Mtundu 1 kapena matenda a shuga a 2 amayambitsa mavuto ambiri pambuyo pake.
Chimodzi mwazofala kwambiri za matenda opatsirana ndi matenda a shuga.
Amayamba chifukwa cha kuchuluka kwa glucose, komwe kumabweretsa kuwonongeka ndikusintha kwina kwa mitsempha ya thupi lonse.
Amayambitsa ndi mitundu yamatenda
Malinga ndi ziwerengero, ngakhale poyamba kulumphira m'magazi a glucose, zizindikiro za matendawa zimadziwika mu 11% ya odwala, ndipo ndi kukula kwa matenda amtundu wachiwiri, amakhudza wodwala aliyense wachitatu.
Kuphatikiza apo, mwa kuchuluka (anthu 8 mwa 10), matenda a shuga amadzizo amawoneka ndendende pamiyendo, pomwe zilonda zam'mimba zosachiritsika zimayamba.
Chifukwa chachikulu chakuwonekera kwa matenda a diabetesic neuropathy ndikuwonjezereka kwa shuga omwe amayamba chifukwa cha matenda akuluakulu - matenda ashuga. Kuchuluka kwa zinthuzi kumapangitsa kuti mitsempha yamagazi ikhale yambiri, zomwe zikutanthauza kuti mpweya umasiya kuyendera pano mokwanira.
Komanso, shuga wamkulu amayambitsa zovuta zingapo za metabolic (metabolism). M'maselo ndi minofu, ma radicals aulere amadziunjikira, akusokoneza mayamwidwe am'madzi ndi madzi. Kuchokera pamenepa, ulusi wamanjenje umayamba kutupa.
Matendawa amapezeka m'modzi mwa mitundu itatu:
- zotumphukira;
- wodziyimira pawokha;
- kwanuko.
Zizindikiro
Zizindikiro zimatha kusiyanasiyana kutengera mtundu wa matenda ashuga a mtima.
Peripheral
Amadziwika ndi kukula pang'onopang'ono. Zizindikiro zoyambirira zitha kuonekera patadutsa nthawi yayitali kuchokera pomwe matenda amayambika.
Zizindikiro zazikuluzikulu za zotumphukira za m'mitsempha zakumapazi ndizo kumva kugunda kwa m'maso, kupweteka m'mapazi, manja kapena ziwalo zina zamthupi, kunenepa kwambiri, komanso "lumbago".
Kuchepa kwa chidwi kumapangitsa kuti zikhale zofunikira kusamalira khungu la kumapazi nthawi zonse komanso zochitika wamba zam'munsi.
Ndi neuropathy, kusintha kwa pathological kumachitika pafupipafupi: matuza, misomali yovomerezeka ,uma kwambiri, ming'alu, chimanga, ndi zina zambiri. Komanso, ngakhale ma scuffs ang'onoang'ono kuchokera ku nsapato zolimba amatha kutsogola zilonda.
Mlanduwo pamene matendawa adayamba kalekale, koma osapezeka, ndipo kuchuluka kwa glucose sikunayendetsedwe, kuopsa kwa ziwalo zosiyanasiyana ndipo koposa zonse, kuvulala kwamapazi kumawonjezeka nthawi zambiri.
M'milandu yapamwamba kwambiri, kudula kungafunike.
Kuphatikiza apo, zotumphukira zosiyanasiyana za matendawa zimadziwonetsera mukulumikizana bwino komanso kusasamala, kufooka kosalekeza, komanso kuwonjezeka kapena kuchepa kwa chidwi chogwira kapena kusinthasintha kwa kutentha.
Yoyimira
Mtundu wodziyimira umapezeka kudzera mu kupezeka kwa matenda am'mimba (kutulutsa, kupweteka, kusanza, kudzimbidwa kapena kutsegula m'mimba).
Zomwe zimayambitsa zovuta zotere ndi kuphwanya kwa ntchito zam'mimba (paresis).
Kutukirira thukuta lam'mwamba usiku kapena kugwiritsa ntchito zakudya zina kumakhala kofanana.
Pakhoza kukhala mavuto ndi kukodza mwa akazi komanso ntchito ya erectile mwa amuna. Pakukwera kuchokera pakama kapena kukhala pampando, chizungulire komanso kufooka zimatha - mpaka kutha kwa chikumbumtima. Chizindikiro ichi chimatchedwa orthostatic hypotension. Monga mtundu woyamba, matendawa amathanso kukhudza miyendo.
Pafupi
Neuropathy yachilengedwe imachitika mwadzidzidzi ndipo imasokoneza magwiridwe antchito a chiwalo chilichonse cha thupi kapena chiwalo.
Ngati miyendo yake ikhala chandamale, ndiye kuti wodwalayo amamva kupweteka m'chafu, phazi, etc.
Nthawi zambiri pamakhala kusintha kwamphamvu pamagetsi a miyendo.
Mitsempha ikapindika, kukula kwa zotsatira kumayamba kukula pang'onopang'ono, mochulukira. Ndi zotupa za minyewa ya m'maso, kupweteka kumayang'anidwa pakusuntha kwawo komanso momwe amawerengera.
Zizindikiro za matenda amtunduwu zimatha kuchepa pakapita nthawi kapena, mosiyana, zimachulukitsa ndikuwonongeka kosasinthika kwa ziwalo ndi minofu.
Zizindikiro
Kuzindikira matendawa kumakhala kovuta. Kwa nthawi yayitali siziwoneka mwanjira iliyonse, zingatenge zaka zambiri munthu asanayambe kuda nkhawa za momwe aliri.Ndipo odwala omwe, ngakhale omwe ali ndi matenda ashuga, nthawi zambiri samadziwa za zovuta zomwe zingachitike.
Kuphatikiza apo, Symbomatology ya matendawa ndi yovuta kwambiri komanso yachilendo kwambiri, zomwe sizimathandizanso kuzindikira zomwe zimayambitsa odwala.
Njira yayikulu yodziwira matendawa ndikuwunika. Komabe, sikuti nthawi zonse limayikidwa, chifukwa chake ndikofunikira kumuuza dokotala mosamala momwe angathere komanso mwatsatanetsatane wazidziwitso za malaise ndi mawonekedwe owawa.
Chithandizo
Mankhwala akapezeka ndi matenda a shuga, amathandizira pakukhazikika kwa shuga wamagazi ndikusungabe momwe amagwiritsidwira ntchito.
Pokhapokha ngati wodwalayo akhazikika, matendawa amatha.
Kupititsa patsogolo ndikotheka osati kale kuposa miyezi isanu ndi umodzi pambuyo pokhazikika kwa glycemic.
Ngati mankhwala omwe amachititsa kuti insulin iperekeni sangapereke zotsatira zoyenera, mankhwala okhala ndi insulini amaperekedwa ndi adokotala. Komanso, wodwalayo ayenera kuwunika kuyang'anira ndikuwunika pafupipafupi kuchuluka kwa lipids m'magazi.
Nthawi zambiri, kudya kwama folic acid ndi mavitamini a magulu A ndi B kumathandizanso odwala; nthawi zina, mankhwala amathandiza ndi mankhwala omwe si a antiid.
Mpumulo wa ululu kumayambiriro kwa matendawa nthawi zambiri umachitika ndi mankhwala osokoneza bongo monga capsaicin. Kirimuyi amachotsa bwino redness ndi kuyaka. Mankhwalawa malo okhala pakhungu katatu patsiku. Komabe, chithandizo chanyumba sichothandiza nthawi zonse.
Mafuta ophatikizira a capsaicin
Kuphatikiza pa mankhwala omwe amalimbikitsa kupanga insulin, njira zazikulu zochizira matenda a neuropathy ndi mankhwala a magulu awiri:
- tridclic antidepressants. Zomwe zimakhazikitsidwa nthawi zambiri ndi imipramine, amitriptyline, clomipramine, ndi nortriptyline. Amayambitsa kugona, chifukwa chake nthawi zambiri amatengedwa asanagone. Mlingo - wocheperako pochizira nkhawa.
- anticonvulsants: carbamazepine ndi gabapentin. Kuopsa kwa mavuto kumatsitsidwa ndikuwonjezera pang'onopang'ono kwa mankhwalawa; sikufikira pakuyenera kukhala amuna ndi akazi.
Makanema okhudzana nawo
Zokhudza kupewa ndi kuchiza matenda a shuga:
Pomaliza, tazindikira kuti: zovuta za mtundu wa matenda ashuga sizikupezeka kuti zitheka kuchiritsa omaliza. Komabe, kupereka chiwongolero choyenera pa vuto lanu ndikumamwa mankhwala ofunikira, munthu amatha kumva bwino ndipo nthawi yomweyo amakhala kwathunthu, pofuna kusangalala.