Matenda a shuga ndi matenda omwe amatha kuchitika zaka zilizonse. Tsoka ilo, matendawa amapezeka mwa odwala, komanso mwa ana.
Matendawa sangathe kuchiritsidwa kwathunthu, koma wodwalayo amatha kuthandizira.
Pambuyo pa isanayambike zizindikiro za matenda ashuga, ambiri ali ndi chidwi ndi dokotala yemwe amayenera kufunsidwa kuti amupatse shuga komanso njira zina zowonetsera matendawo.
Ndi dokotala uti yemwe ndiyenera kulumikizana ndi shuga wambiri m'magulu akulu ndi ana?
Wothandizira amatha kuwona kukula kwa matenda ashuga. Itha kukhala dotolo wabanja kapena dotolo wachigawo.
Katswiriyu amapanga lingaliro pazotsatira za kuyezetsa magazi (kumayang'ana kuchuluka kwa shuga). Nthawi zambiri, matendawa amapezeka mwangozi pomwe wodwalayo amuyeza.
Nthawi zina, munthu amasankha kupita kuchipatala chifukwa chodwaladwala. Wochiritsa samachiza glycemia. Kuti muthane ndi matendawa, muyenera kulumikizana ndi katswiri wina. Chithandizo cha matenda a shuga chimachitika ndi endocrinologist.
Amathandizanso wodwala. Kutengera zotsatira za kusanthula, adotolo omwe amapezekapo amawunika kuchuluka kwa matendawa ndikuwapatsa chithandizo choyenera, kuphatikiza ndi zakudya. Ngati matenda ashuga apereka zovuta ku ziwalo zina, wodwalayo ayenera kuyendera akatswiri otsatirawa: dokotala wamankhwala, komanso dokotala wa opaleshoni ya mtima.
Kodi adotolo amatchedwa matenda a shuga amtundu wa 1 ndi uti?
Zomwe zimayambitsa chibadwa ndizofunikira pakukula kwa matendawa. Ngakhale izi, matenda ashuga amtundu woyamba amapatsidwira achibale pafupipafupi kuposa matenda amtundu wachiwiri.
Mitundu yosiyanasiyana ya matenda a shuga a mellitus amathandizidwa ndi adokotala omwewo - endocrinologist.Mu mtundu woyamba wa matenda, nthawi zambiri, njira yoopsa imadziwika.
Poterepa, ma antibodies amapangidwa m'thupi. Amawononga ma cell a kapamba, komanso amatulutsa insulin. Chifukwa cha kusokonekera kwa mahomoni m'matumbo am'mimba, kayendetsedwe ka mapiritsi pamenepa sitingathe.
A pathology a mtundu wachiwiri amapangidwa maselo akataya chidwi chawo ndi insulin. Nthawi yomweyo, michere mma cell ndi yochuluka. Insulin siliperekedwa kwa odwala onse. Wodwala nthawi zambiri amapatsidwa njira yolemetsa yolemetsa.
Endocrinologist amasankha mankhwala oyenerera kwambiri a mahomoni, mankhwala kuti alimbikitse insulin. Pambuyo pa chithandizo chachikulu, maphunzirowa amakonzedwa.
Ndi katswiri uti yemwe amathandizira phazi la matenda ashuga?
Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto lofanana - phazi la matenda ashuga.
Zizindikiro zoyambirira za vutoli zikaonekera mwa wodwalayo, pamakhala funso loti ndi dokotala uti amene amathandiza odwala matenda ashuga, komanso ndi njira ziti zomwe amagwiritsidwira ntchito.
Nthawi zambiri, phazi la matenda ashuga limachiritsidwa ndi endocrinologist yemwe adachita maphunziro apadera kuti athandize matenda.
Ntchito ya dotolo pochiza matenda ashuga ndi kuyesa wodwalayo komanso kusankha njira yabwino kwambiri. Pokonzekera, dokotala amawunika kuchuluka kwa zowonongeka m'mitsempha yamagazi, ndikuzindikiranso zomwe zimapangitsa kuti pakhale zovuta.
Ndani mu chipatalawa amene amalimbana ndi zovuta za m'maso?
Matenda a shuga amayambitsa zovuta zazikulu, kuphatikizapo kuwonongeka kwa ziwalo zamasomphenya.Ndi chitukuko cha matenda a shuga a retinopathy mu retina, ziwiya zazing'ono zimawonongeka.
Izi zimabweretsa kuzungulira, kufa pang'onopang'ono kwa maselo omwe amachititsa kuzindikira chithunzicho. Kuti mupeze vuto la panthawi yake, wodwalayo ayenera kupita pafupipafupi ndi ophthalmologist. Zilibe kanthu kuti ndi mtundu wanji wa shuga womwe ulipo.
Kuzindikira koyambirira kwa retinopathy kumathandiza kupewa khungu lonse. Chithandizo chikuchitika moyang'aniridwa ndi ophthalmologist, komanso nawo endocrinologist. Kuti mukhale ndi masomphenya, mavitamini amaperekedwa kwa wodwalayo jakisoni.
Pankhaniyi, chithandizo ndi angioprotectors chikuchitika. Pankhani ya retinopathy m'magawo omaliza, opareshoni ndi laser amachitidwa.
Ndi dokotala uti yemwe angathandize kuchiritsa matenda a neuropathy?
Matenda a diabetes a neuropathy ndi mgwirizano wa ma syndromes owonongeka pamagawo osiyanasiyana a autonomic ndi zotumphukira zamagetsi.
Mavuto amadza chifukwa chophwanya njira zosiyanasiyana za kagayidwe kachakudya ka shuga. Ndi diabetesic neuropathy, kusazindikira, kusokonekera kwa kulowetsedwa kwa mitsempha kumachitika. Mawonetsedwe azachipatala a matenda awa ndi osiyanasiyana.
Mankhwala othandizira odwala matenda ashuga a m'mimba amachitika ndi ma neuropathologists, ma endocrinologists, ma dermatologists, komanso ma urologist. Pankhaniyi, zonse zimatengera mawonekedwe a chiwonetsero cha matendawa. Chifukwa chachikulu chopangira matenda a shuga a shuga ndi kukweza m'magazi.
Zimayambitsa kusintha kwa kapangidwe kake, mfundo zoyendetsera maselo amitsempha. Akatswiri amagwiritsa ntchito njira zosiyanasiyana zolimbitsa thupi pochizira matenda a shuga: thonje, mphamvu zamagetsi, komanso masewera olimbitsa thupi.
Nthawi yomweyo, odwala amatenga mankhwala a Gulu B, ma antioxidants, mankhwala okhala ndi zinc kapena magnesium.
Ngati matenda ashuga a m'mimba amathandizana ndi kupweteka kwambiri, wodwalayo amapatsidwa mankhwala apadera a ululu, komanso anticonvulsants.
Endocrinologists okhudza matenda ashuga: mayankho ku mafunso ndi maupangiri
Mayankho a endocrinologists ku mafunso ovuta kwambiri a matenda ashuga:
- Valery, wazaka 45. Anandipeza ndi matenda ashuga a mtundu 2. Tsopano moyo wanga wonse ndimayenera kumwa mapiritsi pofika ola, ndimadziletsa? Kodi chidzachitike ndi chiyani ngati mupitiliza kukhala moyo wanu? Yankho kuchokera kwa endocrinologist V. Vasilieva. Chofunikira kwambiri pothandizira matenda a shuga ndi kusintha kwa moyo (zolimbitsa thupi, kudya mokwanira, kupatsa thanzi. Ngati ntchito sizikupititsa patsogolo ntchito, mumapatsidwa mankhwala. Ayenera kumwedwa nthawi zonse. Zotheka kuti pakapita nthawi, kuchuluka kwa mankhwalawa kumachepa, kapena adokotala amachotsa kwathunthu. Ngati kusintha kwa moyo sikunapangidwe, shuga sangayambe kuchepa yokha. Pankhaniyi, hyperglycemia imayamba, yomwe pakapita nthawi imatha kuwononga mathero a mitsempha, khungu ndi zovuta zina zazikulu;
- Alexandra, wazaka 30. Momwe ndikudziwira, shuga ndi chakudya cha bongo. Kodi nzeru zanga zitha kuchepa ngati ndisiya shuga. Izi ndizofunikira kwambiri kwa ine, chifukwa ntchito imakhudzana ndi ubongo. Yankho kuchokera kwa endocrinologist Pashutin M. Glucose ndi gawo lapansi la ubongo. Zilidi. Mu shuga mellitus, ndikofunikira kuti muchepetse kugwiritsa ntchito mafuta osavuta kuti asakhale ochepa (shuga, komanso zakudya zina zomwe zimakhala ndi index yayikulu ya glycemic). Anthu odwala matenda ashuga amalangizidwa kuti azidya chakudya chokwanira kwambiri. Mukugawikana, glucose amapangidwa. Chifukwa chake, ntchito zamaubongo zimasungidwa bwino. Chifukwa chake, "simupusa." Komabe, ndikudya chakudya chamafuta nthawi yayitali, kugwira ntchito kumatha kuchepa pang'ono;
- Vladimir, wazaka 50. Ndakhala ndikuvutika ndi matenda ashuga pafupifupi zaka 15. Miyezi ingapo yapitayo yasokonezedwa ndi ming'alu yakuzama, yopweteka pazitendene, mafuta sathandizira konse. Chochita pankhaniyi? Zikomo! Yankho lochokera kwa a endocrinologist V. Vasilyeva. Choyamba, kulumikizana ndi endocrinologist. Kapangidwe ka "phazi la matenda ashuga" mwa wodwala kungawonetse kufunika kwa kukonza chithandizo kuti achepetse shuga. Ambiri odwala matenda ashuga amasamalira mapazi awo m'chipinda chapadera cha pedicure wachipatala (osapitirira 1 nthawi pamwezi).
Makanema okhudzana nawo
Za omwe adokotala amathandizira odwala matenda ashuga mu kanema: