Zingwe zam'mitsempha ndi makoma amitsempha yamagazi zimadwala shuga wambiri wamagazi. Glucose, kulowa mkati mwake, amasanduka zinthu zakupha. Mothandizidwa ndi iwo, kusintha koyipa kumachitika mu minofu, magwiridwe antchito a ziwalo amasokonekera. Ichi ndi chowopsa chochitika ndi matenda ophatikizika a endocrinological pancreatic matenda. Chifukwa cha zomwe zimachitika pang'onopang'ono, zilonda zam'miyendo zimachitika m'matumbo a shuga. Kodi mungapewe bwanji vuto losautsa thupi? Pazifukwa ziti simungamaphonye zosintha zoyambira?
Autopsy zimayambitsa zilonda zam'mimba zilonda zam'mimba
Zingwe m'thupi la munthu ndizolumikizana ndimisempha yambiri ya mitsempha komanso mitsempha yaying'ono ya magazi. Mkhalidwe waukulu wothandizira zilonda zam'mimba komanso mavuto ena obwera chifukwa cha matenda a endocrine ndikukhazikika nthawi zonse glycemic pamalingo ovomerezeka - mpaka 8.0 mmol / L.
Zombo za wodwala wodwala matenda ashuga zimakhudzidwa osati ndi shuga, komanso ndi mafuta m'thupi. Ma mamolekyulu onyenga omwe amaphatikizika ndi makhoma am'magazi ndikuchepetsa kuyenda kwawo. Mphamvu ya mtima ili pachiwopsezo chambiri. Wosuta amakhala ndi matenda ashuga, kuchokera ku kuchuluka kwa shuga m'magazi - katatu.
Ndi zaka, kuwonongeka kwa mtima kumachitika mwachilengedwe. Ntchito ya wodwala sikukuwonjezera kukalamba kosapeweka, zinthu zowonongeka kuchokera ku mashuga apamwamba, blockages ya cholesterol, kusuta.
Cholesterol nthawi zambiri imakwezedwa m'magulu a 2 odwala matenda ashuga omwe sagwiritsa ntchito mankhwala a insulin. Anthu omwe ali pachiwopsezo amayenera kuyezetsa magazi kawiri pachaka.
Ndi atherosulinosis, kutsekeka kwa mtima kumachitika ndi cholesterol plaques
Ndi cholesterol yayikulu, zakudya za wodwalayo ziyenera kukhazikika. Mafuta ochokera ku nyama samachokera ku chakudya chake:
- mafuta;
- batala;
- kirimu, kirimu wowawasa;
- mitundu ina ya tchizi;
- caviar;
- ubongo.
Zizindikiro za zovuta mwendo
Mu shuga, mitsempha ndi ziwiya zam'munsi zamiyendo zimakhudzidwa. Misomali imadwala matenda oyamba ndi fungus. Zotsatira zake, zilonda zam'mimba zimatha kupanga pamapazi. Kunyalanyaza zosintha zomwe zimachitika kapena chithandizo chosayenera kumabweretsa chilonda, kutayika kwa miyendo.
Miyendo ya wodwala imakhala, kumbali imodzi, kusintha kwa matenda ashuga chifukwa cha shuga wambiri. Amathandizidwa ndi podiatrist (katswiri wapadera wamapazi). Kumbali inayo, zotupa zam'mimba zimachitika chifukwa cha cholesterol yowonjezera. Pakufunika kulumikizana ndi dokotala wa opaleshoni ya mtima (angiologist). Nthawi zambiri, wodwalayo amakhala ndi mitundu yonse iwiri ya kusintha. Amadziwika kuti endocrinologist wabwino pamkono wa chidendene amawona momwe ziwiya zili m'miyendo ya wodwalayo.
Wodikirira amagwiritsa ntchito mankhwala osokoneza bongo, amasamalira mapazi. Akatswiri a angiologist amagwiritsa ntchito ziwiya pamiyendo. Vutoli, lomwe limatchedwa "phazi la matenda ashuga," limathandizidwa ndi podiatrist. Malo operekera matenda ashuga am'madera, komanso makamaka m'mizinda ya Moscow ndi St. Petersburg, ali ndi akatswiri otere.
Zizindikiro zomwe zimatha kupangika limodzi, ngati matenda, kapena payekhapayekha, zikuwonetsa kugonjetsedwa kwa mathero ambiri a mitsempha yakutali: polyneuropathy:
Momwe mungachiritsire miyendo ndi shuga- miyendo ndi kuzizira;
- dzanzi;
- zomvera zimatha;
- kumverera koyaka kuchokera pakukhudza;
- minofu atrophy (kutanuka kwawo kulibe);
- mafupa kupweteka.
Odwala adawona njira yotsatirayi yomwe kusasangalala m'miyendo kumamvekedwa makamaka usiku, ndikupumula. Kukhudza khungu la zofunda ndi zovala zamkati zopangidwa ndi nsalu zopangidwa ndizosasangalatsa. Zilonda ndi zironda pakhungu, bwino, zimayenera kuchira mkati mwa masabata 1-2. Ndi kuwonongeka kwa matendawa, kuchira kumachedwetsedwa kwa miyezi yambiri.
