Zizindikiro ndi zizindikiro za matenda ashuga mwa akazi

Zizindikiro za matenda ashuga mwa akazi: Tsambali likukuwuzani zonse zomwe muyenera kudziwa za iwo. Wunikirani zizindikiro za magawo oyambira komanso opita patsogolo a kagayidwe kazakudya. Werengani zambiri mwatsatanetsatane za zizindikiro zowopsa komanso zizindikiro za matenda am'mbuyomu. Mvetsetsani mayeso omwe akuyenera kuwunikidwa kuti mutsimikizire kapena kutsimikizira kuti matendawa ndi owona. Zochitika za matenda ashuga mwa akazi azaka zapakati pa 30, 40 ndi 50 zimaganiziridwa. Phunzirani zamomwe mungachotsere thrush musanathandizidwe ndi mankhwala owopsa a antifungal.

Zizindikiro za matenda ashuga mwa akazi: nkhani yatsatanetsatane

Kumbukirani kuti shuga yayikulu yamagazi ndiyowopsa kwa akazi kuposa abambo. Mwachitsanzo, kwa abambo, chiopsezo cha matenda amtima chimawonjezeka katatu, komanso kwa akazi - katatu. Ziwerengero zofananira zimawonedwa pazovuta zina. Amayi odwala matenda ashuga nthawi zina amalandila chithandizo chochepa kwambiri kuposa amuna. Zifukwa zake:

azimayi amakhala ndi zowonekeratu zazovuta kuposa abambo, makamaka vuto la mtima,
chauvinism wamwamuna wa madokotala omwe amalingalira kuti akazi hypochondriacs amawonetsedwa nthawi zina.

Dr. Bernstein ndi Endocrin-Patient.Com webusayiti imaphunzitsanso anthu odwala matenda ashuga momwe angasungire shuga m'magazi 3.9-5,5 mmol / L maola 24 patsiku. Awa ndi mulingo wa anthu athanzi, omwe amatsimikiziridwa kuti atetezedwe ku zovuta za impso, miyendo ndi kupenya kwamaso, komanso matenda amtima. Kuti mukwaniritse kuyendetsa bwino matenda a shuga, simuyenera kudya chakudya chamadwala, kumwa mapiritsi okwera mtengo komanso oyipa, jekeseni mahatchi a insulin. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga. Malangizowa ndi oyenera kwa amayi ndi abambo omwe atha kugwira ntchito kwambiri ndi mavuto abanja komanso mabanja, makamaka olembera.

Kodi zizindikiro zoyambirira za matenda ashuga mwa azimayi ndi ziti? Kodi kagayidwe kathupi kamatenda kamawoneka bwanji?

Matenda a 2 a shuga nthawi zambiri amakhala obisika kwa zaka zingapo. Zimayambitsa zizindikiro zofatsa, pang'onopang'ono zikukula bwino komanso moyo wabwino. Monga lamulo, azimayi amapirira izi, m'malo mokweza alamu, kukhazikitsa matenda ndikuwathandizanso. Zizindikiro zoyambirira za matenda ashuga a 2 ndi kutopa, mavuto ammaso, ndikuchepetsa chidwi. Monga mukuwonera, akhoza kukhala olakwika mosavuta chifukwa cha kusintha kwachilengedwe. Mabala, mabala, mabala ndi zotupa zina za pakhungu sizichiritsa.

ludzu lalikuru, kukodza pafupipafupi,
kuchepa msanga kwa thupi, mwina chifukwa cha kuchuluka kwa chakudya,
kusanza, kusanza,
kusakhazikika, kuvuta,
Kununkhira kwa acetone kuchokera mkamwa,
kulira kapena kugona mmanja, makamaka m'miyendo.
pakhoza kukhala kuwona kwamaso, kugawanika m'maso.

Zoyambitsa matenda ashuga mwa akazi

Choyambitsa chachikulu cha matenda ashuga mwa amayi chimawonetsedwa mu mtundu wakubadwa. Ngati makolo onse ali ndi matenda a shuga, kuthekera kwa maonekedwe a mwana ndi 50%. Pankhaniyi, ngakhale nditakhala ndi zakudya zoyenera komanso kupewa, njirayi singathe kuimitsidwa. Nthawi yomweyo, ngakhale anthu atakhala athanzi, ndipo njirayi idakonzedwa, ndiye kuti sipangakhale njira zopambana, kuchiritsa kokha.

Palinso zoyambitsa matenda ashuga:

mapaundi owonjezera - chifukwa cha kuchuluka kwa mafuta m'thupi, izi zimabweretsa zolepheretsa masoka achilengedwe. Izi ndizachilendo ku mawonekedwe a 2, akupanga pambuyo pa 40,
matenda a matenda opatsirana - choopsa chapadera chimachokera ku matenda omwe amasamutsidwa ali mwana. Koma vuto likakumana ndi vuto, chimfine chimatha kudwala,
kupsinjika, kugwira ntchito mopitirira muyeso - izi zimagwira ntchito kwa amayi oposa 30, kuda nkhawa ndi mabanja, abale, ana,
zizolowezi zoipa.

Zomwe zimachitika pakukula kwa matendawa zimasiyana, kutengera mawonekedwe.

Matenda a Autoimmune pamene ma antibodies amapangidwa ndi thupi motsutsana ndi maselo ake. Insulin imasiya kupangidwa.
Kukhazikika kwa kachilombo komwe kumayambitsa matenda kumayambitsa matenda. Nthawi zambiri izi zimachitika atasamutsidwa - fuluwenza, rubella, mononucleosis, hepatitis. Maselo a pancreatic beta akakhudzidwa ndi kachilomboka, thupi limapanga ma antibodies ena.
Sinthani mu chitetezo chokwanira.

Matenda a shuga a mtundu 2 akayamba, magwiridwe a shuga omwe amapezeka m'maselo a beta samatupa.

Zizindikiro zoyambira matenda ashuga

Chodabwitsa cha matenda ndi chakuti gawo loyambalo silingadziwonetseke mwanjira iliyonse kwa zaka zingapo. Munthawi imeneyi, matenda amiseche amawononga thupi, pomwe odwala matenda ashuga satha kukayikira kuti ali ndi matenda ashuga.

Matenda a shuga amakhala ndi azimayi ambiri. Izi ndichifukwa choti amakhala ndi nkhawa zambiri pamoyo kuposa abambo. Chifukwa chake, chidziwitso ndikofunikira kuti zizindikire za matenda zomwe zimayamba mwagonana lofooka.

Pali zizindikiro zoyambirira zokhala ndi matenda ashuga mwa akazi, mu nthawi yomwe muyenera kufunsa dokotala.

