Matenda a shuga ndi gulu la matenda amtundu wa endocrine omwe ali ndi zovuta zambiri. Kupezeka kwa matendawa kumalumikizidwa ndi kusokonezeka kwa glucose kapena kuchepa kwa insulin yopanga. Pofuna kupewa zovuta za matendawa, muyenera kuzindikiritsa munthawi yake ndikuyamba chithandizo, chomwe muyenera kulumikizana ndi katswiri woyenera.
Ndi dokotala uti yemwe ndiyenera kulumikizana ndi shuga wambiri
Zizindikiro zoyambirira za shuga zikawoneka, muyenera kulumikizana ndi endocrinologist. The endocrinologist imafotokoza maphunziro ofunikira kenako, kutengera zotsatira zomwe zapezeka, amapanga chidziwitso chokwanira ndikuwonetsa chithandizo.
Zizindikiro zoyambirira za shuga zikawoneka, muyenera kulumikizana ndi endocrinologist.
Katswiri yemwe amathandizira phazi la matenda ashuga
Phazi la matenda ashuga limasokoneza shuga, nthawi zambiri amtundu 2. Chifukwa cha kuchuluka kwa shuga m'magazi, ma microcirculation m'matumbo amasokonezeka, zimakhala sizimalandila chakudya choyenera. Zilonda za trophic zimawoneka pamapazi, omwe atasiyidwa, amakula. Popeza matenda oyamba pamenepa ndi matenda a shuga, endocrinologist amachititsa mankhwalawa. Dokotala wochita opaleshoniyo amatenga nawo mbali pa matenda am'mapazi a kumapazi. Amachita opareshoni: kukonzanso kwa necrotic foci ya phazi, ngati pakufunika, kuduladula miyendo.
Ndani amalimbana ndi zovuta za m'maso
Pamene matenda a shuga akupita, matenda a shuga amayamba - njira yang'onopang'ono ya retina yomwe imatsogolera kukuwonongeka. Munthawi yoti muwone izi ndikuyamba kulandira chithandizo, ndikofunikira kuyang'aniridwa ndi ophthalmologist. Amachita mayeso am'maso, amamulembera mankhwala osokoneza bongo kuti azitha kuona.
Ndi dokotala uti amene amathandizira kuchiritsa matenda a neuropathy
Neuropathy ndi kuwonongeka kwa mitsempha komwe kumachitika chifukwa cha kupita patsogolo kwa matenda ashuga. Amawonetsedwa ndi kusintha kwa zomverera: kuchepa kapena, kutulutsa. Kumva ululu, kumva kulira. Katswiri wamitsempha amagwira nawo ntchito yochizira matenda a neuropathy: amawunika wodwalayo, amamulembera mankhwala opangira ma pinkiller, mankhwala omwe amasintha machitidwe a metabolic, physiotherapy. Chifukwa chakuti zomwe zimayambitsa matenda a neuropathy ndi matenda a shuga, akatswiri a endocrinologist ndi neurologist amalumikizana wina ndi mnzake panthawi ya chithandizo.
Ndani amadwala matenda ashuga, ndipo thandizo lawo lingafunike liti
Dokotala wa matenda ashuga ndi endocrinologist yemwe amaphunzira komanso amathandizira matenda ashuga. Katswiri wodzipatula pamundawu adawonekera chifukwa cha kusiyanasiyana komanso zovuta za matenda. Dokotala uyu akuwerenga zomwe zimayambitsa matenda a shuga, mitundu yake. Amachita diagnostics, kufunsira, chithandizo cha odwala chotere. Amathandizira kupewa zovuta komanso kukonza odwala.
Dokotala wa matenda ashuga ayenera kufunsidwa ngati zizindikiro zoyambirira za matenda a shuga zioneka:
- ludzu losalekeza;
- kuchuluka kwa madzi masana;
- kukodza pafupipafupi;
- kamwa yowuma
- kufooka
- njala yosalekeza;
- mutu
- kuwonongeka kwamawonekedwe;
- kuchepa thupi mwadzidzidzi kapena kuwonda;
- dontho losafotokozedwa la shuga.
