Matenda a shuga ndi njira ya endocrine yomwe imadziwika ndi glycemia wa plasma wambiri chifukwa chakuchepa kapena kufafaniza kwathunthu kwa kupanga kwa insulin ya mahomoni ndi kapamba.
Matendawa amakhala ndi zotsatirapo zambiri zoyipa: kulephera kwa impso, kudula malekezero chifukwa cha kukula kwa khungu, kulephera kuwona.
Ndikofunikira kuzindikira matendawa poyamba kuti mupewe kukula kwa matendawa. Kuti muchite izi, muyenera kudziwa zizindikiro zoyambirira za matenda ashuga.
Zomwe zimayambitsa matendawa
Ntchito yayikulu pakukula kwa endocrine pathology imaseweredwa ndi genetics. Nthawi zambiri matenda a shuga amabadwa. Tchulani mitundu yomwe imapangitsa munthu kuti akhale ndi matendawa. Ndi kuphatikiza kwina kwa iwo, chiopsezo chophwanyidwa chikuwonjezeka kwambiri.
Mtundu woyamba wa shuga umapanganso motsutsana ndi maziko a poyizoni oopsa, autoimmune chithokomiro, ndi nyamakazi. Mtundu wachiwiri wamatenda umaphatikizidwa ndi enterovirus, cytomegalovirus, rubella, Coxsackie, ndi mumps.
Zowopsa zake zimaphatikizaponso:
- zakudya zosayenera (kusuta kwa maswiti kapena mafuta, kudya kwambiri);
- matenda aakulu a chiwindi, kapamba;
- kunenepa
- ukalamba;
- polycystic ovary syndrome;
- moyo wosachita;
- kwambiri atherosulinosis;
- kupsinjika kwa nthawi yayitali;
- kutenga thiazide diuretics, mahomoni a steroid, kulera kwapakamwa;
- mbiri ya matenda oopsa, kugunda kwa mtima, kapena sitiroko.
Zizindikiro zoyambirira za matenda ashuga 1 oyambira
Kumayambiriro kwa chitukuko cha endocrine pathology, mutha kuwona zosintha zotsatirazi paumoyo:
- mawonekedwe a ludzu lalikulu. Chizindikiro cha matenda ashuga. Pogwiritsa ntchito shuga, magazi amakhala amanenepa. Thupi limayesetsa kuthira madzi am'madzi ndikupereka chizindikiro kuti ndikofunikira kumwa madzi;
- kukodza pafupipafupi. Chizindikiro chotere chimatha kuchitika chifukwa cha kuchuluka kwamadzimadzi a chidakwa;
- kuwonongeka kwa tsitsi. Kagayidwe koyipa amakhudza mkhalidwe wa ma curls: zingwe zimayamba kuwonda, zimayamba kukula pang'onopang'ono ndikuchepera;
- kugona Zimafotokozedwa ndikuphwanya njira za metabolic. Munthu amakhala wotopa nthawi zonse ngakhale masana;
- kulakalaka. Ndikufuna maswiti kwambiri;
- kuwonda kwambiri;
- mawonekedwe akununkhira kwa asetoni;
- kuchiritsa kwamabala ndi mabala. Ngakhale zidutswa zazing'ono zimayamba kutentha komanso kukondwerera;
- kuwonongeka kwamawonekedwe. Mandala ali pansi pa kukhudzidwa koipa kwa glucose yambiri;
- kumverera kolemetsa m'manja ndi miyendo;
- matenda a chikumbumtima:
- kusakhazikika.
Zizindikiro zoyambirira za matenda amitundu iwiri azimayi ndi abambo
Matenda a shuga a fomu yachiwiri nthawi zambiri amatchedwa obisika. Amapezeka pafupipafupi mwa akulu omwe ali ndi vuto lobadwa nalo komanso kunenepa kwambiri.
Matendawa amatha kuyamba ndi izi:
- machiritso a bala
- Khungu;
- dzanzi ndi kukokana pafupipafupi kwa miyendo;
- pakamwa kowuma kosalekeza.
Kudziwa zizindikiro za matenda a shuga a mtundu wachiwiri, kulingalira bwino za thanzi lanu, ndikosavuta kuzindikira matendawa poyamba komanso kuchitapo kanthu popewa kukula kwa matenda.