Zilonda zamkhungu zimasanduka zilonda zam'mimba
Macroangiopathy imabweretsa kuwonongeka kwamitsempha yayikulu yamagazi ndipo, monga chotulukapo chake, ma arterosselosis obliterans am'munsi amachitika. Nthawi zambiri zimachitika mtundu wachiwiri wa odwala matenda ashuga. Kupanikizika kumatsimikiziridwa mosavuta ndi mawonekedwe ake oyamba - kupweteka m'miyendo. Mukamayenda, wodwalayo amasuntha ndi chida chachilendo, chomwe chimatchedwa "kulowerera pang'onopang'ono."
Wodwala matenda ashuga amatha kudziwonetsa yekha. Tepi yofewa yotalika masentimita imayesa kuchuluka kwa ntchafu ndi mwendo wotsika, ndipo zotsatira zake zimalembedwa. Ndi chithandizo chosagwira ntchito, miyendo ya wodwalayo imakhala yozizira, magazi osayenda bwino amalembedwa mkati mwake. Mtundu wa khungu pamiyendo ndi cyanotic. Pambuyo pochiritsa zilonda, zikhomo zakuda zimatsalira. Maselo amtundu omwe amakhudzidwa ndi mankhwala a glucose oxidation amataya mphamvu zawo zobwezeretsanso (kusinthanso). Izi ndi zotsatira zachindunji za neuropathy ndi angiopathy.
Zifukwa zingapo zimatha kudwala matenda ashuga:
- microtrauma yosasintha;
- kutentha kumawakhudza pakhungu (amayaka, frostbite);
- chimanga;
- zoseweretsa zamkati;
- matenda oyamba ndi fungus.
Kutengera mtundu wa matendawa, matendawa ndi owuma amakhala osiyanitsidwa ndi ena. Mapazi amakonda kupweteka kwambiri. Pazinthu zapamwamba, njira yokhayo ndi kulowererapo kwa dokotala. Popanda kuduladula m'dera lomwe lakhudzidwalo, wodwalayo amatha kuthana ndi poizoni wamagazi.
Malingaliro onse amakulidwe a neuropathy ndi angiopathy a miyendo
Zizindikiro zosakhalitsa za zovuta za matenda ashuga sizimangodalira kuchuluka kwa odwala glycemia. Kukula kwawo kopitilira muyeso kumakhudzidwa ndi:
- zaka odwala;
- luso ndi mtundu wa matenda ashuga;
- kufooka kwa chitetezo chathupi.
Malinga ndi akatswiri a endocrinologists, okhala ndi shuga wamagazi wambiri, neuropathy ndi angiopathy amapanga chaka chimodzi. Ndi zizindikiro zowonjezera za shuga, nthawi yodziwika yopezeka mochedwa - imachulukitsa mpaka zaka 10. Ngati matenda a shuga amawalipiridwira bwino, ndiye kuti amatuluka m'zaka zapamwamba, chifukwa chake, choyambirira, cha kusintha kwamunthu. Matenda oopsa a arterial (kuthamanga kwa magazi) amawonjezera kukula kwawo.
Angiopathy imayambitsa kuwonongeka kwa mgwirizano
Kusakwanira kwa magazi kumayambitsa kupezeka kwa njira zoyipa mu minculoskeletal system. Tinthu tating'onoting'ono tomwe timalumikizira mafinya amadzichotsa. Mchere umayikidwa pafupi nawo, omwe amatchedwa minga amakula. Wodwala matenda a shuga amakakamizika kuletsa kuyenda chifukwa cha ululu wolumikizana miyendo (bondo, bondo, m'chiuno). Odwala amawona zopweteka zamphamvu zosiyanasiyana m'mapewa ndi kutsika kumbuyo. Amayikidwa, monga lamulo, vasodilators ndi ma painkiller.
Imalimbikitsa kubwezeretsanso minyewa yomwe ikukhudzidwa, njira yochizira:
- mankhwala a vasodilator (Trental, Solcoseryl);
- vitamini B wamagulu (Milgamma, ali ndi mitundu B1, B6), nicotinic acid;
- mankhwala omwe amachepetsa cholesterol (Zokor, Leskol, Mevacor, Lipantin).
Expo-lipon ili ndi alpha-lipoic acid, omwe angabwezeretse kapangidwe ka minyewa yamitsempha. Mofananamo, amathandizirana ndi Omeprazole kuti azigwira bwino ntchito.
Ndi kukhazikika kwa mashuga, kusinthika kwa mathero am'mitsempha ndi ma capillaries ndikotheka. Kupsa ndi dzanzi kutha, mabala ndi abrasions amachira mwachangu. Njira yakuchira ndiyosachedwa, koma komabe. Izi zimapatsa mwayi kukonza moyo wa wodwala matenda ashuga.
Phazi - mwendo womwe suwonongeka mu shuga
Mwendo wapansi ndi vuto linalake kwa odwala matenda ashuga. Pamafunika kudzipatula kuzipatala zamankhwala ochepa. Ziwerengero zikuwonetsa kuti mapazi a anthu odwala matenda ashuga amakhudzidwa kwambiri kuposa shins, mawondo, kapena m'chiuno.
