Yimuphi udokotela ophatha isifo sikashukela

Isifo sikashukela i-mellitus yiqembu lezifo zohlelo lwe-endocrine enezinkinga ezinzima. Ukuvela kwalesi sifo kuhambisana nokukhipha i-glucose engasebenzi kahle noma ukuntuleka kokukhiqizwa kwama-insulin. Ukugwema imiphumela emibi yalesi sifo, udinga ukusicubungula ngesikhathi bese uqala ukwelashwa, okufanele uxhumane nalo ngochwepheshe ofanele.

Yimuphi udokotela okufanele ngixhumane noshukela ophezulu wegazi

Lapho kuvela izimpawu zokuqala zesifo sikashukela, udinga ukuxhumana nodokotela we-endocrinologist. I-endocrinologist ichaza izifundo ezidingekayo bese kuthi, ngokuya ngemiphumela etholakele, yenze ukuxilongwa okulungile futhi kunqume ukwelashwa.

Lapho kuvela izimpawu zokuqala zesifo sikashukela, udinga ukuxhumana nodokotela we-endocrinologist.

Yikuphi uchwepheshe ophatha unyawo lwesifo sikashukela

Unyawo lwesifo sikashukela luyinkinga yesifo sikashukela, imvamisa yohlobo 2. Ngenxa yokuqukethwe okukhulayo kwe-glucose esegazini, i-microcirculation emikhunjini iyaphazamiseka, izicubu azitholi umsoco ofanele. Izilonda ezingena emzimbeni zivele ezinyaweni, okuthi uma zishiywa zingalashwa, ziba yi-gangren. Njengoba isifo esiyinhloko kuleli cala sinesifo sikashukela, i-endocrinologist yenza ukwelashwa kwezidakamizwa. Udokotela ohlinzayo ubandakanyeka ekwelashweni kwezinkinga ze-purulent zezinyawo. Wenza ukwelashwa kokuhlinza: ukuvuselelwa kwe-necrotic foci yonyawo, uma kunesidingo, ukunqunywa komlenze.

Ngubani obhekana nezinkinga zesifo sikashukela esweni

Njengoba isifo sikashukela siqhubeka, i-retinopathy yesifo sikashukela iyaqala - ukubambeka kancane kancane kwe-retina okuholela ekulahlekelweni kombono. Ngesikhathi sokuqaphela le nkinga futhi uqale ukwelashwa, kuyadingeka ngaphansi kokuhlolwa kwe-ophthalmologist. Wenza izivivinyo zamehlo, anqume izidakamizwa ukuze alondoloze umbono.

Yimuphi udokotela ozosiza ekwelapheni i-neuropathy

I-Neuropathy ingumonakalo wezinzwa owenzeka ngenxa yokuqhubeka kwesifo sikashukela. Kuboniswa izinguquko emizweni: ukuncipha noma, ngakolunye uhlangothi, ukukhulisa. Ukuvela kobuhlungu, ukugcwala. Udokotela wezinzwa ubandakanyeka ekwelashweni kwe-neuropathy: uhlola isiguli, anqume ama-painkillers, umuthi othuthukisa izinqubo ze-metabolic, physiotherapy. Ngenxa yokuthi imbangela ye-neuropathy yisifo sikashukela, ongoti be-endocrinologist nodokotela oyi-neurologist basebenzisana ngesikhathi sokulashwa.

Njengoba isifo sikashukela siqhubeka, i-retinopathy yesifo sikashukela iyaqala - ukuthamba kancane kancane.

Unyawo lwesifo sikashukela luyinkimbinkimbi yesifo sikashukela lapho kuvela khona izilonda zesisu ezinyaweni.

I-Neuropathy ingumonakalo wezinzwa owenzeka ngenxa yokuqhubeka kwesifo sikashukela.

Ngubani udokotela wesifo sikashukela, futhi usizo lwakhe lungadingeka nini

Isazi sesifo sikashukela ngudokotela wezifo zesifo sikashukela ofunda futhi ophatha isifo sikashukela. Uchwepheshe ohlukile kulo mkhakha uvele ngenxa yokwehlukahluka nobunzima be-pathology. Lo dokotela ufunda izimbangela zesifo sikashukela, amafomu aso. Yenza ukuxilongwa, ukubonisana, ukwelashwa kweziguli ezinje. Ubandakanyekile ekuvinjelweni kwezinkinga nasekuvuseleleni iziguli.

Kufanele kuboniswane nodokotela wesifo sikashukela lapho kuvela izimpawu zokuqala zesifo sikashukela:

• ukoma okungapheli;
• ukukhuphuka kokudla kwamanzi phakathi nosuku;
• ukuchama njalo;
• umlomo owomile
• ubuthakathaka
• ukulamba okungapheli;
• ikhanda
• ukungaboni kahle
• ukwehla kwesisindo okungazelelwe noma inzuzo yesisindo;
• ukwehla okungachazwanga kushukela wegazi.

Okunye ukubonisana nodokotela wesifo sikashukela kunconywa kubantu abasengozini:

• izihlobo eziseduzane zeziguli ezinesifo sikashukela;
• abantu abanomfutho wegazi ophakeme;
• abantu abakhuluphele;
• abantu abangaphezulu kweminyaka engama-45;
• iziguli ezithatha i-glucocorticosteroids, izindlela zokuvimbela inzalo, nezinye izidakamizwa ezivusa ukuvela kwesifo sikashukela;
• iziguli ezinezifo ezingamahlalakhona zesibindi, izinso, amanyikwe.

Kuyadingeka ukuthi uvakashele uchwepheshe uma umuntu ehlangabezana nendlala engapheli.

Ukubonisana nodokotela wesifo sikashukela kuyadingeka lapho kunokoma okungapheli.

Kuyadingeka ukubonana nodokotela wesifo sikashukela uma isiguli sikhathazekile ngokuchama okusheshayo.

Uma umuntu ekhathazekile ngekhanda, udinga ukuvakashela udokotela wesifo sikashukela.

Ngokukhubazeka okubukwayo, kufanele avakashelwe uchwepheshe wesifo sikashukela.

Ukubonisana nodokotela onesifo sikashukela kunconywa kubantu abakhuluphele.

Abantu abanomfutho wegazi ophakeme kufanele babonane nodokotela wesifo sikashukela ukuthola izeluleko.

Isifo sikashukela siyindlela emincane ekhethekile. Ochwepheshe abanjalo abatholakali kuyo yonke imitholampilo, ngenxa yalokho imvamisa i-endocrinologist, udokotela wephrofayili ebanzi, ibandakanyeka ekwelashweni kwalesi sifo se-endocrine system.

Ikhono le-endocrinologist nezinhlobonhlobo zobungcweti bakhe

Udokotela we-endocrinologist udokotela obandakanyeka ekulungiseni izinkinga zezindlala ze-endocrine, ukuphazamiseka kwe-hormonal kubantu abadala nasezinganeni. Uhla lomsebenzi we-endocrinologist lubanzi, ngoba ukuphazamiseka kwe-hormonal kuthinta umsebenzi wazo zonke izitho nezinhlelo. Lezi ziphazamiso ziziveza ngezindlela ezihlukile, ngakho-ke ama-endocrinologists futhi axwayisa iziguli ezinezifo ezinezimpawu zazo ekuqaleni kokuqala ezingewona umphumela wokwehluleka kwe-hormonal.

Izinhlobo zezinto ezikhethekile:

1. Udokotela wezingane wase-Endocrinologist. Ilungisa ukuphazamiseka kwe-hormonal ezinganeni.
2. I-Endocrinologist-gynecologist. Iphatha ama-pathologies esistimu ye-hormonal athinta umsebenzi wezitho zokuzala zabesifazane.
3. I-Endocrinologist andrologist. Iphatha izifo zohlelo lowesilisa lokuzala olubangelwa ukuphazamiseka kwama-hormone.
4. I-Endocrinologist-oncologist. Kuholela iziguli ezifweni zesimila sezitho ze-endocrine.
5. Udokotela ohlinzayo we-Endocrinologist. Iphatha ukwelashwa kokuhlinzwa kwezimila (ukuhlinzekela okwengeziwe) kohlelo lwe-endocrine.
6. Isazi sezofuzo se-Endocrinologist. Ucwaninga izifo ezuzwe njengefa ze-endocrine system, wenza ukwelulekwa ngofuzo kwemibhangqwana ehlela izingane.
7. Udokotela wezifo zamehlo. Ibandakanyekile ku-pathologies yegilo kanye nokuvela kwayo.
8. Isifo sikashukela. Udokotela welapha isifo sikashukela nezinkinga zaso.
9. I-Endocrinologist-dermatologist. Iphatha ukubonakaliswa kwesikhumba kokuphazamiseka kwe-hormonal.
10. Isazi se-endocrinologist Ululeka ngokulandela umsoco kuma-endocrinological pathologies, ucwaninga ngezinkinga zesisindo ngokweqile kanye nokukhuluphala.

Udokotela wezingane we-Endocrinologist ulungisa ukuphazamiseka kwe-hormonal ezinganeni.

Udokotela we-endocrinologist-gynecologist uphatha ama-pathologies athinta umsebenzi wezitho zokuzala zabesifazane.

Udokotela we-endocrinologist andrologist uphatha izifo zohlelo lokuzala lowesilisa.

Udokotela we-thyroid ubhekana ne-thyroid pathologies kanye nokubonakaliswa kwabo.

Ucwaningo lwe-endocrinologist lofuzo luzuze njengefa izifo zohlelo lwe-endocrine.

Udokotela we-endocrinologist-dermatologist uphatha ukubonakaliswa kwesikhumba kokuphazamiseka kwe-hormonal.

Indima yabelaphi besifo sikashukela

Uchwepheshe wezokwelapha wendawo ungchwepheshe wokuqala iziguli eziphendukela kuye uma zifika emtholampilo lapho isimo somzimba sesiya ngokuya sibi. Uma isiguli sithintene okokuqala, nezimpawu zaso zikhombisa ukuthi kungenzeka ukuthi sinesifo sikashukela, kunqunyelwe ukuhlolwa kweglucose egazini.

Uma imiphumela yokuhlaziya igculisayo, udokotela uqala ukubheka ezinye izimbangela zokugula.

Uma kutholakala izinga likashukela wegazi ophakeme, umeluleki uqondisa isiguli ku-endocrinologist ukuhlolwa okwengeziwe nokubonisana. Udokotela we-endocrinologist (noma udokotela wesifo sikashukela) unikeza ukwelashwa, utusa irejimeni yomsebenzi nokuphumula, ukondleka, ufundisa ukusetshenziswa okuyikho kwama-glucometer nokuzilawula kwemijovo ye-insulin, uma ngabe ukuxilongwa kuqinisekisiwe.

Uma isiguli sikuqinisekisile isifo sikashukela, futhi siguqukela kwesinye isiguli eselulekwa kwesinye isifo, udokotela uqala ukwelashwa ecabanga ngale ndlela. Kwenza isiqiniseko sokuthi isimo sesiguli asisi sibi ngokwasemuva kokwelashwa.

Udokotela ojwayelekile futhi wenza umsebenzi wokufundisa phakathi kweziguli ezinempilo ezibekelwe ukuthuthukiswa kwesifo sikashukela. Ubachazela ngqo nokuqina kwalesi sifo, anikeze nezincomo zokuthi adle kangcono kanjani, iyiphi indlela yokuphila okufanele ayiholele ukuze angaguli.

Uma kungekho dokotela we-endocrinologist, udokotela wesifo sikashukela esibhedlela lapho baphendukela khona usizo, futhi futhi ayikho indlela yokuthumela isiguli esinesifo sikashukela esikhungweni sezokwelapha esikhethekile ngokwedlulele, nodokotela ojwayelekile ubhekana nokwelashwa kwakhe nokuhlolwa kwezokwelapha.

Yini Isifo Sikashukela Esisaludinga

Isifo sikashukela i-mellitus yisifo esithinta zonke izitho zomzimba. Iningi leziguli alikufanga ngalesi sifo uqobo, kodwa ngenxa yezinkinga zalo. Ngakho-ke, ukwelashwa kwalesi sifo kanye nokubonakaliswa kwaso kufanele kube okuphelele, kuphela lapho kuzosizakala futhi kunciphise inani lezinkinga.

Ukuqashwa kwe-Nephrologist kuyadingeka ukuze kuvikelwe ukuthuthukiswa kokuhluleka kwezinso.

Udokotela ohlinzayo ubheka iziguli ezinama-ulcerative necrotic vidion of the maoto - unyawo lwesifo sikashukela.

Isazi sokudla sinquma ukudla okufanelekile kwesiguli sikashukela.

Udokotela wamehlo ubuka isiguli esinesifo sikashukela ukuthola isifo sikashukela.

Umondli

Isifo sikashukela, izinqubo ze-metabolic emzimbeni ziyaphazamiseka. Ukusatshalaliswa kwamaprotheni, amafutha kanye nama-carbohydrate ekudleni kwabantu abanalesi sifo kuhlukile kunokwejwayelekile. Isazi sezempilo sinquma ukudla okufanelekile kwesiguli sikashukela, sichaza ukuthi yikuphi ukudla okufanele kunqunyelwe futhi yikuphi okufanele kudliwe ngaphezulu. Itshela ngemibandela ye-hyper- ne-hypoglycemic, inikeza izincomo zendlela yokuhlanganisa ukudla okungenamsoco nokudla kwe-insulin, ukuthi ungakuguqula kanjani ukudla okwanele nokwehla okubukhali noma ukwanda kweglucose yegazi.

I-Optometrist

Udokotela wamehlo ubona isiguli esinesifo sikashukela ukuze kuvikeleke, ngokuhamba kwesikhathi, sikhombe isifo sikashukela - okuyinkimbinkimbi ebangela ukuwohloka komzimba nokulahlekelwa umbono. Yenza ukwelashwa kokuvimbela kanye nokwelashwa kwenqubo eseyiqalile kakade.

Isazi se-Nephrologist

Ngesifo sikashukela, ukulethwa kwegazi ezinso kuwohloka, ukufafazwa kwe-glomerular kukhubazekile. Ngakho-ke, lezi ziguli zisengozini yokuthola ukwehluleka kwe-renal. Ukuze uvimbele ukukhula kwale nkinga, ukuqashelwa kwe-nephrologist kuyadingeka.

Udokotela ohlinzayo

Udokotela ohlinzayo ubheka iziguli ezisungule i-ulcerative necrotic lesion of the maoto - unyawo lwesifo sikashukela. Ubeka ukwelashwa okufanele futhi anqume ngokungenelela kokuhlinzwa okungenzeka kanye nevolumu yayo.

Isazi sezinzwa

Ngenkambo ende yesifo sikashukela, uhlelo lwezinzwa nalo luhilelekile kwinqubo. Iningi lezingqinamba ezikhulisa ikhwalithi yempilo nokuholela ekufeni zihambisana nalo. Okuvame kakhulu: i-polyneuropathy, isifo sikashukela, unhlangothi. Ukuvimbela lezi zinkinga nokubheka isimo sohlelo lwezinzwa kwenziwa ngudokotela wezinzwa.