Zizindikiro zamatenda a shuga omwe amachititsa mwana
Mu makanda, ana aang'ono ndi achinyamata omwe ali ndi vuto la insulin, matendawa amapita patsogolo mofulumira (masabata ochepa).
Makolo ayenera kulembera mwana wawo kwa dokotala ngati ali ndi izi:
- kukodza pafupipafupi, makamaka usiku;
- ludzu
- kulakalaka kwamphamvu maswiti;
- kuchepa thupi mwadzidzidzi;
- kuwonongeka kwa thanzi mutatha kudya;
- kununkhira kwa acetone kuchokera pamlomo wamkamwa;
- thukuta kwambiri;
- ulesi.
Ndikosavuta kumvetsetsa kuti mwana ali ndi matenda ashuga. Chachikulu ndichakuti musatseke maso anu kuti musinthe thupi lanu, koma ndikupita kuchipatala.
Mawonekedwe oyamba a shuga nthawi yapakati
Amayi ambiri amakhala ndi vuto la matenda a shuga nthawi ya bere. Matendawa amakula chifukwa chakuti mthupi lanyengo mumasintha kwambiri, katundu pa zikondwerero zimakulanso.
Mawonetsero otsatirawa ndi mawonekedwe:
- kuchuluka kwa tsiku ndi tsiku mkodzo;
- ludzu
- kukodza pafupipafupi;
- kuchepa kwa mphamvu yogwira ntchito;
- kulakalaka kwamphamvu;
- zotupa pakhungu;
- kuyabwa mu perineum;
- kusokonekera;
- kupweteka m'dera la mtima, m'misempha ya ng'ombe;
- migraine
Kusanthula ndi njira zina zodziwira matenda
Njira zama labotale ndi zothandizira zimagwiritsidwa ntchito pozindikira matenda ashuga. Zoyambirira zikuphatikiza:
- kuyeserera kwa shuga;
- kafukufuku wapakati pa mkodzo;
- glycated hemoglobin;
- shuga wa m'magazi.
Kuzindikira glucose wamagazi ndiye mayeso ofala kwambiri. Pangani pamimba yopanda kanthu.
Amatsimikiza kuchuluka kwa shuga mu plasma. Chizindikiro wamba chimasiyana kuchokera pa 3.3 mpaka 5.5 mmol / L. Ngati zotsatira zake ndizochulukirapo kuposa momwe zimakhalira, ndiye kuti mumayesa mayeso okhudzana ndi shuga: perekani wodwalayo kapu yamadzi okoma ndipo pambuyo maola awiri ayang'anire zomwe zili mu shuga.
Kusanthula kwa hemoglobin ya glycated kumakupatsani mwayi wofufuza matendawa kumayambiriro kwa chitukuko. Imawulula mtundu wapadera wamaselo ofiira a m'magazi, omwe amalumikizidwa mosiyanasiyana ndi mamolekyulu a shuga.
Kusanthula kwa mkodzo kumagwiritsidwa ntchito kutsimikizira matendawa ndikuwonetsetsa kukula kwa matendawa.
Mwa njira zogwiritsidwa ntchito:
- Ultrasound yam'mimba ziwalo;
- electrocardiography;
- kusanthula kwa ndalama.
Kodi kuchitira matendawa?
Ndikosatheka kuchiritsa matenda ashuga kwathunthu. Koma ndikotheka kukhalabe ndi thanzi labwino pamalire oyenera, kupewa ndi kulepheretsa kukula kwa zovuta. Kuchiza kumachitika pogwiritsa ntchito mankhwala, wowerengeka komanso maphikidwe azakudya.
Mankhwala
Ngati mankhwalawa akapanda kuthandizidwa, matendawa amakula tsiku lililonse, amatha kudwala matenda ashuga kenako nkufa.
Pofuna kuchotsa zizindikiro za hyperglycemia ndi kukhazikika shuga pamlingo wokhazikika, mankhwala otsatirawa amagwiritsidwa ntchito:
- zomwe zimapangitsa kuti maselo amthupi atengeke kwambiri ndi insulin (thiazolidatediones: Pioglitazone, Avandia, biguanides: Glucofage, Siofor and Metformin);
- zomwe zimapangitsa kapamba kuti apange insulin yambiri (meglitinides Nateglinide ndi Repaglinide, sulfonylurea Glycvidone, Glyclazide ndi Glipizide);
- ndi ntchito ya incretin (glucagon-like peptide-1 receptor agonists: Exenatide, Lyraglutide, DPP-4 zoletsa: Sitagliptin ndi Vildagliptin);
- Kuletsa kuyamwa kwa shuga m'matumbo am'mimba (alpha-glucosidase inhibitors: acarbose).
