Zotsatira zoyipa za Insulin Therapy

Mankhwala aliwonse, mwatsoka, amatha kukhala ndi mavuto. Mankhwala ena samatchulika kwenikweni, mwa ena amakhala amphamvu. Izi ndizofunikira makamaka kwa mankhwala amphamvu komanso mankhwala. Insulin ndi mahomoni mwachilengedwe. Ma mahoni amatha kuwonetsa kutulutsa kwachilengedwe ngakhale mu michere yamphamvu kwambiri.

Chiwopsezo cha mavuto obwera chifukwa cha mankhwalawa chimawonjezeka ndi makonzedwe ake osayenera, mlingo wosankhidwa molakwika komanso kuphwanya kosungirako. Ndi dokotala yekhayo amene ayenera kumufotokozera, poganizira zomwe zimachitika m'thupi la wodwalayo.

Mukabayidwa jakisoni, muyenera kutsatira malangizo a mankhwalawo komanso malingaliro a endocrinologist. Ngati zizindikiro zina zachilendo zikuwoneka, wodwalayo sayenera kukayikira kukaonana ndi dokotala, chifukwa zovuta zina za insulin zimatha kudwalitsa thanzi lake ndikuwononga masisitimu ofunikira.

Hypoglycemia

Hypoglycemia ndi chimodzi mwazotsatira zoyipa zomwe zimachitika ndi chithandizo cha insulini (ichi ndi chikhalidwe chomwe shuga m'magazi amatsika pansi pazachilendo). Nthawi zina milingo ya glucose imatha kutsikira ku 2.2 mmol / L kapena kuchepera. Kusiyana koteroko ndi kowopsa, chifukwa kungachititse kuti musamagwidwe ndi chikumbumtima, kukhumudwa, kugwidwa ndi matenda ngakhale pang'ono. Koma mothandizidwa ndi nthawi yake pamagawo oyamba a hypoglycemia, mkhalidwe wa wodwalayo, monga lamulo, limakhazikika msanga, ndipo matendawa amadutsa osafunafuna.

Pali zifukwa zomwe zimawonjezera chiopsezo chakuchepa kwa pathological shuga m'magazi panthawi ya mankhwala a insulin:

• kusintha kwazokha mu mphamvu ya maselo kuyamwa glucose munthawi ya chikhululukiro (subsidence of dalili) za matenda a shuga;
• kuphwanya zakudya kapena kudya zakudya;
• zolimbitsa thupi;
• mlingo wosankhidwa wa insulin;
• mowa
• kutsika kwa calorie kudya pokhapokha malinga ndi zomwe adotolo adalandira;
• zinthu zomwe zimalumikizidwa ndi kuperewera kwa madzi m'thupi (kutsegula m'mimba, kusanza);
• kumwa mankhwala osagwirizana ndi insulin.

Choopsa kwambiri ndichomwe chimapezeka nthawi yomweyo hypoglycemia. Vutoli limapezeka nthawi zambiri kwa anthu omwe akhala akudwala matenda ashuga, koma sangawalipire. Ngati kwa nthawi yayitali amakhala ndi shuga wochepa kapena wambiri, sangathe kuzindikira zizindikiro zowopsa, chifukwa akuganiza kuti izi ndizomwe zimachitika.

Odwala ayenera kuyang'anitsitsa shuga wamagazi ndikulemba izi, komanso chikhalidwe chazomwe zimachitika muzolemba za odwala matenda ashuga

Lipodystrophy

Lipodystrophy ndi kupendekera kwamafuta amkati, omwe amapezeka m'matenda a shuga chifukwa cha kubayidwa pafupipafupi kwa insulin m'dera lomwelo. Chowonadi ndi chakuti mu gawo la jakisoni, insulin imatha kuyamwa ndi kuchepa osati kulowa kwathunthu mu minofu yomwe mukufuna. Izi zitha kubweretsa kusintha pamphamvu ya chikoka chake ndikuchepa kwa khungu m'malo ano. Monga lamulo, mankhwala amakono samakhala ndi zoterezi, koma popewa ndikofunika kusintha nthawi ndi nthawi malo a jekeseni. Izi zimateteza ku lipodystrophy ndikusunga mafuta osunthika osasintha.

