Kupsinjika kwambiri ndi mayeso ovuta thupi lonse. Zitha kubweretsa kusokonezeka kwakukulu pakugwira ntchito kwa ziwalo zamkati ndikuyambitsa matenda ambiri, monga matenda oopsa, zilonda zam'mimbazi, ngakhalenso oncology. Ena a endocrinologists amakhulupirira kuti kupsinjika kungayambitse kukula kwa matenda oopsa monga matenda a shuga.
Koma kodi zochitika zakuthupi ndi zamaganizidwe zimakhudza bwanji kapamba ndipo shuga ya magazi imatha kuwonjezera chifukwa cha kuwonongeka kwa mitsempha? Kuti mumvetsetse nkhaniyi, muyenera kudziwa zomwe zimachitika munthu akamapanikizika komanso momwe zimakhudzira kuchuluka kwa shuga komanso kuchuluka kwa shuga.
Mitundu ya nkhawa
Asanalankhule za momwe kupsinjika kwa thupi la munthu, kuyenera kufotokozedwera komwe kumakhala nkhawa. Malinga ndi gulu lazachipatala, lagawidwa m'magulu otsatirawa.
Kupsinjika mtima. Zimachitika chifukwa champhamvu zomwe zakhudzidwa. Ndikofunika kudziwa kuti zitha kukhala zabwino komanso zoipa. Zochitika zoyipa zimaphatikizira: chiwopsezo cha moyo ndi thanzi, kutayika kwa wokondedwa, kutayika kwa katundu wodula. Mbali yabwino: kukhala ndi mwana, ukwati, kupambana kwakukulu.
Kupsinjika kwa thupi. Kuvulala kwambiri, kuwawa kupweteka, kulimbitsa thupi kwambiri, kudwala kwambiri, opaleshoni.
Zamagulu. Zovuta m'mayanjano ndi anthu ena, kukangana pafupipafupi, mikangano, kusamvana.
Kupanikizika kwamankhwala. Kufunika kopanga zisankho zovuta zomwe ndizofunikira pamoyo wa munthu ndi banja lake.
Zomwe zimayambitsa kupsinjika kwa shuga
Pachilankhulidwe chamankhwala, kulumpha kwakuthwa m'magazi amwazi mumkhalidwe wopsinjika kumatchedwa "nkhawa-hypiedlyememia". Chifukwa chachikulu cha izi ndi yogwira ma adrenal mahomoni opanga corticosteroids ndi adrenaline.
Adrenaline imakhudza kwambiri kagayidwe ka anthu, imapangitsa kuwonjezeka kwa shuga m'magazi ndikuwonjezera kagayidwe kazakudya. Komabe, ntchito ya adrenaline pakuchulukitsa shuga sichitha pamenepo.
Kuwululidwa kwa nthawi yayitali pakukhumudwa kwa munthu, kuchuluka kwa adrenaline m'mwazi wake kumachulukirachulukira, komwe kumakhudza hypothalamus ndikuyambitsa dongosolo la hypothalamic-pituitary-adrenal. Izi zimayambitsa kupanga kwa kupsinjika kwa mahomoni cortisol.
Cortisol ndi glucocorticosteroid timadzi tomwe ntchito yake yayikulu ndikuwongolera kagayidwe ka munthu mumikhalidwe yovuta, makamaka kagayidwe kazakudya.
Pogwira maselo a chiwindi, cortisol imapangitsa kuchuluka kwa shuga, omwe amatulutsidwa nthawi yomweyo m'magazi. Nthawi yomweyo, timadzi tating'onoting'ono timachepetsa kuthekera kwa minofu kukonza minyewa, potero kukhalabe ndi mphamvu yayikulu mthupi.
Chowonadi ndi chakuti mosasamala kanthu zomwe zimayambitsa kupsinjika, thupi limakumana nalo ngati ngozi yayikulu yomwe imasokoneza thanzi la munthu komanso moyo. Pachifukwachi, amayamba kupanga mphamvu, zomwe zimayenera kuthandiza munthu kubisala kuti asakuwopsezeni kapena ayambe kulimbana nayo.
Komabe, nthawi zambiri zomwe zimayambitsa kupsinjika kwambiri mwa munthu ndi zochitika zomwe sizimafuna mphamvu zambiri kapena kupirira. Anthu ambiri amakhala ndi nkhawa kwambiri asanatengere mayeso kapena kuchitidwa opaleshoni, nkhawa kuti ataya ntchito kapena mavuto ena m'moyo.
Mwanjira ina, munthu samachita masewera olimbitsa thupi kwambiri ndipo samapanga glucose yemwe wadzaza magazi ake kukhala ndi mphamvu. Ngakhale munthu wathanzi labwino pamenepa angamve kupunduka.
Ndipo ngati munthu ali ndi vuto la matenda a shuga kapena akudwala kwambiri, ndiye kuti kulimba mtima kotereku kumatha kubweretsa kukula kwa hyperglycemia, komwe kumayambitsa zovuta monga glycemic coma.