Kufooka kumamvekedwa nthawi zonse, kugwira ntchito kumatsitsidwa, kutopa. Zizindikiro, izi, zimawonedwa m'matenda osiyanasiyana, pomwe zizindikiro zoyambirira za matenda ashuga mwa akazi, ngakhale kupuma, malingaliro othandizanso, sizimachepa.
Wosadandaula amadandaula za mkhalidwe wa tulo, ulesi. Izi zimakhazikika makamaka pamene wodwala adya. Pankhaniyi, zizindikiro zoyambirira za shuga mwa mkazi zimawonedwa tsiku ndi tsiku, monga amadya.
Mitsempha ya pakamwa imakwiririka nthawi zonse, ndimamva ludzu - chizindikiro ichi chikuwonetsa matenda omwe alipo. Wodwalayo amamwa nthawi zonse ndipo sangathe kuledzera. Kuwonetsera kumeneku ndikowopsa ndipo kumafuna kukaonana ndi adotolo.
Kuwonjezeka kwa kuchuluka kwamkodzo ndi chizindikiro chanzeru, chifukwa kumwa kosatha zakumwa zam'madzi izi kumabweretsa kuyendera pafupipafupi ku bafa.
Kumverera kosalekeza kwa njala - iwo omwe amakhudzidwa ndi matenda a shuga nthawi zonse amafuna kudya, chifukwa njala imamveka. Zakudya zotsekemera zimadyedwa nthawi zambiri.
Kusamalira mwachangu kulemera kwa thupi - ngati mtsikana ali ndi matenda amtundu wa 1, ndiye kuti kulemera kwake kumatsika mwachangu komanso mozizwitsa.
Khungu loyera ndi chizindikiro chosowa, koma zimachitika. Mawonekedwe amawonetsedwa makamaka mu gawo la inguinal.
Mavuto apakhungu - mawonekedwe a zilonda pakhungu ndiwotheka.

Zizindikirozi zimakhala zoyambirira zogonana, mutazindikira zomwe zimayesedwa.

Zizindikiro za matenda ashuga mwa akazi

Pamene kagayidwe ka shuga kamasintha pazaka 30, ndiye kuti mwina nthendayi ndi nthenda imodzi yamatenda, yomwe ndi matenda oopsa. Kuwonjezeka kwa insulini yamagazi, yomwe imakwiya ndi moyo wopanda thanzi, sikuti imayamba chifukwa cha zaka zoyambira. Matenda a shuga amtundu woyamba wa azimayi amakula msanga, nthawi yomweyo amakwiya kwambiri.

Ali ndi zaka 40, azimayi amakhala ndi zisonyezo zamatenda amitundu iwiri. Glucose amatha kuuka chifukwa cha zinthu zosafunikira, moyo wokhala chabe. Mwina kumayambiriro kwa autoimmune kuukira kwa maselo a beta a chi pancreatic opangidwa ndi shuga. Ochepera, azimayi owonda nthawi zambiri amakhala ovutitsidwa.

Zizindikiro za matenda amtundu wa 2 mwa akazi nthawi zambiri amapezeka azaka za 45. Matendawa amatengedwa mosavuta ngati mungasinthe ndikukhala ndi moyo wathanzi. Ndi mawonekedwe awa, kuukira kwa maselo a beta kumachitikanso ndipo, chifukwa chakuwopsa kwake kuukiridwa, zimatengera ngati kunenepa kwambiri kumasintha kukhala matenda a shuga. Nthawi zina, matendawa amakula pambuyo 50.

Zizindikiro zoyambirira za matenda ashuga mwa akazi sizimakula m'magawo oyamba, koma zimakula ndikukula kwa miyezi yambiri. Fomu yodalira insulin ili ndi mawonekedwe awa:

Kunenepa kwambiri.
ludzu losalekeza lomwe limatsogolera kupita ku bafa pafupipafupi,
kulawa kwazitsulo mkamwa, kuuma,
Nthawi zambiri mutu umabweretsa mantha,
masomphenya amawonongeka
minofu imapweteka, kukokana kumachitika.

Zizindikiro za matenda amtundu wa 2 mwa akazi ndi ofanana ndi mawonekedwe amodzi.

Chitetezo chokwanira chimachepetsedwa, kulephera kuthana ndi chimfine.
Kuchulukitsa chilimbikitso kumabweretsa kulemera.
Tsitsi limagwa, tsitsi la nkhope limatha kukula.

Zizindikiro za matenda ashuga mwa amayi apakati

Nthawi zambiri kupezeka kwa zizindikiro zoyambirira zamatenda amiseche kwa azimayi sikuti kumayikiridwa, chifukwa palibe umboni mu mawonekedwe ofatsa. Chifukwa chake, kuyezetsa magazi kwa shuga.

Zizindikiro ndi pakati pa mawonekedwe apamwamba amawonetsedwa:

ludzu tsiku lonse
Nthawi zambiri ndimapita kuchimbudzi,
kumverera kwa njala.

Mwa zizindikiro zakunja za matenda ashuga mwa azimayi oyembekezera, kuwonongeka kowonekera kumawonekera popanda kuwonekeratu.

Ndi chitukuko cha matenda a m'matumbo, kuchulukitsa kwa matenda amtunduwu kumachitika, zomwe zikuwonetsa chizindikiro. Makamaka, pamene ukhondo wa malo apamtima komwe mimba yonse imawonedwa mosamalitsa.

Chizindikiro chofala cha matenda a m'mimba ndicho kuthamanga kwa magazi, komwe kumawonedwa kwa nthawi yayitali. Kuchuluka kwa mapuloteni mu mkodzo kumawonetsa kuwonongeka kwa impso. Chifukwa chake, matenda a shuga ndi omwe amawonetsera chiwonetserochi.

Mu trimester yoyamba, matendawa sangathe kukhazikika, chindoko cha insulini sichisintha kwambiri. Chifukwa chake, nthawi zambiri mzimayi amapitilira kusanthula kwa sabata limodzi. Kuyambira masabata 13, chizindikirochi chimakwera kwambiri, ndipo nthawi zambiri chimapezeka nthawi imeneyi.

Kodi akazi amapewe bwanji matenda a shuga?

Ndikwabwino kupewa matenda ashuga mwa akazi kuposa kuthana ndi chithandizo pambuyo pake.

Mwa njira zomwe zingalepheretse kukula kwa zizindikiro mwa amayi omwe ali ndi matenda osokoneza bongo, prophylactic chithandizo chimaphatikizapo:

zakudya - zokwanira komanso zapamwamba,
moyo wogwira
nkhawa kukana ntchito.

Chifukwa chogwiritsa ntchito zolimbitsa thupi pafupipafupi, moyo umasintha.

Zotsatira zabwino zimawonetsedwa ndi ochita masewera olimbitsa thupi - Bodyflex. Zochita zolimbitsa thupi zimachitidwa kwa mphindi 15, zomwe zimayambitsa kulimbitsa minofu, kusintha njira za metabolic, kuwotcha ma kilogalamu ndi azimayi amtundu wa 2.

Ndikofunika kuyang'anira kudya, komwe kumakhala njira zodzitetezera komanso zizindikiro za matenda ashuga. Zogulitsa zomalizidwa, mowa, zakudya zonunkhira zimachotsedwa kwathunthu ku chakudya.

Kuti mumvetsetse ngati pali matenda ashuga, ndizizindikiro ziti mwa azimayi, muyenera kudziwa zomwe kuchuluka kwa shuga m'magazi ndi. Pamimba yopanda kanthu, ndi 3.3-3.5 mmol / L. Ndi prediabetes yosala kudya, insulini imaposa 5.5 komanso yochepera 7.1 mmol / L.

Ngati mayi ali ndi matenda ashuga, ndiye pamimba yopanda kanthu, chizindikiro chimaposa 7.1 kapena 11.1 mmol / l.

Zotsatira za matenda ashuga mwa akazi

Mukapanda kuyamba mankhwalawa matenda a zamatenda, pakakhala zovuta zina. Nthawi zambiri, odwala shuga ambiri sachita chilichonse, zomwe zimawopseza moyo.

