Chifukwa chiyani ndizofunikira komanso kuyesedwa kwa achipatala kumachitika bwanji?

Matenda a shuga a mitundu yonseyi akuonetsa njira yowonera.

Chifukwa cha njirayi, kupatuka kosiyanasiyana panthawi yamatenda kumapezeka, kuwunika / kuwongolera kwaumoyo wa odwala kuyang'aniridwa, amalandira thandizo lofunikira, ndipo chithandizo choyenera chimachitika.

Moyang'aniridwa ndi akatswiri azachipatala, odwala matenda ashuga amatenga nthawi yake mankhwala. Izi zimathandiza kubwezeretsa odwala ku moyo wabwinobwino, kuti asunge luso lawo logwira ntchito kwa nthawi yayitali.

Chifukwa chake, kuyesedwa kwa matenda ashuga kumatenga gawo lofunikira kwambiri. Kukana njirayi ndikosatheka.

Njira zotsatirira zamankhwala kwa odwala matenda ashuga

Njira zowunika zimatsimikizira kuchotsedwa kwa zizindikiro zonse zamatenda:

1. kufooka kwathunthu kwa thupi;
2. polyuria;
3. ludzu.

Kuphatikiza apo, izi zitha kupewa zovuta zazikulu - ketoacidosis, hypoglycemia.

Zonsezi pamwambapa ndizotheka, chifukwa kuyezetsa kuchipatala kumapangitsa kuti wodwalayo azikhala wolemera, chifukwa chotsatira chake kumakhala kulipira chindapusa.

Mtundu wa 1 Awafa matenda ashuga

Kuyendera koyamba kwa endocrinologist kwa odwala oterewa kumayendetsedwa ndi mayeso ndi akatswiri othandizira, ophthalmologist, neuropathologist. Amayi ayenera kuyendera dokotala wazachipatala.

Ngakhale asanaikidwe mayeso azachipatala, ndikofunikira kuti mupambane mayeso otsatirawa:

• fluorography;
• mkodzo
• magazi
• kuyezetsa magazi mwatsatanetsatane kuti mupeze kuchuluka kwa shuga, acetone, cholesterol.

Kuphatikiza apo, kulemera kwa thupi, kutalika, kuthamanga kwa magazi kumayezedwa, electrocardiogram imachitidwa.

Ponena za mayeso azachipatala, ziyenera kuchitika miyezi itatu iliyonse. Koma madokotala amalangizira kuti azikaonana ndi dokotala nthawi zambiri.

Mtundu 2 Ashuga

Mtundu wamatendawa sunatengedwe, umatengedwa chifukwa cha moyo wosayenera. Odwala amadwala mapaundi owonjezera, amakhala ndi moyo wopanda ntchito.

Gulu lachiwopsezo limaphatikizanso anthu omwe amapezeka ndi:

1. kapamba
2. nthenda zamtundu uliwonse zamatumbo (barele, carbuncle, abscesses, furunculosis);
3. dermatitis;
4. polyneuritis;
5. chikanga
6. retinopathy
7. mphira
8. kusokoneza endarteritis.

Kupima matenda a matenda ashuga a 2 kumachitika miyezi itatu iliyonse. Zimachitidwa ndi akatswiri othandizira kapena a AFP.

Dokotala akuwunikira madandaulo, anamnesis, amawunika wodwalayo, momwe:

• chisamaliro chapadera chimaperekedwa ku diary ya kudziletsa;
• anayeza mzere wamagulu, mphamvu yake;
• kuthamanga kwa magazi kumachitika;
• kuyang'ana kwamapazi.

Zochita zonsezi ziyenera kuchitika popimidwa kuchipatala chilichonse. Kamodzi pachaka, ndikofunikira kulimbikitsa zamkati zamiyendo.

Amayi oyembekezera omwe ali ndi matenda okomoka

Mkazi yemwe ali ndi matenda ashuga akadwala, amafunika kusamaliridwa ndi dokotala komanso amaletsa matenda am'mimba. Mu gawo loyamba la pakati, madokotala awa amayenera kuchezeredwa kamodzi pakatha milungu iwiri. Kenako kuchuluka kwa mayeso kumachulukanso.

Moyenera, mayi woyembekezera azitha kuchipatala katatu mu dipatimenti ya amayi apakati:

• paulendo woyamba kwa dokotala;
• kuyambira masabata 20 mpaka 24, popeza nthawi imeneyi pamakhala kuwonongeka pakadwala;
• theka la mwezi mwana asanabadwe.

Chiwerengero cha zipatala zitha kuchulukitsidwa chifukwa cha matenda, kuwonongeka kwa matenda ashuga.

Palinso zovuta zina zomwe zimatha kupangitsa mkazi kupita ku dipatimenti ya amayi apakati. Odwala matendawa amalipira kuchipatala koyamba, ziyenera kuchitika mwachangu. Kulemba mokwanira kuchipatala kungathandize kuthetsa nkhani yokhudza kuteteza mwana wosabadwayo, ndikuwongolera matendawa.

Kuti mayi azitha kubereka bwino, nthawi yayitali isanayambike, mkazi ayenera kulipira chindapusa cha matenda ashuga.

Izi zikachitika, mayi yemwe angakhalepo angathe kukhalabe ndi mwayi wogwira ntchito, sipangakhale madandaulo okhudza hypoglycemia, ketoacidosis. Komabe, ngakhale ndi izi, zotsatira zabwino za pakati sizitha kukhala zotsimikizika.

Ana

The endocrinologist (kapena katswiri) amachita mayeso kamodzi pamwezi. Dotolo wamano, ENT, Optometrist - nthawi 1 m'miyezi 6.

Atsikana amafunikanso kukaonana ndi azachipatala. Ngati palibe wa endocrinologist ku chipatala komwe akukhalako mwana, muyenera kupita naye ku chigawo, chigawo kamodzi pakatha miyezi itatu iliyonse.

Mukamayesedwa, akatswiri amayesa kuchuluka kwa thanzi, thupi, kugonana, mitsempha, zochitika zolimbitsa thupi. Chidwi chimakopeka ndi kukhalapo kwa zovuta. Kuunika kwa diary.

Chidwi chachikulu chimaperekedwa pakukonzanso kwakanthawi kwamkamwa. Kutengera ndi chitukuko cha matendawa, malingaliro oyenera amaperekedwa kuti azikhala ndi moyo wathanzi, kukonza zakudya zoyenera, ndikuwonetsetsa ntchito zamagalimoto.

Achikulire

Anthu azaka zopitilira 40 ali pachiwopsezo cha matenda ashuga a 2. Matenda awo nthawi zambiri amakhala asymptomatic.

Mukamayesedwa, wodwala ali ndi ufulu:

1. kukulitsa zakudya zapadera zomwe zimapangidwira iye;
2. kuwerengetsa kwa kuchuluka kwa insulin, mankhwala ena;
3. chitukuko cha munthu kuchipatala;
4. kafukufuku wokhazikika.

Ndi madokotala ati omwe ndiyenera kuwachezera?

Kuphatikiza pa othandizira ndi endocrinologist, muyenera kupita kudzera mwa neuropathologist, ophthalmologist. Amayi amakayendanso ndi gynecologist.

Ana amafunikira ENT, mano. Zikuwoneka kuti mndandanda wazachipatala ndi wawukulu, koma muyenera kupeza nthawi kuti muwachezere.

Akatswiri a kuchipatala a Narrow omwe amamuyeza pakuchipatala amafufuza nthawi zonse zovuta, kupereka chithandizo choyenera.

Ndi mayeso ati omwe amayenera kutengedwa chaka chilichonse?

Ngakhale mukumva bwino, kunyalanyaza mayeso a kuchipatala sikulimbikitsidwa. Kusanthula ndi maphunziro othandizira, omwe amayenera kuchitika chaka chilichonse, ndizovomerezeka kwa odwala matenda ashuga.

Kufufuza koyenera kumaphatikizapo:

1. kuyezetsa magazi, zamankhwala am'mwazi;
2. mayeso a mkodzo wamba (miyezi itatu iliyonse);
3. urinalysis kwa microalbuminuria;
4. X-ray
5. kutenga mtima.

Kodi kuyesedwa kwa adotolo ndikofunikira liti kwa matenda ashuga?

Ichi ndi chochitika cham pachaka chomwe sichinganyalanyazidwe.

Kupewa kwa Matenda A shuga

Nthawi zambiri, kutengera kuyesedwa kwa magazi kuchipatala, kuchepa kwa magazi m'thupi ndi zina zomwe zimapezeka.

Chidwi chachikulu chimaperekedwa pakukula kwa mafuta a hepatosis, atherosclerosis, ndi kulephera kwa aimpso. Kuyesedwa kwa magazi ndi magazi kukuwonetsa kukhalapo kwa zovuta izi.

Glucose, acetone, mabakiteriya, maselo ofiira am'magazi, maselo oyera amkodzo amawuza dziko momwe zinthu zimayambira pang'onopang'ono, kagayidwe kazachilengedwe. X-ray ndiyofunikira kuti mupeze chifuwa cham'mapapu, popeza odwala omwe ali ndi matenda a shuga ali pachiwopsezo.

Diabetes nephropathy imatsimikiza kugwiritsa ntchito mayeso a mkodzo tsiku ndi tsiku. ECG ndiyofunikira kuzindikira zodwala pakugwira ntchito kwa minofu ya mtima. Chifukwa chake mudziwe mtundu wake wosakhazikika, kuchuluka kwa atria, mapurikiki, kukhalapo kwa myocardial ischemia.

Makanema okhudzana nawo

Pazomwe zimayambitsa kuyesedwa kwa matenda a shuga mu kanema:

Kupimidwa kachipatala ndiye chochitika chofunikira kwambiri chomwe mungapewe zovuta za matenda, kusintha moyo, kukulitsa.