Kupanikizika ndizowopsa makamaka kwa anthu omwe adapezeka kuti ali ndi matenda ashuga, chifukwa mu nkhani iyi shuga akhoza kukwera mpaka pamlingo wovuta chifukwa cha kuphwanya kwa insulin. Chifukwa chake, anthu onse omwe ali ndi shuga ochulukirapo, makamaka okhala ndi matenda amtundu wa 2, ayenera kusamalira dongosolo lawo lamanjenje ndikupewanso kupsinjika.
Kuchepetsa kuchuluka kwa shuga panthawi yopsinjika, ndikofunikira kuti muchepetse zomwe zimayambitsa zomwezo komanso kuti muchepetse mitsempha poyambira. Ndipo kuti shuga asayambenso kutuluka, ndikofunikira kuphunzira kukhazikika munthawi iliyonse, yomwe mungayesere kuchita masewera olimbitsa thupi, kusinkhasinkha komanso njira zina zopumulira.
Kuphatikiza apo, odwala matenda a shuga ayenera kukhala ndi mlingo wa insulin nthawi zonse, ngakhale kuti jekeseni wotsatira sayenera kuchitika posachedwa. Izi zimachepetsa msanga shuga pagulu la nkhawa ndikutchinjiriza kukula kwa zovuta zoopsa.
Ndikofunikanso kudziwa kuti nthawi zina njira zobisika zotupa, zomwe wodwalayo sangakayikire, zimakhala nkhawa yayikulu kwa thupi.
Komabe, zimathandizanso kudwala, monga hyperglycemia mu shuga mellitus, pomwe shuga imakhazikika kwambiri.
Kuwonongeka kwa dongosolo lamanjenje
Mphamvu yamanjenje yaumunthu imatha kudwala matenda ashuga, osangoyang'aniridwa ndi kupsinjika kwambiri, komanso mwachindunji chifukwa cha shuga wambiri. Kuwonongeka kwa dongosolo lamanjenje m'matenda a shuga ndizovuta zambiri za matendawa, omwe kumlingo wina wake umapezeka mwa anthu onse okhala ndi shuga wambiri.
Nthawi zambiri, zotumphukira zam'mitsempha zimadwala chifukwa chosowa insulini kapena kusamva bwino mkati. Izi zimatchedwa peripheral diabetesic neuropathy ndipo zimagawika m'magulu awiri akuluakulu - distal symmetric neuropathy komanso kupatula autonomic neuropathy.
Ndi distal symmetric neuropathy, mitsempha yam'mphepete yam'munsi komanso yotsika imakhudzidwa kwambiri, chifukwa chotsatira amasiya kuzindikira komanso kuyenda.
Distal symmetric neuropathy ndi mitundu inayi ikulu:
- Mawonekedwe achisoni, akuwoneka ndi kuwonongeka kwa mitsempha yamatsenga;
- Fomu yamagalimoto momwe mitsempha yamagalimoto imakhudzidwira kwambiri;
- Mawonekedwe a Sensomotor, okhudza mitsempha yamagalimoto ndi ma sensenti;
- Proximal amyotrophy, imaphatikizapo magulu osiyanasiyana a zotumphukira zamitsempha yamagazi.
Diffuse autonomic neuropathy imasokoneza kugwira ntchito kwa ziwalo zamkati ndi kachitidwe ka thupi ndipo pazovuta kwambiri zimayambitsa kulephera kwathunthu. Ndi matenda awa, zowonongeka ndizotheka:
- Mtima wamtima. Imadziwoneka yokha mu mawonekedwe a arrhasmia, kuthamanga kwa magazi komanso ngakhale myocardial infarction;
- Matumbo. Zimatithandizira kukulira kwa atony m'mimba ndi chikhodzodzo, komanso kutsekula m'mimba usiku;
- Dongosolo la genitourinary. Amayambitsa kukodza kwamkodzo komanso kukodza pafupipafupi. Nthawi zambiri kumabweretsa kusabala;
- Kuwonongeka pang'ono kwa ziwalo zina ndi machitidwe ena (kusowa kwa chidwi cha ana, kuchuluka thukuta, ndi zina zambiri).
Zizindikiro zoyambirira za neuropathy zimayamba kuonekera mwa wodwala pafupifupi zaka 5 atazindikira. Kuwonongeka kwa dongosolo lamanjenje kumachitika ngakhale ndi chithandizo chamankhwala choyenera komanso jakisoni wokwanira wa insulin.
Matenda a shuga ndi matenda osachiritsika omwe amakhalabe osachiritsika ngakhale mutakhala ndi chidwi chanu. Chifukwa chake, munthu sayenera kulimbana ndi nephropathy, koma yesetsani kupewa zovuta zake, mwayi wake womwe ungakulitse kwambiri kusakhalapo kwa chisamaliro chokwanira cha thupi komanso mlingo woyipa wa insulin. Kanemayo munkhaniyi akukamba za kupsinjika kwa shuga.
