Zizindikiro zazikulu komanso njira zochizira matenda ashuga omwe amakhala nawo

Matenda oopsa a shuga kapena latent mellitus (DM) ndi oopsa kwambiri kwa wodwalayo, chifukwa chomaliza sichimawona nkomwe kukula kwa matendawa.

Koma pafupifupi matenda aliwonse amabwereketsa kuchiritsa kovuta kwambiri ndikunyalanyaza kwawo kapena kuwapeza kwadzidzidzi kwa madokotala.

Chifukwa chake, aliyense ayenera kudziwa zizindikiro za matenda obwera chifukwa cha matenda ashuga kuti apite kuchipatala msanga.

LADA shuga: ndi chiyani?

Sikuti aliyense ali ndi lingaliro kuti, kuwonjezera pa mitundu yayikulu ya matenda ashuga, palinso mitundu yake yapadera, yomwe imaphatikizapo LADA.

Dzinalo limapatsidwa mtundu wamakono wa matenda a autoimmune omwe amawonera odwala omwe ali ndi zaka zaukalamba, pomwe ana sakudziwika nawo.

Dziwani kuti wodwala aliyense amene amagwira m'gulu la odwala matenda a shuga a LADA, komanso anthu omwe ali ndi matenda a mtundu woyamba I, amafunikira chithandizo chamankhwala champhamvu kwambiri.Nthawi zambiri, komanso kuwonjezeka kwa shuga m'magazi, thupi la wodwalayo limayamba kuvutika ndikuwonongeka kwa maselo a pancreatic omwe amapanga insulin.

Zotsatira zake, njira za autoimmune zimachitika. Mkhalidwe wopweteka woterewu umayendera limodzi ndi kuwonongeka kwa khungu lililonse la insulin zida za wodwala wamkulu kuposa zaka 35. Kumbukirani kuti matenda ashuga amtunduwu amayamba pang'onopang'ono ndikufanana ndi chitukuko cha matenda ashuga amtundu II.

Zowona, pali kusiyana pakati pawo, komwe kumadzaza mpaka kuti poyambira maselo onse a beta amafa, zomwe zimapangitsa kuti ma cell apangidwe.

Nthawi zambiri, kudalira 100% pakulandira insulin yowonjezera kumapangidwa mu nthawi ya zaka 1-3 kuyambira nthawi yomwe matendawa amapangika.

Komanso, matendawa amatengedwa ndi zizindikiro wamba mwa amuna ndi akazi.

Mitundu ya matenda

Matendawa omwe akufunsidwa amagawidwa m'mitundu iwiri. Aliyense wa iwo ali ndi mawonekedwe ake osiyana. Komanso, ngakhale chithandizo cha gawo loyambilira la matenda onsewa chimachitika molingana ndimalingaliro osiyanasiyana.

Komabe, nthawi yochulukirapo ikadutsa nthawi yomwe amadziwika kuti ali ndi matenda ashuga, omwe samatchulidwaponso ndi zizindikiro za mitundu yake, ndipo njira yochiritsidwayo ikuchitika kale chimodzimodzi.

Masiku ano, madokotala amasiyanitsa matenda otsatirawa:

1. lembani matenda ashuga. Amawerengedwa ngati mtundu wodalira insulini ndipo ali m'gulu la odwala kwambiri, ndipo odwala ayenera kutsatira zakudya zosasamalidwa bwino. Matenda amtunduwu amasokoneza maselo a kapamba. Anthu omwe ali ndi matenda oterewa amakakamizidwa kubaya jakisoni pafupipafupi, popeza amawonongeka m'mimba;
2. mtundu II matenda a shuga. Matendawa afotokozeredwa kuti ali ndi insulin yodziyimira payokha ndipo amapangidwa mwa odwala omwe ali ndi zaka zopitilira 40 omwe ali onenepa kwambiri. Ndi matenda ashuga otere, maselo mthupi amalandila michere yambiri, zomwe zimawachititsa kuti athetse insulin.

