Kodi ndizotheka kuwona matenda a shuga ndi ultrasound?

Njira zofufuzira za akupanga ndi imodzi mwazofala kwambiri, pomwe njira zophunzitsira zamakono ndizothandiza kwambiri. Mwinanso, munthu aliyense kamodzi pa moyo wake adakayezetsa mtundu wa ultrasound (kapena ultrasound). Pogwiritsa ntchito njirayi, mutha kudziwa zambiri zokhudzana ndi chiwalo chilichonse. Ndiye ndi ziwalo ziti za ultrasound komanso kangati ziyenera kuchitika ndi matenda ashuga? Ziyenera kunenedwa nthawi yomweyo kuti ngakhale kufala kwa njirayi, ultrasound sikuwunika. Mwanjira ina, mu shuga, ziyenera kuchitidwa pokhapokha zikuwonetsedwa. Kodi uwu ukhoza kukhala umboni wotani?

Mwachitsanzo, ngati wodwala wapezeka ndi kuwonongeka kwa impso malinga ndi mayeso a labotale, kuyang'ana kwa impso ndikofunikira kuti muzindikire. Zofanananso ndi ultrasound ya mtima (kapena ECHO-KG) ndi mitsempha (nthawi zambiri miyendo, mutu ndi khosi) - kafukufukuyu akuwonetsedwa pamaso pa zizindikiro za zovuta zamtima za matenda osokoneza bongo komanso / kapena kusintha kwa ma cell pa ECG (electrocardiography). Pambuyo pake, ma frequency a ultrasound amatsimikiziridwa ndi katswiri aliyense payekha, kutengera mtundu ndi kuuma kwa zovuta. Ultrasound yam'mimbamo yam'mimba imakhalanso ndi zidziwitso pozindikira zomwe zikugwirizana. Chifukwa chake, ultrasound ndi njira yofunikira kwambiri yodziwira matenda ndikuwongolera zovuta za matenda ashuga. Matenda oyamba a shuga sikuti akuwonetsa kuti ali ndi ultrasound, koma chifukwa cha kuchuluka kwa zovuta zamankhwala panthawi yopezeka ndi matenda amtundu wa 2, njira za ultrasound nthawi zambiri zimakhala zofunikira kale pakafunsidwa koyamba.

Zomwe zafotokozedwazo sindiwo kufunsa kuchipatala ndipo sizingaloze kuyendera dokotala.

Zisonyezo za kuyesa kwa ultrasound kwa odwala matenda ashuga

Kuti mudziwe momwe zimakhalira kapamba, ndizotheka kuchita kafukufuku wa ziwalo zam'mimba mu matenda a shuga.

Njira yodziwira matendawa ingathandize kupatula kuwonjezeka kwachiwiri kwa shuga mu kapamba kapenanso matenda osapweteka, chotupa mu kapamba. Kuunika kwa ultrasound kumawonetsanso ngati wodwala ali ndi insulinoma, yomwe imakhudzanso mwachindunji kuchuluka kwa shuga m'magazi.

Mutha kuwona mkhalidwe wa chiwindi, womwe ndi wofunikira kwambiri pazochita za metabolic zomwe zimaphatikizapo ma carbohydrate, popeza zimasungira glycogen reservation, yomwe imagwiritsidwa ntchito pamisempha yochepa ya magazi, ndipo maselo a chiwindi amapanga mamolekyulu atsopano a glucose kuchokera kumagawo omwe alibe mafuta.

Kafukufuku wa ultrasound amasonyezedwanso njira yotupa yomwe akuwakayikira, zomwe zimadziwika kuti sizidziwika.

Chizindikiro chachikulu chomwe chimaphatikiza matenda a shuga ndi neoplasms yoyipa ndi kuchepa thupi, komwe kumafunikira kuzindikira kosiyanitsa.

Zotsatira za Ultrasound za Matenda A shuga

Pa magawo oyambilira a chitukuko cha matenda a shuga a autoimmune, mapangidwe a kapamba sangasiyane ndi abwinobwino. Mitundu yake imakhalabe yolingana ndi zaka za wodwala; granularity and echographic dongosolo zimafanana ndi magawo a thupi.

Pambuyo pachaka chachisanu cha matendawa, kukula kwa chindacho kumachepa pang'onopang'ono, ndipo kumakhala ngati nthiti. Pancreatic minofu imakhala yocheperapo pang'onopang'ono, mawonekedwe ake amatha kuwongoleredwa mpaka kumakhala chimodzimodzi ndi CHIKWANGWANI chomwe chimazungulira ndi ziwalo zoyandikana.

Ndi mtundu 2 wa matenda ashuga kumayambiriro kwa matendawa, chizindikiro chokhacho chomwe mumawona ndi ultrasound ndi kapamba wokulirapo pang'ono wabwinobwino. Chizindikiro chosalunjika chikhoza kukhala mawonekedwe a mafuta omwe amapezeka m'maselo a chiwindi.

Ndi nthawi yayitali ya matendawa, zizindikiro zotsatirazi zimawonekera:

1. Malangizo a kapamba.
2. Kugonjera ndi minofu yolumikizana - sclerosis.
3. Lipomatosis - kukula kwa adipose minofu mkati mwa England.

Chifukwa chake, ma ultrasound sangawonetse matenda a shuga, koma onani kusintha kwamatenda a pancreatic omwe angathandize kudziwa kutalika kwa matendawa ndikupanga matendawo kuti pakhale zovuta za matenda ashuga.

Kukonzekera kwa Ultrasound

Kuunika kwa Ultrasound kumatha kukhala kovuta ngati pali mpweya wambiri m'matumbo a lumen. Chifukwa chake, musanayesere ultrasound, kwa masiku atatu kuchokera pamenyu osapatula mandimu, mkaka, masamba osaphika, muchepetse zipatso, mkate, koloko, mowa, khofi ndi tiyi. Maswiti, kuphatikizapo omwe ali ndi matenda ashuga, saloledwa.

Kuzindikira zam'mimbazi m'mimba ndikotheka kokha pamimba yopanda kanthu, ndizotheka kuti musangotenga chakudya maola 8 musanayesedwe, komanso osafunika kumwa madzi ambiri. Ana amatha kudya chakudya chomaliza maola 4 asanafike phunzirolo.

Ngati mumakonda kudzimbidwa, muyenera kumwa mankhwala ofewetsa tulo kapena kuyika enema kuyeretsa tsiku loti lisanachitike. Ngati wodwala akuda nkhawa ndi kuchuluka kwa kupanga kwa mpweya, ndiye potsatira dokotala, makala owonjezera, Espumisan kapena enterosorbent angagwiritsidwe ntchito.

Patsiku la ultrasound, muyenera kutsatira malamulo awa:

• Osagwiritsa ntchito chingamu kapena maswiti.
• Osasuta.
• Mankhwalawa akuyenera kuvomerezeredwa ndi adokotala akuchititsa phunzirolo.
• Chakudya sichingatengedwe, madzimadzi ayenera kuchepetsedwa.
• N`zosatheka kuchititsa colonoscopy, sigmoidoscopy kapena fibrogastroscopy, kuyesa kwa X-ray ndi sing'anga yosiyana patsiku limodzilimodzi.

Popanda kukonzekera koyambirira, kuwunika kwa ultrasound kumatheka pokhapokha malinga ndi zadzidzidzi, zomwe ndizosowa shuga. Kuphatikiza pamimba, odwala omwe ali ndi matenda a shuga amawonetsedwa ndi impso ndi akuganiza kuti ali ndi matenda ashuga.

Kuphatikiza apo, kuwunika kwa matenda amtundu uliwonse wa shuga ndikotheka, mwa kutenga magazi.

Kanemayo munkhaniyi akutsimikizira matenda a shuga.

Kodi ndichifukwa chiyani ma ultrasound amathandizira odwala matenda ashuga?

Mafunde akalowa m'ziwalo, amadziwoneka ngati tinthu tambiri kapena timadzi tomwe timatulutsa. Kutengera mafunde obwerera, kompyuta imapanga zithunzi za minofu yomwe ikuwunikiridwa. Tsitsi lonyalalo, limawoneka bwino.

Mafupawo ndiwopanda magazi kotero kuti amawonekera m'mitundu yoyera. Komabe, kafukufuku akuwonetsa kuti mu ana, ma ultrasound amatha kugwiritsidwa ntchito kutsimikizira kuleza kwa mafupa. Mayeso a Ultrasound amapereka zambiri. Mwa amayi apakati, dokotala amatha kugwiritsa ntchito iyo kuti ayese mwana wosabadwayo m'mimba mwa amayi. Ultrasound itha kugwiritsidwanso ntchito kuti mupeze minofu neoplasms, yotchedwa zotupa.

Kuphatikiza pa Ultr standard wamba, pali njira zina zapadera. Ndi matenda a shuga, dopplerography imagwiritsidwa ntchito nthawi zambiri. Zimathandizira kuwona bwino ziwalo zopanda kanthu - mitsempha yamagazi.

Zosiyanasiyana

Mwakuthupi, ma ultrasound amatanthauza mafunde omveka omwe sagwidwa ndi khutu la munthu. Khutu limatha kutola mawu osiyanasiyana mu 16-1800 Hz. Pakati pa 20,000 Hz - 1000 MHz pali malo omwe akupanga. Mabati amagwiritsa ntchito mafunde akupanga kuyenda mumdima. Phokoso lokweza kwambiri limatchedwa hypersonic. Pansi pa mawu omveka amatchedwa "infrasound."

Mafunde akupanga a sonography amapangidwa ndimakristali a piezoelectric. Piezoelectric makhiristo oscillate mu ultrasound ntchito yoyenera alternating voliyumu, motero, amatulutsa HC.

Mu ultrasound, mutu wa ultrasound, womwe nthawi yomweyo umafikitsa ndikulandira HC, umatumiza kugunda kwa ma ultrasound. Ngati zimachitika ngati zikuwoneka m'matangadza, zimabwezedwa ndikujambulidwa ndi wolandayo.

