Kodi kukoma kwa magazi mkamwa kungauze chiyani?

Palibe amene amakonda pakakhala mtundu wina wa kamwa. Ngakhale kukoma kwa chakudya chomwe mumakonda sikuyenera kupitirira kuposa mphindi 10-15 mutatha kudya, koma ndinganene chiyani ngati zipatso za lilime zikukuwuzani kuti mwanyambita batire? Kuti muthane ndi chidwi chazitsulo, muyenera kudziwa zomwe zimayambitsa. Tilankhula za izi.

Zomwe zimayambitsa kukoma kwachitsulo mkamwa

Zifukwa zosiyanasiyana zimatha kuyambitsa zitsulo pakamwa. Mothandizirana, amagawika m'magulu:

1. zomwe sizikugwirizana ndi matenda.
2. chifukwa chotenga mankhwala osokoneza bongo
3. kuwonetsa kukhalapo kwa thupi la masinthidwe a pathological omwe amafunikira chithandizo.

Amayi ali ndizomwe zimayambitsa kwambiri chizindikiro ichi kuposa abambo. Amalumikizidwa ndi zochitika zakuthupi monga kusamba, kusamba, kubereka.

Kodi kukoma kumapangidwa bwanji?

Chiwalo chachikulu chomwe chimazindikira kukoma ndi chilankhulo: chili ndi masamba pafupifupi 2,000 omwe amatchedwa "masamba" (amatchedwanso zipatso). Ena mwa mababu awa amakhala pakamwa, pakhosi komanso epiglottis - cartilage yomwe imapachikika pamalopo ndikutseka chitseko chake nthawi yomweyo munthu akam'meza chakudya (kuti chakudya chisalowe mundime yopumira).

Mababu okoma amapezeka mkati mwazokoma za kukoma. Omaliza amasiyana pakawonekedwe kawo. Chifukwa chake, amasiyanitsa papillae wokhala ndi masamba komanso owoneka ngati masamba (mwa iwo alipo masamba ambiri okoma), papillae wooneka ngati bowa (ali ndi masamba owerengeka) ndi filiform papillae (satenga nawo mbali pakapangidwe ka kukoma). Mphukira yolawa yakonzedwa motere: pali mitundu iwiri ya maselo mmenemo - kulawa ndi kuthandizira. Selo lililonse la kukoma limakhala ndi kutha kwa mitsempha. Kuchokera kumbali ya mucous nembanemba mkamwa mu impso pamakhala chitseko chomwe mankhwala atha kulowa ndikukumana ndi maselo a kukoma.

Mitsempha yokhala kumapeto kwa mitsempha ingapo imapita molunjika kumaselo a lilime: mu 2/3 ya lilime, nthambi yam'maso "ikulamulira", kumbuyo kwachitatu - mitsempha ya glossopharyngeal. Omaliza amaphatikizanso zidziwitso za kukoma kwa papillae komwe kumakhala pamwamba komanso m'matchalitchi a palatine (nyumba zomwe zili kutsogolo kwa matoni). Kuchokera papillae amodzi pa epiglottis ndi cartilage a larynx, chidziwitso cha makomedwewo chimapita ku ubongo limodzi ndi mitsempha yayitali kwambiri - nyini, nthambi zomwe zimayandikira pafupifupi ziwalo zamkati, zimalamula dongosolo lamitsempha lamitsempha. Mwachidziwikire, ndi ubale womwewu womwe umatsimikizira kukoma kwazitsulo mkamwa mwa matenda a ziwalo zina zamkati.

Osati paliponse pa lilime momwemo mumamva kukoma kulikonse: masamba ake amakoma amagawa kuti nsonga yake imve kukoma kwambiri, pakati ndikuphika, m'mphepete mwa lilime mumasamala kwambiri wowawasa komanso wamchere. Muzu wa lilime umamangidwa ndi ma receptors omwe "amagwira ntchito" ndi kukoma kowawa. Nthawi zambiri, chakudya chimakhala ndi zovuta, chifukwa chake, masamba ambiri amakumana nthawi yomweyo - mawonekedwe osakanikirana amadzuka.

Kukomerako kudzatanthauzanso kugwiritsidwa ntchito kwa zinthu zazikulu (zotsekemera, zamchere, zowawa kapena zowawasa) muzakudya zomwe zadyedwa, pamalo a lilime lomwe lakhudzidwa ndi kukondoweza, kutentha kwa zakudya zotere.

Kukoma kumapangidwa pamene chinthu chikufika ku receptor yolumikizana ndi mapuloteni ena, omwe ndi mtundu wa "womasulira" kuchokera ku chilankhulo cha mankhwala kupita ku chilankhulo cha mitsempha. Mchere ndi ma acids amatha kuchita popanda mkhalapakati wotere: iwonso "amatanthauzira" fiber yamitsempha kukhala yosangalala.

Zomwe siziri matenda zomwe zimapangitsa kuti pakhale zitsulo

Zinthu zotsatirazi zingayambitse kuwoneka kwa chitsulo mkamwa:

1. Kugwiritsa ntchito madzi amchere odzazidwa ndi ayoni ayoni.
2. Kumwa madzi apampopi akamadutsa mapaipi achimbudzi kapena kuchokera pampopi yomwe yadzala mkati, ndikupangitsa kuti ikhale yodzadza ndi chitsulo.
3. Zovala zachitsulo pambuyo poyika mano kapena kuphatikizira zatsopano zitha kuchitika munthu akadya zakudya za acidic (kapena akumwa zakumwa za acidic). Potere, kukoma kudzakhala chifukwa cha zomwe zimachitika pakati pazitsulo ndi acid acid. Ngati ma prosthes amenewo anali atayimirira kale, ndipo munthuyo nkuyika zina zowonjezera kuchokera ku chitsulo china, ndiye kuti chosemacho chosasangalatsa chotsatira chidzayambitsidwa ndi zomwe zimachitika pakati pazitsulo ziwirizi. Pankhaniyi, mutha kumva kukhudzika kofowoka kwa ma prostheses: pogwiritsa ntchito malovu, magetsi adatulukira pakati pawo.
4. Kuphika zakudya zamafuta ambiri a aluminiyamu kapena cookware yachitsulo kumatha kubweretsanso mkamwa pazitsulo. Ndi chifukwa cha zinthu zomaliza zomwe zimapangidwa chifukwa cha zomwe zimachitika pakati pazitsulo ndi asidi.
5. Kubaya malilime kapena milomo. Pankhaniyi, zitsulo zamakutu zimatha kuthana ndi chakudya / zakumwa zomwe mumakhala momwe mumakhala ma acid, ndipo ndimikongolero, mikanda kapena zodzikongoletsera zopangidwa ndi zitsulo zina.
6. Ukhondo wosakwanira pakamwa pamene zolembera kapena tartar zipangika palilime kapena mano.
7. Kulumikizana kwamuyaya ndi zokongoletsera zazitsulo zazikulu, maulonda kapena zibangili zachikopa.

Chonde dziwani: zomwe zimayambitsa kulawa kwazitsulo mkamwa kumatha kukhala matenda a chingamu, kuwola kwa dzino, kapena pulpitis yomwe imachitika pansi pa korona. Njira ngati imeneyi siyikhala ndi ululu: asanaikidwe ma prostheses otero, mitsempha imachotsedwa.

Ngati kukoma kwazitsulo kumawonekera mwa mayi wapakati

Maonekedwe amtundu wotere panthawi yapakati akhoza kunena chimodzi mwazinthu zitatu:

• Za amodzi mwa matenda omwe afotokozedwa pansipa,
• kuti thupi lilibe chitsulo, mavitamini kapena zinthu zina zofunikira kuti mwana akule bwino,
• za kusintha pakukonzanso kwa masamba ophatikizika ndi mphamvu ya kusinthidwa kwa mphamvu ya mahomoni.

Kusankha komaliza ndikofala kwambiri. Poterepa, mayi wapakati samva ululu wam'mimba, kapena mphuno yothina, kapena kuphwanya kwamvekedwe. Pangakhale mseru (makamaka m'mawa kapena fungo / zinthu zina), kusintha kwa kukoma, kukulitsa bere komanso kuwawa. Zizindikiro zonsezi zimadziwika kuti ndizosiyanasiyana, ngati zikuwonekera sabata 12-16 zisanachitike. Pambuyo pake, akuwonetsa matenda omwe ayenera kuzindikira ndi kuchiritsidwa.

Kukoma kwazitsulo panthawi ya msambo

Pakusamba, monga nthawi yomwe ali ndi pakati, mahomoni achikazi amasinthasintha, ndipo izi zitha kuchititsa kuti pakhale kusintha kwa zipatso, zomwe zimapangitsa kutsata kwazitsulo.

Mosakayikira, zilizonse zamtundu wa pathologies zomwe zatchulidwa pansipa zimatha kuwonekanso panthawi yakusamba

Zomwe ndimankhwala zomwe zimatha kupangitsa kukhala ndizitsulo

Maganizo oti m'malo mwa chakudya chomaliza chomwe mumayenera kudya chinthu chachitsulo amayamba chifukwa cha magulu otere:

• maantibayotiki ena: tetracycline, doxycycline, metronidazole, ornidazole,
• glucocorticoids: dexamethasone, prednisone,
• mapiritsi a kudziletsa pakubala: "Janine", "Yarina", "Marvelon", "Femoden",
• kuchepetsa kupanga hydrochloric acid: omeprazole, lansoprazole, pantoprazole,
• ma statins omwe amachepetsa cholesterol yamagazi: simvastatin, atorvastatin,
• antihistamines: diazolin, tavegil, suprastin - chifukwa pakamwa lowuma,
• mankhwala ochepetsa shuga m'mapiritsi: maninil, metformin, glucophage, glibenclamide, siofor,
• Mankhwala ochepetsa magazi: capotiazide, enalapril, berlipril, phenigidine,
• Zakudya zina zothandizira kudya, makamaka zomwe zimagwiritsidwa ntchito pakuchepetsa thupi.

Zizindikiro monga chizindikiro cha poizoni

Mawonekedwe akununkhira kwazitsulo angasonyeze poizoni ndi chimodzi mwazinthu monga:

Kupha poizoni kumatha kuchitika bizinesi, mukamagwira ntchito ndi manyuzipepala, nthawi zambiri - ngati mungaphwanya thermometer ya mercury kapena ngati mwangozi, mwachitsanzo, mchere wa mkuwa kapena wa arsenic.

Pakakhala poyizoni ndi zoterezi sipadzakhala zokoma zachitsulo zokha, komanso ululu wam'mimba, ludzu, kupweteka mutu, chizungulire, mseru, kusanza, ndipo pakhoza kukhala chisokonezo.

Kukoma kwazitsulo, komwe kumatha kuphatikizidwa ndi mutu ndi chizungulire, kumatha kuchitika pambuyo poyanjana kwanthawi yayitali ndi utoto ndi varnish.

Chizindikirochi chimatha kukhalanso chifukwa cha matenda a radiation - chinthu chomwe chimayamba chifukwa chofuna kuchiritsidwa ndi ionizing kuchiritsa thupi.

