Matenda a shuga ndi njira yothandizira zida za endocrine, zomwe zimawonetsedwa ndi kuperewera kwa insulin kapena kuphwanya chidwi cha maselo a thupi kupita ku timadzi timeneti. Malinga ndi ziwerengero, matendawa amakhudza anthu 5% onse. Odwala ambiri, atakumana ndi matenda oopsawa, ali ndi chidwi chofunsa ngati matenda a shuga angachiritsidwe.
Pakadali pano, akhazikitsanso njira yolandirira yomwe ingathe kulipiritsa matendawa. Nkhaniyi ikufotokoza njira zachikhalidwe komanso zatsopano zothandizira wodwalayo.
Zolemba za matendawa
Matenda a shuga amaphatikizidwa ndi hyperglycemia (shuga wambiri). Vutoli limachitika pazifukwa zingapo, momwe mawonekedwe amtunduwo amadutsanso.
- Mtundu woyamba wa matenda (wodalira insulini) amadziwika kuti maselo am'mimba amapanga kuchuluka kosakwanira kwa insulin homon, yomwe imayambitsa matenda a shuga m'magazi komanso kayendedwe kake mkati mwa maselo.
- Mtundu wachiwiri wa matenda (osadalira insulini) umatsatiridwa ndi kukana insulini, ndiye kuti, mkhalidwe womwe maselo amataya chidwi chawo ndi mahomoni. Mlingo wa insulin m'magazi ndi wabwinobwino, nthawi zina amatha kukwezedwa.
- Gestational matenda a shuga - amapezeka mwa amayi apakati. Malinga ndi makina a chitukuko, amafanana ndi mtundu wa 2 matenda. Amayamba mchikakamizo cha kusintha kwa mahomoni m'thupi, makamaka mothandizidwa ndi mahomoni amodzi.
Mtundu umodzi wamatenda umatha kudwala
Njira yodalira insulin ya "matenda okoma" imadziwika ndi achinyamata ndi ana. Chifukwa chake chachikulu chimadziwika kuti ndi cholowa chamabanja. Matenda a Type 2 amayamba mwa anthu opitilira zaka 40. Zimachitika motsutsana ndi maziko a kunenepa kwambiri, masewera olimbitsa thupi ochepa, matenda oopsa komanso kuthamanga kwa cholesterol "yoyipa".
Zizindikiro
Kumayambiriro, chithunzithunzi sichikhala palibe. Chifukwa cha izi, odwala ambiri amaphunzira za kuzindikira kwawo pamlingo wa kukulitsa zovuta zapakati. Mitundu yonse ya matenda ashuga imakhala ndi mawonetseredwe ofananawo munthawi yakusonyezedwa (kupita patsogolo kwa matenda ndi zizindikiro zowoneka).
Odwala amadandaula zakumwa kwambiri, chimbudzi chachikulu, mkodzo wowuma, khungu ndi khungu. Zizindikiro zimayamba kuoneka. Pambuyo pake, odwala amawona kuti pali kuchepa kwa masomphenyawo, kuyabwa kwa khungu, zotupa zomwe zimasinthika nthawi ndi nthawi.
Maganizo a anthu odwala matenda ashuga nawonso amasintha. Odwala amakhala osakwiya, okhazikika, otopa msanga. Ambiri amakwiya kwambiri ndi matenda awo.
Kodi matendawa amatha?
Tsoka ilo, ndizosatheka kuthetsa matenda ashuga kwathunthu, ngakhale pali njira zatsopano zomwe zimatsimikizira zotsatira zabwino zamankhwala. Mankhwala achikhalidwe amalimbikitsa kugwiritsa ntchito:
- zakudya mankhwala;
- masewera;
- chithandizo cha insulin (pafupifupi odwala onse omwe ali ndi matenda amtundu wa 1 ndi odwala angapo omwe ali ndi mtundu wa 2 matenda);
- mankhwala omwe amachepetsa shuga;
- mankhwala omwe amachititsa kuti ntchito ya cell insulin ipangidwe;
- nkhondo yolimbana ndi mawonekedwe owoneka;
- mankhwala azitsamba;
- njira zochitira masewera olimbitsa thupi.
