Matenda a shuga ndi matenda a endocrine dongosolo lomwe limayambitsa moyo. Koma kudziwikiratu panthawi komanso chithandizo chokwanira kumalepheretsa chitukuko ndikupatsa wodwalayo mwayi wokhala ndi moyo wonse.
Asanayambe njira zochizira, endocrinologist imayambitsa matenda, ndikupeza chomwe chimayambitsa matenda.
Pambuyo pokhapokha atazindikira mtundu wa matenda ashuga, adokotala amayamba chithandizo choyenera, chifukwa chakuti kusiyana pakati pa mtundu 1 ndi mtundu wa 2 wodwala kwambiri. Mtundu woyamba wa matenda ashuga umayamba pamene thupi lipanda insulin. Chachiwiri chimachitika chifukwa cha kuchuluka kwa insulini komanso kuchepa kwa mayumbo ake.
Zambiri za matendawa
Matenda a shuga ndi matenda osokoneza bongo omwe amakhala ndi kuchuluka kwa shuga m'magazi.
Izi pathological mkhalidwe umayamba chifukwa chosowa insulin. Popanda iyo, thupi silingathe, ndipo glucose, wodziunjikira m'mwazi, umatulutsidwa pamodzi ndi mkodzo. Zotsatira zake, munthu amayamba kuwonjezereka kwa kuchuluka kwa shuga, komwe sikumagwa molunjika.
Zotsatira zake, ndi kuchuluka kwa shuga m'thupi, maselo amavutika ndi kusowa kwake. Kuphatikiza apo, kagayidwe kamadzi kamavulala: minofu imalephera kusunga madzi, ndipo madzi ambiri amatulutsidwa kudzera mu impso. Matenda osachiritsika amabweretsa mavuto ambiri mthupi.
Ndizofunikira kudziwa kuti ziweto zina zimadwala matenda ashuga. Izi zimatha kukhala ndi zifukwa zambiri. Matenda a shuga amakhalanso pagululi malinga ndi zizindikiritso zosiyanasiyana zomwe zimaphatikizidwa ndi kapangidwe ka matenda, ndikulola kulongosola kolondola kwambiri kwa omwe akudwala matenda ashuga.
Gulu la digiri:
- matenda ofatsa (1 digiri) - njira yabwino kwambiri yamatenda;
- kuopsa kozama (2 digiri) - zizindikiro za zovuta za shuga zimawonekera;
- kwambiri matenda (3 digiri) - kupitiliza kwa matendawa ndi kusatheka kwa kayendetsedwe kake ka mankhwala;
- njira yosasinthika komanso zovuta zoopsa (4 digiri) - gangrene wa malekezero amakula, etc.
Gulu la mitundu:
- woyamba;
- chachiwiri.
Matenda a gestational (osakhalitsa) amapezeka mwa amayi apakati ndipo amasowa mwana akangobadwa.
Ngati matendawa sapezeka munthawi yake, zotsatirazi zingakhale:
- mitundu yonse ya zotupa za pakhungu (mafinya, zithupsa, ndi zina);
- caries ndi matenda ena a mano;
- kukhala wocheperako ndi kutaya kukhuthala kwa chotengera chotchinga, cholesterol yambiri imayikidwa, ndipo atherosulinosis imayamba;
- angina pectoris - kupweteka pachifuwa;
- kulimbikira kulimbikira;
- matenda a kwamikodzo;
- zovuta zamanjenje;
- utachepa kowoneka ntchito.
Kusiyana pakati pa mtundu 1 ndi matenda ashuga 2
Ngati matenda a shuga atapezeka munthawi yake, mtundu wake umatsimikiza kusankha chithandizo choyenera. Zowonadi, ndi gawo loyamba lachitukuko cha matendawa pomwe chithandizo cha mtundu woyamba ndi chachiwiri ndichosiyana kwambiri.
Mtundu 1 ndi matenda ashuga 2 amatha kusiyanitsidwa ndi izi:
- zifukwa. Choyamba chimayamba chitukuko cha kuperewera kwa insulin. Chachiwiri - chimayamba ndi kuchuluka kwa insulini, pomwe ma cell samatenga;
- wodwala. Loyamba limatchedwa unyamata, chifukwa amadwala kwa achinyamata osakwana zaka 30. Mtundu wa 2 wa matenda amakhudza anthu akuluakulu omwe adakondwerera tsiku lobadwa awo makumi anayi;
- chitukuko. Yoyamba ndi matenda obadwa nawo amadziwoneka pompopompo, ndipo nthawi zambiri imadzetsa mavuto. Lachiwiri limayamba pang'onopang'ono mpaka zovuta zoyipa zimayamba m'thupi;
- udindo wa insulin. Mtundu woyamba wamatenda amaonedwa kuti ndi wosachiritsika, chifukwa odwala matenda ashuga amadalira insulin moyo wake wonse, chachiwiri ndi chodalira insulin;
- Zizindikiro za matendawa. Yoyamba imayendera limodzi ndi zizindikiro zoopsa kuyambira pachiyambi pomwe. Wachiwiri sakhala ndi zizindikiro kwakanthawi, mpaka munthuyo adwale kwambiri.
- kulemera kwachilengedwe. Mtundu 1, odwala amachepetsa thupi, mtundu 2, amanenepa.
Zomwe zimayambitsa ndi zizindikiro za matendawa
Mtundu 1 (wachinyamata)
Shuga woyamba kapena wodwala wa insulin amakhala ngati yankho pakuwonongeka kwa maselo a pancreatic beta. Thupi limataya mphamvu yake yopanga kuchuluka kwamahomoni, komwe kumapangitsa kutsika kwakukulu kwa insulin m'magazi.
