Zololedwa zosokoneza komanso zotsatsa matenda a shuga

Matenda okhumudwa ndi matenda ovuta am'maganizo omwe ali ndi majini, chilengedwe komanso malingaliro. Matenda okhumudwitsa ndi vuto la ubongo. Tekinoloje yolingalira zamaubongo monga maginito a resonance imaging (MRI) yawonetsa kuti ubongo wa anthu omwe ali ndi nkhawa amawoneka osiyana ndi anthu opanda nkhawa. Ziwalo zaubongo zomwe zimakhudzidwa ndikusintha momwe mumaganizira, kuganiza, kugona, kusangalala komanso kuchita zinthu mosiyana. Koma izi sizikuwonetsa zomwe zimayambitsa kukhumudwa. Sangagwiritsidwenso ntchito kuzindikira matenda ovutika maganizo.

Ngati muli ndi matenda amtundu wa 2 kapena matenda amtundu wa 2, ndiye kuti muli ndi chiopsezo chowonjezereka cha kukhumudwa. Ndipo ngati muli ndi nkhawa, mutha kukhala ndi matenda ashuga a 2.

Kafukufuku wazaka zitatu adachitika ku University of Washington (UW), komwe kudakhudza odwala 4154 omwe ali ndi matenda a shuga a 2. Zotsatira zake zinawonetsa kuti anthu omwe anali ndi nkhawa yochepa kapena yayikulu komanso matenda a shuga a 2 amawopsa kwambiri kuposa odwala omwe ali ndi matenda a 2 okha.

“Matenda okhumudwa ndi matenda wamba pakati pa anthu odwala matenda ashuga a 2. Kuchulukana kumeneku kumatha kukhala ndi zotsatirapo zoyipa kwambiri. Ndipo kupsinjika pang'ono komanso kwakukulu kwa anthu odwala matenda ashuga kumayenderana kwambiri ndi kufa kwa anthu ambiri. ”

Nkhani yabwino ndiyakuti onse omwe ali ndi matenda ashuga ndi nkhawa amatha kuthandizidwa mosavomerezeka, kupatula ngati atakhalira limodzi. Ndipo kuyendetsa bwino matenda ena kumathandizanso wina.

Zizindikiro ndi Zizindikiro Za Kukhumudwa

“Zimandivuta kwambiri kudzuka m'mamawa. Ndimangolakalaka kubisala pansi bulangeti osalankhula ndi aliyense. Kutaya kwambiri ndachepa. Palibe chomwe chimandisangalatsa. Sindikufuna kucheza ndi anthu, ndikufuna kukhala ndekha ndi ine. Ndikutopa nthawi zonse, sinditha kugona nthawi yayitali ndipo sindimagona mokwanira usiku. Koma tsopano ndiyenera kupita kuntchito, chifukwa ndiyenera kudyetsa banja langa. Ndikuwona kuti palibe chomwe chitha kusintha, ”ndimalingaliro omwe munthu amakhala ndi nkhawa.

Ngati mwazindikira zilizonse zomwe zafotokozedwa pansipa, ndiye kuti mwina muli ndi nkhawa:

  • Chisoni
  • Kuda nkhawa
  • Kusakwiya
  • Kutaya chidwi ndi ntchito zomwe m'makonda kale
  • Kuchepetsa kulumikizana ndi anthu, kuletsa chikhalidwe cha anthu
  • Kulephera kulolera
  • Kusowa tulo (kuvutika kugona)
  • Kulakwa kwambiri kapena kudziona ngati wopanda ntchito
  • Kutaya mphamvu kapena kutopa
  • Kusintha kwa chidwi
  • Kuzengereza pang'ono kapena kwakanthawi
  • Malingaliro a imfa kapena kudzipha

Ngati muli ndi matenda ashuga ndipo mwawona zizindikiro za kukhumudwa, onetsetsani kuti mwadziwitsa dokotala.

Matenda a shuga

Kugona mokwanira ndikofunikira kwambiri kuti thupi lizigwira ntchito bwino. Mavuto omwe amakhalapo chifukwa cha kusowa tulo amakhudza oposa theka la anthu padziko lapansi. Komanso, kuphwanya kofananako kumakhudza anthu mosaganizira jenda ndi zaka. Malinga ndi akatswiri, kusala pang'ono kugona kumatha kuwononga kwambiri thanzi la munthu.

Kafukufuku wathandiza gulu la asayansi aku Canada komanso ku France kudziwa mgwirizano pakati pa zosokoneza kugona, hyperglycemia, ndi insulin. Ndikukonzekera kuti jini limodzi limayendetsa njirazi. Vuto la kusowa tulo limakhudza ambiri matenda ashuga a 2, omwe amalemedwa ndi kunenepa kwambiri komanso mtima.

Kutupa kwa insulin mkati mwa thupi, komwe kumakulitsa kupezeka kwa plasma membrane wa glucose, ndikofunikira kwambiri mu pathogenesis ya matenda a shuga. Kuchuluka kwa mahomoni a peptide amenewa kumatengera nthawi yatsiku. Asayansi apeza kuti chifukwa chothandizira kukulitsa kuchuluka kwa shuga m'magazi, ndikusokonekera kwa kugona, chifukwa cha kusinthika kwa majini.

Izi zidatsimikiziridwa ndi kuyesa kochitidwa kwa odzipereka ambiri (odwala matenda ashuga komanso athanzi). Kufuna kusintha masinthidwe amtundu wa glucose kuwonekera kwa odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga.

Genetic mutageneis ndiye chinthu chachikulu chomwe chimayambitsa kusowa kwa matenda a shuga.

Kupezeka kwa kugona moyenera kumapangitsa kuti thupi lizigwira ntchito moyenera. Vuto logona lomwe limadziwika chifukwa chosakwanira kapena kusakhutira kwakenso kumachepetsa zochitika zolimbitsa thupi komanso chikhalidwe.

Mavuto Ogona: Zinthu Zina ndi Zotsatira

Kugona koperewera, onse omwe ali ndi matenda ashuga komanso odwala popanda kuzindikira, amatha chifukwa cha psychosomatic komanso zakunja.

Kuphwanya kupumula kwausiku kumachitika kawirikawiri mwa anthu okalamba.

Choyamba, ndikofunikira kulingalira za zaka zomwe zingachitike. Mwachitsanzo, mwachitsanzo, achinyamata amafunika maola 8 osakwana kuti agone bwino.

Kukalamba kwa thupi kumachepetsa nthawi yopuma usiku: anthu azaka 40-60 amagona pafupifupi maola 6-7, ndi okalamba kwambiri - mpaka maola 5 patsiku. Pankhaniyi, pali kuchepetsedwa gawo la kugona kwambiri, komwe nthawi zambiri kumatha kuthamanga, kuwerengera 75% ya nthawi yonse yogona, ndipo odwala nthawi zambiri amadzuka pakati pausiku.

Zinthu zakunja zomwe zingalepheretse munthu kugona mokwanira ndi:

  • phokoso zosiyanasiyana
  • kufuula kwa mnzake
  • mpweya wowuma komanso wamkati,
  • bedi lofewa kwambiri kapena bulangeti lolemera,
  • chakudya chochuluka musanakagone.

Mwa zina mwazinthu zomwe zimayambitsa chisokonezo cha kupumula kwausiku, izi ndizodziwika:

  1. Kusintha kwa malo okhala kapena nkhawa zina.
  2. Psychology (kupsinjika, nkhawa, dementia, mankhwala osokoneza bongo).
  3. Matenda a chithokomiro.
  4. Mphuno kapena chifuwa.
  5. Kukokana usiku.
  6. Ululu wazinthu zosiyanasiyana.
  7. Matenda a Parkinson.
  8. Wogona Apnea.
  9. Matenda a kupuma ndi mtima dongosolo.
  10. Khalidwe labwino.
  11. Shuga wotsika (hypoglycemia).

