Chaka chilichonse chiwerengero cha odwala matenda a shuga chikuwonjezeka. M'mbuyomu, matenda ashuga amapezeka kokha mwa achikulire kuposa zaka 60. Masiku ano, matendawa "ayamba kuchepa", mitundu yoopsa ya zovuta imapezeka mwa anthu ochepera zaka 50. Pamaso pa izi matenda, chiopsezo chokhala ndi zovuta zingapo zimawonjezeka.
Chimodzi mwazovuta za matenda a shuga ndi angiopathy am'munsi (code E10.5 malinga ndi ICD 10 ndi code E11.5 malinga ndi ICD 10). Onse okalamba ndi achinyamata ali pachiwopsezo.
Zimayambitsa ndi limagwirira a mwadzidzidzi
Ndi kuchuluka kwa glucose, minofu ya thupi imalembetsedwa ndi zinthu zowola. Makoma otupa komanso minyewa yamanjenje amamva kukoma kwa hyperglycemia. Nthawi yomweyo, mawonekedwe ake abwinobwino amaphwanyidwa, zomwe zimayambitsa kusintha kwa mitsempha yamagazi ndikuwunikira pamavuto osiyanasiyana. Kusintha kumeneku kumatchedwa angiopathy.
Angiopathy amatanthauza kuchepa kwa kukhazikika kwa makoma amitsempha yamagazi, komwe kumapangitsa kutsekeka kwa mitsempha kapena kutsika kwathunthu. Kutsika kwa magazi kumapeto kumachepetsedwa kwambiri, komwe kumakhudza thanzi. Kuchepa kwa magazi kokwanira kutsatiridwa ndi njala ya okosijeni kumayambitsa kutayika kwa magwiridwe antchito, komanso necrosis, kukula kwa gangrene, necrosis ya minofu ya phazi.
Mu shuga, onse mitsempha yayikulu ndi mitsempha komanso ma capillaries ang'onoang'ono amakhudzidwa, zomwe zimabweretsa kuwonongeka kwa minofu ndi maselo.
Pali mitundu iwiri ya matenda:
- microangiopathy, momwe capillaries amakhudzidwira;
- macroangiopathy - mitsempha ndi mitsempha zimakhudzidwa.
Matendawa amawonekera mwa anthu omwe ali ndi matenda ashuga kwa zaka khumi ndi zisanu.
Zomwe zimayambitsa matendawa zimayambira motere:
- kuvulala komwe ziwiya zimakhudzidwa;
- zosiyanasiyana kagayidwe ka magazi;
- kuthamanga kapena kuthamanga kwa magazi komwe kumatenga nthawi yayitali;
- zotsatira za poizoni m'thupi la munthu;
- matenda a autoimmune;
- kugwiritsa ntchito moyenera mowa ndi fodya;
- kukanika kagayidwe kachakudya;
- ukalamba.
Ngati munthu ali ndi chimodzi mwazomwezi pamwambapa kuwonjezera pa matenda a shuga, ndiye kuti mwayi wokhala ndi angiopathy ndi wokwera.
Zotsatira izi zimachitika:
- ndi kuchuluka kwa shuga m'magazi, glucose amalowa m'makoma amitsempha yamagazi, amawawononga;
- minofu imadziunjikira madzimadzi, izi zimabweretsa kutupa;
- chiopsezo cha thrombophlebitis chikuwonjezeka;
- magazi amatupa;
- kuthamanga kwa magazi kumawipira, ndipo mawonekedwe a ziwiya amachepa;
- mu minofu pafupi ndi zotengera, kufa ndi mpweya wa okosijeni kumachitika;
- pali mtima sclerosis, womwe umatsogolera kulephera kwa impso;
- makoma a zotchingira;
- Mitsempha yamagazi imakhala brittle, yomwe imakwiyitsa zotupa.
Zizindikiro ndi mawonetseredwe azachipatala
Kutengera ndi komwe gwero la vutoli lidayambika, matendawa amadziwoneka mosiyanasiyana. Poganizira izi, Zizindikiro ndizosiyana.