Ndi chitukuko cha mtundu II wa nthendayi yomwe tafotokozayi, sikuti nthawi zonse ndikofunikira kupereka jakisoni wa insulin kwa wodwala. Ndipo endocrinologist amayankha funso ili lokha. Zowona, zakudya zopangidwa mwapadera nthawi zambiri zimaperekedwa kwa odwala otere, pofuna kuchepetsa thupi, koma osaposa 3 kg pamwezi.

Zakudya zikakhala zopanda phindu, madokotala amati mapiritsi, zomwe zimapangitsa kuchepetsa shuga m'magazi. Insulin imagwiritsidwa ntchito pokhapokha ngati matendawa amatha kuopseza moyo wa wodwalayo.

Chifukwa chiyani shuga wam'magazi amawoneka?

Mapangidwe a shuga a latent amatha kuwoneka mwa amuna ndi akazi, omwe ali odziimira kwathunthu azaka zawo. Komabe, aliyense ayenera kudziwa za zifukwa zake zazikulu.

Chifukwa chake, shuga wobisika amawonekera pamene:

• njira zopatsirana;
• mimba
• neurosis, kupsinjika;
• kutengera kwa chibadwa;
• onenepa kwambiri;
• kumwa ma steroid;
• matenda a autoimmune;
• kulephera kwa aimpso.

Kuphatikiza apo, "zovuta" zoterezi zimatha kuchitika motsutsana ndi maziko a sitiroko, kugunda kwa mtima, kugwira ntchito molimbika. Kusuta fodya, kuledzera, kusachita bwino kwa njira zomwe zili munjira yogaya chakudya, komanso kugwiritsa ntchito mankhwalawa kungapangitsenso kuchuluka kwa magazi lactose.

Zizindikiro ndi matenda am'mbuyomu azimayi ndi abambo

Matenda abwinobwino a shuga amakhala asymptomatic ndipo ndi mtundu wa matenda ashuga.

Monga momwe dzinalo likunenera, gawo linalake la matenda oterewa ndi kusowa kwa ziwonetsero zomwe zingawonetse kukula kwake. Fomu iyi ndi mtundu wa malire pomwe pali shuga weniweni.

Pachifukwa ichi, kuzindikira kwake kwakanthawi kumakhala kopambana, popeza pali mwayi woletsa kuyambika kwa mawonekedwe osakhazikika. Masiku ano, madokotala akuwonetsa zizindikiro zomwe mungaphunzirepo ngati mukudwala matendawa. Komanso, Zizindikirozi zimasiyana pang'ono kutengera jenda.

Mzimayi yemwe ali ndi matenda obisika azindikira kukhalapo kwa:

• khungu louma, zotupa ndi kupweteka kwina kwakhungu chifukwa cha ma virus, mabakiteriya amtundu wa pathogenic;
• kamwa yowuma, ludzu losatha;
• kuyang'anitsitsa kulemera kwa thupi mokomera kuchuluka kwake;
• kugona movutikira, kukhumudwitsa, mayiko opanda chidwi.

Ponena za abambo, nthawi yawo yoyambirira ya matenda abwinobwino a shuga sichiwonetseredwa chifukwa chosakhalapo ndi zizindikiro zake zakunja. Izi zimasokoneza kwambiri njira yodziwira matendawa.

Komabe, zotsatirazi ziyenera kuchenjeza mwamunayo:

• kumenyedwa pafupipafupi ndi njala yayikulu, chifukwa cha zovuta ndi mayamwidwe a shuga;
• kuukira kwa kutopa kwambiri, kugona ndi kutopa chifukwa chosowa mphamvu;
• kumukwiyitsa, kumverera kodetsa pakhungu (manja, zikwangwani, mapazi);
• kusintha msanga;
• thukuta lalikulu.

Ngati muli ndi chimodzi mwazizindikiro zomwe zili pamwambapa, kaya ndi mwa mkazi kapena wamwamuna, muyenera kufunsa dokotala nthawi yomweyo.

Momwe mungadziwire ndi kuzindikira?

Chifukwa chake, wodwala nthawi zambiri amapita kuchithandizo choyenera ngakhale ndi mawonekedwe osiyidwa.

Koma ndizotheka kuzizindikira. Kuzindikiridwa kwa matenda osokoneza bongo a latent shuga kumachitika mwa njira yolekerera shuga - TSH.

Chofunika cha njirayi ndikuti wodwalayo amayeza shuga pamimba yopanda kanthu, pambuyo pake amapatsidwa 75 ml ya shuga. Pambuyo pa maola atatu, muyeso umabwerezedwa. Kusintha kwina kukafufuzidwa, matenda a shuga amapezeka, ngakhale atakhala mawonekedwe.

Komabe, tanthauzo la matenda ashuga ndiwofunika kwambiri. Njirayi ndi yovomerezeka ngati pali maluso apamwamba a labotale. Pachifukwa ichi, njira ina, yosavuta imagwiritsidwa ntchito pofufuza mtundu wa shuga.

Njira yosavuta imaphatikizapo kuperekera mkodzo ndi wodwala musanadye mankhwala ena ake. Zosefera zodzitchinjiriza za munthu wathanzi sizidutsa shuga, pomwe zingalowe mkodzo, pali chifukwa choganiza kuti pali njira yopangira shuga yaposachedwa.

Chithandizo cha matenda am'mbuyomu

Matenda a shuga oopsa ndi vuto loopsa, chifukwa chake mankhwalawa amayenera kuchitika kuchipatala. Koma kuchiritsa sikutanthauza kuyesetsa kwakukulu.

Masiku ano pali njira zingapo zochizira matenda omwe afotokozedwera, monga:

1. mankhwala. Matenda a shuga opweteka amathandizidwa ndi jakisoni wovomerezeka wa insulin. Kupititsa patsogolo chidwi cha timadzi timeneti kuchokera ku zotumphukira, komanso matupi athupi, madokotala amalimbikitsa kugwiritsa ntchito mankhwala ochepetsa shuga m'magazi. Kuphatikiza apo, nthawi zina amachokera ku Biguanides - glitazones;
2. wowerengeka azitsamba. Maphunziro a matenda omwe afotokozedawa amatha kuthandizidwa ndi njirayi. Koma musanagwiritse ntchito njira imeneyi, muyenera kufunsa dokotala mosalephera. Pochiza matenda a shuga, pafupifupi mitundu mazana awiri azitsamba amagwiritsidwa ntchito, omwe ali ndi zinthu zomwe zimachepetsa kupezeka kwa shuga. Komabe, ndi njira iyi, simuyenera kuwerengera zotsatira zachangu;
3. kudya komanso kuchita masewera olimbitsa thupi. Mfundo zazikuluzikulu za pulogalamu ya matenda ashuga odwala matenda ashuga ndikuchepetsa kuchuluka kwamafuta omwe amamwa, zosakanikirana zomanga thupi zosankha zakudya zomwe zimakhala ndi mapuloteni, potaziyamu. Zamasamba ziyenera kudyedwa yaiwisi kapena yophika. Komanso, wodwala matenda ashuga sayenera "kumwa" tiyi, khofi ndi mowa, chifukwa zimapangitsa kuti calcium itaye. Kuchita masewera olimbitsa thupi kumathandizira kuti muchepetse kunenepa, komwe ndikofunikira kwambiri kwa matenda ashuga otsala.

Makanema okhudzana nawo

Pazakuwonetsa za matenda am'mbuyomu omwe ali mu vidiyoyi:

Mwachidule, titha kunena kuti matenda oopsa monga matenda am'mbuyomu amafunika njira yowopsa kwambiri yodziwira matenda ake, komanso chithandizo. Ngakhale kuti matendawa ndi obisika, komabe pali zizindikiro zomwe zimapezeka ndi matendawa.

Pazonse, kupambana kwa chithandizo chamankhwala kumadalira momwe matenda amapezeka, komanso njira yomwe idagwiritsidwa ntchito. Njira yabwino ndiyothandiza kuphatikiza mankhwala osokoneza bongo ndi maphikidwe a mankhwala achikhalidwe komanso magulu angapo olimbitsa thupi. Komabe, njira ya chithandizo iyenera kutsimikizidwa kokha ndi katswiri atadutsa mayeso oyenera.