Matenda a shuga amakhalapo nthawi zambiri amayambitsa zovuta zazikulu komanso matenda opatsirana omwe amafooketsa thupi kwambiri. Mwa odwala matenda ashuga, chitetezo chochepa chimachepetsedwa kotero chimayamba kukhala chovuta kwambiri ndi matenda amtundu uliwonse.
Zomwe zimagwira mucous membrane wama genitourinary system zimafooketsanso, tizilombo tating'onoting'ono timalowa mkati mwake kuchokera kunja. Komanso, ngakhale zikhalidwe za pathogenic zomwe zimapezeka mthupi la munthu aliyense zimatha kudwalitsa matenda, kutupa. Chimodzi mwazovuta zaumoyo ndi cystitis.
Ndi hyperglycemia, shuga amalowa mkodzo, imasanduka malo abwino operekera tizilomboti. Kuphatikiza pa cystitis mu matenda ashuga, wodwalayo amakumana ndi matenda ena amkodzo, amatha kuchitika motsutsana ndi maziko a njira yotupa kapena kupindika kwake.
Ndi matenda a shuga, nephropathy ya matenda ashuga nthawi zambiri imachitika, osakhudza impso zokha. Malinga ndi ziwerengero, anthu odwala matenda ashuga amapezeka ndi matenda am'mimba kwamkodzo, koma otsika nawonso amadwala.
Kuti muchotse cystitis, amasonyezedwa kuti amalimbana ndi mabakiteriya, ndipo makamaka matenda ashuga - omwe amayambitsa matendawa. Chithandizo cha cystitis mu matenda ashuga chiyenera kukhala chokwanira.
Etiology, zizindikiro za cystitis
Mu shuga mellitus, causative wothandizila wa cystitis:
- E. coli;
- Proteus
- Klebsiella;
- enterococci;
- Candida
- staphylococcus
Escherichia coli amatchedwa tizilombo toyambitsa matenda; amakhala m'matumbo ndipo, malinga ndi chitetezo chokwanira, satha kuyambitsa kutupa.
Mapuloteni, enterococci amachititsa cystitis, ngati pakhala kuphwanya njira zakuzindikira. Matenda oyambitsidwa ndi majeremusiwa amayambiranso. A fungus a gulu la candida amathanso kuyambitsa kutupa, ndipo staphylococcus imatha kukhala njira ina yotupa mu ziwalo za kwamikodzo.
Chizindikiro cha matendawa ndi chowala, chodziwika bwino, koma m'mbuyomu cystitis imachitika popanda zizindikilo zilizonse. Nthawi zambiri, zizindikiro za matenda ashuga sizimasiyana ndi njira ya pathology mwa odwala ena. Komabe, wodwala yemwe ali ndi hyperglycemia atha kukhala ndi cystitis nthawi yayitali.
Zizindikiro zazikulu za cystitis:
- kukodza pafupipafupi ndi zikhumbo zabodza kwa iye;
- kwamikodzo kusagonja;
- kupweteka pokodza;
- kumverera koyaka mu urethra.
Kuwonetsera kwina kwa matendawa kudzakhala: kusintha kwamkodzo (kutuluka kwa mkodzo kumakhala kwamtambo chifukwa cha kupezeka kwa ntchofu, epithelium, mabakiteriya), magazi amatha kuwonekera mumkodzo, wodwalayo amasokonezeka ndi kupweteka pakukodza, kukomoka, zizindikiro za kuledzera, nthawi zina, kuwonjezeka kwa kutentha kwa thupi kumadziwika. . Zizindikiro zofananira zimayambitsidwa ndi matenda a shuga insipidus.
Madokotala amati matenda amtundu wa genitourinary omwe ali ndi mavuto ndi insulin nthawi zambiri amapezeka. Chizindikiro cha labotale yokhala ndi kupezeka kwa mabakiteriya ochulukitsa mkodzo la munthu wodwala matenda ashuga. Nthawi zina, ngakhale atazindikira kuti wodwalayo watsimikizira, wodwalayo samadandaula za thanzi.
Kuopsa kwa cystitis ndikuti tizilombo tating'onoting'ono timayambitsa matenda, kukulitsa kwake ndi pyelonephritis, komwe kumatha kuphatikizidwa ndi necrosis ya minofu ya impso, kukulira kwa ma abscesses angapo kapena amodzi.
Dokotala adzaganiza kuti cystitis ndi kukhalapo kwa matupi a ketone mu mkodzo, matendawa amatchedwa ketonuria. Ndi mtundu wowerengeka wa matenda ashuga, pamakhala kuthekera kwakukulu kwamatenda amkodzo.
Ndikofunikira kwambiri kuyeserera nthawi ndi nthawi kuti musaphonye kuyambika kwa cystitis mu shuga. Ndikulimbikitsidwa kutenga mkodzo wowunikira pafupifupi katatu pakatha chaka.
