Matendawa sikuti amatchedwa mliri wa m'zaka za XXI. Wakhala wocheperako kwambiri posachedwapa. Nthawi zambiri, matenda amtundu 1 amatchedwa "ana", popeza izi zimachitika makamaka zikafika zaka 30-30.
Zikuwoneka kuti m'zaka izi, zomwe zimatengedwa ngati zochulukitsa thupi la munthu, mumangofunika kukhala ndi moyo, kusangalala tsiku lililonse.
Komabe, matenda oopsa salola anthu ambiri odwala matenda ashuga kugwira ntchito kapena kupumula. Amakhala olumala ndipo sangathenso kukhala ndi moyo wokwanira. Chiwerengero cha odwala chotere chikuchulukirachulukira chaka chilichonse. Masiku ano, mpaka 15 peresenti ya onse odwala matenda ashuga ali ndi matenda "okoma" a 1.
Anthu ambiri omwe amapezeka kuti ali ndi izi akufuna kuyesa kupeza zambiri momwe angathere. Iwo ali ndi chidwi kwambiri ndi mbiri yakale ya matendawa: matenda amtundu wa 1, amafuna kudziwa zoyenera kuchita kuti abwererenso moyo wabwinobwino.
Chimodzi mwazinthu zomwe zimapangitsa kukula kwa matenda a zamizere ndi kubereka. Kupatula apo pali zinthu zingapo:
- kuperewera kwa zakudya m'thupi;
- kupsinjika kosalekeza;
- kumangokhala.
Kodi matenda a shuga 1 amtundu wanji? Kuti kuchuluka kwa shuga m'magazi a anthu azikhala bwino nthawi zonse, insulin ndiyofunikira.
Ili ndiye dzina la mahomoni akuluakulu omwe amagwira ntchito iyi. Insulin imapangidwa ndi ma cell a pancreatic beta. Zotsalazo zikaleka kugwira ntchito moyenera, mahomoni amasiya kupanga.
Pa chifukwa chomwe kusokonezeka kotero kumachitika, asayansi sakudziwika bwinobwino. Glucose, komwe ndi gwero lamphamvu, samangolekeredwa ndi minyewa, maselo amthupi.
Kwanenedwa kale kuti mtundu woyamba wa shuga ndi matenda a achinyamata. Koma pali zosiyana. Pali nthawi zina pamene, mosayenera chithandizo, matenda ashuga amtundu wa 2 adadutsa matenda a shuga a ana.
Madandaulo Odwala
Zaka za wodwalayo ndi zaka 34, chachimuna. Ndi olumala wa gulu lachiwiri, sagwira ntchito. Matendawa ndi a mtundu 1 wa matenda a shuga, 2 degree, decomproll gawo, m'munsi miyendo angiopathy, gawo 1 retinopathy.
Gawo lowongolera limadziwika ndi kuchuluka kwa glucose m'magazi a wodwala. Ndiye kuti, mankhwalawa samapereka zotsatira zomwe akufuna.
Ngati nthawi yayitali m'moyo wa wodwala imakhala yotalikirapo, pali kuthekera kwakukulu kokulirapo kwa zovuta zomwe zingayambitse imfa. Kumbukirani kuti wodwala ndi olumala kale.
Chifukwa chake, wodwala amadandaula za chiyani:
- pafupipafupi hypoglycemia;
- kunjenjemera m'thupi lonse;
- thukuta kwambiri, makamaka usiku;
- kumverera kwa kamwa yowuma;
- polydipsia;
- kuchepa kwa zowoneka bwino.
- dzanzi lam'munsi.
Kulemera kwa wodwala kwa nthawi yayitali kumakhazikika.
Mbiri ya nthendayi
Mwamunayo amadziona kuti alibe thanzi kwa zaka zitatu. Apa ndipamene adayamba kuwona kuchepa kwambiri kwa thupi. Kuphatikiza pa chizindikiro ichi, adayambanso polydepsy.
Ngakhale kumwa madzi ambiri, ludzu lake silinasiye, limodzi ndi pakamwa pouma kosalekeza.
Polumikizana ndi katswiri, atamaliza mayeso a labotale, wodwalayo adalandira mankhwala a insulin, popeza anali ndi acetonuria. Hyperglycemia (glucose mu seramu yamagazi) pachipatala choyambirira anali ndi mtengo wa 20.0 mmol / L.
Zizindikiro izi zidatsimikizira mawonekedwe ake ovuta. Wodwalayo adalembedwa Actrapid 12 + 12 + 8 + 10, Monotard 6 + 16. Matenda a wodwalayo kwa zaka zitatu anali okhazikika.
Komabe, m'miyezi iwiri yapitayi, ali ndi vuto la hypoglycemia. Kusintha mlingo wa insulin, wodwalayo adagonekedwa m'chipatala ku dipatimenti yachipatala ya Regionalocrinology.
Nkhani ya moyo
Mwamuna wina adakali mwana adapita pa sukulu ya kindergarten. Munthawi imeneyi, adadwala matenda angapo opatsirana, kuphatikizapo chikuku rubella, chikuku, ndi SARS.