Kodi matenda a shuga amawoneka bwanji?

Coma ndi mawonekedwe owopsa. Wodwalayo amasokonezeka ndi chifukwa chazambiri, samamva zenizeni. Popanda kuonana ndi dokotala, imfa imachitika.
Kufatsa - lankhulani za kukhazikika kwa mtima.
Zilonda za trophic - amakula mwa anthu omwe akhala akuvutika ndi matenda a mtima.
Gangrene - amapezeka mwa omwe akhala akuchita chithandizo kwa zaka zingapo. Imadziwonetsera ngati chotupa cha ziwiya zazing'ono ndi zazing'ono. Matendawa ndi osachiritsika. Nthawi zambiri limakhazikika pamiyendo, yomwe pamapeto pake imadulidwa.

Kuwerengetsa matendawa ndi kovuta. Ngati pali lingaliro pakukonzekera kwa matenda, musachedwe ndikupita kuchipatala.

7 ndemanga

Ngati tiwona manambala owuma azachipatala, tiwonetsetsa kuti odwala ambiri omwe ali ndi matenda ashuga ndi amayi. Chifukwa chiyani izi zikuchitika? Nthawi zina mu Runet munthu amatha kupeza mawu oti "woyang'anira malo akumva kawirikawiri amakhala ndi katundu wambiri."

Izi ndi zowona, koma sichoncho chifukwa chachikulu. Chowonadi ndi chakuti, mosiyana ndi abambo, mphamvu ya mahomoni ya mkazi ndiyovuta kwambiri. Ovarian - kusamba kwa msambo ndi kusintha kwa mahomoni osiyanasiyana, kukonzekera kutenga pakati, kutenga pakati, kusamba - zonsezi zimapangitsa "moyo wa mahomoni" wa amayi kukhala wolimba kwambiri. Ichi ndichifukwa chake matenda ashuga mwa akazi amapezeka kwambiri kuposa amuna.

Kuphatikiza apo, azimayi ali ndi mitundu iwiri yapadera ya matenda ashuga - amayi apakati komanso gestational. Mawu akuti "gestation" ndi ofanana ndi lingaliro la "pakati", komabe, pali kusiyana kwakukulu pakati pa zinthu ziwiri izi. Zidzafotokozedwa m'magulu oyenera. Koma choyamba, muyenera kuyankhula za amene nkhaniyi yawonetsedwa poyamba:

Ngati muli ndi zisonyezo zoyambirira za kusintha kwa kubereka, kuti zachitika, kapena zaka zanu ndi zaka zoposa 45, ngakhale thanzi labwinobwino,
Muli ndi kulemera kwambiri thupi, ndipo gawo lanu limatha kupitirira 80 cm (kutalika kulikonse),
Mumakhala ndi kuthamanga kwa magazi, kapena mumazindikira matenda a "matenda oopsa,
Ngati muli ndi magazi ochulukirapo, kapena muli ndi abale omwe amapezeka ndi matenda a shuga kapena operewera shuga.

Chilichonse mwazinthu izi, ngakhale zimatengedwa padera, zimawonjezera chiopsezo cha matendawa, ndipo kuphatikiza kwawo kumawonjezera kwambiri. Kodi ndi matenda amtundu wanji, ndipo ndi mitundu yanji ya matenda a shuga omwe amapezeka mwa azimayi?

Kodi matenda ashuga ndi chiyani, ndipo zimachitika bwanji?

Malinga ndi ziwerengero zamakono, 20% ya anthu onse padziko lapansi pano ali ndi vuto la matenda ashuga mwanjira yosavuta kapena yaposachedwa (Zizindikiro sizivutitsa). Izi ndi zochulukitsa: mwachitsanzo, ku Russia odwala 5 miliyoni omwe ali ndi matenda ashuga "amapita" popanda matenda, ndipo samadziwa za izi. Nthawi zambiri, izi zimachitika mwa azimayi omwe ali ndi matenda a shuga a 2, kapena osadalira insulini. Zimachitika pang'onopang'ono, zimakhala popanda pachimake hypoglycemia, ketoacidosis (monga mtundu woyamba), nthawi zambiri "imadziwonetsa yokha" ngati matenda oyanjana, omwe ali kale ndi ukalamba.

Matenda a shuga ndi gulu la matenda omwe amawonetsedwa ndikuphwanya kwa kagayidwe kazakudya kamatenda m'thupi la mkazi. Chizindikiro chachikulu komanso chokhazikika (makamaka ndi matenda a shuga 2) ndi hyperglycemia. Mwachidule, kuchuluka kwa shuga m'magazi kumakwezedwa. Chizindikiro chachiwiri ndi kuwoneka kwa shuga mkodzo, kapena glucosuria.

M'masiku akale, madokotala amayenera kumva mkodzo wa odwala, chifukwa chake matendawa amatchedwa "shuga" - mawu akuti shuga mellitus amatanthauza "kudutsa uchi". Masiku ano, madokotala amadziwa kuti glucosuria imachitika pamene shuga m'magazi apitilira 9.5 mmol / l, pomwe chizolowezi ndi 3.5 - 5.5 mmol / l.

Mtundu woyamba wa shuga ndi insulin

Mphamvu ya glucose imapereka mphamvu kwa thupi. Mwachitsanzo, ubongo ndiye "dzino lokoma kwambiri" pakati pazigawo zonse: patsiku lomwe "limadya" magalamu 120 a shuga. Chifukwa chake, mulingo wa shuga m'magazi ndiye chinthu chofunikira kwambiri. Mulimonse momwe ziyenera kugwera pansi 3 mmol l. Zikatere, munthu amayamba kuona msanga, kenako amakhala ndi vuto la hypoglycemic. Ngati munthu ali ndi njala, ndiye kuti sakomoka, ngakhale patatha tsiku limodzi kapena atatu. Chowonadi ndi chakuti glucose "amasungidwa" m'matumbo a chiwindi, mu mawonekedwe a nyama wowuma glycogen, kenako amawonongeka mwachuma mpaka timadya.

Kusamala koteroko kumatheka chifukwa cha ntchito yosangalatsa ya mahomoni awiri: insulin ndi glucagon. Insulin (kuchokera ku liwu Lachilatini akuti insula - chilumba ndi timadzi tating'onoting'ono ta kapamba). Ntchito yake ndikugwiritsa ntchito shuga m'magazi kulowa m'matangadza. Pamenepo umadyedwera chifukwa cha cholinga chake, ndipo umasungidwira tsogolo.

Glucagon ndi timadzi totsutsana. Imaphwanya glycogen m'chiwindi, ndipo glucose amalowa m'magazi panthawi ya "kusala kudya." Ngati insulini sikokwanira, kapena ilipo kwathunthu (mwachitsanzo, ndi kuvulala kwa kapamba, pancreatic necrosis, kapena njira ya autoimmune), ndiye kuti kuchuluka kwa glucose m'magazi kumakhala kwakukulu kwambiri, ndipo "kumayambitsa ziwalo" ndi ziwalo.

