Imithi ekhethekayo yohlobo 2 sikashukela luhlobo losizo oluvela kuhulumeni. Isifo sikashukela yisifo esikhohlisayo, ukuqhubekela phambili kwakho okubangela izinkinga eziningi. Lokhu kungaba umbono ongahambi kahle, i-gangrene, isibindi, izinso, neminye imiphumela emibi.
Ezimweni ezinjalo, abanye abanesifo sikashukela kufanele bayeke imisebenzi yabo yobungcweti. Okokuqala, lokhu kusebenza emsebenzini odinga ukunakwa okukhulu, isibonelo, ukushayela izimoto noma ukulawula izindlela eziyinkimbinkimbi.
Ngaphezu kwalokho, ukwelashwa kwesifo sikashukela okwamanje kudinga imali enkulu egulini. Izindleko zezidakamizwa eziningi ziphezulu kakhulu, futhi akubona bonke abantu abakwazi ukuzikhokhela. Kulokhu, umbuso uhlinzeka ngezinzuzo - usizo lwezenhlalo, izimpesheni zokukhubazeka nemithi (mahhala).
Amaqembu Okukhubazeka Ushukela
Okokuqala, udinga ukuthola ukuthi yiliphi iqembu lokukhubazeka umuntu onesifo sikashukela elingelakhe. Ngenxa yemiphumela yocwaningo, lungakhonjwa emaqenjini abakhubazekile abayi-1, 2 noma 3.
Iqembu lokuqala lifaka lezo ziguli ezenze kabi kakhulu ukusebenza kwemishini yokubonakalayo, kuqhamuke i-gangrene, kunethuba lokuqina kwesifo sokuqina kwesifo kanye nobunzima bokuzala. Iziguli ezinje azikwazi ukwenza ngaphandle kokugadwa ngaphandle, kunzima ukuthi zizikhonze.
Iqembu lesibili lokukhubazeka libekelwe ukuthuthukiswa kokuhluleka kwezinso, ukuphazamiseka kwengqondo ngemuva kwesifo sikashukela kanye nesifo sikashukela. Kulokhu, abantu baba nemiphumela emibi yesifo, kepha bangakwenza ngaphandle kosizo lomunye umuntu.
Iqembu lesithathu lenzelwe zonke iziguli ezitholakale zinesifo sikashukela sohlobo 1 noma uhlobo 2.
Abantu abanjalo banelungelo lokuthola imishanguzo yempesheni yamahhala nezimpesheni zabakhubazekile. Ngaphezu kwalokho, thayipha abantu abanesifo sikashukela 1 abangakwazi ukuzisebenza banganikezwa izinto zasendlini ezidingekayo nezinsiza ezisikiwe.
Ungafunda kabanzi mayelana nezinye izinzuzo zezinzuzo ezingezansi.
Ilungelo lokuthola ushukela
Abantu abaningi abanokugula okumnandi bayawuthanda umbuzo, ingabe umuthi wamahhala iqiniso noma i-hoax? Ngokungangabazeki, lokhu kuyiqiniso. Isifo sikashukela sanoma yiluphi uhlobo lwesifo sinikezwa izidakamizwa ezikhethekile.
Ngaphezu kwalokho, iziguli eziqinisekisile ukukhubazeka zilungele iphakethe lezenhlalo eliphelele lezokwelapha. Lokhu kusho ukuthi iziguli zinikezwa ilungelo kanye njalo emva kweminyaka emi-3 yokuthola ukuphumula kwamahhala e-dispensary.
Izinsizakalo ezahlukahlukene zokukhetha zinikezwa iziguli ezinesifo sikashukela, ngokuya ngohlobo lwazo.
Ngakho-ke, ngokwesibonelo, ngohlobo lwe-1 pathology, iziguli zingathola:
- i-insulin nemijovo yokujova;
- ukulaliswa esibhedlela esikhungweni sezokwelapha ukuze kuhlolwe (uma kunesidingo);
- idivaysi yokunquma i-glycemia nezinto zayo, (imivimbo emi-3 yokuhlola ngosuku).
