzi - analgesic, antipyretic, psychostimulating ndi anti-kutupa. Simungathe kugwiritsa ntchito chida chotere nthawi yoyamba ndi yachitatu ya trimester ya pakati, nthawi yotsitsa, muubwana, ndi kulephera kwa chiwindi kapena impso, gout, kuchepa kwa Vitamini ndi zina.

Pakati painkinkillerers, titha kusiyanitsa omwe amachotsa zowawa zomwe zimagwirizanitsidwa ndi rheumatism, nyamakazi, arthrosis, ndi osteoarticular pathologies. Izi zikuphatikizapo Voltaren, Ibuprofen, Indomethacin ndi Ortofen.

NSAIDs anali ndi vuto la hypoglycemic kwa odwala omwe amadalira insulin komanso matenda a shuga a 2.

Koma momwe deta iyi iliri yoona, wina amangolosera.

Kugwiritsa ntchito antispasmodics kwa ululu

Othandizira oterewa amagwiritsidwanso ntchito kuthetsa ma syndromes a ululu. Sangalepheretse kugwira ntchito kwamanjenje, momwe amagwirira ntchito cholinga chake ndikupumula minofu yosalala ya mtima ndi ubongo, mitsempha yam'mapapo, bronchi ndi matumbo.

Mankhwala oterowo amathandizidwa kupweteka kwamtundu uliwonse kapena, ngati kuli koyenera, kuti muchepetse minofu. Mankhwalawa akuphatikizapo:

1. No-spa - mapiritsi ogwiritsira ntchito kuphipha kwa minofu yofewa ya pamimba ndi kwamikodzo. Amagwiritsidwanso ntchito ngati chida chowonjezera cha kusamba, kupweteka kwa mutu ndi ma spasms am'mimba. Milandu yayikulu ndi ana osakwana zaka 6, mtima, impso ndi chiwindi, mkaka wa m'mawere, chidwi cha zigawo za mankhwala ndi ena. Pa nthawi yoyembekezera, mankhwalawa amatha kugwiritsidwa ntchito, koma moyang'aniridwa ndi dokotala.
2. Papaverine ndi mankhwala omwe amapangitsa kuti minofu yamagazi isasweke ngati matenda a cholecystitis, matenda a ndulu, matenda a m'matumbo, impso, matenda a kwamikodzo, bronchi, okhala ndi kamvekedwe ka chiberekero nthawi yapakati. Simungagwiritse ntchito mankhwalawa kwa ana osakwana miyezi 6, chikomokere, ndi vuto laimpso, okalamba komanso opuwala atrioventricular conduction.
3. Drotaverine ndi mankhwala omwe amagwiritsidwa ntchito kuphipha kwa minofu yosalala ya ziwalo zamkati. The contraindication chachikulu ndi kudziwa payekha, Cardiogenic mantha, glaucoma, ochepa hypotension, aimpso ndi chiwindi kulephera, ana osakwana zaka zitatu, mkaka wa m`mawere. Zotsatira zoyipa zingaphatikizepo kupweteka mutu, chizungulire, chifuwa, kupweteka, nseru, kusanza, kusokonekera kwa hypotension. Chida choterechi chimatha kukhudza chidwi cha anthu, chifukwa chake pogwiritsa ntchito mankhwalawa, oyendetsa magalimoto amafunika kukana kuwongolera.

Ma blockers a cholinergic receptors, omwe amaphatikizapo mankhwala osokoneza bongo - Besalol, Bellastesin ndi Platifillin, nawonso ali ndi vuto lodziwikiratu la antispasmodic.

Nthawi zambiri amagwiritsidwa ntchito ngati ululu wam'mimba umakhudzana ndi ma pathologies am'mimba.

Kukonzekera opaleshoni

Pamaso pa opaleshoni kwa wodwala yemwe ali ndi matenda ashuga, ndikofunikira kudziwa njira zamankhwala ochepetsa nkhawa ndi zotupa.

Musanagwiritse ntchito mankhwala okongoletsa, muyenera kukonzekera.

Mulinso:

1. Kufufuza kwathunthu kwa thupi kuti mupeze ma pathologies omwe amafunikira kusintha kwa kayendetsedwe ka ma pinkiller ndi opaleshoni. Izi zimaphatikizira matenda amtima, ma pathologies omwe amayanjana ndi kufalikira kwa magazi, kwamikodzo dongosolo ndi impso. Chithandizo cha tizilombo kapena matenda opatsirana timafunikanso.
2. Kuchepetsa kuchuluka kwa shuga m'magazi m'njira iliyonse yomwe ingakhale yoyenera kwambiri kwa wodwala, kaya ndi mankhwala a insulin kapena kumwa mankhwala a hypoglycemic.
3. Kupewa komanso kuchiza matenda amanjenje.

Kukonzekera koteroko kudzapereka chofunikira kwambiri komanso chosawopseza cha kulowererapo. Chifukwa chake, musanachite opareshoni, simuyenera kubisa ma pathologies kapena zikayikiro zokayikitsa kuti wodwala ali ndi dokotala.

Kubisa chidziwitso chofunikira ngati ichi kumatha kuyambitsa zotsatirapo zoyipa kwambiri.

Kugwiritsa ntchito ma pinkiller pa nthawi ya kubereka komanso kugwira ntchito

Vutoli ndilofala mwa azimayi omwe ali ndi matenda ashuga omwe amakhala ndi njira yobadwira kapena kuchitidwa opaleshoni - gawo la cesarean. Malangizo akulu azikhala motere:

1. Ndi zoletsedwa kugwiritsa ntchito narcotic analgesics.
2. Njira yabwii ndi mankhwala opatsirana owopsa, kutanthauza kuyambitsa mankhwala osokoneza bongo. Pankhaniyi, muyenera kutsatira malamulo a antiseptics, chifukwa mwa mayi yemwe ali ndi matenda ashuga, chitetezo cha mthupi chimachepetsedwa, ndipo motsutsana ndi izi, mabakiteriya komanso ma virus ambiri amakula.
3. Ngati pazifukwa zina sizingatheke kugwiritsa ntchito mankhwala opha ululu, njira yachiwiri imagwiritsidwa ntchito - chigoba cha mankhwala osokoneza bongo.

Kwa odwala matenda ashuga omwe adzachitidwa opaleshoni, madokotala amatsatira malamulo awa:

1. Mukamasankha opaleshoni iyenera kuyang'ana pa neuroleptoanalgesia, fluorotan kapena anesthesia ya nitrous oxide. Mankhwala osokoneza bongo monga Viadryl ndi barbiturates nawonso ali oyenera. Kusankhidwa kwa mankhwalawa kumachitika chifukwa sichiwonjezera shuga komanso kumasulidwa kwa mahomoni omwe angalimbane ndi insulin.
2. Pogwira ntchito kwa nthawi yayitali, sizikulimbikitsidwa kupereka opaleshoni yayikulu, chifukwa izi zingayambitse vuto la hypoglycemia.
3. Kwa maopareshoni achidule kapena kuchitapo kanthu pang'ono panjira, opaleshoni ya mankhwalawa imatha kugawidwa pogwiritsa ntchito opaleshoni yakumalo.

Ntchito yayikulu ndikatha kuchita bwino mu odwala matenda ashuga ndikukhalanso shuga. Pochita opaleshoni, madokotala amayang'ana zomwe zili ndi shuga ola lililonse, chifukwa zimatha kusintha kwambiri chifukwa cha kutulutsa kwa mahomoni ena. Izi zimachitika chifukwa cha kuyesedwa kwa wodwala pakuchita opareshoni.

Munthawi ya ntchito, ndikofunikira kusankha mlingo woyenera wa insulin ndi ma pinkiller. Amayenera kuthetsa ululu wamankhwala kuti ukhale wokwera, apo ayi kuchuluka kwa shuga kumasinthasintha, ndipo mavuto monga kusokonekera kwa magazi m'maso, impso, mtima ndi ziwalo zina zimawonekera.

Pazifukwa zotere, zotumphukira za analgesics zimagwiritsidwa ntchito, mwachitsanzo, Ketorol ndi Ketoprofen, nthawi zina Tramadol, mankhwala opioid apakati kapena a analgesia am'deralo. Mwambiri, adotolo, kuwunika kuchuluka kwa shuga m'magazi ndi kuopsa kwa matendawa, amawona kuti ndi mankhwalawa opweteka omwe wodwala akuyenera kumwa. Ngati ndi kotheka, adotolo amasankha momwe angachepetse kuchuluka kwa shuga m'magazi mu vuto linalake.

Ma painkiller amagawidwa m'mitundu iwiri yayikulu - NSAIDs ndi antispasmodics, omwe amakhudzanso thupi la munthu, amachotsa ululu wammbuyo.Musanagwiritse ntchito mankhwala otere, muyenera kuwerengera malangizo ake, ndipo ndibwino kukaonana ndi katswiri yemwe angakuuzeni ngati zingatheke kuti mupeze mankhwala oterewa. Pafupifupi zizindikiro zoyambirira za matenda ashuga, kanema wa nkhani ino akuuza.

Zomwe mapiritsi oti mutenge kuchokera kukakamizidwa kwa odwala matenda ashuga

Matenda oopsa a arterial nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.

Nthawi zina matenda a m'matumbo amayamba kale kwambiri kuposa metabolic cidrome, nthawi zina, chifukwa cha kuthamanga kwa magazi ndikuphwanya impso (nephropathy).

Mikhalidwe yovuta, atherosclerosis, poizoni wazitsulo, komanso kuchepa kwa magnesium imatha kukhalanso zinthu zina zolimbikitsa. Chithandizo cha matenda oopsa ndi odwala omwe samadalira insulin 2 shuga amathandiza kupewa zovuta zovuta, kukonza mkhalidwe wa wodwalayo.

Malamulo osankhidwa

Njira yabwino yosankhira mankhwala okongoletsa ndi kuonana ndi dokotala. Mankhwala omwe amaperekedwa m'matangadza a pharmacy amasiyana pamalingaliro amachitidwe, kapangidwe kake, komanso kukhalapo kwa contraindication. Mankhwala osankhidwa bwino sangachepetsa ululu, komanso amachepetsa kutentha, kuchepetsa kutupa, komanso kuchepetsa bata.

Ngati mukufunikira chithandizo chamankhwala chomwe chilipo pakugulitsa kwanyengo, tengani kutsatira mfundo izi:

1. Unikani zomwe zili phukusi ndi momwe mankhwalawo amafotokozera. Sankhani zosankha zolembedwa "zopanda shuga" kapena "kwa odwala matenda ashuga."
2. Sankhani mapiritsi m'malo moimitsa kapena kuyankha. Mitundu ya kumwa zamadzimadzi nthawi zambiri imakhala ndi mafuta ochulukirapo (ndipo nthawi zina mowa), omwe angasinthe shuga lanu lamagazi.
3. Pomwe zingatheke, gwiritsani ntchito kukonzekera kwamawu. Samalowa m'magazi ambiri, motero amakhala otetezeka. Mwachitsanzo, kupweteka kwa minofu kuyenera kuthandizidwa ndimankhwala othana ndi kutupa, osati mapiritsi.
4. Ganizirani kuyanjana ndi chithandizo choyambirira. Kuti ma analgesic asakhudze mayankho a insulin kapena mankhwala antidiabetes, musanyalanyaze thandizo la katswiri wazamankhwala.

Malinga ndi pulofesa wa Sukulu Yopanga Madokotala ku Yunivesite ya Kumwera kwa Illinois M. Wilhelm, kugwiritsa ntchito mankhwala kwakanthawi kwakanthawi mosamala kwambiri shuga ndi kuthamanga kwa magazi kwa odwala matenda ashuga ndi otetezeka.

Mankhwala osokoneza bongo oletsa kuponderezana

Gulu la mankhwalawa limagwiritsidwa ntchito pochotsa kuphatikizika, dzino, minofu ndi mutu. Kuphatikiza apo, amalimbitsa njira yotupa mu minyewa komanso kutentha pang'ono kwa thupi. Mndandanda wa mankhwala omwe amapezeka kwambiri amaperekedwa patebulopo.

Ma non-steroidal anti-yotupa painkiller a mtundu 1 wa shuga amagwiritsidwa ntchito pochita prophylactic, mankhwalawa chifukwa cha vuto la mtima, stroko komanso matenda ena. Alibe malire komanso contraindication omwe amachitika chifukwa chophwanya dongosolo la endocrine.

Tiyenera kudziwa kuti mankhwalawa a mtundu wachiwiri wa shuga salimbikitsidwa. Sizikhudza mwachangu kagayidwe kazakudya, koma mwakugwiritsa ntchito nthawi yayitali amachepetsa kuchuluka kwa shuga m'magazi.

Antispasmodics

Gululi la ma pinkiller silikhudzidwa ndi masanjidwe amanjenje, koma limamasula minofu yosalala.Mankhwalawa amagwiritsidwa ntchito kupweteka pamutu komanso kupweteka kwa msambo, kupindika kwam'mimba komanso matenda ena. Mndandanda wazida zotchuka kwambiri zikuwonetsedwa pagome.

Mankhwala onse omwe ali pamwambawa a shuga amaloledwa. Koma musanayambe chithandizo, muyenera kuonetsetsa kuti palibe zotsutsana zina: matenda ashuga nthawi zambiri amatsogolera pakukula kwa matenda a mtima ndi chimbudzi. Pamaso pa ma pathologies awa, ma antispasmodics ambiri sangathe kugwiritsidwa ntchito.

Matenda oopsa

Kupsinjika kwa magazi ndi mphamvu ya mphamvu ya magazi pama makoma a chotengera cha munthu. Mu thupi lathanzi, 110/70 imadziwika kuti ndi yokhazikika, koma chizindikiro ichi chimatha kusintha malinga ndi zomwe munthu ali nazo. Kupanikizika kwa matenda a shuga a 2 nthawi zambiri kumapitilira muyeso wovomerezeka ndipo umakhala wodwala, matenda oopsa. Kuchepa kwa minyewa yam'mimba kumabweretsa kukula kwa matenda opatsirana:

Ndi matenda oopsa a matenda ashuga, chiwopsezo cha kugunda kwa mtima ndi matenda a sitiroko chimakulitsidwa kwambiri. Kuchepetsa kupsinjika, kugwiritsa ntchito mankhwala osokoneza bongo kumagwiritsidwa ntchito, omwe amalembedwa ndi katswiri.

Hypertension ndi mtundu 2 matenda a shuga kumabweretsa kulakwitsa kwa chimbudzi. Zotsatira zake, pamakhala kuchuluka kwamchere ndi madzi mthupi la munthu. Matendawa amatenga matenda oopsa amchere. Chifukwa cha prophylactic, odwala amalangizidwa kuti achepetse kugwiritsa ntchito zakudya zomwe zili ndi mchere wambiri.

Bwererani ku tebulo la zomwe zili

Kupweteka kwa matenda ashuga

Kupweteka kwa matenda ashuga: phunzirani kuthana nawo. Tsambali likufotokoza momwe angayang'anire kupweteka kwamitundu mitundu. Cholinga chake ndikuwonetsa kupweteka kwamiyendo yomwe matenda ashuga amachititsa. Zomwe zimayambitsa ndi njira zingapo zochizira zovuta zimaganiziridwa. Amapereka chidziwitso pazovuta za matenda a shuga zomwe zimatha kupweteka m'mimba ndi zina zomwe zimakhumudwitsa m'mimba. Werengani momwe mungapewere kupweteka pamutu ndimapiritsi ndi mankhwala achilengedwe.

Zowawa za shuga: Nkhani Yatsatanetsatane

Dziwani zambiri za anthu odwala matenda a shuga. Awa ndi ma anticonvulsants, antidepressants, opioid analgesics, komanso mankhwala oletsa ululu pakhungu monga zonona, mafuta, mafuta odzola kapena aerosol. Chithandizo chachikulu ndikuchepetsa magazi ndikuwakhazikika bwino. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga. Kukwaniritsa mulingo wabwinobwino wa glucose ndizowona, ngati si ulesi. Popanda kukwaniritsa izi, ngakhale mapiritsi amphamvu kwambiri komanso okwera mtengo sangathandize kwambiri kuchokera ku zowawa ndi zovuta zina za matenda ashuga.

Ululu m'miyendo

Kupweteka kwam'mimba mu shuga kungayambike chifukwa chimodzi mwazinthu ziwiri:

1. Peripheral neuropathy ndi kusokonekera kwa kuphwanya shuga kagayidwe.
2. Kuphulika kwamasamba ndi malo opangira ma atherosselotic.

Mosasamala kanthu za chifukwa, chithandizo chachikulu ndikubwezeretsa shuga kuti ikhale yachilendo. Popanda izi, palibe mapiritsi, kutikita minofu, mankhwala olimbitsa thupi ndi wowerengeka azithandiza. Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti muthe kudzisamalira komanso kudzisamalira.Kuti muthane ndi mavuto, muyenera kudziwa chomwe chimayambitsa mavutowo. Izi zipangitsa kuti zithe kusankha njira zoyenera zoyenera kulandira. Ganizirani choyamba cha neuropathy, kenako kuwonongeka kwa mitsempha ya mitsempha.

Chifukwa chiyani matenda ashuga amadzetsa ululu?

Kuchuluka kwa shuga m'magazi kumawononga mitsempha yomwe imayendetsa thupi lonse, kuphatikiza miyendo. Kuzindikira kwa zotumphukira za m'mitsempha kumatanthawuza kuti mitsempha ya m'miyendo imakhudzidwa, ndipo mwina ngakhale m'manja, pamphepete, kutali ndi pakati pa thupi. Nthawi zambiri, neuropathy imayambitsa dzanzi, kuchepa kwa mphamvu. Komabe, mwa odwala ena, amadziwulula mu ululu, kuwotcha, kuwawa, ndi kupindika. Zizindikiro zimatha kuchitika osati masana, komanso usiku, kugona tulo tosokosera.

Ululu wam'mimba womwe umayambitsidwa ndi neuropathy umakulitsa mtundu wa moyo, koma iyi si chiwopsezo chake chachikulu. Pakhoza kukhala kutayika kwa chidwi cha khungu. Potere, wodwalayo amavulala miyendo yake akuyenda, osazindikira. Matenda a shuga amachititsa kuti kuvulala kwamiyendo kuchiritse pang'onopang'ono kapena kusachoka konse. Werengani zambiri pa Diabetesic Phazi. Kuchokera apa yayandikira ku gangore ndi kuduladula.

Kusagwiritsa ntchito bwino shuga kumathandizira kukula kwa atherosulinosis. Ili ndi matenda achilengedwe. Monga lamulo, zimakhudza nthawi yomweyo ziwiya zomwe zimadyetsa mtima, ubongo, impso komanso magawo otsika. Zilonda zimaphimba mitsempha, ndichifukwa chake magazi amayenda kudzera mwa iwo amachepetsedwa kapena kuyimitsidwa kwathunthu. Minofu imakumana ndi njala ya oxygen - ischemia. Ululu wam'mimbawo umatha kukulira poyenda, makamaka pamakwerero, ndikuchepera kapena kutha kwathunthu wodwalayo atakhala. Chizindikiro ichi chimatchedwa interlaintent claudication. Zowawa zomwe zimaphatikizidwa ndi kupweteka kwakanthawi. Kupumula kumathandizanso kuthetsa mavuto. Kuphatikiza pa zowawa, kuzizira kwa malekezero, mtundu wamiyendo ya miyendo, komanso kukula kwapang'onopang'ono kwa msomali kungawonedwe.

Kulankhula mosavomerezeka kumabweretsa mavuto ambiri kwa odwala. Amayesera kukhala kunyumba kwambiri kuti asasokoneze miyendo yawo komanso kupewa kuwawa. Kuphatikiza pa zowawa, kumva kupsinjika m'miyendo, thanzi loperewera limatha kusokoneza. Atherosulinosis imaletsa magazi kupita m'miyendo, ndichifukwa chake mabala samachiritsa bwino. Pali chiwopsezo cha gangrene ndi kuduladula, makamaka ngati odwala matenda ashuga alowa. Palinso chiopsezo chachikulu cha matenda a mtima komanso sitiroko chifukwa cha zovuta ndi zotengera zomwe zimadyetsa mtima ndi ubongo. Tikubwereza kuti atherosulinosis ndi matenda achilengedwe omwe amakhudza ziwiya zofunikira zambiri nthawi imodzi.

Momwe mungachotsere kupweteka kwa mwendo?

Anthu ambiri odwala matenda ashuga amapeza chithandizo chokhacho. Onerani kanema wa Dr. Bernstein ndipo phunzirani momwe mungathetsere matenda am'mimba popanda matenda owopsa komanso okwera mtengo. Kupatula apo, ndi neuropathy yomwe imayambitsa mavuto anu. Mwa anthu odwala matenda ashuga, amamva kupweteka m'miyendo, pomwe ena amachititsa dzanzi komanso amasiya kumva. Nthawi zina chizindikiro cha "kungokhala" ndi "yogwira" chimaphatikizidwa. Mulimonsemo, vutoli litha kuthetsedwa, mosiyana ndi zovuta za m'maso ndi impso.

Kupweteka kwa mwendo kuyenera kukulimbikitsani kuti mupimidwe ndikuyang'aniridwa mwachangu. Ndikofunikira kudziwa kuchuluka kwa atherosulinosis ya ziwiya zamiyendo. Kenako yang'anani matenda a shuga. Dziwani njira ziti zomwe zimakhudzidwa ndi izi, kupatula kutalika kwa mitsempha m'miyendo. Choyamba, adotolo amayeza cholozera chakumaso. Palibe owawa kapena owopsa. Wodwala wagona pabedi. Pamalo opingasa, kuthamanga kwa magazi kwa systolic (kumtunda) m'miyendo ndi mapewa kumayezedwa kangapo.