Kukhalitsa kwa nthawi yayitali kwa dongosolo lamafundo achifundo kumabweretsa kuchuluka kwa kuthamanga kwa magazi komanso kuwonjezeka kwa kugunda kwa mtima. Chifukwa cha izi, wodwalayo amakwiya ndipo amakwiya. Kuphatikiza apo, kugona kopanda thanzi kumayambitsa zotsatirazi:

  • kuchepa kwa chitetezo chamthupi,
  • kutsitsa kutentha kwa thupi
  • kuyerekezera ndi kuyembekezera,
  • chiopsezo chachikulu chotenga matenda a tachycardia ndi matenda ena amtima,
  • kuchedwa kwachitukuko
  • onenepa kwambiri
  • kupweteka, kukokana komanso kudzipereka kwa minofu.

Monga mukuwonera, kusowa tulo kumabweretsa zovuta zazikulu. Chifukwa chake, simuyenera kungochotsa chizindikirocho, komanso muzu wa vuto.

Chifukwa chake, wodwalayo amatha kukwanitsa kugona komanso kukonza thanzi lonse.

Zomwe mungagwiritse ntchito mapiritsi ogona

Mankhwala omwe amachokera pamapiritsi ogona amphamvu, mwachitsanzo, ma benzodiazepines, ndi othandiza pakupanga matenda a somatic pathologies. Komabe, sioyenera kutsegula ubongo.

Mankhwala amphamvu amatha kuwonjezera mwayi woti azolowere, motero amawotengera kwakanthawi kochepa. Mankhwala a gululi amakhala ngati opuma, ndiye kuti amawapumulitsa. Chifukwa chake, kugwiritsa ntchito mapiritsi ogona ngati amenewa ndikochepa kwa anthu achikulire, chifukwa kumatha kubweretsa kugwa ndi kuvulala.

Ma antipsychotic amagwiritsidwa ntchito moyenera pochotsa matenda a dementia. Samayambitsa chizolowezi. Pakakhala mkhalidwe wachisoni, amaloledwa kugwiritsa ntchito mankhwala oletsa kuponderezana, omwe, mwanjira ina, ndi njira ina yothandizira mapiritsi ogona.

Ofufuza ena amati mapiritsi ogona amagwira ntchito nthawi yayifupi. Kugwiritsa ntchito mankhwala kwa nthawi yayitali kumabweretsa zovuta, zomwe zimakhudza thanzi la anthu okalamba.

Chifukwa chake, odwala omwe ali ndi matenda a shuga komanso kusowa tulo ayenera kukaonana ndi katswiri. Adzatha kupeza chomwe chimayambitsa kusokonezeka kwa kugona ndikuti apatseni mankhwala othandiza komanso osavulaza.

Ngati wodwalayo agona mapiritsi osagwiritsa ntchito mankhwala, ayenera kuwerenga mosamala malangizo omwe aphatikizidwa, omwe ndi Mlingo, contraindication ndi zovuta zake.

Chithandizo cha kusowa tulo

Pamsika wamankhwala pali mitundu yambiri ya mapiritsi ogona omwe amapezeka popanda mankhwala. Izi ndichifukwa choti amakhala ndi mphamvu yochepa yoletsa zinthu zamagetsi zamkati. Kuphatikiza apo, mankhwala osokoneza bongo samayambitsa mavuto ambiri kwa odwala.

Melaxen ndi piritsi yogona yogwira. Chithandizo chophatikizika, melatonin, kapena "mahomoni ogona," chimayang'anira kudzutsidwa. Ilinso ndi mphamvu yosintha. Mwa zabwino za mankhwalawa, kuthamanga kwa momwe amagwirira ntchito, kusatheka kwa mankhwala osokoneza bongo, zovuta zomwe zimapangidwira pakapangidwe kake komanso magawo azomwe amagona zimasiyanitsidwa. Odwala samadzimva tulo atatha kugwiritsa ntchito Melaxen, chifukwa chake amatha kuyendetsa galimoto ndikugwiritsa ntchito makina olemera. Zoyipa zamankhwala ndizokwera mtengo (mapiritsi atatu a 3 mg a zidutswa 12 - ma ruble 560) ndikuwonetsedwa kwa kutupa ndi chifuwa. Mapiritsi ogona amathandizidwa kuti azisokoneza kugona pang'ono, komanso kuti azisinthasintha chifukwa chosintha nthawi.

Donormil amapangidwa m'mapiritsi ogwiritsa ntchito molondola komanso mapiritsi okhazikika omwe ali ndi gawo lalikulu la α-dioxylamineced. Mtengo wapakati wamapiritsi (zidutswa 30) ndi ma ruble 385. Donormil ndi H1 histamine receptor blocker yomwe amagwiritsidwa ntchito kuti athetse kusowa tulo kwa achinyamata komanso anthu athanzi.

Chida ichi chimatha kukhudza chidwi cha anthu, kotero tsiku lotsatira mutatenga, simuyenera kuyendetsa galimoto. Tiyenera kudziwa kuti mankhwalawa amayambitsa pakamwa pouma komanso kudzutsidwa kovuta. Kugwiritsidwa ntchito kwake kumatsutsana chifukwa cha kukanika kwa impso ndi kupuma usiku.

Andante ndi kukonzekera kwa kapisozi komwe kumachepetsa kuukira kwa anthu omwe ali ndi kutopa komanso kutopa kwambiri. Mankhwala ogona amatha kugwiritsidwa ntchito ndi anthu okalamba, koma muyezo wocheperako. Mtengo wa makapisozi (zidutswa 7) ndiwokwera kwambiri - 525 ma ruble. Kugwiritsa ntchito koletsedwa kwa odwala omwe ali ndi vuto la impso, ana osaposa zaka 18, pakati komanso kuyamwa. Amaletsedwanso osakhalitsa apnea, kwambiri myasthenia gravis ndi hypersensitivity ku zigawo zikuluzikulu.

Ngati patatha masiku ochepa mankhwalawo sangakhale ndi vuto lochiritsira, muyenera kufunsa dokotala mwachangu.

Mwina kusowa tulo ndi komwe kumayambitsa matenda akuluakulu omwe amafunika kuthetseratu.

Mankhwala ogona azitsamba

Wodwala akaopa kumwa mankhwala, amatha kusankha kugwiritsa ntchito mankhwala azitsamba. Mwa njira zawo zochizira, sizotsika poyerekeza ndi njira zomwe zatchulidwazi.

Corvalol (Valocordin) - madontho amagwira ntchito posowa tulo wokhala ndi phenobarbital. Zabwino zogwiritsidwa ntchito ndi chida ichi ndi zovuta za antispasmodic pamisempha yosalala. Amagwiritsidwanso ntchito ngati psychomotor mukubwadamuka ndi tachycardia. Mtengo wapakati wa mankhwalawa m'mapiritsi (zidutswa 20) ndi ma ruble 130 okha, omwe ndi opindulitsa kwa wodwala aliyense. Zina mwa zolakwika ndizakuti sizingatengedwe pakumenyedwa, komanso kupezeka kwa fungo la zinthu.

Novo-Passit ndi mankhwala azitsamba. Mu mankhwalawa mutha kugula mapiritsi (200 mg 30 zidutswa) pafupifupi 440 ma ruble ndi madzi (200 ml) - pafupifupi ma ruble 300.

Kuphatikizidwa kwa mankhwalawa kumaphatikizapo valerian, guaifenzin, elderberry, mankhwala a mandimu, wort wa St. John ndi zitsamba zina. Ndipo monga mukudziwa, wort ya St. John yokhala ndi matenda a shuga 2 imalimbikitsidwa kwa odwala ngati mankhwala azitsamba. Mankhwalawa amatha kusokoneza, ndipo guaifenzin yomwe ilimo imathetsa nkhawa mwa wodwala. Chifukwa chake, mankhwalawa amatha kugwiritsidwa ntchito mosavomerezeka pakugona. Ubwino waukulu ndi kuthamanga kwa mankhwalawa. Koma mwa zina zoyipa, kugona tulo tamasana ndi nkhawa zimasiyanitsidwa. Kuphatikiza apo, mankhwalawa amaphatikizidwa mwa ana ndi odwala omwe ali ndi vuto lalikulu lauchidakwa.

