Ndi zaka zingati zomwe zimakhala ndi matenda a shuga amtundu 1 ndi 2

Matenda a shuga a Type 1 ndi matenda osokoneza bongo a autoimmune, omwe amadziwika ndi kuperewera kwa glucose metabolism chifukwa chosakwanira kupanga mahomoni apadera a pancreatic - insulin.

Zomwe zimayambitsa chitukuko cha matendawa zimatha kukhala kuphwanya chitetezo cha m'thupi. Amayamba molakwika kuukira maselo a beta a kapamba - chisamaliro chachikulu chomwe chimayang'anira kuchuluka kwa shuga mthupi la munthu. Chifukwa cha kufa kwawo, insulin imatha kupangidwa mosakwanira kapena ayi, zomwe zimayambitsa mavuto chifukwa cha kuyamwa kwa glucose.

Ndipo pazochitika zonsezi, wodwalayo amafunikira kubweretsa jakisoni wa insulin tsiku lililonse. Kupanda kutero, zovuta zazikulu ndizotheka, mpaka pamapeto pake.

Mtundu woyamba wa matenda ashuga: chiyembekezo chamoyo ndi kudalirika kwa ana

Matenda a shuga amtundu woyamba ndi matenda osachiritsika omwe amapezeka nthawi zambiri kwa odwala muubwana ndi unyamata. Mtunduwu wa matenda ashuga ndi matenda otchedwa autoimmune ndipo amadziwika ndi kutaya kwathunthu insulin chifukwa chakuwonongeka kwa maselo a pancreatic.

Popeza matenda ashuga amtundu woyamba amayamba kukula mwa wodwala akadali achichepere kuposa matenda a shuga a 2, zotsatira zake pamlingo wa moyo wa wodwalayo zimatchulidwanso. Odwala otere, matendawa amakula kwambiri ndipo amayambitsidwa ndi zovuta zoopsa.

Koma chiyembekezo chokhala ndi matenda a shuga 1 chimadalira wodwalayo payekha komanso momwe amamuthandizirani. Chifukwa chake, polankhula za anthu ambiri omwe amakhala ndi matenda ashuga, ndikofunikira choyamba kuti mudziwe zomwe zimatha kutalikitsa moyo wa wodwalayo ndikupangitsa kuti ikhale yokwanira.

Zomwe Zimayambitsa Imfa Yoyambirira ndi Matenda A shuga A Type 1

Hafu ya zaka zana zapitazo, kufa pakati pa odwala omwe ali ndi matenda amtundu wa 1 m'zaka zoyambirira atazindikira kuti anali 35%. Lero latsika mpaka 10%. Izi zimachitika makamaka chifukwa cha kutuluka kwa mankhwala a insulin abwino komanso okwera mtengo, komanso njira zina zochizira matendawa.

Koma ngakhale kupita patsogolo kwa zamankhwala, madokotala alephera kuthetsa chiyembekezo cha kufa koyambirira kwa mtundu woyamba wa matenda ashuga. Nthawi zambiri, zomwe zimayambitsa matenda zimapangitsa kuti wodwalayo azinyalanyaza matenda ake, kuphwanya zakudya nthawi zonse, mankhwala a jakisoni a insulin ndi malangizo ena azachipatala.

Chinanso chomwe chimakhumudwitsa kutalika kwa nthawi yomwe wodwala amakhala ndi matenda amtundu woyamba ndi msinkhu wawung'ono kwambiri. Pankhaniyi, udindo wonse pazamankhwala ake wopindulitsa umangokhala ndi makolo okha.

Zomwe zimayambitsa kufa msanga kwa odwala omwe ali ndi matenda amtundu woyamba:

1. Ketoacidotic chikomwino mwa ana ashuga osaposa zaka 4,
2. Ketoacidosis ndi hypoglycemia mwa ana azaka 4 mpaka 15,
3. Kumwa pafupipafupi pakati pa odwala achikulire.

Matenda a shuga ana osakwanitsa zaka 4 amatha kuchitika kwambiri. Pazaka izi, maora ochepa okha ndiokwanira kuti shuga awonjezeke kukhala hyperglycemia, ndikatha ketoacidotic chikomokere.

Mwanjira imeneyi, mwana amakhala ndi asidi wambiri wa acetone m'magazi ndipo amataya madzi ambiri m'thupi. Ngakhale ndi chithandizo chanthawi yake, madokotala nthawi zonse sangathe kupulumutsa ana aang'ono omwe adwala ketoacidotic.

Ana a sukulu omwe ali ndi matenda a shuga a mtundu woyamba 1 nthawi zambiri amafa chifukwa cha hypoglycemia komanso ketoacidase. Izi zimachitika nthawi zambiri chifukwa chosasamala kwa achinyamata odwala chifukwa thanzi lawo limatha kuperewera.

Mwana amatha kuposa anthu akuluakulu kuti adumire jakisoni wa insulin, yomwe ingayambitse kulumpha lakuthwa mu shuga. Kuphatikiza apo, ndizovuta kwambiri kuti ana azitsatira zakudya zamafuta ochepa komanso maswiti okanira.

Ambiri odwala matenda ashuga ambiri amadya mwachinsinsi maswiti kapena ayisikilimu kuchokera kwa makolo awo popanda kusintha mtundu wa insulin, womwe ungayambitse kuphwanya kwa hypoglycemic kapena ketoacidotic.

Akuluakulu omwe ali ndi matenda amtundu wa 1, zomwe zimayambitsa kufa koyambirira ndi zizolowezi zoyipa, makamaka kugwiritsa ntchito zakumwa zoledzeretsa pafupipafupi. Monga mukudziwa, mowa umaperekedwa kwa anthu odwala matenda ashuga ndipo kumamwa pafupipafupi kumatha kukulitsa vutoli.

Mukamamwa mowa wodwala matenda ashuga, nyamayo imayamba kuwonedwa, kenako kutsika kwamphamvu kwa shuga m'magazi, komwe kumayambitsa vuto ngati hypoglycemia. Ngakhale akuledzera, wodwalayo sangathenso kusintha pakapita nthawi ndikuyimitsa matenda obwera chifukwa cha iye, omwe nthawi zambiri amagwa ndikufa.

Ndi angati omwe amakhala ndi matenda ashuga a mtundu woyamba

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Masiku ano, zaka zokhala ndi matenda amtundu woyamba zawonjezeka kwambiri ndipo patha zaka pafupifupi 30 chichitikireni matendawa. Chifukwa chake, munthu amene ali ndi matenda oopsaŵa amatha kukhala ndi zaka zopitilira 40.

Pafupifupi, anthu odwala matenda a shuga 1 amakhala zaka 50-60. Koma pokhapokha mukayang'anitsitsa kuchuluka kwa shuga m'magazi komanso kupewa kutulutsa zovuta, mutha kuwonjezera nthawi yayitali kukhala zaka 70-75. Kuphatikiza apo, pali zochitika pamene munthu wodwala matenda amtundu woyamba 1 amakhala ndi moyo woposa zaka 90.

Koma moyo wautali choncho siwofala kwambiri kwa odwala matenda ashuga. Nthawi zambiri anthu omwe ali ndi matendawa amakhala moyo wocheperako kuposa womwe anthu ambiri amakhala nawo. Komanso, malinga ndi ziwerengero, azimayi amakhala ndi zaka 12 poyerekeza ndi anzawo athanzi, komanso amuna - zaka 20.

Mtundu woyamba wa shuga umadziwika ndi chitukuko mwachangu ndi mawonekedwe owonetsedwa, omwe amalekanitsa ndi matenda amtundu wa 2 shuga. Chifukwa chake, anthu omwe ali ndi matenda ashuga achinyamata amakhala ndi nthawi yofupikirapo kuposa odwala 2 a shuga.

Kuphatikiza apo, matenda ashuga amtundu wa 2 nthawi zambiri amakhudza anthu okalamba komanso achikulire, pomwe matenda amtundu wa 1 shuga nthawi zambiri amakhudza ana ndi achinyamata ochepera zaka 30. Pachifukwa ichi, shuga ya achinyamata imabweretsa kumwalira kwa wodwalika ali ndi zaka zochepa kuposa matenda osokoneza bongo omwe amadalira insulin.

Zomwe zimafupikitsa moyo wa wodwala yemwe wapezeka ndi matenda amtundu woyamba 1:

• Matenda a mtima. Mwazi waukulu wamagazi umakhudza makoma amitsempha yamagazi, zomwe zimapangitsa kuti chiwonetsero cha mitsempha chamitsempha cha mtima komanso matenda a mtima. Zotsatira zake, odwala matenda ashuga ambiri amafa ndi vuto la mtima kapena stroke.
• Kuwonongeka kwa zotumphukira za mtima. Kugonjetsedwa kwa capillary, ndipo pambuyo pa venous system ndiyo imakhala chifukwa chachikulu cha kusokonezeka kwa miyendo m'miyendo. Izi zimapangitsa kuti pakhale zilonda zam'mimba zosachiritsika pamiyendo, komanso mtsogolo kutayika kwa miyendo.
• Kulephera kwina. Masewera okwera a glucose komanso acetone mu mkodzo amawononga minofu ya impso ndikuyambitsa kulephera kwambiri kwaimpso. Ndili vuto la matenda ashuga awa lomwe layamba kukhala chifukwa chachikulu cha imfa pakati pa odwala zaka 40.
• Kuwonongeka kwa chapakati ndi zotumphukira zamanjenje. Kuwonongeka kwa minyewa yamitsempha kumayambitsa kutayika kwa miyendo, mawonekedwe amisala, ndipo, koposa zonse, kumayendetsa bwino mu nyimbo ya mtima. Kupsinjika kotereku kumapangitsa kuti wodwalayo amangidwe komanso kufa kwa wodwalayo.

Izi ndizofala kwambiri, koma sizomwe zimayambitsa kufa pakati pa odwala matenda ashuga. Type 1abetes mellitus ndi matenda omwe amayambitsa zovuta zonse mthupi la wodwala zomwe zitha kupangitsa kuti wodwalayo amwalire pakapita kanthawi. Chifukwa chake, matendawa ayenera kumwedwa mozama ndikuyamba kupewa kupewa zovuta zisanachitike.

Momwe mungatalikitsire moyo ndi matenda a shuga 1

Monga munthu wina aliyense, odwala matenda ashuga amalota kukhala ndi moyo wautali momwe angathere ndikukhala ndi moyo wokhazikika. Koma kodi ndizotheka kusintha chidziwitso choyipa cha matendawa ndikukulitsa moyo wa odwala omwe ali ndi matenda ashuga kwa nthawi yayitali?

Zachidziwikire, inde, ndipo zilibe kanthu kuti ndi mtundu wanji wa matenda a shuga omwe amapezeka mwa wodwala - m'modzi kapena awiri, chiyembekezo chamoyo chitha kuchuluka. Koma chifukwa cha izi, wodwalayo ayenera kukwaniritsa chinthu chimodzi, mwachitsanzo, ayenera kusamala kwambiri ndi vuto lakelo.

Kupanda kutero, atha kudwala kwambiri ndikufa mkati mwa zaka 10 atatha kupezeka ndi matendawa. Pali njira zingapo zosavuta zomwe zingathandize kuteteza matenda ashuga kuti asamwalire ndikutalikitsa moyo wake kwa zaka zambiri:

1. Kupitiliza kosamala kwa shuga wamagazi ndi jakisoni wokhazikika wa insulin,
2. Kutsatira zakudya zosavuta za carb zopangidwa ndi zakudya zokhala ndi index yotsika ya glycemic. Komanso, odwala matenda a shuga ayenera kupewa zakudya zamafuta ndi zakudya, chifukwa kunenepa kwambiri kumachulukitsa matendawa.
3. Kuchita zolimbitsa thupi pafupipafupi, komwe kumapangitsa kutentha kwa shuga m'magazi ndikusungitsa kulemera kwanthawi zonse kwa wodwalayo,
4. Kupatula kwapanthawi iliyonse yovuta pamoyo wa wodwalayo, chifukwa zomwe zimawachitikira m'maganizo zimapangitsa kuchuluka kwa shuga mthupi,
5. Kusamalira thupi mosamala, makamaka kumbuyo kwa mapazi. Izi zikuthandizira kupewa mapangidwe a zilonda zam'mimba (zambiri za mankhwalawa a zilonda zam'mimba),
6. Kuyesedwa pafupipafupi ndi dokotala, komwe kungathandize kuti muchepetse kuwonongeka kwa mkhalidwe wa wodwalayo ndipo, ngati kuli kotheka, sinthani njira yothandizira.

Kutalika kwa moyo wa mtundu woyamba wa matenda a shuga kumadalira wodwala iyemwini komanso momwe akuwonera mkhalidwe wake. Mukazindikira matendawa moyenera komanso chithandizo choyenera, mutha kukhala ndi matenda osokoneza bongo mpaka kukalamba. Kanemayo munkhaniyi akuwuzani ngati mungathe kufa ndi matenda ashuga.

Zizindikiro zapadera komanso zizindikiro

Mitundu yonse iwiri ya matenda a shuga imawoneka yofanana, chifukwa zomwe zimayambitsa ndizofanana - shuga wambiri wamagazi komanso kusowa kwa minofu. Zizindikiro za matenda amtundu wa 1 shuga amayamba ndikukula mwachangu, popeza nthendayi imadziwika ndi kuchuluka kwakukula m'magazi komanso kufa ndi njala.

Zizindikiro zomwe mutha kukayikira matenda:

1. Kuchulukitsa diuresis. Impso zimayesetsa kuyeretsa magazi a shuga, kuchotsa mpaka malita 6 a mkodzo patsiku.
2. Ludzu lalikulu. Thupi liyenera kubwezeretsa kuchuluka kwa madzi otayika.
3. Njala yokhazikika. Maselo osowa glucose akuyembekeza kuti amupeza kuchokera ku chakudya.
4. Kuchepetsa thupi, ngakhale chakudya chochuluka. Zofunikira zamaselo zomwe zimakhala ndi kusowa kwa glucose zimakumana ndi kuwonongeka kwa minofu ndi mafuta. Kuchulukitsa thupi kuchepa thupi ndikumafooka thupi pang'onopang'ono.
5. Kuwonongeka kwamphamvu kwa thanzi. Lethargy, kutopa msanga, kupweteka m'misempha ndi m'mutu chifukwa chosowa zakudya m'thupi.
6. Mavuto azikopa. Zosasangalatsa zomveka pakhungu ndi mucous nembanemba, kutsegula kwa matenda a fungus chifukwa cha shuga m'magazi.

Njira zingapo zochizira matenda amtundu 1 shuga

Popeza adalandira matenda okhumudwitsa, ayenera kufunsa funso lotere. Tsoka ilo, ndizosatheka kuchira kwathunthu, koma ndizotheka kuchepetsa zomwe zimachitika ndikuwonjezera zaka zakukhalapo.

Ngakhale mtundu wa 2 wodwala mellitus suchiritsika, tanthauzo la "kuyimitsidwa" kwake limatsikira pakuchepetsa kwakukulu kwa shuga m'magazi kuti kumveke bwino, izi zimatchulidwanso kuti kulipidwa. Kutsatira mosamalitsa malangizo a endocrinologist, wodwalayo amatha kusintha mkhalidwe wake komanso thanzi lake.

Koma pa izi muyenera kuchita nokha. Choyamba, kuyang'anira shuga wamagazi pafupipafupi (kuyesedwa mu labotale, glucometer), ndipo chachiwiri, kusintha njira ya moyo, kusintha mtundu wake.

• Kukana zizolowezi zoyipa: kudya kwambiri, kusuta, kumwa mowa.
• Mankhwala othandizira
• Zakudya zopatsa thanzi m'malo ochepa - 6 pa tsiku.
• Kuyenda pafupipafupi mu mpweya wabwino komanso kuchita masewera olimbitsa thupi (masewera olimbitsa thupi, kusambira, njinga).
• Kusunga mulingo woyenera kwambiri, malinga ndi lamulo, jenda komanso zaka.
• Kusunga kuthamanga kwa magazi kosaposa 130 mpaka 80.
• Mankhwala azitsamba
• Kudya moyenera mankhwala ena (ngati kuli kotheka, insulin).

Cholinga cha chithandizo cha matenda a shuga ndikupeza chipukuta misozi. Matenda a shuga amawonjezera amawerengedwa pokhapokha magawo a magazi ndi zizindikiro zamagazi zimasungidwa mkati mwa nthawi yayitali kwa nthawi yayitali.

Ndikosatheka kuchiritsa matenda amtundu wa shuga 1 pamlingo wachitukuko wamankhwala. Mankhwala onse amatupa kuti afotokozere za kuchepa kwa insulin komanso kupewa mavuto. Kuwongolera kopatsa chidwi m'zaka zikubwerazi ndikugwiritsa ntchito mapampu a insulin, omwe amasinthidwa chaka ndi chaka ndipo tsopano akhoza kupereka chindapusa cha shuga kuposa kuwerengera kwamankhwala a insulin.

Funso ndiloti ngati kapamba amatha kuchiritsidwa ndikuwonongeka maselo obwezeretsedwa, asayansi akhala akufunsa kwa zaka zambiri. Tsopano ali pafupi kwambiri ndi yankho lathunthu ku vuto la matenda ashuga.

Njira yapangidwa kuti ipeze maselo a beta otayika kuchokera ku maselo a tsinde; kuyesedwa kwa mankhwala komwe kumakhala ndi maselo a pancreatic kukuchitika. Maselo amenewa amaikidwa mu zipolopolo zapadera zomwe sizingawononge ma antibodies opanga.

Mwambiri, phazi limodzi mpaka kumaliza.

Ntchito ya odwala omwe ali ndi matenda a shuga 1 ndi kusunga thanzi lawo momwe angathere mpaka nthawi yolembetsedwera boma, izi zimatheka pokhapokha podziyang'anira pawokha komanso mosamala kwambiri.

Gulu lamavuto

Ndikofunika kudziwa kuti kuchuluka kwa anthu odwala matenda ashuga 1 kwawonjezeka kwambiri m'zaka zaposachedwa. Kuyerekeza: chaka cha 1965 chisanachitike, anthu omwe afa mgululi anali oposa 35% ya milandu yonse, ndipo kuyambira 1965 mpaka 80s ,imfa idatsitsidwa mpaka 11%. Kutalika kwa odwala kudakulanso kwambiri, mosasamala mtundu wamatenda.

Chiwerengerochi chinali pafupifupi zaka 15 kuyambira pomwe matendawa adayamba. Ndiye kuti, m'zaka zaposachedwa, chiyembekezo cha moyo wa anthu chawonjezeka. Izi zidachitika makamaka chifukwa cha kupangika kwa insulin komanso kubwera kwa zida zamakono zomwe zimakupatsani mwayi wodziimira pawokha kuchuluka kwa glucose m'magazi.

Mpaka 1965, chiwerengero chachikulu cha kufa pakati pa odwala matenda a shuga chinali chifukwa chakuti insulini sinapezekepo ngati mankhwala osungitsa kuchuluka kwa shuga m'magazi.

Gulu lalikulu la anthu odwala matenda ashuga a mtundu woyamba ndi ana ndi achinyamata. Imfa ndizambiri pofika pano. Kupatula apo, nthawi zambiri ana safuna kutsatira boma ndipo nthawi zonse amayang'anira shuga.

Kuphatikiza apo, vutoli likukulirakulira chifukwa chakuti zovuta zikumakula mwachangu chifukwa cha kusayang'anira komanso kulandira chithandizo choyenera. Mwa achikulire ,imfa imachepa pang'ono ndipo imayamba chifukwa cha kumwa mowa, komanso kusuta. Pankhani imeneyi, titha kunena mosamala - kuchuluka kwa moyo, aliyense amasankha yekha.

Matendawa amatha kuoneka popanda chifukwa. Chifukwa chake, palibe amene ali ndi mwayi wosewera mosamala. Matenda a shuga ndi matenda omwe amadziwika chifukwa choperewera kwa insulin, yomwe imayambitsa shuga m'magazi.

Momwe angamenyere

Kuonetsetsa kuti munthu ali ndi moyo wautali, ndikofunikira kuwunika momwe shuga ali m'magazi. Kugwirizana ngakhale pang'ono ndi izi kumachepetsa mwayi wofupikitsa moyo kangapo. Akuyerekezeredwa kuti m'modzi mwa anayi omwe akudwala mtundu womwe ndimatha kukhala ndi moyo wabwino. Mukayamba kuilamulira pakapita nthawi matenda, ndiye kuti kukula kwa matendawa kumachepa.

Kuwongolera kwambiri kuchuluka kwa shuga kumachepetsa, m'malo osowa, ngakhale kusiya njira ya matenda ashuga komanso zovuta zomwe zawonekera. Kuwongolera okhazikika kumathandiza monga matenda amtundu uliwonse.

Komabe, kwa mtundu wachiwiri, zovuta zochepa zimapezeka. Potsatira mfundo iyi, mutha kuchepetsa kufunika kwa insulin yokumba.

Kenako funso loti ndatsala ndindani kuti ndikhale ndi matenda ashuga limazimiririka lokha.

Kutsatira kwambiri boma kuntchito komanso kunyumba kungapangitsenso kuchuluka kwa moyo wokhala ndi moyo. Pankhaniyi, kuyesetsa kwakukulu kuyenera kupewedwa. Payeneranso kukhala zovuta zina zomwe zingasokoneze thupi. Kuphatikiza pa kuwongolera shuga, ndikofunikira kuti nthawi zonse muzichita mayeso a hemoglobin. Ndi mtundu 2, kuyesa sikungakhale kovutirapo komanso kopitilira.

Kodi pali kusiyana kotani pakati pa mtundu woyamba ndi wachiwiri wa matenda ashuga

Musanafunse funso kuti mutha kukhala ndi nthawi yayitali bwanji mutazindikira kuti muli ndi matenda ashuga, ndikofunikira kumvetsetsa kusiyana kwakukulu komwe kulipo pakati pa mankhwalawa ndi zakudya za mtundu woyamba komanso wachiwiri wa matenda. Matendawa nthawi iliyonse ndi osachiritsika, muyenera kuzolowera, koma moyo umapitilira, ngati mungayang'ane zovuta mosiyana ndi zomwe mukuchita.

Ngati matenda akhudza ana ndi achinyamata, makolo sangayang'anire matendawo nthawi zonse. Munthawi imeneyi, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi, ndikusankha chakudya mosamala. Matendawa akakula, kusintha kumakhudza ziwalo zamkati ndi thupi lonse. Maselo a Beta amayamba kuphwanya, chifukwa chake insulin singathe kupanga bwino.

Mukakalamba, kuleza kwa glucose kumayamba, chifukwa cha zomwe ma cell a pancreatic sazindikira insulin, chifukwa, shuga wamagazi amawonjezeka. Kuti muthane ndi vutoli, ndikofunikira kuti musamaiwale kudya molondola, kupita kumalo olimbitsa thupi, nthawi zambiri kuyenda mumlengalenga, ndikusiya kusuta ndi mowa.

1. Chifukwa chake, wodwala matenda ashuga ayenera kuvomereza matenda ake kuti adzithandize yekha kuti akhalenso ndi moyo wabwino.
2. Muyezo wa shuga wamagazi tsiku lililonse uyenera kukhala chizolowezi.
3. Pankhani ya shuga wodalira insulin, tikulimbikitsidwa kuti mupeze cholembera chapadera chomwe mungapangire jakisoni pamalo alionse abwino.

Zomwe zimapangitsa moyo kukhala ndi shuga

Palibe endocrinologist yemwe angatchule tsiku lenileni lomwe wodwalayo amwalira, popeza sizikudziwika momwe matendawa amayambira. Chifukwa chake, ndizovuta kunena kuti ndi anthu angati omwe amapezeka ndi matenda a shuga omwe amakhala. Ngati munthu akufuna kuwonjezera kuchuluka kwa masiku ake ndikukhala ndi chaka chimodzi, muyenera kuyang'anira mosamala zinthu zomwe zimabweretsa imfa.

Ndikofunika kumwa pafupipafupi mankhwala omwe dokotala watchulidwa, kumwa mankhwala azitsamba ndi njira zina zochizira. Ngati simutsatira malingaliro a madokotala, tsiku lomaliza la odwala matenda ashuga ndi mtundu woyamba wa matenda atha kugwa ndi zaka 40-50. Choyambitsa chachikulu cha kufa msanga ndi kupezeka kwa kulephera kwa impso.

Ndi anthu angati omwe angathe kukhala ndi matendawa ndi chisonyezo cha munthu aliyense. Munthu amatha kudziwa nthawi yovuta ndikusiya kukula kwa matenda, ngati mumayezera kuchuluka kwa shuga m'magazi ndi glucometer, komanso kuyesedwa kwamkodzo wa shuga.

• Kutalika kwa moyo wa anthu odwala matenda ashuga kumachepetsedwa makamaka chifukwa chosintha mthupi, zomwe zimapangitsa shuga wambiri m'magazi. Tiyenera kumvetsetsa kuti pa 23, dongosolo lokalamba pang'onopang'ono komanso losagonjetseka limayamba. Matendawa amathandizira kukulitsa kwakukulu kwa njira zowonongeka mu maselo ndi kusinthika kwa maselo.
• Kusintha kosasintha kwa matenda ashuga nthawi zambiri kumayamba zaka 23-25, pamene zovuta za atherosulinosis zikupita. Izi zimawonjezera chiopsezo cha stroke ndi gangore. Zoyipa zoterezi zitha kupewedwa poyang'anira magazi ndi mayendedwe a mkodzo.

Wodwala matenda ashuga ayenera kutsatira boma nthawi zonse, malamulowa ayenera kukumbukiridwa kulikonse komwe munthu amakhala - kunyumba, kuntchito, paphwando, poyenda. Mankhwala, insulin, glucometer ayenera kukhala ndi wodwalayo nthawi zonse.

Ndikofunikira kupewa zochitika zodetsa nkhawa, zokumana nazo m'maganizo momwe ndingathere. Komanso, musakhale ndi mantha, izi zimangokulitsa vutolo, zimaphwanya momwe mukumvera, zimabweretsa kuwonongeka kwamanjenje ndi mavuto onse amakulu.

Ngati dotolo adazindikira matendawa, ndikofunikira kuvomereza kuti thupi silingathe kutulutsa insulin mokwanira, ndikuzindikira kuti tsopano moyo udzakhala pa ndandanda ina. Cholinga chachikulu cha munthu pakali pano ndikuphunzira kutsatira boma linalake ndipo nthawi yomweyo ndikupitilizabe kumva ngati munthu wathanzi. Kupatula mwa njira yamalingaliro yotereyi komwe tsogolo la moyo lingakulidwe.

Kuti achedwetse tsiku lomaliza momwe angathere, odwala matenda ashuga ayenera kutsatira malamulo ena okhwima:

1. Tsiku lililonse, kuyeza shuga wamagazi ndi glucometer ya electrochemical,
2. Musaiwale za kuyeza kuthamanga kwa magazi,
3. Mukumwa mankhwalawa mankhwala omwe adokotala amupatsa,
4. Sankhani chakudya mosamala ndikutsatira njira.
5. Chitani masewera olimbitsa thupi pafupipafupi ndi thupi lanu
6. Yesani kupewa zopsinjika ndi zokumana nazo zamavuto,
7. Khalani okonzeka kupanga bwino zochitika zanu zatsiku ndi tsiku.

Mukatsatira malamulowa, nthawi yomwe moyo udzakhala wolimba imatha kuchuluka, ndipo wodwala matenda ashuga sadzaopa kuti adzafa posachedwa.

Si chinsinsi kuti shuga yamtundu uliwonse imawerengedwa kuti ndi matenda akupha. Njira ya pathological imakhala ndikuti maselo a kapamba amayimitsa kupanga insulini kapena kupanga insulin yokwanira. Pakadali pano, ndi insulin yomwe imathandizira kuperekera glucose m'maselo kuti azitha kudyetsa komanso kugwira ntchito moyenera.

Matenda akulu akakula, shuga amayamba kudziunjikira m'magazi ambiri, pomwe simalowa m'maselo ndipo sawadyetsa. Zikatero, maselo omwe atha mphamvu amayesa kupeza glucose yemwe akusowa mu minofu yathanzi, chifukwa pomwe pang'onopang'ono thupi limachepa ndikuwonongeka.

Mwa odwala matenda ashuga, mtima, mawonekedwe a ziwonetsero, dongosolo la endocrine limafooka poyambira, ntchito ya chiwindi, impso, ndi mtima zimawipira. Ngati matendawa anyalanyazidwa ndikusachiritsidwa, thupi limakhudzidwa mwachangu komanso kwambiri, ndipo ziwalo zonse zamkati zimakhudzidwa.

Chifukwa cha izi, odwala matenda ashuga samakhala ocheperako kuposa anthu athanzi. Mtundu woyamba 1 ndi mtundu 2 wa matenda ashuga amatsogolera ku zovuta zazikulu zomwe zimachitika ngati kuchuluka kwa shuga m'magazi sikuwongoleredwe ndikutsatira mwamphamvu malangizo akuchipatala atasiyidwa. Chifukwa chake, si ambiri odwala matenda ashuga omwe alibe chidwi amakhala ndi moyo zaka 50.

Kuti muwonjezere nthawi yayitali ya anthu odwala matenda a shuga omwe mungadalire insulin, mutha kugwiritsa ntchito insulin. Koma njira yothanirana ndi matendawa ndikuwonetsetsa kupewa matenda ashuga komanso kudya kuyambira pachiyambi. Kupewa kwachiwiri kumakhala pankhondo yolimbana ndi zovuta zomwe zimadza ndi matenda ashuga.

Kutalika kwa moyo ndi matenda a shuga akufotokozedwa mu kanema m'nkhaniyi.

Matenda a shuga omwe ali m'magulu otsogola amayambitsa zovuta, amafupikitsa moyo wa munthu ndikuyamba kufa. Chifukwa chake, odwala ambiri ali ndi chidwi ndi funso loti anthu angati omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2 amakhala. Tikukufotokozerani momwe mungatalikitsire moyo wanu komanso kupewa zotsatira zoyipa za matendawa.

Ndi matenda amtunduwu, wodwalayo ayenera kugwiritsa ntchito insulin tsiku lililonse kuti akhale ndi thanzi labwino. Ndikosavuta kudziwa kuti ndi anthu angati omwe ali ndi matenda ashuga omwe amakhala. Zizindikiro izi ndizodziwikiratu. Zimatengera gawo la matendawa ndi chithandizo choyenera. Komanso, chiyembekezo cha moyo chidzadalira:

1. Zakudya zoyenera.
2. Mankhwala.
3. Kuchita jakisoni ndi insulin.
4. Masewera olimbitsa thupi.

Aliyense ali ndi chidwi ndi kuchuluka kwa omwe amakhala ndi matenda ashuga a mtundu woyamba. Munthu wodwala matenda ashuga akapezeka, amakhala ndi mwayi wokhala zaka zina 30. Matenda a shuga nthawi zambiri amayambitsa matenda a impso ndi mtima. Ndi chifukwa cha izi kuti moyo wodwala wafupikitsidwa.

Malinga ndi ziwerengero, munthu amaphunzira za kukhalapo kwa matenda ashuga wazaka za 28-30. Odwala nthawi yomweyo amakhala ndi chidwi ndi kuchuluka kwa momwe amakhala ndi matenda ashuga. Kuwona chithandizo choyenera ndi malingaliro a dokotala, mutha kukhala ndi moyo mpaka zaka 60. Komabe, uno ndi zaka zochepa. Ambiri amatha kukhala ndi moyo mpaka zaka 70-80 pogwiritsa ntchito shuga.

Akatswiri atsimikizira kuti matenda ashuga amtundu woyamba amachepetsa moyo wa bambo mwa zaka 12, ndipo mkazi pofika zaka 20. Tsopano mukudziwa kuti ndi anthu angati omwe amakhala ndi matenda ashuga amtundu woyamba komanso momwe mungatalikitsire moyo wanu.

Anthu atha kukhala ndi matenda amtunduwu. Imapezeka mu ukalamba - pafupifupi zaka 50. Matendawa amayamba kuwononga mtima ndi impso, motero moyo wa munthu amafupikitsidwa. M'masiku oyamba kumene, odwala ali ndi chidwi kuti amakhala ndi matenda ashuga a 2.

Akatswiri akutsimikizira kuti mtundu wa 2 matenda ashuga umatenga pafupifupi zaka 5 zokha za moyo wa abambo ndi amayi. Kuti mukhale ndi moyo wautali, muyenera kuyang'ana zizindikiro za shuga tsiku lililonse, kudya zakudya zabwino kwambiri komanso kuyeza kuthamanga kwa magazi. Sikovuta kudziwa kuti anthu amakhala ndi matenda ashuga a 2 nthawi yayitali bwanji, chifukwa si aliyense amene angawonetse zovuta mthupi.

Matenda akulu a shuga amapezeka mwa anthu omwe ali pachiwopsezo. Ndizovuta zazikulu zomwe zimafupikitsa miyoyo yawo.

• Anthu omwe amakonda kumwa mowa ndi kusuta.
• Ana osakwana zaka 12.
• Achinyamata.
• Odwala atherosulinosis.

Madokotala amati ana amadwala makamaka ndi mtundu umodzi. Ndi ana angati ndi achinyamata omwe amakhala ndi matenda ashuga? Izi zimatengera kuyang'anira kwa matenda ndi makolo komanso upangiri woyenera wa dokotala. Pofuna kupewa zovuta zoopsa mwa mwana, muyenera kubayira insulin mthupi nthawi zonse. Mavuto a ana amapezeka nthawi zina:

1. Ngati makolowo sayang'anira kuchuluka kwa shuga ndipo musamwe jakisoni wa mwana ndi insulin panthawi yake.
2. Sizoletsedwa kudya maswiti, makeke ndi sopo. Nthawi zina ana sangakhale opanda zinthu ngati izi ndipo amaphwanya zakudya zoyenera.
3. Nthawi zina amaphunzira za matendawa kumapeto. Pakadali pano, thupi la mwana layamba kufooka kwambiri ndipo silingathe kukana matenda ashuga.

Akatswiri amachenjeza kuti nthawi zambiri anthu amachepetsa chiyembekezo chokhala ndi moyo makamaka chifukwa cha ndudu ndi mowa. Madokotala moona amaletsa zizolowezi zotere kwa odwala matenda ashuga. Ngati malingaliro awa sanatsatidwe, wodwalayo amakhala ndi moyo mpaka zaka 40, ngakhale kuwongolera shuga komanso kumwa mankhwala onse.