Umu ndi momwe mtundu woyamba wa matenda ashuga umakhalira - mitundu yamtopola yomwe imadziwika kawirikawiri mwa atsikana ndi atsikana. Ndikosavuta kuzizindikira: Zizindikiro zowala kwambiri. Mtundu woyamba umatengera kubisika kwa insulini, chifukwa chake imatchedwa insulin-based.Koma nayo pafupipafupi palinso zigawo zakuchepa kwambiri kwa shuga m'magazi - hypoglycemia. Kupatula apo, glycogen sakhala m'matumba, ma cell onse amawonongeka, ndipo ngati pakufunika, glucose samalowa m'magazi.

Chifukwa chake, odwala oterewa amayenera kubayira jakisoni pafupipafupi, ndikuwerengera kuchuluka kwa shuga omwe amadya ndi chakudya. Tiyenera "pamanja" kuchita zomwe mahomoni amayenera kuchita.

Matenda a 2 a matenda ashuga ndi njira yotopetsa yakukula

Koma nthawi zina zimachitika kuti pali insulin yokwanira mthupi. Koma minyewa imayamba kulimbana ndi zochita zake, ndipo samafuna kuyamwa glucose. Umu ndi momwe matenda ashuga amachitikira munthu wamkulu komanso wamkulu, makamaka mwa akazi olemera kwambiri. Njirayi siyotengera kuchuluka kwa insulin, chifukwa chake imatchedwa insulin-Independent.

Amakhala wocheperako kuposa mtundu woyamba wa matenda ashuga, wopanda hypoglycemia, ketoacidosis komanso shuga wamagazi kwambiri. Koma nthawi yomweyo, matenda ophatikizana amatsogolera kuti magazi ndi mitsempha ya magazi imasokonekera. Chilichonse chimatsogolera kuwonongeka kwa ziwalo zomwe zikujambulidwa, komanso kukula kwa zovuta.

Chifukwa chake, ndikofunikira kudziwa zomwe zizindikiro ndi zizindikiro za matenda ashuga zimayambira azimayi - izi zikuthandizani kuyamba chithandizo munthawi yake, komanso kuthandizira kupewa zovuta. Kupatula apo, zaka zambiri zomwe zimagwiritsidwa ntchito ndi shuga wambiri zimabweretsa khungu la matenda ashuga, mawonekedwe a zilonda zam'mimba, polyneuropathy ndi zovuta zina.

Zizindikiro zoyambira ndi momwe mungazindikire matenda ashuga?

Mayi aliyense akuyenera kuwerenga gawo ili ndikuganiza: kodi pali zina zomwe zachitika? Kutsika kwa insulin, kumamveka kowala kwambiri, ndipo madandaulo ambiri amakhala nawo:

Pakamwa pakamwa, ludzu, ndi polydipsia - mkazi akhoza kumwa ndowa tsiku lililonse,
Polyuria, kapena kuchuluka kwa mkodzo, mpaka malita 10 patsiku. Chizindikiro chopweteka ichi, chomwe sichitha kunyalanyazidwa, chimatchedwa "shuga."

Izi zimawonetsa shuga wambiri wamwazi. Magazi "onenepa" ndi "okoma" amatunga madzi m'matipi ndi osmotic gradient, ndipo, ngakhale amamwa kwambiri, zimakhala kuti zimatha madzi.

Wosusuka ndi njala yosatha. Ngakhale izi, pali kuchepa kwamphamvu kwa thupi - mpaka 3 - 6 makilogalamu pamwezi, ngakhale njira "yamaofesi" yogwira ntchito.

Mkazi amachepetsa thupi chifukwa thupi, osalandira shuga monga chakudya, amayamba "kukhetsa" m'masitolo amafuta. Mafuta akale "amatha", ndipo atsopano sachotsedwa. Zotsatira zake, zinthu zamafuta acid zomwe zimawonongeka zimadziunjikira m'magazi, zomwe zimatsogolera ku acidation ya magazi - ketoacidosis. Uku ndikovuta kwambiri, wodwalayo amayamba kununkhiza ngati nthochi kucha, maapulo ndi fungo lokomoka la asetone.

Kuyabwa kwambiri. Kuyamwa matenda a shuga kumakhala kowawa, nthawi zina kumakhala ndi "misomali yopukutidwa", ndipo kumakhudzana mwachindunji ndi mtundu wa hyperglycemia,
Khungu limakhala lodetsedwa, magazi ake amachepa, amasulidwa,
Chitetezo chokwanira chimachepa, mitsempha imakhudzidwa, ndipo minofu ya trophism imasokonekera. Mabala onse, mabala, mabala ndi zikwapu sizichiritsa bwino, ngati kale
Kupsinjika - kuseketsa - "kumamatira" pakhungu lililonse, nthawi zambiri pamakhala matenda a pyoderma, furunculosis,
Matenda "akulu" aliwonse, makamaka otupa (chibayo, chifuwa chachikulu, zilonda zam'mimbazi) nthawi zonse amatuluka kwambiri kuposa munthu wathanzi. Nthawi zambiri pamakhala matenda osachiritsika.

Zowona, izi sizingafanane ndi "zoyamba" za matenda ashuga. Koma nthawi zina amakhala chifukwa chofunsira kwa dokotala ndikupeza matenda.

Matenda a shuga Zombo zazing'onoting'ono zomwe zimayendetsa ntchito yofunika zimakhudzidwa, monga retinopathy, momwe ziwiya zazing'ono za retina zimakhudzidwira.

Ndipamene mumafunikira kuti mupange magazi abwino ndi kuthamanga kwa magazi, chifukwa chidziwitso ndi mawonekedwe a chithunzi cha dziko lozungulira zimafunikira ziwiya zapamwamba komanso zakudya zoyenera. Pali kuchepa kwa maonedwe achilengedwe, "ntchentche" zosiyanasiyana, mawanga amawoneka patsogolo pa maso, mawanga amayamba kugwera m'malo ena a malo owoneka. Wodwala wodwala matenda ashuga, mitsempha yatsopano yamagazi imayamba kukula poyankha ischemia. Koma ndi osalimba, opanda ungwiro, osweka mosavuta, ndipo amatsogolera kutaya magazi. Zotsatira zake, kufalikira kwa khungu ndi khungu kumachitika.

Odwala ali ndi matenda a diabetes - nephropathy - kutuluka kwa magazi mu impso kumasokonezeka.

Polyneuropathy. Mchere wokwezeka wotalika kwa nthawi yayitali umasokoneza ntchito ya mitsempha yaying'ono, makamaka m'miyendo, pomwe magazi amachepa. Chifukwa chake, Zizindikiro zimabuka m'dera la "masokosi", monga akatswiri amatsenga amanenera.

Tikuyankhula zochepetsera kuzungulira kwa Achilles, kuchepetsa chidwi, paresthesias, "zopumpika za tsekwe." Chimodzi mwazizindikiro ndi kulemera kumapazi, kupweteka kwa moto, kupweteka, kumva kutentha m'miyendo. Nthawi zina zimakhala zotsitsimula kwambiri kunyowetsa mapazi ndi madzi, kapena kudzipatula usiku pansi pa chivundikiro.

Mawonetsedwe onsewa amalankhula mokhulupirika paz magawo osiyanasiyana ndi mitundu ya matenda ashuga omwe amatha kupezeka mwa akazi. Koma pali mitundu yapadera ya maphunzirowa: awa ndi ma gestational ndi matenda a shuga amayi apakati. Kodi izi ndi ziti?