Imvamisa, uhlobo lwesifo sikashukela esincike ku-insulin luholela ekukhubazekeni kwesiguli. Ezimweni ezinjalo, unikezwa ithuba lokuthola umuthi obizayo ongafakwanga ohlwini lwemithi yamahhala. Kodwa-ke, akhishwa ngokuqinile njengoba kuchazwe udokotela. Kufanele kuqashelwe ukuthi izidakamizwa ezimakwe "Ziphuthumayo" zinikezwa zingakapheli izinsuku eziyi-10, nezidakamizwa ze-psychotropic - amasonto ama-2.
Ngohlobo 2 sikashukela, iziguli zinelungelo lokuthola mahhala:
- Izidakamizwa ze-Hypoglycemic (imithamo ikhonjiswa ngudokotela, umphumela wethamo uhlala inyanga eyi-1).
- I-Glucometer kanye nemichilo yokuyihlola (kufika izingcezu ezintathu ngosuku) kwiziguli ezidinga ukwelashwa kwe-insulin.
- Imivimbo kuphela yokuhlola (ezigulini ezinesifo sikashukela sohlobo 2 ezingadingi imijovo ye-insulin, ngaphandle kweziguli ezinombono ophansi).
Abesifazane ngesikhathi sokukhulelwa nezingane (kuze kube iminyaka eyi-18) banelungelo lokuthenga hhayi nje kuphela imishanguzo kanye nemijovo, kepha futhi nezinsimbi zamahhala zokulinganisa ushukela namapeni wesirinji.
Ngaphezu kwalokho, izingane zingakhululeka mahhala sanatorium, uhambo ngokwalo nalo luzokhokhwa umbuso.
Uhlu lwezidakamizwa zamahhala ze-hypoglycemic
Ezigulini ezinesifo sikashukela, kunikezwa uhlu olukhulu lwemithi yamahhala yango-2017. Kufanele kukhunjulwe futhi ukuthi ungabathola ekhemisi kuphela ngokuthola udokotela ovela ku-endocrinologist.
Uma udokotela ekushayele imithi yesifo sikashukela, kuzodingeka uthole ukuthi abasohlwini lwemithi ekhethekile. Ungadinga ukucela udokotela wakho ukuthi akunikeze omunye umuthi.
Uma wenqaba ukunikeza incwadi kadokotela, isiguli sidinga ukukhononda kwinhloko yomnyango noma kudokotela oyinhloko womtholampilo.
Ngakho-ke imiphi imithi enganikezwa mahhala? Uhlu luqukethe ukusetshenziswa kwezidakamizwa ezinjenge-hypoglycemic:
- I-Acarbose (ezibhebheni);
- I-Glibenclamide;
- Glycidone;
- I-Glucophage
- Glibenclamide + Metformin;
- I-Glimepiride;
- Amacwecwe we-Glyclazide (isenzo esishintshiwe);
- I-Glipizide;
- I-Metformin;
- Rosiglitazone;
- I-Repaglinide.
Iziguli ezihlushwa uhlobo lokuqala nesinye isikhathi sesibili sikashukela zinikezwa izidakamizwa eziqukethe i-insulin. Kuvunyelwe ukulethwa kwe-insulin mahhala:
- Ngendlela yesisombululo sokuphathwa kwe-subcutaneous - glargine, detemir and biphasic human.
- Kuma-ampoules omjovo - i-lispro, i-aspart, umuntu oncibilikayo.
- Ngendlela yokumiswa kwemijovo, i-aspart yi-biphasic ne-isofran.
Ngaphezu kwalezi zinzuzo zemithi yesifo sikashukela, i-100g ye-ethanol nama-syringes ngezinaliti nayo inganikezwa. Kodwa-ke, ungathola umuthi wamahhala kusuka ku-endocrinologist ngaphandle kwemibhalo elandelayo:
- ukufuna izinzuzo;
- amaphasiphothi
- inombolo yomshuwalense ye-akhawunti yomuntu siqu (SNILS);
- Izitifiketi zesikhwama sempesheni;
Ngaphezu kwalokho, inqubomgomo yomshuwalense wezokwelapha kufanele inikezwe.