Izi ndichifukwa choti magazi amatuluka kwambiri, ndi pamafumbi athupi. Phazi ndi malo osafikirika. Ndi neuropathy, chidwi chimatha. Wodwala amatha kuyang'anitsitsa pansi pa phazi; kuchiza kuvulala ndi matenda ndizovuta. Matenda a fungus nthawi zambiri amakhudza misomali ndi malo okhala pakati.
Chimanga chobwera chitha kukhala chifukwa cha:
- kuvala nsapato zolimba komanso zosasangalatsa;
- phazi lathyathyathya;
- kutalika kwamiyendo;
- keratinization zidendene.
Malo omwe ali pachiwopsezo kwambiri ndi malo omwe amayambira kuyenda. Khungu limakutidwa ndi wokutidwa ndi chimanga (chokhala ngati chimanga). Ming'alu ikhoza kupanga. Pankhani ya matenda, prerequisites ya mapangidwe a zilonda zam'maso zimawonekera. Zimakhudza minofu yakuya kumapazi, kwa tendons ndi mafupa.
Momwe mungatetezere miyendo ndi mapazi ku zilonda zam'mimba?
Maonekedwe osiyanasiyana pamiyendo, ochokera koyambirira kulikonse, ayenera kuyang'aniridwa mosamala. Zilonda zikaonekera pakhungu, makamaka ndi zotsatirazi, ndikofunika kupita kwa dokotala, makamaka podiatrist. Zilonda zam'mimba zimathandizidwa ndi dermatologist.
Phazi liyenera kutetezedwa, pewa kukwawa, chifukwa cha:
- kuluma kwa tizilombo (mavu, udzudzu);
- matupi awo sagwirizana;
- abrasions kuchokera kugwa.
Wodwalayo ayenera kupenda pafupipafupi kumapazi kwake, ndikumva pansi. Ngati kudula kapena kusweka kwapezeka, ndiye kuti mutha kuyang'ana poika kalilole pansi pa mapazi anu. Madokotala amalimbikitsa kuti odwala omwe amapita kuntchito amayesedwa tsiku ndi tsiku. Ena onse, nthawi zambiri kunyumba komanso kugwiritsa ntchito oterera, katatu pa sabata.
Ngati odulidwa kapena abrasion apezeka, kuwonongeka kwa khungu kumathandizidwa ndi antiseptic (hydrogen peroxide, chlorhexidine). Mutha kugwiritsa ntchito wowerengeka azitsamba (kulowetsedwa kwa chamomile, calendula, sage). Chovala chosawoneka bwino chimayikidwa pamwamba.
Mtsogolo, wodwalayo amawona momwe machiritso amachitikira. Ma antiseptics ena (ayodini, wobiriwira wanzeru) sayenera kuthandizira zilonda zam'mimba mu shuga. Mitundu yawo yolimba yamakulidwe simalola kuti iwone mphamvu ya kutupira.
Pambuyo pakusamba, mapazi amapukuta. Sopo amagwiritsa ntchito mbali. Khungu lowuma limapaka kirimu waana. Pakati pa zala ndikofunikira kuphatikiza talcum ufa kuti mupewe zotupa. Misomali imadulidwa molunjika osati yifupi, ndikumayang'ana zosagwirizana, ngodya, ndi fayilo.
Khungu la keratinized pazidendene limatsukidwa mosamala ndi pumice, atagwira mapazi m'madzi ofunda (osati madzi otentha!)
Akatswiri amalimbikitsa nsapato zazifupi komanso zotakasuka, osati nsapato zazitali kwambiri, masentimita okwanira 4. Masokosi, matayala amavalidwa kuchokera ku nsalu zachilengedwe, opanda mabatani olimba. Kuyang'anira nsapato ndi zovala pafupipafupi kukhalapo kwa timawu ting'onoting'ono.
Zovuta zamiyendo zimatha kuchitika m'mitundu yonse ya 1 ndi mtundu wa 2 odwala matenda ashuga, koma ziyembekezo zakukula kwa zochitika ndizosiyana. Wodwala yemwe amagwiritsa ntchito mankhwala a insulin komanso zakudya ayenera kupeza chindapusa chokwanira. Alibenso njira zina zowongolera komanso kupewa zilonda zam'miyendo. Mitundu yachiwiri ya odwala matenda ashuga omwe amalephera kukwaniritsa zotsatira za mankhwala a hypoglycemic ali ndi chiyembekezo cha insulin. Chovuta kwambiri kwa iwo ndi kuthana ndi mantha a singano ya syringe.
Mankhwala amakono ali ndi mankhwala apadera komanso njira zochizira zilonda zam'mimba. Wodwalayo ali ndi mwayi uliwonse wopulumuka mpaka zaka zapamwamba, kugwiritsa ntchito mankhwala ochepetsa shuga, kuyang'anira shuga wamagazi, kuwona kadyedwe koyenera, kugwira ntchito ndi kupuma, komanso kusiya kusuta.