Matenda a shuga oyembekezera komanso matenda a gestational shuga

Ndi matenda apakati a shuga, zonse ndizophweka - uwu ndi mkhalidwe wa pakati mwa mayi yemwe anali ndi matenda amtundu uliwonse isanachitike. Mwachilengedwe, ndikofunikira kuti mayi apitirize kukhala ndi pakati pamene mkazi amakhala wokonzekera bwino. Iyenera kuwerengera bwino kuchuluka kwa shuga panthawi yapakati, kuyang'aniridwa ndi dokotala - katswiri wa matenda ashuga, ndi dokotala wazachipatala ku chipatala cha anesi chomwe chimachititsa milandu yotere.

Kuphatikiza pa kukhumba kwa Normoglycemia, mkazi ayenera kuchitira matenda opatsirana momwe angathere, ndikupita kukakhala ndi zisonyezero zabwino kwambiri za ntchito ya thupi. Zachidziwikire, izi makamaka zimanena za matenda amtundu 1, omwe amapezeka ndi zovuta pafupipafupi, hypoglycemia, ketoacidosis komanso kukula koyambirira kwa angiopathy ndi neuropathy. Ngati simukuyesetsa kuchita izi, ndiye kuti chilichonse chitha kuchitika: kusabereka, kusokonezeka, maliseche kapena kusokonezedwa kwa kubereka.

Matenda a Gestational kishuwere ndi vuto la azimayi mu hyperglycemia nthawi yapakati (nthawi yachiwiri), pokhapokha pasanakhale "zovuta za shuga". Ichi ndi njira yodziwika bwino, ndipo imapezeka mwa 5% azimayi onse oyembekezera. Pambuyo pobereka, kuchuluka kwa shuga m'magazi kumabweranso kwawonekera, komabe pamakhala chiwopsezo chotenga matenda obwera ndi matenda ashuga mtsogolo, makamaka kukalamba. Akazi amayeneranso kuyang'aniridwa ndipo, mwina, kuthandizidwa ndi endocrinologist.

Zochitika zamaphunziro a shuga kwa okalamba

Amadziwika kuti kuchuluka kwa anthu padziko lonse lapansi kukalamba. Endocrinologists atha kuwona mtundu wachiwiri wa matenda ashuga, omwe alibe zizindikiro zotchulidwa monga njira yodalira insulin. Apa "zonse ndi zotopetsa." M ludzu ndilochepa, palibe emaciation, m'malo mwake, kulemera kwa thupi kumakwera. Palibe hypoglycemia ndi kutaya chikumbumtima, odwala samatsika ndi ketoacidosis.

Nthawi zambiri, matenda ashuga azimayi atatha 50 amapezeka motsutsana ndi maziko a angina pectoris, matenda oopsa, mtima wamatenda a mtima. Chifukwa chake, wodwalayo amangokhala "woipa". Zofooka zimabuka, shuga wamagazi amafika pamtengo wotsika kwambiri (9 - 11 mmol l). Nthawi zambiri kuda nkhawa ndi kupanikizika, mutu umasokonezeka ndi tinnitus. Pali "mavuto a impso", pamakhala kupweteka m'mapazi, kuchepa kwamaonedwe.

Amadziwika kuti matenda amtundu wina, monga atherosulinosis ndi matenda oopsa, amachulukitsa matendawa. Kumbukirani kuti zizindikiro za mtundu 2 wa matenda ashuga mwa akazi, makamaka mu ukalamba, nthawi zambiri zimachitika "zopanda pake", ndikuwoneka patatha zaka zambiri, zotupa zamitsempha yamagazi ndi mitsempha yamagazi, yovuta, yayitali komanso yovuta kuizindikira.

Chifukwa chiyani matenda ashuga ndi owopsa?

Kuopsa kwa matenda a shuga kumawoneka ngati ambiri “opangika”: ambiri aife tili ndi anzathu komanso abale athu omwe ali ndi matendawa, ndipo zikuwoneka kuti palibe chowopsa chomwe chikuwachitikira. Koma izi siziri choncho. Ganizirani izi:

Masiku ano, anthu opitilira 300 miliyoni akudwala matenda ashuga padziko lapansi - kawiri kuposa kuchuluka kwa anthu aku Russia,
Mphindi iliyonse mdziko lapansi odwala 7 amafa mwachindunji ndi matenda ashuga komanso zovuta zina, ndipo anthu 2 amadwala,
Pafupifupi mamiliyoni anayi amafa ndi matendawa chaka chilichonse,
Anthu opitilira zikwi ziwiri padziko lonse lapansi ali ndi khungu tsiku lililonse chifukwa cha matenda ashuga,
Ola lirilonse (kuphatikiza maola ausiku), zosinthika 114 za malekezero a mlengalenga zimachitika padziko lapansi.

pafupi phazi la matenda ashuga, gangrene ndi zovuta zina,

Pachaka, anthu opitilira 600,000 amapititsidwa ku matenda a hemodialysis ("impso"), chifukwa cha kulephera kwaimpso chifukwa cha matenda ashuga.

Zachidziwikire, tsopano mukumvetsetsa kuopsa kwa matenda ashuga. Nthawi yomweyo, dziwani kuti ngati wachibale kapena makolo akudwala, ndiye kuti mwayi wanu wodwala ndi 30%. Ngati muli ndi zaka zopitilira 40 (mosaganizira jenda), ndiye kuti chiopsezo chodwala chidzakhala 8%, ndipo ngati muli ndi zaka zopitilira 65 ndiye kuti 20%.

Kodi ndi chani kwenikweni chomwe chikufunika kuthandizidwa ndi matenda ashuga?

Chithandizo cha matenda a shuga a mitundu iwiri yosiyanasiyana ndi mutu wa monographs ambiri, misonkhano ndi maphunziro. Chifukwa chake, sititenga zonse mwatsatanetsatane, koma mwachidule kwambiri zolinga zomwe adotolo ayenera kukhazikitsa ndikukwaniritsa mogwirizana ndi wodwalayo. Izi ndi:

Kupeza mbiri yovomerezeka ya glycemic (kuchuluka kwa shuga m'magazi), m'mawu ena, muyenera "kuchepetsa shuga" kuti mukhale otetezeka. Kufupikitsika nthawi yothamanga kwambiri m'mimba, kumachepetsa zovuta,
Matenda a lipid mawonekedwe (cholesterol ndi zigawo zake),
Kufikira ziwerengero zovomerezeka zamagazi.

Mwachilengedwe, kutengera zaka komanso kupezeka kwa zovuta, zolinga zimakhala zochulukirapo. Mwachitsanzo, mwa wodwala wazaka 75 yemwe ali ndi “maluwa” matenda, vuto la mtima, kunenepa kwambiri komanso stroko ziwiri, cholinga chake chimasankhidwa potengera chithunzi chonse. Ndipo, mmalo mwake, msungwana wachichepere wokhala ndi matenda ashuga 1 nthawi yomweyo amakhala ndi "zowonjezera" zomwe sayenera kupitirira pamenepo kuti moyo wake ukhale wosiyana kwambiri ndi momwe anthu ambiri akukhalira.

Chithandizo cha matenda amtundu wa 1 shuga chimangokhala insulini, ndipo kukonza ndiko kudya. Chithandizo cha matenda a shuga a 2 ndi mapiritsi amkamwa kuti muchepetse shuga.

