Matenda a shuga ndi chithandizo chake
Poyang'ana koyamba, zitha kusankha kuti kugwiritsa ntchito mankhwala ochepetsa shuga ndi nkhani yosavuta, chifukwa mankhwala a insulin ndi njira yovuta. Mabakiteriya osatha amawopsa ndipo amayambitsa zovuta zambiri kwa odwala.
Tiyerekeze kuti dokotala wanu wapeza mtundu wachiwiri wa matenda ashuga. Atazindikira zotsatira za mayeso, adakupangira zakudya, kuphatikiza muyezo kapena mankhwala ochepa monga shuga. Zitha kuti chakudya chimodzi chikhala chokwanira.
Nthawi zina, ngati mumakonda kunenepa kwambiri, mumangofunika kuchepetsa thupi. Ndi matenda a shuga a mtundu II, sikofunikira kumwa mankhwala osokoneza bongo, mutha kutsatira zakudya zochepa zopatsa mphamvu komanso kulemera kwenikweni. Kulimbana ndi mafuta si ntchito yophweka, koma nkhondoyi ndiyofunika kupambana ngati thanzi lanu limakukondani.
Ngati mwapatsidwa mankhwala
- Ubwino utsatira. Izi ziyenera kutsimikiziridwa ndikuwunika. Ngati mwadzidzidzi mayesowo ali olakwika - dokotalayo amawonjezera mlingo wa mankhwalawo. Pambuyo pake, mumangofunika kutsatira zakudya osakhala achangu ndi zolimbitsa thupi. Mavuto monga hyperglycemia samakula, vuto lanu ndi lokhazikika, zovuta zovuta zitha kupezeka molingana ndi zaka. Imfa siyotsatira.
- Zizindikiro sizitha konse, ngakhale mpumulo wa izi. Mukudandaula za kufooka, kamwa yowuma, ndi zina. Mwambiri, dokotala wakupangirani mankhwala ofowoka. Mumayikidwa mankhwala amphamvu ngati mannyla. (Ngati mumaswa chakudyacho, ndiye kuti mphamvu yotsitsa shuga imachepa mpaka pomwe imazimiririka).
- Kwakanthawi mumalipira shuga, koma zidapezeka kuti mwapatsidwa mankhwala ofooka. Pakatha miyezi yochepa kapena zaka, mudzayamba kumwa mlingo waukulu wothandiza. Ndi zoletsedwa mwamphamvu kuwonjezera kuchuluka kwa mankhwalawo ndipo zilibe tanthauzo. Mankhwalawa amangokuvulaza kapena kuyambitsa mavuto. Thupi lanu silingayankhe mankhwalawa chifukwa chokhala osokoneza bongo. Kapena matenda anu akupitilizabe kupita patsogolo. Pankhaniyi, muyenera kuwona dokotala.
- Mumamwa mankhwala amphamvu ndipo mukumva bwino. Koma kenako vuto lanu limakulirakulira ndipo mukumvanso bwino. Manin amphamvu kwambiri samakuthandizani. Palibe chifukwa chowonjezera mlingo! Ndikofunikira kuti musinthane ndi insulin. Ndizotheka kuti mwayamba kale hyperglycemia - miyendo yanu ili dzanzi, munayamba kuwona bwino. Chachikulu ndichakuti musazengereze. Njira yanu idagona ndi adotolo kuti mudziwe zomwe zidachitika: mudali ndi matenda amtundu wa II, kapena mumayimirabe matenda a shuga. Poyamba, PSM sikugwira ntchito, ndipo kapamba wanu ali pachiwopsezo. Ndikulimbikitsidwa kupita kuchipatala.
- Ngati mwapezeka kuti muli ndi matenda a shuga a mtundu woyamba, palibe koti mungapite, ndipo muyenera kusinthira insulin. Kwina, mukuyembekeza kuti mwadzidzidzi mukadzamwalira ndi matenda ashuga, kapena zovuta zina zomwe zingakuphe posachedwa. Mutha kudwala matenda amtima, kuwonjezereka kapena kutaya kwamaso, miyendo yotsika, kulephera kwa impso. Imfa ya nephropathy ndiyowopsa; Chifukwa chake, sinthani jakisoni wa insulin mwachangu. Pokhala ndi shuga wambiri, mavuto amakula msanga (zaka 5-7).