Uhlu lweminye imithi ekhethekayo
Izidakamizwa azihlinzekwa nje kuphela ukwehlisa ukugxila kwe-glucose, kepha nezinye izifo ezihlobene noshukela.
Ngama-pathologies wesibindi, ozuzayo unelungelo lokuthola ama-phospholipids ne-glycyrrhizic acid kuma-capsule, kanye ne-lyophilisate ngendlela yesisombululo sokujova emthanjeni.
Isifo sikashukela singathola imithi esiza ukuthuthukisa ukugaya, ikakhulukazi leyo ye-enzymatic. Le yi-pancreatin emaphaketheni nakuma-amaphilisi.
Ngaphezu kwalokho, ezigulini ezinohlobo 1 nohlobo 2 “izifo ezimnandi,” odokotela babekelwe mahhala:
- Inani elikhulu lamavithamini, kanye nama-complexes abo: i-alfacalcidol, i-retinol, i-calcitriol, i-colecalciferol, i-ascorbic acid, i-pyridoxine, i-thiamine, i-calcium gluconate, i-potassium ne-magnesium. Futhi nama-Doppelherz amavithamini wesifo sikashukela.
- Inani elilinganiselwe lezidakamizwa ezisetshenziselwa ukukhubazeka okuhlukahlukene kwe-metabolic, kufaka phakathi ukulungiswa kwe-enzyme nama-amino acid: i-ademetionint, i-agalsidase alpha, i-agalsidase beta, i-velaglucerase alpha, i-idursulfase, islucerase, i-miglustat, i-nitizinone, i-thioctic acid ne-nitizinone.
- Inani elikhulu lezidakamizwa ze-antithrombotic: i-warfarin, i-enoxaparin sodium, i-heparin sodium, i-clopidogrel, i-alteplase, i-prourokinase, i-protein ephindaphindayo, i-rivaroxaban ne-dabigatran etexilate.
Ezigulini ezinesifo sikashukela, imithi ihlinzekelwa ekwelapheni ama-pathologies enhliziyo. Isibonelo, i-digoxin kuma-ampoules wokujova emthanjeni nakumathebhulethi. Vumela ukukhishwa kwamahhala kwezidakamizwa ezilwa nokuqaqanjelwa ezifana ne-procainamide ne-lappaconitine hydrobromide.
Iqembu lama-vasolidators lokwelashwa kwezifo zenhliziyo lifaka i-isosorbide dinitrate, isosorbide mononitrate ne-nitroglycerin.
Kukhululekile ukuthenga umuthi onjalo wengcindezi: methyldopa, clonidine, moxonidine, urapidil, bosentan, kanye ne-diuretics, kufaka phakathi i-hydrochlorothiazide, indapamide, hydrochlorothiazide, furosemide ne-spironolactone.
Ukwemukela izidakamizwa kanye nokuphikwa kwemibandela yokukhetha
Ungathola imishanguzo yesifo sikashukela ngemigomo efanelekile ekhemisi elikhethekile lesizwe. Usokhemisi kumele ahlinzeke umuthi ngenani eliboniswe nguchwepheshe ohambele ukunikezwa umuthi.
Imvamisa, indawo ebekiwe yenzelwe inkambo yokwelashwa enyangeni eyi-1, kwesinye isikhathi okuncane kakhulu. Ngemuva kokuqeda inkambo yokwelashwa, isiguli kufanele sibonane nodokotela ozohlola ukusebenza kwezokwelapha. Kulokhu, angabeka indlela yokuhlolwa bese ewunikeza kabusha umuthi.
Umuntu onesifo sikashukela sokukhubazeka angaphuma kwiphakethe lezinzuzo zezempilo eligcwele. Lokhu kusho ukwenqatshwa kwamathikithi kuyi-disensary. Kulokhu, unikezwa isinxephezelo sezimali. Kepha akunakuphikiswa nezindleko zemvume, ngakho-ke akusiluleki. Udinga nje ukucabanga ukuthi ukuhlala amasonto amabili e-sanatorium kungama-ruble ayi-15,000, kepha isinxephezelo ngokwezezimali singaphansi kwalesi sibalo. