Kusakaniza kwa polar kapena polarizing ndi mankhwala omwe nthawi zambiri amagwiritsidwa ntchito pochiza matenda amtima. Makamaka ogwira mtengo amathandizira polimbana ndi myocardial infarction ndi arrhythmia, popeza imatha kulimbitsa minofu yamtima ndipo imatha kupititsa patsogolo ntchito yake.
Koma matenda a mtima si malo okhawo omwe mungagwiritse ntchito zosakaniza. Chinthu chopukutira chimagwiritsidwanso ntchito kwambiri pothandizira matenda a shuga. Zimathandizira kupirira zovuta zambiri zamatenda awa, zimapangitsa kukhala bwino, komanso nthawi zina zimapulumutsa wodwala.
Koma kuti kaphatikizidwe kabwino kazipanga kamene kamabweretsa wodwala kamodzi, muyenera kudziwa momwe mungagwiritsire ntchito matenda ashuga, komanso mankhwalawa ayenera kuphatikizidwa bwanji. Katswiri wodziwa bwino yekha ndi amene angazindikire izi, chifukwa chake ndizoletsedwa kugwiritsa ntchito mtengo wa matenda ashuga pakhomo.
Katundu
Polyarka ndi mankhwala osakaniza a glucose, insulin, potaziyamu, ndipo nthawi zina, magnesium. Zigawo zonse za osakaniza polarizing zimatengedwa mosiyanasiyana, ndipo yankho la glucose limagwiritsidwa ntchito monga maziko ake. Nthawi zina m'malo mwa potaziyamu ndi magnesium, mankhwalawa Panangin amapezeka.
Chimodzi mwazinthu zofunika kwambiri pamtengowo ndi insulin, yomwe imapereka shuga ndi potaziyamu m'maselo a thupi. Izi zimathandiza kuti matendawa azikhala ndi mphamvu komanso azikhala osokoneza bongo. Kuchita kumeneku kumapangitsa kuti matenda ashuga akhale ofunika kwambiri.
Mpaka pano, pali njira zambiri zosakanikirana ndi polarizing zomwe zimagwiritsidwa ntchito matenda ena. Komabe, pochiza matenda a shuga, mitundu itatu yamitengo imagwiritsidwa ntchito kwambiri, yomwe imakhudza thupi la wodwalayo.
Zosankha zosakanikirana:
- Yoyamba ndi potaziyamu chloride 2 gr., Mayunitsi 6 a insulin, njira ya glucose (5%) 350 ml;
- Lachiwiri - potaziyamu mankhwala ena 4 gr., Insulin 8 mayunitsi, njira ya shuga (10%) 250 ml;
- Lachitatu - Panangin 50-80 ml, insulin 6-8 mayunitsi, glucose solution (10%) 150 ml.
Pole pa matenda a shuga
Kuphatikizika kwa polarizing kumagwiritsidwa ntchito kwambiri pochotsa kuchuluka kwa shuga m'magazi - hypoglycemia. Matendawa amapezeka mwa odwala omwe ali ndi matenda amtundu woyamba 1 omwe amagwiritsa ntchito jakisoni wa insulin pochiza matendawa.
Kuchepetsa kwambiri shuga mu shuga kungayambitse kuchuluka kwa insulini yayikulu, mwangozi, muilowetsa mu minyewa kapena minofu ya minofu (osatinso minyewa yolowerera), komanso kusokonezeka kwakukulu pakudya kapena kuchita zinthu zolimbitsa thupi.
Ndiwothandiza kwambiri kugwiritsa ntchito kapangidwe kake ka hypoglycemia, pomwe wodwalayo sakudziwa. Mwanjira imeneyi, msanganizo wa glucose-insulin-potaziyamu umalowetsedwa m'magazi a wodwala pogwiritsa ntchito dontho. Mtengo umakulolani kuti muwonjezere msanga wamagazi kukhala wambiri komanso kuti mupewe kufa kwa ubongo.
Ngakhale zili ndi shuga, mankhwalawa alinso m'gulu la mankhwala omwe amagwiritsidwa ntchito pochiza matenda a hyperglycemic diabetesic coma ndi ketoacidosis. Kusakaniza kwa gluluose-insulin kumathandiza kupewetsa zovuta zingapo zomwe zimakhudza anthu omwe ali ndi shuga m'magazi.