Kukhazikitsidwa kwa ultrasound kwa orthopedics kunayamba kwa Pulofesa R. Graf wa 1978. Kuwerengera kunasunthira m'chiuno kuti athe kuwona dysplasia ali wakhanda, popeza ma radiograph sapereka chidziwitso chifukwa cha kupangidwe kwa mafupa. M'tsogolomu, njira yowonetsa kugwiritsa ntchito sonography mu orthopedics inayamba kuchuluka.

Mu orthopedics, kutengera kufunikira kolowera, masensa okhala ndi ma frequency kuchokera pa 5 mpaka 10 MHz amagwiritsidwa ntchito pa ultrasound.

Malowa oti ayesedwe ndi ultrasound amaphatikizidwa koyamba ndi gel. Gel ndiyofunikira chifukwa imathandizira kupewa kulumikizana pakati pa minofu ndi sensor.

Kuunika kumachitika ndi kupepuka kwa minofu. Zomwe zimayenera kuphunziridwa zimadutsa mosiyanasiyana.

Ultrasound imachitika nthawi zonse chimodzimodzi: kutengera kapangidwe kamaphunziridwe, wodwalayo amaika kapena kukhala pakama. Kuyenera kudziwika kokha kuti wodwalayo ayenera kukhala wokhazikika komanso wanjala panthawi ya ultrasound. Gelali imakhala ndi madzi ambiri, omwe amalepheretsa kuwunikira kwa thovu pakati pa khungu.

Mitundu yambiri yogwiritsidwa ntchito ndi ultrasound:

• Dopplerography: imakuthandizani kuti muzitha kuwona kayendedwe ka madzi (makamaka kuthamanga kwa magazi). Zimakhazikitsidwa pamfundo yoti mafunde omwe akupanga amatulutsidwa mosalekeza kuzinthu zina ndikumwazika pamenepo ndikumazungulira maselo ofiira amwazi. Doppler sonography imagwiritsidwa ntchito poyesa kuthamanga kwa magazi ndipo, motero, imakupatsani mwayi wofufuza zamitsempha zosintha (mwachitsanzo, arteriosulinosis ndi vasoconstriction), zolakwika zamtima ndi ma valavu,
• Colour Dopplerography: iyi ndi njira imodzi yofunika kwambiri yodziwitsira matenda angiology, chifukwa imakuthandizani kuti muzindikire molondola ma pathologies osiyanasiyana a mtima. Utoto wa ultrasound umatulutsa zithunzi zautoto. Zimathandizira kuzindikira aneurysms ndi ma cysts osiyanasiyana osiyanasiyana. Mawonekedwe ake amathandizanso kuwunika kuthamanga kwa magazi ndipo, chifukwa chake, kukula kwa vasoconstriction. Ma occlusions a mtima amatha kuwonedwanso.

Kudera la carotid artery kapena groin, zombo zimatha kuwonetsedwa bwino kwambiri kotero kuti nthawi zambiri kumakana njira zina zamaganizidwe. Pozindikira mitsempha ya varicose, sonography pafupifupi inasinthiratu phlebography.

Zingaoneke pa ultrasound?

Pali minyewa ina yomwe imawoneka bwino pogwiritsa ntchito ultrasound. Zida zowoneka bwino ndi zomwe zimakhala ndi mpweya (mapapu, trachea, kapena thirakiti) kapena zotayidwa ndi minofu yolimba (monga mafupa kapena ubongo).

Upper m'mimba yam'mimba yodwala matenda a shuga imathandiza kuzindikira matenda osiyanasiyana:

• Chiwindi: kuchepa kwamafuta,
• Chikhodzodzo: miyala, ma polyp,
• Kapamba: kapamba,
• Spleen: hypertrophy,
• Aorta: aneurysm,
• Impso: chotupa cha chikhodzodzo, miyala, nephropathy,
• Ma lymph node: mwachitsanzo, zowonjezera.

Komabe, ultrasound imathandizira kuwona bwino minofu yofewa komanso yamadzi - mtima, chiwindi, ndulu, impso, ndulu, chikhodzodzo, testicles, chithokomiro cha chithokomiro ndi chiberekero. Mtima ultrasound (echocardiography) imagwiritsidwa ntchito makamaka kupenda mitsempha ya mtima yamatenda a matenda ashuga.

• Kuyang'ana pamimba ndi pelvis (chiwindi, chikhodzodzo, ndulu, m'mimba, matumbo, kapamba, impso, chikhodzodzo, zotupa za pakhungu la prostate, ziwalo zoberekera za akazi),
• Maphunziro a mtima,
• Kuwerenga kwa minofu yofewa (minofu, minofu ya adipose, khungu),
• Kusanthula kwa ziwalo zopanda kanthu - zombo,
• Mimba

Kulemba zotsatira

Matenda ambiri amatha kupezeka ndi ultrasound. Sonography ndiyabwino kwambiri kuti mupeze zamadzimadzi zaulere (Baker's cyst). Ultrasound imathandizira kuwunika mamangidwe a minofu - minofu ndi ma tendon (rotator cuff, Achilles tendon) bwino.

Ubwino waukulu wa njirayi ndi mwayi wakuwunika mayeso. Mosiyana ndi njira zina zonse zoganiza (X-ray, MRI, computer tomography), ma ultrasound amathandizira kuwona kayendedwe ka madzi.

Ndondomeko

Mayeso a Ultrasound nthawi zambiri amachitika atagona. M'matenda ena (ma intervertebral disc herniation), makina a ultrasound amachitika m'malo oimirira. Kuti mutumizidwe bwino pakhungu, khungu limalumikizidwa. Transducer imayenda pamwamba pa khungu ndipo imazungulira mbali zosiyanasiyana mpaka pakhungu, kotero ziwalo ndi minofu yofewa imatha kuyesedwa pamlingo wosiyanasiyana. Wofufuzawo adzafunsa wodwalayo kuti apumule ndikugwira mpweya kwakanthawi kochepa.

Doppler mtima sonography imachitika chimodzimodzi monga mayeso ena a ultrasound.

Dotolo amatsogolera mutu wa ultrasound kudera la thupi lomwe lakhudzidwa. Dokotala amayika khungu la khungu la malo oyesedwawo. Izi ndizofunikira, chifukwa apo ayi mpweya pakati pa sensor ndi khungu umawonetseratu mafunde omwe akupanga.

Ndi kuphatikiza kwa mbiri yachipatala, mbiri yakale ndi kuyesedwa ndi dokotala, nthawi zambiri matenda amitsempha amatha kupezeka. Angiography itha kugwiritsidwanso ntchito ngati njira yowonjezera yowunika - kuyesa kwa X-ray, momwe zombo zimawonedwera pogwiritsa ntchito othandizira ena.

Zotsatira zoyipa

Mosiyana ndi njira zina zoganizira (radiografia), ma ultrasound amakhala pafupi osavulaza wodwala ndi akatswiri. Kutentha kwanyengo kwa thupi, komwe kumatha kufika pafupifupi 1.5 digiri Celsius, sikuvulaza thanzi. Komabe, tikulimbikitsidwa kuti diagnostics a ultrasound samapitilira motalika kwambiri.

Chinanso chomwe chingachitike, koma chosowa kwambiri chingakhale chakuti kuphatikizira kwa mpweya m'thupi kumatha kuphulika chifukwa cha mawu, omwe angakhudze ziwalo zozungulira.

Uphungu! Anthu odwala matenda ashuga ayenera kufunsidwa ndi katswiri woyenera wa zamankhwala asanayese zam'mimba. Makamaka ndimatenda a shuga, ndikofunikira kukaonana ndi dokotala kuti tipewe zovuta zina. Ndi zoletsedwa kovomerezeka kuyeserera nokha, chifukwa dokotala wophunzitsidwa bwino yemwe ali ndi maphunziro azachipatala ayenera kuthana ndi mayesowo ndi chithandizo chamankhwala.

Echocardiography ndi njira zina zoyeserera pogwiritsa ntchito HC zimathandizira kuphunzira ziwalo zamkati za wodwala. Anthu odwala matenda ashuga nthawi zambiri amayesa kukula kwa mtima, kudutsa, komanso ntchito ya mtima. Dokotala amathanso kuyesa kayendedwe ka magazi m'mapapu, omwe sangathe kuyerekeza kuyesa kuthamanga kwa magazi pa mkono. Ultrasound imatha kuwonetsa zolakwika mu mtima, ndulu, ndi ziwalo zina. Kuunika kwa Ultrasound sikowopsa kwa wodwala ndipo sikupweteka kwa wodwalayo.

Kuyesedwa kwa Matenda A shuga

Aliyense ayenera kudziwa mayeso omwe amadwala matenda ashuga omwe amawonetsa kwambiri matendawa.

Osati nthawi zonse, kumayambiriro kwa matendawo, mutha kuwona zizindikiro zoyambirira za matenda ashuga. Nthawi zina munthu sangakayikire kuyambika kwa matendawa. Ngati pali zizindikiro zina, dokotalayo amayenera kukupatsani kuyezetsa magazi ndi mkodzo kuti mumve bwino kwambiri.

Kodi mayeso amatengedwa ndi cholinga chotani?

Mosasamala mtundu wa shuga mellitus wodwala, kutsimikiza kwa chizindikiritso cha glucose ndi gawo lofunikira popewa zovuta. Kuyesedwa kwa magazi kumathandiza dokotala kuti apereke mayeso olondola pazizindikiro izi:

1. Kukwanira kwa mankhwalawa
2. Kukula kwa ntchito yapantchito,
3. Kupanga timadzi tokwanira,
4. Kukhalapo kwa chizolowezi chopanga zovuta,
5. Kodi impso zimagwira bwino ntchitoyo,
6. Kodi pali zomwe zikuchitika pang'onopang'ono pangozi yodwala matenda a mtima,
7. Kuchuluka kwa kuwonongeka ndi kuthekera kwa kutulutsa mahomoni ndi kapamba.

CHIWERE CHA BLOOD

Maola a m'mawa ndi oyenera kwambiri kuyesa magazi. Kwa maphunziro ambiri, magazi amatengedwa mosamala pamimba yopanda kanthu. Kofi, tiyi ndi msuzi ndi chakudya. Mutha kumwa madzi.