Periodontitis

Ili ndiye dzina la kutupa kwa timinofu timene timagwira dzino kuti "cholandila" chake. Matendawa akuwonekera:

• magazi m`kamwa
• mamasukidwe amaso
• Kugwedezeka kopweteka kwa mano,
• akupanga zophatikizira mano.

Chifukwa cha kukhetsa magazi, kukoma kwachitsulo kumabuka.

Chuma choperewera magazi

Matendawa amakula chifukwa cha kuchepa kwa magazi (kuphatikiza chifukwa cha kusamba kwambiri), vuto la kusowa kwa chakudya m'thupi, pakakhala chitsulo pang'ono mthupi, ndimatenda am'mimba ndi matumbo, pakukayikira kwazitsulo, komanso ngati pakhale kuchepa kwa michere yomwe imathandizira pakusintha kwachitsulo. mu hem hemoglobin.

Matendawa amadzionetsera ngati kufooka, kutopa msanga, kupotoza kukoma ndi kuwoneka ngati kukoma kwazitsulo. Khungu limakhala louma, misomonso, lilime limakutidwa ndi ming'alu yaying'ono, ndipo tsitsi limakhala louma komanso lophweka.

B12 - kuchepa kwa magazi m'thupi kapena kuchepa kwa magazi m'thupi mwa folic acid

Matendawa 2 ndi ochepa mwanjira yokhala ndi kuchepa kwa magazi m'thupi. Ndipo ngakhale makina a kakulidwe kawo ndi kosiyana, ndizosatheka kusiyanitsa matenda awiriwa ndi chizindikiro chimodzi.

Amawoneka mwina chifukwa chosakwanira kudya mavitamini B12 kapena B9 ndi chakudya (ndi masamba, chiwindi ndi nyama yanyama, ndi yisiti), malabsorption a mavitamini m'matumbo (chifukwa cha matenda am'mimba ndi matumbo), pomwe zinthu zomwe ndi zotsutsana ndi izi zimalowa m'thupi mavitamini (njira zakulera, barbiturates, anticonvulsants zochokera ku valproic acid).

Matenda onsewa amawonetsedwa ndi khungu la khungu ndi tishe yachikasu, kufooka, chizungulire, kuchuluka kwa mtima komanso kuchepa kwa magazi. Ndi vuto lalikulu la kuchepa kwa magazi m'thupi la B12, kufooka kwa m'maganizo kumawonekeranso, ntchito yolumikizidwa m'mbuyomu imapezedwa nthawi iliyonse yochita, kugona, kukhumudwa, komanso kuyerekezera zinthu. Anemia wopanda magazi wa B12 amatha kukayikiridwa ndi mtundu umodzi wokha wamalirime: ndi yayikulu, yapinki-yofiyira (nthawi zina amati rasipiberi), ngati kuti yatsegulidwa ndi varnish, nthawi zambiri imakhala ikuyaka. M'makona amkamwa, kupanikizana kumawoneka.

Matenda a chiwindi

Matenda ofanana ndi zotupa zoyipa, cysts ya chiwindi, komanso hepatitis yocheperako, amatha kubweretsa kukoma pakamwa. Pankhani ya zotupa, chizindikiro ichi chitha kukhala chokhacho kwa nthawi yayitali. Neoplasm ikayamba kukula pang'onopang'ono, zimadziwika:

• kugona kapena kukwiya,
• mkodzo wakuda, ndowe zopepuka,
• kupweteka kapena kulemera pakati pamimba,
• gum magazi
• mwa akazi - nthawi yayitali
• magazi sathira magazi pambuyo povulala,
• Miyendo ndi nkhope ya munthu zimachepetsa thupi, ndipo madzimadzi aulere amatuluka m'mimba, zomwe zimapangitsa kuti zioneke ngati pali owonjezera kulemera.

Matenda a Biliary

Biliary dyskinesia, kuchulukitsa kwa cholecystitis yodziwikanso kumawonetsedwa ndikuwoneka ngati kukoma kwazitsulo. Amadziwikanso ndi mawonekedwe a ululu wosakhazikika mu hypochondrium yoyenera, yomwe imatha kupatsa scapula yolondola ndi dera lamanja la supraclavicular. Matenda amatha kuwonetsedwanso ndi kusanza, makamaka pamimba yopanda kanthu, chimbudzi, kapena kudzimbidwa. Ndi kuchulukitsa kwa cholecystitis yachilendo, kutentha kumatha kukwera mpaka kutsika (37,5 ° C).

Kulawa kwazitsulo kumatha kukhala ndi cholangitis (kutupa kwa ndulu ya intrahepatic bile, komanso kupweteka kwambiri kwa ndulu), koma motsutsana ndi maziko a ululu waukulu mu hypochondrium, nseru, kusanza, kutentha kwambiri, kuli pafupifupi kosawoneka.

Matenda a shuga

Zizindikiro zake zoyambirira nthawi zambiri zimakhala ndi ludzu, pakamwa pouma, chilimbikitso, maulendo a usiku kupita kuchimbudzi ndi kuwonjezeka kwamkodzo. Kulawa kwazitsulo mkamwa kumawonekera pamene vutolo likuipira, ndipo kumalumikizidwa ndi kuphwanyidwa kwamafuta pamene matupi a ketone (acetone) alowa m'magazi. Kulawa kwazitsulo kumatha kupangitsanso kukomoka, komwe mu shuga mumayambitsidwa ndi shuga wambiri.

Ngati munthu akudziwa kuti akudwala matenda ashuga, ndipo mwadzidzidzi amamva kukoma kwachitsulo mkamwa mwake, ayenera kuyeza mwachangu mulingo wa shuga m'magazi - kuchipatala kapena kunyumba, ngati pali glucometer. Pambuyo pa izi, chithandizo chokwanira chiyenera kuyambitsidwa mwachangu, kuphatikiza, ngakhale munthu atakhala ndi matenda ashuga a 2, otsogola ku insulin.

Gastritis yochepetsedwa kupanga acid ntchito, zilonda zam'mimba

Matendawa amadziwika ndi kuphatikiza kwa zizindikiro:

• kupweteka kwam'mimba kumanzere kapena pakati, nthawi zambiri zimakhala zopanda mawonekedwe, mutatha kudya,
• ukufalikira
• lilime lophimbidwa ndi zoyera
• ndikungotulutsa koyamba ndi mpweya, kenako nkukhala "dzira lowola",
• nseru, nthawi zina kusanza
• kudzimbidwa nthawi zambiri, koma pakhoza kukhala kutsegula m'mimba.

Zilonda za m'mimba komanso zilonda zam'mimba zimawoneka chimodzimodzi (zimasiyanitsidwa ndikuti kupweteka kumachitika kawirikawiri pamimba yopanda kanthu komanso usiku, osati pambuyo poti wadya).

Ili ndiye dzina lakutupa kwa lilime la lilime lomwe limachitika chifukwa cha kachilombo ka virus, fungal kapena bakiteriya chifukwa cha matendawa ndi kachilombo ka herpes, kuvulala, kudya zakudya zotentha, kuwotcha mankhwala (mwachitsanzo, kumwa mowa mwauchidakwa kapena kupsinjika moperewera ndi lilime la rinsing).

Zizindikiro zazikulu za glossitis ndi:

• kumva pakamwa pa mlendo,
• kuyaka kapena kupweteka lilime,
• yotsirizira imawoneka yayikulu, ya pinki-yofiyira, pakhoza kukhala zotupa kapena zilonda pa iyo,
• kukomoka kwa kukoma
• kulawa kwazitsulo
• kuchuluka kwa masisitere,
• pakhoza kukhala zosokoneza za kukoma.

Uku ndi kutupa kwa mucosa wamlomo. Matendawa amatha kuwonetsa mtundu wina wa matenda amtundu (mwachitsanzo, systemic scleroderma kapena pemphigus), koma zimachitika kawirikawiri chifukwa cha kuvulala pamene tizilombo tating'onoting'ono tikhazikika pa nembanemba yowonongeka. Candidiasis stomatitis nthawi zambiri imachitika pambuyo povomerezeka ndi maantibayotiki, ndipo ngati mwezi wotsatira munthu sanagwiritse ntchito mankhwala enaake a antibacterial, ndikofunikira kupatula boma losavomerezeka (makamaka matenda a HIV).

Matendawa amapezeka mwa mitundu ingapo yokhala ndi mawonekedwe osiyanasiyana:

1. Fomu la Catarrhal kuwonetsedwa ndi redness ndi kutupa kwa mucosa mkamwa. Munthu amamva ngati kuti phamu kapena masaya atupa, koma ndi pakamwa lotsekeka, zofooka za nkhope sizikuwoneka. Mukamayang'ana pakamwa panu pakalilole, ma membrane ofiira komanso otuluka magazi amawonekera, zimapweteka kukhudza malo awa ofiira, ndipo ndi kukakamiza mwamphamvu amayamba kutuluka magazi. Kudya ndi kumwa kumakhala kowawa, mutha kudya pH-osapatsirana (osati acidic, osati zotsekemera, osati zamchere, osati mchere) kutentha firiji. Zomwezi zimaperekanso zakumwa.
2. Mawonekedwe olimbitsa. Ngati mawonekedwe am'mbuyomu akutanthauza kutukusira kwa kamangidwe kabwino kwambiri kamkamwa, ndiye kuti pali ulcerative stomatitis imadzaza mpaka kukuya kwathunthu. Poyamba, Zizindikiro za mawonekedwe awa sizimasiyana ndi catarrhal stomatitis, koma patatha masiku 3-5 vutoli limakulirakulira: kutentha kwa thupi kumakwera, zimakhala zowawa kwambiri kudya ndi kumwa, ma submandibular lymph node amakula.
3. Aphthous mawonekedwe. Pambuyo masiku 1-2 a malaise ndi kutentha thupi, kusintha kumatulukira mwadzidzidzi pa nembanemba yamkamwa. Amawoneka ngati ozungulira mozungulira, pakati pomwe pali zokutira zoyera, imvi kapena zachikaso, ndikuzungulira - malire ofiira. Aphthae amapweteka akakhudzidwa; zipsera mawonekedwe amachira m'malo mwake.
4. Herpetic stomatitis. Imayamba ndikuwonjezereka kwa kusafa, kufooka, kuchepa kwa thupi. Poyerekeza izi, patatha masiku angapo, kusintha kumachitika ndi mucous membrane wamkamwa: kumawoneka magulu a ma vesicles, omwe amakhala opweteka kwambiri komanso osakhudza.
5. Amodzi a necrotic stomatitis. Zimachitika pamene onse a fusobacteria ndi spirochetes alowa mucosa. Nthawi zambiri zimawonedwa mwa amuna, makamaka iwo omwe amamwa mowa kwambiri, opaleshoni, ndipo amakhala opsinjika nthawi zonse. Kuyanjana kotere kwa mabakiteriya kumayambitsa zotsatirazi:
   • Chizindikiro choyamba chikukwiya,
   • Kenako amayamba kupweteka, kumva magazi komanso kutulutsa magazi,
   • Popita nthawi, vutoli limakulirakulira: munthu amayamba kufooka, kudya, kuchuluka, kusowa tulo.
   • Zilonda zam'mimba zimapezeka pakamwa, pakamwa, ndi malo omwe ali pansi pa lilime, pomwe woyamba amakhala wachikasu, kenako chikwangwani chobiriwira. Zilonda zimapweteka. Woopsa milandu, osati kokha kukula kwa magawo amodzi a mucous nembanemba kumayatsidwa, koma fupa limakhudzidwanso.