Ngati ndichedwa kutsika m'mapewa kuposa m'mapewa, ndiye kuti ziwiya zamiyendozo zimakhudzidwa ndi atherosclerosis. Pankhaniyi, muyenera kuchita mayeso oopsa - ultrasound, MRI. Pamaso pa opaleshoni yamatumbo, x-ray imatha kutumizidwa ndikumayambitsa wothandizira. Uku sikuti mayeso otetezeka kwambiri.Ndi bwino osachita ngati opareshoni sanakonzekere.

Ngati matenda a shuga a matenda a shuga amakayikira, khungu la miyendo kukhudza, kugwedezeka, kutentha kumayendera. Izi zimachitika ndi dotolo mothandizidwa ndi zida zamitsempha yamagazi, zomwe zimaphatikizapo foloko, nthenga, komanso singano yofufuzira ululu wamalingaliro.

Chifukwa cha kuwonongeka kwa mitsempha, miyendo imatha kulephera kutuluka thukuta. Zikatero, khungu limakhala louma ndipo limatha kusweka. Izi zimadziwika pa nthawi yowonera. Monga atherossteosis, kuchepa kwa mitsempha ndi njira yamagulu a shuga. Zitha kuyambitsa ziwalo zamisempha zingapo. Zowonongeka zamitsempha zomwe zimayendetsa kupuma komanso kugunda kwa mtima ndizowopsa. Komabe, ndi madokotala ochepa omwe amadziwa momwe angayang'anire izi.

Chithandizo chachikulu ndikukwaniritsa ndi kukhalabe ndi shuga. Phunzirani ndikutsatira ndondomeko ya 2 yothetsera matenda a matenda ashuga kapena mtundu 1 wa pulogalamu yoletsa matenda ashuga. Neuropathy ndimavuto osinthika. Mitsempha yamagazi yabwinobwino ikafikira, mitsempha imachira pang'onopang'ono, zizindikirizo zimachepa ndikutha m'miyezi ingapo.

Komanso, chiwongolero chabwino cha matenda ashuga chimathandizira kuchepa kwa atherosulinosis. Kupweteka kwa mwendo, mosiyana ndi kutaya mtima, kumalimbikitsa odwala kuti azichitira mosamala. Ndili m'manja mwanu kuti muthane ndi zizindikiro zosasangalatsa, kupewa kudula ndikukhazikitsa moyo wabwinobwino.

Kodi ma pinkiller ndi zakudya zamagetsi zimathandiza bwanji?

Poyerekeza ndi zowawa, dokotala amatha kukupatsani mankhwala, omwe amafotokozedwa mwatsatanetsatane pansipa. Mapiritsi ofooka sathandiza, ndipo mankhwala oopsa amakhala ndi zotsatira zoyipa. Yesani kuchita popanda iwo momwe mungathere. Mwa zakudya zowonjezera zakudya, odwala nthawi zambiri amatenga alpha lipoic acid. Mtengo wake ndiwokwera, ndipo mapindu ake ndiwokayikitsa. Ngati mukufuna kuyesa chida ichi, musachigulitse ku pharmacy, koma dulani ku USA kudzera patsamba la iHerb. Mtengo udzakhala wotsika kangapo.

Vitamini B6 (pyridoxine) Mlingo waukulu kwambiri umapangitsa dzanzi ndi zala zake, zofanana ndi zomwe amapweteka pakhungu. Zotsatira zoyipa izi zitha kugwiritsidwa ntchito kuwongolera kupweteka komwe kumachitika chifukwa cha matenda ashuga a mtima. Mlingo uyenera kukhala osachepera 100 mg, ndi kwa anthu akuluakulu olimbitsa - 200 mg patsiku.

Tengani vitamini B6 (pyridoxine) pamodzi ndi mavitamini ena a B, komanso magnesium. Mwachitsanzo, mavitamini B-50. Gwiritsani ntchito ngati gawo kwakanthawi mpaka ulusi wamanjenje ukabwezeretseka chifukwa chowongolera shuga. Izi sizovomerezedwa mwalamulo, kuyesa kwa odwala pachiwopsezo chawo. Zotsatira zoyipa ndizotheka. Zowawa zomwe zimayambitsidwa ndi atherosulinosis, Chinsinsi ichi sichingathandize.

Chithandizo cha odwala matenda a shuga

Ngati mayeso akatsimikizira kuti ziwiya zamiyendo zimakhudzidwa ndi atherosulinosis, wodwalayo amatha kupatsidwa mankhwala a cholesterol, mankhwala oopsa, komanso mapiritsi ochepa magazi. Mankhwalawa onse amachepetsa chiopsezo cha matenda a mtima, stroke, ndi pulmonary thromboembolism.

Pali njira zina zochizira opaleshoni. Dokotala wokhoza amaika china chake ngati ballo mu chotchinga chotchinga, kenako ndikuchiyika ndikukula. Kusungitsa magazi kutuluka m'mitsempha, amatha kusiya chofunda mkati mwake - waya womata. Njira ina ndikutenga chotengera kuchokera mbali ina ya thupi ndikupanga magazi kuti azigwira m'malo mwa chotchinga chotchinga. Kambiranani mwatsatanetsatane ndi dokotala.

Zopweteka

Monga lamulo, matenda ashuga ndi kupweteka kwapakati sizigwirizana, amafunika kuthandizidwa mosasamala. Ndikosatheka kuchira kamodzi, koma mutha kuthana ndi mavuto ndikuwongolera moyo wopanda nkhawa. Zotsatirazi zikuyankha mwachidule zomwe zimayambitsa kupweteka komanso mavuto ena olowa:

• nyamakazi
• nyamakazi
• Charcot phazi.

Rheumatoid nyamakazi ndi vuto lolumikizidwa lomwe limayambitsidwa ndi vuto la autoimmune, ngati mtundu 1 wa shuga. Zizindikiro - kupweteka, kufiyira, kutupira mafupa. Ndizachidziwikire kuti zizindikirazi sizimawonedwa pafupipafupi, koma mokwanira. Kuyesedwa kwa magazi kumatha kuwonetsa kuchuluka kwa zotupa - C-reactive protein, interleukin 6 ndi ena. Pofuna kuthana ndi vuto la wodwalayo, m'malo ovuta kwambiri, mankhwala amalembedwa mwachitsanzo, etanercept, adalimumab kapena infliximab. Amapondereza ntchito ya chitetezo chathupi. Mwina mankhwalawa amachepetsa chiwopsezo cha matenda a shuga a autoimmune ngati sichinayambe. Koma amatha kuonjezera chiwopsezo cha matenda ndikupangitsa zina.

Ndikofunika kuyesa kudya pokana kukokana ndi gluten, komanso zakudya zotsutsana ndi zotupa - curcumin ndi ena. Chonde dziwani kuti kadyedwe kotsika ka carb kotsika sikamakhalanso zopanda gluteni. Kaya mkaka wokhala ndi casein umafunika kufotokozedwa. Dziwani kuti ndi matenda amtundu wa 2 matenda ashuga, kuukira kwa chitetezo chathupi chathupi. Odwala amayenera kubaya insulin, osachepera pamiyeso yotsika. Matenda a 2 a matenda a shuga ndi matenda oopsa kwambiri.

Osteoarthritis: choyambitsa kupweteka kwapakati pa matenda a shuga a 2

Osteoarthritis ndi vuto ndi mafupa omwe amayamba chifukwa cha kuvala kwawo kokhudzana ndi zaka, komanso kulemera kwambiri kwa wodwalayo. Amalumikizana ndi mafinya, chifukwa mafupawo amayamba kukhudzana ndikukutikirana. Zizindikiro - kutupira ndi malire a kuyenda. Mavuto ambiri amakhala m'mabondo ndi m'chiuno. Chitetezo chamthupi sichitha kulumikizana ndi mafupa, ngati nyamakazi. Zizindikiro zakutupa m'magazi sizakwezedwa. Muyenera kuyesetsa kuti muchepetse kunenepa kulikonse. Izi zimachepetsa mavuto olumikizana komanso zimathandizanso kuwongolera matenda ashuga amtundu wa 2. Kambiranani ndi dokotala wanu ngati muyenera kumwa mankhwala opweteka kapena kugwiritsa ntchito mankhwala opaleshoni.

Phazi la Charcot ndilovuta kwambiri kwa matenda ashuga omwe amachititsa kuti miyendo yake iwonongeke. Poyamba, matenda a shuga amachititsa kuti miyendo izitha. Mukamayenda, michere imapindika ndikuwonongeka, koma wodwala sazindikira izi. Kupanikizika kwa mafupa kumawonjezeka. Mwendo umachedwa kwambiri komanso wopunduka kwambiri. Pambuyo pokhapokha izi zimalumikizana, zimayamba kutupa, kuwonda komanso kupweteka. Pomaliza, wodwalayo azindikira kuti ali ndi mavuto. Malo omwe akukhudzidwira amatha kutentha mpaka kukhudza. Chithandizo - opaleshoni, nsapato za mafupa. Phazi la Charcot litapezeka kale, kulumala kumatha kusintha. Zinali zofunika kusunga magazi abwinobwino kuti muchepetse neuropathy.

Mankhwala opweteka

Monga lamulo, odwala amapanga kuyesera kwawo koyamba kuti athe kuchepetsa ululu ndi mankhwala pawokha. Amagwiritsa ntchito ibuprofen kapena paracetamol, yomwe imagulitsidwa pa counter. Mankhwalawa amathandizira pazinthu zofatsa kwambiri. Kuti mugwiritse ntchito ma pinkiller amphamvu, muyenera kulandira mankhwala kuchokera kwa dokotala. Mankhwala otsatirawa amalembedwa motsutsana ndi ululu womwe umayambitsidwa ndi matenda a shuga:

• anticonvulsants - pregabalin, gabapentin,
• tridclic antidepressants - imipramine, nortriptyline, amitriptyline,
• kusankha serotonin akubwezera zoletsa - duloxetine, milnacipran,
• opioid analgesics.

Mapiritsi onsewa nthawi zambiri amayambitsa mavuto akulu. Sagulitsidwe pachabe pokhapokha ngati mwalandira mankhwala. Yesani kuchita popanda iwo. Yambani ndi mankhwala ofooka. Sinthani kwa olimba pokhapokha ngati pakufunika kutero.

Mankhwala opatsirana

Pregabalin, gabapentin ndi mankhwala ena ofanana amagwiritsidwa ntchito ngati njira yothandizira khunyu. Mankhwalawa amatchedwa anticonvulsants. Kuphatikiza pa kuchiza khunyu, amathandizanso kupsa mtima, kusoka komanso kuwawa. Chifukwa chake, amathandizidwa ndi matenda a shuga omwe amachititsa kupweteka, ngati mankhwala oyambira.Amachepetsa kufalikira kwa mitsempha yomwe imakhala ndi zomverera zosasangalatsa.

Mavuto Oletsa Kupweteka

Mankhwala ochepetsa nkhawa komanso kupweteka kwa odwala matenda ashuga amasankha serotonin reuptake inhibitors (duloxetine, milnacipran). Ma Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) sagwiritsidwa ntchito kwenikweni. Chifukwa pa Mlingo ofunikira kuthetsa ululu, nthawi zambiri amayambitsa zovuta. Ma anticonvulsants komanso antidepressants amawonjezera magazi. Muziyerekeza nthawi zambiri mukamamwa mankhwalawa. Ngati ndi kotheka, onjezani kuchuluka kwa insulin.

Kuphatikiza pa mapiritsi, mutha kuyesa zonona, mafuta kapena chigamba chomwe chili ndi capsaicin. Izi ndi zinthu zomwe zimatengedwa kuchokera ku tsabola wotentha. Zimakwiyitsa mitsempha ndipo zimapangitsa kuti thupi lisayang'anire chidwi chawo pakapita nthawi. Poyamba, matendawa amakula, koma patatha masiku 7-10, mpumulo ungabwere.

Kuti mupeze izi, muyenera kugwiritsa ntchito capsaicin tsiku lililonse, osasokoneza. Odwala ambiri amakhulupirira kuti pali zovuta zambiri kuposa maubwino. Komabe, mankhwalawa samayambitsa zovuta zoyipa monga ma pinkiller. Chida chodziwika bwino kwambiri kuposa capsaicin ndi lidocaine wa pakhungu pakhungu, mafuta, utsi, kapena utsi. Lankhulani ndi dokotala wanu za mitundu yanji yamagwiritsidwe. Mwachitsanzo, maola 12 aliwonse.

Zoyenera kuchita ngati mimba yako ipweteka

Kupweteka kwam'mimba komanso zovuta zina zam'mimba mu shuga siziyenera kuloledwa, koma kuchitidwa mwachangu, kuyesera kuti zitheke. Pezani gastroenterologist wabwino, kum'fufuza ndikufunsana naye. Onetsetsani kuti mulibe zilonda zam'mimba, matenda a Crohn, vuto la ndulu, kapena zilonda zam'mimba kapena zam'mimba. Dziwani zambiri za yisiti yokhala ndi matenda a masamba a candida albicans m'matumbo anu. Ngati ndi kotheka, tengani zowonjezera zakudya zomwe zimapondera fungus, zomwe zimakhala ndi caposterone acid, mafuta a oregano ndi zina. Dziwani ngati muli ndi tsankho la gluten (celiac matenda).

Mankhwala otsatirawa a shuga angayambitse kupweteka kwam'mimba, nseru, kusanza, ndi zotupa zina:

• Metformin - Glucophage, Siofor ndi analogues
• glucagon-ngati peptide-1 receptor agonists - Viktoza, Baeta, Lixumia, Trulicity.

Mankhwala onsewa amatha kukhala opindulitsa kwambiri. Matenda am'mimba sikuti ndi chifukwa chokana kuvomera. Komabe, mlingo umayenera kuchepetsedwa kwakanthawi kuti thupi lizolowere. Victoza, Baeta ndi mankhwala ena omwe amapangidwira kuti aletse odwala omwe ali ndi matenda ashuga a 2 kuti adye kwambiri. Pakudya kwambiri, amatha kupweteketsa m'mimba, kusanza, komanso kusanza. Izi ndizabwinobwino, nthawi zambiri sizowopsa. Ingodyani pang'ono. Mapiritsi a Metformin amachepetsa chilakolako chofuna kudya, angayambitse kudana kwambiri.

Matenda a diabetes a neuropathy nthawi zambiri amakhudza mitsempha, yomwe imayendetsa kayendedwe ka chakudya kudzera m'mimba ndipo ngakhale kupanga hydrochloric acid m'mimba. Mukatha kudya, pamatha kukhala kutha kwa chakudya m'mimba kwa maola ambiri. Zikatero, wodwalayo amatha kusanza, kumva kuti m'mimba mumadzaza, amalumpha m'magazi a shuga. Vutoli limatchedwa diabetesic gastroparesis. Werengani apa momwe mungamayang'anire.

Ketoacidosis ndi zovuta, zowopsa za matenda ashuga omwe amayamba ndi shuga wambiri magazi, osachepera 13 mmol / L. Mwa zina mwazovuta, zimatha kupweteketsa m'mimba, nseru, komanso kusanza. Wodwala amafunikira chithandizo chamankhwala chodzidzimutsa. Ndizomveka kuyeza ma ketoni m'magazi ndi mkodzo pokhapokha ngati shuga atapezeka 13 mmol / l. Ndi ma shuga a m'munsi ochepetsa nkhawa musadandaule za ma ketones, musawope maonekedwe a acetone mkodzo.

Matenda a shuga

Mutu umakhala woyamba komanso wachiwiri. Choyamba - ndi pamene chifukwa chomwe mutu umayambira palokha, mwachitsanzo, kusagwira bwino kwamitsempha yamagazi, mitsempha kapena kuphipha kwa minofu.Zomwe zimayambitsa sikusintha kwina kwa mpweya, chimfine, mphuno, vuto la khutu. Kapena mavuto akulu - kukangana, sitiroko, chotupa. Mu matenda a shuga, mutu umayamba chifukwa cha kuthamanga ndi shuga m'magazi, komanso kusakhazikika kwake, kumadumphira mmbuyo ndi mtsogolo.

Mkulu shuga - shuga m'magazi a 10 mmol / L kapena kuposa. Mutu umayamba kupindika pang'onopang'ono, ndipo shugayo umakulirakulira. Chitha kukhala chizindikiro chokhacho chakuti matenda ashuga satha. Shuga wochepa - shuga m'magazi ochepera 3.9 mmol / L, ngakhale kuti chidutsocho ndi cha munthu aliyense wodwala matenda ashuga. Ndi zovuta izi, mutu umayamba mwadzidzidzi, pamodzi ndi zizindikiro zina - njala, mantha, manja akunjenjemera. Popewa ndi kulandira mankhwalawa, werengani nkhani yolembedwa kuti "Low Blood sukari (Hypoglycemia)"

Mutu umatha kuchitika pakakhala kulumpha mu shuga. Zimachitika poyankha kusintha kwakukulu pamlingo wamahomoni - adrenaline, norepinephrine ndipo mwina, ena. Kuyeza shuga ndi glucometer kungawonetse kuti mulingo wake ndi wabwinobwino. Ngati wodwala matenda ashuga sagwiritsa ntchito njira yowunikira ya shuga, ndiye kuti kulumpha kwaposachedwa kumatha kuwunikira pokhapokha pobwera, yomwe imakhala mutu.

Kodi mapiritsi ammutu abwino ndi otani?

Kuthandizira ndimutu ndimapiritsi, komanso mankhwala achilengedwe. Mankhwala ogulitsa ena ndi abwino kwa anthu ena. Odziwika kwambiri a iwo ndi paracetamol, aspirin, ibuprofen. Mankhwalawa sikuti alibe vuto lililonse. Phunzirani mosamala zotsatira zake zoyipa musanatenge. Ngati mankhwala ochulukirapo akufunika, mudzalandira mankhwala kuchokera kwa dokotala.

Mwa mankhwala achilengedwe kuti muchepetse pafupipafupi komanso kuuka kwa mavuto am'mutu, yesani kaye kutenga magnesium pa 400-800 mg patsiku. Mutha kupaka thyme, rosemary kapena peppermint mafuta mu whiskey ndi pamphumi. Imwani tiyi ndi chamomile kapena ginger, komanso mitundu ina yamadzimadzi, kotero kuti palibe kutaya madzi. Kuti muchepetse kupsinjika, yesani kusinkhasinkha, yoga, kapena kutikita minofu. Zakudya ndi zakudya zotsatirazi zimatha kupweteketsa mutu: vinyo wofiira, chokoleti, tchizi cha buluu, zipatso za zipatso, mapeyala, tiyi kapena khofi. Yesetsani kuzitaya kwa milungu ingapo ndikutsata zotsatirazo.

Zomwe zimachitika

Kukhalapo kwa kulemera kwambiri kwa anthu omwe ali ndi shuga m'magazi kumabweretsa chitukuko cha matenda oopsa.

Hypertension imatha kuchitika limodzi, koma makamaka kuthamanga kwa magazi kumayamba, monga chizindikiro cha metabolic syndrome. Mu magawo oyamba a kukula kwa matenda a m'magazi mwa anthu, kukana kwa insulin kumawonedwa, ndiko kuti, kuzindikira kwa insulin ndi minofu ya thupi kumachepa. Zotsatira zake, kuchuluka kwa mahomoni m'magazi kumakwera ndipo izi zimapangitsa kuti magazi azithanso. Zinthu zoterezi zimadziwika zomwe zimayambitsa chitukuko cha matenda oopsa mu matenda ashuga:

• onenepa kwambiri
• zosintha zokhudzana ndi zaka
• kuphwanya dongosolo la endocrine.

Ndipo ndikuyenera kuyan'ana mkhalidwe wamikodzo pakukula kwa matenda oterewa. Kuchulukitsa kwa mtundu wa matenda a shuga a 1 kumapangidwa monga chifukwa cha matenda a shuga, chifukwa impso zimasiya kugwira ntchito. Kuchuluka kwa kuthamanga kwa mankhwalawa kumatengera kuchuluka kwa mapuloteni omwe amapezeka mumkodzo, makamaka, pamakhala vuto lalikulu.

Bwererani ku tebulo la zomwe zili

Zomwe sizingatheke ndi matenda ashuga: mankhwala opweteka a shuga

Zaka mazana angapo zalembedwa za zomwe sizingatheke ndi matenda ashuga. . Koma palibe chidziwitso chochepa chokhudza kuperewera kwa shuga. Pazinthu zomwe zimagwiritsidwa ntchito ndi ma non-steroidal painkillers, kupweteka kwapakati pa kubala komanso kugwira ntchito, nkhaniyi.

Kwa anthu omwe ali ndi matenda ashuga, vuto la kupweteka ululu silothandiza kwenikweni kwa ena onse. Mavuto ambiri a shuga amapangitsa kuti vuto la analgesia likhale lolimba kwambiri.

Zina za matendawa zimapereka mndandanda wazofooka mukamasankha mankhwala oletsa kupweteka.

Monga mukudziwa, matenda ashuga ndi matenda omwe ali ndi magawo awiri a chitukuko. Mtundu woyamba wamatenda, kapamba amapanga insulin yaying'ono, yomwe imayambitsa matenda a shuga. Ndi mtundu wachiwiri, motsutsana ndi mawonekedwe a insulin yachilendo, chidwi cha ziwalo ndi minyewa yomwe timadzi timene timayendetsa thupi imayenera kuchepetsedwa.

