Kodi kusanthula kwa anthu amtundu wa matenda ashupi 2 kumawononga ndalama zingati?

Zonse zimatengera matenda. Mitengo kuyambira awiri mpaka angapo rubles masauzande. Nayi mndandanda wachidule wa matenda omwe amayesedwa ku UnionMed:

- insulin ndi mtundu II.

Mtengo wa kuwunika kwa DNA zimatengera kuchuluka kwa matenda omwe aphunziridwa komanso tsatanetsatane wa zomwe aphunzirapo.

Kuyesa kwa chibadwa kumakupatsani mwayi wodziwa matendawo:

• Matenda oopsa
• Matenda oopsa
• Atherosulinosis ya msempha ndi ziwiya zamatumbo,
• Chiwopsezo cha kufa mwadzidzidzi
• Mitsempha ya thrombophilia ndi varicose.
• Kusanthula kwa zolembera zonse za cardio.

• Type Iabetes mellitus (wodalira insulini),
• Matenda a shuga a II
• Matenda a shuga a nephropathy a mtundu woyamba a I.

Matenda opatsirana:

• Mphumu ya bronchial,
• Matenda oletsa kupuma a m'mapapo.

Matenda am'mimba:

• Matenda a Crohn
• Nonspecific ulcerative colitis.

Matenda a kagayidwe ka mafupa:

Matenda a chithokomiro cha Autoimmune:

• Khansa ya chithokomiro
• Manda matenda
• Autoimmune hypothyroiditis.

• Endometriosis
• Chizolowezi cholakwika
• Wabwino wa neural chubu chokulirapo,
• Kukonzekereratu kwa Down syndrome mu fetus,
• Easy gestosis,
• Magenda olimba kwambiri,

Dziwitsani matenda obadwa nawo kwambiri:

• Huntington Chorea,
• Adrenogenital syndrome (kobadwa nako 21-hydroxylase akusowa),
• Cystic fibrosis,
• Phenylketonuria,
• Duchenne myodystrophy,
• Myotonic dystrophy,
• Martin Bell Syndrome,
• Spinal muscular atrophy (matenda a Werdnig-Hoffmann).

Kuyesa mayeso kuchipatala cha ARMED ndiko kusankha koyenera

• Chipatala chathu ndi chovomerezeka komanso chovomerezeka kuchita maphunziro onse omwe timapereka kwa odwala,
• Ali ndi chilolezo chovomerezeka chachipatala
• Labotale ili ndi zida zamakono,
• Zotsatira zoyesedwa zimaperekedwa munthawi yochepa ndipo zimatsatiridwa ndi madokotala odziwa ntchito,
• Wodwala amakhala wotsimikizika wachinsinsi.

Mu labotale yachipatala ya "ARMED", muli ndi ntchito yonse yosanthula ndi maphunziro onse ofunikira kuti pakhale matenda ena kapena kupatuka kwakanthawi.

Sankhani mtundu wa mtundu womwe mukufuna.

• Amasanthula
• Zolemba za matenda ashuga
• Kubwerera

Zoyenera kukonza

Nthawi yoyesera zitsanzo

Nthawi yoperekera zotsatira *

Zofunika m'mawa, pamimba yopanda kanthu

7 a.m. - 2 p.m. Sat 7 a.m. - 12 p.m. dzuwa. 8 a.m. - 11 a.m.

Patsiku loperekera biomaterial kuyambira 16: 00 - 19: 00, kupatula Loweruka ndi Lamlungu

7 a.m. - 2 p.m. Sat 7 a.m. - 12 p.m. dzuwa. 8 a.m. - 11 a.m.

Patsiku loperekera biomaterial kuyambira 16: 00 - 19: 00, kupatula Loweruka ndi Lamlungu

7 a.m. - 12 p.m. Sat 7 a.m. - 10 a.m.

Patsiku loperekera biomaterial kuyambira 16: 00 - 19: 00, kupatula Loweruka ndi Lamlungu

7 a.m. - 12 p.m. Sat 7 a.m. - 11 a.m. dzuwa. 8 a.m. - 11 a.m.

Patsiku lopereka la biomaterial pambuyo maola 6, kupatula Loweruka ndi Lamlungu

7 a.m. - 12 p.m. Sat 7 a.m. - 11 a.m. dzuwa. 8 a.m. - 11 a.m.

Patsiku loperekera biomaterial kuyambira 16: 00 - 19: 00, kupatula Loweruka ndi Lamlungu

7 a.m. - 12 p.m. Sat 7 a.m. - 11 a.m. dzuwa. 8 a.m. - 11 a.m.

Patsiku lopereka la biomaterial pambuyo maola 6, kupatula Loweruka ndi Lamlungu

Zofunika m'mawa, pamimba yopanda kanthu

7 a.m. - 6.30 p.m Sat 7 a.m. - 1 p.m. dzuwa. 8 a.m. - 11 a.m.

M'masiku 12 ogwirira ntchito

Zofunika m'mawa, pamimba yopanda kanthu

7 a.m. - 12 p.m. Sat 7 a.m. - 11 a.m.

M'masiku 14 ogwirira ntchito

* Fotokozerani nthawi ndi zofunikira zampangidwe azitsanzo zakufufuzira komanso kutumiza kwa zotsatira mu nthambi ndi foni +7 (861) 205-02-02.

** Mwa amayi apakati, kafukufukuyu amachitika mpaka sabata la 28 la mimba.

Kuyesa Matenda a shuga

Chipatala chamakono chimalimbikitsa kuyesa matenda a shuga m'magulu ena a anthu. Choyamba, ndikofunikira kwa anthu omwe afika zaka 45 kapena kupitirira. Ngati zotsatirapo zake zili zoipa, kuwunika kumachitika zaka zitatu zilizonse.

Odwala akadali achichepere amayenera kuchitidwa ndi:

• onenepa kwambiri
• cholowa chofananira,
• mtundu kapena fuko la gulu linalake,
• matenda ashuga
• matenda oopsa
• zakubadwa zolemera kuposa makilogalamu 4.5,
• glycemia wamkulu pamimba yopanda kanthu.

Pakuwunika ndi kuwunika kwapakati, kumalimbikitsidwa kudziwa kuchuluka kwa shuga ndi hemoglobin A1c. Ichi ndi hemoglobin, pomwe molekyulu ya glucose imalumikizana ndi molekyu ya hemoglobin.

Glycosylated hemoglobin imagwirizana ndi shuga wamagazi. Zimagwira ngati chisonyezo cha kuchuluka kwa kagayidwe kazakudya kwa miyezi itatu tisanawunike. Kukula kwa mapangidwe a HbA1c kumadalira kukula kwa hyperglycemia. Matenda a mtundu wake m'magazi amapezeka pakatha masabata 4-5 kuchokera ku euglycemia.

Kuchuluka kwa HbA1c kumatsimikiziridwa ngati pakufunika kuwongolera kagayidwe kazakudya ndikutsimikizira kufotokozera kwake mwa odwala matenda ashuga omwe akhala akudwala kwanthawi yayitali.

Mawonekedwe Ozindikira

Kuti mupeze matenda ndikuwunika matenda onse, muyenera kudutsa njira zingapo zodziwonera.

Choyamba, awa ndi malembedwe apamwamba a labotale, monga kuphunzira shuga ndikuwunika mkodzo ndi magazi, komanso kuyesa ma ketones ndi mayeso a kulolera glucose.

Kuphatikiza apo, kusanthula kumachitika pa:

1. HbA1c,
2. fructosamine
3. michere
4. mkodzo creatinine
5. mbiri ya lipid.

Pali njira ina yowonjezera pofufuza za shuga, yomwe imapangitsa kuti chiwongolero cha matenda ashuga chikule,

• C peptide
• ma insulin antibodies
• antibodies to islets of Langengars ndi tyrosine phosphatase,
• glutamic acid decarboxylase antibodies,
• ghrelin, raschistina, leptin, adiponectin,
• Kulemba kwa HLA.

Kuti mudziwe zamatendawa kwa zaka makumi angapo, madokotala adalimbikitsa kupenda shuga. M'zaka zaposachedwa, zidapezeka kuti pali kulumikizana momveka bwino pakati pa misempha ya magazi, kuvulala kwamitsempha ndi msanga wa chitukuko, sikumapezeka ndi shuga yofulumira, koma ndi kuchuluka kwake pakukula mukatha kudya. Izi zimatchedwa postprandial hyperglycemia.

Zoyimira matenda amtundu 1 wa shuga zitha kugawidwa motere:

1. chibadwa
2. immunological
3. kagayidwe.

Kulemba kwa HLA

Matenda a shuga a mellitus, malinga ndi lingaliro lamankhwala amakono, ali ndi poyambira, koma amakhala nthawi yayitali. Magawo asanu ndi limodzi amadziwika pakupanga kwa matenda awa. Yoyamba mwa izi ndi gawo la kubadwa mwatsopano kapena kusapezeka kwa majini omwe amayenderana ndi matenda a shuga 1.

Ndikofunikira kunena kuti kupezeka kwa ma antigen a HLA, makamaka a gulu lachiwiri: DR 3, DR 4, DQ, ndikofunikira. Chiwopsezo cha kupangika kwa mapangidwe a matenda mu nkhaniyi chikuwonjezeka kangapo. Pakadali pano, cholowa chamtsogolo cha mawonekedwe amtundu wamtundu woyamba imawerengedwa ngati kuphatikiza pamagulu angapo abwinobwino.

