Matenda a matenda ashuga: Zizindikiro ndi chithandizo
Matenda a shuga - Ichi ndi chimodzi mwazofooka kwambiri za endocrine system masiku ano. Chaka chilichonse m'maiko onse apadziko lapansi pali kuwonjezeka kwakukulu kwa odwala matenda a shuga, pomwe zaka zawo zikucheperachepera.
Poyerekeza ndi maziko a matenda a shuga, mitsempha yamagazi ya ziwalo zonse zamkati imakhudzidwa: mtima, ubongo, retina, malekezero apamwamba komanso otsika. Ngati wodwala yemwe ali ndi matenda ashuga kwambiri akazindikira asintha mu thanzi lake - izi zimakhala zikuwonekera chifukwa cha zovuta zina zovuta zikafika poti zimalepheretsa chitukuko cha matendawa ndikuti zotsatira zake zakupha.
Nthawi zambiri zizindikiro zoyambira zamatenda obisika mthupi la wodwalayo zimawonongeka, zomwe zimawonetsedwa ndi ma pathologies osiyanasiyana: conjunctivitis, barele, ndi zina zambiri. Komanso, matendawa ndi ovuta kuchiza, nthawi yochizira imachedwa ndipo imakhala yovuta. Monga lamulo, zovuta zomwe sizinachitike mwadzidzidzi zimakhala ndi matenda a shuga a retinopathy. koma pali mawonetseredwe ena - glaucoma, ma catara.
Momwe mungadziwire odwala a matenda a shuga?
Mphaka - Uku ndi kuyendetsa masamba amaso, komwe kumayamba chifukwa cha kuphwanya chilengedwe cha kagayidwe kachakudya mthupi motsutsana ndi matenda a shuga. Kuphatikiza apo, matenda amkati pamenepa amayamba msanga kwambiri kuposa munthu yemwe alibe matenda ashuga. Tsoka ilo, ndi matenda a shuga omwe amachititsa kuti chithandizo chamankhwala chisamachitike.
Zizindikiro za matenda amkati mwa odwala matenda ashuga:
Ndikofunikira kudziwa: wodwala akapezeka kuti ali ndi matenda ashuga, ndikofunikira kuti awonekere mwachangu ndi akatswiri am'maso!
Chithandizo cha kuponderezedwa kwa mandala amaso mu odwala matenda ashuga
Akapezeka kuti ali ndi matenda a shuga ndipo amupanga kafukufuku wofufuza zamankhwala, amatha kudziwa nthawi yomweyo kupezeka kwa matenda amkati komanso kupereka mankhwala.
Kuyesedwa koyenera kwa wodwala wodwala matenda ashuga kumaphatikizapo kutsimikiza kwa kuwona kwa chidwi, kupanikizika kwa chidwi, komanso malire. Zipangizo zapadera zimagwiritsidwa ntchito kupenda ndalama ndi ma lens, ndikukulolani kuti muwonere mbali ndi pansi pa diso.
Choyamba, wodwalayo ayenera kuyesetsa kukhazikika m'magazi a shuga, kusintha momwe kagayidwe kake kamapezekera m'thupi. Mutha kukwaniritsa izi mothandizidwa ndi insulin. zakudya komanso moyo wokangalika.
Pambuyo pa gawo ili, adokotala amayamba kulandira chithandizo. Pankhani yamatumbo, kungopanga opaleshoni ndikuchotsa mapangidwe ndi kotheka. Ndikofunika kuti musachedwe opareshoni, chifukwa matenda odwala matenda ashuga amakula msanga kuposa wathanzi ndipo kuzengereza kumadzala ndi zotupa ndi zovuta.
Kodi glaucoma ndi chiyani komanso kuti mupewe bwanji kupangika? Phunzirani kuchokera m'nkhaniyi.
Munkhaniyi, muwerenga za njira zodziwira matenda a matenda ashuga polyneuropathy http://pro-diabet.com/oslozhneniya/diabeticheskaya-polinejropatiya.html
Masiku ano, kuchotsa kwa khungu kosagwiritsa ntchito njira pogwiritsa ntchito ultrasound kumachitika ndipo, malinga ndi odwala, njirayi ndi yothandiza kwambiri. Kuchita konseku kumachitika popanda kudula minyewa, ma punctures awiri apangayi amapangidwa m'thupi la diso, lomwe limagwiritsa ntchito mandala amtambo ndipo zotsalira zake amazilakalaka. Kudzera pamakutuwa atakola mandala, ma lens okumba (amaika mandala ofewa) amaikidwa.
Chifukwa chakuti magawo onse amachitidwe a opaleshoni amadutsa popanda kuvulala kwa khungu ndi minyewa yake, machiritso ndi kukhazikitsidwa kwa mandala opanga kumachitika msanga komanso moyenera. Palibe chifukwa chodwalitsira odwala.
Ubwino wa ntchitoyi ndikuti ukhoza kuchitika ngakhale pakubala kwawoko osataya nthawi ndikudikirira mpaka utakhwima. Ndipo izi zikutanthauza - kupewa zovuta ndi mwayi wokanidwa ndi mandala opanga.
Njira zodzitetezera zimafunika popewa
Matenda a shuga ndi matenda oopsa komanso ovuta, kutengera komwe kumachitika matenda osiyanasiyana ophatikizana, njira zosasinthika zimawonekera.
Kuti musakhale ndi zovuta komanso zovuta kuwona "matenda" a shuga, ndikofunikira kuchitapo kanthu kupewa:
Chifukwa chake, lingaliro limodzi lokha lingafotokozedwe: Panacea chifukwa cha zovuta za matenda ashuga komanso moyo wabwino ndiwosiyanitsa shuga wamagazi ndi chithandizo chake mosalekeza. Pokhapokha motere, kudzera mu kudziletsa kokhazikika, kukhazikitsidwa kwathunthu kwa malingaliro onse a adokotala omwe akupezekapo, zakudya komanso moyo wokangalika, mutha kumva ngati munthu wokhazikika yemwe akutsogolera moyo wodziwa, popanda maulendo opita kwa ophthalmologist, endocrinologist, neuropathologist ndipo kenako pamndandanda wa madokotala onse omwe amathandizira mitundu yonse ya zovuta za matenda ashuga.
Zifukwa zachitukuko
Magalasi ndi mawonekedwe owonekera mkati mwa eyeball momwe kuwala kudutsa, kukokeranso. Imawonetsetsa kuti kuwala kwakeko kumagunda retina, pomwe chithunzicho chikuwonekera.
Kuchuluka kwa shuga m'magazi kwa odwala omwe ali ndi matenda ashuga kumabweretsa zotsatira zoyipa zamagalasi.
Pang'onopang'ono, mankhwala ochulukirapo amadziunjikira mu mandala, omwe amayamba kuwononga kapangidwe kake, ndikupangitsa kuti pakhale mitambo ndikuwoneka ngati makala.
Zotsatira zakukwera ndi kusokonekera kwa mandala ndizowonekera zowonongeka.
Zizindikiro za matendawa
Makatoni a shuga a mellitus amamveka pazithunzi zosawoneka bwino kapena zakuda, mawonekedwe a mawanga ofanana ndi ma flakes. Ntchito zonse zowoneka ndizovuta kwambiri: zimakhala zovuta kuwerenga ndi kulemba, kuzindikira zidziwitso pazenera.
Chiwonetsero choyamba, koma nthawi zambiri chosawoneka bwino cha ma catalo, chimatha kukhala kuwonongeka kwamdima. Ndikofunikira kudziwa kuti kusayang'ana ndi zoonekeratu zamatumbo kungayambitse khungu lathunthu.