Zotsatira zazikuluzikulu za matenda a zam'mimba ndizovuta zodabwitsa za ziwiya zama caliber osiyanasiyana komanso kukhazikitsa kwachiwiri kwa zotupa zamtima. Izi, izi, zimapangidwa ndi kuperewera kwa mtima ndi chitukuko cha edema, kupuma movutikira, kukulitsa chiwindi. Mavutowa akuphatikizapo mitundu yonse yamatenda amtima (angina pectoris, arrhythmias, infarction ya myocardial).

Mankhwala akuluakulu a analgesia pochita misa anali ndipo amakhalabe mankhwala osapatsa a antiidal. Amapondereza zonse magawo a kutupa ndi kupweteka pang'ono kapena pang'ono. Mikhalidwe ya biotransfform ndi mphamvu ya mankhwalawa ndiwakuti amawonjezera zovuta zomwe zimapangitsa kuti magazi aziyenda bwino komanso kukulitsa njira yomwe mtima ukuyambika.

Kutengera zomwe takambirana pamwambapa, pophatikiza matenda ashuga komanso mankhwala osapatsirana omwe amayamba kuponderezana, ndikofunikira kuyang'anitsitsa mosamala, njira yovomerezeka, ndikuwunikanso kuwonetsa kwakukulu kwa kulephera kwazungulira. Nanga sizotheka bwanji ndi matenda ashuga? Mankhwala ochepetsa mphamvu ya mankhwala omwe si a steroid sayenera kupitilira, osafunikira kuti apatsidwe Mlingo wambiri, kumwa popanda kuwonetsa kapena kukambirana ndi dokotala.

Mankhwala osapweteka a antiidal ali ndi voltaren, womwe umakhala mankhwala ku European Pharmacopoeia, ndipo mu CIS amakula mothandizidwa ndi ma diclofenacs osiyanasiyana. Komanso indomethacin, ibuprofen, paracetamol, phenazone, naproxen, tolfenamic acid, dexetoprofen trometamol. Ndizosavomerezeka kumwa mankhwalawa osagwirizana ndi omeprazole, chifukwa pamakhala chiopsezo chotaya magazi m'mimba kuchokera kukokoloka ndi zilonda zam'mimba, komanso mawonetseredwe a gastropathy. Njira ina yothetsera kupweteka kwa matenda ashuga ndi mankhwala a Vimavo omwe amaphatikiza mankhwala omwe si a antiidal.

Mu shuga mellitus, mankhwala omwe ali ngati jakisoni wa intramus sangathe kugwiritsidwa ntchito. Izi zimalumikizidwa ndi chiwopsezo chachikulu chotenga njira zopatsirana mthupi la odwala. Wobadwa nawo mu mnofu jakisoni wa diclofenac amatha kutha kwa wodwala mapangidwe osati kulowa, komanso abscess. Ichi ndi chifukwa chosakhalapo pakumalumikizana kwa minyewa, ndiye kuti kusakhalapo kwa zotchingira kutupa pakubwera. Izi zowopsa ndizambiri kwa odwala omwe ali ndi mtundu woyamba wa matenda ashuga. Mankhwala onse osagwiritsa ntchito mankhwala a anti-yotupa ayenera kugwiritsidwa ntchito ngati mapiritsi kapena mapiritsi. Njira yachiwiriyo imathandizira kuchepetsa kuwonongeka kwa m'mimba ndi duodenum mwa anthu omwe ali ndi matenda amtundu wa 1 kapena mtundu wa 2.

Vuto lofala kwambiri kwa azimayi omwe ali ndi matenda ashuga ndi vuto lothandizira pakumva kupweteka pakubala, zonse zachilengedwe komanso zamkango. Kugwiritsa ntchito narcotic analgesics ndikosayenera. Zokonda zimaperekedwa ku genural anesthesia, ndiko kuti, njira yobweretsera ma pinkiller mu mzere wa msana. Ndi malingaliro oterewa, zotsatira zoyipa za systemic analgesics, komanso mankhwala othandizira, zimachepa. Komabe, chifukwa cha matenda a shuga a mellitus omwe amachepetsa chitetezo chokwanira komanso kwanuko, chiopsezo chotenga matenda ndi zovuta zina pakukhudzana kwa msana kumatha. Kutsatira kwambiri zochita za antiseptic ndi aseptic ndikofunikira.Ngati pazifukwa zina sizingatheke kugwiritsa ntchito njira yopanda matenda, gwiritsani ntchito mankhwala osokoneza bongo ndi blockade ya nerve pudendus.

Phindu la opaleshoni kwa odwala onse omwe ali ndi matenda ashuga limachititsanso kuti pakufunika kupumula. Ngakhale pankhaniyi sitikulankhulanso za analgesia, koma za opaleshoni, ndiye kuti, mankhwala ochita kupanga osokoneza bongo. Mukamasankha mankhwala ochita opaleshoni, munthu ayenera kuganizira kutulutsa kwama mahomoni komwe kumatchinga insulin chifukwa cha zovuta zomwe zimachitika. Mwachitsanzo, catecholamines ndi adrenaline amalimbikitsidwa ndi ketamine ndi diethyl ether. Chifukwa chake, ndalama izi ndizosavomerezeka. Ketamine nthawi yomweyo imachulukitsa kupanga insulin ndi kapamba ndikuwonjezera kufunikira kwa minofu mkati mwake. Njira ina ndi neuroleptoanalgesia, fluorotan kapena mankhwala a nitrous oxide anesthesia. Fluorotan ndi Enflurane amawonjezera shuga m'magazi. Ma Barbiturates omwe amalimbikitsa kuchuluka kwa insulacularular insulin nawonso amavomerezeka. Viadryl sasintha kuchuluka kwa insulin.

Ma anesthetics am'deralo, monga nitrous oxide, amathandizira kuchepetsa kagayidwe kazachilengedwe. Momwemonso, zotsatira za droperidol, seduxen, sodium hydroxybutyrate.

Komabe, pakuchita opaleshoni, boma limachepetsa shuga la magazi, lotchedwa hypoglycemia, limakhala losavuta kuchitika. Chifukwa chake, milingo yayikulu ya mankhwala oletsa kupanikizika kapena nthawi yayitali yoyendetsedwa ndi yosafunika. Mankhwala osokoneza bongo amalepheretsa kumasulidwa kwa mahomoni opikisana, chifukwa chake insulin imakhala yotalikirapo, ndipo shuga yamagazi imatsika mosavuta. Pazonse, kuchuluka kwa glycemia kumadalira kwambiri kuwopsa kwa matenda ashuga kuposa mtundu wa mankhwala omwe amachititsa kuti munthu azidwala. Nthawi yomweyo, nthawi yopangira opaleshoni imathandizira. Chifukwa chake, mankhwala ophatikizira am'kati amabwera choyamba. Komanso, ndi maopareshoni ambiri komanso owopsa, nthawi zambiri ndikofunikira kubwezeretsanso kuchuluka kwa magazi. Pachifukwa ichi, sikulimbikitsidwa kugwiritsa ntchito ma colloids monga Ringer-lactate kapena Hartmann, chifukwa amatha kuyambitsa hyperglycemia chifukwa cha kupanga kwa glucose kuchokera ku lactate m'chiwindi.

Kwa ntchito yochepa komanso yocheperako, ndikotheka kusintha mankhwala ochita kupanga ndi opaleshoni yam'deralo kapena opaleshoni yam'mimba.

Mu nthawi yogwira ntchito, zovuta zakukhazikitsa shuga zabwinobwino zimadza koyamba. Pakupanga opaleshoni, kusinthasintha kwamiseche kumayang'aniridwa ola lililonse, monga othandizira opanikizika ambiri amagwedeza chindapusa cha matenda ashuga. Munthawi yochita opaleshoni, ndikofunikira kukhazikitsa Mlingo wokwanira wa insulin ndikukonzekera zomwe zimabweretsa kupweteka, zomwe zimakwiyitsanso kutulutsa kwa mahomoni omwe amatsutsana ndi insulin. Chithandizo cha mankhwala opatsirana chiyenera kukhala chokwanira, ndiye kuti, kuzimitsa kupweteka kwambiri. Kupanda kutero, kusinthasintha kwa shuga kokha komwe kumawonedwa, koma kusokonezeka kwa magazi, kuphatikiza ma microcirculation, kumatha kuyamba, komwe kumakhala kofupika chifukwa cha zovuta zamatenda a shuga ndizowonongeka m'munsi, m'maso, impso, mtima, komanso ziwongo.

Pofuna kuthana ndi ululu, zotumphukira za m'magazi zimagwiritsidwanso ntchito (ketoprofen, ketorol). Ngati ndi kotheka, polumikizani tramadol kapena pakati opioid mankhwala. Nthawi zina amatengera analgesia am'deralo.

Pazambiri, kuti mudziwe zomwe sizotheka ndi matenda ashuga ngati mankhwala osokoneza bongo, muyenera kuwunika pawokha matenda omwe ali pachiwopsezo komanso kuchuluka kwa glycemia.

Mapiritsi a shuga - mndandanda wa mankhwala abwino kwambiri

Mapiritsi a shuga amasankhidwa kutengera mtundu wamatenda, omwe amagawidwa m'mitundu iwiri: wodalira insulin komanso osafuna kuyambitsa insulin. Musanayambe chithandizo, werengani kagawidwe ka mankhwala ochepetsa shuga, kapangidwe ka zochita za gulu lililonse ndi contraindication kuti mugwiritse ntchito.

Kumwa mapiritsi ndi gawo limodzi la moyo wa anthu odwala matenda ashuga.

Zizindikiro za matendawa

Zizindikiro za mkhalidwewu m'magawo oyambilira sinafotokozedwe bwino. Odwala amakhala ndi zowonjezera usiku, ndipo wodwala amakhala ndi orthostatic hypotension. Ndiye kuti, kuthamanga kwa magazi kumatsika kwambiri ndikusuntha kuchoka pakulankhula kukhala pampando kapena poyimirira. Komanso ndikusiyanitsani zizindikiro monga matendawa:

Ndi mavuto okhala ndi kukakamiza, munthu amamva kupweteka kwa mutu.

• kupweteka pamutu,
• chizungulire
• kutanthauzira kwamaso kapena zowona zina zachilengedwe.

Bwererani ku tebulo la zomwe zili

Kuti muchepetse kupanikizika, muyenera kudya moyenera, osapatula mchere pazakudya, zakudya zokhala ndi index yayikulu ya glycemic ndikuchita mankhwala oyenera. Mapiritsi opanikizika a matenda ashuga, mwachitsanzo, Anaprilin kapena Losartan, amangokhazikitsidwa ndi adokotala. Komanso chithandizo chamankhwala chimachitika ndi jakisoni wokhala ndi antispasmodic katundu, mwachitsanzo, "Dibazol". Chithandizo cha matenda oopsa mu shuga amachitidwa ndi magulu oterewa:

• okodzetsa - "Indapamide",
• beta-blockers - Concor, Tenorik,
• Zoletsa za ACE - Enalapril, Lisinopril,
• ll angiotensin receptor blockers - "Losartan", "Lorista", "Valz",
• vasodilator - "Dibazol", "Magnesia".

Bwererani ku tebulo la zomwe zili

Kodi amachiritsa kuthamanga kwambiri kwa matenda ashuga ndi chiyani?

Arifon amathandiza kuthana ndi kuthamanga kwa magazi.

Amamwa mankhwala a antihypertensive monga Arifon kuchokera kuthamanga kwa magazi. Iyenera kumwa piritsi limodzi pakatha maola 24 aliwonse. "Indapamide" ndiye piritsi labwino kwambiri m'gulu la okakamira kuthamanga kwa magazi, kuchuluka kwake tsiku lililonse ndi kapisozi imodzi. Beta-blockers, mwachitsanzo, Tenorik, amatha kutsitsa magazi pamagazi, koma kuphatikiza ndi ma hypoglycemic othandizira kumawonjezera zotsatira zawo. Mankhwala a antihypertensive a matenda ashuga, monga Valz, sayenera kumwedwa panthawi yoyembekezera komanso mkaka wa m'mawere. Mankhwala othandizira matenda oopsa amakhazikitsidwa payekhapayekha, kutengera kupirira kwa chinthu chogwira ntchito kwa wodwala.

Bwererani ku tebulo la zomwe zili

Zovuta

Hypotension mu shuga mellitus ya mtundu wachiwiri nthawi zambiri imawonekera mwa akazi. Vutoli limatha kukulitsa mkhalidwe wa wodwalayo. Munthawi imeneyi, kufalikira kwa magazi kumavulala ndipo maselo samalandira zinthu zofunikira. Kuthamanga kwa magazi popanda chithandizo choyenera kungayambitse zovuta izi:

• zilonda zam'mimba
• kufa kwa minofu kumapeto,
• matenda a mtima
• thrombosis
• matenda ashuga.

Bwererani ku tebulo la zomwe zili

Chifukwa chiyani chikukwera ndipo chikuwoneka bwanji?

Pathology imatha kukhala ndi mavuto am'mimba,

Hypotension imatha kuchitika zaka zilizonse. Pali zifukwa zingapo zomwe zimathandizira kuti chiphunzitsochi chidziwike:

• kuchuluka kwa mavitamini ndi michere mthupi,
• matenda am'mimba thirakiti
• kugona kusokonezedwa
• vegetovascular dystonia,
• matenda amanjenje
• Yaitali mankhwala mankhwala
• matenda a mtima
• nkhawa.

Hypotension imachitika chifukwa chokhala ndi moyo wosayenera komanso zizolowezi zoipa. Mawonetseredwe a matenda amtunduwu, monga matenda oopsa kwa odwala omwe ali ndi matenda osokoneza bongo, sawonetsedwa bwino. Odwala, kupatuka koteroko kumadziwika:

Kuchita mantha ndi vuto lanu kungakhale chizindikiro cha kudodometsa.

• kumverera kofooka ndi kugona.
• kubetchera, mantha,
• miyendo yozizira
• thukuta kwambiri
• kudalira nyengo.

Bwererani ku tebulo la zomwe zili

Chithandizo cha matenda a mtima

Mankhwala ochizira hypotension angatengedwe pokhapokha ngati akuwuzani katswiri. Ndikofunikira kuchiza matenda awa kwa nthawi yayitali. Mankhwala abwino kwambiri ochiritsira ndi Leuzea ndi Eleutherococcus. Amatha kuledzera m'maphikidwe ovuta aanthu. Njira yabwino yothandizira Hypotension ndi tiyi wobiriwira yemwe amaphatikizidwa ndi ascorbic acid.M`pofunika kumwa mankhwalawa ndi masiku 7, ndiye yopuma kwa mwezi umodzi. Mothandizidwa Moyenerera kulowetsedwa kwa kabichi kalulu. Thirani magalamu 15 a chomera youma, kutsanulira 300 ml ya madzi otentha. Kusakaniza kumalimbikitsidwa kwa maola 4. Sefa malinidwe ndikuwotenga katatu pa tsiku. Mutha kusamba pogwiritsa ntchito mafuta onunkhira. Mwa njirayi, bulugamu, lalanje, ndimu, bergamot, ma cloves ndi oyenera.

Momwe mungachiritsire chimfine, kutentha thupi, kusanza, ndi kutsegula m'mimba m'mimba

Ngati muli ndi nseru, kusanza, kutentha thupi, kutsegula m'mimba, kapena chizindikiro chilichonse cha matenda opatsirana, muyenera kufunsa dokotala nthawi yomweyo. Matenda opatsirana komanso mtundu 1 kapena matenda amtundu wa 2 ndi kuphatikiza wakupha. Chifukwa chiyani - tidzafotokozera mwatsatanetsatane pambuyo pake m'nkhaniyi. Osataya nthawi, kuyimbira ambulansi kapena kupita kuchipatala inunso. Ndi matenda a shuga a mtundu woyamba 1 kapena 2, ngati muli ndi matenda mthupi, ndikofunikira kuti munthu alandire chithandizo chamankhwala mwachangu.

Osazengereza kudandaula madotolo mwachinyengo, chifukwa ngati, chifukwa cha matenda opatsirana m'matenda a shuga, kuzungulira kwamphamvu kumachitika, ndiye kuti inu ndi madotolo simudzatopa.

Zomwe Matenda Ati Matenda Ati Akulimbana Nawonso Amakhala Oopsa Kwambiri

Mtundu 1 kapena matenda ashuga 2, matenda opatsirana amayambitsa kusowa kwamadzi, ndipo izi ndizowopsa, nthawi zambiri zowopsa kuposa kwa akulu ndi ana omwe alibe matenda ashuga. Khalani omasuka kuyimba ambulansi nthawi iliyonse wodwala matenda ashuga akayamba kumva kupweteka, kusanza, kutentha thupi kapena kutsegula m'mimba. Kodi matenda opatsirana a shuga ndi oopsa bwanji? Chifukwa zimayambitsa kusowa kwamadzi. Kodi kusowa kwamadzi kumatha bwanji? Chifukwa kusowa kwamadzi ndi shuga m'magazi zimapanga kuzungulira koipa. Izi mwachangu - mkati mwa maola - zimatha kubweretsa kulephera kwa impso, chikomokere, kufa kapena kulumala.

Palinso chiopsezo chakuti matenda opatsirana, ngati ayamba kuthandizidwa mochedwa, maselo a beta otsala amwalira. Kuchokera pamenepa, nthawi ya shuga imakulirakulira. Pazochitika zoyipa kwambiri, matenda ashuga amtundu wa 2 amatha kusintha kukhala matenda ashuga akulu kwambiri. Tiyeni tiwone bwino momwe matenda opatsirana amakhudzira shuga wamagazi ndi momwe angawathandizire moyenera. Kupatula apo, aliyense amene achenjezedwa amakhala ndi zida.

Chitsanzo chabwino kuchokera ku zamankhwala

Kuti atsimikizire zakufunika kolumikizana mwachangu ndi ambulansi, Dr. Bernstein anena nkhani ngati imeneyi. Loweruka lina nthawi ya 4 koloko, mayi wina wodwala matenda ashuga adamuyimbira yemwe sanali wodwala. Dokotala wake adazimitsa foni kumapeto kwa sabata ndipo sanamsiye malangizo oti alumikizane ndi ndani pamavuto. Adapeza nambala ya foni ya Dr. Bernstein mundandanda ya mzinda.

Wodwalayo anali kunyumba yekhayo ndi khanda lake, ndipo anali kusanza mosalekeza kuyambira 9 koloko m'mawa. Adafunsa - nditani? Dr. Bernstein adanena kuti mwina anali ndi madzi osowa madzi kotero sangathe kudzithandiza okha, chifukwa chake akufunika kukhala kuchipatala mokhulupirika. Pamenepo adzatha kudzaza kuchepa kwamadzi m'thupi ndi amtsempha olowa mkati. Nditamaliza kucheza naye, Dr. Bernstein adayimbira kuchipatala cha komweko ndikuwachenjeza kuti akuyenera kudikirira wodwalayo ndikukonzekera kubaya majekiseni am'madzi kuti asathere madzi m'thupi.

Wodwalayo anali ndi mphamvu zopititsa mwanayo kwa agogo ake, kenako pansi pa mphamvu yake kuti afikire kuchipatala .. Patatha maola 5 izi zitachitika, a Dr. Bernstein adamuyitanitsa kuchokera ku dipatimenti yangozi. Zinapezeka kuti mayi wodwala matendawa amayenera kupita kuchipatala “kwathunthu,” chifukwa sakanatha kumuthandiza kuchipatala chadzidzidzi. Kutulutsa kwamphamvu kunali kwamphamvu kwambiri kotero kuti impso zinalephera kwathunthu. Ndikwabwino kuti chipatalachi chinali ndi cholembera ziwalo, komwe adachikoka kuchokera kudziko lina, apo ayi akadamwalira.Zotsatira zake, wodwalayo adakhala masiku asanu “otopetsa” m'chipatala, chifukwa nthawi yomweyo adawonetsetsa kuti ali ndi vuto.

• Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
• Chakudya chiti chotsatira? Kuyerekeza zakudya zama calorie otsika komanso mafuta ochepa
• Mankhwala 2 a shuga: nkhani yatsatanetsatane
• Mapiritsi a Siofor ndi Glucofage
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

• Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
• Mtundu wa 1 shuga wodwala
• Nthawi ya tchuthi ndi momwe mungakulitsire
• Njira ya jakisoni wopweteka wa insulin
• Matenda a shuga 1 amtundu wa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
• Momwe mungachepetse kuwonongeka kwa impso

Kodi kuzungulira kwamadzi ndi shuga kwambiri ndi kotani?

Ngati mukusanza kapena kutsegula m'mimba, ndiye kuti muli ndi matenda opatsirana. Zomwe zimayambitsa zingakhalebe ziphe ndi ziphe zina kapena zitsulo zolemera, koma sizokayikitsa. Komanso tidzaganiza kuti chomwe chimayambitsa matenda. Kulikonse komwe kachilomboka kali mthupi - mkamwa, m'matumbo, chala chakutupa kapena china chake - shuga wamwazi atha kupita m'mwamba. Chifukwa chake, poyambira: kachilomboka pakokha kamadzutsa shuga.

