Kuphwanya matumbo komwe kumalumikizidwa ndi matenda a shuga omwe ali ndi zopatsa thanzi, kugwiritsa ntchito mankhwala mosalekeza, komanso kuphwanya malire a madzi.
Kufooka kwamatumbo oyambitsa kudzimbidwa kwa matenda osokoneza bongo kungakhale chisonyezo cha autonomic diabetesic neuropathy. Ndi kuphatikizika uku, malo ogona ndi magazi zimasokonezeka. Ngati njirayi imafikira ziwalo zogaya, ndiye kuti ntchito yawo yamagalimoto imachepa.
Kupereka mankhwala othandizira odwala matenda ashuga kuyenera kuganizira zonse zomwe zimapangitsa kuti wodwala azikhazikika. Mu shuga mellitus, mankhwalawa amagwiritsidwa ntchito poganizira zoperewera zomwe zimayambitsa matenda.
Zomwe Zimapangitsa Kudzimbidwa pafupipafupi mu shuga
Malinga ndi ziwerengero, pafupifupi 30% ya anthu achikulire amadwala kudzimbidwa, komanso kupatsidwa kuti munthu yemwe ali ndi vuto lotere sakonda kuonana ndi dokotala, chiwerengerochi chikhoza kukhala chachikulu kwambiri. Kudzimbidwa mu matenda ashuga kumatha chifukwa cha zomwe zimachitika chifukwa chamadya, moyo wokhalitsa, kapena kungokhala zovuta za matenda ashuga.
Nthawi zambiri, kadyedwe komwe kumakhala zakudya zochepa, CHIKWANGWANI, ndi kuchuluka kwazinthu zomwe zimalepheretsa kayendedwe ka magalimoto kumayambitsa kuphwanya kwamatumbo: tiyi, mkate wa tirigu, mpunga, makangaza, Persimmon, cocoa, mbatata.
Kwa anthu okalamba, kudzimbidwa ndi vuto lomwe limachitika pafupipafupi, popeza ali ndi vuto lotafuna chakudya, zakudya zosankhidwa zimapezeka kwambiri m'zakudya, kuphatikiza apo, amakhala ndi chithunzi chokhala, chokhazikika. Zinthu izi zimachepetsa kugwira ntchito kwam'mimba ndikuwongolera matumbo, ndikupangitsa kudzimbidwa kwa nthawi yayitali komanso kosalekeza.
Komanso, kukhazikika kwa kudzimbidwa mu matenda ashuga kungayambitse:
- Kugwirizana ndi kupuma pabedi pa matenda opatsirana kapena matenda enanso.
- Kuchepa thupi zolimbitsa thupi zomwe zimakhudzana ndi ntchito yokhala pansi kapena thanzi.
- Matenda a m'mimba ogwedezeka - gastritis, zilonda zam'mimba, colitis, cholecystitis.
- Pyelonephritis.
- Hemorrhoids kapena anal fissures.
- Kusuta.
- Mimba
- Chimake
- Kumwa mankhwala omwe amayambitsa mavuto obwera chifukwa cha kudzimbidwa.
Kulumikizana pakati pa matenda a shuga ndi kudzimbidwa kumawonekera kwambiri mu diabetesic autonomic neuropathy, pomwe kusokonezeka kwa magazi ndi kuchepetsedwa kwa mafupa m'mitsempha ya mitsempha kumayambitsa kufooka kwa khoma lamatumbo ndikuwuma.
Pali zowawa ndi zolemetsa m'mimba, ntchito zam'mimba, matumbo ang'ono ndi akulu amalepheretsa, kutulutsa, kusweka mtima kumasokoneza kwa odwala, chopondapo chimakhala chosowa komanso zovuta zodziwika bwino sizothandiza.
Vuto la anthu odwala matenda ashuga omwe amakhala ndi mayendedwe apanthawi yake limachulukitsidwa ndimatenda am'madzi, limodzi ndi glucose okwera. Mukachotsa, glucose amatunga madzi m'matipi, kuphatikiza m'matumbo, omwe amakhala owonda komanso ovuta kusuntha.
Nthawi zambiri ndi mtundu wachiwiri wa matenda ashuga, odwala omwe adadziwika kuti Metformin kuti akonze shuga amasamba amadandaula kuti matumbo amayenda movuta.
Metformin ikagwiritsidwa ntchito, kudzimbidwa komwe kumakhalapo kale kumakhala kwotalikirapo komanso kosagwirizana ndi mankhwala oti mudzimbidwe.
Mankhwala Olimbana ndi Matenda a shuga
Kudzimbidwa mu matenda a shuga kumathandizidwa makamaka ndikukhazikitsa magazi a glycemia pamlingo womwe akufuna. Popanda kuyang'anira shuga wamagazi, ndizosatheka kupewa zovuta za shuga, kuphatikizapo matumbo a m'mimba. Muyenera kuyang'ananso kuchuluka kwa hydration, kupewa kutenga ma diuretics.
Ngati kudzimbidwa kumayamba chifukwa chotenga Metformin, koma muyenera kuwona dokotala kuti akuuzeni mankhwala ena. Kulembera kudzimbidwa ndi chizindikiro ndipo kungaperekedwe kwakanthawi. Zolimbitsa thupi pakapita nthawi zimakhala zosokoneza ndikulimbikitsa chiwonetsero cha kudzimbidwa.
Malinga ndi momwe amagwirira ntchito, mankhwalawa amagawidwa pakukhudzana, osmotically yogwira, emollient, volumetric ndi ndalama m'mapositi amderalo. Lumikizanani ndi mankhwala othandizira othandizira othandizira othandizira lax amatenda pa receptors mu khoma lamatumbo, ndikupangitsa kukhudzika kwamatumbo ndikuthira pambuyo pakukonzekera pambuyo pa maola 6 mpaka 10. Izi zikuphatikiza mankhwala a Senade, Bisacodyl, mafuta a Castor, Guttalax.
Mankhwalawa amatha kugwiritsidwa ntchito pokhapokha pochita kudzimbidwa kwa atonic komanso pokonzekera opareshoni. Kugwiritsa ntchito kwawo kungayambitse kuchepa kwa magazi (ndimatumbo a profuse), popita nthawi yayitali kumakhala mankhwala osokoneza bongo, ndipo kuwonjezeka kwa mankhwalawa kumabweretsa kuwonongeka kwa minyewa yam'mimba ya m'matumbo.
Mankhwala osokoneza bongo omwe amaphatikizidwa ndi:
- Kukonzekera komwe mankhwala ake ndi lactulose: Dufalac, Normase.
- Kukonzekera kochokera ku Macrogol: Forlax, Fortrans.
Mankhwalawa amathandizira kuchuluka kwa matumbo, kuletsa kuyamwa kwa madzi m'matumbo. Izi zimadzetsa kukopa kwamakina ndikutulutsa pakapita nthawi kuchokera maola atatu mpaka asanu ndi limodzi.
Lactulose amatanthauza mankhwala amakono pogwiritsa ntchito njira yotsimikizika komanso chitetezo, kugwiritsa ntchito kwake kumawonetsedwa kwa matenda ashuga komanso chifukwa chachiwiri - kulimbikitsa kukula kwa lactobacilli ndi bifidobacteria, komwe kumateteza kugaya kwamatumbo ndi njira za metabolic.
Folakisi ndi Fortrans ali ndi zosiyana ndi izi:
- Onjezani zam'mimba.
- Chofewa ndowe.
- Yosavuta kunyamula.
- Osayambitsa kusowa kwamadzi komanso kupweteka kwam'mimba.
- Palibe zowonjezera.
Zochizira kudzimbidwa kwanthawi yayitali, mutha kutenga Fortrans kamodzi, kenako ndikusinthira ku Forlax ngati kuli kofunikira.
Ma volumetric laxatives amawonjezera zam'matumbo chifukwa chakuti amamwa madzi ndikulimbikitsa peristalsis. Izi zikuphatikiza ndi chinangwa, nyanja kale, plantain. Zotsatira zimachitika pambuyo maola 10. Nthawi zambiri amachita zinthu modekha, koma ulemu ndi m'mimba zimachitika akagwiritsidwa ntchito.
Emollients imaphatikizapo mafuta parafini, omwe samalowetsa matumbo, koma amapanga kanema kuti azithandizira kuyendayenda kwa ndowe. Zotsatira zimayamba pambuyo pa maola awiri ndi atatu, ndizoyenera kokha ngati ntchito imodzi yokha kutsanulira matumbo. Amayambitsa nseru.
Chithandizo cha kudzimbidwa ndi mankhwala ofewetsa tuvi tolimba ndi ma microclysters amagwiritsidwa ntchito kutaya madzi msanga, akulimbikitsidwa kwa odwala omwe matumbo ake sagwidwa - kutupa, kukokoloka. Yogwirizana m'matumbo am'mimba. Mankhwala odziwika bwino ndi awa:
- Makandulo ndi bisacodyl.
- Normacol microclysters.
- Makandulo ndi glycerin.
- Norgalax m'machubu.
- Microlax microclysters.
Kupewa kudzimbidwa kwa matenda ashuga
Pakudzimbidwa kwambiri, chithandizo chamankhwala osokoneza bongo sichikulimbikitsidwa, makamaka kwa odwala matenda a shuga. Izi sizichiritsa zomwe zimachitika, koma zimachepetsa ntchito yamatumbo. Chifukwa chake, kuti mubwezeretse chopondapo, muyenera kuyamba ndi zakudya komanso kayendetsedwe ka madzi.
Ndi contractility yochepetsedwa, tikulimbikitsidwa kuphatikiza chinangwa, dzungu, phwetekere, mkate wa rye, nsomba ndi mkaka muzakudya. Whey ndi yothandiza kwambiri kwa matenda ashuga amtundu wa 2 ndi matenda a shuga 1. Imasintha matumbo, ndikufewetsa ndowe.
M'mawa pamimba yopanda kanthu, tikulimbikitsidwa kutenga supuni ya mafuta a masamba ndikumwa ndi kapu yamadzi ozizira. Mpunga, mbatata, nyama yamafuta, khofi, tiyi wamphamvu ayenera kusiyanitsidwa kwathunthu ndi zakudya.
Monga mankhwala ofewetsa thukuta komanso munthawi yomweyo kuchepetsa shuga wamagazi kwa odwala matenda ashuga (makamaka ndi mtundu wachiwiri), tikulimbikitsidwa kudya zipatso za mabulosi ndikupanga tiyi pamasamba ake. Komanso popewa kudzimbidwa m'matenda a shuga, kulowetsedwa kwa mbewu za fulakesi, khungwa la mtengo wa zipatso, ndi zipatso zofiirira.
Pofuna kuthana ndi matumbo osagwirizana, njira zotsatirazi zimagwiritsidwa ntchito:
- Zochita zolimbitsa thupi.
- Kulandila kwa mchere wam'madzi.
- Kusisita, kuphatikiza kudzilimbitsa.
- Kudya nthawi yomweyo.
- Kuyambitsa kudya zakudya zosaphika, masamba mafuta ndi chinangwa.
- Madzi akumwa okwanira
- Njira za physiotherapeutic - electrophoresis, SMT.
- Reflex development (m'mawa kupita kuchimbudzi).
Kanemayo munkhaniyi akupereka malangizo amomwe angachiritsire kudzimbidwa pa matenda ashuga.
