Mtundu woyamba wa shuga: chithandizo

Mtundu woyamba wa matenda a shuga a mellitus (T1DM) ndi matenda osachiritsika, kagayidwe ka glucose. Zizindikiro zake zazikulu ndikusowa kwa insulin komanso kuchuluka kwa shuga m'magazi. Insulin ndi mahomoni ofunikira kuti minofu ipange shuga. Amapangidwa ndi maselo a beta a kapamba. Matenda a shuga amtundu woyamba amakula chifukwa chitetezo cha mthupi chimazunza ndikuwononga maselo a beta. Mwazi wamagazi umakwera chifukwa chosowa insulini. Izi zimayambitsa zizindikiro - ludzu, kuchepa thupi, kufooka, wodwala amatha kugwa. Komabe, chiopsezo chenicheni cha T1DM sichizindikiro zowopsa, koma zovuta zovuta. Matenda a shuga amawononga impso, maso, ziwiya zamiyendo ndi mtima. Matendawa nthawi zambiri amayamba asanakwanitse zaka 35. Pambuyo pake zimawoneka, zosavuta zimapita. Chithandizo cha matenda a shuga 1 ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Pansipa muphunzira momwe mungakhalire ndi shuga wamagazi wabwinobwino kuti mukhale popanda zovuta mpaka mutakalamba.

Nkhaniyi imafotokoza zomwe zimayambitsa, zizindikiro ndi chithandizo cha matenda ashuga a mtundu woyamba. Phunzirani momwe mungadzitetezere ku zovuta zovuta komanso zovuta. Makolo adzafunika kudziwa zambiri zokhudzana ndi matenda ashuga a mtundu woyamba mwa ana. Amayi omwe akudwala matendawa amasangalala ndi momwe angakhalire ndi pakati, kupilira komanso kubereka mwana wathanzi. Zomwe mukufunikira kudziwa za pakati panu ndi matenda a shuga omwe amadalira insulin, werengani pansipa.

Cholemba chomwe mukuwonera pano ndikupitiliza nkhani ya "Type 1 kapena Type 2 shuga: Komwe Mungayambire." Patsamba lapano, maubwino a chithandizo chamankhwala a matenda amtundu 1 akufotokozedwa. Phunzirani kuthana ndi matendawa ku ana ndi ana. Amadziwikanso kuti shuga ya autoimmune. Chonde werengani nkhani yoyamba, ulalo womwe umaperekedwa pamwambapa, apo ayi mwina china chake sichingakhale chomveka.

Matenda a shuga a Type 1 ndi 5-10% yokha mwa matenda onse a shuga. 90-95% yotsala ya odwala amapezeka ndi matenda a shuga a 2, omwe ndiosavuta kuwawongolera. Mtundu woyamba wa matenda ashuga, inshuwaransi ya insulin iyenera kuperekedwa, apo ayi wodwalayo adzafa. Pa tsamba la Diabetes-Med.Com, phunzirani kupaka insulin mopweteka. Njira zopewera matenda a shuga ziyenera kuchitika mosamala, zimafunikira kulangidwa. Komabe, mutadziwa zambiri, satenga mphindi zosaposa 10-15 patsiku. Ndipo nthawi yonseyo mutha kukhala moyo wabwinobwino.

Zizindikiro

Matenda a 1 a matenda a shuga amayambitsa matenda owopsa:

• ludzu lalikulu;
• kamwa yowuma
• kukodza pafupipafupi, kuphatikizapo usiku;
• mwana amatha thukuta atagona;
• njala yosakhutira komanso kuwonda;
• kusakwiya, kuvuta, kusinthasintha;
• kutopa, kufooka;
• mawonekedwe osasangalatsa;
• mwa akazi, matenda oyamba ndi ukazi (thrush), omwe ndi ovuta kuchiza.

Tsoka ilo, nthawi zambiri, odwala matenda ashuga amtundu woyamba ndi okondedwa awo amanyalanyaza izi mpaka ketoacidosis itakula. Uku ndikovuta kwambiri komwe kumafunika chithandizo chamankhwala mwadzidzidzi.

Zizindikiro za matenda a shuga a ketoacidosis:

• khungu louma, kusowa kwamadzi;
• kupuma pafupipafupi;
• kununkhira kwa acetone kuchokera mkamwa;
• kutha kapena kuzindikira;
• kusanza ndi kusanza.

Zifukwa

Zomwe zimayambitsa matenda a shuga 1 sichidziwika bwinobwino mpaka pano. Kafukufuku akuchitika kuti adziwe ndikupanga njira zopewera. Koma pakadali pano, asayansi sangathe kudzitamandira pazabwino. Njira zothandiza zopewera matenda ashuga 1 sizinapezekebe. Chikhalidwe cha mtundu wa matenda a shuga chimabadwa, koma chiwopsezo kwa mwana sichabwino.

Asayansi pang'onopang'ono azindikira mitundu yosakanikirana ya majini yomwe imawonjezera chiopsezo cha matendawa. Mitundu yosagwirizana imakhala yofala pakati pa azungu omwe amakhala ku Europe ndi North America. Komanso pali mitundu yomwe imateteza ku matenda a shuga.

Matenda a shuga amtundu woyamba amakhala ngati munthu wadwala kachilombo. Vuto la Rubella nthawi zambiri limakhala ngati "choyambitsa" pakuwopseza chitetezo chathupi pama cell a pancreatic beta. Komabe, sikuti munthu aliyense yemwe adakhala ndi rubella ndiye amadwala matenda a shuga a autoimmune. Mwachidziwikire, zochitika zamtunduwu zimagwira ntchito yayikulu pano.

Mapasa ofanana ali ndi mitundu yofanana. Ngati m'modzi wa iwo ali ndi matenda amtundu 1, ndiye kuti kwa wachiwiri ngoziyo ndi 30-50%, komabe ndi 100%. Izi zikutanthauza kuti zambiri zimatengera chilengedwe. Mwachitsanzo, ku Finland kufala kwa matenda ashuga 1 kuli kochuluka. Koma zifukwa za izi sizinadziwikebe.

Zizindikiro

Kuti muzindikire matenda amtundu woyamba wa shuga, muyenera kuyeza shuga mu imodzi mwanjira zotsatirazi:

• kusala kudya kwa magazi;
• kuyesa kwa maola awiri shuga;
• glycated hemoglobin.

Zotsatira zomwe zikuwonetsa kuti munthu ali ndi matenda ashuga:

• Kusala madzi a m'magazi a 7.0 mmol / L kapena kupitilira.
• Mukamayesa mayeso okhudzana ndi shuga a maola awiri, zotsatira zake zinali 11.1 mmol / L komanso zapamwamba.
• Shuga yamagazi yopanda magazi idatulukira 11.1 mmol / L kapena kuposa, ndipo pali zizindikiro za matenda ashuga.
• Glycated hemoglobin HbA1C - 6.5% kapena kuposa.