Thupi laumunthu limalowa mkati mwa makina amitsempha yamagazi. Kutali kwambiri ziwiya izi ndizoyambira pakatikati, kupendekera kotalikira. Zombo zakutali kwambiri komanso zopapatiza zimatchedwa "zotumphukira", ndiye kuti, kutali ndi pakati. Nthawi iliyonse, magazi ambiri amakhala m'mitsempha yamapazi. Tsoka ilo, ngati magaziwo achuruka, ndiye kuti zimavutika kuti zimangidwe kulowa m'mitsempha yopapatiza. Zotsatira zake, zotumphukira zathu sizimaperekedwa ndi mpweya ndi michere, kuphatikizapo insulin ndi glucose. Izi zikuchitika ngakhale kuti kuchuluka kwa shuga m'magazi kumakwera. M'malo mwake, chifukwa chakuti glucose ndi insulin kuchokera m'magazi akhungu sizimalowa mu ziwiya zotumphukira, insulin yolimba imayamba.

Tizilombo tofiyira timayamba kuyamwa glucose wocheperako, ndichifukwa chake kukhazikika kwake m'magazi kumakweza kwambiri. Mukakhala ndi shuga m'mwazi, mumalimbikiratu kukana insulini. Ndipo kukana insulini, kumawonjezera shuga. Impso zimayesanso kuchotsa glucose wambiri mumkodzo, womwe umapangitsa kukokana pafupipafupi, ndipo izi zimawonjezera madzi am'mimba. Ichi ndi chimodzi mwazomwe zachitika pakupanga kuzungulira kwamadzi komanso kuthamanga kwa magazi, ndipo gawo lina lomwe tidzafotokozere pansipa limalumikizidwa ndi izi.

Glucose ndi insulini yochokera m'magazi sizimafikira. Maselo amakhala ndi chisankho chovuta - kufa ndi njala kapena kuyamba kugaya mafuta. Onse pamodzi amasankha njira yachiwiri. Komabe, zopangidwa ndi mafuta kagayidwe kake kamapanga zinthu zopangidwa ndi ketones (matupi a ketone). Pamene kuchuluka kwa ma ketones m'magazi kukwera moopsa, chidwi chofuna kukodza chikukulirakulirabe, ndipo madzi am'madzi amapita patsogolo. Mzere wowopsa womwe umatha wodwalayo amasiya kuzindikira, ndipo impso zake zimalephera.

Chachikulu ndichakuti zochitika zomwe tafotokozazi pamwambapa zimatha kuchitika mwachangu, chifukwa cha chikomokere ndi kulephera kwa impso zimachitika patangopita maola ochepa. Zitsanzo za mzimayi yemwe ali ndi matenda ashuga omwe tawatchula koyambirira kwa nkhaniyi ndi achimodzimodzi. Kwa madokotala azadzidzidzi, sizachilendo. Tsoka ilo, mwa izi, ndizovuta kuti madokotala abwezeretse moyo wabwinobwino wa wodwalayo. Imfa imafika pa 6-15%, ndipo kulumala kwamtsogolo - pafupipafupi.

Kuthetsa madzi m'thupi kumangoperekedwa mchipatala ndi ophatikizira amkati. Amayamba kuyika oponya awa mu ambulansi. Koma titha kuchita zambiri kupewa izi. Tiyerekeze kuti mwadzuka pakati pausiku kapena m'mawa kwambiri chifukwa mukusanza kapena kutsegula m'mimba.Zofunika kuchita? Choyamba, ngati muli ndi dokotala "wanu", mumamuyimbireni ndikudziwitse, ngakhale 2 koloko m'mawa. Kubweza kapena kutsegula m'mimba mwa munthu wodwala matenda ashuga ndikulakwika kwambiri kuti kuwonongeka kungaphwanyidwe. Kachiwiri, ngati muli ndi matenda mthupi, ndiye kuti mungafunike jakisoni wa insulin kwakanthawi, ngakhale ngati simulimbana ndi matenda a shuga a 2 anu.

Matenda opatsirana nthawi zambiri amawonjezera shuga wamagazi mwa odwala matenda a shuga. Ngakhale ngati simumaba jakisoni wa insulin, ndiye kuti thupi likulimbana ndi matendawa, ndikofunika kuti muyambe kuchita izi kwakanthawi. Cholinga ndikuchepetsa katundu pama cell a beta anu kapamba, omwe akugwirabe ntchito, ndikuwasunga amoyo. Komanso, jakisoni wa insulin amathandizira kuti shuga asungidwe m'magazi ndipo izi zimalepheretsa kuchepa kwamphamvu kwamadzi ndi shuga wambiri.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Maselo a pancreatic beta amafa ambiri chifukwa cha shuga wambiri, izi zimatchedwa kuti glucose toxicity. Ngati imfa yachitika ndi matenda opatsirana, ndiye kuti matenda ashuga amtundu wa 2 atha kukhala mtundu 1 wa shuga, kapena mtundu wa matenda a shuga awonjezereka. Chifukwa chake, onse (!) Odwala omwe ali ndi matenda ashuga ayenera kudziwa bwino jakisoni wa insulin wopanda ululu ndikukonzekera kugwiritsa ntchito mankhwalawa.

Tilembapo zomwe zimayambitsa kusowa kwamadzi mu shuga:

• kutsegula m'mimba kapena kusanza kangapo mzere mosatalikirana,
• shuga wamagazi kwambiri
• kutentha thupi, anthu kulumbira kwambiri,
• ndayiwala kumwa madzi okwanira nthawi yotentha kapena nthawi yochita masewera olimbitsa thupi,
• pakati pa ludzu muubongo amakhudzidwa ndi atherosulinosis - okalamba odwala matenda ashuga.

Chimodzi mwazizindikiro zazikuluzakuti shuga m'magazi ndichokwera kwambiri ndi ludzu lamphamvu, komanso kukodza kawirikawiri. Zikakhala zoterezi, mavuto amakumana ngakhale munthu amamwa madzi chifukwa ataya ma elekitirodi. Komabe, pali njira zingapo zosavuta zomwe mungatenge kunyumba kuti muchepetse kuzungulira kwamadzi komanso kuthamanga kwa magazi.

Matenda a shuga ketoacidosis

Matenda a matenda ashuga ketoacidosis amapezeka mwa anthu omwe kapamba wawo samatulutsa insulin. Awa ndi odwala matenda a shuga 1, komanso matenda ashuga amtundu wa 2, omwe atayiratu kuchita nawo ma cell a beta. Kuti matenda ashuga a ketoacidosis apangidwe, payenera kukhala chotsika kwambiri cha insulin m'magazi a seramu kuphatikiza insulini chifukwa cha kuchuluka kwa shuga wamagazi ndi madzi am'mimba.

Panthawi imeneyi, kuchuluka kwa shuga ndimaselo, komwe nthawi zambiri kumalimbikitsa insulin, kumayima. Kuti akhale ndi moyo, maselo amayamba kugaya mafuta. Zogulitsa za metabolism yamafuta zimadziunjikira - ma ketones (matupi a ketone). Chimodzi mwa mitundu ya matupi a ketone ndi acetone, solvent yotchuka komanso chinthu chachikulu cha msomali wopukutira misomali. Ma ketoni amatha kupezeka mumkodzo pogwiritsa ntchito zingwe zapadera zoyesera, komanso fungo la acetone mumlengalenga. Chifukwa cha fungo la acetone, anthu omwe amwalira chifukwa cha matenda ashuga a ketoacidosis nthawi zambiri amalakwitsa kwa oledzera omwe amamwa kuti amve kuzizira.

Ngati matupi a ketone amadziunjikira m'magazi kwambiri, ndiye kuti ndi poizoni. Impso zimayesetsa kuchotsa thupi lawo mwa kuwachotsa mkodzo. Chifukwa cha izi, kuchepa madzi m'mimba kumakulirabe. Zizindikiro za matenda a shuga a ketoacidosis:

• mikwingwirima yoyeserera ikuwonetsa kuti muli ma ketoni ambiri mumkodzo,
• ludzu lalikulu
• kamwa yowuma
• nseru
• kukodza pafupipafupi,
• kupuma movutikira,
• shuga wamagazi ambiri (nthawi zambiri amakhala pamwamba pa 19.5 mmol / l).

Zizindikiro zonsezi nthawi zambiri zimawoneka nthawi imodzi. Ngati ma ketoni amapezeka mumkodzo, koma shuga wamagazi ndi abwinobwino - osadandaula.Mafuta kagayidwe kake ndikupanga matupi a ketone ndichinthu chabwinobwino, chopatsa thanzi, mwachilengedwe. Mtundu wachiwiri wa matenda ashuga, timatha kuutcha mothandizidwa ndi chakudya chamafuta ochepa kuti wodwalayo awotche mafuta omwe amasunga ndikuchepetsa. Simufunikanso kuchitapo kanthu mwadzidzidzi ngati kuchuluka kwa ma ketoni mumkodzo kuli kochepa kapena kwapakatikati, pomwe shuga wamagazi sawonjezeka, munthu amamwa madzi okwanira ndipo thanzi lake limakhala labwinobwino.

Hyperosmolar chikomokere

Vutoli linanso lomwe limachitika chifukwa cha kuperewera kwa madzi m'thupi ndi shuga wambiri wamwazi ndi hyperosmolar coma. Izi ndizovuta kwambiri za matenda ashuga kuposa ketoacidosis. Zimachitika kwa anthu odwala matenda ashuga, amene kapamba wake amatulutsa insulin, ngakhale pang'ono. "Hyperosmolar" - amatanthauza kuti kuchuluka kwa glucose, sodium ndi chloride kumachulukanso m'magazi, chifukwa chifukwa chakusowa kwamadzi kulibe madzi okwanira kupha zinthuzi. Odwala omwe ali ndi vuto la hyperosmolar coma, nthawi yayitali beta-cell imasungidwa kuti thupi lisayambe kugaya mafuta. Koma nthawi imodzimodzi, insulini sikokwanira kuti shuga asungidwe magazi kuchokera pakukwera kwamphamvu kwambiri.

Hyperosmolar coma imasiyana ndi ketoacidosis popeza kuti matupi ake a ketone sapezeka mkodzo wa munthu wodwala matenda ashuga kapena mumlengalenga atamutha. Monga lamulo, zimachitika mwa odwala okalamba omwe ali ndi matenda ashuga, omwe pakati pake pakumva ludzu muubongo amakhudzidwa ndi atherosulinosis yokhudzana ndi zaka. Odwala otere samamva ludzu, motero, panthawi yachipatala, kuchepa kwa thupi kwawo kumakhala kwamphamvu kuposa momwe amachitira ndi matenda ashuga a ketoacidosis. Zizindikiro zoyambirira za hyperosmolar chikomokoma ndiko kugona, kusazindikira bwino. Ngati sanachitepo kanthu mwachangu, ndiye kuti agwa. Mwazi wamagazi mwa odwala nthawi zambiri umakhala wapamwamba kuposa 22 mmol / l, komanso umakhala wokwera kwambiri. Milandu ya mpaka 83 mmol / L zalembedwa.

Chithandizo cha matenda ashuga ketoacidosis ndi hyperosmolar chikomokere - madzimadzi m'malo ndi mtsempha wa magazi otsitsira, komanso mtsempha wa magazi a insulin. Zochitikazo ndi zofanana, koma njira zoyendetsera zake ndizosiyana pang'ono. Werengani zambiri zamankhwala a matenda ashuga ketoacidosis ndi mankhwala a hyperosmolar coma. Kuletsa kuchepa kwamadzi m'malo mwa madziwo kumatsitsanso shuga, ngakhale khansa ya insulin. Chifukwa amadzimadzi amasungunula shuga m'magazi, zimathandizanso impso kuti ichotse minyewa yayikulu ndi matupi a ketone mumkodzo.

Matenda a shuga a ketoacidosis ndi hyperosmolar amapezeka mwa odwala omwe ali aulesi kuti azilamulira matenda awo a shuga. Pafupipafupi imfa imachokera pa 6 mpaka 25%, kutengera zaka komanso momwe thupi la odwala matenda ashuga limakhalira. Ngati mukuwerenga tsamba lathu, ndiye kuti ndinu wodwala wolimbikitsidwa ndipo mwina simungakumane ndi zovuta izi, pokhapokha ngati muli ndi matenda opatsirana. Chithandizo cha matenda ashuga ketoacidosis ndi hyperosmolar coma zimachitika kokha kuchipatala. Ntchito yathu ndikuchita zochitika zowalepheretsa, osangowonjezera nkhaniyo mopitirira muyeso. Izi zikutanthauza - onani dokotala msanga pazoyambitsa matenda, komanso njira zanyumba kuti muchepetse shuga wabwinobwino komanso kupewa kutaya madzi m'thupi.

Kusanza, kusanza, ndi m'mimba

Mseru, kusanza, ndi kutsekula m'mimba nthawi zambiri zimayamba chifukwa cha bacteria kapena ma virus. Nthawi zina amakhala ndi zizindikiro ngati chimfine. Ngati muli ndi nseru, kusanza komanso / kapena kutsekula m'mimba, ndiye njira yofunikira ndiyo kusiya kudya. Kuphatikiza apo, nthawi zambiri kulibe chakudya. Mutha kupulumuka masiku ochepa osadya. Poterepa, muyenera kupitilirabe kumwa madzi ndi madzi ena omwe alibe chakudya. Funso limabuka - kodi kusala kudya kumasintha bwanji kuchuluka kwa mapiritsi a insulin ndi shuga?

Odwala omwe amaliza mtundu wa 1 wa chithandizo cha matenda a shuga kapena mtundu wachiwiri wa chithandizo cha matenda ashuga amawonjezera insulini kokha kuti azikhala ndi shuga. Tikatha kudya, timayendetsa shuga m'magazi ndi insulin yochepa kapena yochepa kwambiri. Pakusintha kwa kayendedwe ka kusala kudya panthawi ya matenda, jakisoni wofulumira wa insulin yomwe chakudya isanadye imatha, ndikuwonjezera insulin m'mawa ndi / kapena madzulo akupitilizabe monga mwa masiku onse. Akuti jekeseni wowonjezera sakulinso momwe mungafunikire kuti musunge shuga mwachangu. Kuti muchite izi, muyenera kuwerengera pasadakhale kuchuluka kwa mankhwalawo molingana ndi njira yomwe tafotokozera apa.

Ndi mapiritsi a shuga - chinthu chomwecho. Mapiritsi omwe mumatenga usiku kapena m'mawa kuti muchepetse kusala kudya, pitilizani. Mapiritsi omwe amatengedwa musanadye - osakhalitsa ndi chakudya. Mapiritsi onse awiriwa ndi insulin, omwe amayendetsa shuga m'magazi, amayenera kupitilizidwa muyezo waukulu. Izi sizimalola shuga wamagazi "kuchepa mphamvu" ndikukhala ndi matenda ashuga a ketoacidosis kapena hyperosmolar coma - zovuta zakupha za matenda ashuga. Chifukwa chake, kwa odwala omwe akupanga pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu ya 2 yokhala ndi matenda ashuga, zimakhala zosavuta kusintha machitidwe awo ochizira nthawi ya matenda opatsirana komanso kusala kudya. Anthu odwala matenda ashuga omwe amathandizidwa ndi njira zovomerezeka komanso kupaka jekeseni wamkulu wa insulin amakhala ndi mavuto ambiri.

Monga mukudziwa, matenda ndi kusowa kwamadzi kumapangitsa kuchuluka kwa shuga m'magazi. Chiwopsezo chokhala ndi kuzungulira kwamadzi komanso shuga wambiri amakhalapobe, ngakhale mukufa ndi njala. Ngati magazi a magazi atakwera, ndiye kuti ayenera kubwezeretsedwa mwachangu mothandizidwa ndi jakisoni wa insulin mwachangu. Ichi ndi chifukwa chake timalimbikira kuti onse odwala matenda ashuga apeze njira ya jakisoni wopanda insulin, ngakhale atakhala kuti sanachite bwino ndi insulin. Mukakhala ndi matenda opatsirana, jakisoni wa insulin yochepa ndiwothandiza komanso wofunikira kwambiri.

Zingwe za insulin panthawi ya matenda zimachepetsa katundu pama cell a beta ndipo zimapangitsa kuti akhale ndi moyo. Zimatengera kuti nthawi ya shuga imayamba kutha mukachira matendawa. Ngati simunakonzekere pasadakhale kuti mupeze insulin yanu kwakanthawi mukamalandira chithandizo, ndiye kuti mufunsane ndi dokotala kuti apange dongosolo la mankhwala a insulini ndikuphunzitsani momwe mungadzibweretsere nokha. Mukanyalanyaza izi, ndiye kuti pali zovuta zambiri kuti matendawa azichita chifukwa maselo a beta "atha". Choyipa chachikulu, matenda a shuga a ketoacidosis kapena hyperosmolar coma akhoza kuyamba.

Timalongosola mwachidule momwe shuga ya magazi imakhalira mothandizidwa ndi jakisoni wa insulin mwachangu pa matenda opatsirana. Muyenera kuyeza shuga ndi glucometer m'mawa mutadzuka, komanso maola 5 aliwonse. Ikani mulingo wokwanira wa ultrashort kapena insulini yochepa kuti mubweretse shuga ngati yatukulidwa. Pangani shuga m'magazi ndipo, ngati kuli kotheka, jekeseni insulin kwambiri maora 5 aliwonse, ngakhale usiku! Kuti muchite izi, khalani ndi koloko ya alamu kuti mudzuke pakati pausiku, mwachangu kumaliza zochitika zonse ndi kugona. Ngati muli ofooka kwambiri mwakuti simungathe kuyeza shuga ndi kubayira insulin, ndiye kuti wina ayenera kutero. Izi zitha kukhala wachibale wanu kapena wothandizira zaumoyo.

Ndi mapiritsi ati omwe ndiyenera kumwa

Mankhwala ambiri otchuka amalimbikitsa kuchepa thupi kapena ngakhale kufooketsa ntchito kwa impso kwakanthawi. Pa matenda opatsirana a shuga, kayendetsedwe kake amayenera kuyimitsidwa, kwakanthawi. Mndandanda wakuda umaphatikizapo mapiritsi oponderezedwa - okodzetsa, zoletsa za ACE, angiotensin-II receptor blockers. Komanso, musatenge mankhwala omwe si a antiidal a antiidal - ibuprofen ndi ena.Mwambiri, kambiranani zamankhwala zomwe mukumwera ndi adotolo omwe adakupangira.

• Chithandizo cha matenda a shuga ndi insulin: yambani apa. Mitundu ya insulin ndi malamulo ake kuti isungidwe.
• Insulin yamtundu wanji kuti mupeze jakisoni, munthawi yanji komanso mulingo uti. Njira za matenda ashuga amtundu 1 ndi matenda amitundu iwiri.
• Momwe mungapangire jakisoni wa insulin mopweteka. Njira Ya Insulinane Insulin
• Ma insulin, ma syringe zolembera ndi singano kwa iwo. Ndi ma syringe omwe ndi bwino kugwiritsa ntchito.
• Lantus ndi Levemir - omwe akukhala insulin. Sinthani shuga m'mawa pamimba yopanda kanthu
• Ultrashort insulin Humalog, NovoRapid ndi Apidra. Insulin yochepa yaumunthu
• Kuwerengera mlingo wa insulin musanadye. Momwe mungachepetse shuga kuti akhale wabwinobwino ngati adalumpha
• Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika
• Chithandizo cha mwana wa matenda a shuga 1 amachepetsa insulin Humalog
• Pampu ya insulini: zabwino ndi zowopsa. Chithandizo cha insulin

ACE zoletsa

Kodi ndingamwe mankhwala ati omwe ndimamwa ndi shuga kuti ndichepetse magazi? Kukonzekera kwa gulu la ACE inhibitor block block enzymes komwe kumapanga mahomoni angiotensin, omwe amathandiza kutsika mitsempha ya magazi komanso kumapangitsa kuti adrenal cortex apange mahomoni omwe amakopa sodium ndi madzi mthupi la munthu. Pa mankhwalawa antihypertensive mankhwala a ACE inhibitor kalasi yothamangitsa mtundu wachiwiri wa matenda a shuga, vasodilation imachitika, kudzikundikira kwa sodium ndi madzimadzi owonjezera amasiya, chifukwa chake kuthamanga kwa magazi kumachepa.

Mndandanda wamapiritsi azovuta kwambiri omwe mungamwe ndi shuga yachiwiri:

Mankhwalawa amalembedwa kwa odwala omwe ali ndi matenda oopsa chifukwa amateteza impso ndikuchepetsa kukula kwa nephropathy. Mlingo wochepa wa mankhwala amagwiritsidwa ntchito popewa njira yothandizira ziwalo za kwamikodzo.

Zowonjezera zochizira kutenga ACE zoletsa zimawonekera pang'onopang'ono. Koma mapiritsi oterewa sioyenera aliyense, mwa odwala ena amakhala ndi zotsatira zoyipa kutsokomola, ndipo chithandizo sichithandiza odwala ena. Zikatero, mankhwala a magulu ena amaperekedwa.

Angiotensin II receptor blockers (ARBs) kapena ma sartans amalepheretsa kusintha kwa mahomoni mu impso, zomwe zimapangitsa kuchuluka kwa magazi. Ma ARB sakukhudzana ndi kagayidwe kachakudya, kamapangitsa chidwi cha minofu yathupi kuti insulin.

Ma Sartan ali ndi vuto labwino ndi matenda oopsa ngati mpweya wamanzere wakakulitsidwa, zomwe zimakonda kupezeka motsutsana ndi maziko azopanikizira magazi komanso kulephera kwa mtima. Mankhwala oponderezedwa ndi gululi amavomerezedwa bwino ndi odwala omwe ali ndi matenda a shuga a 2. Mutha kugwiritsa ntchito ndalamazo ngati monotherapy kapenanso chithandizo chamankhwala othandizira okodzetsa.