Nthawi yotsatira ikulimbikitsidwa mukatha kudya:

• kuyezetsa magazi kwa magazi osachepera maola atatu,
• kuyesa magazi a biochemical, ndikofunika kuti musadye maola 12-14 (koma osachepera maola 8).

Masiku 2 asanachitike mayeso, ndikofunikira kusiya zakumwa zoledzeretsa, zamafuta ndi mafuta.

Musasute maola 1-2 musanatsutse magazi.

Asanayezedwe magazi, zolimbitsa thupi ziyenera kuchepetsedwa. Kupatula kuthamanga, kukwera masitepe. Pewani kudzuka mtima. Mphindi 10-15 muyenera kupuma, kupumula komanso kukhazikika.

Simungathe kuperekera magazi mukangopeza njira za physiotherapy, kuyezetsa magazi ndi ma X-ray, kutikita minofu ndi Reflexology.

Musanapereke magazi, ndikofunikira kupatula kusiyana kwa kutentha, ndiye kuti, kusamba ndi sauna.

Asanayezedwe magazi ochulukitsa mwa amayi omwe ali ndi zaka zakubadwa, munthu ayenera kutsatira malangizo a dokotala patsiku la msambo, komwe amafunika kupereka magazi, chifukwa zinthu zokhudzana ndi gawo la msambo zimayambitsa zotsatira zake.

Musanapereke magazi, muyenera kukhazika mtima pansi kuti mupewe kutulutsa mahomoni mosaloledwa m'mwazi ndi kuchuluka kwawo.

Kupereka magazi chifukwa cha hepatitis ya viral, ndikofunika kuti musatenge zipatso, zipatso ndi malalanje kuchokera muzakudya masiku awiri asanafike phunzirolo.

Kuti mupeze mayeso olondola ndi kufananiza zotsatira za mayeso anu a labotale, ndikulimbikitsidwa kuzichita mu labotale yemweyo, popeza njira zosiyanasiyana zakufufuzira komanso magawo a zoyezera zitha kugwiritsidwa ntchito m'malo osiyanasiyana.

Malamulo okonzekera kuyesedwa kwa magazi a munthu.

Kuyamwa kwa magazi phunziroli kumachitika m'mawa (mpaka 12:00, adrenocorticotropic mahormoni - mpaka 10:00, cortisol - mpaka 8:00) pamimba yopanda kanthu (osati kale kuposa maola 2 mutadya). Kudziwitsa kuchuluka kwa osteocalcin, CossLaps, parathyroid, calcitonin, STH, insulin, C-peptide, proinsulin, NSE ikuchitika pasanathe maola 8 mutatha kudya, ndipo gastrin imatsimikiziridwa maola 12 mutatha kudya.

Kwa maphunziro obwerezedwa, tikulimbikitsidwa kusunga nthawi yomweyo.

Mwa azimayi amsinkhu wobereka (kuyambira zaka 12 mpaka 13 mpaka kufika pa msambo), zinthu zokhudza thupi zomwe zimayenderana ndi gawo la msambo zimayambitsa zotsatira, chifukwa chake, mukamayang'ana mahomoni ogonana, muyenera kufotokoza tsiku la kusamba (msambo).

Ngati mukumwa mankhwala, onetsetsani kuti mwadziwitsa dokotala.

TIZOLEMEKEZA ANANSI

Kusanthula kwakanthawi kwamikodzo:

• mkodzo m'mawa wokha watengedwa, umatengedwa pakati pakukodza,
• mkodzo wam'mawa: Kutolere kumapangidwa mukatuluka tulo, musanadye khofi kapena m'mawa.
• kukodza koyambirira sikunadutse 2 koloko m'mawa.
• Musanatenge mayeso a mkodzo, chimbudzi chokwanira cha ziwalo zakunja zimachitika,
• 10 ml ya mkodzo amatengedwa mumtsuko wapadera wokhala ndi chivindikiro, umaperekedwa ndi mayendedwe, mkodzo wosungidwa umatumizidwa nthawi yomweyo ku labotale.
• Kusunga mkodzo mufiriji kuloledwa pa 2-4 C, koma osapitirira maola 1.5,
• azimayi sayenera kupatsa mkodzo panthawi ya msambo.

Kutolere kwamikodzo tsiku ndi tsiku:

• wodwala amatenga mkodzo mkati mwa maola 24 ndi njira yeniyeni yankhokwe (pafupifupi malita 1.5 patsiku),
• m'mawa pa maola 6-8, amatulutsa chikhodzodzo ndikutsanulira gawo ili, kenako masana amatenga mkodzo wonse mum'chombo chofunda chamkati chopanda bwino chopangidwa ndi galasi lakuda ndi chivindikiro chokhala ndi malita osachepera 2,
• Gawo lomaliza limatengedwa nthawi yomweyo kusonkhanitsa kudayambika tsiku latha, nthawi yakumapeto ndi kumapeto kwa chopereka kwadziwika,
• chidebe chimasungidwa pamalo abwino (makamaka mufiriji patsamba lofufuzira), kuzizira sikuloledwa,
• kumapeto kwa kutola kwa mkodzo, kuchuluka kwake kumayesedwa, mkodzo umagwedezeka bwino ndipo 50-100 ml imatsanuliridwa mu chidebe chapadera chomwe chimaperekedwa ku labotale.
• zikuwonetsa kuchuluka kwa mkodzo watsiku ndi tsiku.

Kutolere kwamkodzo kuti mufufuze za Nechiporenko (chizindikiritso cha njira yotupa yoyambira):

• m'mawa pamimba yopanda kanthu, 10 ml ya mkodzo wam'mawa, wotengedwa pakati pokodza, amasonkhanitsidwa mu chida chapadera cha labotale.

Kutolere kwamkodzo phunziroli molingana ndi Zimnitsky (wodwalayo amaganizira kuchuluka kwa madzi omwe amamwa tsiku lililonse):

• mutatulutsa chikhodzodzo nthawi ya 6 am maora atatu aliwonse masana, mkodzo umasonkhanitsidwa munkhokwe, zomwe zikuwonetsa nthawi yosonkhanitsa kapena nambala ya gawo, yonse ya ma seva 8 Kutumizira 1 - kuyambira 6.00 mpaka 9.00, 2 akutumizira - kuyambira 9.00 mpaka 12.00, 3 akutumizira - kuyambira 12.00 mpaka 15.00, 4 akutumikirapo - kuyambira 15.00 mpaka 18.00, 5 akutumikirani - kuyambira 18.00 mpaka 21.00, 6 akutumikirani - kuyambira 21.00 mpaka 24.00, 7 gawo - kuyambira 24.00 mpaka 3.00, gawo 8 - kuyambira 3.00 mpaka 6.00 maola,
• Mkodzo wonse wosungidwa mumakontena 8 apadera umaperekedwa ku labotale,
• onetsetsani kuti mwawonetsa kuchuluka kwa mkodzo watsiku ndi tsiku.

Kutolera kwa mkodzo pakuwunikira michere (chikhalidwe cha mkodzo):

• mkodzo wam'mawa umasonkhanitsidwa mu chidebe cha labotale yokhala ndi chivindikiro,
• 15 ml woyamba wa mkodzo sagwiritsidwa ntchito powunikira, 5 ml ml wotsatira amatengedwa,
• mkodzo wosonkhanitsidwa umaperekedwa kwa ogwira ntchito mkati mwa 1.5 - maola awiri atatha kusonkhanitsa,
• kusunga mkodzo mufiriji ndikuloledwa, koma osapitilira maola 3-4,
• Kutulutsa mkodzo kumachitika madokotala asanayambe,
• ngati mukuyenera kuwunika momwe mankhwalawo amathandizira, ndiye kuti chikhalidwe cha mkodzo chimachitika kumapeto kwa maphunzirowo.

CALA ANALYSIS

• Pakadutsa masiku atatu musanayambe phunzirolo, pewani kumwa mankhwala omwe amasintha ndowe ndikuyambitsa matenda am'mimba,
• Simungayang'ane ndowe pambuyo pa enema, kugwiritsa ntchito ma rectal suppositories, kugwiritsa ntchito mankhwala othandizira kapena utoto, komanso pilocarpine, iron, bismuth, barium, ndi zina zotere.
• ndowe siziyenera kukhala ndi zosayera, monga mkodzo, mankhwala ophera tizilombo, etc.,
• konzani chidebe chotsuka ndi ndowe, - zomwe zimakhala m'makanizo am'mawa kuchokera pa mfundo zitatu zimasonkhanitsidwa mchidebe ndikuzipereka ku labotale mkati mwa maola awiri.
• kwa masiku awiri, wodwalayo sayenera kudya chakudya cholimba, chosagwidwa bwino ("zinyalala za chakudya") - mbewu, mtedza, masamba osaphika ndi zipatso zokhala ndi khungu, komanso ma sorbents - makala oyambitsa ndi zina zotero, komanso bowa!

Mayeso Microbiological a ndowe (dysbiosis yamatumbo, zikhalidwe zapathupi, staphylococcus)

Madzulo a phunziroli, ndibwino kuti mugule mankhwala osawerengeka osakanizika ndi mankhwala osakanikirana.

Facks wa dysbiosis ayenera kuperekedwa musanadye maantibayotiki, chemotherapeutic, sulfanilomide mankhwala, michere, mankhwala (ngati izi sizingatheke, ndiye osaposera maola 12 atachotsa mankhwalawo). Kwa masiku 3-4, ndikofunikira kusiya kumwa mankhwala othandizira, kukhazikitsidwa kwa supplementories a rectal, mafuta. Musatenge mankhwala a lactic acid (kefir, tchizi chanyumba, yogati ...)