Izi ndichifukwa choti kuwonjezeka kwa kuchuluka kwa shuga m'magazi kumalumikizana kwambiri ndi kuchuluka kwa insulin, komwe kumapangitsa gawo lalikulu la shuga. Munthawi imeneyi, mafuta amthupi amasiya kumizidwa ndi thupi ndipo maselo amthupi amayamba kuperewera mphamvu.
Kuti athe kulipirira, njira ya glyconeogeneis, kaphatikizidwe ka glucose wama protein ndi mafuta, imayambitsidwa m'thupi la wodwala yemwe ali ndi matenda ashuga. Koma ndimapuloteni ndi lipid metabolism, matupi ambiri a ketone amalowa m'magazi a wodwalayo, omwe amakhala ndi poizoni m'thupi.
Chowopsa kwambiri cha glyconeogeneis ndi acetone, zomwe zimachuluka zomwe m'magazi ndi mkodzo zimathandizira kukulitsa ketoacidosis. Pofuna kuletsa kupangika kwodabwitsika kwa shuga kumeneku, ndikofunikira kuonetsetsa kuti shuga amaperekedwa m'maselo, omwe amathandizira kuti athandizidwe ndi mankhwala omwe ali ndi shuga komanso insulini.
Matenda a shuga amakhalanso othandizanso chifukwa cha zinthu zina zosakanikirana, zomwe ndi potaziyamu ndi magnesium. Potaziyamu ndikofunikira kuti magwiritsidwe ntchito a mtima komanso kupewa kugwidwa. Zimathandizira pakukula kwa mitsempha yamagazi, kotero kusowa kwa potaziyamu nthawi zambiri kumayambitsa matenda oopsa.
Chimodzi mwazizindikiro zazikulu za matenda ashuga ndikupanga mkodzo wambiri, chifukwa cha momwe thupi la anthu odwala matenda ashuga limataya gawo lalikulu la potaziyamu. Chifukwa chake, chithandizo chamankhwala osakaniza a shuga-insulin-potaziyamu chimathandizira kulipirira kuchepa kwa chinthu chofunikira ichi ndipo potero magazi ochepa.
Magnesium imathandizanso kwambiri pakukhazikika kwa magazi. Ndipo kuphatikiza potaziyamu, imakhala ndi zopindulitsa kwambiri pamtima ndi m'mitsempha yamagazi, yomwe nthawi zambiri imadwala hyperglycemia.
Kuphatikiza apo, magnesium imayendetsa magwiridwe antchito amanjenje ndikuthandizira kupewa kukula kwa mitsempha.
Momwe mungatengere polar
Pachikhalidwe, mtengo umaperekedwa kwa wodwalayo kudzera mu mtsempha wa mkodzo, koma nthawi zina yankho limaperekedwa kwa thupi la wodwalayo ndi jekeseni wamkati. Amakhulupirira kuti kulowa mwachindunji m'magazi a wodwala, mtengowo umawonetsa kuthekera kwambiri kwa iye.
Nthawi zina, wodwalayo amaloledwa kumwa shuga ndi potaziyamu pakamwa (ndipo pakamwa), ndipo insulin imalowetsedwa m'magazi ndi dontho. Njirayi imawonedwa ngati yodalirika, popeza kuchuluka kwa shuga ndi potaziyamu m'matumbo a munthu zimadalira zinthu zambiri ndipo zimatha kusiyanasiyana kwambiri mwa anthu osiyanasiyana.
Mlingo wa mankhwala amatsimikiziridwa ndi adotolo potengera kuopsa kwa mkhalidwe wa wodwalayo ndi machitidwe a matenda ake. Chifukwa chake, njirayi imalimbikitsidwa kuchitika kokha kuchipatala komanso kuyang'aniridwa ndi akatswiri. Kuwerengera molakwika kwa odwala kumatha kuvulaza wodwala ndikupanga zovuta.
Kodi ndi chiyani china chomwe mungagwiritse ntchito pochiza matenda ashuga? Akatswiri angakuwuzani mu kanema munkhaniyi.