Persen imaphatikizapo zinthu monga mandimu, ndimu, valerian ndi timbewu tonunkhira. Mankhwalawa ali ndi hypnotic yofatsa komanso yotupa, komanso ndi antispasmodic. Zabwino kwambiri pakukhumudwa kwamanjenje, zomwe zimasokoneza kugona kwa wodwala. Kugwiritsa ntchito mankhwalawa ndizoletsedwa kwa ana osaposa zaka 12, sikulimbikitsidwa kwa odwala omwe ali ndi vuto la biliary pathologies.

Mankhwala omwe ali m'mapiritsi (zidutswa 20) akhoza kugula ma ruble 240.

Upangiri wa Mankhwala

Musanagwiritse ntchito mankhwalawa, muyenera kuzololedwa ndi pepala loyika, ndipo koposa zonse - pezani thandizo la katswiri wowachiritsa.

Tsoka ilo, mankhwala osavulaza kulibe. Mankhwala aliwonse amakhala ndi zotsutsana zake.

Komabe, mapiritsi ogona amathanso kuonedwa ngati otetezeka akakwaniritsa zofunika izi:

  1. Chiwerengero chochepa chotsutsana ndi zoyipa. Tiyenera kudziwa kuti mapiritsi ogona sayenera kukhudza kayendedwe kazinthu zamagetsi komanso kuyendetsa galimoto.
  2. Kugwiritsa ntchito bwino. Mukamagwiritsa ntchito mankhwala osokoneza bongo, kugona mthupi kumayenera kubwerera kwachibadwa. Kupanda kutero, muyenera kulankhulana ndi dokotala nthawi yomweyo.

Osanyalanyaza nthawi yayitali ya mankhwala ndi mankhwala ena ake. M'pofunikanso kuona mlingo woyenera kuti mupewe zoipa zomwe zingachitike. Izi zimaganizira mawonekedwe a thupi la odwala, mwachitsanzo, anthu achikulire nthawi zambiri amafunika kuchepetsa kuchuluka kwa mapiritsi ogona.

Ndi kugwiritsa ntchito moyenera mankhwalawa, kugona tulo kumatha. Msika wama pharmacological umayimira kuchuluka kwakukulu kwa onse OTC ndi mapiritsi ogona omwe mumalandira. Wodwala iyemwini amasankha zomwe angapeze, kutengera luso la zachuma ndi zochizira. Muyenera kuchitanso masewera olimbitsa thupi kwa odwala matenda ashuga maola ochepa musanapite kukagona.

Mu kanema mu nkhaniyi, Elena Malysheva apereka malingaliro amomwe angathane ndi vuto la kugona.

Kodi matenda ashuga ndi kukhudzana zimagwirizana bwanji?

Matenda okhumudwa nthawi zambiri amapezeka mwa anthu odwala matenda ashuga monga momwe zimakhalira ndi anthu wamba. Mpaka pano, palibe maphunziro olondola pazotsatira za matenda ashuga kupezeka kwamayiko achisoni, koma titha kuganiza kuti:

  • Zovuta pakuwongolera matenda ashuga zimatha kubweretsa kupsinjika ndikuwupangitsa kuti mukhale ndi nkhawa. Kuwongolera matenda a shuga kumatenga nthawi yochulukirapo, mankhwala osalekeza kapena jakisoni wa insulin, kuyeza shuga pafupipafupi kudzera m'mapiritsi azala, zoletsa zakudya - zonsezi zimatha kuyambitsa chitukuko cha dziko lokhumudwa.
  • Matenda a shuga angayambitse zovuta komanso zovuta zaumoyo zomwe zimayambitsa kukhumudwa.
  • Kukhumudwa kungayambitse malingaliro osayenera pa moyo wanu, mwachitsanzo, kudya mosayenera, kuletsa kuchita masewera olimbitsa thupi, kusuta fodya komanso kulemera - izi zonse zomwe zatsalidwa ndizoyambitsa matenda a shuga.
  • Matenda okhumudwa amakhudza luso lanu kumaliza ntchito, kulankhulana, ndi kuganiza momveka bwino. Izi zitha kusokoneza luso lanu lotha kuwongolera matenda anu a shuga.

    Kodi mungalimbane bwanji ndi nkhawa mukakhala ndi matenda ashuga?

  • Kukula kwatsatanetsatane wa kudziletsa. Siyani kuopa matenda anu a shuga, ndibwino kuti mupange mgwirizano nawo ndikuyamba kuwongolera matenda anu. Pangani zakudya, idyani chakudya chopatsa thanzi, yambani kuchepa thupi ngati mukuvutikira. Yang'anirani shuga yanu yamagazi, ngati pali zovuta zina, tengani maphunziro akumwa. Muzichita masewera olimbitsa thupi, ochulukirapo ali ndi mpweya wabwino. Yesetsani kuthandiza anthu ena, kuphatikizapo omwe ali ndi matenda ashuga. Kudziwa kuti mumayang'anira matenda a shuga kumachepetsa kwambiri zizindikiro zanu za kukhumudwa.
  • Psychotherapy ndi upangiri wa psychologist. Ngati ndi kotheka, tengani maphunziro a psychotherapy kuti muthane ndi kukhumudwa. Ngati ndi kotheka, khalani ndi kukambirana kwanu ndi katswiri wazamisala. Maphunziro othandizira ozindikira amakhalanso othandiza, omwe, malinga ndi kafukufuku, adachepetsa kupsinjika kwa maphunziro ndikuwongolera chisamaliro cha matenda a shuga.
  • Kuvomerezedwa kwa antidepressants (mosamalitsa wololedwa ndi dokotala). Ma antidepressants amatha kusintha mkhalidwe wanu wamavuto, koma muyenera kumvetsetsa kuti alinso ndi zovuta zake. Odwala omwe ali ndi matenda ashuga amaletsedwa kusankha mtundu wawo wa mankhwala ochepetsa nkhawa ndipo amwe. Mankhwalawa amayenera kuperekedwa ndi dokotala.

    Ma antidepressants angatengedwe pokhapokha mukaonana ndi dokotala.

    Mitundu ya antidepressants zotchulidwa kupsinjika kwa odwala matenda ashuga

    Tricyclic antidepressants ndi mankhwala omwe zotsatira zake zachipatala zimachitika chifukwa cha kuchuluka kwa ma norepinephrine, serotonin, ndi ma neurotransmitters mu ubongo omwe amathandiza maselo amitsempha kuyanjana bwino. Ngati mitundu yonseyi ya mankhwala sichili bwino kapena sagwira ntchito moyenera, ndiye kuti zizindikiro za kukhumudwa zikuwoneka. Ma Tricyclic antidepressants amawongolera ndikubwezeretsa bwino zinthuzi. Ma antidepressants awa akuphatikizapo: Elavil (Amitriptyline), Norpramine (Desipramine) ndi Pamelor (Nortriptyline).

    Mitundu ina ya mankhwala ochepetsa nkhawa ndi Kusankha Serotonin Reuptake Inhibitors (SSRIs) - ali ndi zovuta zochepa kusiyana ndi gulu la antidepressants atatu. Zitsanzo za mtundu uwu wa antidepressant: Lexapro (Cipralex), Prozac, Paxil ndi Zoloft (Sertraline). Amagwira ntchito poletsa kubwezeretsanso kwa serotonin mu ubongo.