Njira zopewera
Matenda a shuga angathe kupewedwa. Anthu omwe ali ndi matenda ashuga amayenera kuchita pafupipafupi magawo olimbikitsa thanzi lawo komanso kuwunika kayendetsedwe ka machitidwe onse mthupi.
1. Odwala matenda ashuga amayenera kupita kwa ophthalmologist kamodzi miyezi isanu ndi umodzi, ngakhale atakhala kuti ali ndi matenda. Poterepa, adotolo amawunika maonedwe owoneka bwino, ofunikira ndikuwunika mkhalidwe wa mandala.
Ngati katangale apezeka koyambirira kwa chitukuko chake, ndizowona kupeweratu kuneneratu. Dokotala wamaso amatha kutumiza wodwala kuchipatala chapadera cha matenda aza matenda azaumoyo kapena ku chipatala chapadera (microsurgery).
2. Kuti muteteze maso anu ku glucose wambiri, muyenera kugwiritsa ntchito madontho amaso (monga: catachrome, quinax kapena catalin). Pafupipafupi kukhazikika - katatu pakatha tsiku, madontho awiri. Kutalika kwa chithandizo cha masiku 30. Chotsatira - kupuma kwa mwezi umodzi komanso kupewa.
Popewa opaleshoni yamatenda a shuga, odwala ambiri amakakamizidwa kugwiritsa ntchito madontho amaso moyo wawo wonse.
3. Odwala omwe alumpha m'magazi a magazi ayenera kuwunika bwino momwe alili, ndipo pakulakwitsa pang'ono, funsani dokotala kuti mumupatse malangizo ndi chithandizo.
Mankhwala ena odwala matenda ashuga ali ndi mavuto.
Mwachitsanzo, chidwi chimayenda bwino m'magazi, koma zimasokoneza mitsempha yamaso. Izi zitha kuyambitsa kutaya magazi mu ndalama. Kulemba mankhwala ngati kotheka kumachitika pokhapokha atapezeka kuti adwala matenda a shuga. kuphatikizira ndi kutenga nawo mbali kwa dokotala wamaso.
Pofuna kupewa zovuta za matenda ashuga, anthu ambiri amatenga mankhwala ovuta a Anthocyan Forte. Mwa zina mwazokonzekera izi ndizopanga zachilengedwe zokha ndi zolemba zina (ma buluu, ma currants akuda, mbewu za mitundu ya mphesa zakuda, ndi zina). Zimakhudza bwino mawonekedwe a anthu ambiri, kulimbikitsa zida zomwe wodwalayo amakhala nazo.
Mulingo wambiri wa proanthocyanidins, mavitamini, anthocyanins ndi ma microelements pokonzekera amapereka chitetezo chokhazikika cha antioxidant, amalimbitsa ziwiya za fundus, ndikuwonjezera kupenyerera kwamawonekedwe pansi pamikhalidwe yokhazikika komanso mumdima.
Mfundo zachithandizo
Ndondomeko za matenda ashuga zimafuna chithandizo, ndipo posakhalitsa zimakhala bwino. Chithandizo cha mankhwala osokoneza bongo ku matenda a shuga chimayambitsa vutoli ndipo sichochepa kwakanthawi.
Kugwetsa maso kumachepetsa kukula kwa matendawa, koma alephera. Madontho oterowo, monga adapacen (quinax), taurine (dibicor, taufon), amagwira ntchito pokhapokha magawo oyamba amakula matendawa.
Magalasi kapena magalasi sizithandiza ndi matendawa, chifukwa chake chosankha cholondola kwambiri ndichovomera kugwiraku. Opaleshoni yamatumbo a shuga ndi njira yolimba yopulumutsira masomphenya. Kuthandizira pakuchita opaleshoni ndikuchotsa kwathunthu kwatsoka. Tiyenera kudziwa kuti kuchita izi kumayambiriro kwa matendawo ndikosavuta.
Opaleshoni yamatenda a shuga amachitika pansi pa opaleshoni yam'mimba ndipo imatenga pafupifupi mphindi 10. Mu 97-98% ya milandu - popanda zovuta.
Kusintha kowoneka bwino kumabwera pambuyo poti kuchitidwe opaleshoni, koma zimatenga nthawi kuti ndikonzenso malingaliro. Pambuyo pa masabata 3-6, mfundo zatsopano zitha kuperekedwa.
Cataract Phacoemulsification
Njira ya ultrasound ndi laser chithandizo cha matenda amtundu wa shuga wotchedwa phacoemulsification yatchuka kwambiri lero. Chithandizo chotere chimagwiritsidwa ntchito poyambira matenda. pamene masomphenya amasungidwa pafupifupi 50-60%.
Kuchotsa kwa mandala kumachitika kudzera pakachulukidwe kakang'ono, kulumikizana ndi mtundu uwu wa mankhwalawa sikofunikira, zomwe zimalepheretsa astigmatism.
Opaleshoniyo ikuchitika motere:
Pambuyo pa izi, monga lamulo, njira yotsitsimutsira masomphenyawo imachitika mofulumira kwambiri.
Mavuto a shuga: Kupewa ndi Chithandizo
Ngati matenda amtundu wa 2 kapena matenda ashuga 2 sawachiritsa bwino kapena samawongolera konse, ndiye kuti shuga ya wodwalayo imakhalabe yofananira. Munkhaniyi, sitikuganizira za mkhalidwe pomwe, chifukwa cha chithandizo chosayenera, kukhazikika kwa magazi m'magazi, m'malo mwake, ndizochepa kwambiri. Izi zimatchedwa "hypoglycemia." Momwe mungapewere, ndipo ngati zachitika kale, ndiye momwe mungaimitsire kuukira, mutha kudziwa apa. Ndipo pansipa tikambirana zovuta za shuga zomwe zimachitika chifukwa cha shuga wambiri.
Anthu odwala matenda ashuga ketoacidosis ndi hyperglycemic chikomokere
Mavuto owopsa a shuga ndi matenda ashuga a ketoacidosis ndi hyperglycemic. Amakula pomwe shuga wodwala sakhala wangokhala kwambiri, koma wokwera kwambiri. Ngati sagwiriridwa kuchipatala mwachangu, ndiye kuti amachedwa ndikuzindikira komanso kufa. Werengani nkhani zina:
Kodi matenda ashuga a ketoacidosis, hyperglycemic coma ndi njira zothandizira kupewa zovuta kwambiri - onse odwala matenda ashuga ayenera kudziwa. Makamaka kwa odwala matenda a shuga 1, komanso okalamba omwe ali ndi matenda a shuga a 2.
Ngati vutoli lafika poti zovuta zayamba, ndiye kuti madokotala amayenera kulimba kuti "atulutse" wodwalayo, ndipo chiwopsezo chaimfa ndichokwera kwambiri, ndi 15-25%. Komabe, ambiri odwala matenda ashuga amakhala olumala ndipo amafa msanga osati chifukwa cha zovuta, koma chifukwa cha zovuta zina. Kwenikweni, awa ndi mavuto ndi impso, miyendo ndi mawonekedwe amaso, zomwe nkhaniyi idadzipereka.
Matenda a shuga osachiritsika
Mavuto ena obwera chifukwa cha matenda ashuga amatenga matenda osagwiritsidwa ntchito bwino kapena moyenera, koma osakhala oyipa ketoacidosis kapena hyperglycemic coma. Kodi chifukwa chiyani zovuta za matenda ashuga zimakhala zowopsa? Chifukwa amakula pakadali pano popanda zizindikiro ndipo samayambitsa kuwawa. Palibe zizindikiro zosasangalatsa, wodwala matenda ashuga sayenera kukulimbikitsani kuthandizidwa mosamala. Zizindikiro za zovuta za matenda ashuga ndi impso, miyendo ndi maso zimachitika nthawi ikachedwa kwambiri, ndipo munthuyo amwalira. Mavuto osautsa a shuga ndi omwe muyenera kuwopa kwambiri.
