Mavuto a shuga amaphatikizira kuwonongeka kwa khoma la mtima ndi kukula kwa micro- ndi macroangiopathy. Akayamba kufalikira kumitsempha ya ubongo, matenda a shuga amayamba.
Amayikidwa ngati chizindikiro cha polyneuropathy yapakati. Lingaliroli limaphatikizapo mawonetseredwe ambiri kuyambira mutu ndi chizungulire mpaka ntchito yovuta ya m'maganizo.
Kuchepa kwa mtima kwa minofu kumachitika motsutsana ndi maziko a kuperewera kwa chakudya m'thupi ndi lipid metabolism, vuto la kuperewera kwa ubongo, hypoxia. Izi zimabweretsa kudzikundikira kwa zinthu zopangidwa ndi poizoni, zomwe zimathandizira kuwonongeka kwa ntchito zapamwamba za ubongo.
Zimayambitsa kuwonongeka kwa ubongo mu shuga
Maselo abongo amamva kwambiri kusinthasintha kwa shuga m'magazi. Kwa iwo, ndiye gwero lamphamvu. Chifukwa chake, mu shuga mellitus, mosasamala mtundu wake, zosintha zimachitika zonse mu ziwiya ndi mu minyewa ya ubongo palokha.
Zizindikiro za kuperewera kwa mitsempha zikupita patsogolo pamene matenda ashuga akupita patsogolo, matendawo atapitilira, ndizomwe zimapangitsa njira zamaganizidwe. Zimatanthauzanso kubwezeredwa kwa matenda ashuga komanso kupezeka kwa kusinthasintha kwadzidzidzi kwamisempha.
Mtundu wachiwiri wa matenda a shuga umaphatikizidwa ndi metabolism yochepetsedwa, kuchepa kwa lipoproteins yapamwamba komanso kuchuluka kwa cholesterol. Ndi mtundu wachiwiri wa matenda ashuga, odwala ndi onenepa kwambiri ndipo amakhala ndi kuthamanga kwa magazi pafupipafupi kuposa mtundu woyamba.
Kusintha kwa mtima kwa minyewa kumayendera limodzi ndi mtundu wachiwiri wa matenda a shuga nthawi zambiri chifukwa msinkhu wa odwala nthawi zambiri umayambitsa kutsika kwammimba, komanso zotupa za atherosulinotic ndi thrombosis mwa iwo.
Kuphatikiza apo, mwa anthu okalamba, veinial anteromoses sangaumbidwe kuti alandire kufalikira kwa magazi m'dera la minyewa yowonongeka yaubongo. Zomwe zimayambitsa dementia ku matenda a shuga ndi awa:
- Kuchepetsa mphamvu ya thupi yogwetsa mapuloteni amyloid posowa insulin kapena insulin.
- Kuwonongeka kwa khoma la mtima ndi hyperglycemia.
- Kuwonongeka kwa lipid metabolism, komwe kumakwiyitsa kuchuluka kwa mafuta m'thupi
- Zovuta za hypoglycemia zomwe zimatsogolera ku kufa kwa maselo aubongo.
Asayansi omwe adafufuza za ubale wapakati pa matenda ashuga ndi Alzheimer's awona kuti chiopsezo cha kuiwalika kwa matenda ashuga ndiochulukirapo kuwirikiza kawiri kuposa ndi kagayidwe kazachilengedwe kakaka. Chimodzi mwazoganiza za ubale pakati pa matenda ndi kufanana kwa mapuloteni amyloid mu kapamba ndi ubongo.
Mu matenda a Alzheimer's, ma protein amyloid ndi chifukwa chakuchepa kwa kukhazikitsa kulumikizana pakati pa ma neurons aubongo. Izi zimayambitsa zizindikiro monga kuchepa kwa kukumbukira ndi luntha mu matenda awa. Ndi kuwonongeka kwa maselo a beta omwe amapanga insulin, kudzikundikira kwa amyloid kumapezeka mu minofu ya pancreatic.
Popeza minyewa yam'mimba imakulitsa mawonetseredwe a matendawa, imawerengedwa ngati yachiwiri yofunikira kwambiri pakukula kwa matenda omwe afotokozedwa ndi Alzheimer.
Chifukwa minofu hypoxia kumabweretsa kutsegula kwa michere zomwe zimapangitsa kufooka kwa ubongo ntchito.
Zizindikiro za Masewera a shuga a Mental
Gulu la zidziwitso zokhudzana ndi chiwonetsero cha dementia limaphatikizapo mavuto pokumbukira, kuganiza, kuthetsa mavuto a tsiku ndi tsiku komanso ochezeka. Amaphatikizaponso zovuta zamagwiritsidwe ntchito zomwe sizimayenderana ndi zigawo za necrosis kapena njira ya chotupa mu ubongo.