Zakudya ndi zakudya kwa odwala matenda ashuga

Zakudya zopatsa thanzi mwa amayi omwe ali ndi mtundu wachiwiri wa shuga ayenera kuthandiza kuchepetsa shuga, osagwirizana nazo. Sikoyenera kuyamba ndi zoletsedwa mwamphamvu - ndikofunikira kupanga mtundu watsopano wa zakudya zomwe sizingachepetse kwambiri moyo.

Mwachilengedwe, kunenepa kwambiri, kunenepa kwambiri komanso kusachita masewera olimbitsa thupi, muyenera kuchepetsa kuchuluka kwa zopatsa mphamvu. Kuchepetsa thupi kumachepetsa minofu ya insulin, kutsika shuga ndi lipids, komanso kuchepetsa magazi. Ndikofunikira kwambiri kuphatikiza izi ndi zolimbitsa thupi,
Kusala kudya kumatsutsana,
Mfundo za kapangidwe ka zakudya ndizoletsa mafuta, nyama,
Zakudya zoziziritsa kukhosi "zopepuka", monga wowuma (mbatata), mapuloteni,
Pangani zakudya zopatsa mphamvu zochepa - masamba ndi fiber.
Ndikofunika kuphunzitsa wodwalayo njira zam "mkate." Kuwerengera uku kukuthandizani kusankha zinthu zoyenera. Nsomba, masamba mafuta omwe amakhala ndi mafuta osakwaniritsidwa,
Mutha kugwiritsa ntchito malo ochepetsa mphamvu ya shuga,
Ponena za mowa, azimayi sangamwe mowa wambiri uliwonse patsiku. Awa ndi 15 ml a mowa, kapena 40 g mowa wamphamvu, kapena 140 g ya mowa. Koma izi zitha kuchitika mwa apo ndi apo, ndipo kumbukirani kuti izi zitha kupangitsa kuti magazi achepe.

Tsopano simukudziwa momwe shuga imawonekera mwa azimayi, komanso kuopsa kwake, komanso zomwe zikuyenera kuthandizidwa ndi dokotala - wa matenda ashuga, kapena wa endocrinologist.

Zoyambitsa matenda ashuga mwa akazi

Chifukwa chachikulu chakukhazikitsidwa kwa matenda ashuga mwa azimayi ndikotengera kwamtundu. Ngati makolo onse akudwala, ndiye kuti izi zitha kuwoneka mwa mwana ndi 50%. Tsoka ilo, izi, ngakhale zakudya zoyenera komanso kupewa sizingalepheretse njirayi. Komabe, ngakhale mwa anthu athanzi omwe adakonzedwa kale, palibe njira zomwe zingapambane, pokhapokha chithandizo chotsatira.

Kuphatikiza pa kubadwa mwatsopano, palinso zifukwa zina.

Kunenepa kwambiri. Mafuta ochulukirapo m'thupi ndi cholepheretsa kupezeka kwa insulin. Chifukwa chake ndizofanana ndi matenda amtundu wa 2, omwe amadziwonekera patatha zaka 40. Chithandizo chachikulu ndicholinga chakuchepetsa thupi.
Matenda opatsirana. Choopsa chachikulu ndicho matenda opatsirana ali mwana. Komabe, mwa kudziwikiratu, fuluwenza wabwinobwino amatha kupangitsa kuti munthu azidwala matenda ashuga.
Nthawi zambiri pamavuto ambiri, kugwira ntchito mopambanitsa ndi chifukwa chachikulu. Izi ndizowona makamaka kwa amayi pambuyo pa 30 omwe ali ndi nkhawa ndi mabanja, ana ndi makolo.
Zizolowezi zoipa monga kusuta fodya komanso kumwa kwambiri. Chithandizo chake ndicholinga chothetsa vuto.

Matenda a Autoimmune, pamene thupi lipanga ma antibodies motsutsana ndi ma cell ake. Kupanga kwa insulin kumayimiratu.
Vutoli limathanso kudwala matenda ashuga. Nthawi zambiri izi zimachitika pambuyo pa chimfine, rubella, mononucleosis, virus hepatitis. Maselo a pancreatic beta atawonongeka ndi kachilomboka, kupanga ma antibodies enaake mthupi kumatha.
Kuchepa kwa chitetezo cham'thupi kumathandizanso ku matenda amtunduwu.

Zizindikiro za matenda azamatenda akuwonetsa matenda ashuga

Matenda a shuga amayambitsa kusintha kwa ziwalo zonse ndipo woyamba kugundidwa ndimitsempha yamagazi ndi magazi, ma cell am'magazi amatulutsidwa, kamene kamayambira kutsutsana ndi matenda ashuga ndipo izi zimabweretsa zovuta m'matupi amthupi:

khungu limayamba kusweka ndi kuyanika, khungu limakutidwa ndi michere,
chitetezo chokwanira komanso chamderalo komanso ntchito zonse zoteteza thupi zimachepa,
mulingo wa asidi mu nyini umasintha
mucous nembanemba kumayamba kucheperachepera ndipo kusintha kosakhalitsa kwa acidity kuti gawo la ndale kapena zamchere limachitika
ma microcracks ali ndi kachilombo ka matenda, mafangasi, omwe amatsogolera pakupanga kutupa.

Mankhwalawa kuyabwa mu perineum ndi matenda ashuga, mafuta oletsa kugwiritsa ntchito mankhwala osokoneza bongo angagwiritsidwe ntchito pokhapokha ngati pali chizindikiro cha kutupa ndi matenda.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda a shuga a shuga, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Zizindikiro za matenda ashuga mwa akazi

Kwambiri, Zizindikiro za matenda ashuga mwa akazi ndizofanana ndi amuna. Chizindikiro chokhacho chachikazi ndi matenda achikazi. Matenda a shuga amapangitsa kuti pakhale kubadwa bwino kwa bowa mthupi. Mwa zina, bowa wa pathogenic amayambitsa kuyabwa ndi ukazi. Komanso, odwala matenda ashuga, thrush safuna kuchiza.

Chizindikiro choonekera cha matendawa ndikuwotcha, komwe kumadziwoneka yekha pamapazi ndi m'manja. Izi zimachitika chifukwa cha kuchuluka kwa magazi ndi shuga. Zizindikirozi ndizofala kwambiri pakati pa azimayi odwala, zimapezekanso zoposa makumi asanu ndi atatu muzana zamavuto onse a matenda ashuga mwa akazi ndipo ndicho chizindikiro chachikulu.

Kwa zisonyezo zonsezi zomwe zili pamwambapo ndikofunika kuwonjezera kutopa kwakukuru, ludzu lamphamvu komanso losagonjetseka, kugona, kukamwa kowuma, kutopa, kulimbitsa chilimbikitso, komanso njira yayitali ya matenda aliwonse opatsirana. Nthawi zina, kumva kuwawa mumtima, mantha kwambiri, minyewa ya ng'ombe, komanso kusowa tulo zimawonjezeredwa ndi zizindikiro za matenda ashuga. Mwa amayi apakati, omwe ali ndi matenda osokoneza bongo, kuchepa kwa chilimbikitso, kuchuluka kwa thupi, komanso kukodza pafupipafupi kumawonedwa.

Owerenga athu amalemba

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi. Nditakwanitsa zaka 66, ndinali ndikumenya insulin yanga, zonse zinali zoipa kwambiri.