Zakudya za odwala matenda ashuga
Munthawi ya prediabetes, nthawi zina zimakhala zokwanira kubwereza zakudyazo kuti mupewe kukula kwa matenda.
Pofuna kupewa ndi kuchiza matenda amtundu uliwonse wa shuga, muyenera kutsatira zakudya zapadera.
Pulogalamu yazakudya iyenera kupangidwa ndi adotolo, atatha kufufuza zotsatira za kuyesedwa, poganizira kulemera kwa thupi, moyo, jenda, zaka za wodwalayo. Kuchuluka kwamafuta, mapuloteni, chakudya, zopatsa mphamvu, zowerengera ndi mavitamini amawerengedwa.
Menyuyi muyenera kukhala ndi mkaka ndi nyama, zipatso ndi ndiwo zamasamba. Mukapezeka ndi matenda ashuga, shuga amaphatikizidwa kwathunthu ndi chakudya. Amaloledwa kudya chimanga (buckwheat, oat, barele ndi tirigu), nyemba, maapulo, makangaza, buluu, mtedza ndi mtedza wa pine, buledi wa bulauni, mpendadzuwa kapena batala.
Kofi, chokoleti, muffin, nyama zosuta, confectionery, ma pickles, zokometsera, nthochi, tsabola, mphesa ndi mpiru ndizoletsedwa.
Zithandizo za anthu
Pali maphikidwe osiyanasiyana amwe mankhwala a shuga. Zabwino kwambiri mwa izo:
- udzu winawake ndi ndimu. Pukuta udzu winawake mu magalamu 500 ndi mandimu sikisi. Wiritsani kusakaniza kwa maola angapo ndi firiji. Tengani theka la ola musanadye chakudya cham'mawa mu supuni yokhala zaka ziwiri;
- mandimu ndi parsley. Sakanizani zest za ndimu (100 magalamu) ndi muzu wosankhidwa wa parsley (300 magalamu) ndi adyo (300 gramu). Ikani kwa masabata awiri pamalo abwino. Tengani katatu patsiku musanadye supuni;
- mtengo wa linden. Ndikulimbikitsidwa kuswedwa ndi kumwa kulowetsedwa kwa maluwa a linden m'malo mwa tiyi;
- mazira ndi mandimu. Finyani madzi ku ndimu imodzi ndikuwonjezera dzira laiwisi. Kutanthauza kumwa kwa masiku atatu ola limodzi asanadye.
Kodi ndizotheka kupewa matendawo kumayambiriro kwa chitukuko chake?
Ngati munthu wapeza prediabetesic state, matendawa amatha kupewedwa ndikutsatira zakudya ndikusungabe moyo wokangalika.Izi zimatsimikiziridwa ndi asayansi ofufuza. Kuyesera kwa DPP kunachitika.
Odwala omwe adapezeka ndi prediabetes adatenga nawo gawo. Moyang'aniridwa ndi mphunzitsi wolimbitsa thupi komanso akatswiri azakudya, anthu amakhala zaka zinayi.
Zotsatira zake, zidapezeka kuti aliyense ali ndi chiopsezo chocheperako cha 58% cha matenda a shuga. Mayesowo atatha, ophunzirawo adasiya kudya moyenera ndikusewera masewera. Pambuyo pazaka zingapo, zoopsa za kusokonezeka kwa endocrine zidabweranso.
Makanema okhudzana nawo
Pazoyankhula zoyamba za matenda ashuga mu kanema:
Chifukwa chake, kuchuluka kwa anthu odwala matenda ashuga ndi anthu omwe ali ndi zovuta za matendawa kukukulirakulira. Izi ndichifukwa chakuti odwala amatembenukira kwa dokotala amene ali kale ndi vuto lalikulu.
Ndikofunikira kuti muzikhala ndi chidwi ndi thanzi lanu komanso kuti mudziwe zizindikiro za matenda ashuga. Mankhwala okhawo omwe adayamba panthawi yake ndikuthandizira kupewa chitukuko cha matenda, zotsatira zake.