Ziwopsezo ndi zombo:
- ophthalmic;
- miyendo yam'munsi ndi kumtunda;
- impso;
- zaubwenzi.
Odwala amatha kuwona zotsatirazi:
- Maonekedwe a khungu lakumapeto asintha. Pakusintha kwa magazi othamanga, khungu limasanduka lotuwa, komanso kuphwanya kwamitsempha yamagazi yotupa - cyanotic. Mphamvu yokhala ndi chikopa chowirikiza nthawi zambiri imakhalapo.
- Kutentha kwa khungu lakumapeto kumachepa. Mapazi ozizira kuti agwire, atha kukhala limodzi ndi kuzizira.
- Ululu, kutentha ndi kumva tactile kumachepetsedwa. Kuchuluka kwamagawo am'munsi.
- Zofooka zotupa za mitsempha yam'munsi. Izi zitha kudziwika ndi dokotala mukamayang'ana wodwala. Kusakhalapo konse kwa pulsation kukuwonetsa kuti pali chotchinga cham'mitsempha.
- Zizolowezi zopumira. Ngakhale kukhudzidwa pang'ono kumabweretsa hematoma.
- Pamaso pa khungu paphimbidwa ndi ma network opaka mitsempha, ma asterisks amawonekeranso.
- Ndi zovuta za trophic, kutsekeka kwa khungu kumachitika, komanso kutulutsa khungu.
- Pamaso pa khungu paphimbidwa ndi zilonda zam'mimba.
- Kutha kwa khungu kusintha kumachepa. Mabala samachiritsa kwa nthawi yayitali ngakhale ndi mankhwala othandizira.
- Kupezeka kwa zowawa m'madera akumunsi, komwe kumawonjezeka ndi kulimbitsa thupi. Kuyenda kumayambitsa kuyaka komanso kukokana m'miyendo.
Ngati simupereka chidwi ndi izi, izi zimatha kukupatsirani matenda ndikupatsirana kwa gangrene. Ndikofunikira kuzindikira vutoli koyambirira ndikuyamba kulimbana nalo.
Kuzindikira ndi chithandizo
Ngati mukukayikira angiopathy a matenda ashuga, adokotala amamuwunikira, komanso kumvetsera madandaulo a wodwalayo. Ndikofunikira kutsimikizira molondola kuti wodwala ali ndi matenda ashuga.
Mayeso a Laborator amaperekedwa omwe zida zapadera zimafunikira:
- Magnetic resonance imaging. Zimapangitsa kuwona mawonekedwe amtundu wofewa pazenera. Njirayi ndiyotetezedwa komanso yopweteka.
- Kuyesa kwa Ultrasound Mkhalidwe wamakoma azotengera, komanso kuthamanga kwa magazi, amawunikira.
- Angiography. Katundu wapadera wa utoto umayambitsidwa m'thupi. Ma X-ray amatengedwa, omwe akuwonetsa momwe mtundu wa utoto umabalidwira thupi lonse.
- Tomografiki imalola kuyesedwa kwa tsamba la matenda. Zithunzi zosanjidwa zimatengedwa pagulu lomwe lakhudzidwa.
Kuti muchiritse bwino matendawa, ndikofunikira kusintha kagayidwe kazakudya. Ndikofunikira kutsatira zakudya zapadera, yang'anirani mosamala kuchuluka kwa shuga m'magazi ndikugwiritsa ntchito mankhwala omwe amachepetsa shuga. Komanso yang'anirani kupsinjika, kusiya zomwe mumakonda ndikuwonjezera minyewa.
Njira zopumira
Conservative therapy imakhala yogwiritsidwa ntchito ndi mankhwalawa omwe cholinga chake ndi kuthamanga kwa magazi, magawo a zamankhwala am'magazi, komanso metabolism mu minofu.
Mankhwala otsatirawa athandiza kukwaniritsa izi:
- cholesterol yotsitsa mankhwala;
- kutsitsa magazi;
- antioxidants omwe amakhudza bwino mtima;
- mankhwala ochepetsa magazi;
- angioprotectors;
- kagayidwe;
- kukonza kusinthika kwa minofu;
- okodzetsa.
Dokotala wodziwa bwino yekha ndiye ayenera kusankha mankhwala.
Zofunikira ndi mitundu ya maopareshoni
Kuchitapo kanthu kwa opaleshoni kukuwonekera pazochitika zotsatirazi:
- Pali matenda a ziwiya zazikulu momwe zimachepera magawo amodzi. Cholinga chachikulu cha opareshoni ndi kubwezeretsa patency ya mtima. Chithandizo chotsatira chikusonyezedwa kwa odwala omwe adapatuka:
- magwiridwe antchito (malowo ndi opapatiza amachotsedwa, ndipo mahule opanga kapena opangidwa kuchokera ku mitsempha yake amaikidwa m'malo mwake);
- thrombectomy imakhudzanso kuchotsedwa kwa zinthu zomwe zimatseka lumen ya chotengera;
- kulowerera kwamkati momwe chotengera chimadzipaka pogwiritsa ntchito chibaluni cha chibayo.
- Ndi kuwonongeka kwa mitsempha m'magawo onse, kapena kuchepetsedwa kwa nthambi zazikulu. Pankhaniyi, zimagwirizanitsidwa mwachikondi, momwe minyewa yamitsempha yamitsempha imachotsedwa.
- Mabala okhala ndi purulent nkhani, osteomyelitis, minofu necrosis. Ntchito zokuthandizira ndi kuchotsa ngalawa zimachitika, minofu yakufa imachotsedwa, ndipo zala zimadulidwa ngati pakufunika. Ngati mabala akuluakulu m'dera ayeretsedwa, ndiye kuti amaphimbidwa ndi khungu.
- Ngati gangore ikachitika, njira yokhayo yotulidulira, yomwe imachitika malingana ndi malowa:
- chofunda, chomwe chimapezeka ndi zala zam'miyendo yonse;
- pamlingo wa tibia, pomwe gawo la chidendene limakhudzidwa;
- pa ntchafu, ndi kuwonongeka kwa phazi ndi mwendo wotsika.
Maphikidwe a mankhwala achikhalidwe
Mankhwalawa angiopathy, wowerengeka azitsamba amagwira ntchito bwino, omwe amagwiritsidwa ntchito ngati malo osambira, lotions, decoctions:
- ChamomileNjira yodziwika bwino ndi tiyi wa chamomile. Chizindikiro chogwiritsidwa ntchito ndi omwe ali ndi magazi okwanira. Pokonzekera tiyi wazitsamba, muyenera kuthira supuni imodzi ya msuzi mu kapu yamadzi otentha. Zisiyeni ziphulikire kwa theka la ora. Kumwa muyeso wopanda malire. Mutha kupanga matsamba a chamomile kwa ziwalo zomwe zakhudzidwa.
- Sage.Msuzi wa sage umathandizira kaphatikizidwe ka insulin, umachotsa poizoni, umalimbikitsa chitetezo chokwanira. Kuti mukonzekere, muyenera kapu yamadzi otentha ndi supuni ziwiri za zosunga. The kulowetsedwa ayenera kumwedwa kwa ola limodzi, amagawa atatu waukulu tsiku lonse.
- Nyemba zikuluzikulu.Njira ina yothandiza ndi kulowetsa nyemba ndi ma dandelion. Izi zimatha kuphatikizidwa ndi mankhwala azitsamba otsatirawa: hypericum, rose rose, hiking. Thirani supuni imodzi yosonkhanitsira ndi kapu ya madzi otentha ndikulimbikira. Tengani masana.