Mndandanda wa mankhwala (sartans) olembetsa matenda oopsa kuti muchepetse kuthamanga komwe kungachitike ndi matenda a shuga a 2:

Chithandizo cha ARB chimakhala ndi zovuta zochepa kuposa ACE zoletsa. Kuchuluka kwa mankhwala kumawonedwa pakatha masabata awiri chiyambireni chithandizo. Ma Sartan atsimikiziridwa kuti ateteza impsozo mwakuchepetsa kutulutsa kwa mapuloteni mumkodzo.

Momwe mungapewere kusanza

Popewa kusowa kwamadzi, muyenera kumwa madzi, kuphatikizapo njira zamchere. Koma ngati mukusanza mosalekeza, ndiye kuti madziwo sadzakhala ndi nthawi yokumba. Ngati masoka 1-2 atatha kusanza, ndiye kuti siowopsa, komabe dziwitsani dokotala. Ngati kusanza kukupitiliza, imbani ambulansi nthawi yomweyo kuti agonekere kuchipatala. Kuwonongeratu zakupha! Ku chipatala, akatswiri adzaona momwe angaletsere kusanza, ndipo koposa zonse - mothandizidwa ndi omwe akutsikira, adzakupayirani jakisoni wamadzi ndi ma electrolyte ofunikira. Sitilimbikitsanso kumwa mankhwala aliwonse a antiemetic kunyumba.

Masanzi atasiya, muyenera kuyamba kumwa madzi kuti musinthe madzi omwe atayika m'thupi ndi kupewa kutaya madzi m'thupi.Imwani nthawi zonse, koma pang'ono ndi pang'ono, kuti musatambasule makhoma am'mimba komanso osasanza. Ndikofunikira kuti amadzimadzi azikhala ndi kutentha pafupi ndi kutentha kwa thupi - kotero amatha kumamwa nthawi yomweyo. Kodi madzi abwino kwambiri ndi otani pamenepa? Kodi mumamwa zochuluka motani? Madzi oyenera a inu muyenera kukwaniritsa zinthu zitatu:

• siziyenera kukhala chinthu chomwe sukukonda,
• zakumwa zopanda mchere wamafuta zokha zili zoyenera, pomwe zotsekemera zopanda mafuta zimaloledwa,
• madzimadzi ayenera kukhala ndi ma electrolyte - sodium, potaziyamu ndi ma chloride - kuti alipire ndalama zomwe adataya zomwe zidachitika munthawi ya kusanza kapena kutsegula m'mimba.

Mutha kumwa tiyi ya zitsamba, madzi osafunikira kapena mchere, ndipo ngati ndi nthawi yoti muyambe kudya, ndiye kuti msuzi wolimba wa nyama wopanda mafuta. Madzi onsewa amatha ndipo ayenera kukhala "opitilizidwa" ndi ma elekitirodi ena owonjezera. Pa lita iliyonse, onjezerani supuni ya 0,5-1 yopanda mchere wa tebulo, ndipo mutha kuthanso ¼ supuni ya potaziyamu wa potaziyamu. Ichi ndi cholowa chamchere chomwe chimagulitsidwa ku pharmacy. Mchere wa tebulo umapatsa thupi sodium ndi chloride, ndipo potaziyamu mankhwala enaake amapatsanso potaziyamu wofunikira. Ngati kusanza kwayima pambuyo pa ma episkopi a 1-2, ndiye kuti ma elekitirofiyiti sangawonjezedwe ndi madzi. Osagwiritsa ntchito ufa wa electrolyte wokonzeka ngati ali ndi shuga.

Mukasala kudya, madzi akumwa tsiku lililonse azikhala 48 ml pa kilogalamu imodzi ya kulemera kwa thupi. Kwa munthu wolemera makilogalamu 62, izi zimakhala pafupifupi malita atatu patsiku. Kwa anthu okulirapo - zochulukirapo. Ngati madzi amadzimadzi am'madzi atayika chifukwa cha kutsegula m'mimba kapena kusanza, ndiye kuti ma lita owonjezera amafunika kuti aledzere pasanathe maola 24 kuti abwezeretsere izi. Mwambiri, pamatenda opatsirana omwe ali ndi matenda ashuga, muyenera kumwa osati zochuluka, koma kwambiri. Ngati simunathe kapena kuyiwalako kumwa nthawi, muyenera kubayiratu madzi kuchipatala ndi omwe amatsitsa kuti alowetse madzi m'thupi.

Ngati inu kapena mwana wanu wodwala matenda ashuga agonekedwa m'chipatala kuti muchotse magazi m'thupi ndi omwe amasiya magazi, vuto lotsatirali lingachitike. Ogwira ntchito zachipatala adzafunika kupereka njira zamavuto amkati mwa shuga, fructose, lactose, kapena shuga wina amene amavulala ndi matenda a shuga. Osazilola kuchita izi. Tsimikizani kuti madokotala amapereka ma electrolyte njira popanda glucose kapena shuga wina. China chake chikachitika, kulumikizana ndi oyang'anira ndikuwopsezerani kuti mukadandaula ku Unduna wa Zaumoyo. Madzi amkati ndi ma electrolyte ndiofunikira kwambiri, chothandiza komanso chofunikira ... komabe, kwa iwo omwe amachiza matenda osokoneza bongo omwe amakhala ndi zakudya zamagulu ochepa a carbohydrate, ndikofunikira kuti yankho lake lilibe glucose kapena shuga wina.

Kutsegula m'mimba ndi momwe mungachitire bwino

Choyamba, tikuwonetsa kuti kutsegula m'mimba ndi magazi ndipo / kapena kuphatikiza ndi kutentha kwambiri kumafunikira kuchipatala msanga. Mutha kuyesa kuthandizidwa kunyumba pokhapokha ngati mulibe magazi kapena kutentha kwambiri kwa thupi. Chithandizo chili ndi zigawo zitatu:

• magazi shuga
• kuwongolera m'mimba kuti muchepetse kuwonongeka kwa madzimadzi ndi ma electrolyte,
• m'malo madzimadzi ndi ma elekitirodi otaika kale kuti tipewe kuchepa kwamadzi ndi shuga wambiri.

Kuwongolera shuga kumayendedwe kumachitika chimodzimodzi monga kusanza, ndipo tafotokozera kale pamwambapa. Ndi kulowetsedwa kwa madzimadzi ndi ma electrolyte - chinthu chomwecho, pokhapokha ndi m'mimba, mutha kuwonjezera supuni imodzi popanda slider ya siliva pa lita iliyonse yamadzi. Chithandizo chachikulu cha kutsegula m'mimba, monga kusanza, ndiko kusiya kudya. Ngati mumwa mankhwala aliwonse am'mimba, ndiye okhawo omwe amavomerezedwa ndi dokotala. Werengani "Mankhwala ochizira matenda am'mimba (matenda otsegula m'mimba) a matenda ashuga."

Ngati kutsegula m'mimba kumayendera ndi kutentha kapena chopondera ndi magazi - musaganize za kumwa mankhwala aliwonse, koma pitani kuchipatala msanga.

Kutentha kwambiri

Kutentha kwambiri kumayambitsa kusowa kwamphamvu kwamadzi, chifukwa munthu amatuluka thukuta kwambiri. Kuchuluka kwa kuchuluka kwa zotayikirazi ndikosavuta kuyesa, chifukwa chake timangolimbikitsa kumwa madzi okwanira malita 1-2 patsiku kuposa masiku onse. Kutentha kwamphamvu kwa thupi kumathandizira kuti ma virus kapena mabakiteriya omwe amayambitsa matenda opatsirana.Ngati nthawi yomweyo munthu amagona kuposa masiku onse, ndiye kuti izi zimathandizanso kuchira. Koma ndi matenda a shuga, kugona kugona kungakhale koopsa, chifukwa kumasokoneza njira zofunika - maola asanu aliwonse kuti muyeza magazi, ngati kuli kofunikira, perekani jakisoni wa insulin, kumwa madzi, kuyitanitsa dokotala. Khazikitsani alamu kuti mudzuke kamodzi pa ola lililonse.

Timasamala kwambiri ma antipyretics. Mlingo wofunikira wa aspirin kapena mankhwala osapatsirana a antiidal (ibuprofen ndi ena) angayambitse kwambiri hypoglycemia. Ndikosayenera makamaka kugwiritsa ntchito mankhwala a maguluwa pama kutentha kwambiri ana. Kuphatikizidwa kwa mankhwala osapweteka a anti-yotupa omwe amachititsa kuti munthu asowe magazi kungapangitse kulephera kwa impso. Mapiritsi a antisteroidal odana ndi kutupa sakhala oyenera kwa anthu omwe ali ndi vuto la impso.

Pa kutentha kwambiri, muyenera kuwongolera shuga ndi kumwa zamadzimadzi monga momwe tafotokozera pamwambapa paza kuchiritsa komanso kutsegula m'mimba. Pali phanga limodzi. Ndikulumbira, kutayika kwa ma electrolyte ndizochepa kwambiri. Chifukwa chake, ngati palibe kusanza komanso / kapena kutsekula m'mimba, ndiye kuti simungathe kuwonjezera njira zamchere pazakumwa zomwe wodwala amamwa. Ngati simukumva njala, ndiye kuti musadye. Ngati muli ndi njala, mwina окажется kapena 1/2 ya zakudya zanu zamasiku onse zidzakukwanire. Jekeseni 1/4 kapena ½ mwazomwe mumakonda kuchita insulin mwachangu, musanadye.

Kuthetsa shuga kwa shuga: Zopeza

Monga hypoglycemia, kuchepa magazi kumatha kukhala matenda osokoneza bongo. Chifukwa chake, achibale a wodwala matenda ashuga ayenera kuphunzira bwino nkhaniyi. Masheya omwe atchulidwa munkhani ya “zida zothandizira anthu oyamba. Zomwe mukufunikira kuti mukhale ndi odwala omwe ali ndi matenda ashuga pakhomo komanso nanu ”ziyenera kugulidwa pasadakhale ndikukhala pamalo osavuta kufikako. Apanso, tikulimbikitsa odwala onse omwe ali ndi matenda a shuga a mtundu wachiwiri kuti adziwe luso la jakisoni wopanda insulin ndikuwunika momwe ma insulin osiyanasiyana amakukhudzirani. Izi zikuyenera kuchitika pasadakhale, ngakhale mutha kuwongolera shuga anu ndi chakudya, masewera olimbitsa thupi, komanso mapiritsi.

Itanani dokotala wanu chizindikiro choyamba cha kutentha, kusanza, kapena kutsekula m'mimba. Munthu wodwala matenda ashuga akamalandira chithandizo chamankhwala, amakhala kuti amatha kupewa kuchepa kwa madzi m'thupi, matenda ashuga a ketoacidosis, kapena hyperosmolar coma. Madzi akayamba kale, mankhwalawo amakhala ovuta kwambiri. Dotolo amadziwa izi bwino, kotero sangasamale ngati mumusokonezeranso ndikuyitanitsa pasadakhale.

Dokotala mwina adzafunsanso ngati pali ma ketoni mumkodzo, ndipo ngati ndi choncho, mumatupa ati. Chifukwa chake, ndikofunikira kuyesa mkodzo ndi timiyeso ta ketone musanayitane adokotala. Ngati simukudya chilichonse, ndiye kuti timizere tina tomwe tingaonetse kuti pali ma ketoni mumkodzo wocheperako kapena wapakati. Ngati ma ketoni mumkodzo akaphatikizidwa ndi shuga wabwinobwino wamwazi, ndiye kuti palibe chodandaula. Matenda a shuga a ketoacidosis amayenera kuthandizidwa pokhapokha shuga amakwezedwa mpaka 10 mmol / L kapena kuposerapo. Ngati mutatenga aspirin kwa maola 24, muyenera kumuuza dokotala za izi chifukwa ma aspirin angayambitse matenda obwera chifukwa cha mkodzo wabwinobwino.

Gulu la mapiritsi a shuga

Mfundo za chithandizo cha matenda ashuga ndizosunga shuga pamlingo wa 4.0-5,5 mmol / L. Kuti muchite izi, kuwonjezera pa kutsatira zakudya zamafuta ochepa komanso kuchita masewera olimbitsa thupi pafupipafupi, ndikofunikira kumwa mankhwala oyenera.

Mankhwala ochizira matenda a shuga amagawika m'magulu akulu akulu.

Zochokera ku sulfonylureas

Mankhwalawa odwala matenda ashuga ali ndi vuto la hypoglycemic chifukwa kuwonetsedwa kwa maselo a beta omwe ali ndi vuto lopanga insulin mu kapamba.Njira za gululi zimachepetsa chiwopsezo cha impso ntchito ndi kukula kwa matenda amtima.

Maninil - mapiritsi otsika mtengo a odwala matenda ashuga

Mndandanda wazomwe zimachokera ku sulfonylurea:

Meglitinides

Mankhwala a anthu odwala matenda ashuga a gululi ndi ofanana mu njira zochizira zotumphukira zotuluka za sulufayiti ndikuthandizira kupanga insulin. Kuchita kwawo kumatengera shuga.

Novonorm ndiyofunikira pakupanga insulin

Mndandanda wa meglitinides abwino:

Pochiza matenda a shuga omwe amadalira insulin, meglitinides sagwiritsidwa ntchito.

Mankhwala a gululi amateteza kutulutsa shuga kwa chiwindi komanso amathandizira kuti magazi ake azilowa mosavuta.

Mankhwala osokoneza bongo wabwino

Magulu amakulu othandiza kwambiri:

Thimang

Amadziwikanso ndi zotsatira zomwezo pakathupi monga biguanides. Kusiyana kwakukulu ndikokwera mtengo komanso mndandanda wosangalatsa wazotsatira zoyipa.

Mankhwala okwera mtengo komanso ogwira mtima a shuga

Izi zikuphatikiza:

Thiazolidinediones alibe zotsatira zabwino mankhwalawa a mtundu 1 matenda a shuga.

Mankhwala obwera mwatsopano omwe amathandizira kuwonjezera insulin ndikupanga shuga ku chiwindi.

Galvus ndiyofunikira kuti amasule shuga ku chiwindi

Mndandanda wa glyptins ogwira:

Januvia kuti muchepetse magazi

Alpha Inhibitors - Glucosidases

Othandizira amakono othandizira odwala matenda ashuga amalepheretsa kupanga enzyme yomwe imasungunula michere yambiri, potero imachepetsa kuthana kwa polysaccharides. Ma Inhibitors amadziwika ndi zovuta zochepa komanso amakhala otetezeka kwa thupi.

Izi zikuphatikiza:

Mankhwala omwe ali pamwambawa atha kumwa mankhwala osakanikirana ndi mankhwala a magulu ena ndi insulin.

Sodium - glucose cotransporter zoletsa

M'badwo waposachedwa wa mankhwala omwe amachepetsa shuga m'magazi. Mankhwala a gululi amachititsa impso kuti zimveke shuga ndi mkodzo panthawi yomwe kuchuluka kwa shuga m'magazi kumayambira 6 mpaka 8 mmol / l.

Chida chofunikira chochepetsera shuga

Mndandanda wa Glyphlosins Wothandiza:

Mankhwala osakanikirana

Mankhwala omwe amaphatikiza metformin ndi glyptins. Mndandanda wa njira zabwino kwambiri zophatikiza mitundu:

Osamwa mankhwala osakanikirana mosafunikira - yesetsani kukonda mitundu yayikulu yakanthawi yayitali.

Kuphatikiza kwa matenda ashuga

Insulin kapena mapiritsi - ndibwino kwa matenda ashuga?

Mankhwalawa amtundu wa shuga 1 a matenda a shuga, insulin imagwiritsidwa ntchito, mankhwalawa amtundu wa 2 a mawonekedwe osavuta amachokera pakumwa mankhwala kuti achulukitse shuga.

Ubwino wa mapiritsi poyerekeza ndi jakisoni:

• kugwiritsa ntchito mosavuta komanso posungira,
• kusapeza bwino pakalandilidwa,
• kuyang'anira kwachilengedwe kwachilengedwe.

Ubwino wa jakisoni wa insulin ndi njira yothanirana mwachangu komanso kuthekera kosankha mtundu wabwino kwambiri wa insulin kwa wodwala.

Jakisoni wa insulin amagwiritsidwa ntchito ndi odwala omwe ali ndi mtundu wa 2 shuga mellitus ngati mankhwala osokoneza bongo sawapereka bwino ndipo atatha kudya glucose amakwera mpaka 9 mmol / L.

Jakisoni wa insulin amagwiritsidwa ntchito pokhapokha ngati mapiritsi sathandizira

“Kwa zaka zitatu ndakhala ndikudwala matenda ashuga. Kuthetsa shuga m'magazi, kuphatikiza jakisoni wa insulin, ndimatenga mapiritsi a Metformin. Kwa ine, iyi ndi njira yabwino kwambiri yothandizira odwala matenda ashuga pamtengo wotsika mtengo. Mnzake amamwa mankhwalawa kuntchito kuti azichiritsa matenda a shuga a 2 ndipo ndiwosangalala. ”

“Ndili ndi matenda ashuga a 2, omwe ndimawagwiritsa ntchito kwa zaka zingapo ndi mankhwala a Januvia, komanso a Glucobaya. Poyamba, mapiritsiwa andithandiza, koma posachedwa matenda anga adakulirakulira. Ndidasintha insulin - index ya shuga idatsikira ku 6 mmol / l. Ndimasangalalanso kudya ndikupita nawo kumasewera. ”

"Malinga ndi zotsatira za mayeso, adotolo adawulula kuti ndili ndi shuga wambiri. Chithandizocho chinali monga zakudya, masewera, ndi Miglitol. Ndakhala ndikumwa mankhwalawa kwa miyezi iwiri tsopano - kuchuluka kwa shuga kwayamba kuchita bwino, thanzi langa lonse layamba. Mapiritsi abwino, koma okwera mtengo kwa ine. ”

Kuphatikiza kwa zakudya zama carb ochepa komanso masewera olimbitsa thupi kumathandizira kukhazikika kwa shuga m'magazi a 2 a shuga.

Pakakhala zovuta, perekani zomwe zimaphatikizidwa ndi mankhwala omwe amaphatikiza metformin - amalimbitsa shuga wambiri ndi zovuta zina. Mlingo komanso kuchuluka kwa jakisoni wa insulin kwa matenda amtundu wa 1 amawerengedwa ndi dokotala, kutengera mawonekedwe a wodwala.

Voterani nkhaniyi
(2 mitengo, pafupifupi 5,00 pa 5)

Mankhwala osokoneza bongo

Ma diuretics amalimbikitsa zochitika za ACE zoletsa, motero, amapatsidwa mankhwala osokoneza bongo.

Liazide-like diuretics imakhala yofatsa mu mtundu wachiwiri wa matenda osokoneza bongo, imakhala yochepa kwambiri pazotsatira za potaziyamu, kuchuluka kwa glucose ndi lipids m'magazi, ndipo osasokoneza kugwira ntchito kwa impso.

Gululi limaphatikizapo Indapamide ndi Arefon Retard. Mankhwala ali ndi nephroprotective kwambiri pa gawo lililonse la ziwalo.

Indapamide imalimbikitsa vasodilation, imathandizira kupanga mapulatini osakanikirana, chifukwa chotenga mankhwalawa a matenda a shuga a 2, kuchuluka kwa magazi ndi kuchepa kwa magazi. Mu mankhwalawa achire, indapamide imangoyambitsa hypotensive zotsatira popanda kuwonjezera mkodzo. Malo ofunikira kwambiri ku Indapamide ndi mtima ndi minofu yaimpso.

Kuchiza ndi Indapamide sikukhudza kagayidwe kachakudya mthupi, chifukwa chake sikukweza kuchuluka kwa glucose, lipoproteins wotsika kwambiri m'magazi. Indapamide imatenga mwachangu mawonekedwe awo am'mimba, koma izi sizimachepetsa kugwira ntchito kwake, kudya pang'ono kumachepetsa kuyamwa.

Kugwira ntchito kwa nthawi yayitali kumatha kuchepetsa kuchuluka kwa mankhwalawa. Chithandizo chamankhwala chimatheka pomaliza sabata yoyamba kumwa mapiritsi. Ndikofunikira kumwa kapisozi imodzi patsiku.

Ndi magome ati okodzetsa omwe ndingamwe kumwa kuthamanga kwa magazi kwa matenda ashuga?

Mapiritsi a diuretic amalembedwa kuthamanga kwa magazi (matenda oopsa) mu mtundu 2 wa shuga. Dokotala wopezekapo amayenera kusankha mankhwalawa, makamaka kuopsa kwa matendawa, kupezeka kwa kuwonongeka kwa minyewa, komanso kuponderezana.

Furosemide ndi Lasix amalembedwa kuti atupire kwambiri kuphatikiza ndi ACE inhibitors. Komanso, odwala omwe ali ndi vuto la aimpso, kugwira ntchito kwa chiwalo chokhudzidwayo kumakhala bwino. Mankhwala amatsukidwa kuchokera potaziyamu wa thupi, motero muyenera kuphatikiza mankhwala okhala ndi potaziyamu (Asparkam).

Veroshpiron samatulutsa potaziyamu m'thupi la wodwalayo, koma amaletsedwa kuti agwiritse ntchito kulephera kwa aimpso. Ndi matenda a shuga, chithandizo chamankhwala ngati amenewo chimaperekedwa mankhwala osamveka.