    Mtundu wina wa antidepressant womwe amagwiritsidwa ntchito pochiza matenda ovutika maganizo ndi odwala matenda a shuga ndi Kusankha Serotonin ndi Norepinephrine Reuptake Inhibitors (SSRIs). Mankhwalawa amatchedwanso antidepressants apawiri, amalepheretsa kubwezeretsa kwa serotonin ndi norepinephrine. Ma antidepressants awa akuphatikizapo: Effexor (Venlafaxine), Pristik (Desvenlafaxine), Duloxetine (Symbalta), Milnacipran (Ixel).

    Kafukufuku awonetsa kuti ma tridclic antidepressants ndi SSRIs amawonjezera mwayi wokhala ndi matenda ashuga. Izi zimadziwika kwambiri pamene ma tridclic antidepressants ndi SSRIs atengedwa limodzi. Zomwe zimapangitsa kuti mankhwalawa awonjezere mwayi wokhala ndi matenda ashuga sizikumveka. Kulemera kwambiri nthawi zambiri kumawonedwa mukamamwa ma tridclic antidepressants, omwe amathanso kukhala othandizira pakukula kwa matenda ashuga.

    Zotsatira zoyipa za Mavuto Othandizira Kuthana

    Zotsatira zoyipa za ma tridclic antidepressants zimaphatikizapo:

  • Kuwona koperewera
  • Pakamwa pakamwa
  • Chizungulire
  • Chisangalalo
  • Kulemera
  • Kutsegula m'mimba
  • Kusowa tulo (kuvutika kugona komanso kugona)
  • Mankhwala
  • Kutopa
  • Kuyimba minyewa (kugwedeza)
  • Kuchuluka kwa mtima

    Zotsatira zoyipa za ma antiidepressants a SSRI ndi:

  • Kuchepetsa mseru
  • Mutu
  • Zochita usiku
  • Zosintha mu zilakolako zogonana komanso kugonana
  • Zotsatira zoyipa za ma SSRIs antidepressants:

  • Nusea (makamaka mukamamwa Simbalta)
  • Kusowa tulo
  • Kugona
  • Kudzimbidwa
  • Kuchulukitsa kwa magazi (ngati mutatenga Effexor / Venlafaxine)
  • Thukuta kwambiri
  • Zosintha pakufuna kugonana.

    Zotsatira zoyipa za antidepressants zomwe zimadutsa zimadutsa kapena zimatha nthawi. Kuti muchepetse zotsatira zoyipa, dokotala angakupatseni mankhwala pang'ono ndikuwonjezera pang'onopang'ono.

    Zotsatira zoyipa zimasiyananso kutengera ndi antidepressant omwe amagwiritsidwa ntchito, si mankhwala aliwonse omwe amayambitsa mavuto onse. Chifukwa chake, atha kukuthandizani kusankha mankhwala ochepetsa nkhawa kwambiri a thupi lanu.

    Ngati muli ndi matenda ashuga, yang'anirani bwino zomwe zikuwonetsa kutaya mtima, monga kusiya chidwi ndi zinthu wamba, kumva chisoni kapena kusowa chiyembekezo, komanso mavuto akuthupi osafotokozeredwa, monga kupweteka kumbuyo kapena mutu.

    Ngati mukuganiza kuti kuvutika maganizo sikudakuchitikireni, onetsetsani kuti mwawonana ndi dokotala, osadzichitira nokha.

    Zizindikiro za Kukhumudwa

    Mkhalidwe wachisoni wa wodwala umabuka pazifukwa zambiri - zam'malingaliro, zamtundu kapena zachilengedwe. Magnetic resonance imaging (MRI) ikuwonetsa kuti mwa odwala omwe ali ndi nkhawa, chithunzi cha ubongo chimawoneka chosiyana kwambiri ndi mwa anthu athanzi.

    Omwe amatha kutenga matenda amisala ndi odwala omwe ali ndi mtundu wachiwiri wa matenda ashuga. Ngati simukuchitapo kanthu, izi zitha kubweretsa mavuto. Koma kupsinjika ndi matenda a shuga amathandizidwa, kuthetsa kamodzi kokha, chachiwiri chimadzithandizanso ku chithandizo chopambana. Izi ndi zina mwazizindikiro zomwe zimachitika pa nthawi ya kukhumudwa:

    • Kuchepetsa chidwi cha ntchito kapena zosangalatsa
    • chisoni, kusakwiya, kuda nkhawa,
    • maloto oyipa
    • kudzipatula, kusafuna kucheza ndi anthu,
    • kutaya kapena kusowa kwa chakudya,
    • kuchepa chidwi
    • kutopa kwamuyaya
    • wodekha thupi ndi m'maganizo,
    • malingaliro oyipa ngati imfa, kudzipha, ndi zina zambiri.

    Ngati wodwala yemwe ali ndi matenda a shuga adazindikira chimodzi mwazomwe zalembedwa, ayenera kufunsa dokotala mwachangu kuti adziwe matenda ena. Palibe maphunziro apadera kuti adziwe kukhumudwa, kuzindikira kumachitika ngati wodwalayo anena za zizindikiro zokayikitsa ndi moyo wake. Komabe, kutopa kwamuyaya kungawonedwe osati chifukwa chazovuta.

    Popeza gwero lamphamvu - glucose simalowa muyeso yofunikira m'maselo a thupi, "amamva njala", motero wodwalayo amamva kutopa kosalekeza.

    Kugwirizana pakati pa matenda ashuga ndi kukhumudwa

    Nthawi zambiri, kupsinjika mu shuga kumachitika chimodzimodzi ndi anthu athanzi labwino. Munthawi yathu ino, zotsatira zenizeni za "matenda okoma" powonetsa kuwonongeka kwa malingaliro sizinafufuzidwe. Koma anthu ambiri amaganiza kuti:

  • Kuvuta kwa chithandizo cha matenda a shuga kungayambitse kuvutika maganizo. Kusunga shuga wambiri m'magazi, ndikofunikira kuchita zambiri: kuyang'anira shuga, kutsatira zakudya zoyenera, kuchita masewera olimbitsa thupi, kuwona insulin kapena kumwa mankhwala. Mfundo zonsezi zimatenga nthawi yayitali kuchokera kwa wodwala, chifukwa chake zimayambitsa kukhumudwa.
  • Matenda a shuga amaphatikizira kuwoneka kwa ma pathologies ndi zovuta zomwe zingapangitse kuti pakhale nkhawa.
  • Nawonso, kuvutika maganizo nthawi zambiri kumapangitsa kuti ena asadziderere. Zotsatira zake, wodwalayo akuwononga thanzi lake: samatsata zakudya, sanyalanyaza zolimbitsa thupi, amasuta kapena kumwa mowa.
  • Mkhalidwe wopsinjika umakhumudwitsa chidwi cha chidwi ndi malingaliro omveka. Chifukwa chake, imatha kukhala chinthu chosagwirizana ndi chithandizo cha matenda ashuga.

    Pofuna kuthana ndi vuto la matenda ashuga, dokotala amakonzanso njira zina zochizira matendawa.

    Kulimbana ndi matenda ashuga. Kuti muchite izi, muyenera kudzikoka nokha ndikutsatira malamulo onse kuti mukhale ndi glucose pamlingo wabwinobwino.

    Kukambirana ndi katswiri wama psychologist komanso maphunziro a psychotherapy. Ngati ndi kotheka, muyenera kukambirana ndi katswiri za mavuto anu ndikutsatira malingaliro ake onse.

    Mankhwala osokoneza bongo amalembedwa ndi dokotala yemwe amapezekapo, simungathe kudzipangira mankhwala okha, chifukwa chithandizo chilichonse chimakhala ndi zotsatirapo zake.

