Ọbara ọbara mgbali elu maka ọrịa shuga (ọbara mgbali elu). Ere ọgwụ

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Nke mbu, akwara obara na-ata ahuhu n’omasi glucose obara. A na-ahụkarị ọrịa shuga mellitus na ọbara mgbali elu n'otu oge na 80% nke ndị ọrịa. Ọ bụrụ na ọbara mgbali elu bụ mbubreyo ọrịa shuga na ọrịa oria 1, mgbe ahụ enwere ike ịchọpụta ụdị ọbara mgbali elu nke 2 ọbụna tupu nsogbu metabolism metabolism.

Ọbara mgbali elu na-emebi ọria mamịrị, na-eme ka ohere ọrịrị belata ugboro atọ, ìsì n'ihi mmebi nke retina na gangrene nke ụkwụ - ugboro iri abụọ. Yabụ, nrụgide chọrọ ndị ọrịa shuga siri ike karịa ka ọ dịịrị ndị ahụ ike. Ọgwụ ọbara mgbali elu bidoro ozugbo, dịka ihe ịrịba ama mbụ nke nsogbu vaskụla na-apụta. A na-elezi anya na ntinye ọgwụ; maka ọrịa shuga, ọ bụ naanị mbadamba ụrọ ndị ahụ ka edepụtara na-enweghị ike ime ka nsogbu ahụ ka njọ.

Ihe kpatara ọbara mgbali elu na ọrịa mamịrị

Nwee ọrịa shuga 1, isi ihe kpatara ọbara mgbali elu bụ nephropathy. Nke a bụ nsogbu siri ike nke na-emebi emebi nke akwara nke mmiri na-emebi emebi n'ihi oke glucose dị na arịa, nke na-abawanye urination, protein na-amalite ịbanye na mmamịrị, na ọkwa nke ikpeazụ, ọdịda akụrụ na-apụta. Ka ọtụtụ mgbe onye ọrịa na-eleghara ọgwụ enyere ya maka ọrịa shuga, ọ na-adị ngwa ngwa nephropathy.

Ọrịa shuga na oke nrụgide ga-abụ ihe mgbe ochie

  • Normalization shuga -95%
  • Mwepu nke akwara mbufụt - 70%
  • Mwepu nke obi ike -90%
  • Bibie ọbara mgbali elu - 92%
  • Mmụba na ume n'ụbọchị, na-eme ka ụra na-ehi ụra n'abalị -97%

Mebiri emebi renal glomeruli amalite ịrụsi ọrụ ike na renin, ihe na-akwalite ụda vaskụla. Nrụgide na-ebili na ọkwa nke atọ nke nephropathy, mgbe akụrụ malitere ịmịpụta mmamịrị ugboro atọ nwayọ. N'oge a, usoro mgbakasị ahụ na-amalite: glomeruli ahụ mebiri emebi na-akpata ọbara mgbali, ọ, n'aka nke ya, na-aka njọ mmebi nke arịa ọbara, gụnyere akụrụ. Pressuredị nrụgide a bụ nke a na-ekwesikarị ike ma na-enweghị ike ịgwọ ọrịa. Site na mgbanwe ndị a na-atụgharịghị na akụrụ, a na-ahụ ya n’ebe ndị ọrịa niile na-arịa ọrịa shuga.

Ndị ọrịa shuga na-arịa ụdị ọrịa 2 na-enwe ọbara mgbali ogologo oge tupu mgbe ahụ, ọbụlagodi n'oge ọrịa shuga. Ọbara ọbara mgbali elu bụ otu n'ime ihe ngosipụta nke ọrịa metabolic, ihe ga-ebute ọrịa shuga. Ọrịa glucose na-amalite ibute arịa ndị dị na ya ọbụna tupu ụkpụrụ ya adị elu. Enwere ihe akaebe na usoro a na - amalite mgbe glucose dị elu karịa 6 mmol / L. Mgbidi nke arịa ndị ahụ mebiri emebi, paịlị na-amalite ịbịakwasị ha, akwara lumen. Ndị enyi a pụrụ ịtụkwasị obi nke ọrịa shuga - oke ibu na enweghị mmegharị - mee ka mmalite nke ọbara mgbali elu.

Mmekọrịta dị n'etiti ogo ịgwọ ọrịa shuga na ọnụego mmụba nke ọbara ọgbụgba bụ nke dị elu, shuga dị elu, karịa ọbara mgbali elu n'ime arịa.

Ihe na-akpata mgbali elu na ọrịa shuga:

ỌrịaNjirimaraUgboro ugboro nke ọrịa shuga,%
Dị 1Ụdị 2
Nehropathy na-arịa ọrịa shugaMebiri emebi nke akụrụ.8015-20
Ọbara mgbali dị mkpaNrụgide na-adịgide adịgide na-enweghị mgbagha ọ bụla.1030-35
Ọrịa ọbara mgbatị akwara ekewaMmụba dị elu, na-amalite na nká.5-1040-45
Ọrịa endocrine systemỌkpụkpụ azụ, ọgba aghara na gland pituitary, gren adrenal, gland thyroid.1-31-3
Angiopathy na-arịa ọrịa shugaIbelata nnukwu arịa na-enye akụrụ.enweghị data5-10

Mmekọrịta dị n'etiti ọbara mgbali elu na insulin

A maara na insulin na-arụ ọrụ dị ka vasodilator. Keduzi ihe kpatara ụdị shuga nke abụọ, nke nwere insulin dị elu, ma nwee njikọ chiri anya na ọbara mgbali elu. Nke bụ eziokwu bụ na n'ọrịa ndị dị otú ahụ, enwere insulin na-eguzogide - ọnọdụ na-egbochi echiche nke insulin site na mkpụrụ ndụ ahụ. Site na nnwale nyocha, a chọpụtara na hyperinsulinemia na njikọta insulin na-eduga na mwepụta nke norepinephrine na mmụba dị ukwuu nke sistemụ ọmịiko. Ọzọkwa, n’ime ndị ọrịa nwere oke ibu, oke ọrụ ya na akụrụ, ala n’ime obi. N'ihi nsonaazụ a, akụrụ na-ejigide sodium na mmiri, mee ka ntụgharị nke renin dịkwuo elu. N'ihi ya, nsogbu dị na arịa ndị ahụ na-ebili.

Achoputara na obi uto, ya mere na onodu ogugu ndi mmadu, na-adabere na ntunye aka nke aru. Ọ bụrụ na ịba ụba n'ahụ, ngwa ngwa onye ọrịa na-arịa ọrịa shuga ga-enwe nrụgide, yana ihe dị elu nke tonometer ga-egosi ọnụọgụ dị elu.

Mgbaàmà na akara nke ọbara mgbali elu na ọrịa shuga

Ọbara ọbara bụ uru a na-agbanwe agbanwe. N'ehihie ọ na - agbanwe site na 10-20%, na - agbadakarị n'abalị na n'ụtụtụ, dị elu na - arụ ọrụ nke ụbọchị. Oke kachasị maka ịdị mma maka ndị nwere ahụike bụ 140/90. Ọchọrọ ọgwụgwọ ma ọ bụrụ na-agafe ọkwa a ugboro ugboro.

Na ọrịa shuga mellitus, ụda nke vibrations na-agbagha. Nrụgide n’abalị nwere ike ịbụ otu ihe n’ehihie, ma ọ bụ karịa. N'ihi ya, arịa ndị a na-agwụ ngwa ngwa, angiopathy na neuropathy na-aga n'ihu. N'ihi oke ịba ụba ọbara ọgbụgba na ọrịa shuga, oke ọnụ ụzọ ndị ọrịa na-ebelata ka 130/85. Ọ bụrụ na nrụgide dị elu karịa ọkwa a ma ọ bụ gbagote ya ọtụtụ oge n'izu, ị ga-agakwuru dọkịta gị maka ọgwụ ọgwụ.

Mgbaàmà nke ọbara mgbali elu:

  • isi ọwụwa, ọtụtụ mgbe n'azụ isi;
  • Dizziness
  • ike ọgwụgwụ
  • ihe mgbu n’obi, ọ na - abụkarị mgbe erichara nri ma ọ bụ mgbe ị na - eku ume;
  • nsogbu ihi ụra
  • mụbara urination n'abalị n'ihi nocturia.

Enwekwara ike ịhụ hypotension nke Orthostatic: nrụgide dị ala na mgbanwe dị ukwuu na ọnọdụ ahụ, na-abụkarị mgbe ị na-ehi ụra. Ọrịa ya bụ akpịrị ọgbụgbọ, ọgbụgbọ. Ọgụ dị otú a na-aga ngwa ngwa, na nkeji ole na ole.

Ihe ịrịba ama nke ọbara mgbali elu nwekwara ike anọghị ya, n'ihi na mgbali na-ebili nwayọ, ahụ gị na-ejikwa ya gaa n'ọnọdụ mgbanwe. Ọ bụrụ na achọpụtaghị ọbara ọgbụgba asymptomatic n'oge, ikpe ahụ nwere ike kwụsị na nsogbu ọbara mgbali elu.

Iji wepụta ọrịa ahụ n’oge, usoro nyocha nke ụlọ ọgwụ maka ọrịa shuga gụnyere nlebara anya nyocha nke nrụgide, yana n’ọnọdụ ndị a na-enyo enyo na oke mgbali abalị na-enyo enyo - na nlele awa 24.

Etu ị gha esi merie nrụgide na ọrịa shuga

Tụlee ụzọ ndị bụ isi isi mee ihe banyere ọbara mgbali elu.

Cheta: Ọbara mgbali elu nwere ike bụrụ ihe ọghọm nke ọrịa strok.

Iji ọgwụ ọjọọ eme ihe

A na-eji ọgwụ nrụgide maka ọrịa shuga na oke nwere oke. Ọgwụ ekwesịghị imetụta metabolism, ọ bụghị mee ka ọ ghara ịba n'ọrịa nke ọrịa vaskụla, nyere aka obi na akụrụ. Nweghị ike iwelata ọbara mgbali ngwa ngwa, n'ihi na nke a nwere ike ibute nsogbu ọrịa shuga. A na-eme atụmatụ ọgwụgwọ ọ bụla maka onye ọrịa ọ bụla. Site na nrụgide dịtụ elu, a na-ahọrọ ọgwụ ndị nwere ogologo oge, 1 mbadamba ụbọchị dum. Gwọ ọrịa ọbara mgbali elu chọrọ usoro ịjikọ ọnụ, na-eji ọgwụ ike site na otu dị iche iche.

Ọbara Ọbara Ọbara:

Otu aNjirimaraỌgwụ
Ihe mgbochi ACEEdere ọgwụ oke maka ịrịa ọrịa shuga. N'ụzọ dị mma emetụta metabolism nke carbohydrates, chebe akụrụ.Captopril, Fosinopril, Enalapril
Ndị na-egbochi AT1 ndị na-anabata iheMbadamba ụrọ na-enye mmetụta dị mma, anaghị emetụta metabolism metabolism. Maka ọgwụgwọ ọbara mgbali elu, enwere ike ịkọwa ha na ndị na - egbochi ACE.Losartan, Valsartan, Teveten
Ndị na-emegide CalciumHa na ejikọtara ọnụ nke ọma na ndị na - egbochi ACE, na - echebe obi ma na - ebelata mkpụrụ ndụ protin site na akụrụ.Verapamil, Diltiazem
Beta igbochiTinye na usoro ọgwụgwọ nke ọbara mgbali elu na enweghị arụ nke mbadamba ndị ọzọ. Ha nwere ike ime ka nnabata shuga dịkwuo mma, na-agbakarị ọrịa shuga, na-ekpuchi ihe mgbaàmà hypoglycemia. Ogologo oge bu ihe di egwu hyperosmolar coma.Atenolol, Bisoprolol
DiureticsVeroshpiron, Hypothiazide

Nri nri

Na mgbakwunye na ọgwụ, ọgwụgwọ nke ọbara mgbali elu n’emeghị nri chọrọ nri pụrụ iche.

Ọ kwesịrị inye:

  1. Normalization nke shuga site na ibelata carbohydrates na nri, ọkachasị ngwa ngwa.
  2. Fractional, opekata mpe nri ise n’ụbọchị.
  3. Mbelata ogo mmiri ahụ. Iji mee nke a, belata oriri nnu. Na-atụkarị nnu 10 g nke nnu kwa ụbọchị, na-arịa ọbara mgbali elu site na ogo 2 na karịa (> 160/100) - ruo 4 g.
  4. Oke abụba anụ - naanị anụ riri anụ na anụ ọkụkọ n'enweghị anụ.
  5. Ajụjụ sitere na kọfị siri ike, tii ojii, mmanya iji belata nrụgide na obi.
  6. Inine kacha nke ukwuu. Akụ sitere n'aka ha na-egbochi mkpụkọ cholesterol, si otú a belata ngosipụta nke atherosclerosis.
  7. Ngwaahịa nwere magnesium na potassium ọbụlagodi otu ugboro n'ụbọchị: griiz, agwa, aprịkọp, mkpụrụ osisi, mkpụrụ.

Ndabere nke nri nri maka ọbara mgbali elu kwesịrị ịbụ protein, abụba na-enweghị afọ ojuju na carbohydrates na GI dị ala - Tebụl nke glycemic indices - //diabetiya.ru/produkty/glikemicheskij-indeks-produktov.html.

Klọ ọgwụ ndị na-ewu ewu

E nwere ọtụtụ ìgwè osisi ọgwụ nwere ike ịba uru maka ndị ọrịa na-arịa oke ọbara nwere ọrịa mellitus:

  1. Osisi nwere uto hypotonic siri ike: hawthorn, motherwort, melilot, adonis.
  2. Osisi nwere mmetụta na-agafeghị oke: angelica, hops, calendula, linden.
  3. Mkpụrụ akwụkwọ ndụ akwụkwọ ndụ na-eme ka ọbara ọgbụgba na-arụ ọrụ na ọbara mgbali elu site na sistemụ ụjọ: lemon balm, Mint, valerian, peony.
  4. Osisi diuretic: chamomile, lingonberry, bearberry, nettle.

Feesgwọ maka ọbara mgbali elu na-agụnye ọgwụ mkpuru sitere na otu niile. Ime biya ha dịka izugbe iwu: were 2 tbsp. tablespoons nke akụrụngwa, wunye otu iko esi mmiri ma tụọ ya na mmiri saa 15 nkeji, wee kechie. Mgbe nkeji iri anọ na ise gachara, dozie ya ma drinkụọ ọgwụ ahụ na usoro nkewa atọ kwa ụbọchị.

Mgbochi

Idebe iwu maka igbochi ọbara mgbali elu ga - enyere aka zere ị numerousụ ọtụtụ ọgwụ maka ọbara mgbali elu maka ọrịa shuga:

  • na-achịkwa shuga dị n'ọbara. Were ọgwụ ọgwụ niile. A na-akwụghachi ọrịa shuga kachasị mma ụgwọ, obere nrụgide ga-adị;
  • belata ahụ n’arụ na nkịtị;
  • zụa usoro obi. Mee ka otu elekere dịkarịa ala ugboro atọ n'izu maka ije ije ọsọ, ịgba ọsọ, igwu mmiri ma ọ bụ ikuku;
  • kwụsị ị smokingụ sịga na mmanya;
  • nye anụ ahụ nri ọma;
  • na-enyocha ahụike kwa afọ, na-agwọ angiopathy, neuropathy na mgbanwe ọrịa mamịrị na akụrụ.

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