Anthu omwe ali ndi atherosulinosis nawonso ali pachiwopsezo ndipo amatha kufa kale. Izi ndichifukwa cha zovuta monga stroko kapena gangore.

Asayansi m'zaka zaposachedwa apeza njira zambiri zothandizira odwala matenda ashuga. Chifukwa chake, kuchuluka kwaimfa kudatsika katatu. Tsopano sayansi siyimayima ndipo ikuyesera kukulitsa moyo wa odwala matenda ashuga.

Momwe mungakhalire munthu wodwala matenda ashuga?

Tidazindikira kuti ndi anthu angati omwe ali ndi matenda ashuga omwe amakhala. Tsopano tikuyenera kumvetsetsa momwe titha kuwonjezera tokha moyo wathu ndi matenda otere. Mukamatsatira malangizo onse a dotolo ndikuyang'anira thanzi lanu, ndiye kuti matenda a shuga sangatenge zaka zingapo. Nayi malamulo oyamba a odwala matenda ashuga:

1. Muyenera kuchuluka kwa shuga tsiku lililonse. Pakusintha kwadzidzidzi, funsani katswiri nthawi yomweyo.
2. Imwani mankhwala onse omwe ali mu Mlingo wokhazikika.
3. Tsatirani zakudya ndi kutaya shuga, mafuta onenepa komanso okazinga.
4. Sinthani kuthamanga kwa magazi tsiku lililonse.
5. Pitani mukagone panthawi ndipo musamagwire ntchito yambiri.
6. Osachita masewera olimbitsa thupi.
7. Sewerani masewera ndikuchita masewera olimbitsa thupi pokhapokha ngati mwawongoleredwa ndi dokotala.
8. Tsiku lililonse, yendani, yendani paki ndi kupumira mpweya wabwino.

Ndipo nayi mndandanda wazinthu zomwe ndizoletsedwa mwamphamvu kuchita ndi matenda ashuga. Ndi omwe amafupikitsa moyo wa wodwala aliyense.

• Kupsinjika ndi kupsinjika. Pewani zochitika zilizonse zomwe misempha yanu imawonongeka. Yesani kusinkhasinkha komanso kupumula nthawi zambiri.
• Osamamwa mankhwala a shuga kuposa muyeso. Sadzathandizira kuchira, koma zimabweretsa zovuta.
• Muzochitika zilizonse zovuta, muyenera kupita kwa dokotala nthawi yomweyo. Ngati vuto lanu likuipiraipira, musangoyambitsa mankhwala enaake. Dalirani katswiri waluso.
• Osataya mtima chifukwa muli ndi matenda ashuga. Matendawa, omwe ali ndi chithandizo choyenera, samayambitsa kufa msanga. Ndipo ngati mumakhala ndi mantha tsiku ndi tsiku, inunso mukulira.

Ndikosavuta kudziwa kuti ndi anthu angati omwe ali ndi matenda ashuga omwe amakhala. Madotolo adazindikira kuti anthu ambiri odwala matenda ashuga amapulumuka mosavuta ukalamba ndipo samakumana ndi mavuto chifukwa cha matendawa. Amayang'anira thanzi lawo, amadya bwino komanso amayendera dokotala wawo pafupipafupi.

• Nthawi zambiri, matenda a shuga a 2 amayambira anthu azaka 50. Komabe, posachedwapa, madokotala azindikira kuti ali ndi zaka 35 matendawa amatha kuonekera.
• Stroke, ischemia, vuto la mtima nthawi zambiri limafupikitsa moyo mu shuga. Nthawi zina munthu amakhala ndi vuto la impso, lomwe limatsogolera kuimfa.
• Ndi mtundu wachiwiri wa matenda ashuga, pafupifupi, amakhala zaka 71.
• Kalelo mu 1995, padziko lapansi sipanakhale odwala matenda ashuga opitilira 100 miliyoni. Tsopano chiwerengerochi chakwera katatu.
• Yesani kuganiza zolimbikitsa. Palibenso chifukwa chodzithandizira tsiku ndi tsiku ndikuganizira zotsatira za matendawa. Ngati mukukhala ndi lingaliro loti thupi lanu ndi lathanzi komanso labwino, ndiye kuti zidzakhala choncho. Osataya ntchito, banja komanso chisangalalo. Khalani ndi moyo mokwanira, kenako matenda ashuga sangakhudze chiyembekezo chamoyo.
• Dziwani bwino zolimbitsa thupi tsiku ndi tsiku. Kuchita masewera olimbitsa thupi kumachepetsa chiopsezo cha zovuta za matenda ashuga. Ingolankhulanani ndi dokotala wanu za zolimbitsa thupi zilizonse. Nthawi zina odwala matenda ashuga sayenera kupanikizika kwambiri chifukwa cha thupi.
• Yambani kumwa tiyi ndi mankhwala a zitsamba pafupipafupi. Amachepetsa shuga ndikuwapatsa chitetezo chokwanira m'thupi. Tiyi imatha kuthana ndi matenda ena omwe matenda a shuga amayambitsa.

Tsopano mukudziwa kuti ndi anthu angati omwe ali ndi matenda amtundu wa 2 ndi mtundu wa 2 omwe amakhala. Munazindikira kuti matendawa satenga zaka zambiri komanso samayambitsa kufa msanga. Mtundu wachiwiri udzatenga zaka 5 zakubadwa, ndipo mtundu woyamba - mpaka zaka 15. Komabe, izi ndi ziwerengero zokha zomwe sizikugwira ntchito kwenikweni kwa munthu aliyense. Panali zochitika zambiri pamene odwala matenda ashuga amakhalapo mosavuta zaka 90. Kutalika kwake kudzatengera kuwonekera kwa matendawa mthupi, komanso kufuna kwanu kuchira ndi kumenya. Ngati mumayang'anira shuga wamagazi pafupipafupi, kudya moyenera, masewera olimbitsa thupi ndikuyendera dokotala, ndiye kuti matenda ashuga sangathe kukuchotsani zaka zanu zamtengo wapatali.

Pafupifupi 7% ya anthu padziko lathuli amadwala matenda a shuga.

Chiwerengero cha odwala ku Russia chikuwonjezeka chaka chilichonse, ndipo pakadali pano pali pafupifupi mamiliyoni 3. Kwa nthawi yayitali, anthu amatha kukhala ndi moyo osakayikira nthendayi.

Izi zimachitika makamaka kwa achikulire ndi okalamba. Momwe mungakhalire ndi matenda otizindikira komanso kuchuluka kwa omwe mumakhala nawo, tikambirana m'nkhaniyi.

Kusiyana pakati pa matenda amtundu wa 2 ndi matenda amtundu wa 2 ndikochepa: m'magawo onse awiri, shuga ya magazi imakwera. Koma zifukwa zomwe izi zimachitikira.Mtundu woyamba wa matenda ashuga, matenda a chitetezo cha m'thupi, komanso maselo a kapamba amayesedwa ngati ndi achilendo.

Mwanjira ina, kusatetemera kwanu “kumapha” chiwalo. Izi zimayambitsa kusayenda bwino kwa kapamba ndi kuchepa kwa insulin.

Vutoli limadziwika ndi ana komanso achinyamata ndipo amatchedwa kuperewera kwambiri kwa insulin. Kwa odwala oterowo, jakisoni wa insulin amapatsidwa moyo.

Ndizosatheka kutchula chomwe chimayambitsa matendawa, koma asayansi ochokera padziko lonse lapansi amavomereza kuti idatengera.

Zina zomwe zimakonzeratu:

1. Kupsinjika Nthawi zambiri, matenda ashuga amakula mwa ana atatha kusudzulana ndi makolo awo.
2. Matenda a ma virus - fuluwenza, chikuku, rubella ndi ena.
3. Matenda enanso mahomoni m'thupi.

Mtundu wachiwiri wa matenda ashuga, kusowa kwa insulini kumachitika.

Amayamba motere:

1. Maselo amataya insulin sensitivity.
2. Glucose sangalowe mwa iwo ndipo samangokhala wosadziwika m'magazi ambiri.
3. Pakadali pano, maselo amapereka chizindikiro kwa kapamba kuti sanalandire insulin.
4. Zikondazo zimayamba kutulutsa insulini yambiri, koma maselo sawazindikira.

Chifukwa chake, zimapezeka kuti kapamba amapanga insulin yachilendo kapena yowonjezera, koma samamwetsa, ndipo glucose m'magazi amakula.

Zifukwa zofala izi:

• moyo wolakwika
• kunenepa
• zizolowezi zoipa.

Odwala oterewa amapatsidwa mankhwala omwe amasintha mphamvu ya khungu. Kuphatikiza apo, amafunika kuti achepetse kulemera kwawo mwachangu momwe angathere. Nthawi zina kutsika kwa ma kilogalamu ochepa kumathandiza kuti wodwalayo akhale bwino.

Asayansi apeza kuti amuna omwe ali ndi matenda amtundu woyamba amakhala ndi zaka 12, ndipo akazi azaka 20.

Komabe, ziwerengero tsopano zimatipatsa deta ina. Kutalika kwa zaka zomwe odwala ali ndi matenda amtundu wa 1 akwera mpaka zaka 70.

Izi ndichifukwa choti mankhwala amakono opanga mankhwala amakono amakhala ndi zotupa za insulin ya anthu. Pa insulini yotere, kuchuluka kwa moyo kumachuluka.

Palinso njira zambiri zothandizira kudziletsa. Awa ndi ma glucometer osiyanasiyana, mizere yoyesera yodziwira ma ketones ndi shuga mumkodzo, pampu ya insulin.

Matendawa ndi owopsa chifukwa nthawi zonse shuga m'magazi amakhudza ziwalo za "chandamale".

Izi zikuphatikiza:

Mavuto akulu obwera ndi chilema ndi:

1. Kubwezeretsanso kwina.
2. Kulephera kwa impso.
3. Matumbo a miyendo.
4. Hypoglycemic coma ndi mkhalidwe womwe kuchuluka kwa shuga m'magazi amatsika kwambiri. Izi ndichifukwa cha jakisoni wosayenera wa insulin kapena kulephera kudya. Zotsatira za kukomoka kwa hypoglycemic zitha kukhala imfa.
5. Hyperglycemic kapena ketoacidotic chikomachi ndiofala. Zifukwa zake ndikukana jakisoni wa insulin, kuphwanya malamulo azakudya. Ngati mtundu woyamba wa chikomokere umathandizidwa ndi njira ya 40% ya shuga ndipo wodwalayo amadzazindikira yomweyo, ndiye kuti kudwala matenda ashuga kumakhala kovuta kwambiri. Matupi a Ketone amakhudza thupi lonse, kuphatikizapo ubongo.

Kutuluka kwa zovuta zovuta izi kumafupikitsa moyo nthawi zina. Wodwala ayenera kumvetsetsa kuti kukana insulin ndi njira yotsimikizika yofera.

Munthu yemwe amakhala ndi moyo wathanzi, amasewera masewera ndikutsatira zakudya, amatha kukhala ndi moyo wautali komanso wokhutiritsa.

Anthu samafa ndi matenda omwewo, imfa imabwera chifukwa cha zovuta zake.

Malinga ndi ziwerengero, mu 80% ya milandu, odwala amafa chifukwa cha zovuta ndi mtima. Matendawa ndi monga kugunda kwa mtima, mitundu yosiyanasiyana ya arrhythmias.

Choyambitsa chotsatira cha imfa ndi sitiroko.

Choyambitsa chachitatu chomwe chimatsogolera ndikuphedwa ndi gangren. Mafuta ochulukirapo nthawi zonse amatsogolera kuti magazi azisokonekera komanso kuti malo otsika azikhala ochepa. Chilonda chilichonse, chaching'ono, chimatha kuthandizira komanso kukhudza dzanja. Nthawi zina ngakhale kuchotsedwa kwa gawo la miyendo sikumabweretsa kusintha. Mashuga apamwamba amalepheretsa bala kuti ichiritse, ndipo imayambanso kuvunda.

Chinanso chomwe chimapangitsa munthu kufa ndi matenda a hypoglycemic.

Tsoka ilo, anthu omwe satsatira malangizo a dokotala samakhala ndi moyo wautali.

Mu 1948, a Elliot Proector Joslin, a American endocrinologist, adakhazikitsa mendulo ya Victory. Adapatsidwa odwala matenda ashuga okhala ndi zaka 25 zodziwa.

Mu 1970, panali anthu ambiri otere, chifukwa mankhwala adapita patsogolo, njira zatsopano zochizira matenda ashuga komanso zovuta zake zidawonekera.

Ichi ndichifukwa chake utsogoleri wa Dzhoslinsky Diabetes Center adaganiza zodalitsa odwala matenda ashuga omwe akhala ndi matendawa kwa zaka 50 kapena kupitilira.

Izi zimawerengedwa kuti ndikupambana. Kuyambira 1970, mphothoyi yalandira anthu 4,000 ochokera padziko lonse lapansi. 40 mwa iwo amakhala ku Russia.

Mu 1996, mphotho yatsopano idakhazikitsidwa kwa odwala matenda ashuga omwe ali ndi zaka 75 zodziwa. Zikuwoneka ngati zosatheka, koma ndi za anthu 65 padziko lonse lapansi. Ndipo mu 2013, a Jocelyn Center adalandira mayi Spencer Wallace, yemwe wakhala ndi matenda ashuga kwa zaka 90.

Nthawi zambiri funsoli limafunsidwa ndi odwala omwe ali ndi mtundu woyamba. Popeza adwala ali mwana kapena achinyamata, odwala omwewo komanso abale awo sakhala ndi chiyembekezo chodzakhala ndi moyo wathunthu.

Amuna, okhala ndi chidziwitso cha matendawa kwa zaka zopitilira 10, nthawi zambiri amadandaula za kuchepa kwa potency, kusapezeka kwa umuna m'mabisidwe achinsinsi. Izi ndichifukwa choti shuga wambiri amakhudza matendawa am'mitsempha, zomwe zimakhudza kuphwanya magazi m'magazi.

Funso lotsatira ndilakuti ngati mwana wobadwa kwa makolo omwe ali ndi matenda ashuga azikhala ndi matendawa. Palibe yankho lenileni la funsoli. Matendawa pawokha sapereka kwa mwana. Amatha kudziwa zam'tsogolo.

Mwanjira ina, mothandizidwa ndi zina zakunyinyirika, mwana akhoza kudwala matenda a shuga. Amakhulupirira kuti chiopsezo chotenga matendawa nchachikulu ngati bambo ali ndi matenda ashuga.

Mwa amayi omwe ali ndi matenda oopsa, msambo umayamba kusokonekera. Izi zikutanthauza kuti kukhala woyembekezera ndi kovuta kwambiri. Kuphwanya maziko a mahomoni kumabweretsa kubala. Koma ngati wodwala amene ali ndi matenda opunduka, zimavuta kutenga pakati.

Njira ya kubereka pakati pa odwala matenda ashuga ndi yovuta. Mzimayi amafunika kuwunika pafupipafupi shuga amkati ndi acetone mkodzo wake. Kutengera ndi trimester ya mimba, mlingo wa insulin umasintha.

Mu trimester yoyamba, imachepa, kenako imakula kwambiri kangapo ndipo kumapeto kwa mimba mlingo umatsanso. Mayi woyembekezera azisunga shuga. Mitengo yapamwamba imatsogolera ku fetal diabetesic fetopathy.

Ana kuchokera kwa amayi omwe ali ndi matenda osokoneza bongo amabadwa ndi kulemera kwakukulu, nthawi zambiri ziwalo zawo zimagwira ntchito, mwana amazindikira kuti ndi mtima. Pofuna kupewa kubadwa kwa mwana wodwala, mkazi ayenera kukonzekera kukhala ndi pakati, nthawi yonseyo imawonedwa ndi endocrinologist ndi gynecologist. Kangapo m'miyezi 9 mkazi ayenera kuchipatala mu dipatimenti ya endocrinology kuti asinthe mlingo wa insulin.

Kupereka kwa amayi odwala kumachitika pogwiritsa ntchito gawo la cesarean. Kubadwa kwachilengedwe sikuloledwa kwa odwala chifukwa cha chiwopsezo cha kutaya magazi kwa retinal panthawi yovutikira.

Mtundu 1 umakula, monga lamulo, muubwana kapena unyamata. Makolo a ana oterewa adadzidzimuka, kuyesa kupeza ochiritsa kapena zitsamba zamatsenga zomwe zingathandize kuchiritsa matenda awa. Tsoka ilo, palibe mankhwala ochiritsa matendawa. Kuti mumvetsetse izi, muyenera kungoganiza: chitetezo cha mthupi "chapha" maselo a kapamba, ndipo thupi silitulutsanso insulini.

Ochiritsa ndi wowerengeka azitsamba sangathandize kubwezeretsa thupi ndikupangitsa kuti hormone yofunikira ikhalenso yofunikira. Makolo muyenera kumvetsetsa kuti palibe chifukwa chothana ndi matendawa, muyenera kuphunzira momwe mungakhalirebe ndi matenda.

Nthawi yoyamba atazindikira m'mutu wa makolo ndi mwana mwiniyo adzakhala chidziwitso chochuluka:

• kuwerengetsa zamkate ndi mikanda ya glycemic,
• kuwerengetsa kolondola kwa ma insulin,
• chakudya chabwino ndi cholakwika.

Musachite mantha ndi zonsezi. Kuti achikulire ndi ana amve bwino, banja lonse liyenera kupita kusukulu ya matenda ashuga.

Ndipo kenako kunyumba khalani ndi zolemba zodziletsa, zomwe zingasonyeze:

• chakudya chilichonse
• jakisoni wopangidwa
• shuga m'magazi
• Zizindikiro za acetone mu mkodzo.

Kanema kuchokera kwa Dr. Komarovsky onena za matenda a shuga kwa ana:

Makolo sayenera kuletsa mwana wawo mnyumbamo: kumuletsa kukumana ndi abwenzi, kuyenda, kupita kusukulu. Kuti muthandizike m'banjamo, muyenera kukhala mutasindikiza magome amiyeso ya mkate ndi mndandanda wamatumbo. Kuphatikiza apo, mutha kugula masikelo apakhitchini omwe mungawerengere mosavuta kuchuluka kwa XE mu mbale.

Nthawi iliyonse shuga akamatuluka kapena kugwa, mwana ayenera kukumbukira zomwe akumva. Mwachitsanzo, shuga wambiri amatha kupweteketsa mutu kapena pakamwa pouma. Ndi shuga wotsika, thukuta, manja akunjenjemera, kumverera kwanjala. Kukumbukila izi kumathandizira mwana mtsogolo kuzindikira tsogolo lake popanda glucometer.

Mwana yemwe ali ndi matenda ashuga ayenera kulandira thandizo kuchokera kwa makolo. Ayenera kuthandiza mwana kuthetsa mavutowo limodzi. Achibale, abwenzi komanso anzanu, aphunzitsi amasukulu - aliyense ayenera kudziwa za kukhalapo kwa matenda mwa mwana.

Izi ndizofunikira kuti mwadzidzidzi, mwachitsanzo, kuchepa kwa shuga m'magazi, anthu amuthandize.

Munthu wodwala matenda ashuga ayenera kukhala moyo wonse:

• pitani kusukulu
• khalani ndi abwenzi
• kuyenda
• kusewera masewera.

Pokhapokha pokhapokha amatha kukhala ndi moyo wabwino.

Kuzindikiritsa mtundu wa matenda ashuga a 2 kumapangidwa ndi anthu okalamba, kotero cholinga chake ndikuchepetsa thupi, kukana zizolowezi zoyipa, zakudya zoyenera.

Kutsatira malamulo onse kumakupatsani mwayi kulipira matenda a shuga kwa nthawi yayitali pokhapokha mutamwa mapiritsi. Kupanda kutero, insulin imayikidwa mwachangu, zovuta zimayamba mwachangu kwambiri. Moyo wa munthu wodwala matenda ashuga umangodalira iye ndi banja lake. Matenda a shuga si sentensi koma ndi njira ya moyo.

1. 
   Gardner David, Schobeck Dolores Basic ndi Clinical Endocrinology. Buku lachiwiri, Beanom - M., 2011 .-- 696 c.
2. 
   Gardner David, Schobeck Dolores Basic ndi Clinical Endocrinology. Buku lachiwiri, Beanom - M., 2011 .-- 696 c.
3. 
   Betty, Tsamba la Brackenridge Diabetes 101: Malangizo Osavuta Komanso Odula Kwa Omwe Amatenga Insulin: Monograph. / Betty Tsamba Brackenridge, Richard O. Dolinar. - M: Polina, 1996 .-- 192 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.