    Chithandizo Chachidziwitso Chazidziwitso

    Dokotala wama psychology amatha kugwiritsa ntchito njira zosiyanasiyana kuthana ndi kukhumudwa, koma chidziwitso pozindikira chimadziwika. Popeza panthawi yovutikira wodwala amangozindikira zoipa zilizonse, amapanga njira zina:

  • "Zonse kapena kanthu." Maganizo amtunduwu amakhala ndi malingaliro enieni, monga kupambana kapena kutaya. Komanso, wodwala nthawi zambiri amagwiritsa ntchito mawu ngati "sanatero" komanso "nthawi zonse", "palibe" komanso "kwathunthu". Mwachitsanzo, ngati wodwala adya kukoma kwamtundu wina, angaganize kuti wawononga chilichonse, kuchuluka kwake kwa shuga kungakwere, komanso sangathe kuyendetsa matenda a shuga.
  • Kudzimva kuti ndiwe wolakwa kapena kuchita mopambanitsa kumangofuna iwe wekha. Wodwala amakhazikitsa miyezo yapamwamba kwambiri, mwachitsanzo, kuti kuchuluka kwake kwa glucose sikudzaposa 7.8 mmol / L. Akalandira zotsatira zoposa zomwe amayembekeza, adzadziimba mlandu.
  • Kuyembekezera china choyipa. Wodwala yemwe akudwala matenda ovutika maganizo sangathe kuyang'ana moyo wabwino, chifukwa chake amayembekeza zopweteka kwambiri. Mwachitsanzo, wodwala yemwe apita kukaonana ndi dokotala angaganize kuti zomwe zili m'matumbo a glycated hemoglobin zawonjezeka ndipo posachedwa mawonekedwe ake akuwonongeka.

    Katswiri amayesera kutsegula maso a wodwalayo ku mavuto ake, ndikuwazindikira m'njira yothandiza kwambiri. Mutha kuyesanso kuti muthane ndi malingaliro olakwika nokha.

    Kuti muchite izi, ndikofunikira kuzindikira "zomwe mwapambana" zazing'ono, mudzitamandeni chifukwa cha iwo ndikukhala ndi malingaliro abwino.

    Mankhwala othana ndi matenda a shuga

    Kuti athane ndi vuto la kukhumudwa, katswiri wodziwitsa antidepressants atatu. Ndi mankhwala omwe amakhudza kuwonjezeka kwa kuchuluka kwa ubongo wa serotonin ndi norepinephrine, zomwe zimathandizira kulumikizana kwabwino kwa maselo a mitsempha ndi mzake.

    Mankhwalawa akasokonekera, kusokonezeka kwamaganizidwe kumachitika, antidepressants amathandizira kubwezeretsa bwino.

    Mankhwala odziwika amtunduwu ndi awa:

    Ma antidepressants ndi amtundu wina. Dzinalo lawo lathunthu ndi kusankha ma serotonin reuptake inhibitors (SSRIs). Mankhwalawa ali ndi zovuta zochepa kuposa mankhwala a gulu loyambalo. Izi zikuphatikiza:

    Mtundu wina wa antidepressant ndikusankha serotonin ndi norepinephrine reuptake inhibitors (SSRIs). Kuchokera kwa dzinali kumadziwika kuti mankhwalawa amalepheretsa kuyamwa kwa zinthu zomwe zimasungunuka m'madzi. Odwala amatenga makamaka opidepressants:

    Muyenera kudziwa kuti kugwiritsa ntchito mankhwalawa popanda matenda kumatha kuyambitsa zovuta zina. Ma Tricyclic antidepressants angayambitse kuwonongeka kwa mawonekedwe a shuga, chizungulire komanso kupweteka kwam'mutu, matenda am'mimba, kugona tulo, kusakwiya, kusokonekera kwa erectile, kunjenjemera, ndi kuchuluka kwa mtima.

    Odwala omwe atenga ma SSRIs amatha kudandaula za zovuta, kusanza, kutsegula m'mimba, kupweteka mutu, chizungulire, kukwiya, kusokonezeka m'moyo wogonana.

    Gulu la mankhwala a SSRIs angayambitse kuwoneka kwa zizindikiro monga mseru, kudzimbidwa, kutopa, chizungulire, kuthamanga kwa magazi, kuchuluka thukuta, kusokonekera kwa erectile.

    Pofuna kupewa zoyipa, adokotala amatipatsa mankhwala ochepa poyambira chithandizo ndikuwonjezera kwa nthawi. Musanagwiritse ntchito mankhwalawa, muyenera kuwerengera mosamala malangizo, chifukwa kugwiritsa ntchito molakwika wodwala kungayambitsenso zovuta zina.

    Malangizo pothana ndi kukhumudwa

    Kuphatikiza pa kutenga ma antidepressants ndikupatsidwa chithandizo ndi psychotherapist, ndikofunikira kutsatira malamulo osavuta omwe angathandizenso wodwala mwakuthupi komanso m'maganizo:

    Zochita zolimbitsa thupi. Kugona kopanda tanthauzo kumachepetsa chitetezo chamthupi, kumapangitsa munthu kukhala wosakwiya komanso wosazindikira. Chifukwa chake, odwala matenda ashuga ayenera kugona osachepera maola 8 patsiku.

    Kuphatikiza apo, popanda kusewera masewera, wodwala amatha kuvutika kugona. Tiyenera kukumbukira kuti kugona mokwanira komanso kuchita masewera olimbitsa thupi ndi mankhwala abwino kwambiri padziko lapansi.

  • Musadzipatule ndi dziko lakunja. Ngakhale pakakhala kuti mulibe mtima wofuna kucheza ndi anthu kapena kuchita zinazake, muyenera kuthana nawo. Mwachitsanzo, kuti muchite zomwe mumafuna kuphunzira nthawi zonse (jambulani, kuvina, ndi zina), konzekerani tsiku lanu popezeka pamwambo wina wosangalatsa, kapena pitani kukaona mnzanu kapena wachibale.
  • Kumbukirani kuti shuga si sentensi. Kuti muchite izi, muyenera kuyang'anitsitsa thanzi lanu ndikumvetsetsa kuti ndizosatheka kuthana ndi zovuta zonse. Koma nthawi yomweyo, anthu ambiri amakhala ndi vutoli, komanso anthu athanzi.
  • Pangani dongosolo lenileni la mankhwalawa. Mwachitsanzo, wodwala amafuna kuti achepetse thupi. Kwa chikhumbo chimodzichi sikokwanira, kuchitapo kanthu ndikofunikira. Ndikofunikira kulingalira kuti akufuna kusewera kangati pa sabata, azichita masewera olimbitsa thupi, etc.
  • Simuyenera kusunga chilichonse mwa inu nokha. Mutha kugawana mavuto anu ndi mabanja kapena okondedwa. Adzamvetsetsa wodwalayo monga wina aliyense. Amathanso kudziwitsidwa kumalamulo a insulin mankhwala kapena kugwiritsa ntchito mita ya shuga. Chifukwa chake, wodwalayo amadzimva kuti sakhala yekha ndipo nthawi zonse angafune thandizo lomwe adzapatsidwe.

    Chifukwa chake, wodwala wodwala matenda ashuga a 2 ayenera kuwunika bwino thanzi lake, makamaka mkhalidwe wake wamalingaliro. Ngati zizindikiro zamizere zapezeka zomwe zingasonyeze kukula kwa kukhumudwa, muyenera kufunsa dokotala.

    Momwe matendawa amathandizira pakuthana ndi matenda awiriwa. Mothandizidwa ndi wodwala panthawi yake, dokotala yemwe akupezekapo ndi akatswiri othandizira, mutha kupeza zotsatira zabwino. Inde, kuthandizidwa ndi okondedwa, chidziwitso cha banja komanso mkati mwathu zimathandizanso kutuluka mwachangu kuchokera ku dziko lokhumudwitsidwa.

    Ubale pakati pa kukhumudwa ndi matenda a shuga wafotokozedwa mu kanema munkhaniyi.

    KUDZIPEREKA NDI KUKHALA PA MTIMA WOPHALA NDI DIABETES MELLITUS TYPE 2

    Matenda a shuga ndi matenda a metabolic omwe amadziwika ndi matenda osachiritsika a hyperglycemia omwe amayamba chifukwa cha kuperewera kwa insulin, komwe kumabweretsa kuwonongeka kwa maselo a pancreatic B.

