Kuika impso ndiyo njira yabwino kwambiri yothandizira odwala omwe ali ndi vuto loti aimpso amatha. Pambuyo pakutseka kwa impso, chiyembekezo cha moyo chimakulitsidwa kwambiri poyerekeza ndi dialysis m'malo mwake. Izi zimagwira ntchito kwa onse odwala matenda a shuga komanso popanda iwo.
Nthawi yomweyo, kumayiko olankhula Chirasha ndi akunja kumawonjezeranso kusiyana pakati pa kuchuluka kwa maopaleshoni opatsirana a impso ochitidwa ndi kuchuluka kwa odwala omwe akuyembekeza kupatsidwa zina.
Kuzindikira kwa odwala matenda ashuga pambuyo kumuika impso
Kupulumuka kwa odwala omwe ali ndi matenda ashuga pambuyo poyambitsidwa ndi impso ndi koyipa kuposa momwe odwala omwe ali ndi shuga. Gome lotsatirali lakhazikika pakuwunika kwa Moscow City Nephrology Center, komanso Research Institute of Transplantology ndi ziwalo zochita kupanga kwa nthawi ya 1995-2005.
Mtundu woyamba wa 1 shuga wopulumuka pambuyo pothana ndi impso
| Chaka chatha kukokoloka | Kupulumuka wodwala,% | |
|---|---|---|
| Mtundu woyamba wa matenda ashuga 1 (gulu la anthu 108) | Nphropathy yopanda matenda ashuga (gulu la anthu 416) | |
| 1 | 94,1 | 97,0 |
| 3 | 88,0 | 93,4 |
| 5 | 80,1 | 90,9 |
| 7 | 70,3 | 83,3 |
| 9 | 51,3 | 72,5 |
| 10 | 34,2 | 66,5 |
Zomwe zimayambitsa kupulumuka kochepa kwa odwala omwe ali ndi matenda amtundu woyamba 1 ndikatha kupatsirana kwa impso:
- Kutalika kwa matenda ashuga nthawi isanayambike matenda aimpso kulephera kwatha zaka 25;
- Kutalika kwa nthawi ya madokotala asanamuthandize opaleshoni yayitali kuposa zaka 3;
- zaka pa opaleshoni impso pakuchitika opitirira zaka 45;
- atachitidwa opaleshoni, kuchepa kwa magazi kumapitirira (hemoglobin <11.0 g pa lita).
Mwa zina mwa zomwe zimapangitsa kuti odwala amwalire ndikawayika impso, malo oyamba okhala ndi mbali yayitali amakhala ndi mtima matenda. Pafupipafupi imaposa khansa komanso matenda opatsirana. Izi zikugwira ntchito kwa onse omwe ali ndi matenda amtundu 1 komanso popanda iwo.
Momwe zimapangidwira odwala omwe ali ndi matenda amtundu woyamba 1 komanso osadwala matenda a shuga
| Chochititsa imfa | Non-diabetes nephropathy (44 milandu) | Mtundu woyamba wa matenda ashuga 1 (milandu 26) |
|---|---|---|
| Matenda a mtima (kuphatikizapo gangrene yam'munsi) | 17 (38,7%) | 12 (46,2%) |
| 0 | 4 (15%) | |
| Kuperewera | 7 (5,9%) | 9 (34,6%) |
| Matenda a oncological | 4 (9,1%) | 0 |
| Kulephera kwa chiwindi, etc. | 10 (22,7%) | 1 (3,8%) |
| Zosadziwika | 6 (13,6%) | 4 (15,4%) |
Ngakhale pali zovuta zonse, kuperekera impso kwa wodwala yemwe ali ndi matenda ashuga pamlingo wolephera chifukwa cha kulephera kwa impso ndi njira yokhayo yotalikitsa moyo ndikukonzanso mtundu wake.
Buku lomwe linapezamo chidziwitso ndi buku la “Diabetes. Mavuto owopsa komanso opweteka ”ed. I.I.Dedova ndi M.V. Shestakova, M., 2011.