Ndikokwanira kukwaniritsa imodzi mwazomwe zatchulidwa pamwambapa kuti mutha kudziwa ndi matenda anu - matenda ashuga. Kuyesedwa kwa shuga m'magazi kumakhala kovutirapo kuposa ena onse. Kuyesedwa kwa shuga kwa maola awiri ndi kovuta chifukwa zimatenga nthawi yambiri ndipo muyenera kupereka magazi kangapo. Kuwunika kwa hemoglobin ya glycated ndi kosavuta komanso kodalirika. Amamuchitira kuti azindikire, komanso kuwunika momwe mankhwalawo amathandizira. Ngati muli ndi mita ya shuga m'magazi - ingoyesani shuga ndi iyo, osapita ku labotale. Ngati zotsatira zake ndizapamwamba kuposa 11.0 mmol / l - ichi ndi matenda a shuga.

Kuzindikira matenda amtundu wa 1 shuga nthawi zambiri samayambitsa zovuta, chifukwa zizindikiro za matendawa zimakhala zowopsa, zowonekeratu. Pangani shuga m'magazi - ndipo zonse zikhala zomveka. Komabe, pafupifupi 25% ya odwala kwa nthawi yoyamba amaphunzira za vuto lawo pokhapokha akafika kuchipatala ndi ketoacidosis.

Chifukwa cha kuchepa kwa insulin, maselo sangathe kuphatikiza glucose ndikusinthira kumafuta. Pankhaniyi, zopangidwa ndi zinthu zambiri zimapangidwa - matupi a ketone. Amayambitsa kununkhira kwa acenton kuchokera mkamwa ndi acidosis - kuphwanya koyenera kwa asidi m'thupi. Matenda a shuga a ketoacidosis ndiwovuta kwambiri, owopsa komanso ofunika kulandira chithandizo chamankhwala mwadzidzidzi. Zizindikiro zake zalembedwa pamwambapa. Ndikofunika kuti muzindikiritse nthawi ndikuyamba kulandira chithandizo cha matenda ashuga, kuti muchepetse kukula kwa ketoacidosis.

Type 1 ndi Type 2 shuga - zimasiyana bwanji

Mtundu woyamba wa matenda ashuga, kuperewera kwa insulini kumayamba m'thupi. Cholinga chake ndikuti chitetezo cha mthupi chimazunza ndikuwononga ma cell a pancreatic beta omwe amapanga insulin. Nthawi zambiri, matenda amtundu wa 1 amapezeka mwa ana kapena mwa achinyamata ochepera zaka 35. Ngakhale pali matenda ashuga a autoimmune omwe ali ocheperako mwa anthu azaka zapakati komanso okalamba. Amatchedwa matenda a shuga a LADA. Madokotala nthawi zambiri amasokoneza ndi mtundu wachiwiri wa matenda ashuga ndikuwachitira molakwika.

Matenda a 2 a matenda a shuga si matenda a autoimmune. Nthawi zambiri amakula mwa anthu opitirira 40 omwe ali onenepa kwambiri, komanso okalamba. M'magazini azachipatala, matenda a shuga wachiwiri kwa achinyamata onenepa kwambiri afotokozedwa, koma izi ndi zosiyana. Zomwe zimayambitsa matendawa ndi moyo wopanda thanzi, zakudya zopatsa thanzi komanso kusachita masewera olimbitsa thupi. Genetics imakhalanso ndi gawo, koma mutha kudzitchinjiriza ku matenda a shuga a 100 ndi 100% ngati mumadya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi. Ndipo kwa matenda amtundu wa 1 shuga, njira zodalirika zopewera sizilipo.

Ndi matenda 2 a shuga, palibe kuchepa kwa insulin m'thupi. Matendawa amatchedwa matenda a shuga a insulin. Kuperewera kwa insulini kumachitika pokhapokha ngati T2DM ichiritsidwa moyenera kwazaka zambiri, ndipo imakhala mtundu woyamba wa matenda ashuga. Nthawi zambiri, ndi mtundu wachiwiri wa matenda ashuga, insulini m'magazi ndi yokwanira, koma maselo sawayankha bwino. Izi zimatchedwa insulin kukana.

Chithandizo

Chithandizo cha matenda a shuga 1 ndi ma jakisoni a insulin, kudya moyenera, komanso kuchita masewera olimbitsa thupi nthawi zonse. Kwa odwala omwe ali onenepa kwambiri komanso okwanira tsiku lililonse a insulin, mapiritsi amatha kuthandizanso. Izi ndi zokonzekera za Siofor kapena Glucofage, zomwe zimagwira ntchito yomwe ndi metformin. Pazonse, mankhwala amatenga gawo laling'ono pakuwongolera matenda amtundu wa 1 poyerekeza ndi zakudya, insulini, komanso masewera olimbitsa thupi.

Odwala ali ndi chidwi ndi njira zatsopano zamankhwala - kupatsirana kwa maselo a beta, kapamba wochita kupanga, majini othandizira, maselo a tsinde. Chifukwa njira izi tsiku lina zidzakulolani kusiya jakisoni wa tsiku ndi tsiku wa insulin. Kafukufuku akuchitika, koma kuwonjezeka kwa chithandizo cha T1DM sikunachitikebe. Chida chachikulu akadali insulin yakale yabwino.

Kuti muthane bwino matenda a shuga 1, muyenera kuphunzira zambiri zosiyanasiyana. Choyamba, pezani zakudya zomwe zimakulitsa shuga wanu komanso zomwe sizichita. Mvetsetsani momwe mungawerengere mlingo woyenera wa insulin. Yambani kujambula zochokera kwa glucose nthawi yomweyo. Pambuyo pa masiku 3-4, zambiri zokwanira ziziunjikira mu diary ili kuti mutha kuzisanthula. Tsatirani nkhani, tumizani ku tsamba la nkhani la imelo Diabetes-Med.Com.

Zolinga zakuchiza matenda amtundu woyamba:

• Sungani shuga m'magazi pafupi kwambiri ndi momwe mungathere.
• Yanikani kuthamanga kwa magazi ndi zina zomwe zingayambitse ngozi. Makamaka, kukhala ndi magazi abwinobwino kumapangitsa kuti pakhale cholesterol “choyipa” komanso “chabwino”, mapuloteni a C-reactive, homocysteine, fibrinogen.
• Ngati zovuta za matenda ashuga zikuchitika, dziwitsani mwachangu. Chifukwa chithandizo cholimba, chomwe chimayamba pa nthawi yake, chimachepetsa kapena chingalepheretse zovuta zina kupitilira.