• Kwa phunziroli, ndowe zongopeza kumene zosungidwa patsiku la phunziroli zitatha kusankhidwa kwachinthu chachigawo chotsiriza
• Zotengera zomwe siziyenera kutsukidwa kapena kusambitsidwa. Osakhudza mkati mwa chidebe, chivindikiro, supuni ndi manja anu.
• Kuchokera pachiwiya (chotengera), ndowe mothandizidwa ndi supuni yomwe yaphatikizidwa imasonkhanitsidwa mumtsuko. Chidebe sichikuyenera kudzazanso kuposa 1/3 ya buku,

Pewani: kuzizira nthawi yozizira, kutentha kwambiri m'chilimwe.

Chifukwa chiyani muyenera kuwunikira ma C-peptides

Kukhalapo kwa mapuloteni m'magazi kumawonetsa kuti kapamba amapanga insulin. Magazi amatengedwa pamimba yopanda kanthu m'mawa. Kuphatikiza apo, pazowerengera, ndikofunikira kusankha kanthawi kochepa momwe shuga ili mkati mwa malire wamba. Mukamafufuza C-peptide, tikulimbikitsidwa kuti nthawi yomweyo tiziwonetsetsa kuchuluka kwa shuga.

Kutengera zotsatira za kusanthula, malingaliro akuti:

• ngati kuchuluka kwa shuga ndi C-peptide kuli pamwamba kwabwinoko, ndiye izi zikuwonetsa mapangidwe a mtundu 2 wa shuga m'magazi a kuwonongeka kapena pamaso pa prediabetes. Ngakhale izi sizimafunikira nthawi zonse chithandizo cha insulin. Nthawi zina zimakhala zokwanira kutsatira zakudya zomwe zimaletsa chakudya komanso kuyambitsa zochitika zolimbitsa thupi,
• ngati shuga ndi wabwinobwino, ndipo kuchuluka kwa C-peptide kuli kopitilira muyeso, izi zitha kuwonetsa mkhalidwe wa prediabetes, kukana insulini kapena kupangika kwa matenda a shuga a mtundu II. Pankhaniyi, zakudya zamafuta ochepa zimayikidwa, masewera olimbitsa thupi amalumikizidwa, ndipo chithandizo chofunikira chimachitika. Ndi bwino kukana kugwiritsa ntchito insulin,
• ndi kuchepa kwa mulingo wa C-peptide ndi cholozera chowonjezera cha shuga, zikuwonetsa kuti kuphwanya ntchito kwa kapamba. Izi zimatheka ndi mitundu yovuta ya shuga. Kuti athetse vutoli, madokotala amapatsa insulin odwala.

Kutsimikiza kwa glycated (glycolized) hemoglobin

Mwazi umatengedwa kuchokera mu mtsempha kuti uwunikidwe. Kutsimikiza kwa hemoglobin HbA1C ndichabwino kwambiri pakuzindikira koyambirira kwa matenda ashuga.

Kuyesedwa kwa hemoglobin ya glycated kumachitika kamodzi pakatha miyezi isanu ndi umodzi ngati wodwala sanalembe insulin. Glycosylated hemoglobin amawonetsa kusintha kwa glucose wapakati m'miyezi itatu yapitayo.

Chifukwa chake, insulini ikakonza shuga, magazi amatengedwa kuti aunikidwe pafupipafupi.

Fructosamine Assay

Kuti muwone momwe mankhwalawo amagwirira ntchito komanso momwe mavuto ambiri amakhudzira, ndikofunikira kutenga magazi a fructosamine pakatha milungu iwiri kapena itatu. Phunziroli limachitika pamimba yopanda kanthu.

Zomwe zimadziwika ndi kuchuluka kwa micromol / l:

• kuyambira 195 mpaka 271 pansi pa zaka 14,
• kuyambira 205 mpaka 285 patatha zaka 14.

Mu shuga mellitus mu gawo la chipukuta (kuchuluka kwa shuga m'magazi kukuyandikira), kalozera wa fructosamine ali pamtunda kuchokera pa 286 mpaka 320 μmol / L, ndipo pamwamba 370 μmol / L pakubvunda (kuchuluka kwa shuga kumakulirakulira, mawonekedwe a zovuta).

• A fructosamine okwera magazi amawonetsa chiopsezo chachikulu cha kulephera kwa impso, hypothyroidism, ndi zovuta zina mwa wodwala.
• Kuchepa kwa mulingo kukuwonetsa kukulitsa kwa diabetesic nephropathy, hypoalbuminemia ndi hyperthyroidism.

ZANSI MU GYNECOLOGY, UROLOGY

• simungathe kukodza kwa maola atatu mayeso (osokoneza bongo, chikhalidwe), osavomerezeka kuti mugone mu maola 36, ​​makamaka pogwiritsa ntchito njira zakulera, zomwe zitha kupotoza zotsatira, chifukwa zimakhala ndi antibacterial.
• m'mawa simungathe kusamba ndi sopo wa antibacterial ndi douche,
• osagwiritsa ntchito mankhwala opha tizilombo mkati,
• Simungayesedwe pa nthawi ya kusamba.

KUSINTHA KWA ENDOSCOPIC

• pochepetsa mphindi 5 nthawi isanakwane,

m'mawa patsiku la kafukufuku, pamaso pa FGDS

• idyani chakudya cham'mawa ndikudya chilichonse, ngakhale phunzirolo lizichitika masanawa

m'mawa patsiku la kafukufuku pamaso pa FGDS SADAKHALANSO:

• kusuta
• kumwa mankhwala m'mapiritsi (makapisozi) mkati

m'mawa patsiku la kafukufuku asanachitike FGDS

• sambani mano
• Chitani ultrasound yam'mimba komanso ziwalo zina
• kumwa madzi, tiyi wopanda mphamvu ndi shuga mu maola 2-4 (wopanda mkate, kupanikizana, maswiti ...)
• imwani mankhwala omwe amatha kulowetsa mumkamwa popanda kumeza kapena kutenga nanu
• perekani jakisoni ngati chakudya sichofunikira pambuyo pa jekeseni ndipo palibe zotheka kuchita pambuyo pa FGDS
• musanayambe phunziroli, muyenera kuchotsa mano owachotsa, magalasi, tayi.

Usiku wapitawu: chakudya cham'mimba mosavuta (popanda masaladi!) Chakudya chamadzulo mpaka 6:00 p.m.

Palibe zakudya zapadera pamaso pa FGS (FGDS) zofunika, koma:

• chokoleti (maswiti amtundu wa chokoleti), njere, mtedza, zakudya zonunkhira ndi mowa siziyenera kuperekedwa kwa masiku awiri,
• Phunziroli kuyambira maola 11 ndipo pambuyo pake - makamaka m'mawa komanso maola awiri isanachitike ndondomeko, imwani pang'ono ndikumwa kapu imodzi ya madzi kapena tiyi wopanda mphamvu (popanda kuwira, maswiti, makeke, mkate, ndi zina).

• Zovala zinali zokulirapo, kolala ndi lamba sizinakhazikike,
• simunagwiritse ntchito mafuta onunkhira, mapira,
• Mwachenjeza mwachangu adotolo za mankhwala anu, zakudya ndi zina zoyipa.

Wodwala ayenera kukhala ndi:

• kumwa pafupipafupi mankhwala (omwe atengedwa pambuyo poyesedwa, koma pansi pa lilime kapena kutsitsi la matenda a mtima, mphumu ya bronchi .. - asanafike polemba!),
• zambiri zamaphunziro am'mbuyomu a FGDS (kudziwa mphamvu za matendawa) ndi biopsy (kumveketsa bwino zomwe zikupangitsidwenso kachiwiri),
• kutumiza Kafukufuku wa FGDS (cholinga cha phunziroli, kupezeka kwa matenda olimba ...),
• thaulo chabwino cholowetsa madzi kapena chimbudzi.

Kukonzekera kwa colonoscopy pogwiritsa ntchito mankhwala "Fortrans"

Masiku awiri kuphunzira asanachitike

• Zakudya zofunika: nyama yophika ya nsomba zoyera, nkhuku, mazira, tchizi, buledi wopanda, batala, makeke, mbatata
• Ndikulimbikitsidwa kumwa madzi okwanira - mpaka malita 2.5 patsiku (ngati mulibe matenda omwe zakumwa zoledzeretsa - onani dokotala)
• Sitikulimbikitsidwa kudya: zipatso ndi zipatso ndi maenje, nyama yofiira, masamba, chimanga, saladi, bowa, mtedza, mkate wa tirigu, maswiti

Tsiku lisanafike phunzirolo

• M'mawa, chakudya cham'mawa chopepuka cha zakudya zomwe zili pamwambapa. Mutatha kadzutsa, mpaka kumapeto kwa kafukufukuyu, simungathe kudya chakudya cholimba, chakumwa chokha
• Pambuyo pa kadzutsa mpaka 17-00 tikulimbikitsidwa kuti timwe madzi okwanira kuyeretsa matumbo - mpaka malita awiri (mumatha kumwa madzi, msuzi wamafuta ochepa, zakumwa za zipatso, misuzi yopanda zamkati, tiyi ndi shuga kapena uchi, zakumwa za zipatso zopanda zipatso). Sitikulimbikitsidwa kuti mutenge mkaka, zakudya, kefir
• Pa 17-00 muyenera kukonzekera yankho la Fortrans. Kuti muchite izi: onjezerani paketi imodzi ya "Fortrans" mu 1.0 lita imodzi ya madzi owiritsa pamoto.
• Njira yothetsera Fortrans iyenera kuledzera pasanathe maola awiri (kuyambira 17-00 mpaka 19-00). Ma Fortrans akuyenera kutengedwa m'magawo ang'onoang'ono, mphindi 15 zilizonse mu kapu imodzi, muzowerengeka zazing'ono.
• Pa 19-00, gwiritsani ntchito njira yomweyo kumwa paketi yachiwiri ya Fortrans.
• Maora 1-3 mutayamba kumwa yankho la Fortrans, muyenera kukhala ndi zochulukitsa, pafupipafupi, zotayirira, zomwe zimathandizira kuyeretsa kwamatumbo.
• Ngati zimbudzi zotayirira sizinawonekere patadutsa maola 4 mutayamba kukhazikitsidwa kapena ngati zizindikiro zakupsa ziwoneka, muyenera kulumikizana ndi ogwira ntchito kuchipatala ndipo musamamwe mlingo wotsatira.

Patsiku la kafukufuku

• M'mawa nthawi ya 7-00 ndikofunikira kubwereza kulandila kwa "Fortrans" kuyeretsa kwathunthu matumbo pazomwe zili (1 paketi ya mankhwala "Fortrans").
• Imwani yankho lake mu magawo ang'onoang'ono a ola limodzi (07-00 mpaka 08-00). Mudzakhalanso ndi zimbudzi zotayirira, zomwe zimayenera kupitilira mpaka kutsitsa matumbo.
• Pofika 12-00 mudzakhala okonzeka kuchita kafukufuku. Pokonzekera phunziroli ndi Fortrans, enemas sifunikira!

Muyenera kukhala nanu:

• Kutumizirana ku colonoscopy (ngati ungakutengedwe ku chipatala china),
• mawu omaliza ndi ma protocol am'mbuyomu omwe anachitidwa kale endicopic, ECG (ngati muli ndi matenda amtima)

Pambuyo potsatira njirayi, mutha kumwa ndikudya. Ngati pali kumverera kwadzaza pamimba ndi mipweya ndipo matumbo ake alibe mpweya wotsalira mwachilengedwe, mutha kumwa mapiritsi 8 - 10 a mpweya wabwino woyambitsa, ndikulimbikitsa mu 1/2 chikho cha madzi otentha owiritsa. Kwa maola angapo pambuyo phunziroli, ndibwino kunama pamimba yanu. ul

COMPUTER TOMOGRAPHY

Computed tomography (CT) ndi imodzi mwanjira zoyeretsera x-ray. Kupeza chithunzi chilichonse cha x-ray kumakhazikitsidwa pamitundu yosiyanasiyana ya ziwalo ndi minyewa yomwe x-ray imadutsa. Pazithunzi zodziwika bwino, chithunzichi chimawonetsa chiwalo chomwe chikufufuzidwa kapena gawo lake.Nthawi yomweyo, mawonekedwe ang'onoang'ono a pathological amatha kukhala osawoneka bwino kapena samawoneka konse chifukwa cha mawonekedwe apamwamba a zimakhala. Pofuna kuthana ndi zopinga izi, njira yozungulira yophunzitsira idayambitsidwa. Tomography yowerengera iyenera kufotokozedwa ndi dokotala, poganizira zamankhwala azachipatala ndi maphunziro onse am'mbuyomu odwala (mwanjira zina, radiology kapena ultrasound ndiyofunikira). Njira iyi imakupatsani mwayi kuti mupange gawo lokhala ndi chidwi, pangani kafukufukuyu kuti azingoyang'ana, pewani kufufuza popanda kuwonetsa, komanso muchepetse kuwonetsedwa kwa radiation.

• Zolemba ndi mutu wa chigaza ndi ubongo (palibe kukonzekera).
• Composed tomography ya the sinuses (palibe kukonzekera kofunikira).
• Zolemba pamakedzedwe anyumba yongoyembekezera (palibe kukonzekera).
• Kuchulukitsa kwa m'matumbo a ziwalo zam'mbuyo (x x ray isanachitike, palibe kukonzekera komwe kumafunikira).
• Yogwirizana yamatumbo yam'mimba (makamaka isanachitike mayeso a ultrasound).
• Yophatikizidwa yamatenda a kapamba (nthawi zonse isanachitike ndi scan ya ultrasound).
• Yophatikizidwa tomography ya impso (makamaka yoyeserera ya ultrasound).
• Yophatikizidwa yamatumbo a ziwalo za pelvic (zoyesedwa kale za ultrasound).
• Kuchulukitsa kwa tomite ya vertebrae ndi ma intervertebral disc (koyesedwa kwa x-ray ndikofunikira, kukonzekera sikufunika).
• Kuchulukitsa kwa mafupa ndi mafupa (kusanthula kwa x-ray kofunikira, osafunikira).

Kukonzekera kwa CT yam'mimba (CT ya kapamba, pelvis, impso)

Kuphatikizidwa kwa tomography pamimba pamimba nthawi zonse kumachitika ndi kukonzekera. Muyenera kubwera phunziroli pamimba yopanda kanthu. Kuchuluka kwa mpweya kumapangitsa kuti zikhale zovuta kuona, chifukwa, masiku awiri pamaso pa CT ndikofunikira kupatula zinthu zomwe zimalimbikitsa kupangidwa kwa gasi muzakudya. Musanapange chiwonetsero cha chiwindi, muyenera kupimidwa mozungulira, ndipo kuti m'matumbo anu muziphunzira mwanjira ina. Tengani zolemba zonse zokhudzana ndi matenda anu, kuphatikizapo zotsatira za mayeso am'mbuyomu, ngakhale zomwe zidawonetsa chizolowezi. ul

Ultrasound ya amayi oyembekezera

Pazaka zonse zakubala, ndikulimbikitsidwa kuti mupitirize maphunziro angapo: pa 8, 11 (kuphatikiza kuyesa kwazinthu zam'mimba ndizowunikira koyamba), 18, masabata 21 ndi pambuyo pa 30. Zimakhulupirira kuti nthawi izi ndizothandiza kwambiri pakuwunika kwa nthawi yake.

Ultrasound imathanso kutsimikizira kukhalapo kwa mimba kwa milungu 4. Mukamayeserera kwa masabata a 8-11, mutha kudziwa nthawi yomwe mayiyo ali, mbewa ndi kamvekedwe ka chiberekero, kudziwa momwe mwana wakhanda alili, umuna wake komanso ngakhale kumvera mtima. Mutha kuzindikiranso zina za pathologies: mimba yomwe yasowa, kuwopseza kupweteka, cystic Drift.

Ultimate yomaliza imachitika patatsala nthawi yochepa kuti mayi abadwe. Ndikofunikira kudziwa komwe mwana wakhanda agwirira m'chiberekero, kuwerengetsa mozama ndikuyamba kukhala ndi njira yabwino yosamalira.

Ku Center VIP Diagnostic and Treatment Center, mikhalidwe yonse imapangidwa kuti ikhale ya ultrasound panthawi yoyembekezera ku Nizhny Novgorod kuti atembenuke kusiya njira yachipatala ya banal kukhala mwayi wapadera wodziwa mwana asanabadwe!

Yarygin Igor Vladimirovich

Mtengo wa ultrasound wamimba kuchokera ku 2070 rubles.

Ndimatha kuiwona ndili ndi pakati pa chipatala cha Academy VIP. Apa, akatswiri abwino kwambiri, odziwa bwino, amakuchitirani chisamaliro chapadera! Ndikufuna makamaka kuti ndidziwe kuti Igor Vladimirovich Yarygin, amachita ultrasound. Amasamala nthawi zonse ndipo amayang'anira mavuto azaumoyo, makamaka, kusunga pakati.

Ndili ndi mimba yanga yoyamba, ndipo mwina ndimada nkhawa kwambiri kuposa momwe ndimafunikira thanzi la mwana wanga, chifukwa chake ndili ndiudindo waukulu pa mayeso onse ndi kuwunika. Ndikufuna kuthokoza Dr. Yarygin chifukwa cha chidwi chake komanso luso lapamwamba!

Posachedwa ndidachita sikelo yoyeserera ku chipatala cha Academy VIP. Ndinkakonda dokotala yemwe amayankha mafunso anga onse. Ndipitilizabe kuonedwa pano!

Mnzake adalangizidwa kuti atenge mimba mu chipatala chino. Ndine wokondwa kuti ndinam'patsa upangiri. Pali madokotala abwino komanso zida zabwino. Chifukwa cha izi, mayeso onse amachitika pamlingo wapamwamba kwambiri. Posachedwa adapanga scan ya ultrasound, adadabwa kwambiri ndikuwona kuti zamakono zamankhwala zimatha bwanji!

Kusanthula kwapakati komanso kuyesa kwamwazi wamagazi

Kuyesedwa kwa magazi kokhazikika kumayikidwa, onse ndi cholinga chodziwitsa matenda kumayambiriro kwa chitukuko chawo, komanso kudziwa momwe ntchito ya ziwalo zamkati imayendera matenda a shuga.

Kuwunika kofikira kumapangidwira kuzindikira kuchuluka kwa maselo amwazi (maselo ofiira a magazi, maselo oyera am'magazi ndi mapulateleti), hemoglobin ndi zina.

Kuti mupeze kusanthula, magazi a capillary (kuchokera pachala) amatengedwa pamimba yopanda kanthu, ndipo atatha kudya.

• maselo oyera (magazi oyera). Kuwonjezeka kwa maselo oyera kumawonetsa kukula kwa njira yotupa mthupi. Kuchepa kwa chiwerengero chawo kungawonetse kukhalapo kwa hypothyroidism mu shuga,
• mapulateleti. Kuchepa kwa chiwerengero cha maselo othandiza magazi kuundana kungawonetse kuti ndikusokonekera kwa ntchito ya magazi. Kukhalapo kwa matenda opatsirana kumatha kukhala chimodzi mwazomwe zimayambitsa kusayenda bwino kwa magazi. Kuchulukitsidwa kwa ziwalo zam'magazi kumawonetsa kutukusira kwa thupi, monga chifuwa chachikulu, kapena kupangika kwamatumbo akulu,
• hemoglobin. Kuchepa kwa kuchuluka kwa hemoglobin kukuwonetsa kusowa kwa iron m'magazi, yomwe imanyamula mamolekyu a oxygen m'maselo. Ndikusowa kwa hemoglobin m'magazi, kuchepa kwa magazi (magazi m'thupi), magazi ofiira (maselo ofiira am'magazi) amakula. Kuwonjezeka kwa kuchuluka kwa maselo ofiira a m'magazi kumatchedwa erythrocytosis, kuchepa kwa maselo ofiira a magazi kukuwonetsa kupanga kwa magazi m'thupi.