Matenda anatha popanda zovuta. Pazaka za sukulu panali milandu zingapo za tonsillitis, tonsillitis. Ali ndi zaka 14, adachitidwa opareshoni yamisomali yolowera.
Abambo anga anali ndi chifuwa chachikulu, mayi anga anali ndi vuto la kuthamanga magazi. Palibe amene anali ndi matenda ashuga m’banjamo. Wodwalayo samamwa mowa mopitirira muyeso, amasuta kuyambira zaka 17. Panalibe zovulala. Kuyika magazi sikunachitike. Mbiri yam'mbuyo, mbiri yamatsenga ikhoza kuonedwa ngati yabwino.
Pakadali pano, wodwalayo sagwira ntchito, munthu wolumala wa magulu awiri amawonedwa kuti ndi wa 2014. Mnyamatayo adakula popanda bambo, sanali wokonda masewera, adakhala nthawi yayitali pakompyuta. Sanatumikire usilikari, kumapeto kwa grade 11 adakhala wophunzira ku yunivesite, adaphunzira kukhala wolemba mapulogalamu.
Atalandira maphunziro, adapeza ntchito yapadera. Moyo wokhala mongoyembekezera posachedwa umakhudzidwa ndikulemera kwambiri.
Mnyamata sanachitepo nawo masewera. Ndi kutalika kwa 169 cm, wodwalayo adayamba kulemera makilogalamu 95. Kunali kupuma movutikira.
Pambuyo pake, mwamunayo adayamba kuyang'anitsitsa thanzi lake, nthawi zina ankapita kukachita masewera olimbitsa thupi. Komabe, kulemera kwake kunachepetsedwa pang'onopang'ono.
Zaka zinayi zapitazo, kulemera kwa wodwalayo kunafika 90 kg. Mwachiwonekere kuti thanzi lopanda thanzi linayambitsa izi. Mwamunayo sanakwatirane, amayi ake amakhala mumzinda wina, amadya ku cafe, amakonda zakudya zachangu. Panyumba pamafunika masangweji ndi khofi.
Kuchepetsa kwambiri kulemera - kuchokera 90 mpaka 68 kg ndikuchepa kwamkati mwaumoyo wathanzi kudapangitsa wodwalayo kuti awone dokotala. Anapezeka kuti ali ndi matenda ashuga a mtundu woyamba. Matenda akulu ndi kulumala komwe pambuyo pake zakakamiza mwamunayo kusiya ntchito yomwe amamukonda. Pakadali pano, chithandizo chake chikupitilizabe ku dipatimenti ya endocrinology.
Mankhwala Actovegin
Mankhwala omwe wodwala amatenga:
- insulin;
- Actovegin;
- Diroton;
- Mavitamini B
Matenda a wodwalayo akhazikika. Pakutulutsa, akulimbikitsidwa kusintha zakudya:
- kudya calorie kuyenera kuchepetsedwa monga zikuwonetsedwa ndi adokotala;
- imafunika kusamalira zonse zofunikira mu chakudya;
- Chotsani chakudya choyenera kuchokera kuzakudya;
- Mlingo wa mafuta achilengedwe ambiri uyenera kuchepetsedwa kwambiri;
- kuwonjezera kumwa zipatso ndi ndiwo zamasamba;
- kuchepetsa kudya komwe kumakhala ndi cholesterol yambiri;
- nthawi chakudya, Mlingo wa chakudya uyenera kuyang'aniridwa.
Zochita zolimbitsa thupi ziyenera kuyikitsidwa. Amagawidwa mosamalitsa malinga ndi nthawi ya tsiku (munthawi ya pambuyo pa zakudya za hyperglycemia), mphamvu. Kuchita masewera olimbitsa thupi kuyenera kumayendera limodzi ndi malingaliro abwino. Sitikunena za kubadwa mwanjira iyi - mayi, abambo, agogo sanadwa ndi matenda ofanana.
Matenda opatsirana opatsirana ali mwana anali otchuka kwambiri. Kukayikira kwina kumatha kuchitika chifukwa chazitali zomwe munthu amasuta, ngakhale ali ndi zaka zochepa za wodwalayo, ali ndi zaka 14.
Mwamuna amavomereza kudalira kwake kwambiri pamtunduwu. Tsiku limodzi, anasuta ndudu imodzi ndi theka. Mwachidziwikire kuti moyo wopanda thanzi wa wodwalayo udakhudza kukula kwa matendawa.
Ankakhala pakompyuta mpaka maola 12 patsiku; kumapeto kwa sabata, nawonso, sanasinthe. Zakudya zachangu, zakudya zosasamba, komanso kusakhalako kochita masewera olimbitsa thupi zidathandizanso. Ali ndi zaka 31, wodwalayo adalumala ndipo vuto lake masiku ano silingatchulidwe kukhala lokwanira.
Makanema okhudzana nawo
Za mtundu woyamba wa matenda ashuga omwe amawonedwa pa TV "Live Great!" ndi Elena Malysheva:
Palibe amene angatetezedwe ku matenda oopsawa. Chokhacho chomwe titha kutsutsa matenda a shuga 1 ndi moyo wathanzi, zakudya zoyenera, masewera olimbitsa thupi.