Kukula kwa shuga kwa odwala matenda ashuga kumakhala kwabwinobwino, kumachepetsa chiwopsezo cha matenda amtima, impso, mawonekedwe a miyendo, ndi miyendo. Tsopano zikuwoneka zachidziwikire, koma mpaka posachedwapa, gulu lazachipatala silinaganize choncho. Madokotala sanawone kufunika kochepetsa shuga mu odwala 1 a shuga. Panali pakati pa 1980s pomwe adatsimikiza ndi zotsatira za kafukufuku wamkulu wa DCCT - Diabetes Control and Complication Tiral. Ngati mumayendetsa shuga m'magazi, chitukuko cha matenda ashuga nephropathy chimalepheretsedwa ndi oposa 65%, ndipo chiwopsezo cha matenda a mtima chimachepetsedwa ndi 35%.

Odwala omwe adachita nawo kafukufuku wa DCCT adatsata zakudya zomwe anthu amakhala nazo. Zakudya izi zimadzaza ndi chakudya chamafuta, zomwe zimakhala zovulaza mu shuga. Ngati mupita pachakudya chochepa chamafuta omwe tsamba la Diabetes-Med.Com limalimbikitsa, shuga yanu imayandikira pafupipafupi. Chifukwa cha izi, chiwopsezo cha zovuta zam'mitsempha chimachepetsedwa pafupifupi zero. Ndi matenda a shuga 1, mutha kukhala ndi moyo mpaka ukalamba, mutakhala ndi thanzi labwino, mpaka kuyamba kuchita nsanje ndi anzanu. Kuti muchite izi, muyenera kulanga kuti muzitsatira boma.

Phunzirani zochizira zothandiza za matenda a shuga 1. Sungani shuga mutatha kudya komanso m'mawa pamimba yopanda nthawi yonse yopanda 5.5-6.0 mmol / l - izi ndi zenizeni! Mlingo wa insulin umachepetsedwa ndi 2-7 times.

Lowetsani insulin ngati shuga m'mimba yopanda kanthu kapena maola 1-2 mukatha kudya amaposa 6.0 mmol / L. Osakhala phee ngati shuga agwera mpaka 6-7 mmol / L. Onetsetsani kuti sizapamwamba kuposa 5.5 mmol / L m'mawa pamimba yopanda kanthu komanso mukatha kudya. Umu ndi momwe anthu amakhalira athanzi, omwe amachepetsa mpaka kuwopsa kwa matenda ashuga.

Chisomo - Nthawi Yoyambira

Matenda a mtundu woyamba 1 amayamba kuthandizidwa ndi jakisoni wa insulin, mwa odwala ambiri zimachitika mozizwitsa. Pofika pano, maselo ochepera a 20% a beta omwe amapanga insulin amakhalabe amoyo. Komabe, pambuyo pa jakisoni woyamba wa insulin, pazifukwa zina amayamba kugwira ntchito bwino. Mwinanso chifukwa kuukira kwa autoimmune pa kapamba kukufooka. Shuga amasungidwa bwino. Ndipo ngati mupitiliza kubaya insulin, ndiye kuti hypoglycemia imayamba - shuga m'magazi ndi otsika kwambiri.

Pa nthawi yaukwati, kubaya insulini sichinthu chofunikira, komanso chowopsa, chifukwa chimachepetsa kwambiri shuga. Odwala ambiri amapumula, akuganiza kuti shuga wawo wadutsa mozizwitsa, ndikupita kukasambira. Amachita pachabe. Ngati mumachita molakwika, ndiye kuti tchuthi cha kutha chimatha msanga, ndipo m'malo mwake chimayamba matenda ashuga 1 omwe ali ndi koopsa.

Monga mukudziwa, insulin imapangidwa ndi ma cell a pancreatic beta. Matenda a shuga a Type 1 amachitika chifukwa chitetezo cha mthupi chimadziteteza ndikuwononga maselo a beta, kuwagwiritsa ntchito molakwika kwa alendo osawadziwa. Panthawi yodziwitsa T1DM, odwala ambiri amakhalanso ndi insulin yawo yaying'ono. Ndikofunika kuti musunge luso ili bola momwe mungathere, moyenera - kwa moyo.

Kufutukula chisangalalo cha matenda a shuga amtundu woyamba ndi weniweni kwa akulu ndi ana. Chakudya chopatsa thanzi pang'ono komanso jakisoni ang'onoang'ono a insulin amateteza maselo a beta. Komabe, ngati mumatsatira zakudya zachikhalidwe zomwe zimagwiritsidwa ntchito moyenera, thupi lonse lidzatha.

Cholinga chothana ndi matenda amtundu wa shuga nthawi ya chikondwerero ndikuletsa maselo a beta kuti "asathere" kwathunthu. Ngati mutha kuwasunga amoyo, kupangira insulin yanu kudzapitiliza. Cholinga ichi chitha kuchitika ngati mumatsatira zakudya zamafuta ochepa ndikuyang'ana shuga wamagazi kangapo patsiku. Ngati shuga akukwera kufika pa 6.0 mmol / L ndikukwera mukatha kudya, jekesani tating'onoting'ono, tomwe timawerengera bwino insulin. Onetsetsani kuti shuga sichidutsa 5.5 mmol / L.

Chifukwa chiyani yesetsani kusunga maselo anu a beta akhale amoyo:

• Mudzatha kukhala ndi shuga wokhazikika m'magazi, kupewa "kudumphira" pansi ndi pansi.
• Mlingo wa insulin udzakhala wotsika kwambiri, majekeseni sangakhale ochepa.
• Mankhwala atsopano a mtundu woyamba atawonekera, mutha kuwagwiritsa ntchito wina aliyense asanafike. Mwachitsanzo, asayansi amatenga ma cell anu ochepa a beta, ndikuwachulukitsa mu vitro ndikuwabayira mu kapamba.

Chithandizo chatsopano chatsopano

M'mayiko osiyanasiyana, kafukufuku wachangu akuchitika pazinthu zatsopano zochizira matenda amtundu wa 1 shuga. Amathandizidwa ndi maboma, makampani opanga mankhwala ndi zothandizira. Aliyense amene angapulumutse odwala matenda ashuga ku jakisoni wa insulin tsiku lililonse amalandila Mphotho ya Nobel ndipo adzapeza mwayi wolemera. Asayansi abwino kwambiri amagwira ntchito kuti akwaniritse cholingachi.

Chimodzi mwazitsogozo - akatswiri a sayansi akuyesera kuti maselo a stem akhale maselo a beta omwe amapanga insulin. Mu 2014, zambiri zokhudzana ndi kuyesa bwino pa mbewa zidasindikizidwa. Maselo amodzi omwe adalowetsedwa kukhala mbewa achika mizu ndikukhala maselo a beta okhwima. Komabe, chithandizo choyenera cha mtundu woyamba wa matenda ashuga mwa anthu mwanjira imeneyi chidakali kutali. Pazaka zambiri zofufuza zikufunika kuti zitsimikizire kuti magwiridwe antchito ndi otetezeka.