Mavuto a matenda a shuga a impso amatchedwa "diabetesic nephropathy." Mavuto amaso - matenda a shuga a retinopathy. Amadzuka chifukwa shuga wokwera amawononga mitsempha yayikulu komanso yayikulu. Madzi amatuluka kupita kwa ziwalo ndi ma cell amasokonekera, chifukwa chomwe chimafa ndi njala. Kuwonongeka kwa dongosolo lamanjenje kumakhalanso kofala - matenda ashuga a m'mimba, omwe amachititsa zizindikiro zosiyanasiyana. Mavuto ammiyendo mu odwala matenda ashuga ndi kuphatikiza kwa mitsempha yamagazi yomwe imadyetsa miyendo yam'munsi ndikumverera kwamanjenje.
Werengani nkhani zatsatanetsatane:
Matenda a diabetes a nephropathy ndiwo amachititsa kwambiri kulephera kwaimpso. Anthu odwala matenda ashuga amapanga "makasitomala" ambiri opezekanso, komanso madokotala omwe amathandizanso impso. Matenda a shuga a shuga ndi omwe amayambitsa khungu chifukwa cha achikulire omwe amagwira ntchito padziko lonse lapansi. Neuropathy imapezeka mwa 1 mwa 3 odwala panthawi yopezeka ndi matenda ashuga, ndipo pambuyo pake mwa 7 mwa 10 odwala. Vuto lodziwika bwino lomwe limayambitsa ndikutayika kwa miyendo. Chifukwa cha izi, odwala matenda ashuga ali ndi chiopsezo chachikulu cha kuvulala kwamiyendo, gangore yodula komanso kuduladula matimu otsika.
Matenda a diabetes nephropathy komanso retinopathy nthawi zambiri samayambitsa zizindikiro asanathe kusintha.Ngati kulephera kwa impso kukufika gawo lomaliza, ndiye kuti wodwala matenda ashuga amayenera kupita kukayang'anitsidwenso kwa moyo wake kapena kufunafuna mwayi wokhala ndi kumuwonjezera impso. Ponena za retinopathy, kutaya kwamaso kungayimitsidwe ndikuphatikiza laser Photocoagulation ya retina ndi chithandizo chokwanira cha matenda ashuga. Ngakhale ndi anthu ochepa omwe amatha kubwezeretsanso masomphenyawo. Nkhani yabwino ndiyakuti, matenda ashuga a m'mimba amatha kusintha ngati shuga wamwazi wasungidwa bwino. Tsatirani pulogalamu ya matenda a shuga 1 kapena mtundu wa matenda ashuga 2. Werengani werengani kuti “Zolinga za chisamaliro cha matenda ashuga. Zomwe ndingayembekezere shuga akayamba kuchita bwino. ”
Matenda a shuga samangowononga ochepa, komanso mitsempha yayikulu yamagazi, imathandizira kukulitsa kwa atherosulinosis. Zotsatira zake, odwala matenda ashuga amafa chifukwa cha vuto la mtima kapena matenda opha ziwalo 10-30 m'mbuyomu kuposa momwe akanatha. Komanso, kufalikira kwa ziwiya zazikulu zokhala ndi zolembedwa za atherosselotic kumabweretsa kufunikira kwa kumadula miyendo. Mwamwayi, ndizowona kuchepetsa kuchepa kwa atherosulinosis. Muyenera kutsatira pulogalamu ya 1 yothandizira odwala matenda ashuga kapena mtundu wa mankhwala a matenda ashuga a 2, muziyang'anira shuga yanu yamagazi, komanso kuthamanga kwa magazi ndi cholesterol.
Matenda ogwirizana
M'nkhani ya lero, tikambirana za zovuta za matenda ashuga zomwe zimachitika chifukwa cha shuga wambiri. Tsoka ilo, matenda omwe amakhalanso nthawi zambiri amawonetsedwanso, omwe si zotsatira za matenda ashuga, koma amaphatikizidwa nawo. Tionanso kuti ndi matenda ati omwe amafanana kwambiri ndi matenda amtundu wa 2 komanso mtundu wa 2, tikulongosola mwachidule kupewa kwawo komanso chithandizo.
Monga mukudziwa, chomwe chimayambitsa matenda a shuga 1 ndikuti chitetezo cha mthupi chimagwira molakwika. Imagunda ndikuwononga maselo a pancreatic beta omwe amapanga insulin. Kuphatikiza apo, odwala matenda a shuga a mtundu woyamba amakhala ndi vuto la autoimmune pamafuta ena omwe amapanga mahomoni osiyanasiyana. Mtundu woyamba wa matenda ashuga, chitetezo cha mthupi chimagwira chithokomiro “chifukwa”, kodi ndi vuto? odwala. Matenda a shuga amtundu wa 1 amathandizanso kutenga chiwopsezo cha matenda a autoimmune a gren adrenal, koma chiwopsezo akadali otsika kwambiri.
Anthu onse omwe ali ndi matenda amtundu wa 1 ayenera magazi awo kuwayezetsa mahomoni a chithokomiro kamodzi pachaka. Timalimbikitsa kutenga kuyesedwa kwa magazi osati kokha kwa mahomoni oyambitsa chithokomiro (thyrotropin, TSH), komanso kuyang'ana mahomoni ena. Ngati mukuyenera kuthana ndi zovuta ndi chithokomiro cha chithokomiro mothandizidwa ndi mapiritsi, ndiye kuti mlingo wawo suyenera kukhazikika, koma masabata onse 6-12 ayenera kusinthidwa molingana ndi zotsatira za kuyesedwa mobwerezabwereza kwa mahomoni. Komanso, phatikizani zakudya zamagulu ochepa zamafuta ndi chakudya chopanda mafuta osafunikira kuti chitetezo cha m'thupi lanu chizipuma. Kodi zakudya zopanda gluten ndi chiyani - zosavuta kupeza pa intaneti.
Matenda ofala omwe ali ndi matenda a shuga a 2 amakhala ochepa matenda oopsa, mavuto amafuta a m'magazi a cholesterol ndi gout. Pulogalamu yathu yachiwiri ya matenda a shuga imathandizira kuti shuga azikhala ndi magazi, komanso kuthamanga kwa magazi ndi cholesterol.
Zakudya Zochepa Zopatsa Thupi & Gout
Maziko a mtundu wathu 1 ndi mitundu yachiwiri ya matenda othandizira odwala matenda ashuga ndi chakudya chochepa kwambiri. Amakhulupirira kuti zimawonjezera zomwe zili uric acid m'magazi. Ngati mukuvutika ndi gout, imatha kukulira, komabe, zopindulitsa za ntchito zomwe timalimbikitsa pochiza matenda a shuga ndizoposa izi. Amaganiza kuti zotsatirazi zimatha kuthetsa gout:
Pali chidziwitso, chomwe sichinatsimikizirebe mwatsatanetsatane kuti choyambitsa gout si kudya nyama, koma kuchuluka kwa insulin m'magazi. Madzi a insulin ambiri akamazungulira m'magazi, ndiye kuti impso zake zimaphatikizanso uric acid, motero zimadziunjikira. Pankhaniyi, zakudya zamagulu ochepa sizikhala zovulaza, koma zothandiza kwa gout, chifukwa zimapangitsa kuchuluka kwa insulin. Gwero lazambiri izi (mu Chingerezi). Zikuwonetsanso kuti kuukira kwa gout kumakhala kovuta ngati simukudya zipatso, chifukwa zimakhala ndi shuga wabwino wodya - fructose. Tikukulimbikitsani aliyense kuti asadye zakudya za shuga zomwe zimakhala ndi fructose. Ngakhale lingaliro la wolemba Gary Taubes silimatsimikiziridwa, chimodzimodzi, matenda ashuga komanso zovuta zake, zomwe zakudya zamafuta ochepa zimathandiza kupewa, ndizowopsa kuposa gout.
Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.
Zizindikiro za matenda ashuga a Cataract
Mwambiri, Zizindikiro za matenda ngati amenewa zilibe tanthauzo lililonse. Poyamba, mawonekedwe owoneka sakhala opuwala ndipo wodwala samangoganiza za vuto lomwe ali nalo. Komabe, ngakhale koyambirira, odwala angawonetse kuti ayamba kuwona bwino pafupi.
Momwe ma pathological amasinthira, zizindikilo monga maonedwe awiri, kusintha kwa "ntchentche" ndi madontho achikuda, komanso chidwi chowonjezeka cha kuwala kowala. Zinthu zoyandikana nazo zikuwoneka kuti zimapaka utoto wachikasu. Kuwona ntchito kumawonongeka pafupipafupi ndipo kumabwera pakuwona. Wodwala amayamba kuyenda kwambiri m'malo, zomwe zimapangitsa kutsika kwakukulu kwa moyo wake.
Chizindikiro china chapadera ndi mtundu woyera wa mwana. Amawonekanso kale pambuyo pake. Ndipo ngati poyamba ntchito zowoneka zimatha kukonzedwanso ndi magalasi, ndiye kuti pakapita nthawi zimakhala zosatheka. Mwambiri, milandu yonseyi imakhudzidwa nthawi yomweyo. Komabe, zosintha zomwe zawoneka mbali yakumanzere ndi yamanja kudzakhala ndi kusiyanasiyana.
Kuzindikira ndi kuchiza matendawa
Matendawa amatha kumakayikiridwa poyambirira pa mbiri yakale ya matenda a shuga mellitus molumikizana ndi madandaulo a wodwala. Ndikofunikira kuyesa mokwanira mayeso a ophthalmological, kuphatikiza ma visometry, biomicroscopy, komanso ophthalmoscopy. Njira yogwiritsidwa ntchito moyenera monga kupenda kwa diso. Kuphatikiza apo, retinoscopy akuwonetsedwa kuti ayese ntchito zowoneka.
Poyamba, matenda a shuga atapezeka, kuchuluka kwa shuga kuyenera kukhala koyenera. Pachifukwa ichi, mankhwala a insulin kapena hypoglycemic amagwiritsidwa ntchito. Zakudya zosankhidwa mwapadera ndizofunikira kwambiri. Kuphatikiza apo, pofuna kuyimitsa kupitilira kwa kusintha kwa ma mandala, mankhwala a vitamini amayikidwa. Ngati ndi kotheka, opaleshoni imachitidwa, zomwe zikutanthauza kusintha kwa mandala ndi mandala.
Matenda a shuga
Ngati wodwala wodwala matenda amtundu wa 1 kapena mtundu wa 2 sagwiriridwa bwino ntchito ndipo ali ndi shuga yayikulu magazi, izi zimapweteketsa mitsempha ndikuwonetsa kuyipa kwa mitsempha. Vutoli limatchedwa diabetesic neuropathy. Mitsempha imatumiza zizindikiritso kuchokera ku thupi lonse kupita ku ubongo ndi chingwe cha msana, komanso chizindikiritso chochokera kumbuyo uko. Kuti mufikire pakatikati, mwachitsanzo, kuyambira pachala mpaka kumapazi, chidwi cha mitsempha chimayenera kupita kutali. Munjira imeneyi, mitsempha imalandira chakudya komanso mpweya kuchokera ku mitsempha yaying'ono yotchedwa capillaries. Kuchuluka kwa shuga mu shuga kungawononge ma capillaries, ndipo magazi adzaleka kuyenda kudzera mwa iwo. Zotsatira zake, gawo la mitsempha lifa, unyolo udasweka ndipo chizindikiro sichitha kufikira mbali zonse ziwiri.
Matenda a mitsempha ya shuga samachitika nthawi yomweyo, chifukwa kuchuluka kwa mitsempha m'thupi kumachulukanso. Umu ndi mtundu wa inshuwaransi, womwe umabadwa mwa ife mwachilengedwe. Komabe, peresenti inayake yamitsempha ikawonongeka, zizindikiro za neuropathy zimawonekera. Kutalikirana kwambiri kwa mitsempha, ndizotheka kuti mavuto amabwera chifukwa cha shuga wambiri. Chifukwa chake, sizosadabwitsa kuti matenda a shuga a diabetes nthawi zambiri amayambitsa mavuto ndi kupsinjika kwa miyendo, zala, ndi kusabala kwa amuna.
Kuwonongeka kwamanjenje m'miyendo ndikowopsa kwambiri. Ngati wodwala matenda ashuga aleka kumva khungu la kumapazi ake ndi kutentha ndi kuzizira, kupsinjika ndi kupweteka, ndiye kuti chiopsezo chovulala mwendo chidzawonjezeka kambirimbiri, ndipo wodwalayo sadzalabadira pakapita nthawi. Chifukwa chake, odwala matenda a shuga nthawi zambiri amayenera kudula miyendo. Kuti mupewe izi, phunzirani ndikutsatira malamulo oyang'anira matenda ashuga. Mwa odwala ena, matenda ashuga a m'mimba sayambitsa kuwonongeka kwa manjenje, koma m'malo mwake kupweteka kwamatumbo, kumva kulira ndi miyendo. Werengani "Zovuta za Mapazi a shuga - Chochita." Mwanjira ina, zili bwino, chifukwa zimapangitsa odwala matenda ashuga kuti azichitira.
Zovuta za Matenda a shuga ndi Masomphenya
Matenda a shuga a retinopathy ndimavuto amaso ndi maonekedwe omwe amapezeka chifukwa cha shuga wokwezeka wamwazi. Milandu yayikulu, imayambitsa kutayika kwakukulu kwa kuwona kapena khungu lathunthu. Chifukwa cha matenda ashuga a retinopathy, anthu masauzande ambiri a zaka zogwira ntchito amakhala akhungu padziko lonse lapansi chaka chilichonse.
Chofunika koposa, ndi matenda ashuga, kuwonongeka kowopsa m'masomphenya kapena khungu lathunthu kumatha kuchitika mwadzidzidzi. Kuti izi zisachitike, odwala omwe ali ndi matenda amtundu woyamba 1 amayenera kuyesedwa ndi a ophthalmologist kamodzi pachaka, makamaka kamodzi pamiyezi isanu ndi umodzi. Komanso, sikuyenera kukhala wamba ophthalmologist ku chipatala, koma akatswiri a matenda a shuga a retinopathy. Madotawa amagwira ntchito kumalo osamalirira odwala matenda ashuga. Amachita zoyeserera zomwe ophthalmologist kuchokera ku chipatala sangathe kuchita ndipo alibe zida za izi.
Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri ayenera kuyesedwa ndi a ophthalmologist panthawi yodziwitsa, chifukwa nthawi zambiri anali ndi matenda a shuga "mwakachetechete" omwe amapangidwa kwa zaka zambiri. Ndi matenda amtundu wa 1 shuga, tikulimbikitsidwa kuti mudzayendere katswiri wa ophthalmologist patatha zaka 3-5 atatha matendawa. Dokotala wamaso akuwonetsa kuti muyenera kumuyang'anitsanso kangati kuchokera kwa iye, kutengera ndi momwe maso anu adzakhalire. Izi zitha kukhala zaka ziwiri zilizonse ngati matenda a retinopathy sanapezeke, kapena pafupipafupi, mpaka kanayi pachaka ngati chithandizo chofunikira chikufunika.
