Matenda a shuga - matenda a m'mitsempha omwe amawonongeka. Awa ndi mitsempha yomwe ubongo ndi msana zimawongolera minofu ndi ziwalo zamkati. Matenda a shuga ndi matenda oopsa. Zimayambitsa zizindikiro zosiyanasiyana.
Dongosolo lamanjenje lamkati limagawidwa mu somatic and autonomic (autonomous). Mothandizidwa ndi mantha amanjenje, munthu amayendetsa bwino minyewa yake. Dongosolo la mantha a autonomic limayang'anira kupuma, kugunda kwa mtima, kupanga kwa mahomoni, kugaya, etc.
Tsoka ilo, odwala matenda ashuga amakhudza onse awiri. Kuchepa kwa masoka amanjenje kumatha kupweteketsa mtima kapena kupangitsa kuti odwala matenda ashuga asokonezeke, chifukwa cha zovuta za mwendo. Autonomic neuropathy imawonjezera chiopsezo cha kufa mwadzidzidzi - mwachitsanzo, chifukwa cha kusokonezeka kwa phokoso la mtima.
Choyambitsa chachikulu cha matenda ashuga a m'magazi ndi shuga wambiri wosakhazikika. Izi zovuta za matenda ashuga sizimachitika nthawi yomweyo, koma kwa zaka zambiri. Nkhani yabwino ndiyakuti: ngati mumachepetsa shuga m'magazi ndikuphunzira kusunga mosakhazikika, ndiye kuti mitsempha imabwezeretseka pang'onopang'ono, ndipo zizindikiro za matenda ashuga zimatha. Momwe mungawonetsetse kuti shuga ndiwabwinobwino mu shuga - werengani pansipa.
Matenda a shuga a shuga: Zizindikiro
Matenda a diabetes a neuropathy amathanso kukhudza mitsempha yomwe imawongolera minofu ndi ziwalo zamkati. Chifukwa chake, zizindikiro zake ndizosiyana kwambiri. Mwambiri, amagawika "zabwino" ndi "zoipa".
Zizindikiro za Neuropathic
"Zogwira" (zabwino) zizindikiro | "Zizindikiro za" "passive" (zoipa) |
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Odwala ambiri ali ndi onse awiri
Mndandanda wazizindikiro zomwe zimayambitsa matenda ashuga:
- dzanzi ndi kulilira kumiyendo;
- kutsegula m'mimba (m'mimba);
- kukomoka kwa erectile mwa amuna (mwatsatanetsatane, onani "Kupanda shuga - chithandizo chothandiza");
- kutayika kwa chikhodzodzo - kukodza kwamikodzo kapena kusakwanira;
- kugwedeza, minyewa yolumikizira nkhope, pakamwa kapena m'maso;
- zovuta zamaso chifukwa cha kusokonezeka kwa mawonekedwe amaso;
- Chizungulire
- kufooka kwa minofu;
- kumeza movutikira;
- mawu osokoneza;
- minofu kukokana;
- anorgasmia mwa akazi;
- kupweteka kwa minofu kapena "magetsi amanjenjemera".
Tsopano tidzafotokozera mwatsatanetsatane zisonyezo za mitundu iwiri ya matenda a shuga, omwe odwala amafunika kudziwa, chifukwa ndiofala kwambiri.
Alpha lipoic acid zochizira matenda ashuga neuropathy - werengani apa mwatsatanetsatane.
Sensorimotor neuropathy
Zingwe zazitali kwambiri zimafikira m'munsi, ndipo ndizovuta kwambiri kuwonongeka kwa matenda ashuga. Sensomotor neuropathy imawonetsedwa ndikuti wodwalayo pang'onopang'ono amasiya kumva chizindikiro kuchokera m'miyendo yake. Mndandanda wazizindikiro izi umaphatikizapo kupweteka, kutentha, kupanikizika, kugwedezeka, malo m'malo.
Wodwala yemwe amakhala ndi sensorimotor neuropathy, mwachitsanzo, amatha kulocha msomali, amavulala, koma osamvako ndikuyenda modekha. Komanso, sangamve ngati phazi likuvulala ndi nsapato zolimba kwambiri kapena zosasangalatsa, kapena ngati kutentha kwa bafa ndikwambiri.
Panthawi imeneyi, mabala ndi zilonda zam'miyendo mwendo zimachitika, kusuntha kapena kuwonongeka kwamafupa kumatha kuchitika. Zonsezi zimatchedwa matenda a shuga. Sensomotor neuropathy imatha kuwonetsedwa osati kutaya mtima, komanso kuwotcha kapena kupweteka m'miyendo, makamaka usiku.
Kukumbukira kwamunthu wodwala matenda ashuga amtundu wa 2, omwe mavuto ake ammendo adasowa pambuyo poyambira shuga wamagazi ...
Wolemba Sergey Kushchenko Disembala 9, 2015
Diabetesic Autonomic Neuropathy
Dongosolo lamanjenje la autonomic limakhala ndi mitsempha yomwe imawongolera mtima, mapapu, mitsempha yamagazi, mafupa ndi adipose, dongosolo logaya chakudya, ma genitourinary system, ndi thukuta la thukuta. Mitundu iliyonse yamtunduwu imatha kukhudzidwa ndi matenda ashuga othana ndi vuto la matenda ashuga.
Nthawi zambiri, zimayambitsa chizungulire kapena kukomoka ndi kukwera kwakuthwa. Chiwopsezo cha kufa mwadzidzidzi chifukwa cha phokoso la mtima chikukwera pafupifupi kanayi. Kuchepetsa kuyenda kwa chakudya kuyambira m'mimba kupita m'matumbo kumatchedwa gastroparesis. Vutoli limabweretsa kuti kuchuluka kwa glucose m'magazi kumasintha kwambiri, ndipo zimavuta kuti shuga azikhala ndimagazi nthawi zonse.
Autonomic neuropathy imatha kupangitsa kuti kukodoka kwamitsempha kapena kuzimiririka. Zikatere, kachilomboka kamafalikira mu chikhodzodzo, chomwe chimadzuka ndikuvulaza impso. Ngati mitsempha yomwe imawongolera magazi kupita kwa mbolo ikukhudzidwa, ndiye kuti amuna amakumana ndi vuto la erectile.
Zomwe zimayambitsa matenda ashuga a shuga
Cholinga chachikulu cha mitundu yonse ya matenda a shuga a m'magazi ndi shuga wambiri wodwala m'magazi, ngati amakhala wokwera zaka zingapo. Pali njira zingapo zoyambitsa kuphatikizira kwa shuga. Tikambirana ziwiri zazikulu za izi.
Mafuta akwezedwa amawononga mitsempha yamagazi yaying'ono (capillaries) yomwe imadyetsa mitsempha. Mphamvu yakubwera kwa magazi kuchepa. Zotsatira zake, mitsempha imayamba "kukwana" chifukwa chosowa mpweya, ndipo kayendedwe ka mitsempha kamachepa kapena kuzimiririka.
Glycation ndiye kuphatikiza kwa glucose ndi mapuloteni. Mochulukitsa kuchuluka kwa shuga m'magazi, mapuloteni ochulukirapo amachitika motere. Tsoka ilo, kukomoka kwa mapuloteni ambiri kumayambitsa kusokonekera kwa magwiridwe awo. Izi zimagwiranso ntchito kuma protein omwe amapanga dongosolo lamanjenje. Zinthu zambiri zomaliza za glycation ndizoopsa m'thupi la munthu.
Momwe dokotala amapangira matenda
Kuti adziwe matenda a diabetes a neuropathy, dokotala amafufuza ngati wodwalayo akumva kukhudzidwa, kukakamizidwa, jekeseni waululu, kuzizira komanso kutentha. Kuzindikira kugwedezeka kumayendera pogwiritsa ntchito foloko. Kukhudzika kwa kukakamizidwa - ndi chipangizo chotchedwa monofilament. Dokotalayo apezanso ngati wodwalayo ali ndi vuto la bondo.
Mwachidziwikire, munthu wodwala matenda ashuga yekha amatha kudziyesa kuti asapeze neuropathy. Phunziro lodziyimira pawokha lakukhudza, mwachitsanzo, masamba a thonje ndi oyenera. Kuti muwone ngati mapazi anu akumva kutentha, chilichonse ofunda ndi ozizira achite.
Dokotala amatha kugwiritsa ntchito zida zamakono zachipatala kuti adziwike moyenera. Adziwitse mtundu wa matenda ashuga a m'mimba ndi gawo la kakulidwe kake, i.e., momwe mitsempha imakhudzidwira. Koma chithandizo munthawi iliyonse chimakhala chofanana. Tidzakambirana pambuyo pake m'nkhaniyi.
Chithandizo cha matenda ashuga a Neuropathy
Njira yayikulu yothandizira matenda a shuga a matenda a shuga ndikuchepetsa shuga m'magazi ndikuphunzira kukhala osasunthika, monga mwa anthu athanzi opanda shuga. Njira zina zonse zochiritsira sizili ndi gawo laling'ono la mphamvu zamagetsi. Izi sizikugwira ntchito ku neuropathy kokha, komanso ku zovuta zina zonse za matenda ashuga. Tikupangira zolemba zanu:
- Insulin ndi chakudya chamafuta: chowonadi chomwe muyenera kudziwa;
- Njira zabwino zochepetsera shuga wamagazi ndikuzisunga bwino.
Ngati matenda ashuga a m'mimba amachititsa kupweteka kwambiri, dokotala amatha kukupatsani mankhwala ochepetsa mavutowo.
Mankhwala omwe amagwiritsidwa ntchito ngati chizindikiro chothandizira kupweteka kwa matenda ashuga polyneuropathy
Gulu la mankhwala | Mutu | Mlingo watsiku ndi tsiku, mg | Kukula kwa mavuto |
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Tricyclic antidepressants | Amitriptyline | 25-150 | + + + + |
Imipramine | 25-150 | + + + + | |
Serotonin / Norepinephrine Reuptake Inhibitors | Duloxetine | 30-60 | + + |
Paroxetine | 40 | + + + | |
Citalopram | 40 | + + + | |
Anticonvulsants | Gabapentin | 900-1800 | + + |
Lamotrigine | 200-400 | + + | |
Carbamazepine | mpaka 800 | + + + | |
Pregabalin | 300-600 | ||
Zosangalatsa | Maloiletine | mpaka 450 | + + + |
Ma opioids | Tramadol | 50-400 | + + + |
Yang'anani! Mankhwala onsewa ali ndi zotsatira zoyipa. Zitha kugwiritsidwa ntchito pokhapokha ngati dokotala akufotokozera ngati ululu sutha kupirirabe. Odwala ambiri akukhulupirira kuti kupilira zovuta za mankhwalawa ndi koopsa kuposa kupilira ululu chifukwa cha kuwonongeka kwa mitsempha. Komanso mankhwalawa amatha kuwonjezera shuga.
Ma antioxidants ndi mavitamini B, makamaka B12 mu mawonekedwe a methylcobolamine, amagwiritsidwa ntchito pochiza matenda ashuga a m'mimba. Umboni pakuchita bwino kwa izi ndikutsutsana. Mulimonse momwe zingakhalire, tikukulimbikitsani kuti muyesere alpha-lipoic acid ndi mavitamini angapo a gulu B. Werengani komanso nkhani yolembedwa kuti "Mavitamini a shuga omwe angabweretse phindu".
Matenda a diabetes a neuropathy amachiritsika kwathunthu!
Pomaliza, takusungirani nkhani yabwino. Neuropathy ndi imodzi mwazosintha zovuta za matenda ashuga. Izi zikutanthauza kuti ngati mutha kutsitsa shuga m'magazi anu ndikulisunga bwino, ndiye kuti mukuyembekeza kuti zizindikiritso za mitsempha zimatha.
Zimatha kutenga miyezi ingapo kufikira zaka zingapo mpaka mitsempha itayamba kuchira, koma izi zimachitikadi. Makamaka, chidwi cha miyendo imabwezeretseka, ndipo kuwopseza "phazi la matenda ashuga" kumatha. Izi zikuyenera kukulimbikitsani kuti muchite zonse zomwe mungathe kuti muchepetse shuga.
Kuchepa kwa Erectile mwa amuna kumatha kuchitika chifukwa cha kuwonongeka kwa mitsempha yomwe imayendetsa mbolo, kapena chifukwa cha zotupa zomwe zimapereka magazi ku Corpus cavernosum. Poyamba, potency imabwezeretseka kwathunthu komanso kuwonongeka kwa zizindikiro zina za matenda ashuga. Koma ngati matenda ashuga adatha kuyambitsa mavuto ndi ziwiya, ndiye kuti matendawa akuipiraipira.
Tikukhulupirira kuti nkhani yathu lero yakhala yothandiza kwa odwala. Kumbukirani kuti, mpaka pano, palibe mankhwala omwe amathandizadi pochiza matenda a shuga. Zambiri pazakuwoneka bwino kwa mavitamini a alpha-lipoic acid ndi B ndizosemphana. Mankhwala atsopano akangofika, tikukudziwitsani. Mukufuna kudziwa nthawi yomweyo? Lowani nawo nkhani yathu.
Njira zabwino zochizira matenda ashuga ndi kukhala ndi shuga. Mukawerenga tsamba lathu, mukudziwa kale njira yabwino yokwaniritsira izi. Kuphatikiza pa chakudya chamagulu omwera, timalimbikitsa kuti muyese mavitamini a alpha lipoic acid okwanira ndi mavitamini. Zowona sizingabweletse mavuto mthupi, ndipo mapindu ake amakhala atanthauzo. Zowonjezera zimatha kufulumizitsa kumasulidwa kwanu kwa zizindikiro za mitsempha ya conduction.