    Munkhaniyi, tiwona mgwirizano womwe ulipo pakati pa kupsinjika, kupsinjika ndi mtundu 2 Mtundu wachiwiri. D

    Monga mukudziwa, anthu odwala matenda ashuga a 2 ali pachiwopsezo chachikulu chotenga matenda amisala, makamaka kukhumudwa, kuposa anthu opanda matenda a shuga. Pakati pa izi pali mtundu wolumikizana-mbali ziwiri. Izi zimachitika kuti kupezeka kwa mayiko awiriwa nthawi imodzi kumawonjezera mwayi wokhala ndi zovuta za matenda ashuga, komanso matenda a mtima.

    Matenda okhumudwa amathanso kukhala ndi chidwi ndi shuga, magazi komanso kudziletsa.Komanso, anthu omwe ali ndi matenda ashuga komanso okhumudwa amafa nthawi zambiri asanafike paukalamba.

    Kuyesa mgwirizano pakati pa kupsinjika, kukhumudwa ndi mtundu wachiwiri wa matenda a shuga, kuchuluka kwa zovuta zomwe zingachitike.

    Onaninso odwala 50 omwe ali ndi vuto lachiwiri la matenda ashuga kuti muwone zizindikiro za kupsinjika ndi kupsinjika.

    Matenda okhudzana ndi nkhawa amatha kuphatikizidwa ndi kuwongolera kuchuluka kwa shuga m'magazi kudzera mu kusungunuka kwa mahomoni ndipo, mwakuthupi, mwa zotsatira zake zoyipa za kudziletsa, zomwe, pakati pazinthu zina, zimayambitsa masewera olimbitsa thupi, kusamala kwambiri kwa glycemic komanso kuwonjezeka kwa kusuta ndi mowa. .

    Kuti muyambe kuwunika mgwirizano pakati pa kupsinjika, kukhumudwa, ndi mtundu wa matenda a shuga 2, muyenera kudziwa ngati ndizovuta zilizonse, monga zida zina, mwachitsanzo, zimaphatikizapo zizindikiro za kukhumudwa zomwe zimatha kusokonezedwa ndi zizindikiro za matenda ashuga - kutopa, magonedwe kulemera ndi chidwi.

    Kuti muchite izi, ndi njira zotsatirazi zomwe zingakuthandizeni kuzindikira kukhumudwa:

    · Maganizo okhalitsa pa imfa / kudzipha.

    Kuti muzindikire kupsinjika, muyenera kuchita kafukufuku wochepa wa odwala omwe ali ndi matenda osokoneza bongo, afunseni mafunso awiri osavuta omwe cholinga chake ndi kuzindikira zizindikiro za kukhumudwa:

    - M'mwezi wapitawu, kodi mudamvekera kuchepa kwa kukhumudwa, kukhumudwa kapena kusowa chiyembekezo?

    - M'miyezi yapitayi, nthawi zambiri mumada nkhawa ndikusowa chidwi ndi zomwe mukuchita komanso kusangalala ndi zomwe mukuchita?

    Ngati munthu ayankha kuti “inde” pa limodzi la mafunso amenewa, ndiye kuti nkotheka kudziwa zomwe zapangitsa kuti munthu azikhala wokhumudwa.

    Malinga ndi kuwunika mwatsatanetsatane, kupenda odwala 50 okha omwe ali ndi matenda a shuga 2, kuchuluka kwa kupsinjika ndi kupsinjika kunali anthu 10% omwe ali ndi matenda ashuga, omwe 28% awo ndi akazi ndipo 18% ndi amuna. Koma matendawa amatha kusiyanasiyana kutengera kuzindikira koyenera kwa kupsinjika ndi kupsinjika, kuthekera kuzindikira bwino ndikusiyanitsa zomwe zikuwonetsa kupsinjika ndi zizindikiritso za mtundu wachiwiri wa matenda a shuga.

    Kusanthula kwa zotsatira za kafukufuku wina 2-6 kunawonetsa kuti zida zowunikira pawokha zitha kugwiritsidwa ntchito mosavuta pazochita zamankhwala.

    Chifukwa cha kafukufukuyu, ntchito yopanga zamaganizidwe idakhazikitsidwa yomwe imapereka chithandizo chokhazikika kwa anthu omwe ali ndi matenda ashuga omwe akukumana ndi zovuta zingapo zamaganizidwe.

    Si anthu onse omwe ali ndi matenda ashuga omwe amakhala ndi nkhawa yodziwika ndi matenda, ena amangosintha pang'ono kapena amakhala ndi vuto lofooka. Palibe chidziwitso chokwanira chokhudza kupsinjika kwa anthu omwe ali ndi matenda ashuga, koma pali umboni kale kuti chithandizo chamankhwala othandizira odwala komanso matenda osokoneza bongo ndizothandiza pochiza anthu odwala matenda a shuga komanso opanda shuga. Kuphatikiza apo, mankhwalawa ali ndi phindu lina pakulamulira kwa glycemic. Kafukufuku waposachedwa adapeza kuti kusintha chiwongolero cha matenda a shuga panthawi yamatenda a nkhawa kumalumikizidwa ndi kusintha kwamphamvu komanso kuchepa kwa cholozera cha thupi. Ndipo pazotsatira zazitali, tapanga kudziletsa, komwe kumathandizanso.

    Ngakhale kukhumudwa kumafala kwambiri pakati pa anthu odwala matenda ashuga kuposa omwe alibe matendawa, komabe. Kukhumudwa kumawonjezera mwayi wokhala ndi matenda ashuga, kumakhudza kayendedwe ka glycemic komanso kumawonjezera mwayi wokhala ndi zovuta za matenda ashuga. Zingathenso kuthandizira kulemera kapena kukulira kunenepa kwambiri ndipo zingayambitse kuwonongeka kwa kudziletsa kwa matenda ashuga. Ndikofunikira kuzindikira kuti ngakhale matenda ashuga ndi matenda omwe siwokhudzana ndi matenda, nthawi zambiri amakhala limodzi, ndipo izi zimayenera kuganiziridwanso m'njira yothandizirana ndi mankhwalawa kuti akwaniritse bwino zotsatira za matenda ashuga. Kafukufuku waposachedwa awonetsa zabwino zomwe zingachitike pochiza matenda a kukhumudwa pazotsatira za matenda ashuga, komanso moyo wamatendawa. Chidwi chachikulu chaposachedwa pamaganizidwe ndi malingaliro othandizira odwala matenda opatsirana, kuphunzira kukhumudwa ndi matenda ashuga zikuwonjezereka masiku ano. Chidwi chinayambitsidwa ndi umboni wazowopsa zamavuto am'maganizo kwa anthu omwe ali ndi matenda opatsirana monga matenda a shuga. Mphamvu zawo pa moyo watsiku ndi tsiku komanso mtengo wokwera womwe umagwera aliyense ndi gulu lonse zatsimikiziridwa.

    1. Kusintha kwamitima ya mtima pakuwunika momwe mtima ungasinthike mu mtima ndi odwala omwe ali ndi mtundu wa matenda ashuga a 2 komanso matenda oopsa oopsa / O.V. Sudakov, N.A. Gladskikh, N.Yu. Alekseev, E.V. Bogacheva // Msonkhanowu: Ziyembekezero zakukula kwamankhwala amakono. Kutolere mapepala asayansi kutengera zotsatira zamsonkhano wapadziko lonse wa sayansi komanso zothandiza. Voronezh, 2015.S. 62-64.

    2. Kusintha kwa mtima kwa odwala omwe ali ndi mtundu wa 2 matenda a shuga komanso matenda a mtima / А.V. Sviridova, A.I. Borodulin, O.V. Sudakov, V.O. Zyazina // Kugwiritsa ntchito zidziwitso pazamankhwala. 2013.Vol. 16. Ayi 2. P. 75-78.