Kuzindikira, chithandizo
Amayamba kuchitira cystitis mu matenda osokoneza bongo posunga anamnesis, kufunsa wodwala, komanso mayeso odutsa. Mayeso wamba a labotale adzakhala:
- kusanthula kwa magazi, mkodzo;
- kuyesa kwa antimicrobial;
- bacteriological kuwunika mkodzo.
Ngati ndi kotheka, dokotalayo amakupangira maphunziro angapo othandiza. Uwu ukhoza kukhala MRI ya ziwalo za m'chiberekero, mafupa amkati, cystoscopy, CT, pijografia, kuyesa impso, chikhodzodzo pogwiritsa ntchito ultrasound.
Ngati matenda a shuga a cystitis atsimikiziridwa, muyenera kumwa chiyani? Chithandizo cha mankhwalawa chimakhazikitsidwa pa mfundo zingapo. Ndikofunikira kuti mankhwala ochizira cystitis mu shuga awonjezeke zochitika pokhudzana ndi kuchuluka kwa tizilombo tating'onoting'ono. Mankhwala amayenera kupereka zochuluka za zinthu zomwe zimagwira mu minofu ya chikhodzodzo komanso mkodzo womwewo.
Maantibayotiki othandizira odwala matenda ashuga omwe ali ndi vuto lotere, odwala amafunika kutenga nthawi yayitali kuposa odwala ena. Nthawi zambiri, nthawi yothetsera mankhwalawa imachepera masiku 10, pakakhala zovuta kuchokera ku impso, njira ya mankhwalawa imakulitsidwa mpaka masiku 21. Matenda a odwala matenda ashuga akakhala akulu, dokotalayo amalimbikitsa kutenga ma antibacterial othandizira mpaka milungu isanu ndi umodzi.
Zimachitika kuti cystitis imachitika motsutsana ndi maziko a matenda a shuga, kuphwanya kumeneku kumasiyanitsidwa ndi kubisalira kwa nayitrogeni ndi impso, wodwalayo amafunika kuwunika pafupipafupi misinkhu ya metabolinine. Izi ndizofunikira:
- Pa nthawi ya chithandizo;
- pambuyo pake.
Mlingo wa mankhwala uyenera kutsimikiziridwa potengera zomwe zidapezeka. Mankhwala a Nephropathic sayenera kutumizidwa kwa gulu ili la odwala, zomwezi ngati cystitis idayambitsa matenda a shuga.
Panthawi ya chithandizo, muyenera kutsatira zakudya zosavomerezeka, kudya mkaka wowonjezera, komanso njira zotithandizira matumbo a microflora. Ndikofunikanso kuwonjezera kuchuluka kwamadzimadzi, monga madzi, tiyi wopanda shuga, compote ndi chakumwa cha zipatso. Madzi amathandizira kutulutsa mabakiteriya kuchokera mthupi, kukonza chikhodzodzo.
Madzi a chipatso cha Cranberry ndi othandiza kwambiri polimbana ndi cystitis. Ubwino wake ndiwakuti "acidates" umodzo, womwe umathandiza kupha majeremusi. Kukonzekera chakumwa, kupera zipatso ndi shuga ndi kuwiritsa kwa mphindi zingapo. Zipatso za Viburnum zili ndi katundu wofanana, amathanso kudyedwa zosaphika.
Kupewa kwa cystitis
Pofuna kuti cystitis imere kwambiri kawirikawiri, madokotala amalimbikitsa kuti asayiwale za kupewa kwa matendawa. Imatha kuchitika chifukwa cha kusokonezeka kwa magazi komanso kusokonekera kwa magazi m'chifupa.
Izi zimachitika ngati wodwala matenda ashuga amakhala malo amodzi nthawi yayitali. Chifukwa chake, ndikofunikira kudzuka ndikuwotha nthawi ndi nthawi, kuchita masewera olimbitsa thupi mu shuga kumathandizanso. Stasis ya magazi imatha kubadwa chifukwa chovala zovala zosavomerezeka, zolimba mkatikati, muyeneranso kulabadira izi.
Mfundo ina ndikuwunika ukhondo, kusamba kawiri pa tsiku. Ndikofunikira kupewa hypothermia, mavalidwe molingana ndi nyengo nthawi iliyonse pachaka. Matendawa amatha kuyamba pambuyo poyenda nthawi yozizira kapena kupuma pamphepete mwa suti yonyowa.
Njira yotupa mu chikhodzodzo nthawi zambiri imakwiyitsidwa ndi mano owola, chifukwa ndi gwero lalikulu la mabakiteriya, omwe amayambitsa zovuta m'mimba yonse ya m'mimba.
Popeza kuyambiranso kwa cystitis mu matenda osokoneza bongo sikwachilendo, pambuyo pochira, urinalysis iyenera kuyang'aniridwa nthawi ndi nthawi. Pomwe palibe zabwino zowoneka bwino, zimakhala za kukhalapo kwa mitundu ina ya kwamikodzo. Kanemayo munkhaniyi apitiliza mutu wa chithandizo cha cystitis.
