Ka lefu la tsoekere la mofuta oa 1 kapa lefu la tsoekere, ho na le tsoekere e ngata maling a mokuli. Mabaka ke ho haella ha insulin kapa ho se sireletsehe ha sele ho eona. Ke hormone e hlokahalang bakeng sa tšebeliso ea tsoekere.
Ha metabolism ea carbohydrate e tšoenyeha 'meleng, ho se sebetse hantle ho ka hlaha. E 'ngoe ea litlamorao tse atileng haholo tsa lefu la tsoekere ke neuropathy. Haeba methapo e senyehile menoaneng le matsohong, ho utloa bohloko le ho luma hoa utloahala.
Khafetsa menoana ea maoto e tšoaroa ke nako e telele ea lefu lena (lilemo tse fetang 25). Ho feta moo, lefu la tsoekere le na le tsoekere le hlaha ho 60-70% ea linyeoe ho bakuli ba tsofetseng.
Hobaneng batho ba nang le lefu la tsoekere ba fumana menoana ea meno
Batho bohle ba nang le mathata a endocrine ba lokela ho bonoa ke setsebi sa endocrinologist, ngaka e buoang, eyethalmalm, le neuropathologist. Ehlile, ka khatello e joalo ea lefu la tsoekere, joalo ka ho opeloa ke matsoho, NS le bohare ba pherekano li ferekantsoe, ka hona ngaka e itseng e lokela ho sebetsana le kalafo ea lefu lena la methapo.
Mochine oa paresthesia o thehiloe holim'a tsoekere e ngata, eo qalong e lebisang ho tse nyane, 'me hamorao, liso tse kholo tsa methapo ea methapo le methapo ea mali. Ntle le moo, ka lebaka la tlolo ea ts'ebeliso ea tsoekere maling, ho entsoe chefo (lactic acid, ketones, joalo-joalo).
Tabeng ea nako e telele e sa laoleheng ea lefu la tsoekere la mofuta oa bobeli kapa oa pele, lintho tse nang le chefo li ama hampe lits'ebetso tsa metabolic liseleng tsa methapo, ho kenyelletsa le ho fela ha tsona. Ho feta moo, maikutlo a sa thabiseng a ka bakoa ke kalafo e sa lokelang ea lefu la tsoekere. Kahoo, ha litekanyetso tsa insulin li feta, khatello ea tsoekere e fokotseha ka tšohanyetso.
Kaha glucose e nkuoa e le matla a mantlha bakeng sa lisele tsa methapo, ho haella ha eona ho liehisa mosebetsi oa bona, oo hamorao o lebisang timetsong ea bona. Tabeng ea ho ba le komello ea nako e telele ea hypoglycemic, ho na le menyetla e mengata ea ho se sebetse hantle kelellong.
Ha ho senngoa ha marako a methapo ho hlaha, ho e-ba le pherekano e nyane. Empa hamorao, likepe li fetoha li-plaque, li-atherosselotic plaque matsohong, 'me phallo ea mali e lipakeng e a senyeha. Sena sohle se tsamaisana le matšoao a latelang:
- menoana ea fifala, ho boetse ho na le maikutlo a tukang le likhama tsa mokokotlo;
- mokhoa oa venous o hlaha le maotong;
- maoto le matsoho a ruruha.
Palo ea menoana e nang le lefu la tsoekere mohatong oa pele e etsahala ka tšohanyetso. Khafetsa, lintho tse bohloko li kenya letsoho ho sena - hypothermia, boikoetliso ba 'mele, ho fetelletsa, khatello ea maikutlo. Empa ha lefu lena le ntse le eketseha, matsoho a koaleha hangata le ha mokuli a le boemong bo khutsitseng.
Ke habohlokoa ho hlokomela hore paresthesia e ka hlaha eseng feela ka lefu la tsoekere. Atherossteosis, boemo bo fokolang ba 'mele, bokuli ba Charcot, sclerosis e ngata, lefu la Raynaud, lesapo la mokokotlo, khatello ea mali le ts'oalo le amanang le leqhutsu le tsona le tsona li thusa ho bonahala.
Ntle le moo, letsoalo la lintho tse feteletseng le hlaha ka mofuta oa 'mele oa tunnel, ho lemalla joala, khaello ea mali e sa foleng, brachial plexitis, neurosyphilis le stroke's brain.
Le ha ho le joalo bohloko ba mesifa ea menoana bo hlaha le lefu la Lyme, vetertovascular dystonia, lefu la matsoapo a sefubeng le ramatiki ea rheumatoid.