Matenda a ENT

Nthawi zambiri, kutsekemera kwazitsulo mkamwa kumachitika ndendende ndi kutupa kwa zotupa za m'matumbo, mucous membrane wa pakhosi kapena larynx, komanso mafangayi akunja otitis media. Kuyambira ndikugonjetsedwa kwa mawonekedwe amodzi, bowa amapita kwa iwo omwe ali pafupi, chifukwa chake, ziwalo zonse za ENT zimapsa.

Zizindikiro zotsatirazi zikuwonetsa matenda a khutu, mmero, kapena zamnofu:

• chikwangwani choyera pa mucous nembanemba wamkamwa ndi / kapena ma toni,
• zilonda zapakhosi
• chifuwa chowuma
• kamwa yowuma
• kupweteka kapena kusapeza bwino pamphuno ndi mbali imodzi (kangapo - kawiri),
• Maonekedwe a kumaliseche kwammphuno,
• kuchulukana kwammphuno
• kusamva
• Kutulutsa kuchokera khutu
• tinnitus
• kusintha mamvekedwe a mawu
• mphuno.

Matenda amitsempha

Monga tafotokozera kumayambiriro kuja, milomo yamkamwa ndi masamba onse amakoma amalumikizana ndi ubongo kudzera mu ulusi wamitsempha kuchokera ku misempha itatu yosiyanasiyana. Ngati kulumikizaku kukuphwanyidwa kapena ngati kusunthika kwa malingaliro otere ndi ubongo kusokonekera, kusowa kosayenera kwachitsulo kumatha kuchitika.

Kukhalapo kwa chimodzi mwazizindikiro izi kukuwonetsa kuwonongeka kwamanjenje:

• mawu amphuno
• kuvuta kumeza pamene dokotala wa ENT sawona kusintha kwamkamwa kapena pharynx,
• kuphwanya kwamaso kwa nkhope kapena miyendo,
• "Lumbago" kupweteka m'dera linalake la nkhope lomwe limadzipangira lokha komanso kukakamiza kuthana ndi zotulukapo zamitsempha yamafiti atatu,
• mawonekedwe a nkhope,
• Kuthothira zikope
• kunjenjemera kwa zikope
• kugwirana chanza
• kukumbukira, kumva,
• mutu.

Matenda ambiri amitsempha amatha kuyambitsa mawonekedwe a zitsulo. Pakadali pano, kulumikizana kwa chizindikiro ichi ndi matenda a Alzheimer's (monga chimodzi mwazizindikiro zoyambirira) zomwe zikupezeka mu dongosolo lamanjenje, komanso matenda am'mimba ambiri.

Kumaoneka ngati kutsekemera kwazitsulo mkamwa kumakhala kowopsa kwa chibayo - matenda omwe kutupa kumakhudza gawo lonse la m'mapapo. Zimadziwulula:

• kukweza kutentha mpaka madigiri 39 ndi kupitirira apo,
• kupweteka pachifuwa
• Choyamba kutsokomola kumayamba kuphwanyaphwanyidwa. Awa ndi magazi omwe amapita mwachindunji ku ziwiya zowonongeka zam'mapapu. Ndipo ndiamaye yemwe amakometsa zitsulo mkamwa,
• Zizindikiro za kuledzera zimawonekera: kufooka, nseru, kutopa, kusowa kudya,
• zimachitika
• kuchuluka kwa kupumira kumawonjezera mpweya woposa 20 pamphindi,
• ovulala kwambiri komanso ngati palibe chithandizo, munthu amakhala wopanda mphamvu, kupuma kwake kumakhala kokwanira kwambiri, milomo, misomali ndi makona atatu pakati pa mphuno ndi milomo amapeza chinthu chofiirira.

Chifuwa chachikulu cha m'mimba

Matendawa nthawi zambiri amapita patsogolo pang'onopang'ono, kwa nthawi yayitali akuwonetsedwa ndi kufooka, kuchepa thupi, kuchepa kwa ntchito, thukuta lausiku. Nthawi ndi nthawi, kutentha kumawonjezeka. Pali ziwopsezo za chifuwa chonyowa, koma sizivutitsa munthu. Ndi chifuwa chimatuluka sputum ndi magazi, omwe amapereka zitsulo pambuyo. Magazi amawonekera pamene chiwonongeko cha minofu yamapapu chikuchitika mchikakamizo cha njira yotupa.

Nthawi zina, chifuwa chachikulu chimatha kukhala ndi koopsa. Kenako imasiyana pang'ono ndi chibayo chowononga. Kuzindikira kumatha kupangidwa kokha ndi kuyesedwa kwa sputum.

Chotupa

Matendawa nthawi zambiri amakhala opsinjika wa chibayo, pomwe patsekeke lodzala ndi mafinya m'mapapo. Fungo lamphamvu, kupweteka mutu, chifuwa, kusowa chilala, kugona. Ngati pathumba lolumikizana limalumikizana ndi bronchus, sputum sputum imatsokomola - mwanjira imeneyi thupi limayesetsa kuyeretsa chiwalo chake chimodzi chofunikira pamoyo. Pakachotsa chotupa mu bronchus, mitsempha yamagazi imavulazidwa, ndiye kuti magazi amawoneka m'kati, ndipo kakomedwe kamakhala ndi zitsulo mkamwa.

Bronchiectasis

Awa ndi dzina la matenda omwe bronchi amakula ndikuwonongeka, ndipo njira zotupa zimachitika kawirikawiri mucous membrane wawo. Itha kuyamba chifukwa cha kufalikira kwa kukhoma kwa bronchial, kapena kumatha chifukwa cha chifuwa chachikulu, bronchopneumonia, chifuwa chachikulu kapena chifuwa cham'mapapo.

Matendawa amawonekera ndi kutsokomola kosalekeza ndi kutsokomola kwa puritive komanso fungo lonunkhira. Sputum imakhala yochulukirapo m'mawa (mutakhala pamalo opingasa), komanso ngati mutagona mbali yomweyo pomwe mapapu ali athanzi ndikutsitsa mutu wanu pansi (sputum imakhetsa). Chifukwa cha kutsokomola kosalekeza, mitsempha yamagazi yomwe imakhazikika mkati mwake imaphulika, ndipo magazi ochulukirapo kapena ocheperako amalowa mkati mwa sputum, omwe amapereka kukoma kwazitsulo.

Pulmonary matenda oopsa

Izi zimatchedwa kuwonjezeka kwa kukakamiza mu ziwiya zomwe zimanyamula magazi kupita ku mapapu. Zimachitika chifukwa cha matenda a systemic, vuto la mtima, zolakwika pakukula kwa mapapu.

• kutsokomola
• kuyamwa kwamawu
• kutopa pakuchita masewera olimbitsa thupi,
• kupuma movutikira
• palpitations.

Kukula kwa matendawa kumawonetsedwa ndi chizungulire komanso kukomoka, kenako hemoptysis, kupweteka kumbuyo kwa sternum, kutupa kwa miyendo, kenako thupi lonse, kupweteka kwa hypochondrium yoyenera. Zovuta za pulmonary edema zimatha kuchitika, zodziwika ndi kukhathamira, kutsokomola kwa sputum ya pinki, kumverera kosowa kwa mpweya, kukwiya. Nthawi yomweyo, ndikofunikira kuyitanitsa ambulansi mwachangu kwambiri, kuwonetsetsa kuti pakhale mpweya wabwino, kukhazikika munthu kuti miyendo yake izituluka pakama, ndipo ngati kuli kotheka, kulola mowa kuti upangitse 1: 1 kuchepetsedwa ndi madzi kudzera pa nebulizer.

Cystic fibrosis

Matendawa amakula ubwana, pamene chifukwa cha chilema mu enzyme inayake, onse osakhala endocrine (amatchedwa exocrine) gland ya thupi ayamba kubisa chinsinsi. Ikhoza kumayikiridwa mwa ana omwe nthawi zambiri amakhala ndi vuto la bronchitis / chibayo ndikumakhosomola makulidwe, masikono otupa, amatha kukhala ndi bronchial blockriers syndromes, popeza sputum yolimba ndiyovuta kuchotsa ku bronchi ndi midadada (imapangitsa kutsekeka) lumen. Chifukwa cha kuperewera kwa oxygen kwa mwana, zala zimasintha: zimalimba kumapeto kwake, ndipo misomali imakhala ngati magalasi alonda. Chifuwa chimakhalanso chopunduka: "keel", "mawonekedwe owoneka ngati mawonekedwe" amawonekera, kapena amakhala ngati mbiya.

Matendawa amakhala ndi maphunziro osachiritsika, koma ngati mutsatira zakudya ndikumatenga ma enzyme monga "Creon" kapena "Mezim" ndikotheka kusintha moyo wabwino ndikuwonjezera kufikira pafupifupi.

"Metal" mkamwa

Munthu aliyense amadziwa zomwe magazi amakonda. Ndikofunika kuluma lilime lanu, kuvulaza mano anu kapena kuchezera mano, chifukwa pakamwa padzaza ndi malovu amchere ndi magazi. Chifukwa chiyani akuti ili ndi fungo komanso kakomedwe ka chitsulo, chifukwa chitsulo kapena mkuwa sukununkhira?

Hemoglobin, utoto wamagazi ofiira womwe umakhala ndi ayoni azitsulo, ndiye umayambitsa gawo la "zitsulo". Akamacheza ndi mamolekyulu amafuta, amaperekanso "chitsulo" chomwecho.

Kodi kukoma kwa magazi kumawoneka bwanji mkamwa?

Zomwe zimapangitsa kuti pakhale kosangalatsa pambuyo pamlomo pakamwa ndizosiyana.

• Magazi pamlomo wamkamwa amawonekera, nthawi zambiri, chifukwa chovulala pakamwa, m'kamwa, m'kamwa. Zovulala zazing'ono zimachira pazokha, kwakanthawi. Saliva ndi antiseptic wachilengedwe, kupha tizilombo toyambitsa matenda malo owonongeka sikofunikira.
• Magazi atsopano a pakhosi ndi chizindikiro choopsa. Zomwe zimayambitsa magazi kutuluka kwam'mero ​​ndizosiyanasiyana:

1. Kuwonongeka kwa larynx, esophagus ndi mankhwala,
2. Wotentha ndi zakumwa zotentha, nthunzi,
3. Kuvulala, kuwonongeka kwa makina,
4. Matenda am'mimba
5. Matenda opatsirana
6. Kuwonongeka kwa minofu ndi chifuwa chowuma

• Matenda a mano amatsogolera kukhetsa magazi m'mkamwa: gingivitis, periodontitis, stomatitis, njira zotupa zimafunsana ndi dotolo wamano. Matenda a mano ndi mano zimayang'aniridwa mosamala ndi mankhwala othandira mano, akumatsuka ndi zitsamba.
  Ndikofunikira kusankha mswaki woyenera womwe suvulaze bala. Chitani chithandizo chamankhwala chapakamwa. Kugwiritsa ntchito mankhwala kumathandizira kuchepetsa kuwonekera kwa matendawa.
• Kulawa mkamwa, wofanana ndi magazi, kungayambitse mankhwala. Maantibayotiki, ma antihistamines, mankhwala okhala ndi chitsulo, mavitamini ndi ma mineral complex omwe ali ndi zotsatira zofananazo.
• Kudziwona kosalekeza kukoma kwa magazi mkamwa kungasonyeze poyizoni ndi mchere wazitsulo. Anthu omwe amagwira ntchito zamafuta am'magulu azamankhwala ayenera kulabadira kukamwa kwawo kwadzidzidzi: mercury, lead, zinc, mkuwa kumayambitsa dongosolo lamkati lamanjongo ndikuwatsogolera kuzowopsa.

Lawani magazi m'milomo m'mawa

Ngati zovuta zosawoneka zimawonekera m'mawa, mutadzuka, mutha kukayikira kukhalapo kwa matenda osachiritsika:

• Ziwalo za ENT - mphuno yam'mimba, ma polyp mu nasopharynx, kukulitsa adenoids, sinusitis, pharyngitis, sinusitis. Njira zotupa mu nasopharynx zimatsogolera kuti nembanemba imakhala yopyapyala, zilonda zimawonekera. Pakugona, ntchofu zimadziunjikira mu nasopharynx. M'mawa, mukuwomba mphuno yanu, kutsokomola kuti mutsegule ndima, nembanemba ya m'mimba imavulala ndikutuluka magazi.
• Ndi kusokonezeka kwa mphuno, mphumu ya bronchial, kupuma kwa mphuno kumalephera. Nembanemba imawuma, masamba opereka kukoma amapereka chidziwitso cholakwika.
• Kuchulukitsa kwa matenda aakulu am'mimba thirakiti. Zomwe zimapangitsa kuti m'mawa muzikhala ndi zovuta kumva kukoma ndi gastritis ndi zilonda zam'mimba, mitsempha ya varicose ya esophagus, kapamba, cholecystitis.
• Matenda a mtima dongosolo - angina pectoris, kugunda kwa mtima, ndi zina zomwe zimayambitsa kusokonekera kwa ziwiya zazing'ono za kupuma. Kutulutsa magazi koteroko kumathandizikanso ndi kupweteka mumtima, kutopa, kufupika ndi kutsokomola m'mawa.

Lawani magazi pakamwa mukathamanga

Ndi mmenenso amachitikira ambiri ochita masewera olimbitsa thupi. Atavumbula thupi kuti lizichita masewera olimbitsa thupi, anthu omwe adayamba kuthamanga, amamva kukoma kosayenera pakamwa pawo. Zimakhala zotsatira za:

1. Simungathe kupirira kuthamanga kwa magazi chifukwa chazigawo zolimbitsa thupi,
2. Microtrauma a capillaries am'mapapu, omwe amatambasuka akathamanga mwamphamvu kuposa masiku onse.

Kukoma kwa magazi "kumapereka" zitsulo zazitsulo zomwe zimapezeka mu hemoglobin. Osadandaula ndi izi. Kufunsira kuchipatala ndikofunikira pamene khosi likukutulutsa.

Kuchulukitsa kwa kukoma pa nthawi yomwe muli ndi pakati

Nthawi yapakati, kusintha kwakukulu kumachitika mthupi la azimayi. Maonekedwe a kukoma kwa magazi mkamwa ndi chimodzi mwazizindikiro zoyambira zam'mimba. Zifukwa zake ndi izi:

1. Mphepo yamkuntho imakulitsa kukoma, kupezeka kwa zakudya za zonunkhira zina, nyama zimatha kuyambitsa magazi mkamwa,
2. Zotsatira zoyipa za kutenga mavitamini ndi michere yambiri operekedwa kwa amayi apakati,
3. Kutentha pa chifuwa, mavuto ammimba omwe amakhala ndi nthawi yoyambirira kumabweretsa kukoma kosasangalatsa,
4. Kulephera kwa zakudya, kutulutsa magaziamu, mavuto a mano

Amayi oyembekezera ayenera kumayang'aniridwa ndi dokotala wazachipatala komanso kukambirana naye za zovuta zonse zosokoneza.

Zochitika modabwitsa m'thupi

Oddly mokwanira, koma mwa abambo ndi amayi, kutsekemera kwazitsulo mkamwa kumatha kuwonetsa kukula kwa magazi m'thupi.

Zizindikiro zowonjezera ndi:

• Zofooka
• Kugona
• Mutu
• Tachycardia
• Kuphwanya kukoma ndi kununkhira

Khungu louma, ludzu, chilakolako chokwanira, kuchepa kwa maonedwe owonjezera kumawonetsa mwayi wokhala ndi matenda ashuga. Zizindikiro zikawoneka, ndizofunikira kudziwa kuchuluka kwa shuga m'magazi.

Kukomoka kwa magazi mkamwa popanda chifukwa chomveka kumafunikira kudziyang'anira nokha, kuwongolera kuchipatala ndikuwunika kwam'mimba, mtima dongosolo, ziwalo za ENT.

Kuti muthane ndi malingaliro osangalatsa osangalatsa, mutha:

1. Imwani madzi okhala ndi asidi kapena idyani chidutswa cha ndimu, chipatso cha mphesa,
2. Tsuka pakamwa panu ndi madzi amchere,
3. Tiyi yokhala ndi cardamom, sinamoni, ginger ingathandize kusintha makulidwewo,
4. Tiyi yabwino, zipatso zimathandiza

Kulawa kwa magazi mkamwa nthawi zonse kumakhala chizindikiro cha zovuta zazikulu, koma mawonekedwe ake sayenera kunyalanyazidwa. Kudziwa matenda omwe chizindikiro ichi chikuwonetsa, mutha kudziwa momwe mungayimbire alamu komanso momwe mungachitire.

Lilime - limba la kuzindikira kukoma

Chilankhulo sichimangotenga nawo gawo pakupanga phokoso, komanso imayang'anira malingaliro a kukoma. Kodi zimachitika bwanji?

Pa lilime pali masamba opitilira zipatso omwe ali ndi zikwi zopitilira zikwi ziwiri. Papillae lilime limadziwika ndi mtundu wawo, komanso ndi cholinga. Pali mafilatera, bowa, tsamba komanso masamba okongoletsedwa.

Zinthu zosiyanasiyana zomwe zimalowa mumkamwa wamkamwa, ndipo, motero, pamalirime, kulowa mkati mwa phokoso lokoma, zimakwiyitsa malekezero amitsempha omwe amapezeka pamenepo. Chizindikiro chomwe chimalandiridwa ndi cholandila chimatumizidwa ku ubongo, komwe chikatha kukonzedwa chimapereka chidziwitso cha kukoma kwa chinthuchi.

Tiyeneranso kudziwa kuti magawo osiyanasiyana a lilime ndiwo amachititsa kuti munthu azitha kudziwa kukoma kwina: gawo likupereka kuzindikira kwa kukoma kwake, gawo lapakati ndi wowawasa, m'mphepete mwa lilime ndi lamchere komanso wowawasa, ndipo muzu ndi wowawa.

Kukoma kwake kumatengera zinthu izi:

• kuchuluka kwa chakudya,
• dera la lilime lomwe chakudyacho chilipo
• kutentha.

Kukoma kwa chitsulo mkamwa: zoyambitsa

Kukoma kwachitsulo mkamwa sikungokhala chifukwa cha matenda, chifukwa mwanjira imeneyi thupi limatha kuthana ndi zakunja zakunja. Zonse zimatengera kuchuluka kwamalingaliro koteroko, zomwe zimayendera limodzi ndi zomwe zimachitika.

Kukoma kwachitsulo mkamwa kumatha kuonekera chifukwa cha zinthu zotsatirazi:

• madzi amchere olemera ndi ayoni ayoni. Madzi oterewa amaperekedwa kuti athandizire kuperewera kwa chitsulo,
• madzi apampopi abwino. Munthawi ya mapaipi omwe madzi ake amapayikira kale, madzi amadzaza ndi ayoni ayoni,
• mano okuta kapena zitsulo. Ngati munthu yemwe ali ndi zitsulo zopindika kapena zodzikongoletsera amadya chakudya chama acid kapena kumwa chakumwa cha acidic, ndiye kuti ayoni amakhudzana ndi ma organic acid, omwe angayambitse kukoma mkamwa. Komanso, kumverera kofananako kumatha kuchitika ngati mano atapangidwa ndi zitsulo zosiyanasiyana, zomwe zimatha kugwiranso ntchito,
• kugwiritsa ntchito aluminium kapena cookware iron cast. Ma acid okhala ndi michere amalowa m'mayendedwe amtunduwu ndi zitsulo zachitsulo zomwe mbale zimapangidwira,
• kupezeka kwa kuboola lilime, milomo. Zitsulo zomwe zodzikongoletsera zimapangika ndi chakudya kapena zakumwa za asidi, zomwe zimapangitsa kuti pakhale pakumva zitsulo mkamwa,
• osagwirizana ndi ukhondo wapakamwa. Plaque pa lilime, caries ndi tartar amathanso kubweretsa malingaliro ofanana.
• zodzikongoletsera zazikulu zamthupi, maulonda ndi zibangili zopangidwa ndi chitsulo.

Kulawa kwazitsulo mkamwa panthawi yapakati

Mwa azimayi, kuwuma kwachitsulo kumawonedwa nthawi zambiri mukakhala ndi pakati, mawonekedwe ake amafotokozeredwa ndi izi:

• kuchuluka kwa matenda osachiritsika,
• kuchepa kwachitsulo
• kusowa kwa mavitamini ndi michere mthupi la mkazi,
• Kusintha kwa kulingalira kwa zolandilira kukoma motsutsana ndi maziko a kusintha kwa mahomoni m'thupi.

Kumaoneka ngati kamwa kotere mkamwa kumatha kutsagana ndi vuto la mseru, makamaka mukayamba m'mawa kapena mukakumana ndi mafungo kapena zakudya. Komanso, amayi apakati amatha kuwona kusintha pakukonda, kukhudzika kwa chidwi komanso kuwonjezeka kwa ma tezi a mammary.

Zizindikiro zina, monga ululu wam'mimba, mphuno, kutsokomola, kuwawa mkamwa kapena kutsekemera, sizili choncho.

Zizindikiro zomwe zalembedwazo zimawoneka ngati zabwinobwino mu trimesters yoyamba ndi yachiwiri, koma mawonekedwe awo mu trimester yachitatu akhoza kukhala chizindikiro cha matenda. Chifukwa chake, ngati mukukhudzidwa ndi izi, dziwitsani dokotala wanu wofufuza kuti athetse matendawa kapena kuti ayambe kulandira mankhwala panthawiyo.

Kukoma kwazitsulo mkamwa mwa akazi omwe ali mu kusintha kwa msambo

Pakusiya kwa thupi, thupi la mzimayi limasinthidwa kwambiri momwe thupi limasinthira, zomwe zimakhudza zochita za ziwalo zonse. Chifukwa chake, nthawi zambiri, azimayi amadandaula za kusuntha kwazitsulo pakamwa kapena pakanthawi.

Komanso, kusamba kumatha kuyambitsa matenda ochulukirapo, chimodzi mwazizindikiro zake ndiko kulawa kwazitsulo mkamwa. Komanso, kuchepa magazi, komwe kumakonda kuchitika nthawi ya kusamba, kumatha kuyambitsa izi.

Kukoma kwazitsulo mkamwa mwa amuna mutathawa

Osati amuna okha, komanso azimayi atathamanga kwambiri, makamaka pamtunda wautali, samazindikira kukoma kwachitsulo kamilomo yawo. Izi zitha kufotokozeredwa ndi zifukwa ziwiri, izi:

• chifukwa chogwiritsa ntchito kwambiri thupi, ma capillaries am'mimba omwe amapumira komanso mapapu amavulala,
• chifukwa cha kulimba kwamphamvu kwakuthupi, ma capillaries amkamwa amatha kupindika, ndikuwachititsa kuti athetse magazi.

Kukoma kwachitsulo mkamwa, monga chizindikiro cha matendawa

Nthawi zambiri kulawa kwachitsulo mkamwa kumatanthauza kuti chinthu chalowa m'thupi, chomwe chidayambitsa poizoni. Chizindikiro chofananira chimatha kutsatiridwa ndi kuledzera ndi zebury, lead, arsenic, mkuwa, kapena zinc.

Poizoni ndi zinthu zomwe zalembedweratu nthawi zambiri zimawonedwa mwa anthu omwe amagwira ntchito m'makampani amaofesi.

Anthu omwe adayatsidwa poizoni ndi chimodzi mwazitsulo zotchulidwa, kuwonjezera pa kuphwanya kwakumaso pakamwa, adzakhalanso ndi zizindikilo zina za kuledzera, mwachitsanzo, kupweteka kwam'mimba, pakamwa pouma, ludzu, kupweteka mutu, chizungulire, kusanza, kusanza, komanso m'malo ovuta kwambiri ndizotheka. chikumbumtima.

Komanso, kuwoneka ngati kulawa kwa chitsulo mkamwa kumatha kukhala chimodzi mwazidziwitso za matenda otsatirawa:

• matenda a periodontitis kapena chiseyeye. Matendawa amadziwikanso ndi matenda amkamwa, kukhatika kwa malovu, mpweya woipa, mano osakhazikika,
• kuchepa magazi m'thupi ndi kusowa kwa chitsulo, vitamini B12 kapena folic acid m'thupi. Pankhani ya kuchepa kwa magazi m'thupi, odwala amadandaulanso za kufooka, kutopa, kuluka kwa khungu, tsitsi losakhazikika ndi misomali, kutulutsa magazi pakamwa, chizungulire, kulumala, ndi zizindikiro zina.
• matenda a chiwindi. Hepatitis, hepatocellular carcinoma, chiwindi cystosis imatha kuyambitsa zitsulo mkamwa,
• matenda a biliary thirakiti. Nthawi zambiri, cholecystitis, cholelithiasis ndi biliary dyskinesia zimatsogolera pakamwa pazitsulo. Komanso, odwala amatha kumva ululu mu hypochondrium yoyenera, kutentha kwa mtima, nseru, kusanza ndi zizindikiro zina zosasangalatsa.
• matenda ashuga. Kulawa kwazitsulo mkamwa ndi matenda a shuga kumayenderana ndi kuthamanga kwa mafuta, chifukwa chomwe matupi ambiri a ketone amapanga, omwe amalowa m'magazi,
• matenda am'mimba. Gastritis ndi zilonda zam'mimba zimatha kuyambitsa zitsulo mkamwa. Kuphatikiza apo, pali zizindikiro monga kupweteka kwa epigastric mutatha kudya kapena kupweteka m'mimba "wam'mimba", kuphwanya thupi, kusokoneza, kusanza komanso kusanza,
• kutupa kwa lilime. Matendawa amatha kukhala a viral, bacteria, fungal, mafuta kapena chikhalidwe. Odwala amafotokoza kuwawa pamalilime, kusintha kwa kakomedwe, kuchuluka kwa malovu, kufupika ndi kutupa kwa lilime,
• kutupa kwa mucosa mkamwa. Stomatitis imadziwika ndi kukokoloka, zilonda zam'mimba, aphthae kapena madera a necrosis pamlomo wamkamwa, omwe amapezeka chifukwa cha kulowetsedwa kwa kachilombo ka bacteria, virus kapena fungal.
• matenda otolaryngological. Nthawi zambiri, kulawa kwazitsulo mkamwa kumayamba chifukwa cha matenda obwera chifukwa cha mphulupulu, larynx, mmero, kapena ngalala yakunja yowonera,
• matenda a chapakati mantha dongosolo. Akatswiri amati chizindikirochi chimatha kuwonedwa mwa odwala omwe ali ndi matenda a Alzheimer's, khansa ya mu ubongo komanso ma sclerosis angapo. Kuphatikiza pa kulawa kwachitsulo mkamwa, zizindikiro zamitsempha (kuphwanya kumeza, manja akunjenjemera, amnesia, kuchepa kwa kukumbukira, kusintha kumagwirizano oyenda, etc.)
• matenda am'mapapo. Kutupa, chifuwa chachikulu ndi khansa yamapapu ndi matenda omwe angapangitse kuti pakhale chosangalatsa pazitsulo mkamwa, chifukwa kutsokomola kumatuluka mu chikhalidwe china, zomwe zimakwiyitsa masamba. Matendawa amaphatikizidwanso ndi chifuwa, zizindikiro za kuledzera, hemoptysis ndi kupuma movutikira.

Kukoma kwazitsulo mkamwa, monga mbali yamankhwala

Pali mitundu ingapo ya mankhwala omwe angayambitse kuchepa kapena kutsekemera kwambiri kwachitsulo mkamwa, ndicho:

• antimicrobials (Metrogil, Tetracycline, Ornidazole ndi ena,
• glucocorticosteroid mankhwala (Prednisolone, Metipred, Prednisolone),
• njira yolerera ya pakamwa ya mahomoni (Yarina, Femoden, Zhannina),
• maantacid (Omez, Nolpaza, Epicurus),
• mankhwala ochepetsa mafuta a cholesterol (Atoris, Simvastatin),
• mankhwala oletsa antigicgic (Suprastinex, Diazolin, Tavegil),
• mankhwala othandizira odwala matenda a shuga (Glycon, Diaformin),
• antihypertensive mankhwala (Enap, Ednit, Captopress),
• zowonjezera zachilengedwe zomwe cholinga chake ndi kuchepetsa thupi.

Chifukwa chake, tidasanthula tanthauzo la kulawa kwachitsulo mkamwa ndi chifukwa chake limapezeka. Chifukwa chake, ngati muli ndi nkhawa kwa nthawi yayitali kulawa kwazitsulo pakamwa panu, osazengereza kukaonana ndi katswiri. Choyamba, muyenera kufunsa katswiri kapena gastroenterologist, yemwe, atasanthula bwino thupi lanu, kuti adziwe zomwe zimapangitsa kuti muzimva izi ndikupereka mankhwala. Ngati ndi kotheka, dokotala adzakutengerani kwa akatswiri okhudzana: otolaryngologist, endocrinologist, neurologist, mano, etc.

Timakukondani kwambiri ndipo tikuthokoza ndemanga zanu kuti tili okonzeka kupereka ma ruble 3000 mwezi uliwonse. (pafoni kapena ku banki) kwa omwe amapereka ndemanga zabwino kwambiri pazankhani zilizonse patsamba lathu (malongosoledwe atsatanetsatane a mpikisanowo)!

1. Siyani ndemanga pa izi kapena nkhani ina iliyonse.
2. Dziyang'anire mndandanda wazopambana patsamba lathu!

Zambiri za wowawasa mkamwa ndi matenda am'mimba

Mano owawa kuchokera ku asidi samachitika nthawi zonse, koma kuwonongeka kwamino kumachitika. Kubwezeretsa mkamwa ndi madzi amchere a hydrocarbonate kumathandizanso. Kumwa mankhwala ena kumathandizanso kuti mumve kukoma kwa acid. Mwachitsanzo, amamva kwa kanthawi atabayidwa jakisoni wa nikotini.

Izi zosasangalatsa sizitanthauza chidziwitso chilichonse. China chomwe sichiri chachipatala chomwe chimapangitsa chidwi cha asidi chimatha kukhala kukhathamiritsa kwa zitsulo mano kapena korona. Ndi matendawa, nembanemba yam'mimba imayatsidwa kutupa. Zomwe zimachitika pamilandu yoposa 90% ndi bakiteriya wapadera - Helicobacter pilori.

Pali mabowo angapo mmalo mwake, kudzera amodzi mwa omwe mayesulegus amadutsa pamimba kuti athe "kuphatikizira" m'mimba momwemo. Ngati bowo likukula, gawo la m'mimba (ndipo nthawi zina limakhala lofanana!) Imalowa mkatikati mwa chifuwa. Kusamalira mosamala matendawa kumathandizanso kuti munthu asamasangalale. Komabe, ngati kuwawa sikudutsa kwa nthawi yayitali kapena kukulira, ndiye kuti izi zitha kuwonetsa mtundu wina wamatenda.

Ngakhale gawo loyambira la shuga, kukoma kwachitsulo kumamveka mkamwa. Kulawa kowawa mkamwa sikusonyeza matenda nthawi zonse. Zonunkhira zosiyanasiyana mkamwa ndizizindikiro zomwe zimatha kuonetsa matenda ambiri, makamaka chamkamwa ndi m'mimba. Kwa munthu wathanzi sayenera kukhala ndi izi. Chifukwa chake, pakamwa pamakhala zowawa - mkamwa muli mavuto.

Onaninso

• Transabdominal ultrasound Kuphatikiza apo, ma ultrasound amagwiritsidwa ntchito kuyang'anira thanzi ndi chitukuko cha mwana wosabadwayo panthawi yapakati. Pankhani ya pelvic ultrasound transvaginally, siyofunika ...
• Zithunzi zakuchotsa tsitsi la laser pamilomo yapamwamba ndikufuna kugawana nanu malingaliro amtunduwu monga kuchotsa tsitsi laser. Kuchotsa tsitsi la laser, ngati electro ndi njira. Zosayenera ... Ndidachotsa tsitsi laser ...

Zosintha zamkati zamkamwa ndi kuchepa kwa hypo- ndi vitamini

Ngati sanachiritsidwe, zizindikiro za glossalgia zimatha, koma kenako amapezekanso kudera lina. Panthawi yofufuzira, kuchepa kwa kumva kwa kupweteka m'dera lomwe lakhudzidwalo, kusintha kosasintha kwa tiziwalo totsekemera ndipo, chifukwa chake, hyposalivation imawululidwa.

