Lefu la tsoekere, ka lebaka la ho ata ha lona le ho eketseha ho sa feleng ha lefu lena, le hloka hore bakuli ba tloaelane le mokhoa o mocha oa bophelo.
Lijo tse nang le phepo e nepahetseng le lithibelo tse ngata, tlhokeho ea tšebeliso ea meriana kamehla ho lokisa maemo a tsoekere, ho mpefatsa boemo ba kelello ba bakuli.
Ntlheng ena, ho na le karolo ea mehato ea boits'ireletso e bontšitsoeng ho batho ba lefu la tsoekere ho boloka matla a bona a ho sebetsa le ho boloka bophelo bo phahameng ho lefu lena.
Mefuta ea ntlafatso ea lefu la tsoekere
Ntlafatso ea bongaka e etsoa ka ho khetha mofuta oa kalafo o lakatsehang - tekanyetso ea lithethefatsi tsa "insulin" kapa "" antidiabetesic "litleliniking tsa bongaka ke litsebi tse tšoanelehang - li-endocrinologists.
Mehato ea ntlafatso e kenyelletsa le lipatlisiso tsa bakuli tsa melao-motheo ea bohlokoa ea ho boloka boemo ba tsoekere maling, mekhoa ea lipilisi tsa insulin, melao ea ho sebelisa li-glucometer kapa methapo ea tlhahlobo ea pono, khafetsa litekong tsa mali bakeng sa matšoao a mantlha a metabolism ea carbohydrate, le matšoao a mathata a lefu la tsoekere.
Tataiso ea bobeli ea ntlafatso ea bongaka ea bakuli ba nang le lefu la tsoekere ke ho hlophisoa ha phepo e nepahetseng, e lumellanang le lilemo, hammoho le boemo ba tšebetso ea 'mele. Lijo tse nang le phepo e nepahetseng li kenyelletsa ho se be le phofo e tšoeu ka botlalo le lijo tsohle tse nang le index e phahameng ea 'mele.
Mokuli o tlameha ho tseba mokhoa oa ho bala lethathamo la lik'habohaedreite lihlahisoa, hape o na le melao ea phetisetso e nepahetseng ea mefuta e meng ea lisebelisoa tsa lijo le ba bang. Litlhahiso tse khethehileng ka mokhoa oa li-ppt tse hlahisitsoeng inthaneteng, hammoho le lipampiri tse fanoeng ke endocrinologists li ka thusa batho ba lefu la tsoekere ho sena.
Likarolo tsa phepo ea lefu la tsoekere ke tse latelang:
- Phepo e nepahetseng.
- Likarolo tse nyane.
- Ts'oaetso ea caloric: lijo tsa hoseng tse 20%, lijo tsa mots'eare 30%, lijo tsa mantsiboea 20%, lijo tse bobebe tse tharo, 10% ka 'ngoe.
- Tloaelo ea 'mele ea protheine.
- Fokotseha mafura a liphoofolo, cholesterol le chloride ea sodium.
- Ho kenyelletsoa ha lihlahisoa tsa lipotropic: tofu, chisi ea chisi, oatmeal, nama e boreleli.
- Likahare tse lekaneng tsa meroho, monokotsoai, ha litholoana li kenyelletsoa ka litholoana le tsoekere, li nahaneloa ho latela tloaelo ea lik'habohaedreite.
Ntlafatso ea malapeng le ea indasteri bakeng sa lefu la tsoekere e kenyelletsa ho fumana litsebo tse ikhethileng tse lumellang bakuli, ntle le thuso ea kantle, ho phela bophelo bo mafolofolo bo lumellanang le maemo a bona.
Ntlafatso ea 'mele bakeng sa lefu la tsoekere
Mesebetsi ea mantlha ea ho khutlisetsa bakuli ba sebelisang boikoetliso ba 'mele ke ho boloka boima ba' mele bo tloaelehileng, le mofuta oa lefu la tsoekere la mofuta oa 2, ho fokotsa ho fetella, hammoho le ho ntlafatsa ho kenella ha tsoekere maling linthong tsa mesifa.
Ka tšebeliso e nepahetseng ea boikoetliso ba 'mele, ho ka khoneha ho thibela mathata a lefu la tsoekere, ho ntlafatsa ts'ebetso ea sistimi ea ho hema, pelo le methapo ea mali, ho ntlafatsa maemo a kelello le a maikutlo, ho etsa kalafo ea ho hlasimolla mathata a methapo le ho phahamisa kutloisiso ea lisele tsa mmele ho insulin.
Manonyeletso a mokokotlo, haholo-holo nakong ea boikoetliso a hlokang ho ba le matla, a fokotsa sekhahla sa tsoekere, catecholamines, triglycerides maling. Ka nako e ts'oanang, khatello ea mali ea fokotseha le phallo ea mali ka methapo e nyane ea mali e eketseha, e eketsang lits'ebetso tsa metabolic le phepo ea litho, mme kotsi ea lefu la masapo a mantsiboea e fokotsehile.
Haeba moralo oa mehato ea boikoetliso ba 'mele o sa ts'oaroe ka nepo, kapa mokuli a eketsa mojaro o khothalelitsoeng, joale sena se ka baka mathata a kang:
- Hypoglycemia
- Ho eketsa tsoekere.
- Ka lefu la tsoekere le lefu la tsoekere, menyetla ea ho hema kahare e eketseha.
- Ka neuropathy, ho hlaha mefokolo ea ulcerative.
- Kotsi ea likotsi tse nang le khatello ea mali kapa "myocardial ischemia" ea eketseha.
Phekolo hangata e qala kamora ho tlosa mokuli komellong. Ho bakuli ba joalo, bofokoli bo matla bo iponahatsa bekeng ea pele, kahoo ho ikoetlisa ka mokhoa o bonolo ho sebelisoa ka mokhoa oa ho pheta-pheta makhetlo a 3-5 oa lihlopha tse kholo tsa mesifa tse tsamaellanang le phefumoloho. Ho ka boleloa lehare la letsoho kapa molala.
Ho rarahana ho joalo ho bonolo ho etsa hore maemo a tsamaiso ea methapo, pelo, khatello ea mali. Kamora eona, ho khothalletsoa koetliso ea autogenic bakeng sa metsotso e 10.
Nakong e tlang, bakuli ba ka abeloa lenaneo le bobebe la ho tsamaea kapa ho ikoetlisa ka libaesekele tsa boikoetliso. Meroalo e joalo e etsoa ho pholletsa le khoeli.
Setsi se ka sehloohong sa thupelo ea lefu la tsoekere
Boemo bo ka sehloohong ba ntlafatso ea bakuli ba nang le lefu la tsoekere ke khafetsa ea litlelase. Haeba o nka khefu matsatsi a fetang a mabeli, sena se fokotsa kutloisiso ea mesifa ea mesifa ho insulin, e ileng ea fihlelleha ka ho ikoetlisa nakong e fetileng.
Nako ea thuto e lokela ho ba bonyane halofo ea hora. Maemong ana, ho futhumala ho nka metsotso e 10, 'me karolo ea ho qetela ke metsotso e 7. Ditlelase e lokela ho ba makhetlo a 4 ka beke ka morethetho o phethahetseng oa motho ka mong.
Motsoako o ka sehloohong o khothaletsoa bakeng sa lefu la tsoekere le boima bo bobebe kapa bo itekanetseng, ho ka ba le matšoao a pele a angiopathy, khatello ea mali, lefu la pelo la mokokotlo, botenya, arthropathy ntle le thibelo e matla ea ho sisinyeha manonyeletsong.
Koetliso e hanyetsanoa ka mekhahlelo e joalo ea bakuli:
- Lefu la tsoekere le matla le nts'etsopele ea komello.
- Angiopathies e nang le mathata a trophic.
- Leoto la lefu la tsoekere.
- Pono e tlase bakeng sa lefu la tsoekere.
- Arterial hypertension kapa lefu la pelo le methating e meraro.
- Myocarditis, arrhythmia, aneurysms ea methapo ea mali.
- Tachycardia e nang le sekhahla sa pelo e kholo ho feta 100 phomolong, fibrillation ea atria.
- Thrombophlebitis.
Hape, mofuta o ka sehloohong oa ho ikoetlisa ka matla ha o etsetsoe bakuli kamora lilemo tse 65, ka ho feto-fetoha ho matla ha maemo a tsoekere ea mali, ka ts'ebetso e sa lekanang ea renal, ka ho se tsotelle ho tebileng ha mokuli le ho se batle ho ikoetlisa.
Lithuto tse atisang ho sebelisoa haholo ke libaesekele tsa ho ikoetlisa, libaesekele tsa ho ikoetlisa, ho potlaka le ho tantša. Ha e khothalletsoe: ho loana, ho hloa, ho phahamisa bara.
Ho nchafatsa 'mele bakeng sa lefu la tsoekere ha hoa lokela ho baka keketseho ea tsoekere ea mali, ha e etsoe ha khatello ea glucose e ka holimo ho 11 mmol / l, hammoho le ha li-ketone li hlaha ka har'a moroto. Ha ho se na ketones, boikoetliso bo ka khonahala, empa sephetho sa eona se ka fetola matšoao a glucose ho ea holimo le tlase.
Ho thibela hypoglycemia, hoa hlokahala ho lekanya maemo a tsoekere pele le ka mor'a boikoetliso, hammoho le lihora tse peli kamora ho ikoetlisa. Etsa bonnete ba hore lino-mapholi li nooa le uena ka mefuta ea lino-mapholi tsa litholoana kapa lino tse nang le khabone e le hore o ka eketsa glycemia kapele.
E le ho etsa moralo o nepahetseng oa boikoetliso ba 'mele, tlhahlobo e phethahetseng ea pele e etsoa ka boikemisetso ba matšoao a mantlha a puseletso ea lefu la tsoekere, hammoho le boemo ba ho ikoetlisa, ho ba teng ha methapo ea methapo, ECG phomolong le kamora ho ikoetlisa.
Bakuli ba nang le lefu la tsoekere pele ba qala ho ntlafatsa 'mele ka ts'ebeliso ea ho ikoetlisa ka nako e telele, ba eletsoa ke ngaka ea methapo, liteko tsa khatello ea maikutlo holima ergometer ea baesekele.
Bongaka bo na le maikutlo a mabe haholo a ho sebelisoa ke bakuli ba nang le lefu la tsoekere la bate, ba chesang kapa ba hlatsoang hammoho le boikoetliso ba 'mele, joala bo thibetsoe ka thata, o ka se kopanele hlabula ka letsatsi le bulehileng.
Motsoako o joalo o eketsa kotsi ea ho senyeha ha methapo ea methapo le hemorrhage kahare le bokong.
Ntlafatso ea bana ba nang le lefu la tsoekere
Pholiso ea 'mele ea bana ba nang le lefu la tsoekere e kenyelletsa khetho ea mesebetsi eo ngoana a e ratang. E ka ba ea mathang, bolo ea maoto kapa volleyball, ho palama lipere, baesekele, basketball, tenese, aerobics kapa badminton.
Lipapaling tsa lipapali ho lula ho loketse ngoana, ha ho e-na le li-contraindication, o ka khetha mofuta o mong le o mong oa ho ikoetlisa, ntle le ho matha ka lebelo la marathone, lipapali tsa motlakase, ho phahamisa boima ba maoto, scuba diving, snowboarding. Litsebi tsa lefu la tsoekere ha li khothalletsoe ho theoha ha ski kapa ho hloa mafika.
Papali e makatsang bakeng sa bana ke ho sesa, hobane mofuta ona oa mojaro ho bana o ka nyolla kapa oa fokotsa maemo a tsoekere haholo, a hlokang hore a khothalletsoe ka tlhokomelo e kholo ho bana ba nang le glycemia e sa tsitsang.
Ho ikoetlisa ka lefu la tsoekere ho bana ho laetsoe ho latela melao e latelang:
- Ka matsatsi a se nang litlelase, ka nako e ts'oanang eo thupelo e tšoaroang ka eona, ho lokela hore ho be le ho ikoetlisa ka botlalo.
- Khafetsa litlelase ka beke ke makhetlo a 4-5.
- Pele ho sehlopha, o hloka ho ja lihora tse 1.5 - 2.
- Lihlopheng tsa pele e lokela ho ba metsotso e 10-15, ho isa ho metsotso e 40 ka lefu la tsoekere la mofuta oa 1. Karolong ea bobeli ea lefu lena, nako e ka eketsoa ho hora e le 'ngoe.
- Pele ho mojaro, o hloka ho lekanya tsoekere - haeba e tsoa ka tlase ho 5.5 mmol / l, hape le haeba acetone e hlaha ka moriring, joale u ke ke oa e etsa.
Ngoana o hloka ho ba le lero, sandwich, lipompong le metsi le eena. Nakong ea boikoetliso, o hloka ho lekola boiketlo ba hau ka hloko, 'me kamora litlelase bonyane metsotso e 10 ho ea phomolong.
Massage le physiotherapy bakeng sa lefu la tsoekere
Ho lefu la tsoekere le lefu la tsoekere le manonyeletso a methapo ea mali, manonyeletso hammoho le botenya le polyneuropathy, ho phekoloa moriri ho laetsoe. E ntlafatsa phallo ea mali le lymph, e thibela bohloko le mokhathala ha o tsamaea, o potlakisa ho hlaphoheloa ha lisele tse bonolo, o eketsa molumo oa manonyeletso.
Contraindication bakeng sa ho silila ke mathata a tebileng a lefu la tsoekere, ho ruruha ha lesapo la mokokotlo, ho mpefatsa ha arthropathy, hammoho le maloetse a tšoaetsanang.
Ho maloetse a lipalo tse tlase ka mokhoa oa polyneuropathy, ho silila ka karolo ho etsoa sebakeng sa lumbosacral. Ho silila ka maoto ho ka etsoa feela mehatong ea pele. Bakeng sa botenya, ho kgothaletswa ho silila ka kakaretso. Ka liso tsa matsoho, sebaka se nang le molora sea sakha. Ka mathata a bohlokoa a ho potoloha, ho sebelisoa ha acupressure.
Phekolo ea physiotherapeutic ea bakuli ba nang le lefu la tsoekere e etsoa ka sepheo se latelang:
- Ho hlohlelletsa tlhahiso ea insulin le thibelo ea secretion ea lihormone tse loantšanang.
- Thibelo ea ho hanyetsa insulin.
- Ho tsitsa nakong ea lefu la tsoekere.
- Ho boloka carbohydrate e kopantsoeng le metabolism ea lipid
- Thibelo ea mathata a lefu la tsoekere
Bakeng sa sena, maqhubu a fetotsoeng ka sebe a kenngoa sebakeng sa moelelo oa manyeme, electrophoresis ea nicotinic acid sebakeng sa phallo ea mali e fokotsehileng nakong ea polyneuropathy, a sebelisa matla a fapakaneng a matla a khoheli, kalafo ea laser, UHF le ultrasound.
Phonophoresis le darsonvalization le tsona lia etsoa. Bakeng sa kalafo ea methapo ea methapo ea mokokotlo, ho ka laeloa li-electros sleep, hammoho le galvanization kapa electrophoresis ea magnesium e sebakeng sa molaleng.
Phekolo ea balneological e etsoa ka sebopeho sa khase ea carbon dioxide, sulfide le libate ka mocheso oa likhato tsa 36 degrees 12 - 15 metsotso. Ho phekola liso tsa pheletso, ho fanoa ka libate tsa leoto la whirlpool. Ha ho se na litlolo tsa kutloisiso ea mocheso, lits'ebeliso tsa lehae tsa parafini kapa ozokerite manonong kapa maotong, matsoho a ka sebelisoa.
Kaha lits'ebetso tsena kaofela li na le khatello ea maikutlo, joale kamora bona ho phomotsoe bonyane hora e le 'ngoe.
Phekolo ea physiotherapeutic e hanyetsoa boteng ba mafu a tšoaetsanoang a hlobaetsang, ho mpefala ha mafu a kopaneng a litho tsa kahare, ka ho bola ha potoloho ea mali, ho se sebetse hantle ka mokokotlong, kotsi ea hypoglycemic kapa lefu la tsoekere, le lefu la methapo ea methapo ea methapo. Video e sehloohong sena e bua ka lefu la tsoekere, hammoho le mekhoa ea phekolo le ea ho hlasimolla.