Lipodystrophy imodzimodzi, siyiwopseza moyo wa wodwalayo, koma imatha kukhala vuto lalikulu kwa iye. Choyamba, chifukwa cha lipodystrophy, kuchuluka kwa cholesterol yamagazi kumawonjezeka, ndipo chifukwa cha izi pali chiopsezo chokhala ndi matenda amtima. Kachiwiri, chifukwa cha izi, kuchuluka kwa mphamvu ya thupi pH imasunthira ku kuwonjezeka kwa acidity. Wodwala matenda ashuga amatha kuyamba kukhala ndi mavuto ndi kulemera kwa thupi chifukwa cha kusokonezeka kwa metabolic kwanuko. Vuto linanso losasangalatsa ndi lipodystrophy ndi kupezeka kwa kukoka ululu m'malo omwe mafuta okhudzidwa amakhudzidwa.

Mu magawo oyamba, lipodystrophy imawonetsedwa ndi kupindika kwakang'ono pakhungu, komwe kumatha kukula kukula ndikuyambitsa vuto lalikulu lodzikongoletsa (kuphatikiza pamavuto okhudzana ndi thanzi)

Zotsatira pa Vision ndi Metabolism

Zotsatira zoyipa kuchokera m'maso ndizosagwira, ndipo, monga lamulo, zimadutsa mkati mwa sabata loyamba kuyambira chiyambi cha insulin. Wodwala amatha kuchepa kwakanthawi kwakanthawi, popeza kusintha kwa kuchuluka kwa shuga m'magazi kumakhudzanso tugoror (kuthamanga kwamkati) kwamisempha.

Visual acuity, monga lamulo, amabwerera kwathunthu pamlingo wapitawu mkati mwa masiku 7-10 kuyambira poyambira chithandizo. Munthawi imeneyi, kuyankha kwa thupi ku insulin kumakhala kwachilengedwe (zachilengedwe) ndipo zizindikiro zonse zosasangalatsa kuchokera kumaso zimachoka. Kutsogolera gawo la kusintha, ndikofunikira kuteteza gawo la masomphenya kuti lisachulukane. Kuti tichite izi, ndikofunikira kupatula kuwerenga kwa nthawi yayitali, kugwira ntchito ndi kompyuta ndikuwonera TV. Ngati wodwala ali ndi matenda amaso osachiritsika (mwachitsanzo, myopia), ndiye kumayambiriro kwa mankhwala a insulini ayenera kugwiritsa ntchito magalasi osati magalasi, ngakhale atakhala kuti amawakonda kuvala nthawi zonse.

Popeza insulin imathandizira njira ya metabolic, nthawi zina kumayambiriro kwa chithandizo wodwala amatha kutupa kwambiri. Chifukwa chosungidwa madzi, munthu amatha kupeza makilogalamu atatu pa sabata. Kulemera mopitirira muyeso kuyenera kupita pakadutsa masiku 10 mpaka 14 kuyambira chiyambi cha mankhwala. Ngati kutupako sikupita ndipo kumapitirira kwa nthawi yayitali, wodwalayo amafunika kupita kwa dokotala ndikuwonetsanso matenda ena.

Ziwengo

Kukonzekera kwamasiku ano kwa insulin komwe kumagwiritsidwa ntchito pogwiritsa ntchito biotechnology ndi njira zopangira ma genetic ndizapamwamba kwambiri ndipo nthawi zambiri sizimayambitsa mavuto. Koma ngakhale izi zili choncho, mapuloteni amalowabe mu mankhwalawa, ndipo mwa chikhalidwe chawo amatha kukhala antijeni. Ma ma antigen ndi zinthu zomwe sizachilendo kwa thupi, ndipo kulowa mkati mwake, zimatha kuyambitsa chitetezo cha mthupi. Malinga ndi ziwerengero, ziwonetsero kwa insulin zimapezeka mu 5-30% ya odwala. Palinso kulolerana kwamtundu wina ndi mankhwalawo, chifukwa mankhwalawo satha kukhala oyenera kwa odwala osiyanasiyana omwe ali ndi chiwonetsero chimodzi cha matenda ashuga.