Kuchiza ndi wowerengeka azitsamba ndi njira inanso zovomerezeka ngati ikuwoneka yothandiza mu matenda enaake ndipo ikuchitika moyang'aniridwa ndi katswiri woyenera.
Chithandizo cha matenda ashuga ndi ntchito ya endocrinologist
Pali mitundu ingapo yamankhwala othandizira ndi zibangili, kugwiritsa ntchito kwake komwe kumafunsidwa, chifukwa nthawi zambiri, ogulitsa ndalama zotere ndi charlatans.
Njira zonse pamwambazi sizingachiritse matenda ashuga kwathunthu, koma zimathandizira kukwaniritsa chiphuphu cha matendawa, kusunga moyo wa wodwalayo pamlingo wokwera. Njira zomwezo ndikuletsa kukula kwa zovuta komanso zovuta za matenda.
Kodi kubwezera ndi chiyani?
Kukhala bwino kwa munthu wodwala matenda ashuga komanso kuwonetsa matendawa kumadalira kuchuluka kwa kulipidwa kwa matendawa. Kuti muwunikire digiriyo, akatswiri amaganizira zotsimikizira zotsatirazi:
- glycated hemoglobin - hemoglobin wokhala ndi mamolekyulu a shuga;
- fructosamine;
- cholesterol ndi triglycerides;
- matupi a acetone;
- kupanikizika kwa osmotic.
Kubwezera ndi momwe munthu ayenera kuyeserera matenda aliwonse, kuphatikizapo matenda ashuga. Wodwala amakhala ndi thanzi labwino. Zizindikiro za pathology kulibe. Magazi a glucose osaposa 6.1 mmol / l, palibe glucosuria.
Kulipira kumadziwika ndi kukulira kwa mkhalidwe wa wodwalayo. Mlingo wa shuga umakwera kufika pa 7.1 mmol / l, glucosuria imawoneka. Matupi a acetone kulibe, zizindikiro za matendawa ndizochepa.
Kubwezera ndiko gawo loipitsitsa kwambiri la matenda, komwe hyperglycemia, glucosuria imawonedwa. Mwina chitukuko cha zovuta pachimake chomwe chimafuna chithandizo chamankhwala mwadzidzidzi. Kubwezera kumayendera limodzi ndi zovuta kuchokera ku impso, kuwunika kwa mawonedwe, dongosolo lamanjenje, mitsempha yamagazi.
Chithandizo cha gawo loyamba la matenda
Pambuyo pozindikira komanso kutsimikizira za matendawa, dokotala amalemba njira zamomwe angayang'anire odwala. Choyamba, katswiriyo amapereka malangizo pa kukonza zakudya. Katswiri wazakudya amathanso kuchita izi.
Mankhwala othandizira pakudya - maziko opezera chiphuphu cha "matenda okoma"
Magawo a shuga amakhudzidwa ndi kuchuluka kwa chakudya cholowera m'thupi, motero, ndikofunikira kuti achepetse mulingo wawo mumenyu omwe. Wodwalayo ayenera kusiyiratu shuga, ndikusinthanitsa ndi okometsera okhathamiritsa kapena zotsekemera zachilengedwe (uchi, mapulo manyuchi, stevia Tingafinye). Chakudya chizikhala chosakanizika, pafupipafupi.
Ndikofunika kukana mchere, wokazinga, wosuta, mbale zowuma. Zakudya zothina komanso mphodza ndi zakudya zophika zimakonda.
