Palo ea batho ba fumanoeng ba na le lefu la tsoekere e ntse e eketseha letsatsi le letsatsi. Ka hona, kajeno palo ea bakuli ba ngolisitsoeng e fihla limilione tse 300. Ho feta moo, palo ea ba sa tsebeng ka ho ba teng ha lefu lena le eona e ngata.
Kajeno, lingaka tse ngata le bo-rasaense ba tsoang lefats'eng ka bophara ba nka karolo ho ithuteng le ho phekoleng lefu la tsoekere. Ka hona, batho ba bangata ba khetha ho phekola lefu la tsoekere ka ntle ho naha, e leng Jeremane. Ntle le moo, naha ena e tsebahala ka katleho ea eona ea bongaka, litliniki le lingaka tse ntle ka ho fetisisa.
Lingaka tsa Jeremane ha li sebelise lefu la tsoekere eseng feela mekhoa ea setso ea kalafo, empa le litheknoloji tse se nang thuso tse ntlafalitsoeng li laboratoring tsa lipatlisiso litleliniking. Sena ha se lumelle feela ho ntlafatsa boemo ba bophelo bo botle ba lefu la tsoekere, empa hape le ho fihlela phetoho ea nako e telele ea lefu lena.
Lefu la tsoekere le fumanoa joang Jeremane?
Pele a phekola lefu la tsoekere Europe, lingaka li fa mokuli tlhahlobo e phethahetseng le e phethahetseng. Ho hlahloba lefu ho kenyelletsa ho buisana le setsebi sa endocrinologist se bokellang anamnesis, ho fumana hore na mokuli o belaela ka eng, ho etsa setšoantšo se akaretsang sa lefu lena, nako ea lona, ho ba teng ha mathata le liphetho tsa kalafo e fetileng.
Ntle le moo, mokuli o romeloa ho ea ngakeng le lingaka tse ling, e leng, setsebi sa methapo ea kutlo, setsebi sa mahlo, setsebi sa phepo e nepahetseng le ngaka ea methapo. Hape, lithuto tsa laboratori li bapala karolo e kholo ho netefatseng lefu lena. Ntho ea pele ea ho khetholla mofuta oa lefu la tsoekere ka ntle ho naha ke tlhahlobo ea mali e nkiloeng ka mpeng e se nang letho o sebelisa glucometer e khethehileng.
Teko ea mamello ea glucose le eona ea etsoa. TSH e thusa ho bona boteng ba lefu la tsoekere, le hlahang ka sebopeho sa morao.
Ntle le moo, ho hlahisoa tlhahlobo ea HbA1c, eo ka eona u ka bonang tekanyo ea tsoekere e maling maling matsatsing a 90 a fetileng. Molemo oa tlhahlobo e joalo ke hore e ka etsoa ntle le thibelo ho phepo e nepahetseng le ka nako efe kapa efe ea letsatsi. Leha ho le joalo, tlhahlobo ea hemoglobin ha e ea lokela ho fumana lefu la tsoekere la mofuta oa 1, leha e ka tseba lefu la prediabetes le lefu la mofuta oa 2.
Lingaka tsa Jeremane le tsona li hlahloba moroto bakeng sa tsoekere. Bakeng sa sena, bophahamo ba mochine oa letsatsi le letsatsi kapa oa letsatsi le letsatsi oa ho bokelloa.
Haeba motho a phetse hantle, litholoana tsa tlhatlhobo e tla ba tse mpe. Khafetsa litleliniking tsa Jeremane, liteko tsa moroto li sebelisa tlhahlobo ea Diabur (metsero e ikhethang).
Ntle le tlhahlobo ea laboratori, pele ho kalafo ea lefu la tsoekere Jeremane, ho bonts'oa mafu a hloahloa a ts'ebetso eo ho eona ngaka e khethang boemo bo akaretsang ba 'mele oa mokuli:
- Doppler sonography - e bonts'a boemo ba methapo ea methapo le methapo, lebelo la phallo ea mali, ho ba teng hoa lipalo maboteng.