Calcium calcium blockers

LBC imalepheretsa njira zamkati pamtima, mitsempha yamagazi, kuchepetsa ntchito zawo za kulera. Zotsatira zake, pali kukulitsa kwa mitsempha, kutsika kwa kuthamanga ndi matenda oopsa.

Mndandanda wa mankhwala a LBC omwe angatengedwe ndi matenda a shuga:

Ma calcium calcium blockers satenga nawo mbali mu kagayidwe kachakudya, amakhala ndi zotsutsana ndi kuchuluka kwa glucose, kuthamanga kwa mtima, ndipo alibe katundu wa nephroprotective.

Ma LBC amakulitsa ziwiya zaubongo, izi ndizothandiza popewa kuthana ndi okalamba.

Kukonzekera kumakhala ndi kusiyana pamlingo wachitidwe ndi chiwopsezo pantchito ya ziwalo zina, chifukwa chake, amapatsidwa aliyense payekhapayekha.

Mankhwala Oletsedwa

Ndi mapiritsi ati a antihypertgency omwe ali ovuta kwa odwala matenda ashuga? Zoletsa, zowononga okodzetsa a shuga zimaphatikizapo Hypothiazide (a thiazide diuretic).

Mapiritsiwa amatha kuwonjezera shuga wamagazi ndi kuchuluka kwa cholesterol. Pamaso kulephera kwa aimpso, wodwala amatha kuwonongeka pakugwira ntchito kwa chiwalo.

Odwala omwe ali ndi matenda oopsa amathiridwa okodzetsa a magulu ena.

Mankhwala Atenolol (β1-adenoblocker) a matenda a shuga a mtundu 1 ndi 2 amachititsa kuchuluka kapena kuchepa kwa matenda a glycemia.

Mochenjera, amalembera kuwonongeka kwa impso, mtima. Ndi nephropathy, Atenolol ingayambitse kuchepa kwambiri kwa magazi.

Mankhwalawa amasokoneza kagayidwe kachakudya kagayidwe kachakudya, kamakhala ndi zotsatira zoyipa zingapo kuchokera ku mantha, m'mimba, mtima. Poyerekeza ndi kumbuyo kwa kutenga Atenolol mu mtundu 2 wa matenda a shuga, kuthamanga kwambiri kwa magazi kumawonedwa.

Izi zimadzetsa kuwonongeka kwakukuru m'moyo wabwino. Kumwa mankhwalawa kumapangitsa kuti vutoli lizindikire kuchuluka kwa shuga m'magazi. Odwala omwe amadalira insulin, Atenolol amatha kuyambitsa hypoglycemia chifukwa cha kuwonongeka kwa glucose kwa chiwindi, ndikupanga insulin.

Zimakhala zovuta kwa dokotala kuti azindikire molondola, chifukwa zizindikiritso zake sizimatchulidwa.

Kuphatikiza apo, Atenolol imachepetsa chidwi cha minofu ya thupi kupita ku insulin, yomwe imayambitsa kuwonongeka kwa odwala omwe ali ndi matenda a shuga a 2, kusayerekezeka pamlingo wa cholesterol yoyipa komanso yopindulitsa, ndikuthandizira ku hyperglycemia.

Kulandila kwa Atenolol sikungayime mwadzidzidzi; ndikofunikira kufunsa dokotala za momwe adasinthira ndikusamutsira njira zina.

Kafukufuku wa sayansi akuwonetsa kuti kugwiritsa ntchito nthawi yayitali kwa Atenolol odwala omwe ali ndi matenda oopsa pang'onopang'ono kumayambitsa kukula kwa mtundu wa 2 matenda a shuga, chifukwa chidwi cha minofu kupita ku insulin chimachepa.

Njira ina ya Atenolol ndi Nebilet, β-blocker yemwe samakhudza metabolism ndipo amakhala ndi tanthauzo la vasodilating.

Mapiritsi a matenda oopsa mu shuga mellitus ayenera kusankhidwa ndi kuikidwa ndi dokotala kuganizira za munthu wodwala, kupezeka kwa ma contraindication, kuopsa kwa matenda.

Sitikulimbikitsidwa kugwiritsa ntchito β-blockers (Atenolol), malupu okodzetsa, chifukwa mankhwalawa amakhudza kayendedwe ka metabolic, amathandizira kuchuluka kwa glycemia ndi cholephera kuperewera kwa cholesterol.

Mndandanda wamankhwala othandizira amaphatikizapo sartans, thiazide-like diuretics (Indapamide), ACE inhibitors.

Chithandizo cha kumapazi kwa matenda ashuga: Mankhwala otani?

Chithandizo cha kumapazi kwa matenda ashuga ndichinthu chofunikira kwambiri kwa onse odwala matenda ashuga komanso madokotala. Kodi pali njira zofananira zochizira matenda ashuga oyamba? Ngati ndi choncho, mungayende bwanji ngati mukufuna kugwiritsa ntchito mitundu ingapo ya mankhwala?

Kodi zimachitika bwanji ndipo chifukwa chiyani kupweteka kwamiyendo kumachitika pakhungu la matenda ashuga?

Matendawa matenda a shuga amapezeka mu 70 peresenti ya matenda omwe apezeka, pomwe osayang'anira shuga bwino amapezeka kwambiri. Nanga bwanji kupweteka kwam'mimba kumachitika mu shuga?

The pathogenesis ya kukula kwa ululu wa m'miyendo mu shuga yamtundu uliwonse imalumikizidwa ndi angiopathy, neuropathy.

Chifukwa cha kukula kwa dyslipidemia, chiwopsezo cha atherosulinosis ndi kutseguka kwa peroxidation, kusokonezeka kwa magazi (ischemia) kumachitika osati m'matumba akuluakulu ndi zazing'onoting'ono, zomwe zimawonetsedwa ndi macro- ndi microangiopathy, motsatana.

Kugonjetsedwa kwa ngakhale ziwiya zazing'ono kwambiri - vasa amanorum, zomwe zimakhudzidwa ndi zakudya zamatumbo amanjenje, zomwe zimapangitsanso chiwonetsero cha zowawa, ndizodziwika. Izi zimatilora kufotokoza momwe miyendo yanga imapwetekera ndi matenda a shuga.

Kupweteka kwam'mimba mu shuga sikungokhala chifukwa chokhala ndi zovuta za angiopathic ndi neuropathic.

Kutseguka kwa tizilombo tokhala komweko kumathandizira kwambiri pakupanga ubale woyipa wa "miyendo ndi shuga".

Miyendo mu matenda a shuga ndi makamaka omwe amatha kupezeka ndi matenda opatsirana, chifukwa chake mavuto a bakiteriya a miyendo yokhala ndi matenda a shuga a 2 amakula, chithandizo chomwe chimafuna kugwiritsa ntchito maantibayotiki.

Miyendo imapweteka mu shuga, ngakhale mutachita zolimbitsa thupi. Kupweteka kwamatenda, kumakoka mwachilengedwe, makamaka miyendo yopweteka m'dera la phazi (zala).

Ululu umatha kufalikira kwa ng'ombe, mpaka matako. Kutenga ma pinkiller kuchokera ku gulu la NSAID poyamba kumabweretsa mpumulo, koma ndiye osagwira.

Ngati mapazi akupweteka kwambiri ndi matenda ashuga, muyenera kufunafuna thandizo nthawi yomweyo.

Zizindikiro za matenda am'miyendo mu matenda a shuga

Ndi matenda ati komanso mawonetsedwe omwe akuyenera kuwonetseredwa ndi kuwonetsa kwa matenda amiyendo mu matenda a shuga mellitus amawonekera m'ndandanda pansipa.

• Mitundu yosiyanasiyana ya neuropathy.
• Edema syndrome (mdera lamapazi, kumapazi, zala).
• Matenda a shuga.
• Matenda a trophic (zilonda zam'mimba).
• Diabetesic phazi lesion syndrome (SDS) - kuwonongeka kwa phazi mu mtundu 2 shuga, chithandizo chimafunikira opaleshoni.

Ngati miyendo imapweteka ndi matenda a shuga, ndikofunikira kuyesa momwe ululu uliri, nthawi yomwe imachitika. Yenderani khungu - nthawi zambiri zala zakuda zimayamba, mapangidwe ake a misomali amasintha, nthawi zina amathanso kuchita khungu.

Ndikofunikira kuyesa tsitsi la khungu la miyendo. Ndi neuropathy, kuchuluka kwa tsitsi kumachepa, amakhala opanda mtundu.

Kugwedeza miyendo ndichinthu choyamba chomwe chimakhudza miyendo ndi matenda a shuga a 2, chithandizo cha izi sichingalole SDS kukula.

-NOTE - Zofunika! Ngati chala chakuda, simuyenera kuchedwetsa kupita kwa dokotala - SDS ngati njira yovulaza phazi mu mtundu wachiwiri wa shuga, chithandizo chikufunika munthawi yake.

Kutupa, kutupa kumatha kuchitika pamiyendo ndi matenda a shuga. Izi zimayambitsa kugona m'miyendo. Phazi limakhudzidwa koyamba, nthawi zambiri limapweteka.

"Chimanga", kusakhala ndi chidwi kumalo omwe kuli katundu wambiri (yemwe amakhala ndi ischemic neuropathy) kumatha kuchitika.

Kuzindikira kumachepa, nthawi yomweyo, miyendo imapweteka kwambiri (kumva kupweteka kumasungidwa). Kutentha kwamapazi kumatha kuwonjezeka kapena kuchepetsedwa.

Mitundu yambiri ya maphunziro ofunikira kuti mupeze matenda ammiyendo mu matenda a shuga:

1. General kuyezetsa magazi ndi magazi oyera, mkodzo.
2. Biochemical kuphunzira magazi seramu.
3. Mbiri ya Glycemic, glycosylated hemoglobin (kotero kuti matenda a shuga amatsimikiziridwa).
4. X-ray yamapazi.
5. Kuyesa kwa Ultrasound.
6. Kujambula kwakanema ka ziwonetsero za ziwongola zam'mimba kumatha kuwulula matenda ammiyendo mu mtundu 2 wa matenda ashuga, chithandizo chikuyamba pa nthawi.

Chithandizo chikuyandikira

Momwe mungachiritsire miyendo chifukwa cha matenda ashuga komanso malingaliro aposachedwa pa chithandizo cha matenda a shuga a mtundu wachiwiri?

Chofunika kwambiri pazochizira komanso kupewa matenda amtundu wa 2 matenda ashuga, chithandizo cha arthropathy, ndikuwongolera shuga. Mankhwala osiyanasiyana ochepetsa shuga amagwiritsidwa ntchito.

Bigunaids, sulfonylureas, thiazolidinedinones, glucose-sodium cotransporter inhibitors ndi ena amagwiritsidwa ntchito mosamala pochiza miyendo matenda a shuga a 2.

Kusankhidwa kwa mankhwala kuposa kuchiza matenda a shuga mellitus kumachitika payekhapayekha, poganizira kulolera kwa wodwala mankhwala ena. Kuwonongeka kwa phazi la Neuropathic mu mtundu 2 wa shuga: chithandizo chamankhwala am'kamwa ndi chothandiza.

Chithandizo cha kumapazi kwa matenda amtundu wa 2 chitha kuphatikizira insulin. Izi zimachitika makamaka pamilandu ya kukokanso kukamwa kwamankhwala ochepetsa shuga, kukhazikitsa madera otentha, chikomokere.Kuwerengera kwa kuchuluka kwa insulini kumatengera thupi la wodwalayo. Nthawi yomweyo, chithandizo chamankhwala a matenda a shuga 2 chimayang'ana "chidziwitso" cha matendawa.

Koma chochita ngati miyendo imakhala ndi ululu wa shuga? Choyambirira kuchita ndikuchezera adokotala - othandizira kapena endocrinologist. Adzaunikiranso kukaonana ndi katswiri wofunikayo, popeza atapereka zoyambilira kuchita kafukufuku wa zasayansi ndi zothandiza. Adziwonetsa matenda ammiyendo mu mtundu 2 wa matenda ashuga: dokotala amupatseni mankhwala.

Mndandanda wa mankhwala othandizira pathogenetic, kuphatikizapo chithandizo cha miyendo ya matenda ashuga, umaphatikizapo kukonzekera kwa mtima. Izi zikuphatikiza Actovegin ndi Sulodexide (Wessel Duet f).

Mankhwalawa amachepetsa mapangidwe a thrombus, amalimbitsa ziwiya zamiyendo mu matenda a shuga, amakhala osagwirizana komanso antihypoxic.

Kafukufuku wambiri watsimikizira kugwira bwino kwawo mu matenda atrosselotic phazi (okhala ndi matenda ashuga).

Actovegin ikupezeka mu ma ampoules a 2000 mg ndi mawonekedwe a piritsi (piritsi limodzi la 200 mg la yogwira ntchito). Njira zochizira kwambiri zimakondedwa kwambiri: kusintha pang'onopang'ono kuchokera ku mtsempha wamkati wa actovegin kupita pakamwa.

Mankhwalawa amathandizidwa kamodzi kamodzi patsiku kwa masabata awiri, ndiye kuti aledzera patsiku la 1200 mg kwa milungu isanu ndi umodzi (ndiye kuti, mapiritsi atatu ayenera kumwedwa katatu patsiku ndi madzi ambiri mukatha kudya).

Sulodexide imagwiritsidwa ntchito pakuwonongeka kwa phazi mu mtundu wa 2 shuga, chithandizo monga momwe zimakhalira, pang'onopang'ono m'malo mwa mapiritsi a piritsi mumapangidwa pang'onopang'ono.

Mtundu wachiwiri wa matenda a shuga, mankhwalawa amtundu uliwonse wa neuropathy amaphatikizapo kukonzekera thioctic acid - neuro lipone, thioctacide, thiogamm ndi analogues. Mankhwalawa amapezekanso mu njira yankho la kugwiritsidwa ntchito mwamphamvu ndi mapiritsi. Mlingo - 600 mg. Chithandizo chimachitika m'magawo awiri:

1. Thioctacid imayendetsedwa kudzera m'mitseko kwa masiku khumi kamodzi.
2. Masiku makumi asanu, mankhwalawa amatengedwa pakamwa, kamodzi patsiku. Ngati miyendo yokhala ndi matenda osokoneza bongo imapweteka kwambiri, nthawi yogwiritsira ntchito imawonjezeka.

Kugwiritsa ntchito NSAIDs kumathandizira kuchepetsa ululu wam'mimba mu matenda ashuga a m'mimba, monga momwe amachitira ndi mitundu ina ya neuropathy (pewani kugwiritsa ntchito pafupipafupi chifukwa cha nephrotoxicity yayikulu). Kusokoneza kosambira nthawi zambiri kumathandiza.

Physiotherapeutic effect imagwiritsidwa ntchito kwambiri. Ndi matenda a shuga a mtundu wachiwiri, mankhwalawo ndi ovuta. Iyenera kuphatikiza njira zama psychotherapeutic, kutikita minofu.

Makamaka kuwonongeka kwa phazi mu mtundu 2 wa matenda ashuga: chithandizo ndicholinga chobwezeretsanso zizindikiro, kubwezeretsa ntchito zomwe zidatayika.

Kupewa

Popewa kukula kwa mavuto amiyendo mu shuga, ndikofunikira:

1. Kusamala mosamala kwa postprandial glycemia, kuthamanga shuga. Momwe mungachiritsire matenda ashuga komanso momwe nkhaniyi ingathetsedwe molumikizana ndi endocrinologist.
2. Kukhazikitsidwa kokhazikika kwa ukhondo wa tsiku ndi tsiku, kuphatikiza ndi kuchapa miyendo mutatsuka ndi mafuta odzola, mafuta oyenda bwino okhala ndi urea.
3. Valani nsapato zotakasuka, ndikofunikira kuti mugule muma salon a orthopedic.
4. Pochita mabala, abrasions, ndikofunikira kugwiritsa ntchito hydrogen peroxide kapena chlorhexidine bigluconate ngati antiseptic.

Ndi mapiritsi amtundu wanji omwe amalembedwera matenda a shuga a 2?

Ndi mapiritsi amtundu wanji omwe amalembedwera matenda a shuga a mtundu wachiwiri? Funso ili ndilokondweretsa kwa odwala ambiri. Matenda a shuga ndi matenda osasangalatsa kwambiri omwe amayambitsa mavuto ambiri, koma palinso vuto lina lalikulu pamene matenda ashuga amatenga mtundu wachiwiri.

Matenda amtunduwu amakhala ndi zovuta mu mawonekedwe a hyperglycemia, ndiko kuti, thupi limalephera kutsitsa shuga pamagazi ake popanga insulin, popeza kulumikizana kwa minyewa yam'mimba ndi mahomoni pawokha amasokonezeka. Type 2 matenda a shuga aanthu pafupifupi 90% ya matenda onse; anthu opitirira zaka 40 ndi omwe amakhudzidwa kwambiri.

Kunenepa kwambiri ndi chimodzi mwazomwe zimayambitsa matendawa. Matenda a shuga amakula ndipo amayamba kupita patsogolo pang'onopang'ono ndipo amayenda limodzi ndi zizindikiro zingapo zachiwiri, ndipo ngati sanachiritsidwe, ndiye kuti zovuta zingapo za ziwalo zonse ndi ziwalo zimatha kuchitika, chifukwa kagayidwe kazakudya kamasokoneza thupi.

Matenda a 2 a shuga amagawidwa m'magulu angapo, kutengera zifukwa zingapo:

1. 1. Gawani molingana ndi kuopsa kwa maphunzirowo: Njira yofatsa yamatendawa ndi gawo lomwe mkhalidwe wa wodwalayo umatha kusintha mwachangu pokhapokha piritsi limodzi la mankhwalawo.
      • ambiri matenda - pankhaniyi, wodwalayo ayenera kumwa mapiritsi angapo. Yogwira mtima kupanikizika
      • kwambiri matenda - amafuna insulin mankhwala. Ndi matendawa, matendawo amatuluka, ma retinopathy, nephropathy ndi angiopathy a malekezero amakula.
2. 1. Gawani malinga ndi kubwezera kwa kagayidwe kazakudya zam'mimba: gawo la malipiro. Gawo lolipirira. Kubweza gawo.
   2. Ndipo, pamenepo, gawoli kutengera zovuta: Microangiopathy kapena macroangiopathy.
      • polyneuropathy yoyambitsidwa ndi matenda ashuga,
      • matenda a shuga arthropathy,
      • retinopathy ndi ophthalmopathy oyambitsidwa ndi matenda a shuga,
      • matenda a shuga nephropathy
      • matenda a shuga a encephalopathy.

Type 2 matenda a shuga amayamba chifukwa cha kuchuluka kwa majini komanso zinthu zomwe zapezeka. Kunenepa kwambiri ndi chimodzi mwamphamvu zomwe zimayambitsa matendawa, ndipo anthu onenepa kwambiri ali pachiwopsezo.

Kodi matenda a shuga amawonekera bwanji?

Kuwonetsera kofunikira kwambiri kwa shuga ndi kuwonjezereka kwa shuga m'magazi. Izi ndichifukwa choti minofu pang'ono idalephera kugwira glucose ndikuigwiritsa ntchito.

Poterepa, thupi limayamba kusokoneza mphamvu zina: ma amino acid ndi mafuta achilengedwe momasuka.

Chifukwa cha kuchuluka kwa shuga m'magazi ndi madzi ambiri a thupi, kuchuluka kwa osmotic kumachitika, ndiye kuti, kuchepa thupi kwa thupi kumayamba chifukwa cha kuchepa kwa madzi mu impso. Njirayi imayendetsedwa ndi kuchepa kwakukulu m'thupi la michere ndi zinthu zina, zomwe zimatsimikizira magwiridwe antchito amkati ndikuchita bwino.

Odwala ali ndi ludzu lamphamvu kwambiri komanso chikhumbo chambiri chopita kuchimbudzi, amatopa msanga, nembanemba imakhala youma, mtima wokhazikika komanso zizindikiro zina zakulephera kwa ma elekitirodi.

Kuphatikiza apo, kuwonjezeka kwa shuga m'magazi kumabweretsa kuwonongeka kwa mapuloteni ambiri, ndipo chifukwa cha kuchepa kwa matenda a ziwalo zamkati amayamba. Kuzindikira mtundu 2 matenda a shuga kumachitika mwa kudziwa kuchuluka kwa shuga m'magazi.

Matenda omwe samayambitsa madzi am'madzi

Matenda ambiri samakhala ndi vuto lakusowa madzi m'thupi, koma pafupifupi onsewo amawonjezera shuga m'magazi. Matenda opatsirana amayambitsa zizindikiro zomwe zimatha kusiyanitsidwa mosavuta. Ngati muli ndi matenda a kwamkodzo thirakiti, pamakhala kumva koyaka mukakodza. Bronchitis amawonetsedwa ndi kutsokomola, ndi zina zotero. Zonsezi ndizizindikiro zomveka bwino zochokera ku thupi kuti chisamaliro chachipatala chofunikira chikufunika. Chifukwa ngati muli ndi matenda a shuga a 2 kapena mtundu 1 wa shuga wofatsa, ndiye kuti simukufuna kuti maselo anu ochepa otsala a beta afe.

Zofanana ndi izi ndizakuti wodwala matenda amtundu wa 2 amawona kuti ali ndi matenda otupa kwamkodzo. Koma amaimitsa nthawi yochezera urologist ndipo samachiritsidwa. Zotsatira zake, shuga yamagazi ake imakwera kwambiri mpaka ma cell otsala a beta "amawotcha". Pambuyo pa izi, mtundu 2 wa shuga umasandulika kukhala mtundu woyamba wa shuga, ndipo tsopano wodwalayo ayenera kuchita jakisoni 5 wa insulin tsiku lililonse.Choyipa chachikulu, matenda a kwamikodzo popanda kulandira chithandizo mosamala amachititsanso impso, kenako "bokosi lakuda" likungofika pakona.

Matenda obisika nthawi zambiri amapezeka omwe samayambitsa matenda ena alionse kupatula shuga wosadziwika bwino. Ngati shuga amakhala wokwera kwa masiku angapo ndipo insulini imachita zoyipa kuposa masiku onse, ndiye iyi ndi nthawi yolankhula ndi dokotala. Zikatero, zimapezeka kuti wodwalayo wasokoneza insulini chifukwa chosungidwa bwino kapena kugwiritsanso ntchito ma syringes, kapena matenda atayamba pakamwa.

Momwe mungagwiritsire ntchito Yerusalemu artichoke ndi matenda ashuga?

Yerusalemu artichoke ndi mbewu yachikale, yomwe imakula mosiyanasiyana m'mphepete mwa malo okongola, m'mphepete mwa nyanja komanso malo opanda kanthu. Peyala ya dothi imawonedwa ngati namsongole woyipa, komanso njira yabwino yochepetsera shuga wamagazi.

Mitengo yamitengo yayitali ndi masamba osakhwimira, komanso ma tubers ochepa opangidwa pamizu, ali ndi katundu wotsitsa shuga.

Zothandiza katundu

Mphamvu ya Yerusalemu artichoke pa matenda amisempha wa kagayidwe kachakudya amafotokozedwa ndi zomwe zimapangidwa ndi chinthu monga inulin. Ndi iye omwe ali ndi phindu pa glucose wamagazi.

Kuphatikiza pa inulin, kuphatikiza kwa mankhwala a chomera pamakhalanso zinthu zothandiza monga izi:

• saccharides ndi pectin,
• wowuma ndi mapuloteni,
• Mavitamini B ndi acid ascorbic,
• ma amino acid
• vitamini PP ndi carotene,
• malic, citric, fumaric, rasipiberi ndi presinic acid,
• phulusa ndi utsi,
• zinthu zazing'ono ndi zazikulu (chitsulo, phosphorous, magnesium, calcium, zinc, potaziyamu).

Mphamvu zakuchiritsa zaku Yerusalemu artichoke zikuphatikiza:

• amachotsa zinthu zapoizoni ndi zotayira m'thupi
• amatsuka makoma a cholesterol amana ndi kutsekeka kwamitsempha yamagazi,
• Amafewetsa ndikuchotsa miyala ku ziwalo za kwamkodzo ndikugaya chakudya,
• Imachepetsa shuga,
• kuchuluka kwa hemoglobin ndipo kumalepheretsa kukula kwa kuchepa kwa magazi m'thupi,
• amachepetsa kuthamanga kwa magazi
• imathandizira kuwonongeka kwa maselo amafuta,
• imathandizira kubwezeretsanso kuthekanso kwa minofu yofewa,
• normalization acidity m'mimba ndi bwino chimbudzi.

Kodi Yerusalemu artichoke amathandizira ndi matenda ashuga?

Kudya zakudya za artichoke ku Yerusalemu ndizothandiza kwa odwala omwe ali ndi matenda amtundu wa 1 komanso a 2. Kamodzi m'thupi, inulin yomwe ili m'zomera imawonongeka ndikamasulidwa kwa fructose. Fructose amalowa m'maselo, kupatsa thupi mphamvu. Gawo lotsalira la inulin limamanga ndikuchotsa mamolekyulu a shuga, omwe amatsimikizira kuchepa kwa plasma glucose.

Kuphatikiza apo, Yerusalemu artichoke imakhala ndi phindu pa ntchito ya kapamba, amachotsa madzi ochulukirapo, potero amathandizira pakuchotsa edema.

Kugwiritsa ntchito mbewu tsiku lililonse kumalepheretsa kufotokozeredwa kwa ziphuphu za atherosulinotic pamakoma a mtima ndikubwezeretsanso magazi. Izi, zimathandizira kugwira ntchito kwa minofu ya mtima ndipo zimachepetsa kuthamanga kwa magazi.

Kuphatikiza apo, Yerusalemu artichoke amathandizira kukonza chiwopsezo cha ma cell receptors kuti apange insulin.

Tubers ingagwiritsidwe ntchito osati kokha ngati mankhwala, komanso njira zopewera kuthamanga kwa matenda oopsa, matenda a mtima, shuga

Mothandizidwa ndi mtengo wochiritsa, kupezeka kwa vuto la mtima ndi sitiroko, chitukuko cha ischemia ndi mapangidwe amiyala m'mimba ndi mumkodzo wamkodzo zimatha kupewa.

Kugwiritsa ntchito zakudya zamatumbo a pearl ndikukonzekera malinga ndi zomwe zimakuthandizani kuti muchepetse mawonekedwe a shuga 2 ndikuchepetsa mulingo wa mahomoni omwe amagwiritsidwa ntchito ngati matenda ashuga 1.

Malinga ndi ndemanga ya anthu omwe ali ndi matenda ashuga, kuyambitsa kwa Yerusalemu artichoke m'zakudya kunabweretsa zotsatira zabwino mkati mwa masabata awiri mpaka atatu atayamba kugwiritsa ntchito.

Odwala amati kutenga kulowetsedwa ndi tiyi kuchokera ku ma tubers a chomera kunathandizira kwambiri kuwongolera shuga, ngakhale mankhwala atakhala osathandiza.

Ndani amabera ndani?

Ubwino ndi thanzi la peyala yadothi ndizomveka bwino. Yerusalemu artichoke alibe zotsutsana ndipo ndiotetezeka kuti agwiritsidwe ntchito pazaka zilizonse. Izi zimapangitsa kuti chomera chilandire chithandizo kwa amayi apakati komanso akakhanda, ana ndi okalamba.

Ndiosafunika kugwiritsa ntchito kokha kwa anthu omwe ali ndi chiwopsezo chambiri pazinthu zomwe zimapangidwa. Potere, kudya chomera kumatha kuyambitsa mavuto.

Kugwiritsa ntchito Yerusalemu artichoke pophika, osakuwonjezera soseji ndi mafuta a mandimu m'mbale.

Simuyeneranso kugwiritsa ntchito molakwika kugwiritsa ntchito tubers yaiwisi, apo ayi pakhoza kupangika mpweya m'matumbo ndi kumatulutsa.

Kuchiritsa

Mphamvu zakuchiritsa za mapeyala a dothi sizigwiritsidwa ntchito pokhapokha mankhwala azikhalidwe, komanso zamankhwala. M'makeyedwe a mankhwala, mutha kugula mankhwala ku Yerusalemu artichoke mu mawonekedwe a madzi kapena mapiritsi.

Mapiritsi a Topinat adapangidwa kuti azitha kugwira bwino ntchito ndikulimbitsa chitetezo chamthupi. Amatengedwa ngati hypoglycemic komanso thandizo logaya chakudya. Mapiritsi ithandizanso pa matenda a matumbo dysbiosis komanso kubwezeretsa matenda a peristalsis.

Malinga ndi malangizo a mankhwalawa, tikulimbikitsidwa kuti mutenge piritsi kwa milungu itatu musanadye chilichonse. Pakatha milungu iwiri, maphunzirowo ayenera kubwerezedwa.

Momwe mungagwiritsire ntchito Yerusalemu artichoke pazamankhwala? Mankhwala achikhalidwe, madzi ochokera ku ma tubers atsopano amagwiritsidwa ntchito. Tubers ndi zitsamba zimagwiritsidwa ntchito mwatsopano ndi zouma kuti zikupange kulowetsedwa, tiyi wa Vitamini ndi madzi a mankhwala. Konzekerani pamaziko a mbewu ndi tin tin.

Kuphatikiza apo, ma tubers amakhala ndi kukoma kosangalatsa ndipo angagwiritsidwe ntchito kuphika kuchuluka kwa mbale zingapo. Amapanga zikondamoyo, mbale zam'mbali, soups ndi casseroles, zokhwasula-khwasula ndi saladi.

Kuchiritsa msuzi

Madzi owiritsa amamwetsedwa kuchokera ku peeled ndikutsuka tubers zosaphika. Kuti muchepetse shuga m'magazi, muyenera kumwa 100 ml ya madzi tsiku lililonse kwa mphindi 30 musanadye kadzutsa, nkhomaliro.

Kutalika kwa chithandizo cha artichoke ku Yerusalemu ndi milungu iwiri, pambuyo pake zikuyenera kukhala masiku 10 kuti mupumule ndikubwereza phwando. Amaloledwa kusunga madzi osaposa maola 12, koma ndi bwino kukonzekera gawo latsopano musanadye.

Kuphatikizana kwa ofanana ndi Yerusalemu artichoke tubers madzi ndi msuzi wa apulo kumalepheretsa kukula kwa magazi, ndipo ngati madzi a apulo asinthidwa ndi nyanja ya buckthorn, kumwa kumathandizanso kuthamanga kwa magazi.

Kulowetsa kopatsa chidwi

Zimayambira ndi masamba a chomera zimagwiritsidwa ntchito bwino ngati kulowetsedwa kuti muzikhala shuga wambiri wa shuga.

Itha kugwiritsidwa ntchito mwatsopano, koma ndi bwino kupera ndi kupukuta masamba kuti asayatsare ndi chinyezi. Zinthu zopangira zoterezi zimasungidwa bwino pamalo owuma pachaka chonse.

Kukonzekera kulowetsedwa, muyenera kuwira magalasi awiri amadzi ndikuthira 20 g zitsamba zouma.

Khazikikani kwa maola atatu ndikumwa 100 ml musanadye kadzutsa, nkhomaliro ndi chakudya chamadzulo. The kulowetsedwa ayenera kumwedwa mwachilengedwe, popanda kuwonjezera shuga kapena uchi.

Mowa tincture

Thirani botolo la vodika mu chidebe chagalasi ndikutsanulira mapaundi owuma ndi masamba a Yerusalemu artichoke.

Firiji kwa masabata angapo. Mu 250 ml ya madzi, kwezani 1 tbsp. l kulowetsedwa kwa mowa ndi kumwa musanadye chakudya cham'mawa, nkhomaliro komanso chakudya chamadzulo.

Mankhwalawa amachotsa kufalikira, kubwezeretsa maselo owonongeka a chiwindi. Tincture ingathandize kuyeretsa magazi a cholesterol ndikuchotsa zinthu zapoizoni ndi zinthu zowola m'thupi.

Madzi oundana a peyala akhoza kugulidwa okonzedwa, koma ndizotheka kuphika nokha.

Finyani msuziwo kuchokera kumiyendo yozungulira ndikuwutentha mpaka 50 ° C. Mdima kwa mphindi 10 pa kutentha kochepa komanso kozizira.

Bwerezani Kutentha kasanu ndikuwonjezera mandimu.Pambuyo pozizira, tsanulirani madzi okumbikawo mumtsuko wagalasi, kusindikiza ndikusungira ozizira.

Manyuchi amalowa m'malo mwa shuga, omwe amaletsedwa kwa odwala matenda ashuga, chifukwa chake ayenera kuwonjezeredwa ku mbale ndi zakumwa. Koma zabwino za mankhwalawa sizimathera pamenepo.

Mankhwala ndi othandiza pankhaniyi:

• Amakonza chimbudzi,
• Chotsani zotupa
• yeretsani thupi poizoni, poizoni ndi mafuta m'thupi,
• thandizirani kuchepetsa kunenepa
• Chotsani kutentha kwa mtima
• idzachepetsa shuga ndende ndikuonjezera insulin.

Mwa izi, pakatha milungu iwiri, mutatha kudya chilichonse 1 tbsp. l madzi.

Tiyi yochokera pamizu ya mbewu imathandizira kupewa kuchepa kwa madzi m'thupi. Mutha kuphika nthawi iliyonse pachaka pogwiritsa ntchito tubers watsopano m'chilimwe, ndikugwiritsa ntchito zida zouma m'dzinja ndi nthawi yachisanu.

Kukonzekera peyala ya dothi kuti mugwiritse ntchito mtsogolo, kudula timizere ta m'miyala ndikumuma m'malo otetezedwa ku kuwala ndi chinyezi mpaka phula, kuphwanya mpaka ufa ndikusunga mu chidebe chopangidwa ndi galasi kapena pulasitiki.

Thirani 500 ml ya madzi owiritsa mu thermos ndi kutsanulira 3-4 wosadulidwa watsopano tubers. Khazikikani kwa maola 12, zosefera ndi kumwa tsiku lonse.

Tea kuchokera ku zosaphika zouma zakonzedwa pamlingo wa 250 ml ya madzi owiritsa ndi 10 g wa ufa. Tiyi amateteza kwa theka la ola ndi kumwa popanda zoletsa.

Zakudya zophikira

Yerusalemu artichoke tubers ndi chinthu chilichonse chomwe chimagwiritsidwa ntchito pophikira zakudya zosiyanasiyana. Amatha kuwaza, kuwotchera mu uvuni, kuwotchera, zamzitini, ndipo, amagwiritsidwa ntchito mwatsopano, kuwonjezeredwa ku saladi za Vitamini.

Mutha kupeza maphikidwe ophika pakukonda kulikonse ndikusintha menyu wanu ndi zinthu zofunikira komanso zotsatsa:

1. Yerusalemu artichoke casserole. Zimatenga: 3 tubers, ma supuni angapo amkaka, 70 g ufa, 1 tbsp. l mafuta masamba, dzira, 70 g semolina. Pogaya tubers peeled mu gruel ndikuphatikiza ndi dzira, mkaka, semolina ndi ufa. Mafuta pang'ono pang'onopang'ono ndikuwaza ndi ufa. Ikani chimangacho mu nkhungu ndikuyika mu uvuni, wotentha mpaka 180 ° C, kwa mphindi 40-50.
2. Saladi ndi masamba. Mufunika: tubers 2 yaying'ono, radara 4, 1 nkhaka yaying'ono yatsopano, katsabola ndi parsley, 1 tbsp. l mafuta a maolivi, mchere ndi zonunkhira. Pogaya masamba kukhala ma cubes kapena kupaka m'mikwendo. Sakanizani ndi zitsamba zosankhidwa, onjezerani zonunkhira, uzitsine mchere ndi nyengo ndi mafuta.
3. Zovala za Hash. Mufunika: 500 g a ku Yerusalemu atitchoku tubers, 400 g wa kaloti, mazira 2, 50 g ufa, uzitsine mchere, amadyera. Pogaya masamba mu gruel, kuwonjezera mazira, ufa, mchere ndi masamba osankhidwa. Knead misa ndikuwaza zikondamoyo.
4. Yerusalemu artichoke casserole wokhala ndi bowa. Mufunika: 600 g ya ku Yerusalemu artichoke tubers, anyezi, dzira, 60 g ya tchizi, 200 g yatsopano bowa komanso mchere wambiri, zinyenyeswazi za mkate, 2 tbsp. l mafuta a masamba, mchere, zonunkhira zina. Cook zophika tubers m'madzi amchere ndi kuphwanya mbatata yosenda. Menyani dzira ndikusakaniza bwino. Dulani bowa, mwachangu, ndikuwonjezera supuni zamadzi zingapo, simmer mpaka wachifundo. Dulani anyezi m'mphete kapena theka, mwachangu mpaka zofewa ndikuphatikiza ndi bowa. Sakanizani masautso a bowa wokazinga ndi timadzi tophika, anaikamo mawonekedwe koma owazidwa ndi mkate. Falitsa tchizi la grated tchizi pamwamba. Ikani mu uvuni wamoto mpaka 180 ° C ndi kuphika kwa theka la ola.
5. Zakudya za Vitamini Vitamini. Mudzafunika: ma tubers atatu osenda bwino, kaloti wamkulu, maapulo atatu, theka ndimu, supuni ya mafuta a masamba. Grate tubers, maapulo ndi kaloti ndi maudzu, kutsanulira pa mandimu ndi nyengo ndi mafuta.

M'malo mwa batala, saladi zatsopano zimatha kukonzedwa ndi tchizi tchizi, kefir wopanda mafuta kapena yogati. Mutha kuphatikiza Yerusalemu artichoke ndi daikon, peyala, sitiroberi, magawo a zipatso zamalanje.

Makonda ena owerengera:

Likukhalira kuti chomera chofunikira choterechi chiyenera kukhalapo pakudya kwa odwala omwe ali ndi matenda ashuga, kuyesetsa kukhalabe athanzi komanso kuchepetsa kudya mankhwala ochepetsa shuga.

Uwu ndi mankhwala achilengedwe azitsamba omwe amatha kuwongolera glucose ndikuwasunga pamlingo wovomerezeka. Kuphatikiza apo, mtengowu ulibe zotsutsana ndipo ungagwiritsidwe ntchito panthawi yokhala ndi pakati komanso mkaka wa m'mawere, komanso mankhwala a matenda a shuga kwa ana.

Osangodalira chomera chamachiritso. Ndikotheka kuchepetsa njira ya matenda ashuga kokha kudzera mwa njira yophatikiza. Kupezeka kwa mapeyala akadothi pamenyu, kudya kwamadzi kwatsopano tsiku lililonse, kutsatira zakudya ndi kukhazikitsa malingaliro a adotolo kungathandize kuti matendawa azilamulidwa, azikhala ndi moyo wogwira ntchito komanso kupewa kutulutsa zovuta.

Mavuto a shuga

Matenda a shuga amatha limodzi ndi zovuta zambiri:

1. Ndi microangiopathy kapena macroangiopathy oyambitsidwa ndi matenda ashuga, kusokonezeka kwam'mimba kumachitika, kupezeka kwawo kumachepa, kufooka kwa chiwopsezo, chiwopsezo cha kuwundana magazi ndikukula kwa atherosulinosis kumachuluka.
2. Ngati pali polyneuropathy yomwe imayambitsidwa ndi matenda a shuga, ndiye kuti munthu akumva ululu m'mitsempha ya mitsempha, amatha kupunduka.
3. Arthropathy mu matenda a shuga imabweretsa zowawa ndi kulumikizana mafupa, zimakhala zochepa mafoni.
4. Zovuta zimatha kuthana ndi gawo la ophthalmic, ndiye kuti, kuwonongeka kowonekera kumachitika. Mphaka angayambike kapena mandala ayamba kugwa, ndikuwonongeka kwa retic kumayambanso.
5. Nephropathy mu shuga imayambitsa matenda a impso, omwe ma protein ndi zinthu zomwe zimapanga magazi zimayamba kulowa mkodzo. Ngati simusamala ndi nthawi, ndiye kuti kulephera kwa impso kumayamba.
6. Kusintha konseku sikungakhudze thanzi la munthu. Wodwalayo amakhala ndi nkhawa, kukhumudwa, kusinthasintha kwa zochitika zake, pamatha kukhala ndi zizindikiro za kuledzera kwapakati pa manjenje.

Monga mitundu yambiri yamankhwala yokhudzana ndi kusokonezeka kwa metabolic, mankhwalawa matenda a shuga a 2 amayamba ndi kukhazikitsidwa kwa zakudya zapadera ndikuchita masewera olimbitsa thupi ndi dokotala. Zinthu ziwiri izi zithandiza wodwalayo kuchepa thupi, chifukwa ndi matendawa, ngakhale kuwonda pang'ono kumathandiza kwambiri kuteteza kagayidwe kazakudya m'thupi komanso kuchepetsa kuphatika kwa shuga ndi chiwindi.

Ngati gawo lili patsogolo, ndiye kuti mapiritsi ndi mankhwala ena omwe amagwiritsidwa ntchito omwe ali ndi lingaliro lina.

Kuchepetsa mayamwidwe a shuga ndi matumbo, kapangidwe kake ndi chiwindi ndikuwonjezera kukhudzika kwa minofu yathupi la insulin, zotsatirazi zimagwiritsidwa ntchito:

1. Kukonzekera kwa Biguanide, akuphatikizapo: Siofor, Metfogama, Bagoyet, Formmetin, Glucofage.
2. Mankhwala a Thiazolidinediode - ndiko kuti, mankhwala omwe amatsitsa insulin kukaniza: Pioglitazone ndi ena.

Mankhwala osokoneza bongo ndi mapiritsi omwe amathandizira kuteteza insulin:

1. Kukonzekera kwa Sulfanilurea kwa m'badwo wachiwiri, omwe akuphatikizapo: Glibenclamide, Glipizil, Glimepiride, Gliclazide.
2. Kukonzekera kwa non-sulfonylurea siriagogy: Starlix, Diclinid.

Mankhwala omwe amaletsa michere ya m'matumbo yomwe imaphwanya glucose pamene mayamwidwe amkati mwa matumbo atha. Mankhwala abwino kwambiri ndi Acarbose.

Mankhwala omwe amalimbikitsa zolandilira chiwindi ndi kusintha metabolism ya lipid. Mothandizidwa ndi iwo, kutupa m'matumbo kumachepetsedwa kwambiri, ma microcirculation amayenda bwino. Komanso, chifukwa cha iwo, zomwe mumapanga mu uric acid zimachepetsedwa. Yemwe amaimira bwino kwambiri mankhwalawa ndi Fenofibrate Tricor 145 mg.