    3. Kuthira nthawi yayitali pogwiritsa ntchito sulodexide monga kupewa matendawo a matenda a shuga mellitus / G.M. Panyushkina, R.V. Avdeev, O.V. Sudakov, T.P. Kuchkovskaya // Kusanthula kwa kayendetsedwe ka kayendedwe ndi kasamalidwe kantchito zamagetsi. 2014.Vol. 13. No. 1. S. 226-230.

    4. Minakov E.V. Afobazole ndi pyrazidol mu zovuta chithandizo cha odwala omwe ali ndi matenda a mtima komanso matenda a comorbid nkhawa-kukhumudwa / E.V. Minakov, E.A. Kudashova // Russian Journal of Cardiology. 2009. Na. 6 (80). S. 45-48.

    5. Zotsatira zina zamankhwala za odwala omwe ali ndi mtundu wachiwiri wa matenda ashuga a mellitus / T.M. Chernykh, I.O. Elizarova, E.A. Fursova, N.V. Nekrasova // Msonkhanowu: Mavuto a zamankhwala amakono: mavuto amakono Kutolere mapepala asayansi kutengera zotsatira za msonkhano wapadziko lonse wa sayansi -wothandiza. 2015.S. 220-223.

    6. P.Yu., Alekseev Nkhawa-zokhumudwitsa zomwe zimachitika mwa odwala omwe ali ndi vuto lalikulu, subacute ndi matenda opweteka kwambiri m'munsi kumbuyo / Alekseev P.Yu., Kuzmenko N.Yu., Alekseev N.Yu. // Ntchito zidziwitso zamankhwala. 2012. T. 15. Ayi 1. S. 3-7.

    Ubwino wa Odwala Odwala Matendawa a Type 2

    Kudziwa zabwino zomwe odwala matenda ashuga omwe ali nawo zingathandize omwe akudwala kulandira chithandizo chofunikira kuchokera ku boma kuti akhale athanzi. Pazowunikira zomwe mitundu yachiwiri ya odwala matenda ashuga ali nayo, ambiri mwa odwala adzangotulutsa kuperekedwa kwaulere kwa mankhwala ochepetsa shuga. Koma ili ndi gawo laling'ono chabe la zomwe zimafunikira ku mtundu wa 2 shuga, pali zabwino zambiri zowonetsetsa kuti wodwala ali ndi moyo wathanzi. Koma kungodziwa za ufulu wawo ndi komwe kungathandize munthu yemwe alibe chilema chifukwa cha matenda, koma ali ndi matenda a shuga a mtundu wachiwiri, kuti apeze zomwe amayenerera ndi lamulo.

    Zomwe zimayenera kudwala

    Mu malamulo a Russian Federation kwa odwala matenda ashuga zotsatirazi zimaperekedwa:

    Ndikofunikira kupenda iliyonse ya mfundozi mwatsatanetsatane.

    Pazifukwa zina, anthu ambiri omwe ali ndi matenda ashuga amakhulupirira kuti chithandizo cha spa chitha kudalira kungopereka chilema chifukwa cha matenda.

    Koma ku Russia, zopindulitsa kwa odwala matenda ashuga zimaphatikizaponso kuthekera kwa chithandizo chaulere cha sanatorium popanda kulemala chifukwa cha matenda.

    Kuphatikiza chilolezo chaulere, mapindu a odwala omwe ali ndi matenda a shuga a 2 amaphatikizanso chindapusa:

    Kwa ana omwe ali ndi mtundu wachiwiri wa matenda ashuga, kupita kumalo aulere kwaulere, malo ogona ndi chakudya ndi makolo awo.

    Ndalama zolipirira munthu wamkulu zimatha kulipira tikiti yosagwiritsidwa ntchito, mankhwala osathandizira, kapena mtengo wa mayeso ndi njira zothandizira kuchipatala zofunika kubwezeretsa thanzi la munthu, koma osaphimbidwa ndi inshuwaransi yaumoyo.

    Koma kulipira kovomerezeka kwa vocha kapena mankhwala omwe sanatsatire nthawi zonse kumakhala kochepa, ndipo tikulimbikitsidwa kuti odwala amwe mankhwala omwe amaperekedwa ndi ma sanatorium.

    Ngati mtundu wachiwiri wa matenda ashuga wapezeka mwa mwana wochepera zaka 14, ndiye kuti ana otere ayenera kulandira malipiro pamwezi pazolipira zapakati.

    Ndi mankhwala ati omwe ayenera kuperekedwa kwaulere

    Mwinanso, anthu ambiri omwe ali ndi matenda ashuga alibe mavuto opeza mankhwala ochepetsa shuga aulere, koma owerengeka ndi omwe amadziwa kuti zopindulitsa za odwala matenda ashuga amtunduwu zimaphatikizanso kuperekedwa kwa mankhwala ena ochiza matenda omwe angatengere matenda oyambitsidwa.

    Izi zikuphatikiza:

    1. Phospholipids (mankhwala osokoneza bongo kuti azigwira bwino ntchito).
    2. Mankhwala omwe amathandizira kukonza ntchito ya pancreatic (pancreatin).
    3. Mavitamini ndi ma vitamini-mineral complex (m'mapiritsi kapena monga yankho la jakisoni).
    4. Mankhwala obwezeretsa matenda a metabolic (mankhwalawa amasankhidwa payekha ndi dotolo wopezekanso pamndandanda wamankhwala aulere).
    5. Mankhwala a Thrombolytic (mankhwalawa ochepetsa kuchepa kwa magazi) m'mapiritsi ndi jakisoni.
    6. Mankhwala a mtima (magulu onse a mankhwala ofunikira kutengera zochita zamtima).
    7. Zodzikongoletsera.
    8. Njira zochizira matenda oopsa.

    Ngati ndi kotheka, ma antihistamines, analgesics, antimicrobials ndi mankhwala ena ofunikira pochiza matenda ashuga amawonjezedwa pamndandanda wa odwala matenda ashuga.

    Kuchuluka kwa mikwingwirima kumatengera mtundu wa mankhwala ochepetsa shuga omwe wodwala matenda ashuga amagwiritsa:

  • kwa odwala a insulin okwanira 3 tsiku lililonse,
  • kwa iwo omwe adziyimira pawokha insulin - 1 Mzere.

    Ma syringe osavomerezeka amaperekedwanso kwa odwala omwe amadalira insulin, kuchuluka kwawo kumatengera kangati patsiku muyenera kubaya insulin.

    Zotsatira zakuchepera kugona kwa odwala matenda ashuga

    Mwa anthu odwala matenda ashuga, kugona mokwanira kumayambitsa hyperglycemia (shuga yayikulu), ngakhale mutatsatira malangizo onse azachipatala. Kusowa tulo tambiri tambiri:

    • kuchepa kwa magwiridwe
    • kuchedwa kuchitapo
    • mavuto amisala
    • yachepetsa kukhudzanso kwamatenda.

    Komanso, kusowa tulo kwa nthawi yayitali kumakhudza thupi la odwala matendawa omwe ali ndi chiwopsezo chachikulu cha matenda amtima.

    Momwe mungagwiritsire ntchito ufulu wanu

    Choyamba, muyenera kusonkhanitsa zikalata zofunika.

  • Zithunzi 2 za pasipoti,
  • satifiketi yotsimikizira za matenda omwe ali ndi matenda ashuga (dokotala yemwe amapezekapo amadziwa za matendawa, koma tikulimbikitsidwa kuti mupite ndi satifiketi ngati mukufuna kupereka mankhwala kuchokera kwa dotolo wina),
  • 2 zithunzi za SNILS,
  • satifiketi ya munthu wolumala (ngati pali wolumala),
  • ndondomeko yatsopano ya inshuwaransi.