Zizindikiro zodziwika bwino za matenda amtundu 1 ndi ma antigen a HLA. Mitundu yodziwika bwino ya matenda ashuga 1 amapezeka mwa anthu 77% odwala matenda ashuga. 6: ili ndi ma hofepipu omwe amawoneka kuti amateteza.

Ma antibodies a Langerhans Islet Cell

Chifukwa chopanga ma autoantibodies ku ma cell a zilumba za Langerhans, omalizawa amawonongedwa, zomwe zimapangitsa kuti pakhale kuphatikizika kwa insulin komanso mawonekedwe a chithunzi cha mtundu woyamba wa shuga.

Njira zoterezi zimatha kutsimikizika pamtundu kapena kuonekera chifukwa cha zinthu zosiyanasiyana.

Zina mwazodziwika ndi:

• ma virus
• zoopsa
• zovuta zosiyanasiyana.

Matenda amtundu woyamba amadziwika ndi gawo la prediabetes popanda zizindikiro, amatha zaka zingapo. Kuphatikizika ndi katulutsidwe wa insulin panthawiyi zitha kuwonetseredwa pokhapokha pakuphunzira shuga.

Mankhwala, milandu yokhudza kupezeka kwa ma antibodies zaka eyiti kapena kupitilira apo isanayambike chithunzithunzi cha matenda. Tanthauzo la ma antibodies amenewa tiyenera kugwiritsidwa ntchito ngati matenda a shuga 1.

Mwa anthu omwe ali ndi ma antibodies oterewa, ntchito ya islet cell imatsika mwachangu, yomwe imawonetsedwa ndi kuphwanya insulin. Ngati gawo lawonongedwa kwathunthu, ndiye kuti matenda a shuga amtunduwu amachitika.

Kafukufuku wowerengeka akuwonetsa kuti ma antibodies amenewa amapezeka 70% ya omwe akuyankha omwe ali ndi matenda a shuga omwe angopezeka kumene. Mu gulu lopanda odwala omwe ali ndi matenda ashuga, mumangokhala 0,0,5,5% ya anthu omwe adapezeka kuti ali ndi kachilombo ka HIV.

Ma antibodies amenewa amathanso kupezeka mwa abale a odwala matenda ashuga. Gulu la anthu lino lili ndi kuthekera kwakukulu pamatenda. Kafukufuku ambiri akuwonetsa kuti achibale omwe ali ndi antibodies amapanga matenda a shuga 1 pakapita nthawi.

Zolemba za mtundu uliwonse wa shuga 2 zimaphatikizanso kafukufukuyu. Asayansi atsimikizira kuti kudziwa kuchuluka kwa ma antibodies amenewa mu mtundu wa matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda kumathandizira kumufotokozera bwino ngakhale chithunzi chachipatala chisanachitike, ndikuthandizira kukhazikitsidwa kwa Mlingo wa insulin. Chifukwa chake, mu odwala matenda ashuga omwe ali ndi mtundu wachiwiri wa matenda, ndizotheka kulosera kupangika kwina kwa kudalira kwa insulin ya mahomoni.

Ma antibodies kupita ku insulin amapezeka pafupifupi 40% ya anthu omwe ali ndi matenda ashuga 1. Pali lingaliro pa kuphatikiza pakati pa ma antibodies kupita ku insulin ndi ma antibodies kuti ma islet cell.

Zoyambazo zitha kukhala gawo la prediabetes komanso kumayambiriro kwa matenda amtundu 1 shuga.

Glutamic acid decarboxylase

Posachedwa, asayansi adziwa antigen yayikulu, yomwe ndi chandamale cha ma autoantibodies omwe amalumikizidwa ndikupanga mawonekedwe a shuga omwe amadalira insulin. Ndi decarboxylase ya glutamic acid.

Acid iyi ndi michere ya nembanemba yomwe imayimba biocyrothermute ya chapakati mantha dongosolo - gamma-aminobutyric acid. Enzyme yoyamba idapezeka mwa anthu omwe ali ndi vuto lamanjenje.

Ma antibodies kupita ku GAD ndiye chidziwitso chothandiza kwambiri pakuwona dziko lomwe limadwala matenda ashuga. Chifukwa chake, chiwopsezo chachikulu chokhala ndi matenda amtundu 1 chimatha kudziwika. Ndi mapangidwe a asymptomatic a matenda, ma antibodies opita ku GAD amatha kupezeka mwa anthu zaka zisanu ndi ziwiri asanawonekere matenda.

Chodalirika komanso chothandiza kwambiri pakati pa asayansi chimawerengedwa kuti ndi kusanthula kwakamodzi kwa zolemba zingapo m'mwazi. Chizindikiro 1 chimayimira 20% chidziwitso, zolembera ziwiri zikuwonetsa 44% ya zomwe zidawerengedwa, ndipo zolembedwa zitatu zikuyimira 95% chidziwitso.

Makampani Otsatsa Matenda a shuga a Autoimmune

Mu diabetes, mbiri ya autoantibodies imadalira jenda komanso zaka. Ma antibodies kuma antijeni ndi ma antibodies kuti ma islet cell, monga lamulo, ali mwa ana kuposa akuluakulu. Ma antibodies ku glutamic acid decarboxylase, nthawi zambiri, amapezeka mwa akazi.

Kupangidwiratu kwapangidwe kwa mitundu yama autoantibodies makamaka kumatsimikiziridwa ndi mitundu yosiyanasiyana ya dongosolo la HLA, chifukwa ma autoantibodies ku insulin, maselo a islet ndi islet antigen 2 amapezeka kwambiri mwa anthu omwe ali ndi HLA - DR 4 / DQ 8 (DQA 1 * 0301 / DQB 1 * 0302). Nthawi yomweyo, ma antibodies to glutamic acid decarboxylase amapezeka mwa anthu omwe ali ndi mtundu wa HLA genotypes - DR 3 DQ 2 (DQA 1 * 0501 / DQB 1 * 0201).

Mitundu ingapo yama autoantibodies nthawi zambiri imakhalapo mwa anthu odwala matenda ashuga, pomwe anthu omwe ali ndi matenda osokoneza bongo a autoimmune ali ndi mtundu umodzi wokha wa autoantiever.

Ma antibodies a glutamic acid decarboxylase ndi ena mwa odwala matenda ashuga okhala ndi mtundu woyamba wa matenda, komanso pafupipafupi amakhala ambiri mwa anthu omwe ali ndi phenotypes amtundu wachiwiri wamatenda.

Kutsimikiza kwa ma antibodies amenewa kumapangitsa kuti zidziwike nthawi zambiri za autoimmunity, ngati ichi ndichokhacho chokhazikitsira anthu akuluakulu.

Kusamalira mtengo

Anthu omwe ali ndi matenda omwe amawaganizira kuti ali ndi matenda ashuga nthawi zambiri amasamala kuchuluka kwa kusanthula kwa anthu odwala matenda ashuga. Pali mapulogalamu ena omwe akuwonetsedwa ndi kusanthula zingapo.

Kuyesedwa kwapadera kotchedwa matenda a shuga kumaphatikizapo shuga wamagazi ndi mayesinine.

Kuphatikiza apo, mbiri ili ndi:

1. glycated hemoglobin
2. triglycerides
3. cholesterol yathunthu
4. HDL cholesterol,
5. LDL cholesterol,
6. kwamikodzo albumin
7. kumakumakumma,
8. Mayeso a Reberg,
9. shuga mumkodzo.

Mtengo wa kusanthula kwathunthu koteroko ndi pafupifupi ma ruble 5,000.

Kusanthula kumaphatikizapo:

1. kusanthula kwa shuga m'magazi
2. glycated hemoglobin.

Mtengo wowunikira ndi pafupifupi ma ruble 900.

• ma antibodies a insulin
• ma antibodies kwa tyrosine phosphatase.
• glutamate decarboxylase antibodies,
• ma antibodies kwa tyrosine phosphatase.

Kusanthula koteroko kumawononga ndalama mpaka ma ruble 4,000.

Chiyeso cha insulin chingagule pafupifupi ma ruble 450, mayeso a C-peptide atenga ma ruble 350.

Kuzindikira pa nthawi yapakati

Kuyesedwa kwa shuga m'magazi kumatengedwa pamimba yopanda kanthu. Mantha adzayambitsidwa ndi chisonyezo cha 4.8 mmol / kuchokera pachala ndi 5.3 - 6.9 mmol / l kuchokera mu mtsempha. Asanayambe kuyesa, mkazi sayenera kudya chakudya pafupifupi maola 10.

Mukakhala ndi mwana wosabadwa, kuyesedwa kwa glucose kumatha kuchitika. Pa izi, mkazi amamwa magalamu 75 g m'magalasi amadzi. Pambuyo pa maola awiri, kuyesedwa kwa magazi kumabwerezedwa. Musanapendeketsedwe, simuyenera kudziletsa pazakudya. Zakudya ziyenera kukhala zodziwika.

Ngati zizindikiro za matenda ashuga zikupezeka, simuyenera kuchedwetsa kuonana ndi dokotala. Kuzindikira matendawa kumayambiriro kumathandizira kuti matendawo asapitilire komanso kukula kwa zovuta zowopsa m'moyo. Zotsatira zakufufuza ziyenera kukhala zolondola, chifukwa muyenera kutsatira malamulo onse okonzekera kusanthula.

Kodi kuzindikiridwa kwa matenda ashuga kumauzidwa bwanji katswiri muvidiyoyi.