Imawonekera ngati kugunda kwamphamvu, kumva kuwawa, kuwawa, kutsina lilime, kumva pakamwa pouma, kosagwirizanitsidwa ndi kudya komanso zolaula zina. Ndi glossalgia, odwala amadandaula ndi moto woyaka, kupindika ndi kuwawa mchilime. Zomverera zosasangalatsa zimatuluka nthawi ndi nthawi kapena zimakhala kwamuyaya. Monga mukuwonera, ngakhale pali matenda osiyanasiyana omwe amatsogolera kuti pakhale kununkhira kwa acidic mkamwa, zinthu zonse zomwe zimayambitsa chizindikirochi zimachepetsedwa ndikuyamba kwa asidi kuchokera m'mimba.

Chinanso chomwe chingakhale chifukwa cha kulawa koyipa mkamwa

Acetone imapereka ngati munthu akudwala matenda a impso. Monga mukudziwa, chiwalo cholumikizachi chimagwira ntchito yochotsa poizoni ndi poizoni osiyanasiyana m'thupi. Ntchito yake yosayenera imayambitsa matendawa.

Zakudya zamagetsi ndi mndandanda wotsika wa carb

Nthawi zambiri acetone imanunkhiza mkamwa ndi nephrosis. Chipangizochi chikuwonetsedwa kuti ndi kufufutira kwa impso. Ndipo pankhaniyi, matupi a ketone amapezeka, koma pang'ono pang'onopang'ono kuposa matenda a shuga.

Choyambitsa sichonso ntchito yolakwika ya chithokomiro. Chifukwa cha izi, zomwe zimapezeka mu mahomoni a gulu la chithokomiro m'magazi zimawonjezeka - ndi kusweka kwawo, mawonekedwe a acetone amawonekeranso.

Zomwe zomwe tafotokozazi sizinawululidwe pamayeso, koma fungo limatsalira, muyenera kuganizira zamomwe mumadyera. Makamaka, vuto limakonda kukhala owonjezera mapuloteni muzakudya komanso kusowa kwa chakudya chamafuta.

Mukasala kudya, nthawi zambiri pamakhala kulawa kwa acetone mkamwa. Pambuyo pokana chakudya m'magazi, kuchuluka kwa shuga komwe kumachokera m'mafuta osungidwa kumawonjezeka. Ndi kuvunda koipa, kumamveka fungo linalake.

Munthu akamamwa mowa wina, kukoma kwa acetone kumawonekera mkamwa mwake. Chowonadi ndi chakuti chiwindi, ndikuphwanya ma alcohols, chimapanga asidi acetic. Fungo limatha pambuyo poti zotsalira zonse za ethanol zichotsedwa m'thupi. Nthawi zambiri zimatenga masiku angapo.

Mitundu yawo yokhazikika imayambitsa kuwonjezeka kwa mapuloteni. Izi zimathandizanso kuti pakhale pakamwa posasangalatsa pakamwa.

Acetone, malinga ndi akatswiri, imagwira ntchito yofunika kwambiri mu kagayidwe ka anthu, koma zochulukirapo zimatsogolera kusintha kwa acid-base usawa. Zotsatira zake, wodwalayo nthawi zambiri amachepetsa thupi kwambiri. Pogwiritsa ntchito kwambiri kuchuluka kwa acetone, pamakhala ngozi osati thanzi, komanso moyo wa wodwalayo.

Zomwe zimayambitsa matenda monga mkamwa zimayambitsa zotsatira zosasangalatsa. Pamenepa, kuthana ndi vuto lokhalo lomwe lingathandize. Monga lamulo, tikulankhula za chithandizo cha masenti, komanso kuchepetsa kuchuluka kwa mabakiteriya pakamwa.

Kodi nchifukwa chiyani kukoma kokoma kumawoneka mkamwa?

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kukoma kokoma mkamwa ndi mkhalidwe wosavutikira, womwe umawonetsa kusagwira bwino ntchito mthupi. Aliyense amakonda kumva kukoma kwa mkamwa wamkamwa, koma zimayamba kukwiyitsa pamene kukomoka kwa kutsekemera kumakhala komwe kumakhala mkamwa, ndipo malingaliro amkokowo amatha kuwonongeka.

Pomaliza

Monga tanenera kale, zomwe zimayambitsa kukoma ndizosiyanasiyana. Makamaka, zimatha kupezeka mkamwa mwa munthu wogwiritsa ntchito mapuloteni. Chifukwa chake, sizovuta kuthana ndi vutoli - ndikofunikira kusintha zakudya. Ndikofunikira kusiyanitsa masamba ndi zipatso.

Mapangidwe a bilirubin achindunji komanso osalunjika

Ndi kuyanika kosalekeza pamlomo wamkamwa, kupendekera kumayenera kulimbikitsidwa. Kutafuna chingamu kumathandiza kwambiri. Mitundu yosiyanasiyana yazitsamba yazitsamba imapindulanso. Tiyi yobiriwira imatha kubwezeretsanso kupuma, imakhala ndi katundu wa antiseptic.

Chifukwa chiyani kumverera kokoma kumawonekera palilime

Zakudya zambiri zamafuta m'zakudya, kukoma kwambiri. Kulawa mkaka wokhalitsa ndi chizindikiro cha kuphwanya kwa kagayidwe kazakudya. Zakudya za calcium zopatsa mphamvu kwambiri zomwe zimakhala ndi shuga. Maphikidwe amchere, azakudya zonunkhira samva kukoma. Kukhalapo kosalekeza kwa chizindikiro ichi cha kusokonezeka kwa kukoma kumatha chifukwa cha matenda osiyanasiyana komanso kuperewera kwa zakudya m'thupi.

Kudzera mwa malovu, munthu mosalekeza amamva kukoma kwamkati pamkamwa. Kusokonezeka kosalekeza kumeneku sikwachilendo. Zimayambitsa chisokonezo, kukhumudwitsa. Kusintha kwa kagayidwe kachakudya ndi chifukwa cha izi.Ma gustatory receptors omwe ali mkati mwa milomo yamkamwa amatha kuzindikira kusokonezeka kulikonse m'thupi.

Matenda a mitsempha:

1. Pathologies amayambitsa kuphwanya kwakukulu kwa kukoma, amasintha kwambiri ntchito zamagetsi zamkati ndi zotumphukira zamanjenje. Kusagwirizana kwa kapangidwe kovuta kumatha kuyambitsa chisokonezo.
2. Pali kutsekemera kwachitsulo kapena kosazolowereka kwachitsulo, monga masamba omwe amatulutsa omwe amatulutsa chidziwitso cha kukoma kuchokera ku epiglottis ndi mmero mpaka ku ubongo amawonongeka.

Endocrinological matenda - matenda ashuga:

1. Chizindikiro cha vuto losakhazikika pophwanya carbohydrate metabolism, kuchuluka kwamphamvu kwa glucose m'magazi mu mawonekedwe osalamulirika ndikumakhala kokoma kosalekeza mkamwa.
2. Kusagwirizana kwina kwa shuga kumawonedwa ngati njira yopangira insulin ikasokonekera, zovuta zazikulu zimayamba. Izi zimapangitsa kukoma kwa m'mkamwa kutsekemera. Njira yolowera shuga m'mitsempha ndi m'mitsempha yamagazi ndi malovu imasokonezeka motere.
3. Odwala omwe ali ndi matenda ashuga nthawi zambiri amawona kupezeka kwa kusakomeka mkamwa, chifukwa mitsempha yachiphuphu imawonongeka ndi neuropathy.

1. Kukhudza, kulawa, kununkhiza ndi ntchito zamaganizidwe zomwe zimayendetsa dongosolo lamanjenje lathupi kudzera mu minyewa yamanjenje. Ubongo umalandirabe ziwonetsero zamagetsi zomwe zimagwirizanitsidwa ndi chizindikiro cha kukoma, popeza ulusi wamanjenje ambiri umapita ku ziwalo.
2. Kukoma kosalekeza pamlomo wamkati nthawi zambiri kumawonekera chifukwa cha kuwonongeka kwa ubongo, kumasintha pakuchitika kwa mitsempha.

Matenda owopsa a Pseudomonas airway:

1. Ikalowa m'thupi la munthu, tizilombo toyambitsa matenda Pseudomonas aeruginosa timayambitsa kukula kwa ma pathologies osiyanasiyana osalumikizana. Ngati muli ndi vuto lalikulu la matenda a sinus, kupweteka pachifuwa, matenda a m'makutu, minyewa yamkamwa imayamba.
2. Pali kutaya kwa kukoma. Kusintha kwakumaso kumeneku ndi zotsatira zoyipa za matenda a sinus.

Pancreatitis, kudzimbidwa,

1. Zikondamoyo zimayambitsa njira zambiri mthupi. Ngati chinsinsi ichi chimapereka chizindikiro cha SOS, mkati mwa sternum m'mawa mumakhala kutentha, kuyabwa m'mimba, kutentha kwa mtima. Zomvekera zonyansa zimatha nthawi yayitali, kuphwanya chimbudzi chokwanira.
2. Kusokonezeka kwa chiwindi, kuwonongeka kwa kapamba, kudzimbidwa, kupindika m'mimba, mavuto a chimbudzi kwa odwala omwe ali ndi asidi reflux atatha nthawi yayitali tchuthi kumayambitsa kukhalapo kwa kukoma kwakumaso, pomwe acid yomwe ilipo m'mimba imakwera mpaka kummero. Kupweteka kumachitika kawirikawiri pachifuwa cha wodwala. Kugunda kosasangalatsa kumawonekera.

Zilonda zamagetsi amisempha:

1. Kachilomboka komwe kamalowa mthupi la munthu kumayambitsa kukula kwa meningitis yoopsa komanso encephalitis. Kuwonongeka kwakukulu kwa mitsempha kumachitika.
2. Zochita zam'maselo am'mitsempha zimatha kusokonekera, kuthekera kumamva kukoma kumalephera.

Poizoni wa mankhwala:

1. Kulemala pachimake ndi kuwoneka ngati kukoma kokoma kwa shuga kumachitika chifukwa cha kulowa kwa phosgene, mankhwala ophera tizilombo, ndikuwatsogolera mthupi. Chizindikiro cha kuledzera kosatha kumawerengedwa kuti ndiko kutsekemera komanso mkaka wowawa pamlomo wamkati, kukwiya, kutopa, komanso kugona.
2. Ngati poyizoni akuwakayikira, amafunikira chithandizo chamankhwala. Vutolo ndi kukoma lidzathetsedwa lokha ngati choyambitsa poizoni chithe.

Kukoma kokoma pakamwa ndi chizindikiro cha mavuto a mano:

1. Stomatitis, matenda a periodontal, caries nthawi zambiri amayenda limodzi ndi mawonekedwe a tizilombo toyambitsa matenda m'thupi. Pseudomonas aeruginosa mwachangu zimagwira mucous nembanemba wamkamwa.
2. Izi zimayambitsa kumverera kwa shuga mumkamwa.

Momwe mungayikire kuti mupezeke ndi kuphatikiza kwa zizindikiro

1. Ngati munthu ali ndi mseru komanso kulawa kwazitsulo, akhoza kukhala:
   • gastritis yotsika acidity,
   • kuchuluka kwa matenda a cholecystitis,
   • biliary duct dyskinesia,
   • poyizoni ndi mchere wamkuwa, arsenic kapena mercury.
2. Chizungulire ndi zitsulo kukoma:
   • poyizoni wazitsulo,
   • kuchepa magazi
   • matenda amitsempha
   • matenda a chiwindi: hepatitis, cirrhosis, zotupa kapena chiwindi.
   • matenda limodzi ndi kuledzera: chibayo, mapapo, bronchiectasis.
3. Ngati zovala zachitsulo zimawonekera mutatha kudya, izi zitha kutanthauza:
   • kusintha kwa korona kuchokera pazitsulo zosiyanasiyana,
   • zochita pakati pa korona / brings ndi kuboola,
   • biliary dyskinesia, cholecystitis,
   • gastritis
   • zilonda zam'mimba
   • matenda matumbo.
4. Kuphatikizika kwa kuwawa mkamwa ndi kutsekemera kwazitsulo kumawonetsa matenda a chiwindi, chikhodzodzo kapena dongosolo la biliary.
5. Kulawa kwazitsulo pamene kutsokomola kumatha kutsagana:
   • chibayo
   • chifuwa chachikulu cha m'mapapo
   • pulmonary cystic fibrosis,
   • matenda oopsa a m'mapapo
   • matenda a bronchiectatic,
   • chotupa cha m'mapapo.
6. Mutu ndi kutsuka kwazitsulo kumachitika ndi:
   • poyizoni ndi mchere wamchere,
   • kuchepa kwa magazi m'thupi,
   • matenda limodzi ndi kuledzera: pachimake bronchitis, chibayo, chifuwa, chifuwa chachikulu.

Zoyenera kuchita kwa wodwala wokhala ndi zosokoneza zokoma

Ngati kukoma kwakutali kutulutsa mkamwa, lingaliro lolondola lidzakhala lofunsa dokotala. Ndikofunikira kupeza zomwe zimayambitsa chizindikiro ichi cha matenda osiyanasiyana. Ndikofunikira kukaonana ndi endocrinologist, mano, gastroenterologist, akatswiri onse, akatswiri a mitsempha. Simungathe kunyalanyaza matendawa. Muyenera kuchitapo kanthu nthawi yomweyo.

Momwe mungachiritsire kukoma kwazitsulo mkamwa mwanu

Simuyenera kufunafuna matenda pa intaneti, koma muyenera kufunafuna chithandizo chamankhwala mwachangu ngati pali chimodzi mwazizindikiro:

• kumverera kwa kusowa kwa mpweya
• kumverera kozindikira kopepuka
• kusanza
• kupuma movutikira
• hemoptysis,
• kutsokomola purutum,
• kugona
• malungo
• chizungulire.

Ngati palibe mwazonsezi pamwambapa, mutha kuchita zina kunyumba:

1. osaphika zakudya za acidic, zipatso ndi zipatso mu aluminiyamu kapena mbale zachitsulo,
2. lumikizanani ndi dokotala wanu pakuyika mankhwala ena omwe amachititsa kuti musinthe kukoma,
3. osatumikira m'mbale zokhala ndi zotayidwa,
4. kupatula zakudya zamafuta, nyama zosuta, zakudya zophika ndi zakudya zonunkhira,
5. chakumwa choyeretsedwa, osati madzi amchere,
6. musasute kapena kumwa mowa,
7. phatikizani ndi letesi komanso zakudya, mafuta ambiri, maapulo, mchere, chiwindi, nyama ndi chinangwa, zomwe zimakhala ndi vitamini B12,
8. ngati chizindikirocho chitaonekera patapita mano, asinthe,
9. ngati chitsulo chamtundu wachitsulo chikuphatikizidwa ndi kuwonongeka, mawonekedwe a zolembera, kukaona dokotala wamano kapena periodontist, kenako kutsatira malingaliro ake.

Musanagwiritse ntchito maphikidwe aliwonse azimayi omwe ali ndi kukoma kwachitsulo mkamwa, muyenera kuwonetsetsa kuti alibe pakati - si njira zonse zomwe ndizoyenera panthawiyi.

Kunyumba - musanakumane ndi dokotala - mutha kugwiritsa ntchito njira zotsatirazi:

• onjezani adyo, phwetekere, ndi mandimu ku chakudya (ngati kuli koyenera). Saladi zokhala ndi avocado kapena saladi za Kaisara ndizabwino kwambiri,
• ginger, sinamoni kapena Cardamom akhoza kuwonjezeredwa tiyi
• tsuka pakamwa pako ndi madzi ndi mandimu,
• Mukatha kudya chilichonse muzitsuka pakamwa panu ndi mafuta ochapira, gwiritsirani ntchito maluwa,
• Sungunulani maswiti nthawi zonse,
• Gwiritsani ntchito zipatso zamtchire, makamaka zomwe sizikhala ndi kuwawa: ma tangerines, malalanje. Pomelo ndi mphesa ndizopewedwa bwino.

Nthawi yamtengo wapatali sayenera kungowononga

Ndikofunikira kuti mupambane mayeso, chitani kafukufuku. Popewa zovuta, wodwala yemwe ali ndi matenda ashuga ayenera kuyang'anira shuga. Ngati choyambitsa matenda ndi matenda, ayenera kukakamizidwa. Katswiri wazomwe akuwonetsa adzasankha payekhapayekha mankhwala othandizira. Tsatirani zakudya zomwe zalimbikitsidwa. Ngati kukoma kokoma pakulilime kumamveka chifukwa cha kudya maswiti ambiri, mano okoma ayenera kusintha kadyedwe kake.

Kuthana ndi kusokoneza kumvetsetsa kwamtundu wamtundu wa kutheka ndikotheka pambuyo poyankhulana ndi dokotala wodziwa ntchito.

Mankhwala abwino komanso othandiza pochiza matenda a shuga a 2

Mankhwala osankhidwa bwino othandizira matenda a shuga a 2 amathandizira kukulitsa shuga komanso kupewa zovuta.

Chifukwa cha kugwiritsa ntchito mankhwalawa, ndizotheka kulimbikitsa kupanga insulini, kuchepetsa kuchepa kwa glucose m'magazi, ndipo, ngati kuli kofunikira, kuwonjezera kaphatikizidwe ka insulin.

Malangizo

Mankhwala osokoneza bongo a matenda a shuga a 2 amatha kuthana ndi mavuto ambiri:

• Chepetsani kukana kwa insulin,
• Yambitsani kupanga insulin,
• Chepetsani kapangidwe ka shuga ndikuletsa kulowa m'magazi kuchokera m'mimba,
• Dyslipidemia wolondola - mawuwa amatanthauza kuphwanya kwamkati mwa lipids m'magazi.

Chithandizo chimayamba ndi mankhwala amodzi. Kenako mutha kusintha kuti musakanikize mankhwala othandizira. Ngati sangapereke zotsatira zomwe akufunazo, adokotala angalimbikitse insulin.

Mitundu yayikulu ya mankhwala osokoneza bongo

Kuti mankhwalawa akhale othandiza, ndikofunikira kutsatira malingaliro a moyo - kutsatira zakudya zapadera komanso kuchita masewera olimbitsa thupi.

Komabe sianthu onse omwe amatha kutsatira malamulowa kwa nthawi yayitali. Chifukwa mankhwala osokoneza bongo a matenda amtundu wa 2 amagwiritsidwa ntchito nthawi zambiri.

Malinga ndi lingaliro la kuchitapo kanthu, mapiritsi a shuga a mellitus amagwera m'magulu osiyanasiyana:

1. Mankhwala omwe amachotsa kukana kwa insulin - gululi limaphatikizapo thiazolidatediones, biguanides,
2. Mphamvu za kapangidwe ka insulin - izi zimaphatikizapo ma glinides ndi zinthu zomwe zimakhala ndi sulufanilurea,
3. Zinthu zophatikizika - incretin mimetics zimaphatikizidwa mgulu lino.

Chithandizo cha vutoli nthawi zambiri chimafuna kugwiritsa ntchito mankhwalawa:

• Sulfonylurea,
• Alfa glucosidase zoletsa
• Biguanides

Gululi limaphatikizapo mankhwala omwe ali ndi mankhwala othandizira metformin. Pamafesi, mutha kupeza zida monga glucophage ndi siofor, zomwe zimakhala ndi izi.

Mapiritsi a shuga awa ndi othandizira kuchepetsa mphamvu ya thupi yokana insulin. Zotsatira zake zimatheka ndi njira zotsatirazi:

1. Kutsika kwa shuga m'mapuloteni ndi mafuta, komanso pakhungu la glycogen,
2. Kuchulukitsa kumva kwa minofu
3. Kupanga malo ogulitsa glucose m'chiwindi mu mawonekedwe a glycogen,
4. Kuchepetsa shuga
5. Kuchulukitsa kwa glucose komwe kumalowa mkati ndi ziwalo.

Othandizawa nthawi zambiri amakhumudwitsa anthu ena zinthu zoipa. Amayambitsa kuwonongeka kwa m'mimba. Pambuyo pa masabata awiri, zoyipa zimatha, motero muyenera kukhala oleza mtima.

Mankhwala a shuga awa amayambitsa zotsatirazi zotsatirazi:

• Kuchepetsa mseru
• Kubweza
• Zosokoneza pampando
• Zachisangalalo
• Kulawa kwazitsulo mkamwa.

Sulfonylurea

Mndandanda wam'mapiritsi a shuga a 2 amaphatikizanso mankhwala monga glycidone, glurenorm, glibenclamide. Ntchito za ndalamazi zimakhazikitsidwa ndikumangirira kwa beta-cell receptors. Izi zimabweretsa kukulitsa kwa insulin.

Mankhwalawa amayamba kugwiritsidwa ntchito ndi mitundu yaying'ono. Pakati pa sabata, muyenera kuwonjezera kuchuluka kwa kuchuluka kofunikira.

Zoyipa zazikulu zomwe zimachitikira anthu oterewa ndi monga:

1. Zowopsa za hypoglycemia,
2. Zing'amba thupi
3. Matumbo oyenda
4. Kuzizwa kwamphamvu
5. Zowononga chiwindi.

Gululi limaphatikizapo mankhwala monga nateglinide ndi repaglinide.

Chifukwa cha kugwiritsa ntchito kwawo, ndizotheka kuwonjezera kuchuluka kwa insulin yomwe imalowa m'magazi. Izi zimatheka ndikulimbikitsa calcium mu ziphuphu. Izi zimakuthandizani kuti muzilamulira glycemia ya postrandial, kapena kuchuluka kwa shuga mutatha kudya.

Thimang

Mndandanda wamapiritsi a shuga umaphatikizapo pioglitazone ndi rosiglitazone. Zinthu izi zimathandizira kutsegula kwa ma receptor mu minofu yamafuta ndi mafuta. Chifukwa cha izi, insulin sensitivity imachulukana, yomwe imathandizira kuyamwa msanga ndi minofu yamafuta, minofu ndi chiwindi.

Ngakhale ogwira ntchito bwino ndalama zotere, ali ndi zotsutsana zingapo. Zolepheretsa zazikulu ndizophatikizira izi:

• Mimba
• Kuchulukanso katatu kwa chiwindi,
• Matenda osalephera a mtima kulephera kwa madigiri 3-4 molingana ndi NYHA,
• Kuchepetsa.

Incretinomimetics

Gulu ili la matenda ashuga limaphatikizapo exenatide. Chifukwa cha kugwiritsidwa ntchito kwake, kupanga insulin kumawonjezeka. Izi zimatheka pochulukitsa kuchuluka kwa glucose m'magazi. Njirayi imayendera limodzi ndi kukakamiza pakupanga mafuta acids ndi glucagon.

Kuphatikiza apo, kuchotsedwa kwa chakudya m'mimba pang'onopang'ono. Izi zimathandiza wodwala kuti azimva nthawi yayitali. Chifukwa chake, gulu ili la mankhwala lili ndi kuphatikiza.

B-glucosidase zoletsa

Chithandizo chachikulu kuchokera pagululi ndi acarbose. Thupi siliri fungulo la matenda ashuga. Koma ndiwothandiza kwambiri chifukwa salowa m'magazi ndipo silikhudza kapangidwe ka insulin.

Mapiritsi ofanana a matenda a shuga a 2 amalowa mpikisano ndi chakudya, omwe amalowa mthupi ndi chakudya.

Mankhwala amamangirira ma enzymes apadera omwe amapangidwa kuti agwetse chakudya. Izi zimachepetsa kuchuluka kwa kukhudzidwa ndikuchotsa chiwopsezo cha kusinthasintha kwamphamvu kwa shuga mutatha kudya.

Ndalama zophatikizika

Mankhwala a shuga ngati awa amakhala ndi amaryl, janumet, ndi glibomet. Zinthu izi zimachepetsa kukana kwa insulin ndikuthandizira kupanga insulin.

Amaryl imathandizira kubisala ndi kutulutsidwa kwa insulin kuchokera ku kapamba. Ndi chithandizo chake, ndizotheka kuwonjezera kukhudzidwa kwamafuta ndi minofu pazovuta za insulin.

Glybomet imagwiritsidwa ntchito chifukwa chosagwira ntchito pakudya ndi hypoglycemic therapy. Janumet amathandizira kuwongolera hypoglycemia, zomwe zimapangitsa kupewa shuga.

Mankhwala Atsopano Atsopano

Mankhwala atsopano a shuga a 2 amaphatikizanso ma DPP-4 zoletsa. Zinthu izi sizikhudza kapangidwe ka insulin ndi maselo a beta. Amathandizira kuteteza polypeptide inayake ya glucapune kuti isawonongedwe ndi enzyme ya DPP-4.

Polypeptide iyi imayendetsa kapamba. Izi zimapangitsa kuti pakhale insulin yambiri yogwira. Kuphatikiza apo, mankhwalawa amathetsa mawonekedwe a glucagon, omwe amawononga ntchito ya timadzi timene timachepetsa shuga.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kukonzekera kwa matenda ashuga am'badwo watsopano ali ndi zabwino zingapo. Izi zikuphatikiza ndi izi:

1. Kuthekera kotukuka kwa hypoglycemia, popeza mankhwalawa amaleka kuchitira zinthu pambuyo poyikapo shuga.
2. Kuthetsa chiwopsezo cha kulemera chifukwa chogwiritsa ntchito mapiritsi,
3. Kuthekera kwa kugwiritsidwa ntchito kovuta ndi mankhwala aliwonse - kuphatikiza ndi insulini kokha komanso ma injon agonists a receptors a polypeptide iyi.

Mankhwalawa sayenera kumwa ngati vuto la impso kapena chiwindi. Gululi limaphatikizapo mankhwala monga sitagliptin, saxagliptin, vildagliptin.

GLP-1 receptor agonists ndi zinthu za m'magazi zomwe zimayambitsa kaphatikizidwe ka insulin ndikusintha kapangidwe ka maselo okhudzidwa. Mankhwala amtunduwu amachititsa kuti anthu azinenepa kwambiri.

Zinthu zoterezi sizingagule mu mawonekedwe a piritsi. Amapangidwa pokhapokha njira yothetsera jakisoni. Gululi limaphatikizapo mankhwala monga ushindi ndi bayeta.

Kukonzekera zitsamba

Nthawi zina akatswiri amathandizira monotherapy pakudya pogwiritsa ntchito zowonjezera zakudya, ntchito yomwe imapangidwa kuti muchepetse shuga. Odwala ena amawaganizira kuti ndi mankhwala a shuga. Koma izi sizowona, chifukwa palibe mankhwala omwe amachotsa matenda awa.

Komabe, zinthu zokhudzana ndi chilengedwe zomwe zimakhala ndi zosakaniza zachilengedwe zokha zimathandiza kukwaniritsa zotsatira zowoneka pakuchiza matendawa. Amasintha zinthuzo ndi prediabetes.

Mmodzi mwa oimira gulu lalikulu ndi insulin. Mankhwalawa a matenda a shuga a mtundu 2 amakupatsani mwayi kuti muchepetse kuchuluka kwa shuga chifukwa kuchepa kwa mayamwidwe ake.

Kugwiritsa ntchito mankhwalawa kumayambitsa chinsinsi cha kapamba, kuteteza matenda a metabolism ndikuchepetsa thupi.

Insulin ikhoza kugwiritsidwa ntchito pazolinga za prophylactic kapena kukhala gawo la chithandizo chovuta cha matenda ashuga. Pogwiritsa ntchito mankhwala kwa nthawi yayitali, ndizotheka kukwaniritsa kutsika kwamlingo wamatumbo.

Pokhapokha ngati malangizo othandizira zakudya komanso njira yogwiritsira ntchito mankhwalawo akatsatiridwa mosamalitsa, mutha kuyandikira pafupi ndi magwiritsidwe a shuga a magazi momwe mungathere.

Zolemba za insulin

Nthawi zambiri, kupezeka kwa matenda ashuga kwa zaka 5 - 10 sikungofunika chakudya chokha, komanso kugwiritsa ntchito mankhwala ena ake. Muzochitika zoterezi, pakufunika chithandizo chanthawi yochepa kapena chokhazikika cha insulin.

Kugwiritsa ntchito izi kungafunike kale. Izi zimafunikira ngati shuga satha kusintha zina mwanjira zina. M'mbuyomu, kugwiritsa ntchito insulin yodziwitsa anthu za matenda amtunduwu kumawonedwa ngati chinthu chofunikira kwambiri. Masiku ano, madokotala amakhulupirira zosiyana.

M'mbuyomu, anthu ambiri omwe amamwa mankhwalawo ndikutsatira malamulo okhudzana ndi zakudya anali ndi glycemic yayikulu kwambiri. Panthawi yogwiritsa ntchito insulin, adayamba kukhala ndi mavuto owopsa.

Masiku ano, mankhwalawa ndi amodzi mwa mankhwala othandiza kuchepetsa shuga. Kuchokera ku mankhwala ena, amasiyana m'njira zovuta kwambiri zowongolera komanso mtengo wokwera.

Mwa odwala onse omwe ali ndi matenda a shuga a 2, pafupifupi 30-40% ya anthu amafunikira insulin. Lingaliro logwiritsira ntchito mankhwalawa liyenera kupangidwa kokha ndi endocrinologist pambuyo powunikira bwino zomwe zikuwonetsa komanso zomwe sangathe.

Chifukwa chake, ndikofunikira kwambiri pazoyambitsa matenda ashuga kufunsa dokotala ndikuyamba kulandira chithandizo cha matenda ashuga. Mosamala kwambiri akuyenera kukhala anthu omwe ali ndi chibadwa chokhala ndi matenda amisempha, omwe ali ndi vuto la kunenepa kwambiri kapena matenda apamba.

Vuto lalikulu lomwe kuchepetsa mankhwala ochepetsa shuga limatha kuyambitsa matenda a shuga 2 ndi chiopsezo cha hypoglycemia ngati kuchuluka kwa glucose kuli pafupi. Chifukwa chake, anthu ena amalembedwa kuti asunge kuchuluka kwa shuga pamlingo wokwera - 5-10 mmol / l.

Zomwe amathandizira odwala okalamba

Chithandizo cha matendawa pakadali pano chikugwirizana ndi zovuta zazikulu:

1. Pathology imayendera limodzi ndi matenda ena omwe amayamba chifukwa cha ukalamba,
2. Mavuto okhudzana ndi penshoni amalepheretsa chithandizo chokwanira,
3. Kuwonetsera kwa shuga nthawi zambiri kumakhala kulakwitsa matenda ena,
4. Nthawi zambiri matendawa amapezeka m'milandu yapamwamba.

Pofuna kuti musasemphane ndi chiyambi cha chitukuko cha matenda, kuyambira wazaka 45-55 ndizofunikira kupereka mwadongosolo magazi. Matendawa amabweretsa vuto lalikulu lathanzi chifukwa limatha kubweretsa matenda amtima, impso komanso chiwindi.

Zithandizo zamankhwala komanso zomwe zingachitike chifukwa cha matenda ashuga

Ngati simusankha othandizira a hypoglycemic othandizira odwala matenda amtundu wa 2, pamakhala chiopsezo cha mavuto. Chifukwa chake, zisonyezo zilizonse za matenda zimayenera kukakamiza munthu kuti aonane ndi dokotala.

Pambuyo pofufuza chithunzi chachipatala, katswiriyo amasankha maphunziro ofunikira kuti adziwe za shuga. Chosavuta kwambiri cha izi ndi kuyesa kwa magazi komwe kumatengedwa kuchokera mu mtsempha kapena chala.

Potsimikizira matendawa, katswiri amapanga njira yochizira yomwe imaphatikizapo zinthu monga:

• Kawonedwe ka glycemic mwadongosolo,
• Moyo wokangalika
• Kutsatira zakudya zapadera,
• Kugwiritsa ntchito mankhwala.

Ngati simusankha mankhwala othandiza odwala matenda amtundu wa 2, pamakhala chiopsezo cha zotsatirazi:

1. Kulephera kovuta kwa impso
2. Kukula kwa matenda ashuga retinopathy - ndi mawonekedwe owonongeka chifukwa cha kutupa kwa retina,
3. Matenda a shuga,
4. Gangrene - munthawi imeneyi muli pachiwopsezo cha kuchepa kwa miyendo,
5. Glycemic chikomokere
6. Stroko
7. Matenda a mtima.

Mankhwala osankhidwa moyenera pochizira matenda amtundu wa 2 amatha kukwaniritsa bwino komanso kusintha mkhalidwe wa wodwalayo.