    Ngati mukufuna mankhwala okondera, muyenera kupita kwa adotolo ndi zikalata zonse ndikupempha kuti akupatseni mwayi wopeza mankhwalawo kuti akuthandizireni mankhwalawo. Ngati mankhwalawa ali pamndandanda, ndiye kuti nthawi zambiri mumatha kulandira mankhwala pafomu yapadera. Kenako, adotolo ayenera kuwonetsa ma adilesi a malo ogulitsa mankhwala, komwe kuli mwayi wopeza mankhwalawo.

    Nthawi zina, kukana kukalandiridwa kuchokera kwa dokotala wam'mutu, ndikofunikira kulemba dandaulo ku Rospotrebnadzor.

    Madandaulo akuyenera kuwonetsa:

  • ufulu wololera
  • kufunika kwa thanzi la mankhwala ofunikira,
  • Nthawi yomwe kukakamizidwa kwa mankhwala othandizira kunakanidwa.

    Mutha kutumiza madandaulo ndi kalata kapena lembani fomu yoyenera patsamba la Rospotrebnadzor.

    Kuti mupeze tikiti pamalemba omwe asungidwa kale, ndikofunikira kuwonjezera satifiketi Nambala 070 / у-04 ya akuluakulu ndi Nambala 076 / у-04 ya ana, kenako lembani mawu onena za kupereka tikiti ya sanatorium ku Fund Insurance Fund. Kufunsira chilolezo kuyenera kuperekedwa pasadakhale, pasanafike pa Disembala 1 chaka chino. Chidziwitso chogawa chilolezo chidzafika masiku 10, koma tsiku lofika ku Sanatorium sikhala patadutsa masabata atatu. Ngati akukana kupereka chilolezo, ndikofunikanso kulumikizana ndi Rospotrebnadzor.

    Kubwezera ndalama kumakhala kovuta pang'ono: ndalama zopindulira osagwiritsidwa ntchito zingapezeke ku thumba la inshuwaransi polemba mawu kumapeto kwa chaka ndikupereka satifiketi ya mapindu osagwiritsidwa ntchito chaka. Ndizovuta kwambiri kulipira ndalama zowonjezera chithandizo chamankhwala ndi zina: chifukwa mudzayenera kusonkhanitsa mapepala ambiri otsimikizira kufunikira kwa njira zachipatala, koma pankhaniyi, mitengo siyikhala yolipiridwa nthawi zonse.

    Kudziwa maufulu anu kungathandize anthu omwe ali ndi matenda ashuga a 2 kupeza chilichonse chomwe amafunikira kuchokera ku boma kuti akhale athanzi. Muyenera kungowonetsa chipiriro ndi kupirira pang'ono osati kubweza pansi pakukana koyamba, koma lembani kwa olamulira apamwamba kuti abwezeretse ufulu wanu.

    Matenda a shuga

    Zosiyanasiyana zomwe zimayambitsa kuthana ndi kusowa tulo - zimakupangitsani kuganiza za chisankho chawo cholondola. Mwa makina owonetsera, mawonekedwe onse ali ofanana mu chilengedwe. Mankhwala omwe amagwira ntchito amathandizira ubongo, amachepetsa magwiridwe ake. Kuda nkhawa kumachepa, kupumula kumawonekera, ndipo wodwalayo amatha kugona.

    Mankhwala amathandizidwa ndi vuto ngati pachimake matenda amayamba chifukwa cha kusowa tulo. Kutalika kwa maphunzirowa, monga lamulo, kuli mpaka masiku 14, ndipo amayang'aniridwa ndi katswiri wopezekapo. Anthu odwala matenda ashuga a mtundu woyamba 1 ndi mitundu 2 asanatengere zochita mosamala amayang'anitsitsa zolakwika zomwe zikuwonetsedwa mu malangizo.

    Ma Sedatives (mapiritsi ogona) kwa odwala matenda ashuga

    Mankhwala osokoneza bongo a kugona tulo, kapena ma sedative (ma sedative) - amawonetsa zotsatira zabwino pochiza matenda obwera chifukwa cha matenda ashuga.

    Mavitamini a odwala matenda ashuga Doppelherz

    Adaptive hypnotic plan, kusintha magawo a circadian, kuwongolera kugona ndi kudzuka. Imakhazikika zochitika za locomotor, imathandizira kusintha ndikukhala kugona kwa usiku. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa ndimalo opanga ma melatonin (mahomoni ogona), opangidwa ndi thupi la pineal la endocrine gland - gin ya pineal. Ili m'dera la quadruple ya midbrain.

    Ubwino wa mankhwalawa ndiwothandiza mwachangu komanso kupezekanso kochepa kwa contraindication. Zoyipa zake ndi mtengo wokwera kwambiri, zotsatira zoyipa zomwe zingachitike ndi zovuta zam'mimba komanso kutupa kwa miyendo. Mankhwalawa ali contraindicated vuto la hypersensitivity, anati zinchito aimpso kuwonongeka, autoimmune pathologies, leukemia, hematological matenda amitsempha, matupi awo sagwirizana, matenda a Hodgkin.

    Chochititsa chidwi: Diabetesic nephropathy - Zizindikiro, mankhwala, zovuta

    Mankhwala omwe amatchinga H1-histamine receptors, omwe ali m'gulu la aminoethanol. Imachepetsa nthawi ya kugona, imakhalanso ndi mphamvu yosintha. Kutalika kwa chochitikacho ndikuchokera kwa maola 6 mpaka 8.

    Mankhwalawa amathandiza polimbana ndi kusowa tulo, amathandiza kwambiri kugona. Mankhwala ali contraindified mu ngodya-kutseka glaucoma, Prostate adenoma (okhala ndi mkodzo posungira).

    Wodzetsa nkhawa yemwe amachepetsa kuyanjana kwamanjenje ndikuthandizira kuyambiranso koyenera kwa kugona. Imakhala ndi zotsatira za antispasmodic komanso sedative. Kuphatikiza apo mapiritsi ogona, amachepetsa masheya am'mimba. Mankhwalawa amaletsedwa kuti azigwiritsidwa ntchito ndi azimayi oyembekezera komanso oyamwitsa.

    Mankhwala othandizira odwala matenda ashuga

    "Matenda okoma" nthawi zina amabweretsa chisokonezo cha kugona, kotero ndikofunikira kumwa mapiritsi ogona kwa odwala matenda ashuga.Kuphwanya kugona kwa usiku kumayambitsa kuchepa kwa masewera olimbitsa thupi, chitetezo chokwanira komanso kusowa kwa thanzi masana.

    Monga momwe masewera amasonyezera, odwala ambiri omwe ali ndi vutoli sathamangira kukakumana ndi katswiri, ndipo amayamba kudzilimbitsa. Nthawi yomweyo, amaiwala kuti mankhwala aliwonse ali ndi zotsutsana zapadera komanso zowonongeka.

    Matenda a shuga a shuga amafunikira chithandizo chapadera, kuwonjezera apo, si mankhwala onse omwe angatengedwe ndi matendawa. Ndi mapiritsi ati ogona omwe amaloledwa kwa odwala matenda ashuga? Nkhaniyi iyankhula za zida zotchuka kwambiri.

    Malangizo oti mugone bwino

    Kukhazikitsa biorhythms ndikuchotsa kusowa kwa matenda ashuga, kutsatira malingaliro ena kungakuthandizeni:

    • Kutsatira ndi zochitika za tsiku ndi tsiku
    • zochitika panja,
    • zolimbitsa thupi zolimbitsa thupi komanso masewera olimbitsa thupi,
    • Kudya maola 2 asanagone
    • kutsitsa chipindacho asanagone,
    • kuwerenga mabuku, kuonera mafilimu abwino kwambiri.

    Malingaliro omwe atchulidwa athandiza kupumula, kuthetsa nkhawa, kuthandizira kugona mokwanira komanso kugona mokwanira.

  • Kusiya Ndemanga Yanu