Ngati pali kukayikira kwa chithokomiro chosakwanira, ndikofunikira kupereka magazi ku mahomoni. Mwa zina mwa kuphwanya ntchito yake: kudandaula kwa odwala kozizira, kukokana, kutopa kwambiri. Kuwongolera kwa chithokomiro cha chithokomiro kumachitika ndi endocrinologist mothandizidwa ndi mapiritsi.

Pakufufuza kwamankhwala am'magazi, magazi a venous amatengedwa pamimba yopanda kanthu.

Kafukufuku wazisonyezo izi:

• ma amylase, shuga, lipases,
• ALT (alanine aminotransferase),
• AST (aspartate aminotransferase),
• mapuloteni onse, creatinine, urea, cholesterol,
• zamchere phosphatase
• creatine phosphocenosis,
• bilirubin yonse.

Kudziwitsa kuchuluka kwa seramu ferritin

Magazi ofufuzira amatengedwa kuchokera mu mtsempha. Pogwiritsa ntchito kusanthula, mutha kudziwa kuchuluka kwa chitsulo m'thupi.

Zizindikiro zachitsulo m'thupi:

• mwa akazi - kuyambira 12 mpaka 150 ng / ml,
• mwa amuna - kuyambira 12 mpaka 300 ng / ml.

Ngati chisonyezo cha kufufuza mu magazi ndi kuchuluka, ndiye kuti wodwalayo ali ndi kuchepa kwa chiwopsezo cha minofu ndi ma cell kupita ku insulin. Chuma chowonjezera chimayambitsa kuwonongeka kwa khoma la mtima, zomwe zimawonjezera chiopsezo cha kugunda kwa mtima.

Ngati kuwunika kukuwonetsa kuchuluka kwa ferritin, dokotala amalimbikitsa wodwalayo kusintha zakudya zake.

• Chitsulo chambiri chimapezeka m'mavwende, ma beets, tomato, kiranberi, sipinachi, sorelo, vwende, tsabola wokoma, radish, radish, sorelo, choncho ndibwino kuzichotsa kwathunthu kuzakudya.
• Odwala omwe ali ndi chitsulo chachikulu mthupi sayenera kugwiritsa ntchito ascorbic acid (vitamini C), chifukwa amathandiza kuyamwa kwa zinthu zina.

Odwala omwe ali ndi zitsulo zambiri m'magazi amapatsidwa magazi. Ndondomeko imachitika kamodzi pa sabata. Kuchiza kumachitika mpaka mlingo wa ferritin ubwerere mwakale. Izi zitha kutenga nthawi yoposa chaka chimodzi.

Pokhala ndi zochulukirapo zazakudya, mankhwala amaikidwa kuti amuchotsere chitsulo.

Tanthauzo la magnesium

Ndi kuthamanga kwa magazi, kusanthula kwa zomwe zili ndi magnesium m'magazi ndi mankhwala. Ndi vuto la kuchepa kwa chinthu, wodwalayo angadandaule za kuchuluka kwa magazi. Ndipo, ngati impso zimakwaniritsa ntchito yawo, ndiye kuti wodwalayo amamulembera mapiritsi a magnesium ("Magne-B6" kapena "Magnelis B6").

Mankhwala ali ndi achire zotsatira monga:

• pali kuwonjezeka kwa minofu yomwe ikutenga insulin,
• kuthamanga kwa magazi kumachepa
• dongosolo la m'mimba ndilofanana,
• momwe msambo umakhalira kwa akazi,
• ntchito zamtima zimakhazikika. ndi tachycardia, kumachitika kumacheperachepera,
• arrhasmia akudutsa.

Matenda ashuga nephropathy (matenda a impso) ndi contraindication kumwa mankhwala.

Urinalysis

Kwa odwala matenda ashuga, madokotala amalimbikitsa kutenga mkodzo kuti awunikidwe pafupipafupi miyezi isanu ndi umodzi. Malinga ndi zotsatira zake, ndikotheka kuzindikira kukhalapo kwa zopatuka kuchokera pazomwe zikuchitika, zomwe zimathandizira kukulitsa zovuta zamagulu a impso.

Kusanthula mkodzo kambiri kumakupatsani mwayi wounikira:

• Zizindikiro zake zamankhwala ndi zakuthupi (mphamvu inayake yamphamvu, pH),
• katundu wa mkodzo (mawonekedwe, mawonekedwe, matope),
• kukhalapo kwa shuga, acetone, mapuloteni.

Phunziroli, chidwi chapadera cha matenda a shuga chimalipiridwa kupezeka kwa mapuloteni mkodzo. Kukhalapo kwa microalbuminuria kumawonetsa kuwonongeka kwa impso.

Kusunga mkodzo moyenera kuti uziwunika kuyenera kukhala motere: gawo loyamba la mkodzo silinatengedwe, ndipo ena onse, tsiku lonse, amasonkhanitsidwa m'chidebe chachikulu chagalasi ndikupititsidwa ku labotor kuti akawerenge.

• Ngati palibe matenda a impso, ndiye kuti payenera kukhala mapuloteni mumkodzo konse.
• Kukhalapo kwa kutsata kumawonetsa cholakwika mukutola kwamikodzo. Poterepa, kuwerenga kwa impso kuyenera kubwerezedwanso.

Pokhala ndi mapuloteni okwera, mtima matenda a shuga kapena nephropathy amatha. Chifukwa chake, mayeso owonjezera amachitika pofuna kufotokoza bwino za matendawo.

Mayeso a electrocardiographic

Pozindikira ndi kupezeka kwa matenda a mtima kuchokera pansi pamtima, odwala amapatsidwa electrocardiogram (ECG). Odwala omwe afika zaka makumi anayi amalangizidwa kukayezetsa pafupipafupi, popeza pambuyo pa zaka 40 chiwopsezo cha zovuta zimakulirakulira.
Kufunsira kwa Optometrist

Ulendo wofufuza m'maso sayenera kuchedwetsa, monga ndi glycemia, zombo zimakhudzidwa, kuphatikiza pa fundus (retina). Zotsatira zake, matenda a shuga a retinopathy amapangidwa. Matendawa amafunika kulandira chithandizo moyang'aniridwa ndi dokotala wamaso.

Pancreatic ultrasound mu shuga

Nthenga za kapamba m'thupi zimakhala ndi mbali ziwiri - zimapanga ma enzyme oyimbira chakudya ndi mahomoni kuti azilamulira kuchuluka kwa shuga m'magazi. Chifukwa chake, imakhudzidwa pafupifupi mu njira zonse za metabolic.

Chifukwa cha malo ndi kukula kwake, ndizovuta kudziwa nthawi yam'mimba, chifukwa imakhala m'mimba ndi matumbo aang'ono.

Chifukwa chake, kuti mupeze mawonekedwe a chiwalochi ndikuwunika ntchitoyo mosagwirizana, kuphatikizira kwa kapamba kumayikidwa kwa matenda osokoneza bongo.

Zisonyezero zam'mimba ultrasound

Nthawi zambiri, pamimba pamakonzedwa kuti pakhale kafukufuku wokhudza odwala matenda a shuga, chifukwa izi zimathandiza kuwona kusintha kwa chiwindi, m'mimba ndi matumbo, chikhodzodzo. Pozindikira matenda ashuga, kuphunzira koteroko kungagwiritsidwe ntchito ngati njira yothandizira kuwunika nthawi yamaphunzirowa.

Pogwiritsa ntchito ultrasound, mutha kudziwa zotupa ndi njira zotupa m'matumbo, ziwonetsero za kapamba, cholecystitis, zilonda zam'mimba, mafuta a chiwindi, cirrhosis, zomwe zimatha kupangika chithandizo cha matenda a shuga ndikuwongolera.

Nthawi zambiri, kuzindikira koteroko kumachitika kuti mudziwitse kupweteka kwam'mimba, komwe kulibe chithunzi chowonekera cha matenda ndi pafupipafupi zomwe zimachitika, kulumikizana ndi kudya. Ndikulimbikitsidwa kuti mawonekedwe a jaundice, kuchepa thupi mwadzidzidzi, kusakhazikika m'matumbo, kutentha kosachokera.

Kafukufuku wa ultrasound angakwaniritse kutsimikizira matendawo m'mikhalidwe yotere:

1. Kuzindikira kwa chizindikiro cha radiological cha kutupa kapena zilonda zam'mimba m'mimba kapena matumbo.
2. Zosintha kapangidwe ka khoma la m'mimba nthawi ya fibrogastroscopy.
3. Kukhalapo kwa zodabwitsazi pakuwunika: kusinthidwa kwa mayesero a chiwindi, kuchuluka kwa shuga wamagazi kapena bilirubin.
4. Ngati kupenda kumawonetsa kusokonezeka kwa khoma lakunja kwam'mimba.

Pathology ya kapamba ndi ultrasound

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Poyamba, kafukufuku amadziwa kukula kwa kapamba. Kwa akulu, ndizabwinobwino ngati chiwalo chomangira mutu-mutu ndi 35, 25, 30 mm, ndipo kutalika kwake ndi 16-23 cm.Mwana wakhanda, gland amatalika 5 cm.

Gawo lachiwiri ndi echogenicity, nthawi zambiri limangokulira mwa okalamba, pomwe minofu yabwinobwino imalowetsedwa ndi minyewa yolumikizana, pomwe chindacho chimachepera kukula, kotero chizindikiro ichi (kukula) chimataya kufunika kwake ndi zaka. Pancreatic echogenicity nthawi zambiri imakhala yolingana ndi hepatic, ma contour ake ayenera kukhala ngakhale.

Mtundu woyamba wa matenda a shuga 1, zaka zoyambirira za matendawa, kusintha kwa ma ultrasound sikuwonekera: kukula kwake kumakhalabe mkati mwazinthu zathupi lathupi, minofu imakhala ndi tirigu ngakhale, kuchepa kwa thupi sikuphwanyika, maulendo ndiwowonekeratu.

Pambuyo pazaka zisanu ndi zinayi, mwa odwala otere, mapangidwe a kapamba amatsanulidwa, ndulu imafota, ndikupeza mawonekedwe okhala ngati nthiti. Mtundu wachiwiri wa matenda ashuga, chizindikiro chokhacho cha ultrasound m'magawo oyambira chikhoza kukhala chokulirapo, makamaka pamutu.

Ndi nthawi yayitali matenda a shuga, mutha kuwona zotere:

• Zikondazo zimachepa kukula.
• M'malo mwa minofu yowonekera, cholumikizira chovuta chimafotokozedwa.
• Mkati mwa gland, kukula kwa maselo am'madzi kumaonekera - pancreatic lipomatosis.

Pamaso pa vuto la kutupa kwamatumbo mu kapamba, limakula kukula, ndipo echogenicity imachepa, cysts ndi madera a necrosis amatha kupezeka. Pancreatitis yosatha imawonetsedwa ndi kuchuluka kwa echogenicity, duct ya Wirsung ikukulira, miyala ikuwoneka. Kukula kumatha kuwonjezeka, ndipo ndi njira yayitali - kuchepetsedwa.

Mu shuga mellitus, kafukufuku wa chiwindi amafunikiradi, chifukwa amatenga nawo gawo muzochitika za kagayidwe kazakudya - glucose amapangidwa mmalo mwake ndipo glycogen amasungidwa. Chizindikiro chosadziwika cha insulin ikhoza kukhala kuchepa kwamafuta m'thupi la chiwindi - steatosis.

Kuphatikiza apo, ma ultrasound amatha kuthandizira pakuwona njira za chotupa, muzochitika zotere, ma contours a membala amakhala osagwirizana, mawonekedwe amasintha, madera omwe ali ndi mawonekedwe osiyanasiyana a echogenicity, mawonekedwe a chotupacho nthawi zambiri amakhala opepuka, mosiyana ndi cysts ndi miyala.

Zotupa zing'onozing'ono sizitha kusintha kukula ndipo sizingakhudze zovuta za kapamba.

Momwe mungakonzekerere ndi ultrasound

Lamulo lalikulu lothandiza kuti muchite bwino pamimba ndi kutulutsa kwa mpweya m'matumbo, chifukwa chifukwa cha iwo simatha kuwona kapangidwe ka ziwalo. Pachifukwa ichi, musanazindikire, kwa masiku 3-5, chakudya chilichonse chomwe chimapititsa patsogolo kudya sichimaperekedwa kuchakudya.

Mulinso buledi wonyezimira, mkaka, kabichi wamtundu uliwonse, masamba abwino ndi zipatso, mizimu, madzi otumphuka, makeke onse, mafuta oundana, ayisikilimu, zopangidwa ndi matenda ashuga okhala ndi shuga m'malo mwake, kuchepetsa mbewu monga mbewu, mtedza, mbewu, masamba yophika, maphunziro oyamba ndi masamba kapena chimanga.

Mutha kudya zakudya zama protein ochepa - nyama, nsomba, tchizi, tchizi chofufumitsa, zikondamoyo zopanda shuga, zakumwa za mkaka wowawasa wopanda zina, tiyi wazitsamba ndi timbewu tonunkhira, katsabola, anise ndi fennel. Madzulo, chakudya chomaliza chimayenera kukhala chopepuka. Ndipo khofi wam'mawa ndi m'mawa uyenera kusiyidwa kwathunthu.

Ngati matumbo akuyenda pang'onopang'ono, tikulimbikitsidwa kuti usiku mupangidwe mayeso, usiku woyeserera, ndiulemu, Espumisan kapena mankhwala ofananawo atha kulembedwa. Ngati kunalibe chopondapo kwa maola makumi awiri ndi awiri, ndiye kuti mankhwala othandizirana ochiritsira komanso kuyeretsa enemas sangakhale ogwira ntchito mokwanira.

Odwala oterewa amalimbikitsidwa kuti amwe mankhwala osokoneza bongo a osmotic - Photrtans. Imapezeka m'matumba. Mlingo wa mankhwalawa kwa munthu wamkulu uzikhala paketi imodzi pa 15-20 kg yolemera.

Musanagwiritse ntchito, zomwe zili phukusi zimatsanuliridwa mu lita imodzi ya madzi owiritsa, kusungunuka. Voliyumu yonse imatha kugawidwa m'magawo awiri - imodzi yoti itenge madzulo, ndipo yachiwiri m'mawa 3 kutatsala ultrasound. Kuti muchepetse kukoma, mutha kuwonjezera mandimu. M'malo mwa Fortrans, Endofalk ndi Fleet phospho-solo ikhoza kutumikiridwa.

Pofufuza bwino, muyenera kuganizira malamulo otsatirawa:

1. Maola 8 musanachitike ultrasound, simungathe kudya.
2. Madzi amathanso kuledzera pang'ono, khofi ndi tiyi zichotsedwe.
3. Patsiku la ultrasound, simungathe kusuta, gwiritsani ntchito chingamu.
4. Kulandila kapena kufafaniza mankhwala kuyenera kuvomerezana ndi dokotala.
5. Kukhazikitsidwa kwa insulini kuyenera kuchitika pokhapokha kudziwa kuchuluka kwa glycemia.
6. Muyenera kukhala ndi zinthu zamafuta pang'ono: shuga, shuga m'magome, uchi, msuzi wa zipatso.

Nthawi zambiri sizikulimbikitsidwa kuchita njira zina zofufuzira tsiku lomwelo ndi ultrasound. Malinga ndi zadzidzidzi, kuyeserera kumatha kukonzedwa popanda nthawi yokonzekera.

Ndi mayeso ati, kuphatikiza pa ultrasound ya kapamba, muyenera kutengera matenda ashuga, kanema wino.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Kodi ndizotheka kuwona matenda a shuga ndi ultrasound?

Kuzindikira koyambirira matenda a shuga kungalepheretse kukula kwa zovuta komanso kukhalabe ndi magwiridwe antchito, komanso zochitika zokhudzana ndi odwala.

Mtundu woyamba wa matenda ashuga, womwe umapezeka kawirikawiri mwa ana ndi achinyamata, kudziwika koyenera ndi kuperekedwa kwa insulin ndikofunikira.

Mutha kuzindikira matenda ashuga mwakumwa madandaulo ambiri, kukodza mopitirira muyeso, kuchepetsa thupi ndi chidwi chambiri.

Kuzindikiridwa kwa matenda ashuga kumawerengedwa kuti kumatsimikiziridwa ngati, pakuyesa magazi, kuthamanga kwa glucose kudutsa kwazonse, zisonyezo za glycated hemoglobin ndi mayeso a kulolera kwa glucose zimathandizanso pakuvomereza matendawa.

Ultrasound ya kapamba: Zizindikiro ndi zofunikira

Udindo wa kapamba m'thupi sangakhale wopitilira muyeso: umathandiza kugaya chakudya moyenera, umapatsa mphamvu kagayidwe kachakudya ndikuchita ntchito zina zofunika.

Mwachitsanzo, chifukwa cha dongosolo la enzyme (lipase, amylase ndi proteinase), lipids, ma protein ndi mapuloteni amawonongeka.

Ndipo mahomoni am'magazi (glucagon ndi insulin) amakhudza kayendedwe ka shuga m'magazi.

Zikondazo, mosiyana ndi ziwalo zina zam'mimba, sizingagoneke, chifukwa zimakhala kumbuyo ndi pansi pamimba, kumbuyo kwa matumbo ang'ono ndi koloweka matumbo. Kukula kwa kapamba kumakhala kwakukulu kuposa kwawamba, ndiye kuti kumatha kumveka kale, koma chithunzi cha matenda pankhaniyi chimakhala chokhumudwitsa.

Matenda a shuga ndi Ultrasound

Maphunziro a Ultrasound amagwiritsidwa ntchito kwambiri ngati mankhwala kuzindikira matenda ambiri. Mwa zina zosasinthika za njirayi: chitetezo chokwanira, kupezeka ndi chidziwitso chambiri. Kuyesedwa kwa ziwalo zam'mimba monga chiwindi, kapamba, impso zimapereka chidziwitso cha zomwe zimachitika mu ziwalo izi, chotupa chachiwiri, kapena kupezeka kwa ma pathologies ambiri.

Chifukwa chiyani ultrasound ya matenda ashuga?

Ultrasound mu shuga mellitus nthawi zina amatha kudziwa zomwe zimayambitsa matendawa mu njira yotupa, ya viral kapena chotupa.

Kuphatikiza apo, mayesowa akuwonetsedwa kuti awone momwe chiwindi chimapangidwira, momwe zimachitika kagayidwe kazakudya, kuphatikizapo kuwonongeka ndi kapangidwe ka shuga kuchokera ku glycogen.

Ndikothekanso kuwunika momwe impso ikuwonekera, kupezeka kapena kusakhalapo kwa zilonda, kusintha kapena zovuta zina mwa izo. Komanso, ma ultrasound amawonetsa mkhalidwe wamakoma a ziwiya zazikulu, zomwe zimakhudzidwanso ndi matenda ashuga.

Pancreatic ultrasound yamtundu 1 shuga

Pancreatic ultrasound yamtundu 1 shuga

National Medical Academy of Postgraduate Education yotchedwa P.L. Shupika, Kiev

Kuyamba. Matenda a shuga ndi limodzi mwa matenda atatu omwe nthawi zambiri amachititsa kuti anthu azivutika (atherosulinosis, khansa ndi matenda a shuga). Kufunika kwa vutoli kumachitika chifukwa cha kufalikira kwa matenda ashuga. Mpaka pano, pafupifupi 200 miliyoni adalembetsa padziko lonse lapansi.

milandu, koma kuchuluka kweniko kwa milandu ndi pafupifupi 2 times (anthu omwe ali ndi mawonekedwe ofatsa omwe safunikira chithandizo chamankhwala samaganiziridwa). Kuphatikiza apo, ziwonetserozo zimachuluka chaka chilichonse m'maiko onse ndi 5-7%, ndipo zimachulukanso zaka 12-15 zilizonse. Zotsatira zake, kuchuluka kwakuopsa kwambiri pamilandu kumabweretsa mkhalidwe wosavulaza.

Malinga ndi WHO, mchaka cha 2013 odwala opitilira 60 miliyoni odwala matenda a shuga adalembetsa padziko lonse lapansi.

Ku Ukraine (chidziwitso cha 2013), pali odwala 1 256 559 omwe ali ndi matenda osokoneza bongo, omwe oposa 199,000 amadalira insulini.

MSCT ndi muyeso wagolide woganiza pancreatic, komabe, utapatsidwa ma radiation, kufunika kogwiritsa ntchito mitundu yosiyanitsa, komanso njira yodziwira za ultrasound, ngakhale pali zoperewera zingapo pakuganiza kwa gland, imagwiritsidwa ntchito kwambiri pakuwona kusintha kwapangidwe ka chiwalochi.

Zipangizo ndi njira. Maphunzirowa adachitidwa motengera chipatala cha Kiev City Clinical Emergency Hospital. Mayeso a Ultrasound adachitika pazida zopanga ma akupanga zomwe zimapangidwa ndi TOSHIBA (Aplio MX, Aplio 500).

Poyesa kayendedwe ka magazi, ma Doppler modes (CDK, ED, ADF) omwe ali ndi mawonekedwe wamba adagwiritsidwa ntchito. Kwa nthawi yayitali kuyambira 2011 mpaka 2013, kuwunika kwa ziwalo zam'mimba kunachitika kwa odwala 243 omwe ali ndi matenda amtundu woyamba 1 omwe adalandiridwa ku dipatimenti yodzidzimutsa.

Zotsatira ndi mawu omaliza.

Kuwunikira kwa zotsatira za kuyesa kwa kupimidwa kwa ma pancreas mwa odwala omwe ali ndi vuto la matenda ashuga 1 akuwonetsa kuti mu magawo oyambilira a chitukuko cha matendawa, kapamba m'malingaliro acoustic sasintha kapangidwe kake. Mukamawona kutukusira, mawonekedwe ake okongola amakhalabe mkati mwazomwe zimachitika, kuchuluka kwa mawonekedwe ndi mphamvu ya minofu sizimasiyana ndi magawo wamba.

Ndi matendawa (opitilira zaka 5-6), kukula kwa m'mimba kumachepa, gland imayamba kuwonda kwambiri, ndikupeza chiwonetsero "chokhala ngati riboni". Poyerekeza ndi kuchepa kwa kukula kwa tinthu tating'onoting'ono, kuchuluka kwa minofu kumawonjezereka komanso kuchepa kwa mphamvu yake. Nthawi zambiri, chifukwa cha kusinthaku, kapamba kumakhala kovuta kuwona pamasamba a parapancreatic fiber ndi ziwalo zozungulira.

The Wirsung duct nthawi zambiri amawonetsedwa bwino, osadziwikiratu, i.e. m'mimba mwake simapitilira 2 mm.

Chifukwa chake, kufunika kwa njira yomwe ili mgululi ndikuwonetsa kuwongolera kwa kapangidwe kake popanda kugwiritsa ntchito ma radiation komanso kugwiritsa ntchito othandizira ena.

Kodi matenda ashuga amapezeka liti?

Monga akunenera, loto la idiot lidakwaniritsidwa, amakalembetsa kwa endocrinologist wa VHI, kenako amapita kuntchito (ofesi yathu nthawi zina imayitanitsa madotolo mwachindunji kwa ife kuti anthu "aziyang'ana zaumoyo wawo" osasiya zolembetsera ndalama) basi Fedorova Alla Vladimirovna adabwera.

Ndinafika kwa iye, ndikuyamba kulemba madandaulo (kuzungulira kwathunthu, kulemera kwakukulu), ndimawonetsa kwa aliyense. Ululu wam'mimba komanso wam'mimba (wowonedwa ndi dokotala m'mimba), ma ultrasound a chithokomiro chotupa (palibe zotupa zomwe zimapezeka.) Anayang'anitsitsa zonsezo, kundimvera, ndikumva khosi lake ndikuyesa shuga ndi glucometer.

Ndinamuchenjeza kuti ndadya kale chakudya cham'mawa (ndimadya kadzutsa kuntchito, Herculean phala, adalimbikitsidwa ndi dokotala wa gastroenterologist, ndikumwa tiyi wobiriwira ndi marshmallows), samvera, amatenga magazi a glucose, zikuwonetsa 8.5. Amandiuza, "Ndiwe chiyani ngati mukufuna, mukudwala matenda ashuga. Gulitsani mapiritsi a Siofor 850.2 mwachangu tsiku lililonse, siyani kudya porridge konse. "

Ndikulankhula: "Ndingaleke bwanji kuzidya ngati ndizipeza chakudya kuchokera kwa a gastroenterologist pompano?" Adasweka, kuti dokotala wanga, kuchokera ku Metropolitan Polyclinic) akuyenera kuyesedwa kuti awone ngati ndili ndi vuto. pambuyo pa chikumbutso changa, kotero malingaliro ake onse adatsikira ku Siofor iyi ....

Pepani chifukwa cha zilembo zingapo, KOMA ndili ndi funso lodziwitsa anthu: kodi ndizothekadi, pamtunda wowerenga mita imodzi, kuti mudziwe ngati muli ndi mapiritsi otere?

Ine ndekha ndikuwona chithandizo changa chowonjezereka motere: Ndidzagawira mayesowa kwaulere (sitimangokhala ndi VHI, komanso tikugwira ntchito kwaulere), sindinamwa mapiritsi awa, ndipita Kovylev mawa, ndidzalankhula naye ndikumuuza chilichonse Ndipitanso kwa endocrinologist wina ndi mawu awa. Kodi ndikulondola?

Kodi matenda ashuga amapezeka liti? :: thanzi. kuchipatala

Kuzindikira matenda ashuga kumatha kuchitika ngati munthu wafotokozera shuga yokwanira osachepera awiri.

Zizindikiro ziyenera kukhala motere:

kuthamanga shuga - oposa 6.1 mmol / l
kapena gulu la "mwachisawawa", i.e. amatengedwa nthawi iliyonse masana - oposa 11.1 mmol / l.

Pofuna kuwonetsa zokayikitsa pamimba yopanda kanthu komanso "mosasamala", kuyesedwa kwapadera kwa glucose kumayikidwa. Pankhaniyi, wodwalayo amapatsidwa zakumwa za shuga (75 g mu 250 ml ya madzi) ndipo shuga ya magazi imatsimikizika pambuyo maola awiri.

Akuluakulu kuposa 11.1 mmol / L amadziwika kuti ndi oyenera kwa matenda ashuga.

Tikubwereza: kuti muzindikire shuga, muyenera kukhala ndi shuga ziwiri zomwe zimakwaniritsa zomwe zili pamwambazi, ndipo zimatha kutsimikizika pamasiku osiyanasiyana.

Kodi pali chiyani pakati pa thanzi komanso matenda ashuga?

Pali gawo lapakati pakati pa matenda a shuga komanso matenda ashuga, omwe ali ndi dzina lovuta: kulolerana kwa glucose (kuthamanga kwa shuga ndi kutsika kuposa mtengo wa "matenda ashuga" 6.1 mmol / l, ndi maola awiri pambuyo poyatsira glucose kuyambira 7.8 mpaka 11.1) mmol / l). Kuzindikira koteroko kumawonetsa mwayi wokhala ndi matenda amtsogolo (dzina losasinthika la prediabetes).

M'zaka zaposachedwa, kwayambikanso lingaliro lina: kusala kudya kwa magazi glycemia (kuthamanga kwa shuga m'magazi kuyambira 5.5 mpaka 6.1 mmol / l, ndi maola awiri mutatha kulamula shuga mkati mwa nthawi yoyambira mpaka 7.8 mmol / l), yomwe imaganizidwanso monga chiopsezo chopitilira kukula kwa matenda ashuga.

Ndi madandaulo ati omwe nthawi zambiri amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2?

Zizindikiro zakale za mitundu 2 ya matenda ashuga:

• ludzu lalikulu (kufunitsitsa kosamwa madzi ochuluka),
• polyuria (pokodza pokodza),
• kutopa (kufooka pafupipafupi),
• kusakhazikika
• matenda pafupipafupi (makamaka pakhungu ndi ziwalo za urogenital).

• dzanzi kapena khungu loyenda m'miyendo kapena mikono,
• kuchepa kowoneka bwino (kuwona kopepuka kapena kusawona).

Zovuta (zitha kukhala chizindikiro choyamba cha matenda ashuga):

• candida (fungal) vulvovaginitis ndi balanitis (kutupa kwamkati mwa akazi ndi amuna),
• zilonda zam'mimba zopweteka kapena matenda a staphylococcal pakhungu (totupa totupa, kuphatikizapo furunculosis pakhungu),
• polyneuropathy (kuwonongeka kwa minyewa yamanjenje, yowonetsedwa ndi paresthesia - kukwawa ndikukwawa ndi miyendo,
• kukanika kwa erectile (kuchepa kwa kuchuluka kwa penile mwa amuna),
• angiopathy (yafupika patency yam'mitsempha ya mtima ndi kupweteka m'dera la mtima wam'munsi, womwe umawonetsedwa ndi kupweteka komanso kumva kutentha kwa mapazi.

Zizindikiro zapamwamba (zisonyezo) za matenda a shuga zomwe zimaperekedwa pamwambapa sizimawonedwa nthawi zonse. Dandaulo LABWINO - KUTHA KWAULERE! Matenda a shuga nthawi zambiri amakhala asymptomatic, chifukwa chake, chisamaliro chofunikira chimafunikira kuchokera kwa dokotala wabanja.

Kodi matenda a shuga a mtundu 2 amapezeka liti?

Ngati pali zodandaula (onani gawo lapitalo) kuti mutsimikizire matendawa, ndikofunikira kulembetsa kamodzi kuchuluka kwa glucose amodzi kuchokera chala pamwamba 11.1 mmol / l kamodzi (onani tebulo 5).

Tebulo 5. Glucose ndende zosiyanasiyana kagayidwe kagayidwe:

Chizindikiro cha mmol / l

Mlingo wa glucose -
kuchokera capillary (kuyambira chala)

m'magazi am'magazi -
kuchokera ku mtsempha