Zomwe zimachitika:
- ma virus;
- khansa
- kapamba
- matenda a kapamba okhala ndi poizoni;
- kupsinjika
- matenda a autoimmune pamene chitetezo chathupi chikuukira maselo a England
- zaka za ana;
- zaka mpaka 20;
- kuperewera kwa zakudya m'thupi;
- cholowa.
Zizindikiro zikuchulukirachulukira m'chilengedwe komanso kupita patsogolo masiku ochepa. Nthawi zambiri zimachitika kuti munthu amene sakudziwa matenda ake mwadzidzidzi amasiya kuzindikira. Bungwe lachipatala limapezeka kuti likudwala matenda ashuga.
Zizindikiro zake zazikulu ndi:
- ludzu losatha (mpaka malita atatu amadzimadzi patsiku);
- fungo la acetone mumlengalenga;
- kulakalaka;
- kutsika kwakanthawi ndikuwoneka bwino;
- kukodza pafupipafupi, nthawi zambiri usiku;
- mkodzo wambiri wotulutsidwa;
- mabala enieni samachiritsa ndi chisangalalo;
- Khungu;
- zithupsa ndi fungal matenda.
Chizindikiro chilichonse ndi chizindikiro cholumikizirana kuchipatala.
Mitundu iwiri
Shuga yachiwiri kapena yosadalira insulini imayamba pamene insulin ipangidwa m'matimu ochulukirapo. Ma cell amthupi samatha kuyamwa glucose, ndipo amadziunjikira m'magazi. Popita nthawi, shuga amathandizidwa ndi mkodzo.
Zomwe zimachitika:
- kunenepa
- cholowa;
- zaka zopitilira 40;
- kukhalapo kwa zizolowezi zoipa;
- kuthamanga kwa magazi;
- kuyamwa kwa chakudya chochuluka;
- moyo wongokhala;
- achinyamata osachita masewera olimbitsa thupi (kawirikawiri);
- kusuta kwa zakudya zachangu.
Pathology imayamba pang'onopang'ono zaka zingapo. Popita nthawi, mawonekedwe amunthu amayamba kugwa, kumakhala kutopa kwambiri, komanso kukumbukira kukumbukira.
Anthu ambiri saganiza konse zokhala ndi mayeso a shuga, chifukwa anthu okalamba amati kuchepa kwa masinthidwe okhudzana ndi ukalamba. Monga lamulo, matenda osokoneza bongo omwe amadalira insulin amadziwika mwangozi.
Zizindikiro zofunika kuziganizira:
- kutopa
- utachepa kowoneka ntchito;
- mavuto amakumbukiro
- matenda a pakhungu: bowa, mabala osachiritsika ndi zithupsa;
- Khungu;
- ludzu losatha;
- kukodza pafupipafupi usiku;
- zilonda m'miyendo ndi kumapazi;
- dzanzi m'miyendo;
- ululu poyenda;
- thrush, yomwe singakhale yothandiza kuchiza.
Matendawa akangolowa gawo loopsa la chitukuko, zizindikiro zotsatirazi zimawonekera:
- kuwonda kwambiri;
- kutayika kwamaso;
- matenda a impso;
- vuto la mtima;
- sitiroko.
Chithandizo ndi kupewa
Mankhwalawa amasankhidwa payekha, kutengera mtundu wa wodwala, zomwe zimayambitsa ndi mtundu wake.
Mankhwala a mitundu 1 ndi 2 - ofanana. Palinso zosiyana zotsatirazi:
- insulin. Mtundu 1, munthu mpaka kumapeto kwa moyo wake amadalira jakisoni wa insulin; mtundu 2, wodwalayo safuna insulin;
- chakudya. Mtundu 1 umaphatikizapo kutsatira mosamalitsa muyezo wa BZHU ndikuwongolera kwambiri pakugwiritsa ntchito shuga kuti musinthe mlingo wa insulin. Mtundu 2 umaphatikizapo kukana zakudya zamafuta oboola pang'ono, dongosolo lazakudya zamankhwala malinga ndi Pevzner (tebulo Na. 9), lomwe likufunika kuwonjezera chidwi cha thupi ku insulin;
- kakhalidwe. Poyamba, ndikofunikira kupewa zovuta zowonjezera nkhawa komanso katundu wambiri, pitani kwa dokotala mwezi uliwonse, kuyeza shuga pogwiritsa ntchito glucometer ndi mizere yoyesera. Lachiwirili limakhudza moyo wotsatirawu: kudya, kuchepa thupi komanso kuchita masewera olimbitsa thupi nthawi zonse kumatha kuwongolera bwino komanso kungayambitse kuchira kwathunthu;
- mankhwala. Poyamba, jakisoni wa insulin ndi mankhwala amafunikira omwe amateteza zovuta zamtundu uliwonse. Chachiwiri chimafuna mapiritsi ochepetsa shuga omwe amasintha kukhudzana ndi shuga.
Makanema okhudzana nawo
Chet ndi wosiyana ndi mtundu 1 shuga kuchokera mtundu 2:
Pazifukwa zina, anthu amakhulupirira kuti matendawa ndi osachiritsika, ndipo odwala matenda ashuga sakhala ndi moyo mpaka kukalamba. Awa ndi malingaliro olakwika.
Matenda a shuga si sentensi, koma ndi chenjezo kuti nthawi yakwana yoti musinthe ndikusiya zakudya zabwino, kusiya kusuta fodya komanso kuchita masewera olimbitsa thupi. Njira yodziwira bwino mankhwala ndi chitsimikizo cha moyo wautali komanso wachimwemwe.