Chifukwa chachikulu chomwe chimapangidwira matenda a shuga a shuga ndi shuga wambiri. Poyeneranso, chithandizo chachikulu ndikugwiritsa ntchito bwino mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa chithandizo cha matenda ashuga. Zina ndizomwe zimakhudzidwa ndikupanga izi. Udindo wofunikira umachitika ndi chibadwidwe. Ngati makolo anali ndi matenda a shuga a retinopathy, ndiye kuti ana awo ali pachiwopsezo chowonjezereka. Pankhaniyi, muyenera kudziwitsa ophthalmologist kuti akhale wogalamuka makamaka. Kuti muchepetse kuwonongeka, wodwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa magazi ake (momwe angachitire izi) ndikusiya kusuta.
Kuphatikiza pa retinopathy, zovuta zina za matenda osokoneza bongo za m'maso ndizomwe zimachitika glaucoma. Glaucoma ndimatenda owonjezereka mkati mwa diso. Cataract - mitambo ya mandala (mandala). Mavuto onsewa amathanso kukuchititsani khungu ngati simunachiritsidwe. Ophthalmologist pamayeso amayenera kuwunika kuchuluka kwa kukakamiza kwa intraocular ndikuwunika ma lens, osangojambula zithunzi zokha. Werengani nkhani zatsatanetsatane:
Matenda a shuga
Matenda a shuga ndi matenda a shuga. Monga mukudziwa, impso zimasefa zinyalala m'magazi, ndikuzichotsa ndi mkodzo. Impso iliyonse imakhala ndi maselo apadera pafupifupi miliyoni miliyoni, omwe ndi mafayilo amwazi. Magazi amayenda kudzera mwa anzawo. Zosefera za impso zimatchedwa glomeruli. Mu odwala matenda ashuga, aimpso glomeruli amawonongeka chifukwa cha kuchuluka kwa glucose m'magazi omwe amayenda kudzera mwa iwo. Zosefera, impso zamagetsi zimasokonezeka, chifukwa ma protein omwe amalowa mkodzo kuchokera m'magazi, omwe nthawi zambiri sayenera kupitako.
Choyamba, kuthothoka kwa mamolekyulu amapulogalamu ochepa kwambiri. Shuga wambiri akamawononga impso, kukulira kwa molekyulu ingapezeke mkodzo. Pa gawo lotsatira, osati shuga wamagazi okha, komanso kuthamanga kwa magazi kumakwera, chifukwa impso sizitha kuthana ndi kuchotsedwa kwamadzi ambiri mthupi. Ngati simumamwa mapiritsi omwe amachepetsa kuthamanga kwa magazi, ndiye kuti matenda oopsa amathandizira kuwonongeka kwa impso. Pali bwalo loipa: kuchuluka kwa matenda oopsa, impso zimawonongeka msanga, komanso kuti ziphuphu zowonongeka kwambiri, magazi ake amawonjezeka, ndipo amayamba kugonjetsedwa ndi mankhwala.
Monga matenda a shuga a m'mbuyomu amakula, mapuloteni ochulukirapo ofunikira m'thupi amatulutsidwa mkodzo. Pali kuchepa kwa mapuloteni m'thupi, edema imawonedwa mwa odwala. Mapeto ake, impso zimasiya kugwira ntchito. Izi zimatchedwa kulephera kwa impso. Zikakhala choncho, kuti wodwalayo apulumuke, amafunika kuchitidwa dialysis pafupipafupi kapena kuchitidwa opaleshoni ya impso.
Padziko lonse lapansi, anthu zikwizikwi pachaka amatembenukira ku mabungwe ena othandizira chifukwa amalephera impso chifukwa cha matenda ashuga. Ambiri mwa "makasitomala" ambiri a madokotala ochita opaleshoni ya impso, komanso malo opangira dialysis, ndi odwala matenda ashuga. Kuthandiza kulephera kwa impso ndikokwera mtengo, kupweteka, ndipo sikupezeka ndi aliyense. Mavuto a shuga a impso amachepetsa nthawi yomwe wodwalayo amakhala ndi moyo komanso amachepetsa mphamvu yake. Njira zoyendetsera matenda osokoneza bongo ndizosasangalatsa kotero kuti 20% ya anthu omwe amawatsatira, pamapeto pake, amawakana mwakufuna kwawo, podzipha.
Udindo wofunikira pakukula kwa zovuta za matenda a shuga mu impso ndi chibadwidwe. Ngati makolo akudwala matenda ashuga a nephropathy, ndiye kuti ana awo ndiwotheka kwambiri. Komabe, ngati mukusamalira thanzi lanu pakapita nthawi, ndiye kuti kupewa kulephera kwa impso mu mtundu woyamba wa 2 ndi mtundu wa 2 ndikwachidziwikire, ngakhale mutalandira majini osakwaniritsidwa. Kuti muchite izi, muyenera:
Matenda a shuga ndi impso: zolemba zothandiza
Ngati matenda oopsa ayambika ndipo sangathe kuyang'aniridwa popanda mapiritsi a "mankhwala", ndiye muyenera kuwona dokotala kuti akupatseni mankhwala - ACE inhibitor kapena angiotensin-II receptor blocker. Werengani zambiri zamankhwala othandizira odwala matenda ashuga matenda ashuga. Mankhwala ochokera m'makalasi amenewa samangochepetsa kuthamanga kwa magazi, komanso ali ndi chotsimikizika choteteza impso. Amakulolani kuti muchepetse gawo lomaliza la kulephera kwa impso kwa zaka zingapo.
Kusintha kwawonekera kwa odwala omwe ali ndi matenda amtundu wa 2 komanso amtundu wa 2 ndiwothandiza kwambiri kuposa mankhwala chifukwa amachotsa zomwe zimayambitsa kuwonongeka kwa impso, osati "kungodumphitsa" zizindikiritso. Ngati mungalangize pulogalamu yanu yothandizira odwala matenda ashuga kapena mtundu wachiwiri wa matenda ashuga komanso kukhalabe ndi shuga, ndiye kuti matenda ashuga sangakuopsezeni, komanso mavuto ena. Zochita zomwe timalimbikitsa zimalimbikitsa shuga wamagazi ndi kuthamanga kwa magazi kuti zikhale zabwinobwino.
Mitsempha yamagazi imasweka bwanji
Ngati matenda a shuga sawongoleredwa bwino, chifukwa chomwe wodwalayo amakhala ndi shuga wambiri kwa miyezi ndi zaka, ndiye kuti izi zimawononga makhoma amitsempha yamagazi kuchokera mkati. Amakutidwa ndi ma atherosselotic zolembera, m'mimba mwake mwake, kutaya kwa magazi kudzera m'matumbo kumasokonekera. Odwala omwe ali ndi matenda a shuga a 2, nthawi zambiri pamakhala kuchuluka kwa shuga m'magazi, komanso kunenepa kwambiri komanso kusachita masewera olimbitsa thupi. Chifukwa chokhala moyo wopanda thanzi, amakhala ndi mavuto a cholesterol yamagazi komanso kuthamanga kwa magazi. Izi ndi zinthu zina zowopsa zomwe zimawononga ziwiya. Komabe, shuga wokwezeka wamwazi chifukwa cha matenda amtundu 1 kapena 2 amathandizira pakukula kwa atherosulinosis. Ndiowopsa nthawi zambiri kuposa kuyesa matenda oopsa kapena kuyesa kolesterol koyenera.