Mfundo yachiwiri yomwe imalola kuti pakhale malipiro a shuga ndi masewera. Mlingo wokwanira wolimbitsa thupi ndi wofunikira pa matenda amtundu uliwonse, koma ngati nambala ya glycemic singadutse 13 mmol / L. Ndikofunika kuti musamachulukane ndikuwerengera moyenera mankhwalawa omwe mankhwalawo amagwiritsidwa ntchito kuti hypoglycemia isachitike.
Mankhwala
Kaya matenda a shuga angathe kuchiritsidwa kapena ayi sichingakhale funso, koma kuletsa kukula kwa zovuta zake kumawerengedwa kuti ndi chimodzi mwazofunikira. Ndi chifukwa ichi kuti mankhwala ndi omwe amapereka.
- Mankhwala a insulin - kukhazikitsidwa kwa ma pancreatic hormone analogues kuti adzabwezeretse mulingo wake mthupi. Chiwembu, mankhwala ndi mlingo wake amasankhidwa ndi kupezeka kwa endocrinologist payekhapayekha.
- Mapiritsi ochepetsa shuga ndi gulu lalikulu la mankhwala, omwe amaphatikizapo magulu angapo. Iliyonse ya iwo imakhala ndi kachitidwe kena kake, kosiyana ndi njira zina. Izi zimaphatikizapo mankhwala omwe amathandizira kugwira ntchito kwa ma cell a insulin, ndikuchepetsa kuyamwa kwa ma cell kuchokera m'matumbo, komanso omwe amachititsa chidwi cha maselo amthupi kuti apange insulin.
- Mankhwala, machitidwe ake omwe cholinga chake ndikugwira bwino ntchito kwa ziwalo ndi machitidwe.
Njira zatsopano
Pakadali pano, njira zatsopano zikupangidwa kuti zithandizire kuchiritsa matendawa. Adakali mu mtundu wawo "waiwisi", koma asayansi akuyesetsa kuchita bwino kwambiri.
Maselo a tsinde
Mothandizidwa ndi maselo a tsinde, asayansi amalonjeza kuti athetsa vuto la kubwezeretsa kagayidwe kazakudya mu shuga. Chinsinsi cha njirayi ndi kapangidwe ka maselo achinsinsi a insulin kuchokera ku maselo a stem mu labotale. Popeza zida zonse zopangidwa mthupi zimachokera ku masentimita a tsinde, akukhulupirira kuti chilichonse chogwira ntchito chomwe chidzafunikire nthawi ya chithandizo chitha kupezeka kuchokera kwa iwo.
Pambuyo kaphatikizidwe, maselo obwera amabzala mwa wodwalayo. Izi zimakuthandizani kuti mubwezeretse kapamba. Kuphatikiza apo, pali kulimbitsa chitetezo cha thupi, mapangidwe amitsempha yatsopano yamagazi, kulimbitsa kwakale.
Kugwiritsa Ntchito Mapulogalamu Azutso - Kupititsa patsogolo Kwa Matenda A shuga
Katemera
Asayansi akupanga katemera yemwe angaimitse njira za autoimmune kupha maselo a pancreatic a mtundu 1 shuga. Malinga ndi malingaliro, katemerayo amawonedwa kuti ndi chida chabwino kwambiri kuposa mankhwala ena, chifukwa chakuwongolera zolakwika za metabolic ndi genetic m'thupi la wodwalayo.
Kupatsirana kwa kapamba
Chiwalo choyamba chodulidwa mwa wodwala ndi "matenda okoma" chinatha osakwaniritsidwa: wodwalayo anamwalira miyezi ingapo atachitidwa opaleshoni chifukwa chokana gland ndi kukula kwa sepsis.
Posachedwa, kupambana kwadongosolo lino kwawonekeranso. Asanaikidwe, ndikofunikira kukonzekera wodwalayo motere:
- kukulitsa thanzi la wodwalayo;
- yerekezerani zovuta zomwe zingayambitse matendawa ndi kuopsa kwa opaleshoniyo;
- Onaninso za wodwala matenda ashuga kuti muchepetse chiwopsezo cha kukana.