Katemera akupangidwanso pofuna kupewa kuwononga maselo a beta ndi chitetezo cha mthupi. Katemera uyu ayenera kugwiritsidwa ntchito miyezi isanu ndi umodzi itatha matenda a shuga 1 apezeka. Gawo lachitatu la kuyesedwa kwa katemera ku katemera kotereku likuchitika ku Europe ndi USA. Maphunziro awiri a katemera wopewa matenda amtundu wa shuga nawonso akupitilizabe. Zotsatira zawo sizingachitike posachedwa.

Zakudya, maphikidwe ndi menyu okonzedwa okonzedwa

Zakudya za matenda amtundu wa shuga 1 ndiye chida chachikulu chothanirana ndi matendawa. Jakisoni wa insulin ali pamalo achiwiri. Aliyense amadziwa kuti muyenera kudya zakudya zopatsa thanzi komanso kupewa zakudya zosayenera. Komabe, zakudya ziti zomwe zimawonedwa kuti ndizabwino komanso zomwe zili zovulaza ndi vuto.

Pewani zakudya zomwe zimachulukitsa shuga m'magazi mwachangu komanso modabwitsa. Ichi ndi chakudya chomwe chimadzaza ndi chakudya - osati mkate, mbatata, chimanga ndi maswiti, komanso zipatso. Kuti muthane bwino matenda a shuga 1, muyenera kusinthira zakudya zamafuta ochepa. Ngati mumadya "moyenera", monga momwe madokotala amalangizira, ndiye kuti shuga imakhalabe yambiri ndipo zovuta za shuga zikukula msanga.

Mavuto obwera chifukwa cha matenda ashuga amakhalapo shuga atasungidwa kwa maola angapo mutadya. Samakula ngati shuga atatha kudya imakwera pang'ono, osatsala kuposa 5.5 mmol / L, monga mwa anthu athanzi. Chifukwa chake, zakudya zamafuta ambiri zimapweteketsa nthawi zambiri kuposa zabwino. Kupanga chisankho pakati pa zakudya zopatsa thanzi komanso zamafuta ochepa ndiye chisankho chachikulu chomwe muyenera kupanga.

Mutha kupeza maphikidwe ndi mndandanda wokonzedwa wopezeka wazakudya zomanga thupi zamagulu 1 a shuga pano

Zakudya zamafuta ochepa zimakupatsani shuga wambiri m'magazi abwino, monga anthu athanzi - osapitirira 5.5 mmol / L mukatha kudya komanso m'mawa m'mimba yopanda kanthu. Komanso, shuga wanu amakhala wathanzi musanadye. Uku ndikusintha kochizira matenda a matenda a shuga a mtundu woyamba 1 komanso 2, omwe tsamba la Diabetes-Med.Com limalimbikitsa pakati pa odwala olankhula Chirasha. Zakudya zamagulu ochepa zimapatsa shuga m'magazi, kuthamanga kwa magazi ndi cholesterol. Mlingo wa insulin umachepetsedwa ndi 2-7 times. Chifukwa cha chakudyachi, ndimatenda a 1 mtundu, nthawi yaukwatiyo imatha kutalikitsidwa kwa zaka zingapo, kapenanso kwa moyo wonse.

Pazokambirana zambiri za odwala omwe ali ndi matenda ashuga, oyang'anira tsambalo adakonza maphikidwe 26 ndi mndandanda wazitsanzo za sabata. Zakonzedwa zopangidwa zimakhala ndi mitundu 21 yosiyanasiyana ya kadzutsa, nkhomaliro ndi chakudya chamadzulo, komanso zokhwasula-khwasula. Zakudya zonse ndizofulumira komanso zosavuta kukonzekera, ndi zinthu zomwe zimapezeka chaka chonse. Ichi ndi chosavuta komanso chophika bwino kwa anthu otanganidwa omwe akufuna kutsatira zakudya zamafuta ochepa. Maphikidwe ophatikiza ndi zithunzi okhala ndi zithunzi ali ngati zakudya zamtengo wapatali. Ndiosavuta kuphika, koma osakwapulidwa. Mungafunike uvuni kuti mukonze mbale zina. Pezani maphikidwe ndi mndandanda wokonzedwa kale ndikulembetsa ku nkhani yamakalata ya imelo. Ndi ufulu.

Jakisoni wa insulin

Odwala onse omwe ali ndi matenda amtundu woyamba wa shuga ayenera kubayidwa insulin tsiku lililonse kuti asafe. Nditangoyamba kumene chithandizo cha insulin, nthawi yaukwati ikhoza kubwera. Pakadali pano, shuga wamagazi amasungidwa popanda kubayidwa nthawi zonse. Komabe, nthawi zambiri sizikhala nthawi yayitali. Shuga amadzukanso. Ngati simutsitsa ndi insulin, ndiye kuti wodwalayo amagwa pansi ndipo akumwalira.

Yesetsani kukulitsa tchuthi chanu kwa zaka zingapo kapenanso kwa moyo wonse. Momwe mungachitire izi akufotokozedwa mwatsatanetsatane pamwambapa. Pa nthawi yaukwati, pangafunike kupaka insulin m'malo otsika. Chitani izi, osakhala aulesi. Apo ayi, ndiye kuti muyenera kumubaya "kwathunthu." Yesani kusunga shuga mukatha kudya osaposa 5.5 mmol / L. Kuti muchite izi, muyenera kutsatira zakudya zamafuta ochepa, ndipo, mwina, jekeseni insulin pa mayunitsi 1-3 patsiku.

Pali mitundu inayi ya insulin:

• ultrashort - yachangu kwambiri;
• mwachidule
• nthawi yayitali yochitapo kanthu;
• kukulitsidwa.

Ngati mutha kuwongolera matenda ashuga amtundu woyamba wokhala ndi zakudya zamagulu ochepa, ndiye kuti muyenera kusinthira ku njira zina zowerengera insulin. Apo ayi padzakhala hypoglycemia. Chifukwa kufunika kwa insulini kumachepetsedwa ndi 2-7 times.

Kuyambira mu 1920s mpaka 1970s, odwala omwe ali ndi matenda a shuga 1 amathandizidwa ndi insulin yomwe imapezeka kuchokera ku ng'ombe, nkhumba, mahatchi ngakhale nsomba. Insulin ya nyama ndi yosiyana ndi anthu, motero jakisoni nthawi zambiri imayambitsa zovuta zonse. Koma sizinali zotheka kuzikana iwo, chifukwa insulin ndiyofunikira kwa odwala matenda ashuga. Kuyambira kale 1980s, insulin yakhala ikugwiritsidwa ntchito makamaka, yomwe imapangidwa ndi mabakiteriya opangidwa ndi majini. Imakhala yoyera, motero ziwindi zina za jekeseni ndizosowa.