Matendawa adapitilirabe, kuukiridwa kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, timakhala ndi moyo wachangu ndi amuna anga, timayenda maulendo ataliatali. Aliyense amadabwitsidwa ndimomwe ndimakwanitsira chilichonse, komwe ndimatha mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66 zakubadwa.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Zizindikiro za matenda ashuga mwa amayi apakati

Nthawi zambiri, mayi woyembekezera satha kukayikira matenda abwinobwino, chifukwa nthawi yochepa, samadziwonetsa. Ichi ndichifukwa chake ndikofunikira kwambiri kuyezetsa magazi nthawi yake.

Pakuchepa pang'ono kwa shuga m'magazi, adotolo adzalemba kafukufuku wambiri, yemwe amatchedwa "glucose kulolerana", kapena "curve shuga". Chomwe chimatsimikizira izi poyesa shuga sichiri pamimba yopanda kanthu, koma mutatha kumwa kapu yamadzi ndi shuga wosungunuka.

Pre-matenda ashuga (kulekerera shuga) kusala shuga lamwazi kuposa 5.5, koma ochepera 7.1 mmol / L.

Matenda a shuga: kusala shuga m'magazi kuposa 7.1 mmol / l kapena kuposa 11.1 mmol / l mutatha kudya shuga.

Popeza kuchuluka kwa shuga m'magazi osiyanasiyana pakanthawi kochepa patsikulo, nthawi zina mwina satha kuwunika panthawi yoyeserera. Pali mayeso enanso pa izi: glycated hemoglobin (HbA1c).

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulin ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Mafuta a glycated (i.e. glucose-womangidwa) sawonetsa kuchuluka kwa shuga m'masiku ano, koma m'masiku 7-10 apitawa. Ngati shuga atakwera kuposa zokhazokha panthawi imeneyi, mayeso a HbA1c azindikira izi. Pachifukwa ichi, chimagwiritsidwa ntchito kwambiri kuwunika mtundu wa chisamaliro cha matenda a shuga.

Odwala okhawo oopsa omwe ali ndi matenda ashuga, zotsatirazi zingaoneke:

Ludzu lalikulu
Nthawi ndi nthawi pokodza
Njala yayikulu
Kuwona koperewera.

Popeza amayi apakati nthawi zambiri amakhala ndi ludzu komanso chilakolako chokwanira, mawonekedwe a izi sizitanthauza matenda ashuga. Kungoyeserera pafupipafupi ndi kuyezetsa dokotala ndi komwe kungathandize kupewa pakapita nthawi.

Zizindikiro za vuto la mtima mwa azimayi omwe ali ndi matenda ashuga

Malinga ndi ziwerengero, anthu omwe ali ndi matenda ashuga ali ndi mwayi wa 40-50% wokhala ndi vuto la mtima kuposa wina aliyense.

Kuchuluka kwa shuga kumakwiyitsa minyewa ya pang'onopang'ono. Zotsatira zake, mawonekedwe osalephera a mitsempha ya magazi amapezeka, omwe akuphatikizira mawonekedwe a zotsatirazi:

kuchuluka kukwiya
mutu
kusokonezeka kwa kukumbukira
chizungulire
zosokoneza tulo
kuthamanga kwa magazi,
phokoso ndikulira m'makutu
kutopa kwambiri.

Momwe mungapewere matenda ashuga kwa mkazi

Monga mukudziwa, ndikosavuta kupewa vutoli kuposa kuyesetsa kuthana ndi mavutowo. Njira zomwe zithandizire kukonza moyo komanso kuchedwetsa matenda osokoneza bongo ndi monga: kuyesetsa kuchita masewera olimbitsa thupi, zakudya zapamwamba komanso zopatsa thanzi, komanso kuthana ndi mavuto.

Kuchita zolimbitsa thupi pafupipafupi kudzakhala chinsinsi cha thupi lathanzi. Makamaka ngati munthu wakhala akugwira ntchito kwa zaka zambiri. Kuti ziyenera kulipidwa moyenerera ndikuyenda mu mpweya watsopano, ntchito, komanso zochitika m'magulu azamasewera kapena makalabu. Izi zidzakulitsa thanzi kwazaka zambiri.

Zotsatira zabwino zitha kuchitika mukamachita masewera olimbitsa thupi otchedwa Bodyflex. Sizovuta kuchita, komabe, mphindi 15 izi zophunzitsira zithandizira kulimbitsa minofu, kukonza njira za metabolic ndipo nthawi yomweyo zimawotcha mapaundi owonjezera. Pazinthu zovuta, mutha kulangiza ndikuwunika miyambo ya cholesterol yamagazi mwa akazi.

Ndikofunika kulipira chidwi chanu pafupi ndi zakudya, chifukwa zimatha kupewa kupewa matenda ashuga. Kukhala bwino kugwiritsa ntchito mkate wa rye m'malo mwa makeke ndi makeketi, omwe sangakhale ndi phindu limodzi mthupi.

Ndikofunika kupatula kwathunthu m'zakudya zosiyanasiyana zakonzedwe, zakumwa zoledzeretsa ndi mbale zaonunkhiritsa.

Ndikofunikira kuti muzikhala mosangalatsa nthawi zonse, chifukwa moyo wonse wa munthu umadalira. Mutha kuchita yoga, malingaliro osiyanasiyana. Zochitika ngati izi zimathandizanso kumanganso thupi ndikuthandizira kuti zisamalimbane ndi matendawa, komanso kupewa, ngakhale atakhala ndi zaka zingati.

Ngati mayi akhazikitsa chidwi chake pamatenda ake komanso matendawa ku matenda osiyanasiyana, ndiye kuti ndizotheka kupewa matenda ashuga.

Fotokozani

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Ngati mankhwalawa onse akaperekedwa, zinali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Mankhwala okhawo omwe adapereka chofunikira ndi kusiyana.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Makamaka machitidwe amphamvu a Kusiyanitsa adawonetsa koyambirira kwa matenda ashuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi kusiyana ZAULERE!

Yang'anani! Milandu yogulitsa mankhwalawa yabodza Kusiyanako kwakhala komweko.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mukulandila zabwino kuchokera kwa wopanga ovomerezeka. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.

Zizindikiro zoyambirira za matenda ashuga ndi ziti? Momwe mungadziwire matendawa?

Pakumayambika kwa matenda ashuga, wodwalayo sangakhale ndi tanthauzo lililonse kwa zaka zingapo. Kuti muzindikire matendawa munthawi yake, ndikofunikira kuyezetsa magazi chaka chilichonse. Kapenanso mungachite bwino kuyezetsa magazi.

Maonekedwe awonetsero omwe ali pamwambapa akuwonetsa kuti shuga ya magazi mwa wodwalayo imayamba kukula. Ikhoza kukhala pafupi ndi matenda a shuga. Tsoka ilo, nthawi zambiri matendawa amayambira kuyimba foni ya ambulansi chifukwa cha chikumbumtima chosavomerezeka. Madokotala sangathe kupulumutsa 3-5% ya odwalawa kuimfa. Kuti mupewe kukhala ndi chisamaliro chamankhwala ambiri komanso mavuto ena osafunikira, musakhale aulesi kuti mupeze kuchuluka kwa shuga pakukayikira pang'ono kwa matenda ashuga.

Ngati mukufuna kukhala ndi pakati, onani zomwe zalembedwa:

Matenda Ovuta Kubereka - Kukonza ndikusamalira amayi omwe ali ndi matenda ashuga.
Matenda a gestational - shuga wamagazi anawonjezeka theka lachiwiri la mimba.