Chifukwa chiyani atherosulinosis ndiyowopsa ndipo iyenera kuyang'aniridwa kuti isawononge chitukuko chake? Chifukwa mtima, mikwingwirima ndi mavuto m'miyendo mu matenda ashuga zimayamba ndendende chifukwa ziwiya zotchinga zotsekera magazi, ndipo magazi amatuluka kudzera mwa iwo. Mtundu woyamba wa 1 komanso wa matenda ashuga 2, kuwongolera kwa atherosclerosis ndi njira yachiwiri yofunika kwambiri mutakhala ndi shuga. Myocardial infaration ndi pamene gawo la minofu ya mtima limamwalira chifukwa chosakwanira magazi. Mwambiri, nthawi zambiri mtima wa munthu usanayambike, mtima wake umakhala wathanzi. Vutoli silili mumtima, koma m'mitsempha lomwe limadyetsa magazi. Momwemonso, chifukwa chosokonezeka m'magazi, ma cell a ubongo amatha kufa, ndipo izi zimatchedwa stroke.
Kuyambira 1990s, zapezeka kuti shuga ndi magazi kwambiri zimakwiyitsa chitetezo cha mthupi. Chifukwa cha izi, zinthu zambiri zozungulira zotupa zimachitika mthupi, kuphatikiza mkati mwake khoma lamitsempha yama magazi. Mafuta a cholesterol amamatira kumadera omwe akhudzidwa. Izi zimapanga mapangidwe a atherosclerotic pamakoma amitsempha yamagazi, omwe amakula kwakanthawi. Werengani zambiri za "Momwe matenda a matenda a shuga amapezekera mu shuga." Pamene kulumikizana kwa njira zotupa ndi atherosclerosis kukhazikitsidwa, ndiye kuti izi zinali zopambana zenizeni. Chifukwa adapeza zisonyezo za kutupa komwe kumayenderera m'magazi.
Tsopano mutha kuyezetsa magazi pazinthu zowopsa zamtima komanso kudziwa moyenera kuopsa kwa vuto la mtima ndi sitiroko kuposa momwe mayeso a cholesterol angachitire. Palinso njira zoponderezera kutukusira, potero kuletsa atherosulinosis ndikuchepetsa chiopsezo cha ngozi yamtima. Werengani zambiri "Kuthana ndi vuto la mtima, kugunda kwa mtima ndi matenda a mtima."
Mwa anthu ambiri, shuga wamagazi samakhazikika, koma amawuka patangotha maola ochepa chakudya chilichonse. Madokotala nthawi zambiri amatcha kuti prediabetes. Shuga amatha ndikatha kudya amawononga kwambiri mtsempha wamagazi. Makoma a mitsempha amakhala amtengo ndikuwotcha, zolembera zamtundu wa atherosclerotic zimamera pa iwo. Kutha kwa mitsempha yamagazi kupumula ndikukulitsa m'mimba mwake kuti kayendedwe ka magazi akuwonongeka. Matenda a shuga amatanthauza chiopsezo chowopsa cha matenda a mtima ndi sitiroko. Kuti mumuchiritse bwino komanso kuti musakhale ndi matenda ashuga ", muyenera kumaliza magawo awiri oyamba a pulogalamu yachiwiri ya matenda ashuga. Izi zikutanthauza - kutsatira zakudya zamafuta ochepa komanso kuchita masewera olimbitsa thupi mosangalala.
Mavuto a shuga ndi moyo wapamtima
Type 1 ndi matenda ashuga 2, ngati sawongolera bwino, ali ndi zotsatira zoyipa pa moyo wapamtima. Mavuto a matenda ashuga amachepetsa chilakolako chogonana, amachepetsa mwayi, ndikuchepetsa kukhutitsidwa. Kwambiri, amuna amakhala ndi nkhawa ndi zonsezi, ndipo zambiri zomwe zidziwitso pansipa zimawakonzera. Komabe, pali umboni kuti azimayi omwe ali ndi matenda ashuga amakhala ndi matenda a anorgasmia chifukwa cha kuwonongeka kwamitsempha. Komanso, moyo wawo wapamtima umakulirakulira chifukwa cha pafupipafupi matenda obwera ndi ukazi. The bowa omwe amachititsa kuti shuga azidyetsa kwambiri shuga, ndipo odwala matenda ashuga osawoneka bwino amapanga malo abwino oti ziberekane.
Takambirana za zovuta za matenda obwera chifukwa cha matenda ashuga pa moyo wa abambo ndi momwe mungachepetse mavuto. Kukonzekera kwa mbolo yachimuna ndikovuta motero. Kuti chilichonse chitha bwino, zinthu zotsatirazi ziyenera kuchitika nthawi imodzi:
Matenda a shuga a shuga amawonongeka mitsempha chifukwa cha shuga wambiri. Itha kukhala yamitundu iwiri. Mtundu woyamba ndi kusokonezeka kwamanjenje yamatenda amanjenje, yomwe imapereka mayendedwe osazindikira. Mtundu wachiwiri ndi kuwonongeka kwa mitsempha yomwe imalowa mu autonomic mantha system. Dongosololi limawongolera machitidwe ofunikira kwambiri osadziwika bwino m'thupi: kugunda kwa mtima, kupuma, kuyenda kwa chakudya kudzera m'matumbo ndi ena ambiri. Dongosolo lamanjenje la autonomic limayendetsa kukonzekera kwa mbolo, ndipo dongosolo la somatic limayendetsa makutu amasangalalo. Njira zamanjenje zomwe zimafika kudera lamtunduwu ndizitali kwambiri. Ndipo atakhala nthawi yayitali, amakhala pachiwopsezo cha kuwonongeka kwawo mu shuga chifukwa cha shuga wambiri.
Ngati magazi akuyenda m'mitsempha ali ndi vuto, ndiye kuti, kumangika kumakhala kofooka, kapenanso palibe chomwe chingagwire ntchito. Takambirana pamwambapa momwe matenda ashuga amawonongera mitsempha yamagazi komanso momwe imayambira. Atherosclerosis nthawi zambiri imawononga mitsempha yamagazi yomwe imadzaza mbolo ndi magazi kale kuposa mitsempha yomwe imadyetsa mtima ndi ubongo. Chifukwa chake, kuchepa kwa potency kumatanthauza kuti chiopsezo cha matenda a mtima ndi stroke chikuwonjezereka. Tengani izi mozama momwe mungathere. Yesetsani kuletsa matenda a atherosulinosis (momwe mungachitire izi). Ngati pambuyo vuto la mtima ndi sitiroko muyenera kusintha kulumala, ndiye kuti mavuto omwe ali ndi potency akuwoneka kuti akukuuzani zopanda pake.
Testosterone ndi mahoni ogonana amuna. Kuti bambo achite zogonana ndikusangalala, payenera kukhala muyeso wabwinobwino wa testosterone m'mwazi. Mlingowu umachepa pang'onopang'ono ndi zaka. Kusowa kwa testosterone ya magazi nthawi zambiri kumapezeka mwa anthu azaka zapakati komanso akulu, komanso makamaka odwala matenda ashuga. Posachedwa, zimadziwika kuti kusowa kwa testosterone m'mwazi kumawonjezera maphunziro a shuga, chifukwa kumachepetsa chidwi cha maselo kuti apange insulin. Pali bwalo loipa: shuga imachepetsa kuchuluka kwa testosterone m'mwazi, ndipo testosterone yocheperako, imakhala yolimba kwambiri shuga. Pomaliza, mahomoni omwe ali m'magazi a munthu amasokonezeka kwambiri.