- Kuunika kumawonetsa kuti muli ndi matenda amtundu wa II, ndipo ngakhale mankhwala amphamvu kwambiri samathandiza. Pali njira zingapo zothetsera vutoli:
- mwayi wotsiriza wa kuchedwa kwa insulin ndi mankhwala a PSM (kukonzekera kwa sulfonylurea) ndi mankhwala a gulu la Biguanide;
- Hypoglycemic mankhwala ndi insulin mankhwala. M'mawa - mapiritsi, madzulo - insulin (10-20 UNITS);
- kukana mapiritsi m'malo mwa insulin kwa nthawi yayikulu kapena iwiri. Munthawi imeneyi, kapamba amatha "kupumula", ndipo mukuyenera kuti mubwerenso kumwa mankhwala osokoneza bongo, kusiya insulin.
Zotsatira zoyipa za mankhwala ochepetsa shuga
Mwadzidziwitsa zochitika zingapo zomwe zimagwirizanitsidwa ndi kuchuluka kwa matenda. Kuchiza matenda a shuga a mtundu II sikophweka. Kudzinenera kuti matenda a shuga a mtundu II ndi opepuka kuposa mtundu woyamba wa shuga. Tisaiwale za Hyper- ndi hypoglycemia ndi zovuta zina. Izi zimatha kubweretsa zotsatira zosafunikira.
Matenda a shuga a Type II siowopsa ngati adziwoneka okha mofatsa atatha zaka makumi asanu ndi limodzi. Ndi chikhalidwe chokhazikika cha wodwala, kudya ndi kuwonda, kugwiritsa ntchito mankhwala azitsamba ndi mankhwala ochepetsa shuga, matendawa ndi osavuta.
- Ngati mumwa mankhwala osokoneza bongo a insulin, hypoglycemia, zomwe zimachitika mu mawonekedwe a zotupa, komanso kuyabwa, ndizotheka. Khansa ya m'mimba ndi kusokonezeka kwa m'mimba, kusintha kwa kapangidwe ka magazi ndi zovuta zina zotheka siziperekedwa.
- Kugwiritsa ntchito ma biguanides, makamaka ngati wodwala ali ndi zotsutsana ndi gulu la mankhwalawa, amadzala ndi zotsatirapo zake zomwezo. Zina mwazo zimatha kubweretsa lactic acidosis (chikomokere chokhala ndi lactic acid m'magazi, ndikutheka kwake). Zotsatira zopititsa kutenga biguanides ndizolephera zaimpso ndi chiwindi, kusuta kwa mowa kapena uchidakwa, matenda a mtima.
Ndikofunikira kuganizira ma contraindication angapo otenga ma hypoglycemic othandizira, pamene kugwiritsa ntchito mankhwalawa ndizosatheka kapena zosafunika. Zachidziwikire, kuphatikizika kwakukulu kudzakhala mtundu wa shuga. Kudziwa bwino zochitika zotsatirazi ndikofunikira chimodzimodzi. Mukawola matenda a shuga a II omwe ali ndi matenda opatsirana kapena kuvulala, komanso milandu yomwe ikufunikira chithandizo cha opaleshoni, mankhwala ochepetsa shuga sayenera kumwedwa.
Ngati mukudziwa za hypersensitivity a mankhwala a gulu linalake, muyenera kukana kumwa. Pankhani ya hypoglycemia yoyambitsidwa ndi matenda ashuga ndi matenda a chiwindi ndi impso, ndizowopsa kutenga chiopsezo: ndibwino kugwiritsa ntchito mankhwala a insulin. Insulin imagwiritsidwa ntchito nthawi zonse pamene wodwala ali ndi contraindication. Pankhani ya kutenga pakati, azimayi nthawi zambiri amasamutsidwa kukalandira mankhwala a insulin, kapena insulin imagwiritsidwa ntchito wodwala akachita opareshoni yovuta.