Mitundu ya ultrashort komanso insulin yotalikilapo siomwe ili ndi insulin yaumunthu, koma mitundu yosinthidwa mwanjira. Amatchedwa analogues. Amasintha machitidwe poyerekeza ndi insulin wamba yamunthu. Ultrashort insulin imayamba kugwira ntchito mwachangu, komanso imatenga nthawi yayitali - m'malo mwake, imachita chimodzimodzi kwa maola 12-24. Mitundu ya insuliniyi yakhala ikugwiritsidwa ntchito kuyambira 2000s yoyambirira. Atsimikizira kugwira ntchito kwawo ndi chitetezo.

Rimulin yothandizira ndi insulin ndikuwonetsa mitundu ya insulini yomwe muyenera kupaka, kangati patsiku, nthawi yanji komanso mankhwalawa. Mankhwala a insulin ayenera kuikidwa mosamalitsa aliyense, malinga ndi zolemba zomwe zili m'mabuku a kudziona kwa wodwala amene ali ndi matenda ashuga. Amayang'ana momwe kuchuluka kwa shuga m'magazi kumasinthira masana, nthawi yomwe wodwalayo amakhala ndi chakudya cham'mawa, chakudya chamadzulo komanso chakudya chamadzulo. Zochitika zina m'moyo wake zimasamalidwanso. Osamagwiritsa ntchito ziwembu!

Phunzirani kuchepetsa insulin! Odwala odwala matenda ashuga omwe amatsata zakudya zamagulu ochepa a calcium amafunika Mlingo wambiri wa insulin. Amakhala otsika 2-7 kuchulukitsa kuposa miyeso yomwe madokotala amazigwiritsa ntchito. Zingwe za insulin ndi zolembera za syringe zili ndi vuto la 0.5 PIECES. Izi ndizambiri. Mutha kubaya jekeseni wa inshuwaransi za 1-2 pokhapokha ngati muthandizira mchere.

Woyenerera, wodziwa za endocrinologist ayenera kulangizira zamankhwala a insulin. Zochita, kumayiko olankhula Chirasha, odwala omwe ali ndi matenda amtundu woyamba 1 nthawi zambiri amafunika kudzipatsa insulini ndi kuwerengetsa kuchuluka kwake. Chifukwa chake, ndikulimbikitsidwa kuti muphunzire mosamala zolemba zomwe zatchulidwa pansipa. Ngati dotolo apereka mankhwala a insulin omwewo kwa odwala ake onse, osalabadira zolemba zodziyang'anira yekha - musagwiritse ntchito upangiri wake, funsani katswiri wina.

Pampu ya insulin

Pampu ya insulin ndi chida chaching'ono chovala lamba. Kuchokera kwa iwo, insulini imapitilirabe magazi mwachangu. Pampu ya insulin ili ndi chubu chachitali, chochepa thupi chokhala ndi singano kumapeto. Singano imayikiridwa pansi pa khungu, nthawi zambiri m'mimba, ndipo imakhalabe pamenepo mosalekeza. Amasinthidwa masiku atatu aliwonse. Pampu ndi njira yothandizira jakisoni wa insulini m'malo mwa ma syringe ndi zolembera. Kukula kwa chipangizochi kuli ngati kakhadi kosewerera makadi.

Ubwino wa pampu ndikuti simuyenera kuchita jakisoni kangapo patsiku. Itha kugwiritsidwa ntchito ndi akuluakulu, achinyamata, ndipo ngakhale ana omwe ali ndi matenda a shuga 1. Pampu ya insulin imakhulupirira kuti imapereka chiwongolero chabwino cha matenda ashuga kuposa ma syringe akale. Komabe, ndiokwera mtengo, ndipo si odwala onse omwe angaphunzire momwe angagwiritsire ntchito moyenera. Mosasamala - mankhwala a insulin a pampu masiku ano ali ndi zovuta zambiri kuposa zabwino zake. Izi ndizotheka ngakhale mutapanda kuganizira mtengo wake.

Zipangizo zomwe zimaphatikiza pampu ya insulin komanso njira yowunikira shuga m'magazi tsopano akukonzekera kulowa mumsika. Chikhala kapamba wochita kupanga. Chida choterocho chizitha kuyendetsa okha shuga popanda kuchita nawo wodwala matenda ashuga. Komabe, amakhalanso ndi zovuta zina ngati pampu ya insulin yokhazikika. Kuti mumve zambiri, onani nkhani yakuti “Chithandizo cha insulin: Pump and insulin. Panthawi yolemba, February 2015, kapamba wochita kupanga sanayambe kugwiritsidwa ntchito. Madeti enieni omwe adzawonekere sakudziwika.

Mankhwala

Mankhwala amatenga mbali yaying'ono pakuchiza matenda amtundu wa shuga 1 poyerekeza ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Odwala ena omwe ali ndi matenda amtundu woyamba amakhala onenepa kwambiri. Amayamba kukana insulini, motero amakakamizidwa kubaya Mlingo waukulu wa insulin. Amatha kutsitsimutsa shuga m'mapiritsi, omwe amaphatikizika ndi metformin. Awa ndi mankhwalawa Siofor ndi Glucofage. Kwa odwala ochepa komanso ochepa thupi, mapiritsi aliwonse a shuga alibe ntchito.

Tilembapo mankhwalawa omwe amathandizira kuwongolera matenda ofanana. Kuchokera ku matenda oopsa, odwala omwe ali ndi matenda amtundu wa 1 amakonda kupatsidwa mankhwala - ACE inhibitors kapena angiotensin-II receptor blockers. Mapiritsi awa samachepetsa kuthamanga kwa magazi, komanso akuletsa kukula kwa zovuta mu impso. Zatsimikiziridwa kuti ndikofunikira kuzitenga kale pomwe kuthamanga kwa magazi ndi 140/90 mm Hg. Art. ndipo ngakhale zili choncho. Onaninso nkhani ya matenda a shuga ndi matenda oopsa.

Mankhwala onse omwe amafotokozedwa mu gawo lino amatha kumwa kokha ngati akuwongoleredwa ndi dokotala. Amakhala ndi mavuto. Ngakhale kumwa mafuta a nsomba kuyenera kuchotsedwa pamaso pa opaleshoni yomwe idakonzedwa kuti muchepetse magazi. Osadzisilira! Pezani dokotala yemwe mungamukhulupirire komanso kukambirana naye.