Kukambirana kwina ndi katswiri wa matenda ashuga ndikulimbikitsidwa kwa anthu omwe ali pachiwopsezo:
- achibale apafupi a odwala matenda ashuga;
- anthu omwe ali ndi kuthamanga kwa magazi;
- anthu onenepa kwambiri;
- anthu azaka zopitilira 45;
- odwala omwe amamwa glucocorticosteroids, njira zakulera, mankhwala ena omwe amachititsa kuti pakhale shuga;
- odwala matenda a chiwindi, impso, kapamba.
Dokotala wa matenda ashuga ndi njira yopapatiza. Akatswiri oterewa samapezeka m'makliniki onse, chifukwa chake nthawi zambiri endocrinologist, dokotala wa mbiri yayitali, amathandizira pa matenda amtunduwu wa endocrine.
Kuchita kwa endocrinologist ndi mitundu yake yapadera
Endocrinologist ndi dokotala wothandizidwa pakuwongolera mavuto a chithokomiro cha endocrine, kusokonekera kwa mahomoni mwa akulu ndi ana. Kutalika kwa ntchito ya endocrinologist ndi yotakata, chifukwa kusokonezeka kwamafuta kumakhudza ntchito ya ziwalo zonse ndi machitidwe. Matenda awa amawonekera mwanjira zosiyanasiyana, chifukwa chake endocrinologists amalangizanso odwala omwe ali ndi matenda omwe zizindikiro zawo poyambirira sizomwe zimachitika chifukwa cha kulephera kwa mahomoni.
Mitundu Yosiyanasiyana:
- Dokotala wothandizira wa endocrinologist. Amawongolera kusokonekera kwa mahomoni mwa ana.
- Endocrinologist-gynecologist. Imagwira matenda a mahomoni omwe amakhudza ntchito ya ziwalo zoberekera za akazi.
- Endocrinologist andrologist. Imasamalira matenda amtundu wa kubereka kwamuna chifukwa cha kusokonezeka kwa mahomoni.
- Endocrinologist-oncologist. Amatsogolera odwala ndi chotupa matenda a endocrine ziwalo.
- Opaleshoni ya Endocrinologist. Amachita opaleshoni mankhwala a zotupa (zambiri chovomerezeka) za endocrine dongosolo.
- Endocrinologist geneticist. Amaphunzira matenda obwera chifukwa cha endocrine system, amachititsa upangiri wamtundu kwa mabanja omwe akukonzekera kubereka.
- Dokotala wazitsamba. Kutenga nawo matenda a chithokomiro komanso mawonekedwe awo.
- Dokotala wa matenda ashuga. Dokotala amachiza matenda ashuga komanso zovuta zake.
- Endocrinologist-dermatologist. Imagwira khungu kuwonekera kwa kusokonekera kwa mahomoni.
- Endocrinologist-wathanzi. Amalangiza pankhani yokhudza zakudya mu endocrinological pathologies, amawerenga mavuto a kunenepa kwambiri komanso kunenepa kwambiri.
Udindo wa othandizira odwala matenda ashuga
Dokotala wothandizira m'derali ndi katswiri woyamba kwa omwe odwala amatembenukira pakubwera kuchipatala momwe mkhalidwe wa thupi uliri. Ngati wodwalayo adalumikizana koyamba, ndipo zizindikiro zake zikuwonetsa kuthekera kwa matenda ashuga, kuyesedwa kwa shuga wamagazi ndi komwe.
Ngati zotsatira za kusanthula ndizokhutiritsa, ndiye kuti dokotala amayamba kuyang'ana zifukwa zina zamatendawo.