Chifukwa chake, matenda ashuga amakakamiza kugonana amuna m'njira zitatu nthawi imodzi:
- amalimbikitsa zotsekera zombo zokhala ndi zolembedwa za atherosulinotic,
- zimabweretsa mavuto ndi testosterone m'mwazi,
- imasokoneza kuchepa kwa mitsempha.
Chifukwa chake, sizosadabwitsa kuti amuna omwe ali ndi matenda ashuga nthawi zambiri amakumana ndi zolephera m'miyoyo yawo. Oposa theka la amuna omwe ali ndi matenda ashuga a 2 kwa zaka 5 kapena kupitilira amadandaula za zovuta za potency. Ena onse amakumananso ndi mavuto omwewo, koma samadziwika ndi madokotala.
Za chithandizo, nkhani ndi zabwino ndi zoyipa. Nkhani yabwino ndiyakuti ngati mukutsatira bwino mtundu wa 1 wa matenda a shuga kapena mtundu wa matenda a 2 a matenda ashuga. ndiye pakupita nthawi, mitsempha ya conduction imabwezeretseka kwathunthu. Kutembenuza mtundu wa testosterone m'mwazi kumakhala zenizeni. Gwiritsani ntchito ntchito imeneyi njira zomwe dokotala wamuuza, koma musagulitse katundu “mobisa” ku malo ogulitsira. Nkhani yoyipa ndiyakuti ngati mitsempha yamagazi yawonongeka chifukwa cha atherosulinosis, ndiye kuti ndizosatheka kuchiritsa masiku ano. Izi zikutanthauza kuti potency sangathe kubwezeretsedwa, ngakhale akuyesetsa.
Werengani nkhani yatsatanetsatane, "Matenda a shuga ndi Kulephera Kwa Amuna." Mumaphunzira kuti:
Ndikukulimbikitsani kuti mutenge kuyesedwa kwa magazi a testosterone, ndipo, ngati kuli koyenera, funsani dokotala momwe mungapangire kuchuluka kwake. Izi ndizofunikira kuti zisangobwezeretsanso potency, komanso kuwonjezera kuchuluka kwa maselo kuti apange insulini komanso kusintha njira ya matenda ashuga.
Matenda a shuga komanso vuto la kukumbukira
Matenda a shuga amasokoneza kukumbukira ndi ntchito zina za ubongo. Vutoli limapezeka mwa achikulire ngakhale kwa ana omwe ali ndi matenda a shuga a mtundu woyamba 1. Chifukwa chachikulu chomwe chimapangitsa kuti anthu azikumbukira matenda ashuga ndi kusawerengera bwino shuga. Komanso, ntchito yabwinobwino yaubongo imasokonezedwa osati ndi shuga wowonjezereka, komanso nthawi zambiri za hypoglycemia. Ngati ndinu aulesi kwambiri kuchitira wodwala wanu shuga ndi chikhulupiriro chabwino, ndiye musadabwe zikakhala zovuta kukumbukira zakale komanso kukumbukira zatsopano.
Nkhani yabwino ndi chakuti ngati mumatsatira mosamala mtundu wa matenda a matenda a shuga 1 kapena mtundu wachiwiri wa matenda a shuga. ndiye kukumbukira kwakanthaŵi ndi kwakanthawi kumakhala bwino. Izi zimamvekanso ngakhale ndi anthu okalamba. Kuti mumve zambiri, onani nkhani yakuti “Zolinga zakuchiritsira matenda amtundu 2 komanso matenda ashuga a 2. Zomwe ungayembekezere shuga wako ukayamba kuchita bwino. ” Ngati mukuwona kuti kukumbukira kwanu kwakulirakulira, ndiye kuti muziyamba kuwongolera shuga kwa masiku atatu kapena atatu. Izi zikuthandizani kudziwa komwe mudalakwitsa komanso chifukwa chake matenda anu ashuga adachoka. Nthawi yomweyo, odwala matenda ashuga ndi okalamba, monga anthu onse. Ndipo ndi ukalamba, kukumbukira kumatha kufooka ngakhale mwa anthu opanda shuga.
Njira yothetsera vutoli imatha kuchitika chifukwa cha mankhwalawa, omwe mbali yake imakhala yotopetsa, kugona. Pali mankhwala ambiri otere, mwachitsanzo, mainkinkiller, omwe amaperekedwa kwa matenda a shuga. Ngati ndi kotheka, khalani ndi moyo wathanzi, yesani kumwa mapiritsi ochepera "mankhwala". Kusunga kukumbukira kwazaka zambiri, samalani ndi zoletsa za matenda a atherosclerosis, monga tafotokozera m'nkhaniyi "Kupewa matenda a mtima, sitiroko komanso mtima kulephera". Atherosulinosis imatha kudzetsa ubongo mwadzidzidzi, ndipo izi zisanachitike pang'onopang'ono zimapangitsa kukumbukira.
Matenda a matenda ashuga
Type 1 and 2 diabetesics nthawi zambiri amasiya kumva m'miyendo chifukwa cha matenda ashuga. Ngati izi zikuwonekera, ndiye kuti munthu wokhala ndi khungu la kumapazi sangamvekenso kuchepa, kuziziritsa, kuzizira, kuwotcha, kufinya chifukwa cha nsapato zosavomerezeka komanso mavuto ena. Zotsatira zake, wodwala matenda ashuga amatha kukhala ndi mabala m'miyendo. zilonda, zilonda, kuwotcha kapena frostbite, zomwe sangaikayikire mpaka gangore iyamba. M'malo ovuta kwambiri, odwala matenda a shuga samalabadira ngakhale mafupa osweka a phazi.
Mu shuga, matenda nthawi zambiri amakhudza mabala amiyendo omwe samachiritsidwa. Nthawi zambiri, odwala amalepheretsa mitsempha ndipo, nthawi yomweyo, magazi amayenda m'matumbo omwe amadyetsa miyendo yam'munsi ndizovuta. Chifukwa cha izi, chitetezo cha mthupi sichitha kukana majeremusi ndipo mabala amachiritsidwa. Zotsatira zoyipa zimachitika pamene matendawa afalikira kwambiri, amakhudza ngakhale mafupa ndikupangitsa poyizoni wamagazi.
Zilonda zokhazokha za matenda ammimba am'mimba
Poizoni wamagazi amatchedwa sepsis, ndipo matenda amfupa amatchedwa osteomyelitis. Ndi magazi, tizilombo tating'onoting'ono timatha kufalikira thupi lonse, ndikupatsira matupi ena. Izi zikuopseza moyo kwambiri. Osteomyelitis ndizovuta kuchiza. Nthawi zambiri maantibayotiki amphamvu kwambiri samathandiza, ngakhale atapatsidwa mankhwala olimbitsa thupi. Pankhaniyi, kudula kwadzidzidzi konse kwa phazi kapena mwendo wonse ndi komwe kungapulumutse moyo wa odwala matenda ashuga.
Matenda a shuga angayambitse kuphwanya kwamiyendo ya phazi. Izi zikutanthauza kuti pakuyenda, kukakamizidwa kumayikidwa m'malo omwe sanapangidwire izi. Zotsatira zake, mafupawo ayamba kuyenda, ndipo chiwopsezo cha kufalikira chidzakulanso. Komanso, chifukwa cha kupanikizika kosaneneka, chimanga, zilonda ndi ming'alu zimawoneka pakhungu la miyendo. Pofuna kupewa kudula phazi kapena mwendo wonse, muyenera kuphunzira malamulo osamalira odwala ashuga ndikuwatsata mosamala.