Ogwira ntchito pafupipafupi ndi akatswiri a mtima nthawi zambiri amapereka mankhwala ochepa a aspirin kwa odwala awo tsiku lililonse. Amakhulupirira kuti izi zimachepetsa chiopsezo cha matenda amtima. M'mayiko olankhula Chirasha, Cardiomagnyl nthawi zambiri imakhazikitsidwa. Sakani pa intaneti kuti mupeze zotsatira zoyipa za aspirin. Lankhulani ndi dokotala wanu ngati mungasinthe m'malo mwa mafuta a nsomba. Komabe, kuti magazi athe kukhala madzi ambiri, mafuta a nsomba amayenera kumwedwa. Makapu amodzi kapena awiri sangachite. Ndikulimbikitsidwa kumwa supuni 2-3 zamadzi amadzimadzi tsiku lililonse.

Ma Statin ndi mankhwala omwe amachepetsa cholesterol yoyipa m'magazi. Amadziwika kuti ndi mtundu 1 komanso mtundu wa 2 shuga, shuga ndi cholesterol “choyipa” nthawi zambiri zimakwezedwa nthawi imodzi. Chifukwa chake, ma statins nthawi zambiri amaperekedwa kwa odwala matenda ashuga. Komabe, mankhwalawa amayambitsa mavuto - kutopa, kusokonezeka kwa kukumbukira, mavuto a chiwindi angachitike. Zakudya zamafuta ochepa omwe Diabetes-Med.Com imalimbikitsa odwala matenda ashuga amateteza shuga, magazi ndi kuthamanga kwa magazi. Ngati ndi zakudya izi mutha kukana kutenga ma statins - zidzakhala zabwino.

Zochita zolimbitsa thupi

Maphunziro akuthupi ndi njira yolembera matenda amtundu wa 1 shuga, omwe nthawi zambiri samayang'aniridwa. Komabe, zolimbitsa thupi ndizofunikira monga zakudya ndi jakisoni wa insulin. Mumafunikira masewera olimbitsa thupi aerobic ndi anaerobic. Aerobic ikuthamanga, kusambira, kuyendetsa njinga, kuyenda pansi. Amalimbikitsidwa kuti aphatikizidwe tsiku lililonse ndi maphunziro a anaerobic olimbitsa thupi. Khalani ndi chizolowezi chochita masewera olimbitsa thupi pafupipafupi, makamaka m'malo abwino. Akuluakulu amafunika maphunziro osachepera asanu amphindi 30 pa sabata, ana - ola limodzi tsiku lililonse.

Maphunziro akuthupi samofunikira osati "chitukuko chokha." Funsani ma telomeres, chifukwa kutalika kwake ndikofunikira, komanso kuchuluka kwa zolimbitsa thupi kumakulitsa. Mwachidule, kumayambiriro kwa 2000s, zidatsimikiziridwa kuti zolimbitsa thupi zimatalikitsira moyo mwachindunji. Anthu omwe samachita maphunziro akuthupi samangokhala woipitsitsa, komanso zaka zingapo zochepa.

Yambani kuphunzitsa pokhapokha mutakambirana ndi dokotala. Ndikofunika kuti muchite ECG yokhala ndi katundu kuonetsetsa kuti mtima sukulephera. Ngati zovuta za matenda a shuga m'masomphenya, impso kapena miyendo zayamba kale, izi zimayika zoletsa pakusankha njira zomwe zingagwiritsidwe ntchito zolimbitsa thupi.

Mtundu woyamba wa matenda ashuga, maphunziro othamanga amakhala ndi zovuta pa shuga wamagazi. Mwalingaliro, ayenera kutsitsa. Inde, maphunziro akuthupi amatha kutsitsa shuga, ndipo kwa nthawi yayitali, nthawi zina mpaka maola 36 maphunzirowa atatha. Komabe, nthawi zambiri zolimbitsa thupi zimadzetsa shuga. Mukamaphunzira, yesani shuga yanu ndi glucometer kamodzi theka la ola. Popita nthawi, mumvetsetsa momwe zochita zolimbitsa thupi zimakhudzira. Muyenera kusinthira zakudya zanu komanso kuchuluka kwa insulini kuti muzichita bwino. Izi ndizovuta. Komabe, maphunziro akuthupi amabweretsa zabwino zambiri kuposa kuvutikira.

Mtundu woyamba wa shuga mu ana

Mtundu woyamba wa shuga mwa mwana amatanthauza mavuto osatha ndi nkhawa za makolo ake. Matenda a shuga amasinthiratu moyo osati mwana yekhayo, komanso a abale ena onse. Achibale amaphunzira kubaya insulin, kuwerengetsa chakudya m'mbale, kuthana ndi magazi, komanso kusamalira mwadzidzidzi zovuta. Komabe, njira zonse zofunikira zothanirana ndi matenda a shuga sizipitilira mphindi 10-15 patsiku. Nthawi yonseyi muyenera kuyesetsa kukhala ndi moyo wabwinobwino.

Kuphunzira kuongolera matenda a shuga kwa mwana kuli kofanana ndi kuphunzira ntchito yatsopano. Mvetsetsani momwe miyezo ya shuga ya magazi ilili, momwe zakudya ndi jakisoni wa insulin zimakhudzira. Pezani ku boma zabwino zonse zomwe mungathe. Komabe, konzekerani kuti chithandizo chidzafunika ndalama zambiri. Choyamba, iyi ndi mtengo wamiyeso yoyesera glucometer ndi insulin yabwino yomwe ilowetsedwa kunja. Gluceter yaulere yaulere sangakhale yolondola, ndipo insulin ya m'nyumba ingathe kukhala yosakhazikika ndikupangitsa ziwombolo.

Mwana yemwe ali ndi matenda a shuga 1 amusamutsira zakudya zamagulu ochepa kuchokera masiku oyamba. Zotsatira zake ndi shuga wabwinobwino popanda jakisoni wa insulin. Amakula nthawi zambiri - wophunzira wabwino kwambiri mkalasi, mendulo ya siliva pam mpikisano wovina.

Fikirani aphunzitsi ndi sukulu yomwe mwana wanu amaphunzirira. Onetsetsani kuti wachinyamata wodwala matenda ashuga amatha kudzilimbitsa ndi insulin, kapena namwino wasukulu amakhala wokonzeka kumuthandiza. Mwana azikhala ndi mapiritsi a shuga nthawi zonse ngati ali ndi vuto la hypoglycemia, ndipo ayenera kuwgwiritsa ntchito. Ngati muli ndi ana ena, mverani nawonso, osati mwana wodwala matenda ashuga okha. Simungathe kudzikoka nokha. Mugawireni mwana wanu za matenda anu.