Mochedwa kuwonjezeka nthawi ndi osafunika, makamaka limodzi ndi aimpso kulephera (imodzi mwazovuta za matenda ashuga nephropathy). Otsutsa awa a shuga sangakhale moyo wamtundu wa nephrotic womwe umachitika chifukwa ch kumwa mankhwala omwe amathandizira kuchepetsa chitetezo cha mthupi pofuna kupewa kukanidwa kwa pancreatic.
Pakadali pano, kupatsirana kumaloledwa:
- motsutsana ndi maziko a hyperlabile shuga mellitus;
- ngati pali kuphwanya kwa kusintha kwa mahomoni a hypoglycemia;
- ndi kuchepa kwa chidwi cha mankhwala a insulin (tikulankhula za kukonzekera kwa mankhwalawa).
Chithandizo chamachinyengo
Tsoka ilo, pali anthu omwe amalipira chisoni cha ena. Ochita manyazi oterowo amayankha funso loti matenda ashuga amatha kuchiritsidwa, nthawi zonse. Amapereka njira zingapo zozizwitsa zomwe sizingathandize kuchepetsa glycemia, komanso kubwezeretsa magwiridwe antchito a kapamba.
Onyenga amapereka zida zotsatirazi pa intaneti komanso mwanjira yogawa payekha:
- Mankhwala omwe amatsuka poizoni ndi zinthu zoopsa. Charlatans nthawi yomweyo amadzinenera kuti zinali zovuta zamankhwala ndi slag zomwe zidapangitsa kuti chitsulocho chizigwira ntchito.
- Mankhwala azitsamba ndikuthamanga limodzi ndi kukana kwa insulin. Njirayi sikuti imangothandizidwa ndi akatswiri endocrinologists okha, komanso imawoneka yowopsa, chifukwa imatha kubweretsa chitukuko cha ketoacidosis ndi chikomokere.
- Zipangizo zolimbira, ma medallions ochepetsa shuga m'magazi. Mbali imodzi, njira zoterezi zimawonedwa ngati zopusa, koma ngati wodwalayo ali ndi vuto, ndiye kuti ali wokonzeka kuyesa njira iliyonse, ngakhale yeniyeni.
- Hypnosis - akukhulupirira kuti zotere zimapangitsa kuti malingaliro okhudzidwa ndi wodwalayo azitha kuthetsa vutoli ndi vuto la psychoemotional, koma osabwezeretsa ntchito ya chiwalocho.
Momwe mungaphunzirire kukhala ndi matenda
Ndikofunikira kumvetsetsa bwino kuti matenda omwe alipo pakadali pano samachiritsidwira kwathunthu. Muyenera kuphunzira kuugwira mtima ndikuwongolera mkhalidwe wanu wama maganizo. Palinso masukulu apadera a shuga omwe anthu amagwira ntchito, kuphunzitsa ndi kuwongolera chidziwitso chawo.
Cholinga chachikulu cha sukulu ya shuga ndi kuphunzitsa odwala momwe angayang'anire matenda awo.
Wodwala matenda ashuga ayenera kukhala ndi glucometer - zida zomwe aziwunikira mayeso a shuga. Popita nthawi, wodwalayo amamvetsetsa kale momwe akuvutikira pakufunika kuyeza kuchuluka kwa glycemia. Izi ziyenera kuchitika poyamba.
Mchipinda chomwe wodwalayo amakhala, nthawi zonse payenera kukhala insulin komanso mtundu wina wa kutsekemera. Izi ndizofunikira kuti mpumulo wa matenda owopsa (hypoglycemia, hyperglycemia).
Ndikofunika kukumbukira kuti kudzichitira nokha mankhwala pamenepa sikuloledwa. Tsatirani uphungu ndi malingaliro a dokotala woyenera. Pokhapokha ngati pakhoza kukhala zotsatira zabwino ndi zotsatira zabwino za matendawa.