- Ultrasound ea bokhoni ba mpa ea mpa - eu lumella hore u tsebe hore na litho tsa ka hare li maemong afe, ho na le ho ruruha ho tsona, sebopeho sa tsona le boholo ba tsona ke eng.
- Doppler ultrasound ultrasound - e sebelisetsoang ho khetholla boemo ba marang-rang a methapo ea maoto le matsoho.
- Electrocardiogram - e thusa ho bona mathata a pelo le methapo ea mali e ileng ea hlaha khahlano le semelo sa lefu la tsoekere.
- CT - e o lumella ho lekola maemo a akaretsang a tsamaiso ea pelo le pelo.
- Osteodensitometry - tlhahlobo ea masapo a axial.
Litsenyehelo tsa tlhahlobo ea mafu li ipapisitse le lintlha tse ngata. Hona ke mofuta oa lefu lena, boteng ba mathata, litšoaneleho tsa ngaka le litekanyetso tsa tliliniki eo thuto e etsoang ho eona.
Empa ho na le litheko tse hakanyetsoang, mohlala, ho etsa liteko tsa lefu la tsoekere ho na le li-euro tse ka bang 550, le liteko tsa laboratori - li-euro tse 250.
Phekolo ea bongaka le ts'ebetso ea lefu la tsoekere ho li-blade tsa Jeremane
Bohle ba kileng ba phekoloa Jeremane ba tlohela litlhahlobo tse ntle, hobane Europe Bophirimela, kalafo e rarahaneng ea etsoa, ho kopanya mekhoa ea setso le e ncha. Ho felisa lefu la tsoekere la mofuta oa 1 litsing tsa kokelo tsa Jeremane, batho ba nang le lefu la tsoekere ba fuoa lithethefatsi tse kang biguanides, ba khothaletsa ho monya ha tsoekere le ho thibela sebopeho sa eona ka har'a sebete. Hape, matlapa a joalo a nyenyefatsa takatso ea lijo.
Ntle le moo, kalafo ea lefu la tsoekere la mofuta oa 1 Jeremane, joalo ka linaheng tse ling, e kenyelletsa tsamaiso ea insulin kapa lithethefatsi tse ts'oanang le tse ling tse tloaetseng ho ts'oaroa ha tsoekere. Ntle le moo, lithethefatsi tse tsoang sehlopheng sa sulfonylurea li laetsoe lefu la tsoekere la mofuta oa 1.
Setlhare se tsebahalang sehlopheng sena ke Amiral, e sebelisang lisele tsa pancreatic beta, li ba qobella ho hlahisa insulin. Sesebelisoa se na le tšusumetso ea nako e telele, ka lebaka leo, phello ka mor'a ho hlakoloa e lula e le matsatsi a mang a 60-90.
Ho felisa lefu la tsoekere la mofuta oa 2 Jeremane, tlhahlobo ea bakuli e re, joalo ka sebopeho se itšetlehileng ka insulin, ho hlokahala kalafo e rarahaneng, e ipapisitseng le melaoana e latelang.
- lithethefatsi tsa antidiabetic;
- kalafo ea insulin e matla;
- kalafo e tloaelehileng le insulin e tsoakiloeng;
- tšebeliso ea pompo ea insulin.
Ho boetse ho bohlokoa ho hlahisa lithethefatsi tse sebetsang bakeng sa lefu la tsoekere la Jeremane. Glibomet ke ea litlhare tse joalo - ena ke e kopantsoeng (e kopantsoe le Biguanide le sulfonylurea e tsoang meloko e 2) sethethefatsi se sebelisitsoeng bakeng sa lefu la mofuta oa 2.
Setlhare se seng sa Jeremane se sebelisitsoeng bakeng sa mofuta o amanang le insulin oa lefu lena ke glimerida based glyride. Ke moemeli oa hypoglycemic o tsoang sulfonylurea. Setlhare se etsa hore ho hlahisoe "insulin" ea "pancreatic insulin", e eketsang tokollo ea lihormone le ho ntlafatsa ho hanyetsoa hoa insulin.
Le Jeremane, lithethefatsi Glucobay, e leng motsoako o thibelang lefu la tsoekere, li ile tsa ntlafatsoa. Sesebelisoa se sebetsang sa lithethefatsi ke acarbose (pseudotetrasaccharide), e amang seterata sa mokokotlo, e sitisa glucosidase, 'me e ameha ho qaptjoeng ke li-Saccharides tse fapaneng. Kahoo, ka lebaka la ho monya ha glucose e leka-lekaneng ka mpeng, boemo ba eona bo tlase boa fokotseha.
Jardins ke sethethefatsi se seng se tsebahalang sa antidiabetes se sebelisoang bakeng sa mofuta o ikemetseng oa insulin. Ntho e sebetsang ea lithethefatsi e lumella bakuli ho ntlafatsa taolo ea glycemic, ka ho fokotsa ts'oaro ea tsoekere maling liphatseng.
Phekolo ea kalafo ea lefu la tsoekere ka ntle ho naha e etsoa ka mekhoa e 'meli:
- phetisetso ea likarolo tsa manyeme;
- phetisetso ea lihlekehleke tsa Langerhans.
Phekolo ea lefu la tsoekere la mofuta oa 1 maemong a boima e ka etsoa ka ho fetisoa ha lisele tsa pancreatic. Empa ts'ebetso e joalo e rarahane haholo, ke lingaka tse ntle feela tsa Majeremane tse e etsang. Ntle le moo, ho na le monyetla oa ho hana, ke ka lebaka leo batho ba lefu la tsoekere ba lokelang ho etsa kalafo ea immunosuppression bophelo bohle.
Ho fetisetsoa ha langerhans islet ho etsoa ho sebelisoa catheter e kentsoeng mothapong oa sebete. Ho fetisoa (lisele tsa beta) ho kenngoa ka har'a tube, ka lebaka leo ho kenella ha insulin le ho phatloha ha glucose ho tlang teng ka har'a sebete.
Ts'ebetso e etsoa tlhatlhobong ea lehae ka mofuta oa lefu lena le amanang le insulin.
Liphekolo tse ling tsa lefu la tsoekere Jeremane
Litsebi tsa lefu la tsoekere Jeremane tseo litlhahlobo tsa tsona li atisang ho bonahala li le ntle, hlokomela hore ntle le kalafo ea lithethefatsi, lingaka tsa Jeremane li khothalletsa hore bakuli ba bona ba ele hloko phepo e nepahetseng. Ka hona, ho mokuli e mong le e mong, ho hlahisoa menyu ka bonngoe, eo ka eona u ka fanang le ho boloka tsoekere e maling le maling.
Li-carbohydrate tse bonolo habonolo le mafura a seng kotsi ha a qheleloe ka thoko ho lijo tsa lefu la tsoekere. Lenaneo le khethoa e le hore tekanyo ea liprotheine, mafura le lik'habohaedreite ke tse latelang - 20%: 25%: 55%.
U hloka ho ja makhetlo a 5-6 ka letsatsi. Lijo li lokela ho khothaletsoa ka lihlahisoa tsa lebese, litholoana, meroho, mefuta e fokolang ea mafura a tlhapi, nama, linate. Mme chokolete le liswiti tse ling li lokela ho lahloa.
Morao tjena, Jeremane, lefu la tsoekere le phekoloa ka meriana ea litlama, ka lebaka leo ho ka khonehang ho fokotsa tekanyetso ea insulin le lithethefatsi. Naheng ea Jeremane, litekolo tsa batho ba nang le lefu la tsoekere ba theohela botebong ba hore kalafo ea phytotherapeutic e na le litlamorao tse tšoanang ho mofuta ofe kapa ofe oa lefu la tsoekere. Limela tse ntle tsa antidiabetesic ke:
- molora oa thaba;
- ginseng;
- li-beet;
- nettle;
- Blueberries
- burdock;
- tse tala.
Hape, kalafo e felletseng ea lefu la tsoekere Jeremane e hlile e kenyelletsa kalafo ea boikoetliso bakeng sa lefu la tsoekere e ka fokotsang tlhoko ea insulin. Ho etsoa lenaneo le khethehileng la koetliso bakeng sa mokuli ka mong. Khafetsa ka lefu la tsoekere, lingaka li khothaletsa ho hira, tennis, boikoetliso ba 'mele le ho sesa khafetsa letamong.
Ho kenya ts'ebetso ea 'mele ea ho itšireletsa mafung, e fokolisitsoeng ke lefu la tsoekere, bakuli ba fuoa li-immunostimulants. Bakeng sa morero ona, li-immunoglobulins, li-antibodies le li-agents tse ling tse etsang hore tšebetso e hlokahalang ea ts'ireletso ea 'mele li laetsoe.
Mokhoa o tummeng le o tsoetseng pele oa ho phekola lefu la tsoekere Jeremane ke ho lema lisele tsa "pancreatic stem" libakeng tse senyehileng. Sena se qala mosebetsi oa 'mele' me se khutlisetse likepe tse senyehileng.
Hape, lisele tsa stem li thibela ponahalo ea mathata a fapaneng a lefu la tsoekere (retinopathy, lehe la tsoekere) le ho eketsa ho itšireletsa mafung. Ka mofuta oa lefu le itšetlehileng ka insulin, mokhoa ona oa ho phekola o thusa ho khutlisa likarolo tse senyehileng tsa tšoelesa, e fokotsang tlhokahalo ea insulin.
Ka lefu la mofuta oa 2, ho buuoa ho ka ntlafatsa bophelo bo botle 'me ha etsa hore boemo ba tsoekere ea mali bo fokotsehe.
Mohopolo o mong oa phekolo ea sejoale-joale ke ho fifala ha mali ka bohlasoa ha motsoako oa eona o fetoha. Hemocorrection ke hore sesebelisoa se ikhethang se khangoa le mokuli, moo mali a venous a lebisoang ho eena. Ka har'a lisebelisoa, mali a hloekisoa ho tsoa ho li-antibodies ho ea ho insulin ea kantle ho naha, e lengoa le ho matlafatsoa. Ebe e khutlisetsoa mothapong.
Mofuta o mong oa kalafo ke physiotherapy bakeng sa lefu la tsoekere mme litleliniki tsa Jeremane li fana ka lits'ebetso tse latelang:
- Phekolo ea EHF;
- magnetotherapy;
- acupuncture;
- Phekolo ea Ultrasound;
- Reflexology;
- hydrotherapy;
- electrotherapy;
- cryotherapy;
- tlhahiso ea laser.
Jeremane, lefu la tsoekere le phekoloa ntle ho tšenyo ea nako. Theko le nako ea kalafo e latela mokhoa o khethiloeng oa kalafo le tlhahlobo ea mali. Litšenyehelo tse tloaelehileng li tsoa ho li-euro tse likete tse peli.
Litsebi tsa lefu la tsoekere, tse bileng tlhahlobo khafetsa Jeremane, li hlokomela hore litleliniki tse ntle ka ho fetisisa ke Charite (Berlin), University Hospital Bonn, St. Lucas le Setsi sa Bongaka sa Berlin. Ho joalo, likolong tsena ke lingaka tse tšoanelehang haholo tse sebetsang tse ananelang bophelo bo botle ba mokuli e mong le e mong, e ba etsang lingaka tse hloahloa lefatšeng.
Video e sehloohong sena e fana ka litlhahlobo tsa mokuli mabapi le tlhokomelo ea lefu la tsoekere Jeremane.
