Lefu la tsoekere ke mofuta oa mafu a hlahang khahlanong le semelo sa keketseho e sa feleng ea tsoekere ea mali. Pathology e arotsoe ka mefuta e 'meli - ea pele le ea bobeli. Mofuta oa pele oa lefu la tsoekere hangata o fuwa hangata mme o bakwa ke ho haella ha insulin maling. Mofuta oa bobeli ke o tloaelehileng haholo. Maemong a 99%, ha e tsoaloe hape 'me e tšoauoa ka mokhoa o fetelletseng oa insulin ea hormone e patiloeng ke manyeme.
Lintho tse ka behang kotsing li kenyelletsa ho ikoetlisa ka tlase haholo, ho nona haholo, cholesterol e phahameng le ho se leka-lekane ha lihormone. Ka hona, matšoao a pele a lefu la tsoekere ho basali kamora lilemo tse 40 le ho feta ke ketsahalo e tloaelehileng haholo.
Likarolo tsa lefu lena
Karolo e ka sehloohong ea nts'etsopele ea lefu la tsoekere ho basali ke lefu la metabolic le lilemo li 40 ho isa ho 60. Kamora lilemo tse 60, liketsahalo li fokotseha hanyane ka hanyane mme ha li fumanehe ho basali ba lilemo tse 70. Ponahatso ea lefu lena botsofaling e amana haholo le nts'etsopele ea liso tsa sclerotic tsa likepe tsa pancreatic le tlolo ea mesebetsi ea eona. Hormone ea mantlha e kenyang ho hokahanya limatlafatsi - insulin - e patiloe ke makhopho a pancreas. E "fetolela" liprotheine le lik'habohaedreite, e fana ka tsoekere, potasiamo, magnesium le phosphates ho lisele. Tlolo ea tlhahiso ea insulin - ho haella ha eona kapa ho fetella - ha nako e ntse e ea o qala ho iponahatsa 'meleng oa mosali. Hangata, sesosa sa ho eketsoa ke ho khaotsa ho ilela khoeli, khatello ea maikutlo kapa khatello ea maikutlo.
Lefu la tsoekere le baka mathata tsamaisong ea methapo ea kutlo. Ka lebaka leo, tlhahiso ea lihormone ea litšoelesa tsa endocrine ea fokotseha. Matšoao a lefu la tsoekere ho basali ba lilemo tse 50 a hlaha ka tšebeliso e ngata ea liswiti le lihlahisoa tsa phofo, hape le tlala - haholoholo ka lebaka la khaello ea vithamine E le chromium. Boloetse bona bo na le nts'etsopele e rarahaneng 'me ho ka se khonehe ho bo bolela esale pele. Matšoao a lefu la patsi a ka 'na a se ke a hlaha lilemo tse 10 kapa ho feta. Bo-rasaense ba hlokometse hore lefu la tsoekere ke ntho e ikhethang ho batho ba ileng ba hōlela malapeng a sa sebetseng hantle. Ho tloha bongoaneng, bana ba malapeng a joalo ba ja lijo tse theko e tlaase le lik'habohaedreite tse seng bonolo 'meleng.
Matšoao le mathata
Maemong a mangata, lefu la tsoekere le bonolo ka matšoao a sa hlakileng. Mosali a kanna a se ke a belaela hore oa kula, ka hona, lefu la kelello le fumanoa hangata ka kotsi. Matšoao a pele a lefu la tsoekere ho basali a qala ho bonahala ka mokhoa oa mokhathala kapa mokhathala. Sena se kenya letsoho phokotsong e fokolang ea tsoekere, e leng mohloli oa matla. Bakuli ha ba ele hloko liponahatso tsena, ba li tšoaea ka lilemo tsa bona. Ho ka nka lilemo ho tloha ho qala ha lefu lena ho ea ho lefu leo, nakong eo mosali a nang le matšoao a hlahang, empa a sa fetohe ho litsebi. Le lefu la tsoekere le tsoelapele "ketso e litšila" mme le ka iponahatsa ka matšoao a latelang:
- Ho nona ho feta tekano - ka lebaka la motsoako oa mafura a amino acid, a fetotsoeng palo e kholo ea lik'habohaedreite tse sa fetotsoeng.
- Ho thehwa ha ulcers ea ka ntle le kahare - tsoekere e feteletseng e senya marako a methapo ea mali e lahlehelang matla a tsona.
- Nts'etsopele ea atherosulinosis - ka lebaka la kholo e sa tloaelehang ea lisele tsa tsamaiso ea potoloho. Ka lebaka leo, methapo ea mali e tšesaane, sebopeho sa mali, le phallo ea mali ea senyeha.
- Keketseho ea khatello ea mali - ka lebaka la ho fokotseha ha methapo ea mali, khothatso e ntlafalitsoeng ea methapo ea mali, pelo le liphio.
- Khōlo ea lihlahala tse nang le mofetše - ka lebaka la litlamorao tse mafolofolo tsa tsoekere ho linama.
- Ho thehoa ha li-ovary tsa polycystic, dysmenorrhea, ho hloka thari - li-hormone li thusa ho thehoa hoa testosterone, e leng sesosa sa lefu lena.
Matšoao a mantlha a lefu la tsoekere ho basali ka mor'a 50 ke mokhathala, ho opeloa ke hlooho khafetsa, ho tsekela le pono e foufetseng. Karolo e ka sehloohong e khethollang ke ho lakatsa liswiti, maikutlo a lenyora, ho choachoasela khafetsa le ho hlohlona ha letlalo, haholoholo sebakeng sa inguinal. Nakong ea ho eketsoa ho eketsehileng, bakuli ba ferekana, hangata ba lebala. Ha u ntse u fokotseha hanyane, maqeba a fola nako e telele, a chaisoa, 'me ho thata ho a phekola. Ho koaloa ha likepe le ho fokotseha ho lebisang ho liso tsa trophic tse sa phekoleheng, mme lingaka li tlameha ho sebelisa bonyane - ho pongoa maoto le matsoho. Ha ho e-na le mathata a tebileng, motho a ka oa.
Tlhahlobo ea lefu lena
Haeba mosali kamora lilemo tse 50 a hlokometse matšoao a lefu la tsoekere, joale ena ke pontšo ea tlhahlobo e felletseng ea 'mele oohle. Ho fetohela ho setsebi sa tikoloho, mosali o amohela phetisetso ho litsebi tse 'maloa, e leng: endocrinologist, cardiologist, psychotherapist, gastroenterologist. Ho fumana tlhahlobo e nepahetseng ea bongaka, lingaka li tlameha ho theha mofuta oa lefu lena, ho hlahloba boemo ba mmele ka kakaretso le ho fumana mathata a amanang le ona. Bakeng sa sena, lithuto tse latelang li ngotsoe ka:
- Boikemisetso ba boemo ba lihormone maling (insulin, renin, aldosterone, cortisol, prolactin) - ho tseba tšebetso ea tšoelesa ea qoqotho.
- Ho beha leihlo khatello ea mali motšeare (matšoao a khatello ea mali ke matšoao a pele a lefu la tsoekere ho basali kamora lilemo tse 50).
- Ho lekola boima ba mokuli le karo-karolelano ea boholo ba letheka le thekeng.
- Tlhaloso ea microalbunaria - liprotheine tse ka har'a moroto (matšoao a ho senyeha ha meno le khatello ea mali ho bakuli ba nang le lefu la tsoekere).
- Tlhahlobo ea Ultrasound ea litho tsa ka hare (manyeme, liphio, sebete) ho fumana hore na o na le tšenyo e kae.
- MRI, CT ea gland ea adrenal le gland ea pituitary ho khetholla lefu la Itzingo-Cushing (tšebetso e eketsehileng ea pituitary, e nang le matšoao a tšoanang le lefu la tsoekere).
- Teko ea mali a biochemical - boikemisetso ba tsoekere, cholesterol e felletseng, triglycerides (lipids, li-glycerol derivatives), lipoprotein (liprotheine tse rarahaneng), letsoalo le phahameng le le tlase.
Pele o fetisa litlhahlobo, o latela melao eohle - o se ke oa ja lijo ka lihora tse 8, o noe metsi feela, o qhele ka ntle le lino tse ling. Nakong ea tlhahlobo, mali a tsoa leqebeng, 'me haeba boemo ba tsoekere bo feta 6,5 mmol ka millilita, ebe ho fumanoa tsoekere ea lefu la tsoekere. Hamorao, ho etsoa tlhahlobo ea bobeli ho lekola karabelo ea 'mele ho tsoekere. Mokuli o noa seno se se monate, ka mor'a lihora tse peli ngaka e hlahloba boemo ba tsoekere ea mali, 'me haeba e feta 7 mmol, joale sena se tiisa bonnete ba tlhahlobo eo.
Mekhoa ea Thibelo le Thibelo
Karolo ea mantlha ea kalafo ke lijo tse etselitsoeng ho theola boima ba 'mele. Ho sa tsotelehe hore na mokuli o etsa mosebetsi oa mofuta ofe, litaba tsa caloric tsa lijo tseo a li sebelisang li fokotseha makhetlo a mangata. Fokotsa lik'habohaedreite haholo lijong. Lijo li thehiloe litholoana le meroho - ka likarolo tse nyane, makhetlo a 4-5 ka letsatsi. Ho ikoetlisa butle-butle ho eketseha - ho tloha meroalo e nyane ho ea ho ikoetlisa nako e telele. Boikoetliso ba 'mele e lokela ho ba feela lipapali tse bonolo, tse kang: ho tsamaea, ho sesa, ho loants'oa boikoetliso, yoga. Ho ikoetlisa ka matla ho mpefatsa boemo le ho eketsa menyetla ea ho ba le khatello ea maikutlo.
Mechining ea kalafo, ho sebelisoa meriana hape:
- ho theola tekanyo ea tsoekere maling maling (Amaryl, Siofor, Maninil) - biguanides, thiazolidines;
- normalizing khatello ea mali le ho fokotsa kotsi ea ho tšoaroa ke pelo (Octadin, Rezeprin, Pentamine) - antihypertensive;
- ho theola palo ea cholesterol maling (Holetar, Tulip, Simvastol) - li-statins le li-fibrate;
- ho fokotsa takatso ea lijo (Ankir-B, Reduxin, MCC) - inhibitors tse ntlafatsang ts'ebetso ea potoloho ea mala, ho senya mafura;
- ho eketsa metabolism, ho tlosa cholesterol e ngata, ho sebelisa tsoekere (Lipoic acid).
Ho latela litsebi, ho ka se khonehe ho felisa ka botlalo “lefu la tsoekere”. Phekolo e reretsoe ho felisa mafu a kopaneng le ho thibela mathata a teng moo kotsi e leng teng.
Ka hona, ho thibela mats'oao a pele a lefu la tsoekere ho basali kamora lilemo tse 50, ho bohlokoa ho mamela 'mele oa hau le ho latela melao eohle ea ho thibela lefu lena. Khetholla ka botlalo lijo tse potlakileng le lijo tse halikiloeng tse tsoang lijong. Ja feela lijo tse matlafatsang tse nang le lik'hilojule tse tlase. Molemo o moholo ke li-gymnastics tsa ho phefumoloha moeeng o mocha - li khutsisa methapo le ho etsa hore metabolism e sebetse hantle. Haeba u latela litlhahiso tsohle tsa litsebi, lahla mekhoa e mebe le bophelo ba ho lula fatše, matšoao ohle a sa thabiseng le lipontšo tse kotsi tsa lefu la tsoekere li ka qojoa.