Momwe mungakhalire nthawi yayitali

Chinsinsi cha moyo wautali wokhala ndi matenda amtundu 1 - muyenera kuyang'anitsitsa thanzi lanu mosamala kuposa anzanu, omwe chakudya chamafuta ake sichimalephera. Webusayiti ya Diabetes-Med.Com imalimbikitsa dongosolo loletsa matenda ashuga ochulukirapo. Izi zimapangitsa kukhala ndi shuga wamagazi okhazikika, monga mwa anthu athanzi. Tsatirani malangizowo - ndipo mutha kudalira zaka 80-90 za moyo wonse. Kukula kwa zovuta mu impso, kupenya kwa maso, miyendo, ndi mtima dongosolo ndizoletsa.

Khalani ndi zizolowezi zabwino:

• Tsiku lililonse, tengani njira zowongolera matenda anu a shuga - onani shuga wanu wamagazi, tsatirani chakudya, kuwerengera kuchuluka kwa insulini ndikupereka jakisoni.
• Tengani magazi ndi mkodzo kangapo pachaka, kukayezetsa. Yang'anirani dongosolo la mtima wanu, impso, ndi maso.
• Yenderani miyendo yanu madzulo aliwonse, tsatirani malamulo osamalira mapazi.
• Chitani masewera olimbitsa thupi kangapo pa sabata. Izi ndizofunika kwambiri kuposa ntchito.
• Osasuta.
• Pezani zomwe zikukulimbikitsani ndikuchita izi kuti zikulimbikitseni m'moyo.

Kupewa komanso zoletsa zovuta

Mavuto a matenda ashuga ndi owopsa komanso osachiritsika. Amakula chifukwa choti munthu nthawi zambiri amakhala ndi shuga wambiri. Ngati wodwala matenda amtundu wa 1 sagwiritsira ntchito jakisoni insulin kapena osagwiritsa ntchito Mlingo wambiri, ndiye kuti shuga yake imakwera kwambiri. Pakupita masiku ochepa, kusowa kwamadzi kumachitika, kenako kukomoka, ndipo odwala matenda ashuga amatha kugwa. Izi zimatchedwa kuti diabetesic ketoacidosis, vuto loopsa lomwe likutha pachiwopsezo.

Komanso, shuga wamagazi amatha kukula kwambiri ngati muli ndi matenda ozizira kapena matenda ena opatsirana. Chifukwa thupi likamalimbana ndi matendawa, mphamvu ya insulini imachepa. Ndikofunikira kuwonjezera mulingo wa insulin panthawi ya matenda opatsirana ndikugwiritsanso ntchito njira zina zochizira.

Shuga wokwera pang'ono sangayambitse zizindikiro zilizonse. Komabe, zimalimbikitsa kukula kwa zovuta za matenda ashuga. Glucose owonjezera, yemwe amayenda m'magazi, "amamatira" mapuloteni. Imawononga mitsempha yamagazi ndi ziwalo zamkati. Mwa odwala onse omwe ali ndi matenda amtundu 1, mavuto amakula mosiyanasiyana. Komabe, shuga wanu wamagazi akamakhala pafupi ndi phindu lake lenileni, ndiye kuti mwayi waukulu woti zovuta zimapeweka. Kuphatikiza pa shuga, mufunikiranso kuwongolera kuthamanga kwa magazi, cholesterol, mapuloteni othandizira komanso zinthu zina pamtima.

Mimba

Mimba yokhala ndi matenda a shuga 1 iyenera kukonzedwa. Muyenera kukonzekera bwino. Sinthani kasamalidwe ka shuga m'magazi anu miyezi ingapo musanatenge pathupi. Komanso, musafooketse panthawi yapakati. Ndikulimbikitsidwa kuti mukhale ndi pakati pokhapokha glycated hemoglobin itatsikira mpaka 6.0%. Kusintha kwa pampu ya insulin kumathandiza amayi ambiri kukwaniritsa cholinga ichi. Kuthamanga kwa magazi kuyenera kukhala 130/80 mm RT. Art. kapena wotsika.

Pa gawo lokonzekera kukhala ndi pakati, muyenera kuyesedwa ndi kuyesedwa. Ndikofunika kuyang'ana momwe maso ndi impso zanu zilili. Chifukwa kusintha kwa mahomoni kumakhudza mitsempha yamagazi yomwe imadyetsa maso. Njira ya matenda ashuga retinopathy ikhoza kukulira. Komanso, kutenga pakati kumabweretsa mtolo wowonjezera pa impso. Pali ma contraindication ambiri oyembekezera omwe ali ndi matenda a shuga 1, ndipo onsewo sanangovomerezeka ... Koma ngati mwana wabadwa wathanzi, ndiye kuti chiwopsezo cha kufalitsa matenda ashuga kuchokera kwa mayi sichikhala chofunikira kwa iye - 1-1,5% yokha.

Mimba yokhala ndi matenda a shuga a 1 imakhala ndi zoopsa zomwe sizikuwoneka poyambira. Yesetsani kuyesa ndikuchita mayeso. Kenako kambiranani ndi dotolo wanu ndikupanga chisankho chidziwitso. Khalani ndi chidwi chokhala makolo anu osabereka.

Kukhala ndi pakati, kukhala ndi mwana ndikukhala ndi mwana wathanzi ndikotheka nthawi zambiri ndi T1DM. Mabwalo opezeka pa intaneti ali ndi nkhani zambiri zapaubwino kwa amayi omwe ali ndi matenda a shuga 1. Komabe, chithunzi chenicheni sichili chodalirika. Chifukwa amayi omwe ali ndi vuto la impso kapena khungu chifukwa cha pakati samayankhulana pamaforamu. Akakhala ndi mavuto enanso ...

Werengani nkhani yatsatanetsatane, Matenda Aberekere. Kuchokera pamenepo muphunzira:

• ndimayeso ati omwe muyenera kudutsa ndipo mayeso amapita pagawo lokonzekera;
• momwe mungayendetsere shuga m'magazi;
• Zizindikiro zakubereka kwachilengedwe ndi gawo la cesarean.

Kuchepetsa thupi kapena kunenepa kwambiri

Mtundu woyamba wa shuga, kunenepa kwambiri komanso Mlingo wambiri wa insulin ndizogwirizana kwambiri. Aliyense amadziwa kuti insulini imatsitsa shuga. Koma ndi anthu ochepa omwe amadziwa kuti timadzi timeneti timasintha shuga kukhala mafuta. Zimalepheretsanso minofu yamafuta kuti isasokonekera. Insulin imalepheretsa kuchepa thupi. Mukachulukitsa magazi ake, zimakhala zovuta kwambiri kuchepetsa thupi. Kunenepa kwambiri, kumapangitsa kuti maselo azikhala ndi insulin. Anthu onenepa amafunika kubayira insulin yambiri kuti achepetse shuga kuti akhale ovomerezeka.