Mankhwala othandizira odwala matenda a shuga a mtundu wachiwiri alipo, ndipo kusankha kwawo ndikofunika kwambiri, choncho muyenera kufunsa dokotala yemwe angakupatseni mankhwala ofunikira. Komanso, chithandizo chokhala ndi mapiritsi chimapereka zotsatira zowonekera mu masabata angapo.

Kodi ndimankhwala ati a shuga omwe ali bwino komanso othandiza kuthandizira?

Aliyense amadziwa kuti matenda ashuga amagawidwa m'mitundu iwiri.Mtundu wa shuga wodalira insulin 1 amadziwika ndi zovuta m'matumbo, omwe amasiya kutulutsa insulin kapena samatulutsa zokwanira.

Pankhaniyi, mankhwala obwezeretsera omwe ali ndi mankhwala ngati a insulin amagwiritsidwa ntchito. Mtundu wachiwiri wa matenda ashuga, insulini imapangidwa mokwanira, koma ma cell a cell sangathe kuyamwa.

Pankhaniyi, mankhwala a shuga ayenera kusintha shuga m'magazi ndikulimbikitsa kugwiritsidwa ntchito kwa shuga.

Mankhwala othandizira odwala omwe samadalira insulin amadziwika chifukwa cha wodwala, msinkhu wake, kulemera kwake komanso kupezeka kwa matenda olimba.

Ndizachidziwikire kuti mankhwalawa omwe amaperekedwa pochizira matenda amishuga a 2 sayenera kwenikweni kwa odwala matenda ashuga omwe insulin yake siyipangidwa.

Chifukwa chake, ndi akatswiri okhawo omwe angasankhe chida choyenera ndikudziwa njira zamankhwala zoyenera.

Izi zingathandize kuchepetsa kuchepa kwa matendawa komanso kupewa zovuta zazikulu.

Ndi mankhwala ati a shuga omwe ali bwino komanso othandiza? Ndikovuta kupereka yankho losatsimikizika pafunso ili, chifukwa mankhwala omwe ali ndi vuto labwino kwa wodwala m'modzi amatsutsana kwathunthu ndi linzake.

Chifukwa chake, tiyesetsa kupereka chidule cha mankhwala otchuka a shuga ndikuyamba ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga a 2.

Lemberani mankhwala a shuga atatu

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amatha mapiritsi ochepetsa shuga kwa nthawi yayitali, ndikukhalabe ndi shuga wamagazi pokhapokha ngati akutsatira zakudya zamagulu ochepa komanso kuchita masewera olimbitsa thupi mokwanira. Koma zosungirako zamkati za thupi sizikhala zopanda malire ndipo zikafooka, odwala ayenera kusintha kuti amwe mankhwala.

Mankhwala ochiza matenda amisala 2 a shuga amadziwika kuti zakudya sizipereka zotsatira ndipo shuga wamagazi akupitilira kuchuluka kwa miyezi itatu. Koma nthawi zina, ngakhale kumwa mankhwala akumwa sikothandiza. Kenako wodwalayo amasinthira jakisoni wa insulin.

Mndandanda wamankhwala a matenda a shuga a 2 ndiwambiri kwambiri, onse amatha kugawidwa m'magulu akulu akulu:

mankhwala a matenda a shuga a 2

1. Ma siriagog ndi mankhwala omwe amachititsa kuti insulin itulutsidwe. Nawonso, amagawika m'magulu awiri: masoka a sulfonylurea (Diabeteson, Glurenorm) ndi meglitinides (Novonorm).
2. Sensitizer - mankhwala omwe amachititsa chidwi cha minyewa pakutsata insulin. Amagawidwanso m'magulu awiri: Biguanides (Metformin, Siofor) ndi thiazolidinediones (Avandia, Aktos).
3. Alfa glucosidase zoletsa. Mankhwala omwe ali mgululi ali ndi udindo wokhazikitsa kuyamwa kwa matumbo m'matumbo ndikuchotsedwa kwawo mthupi (Acarbose).
4. Mankhwala a mtundu wachiwiri wa matenda am'badwo watsopano ndi ma insretin. Izi zikuphatikizapo Januvia, Exenatide, Lyraglutide.

Tikhazikike pagulu lililonse la mankhwala:

Sulfonylureas

Kukonzekera kwa gululi lakhala likugwiritsidwa ntchito pochita zachipatala kwa zaka zoposa 50 ndipo ndi koyenera. Amakhala ndi hypoglycemic chifukwa cha mwachindunji maselo a beta omwe amapanga insulin mu kapamba.

Zimachitika zomwe zimachitika m'magawo am'magazi zimapereka kutulutsidwa kwa insulin ndikutulutsa kwake m'magazi. Mankhwala osokoneza bongo omwe ali mgululi amalimbikitsa chidwi cha maselo ku glucose, amateteza impso kuwonongeka, komanso amachepetsa chiopsezo cha zovuta zam'mitsempha.

Nthawi yomweyo, kukonzekera kwa sulfonylurea kumachepetsa maselo a pancreatic, kumayambitsa zovuta zoyipa, kulemera, kudzimbidwa, ndikuwonjezera chiopsezo cha machitidwe a hypoglycemic. Samagwiritsidwe ntchito mwa odwala omwe ali ndi matenda a shuga a pancreatic, ana, amayi apakati komanso oyamwitsa.

Pakumwa mankhwala, wodwala amayenera kutsatira zakudya zamafuta ochepa ndikumangiriza kudya mapiritsi ake. Oimira otchuka a gululi:

• Glycvidone Glycvidone - mankhwalawa ali ndi zotsutsana zochepa, motero amalembera odwala omwe chithandizo chamadokotala samapereka zotsatira zomwe akufunazo komanso anthu okalamba. Zochitika zochepa zoyipa (kuyabwa pakhungu, chizungulire) zimasinthidwanso. Mankhwalawa akhoza kuikidwa ngakhale ndi kulephera kwa aimpso, chifukwa impso sizichita nawo gawo lanyama kuchokera m'thupi.
• Maninil - amadziwika kuti ndi mankhwala amphamvu kwambiri a kapamba mu shuga. Amapangidwa ngati mapiritsi omwe amakhala ndi mitundu yosiyanasiyana ya yogwira (1.75, 3.5 ndi 5 mg) ndipo amagwiritsidwa ntchito pamagulu onse a shuga. Kutha kuchepetsa kuchuluka kwa shuga kwa nthawi yayitali (kuyambira maola 10 mpaka 24).
• Diabeteson - mankhwalawa amagwira ntchito makamaka mu gawo la 1 la kupanga insulin. Kuphatikiza apo amapereka chitetezo chodalirika cha mitsempha yamagazi ku zowopsa za glucose.
• Amaryl ndiye mankhwala abwino kwambiri a matenda ashuga amtundu wa 2. Mosiyana ndi mankhwala ena omwe amachepetsa shuga, sizimapangitsa kuti muchepetse kunenepa komanso zimakhala ndi zotsatirapo zoipa pamtima ndi m'mitsempha yamagazi. Ubwino wa mankhwalawa ndikuti amachotsa insulin pang'ono m'magazi, zomwe zimapewe kukula kwa hypoglycemia.

Mtengo wapakati wa kukonzekera kwa sulfonylurea ndi wochokera ku ma ruble 170 mpaka 300.

Alpha Glucosidase Inhibitors

Mankhwala ofananawo a shuga amalepheretsa kupanga enzyme yapadera yamatumbo yomwe imasungunula zovuta zamimba. Chifukwa cha izi, kuchuluka kwa mayamwidwe a polysaccharides kumachepetsedwa kwambiri. Awa ndi mankhwala amakono ochepetsa shuga, omwe kwenikweni alibe zotsatira zoyipa, samayambitsa matenda am'mimba komanso kupweteka kwam'mimba.

Mapiritsi ayenera kumwedwa ndi chakudya choyamba, amachepetsa shuga komanso samakhudza maselo a pancreatic. Kukonzekera kwa nkhondoyi kumatha kugwiritsidwa ntchito limodzi ndi othandizira ena a hypoglycemic ndi insulin, koma chiwopsezo cha kuwonetsa kwa hypoglycemic chikuwonjezeka. Oyimira bwino a gululi ndi Glucobay ndi Miglitol.

• Glucobai (Acarbose) - mankhwalawa amalimbikitsidwa kuti atengedwe ngati shuga atakwera kwambiri atangodya. Mankhwalawa amalekeredwa bwino, samayambitsa kuwonjezeka kwa thupi. Mapiritsi amalembedwa ngati mankhwala othandizira kuti athandize pakudya chamafuta ochepa. Mlingo umasankhidwa payekhapayekha, tsiku lililonse mumatha kumwa 300 mg ya mankhwalawa, ndikugawa Mlingo uwu mu 3 waukulu.
• Miglitol - mankhwalawa amaperekedwa kwa odwala omwe ali ndi matenda a shuga 2, ngati zakudya komanso zolimbitsa thupi sizingachitike. Mapiritsi akulimbikitsidwa kuti atenge pamimba yopanda kanthu. Contraindication chithandizo ndi Miglitol ndi mimba, ubwana, matenda a m'matumbo, kupezeka kwa hernias yayikulu. Nthawi zina, wothandizirana ndi hypoglycemic amakwiya. Mtengo wa mankhwala omwe ali mgululi amasiyana kuchokera 300 mpaka 400 ma ruble.

M'zaka zaposachedwa, m'badwo watsopano wa mankhwala wawoneka, omwe amatchedwa dipeptidyl peptidase inhibitors, omwe kuchitapo kwawo ndikukuwonjezera kupanga kwa insulini kutengera kukhudzana kwa glucose. Mu thupi lathanzi, zopitirira 70% za insulini zimapangidwa moyenera mothandizidwa ndi mahomoni a insretin.

Zinthu izi zimayambitsa zochitika monga kutulutsidwa kwa shuga ku chiwindi ndikupanga insulin ndi maselo a beta. Mankhwala atsopano amagwiritsidwa ntchito ngati njira yokhayokha kapena amaphatikizidwa ndi zovuta kuchipatala. Amatsitsa bwino kuchuluka kwa glucose ndikutulutsa masitolo a insretin kuti athane ndi shuga.

Imwani mapiritsi mukamadya kapena mukatha kudya. Amalekeredwa bwino ndipo samathandizira kulemera.Gulu la ndalama izi limaphatikizapo Januvia, Galvus, Saksagliptin.

Januvia - mankhwalawa amapangidwa mwanjira ya mapiritsi okhala ndi mphamvu zambiri ndi 25% 50 ndi 100 mg. Mankhwalawa amayenera kumwa kamodzi kokha patsiku. Januvia samayambitsa kulemera, amathandizira glycemia bwino pamimba yopanda kanthu komanso pakudya. Kugwiritsa ntchito mankhwalawa kumachepetsa kukula kwa matenda ashuga komanso kumachepetsa chiopsezo cha zovuta zotheka.

Diclofenac wa matenda ashuga

Odwala omwe ali ndi matenda ashuga ayenera kugwiritsa ntchito mankhwalawa Diclofenac mosamala.

Musanagwiritse ntchito mankhwalawa a shuga.

Dotolo adzayesa momwe wodwalayo alili ndikuti apatseni mankhwala othandizira omwe amayenera kutsatiridwa kuyambira pachiyambi mpaka kumapeto kwa chithandizo.

Zambiri

Mankhwala kukonzekera "Diclofenac" ndiwodziwika mu mankhwala chifukwa mankhwala. Amathandizanso kutupa, amathandizanso kupweteka komanso amakhala ndi antipyretic.

Chimodzi mwa mankhwalawa ndi kupezeka kwa mitundu yosiyanasiyana ya mankhwala, yomwe imapangitsa kuti ikhale yosavuta kugwiritsa ntchito matenda osiyanasiyana. The yogwira pophika ndi diclofenac sodium. Zowonjezera zimasiyana malinga ndi mawonekedwe omwe amapangidwira ndipo amaperekedwa mu mawonekedwe a tebulo:

Mankhwala amathandizira kuthetsa ululu.

Mothandizidwa ndi Diclofenac, mutha kuchepetsa edema yotupa yomwe yayamba pambuyo pa opaleshoniyo, ndikuchotsa kusamvetseka kwapweteka. Ndi makonzedwe a intramuscular, kuchuluka kwa mankhwalawa kwa plasma kumadziwika pambuyo pa mphindi 15-30.

Ngati mumwa mankhwalawo mkati, ndikofunikira kudziwa kuti chakudya chimachepetsa kuyamwa kwa yogwira pofika maola 1-4. Mukamagwiritsa ntchito Diclofenac mu Mlingo wolimbikitsidwa, zigawo zake sizimayendera kuzungulira kwadongosolo.

Zambiri mwa zamankhwala zimapangidwa ndi impso m'malo osasintha komanso ndulu mu mawonekedwe a metabolites.

Zotsatira zoyipa

"Diclofenac" imatha kuyambitsa zotsatira zosafunikira:

• akukumbutsa
• pafupipafupi zotayirira
• kupweteka m'mimba
• kulephera kudziwa
• kugona kusokonezedwa
• tinnitus
• m'mimba kapena kukha m'mimba,
• Photophobia
• kuyabwa pakhungu,
• kuchuluka kukwiya
• kuwonongeka kotsirizika kukhoma kwa koloni.

Momwe mungasinthe?

Ngati pazifukwa zina sizingatheke kugwiritsa ntchito Diclofenac, madokotala amatha kukupatsirani mankhwala ofananawo omwe ali ndi vuto limodzi lofanana ndi othandizira. M'malo moyenera Diclofenac ikhoza kukhala imodzi mwanjira zotsatirazi:

Mutha kusintha mankhwalawo ndi Voltaren.

Bongo

Ngati mulingo wovomerezeka wa Diclofenac wadutsa, mankhwala amatha kukhala osokoneza bongo, omwe amadziwoneka ngati mutu, kupweteka kwambiri, kukomoka, chizungulire, ndi mutu.

Pozindikira zomwe tafotokozazi, wodwalayo adzafunika adokotala kuti awone kuthekera kwa chithandizo chotere ndipo, ngati kuli kotheka, sinthani mulingo wake.

Ndikofunikira kuti pakhale palokha pakumwa mankhwala ngati mankhwalawo atengedwa ngati mapiritsi. Ngati ndi kotheka, chithandizo cha mankhwala ndi mankhwala.

Ololedwa opatsa shuga

Matenda a shuga a Type 1 ali pafupifupi osawoneka.

Ndipo matenda ashuga amtundu wa 2 amayambitsa zovuta za autoimmune.

Odwala omwe ali ndi endocrine pathology nthawi zambiri amamva kupweteka.

Kuti tisiye zizindikiro za ululu, zimakhala zofunikira kugwiritsa ntchito ma pinkiller, koma sikuti aliyense amadziwa omwe ndi omwe amaloledwa kugwiritsidwa ntchito komanso Mlingo.

Kuthekera kogwiritsa ntchito ma pinkiller

Palibe chifukwa chotenga mankhwala opha shuga. Matendawa pawokha samayenda limodzi ndi mawonekedwe owawa omwe amafunikira kuti apatsidwe mankhwala.

Komabe, chitetezo cha mthupi mu matenda a shuga chimatsutsana ndi madzimadzi olumikizana. Madokotala apeza zowonjezera zotupa, zomwe zimaphatikizapo mapuloteni a Interleukin 1 ndi C-reactive.

Matenda a shuga amayanjana kwambiri ndi matenda ophatikizika komanso amakhudza kuyambika kwa kupweteka pa msambo.

Njira zotupa zamagetsi zamagetsi pazaka zazing'ono sizikuwoneka, okalamba ndi achikulire omwe ali ndi vutoli, makamaka ndi matenda a shuga kwa zaka zoposa 15. Kukula kwawo amakhudzidwa ndi kunenepa kwambiri, kusagwira ntchito.

Zachidziwikire, matenda olowa ndi msambo wowawa samayambitsidwa chifukwa cha matenda ashuga, koma amayenda limodzi.

Mwatsatanetsatane ngati mankhwala othandizira ululu angagwiritsidwe ntchito pa matenda ashuga, dokotala yemwe akupezekapo akhoza kudziwa. Kugwiritsa ntchito mankhwala omwe amaletsa kupweteka ndikololedwa. Choyamba, ndikofunikira kuyesedwa kwa zida zothandizira (ultrasound, X-ray, MRI, CT ndi mitundu ina, ngati pakufunika kutero) komanso labotale (magazi, mayesero amadzimadzi a testovial).

Izi ndizofunikira kudziwa mtundu wamatendawa, momwe kutupa kumayambira kale, komanso kuti matendawa ali pati. Kusankhidwa kwa mankhwala kumadalira izi.

Mwazi wamagazi nthawi zonse umakhala 3,8 mmol / L

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Ma painkiller amaperekedwa kwa odwala omwe ali ndi rheumatism, nyamakazi, neuralgia, gout, myalgia, kuwombera mu lumbar / cervical / thoracic dera, ankylosing spondylitis ndi nthawi yopweteka yamasiku ovuta azimayi.

Gululi la mankhwalawa limaperekedwanso kwa matenda amtima komanso matenda a mtima, kukula komwe kumatheka ndi matenda ashuga. DM imadzetsa kukhazikitsa mtima kwa mtima.

Ma painkiller amapatsidwa matenda am'matumbo ndipo nthawi zina (opaleshoni, mabala, kupweteka kwa mutu kapena mano, njira zodziwitsira, kuvulala kapena kupweteka, cholelithiasis, impso ndi chiwindi. Aliyense angathe kuchita izi, sangapewe.

Contraindication

Ma painkil ali ndi zotsutsana zingapo. NSAIDs amaletsedwa kutenga milandu ya zilonda zam'mimba, gastritis, matenda a chiwindi osachiritsika kapena owopsa.

Amakanizidwa kuti apereke mankhwala ena a gululi kwa amayi apakati, panthawi yoyamwitsa, chifukwa cha wodwalayo amatha kuwonjezera magazi. Kumwa mankhwala ena kumatha kuletsedwa kwa ana ochepera zaka 6 kapena 18.

Chifukwa chake, musanagule, muyenera kufunsa dokotala. Dokotala adzalemba mankhwala abwino kwambiri othandizira kupweteka, malinga ndi komwe akupezeka, matenda, zaka komanso kupezeka kwa ma contraindication.

Antispasmodics amalembera msambo wowawa, kupumula minofu yapanja komanso kupweteka kwapakhungu.

Mankhwala a gululi amalephera pa zochitika ngati izi:

Pochiza matenda a shuga kunyumba, akatswiri akulangizani DiaLife. Ichi ndi chida chapadera:

• Amasinthasintha shuga
• Amayang'anira ntchito ya pancreatic
• Chotsani puffness, limayendetsa madzi kagayidwe
• Amawongolera masomphenya
• Zoyenera akulu ndi ana.
• Alibe zotsutsana

Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gulani pa tsamba lovomerezeka

• hyperteriosis
• myasthenia gravis
• megacolon
• Hypersensitivity kwa yogwira kapena yowonjezera
• Matenda a Down.

Antispasmodics iyenera kugwiritsidwa ntchito mosamala ndi amayi apakati komanso pakubala. Ana amamulembera mankhwalawa, koma amayenera kuyang'aniridwa ndi dokotala.

Ovomerezeka Awoleza a shuga

Pali mitundu ingapo ya mankhwala omwe angagwiritsidwe ntchito pa matenda a shuga.

Ndikofunika kudziwa kuti ndi mankhwalawa ati omwe mungathe kumwa omwe ali ndi matenda ashuga. Mtundu wa mankhwalawa umatengera mtundu wam ululu, kukula, kutulutsa kwawoko ndi matenda omwe apezeka.

Mankhwala amaperekedwa m'magulu awiri: mapiritsi ndi jakisoni. Kuti mankhwalawa agwire ntchito, ndikofunikira kudziwa zomwe zidapangitsa kuti anthu azigwiritsa ntchito ma painkiller.

Zotsatira zoyipa

Mawonetsedwe awa nthawi zonse amawonetsedwa mu malangizo ogwiritsira ntchito. Gulu lirilonse la mankhwala a ululu limakhala ndi zovuta, zomwe zambiri ndizofanana.

NSAIDs amadziwika ndi kusintha kwa gastritis ngati. Izi zikutanthauza kuti Diclofenac ndi Ibuprofen adasokoneza mgwirizano pakati pazodzitchinjiriza ndi wankhanza mokomera omaliza. Kugwiritsidwa ntchito kwa nthawi yayitali painkiller kumeneku kumabweretsa kukula kwa zilonda ndi kukokoloka.

Zotsatira zoyipa zimaphatikizapo nseru, kukomoka, kutsegula m'mimba, komanso magazi am'mimba. NSAIDs imakhudza mtima wamtima, chiwopsezo cha zovuta ndizochepa.

Ma antispasmodics amayambitsa kupweteka kwa mutu, pakamwa pouma, kudzimbidwa kapena kutsekula m'mimba, kufiira khungu, komanso mavuto amaso.

Mitundu yonse iwiri ya ma pinkiller omwe amagwiritsidwa ntchito pochizira matenda ena a shuga imatha kuyambitsa zovuta, zowonetsedwa ndi totupa, ming'oma, kuyabwa ndi kuyaka. Ma NSAID ena amachititsa kuti anaphylactic agwedezeke.

Ma Antispasmodics ndi NSAIDs amakhudzanso thupi la wodwalayo. Kudziyang'anira nokha kwamankhwala kumapangidwa. Musanagwiritse ntchito, funsani kwa dokotala.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu