Ndi mtundu wanji wa odwala matenda ashuga omwe angatenge mtundu wachiwiri wa matenda ashuga?

Anthu ambiri odwala matenda ashuga amasamala mtundu wa mankhwala omwe amawapweteka ashuga omwe amayenera kumwa.

Popeza mankhwala ena ochepetsa shuga sagwirizana ndi ma pinkiller, vutoli ndilothandiza kwa omwe ali ndi vutoli.

Nkhaniyi idzaulula mitundu yayikulu ya ma painkiller, kugwiritsidwa ntchito kwawo mu syndromes ndi ululu wothandizira.

Kodi mumamwa nthawi yanji?

Wodwala wodwala matenda a shuga ayenera kudziwa kuti kutsatira malangizo onse a dokotala komanso kukhalabe ndi moyo wathanzi ndi njira zazikulu zogwiritsira ntchito bwino.

Ndi matenda a mtundu woyamba, chithandizo cha insulini ndichofunikira, ndipo ndimatenda a 2 shuga, zakudya, masewera olimbitsa thupi, ndipo nthawi zina kumwa mankhwala a hypoglycemic. Nthawi zina, matenda a shuga amaphatikizidwa ndi ma pathologies ena, mwachitsanzo:

• mtima (kukachitika kwa stroko kapena mtima);
• ziwalo zowoneka (retinopathy, cataract, glaucoma);
• zolakwika lipid kagayidwe, chifukwa cha kunenepa kwambiri;
• matenda a endocrine;
• zam'mimba dongosolo.

Koma moyo wa anthu odwala matenda ashuga sizosiyana kwambiri ndi moyo wa munthu wathanzi. Munthu wodwala matenda a shuga amathanso kutenga kachilomboka, kupweteka, kuvulala, kumva kupweteka mutu komanso kupweteka. Mzimayi wopezeka ndi matenda osokoneza bongo amatha kubereka ana. Zikatero, pamafunika kutenga mankhwala ochititsa dzanzi.

Mpaka pano, msika wama pharmacological umapereka mankhwala ambiri a analgesic. Pali magulu ambiri amitundu ya mankhwalawa omwe amasiyana ndi kapangidwe kake ka mankhwala, mankhwala othandizira, njira yowonjezera kuchokera mthupi la munthu, ndi zina. Mankhwala omwe amadziwika kwambiri ndi NSAIDs ndi antispasmodics. Koma ndi mankhwala ati omwe ndi bwino kugwiritsa ntchito? Katswiri wakupezekako angakuthandizeni kuzindikira izi.

Kugwiritsa ntchito kwa NSAIDs

Ma NSAID amawonetsedwa ngati mankhwala osapweteka a antiidal. Mankhwalawa amagwiritsidwa ntchito mosiyanasiyana. Ku malo ogulitsa mankhwalawa, wopanga mankhwala amatha kupereka mankhwala ambiri kuchokera ku gulu laoprasi. Zimagwirizanitsidwa ndi izi:

• amalepheretsa biosynthesis ya prostaglandins;
• uncouple oxidative phosphorylation;
• zimakhudza dongosolo la pituitary-adrenal.

Chifukwa cha njirazi, pali kuchepa kwa kupweteka kwa mutu, kupweteka mano, kupweteka kwa m'misempha. Komanso, gululi la mankhwalawa limakhala ndi anti-yotupa komanso kuchepetsa kutentha. Potere, mitundu yonse ya salicylates imagwiritsidwa ntchito:

1. Analgin ndi mankhwala omwe amachotsa zopweteka zosiyanasiyana zoyambira, makamaka atachitidwa opaleshoni, komanso amalimbana ndi hyperthermic syndrome. Mankhwalawa ayenera kugwiritsidwa ntchito mosamala moyang'aniridwa ndi dokotala wa odwala matenda ashuga omwe ali ndi vuto laimpso, matupi awo sagwirizana, matenda a matumbo, kuphatikiza matenda a Crohn ndi zilonda zam'mimba, ochepa matenda oopsa komanso zina.
2. Acetylsalicylic acid umagwiritsidwa ntchito kuphatikiza ma syndromes osiyanasiyana, rheumatism, nyamakazi, pericarditis, matenda omwe amagwala myocarditis. Mankhwalawa contraindicated nthawi yoyamba trimester wa pakati, yoyamwitsa, ndi pathologies a impso, chiwindi, kugaya chakudya ndi kupuma, venous stasis, magazi ndi ena matenda ena.
3. Chitramoni chimakhala ndi zotsatira zingapo nthawi imodzi - analgesic, antipyretic, psycho-stimulating and anti-yotupa. Simungathe kugwiritsa ntchito chida chotere nthawi yoyamba ndi yachitatu ya trimester ya pakati, nthawi yotsitsa, muubwana, ndi kulephera kwa chiwindi kapena impso, gout, kuchepa kwa Vitamini ndi zina.

Pakati painkinkillerers, titha kusiyanitsa omwe amachotsa zizindikiro za ululu zomwe zimakhudzana ndi rheumatism, nyamakazi, arthrosis ndi mafupa a mafupa. Izi zikuphatikizapo Voltaren, Ibuprofen, Indomethacin ndi Ortofen.

NSAIDs anali ndi vuto la hypoglycemic mwa odwala omwe amadalira insulin komanso matenda a shuga a 2.

Koma momwe deta iyi iliri yoona, wina amangolosera.

Kugwiritsa ntchito antispasmodics kwa ululu

Othandizira oterewa amagwiritsidwanso ntchito kuthetsa ma syndromes a ululu. Sangalepheretse kugwira ntchito kwamanjenje, momwe amagwirira ntchito cholinga chake ndikupumula minofu yosalala ya mtima ndi ubongo, mitsempha yam'mapapo, bronchi ndi matumbo.

Mankhwala oterowo amathandizidwa kupweteka kwamtundu uliwonse kapena, ngati kuli koyenera, kuti muchepetse minofu. Mankhwalawa akuphatikizapo:

1. No-spa - mapiritsi ogwiritsira ntchito kuphipha kwa minofu yofewa ya pamimba ndi kwamikodzo. Amagwiritsidwanso ntchito ngati njira yowonjezera yokhudza kusamba, kupweteka kwa mutu ndi ma spasms am'mimba. Milandu yayikulu ndi ana osaposa zaka 6, mtima, impso ndi chiwindi kulephera, kunyentchera, kudziwa magawo a mankhwala ndi ena. Pa nthawi yoyembekezera, mankhwalawa angagwiritsidwe ntchito, koma moyang'aniridwa ndi dokotala.
2. Papaverine ndi mankhwala omwe amapangitsa kuti minofu yamagazi isasweke ngati matenda a cholecystitis, matenda a ndulu, matenda a m'matumbo, impso, matenda a kwamikodzo, bronchi, okhala ndi kamvekedwe ka chiberekero nthawi yapakati. Simungagwiritse ntchito mankhwalawa kwa ana osakwana miyezi 6, chikomokere, ndi vuto laimpso, okalamba komanso opuwala atrioventricular conduction.
3. Drotaverine ndi mankhwala omwe amagwiritsidwa ntchito kuphipha kwa minofu yosalala ya ziwalo zamkati. The contraindication chachikulu ndi kudziwa payekha, Cardiogenic mantha, glaucoma, ochepa hypotension, aimpso ndi chiwindi kulephera, ana osakwana zaka zitatu, mkaka wa m`mawere. Zotsatira zoyipa zingaphatikizepo kupweteka mutu, chizungulire, chifuwa, palpitations, nseru, kusanza, hypotension, kudzimbidwa. Chida choterechi chingakhudze chidwi cha anthu, chifukwa chake, mukamagwiritsa ntchito mankhwalawa, oyendetsa magalimoto ayenera kukana kuwongolera.

Blockers of cholinergic receptors, omwe amaphatikizapo mankhwala osokoneza bongo - Besalol, Bellastesin ndi Platifillin, nawonso ali ndi vuto la antispasmodic.

Nthawi zambiri amagwiritsidwa ntchito pokhudzana ndi ululu wam'mimba womwe umagwirizanitsidwa ndi ma pathologies am'mimba.

Kukonzekera opaleshoni

Pamaso pa opaleshoni kwa wodwala yemwe ali ndi matenda ashuga, ndikofunikira kudziwa njira zamankhwala ochepetsa nkhawa ndi zotupa.

Musanagwiritse ntchito mankhwala okongoletsa, muyenera kukonzekera.

Mulinso:

1. Kufufuza kwathunthu kwa thupi kuti mupeze ma pathologies omwe amafunikira kusintha kwa kapangidwe ka opaleshoni ndi opaleshoni. Izi zimaphatikizapo matenda a mtima, matenda a pathological omwe amayambitsidwa ndi kufalikira kwa magazi, kwamikodzo dongosolo ndi impso. Chithandizo cha tizilombo kapena matenda opatsirana timafunikanso.
2. Kuchepetsa kuchuluka kwa shuga m'magazi m'njira iliyonse yomwe ingakhale yoyenera kwambiri kwa wodwala, kaya ndi mankhwala a insulin kapena kumwa mankhwala a hypoglycemic.
3. Kupewa komanso kuchiza matenda amanjenje.

Kukonzekera koteroko kudzapereka chofunikira kwambiri komanso chosawopseza cha kulowererapo. Chifukwa chake, musanachite opareshoni, simuyenera kubisa ma pathologies kapena zikayikiro zokayikitsa kuti wodwala ali ndi dokotala.

Kubisa chidziwitso chofunikira ngati ichi kumatha kuyambitsa zotsatirapo zoyipa kwambiri.

Kugwiritsa ntchito ma pinkiller pa nthawi ya kubereka komanso kugwira ntchito

Vutoli ndilofala mwa azimayi omwe ali ndi matenda ashuga omwe amakhala ndi njira yobadwira kapena kuchitidwa opaleshoni - gawo la caesarean. Malangizo akulu azikhala motere:

1. Ndi zoletsedwa kugwiritsa ntchito narcotic analgesics.
2. Njira yabwii ndi mankhwala opatsirana owononga, ndiko kuti, kuyambitsa mankhwala osokoneza bongo mu mzere wa msana. Pankhaniyi, muyenera kutsatira malamulo a antiseptics, chifukwa mwa mayi yemwe ali ndi matenda ashuga, chitetezo cha mthupi chimachepetsedwa, ndipo motsutsana ndi izi, mabakiteriya komanso ma virus ambiri amakula nthawi zambiri.
3. Ngati pazifukwa zina sizingatheke kugwiritsa ntchito mankhwala opha ululu, njira yachiwiri imagwiritsidwa ntchito - chigoba chopopera.

Kwa odwala matenda ashuga omwe adzachitidwa opaleshoni, madokotala amatsatira malamulo awa:

1. Mukamasankha anesthesia, muyenera kuyang'ana pa neuroleptoanalgesia, fluorotan kapena nitrous oxide anesthesia. Mankhwala osokoneza bongo monga Viadryl ndi barbiturates nawonso ali oyenera. Kusankhidwa kwa mankhwalawa kumachitika chifukwa sangachititse kuchuluka kwa shuga komanso kumasulidwa kwa mahomoni omwe angalimbane ndi insulin.
2. Pogwira ntchito kwa nthawi yayitali, sizikulimbikitsidwa kupereka opaleshoni yayikulu, chifukwa izi zingayambitse vuto la hypoglycemia.
3. Mwakuchita maopaleshoni afupiafupi kapena kuchitapo kanthu pang'ono panjira, opaleshoni ya mankhwalawa imatha kugawidwa pogwiritsa ntchito opaleshoni yakumaloko kapena yotsala.

Ntchito yayikulu atatha kuchita bwino mu odwala matenda ashuga ndikukhalanso ochepa shuga. Pochita opaleshoni, madokotala amayang'ana zomwe zili ndi shuga ola lililonse, chifukwa zimatha kusintha kwambiri chifukwa cha kutulutsidwa kwa mahomoni ena. Izi zimachitika chifukwa cha kuyesedwa kwa wodwala pakuchita opareshoni.

Munthawi ya ntchito, ndikofunikira kusankha mlingo woyenera wa insulin ndi ma pinkiller. Amayenera kuthetsa ululu wamankhwala kuti ukhale wokwera, apo ayi kuchuluka kwa shuga kumasinthasintha, ndipo mavuto monga kusokonekera kwa magazi m'maso, impso, mtima ndi ziwalo zina zimawonekera.

Pazifukwa zotere, zotumphukira za analgesics zimagwiritsidwa ntchito, mwachitsanzo, Ketorol ndi Ketoprofen, nthawi zina Tramadol, mankhwala opioid apakati kapena a analgesia am'deralo. Mwambiri, adotolo, kuwunika kuchuluka kwa shuga m'magazi ndi kuopsa kwa matendawa, amasankha njira zamankhwala zodwala zomwe wodwala ayenera kumwa. Ngati ndi kotheka, adotolo amasankha momwe angachepetse kuchuluka kwa shuga m'magazi mu vuto linalake.

Ma painkiller amagawidwa m'mitundu iwiri yayikulu - NSAIDs ndi antispasmodics, omwe amakhudzanso thupi la munthu, amachotsa ululu wammbuyo. Musanayambe kumwa mankhwala otere, muyenera kuwerengera malangizo ake, ndipo ndi bwino kukaonana ndi katswiri yemwe angakuuzeni ngati zingatheke kumwa mankhwala ngati awa a matenda ashuga. Pafupifupi zizindikiro zoyambirira za matenda ashuga, kanema wa nkhani ino akuuza.