Matenda a shuga ndi amodzi mwa matenda oyipa kwambiri omwe amakhudza anthu azaka zilizonse. Ndizodziwika bwino kuti matenda a shuga sangathetseretu 100%, koma amatha kuwongoleredwa kwathunthu kwanthawi yayitali. Chifukwa chake, muyenera kudziwa adokotala omwe mungalumikizane nawo.
Dotolo wam'deralo, dokotala kapena othandizira amatha kudziwa zovuta za metabolism, zotsatira za kuyesa kwa glucose nthawi zambiri zimakhala zokwanira izi. Monga lamulo, matenda a shuga amapezeka mwangozi, panjira yoyeserera kuchipatala kapena ngati ali ndi zizindikiro zake.
Wothandizira samachiza hyperglycemia, kuti athane ndi matendawa, muyenera kulumikizana ndi dokotala wina. Dokotala wokhudzana ndi nkhaniyi amatchedwa endocrinologist. Ndiwokhazikika kwake komwe kumaphatikiza kuyendetsa shuga. Dokotala wopezekayo amapereka chitsogozo cha zasayansi, malinga ndi zotsatira zake, amawunika kuopsa kwa matenda, akuwonetsa njira yoyenera yothandizira ndi kudya.
Ngati pali zovuta kuchokera ku ziwalo ndi machitidwe, wodwala amalimbikitsidwa kukaonana ndi madokotala ena: mtima, ophthalmologist, opaleshoni ya mtima, neuropathologist. Kuyambira pamapeto awo, wodwala matenda a shuga a endocrinologist amalingalira pakusankha ndalama zowonjezera.
Dokotalayo samangothandiza kuchiza matenda a shuga, komanso matenda ena a ziwonetsero:
- kunenepa
- kusabereka
- Goiter;
- matenda a mafupa;
- matenda a oncological ndi matenda ena a chithokomiro;
- hypothyroidism syndrome.
An endocrinologist yekha sangathe kuthana ndi matenda angapo motero, chifukwa chake, endocrinology imagawidwa padera. Dokotala wothandizidwa ndi endocrinologist amathandizira odwala matenda ashuga, komanso mavuto ake m'magulu a zilonda zam'mimba, zilonda zam'mimba, ndipo ngati pakufunika kutero, amamuchitira opaleshoni.
Endocrinologist-geneticist amayang'anira cholowa, mwachitsanzo, shuga, kukula kwakukulu kapena kocheperako. Madokotala omwe akhudzidwa ndi kusabereka kwa akazi, kuzindikira ndi kuchiza matenda a chithokomiro amatchedwa endocrinologist-gynecologist, ndipo madokotala a endocrinologists amakhudzana ndi endocrine gland vuto, kukula kwa ana.
Chifukwa cha magawikidwe apadera, ndizotheka kulowa mozama pazomwe zimayambitsa matendawa, kuti mukhale odziwa bwino pankhaniyi. Mutha kudziwa kuti ndi dokotala uti amene amathandizira odwala matenda ashuga ku registry ya chipatala kapena ku GP yanu.
Zifukwa zokayendera endocrinologist
Wodwalayo ayenera kufunsa wa endocrinologist akakhala ndi zizindikiro: ludzu losatha, kuyabwa kwa khungu, kusintha kwadzidzidzi kwa kulemera, zotupa za fungus za mucous, kufooka kwa minofu, kuchuluka kwa chidwi.
Zizindikiro zingapo zikawoneka pamaso pa kakulidwe ka matenda a shuga, nthawi zambiri mitundu iwiri. Ndi endocrinologist yekha amene angatsutse kapena kutsimikizira za matendawa.
Nthawi zambiri, kuti mukacheze ndi dokotala, muyenera kufunsa katswiri wazachipatala. Ngati apereka magazi, kuwunikiraku kukuwonetsa kuwonjezeka kapena kuchepa kwa glycemia, kutsatiridwa ndikutumiza kwa endocrinologist yemwe amathana ndi vutoli.
Mu matenda a shuga amtundu uliwonse, wodwalayo amalembetsa, kenako adokotala amawona mtundu wa matendawa, amasankha mankhwala, adziwe njira zothandizirana ndi mankhwala, amawunikira mankhwala osamalira, amawunika momwe wodwalayo akuwonera.
Ngati wodwala matenda ashuga akufuna kukhala ndi moyo wokwanira, ayenera kumayezetsa magazi nthawi zonse ndikupereka magazi chifukwa cha shuga.
Momwe shuga imathandizira
Dokotala adzakuwuzani kuti shuga ikhoza kukhala yamitundu iwiri - yoyamba ndi yachiwiri, kusiyana kwa kudya kwa insulin. Matenda a mtundu wachiwiri ndiosavuta kupitilira, amaonedwa kuti ndi osagwirizana ndi insulin. Matendawa sangathe kuchiritsidwa, amatha kusungidwa bwino mpaka athetse mavuto.
Njira yayikulu yothetsera matenda ndi zakudya, yomwe imapatsa kukanidwa kwa zotsekemera, zamafuta, zamafuta ndi zotsekemera. Kutengera ndi malingaliro awa, zizindikiro za glycemia zimakhalabe m'malo ovomerezeka. Katswiri wa matenda a shuga alangiza kupereka zokonda ku:
- nyama yokonda, nsomba;
- masamba, zipatso;
- zopangidwa mkaka.
Ngati chakudyacho sichikupereka chifukwa, akuwoneka kuti amamwa mankhwala omwe amathandizira matenda a glycemia, othandizira odwala matenda ashuga. Ndi dokotala uti amene amathandizira matendawa sizikhudzana ndi mankhwalawa.
Ndikofunikira kwambiri kuwunikira thanzi lanu ndikukhala ndi mayeso munthawi yake, akatswiri a matenda ashuga nthawi zambiri amakhazikitsa tsiku loti mudzawachezere pasadakhale. Chifukwa chotsatira malangizo a dotolo, ndizotheka kuzindikira kusintha pang'ono kwa thupi pakapita nthawi, makamaka kwa matenda ashuga 1. Zotsatira za kusanthula kumathandiza kusankha njira zamankhwala, sinthani mulingo wa mankhwala omwe waperekedwa kale.
Akatswiri a matenda ashuga akuti ngati mtundu woyamba wa matenda ashuga, zakudya ndizofunikanso, koma sizithandiza matendawa. Pachifukwa ichi, pakufunika kubayidwa jakisoni, dokotala amayenera kukupatsani mlingo woyenera ndi pafupipafupi wa makonzedwe. Ngati wodwala samva bwino jakisoni, akhoza kulimbikitsanso njira ina yochizira timadzi.
Kodi ndi dokotala uti amene amathandizira ana a shuga? Wophunzira za endocrinologist nawonso amachita izi. Zomwe zimayambitsa matendawa zimagwirizanitsidwa ndi kubadwa kwatsopano. Ngati kholo limodzi lidwala kale ndi matenda a shuga:
- mwana walembedwanso ndi endocrinologist;
- ngati hyperglycemia yapezeka, mankhwala amatengedwa nthawi yomweyo.
Muyenera kudziwa kuti chinthu chofunikira kwambiri pochiza matenda ashuga mwa ana ndicho kuperekedwa nthawi yolondola kwambiri. Pathology mu ana imakula nthawi zambiri mwachangu kuposa momwe wamkulu, wodwala matenda ashuga adzakuuzani za izi.
Ndi njira yoyenera, mwanayo adzabwerera mwachangu ku moyo wathunthu.
Malangizo ambiri othandizira odwala matenda ashuga oyambira ndi oyamba adzakhala: zakudya, ukhondo, ntchito zakunja, njira yowonjezera chitetezo chokwanira, kuyenda mumsewu, immunotherapy, kumwa mavitamini, kutsata insulin kwenikweni.
M'zaka zaposachedwa, pakhala kusintha kwasayansi, pali mankhwala ochulukirapo omwe:
- thandizani kusamalira thupi;
- letsa kupezeka kwa zovuta za matenda.
Mwina kugwiritsa ntchito mankhwala amodzi osintha ngati amenewo kumakhala chipulumutso chenicheni kwa wodwala ngati ali ndi matenda ashuga. Ndi dokotala uti amene azikuthandizani kutengera mtundu wamatenda mthupi.
Wodwala akapanda kumwa mankhwala omwe akumwa, anyalanyaza malangizo a dokotalayo, vuto lakelo limakulirakulira, matenda a shuga amayamba kukhala oopsa.
Mwina mavuto
Dokotala akapereka mankhwala, ndiye kuti ayenera kumwedwa. Izi zimathandiza kupewa zovuta. Nthawi zambiri ndimafunso kuti muchepetse kuwona, khungu, matenda ashuga, lactic acidosis, kuwonongeka kwa mitsempha yam'mimba, zilonda zam'mimba, kulephera kwa impso, kusintha kwa matenda am'mimba, vuto la mwendo, kulephera kwa mtima.
Matenda opatsirana amakula bwino ndi odwala matenda ashuga, ndikamalandira chithandizo mosayembekezereka, kufunikira kwa chithandizo chamankhwala kumawonekera, wodwalayo akhoza kufa. Monga matenda ena aliwonse, matenda ashuga ndiosavuta kupewa kuposa kuchiza kwa nthawi yayitali. Chifukwa chake, funsani dokotala pakukukayikirani pang'ono kwa matenda.
Dr. Bernstein amalankhula za njira zothandiza kwambiri za matenda ashuga mu kanema munkhaniyi.