- Muzu wa Dandelion.Kulowetsedwa kwa mizu ya dandelion kumakhala ndi fructose, komwe kumalowa mosavuta m'thupi. Kukonzekera kulowetsedwa, mutha kugwiritsa ntchito mizu yonse ya dandelion yogulitsidwa mu mankhwala, kapena kukumba nokha. Mu thermos kutsanulira supuni ziwiri za zosonkhetsa ndi kutsanulira madzi otentha. Gwiritsani ntchito musanadye.
- Yerusalemu artichoke.Idyani tubers zosaphika ngati maapulo wamba. Kuphika saladi. Kuti mukonzekere, mutha kugwiritsa ntchito masamba aliwonse omwe ali pafupi: tsabola wa belu, kabichi, kaloti, beets. Gawo lalikulu liyenera kukhala Yerusalemu artichoke. Pukuta chilichonse ndikuwonjezera mafuta amasamba.
- MakinaLentil porridge imathandiza kuchepetsa magazi. Imakonzedwa ngati phala lina lililonse, pamapeto pake kuphika yikani mafuta pang'ono. Gwiritsani ntchito kawiri pa sabata.
Zotsogola ndi kupewa
Ndi kupezeka kwa matenda ashuga macroangiopathy, chiopsezo cha zovuta zingapo chimawonjezeka. Ndi mtundu wocheperako wa shuga, ndizotheka kuti angiopathy ikhale ndi njira yokhazikika ndikupita pafupi popanda kupitirira.
Kuwonongeka kumapazi kumachitika ndi kupitilira kwa angiopathy. Pankhaniyi, kupweteka kosalekeza ndi kutupa kwa mapazi, zilonda zam'mimba. Woopsa, pakakhala zala zam'miyendo kapena mwendo wotsika zimachitika.
Matendawa ndi vuto lalikulu, ndikusokonekera kwa minofu pamakhala kuledzera kwamphamvu kwa thupi, ndikuwopseza moyo.
Kupewa ndikupewa kupezeka kwa zovuta.
Ndikofunikira kutsatira malangizowa:
- Musayende opanda nsapato pansi, popeza chiwopsezo cha matenda a mabala kumapazi chikuwonjezeka;
- sankhani nsapato mosamala, kusakhazikika kungayambitse kuvulala khungu;
- tsiku ndi tsiku muzitsuka mapazi anu ndi madzi ofunda, kenako gwiritsani ntchito kirimu wopatsa thanzi;
- kuchita mayeso mwadongosolo, kuwunika shuga;
- tsatirani zakudya zomwe zimaphatikizapo zakudya zosakanikirana ndi zakudya zochepa za zakudya zopatsa mphamvu;
- Unikani zakudya ndikuyiphatikiza ndi mabulosi abulu, nyemba, sipinachi ndi sauerkraut;
- kukana kwathunthu zosokoneza bongo, monga mowa ndi kusuta, chifukwa mowa umasokoneza kugwira ntchito kwa kapamba.
- zolimbitsa thupi zolimbitsa thupi, pomwe chiopsezo chovulala mwendo ndizochepa.
Pofuna kupewa matenda a shuga, ndikofunikira kuwongolera magawo ena.
Mndandanda wazizindikiro zomwe ziyenera kukhala zabwinobwino:
Parameti | Norm |
---|---|
kusala shuga | < 6,2 - 6,6 |
glucose maola awiri mutatha kudya | < 8 - 9 |
mulingo wa hemoglobin | 2,02-2,71 |
cholesterol | 5,3 - 6 |
kukakamizidwa | osapitilira 140/90 |
Angiopathy ya malekezero a m'munsi ndi matenda oopsa komanso owopsa. Popeza palibe mankhwala, mankhwalawa atha kufa.
Makanema okhudzana ndi zomwe zimayambitsa ndi chithandizo cha matenda ashuga:
Ngati mukukayikira ngakhale pang'ono pang'onopang'ono, momwe muyenera kukhalira, muyenera kufunsa dokotala. Ndikofunika kuti muchepetse kudya kwanu maswiti ndikuwonetsetsa shuga yanu. Nthawi zonse muzikhala ndi china chokoma nanu, mwina shuga anu atachepa. Khalani athanzi!