Shuga - ndi ... Diagnostics, mfundo zoopsa osiyanasiyana, chithandizo

Shuga - matenda aakulu, amene akhoza kukhala ndi mavuto akulu ndi ana omwe. Ndi kuphwanya ntchito pancreatic, chifukwa mu anati shuga magazi. Zimenezi zimabweretsa mavuto aakulu, ena mwa iwo ndi sikugwirizana ndi moyo.

Shuga: Tanthauzo

Choyamba zinthu zina mawu. shuga ndi chiyani? matenda, amene anatsagana ndi kuswa madzi amchere ndipo thupi mchere, ndi kupukusa chakudya chakudya, mapuloteni ndi mafuta m'thupi. Chotero vutoli ndi kumachitika chifukwa kulephera kwa kapamba, amene pazifukwa zina ikutha kuti athe kutulutsa timadzi insulin. Ndi timadzi uyu ndi amene shuga magazi mlingo wa munthu. Chingelezi - ndi tinatengera kapena kugula matenda. Iwo ali aakulu. Mpaka mapeto sikutheka kuchiritsa, madokotala amayesetsa kuti akawamange matenda ndi kuchepetsa mavuto zotheka.

Koopsa ndi shuga?

Munthu amene ali ndi matenda a shuga, magazi shuga kuchuluka, ndi milingo insulin waponya. Nthawi zapamwamba monga anatsimikiza ndi shuga mu mkodzo. Izi zingachititse kuti zilonda, atherosclerosis, matenda oopsa, vuto la impso, dongosolo chapakati mantha, madontho diso. Monga mukuonera, shuga - ndi matenda oopsa. Choncho, musalole Ndipotu.

The zimayambitsa matenda

Madokotala kusiyanitsa mfundo zoopsa a shuga:

• Amangokhala moyo.
• Kupanikizika.
• Depression.
• Onenepa.
• Kusowa tulo.
• Kusagwiritsa zakudya.
• Amamwa zakumwa zotsekemera.
• Oopsa.
• Chibadwa.
• Mpikisano.

Onsewa mfundo zoopsa a shuga chingayambitse kuwonongeka mu alili. Choncho, nkofunika kusunga boma la tsiku, kudya bwino, kupewa maganizo, kuchita mankhwala thupi. Nkofunika kukumbukira kuti shuga - uyu si chiweruzo. chithandizo mwamsanga kungathandize.

Kodi madokotala amalangiza

Odwala zachilengedwe chidwi: "Kodi kuchita shuga" Kuti tiyankhe funso limeneli, tiyenera kupita patsogolo pang'ono mu nkhaniyi.

Kusiyanitsa 1 shuga ndi Lembani shuga 2. Mu mtundu woyamba munthu amakhala kwathunthu insulin yozungulira, ndipo chachiwiri - palibe. Chithandizo cha matenda a shuga mtundu 2 Amakhala ndi otsika-zimam'patsa zakudya, mankhwala thupi ndi mankhwala kuti kuonjezera insulin tilinazo. Nthawi zina, jakisoni mwachindunji insulin.

Kodi ndizitani mantha

Madokotala akuchenjeza kuti m'pofunika kuyesa kupewa mavuto a mtundu 2 shuga. matenda Zimenezi zingachititse chitukuko cha matenda monga hyperglycemia, gipoglekimiya, neuropathy, ophthalmopathy, arthropathy, Pakati m'pofunika kutsindika mfundo ashuga angiopathy. Chimenecho ndiye oopsa matenda a shuga! Kuti comorbidities angapo kungayambitse akuchuluka wa alili. Zovuta za shuga mtundu 2 - osati chiganizo pa nkhani ya matenda yake ndi mankhwala.

Ashuga angiopathy - matenda oopsa amene amapezeka monga vuto mu anthu akuvutika shuga mtundu woyamba kapena wachiwiri. Ngati munthu akudwala kwa zaka zoposa 5, zikuoneka, ashuga angiopathy wayamba kale kukhala. Choncho, muyenera kuganizira za chithandizo, m'malo kupewa ake.

Vuto Izi anawonetseredwa mu imfa ndi mwapang'onopang'ono patency ya mitsempha ya. Yachokera pa malo chotengera akhudzidwa, tikhoza kulankhula za vuto ndi matupi zotsatirazi:

• impso;
• mtima;
• maso;
• ubongo.

Zimayambitsa matenda ashuga angiopathy

Chifukwa chachikulu cha matenda ndi mavuto aakulu amene shuga magazi, amene wawononga mpanda wa capillaries, ndi mitsempha, mitsempha. Makoma akhoza olumala, wowonda kapena chachikulu, amene kumathandiza yachibadwa magazi ndipo thupi ambiri. kulephera kotero kumatsogolera ku hypoxia (kusowa mpweya mu thupi) zimakhala ndi ziwalo za chotupa mtima.

Mitundu ndi zizindikiro za matenda ashuga angiopathy

Mu mankhwala, chimasiyanitsa mitundu 2 matenda:

• macroangiopathy - matenda imagwira mitsempha ndi mitsempha;
• microangiopathy - matenda zokhudza capillaries.

Akukhulupirira kuti ntchito insulin amateteza angiopathy, imene 80% milandu amatha kufa kapena kulumala wodwala. Koma izi sizili choncho.

Zizindikiro za mtima zazikulu ndi microangiopathy osiyanasiyana ndipo ali ndi magawo angapo a chitukuko.

Magawo chitukuko cha macroangiopathy:

• Gawo 1 - wodwala wayamba kufooka mosavuta, zinachitikira stiffness mu magulu ake, zala ndi dzanzi, ndi misomali - chachikulu. Mapazi thukuta ndipo nthawi amaundana. Angathe likukulira claudication (intervals n'kutheka kuti 1 km).
• Gawo 2A - wodwala anadandaula chosokonezeka kwa mapazi ndi miyendo kuyamba kumva kuzizira ngakhale chilimwe. Khungu wotumbululuka malekezero, ndipo likukulira claudication akuyamba kulankhula pa intervals ang'onoang'ono - 200-500 m.
• Gawo 2b - zizindikiro kukhala zikutsatiridwa, koma likukulira claudication ayamba kulankhula kupyolera ranges ang'onoang'ono - 50-200 m.
• Gawo 3a - zizindikiro anayamba kuvutika, anawonjezera ululu miyendo, amene kwambiri yosemphana ndi usiku. Khungu amakhala wotumbululuka, ndi zala kuyamba kutenga bluish mtundu, ngati yaitali ataima kapena pansi. Khungu wayamba peel kutali ndi youma, likukulira claudication wayamba zimachitika pa 50 m.
• 3 siteji - ululu wayamba kuwalimbikitsa, ndipo kwambiri kutupa miyendo m'munsi. Ikulu imabwera zilonda kuti akhale necrosis.
• Gawo 4 - necrosis chala kapena phazi, amene anatsagana ndi kufooka, mkulu kutentha (opatsirana cholinga amapezeka mu thupi).

Kukula kwa microangiopathy amakhala ndi madigiri 6:

• 0 digiri - madandaulo pa gawo la mtima zimawonedwa. Kupeza matenda zitha kukhala dokotala.
• 1 digiri - wodwala anadandaula za mwendo khungu paleness ndi kumverera ozizira. Mukhoza kuona zilonda zing'onozing'ono kuti si limodzi ndi soreness kapena malungo.
• 2 digiri - zilonda anayamba kugunda mafupa, minofu; ululu.
• Kalasi 3 - m'mbali ndi pansi pa zilonda ndi wakuda, kusonyeza necrosis. Madera anakhudzidwa zilonda ayamba pathupi ndi redden. Pali imabwera wamkulu amayamba mafupa kutupa ndi minofu (osteomyelitis), abscesses ndi matenda purulent khungu (abscesses).
• 4 digiri - necrosis zala kapena mbali zina za phazi.
• 5 digiri - necrosis chimafikira kwa phazi lonse, imbaenda amputation yomweyo.

Matendawa ndi mankhwala a matenda a shuga angiopathy

Zizindikiro ndi madandaulo mtima si maziko okwanira kwa matenda waukuluwo. Choncho, dokotala n'kukulemberani kuikidwa kwa kutsatira matenda:

1. Kafukufuku kuti adziwe mlingo wa shuga m'magazi ndi mkodzo.
2. Angiography - X-ray njira Kupenda ntchito udindo mtima wa wothandizila mosiyana.
3. Doppler jambulani - ultrasound zipangizo ntchito Doppler sensa, lomwe limasonyeza otaya magazi kudzera ziwiya.
4. Khama mtima pulsation.
5. Videokapillyaroskopiya.

Panthawi yake matenda ndi mankhwala wotsatira chingalepheretse chilonda ndi amputation chitukuko. Ashuga angiopathy zimatenga zaka zingapo. Pankhani ya sanali kugwilizana ndi zofunikira za dokotala nawo, pali mosavuta lalikulu la kulumala ngakhale imfa.

Tsopano pali njira zingapo anayamba zochizira matenda. Standard chithandizo zikuphatikizapo statin ndi antioxidants. Mwachitsanzo, "simvastatin" kapena "atorvastatin", ndi vitamini E. M'pofunikanso kubwezeretsa kagayidwe yoyenera zimakhala. Kuti tichite zimenezi, adokotala akhoza mankhwala "Mildronat", "Thiotriazoline" kapena "Trimetazidine". Komanso n'kofunika poika stimulators biogenic (FiBS, Aloe) ndi angioprotectors ( "Parmidin", "Dicynone" kapena "Anginin"). dokotala anu angakupatseni "Heparin", "clopidogrel" kapena "Cardiomagnyl" kuti woonda magazi ndi kupewa magazi kuundana ndi mipukutuyi.

Ngati matenda zinachitikadi pa nthawi, ndi matenda anali atazindikira mwa magawo oyambirira, wodwalayo Kwalamulidwa thupi (wokhulupirira Burger ndi kuyenda mwachidule).