Matenda a Endocrine amayamba chifukwa cha kuperewera kapena kuperewera konse kwa kapangidwe ka insulin. Amadziwika ndi vuto lalikulu la metabolic, monga momwe zimasonyezedwera ndi zizindikiro za hyperglycemia (shuga yayikulu m'magazi), kupezeka kwa mafuta mu mkodzo. Kodi chithandizo chamatenda a shuga am'mbuyomu ndi chosiyana ndi chizolowezi chake? Zimakhala ndi chiyani ndipo zimachitika bwanji?
Kugawidwa kwa matenda ashuga komanso kugwiritsa ntchito mawu oti "chithandizo"
Mitundu yodziwika bwino ya matenda ashuga a mellitus (DM), omwe samatengera mphamvu ya insulin ya mahomoni, amawonedwa ngati mitundu yayikulu yamatendawa pakuchita zachipatala. Pakadali pano, amaonedwa ngati osachiritsika ndi magwero aboma. Ndikovuta kwambiri kuchiza matenda oopsa a mtundu woyamba wa 1 omwe amasinthasintha shuga.
Poganizira za mankhwalawa matenda ake, kuchira kwake kokwanira sikunenedwe. Kulipidwa kwabwino ndikukhazikitsa odwala matenda ashuga omwe ali pafupi ndi moyo wabwinobwino. Kugwiritsa ntchito mawu oti "chithandizo" sikuyenera kulimbikitsa chiyembekezo chowopsa. Ndizoyenera kwambiri kuti akatswiri ndi odwala agwiritse ntchito lingaliro la "matenda a shuga".
Tanthauzo lake ndikugwiritsa ntchito:
- mankhwala omwe amachepetsa shuga m'magazi (mapiritsi, jakisoni, mankhwala a homeopathic);
- zida zomwe zimakonza mulingo wake (glucometer);
- zakudya zapadera (zopatsa mphamvu zama calorie, zokhala ndi yunifolomu yama chakudya);
- adachita zolimbitsa thupi.
Ndi zizindikiro zam'mbuyo koma matenda atapezeka, mankhwalawo nthawi zambiri amakhala ofanana ndi matenda ashuga oyamba
Pazogawika zamatenda a endocrine, ngati mphindi zopatukana, madokotala amasiyanitsa momwe thupi limapezekera akapezeka ndi matenda a shuga kapena a latent. Ndi izo, kulolera kwa glucose kumavulala. Malo omwe amatchedwa prediabetesic amadziwika ndi kuchuluka kwa shuga m'magazi pafupi ndi zofunikira. Munthu amakhala pamalire amalire: samadwalabe, koma ali ndi thanzi labwino kale.
Kutalika kwa gawo la matenda ashuga am'mimba ndiwokha, zimatengera izi:
Matenda obisika a shuga panthawi yoyembekezera- zolimbitsa thupi komanso zotumphukira;
- kutengera kwa chibadwa;
- chitetezo chokwanira (chobadwa nacho ndikupeza);
- mikhalidwe ndi kakhalidwe.
Zochitika zina zakapangidwe ka zochitika chifukwa cha kusokonezeka kwa kusakhazikika kwa kagayidwe kosiyanasiyana zimasiyana: zizindikilo zonse zimatha kuzimiririka, zimakhala ndi moyo kapena zimawoneka ngati matenda ashuga 2. Mtundu 1 umayamba, mwachizolowezi, ndi zizindikiro zowonekeratu za hyperglycemia (kufinya ludzu, kulakalaka kudya, kusokonekera pafupipafupi komanso kukodza).
Kuyesedwa kwa matenda am'mbuyomu
Pali magulu osiyanasiyana aanthu omwe ali pachiwopsezo cha matenda ashuga. Kungoganiza kuti muli ndi matenda, zotsatirazi zimawunikidwa:
- kobadwa nako kagayidwe kachakudya matenda;
- kukhalapo kwa matenda a pancreatic (kapamba, khansa);
- Zizindikiro za matenda a ma virus (chimfine, rubella);
- mtundu ndi mkhalidwe wamanjenje (labwino);
- kuchuluka kwa mndandanda wamankhwala owonjezera (oposa 25).
BMI imawerengeredwa ndi njira: kulemera (makilogalamu) amagawidwa ndi kutalika (m) squared. Mlozera wa 25 mpaka 30 umakhala ndi gawo limodzi la kunenepa; 30-40 - chachiwiri, kupitilira 40 - chachitatu.
Kwa odwala omwe ali pachiwopsezo, kuyesa koyenera kumachitika kawiri pachaka
Matenda abwinobwino alibe chithunzi chodziwika bwino. Chidziwitso chachikulu chomwe chimadziwika kuti chizindikire molondola ndi motere:
- kafukufuku wotchedwa glucose kulolerana mayeso (GTT);
- kusanthula kwa hemoglobin ya glycated, yodziwika bwino - mpaka 7 mmol / l;
- kusanthula kwa C-peptide.
GTT imayikidwa ndi dokotala, ndiye, pogwiritsa ntchito zomwe zapezedwa - zizindikiro za carbohydrate, "curve ya shuga" imamangidwa. Zotsatira zabwino zoyesedwa kuchoka pamakhalidwe abwinobwino sizimaganiziridwa ngati maziko a 100% yazovuta za matendawo. Njira zofunika zowonjezera ndi zothandizira ndi zina zowunikira.
Kusanthula pafupipafupi komanso kuwunika mwatsatanetsatane zotsatira zawo ndi endocrinologist kumakupatsani mwayi wosinthira thupi kuti likhale lopweteka.
Zotsatira zokayikira ziyenera kufufuzidwa kawiri, pokhapokha pobwereza maphunziro.
Zochizira zokhudzana ndi matenda am'mbuyomu
Cholinga cha njira zochizira ndikutsimikiza kwa kagayidwe kachakudya. Nthawi zambiri, kusintha kwa thupi kumafunika. Ngati matenda atapezeka kumayambiriro, ndikotheka kukonza vuto la metabolic m'thupi pogwiritsa ntchito zakudya zapadera. Zinakonza mfundo zachithandizo chakuchiritsa. Ziyenera kukhala za nthawi zonse, zosiyanasiyana, zopatsa thanzi. Akatswiri amasankha zakudya monga tebulo nambala 9.
Malinga ndi zomwe zalimbikitsa, zinthu zingapo zoletsedwa ndizophatikiza:
- shuga, kupanikizana, maswiti;
- confectionery, makeke;
- mafuta, zonunkhira komanso zosuta fodya;
- zakumwa zoledzeretsa;
- zipatso zina (mphesa, nthochi).
Munthu aliyense amadya kalori tsiku lililonse. Ndi masewera olimbitsa thupi olimbitsa thupi komanso masewera olimbitsa thupi oyenera, mpaka 35 kcal pa kilogalamu imodzi ya kulemera konse amawerengedwa. Kunenepa kwambiri kwama degree osiyanasiyana kumapereka chifukwa chochepetsera kunenepa kwa zakudya zama calorie ambiri ndi 10-15 kcal.
Ngati kugwiritsa ntchito zakudya sikubweretsa zabwino, ndiye kuti mungathandizike kuchepetsa mankhwala. Nthawi zambiri, izi zimachitika pambuyo pa miyezi itatu ya zoyesayesa zosakwaniritsidwa kuti mufikire chikhalidwe chapamwamba cha glycemia. Monga lamulo, mlingo woyambirira wa othandizira pakamwa (mapiritsi) ndi wocheperako. Zikondwerero, kulandira chithandizo chamankhwala, mwina zibwezeretsa mphamvu yotayika ndipo zibwerera momwe zimagwirira ntchito kale.
Kwa chiwalo chokhala ngati chiwonetsero cha matenda ena (chithokomiro cha chithokomiro, lupus erythematosus, matenda), kutenga pakati, komwe kumachitika pofanana ndi matenda am'mbuyomu, episodic insulin ingafunike. Mlingo wa jakisoni ndi mtundu wa mahomoni omwe amaperekedwa kuchokera kunja, kuphatikiza kwa zochita zawo zazifupi komanso zazitali zimakhazikitsidwanso ndi endocrinologist. Kudzisintha kwa mankhwala othandizira sikuloledwa, komwe kumatha kubweretsa zovuta komanso kusakulitsa kwina kwa matendawa.
Pakusintha kwa njira, njira zomwe siziri zachikhalidwe zimathandizira kuthana ndi kusokonekera kwa glucose kuletsa ndikulimbitsa chitetezo:
- mankhwala a homeopathic;
- mchere ndi mavitamini;
- acupressure ndi reflexology;
- Ntchito zolimbitsa thupi komanso zopumira.
Asanagwiritse ntchito, kufunsa dokotala wofunikira ndikofunikira. Kuphatikiza njira zamankhwala othandizira omwe amathandizira pakugwiritsa ntchito shuga owonjezera m'thupi ndi maselo amisempha. Izi zimakupatsani mwayi wowonjezera, kukhala wathanzi labwino. Poyerekeza ndi kagwiritsidwe ntchito ka chakudya chamagetsi, kuchepetsa kunenepa kwambiri, ndikuwonjezera zochitika zamagalimoto, nthawi zambiri zimakhala zotheka kusintha magawo a ma cell a pancreatic beta. Zotsatira zomwe zidakwaniritsidwa zitha kusungidwa pokhapokha ngati njira yoyenera yotsata komanso zoletsa zanu zizisamalidwa.
