Amayambitsa ndi Zizindikiro za matenda amtundu 1

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Mtundu woyamba wa matenda a shuga I amellithus ndi matenda a autoimmune omwe amayamba chifukwa chakutha kwa dongosolo la endocrine.
Matendawa amaphatikizidwa ndi kuwonjezeka kwa glucose wa plasma ndipo amakula chifukwa cha kuwonongeka kwa maselo a pancreatic omwe amapanga ma insulin.

Hormone iyi imakhudza mwachindunji kuchepa kwa shuga. Matenda a shuga amatha kuchitika zaka zilizonse, koma nthawi zambiri matendawa amakhudza achinyamata osakwana zaka 30, chifukwa cha zomwe nthawi zina matenda a shuga amatchedwa "ana a shuga."

Zizindikiro zapadera za matenda a shuga a mtundu I

  1. Mtundu I shuga zimayambitsa kuwonjezeka kwa kuchuluka kwa chakudya chamafuta amitsempha yamagazi m'magazi, zomwe zimakhudza njira zoyipa za metabolic mthupi. Mtundu woyamba wa shuga ndi osowa.
    Kusiyana kwakukulu pakati pa matenda a shuga amtundu woyamba ndi matenda amtundu wachiwiri wa II ndikuwonetsa kuvomerezedwa kwa insulin.
  2. Type 2 shuga samagwirizanitsidwa nthawi zonse ndi ma insulin ochepa, nthawi zambiri amapezeka munthu wamkulu (kuyambira wazaka 40), ndipo nthawi zambiri amakhala ndi kunenepa kwambiri. Matenda a shuga a Type 1 - m'malo mwake, amachititsa kuti muchepetse thupi. 85% pamavuto azachipatala, madokotala amalimbana ndi matenda amtundu wa II.

Zomwe Zimayambitsa Matenda A shuga A Type

Matenda a shuga a ana nthawi zambiri amapezeka chifukwa cha chibadwa chathu. Chiwopsezo chokhala ndi matenda okhudzana ndi insulin mwa mwana ndi chokwanira mokwanira pamaso pa makolo onse nthawi imodzi.

Matenda opatsirana amatha kupangitsa matendawa. Ngati kachilomboka kazilowa mthupi, chitetezo chimayamba kupanga ma antibodies, omwe pamodzi ndi tizilombo tating'onoting'ono tomwe timayambitsa kuwononga maselo a pancreatic β-cell.

Kuti matendawa adziwonetsere, osachepera 80% ya maselo ogwirira ntchito kapamba ayenera kuwonongeka.
Njira yowonongera maselo imatha kutenga miyezi ingapo (nthawi zina zaka). Nthawi yovuta isanachitike, matendawa samawoneka mwanjira iliyonse, koma kufupika kwenikweni kwa insulin kumayamba.

Kuphatikiza pa ma virus, zinthu zotsatirazi ndi zinthu zomwe zikupanga matenda a shuga 1:

  • Mankhwala: makamaka, antitumor othandizira omwe amagwiritsidwa ntchito mu maphunziro a chemotherapy ali ndi poizoni ku zigawo za kapamba;
  • Mankhwala omwe amagwiritsidwa ntchito m'mafakitale ena;
  • Matenda a kapamba;
  • Kupsinjika kwa m'maganizo: Nthawi zambiri shuga ozungulira amakhala atasokonezeka kwambiri.

Matenda A shuga a Type I ali ndi mitundu iwiri:

  • Matenda a shuga a Autoimmune - chitetezo cha mthupi chimapanga ma antibodies omwe amawononga ma cell a pancreatic beta: izi zimapangitsa kutsika kwa kaphatikizidwe ka insulin;
  • Matenda a shuga a Idiopathic - chomwe chimayambitsa matenda ashuga sichingadziwike.

Zizindikiro

Chifukwa cha kukanika kwa pancreatic, munthu amayamba kukhala ndi hyperglycemia (shuga wambiri), polyuria (kukodza mokodola), polydipsia (ludzu) ndi mawonetsedwe ena a pathological.

Gawo lachiwonetsero cha matendawa limatchulidwa. Zizindikiro zimachulukana kwambiri: kupitilira miyezi kapena masabata.
Zizindikiro zoonekera kwambiri za matendawa ndi:

  • Ludzu kwambiri, limodzi ndi pakamwa lowuma: thupi limasowa madzi nthawi zonse chifukwa cha kagayidwe kakang'ono;
  • Kulimbikitsidwa kosalekeza kukhetsa (kutulutsa kwamadzimadzi masana kumatha kufika pa 10 l);
  • Khungu la khungu la khungu
  • Kuchepa kwa misomali ndi tsitsi: Zizindikiro zimayambitsidwa chifukwa chosakwanira kudya;
  • Kuchiritsa pang'onopang'ono, kuchuluka kwa mabala, ngakhale ochepa kwambiri (chifukwa cha shuga m'magazi komanso kuchepa kwa ziwalo zam'magazi);
  • Kuchepa mphamvu kwa chitetezo cha mthupi, monga chotulukapo chake, chizolowezi cha matenda oyamba ndi fungus;
  • Kusakwiya, kukhumudwa;
  • Mutu;
  • Kusowa tulo;
  • Kuchepetsa ntchito;
  • Kuchepetsa thupi (mpaka 10-15 makilogalamu pasanathe mwezi).

Pa gawo loyambirira la matendawa, kulakalaka kudya kumawonjezeka, koma m'mene masinthidwe am'thupi amayenda mthupi, chifukwa cha kuphwanya njira zonse za metabolic, chilimbikitso sichingangokhala kuchepa, komanso kutha konse. Chizindikiro chachedwa cha matendawa chimatha kukhala kukana kwathunthu kwa chakudya motsutsana ndi chitukuko cha ketoacidosis (kusintha kwa zinthu mu nitrogen moyenera komwe kumayambitsa kuperewera kwa metabolism).

Kodi Mungathe Kuchiza Matenda A shuga Aakulu?

Ndizosatheka kuchiritsa matenda ashuga, koma mankhwala amakono amapereka njira zothandiza zochizira matenda.
Kutsatira malangizo azachipatala mosamala, anthu odwala matenda amtundu woyamba amakhala ndi moyo wathanzi ndipo amakhalanso athanzi.

Njira yayikulu yothandizira matendawa ndi kulandira insulin.

Mlingo wa mankhwala osokoneza bongo ndi mitundu yawo amasankhidwa payekhapayekha. Cholinga chochizira ndikuwonetsetsa kusinthasintha kwachilengedwe pamlingo wa insulin mthupi. Pazifukwa izi, kugwiritsa ntchito mankhwala osokoneza bongo a Ultra-Short, afupi, apakati komanso osakhalitsa. Cholinga cha chithandizo cha matenda ashuga ndikukwaniritsa bwino kagayidwe kachakudya ndi kupewa zovuta.

Ntchito yayikulu pakuthandizira matenda ndi chithandizo cha zakudya, chomwe chimaphatikizapo:

  • Kuchotsedwa mu zakudya zam'madzi oyengeka (shuga, maswiti, zamphepo, zakumwa zamatenda, etc.);
  • Kusintha chakudya chopatsa mphamvu ndi zovuta - chimanga, nyemba, masamba ndi zipatso zina;
  • Kugwirizana ndi boma logwirizana la zakudya;
  • Chepetsa kumwa nyama;
  • Kusunga diary yowerengera mkate (XE).

Ndikulimbikitsidwanso kusunga boma lapadera lolimbitsa thupi. Pambuyo pakuchita masewera kapena masewera olimbitsa thupi, odwala ayenera kudya chakudya chamagulu kuti achepetse chiopsezo cha hypoglycemia. Zoyenera, kuchuluka kwa shuga kuyenera kusinthidwa isanachitike, pambuyo, komanso mwachindunji panthawi yolimbitsa thupi. Munthawi yowola (ndi kuchuluka kwa chakudya chamagulu omwera), zolimbitsa thupi zimapewedwa bwino.

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