Kuopsa kwa chifuwa kumawonjezeka ngati wodwala ali ndi vuto la angiopathy, neuropathy, komanso zovuta zina za matendawa.

Allergies amatha kukhala wamba komanso wamba. Nthawi zambiri, ndimayankho am'deralo omwe amadzionetsa ngati kutupa, kufiyira, kutupa komanso kutupa malo a jakisoni. Nthawi zina totupa tating'onoting'ono monga urticaria ndi kuyabwa timatha kulumikizana ndi izi.

Mitundu yoyipa kwambiri ya chifuwa chachikulu ndi Quincke's edema ndi anaphylactic. Mwamwayi, ndizosowa kwambiri, koma muyenera kudziwa zamatenda awa, chifukwa amafunika chisamaliro chadzidzidzi.

Malamulo a insulin

Ngati zimachitika kuti insulin ituluke m'deralo pafupi ndi jakisoniyo, ndiye kuti pali zotupa wamba, zotupa zimafalikira thupi lonse. Kutupa kwambiri, kupuma movutikira, kusagwira bwino ntchito kwa mtima ndi kupsinjika kwamphamvu nthawi zambiri kumawonjezeredwa kwa iyo.

Momwe mungathandizire? Ndikofunika kuyimitsa makonzedwe a insulini, kuyimbira ambulansi ndikumasula wodwala pazovutitsa kuti pasapunthwe chilichonse. Odwala matenda ashuga ayenera kupatsa mtendere ndi mwayi wokhala ndi mpweya wabwino. Woyendetsa ambulansi akaimbira foni brigade, amatha kukuuzani momwe mungathandizire malinga ndi zomwe mukuwonetsa kuti musavulaze wodwalayo.

Kodi mungachepetse chiopsezo cha mavuto?

Mukamagwiritsa ntchito mankhwala oyenera ndikutsatira malingaliro a dokotala, mutha kuchepetsa kwambiri zovuta za insulin. Asanayambitse mahomoni, nthawi zonse muziyang'anira maonekedwe a yankho (ngati wodwalayo amachisonkhanitsa kapena champhamvu). Ndi nyongolotsi, kusinthasintha kwa mawonekedwe ndi mawonekedwe a matope, timadzi timene timatha kulowa m'matumbo.

Insulin iyenera kusungidwa malinga ndi malingaliro a wopanga, omwe nthawi zonse amawonetsedwa mu malangizo. Nthawi zambiri, zotsatira zoyipa komanso chifuwa zimachitika ndendende chifukwa chogwiritsa ntchito mankhwala omwe atha kapena owonongeka.

Kuti mudziteteze ku zovuta za insulin, ndikofunika kutsatira malangizo awa:

• Osasunthira pawokha mtundu watsopano wa insulini (ngakhale mitundu ina ikakhala ndi chinthu chimodzi)
• Sinthani mlingo wa mankhwala musanayambe kuchita masewera olimbitsa thupi;
• mukamagwiritsa ntchito zolembera za insulin, nthawi zonse muziyang'anira thanzi lawo ndi alumali a cartridge;
• osayimitsa mankhwala a insulin, kuyesa kusintha m'malo mwake ndi wowerengeka azitsamba, homeopathy, ndi zina;
• kutsatira zakudya ndi kutsatira malamulo a moyo wathanzi.

Mankhwala apamwamba amakono a anthu odwala matenda ashuga amatha kuchepetsa mavuto obwera chifukwa cha thupi. Koma, mwatsoka, palibe amene amatetezedwa pamavuto. Nthawi zina zimatha kuchitika ngakhale patapita nthawi yayitali kugwiritsa ntchito mankhwala omwewo. Kuti mudziteteze ku zotsatira zoyipa zaumoyo, ngati pali zokayikitsa zilizonse zomwe zikuwoneka, simuyenera kuchedwa kupita kwa dokotala. Wopezeka endocrinologist adzakuthandizani kusankha mankhwala abwino, ngati kuli kotheka, sinthani mlingo wake ndikukupatsani malingaliro kuti mudziwe momwe mungadziwitsire komanso kulandira chithandizo.