Kunenepa kwambiri komanso Mlingo wambiri wa insulin ndi njira yoipa:

1. Madipoziti amafuta amapezeka m'thupi.
2. Amakulitsa kukana kwa insulini - muyenera kubaya Mlingo waukulu wa insulin, apo ayi shuga sapita pansi.
3. Insulin yambiri imazungulira m'magazi. Izi zimalepheretsa thupi kuwotcha mafuta komanso kuwonda.
4. Insulin imachotsa glucose m'magazi, ndikusintha kukhala mafuta. Kunenepa kwambiri kukuchulukirachulukira.
5. Kuzungulira kumabwereza, zinthu zikuipiraipira. Kulemera kwa thupi ndi kuchuluka kwa mafuta m'thupi kukukula, ndipo pambuyo pawo - Mlingo wa insulin.

Kuzungulira koyipa komwe tafotokozera pamwambapa kumawonedwa kwa odwala omwe ali ndi matenda amtundu woyamba 1, osati mwa odwala omwe ali ndi matenda amtundu wa 2. Kodi chifukwa chiyani insulin imalimbikitsa kunenepa kwambiri? Chifukwa ndi glucose ochulukirapo palibe chomwe mungachite kuposa kusandutsa mafuta. Choyamba, thupi limayesetsa kusintha glucose kukhala chinthu chosakhazikika - glycogen, yomwe imayikidwa m'chiwindi. Komabe, zosungira za glycogen ndizochepa. Mwa munthu wamkulu, izi sizaposa 400-500 magalamu.

Anthu odwala matenda ashuga omwe amadya zakudya zoyenera amatha kudya zopatsa mphamvu zambiri. Zakudya zamafuta omwe amapezeka nthawi yomweyo amasintha kukhala shuga ndikuwonjezera shuga. Monga lamulo, akasinja osungira a glycogen mu chiwindi ndi minofu amakhala atadzaza kale. Mafuta owonjezera sangasiyidwe m'magazi. Thupi limafuna kuchichotsa mwachangu kuchokera pamenepo kuti 'lisamatirire' mapuloteni komanso zovuta za shuga. Njira yokhayo ndikusintha kukhala mafuta. Insulin imapangitsa izi. Ndipo kuchuluka kwa minyewa ya adipose kuli pafupifupi kosatha.

Kuchepetsa Mlingo wa insulini kuti muchepetse thupi musanayang'anire shuga ndi vuto la kudya. Zimakhudza azimayi achinyamata 10%% omwe ali ndi matenda ashuga 1. Mosavomerezeka, amatchedwa diabetesic bulimia. Ili ndi vuto lamaganizidwe kapena la misala. Mwinanso, mankhwala aboma azindikira kuti ndi matenda enieni.

Matenda a shuga atha kufa pachiwopsezo, ali ndi ziwopsezo zotsatirazi:

• pafupipafupi magawo a shuga a ketoacidosis;
• kuchipatala kuchipinda chopatsa odwala;
• matenda opatsirana - kukana kwa thupi kumafooka;
• kuwonekera koyambirira kwa zovuta za matenda a shuga mu impso, maso, mtima dongosolo.

Zakudya zamafuta ochepa zimapangitsa kuti muchepetse kuchepetsa insulin ndi 2-7 nthawi yomweyo komanso kukonza shuga. Mutha kuchepetsa thupi komanso kukhala wathanzi. Kuchepetsa thupi sikuchitika nthawi yomweyo, koma patadutsa milungu ingapo kapena miyezi yambiri mudzapeza zotsatira. Pankhaniyi, sipadzakhala zovulaza thanzi, koma m'malo mwake - pindulani.

Kulemera kumafunika kuwonjezereka pomanga minofu, osati minofu ya adipose. Kupanda kutero, kunenepa kwambiri kumakulitsa matenda anu a shuga.

Mapeto

Pambuyo pophunzira nkhaniyo, komanso zowonjezera pazolumikizazo, mwaphunzira zonse zomwe mukufuna pa matenda a matenda ashuga a mtundu woyamba. Maluso akuluakulu omwe muyenera kukhala nawo ndi kuwerengetsa chakudya cham'mimba komanso mapuloteni muzakudya, kuwerengetsa mankhwala a insulin, komanso kuyeza shuga m'magazi ndi glucometer. Zachidziwikire, mndandandawo suhera pamenepo. Kuphunzira kuyendetsa matenda a shuga 1 kuli ngati kuphunzira ntchito yatsopano. Komabe, mudzalandira phindu lalikulu ngati muphunzira ndikuwongoleredwa. Mutha kukhala moyo wautali, wopambana, osalemedwa ndi zovuta.

Dokotala waku America Richard Bernstein wakhala ndi matenda ashuga amtundu 1 kwa zaka zopitilira 65. Amawoneka komanso kumva wokondwa kwambiri kuposa anzako ambiri. Webusayiti ya Diabetes-Med.Com ndiyotanthauzira kuchokera ku malingaliro aku Russia a Dr. Bernstein pakuwongolera momwe matenda ashuga angapangire ndi zakudya zamagulu ochepa omwera komanso mapiritsi a insulin ochepa.

Pewani zakudya zomwe zimadzaza ndi mafuta mosamala monganso Asilamu komanso Ayuda achi Orthodox amapewa nkhumba. Osasunga pamiyeso ya mita ya glucose. Sungani chidule cha kudziletsa. Sinthani mankhwala anu a insulin m'malo mopaka jakisoni wokhazikika nthawi zonse. Malinga ndi Dr. Bernstein, ngati, T1DM itatha, shuga atatha kudya m'mawa m'mimba yopanda kanthu osapitirira 5.5 mmol / L, ndipo kuchuluka kwa insulin kwa nthawi yayitali sikupitirira mayunitsi 8, ndiye kuti mukuchita zonse bwino.

Pali zamankhwala zambiri zokhudzana ndi chithandizo cha matenda ashuga. Dokotala wamkulu wopezekapo ndi endocrinologist. Akatswiri a Narrow amamuthandiza. Wothandizira podiatris ndi dokotala yemwe amagwira ntchito pa phazi la matenda ashuga. Osasokoneza ndi dokotala - wa ana. Nephrologist - amachitira impso, akuletsa kukula kwa matenda a shuga. Ophthalmologists amatenga maphunziro apadera kuti aphunzire momwe angapangire retinopathy ndikusungira masanjidwe a odwala matenda ashuga. Komabe, ntchito yayikulu yoletsa komanso kupewa zopewera matenda ashuga 1 ili pamapewa a wodwala. Muyenera kuwongolera shuga lanu lamagazi bwino, apo ayi madokotala sangathe kuthandiza kwambiri.