Ts'oaetso
Joalokaha ho boletsoe ka holimo, ho ba le menoana ho etsahala ka nako e telele ea lefu la tsoekere le semelo sa neuropathy le angiopathy, ha boemo ba tsoekere bo sa laolehe hantle mots'eare. Ntle le moo, mokuli o tletleba ka matšoao a kang lenyora, polyuria, ho omella ka mpeng ea molomo, o fokolitse ho itšireletsa mafung le ho se bone hantle mahlo.
Ho mofuta oa 2 le lefu la tsoekere la 1, lefu lena le ipapisitse le tlhahlobo ea tsoekere ho mokuli ka linako tse fapaneng tsa letsatsi. Haeba lenane la glycemic le lula le pepesetsoa holimo, joale ho etsoa phuputso bakeng sa boteng ba hemoglobin ea glycosylated, eo ka eona u ka thehang glucose e tloaelehileng ea mali ka likhoeli tse 3-4. Ho tseba mofuta oa lefu lena, ho na le insulin e ngata e ikemiselitseng 'me ho etsoa liteko tse susumetsang.
Mabapi le lefu la tsoekere la "lefu la tsoekere" le sitisang phallo ea mali liseleng tse bonolo le litho tse ka hare, bothata bona bo fumanoa ke Doppler ultrasonography ea lijana tse kholo tsa matsoho.
Ntle le moo, ho etsoa phuputso ho litho tsa sepheo tse anngoeng ke lefu la tsoekere. Tsena li kenyelletsa pelo, mahlo le liphio.
Ka nephropathy, ho etsoa liteko tse bontšang hore na urea e le boemong bofe. Tabeng ea retinopathy, ka bokhoni ba tsebo ea mahlo kapa ea sesebelisoa, ho hlahlojoa fundus.
Mathata a pelo a bonoa ke electrocardiography, empa echocardiography le coronarography ke mekhoa e nepahetseng haholoanyane.
Mme neuropathy e ikemiselitsoe motheong oa nalane le ts'ebetsong ea lithuto tse ling tsa lisebelisoa. Ka nako e ts'oanang, ngaka e fumana ho mokuli hore na ho thata hore a phahamise boima, a tsebe lintho ka ho ama kapa hore na o hlompha ho tsitsipana, ho tsitsipana le menoana. Ts'ebetsong ea tlhahlobo ea lihlahisoa tsa lisebelisoa, mefuta e fapaneng ea kutloisiso e khethiloe:
- thothomelo;
- tactile;
- mocheso;
- e bohloko.
Phekolo
Lefu la tsoekere le hloka phekolo ea bophelo bohle, eo le eona e lokelang ho ba e akaretsang. Ntle le moo ke eona feela tsela ea ho fumana matšeliso bakeng sa lefu lena le ho laola glycemia, e etsang hore menoana e se ke ea sebetsa.
Ho lefella lefu la tsoekere la mofuta oa 2, mokuli o fuoa hypoglycemic. Leha ho le joalo, khetho ea lithethefatsi tse joalo e lokela ho atameloa ka hloko haholo, hobane ho seng joalo e ka ba le karabelo e tebileng, mme haeba litekanyetso li fosahetse, hypoglycemia kapa lefu la tsoekere hangata li etsahala.
Ntle le lithethefatsi tse tsoekere e tlase, kalafo ea matšoao ea hlokahala. Ka hona, ka boima ba maoto le matsoho, ho ka sebelisoa ts'ebetso ea litho tsa 'mele tse khothatsang methapo ea methapo. Tsena li kenyelletsa ho silila ha transcutaneous le balneology.
Ho kenya ts'ebetso ea phallo ea mali mahaneng, li-anticonvulsants li laetsoe. Hape ho bontšitsoe livithamini tsa B, haholo-holo pyridoxine (B6) le thiamine (B1).
Le ha o na le lefu la tsoekere, hoa hlokahala ho phekola bofokoli ba letlalo. Ho fihlela sena, ho sebelisoa lipholiso tsa maqeba le li-antimicrobial agents.
Lithethefatsi tse joalo li kenyelletsa furatsilin, Dimeskid kapa Miramistin. Ke feela ka mor'a moo moo ho ka khonehang ho etsa li-hydroprocepts le ho etsa litlolo tsa kalafo.
Makhopho le ho omella ka ntle ho letlalo matsohong le menoaneng le tsona li hloka tlhokomelo e khethehileng, hobane haeba bothata bo sa rarolleha, ho na le kotsi ea ho sithabela ha maikutlo. Tabeng ena, lithethefatsi tse ntlafatsang methapo ea methapo le phallo ea mali li sebelisoa.
Li-vithamine tsa B li tsamaisoa ka molomo kapa ka ente. Tšusumetso e ntle ke motsoako oa vithamine B 12 (Cyanocobalamin), Thiamine le Pyrodoxin. Sena sohle se ka tlatsetsoa ke tšebeliso ea kantle ea vithamine A (Retinol) le Novocaine.
Ntle le moo, maoto le matsoho a lokela ho fetoha letsatsi le letsatsi. Ho fihlela sena, o hloka ho etsa boikoetliso bo bonolo, bo kenyeletsang ho pepeta le ho hlakisa menoana.
Phytotherapy bakeng sa lefu la tsoekere e sebetsa hape kalafong e rarahaneng ea kalafo ea menoana. Kahoo, ho kenya ts'ebetso ea phallo ea mali matsohong o hloka ho tšela motsoako oa oli le pepere.
Ho e lokisa, 50 g ea phofo e tukang e tsoakoa le 0.5 l ea oli ea meroho ebe e tšeloa ka maoto le matsoho ka metsotso e 30. Empa mokhoa o joalo o ka etsoa feela ha ho se na tšenyo, maqeba, makhopho le liphoso tse ling tsa letlalo.
U ka sebelisa porele ea mokopu o mofuthu matsohong a hau. Kamora moo, leoto le lokela ho koaheloa ka polyethylene kapa pampiri ea compress ebe e koaheloa kaofela ka lesela la boea.
Ho kenya ts'ebetso ea phallo ea mali le ho felisa ho ruruha, sebelisa tincture ea joala e thehiloeng holim'a lengana le nettle ka tekanyo ea karolo e le 'ngoe ea joala ho isa ligrama tse peli tsa semela ka seng. Moriana o ts'oaroa ka matsatsi a 20 sebakeng seo ho se nang khanya, ka mor'a moo se ka tšeloang matsohong.
Ho eketsa botebo ba menoana, ho sebelisoa libate tse fapaneng, tseo ka nako tse ling matsoho a theoletsoeng metsing a batang le a chesang. Tsamaiso ena e khothalletsoa ho etsa 2-3 p. ka letsatsi.
Hape, ka menoana ea menoana, o ka etsa compress ka "sebui". Lintho tsohle li rekisoa ka har'a k'hemiste:
- Lidocaine (li-ampoules tse 5);
- saline (150 ml);
- Hydrocortisone (li-ampoules tse peli);
- Dimexide (50 ml).
Mehato ea thibelo
Ho thibela nts'etsopele ea mathata a lefu la tsoekere, e leng angiopathy le neuropathy, melao e 'maloa e lokela ho bolokoa. Pele ho tsohle, ho bohlokoa ho laola glycemia, ho se lumelle matšoao a glucose ho nyolohela lipalo tse phahameng.
Ntle le moo, ha ua lokela ho etela ka nako e seng feela setsebi sa endocrinologist, empa hape le setsebi sa methapo ea kutlo se ka bonts'ang bothata nakong ea pele le ho etsa kalafo e sebetsang ka ho fetisisa.
Ntle le moo, ho bohlokoa ho tsamaisa kalafo ea nako ea likotsi le likotsi tse ling matsohong. U boetse u lokela ho roala liaparo tse mabothobotho 'me u qobe ho ba le hypothermia e feteletseng kapa matsoho a feteletseng.
Ho bohlokoa hape ka tsela e tšoanang ho qoba khatello ea methapo le khatello ea maikutlo. Kaha lefu la tsoekere le fokolitse ho itšireletsa mafung, ka nako le nako ba lokela ho nka liminerale le livithamini, tse kenyeletsang magnesium le zinki. Sena se tla thibela ho haella ha vithamine le ho sitisoa ha moralo oa methapo.
Har'a lintho tse ling, ho bohlokoa haholo ho latela melao-motheo ea kalafo ea ho ja bakeng sa lefu la tsoekere, e kenyeletsang:
- ho hana lijo tse monate, tse tsoekere, le tse ling tse jang lijo tse se nang phepo kapele tsa carbohydrate;
- u se ke ua ja lijo tse mafura tse nang le cholesterol e ngata;
- leka-lekanya lijo, tse lokelang ho tlala litholoana, nama e jang nama, tlhapi, lihlahisoa tsa lebese, litholoana tse se nang lijo-thollo le tse sa jeoang.
Ka video e sehloohong sena, Elena Malysheva o tla bontša boikoetliso bo 'maloa khahlanong le menoana ea meno.