Ntchito yofunikira kwambiri ndikutsatira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri yothandizira anthu odwala matenda ashuga. Kuchepetsa magazi anu ndikuwasunga bwinobwino. Zotsatira zake, mitsempha yodutsika komanso kumva kukoka m'miyendo kudzachira patatha milungu ingapo, miyezi kapena zaka, kutengera kuuma kwa zovuta zomwe zayamba kale. Pambuyo pa izi, matenda ammimba a shuga sangathenso kuopsezedwa.
Mutha kufunsa mafunso mu ndemanga zokhudzana ndi zovuta za matenda ashuga, oyang'anira tsamba samayankhidwa mwachangu.
Kodi ndingathetse matenda ashuga osatha?
Ziwerengero zamanyazi zikuyamba kusowa pachaka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera. Momwe mungathane ndi matendawa akufotokozedwa poyankhulana. Phunzirani zambiri. "
Chithandizo cha Cataract a shuga
Matenda a shuga ndi matenda omwe mawonekedwe ake amakhudzana ndi pafupifupi ziwalo zonse za anthu ndi machitidwe ake. Kutengera mawonekedwe amomwe matendawa amatengera, mawonekedwe owoneka ndi ziwalo zam'maso amapezeka pafupifupi onse odwala. Mafuta am'magazi samadutsa popanda kufunafuna ziwiya za fundus. Vutoli ndikuti chithandizo chamankhwala othandizira odwala matenda ashuga ndizovuta chifukwa Zizindikiro zikuwoneka kale mwa achinyamata, ndipo chidwi chawo chikukula kwambiri. Kulipiritsa kutayika kwamaso, kuonetsetsa kuti moyo wabwino wokwanira, nthawi zambiri, opaleshoni yochotsa mandala opepuka ndi njira yayikulu yothandizira.
Zoyambitsa Cataract
Cataract ndikusintha kwa mandala amaso, yomwe ndi mandala omwe amasintha chithunzicho kuti chiwone ndi gawo lake lamkati lakuwona mu ubongo. Kusintha kwa mawonekedwe a mandala a ophthalmic kumatha kuchitika pazifukwa zosiyanasiyana. Ndi matenda amtundu woyamba wa matenda a shuga, amphaka amkati amakula kangapo mwachangu kuposa matenda ashuga a 2. Koma zomwe zimayambitsa mitundu yonse ya matenda ndizofanana.
Zizindikiro za Cataract
Kuwonetsedwa kwa lens opacity mu shuga mellitus ali ndi mawonekedwe ena poyerekeza ndi omwe ali ndi vuto laukalamba. Zizindikiro zimayamba kukhala zazing'ono, kupangika kwamatumbo okhwima ndikotheka asanakwanitse zaka 35- 40, ndipo mawonetseredwe a matendawa amatha kukulitsidwa msanga.
Werengani komanso chifukwa chake khungu loyera limachitika komanso momwe mungathane nalo
Ngati pali kumverera kwazinthu zakutha kwa nkhaniyo pamafunso, chophimba pamaso pa maso, kulephera kuyang'ana bwino masomphenyawo, limodzi ndi kupsyinjika kwa maso kuti mufufuze nkhaniyo, muyenera kulumikizana ndi a ophthalmologist kuti mupeze upangiri, ndipo mukalandire chithandizo.
Dokotala adzasanthula wodwalayo mosamala, atoletsa anamnesis, kuti apereke mayeso ofunikira, ngati zotsatira zakuwunika kwathunthu zimayambitsa matenda a matenda ashuga, dokotala aganizirani za opaleshoni yomweyo kapena kulandira chithandizo chamankhwala chokhazikika, kuphatikizapo ndi endocrinologist.
Opaleshoni yamatumbo lero lero yakhala chinthu chapadera. Kuthandizira kochenjera kumeneku kwachitika m'chipatala cha microsuction ophthalmologic kwa nthawi yayitali komanso kwa odwala osiyanasiyana. Kwa odwala omwe ali ndi matenda a shuga a shuga pali zinthu zingapo zomwe zimakhudzana ndi chithandizo cha matendawa, kuphatikizapo kudzera pa opaleshoni.
Kuyambira pachiyambi chake ndikofunikira kumvetsetsa kuti ntchito yayikulu ndikuchiza matenda oyamba, matenda ashuga. Lotsatira:
Tsoka ilo, kuthekera kwa kugwiranso ntchito kwa matenda amtundu wa matenda ashuga popanda opaleshoni kumakhala kotsika kwambiri, chifukwa zizindikiro zowonekera zimachulukirachulukira. Odwala ochepa omwe ali ndi zaka zakubadwa amadwala matendawa, chifukwa chake akatswiri ambiri, posankha chithandizo, amalankhula mochitira opaleshoniyo.
Dokotala wamaso opezeka ndi matenda a shuga amathandizana kwambiri ndi endocrinologist. Wodwala amatumizidwa kukalandira chithandizo ndi opaleshoni pokhapokha ngati zotsatirazi zikumana.
- Mlingo wa shuga m'magazi umakhazikika pamlingo wovomerezeka.
- Kuwonongeka kwamawonedwe ndikochepera makumi anayi mpaka makumi asanu.
- Matenda a wodwalayo amakalipiridwa, ma concomitant pathologies sangakhale cholepheretsa kukonzanso kwa postoperative.
Mukachotsa mandala amtambo, njira zotsatirazi za opaleshoni zimagwiritsidwa ntchito: phacoemulsification pogwiritsa ntchito mtanda wa laser kapena ultrasound. M'magwiridwe onse awiriwa, mandalawo amaphwanyidwa tinthu tating'onoting'ono kudzera gawo limodzi yaying'ono ndikuchotsa gawo lachiwiri la cornea.
Werengani komanso Zizindikiro zazikulu za hypoglycemia mu mtundu 2 shuga
Zinthu Zogwira Ntchito
Ndi maopaar othandizira odwala matenda ashuga pali zinthu zingapo. Pankhani yopezeka ndi matenda a shuga, sikofunikira kuyembekezera kukhwima kwake kwathunthu, ndiko kuti, kuyang'ana mwamphamvu kwa mandala kuti muchotse. Izi zimachitika chifukwa, monga tafotokozera pamwambapa, matendawa amapita patsogolo ndipo masomphenya amachepa mwachangu.
Komanso, matenda ashuga a m'mimba amathandizirana ndi kusintha kwamatumbo m'matumbo a retina la diso - retinopathy. dziko lomwe liyenera kuyang'aniridwa nthawi ndi nthawi. Ma mandala opaque amataya katswiri wa mwayi wotere, chifukwa chake uyenera kulowedwa m'malo mwachangu ndi wowonekeratu, wokumbira. Matenda a retina mu matenda a shuga amatsogolera pakuwonongeka kwathunthu kwamawonedwe, makamaka ngati palibe chithandizo choyenera komanso kubwezeretsa boma la ziwiya.
Ntchito ya mandala phacoemulsification sakhala yoopsa, yofunikira makamaka kwa odwala matenda a shuga mellitus. Amadziwika kuti kuchiritsa mabala mwa odwala koteroko kumakhala kovuta, chifukwa chake opaleshoni yama microsuction ndiye njira yabwino kwambiri yochizira matenda amtunduwu. Opaleshoniyo imatha osapitirira mphindi 10-30, ikuchitika pansi pa opaleshoni yodwalayo, wodwalayo amakhala kuchipatala osapitirira tsiku limodzi.
Mavuto amabuka pambuyo pakuchita opaleshoni nthawi zina. Chithandizo cha opaleshoni ndiyo njira yabwino yochotsera matenda a shuga, makamaka kwa odwala azaka zazing'ono komanso ogwira ntchito.
Momwe mungachepetse msanga magazi kwa odwala matenda ashuga?
Ziwerengero za anthu odwala matenda ashuga zikuwonjezeka chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera.