Ho latela lipalo-palo tse fumanoeng ka lebaka la ts'ebetso ea tlhaiso-leseling e akaretsang ea bongaka, arterial hypertension (AH) ho mellitus ea lefu la tsoekere e etsahala habeli ho feta maemong a mang kaofela.
Lebaka la sena ke boemo ba tsoekere ea mali bo phahameng kamehla, bo amang methapo ea mali le pelo hampe.
Hypertension le lefu la tsoekere ka lebaka la tlhaho ea bona li matlafatsana, tse ka lebisang ho holofala esita le lefu. Haeba lefu la tsoekere le fumanoa, ho hlokahala hore ho laole khatello ea mali le ho qala kalafo ea khatello ea mali kapele ka mor'a hore e fumanoe.
Melao-motheo ea kalafo ea khatello ea mali ho mofuta oa lefu la tsoekere 1 le 2
Pele u etsa liqeto tsa mantlha mabapi le kalafo, ho hlokahala hore u itlhalosetse hore na ke matšoao afe a bontšang hore ho na le tlhokahalo ea kalafo e potlakileng.
Haeba boemo ba khatello ea mali bo feta 130/85 mm RT. Art., E lokela ho ba seli. Matšoao a joalo aa tšosa.
Phekolo ea khatello ea mali ho lefu la tsoekere e ipapisitse le mokhoa o kopaneng, karolo ea mantlha eo e nehetsoeng meriana. Bakeng sa kalafo ea khatello ea mali ho lefu la tsoekere, ho sebelisoa lithethefatsi tse nang le tšusumetso e bonolo litsoeng. Bakuli ba fuoa liuretics tsa thiazide, li-blockers tsa calcium calcium, hammoho le meriana e tsoang lihlopheng tse ling tsa lithethefatsi.
Leha ho le joalo, meriana ea mokuli e mong le e mong e khethoa ke ngaka e eang ho latela boemo ba bophelo bo botle le sephetho sa liteko tsa mokuli. Matsatsing a pele a kalafo, motho ea nang le lefu la tsoekere o lokela ho laola boemo ba hae mme, maemong a litlamorao, a tsebise setsebi hanghang.
Lethathamo la Litlhare tse ncha tsa kalafo ea meriana ea lefu la tsoekere
Ho sebelisa meriana bakeng sa khatello ea lefu la tsoekere ha ho bonolo haholo. Ka lebaka la tlolo ea metabolism ea carbohydrate, ha se lithethefatsi tsohle tse loketseng ts'ebeliso.
Mokuli a ka abeloa ho ba sesebelisoa se arohaneng kapa lithethefatsi tse ngata. Ntho e ngoe le e ngoe e tla its'etleha ho latela mofuta oa lefu la tsoekere, le ho kula ho tšoanang le likarolo tsa tlhaho tsa 'mele.
Beta blockers
Beta-blockers ke sehlopha sa lithethefatsi tseo ketso ea tsona e reretsoeng ho fokotsa pono ea methapo ea pelo le methapo ea mali ho adrenaline le lintho tse ling tse bakang keketseho ea matla a methapo ea pelo.
Lipilisi tsa Nebilet
Beta blockers e thusa ho fokotsa khatello ea pelo. Tse bohlokoa ka ho fetisisa ke lithethefatsi tse tsoang sehlopheng sena tse nang le thepa ea vasodilating. Sena se kenyelletsa Trandat, Dilatrend, Nebilet.
Tse theko e tlaase ke Atenolol. Lithethefatsi tsena ha li ame boemo ba tsoekere ebile ha li hlahise phaello ea boima ba 'mele. Ntle le moo, meriana e boetse e kenya letsoho katolosong ea likepe tse nyane.
Li-inhibitors tsa ACE
Li-inhibitors tsa ACE kapa angiotensin-converting enzyme ke lithethefatsi tse lokelang ho ba teng ka har'a cabinet ea meriana ea lefu la tsoekere le leng le le leng. Ha li halefise vasodilation feela, empa li tlosa le metsi a mangata le sodium e kotsi 'meleng.
Matlapa a Renitek
Phello ena e fihlella ka lebaka la thibelo ea enzyme e kotsi ho litšoelesa tsa adrenal (angiotensin-2). Ntle le ho theola khatello ea mali, tšebeliso ea nako e telele ea lithethefatsi e tla thusa ho fokotsa khatello ea insulin.
Har'a lithethefatsi tsa sehlopha sena ho kenyelletsa Renitek, Prestarium, Akkupro le mekhoa e meng. Li-inhibitors tsa ACE li thusa ho fokotsa kotsi ea ho ba le stroke le pelo.
Lithethefatsi tsa diuretic
Ho lefu la tsoekere mellitus, diuretics ha e fuoe lithethefatsi tse arohaneng, empa e le tlatsetso ea phekolo e rarahaneng. Li-diuretics li kenyelletsa Hypothiazide, Indapamide, Arifon Retard, le ba bang.
Matlapa a Indapamide
Ho amoheloa ha chelete e fetisitsoeng ho thibetsoe. Ho sebelisa litafole nako le nako khafetsa ho tsoa sehlopheng sena ho ka baka hyperglycemia, ho baka keketseho ea cholesterol, hape ho sitisa ts'ebetso ea liphio.
Sartane
Li-ARB (angiotensin-2 receptor blockers) kapa sartan li sebelisoa ha li-ACE inhibitors li baka litla-morao.Lithethefatsi tse tsoang sehlopheng sena ha li thibele tlhahiso ea angiotensin-2, empa li tlosa kutloisiso ea methapo ea pelo le methapo ea mali nthong ena.
Ho fapana le li-inhibitors tsa ACE, li-sartan li na le li-contraindication tse fokolang, hammoho le ho ntlafatsa ts'ebetso ea liphio, ho thibela nts'etsopele ea lefu la tsoekere la mofuta oa 2, hape le ho kopanya hantle le diuretics.
Slow Calcium Channel blockers
Joalokaha u tseba, calcium e kenya letsoho ho fokotseng methapo ea mali, e sa amoheleheng ho batho ba nang le lefu la tsoekere, bao likepe tsa bona li seng li na le bothata ba ho pepesetsoa tsoekere. Li-blockers tsa calcium calcium, tse bakang sethethefatsi sena, li fana ka phokotso ea khatello ea mali.
Matlapa a Verapamil
Har'a matlapa ana ho kenyelletsa: Barizin, Nimotop, Corinfar, Verapamil le lithethefatsi tse ling. Li-blockers tsa sehlopha sena li kopantsoe hantle le beta-blockers, e fana ka phello e ntle ea kalafo.
Melao-motheo ea phekolo ea lithethefatsi e kopaneng ea khatello ea mali
Maemong a mangata, ho thata haholo ho fokotsa khatello e phahameng ea mali maemong a tloaelehileng ka moriana o le mong.Ka hona, bakuli ba qobelloa ho nka lithethefatsi tse 2-3 ka nako e ts'oanang, tse thehiloeng ho lintho tse fapaneng tse sebetsang.
Phekolo e kopaneng ea lithethefatsi e ka ba analogue e ntle ha mokuli a fuoa moriana o le mong, o kenyeletsang metsoako e mengata.
Phekolo e joalo e na le molemo o moholo bakeng sa mmele, kaha ntlheng ena mokuli o nka lintho tse sebetsang ka tekanyetso e tlase, mme pilisi e nkuoeng ka nako e ts'oanang e qala mekhoa e mengata e hlokahalang ho ntlafatsa boemo ba mokuli.
Lijo khahlano le khatello e phahameng ea mali
Ho boloka tsoekere e le boemong bo nepahetseng, hammoho le khatello ea mali ka tloaelo, o hloka ho ja hantle. Ntle le ho ja, ho ka se khonehe ho fihlela sephetho se lakatsehang.
Lijo tsa khatello ea mali le lefu la tsoekere li bolela ho latela melao e latelang:
- phepo e lokela ho ba e leka-lekaneng. Khethollo e felletseng ea lintho life kapa life lijong (liprotheine, mafura, lik'habohaedreite) ha e amohelehe. Ka nako e ts'oanang, tekanyo ea lik'habohaedreite ka har'a lijo e lokela ho ba tse fokolang;
- ho hlokahala ho fokotsa bongata ba letsoai, mafura a liphoofolo le lik'habohaedreite tse bonolo;
- hoa hlokahala ho tlatsa lijo ka lijo tse nang le magnesium, potasiamo, livithamini B, C, P. Ho khothalelitsoe ho kenyelletsoa ha tlamahano ea lijo tsa leoatleng le lijo tse thehiloeng ho limela lijong;
- lijo e lokela ho ba tse qabolang. E ja ho isa ho makhetlo a 4-6 ka letsatsi ka likarolo tse nyane. Lihora tse 2 pele a robala, ho bohlokoa hore u se ke oa ja;
- lenaneng la batho ba nang le lefu la tsoekere ba nang le khatello ea mali, meroho le litholoana ba lokela ho ba teng ka bongata;
- mafura a nama ea mafura a tsoang lijong a tlameha ho behelloa ka thoko, a li nkele likhoho kapa turkey. Ho hlokahala hape ho lahla tse halikiloeng, li-pickle le linoko.
Ho latela melao ena e kaholimo ho tla thusa ho tsitsisa boemo ba bophelo bo botle le ho tlosa matšoao a mangata a sa thabiseng a thatafatsang bophelo ba mokuli.
Mokhoa oa ho alafa kalafo ea khatello ea mali e phahameng?
Melemo ea batho ba bang e ka ba thuso e ntle ho batho ba nang le lefu la tsoekere ka nts'etsopele ea khatello ea mali.
Lisebelisoa tse latelang li ka fokotsa khatello:
- Recipe nomoro ea 1. Ka tekanyo e lekanang, makhasi a omisitsoeng a sinamone, hawthorn, chamomile, viburnum le makhasi a currant a kopantsoe. 2 tbsp. l tšela 0.5 l ea metsi a belang ka har'a motsoako ebe u tlohella tee e tsoe. Noa ka likarolo tse nyane letsatsi ho pota. Ho nooa lino tse fetang 0.5 tsa tee ka letsatsi ha ho khothalletsoe.
- Recipe nomoro ea 2. Monokotsoai o mocha oa hawthorn o ja ka makhetlo a 100 g makhetlo a 3 ka letsatsi. Litholoana tsena li ke ke tsa thusa feela ho fokotsa khatello ea mali, empa hape li tla fokotsa hyperglycemia.
Ho eketsa khatello ea mali ho lefu la tsoekere?
Maemong a mang, batho ba nang le lefu la tsoekere le bona ba na le khatello e tlase ea mali. Sena se bakoa ke taba ea hore ho bakuli ba joalo ho na le tlolo ea tsamaiso ea methapo ea kutlo, e amang hampe ts'ebetso ea likepe.
O ka eketsa khatello ea mali ka ho noa kopi ea tee e tala hoseng ka sekhechisi sa chisi e nang le letsoai.
U ka boela ua nka letlapa la 1/2 la ascorbic acid kapa ua noa marotholi a mmaloa a Eleutherococcus a qhibilihang ka halofo ea khalase ea metsi.
Livideo tse amanang
Litlhare tsa kalafo ea khatello ea mali ka bongata ho lefu la tsoekere la mellitus 1 le 2 ho video:
Ho lekola khafetsa khatello ea mali ho lumella mokuli ho qoba nts'etsopele ea psychology e eketsehileng, ka ho etsa joalo a ntlafatsa maemo a bona. Ka hona, ho hlahloba letsatsi le leng le le leng tsoekere maling, le teng u se ke oa lebala ho lekanya khatello ea mali!
