Kubva pane chirwere cheshuga: zvinokonzera, kurapwa, dziviriro, migumisiro

Kubva pane cheshuga? Hwaro chirwere chacho metabolic kuvhiringidza carbohydrate uye mvura. Somugumisiro, mashandiro rwatata ipfupi. Hazvina muviri uyu basa pagadzirwe hormone inonzi insulin iyi.

Vanhu vazhinji vanoshamisika chii jekiseni? Pashure pezvose, anoshandiswa kurapa chirwere cheshuga.

Insulin rinobatanidzwa kukura shuga. In yayo asipo, muviri haakwanisi ironge shuga kupinda shuga. Somugumisiro, zviri shuga muropa rinobuda. Akanga zvachose muviri akawanda ari weti.

In kufanana uku, pane kutyora mvura muviri. Nemicheka havagoni kuchengeta mvura. Somugumisiro zvakawandisa wayo yabudiswa pedyo neitsvo.

Kana pane mukuru mwero vanhu muropa shuga, rinoshanda se chikuru chiratidzo chokuti muviri akarova nokurwara yakadai cheshuga.

Zvingaitwa jekiseni riri ropa shuga

Chii insulin uye chii zano nekuita dzaro shuga? Muvanhu, kemikari basa pancreatic Beta-mapurotini. Jekiseni riri mumasero omuviri anomurwira shuga zvakarurama kwazvo.

Chokwadi kukundikana kunoitika mumuviri kana kunyanyisa shuga tigutsikane? Jekiseni kana ichi anogadzirwa muviri kukwana papi, shuga pamwero rakakwirira, asi masero vanotambura kubva kushayikwa shuga pakusununguka.

Saka cheshuga. Chii mumutauro nyore? Hwaro chirwere chiri metabolic abnormalities mumuviri. Chirwere chinogona kana nhaka kana vawana.

Kubva kusava jekiseni zvinovhiringidzika ganda duku pustules, kushata kuti matadza uye meno, kukudziridza atherosclerotic Dombo, angina pectoris, yakawedzera kuomesa, netsvo hwakaipa, kwakaratidzwa dzichipfekeka kusagadzikana tsinga, ziso anodonhedza.

causation zvirwere

Kubva chii cheshuga kuti chinokurwadzai? The pathogenesis chirwere ichi kunobva Chirwere. Pane mhando mbiri huru, vane misiyano yakakura. Kunyange ano momuviri nekupesana pane zvinodiwa, zvose zvakafanana Chirwere zvinokosha pakusarudza marapirwo. Saka here kufunga zvinoitwa nomumwe rudzi yoga kutaura maitiro avo anokosha.

Chero zvazvingava, chirwere cheshuga, zvinokonzera iyo vavete zvaipesana carbohydrate muviri uye kugara kuwedzera ropa shuga chirwere chakakomba. Yakakwirira ropa shuga yomuropa mukurapa inonzi hyperglycemia.

Insulin asingadi kudyidzana pamwe tishu zvakazara. Ndiye lowers shuga yomuropa mumuviri nokuomerera nayo mumasero dzose muviri. Shuga iri simba substrate, kunobatsira kuchengetedza upenyu hwomuviri.

Kana hurongwa yaputswa, ipapo shuga haabatanidzwi muna kwomuzvarirwo muviri uye dzakaunganidza kupfuura ropa. Izvi causal zvenhengo vari kutanga chirwere cheshuga.

Zvinofanira kucherechedzwa kuti kwete ose kuwedzera ropa shuga yomuropa ndiyo chirwere cheshuga wechokwadi. Maperembudzi kukonzerwa chikuru vanotaura insulin yakakodzera chiito.

Under chii ezvinhu segwapa hyperglycemia

Hyperglycemia anogona kuitika pasi zvinotevera ezvinhu:

• Pheochromocytoma. Zviri benign bundu iri adrenal omumuviri, izvo zvinoita kuti pave jekiseni-vakandishora kemikari.
• Glucagonomas uye somatostatinoma - kukura masero synthesizing jekiseni vakwikwidzi.
• Yakawedzera adrenal basa.
• Inosimudzira kushanda thyroid shwanu (hyperthyroidism).
• Cirrhosis.
• Pakaputsika wokubvumira kuti makabhohaidhiretsi (yakaderera uptake zvavo pashure zvokudya kwomuzvarirwo achitsanya).
• Unopfuura hyperglycemia.

The kwokugamuchirwa kuti hurumende ichiisa ezvinhu akadaro nokuti kuti hyperglycemia kunoitika kana pavo yechipiri. It anoita se chiratidzo. Saka, kusava runotikurudzira chirwere, yaigona kuitwa normalization ropa shuga yomuropa.

Kana kutyora kunoitika mumuviri kwenguva refu, rinotipa chikonzero rokuongorora zvirwere zvakadai cheshuga. Muchiitiko chino, richiwanika tikafunga pathological pezvakaitwa pamuviri.

zviratidzo

The kunotoda nekuratidza chirwere kunoratidzwa zvishoma nezvishoma Zvakawanikwa vaitungamirira kutaurwa. Chirwere cheshuga kashoma anoita debut zvaro semheni, zvinoita zvishoma nezvishoma.

Kutanga chirwere inozivikanwa anotevera zviratidzo:

• kunzwa kuoma mumuromo;
• nyota chenguva kuti kwete ungakudzima;
• kuwedzera uwandu weti;
• zvinoshamisa uremu kana kufutisa;
• kuvaviwa uye kuoma ganda;
• inotungamirwa pustules duku iri paganda;
• murombo maronda;
• tsandanyama simba;
• nekuneta;
• kwakawedzera ziya.

Kazhinji, kunyunyuta ava vokutanga kutanga-up of cheshuga. Kana ukaona zviratidzo zvakadai Zvinokurudzirwa kuti pakarepo kuna endocrinologist.

Sezvo weighting chirwere kungaratidza ezvinhu, isakarurama kukanganisa kushanda zvomukati. Panguva yakaoma kukura chirwere chinogona kuitika kunyange zvakanaka kuziva zvikuru chepfu uye vakawanda nhengo kukundikana.

Zvinhu kuti chirwise chirwere

Kubva pane cheshuga? Zvinokonzera chirwere vari akasiyana-siyana.

Precipitating zvikonzero zviri cheshuga vari:

• Vanoshorwa magene background. Muchiitiko chino, zvimwewo zviri kuderedzwa pasina.
• Kufuta.
• Vanoverengeka pathological pezvakaitwa pamuviri, zvikaita kuti kukundwa vari Beta-mapurotini. Somugumisiro, kugadzirwa jekiseni mumuviri anonetseka.
• Kunoita kungakonzera pancreatic bundu, pfungwa nomuviri zvemwana asati, pathological zvirwere zviri kwemakemikari anobudiswa mumasero.
• Zvirwere zvakaita chirwere Somuenzaniso, kuvadza muviri rubella, chibhokisi, hepatitis, uye kunyange banal besa. zvirwere izvi inogona chikungiso kwechirwere chacho, kunyanya vanhu pangozi.
• Huta mupfungwa. Mupfungwa kwakakanganisa kunokanganisa functionality pakati rwatata.

Ko basa zera

It wakakurira ingaita pokumuka zvirwere zvakadai cheshuga mellitus, zera? Ndezvokuti, mhinduro ndihungu. Masayendisiti akawana kuti pamakore 10 pangozi chirwere muviri kaviri. Muchiitiko chino, chirwere cheshuga chinogona chirwere kunyange vacheche.

Nei mhando mbiri chirwere

musiyano uyu unokosha zvakasikwa, sezvo chimiro mumwe kana mumwe anosarudzwa zvakasiyana kurapa.

The refu runoyerera cheshuga, kashoma unopinza micheto ine kupesana kupinda subtypes. Kana kuramba tichishanda yawapiwa zvichava zvakafanana zvisinei zvezvinokonzera chirwere.

Diabetes wokutanga mhando

Izvi mhando zvinokonzera jekiseni kukanganisika. Kakawanda, izvi Chirwere vakasangana nevanhu pasi makore 40 chete asthenic remitemo. Panguva chakakomba cheshuga. Zvinoda jekiseni kuti edema chirwere. Chikonzero ndechokuti muviri unobereka antibodies kuparadza masero pancreatic.

In pamberi chirwere cheshuga, wokutanga mhando mushonga kwakakwana hazvibviri, kunyange zvisingawanzoitiki chaizvo nyaya kuzoita pancreatic basa zvachose. Asi ezvinhu akadaro anogona chete kuitwa kusanganisira chaizvo kudya nokushandiswa dzinongoitika mbishi zvokudya.

Kuti tirambe muviri chinhu chakaita zvokugadzirwa analogue insulin, iyo chinotarisirwa intramuscularly. Sezvo jekiseni riri pasi kudzikisirana ari nemudumbu, mabiko iri piritsi muchimiro yaizova kukodzera. Kemikari iri jekiseni nezvokudya. Muchiitiko chino, zvinokosha kuramba imwe kudya. Kubva zvokudya kunze zvachose zvokudya zvine shuga uye makabhohaidhiretsi.

Chirwere cheshuga Type II cheshuga

Sei pane chirwere cheshuga ichi? Zvikonzero zviri kuwanika hakusi kushaya jekiseni. Kakawanda chirwere ichi chinobata vanhu makore 40 vane katsika uremu. Chikonzero hosha iri kurasikirwa masero ari jekiseni nehanya nokuda mukuru zviri zvinovaka muviri ari mumuviri.

Musumo insulin hakusi kushandiswawo ose murwere. Chete chiremba achakwanisa kusarudza zvakarurama kurapwa zvaiitwa uye kusarudza nezuva dose kemikari inonzi pazvinodiwa.

Chekutanga varwere vose vakadaro vanokurudzirwa kudzokorora kudya uye kuramba kudya. Zvakakosha kuti mukanyatsochengeta kutevera chiremba audzwa. Zano kuti zvishoma nezvishoma kunetesa uremu (3 makirogiramu pamwedzi). The uremu inofanira kuongororwa kumarudzi hwavo, zvomutadzisa ayo Uyezve.

Kana zvokudya asingadi kubatsira, vakagadzwa zvinodhaka chaiwo kuderedza ropa shuga, uye chete chaizvo Muzviitiko kuita kushandisa jekiseni.

Chii pathological pezvakaitwa vari vakatanga mumuviri kana kuwedzera jekiseni

The kumusoro ropa shuga uye kugara chirwere choga, asi kwakanyanya kuonekwa. Migumisiro chirwere cheshuga vanogona nekutambudzika.

Kuti aite zvakawandisa shuga nomuviri kuti kumhanya zvinotevera pathological zvigadziriswe:

• Trasformiruetsya shuga iri mafuta muviri, zvichitungamirira kufutisa.
• Glycosylation kwemapurotini anowanikwa sero Kamudzira inodaidza kutyora functionality ose enyika ari mumuviri womunhu.
• Sorbitol gwara kusashanda Reset shuga. The kwacho kunoita kuti tibvunze kuti ine chepfu yeimwe chokuita masero etsinga. Ndicho hwaro shuga neuropathy.
• Kunokanganisa zviduku nemidziyo ropa, riri kukonzerwa vakawedzera kwevari ropa remafuta akawandisa mu glycosylation kwemapurotini. Somugumisiro, izvi kunokonzera chirwere cheshuga microangiopathy zvomukati uye maziso, uyewo angiopathy pamusoro ezasi wamativi.

Pachishandiswa pamusoro rinogona kudonongodzwa kuti kuwedzera ropa shuga yomuropa kunobatsira kukunda nhengo dzomukati, kunyanya kukanganisa zvakarekodhwa hurongwa.

Zviratidzo cheshuga yematambudziko

• vafirwa wokuratidzwa;
• migraine nezvimwe dzichipfekeka kusagadzikana tsinga;
• marwadzo mumwoyo;
• chiropa akawedzera;
• kurwadziwa uye chiveve panzvimbo dzapasi migumo;
• kwakaderedza aikanganiswa ganda pamakumbo;
• neBP;
• chitarisiko acetone kwakanaka kubva murwere;
• kurasikirwa pfungwa.

Pakuonekwa inobwinya zviratidzo zveshuga vanofanira kuva chiratidzo kuna aramu. kuratidzwa izvi vanoti pamusoro yakadzika kukura chirwere uye kushaya wayo kururamiswa achishandisa mishonga.

Matambudziko anokonzerwa chirwere cheshuga

The chirwere haisi ngozi upenyu hwevanhu. Vane mungozi huru yematambudziko ayo. Hazvibviri tisingatauri vamwe vavo. Migumisiro aya cheshuga zviri zvikuru zvakajairika.

Wakakura zvikuru mamiriro ndiko kurasikirwa pfungwa, kana munhu anokudzwa nokushivirira nyaradzo. murwere akadaro anofanira muchipatara pakarepo.

Rakajairika ndiyo ketoatsidoticheskaya diabetichkoy pakoma. Zvinonzi anokonzerwa kuunganidza zvine chepfu ari metabolic pezvakaitwa kuti zvine zvaparadza masero etsinga. The chikuru chokukomborerwa asina chaanoziva ari kunhuwira acetone kufema. Kuziva izvi chisvibiswe mamiriro, murwere akafuka hune ziya. Kana ichi rave unopinza donhwe muropa shuga, izvo zvinogona kukonzerwa ane ovhadhozi insulin yakakodzera. Mamwe pakoma hadziwanzowaniki.

Kuzvimba ingava omunharaunda uye rakapamhamha-siyana zvakasikwa. chiratidzo ichi ndiyo chokukomborerwa vasingadzoreki itsvo chaitika. Kana edema tinoberekwa asymmetry, uye kunosvika kune mumwe mupambare kana rutsoka, kwakadaro kwacho kunoratidza ezasi dzomuviri chirwere cheshuga microangiopathy, neuropathy kunokonzerwa.

Systolic uye diastolic BP ndiyo chokukomborerwa kwokuomerwa chirwere cheshuga. State anogona kunzi nenzira mbiri. Muchiitiko chokutanga, kufunga wavhomorwa nechiyero yose kumanikidzwa. Kuwedzera uchapupu mberi nzira shuga nephropathy. With kuomesa ichi chinoitika itsvo kusunungurwa zvinhu kuti vawedzere kumanikidzirwa.

Ukuwo, kazhinji akacherekedza donhwe nevamwe midziyo uye ezasi migumo. The kwacho rinorondedzerwa kuitisa acoustic Doppler. Iye inoratidza kuvapo angiopathy ose ezasi wamativi.

Marwadzo makumbo vari anoratidza chirwere cheshuga neuropathy kana angio. Microangiopathy inozivikanwa nemarwadzo panguva yechiitwa uye kufamba.

The chidzoke kurwadziwa munguva usiku rinoratidza kuvapo shuga neuropathy. Kazhinji, izvi ezvinhu kunoratidzwa chiveve, nehanya kutapudzwa. Vamwe varwere akataura dzomunharaunda unopfuta mune dzimwe nzvimbo yakaderera gumbo kana rutsoka.

Trophic nemaronda - ndiyo inotevera padariro chirwere cheshuga neuropathy uye pambiru angio marwadzo. Mhando mavanga siyana siyana rutsoka shuga siyana. Muchiitiko chimwe nechimwe aivapa nomumwe kurapa. Kana zvakaoma ezvinhu anofanira kufunga duku zviratidzo nokuda kwayo napo kana murwere achaponeswa.

Neuropathic nemaronda zvinokonzerwa yadzikira aikanganiswa kurega kumashure neuropathy netsoka deformation. Pfungwa huru kukweshera munzvimbo mhou protuberances vakaumba calluses, izvo zvisina panoonekwa varwere. Below ikoko hematoma, vakazochinja kuenda pus. The rutsoka anotanga kunokanganisa munhu chete kana kuzvimba uye chitarisiko zvematambudziko aro.

Neronda rinonyenga Kazhinji kukonzerwa shuga angiopathy. Panyaya iyi mwoyo zviduku nemidziyo. Kazhinji, izvi zviri vemunyika imwe toe. Kana zvaipesana ropa riyerere rutsoka pane marwadzo, ipapo akatsvuka. Nokufamba kwenguva, ganda anova rinokwanisa kucheneruka tinge anova chando uye kuzvimba, ipapo Maronda akasiyana ne madhaka zviri uye dema ganda necrosis.

Kuchinja kwakadaro regai sei kurapwa. Muchiitiko ichi ablation kunoratidzwa. Zvakanyanya Kunaka Panguva Yepamuviri pamwero yake ndiyo nzvimbo rezasi gumbo.

How kudzivirira kukura yematambudziko

Kudzivirira yematambudziko inobva mangwanani vasabatwa chirwere uye zvakakodzera ayo kurapwa. Chiremba anofanira kuziva zvakanaka kurapwa, uye murwere kutevedza kungoitira nemitemo.

Mbabvu Lower mu cheshuga vanofanira zuva zvakakodzera. Kana kukuvara akawanikwa hwobva kubvunza chiremba.

Kudzivirira chirwere cheshuga

Zvinosuruvarisa, haugoni nguva dzose kudzivisa kukura chirwere. Kazhinji chikungiso iri genetics uye mavhairasi kuti sei mumwe munhu.

Very zvakasiyana inofungidzirwa mamiriro pamberi mhando II cheshuga. Iye runowanzotaurwa nezvarwo hakuvaki mararamiro.

Matanho ari iyi zvingasanganisira mitambo inotevera:

• uremu normalization;
• BP kuzvidzora;
• Food kunwa yakaderera mune makabhohaidhiretsi uye mafuta;
• muviri zvine mwero.

mhedziso

Saka, pane cheshuga? The chirwere kutyora muviri shuga uptake mashandiro.

mushonga Complete hazvibviri. An Kusara ndiyo mhando chirwere cheshuga wechipiri. Kusunungurwa kwake chaizvo kudya ikashandiswa pamwe muviri zvine mwero. Zvinofanira kurangarirwa kuti ngozi dzokororo chirwere iri kutyora zvikuru dzakakwirira.