Odwala omwe ali ndi mtundu wachiwiri wa matenda ashuga, mawonetseredwe awa amalimbikira, chifukwa amalumikizidwa ndi zovuta zowonjezera m'magazi kupita ku ubongo. Ukalamba amathanso kuchulukitsa kuzindikira ndi kuganiza.
Zizindikiro za kuchepa mtima m'matenda a shuga amakhazikika pang'onopang'ono, kumapita patsogolo kwambiri ndi hyperglycemia. Poyamba, odwala zimawavuta kukumbukira komanso kukhala ndi chidwi. Kenako anaphwanya kuthekera kwa kulingalira kwanzeru ndi kukhazikitsa ubale wopatsirana.
Ndi chitukuko cha matendawa, zizindikiro zotsatirazi zimakulitsa:
- Kuzindikira kwa dziko lakunja ndi momwe nthawi ikuyendera, malo amachepetsedwa.
- Makhalidwe a munthu amasintha - kukopa komanso kusayanjana ndi ena zimayamba.
- Anataya mwayi wodziyimira pawokha.
- Odwala sangamve zatsopano, kukumbukira zakale zimaperekedwa kwa zatsopano.
- Amasiya kuzindikira achibale komanso anzawo.
- Maluso apanyumba ndi waluso, kuwerenga ndi kuwerengera mphamvu sizitha.
- Mawuwo akuchepa, mawu osafunikira akuwonekera.
Mukukula kwake, kuchepa kwa mitsempha ya minyewa kumatha kuwoneka ngati kukwiya komanso kuyerekezera zinthu zina, odwala amadalira kwathunthu kunja, popeza sangathe kuchita zinthu zina zapakhomo mosavuta.
Chithandizo cha matenda a dementia mu shuga
Chimodzi mwazinthu zomwe zidawulula mgwirizano wa matenda a Alzheimer's ndi matenda a shuga ndi kupezeka kwa zotsatira za mankhwala a antidiabetesic kuti muchepetse kupitilira kwa dementia.
Chifukwa chake, mankhwala omwe amapereka munthawi yake kuti muchepetse shuga komanso kukwaniritsa kuchuluka kwa shuga m'magazi, komanso cholesterol yotsika komanso kuthamanga kwa magazi, amatha kuchedwetsa kukula kwa dementia mu matenda a shuga.
Ndi chithandizo choyenera, kuphatikiza kusintha kwa insulin mankhwala a matenda a shuga a 2, pali kuchepa kwamphamvu kwamipweya ya neuropsychological. Komanso, magawo a hypoglycemia ndi owopsa kwa odwala omwe ali ndi ziwalo zamitsempha zamaubongo, chifukwa amalepheretsa chizindikiritso.
Kuchepetsa kukumbukira mu shuga kumathandizidwanso ndi ma neuroprotectors, omwe amalimbikitsidwa kuti azigwiritsidwa ntchito maphunziro:
- Ceraxon.
- Cerebrolysin.
- Glycine.
- Cortexin.
- Semax
Kuphatikiza apo, kukonzekera kwa mavitamini a B kungathe kulembedwa - Neurorubin, Milgamm.
Mu chithunzi cha matenda a dementia, kuperekera mankhwala kosalekeza kuti musinthe kukumbukira ndi kuzindikira kukuwonetsedwa. Izi ndi monga: donepezil (Alpezil, Almer, Donerum, Paliksid-Richter), galantamine (Nivalin, Reminyl), Rivastigmin, memantine (Abiksa, Meme, Remanto, Demax).
Njira zodzitetezera zimaphatikizapo kutsatira zakudya zomwe zimaphatikizapo nsomba, nsomba zam'madzi, mafuta a azitona ndi masamba atsopano, zokometsera, makamaka turmeric. Nthawi yomweyo, kuwonjezera pazoletsa zachikhalidwe za zakudya zotsekemera, ufa ndi mafuta, zimalimbikitsidwa kuti muchepetse kumwa kwa nyama ndi mkaka.
Zochita zolimbitsa thupi zovomerezeka, zomwe zimatsimikiziridwa kutengera mkhalidwe woyamba wa wodwalayo, komanso maphunziro a kukumbukira momwe amapangidwira masewera a chess, cheke, kuthetsa mawu osokoneza mawu, zidutswa, zopeka.
Kugona mokwanira komanso malingaliro kukana kupsinjika ndikofunikanso. Kuti muchite izi, odwala atha kupangira masewera olimbitsa thupi komanso kupuma. Kanemayo munkhaniyi akupitiliza mutu wa mavuto a shuga.