M'pofunika kukambirana za matenda onga omwe amachititsa kuti azimayi azikhala ndi matenda osokoneza bongo mosaletseka. Kudandaula kofala kwambiri ndikusangalatsa. Amawonetsedwa ndi kuyabwa mu nyini, kutulutsa tiziwopsezo, mavuto m'moyo wapamtima. Mutha kuthana nawo popanda kugwiritsa ntchito mankhwala oletsa poizoni, ngati mupita kudya zakudya zamafuta ochepa. Fungus ya candida albicans yomwe imayambitsa kupweteka imatha kubweretsa mavuto pakamwa.

Kuchuluka kwa shuga kwa magazi kumapangitsa kuti pakhale yisiti komanso mabakiteriya ena ambiri oyipa. Pakhoza kukhala matenda a kwamikodzo, makamaka, cystitis - kutupa kwa chikhodzodzo. Akazi amatenga nawo chidwi kwambiri chifukwa cha mawonekedwe awo apamwamba. Matendawa ndi osasangalatsa mwa iwo okha. Choyipa kwambiri, mabakiteriya amatha kufikira impso ndikuyamba kuziwononga. Pyelonephritis ndimatenda otupa a impso, omwe amayamba chifukwa cha tizilomboto tambiri toyambitsa matenda. Zimakhala zovuta kuchiza.

Ndi mawonetsedwe ati a shuga omwe amawonekera pakhungu?

Khungu likhoza kukhala louma, kusenda komanso kupendekera. Matenda a shuga a Mtundu 2 nthawi zina amayambitsa khungu la khungu lotchedwa acanthosis nigricans. Komabe, kuperewera kwa shuga wa m'magazi sikuti nthawi zonse kumayambitsa mavuto a khungu. Simungathe kuyang'ana pa zizindikiro zakunja za matendawa. Nthawi zambiri, mavuto amtundu wa khungu sawoneka, ngakhale shuga wa wodwalayo atatha. Matenda a shuga amawonjezera kukalamba kwa thupi, ndipo izi zimakhudza mkhalidwe wa pakhungu. Izi zimavutitsa azimayi, koma kusintha kwa zoyipa kumachedwa. Nthawi zambiri odwala amawazolowera ndipo samakweza alamu.

Kodi zizindikiro za matenda ashuga mwa azimayi azaka zopitilira 30 ndi ziti?

Ngati kagayidwe kakang'ono ka shuga kamasokonezeka kaonekera mwa mkazi wazaka pafupifupi 30, ndiye kuti ndiamtundu woyamba wa matenda ashuga - matenda oopsa a autoimmune. Kukula kwa shuga m'magazi oyambitsidwa ndi moyo wopanda thanzi nthawi zambiri sikuti kumakula msanga. Matenda a shuga amtundu wa 1 amawonekera mofulumira. Nthawi yomweyo imayambitsa zomwe zimachitika patsamba lino. Pazaka pafupifupi 30, simungachite mantha ndi matenda ashuga apambuyo.

Yang'anani kuchuluka kwa glucose anu mu labotale kapena osachepera ndi mita yamagazi a nyumba. Ngati matendawa atsimikiziridwa, werengani mtundu 1 wololera matenda a shuga ndikutsatira malingaliro ake. Dzilimbikitseni nokha ndikuti ndizosatheka kudziteteza ku matenda, si vuto lanu pakuwoneka kwawo. Komabe, ndiudindo wanu kupewa komanso kulimbana ndi zovuta.

Kodi ndi zinthu ziti zomwe zimapangitsa kuti shuga asokonekera mu azimayi azaka pafupifupi 40?

Amayi azaka zopitilira 40 amatha kukhala ndi mitundu iwiri ya matenda ashuga. Shuga wamagazi amatha kuchulukitsidwa chifukwa cha zakudya zopanda thanzi komanso moyo wongokhala. Kuukira kwa autoimmune pama cell a pancreatic beta omwe amapanga insulin amathanso kuyamba. Ozunzidwa awo amakhala anthu ochepa thupi komanso oonda. Sizikupanga nzeru kuyesa magazi okwera mtengo kwa ma antibodies kuti mudziwe ngati ali ndi vuto. Chifukwa sizikhudza njira zamankhwala.

Matenda a shuga a Autoimmune mwa akazi ndi amuna azaka 40 ndi akulu amatchedwa LADA. Ndizofala kwambiri kuposa momwe mumaganizira kale. Madokotala anazindikira izi pambuyo pa 2010. Tsopano akusintha pang'onopang'ono malangizo a mankhwala. Kuyambira atakwanitsa zaka 40, matendawa ndi osavuta, pokhapokha ngati wodwalayo amatsatira zakudya zamafuta ochepa. Komabe, jakisoni wa insulin yotsika mtengo ungafunike, ngakhale mutadya zakudya zabwino.

Matenda a 2 a akazi azimayi nthawi zambiri amakula patatha zaka 45. Komabe, zitha kuyamba kumayambiriro, makamaka ngati shuga anali atayamba kale kale panthawi yapakati. Matendawa ndi osavuta kuiwongolera posintha kukhala ndi moyo wathanzi. Zikadakhala kuti wodwalayo anali ndi chidziwitso chokwanira kutsatira malamulowa. Tsoka ilo, ndi matenda amtundu wa 2 shuga, kuukira kwa autoimmune pama cell a pancreatic beta kumawonekeranso. Zimatengera kudziwiratu kwa izi, ngakhale kunenepa kwambiri kudzasanduka shuga. Jakisoni wa insulini angafunikire kulipiritsa kuthana ndi autoimmune. Musakhale aulesi ndipo musaope kulandira chithandizo ndi insulin, ngati pangafunike. Makamaka panthawi ya chimfine ndi matenda ena opatsirana.

Kodi zizindikiro za matenda ashuga mwa azimayi pambuyo pa 50 ndi ziti?

Matenda a shuga a Autoimmune LADA komanso anthu owonda nthawi zambiri samayamba ali ndi zaka 50. Komabe, matendawa amatha kuyamba zaka zingapo m'mbuyomu, kenako ndikukhala obisika kwanthawi yayitali, atazindikira mochedwa. Chifukwa chake, ziyenera kukumbukiridwa ngati chimodzi mwazomwe zimayambitsa shuga wambiri. Komabe, odwala matenda ashuga a mtundu wachiwiri ndi omwe nthawi zambiri amayambitsa vutoli.

Kuchepa kwa akazi kumachulukitsa kagayidwe, kumayambitsa kukhazikika kwa kunenepa kwambiri, komanso kumawonjezera chiopsezo cha matenda a shuga ndi mtima. Komanso, matendawa amatha kubisika kwa zaka zambiri. Zizindikiro zofatsa komanso zopweteka zalembedwa pamwambapa. Ngati mwabwera patsamba lino, ndiye kuti mwachiwonekere ndinu wodekha mtima. Chifukwa chake, simudzachita chilichonse chopusa, kunyalanyaza zizindikilo za matenda a shuga. Pimani magazi. Ndikofunika kuyang'ana hemoglobin wa glycated. Komanso, ngati ndi kotheka, gwiritsani ntchito njira ya 2 ya matenda a shuga. Kapenanso tsatirani pulogalamu yoyeserera matenda a shuga 1 yomwe ilinso yoyenera ku LADA.