Ngati kuchuluka kwa glucose okwera kwapezeka, wothandizira akuwongolera wodwalayo kwa endocrinologist kuti akawonjezere mayeso ndi kufunsira. Endocrinologist (kapena wodwala matenda ashuga) amapereka mankhwala, akuwonetsa dongosolo la ntchito ndi kupumula, zakudya, amaphunzitsa kugwiritsa ntchito moyenera glucometer komanso kudziwongolera jakisoni wa insulin, ngati matenda atsimikiziridwa.
Ngati wodwala watsimikizira matenda a shuga, ndipo akatembenukira kwa ochiritsira matenda ena, dokotalayo amayamba kulandira chithandizo poganizira izi. Imawonetsetsa kuti wodwalayo sakudwala kwenikweni poyerekeza ndi momwe amathandizira.
Wogwira ntchitoyo amagwiranso ntchito yophunzitsa pakati pa odwala athanzi omwe ali ndi chiyembekezo chakukula kwa matenda ashuga. Amawafotokozera za matendawa ndi kuopsa kwa matendawa, ndikuwapatsa malangizo amomwe angadyere bwino, moyo wawo woti azitsogolera kuti asadwale.
Ngati palibe endocrinologist, katswiri wa matenda ashuga kuchipatala komwe adatembenukira thandizo, ndipo palibenso njira yotumizira wodwala yemwe ali ndi matenda ashuga kuchipatala chodziwikiratu, ochiritsira amakhalanso nawo pazamankhwala ake.
Zomwe Odwala Matenda A shuga Atsalira
Matenda a shuga ndi matenda okhudza ziwalo zonse. Odwala ambiri samwalira ndi matendawa pawokha, koma chifukwa cha zovuta zake. Chifukwa chake, chithandizo cha matendawa ndikuwonetsedwa kwake kuyenera kukhala chokwanira, pokhapokha chingapindule ndikuchepetsa zovuta.
Wopatsa thanzi
Ndi matenda a shuga, njira za metabolic m'thupi zimasokonezeka. Kugawidwa kwa mapuloteni, mafuta ndi chakudya chamagulu m'zakudya kwa anthu omwe ali ndi matendawa ndi kosiyana ndi muyezo. Katswiri wazakudya amasankha zakudya zoyenera kwa wodwala matenda ashuga, amafotokoza zakudya zomwe ziyenera kukhala zochepa komanso zomwe zimayenera kudya kwambiri. Ikufotokozera za machitidwe a hyper- ndi hypoglycemic, imapereka malingaliro amomwe mungaphatikizire zakudya zopatsa thanzi komanso kudya kwa insulin, momwe mungasinthire kudya kwakakang'ono ndi dontho lakuthwa kapena kuchuluka kwa shuga.
Optometrist
Dokotala wamaso amamuwona wodwala yemwe ali ndi matenda ashuga kuti apewe, pakapita nthawi, azindikire matenda ashuga - vuto lomwe limapangitsa kuyambiranso kwammbuyo. Amachita njira yochizira ndi kuchiza yothandizira kale.
Nephrologist
Ndi matenda a shuga, kuthira kwa magazi kwa impso kumachepa, kusefedwa kwa glomerular kumalephera. Chifukwa chake, odwala oterewa ali pachiwopsezo cha matenda a impso. Pofuna kupewa kufalikira kwa izi, kufunikira kwa nephrologist ndikofunikira.
Opaleshoni
Dokotalayo amawona odwala omwe apanga zilonda zam'mimbazi zam'miyendo - phazi la matenda ashuga. Amapereka chithandizo chamankhwala ndikuganiza momwe angachitire opareshoni ndi kuchuluka kwake.
Neurologist
Ndi nthawi yayitali ya matenda ashuga, mitsempha imaphatikizidwanso. Zovuta zambiri zomwe zimapangitsa kuti moyo ukhale wamtundu komanso kumabweretsa kufa zimayenderana ndi izi. Chofala kwambiri: polyneuropathy, matenda ashuga a m'mimba, sitiroko. Kupewa kwa zovuta izi ndikuwunikira momwe maselo amanjenje amachitikira ndi katswiri wamitsempha.