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Matenda a shuga ndi matenda oopsa, pomwe obwera kumene moyo wa wodwala amasintha kwambiri.
Popanda kuyang'anira glycemia komanso kupewa zovuta, matenda a shuga amapita patsogolo kwambiri;
Komabe, ngakhale kukhalapo kwa mankhwala apamwamba kwambiri a mankhwala, matendawa samaletsa kukula kwake. Mankhwala amaletsa njira izi, koma ndizosatheka kuziwachotsa.
Kuphatikiza pa njira zolembera, odwala amaperekedwanso chithandizo chamankhwala othandizira odwala matenda a shuga. Njirayi imathandizira wodwalayo ndikuwongolera shuga wambiri, komanso kukhazikika kwa magazi.
Izi zimatheka chifukwa chochepetsa chiwindi ndi impso, zomwe zimayimitsa kuwononga ziwalo. Komanso, atachitidwa opaleshoni, cholesterol yapamwamba ndi triglycerides imachotsedwa.
Kugwiritsa ntchito njira za opaleshoni pochiza matenda amtundu wa 1 ndi mtundu wa 2 matenda a shuga
Ndalemba
Nthawi zina, kukula kwa mtundu wa matenda a shuga 1 kungafune kuti kuchitidwe opaleshoni chifukwa cha zovuta. Mwachitsanzo, chifukwa cha opaleshoni yotsitsa thupi, momwe maso amatha kuwongolera.
Kuwonongeka kwakukulu kwa impso kumatha kuchitika chifukwa cha matenda a shuga, ndipo kupatsirana kumawonedwa ngati chithandizo.
Palinso njira zina zochizira matenda a shuga 1, mwachitsanzo, kuyambitsa ma cell a pancreatic m'thupi la wodwalayo, komabe, njirayi ikuyesedwa, ndipo kuti ichitike, wodwalayo ayenera kukwaniritsa njira zina.
Kutumiza kwa kapamba kapena maselo ake a islet ndikotheka. Mitundu iyi ya opareshoni ndiokwera mtengo kwambiri, ndipo ikatha, wodwalayo amalimbikitsidwa kumwa mankhwala a immunosuppression. Izi ndizofunikira kuti thupi likane minofu yatsopano.
Mtundu wa II
Ngati wonenepa kwambiri wodwala matenda ashuga, kuthandizira opaleshoni kumachepetsa kwambiri thupi, komanso kumamupulumutsa kuti asamwe mankhwalawa omwe amachepetsa shuga ya magazi komanso kugwiritsa ntchito insulin yambiri.
Tiyeneranso kuganizira kuti mukamachepetsa thupi kwambiri, pamakhala zovuta pa matenda obwera chifukwa cha kunenepa kwambiri komanso matenda ashuga, monga kupuma, kulephera kwa mafupa a msana, matenda oopsa komanso ena.
Ndikofunika kufunsira kwa dokotala wodziwa bwino ntchito ngati njira zochizira monga chakudya, kugwiritsa ntchito mankhwala ochepetsa shuga, ndi zina zotero, sizithandiza wodwalayo kulipiritsa kagayidwe kazakudya.
Mankhwala ochizira metabolic syndrome
Mtundu wa opaleshoni yamtunduwu umatchedwa "opaleshoni ya metabolic", pogwiritsa ntchito njirayi, chithandizo cha mavuto omwe amachitika chifukwa cha matenda osokoneza bongo amachitika, awa ndi monga: magazi a triglycerides komanso / kapena cholesterol, kuthamanga kwa magazi ndi ena.
Zizindikiro ndi contraindication
Zowonetsa:
- kukhalapo kovuta kuti muthane ndi matenda a 2 a matenda a shuga, kudalira kwa insulin sikupitirira zaka 7;
- lembani matenda a shuga a 2, osakwana zaka 10 kuchokera kukhalapo kwa matendawa;
- opaleshoni ndi mankhwala odwala matenda a shuga omwe ali ndi nkhokwe yokwanira;
- lembani matenda ashuga 2.
Pankhaniyi, zaka za wodwalayo ziyenera kukhala zaka 30 mpaka 65.
Zoyipa:
- kusintha kwakukulu komanso kosagonjetseka mu ziwalo zotere: mtima, mapapu, impso ndi chiwindi;
- kukhalapo kwa zizolowezi zoipa monga mowa ndi kusuta.
Kukonzekera mtima
M'pofunika kukonzekera opaleshoniyo mokwanira kuti muchepetse chiopsezo cha zovuta.
Malamulo akukonzekera ali motere:
- masiku khumi asanaikidwe opaleshoni, ndikofunikira kusiya kumwa mankhwala omwe amakhudza magazi;
- tsiku lisanafike opaleshoni, zakudya zopepuka ndizovomerezeka. Kwa maola 12, kudya ndi kumwa sikuloledwa;
- musanagone komanso m'mawa ndikofunikira kuyika enema yoyeretsa;
- Ndikulimbikitsidwa kusamba m'mawa pogwiritsa ntchito ma antibacterial gels.
Kupita patsogolo kwa ntchito
Kuti achepetse kubisala kwa mahomoni Ghrelin, akatswiri amachita opaleshoni kuti atulutse gawo lina la m'mimba, izi ndizofunikiranso kuti izi zisathe.
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Zosankha za opareshoni
Cholinga cha opareshoni iyi ndi kusintha matumbo am'mimba kuti akwaniritse chakudya ndikutali kwambiri kuchokera ku kapamba, osakhudza zochita za metabolic za mbali yam'mimba.
Nthawi yokonzanso komanso zovuta zotheka
Wodwalayo amakhala m'chipatalamo mpaka sabata limodzi, ndipo nthawi yokonzekera imachokera ku milungu itatu mpaka inayi, pambuyo pake zidzathekanso kukhala momwemo.
Pambuyo pa opaleshoniyo, wopatsayo amadya zakudya zapadera kwa wodwala, zomwe ziyenera kutsatiridwa mpaka kumuchotsa.
Mavuto pambuyo pakuchitapo kanthu opaleshoni ndiyotheka, makamaka popeza mtundu wa opereshoni womwe mukuwunikira ndi wovuta kwambiri ndipo ukhoza kukhala ndi chiopsezo.
Zotsatira zoyipa zomwe zingachitike chifukwa cha matenda osayipa omwe alibe:
- khungu
- vuto la mtima;
- kulephera kwaimpso;
- sitiroko;
- zovuta zina zowopsa.
Mphamvu ya opaleshoni ya kunenepa kwambiri odwala matenda ashuga
Kuopsa kwa kuchotsedwa kwovuta kumadalira mtundu wa opaleshoni, kuchuluka kwake kumasiyana 70 mpaka 98 kwa zaka 8-30.Chizindikirochi chimadaliranso pakupereka insulin mthupi la munthu.
Kutengera ndi kafukufuku wofufuza kuchokera kwa madokotala aku America, opaleshoni ya gastroshunt imalola kuti chikhululukiro chokhazikika pamaso pa mitundu yachiwiri ya odwala matenda ashuga m'matenda a 92%.
Izi zikutanthauza kuti wodwalayo safunanso thandizo lina lililonse loti achepetse shuga.
Kodi opaleshoni wamba komanso yakomweko ingagwiritsidwe ntchito mu shuga?
Opaleshoni nthawi zambiri sangathe kuchita popanda opaleshoni. Komabe, nthawi zambiri kwa odwala matenda ashuga, zimatha kuyambitsa mavuto osiyanasiyana.
Mavuto omwe amatha chifukwa cha opaleshoni ya odwala matenda ashuga atha kukhala osiyana: kuchuluka kwa glycemia, kukulira kwa mtima wamagazi ndi mavuto ena mthupi. Odwala otere, ndikofunikira kuyang'anira ntchito ya ziwalo zonse ndi machitidwe onse pakachitika opareshoni.
Ndikotheka kuchita opareshoni pogwiritsa ntchito opaleshoni yayitali, komabe, izi zisanachitike, wodwalayo ayenera kuchita izi:
- ntchito isanayambe ndikufunika kuletsa SRP;
- yang'anani kuchuluka kwa shuga m'magazi;
- pankhani ya HC yotsika pansi pa 5.0 mmol / l, glucose wolumikizira umaperekedwa.
Ngati pakufunika kuchitapo opaleshoni pang'ono, ndiye kuti simungathe kugwiritsa ntchito mankhwala ochita opaleshoni wamba, koma pangani ndi kwanuko. Patsiku la opaleshoni, jakisoni wa m'matumbo amachedwa mpaka opaleshoni ikwanira.
Zingafunikenso kusala kudya kwa maola angapo musanayambe. Mukamaliza kulowererapo, kuchuluka kwa shuga m'magazi kumayang'aniridwa ndipo ngati kuli koyenera, kumatha kuchepetsa kapena kukulitsa mlingo wa mankhwalawa, zomwe zimatengera zizindikiro za shuga.
Shuga wamagazi pambuyo pochotsa ndulu
Pambuyo pa opaleshoni yochotsa ndulu, odwala ambiri omwe sanadwalepo matendawa amatenga matendawa.
Izi ndichifukwa choti kusintha kwamapangidwe a bile kumabweretsa kutsika kwa michere. Chifukwa chake, thupi silingathe kukonza chakudya mwachizolowezi.
Izi zimabweretsa kuwonjezeka kwa shuga m'magazi ndi cholesterol. Chifukwa chake, odwala matenda a shuga ayenera kupita ku dokotala pafupipafupi ndikuwonetsetsa kuti ali ndi shuga.
Makanema okhudzana nawo
Mitundu yamankhwala othandizira odwala matenda a shuga:
Kuphatikiza pa njira zochizira, nthawi zina odwala matenda ashuga amatha kupatsidwa mankhwala opangira opaleshoni. Nthawi zambiri, amasonyezedwa kwa odwala omwe ali ndi matenda a shuga 2. Tiyenera kumvetsetsa kuti ngakhale chithandizo chotere sichitha kuchiritsa matenda ashuga, chimangochedwetsa pang'ono njira zake zachitukuko.