Matenda a shuga amabweretsa zovuta chifukwa cha matenda omwe amakhala nawo kwa nthawi yayitali kapena kulipidwa mokwanira. Ma neuropathy ofala kwambiri am'munsi.
Njira yotsogolera yopanga matenda a shuga a polyneuropathy ndi kuvulala kwa khoma lamitsempha yokhala ndi glucose okwera. Kuchepa kwa magazi ndi kufooka kwa kapangidwe kazitsulo zamitsempha kumayambitsa mapangidwe a phazi la matenda ashuga.
Chimodzi mwazizindikiro za neuropathy ndikutupa kwa m'munsi. Matenda a dongosolo la mitsempha sindiwo chifukwa chokhacho chomwe odwala amadandaula kuti miyendo yawo yapansi imatupa ndi shuga.
Zomwe zimayambitsa kutupa m'matumbo a shuga
Edema pamiyendo imachitika pamene maselo ndi malo a interellular amadzaza ndimadzimadzi. Miyendo, monga mbali zotsikira za thupi, imakumana ndi katundu wambiri pamalo owongoka.
Kutupa kwa miyendo ndi miyendo kumadalira onse pakuchulukana kwamadzi m'thupi, komanso kuvomerezeka kwa makoma am'mimba, ntchito ya venous and lymphatic system.
Kutupa kwamiyendo m'magazi a shuga kumatha kukhala ndi zovuta zingapo:
- Mapazi olimbirana ndi mbali yakumunsi ya mwendo wotsika: mukapanikiza pakhungu la kumbuyo kwa mwendo wapansi, kutsata pang'ono kumakhalako, komanso kuchokera ku zotanuka pamasokosi.
- Kutupa kwakanthawi kumatha kukhala mbali imodzi kapena miyendo yonse m'chigawo cha ankolo, kulumikizana.
- Kutupa kwa mwendo wapansi kufikira mulingo wa bondo. Tikapanikizika kwa nthawi yayitali, kutsekemera kwakuya kumatsalira. Edema amatha kukhala pamiyendo yonse kapena imodzi.
- Trophic matenda a pakhungu kumbuyo maziko a edema. Ziphuphu zakula zitha kuphimbidwa ndi ming'alu, zomwe zimayamba kukhala mabala osapola ndi zilonda.
Ndikukhazikika kwakanthawi, ndikuwonjezera mphamvu kwa thupi, edema yomwe ili m'munsi mwa mwendo wotsika imatha kuwonekeranso madzulo, yolumikizidwa ndi kuthamanga kwa hydrostatic pamatumbo ndikutsitsa kwamitsempha. Edema yotere imadutsa palokha popanda chithandizo.
Mapazi amatupa kwa odwala matenda a shuga omwe ali ndi vuto la mtima, kuwonongeka kwa impso, ziwalo zam'mimba komanso zamitsempha, komanso kuwonetsa kwa arthropathy kapena njira yotupa yotupa.
Kusokonezeka kwa kulowetsedwa ndi matenda a khoma la mtima kumayendera limodzi ndi matenda ashuga a polyneuropathy. Kutupa nthawi zambiri kumatchulidwa ndikupanga mtundu wina wa ischemic.
Mchitidwewo umapitilira kuwonongeka kwa makoma amitsempha yamagazi momwe mafuta ndi calcium zimayikidwa pazenera, cholesterol plaques amapanga lumen ya mitsempha. Kuchepetsa magazi otaya, kukhazikika m'mitsempha kumathandizira kutaya kwamkati pakhungu ndikupanga edema.
Ndi neuropathy, pamatha kutupika, kutchulidwa kambiri pamwendo umodzi. Khungu limazizira komanso louma. Odwala amadandaula za kupweteka poyenda, dzanzi, kuchepa mphamvu, kuwuma komanso kuwuma khungu, mawonekedwe aming'alu zidendene.
Pakapita patsogolo, zilonda zimapangika kumapazi kapena miyendo, zomwe sizichiritsa kwa nthawi yayitali
Zochita zamtima zamkati zomwe zimalephera kuzungulira zimakhala ndi zosiyana ndi izi:
- Nthawi zambiri zimawoneka pamiyendo yonse.
- Edema m'magawo oyamba ndi ofatsa, komanso kuwonongeka kovuta - wandiweyani, kufalikira mpaka mawondo.
- Kutupa m'mawa kumachepa ndikukula m'mawa.
Symmetric edema m'mawa imatha kukhala chimodzi mwazizindikiro za matenda ashuga nephropathy. Kuphatikiza pa miyendo, manja ndi matope am'munsi amatha kutupa. Potere, kutupa kwa nkhope kumadziwika bwino kuposa shins. Kuwonongeka kwa impso mu matenda osokoneza bongo a shuga nthawi zambiri kumachitika motsutsana ndi kuthamanga kwa magazi.
Miyendo yomwe imadwala matenda a shuga imatha kutupa ndi matenda am'mitsempha - mitsempha ya varicose ndi thrombophlebitis. Edema ndi unilateral kapena kutchulika mwendo umodzi, wolimbikira, wandiweyani. Limbitsani pambuyo pakuyima nthawi yayitali. Zotupa zambiri zotupa. Pambuyo kutenga yopingasa malo kuchepa.
Ndi matenda a lymphatic dongosolo, zotsatira za erysipelas, wandiweyani komanso wolimbikira edema amapangika, yemwe samakhudzidwa ndi nthawi ya tsiku kapena kusintha kwa mawonekedwe a thupi. Kapangidwe ka "pilo" kumbuyo kwa phazi ndi kakhalidwe.
Matenda a diabetes a arthropathy amapezeka ndikutupa kwamchiuno kapena mafupa a bondo. Potere, edema yakumalo, kokha m'dera lolumikizidwa molumikizana, imayendera limodzi ndi kusokonekera kwa kuyenda ndi ululu pakuyenda.
Chithandizo cha edema ya m'munsi malekezero
Ngati kutupira ndi matenda ashuga kuwoneka ngati kovuta, ndiye kuti choyambirira kuchita ndikukwaniritsa kuchuluka kwa glucose m'magazi. Izi zitha kuchitika ndi chakudya chomwe, kuphatikiza pakuletsa zakudya zamafuta ochepa komanso zakudya zamafuta kuchokera ku nyama, muyenera kuchepetsa kuchuluka kwa mchere ndi madzi omwe mumamwa.
Kwa odwala omwe alibe kwambiri matenda oopsa, tikulimbikitsidwa kuti tisamadye mchere wambiri wa tebulo patsiku, ngati kukhathamira kwa magazi kukupezeka pamwamba pa 145/95, ndiye kuti mcherewo umachepetsedwa mpaka 1-2 g patsiku kapena kuthetseratu.
Mu matenda a shuga a nephropathy, mapuloteni amtundu amachepetsedwa. Pankhaniyi, zakudya ziyenera kuphatikizapo masamba okwanira, zipatso zopanda zipatso. Zochizira a impso ndi mtima edema, mankhwala otsatirawa amagwiritsidwa ntchito:
- Mankhwala a diuretic: a shuga, mankhwala omwe amachepetsa kuchuluka kwa potaziyamu amagwiritsidwa ntchito - Furosemide, Trifas, Indapamide. Hypothiazide imagwiritsa ntchito zochepa chifukwa cha zotsatira zake zoyipa zamafuta kagayidwe. Mankhwala osokoneza bongo sagwiritsidwanso ntchito kawiri pa sabata kawiri.
- Ndi kufooka kwa minofu ya mtima, Riboxin ndi Mildronate ndi omwe amapatsidwa.
- Zitsamba zokhala ndi diuretic zake: decoctions ndi infusions wa bearberry, akavalo, birch masamba amagwiritsidwa ntchito. Kuti musinthe khofi, chicory ndikulimbikitsidwa, yomwe, kuwonjezera pakulimbitsa kwamkodzo, imakhala ndi vuto la hypoglycemic.
Kuti muchepetse edema yomwe imayambitsidwa ndi vuto la venous outflow, jersey ya compression imagwiritsidwa ntchito: zotanuka, batani, masitima. Komanso, odwala amawonetsedwa mankhwala omwe amalimbitsa khoma la mitsempha: Detralex, Eskuzan, Normoven ndi Troxevasin.
Kupititsa patsogolo magazi m'thupi, kukonzekera magazi kungagwiritsidwe ntchito - Aspecard, Cardiomagnyl, Clopidogrel. Ma gels omwe amagwiritsidwa ntchito komweko ndi awa: Troxevasin, Hepatrombin, Aescin ndi Venitan.
Popewa edema odwala matenda ashuga, tikulimbikitsidwa:
- Chepetsani nthawi yokhala malo owongoka, osapatula nthawi yayitali komanso kulimbitsa thupi.
- Chepetsani kunenepa kwambiri kuti muchepetse katundu m'miyendo yam'munsi.
- Ndi chizolowezi cha edema, kugwiritsa ntchito prophylactic pakukonzekera kwazitsamba ndikugwiritsa ntchito miyala yamkati ndikulimbikitsidwa. Mankhwala azitsamba a shuga, makamaka, adzakhala opindulitsa.
- Kuvala kusanja kopindika kutsitsa venous dongosolo ndikuletsa kusasokonekera.
- Chitani ntchito zapadera zochizira. Pazizindikiro zoyambirira za neuropathy, odwala amalimbikitsidwa kuti ayende maulendo ataliitali kuti akonzere kusintha kwam'mimba m'magawo otsika.
- Ukhondo wamapazi ndikuwunika tsiku lililonse kuti mupeze ndi kupeza zilonda zapakhungu pakanthawi kake.
Kanemayo munkhaniyi akuwuzani zoyenera kuchita ndi kutupa kwamiyendo pakadwala matenda ashuga.
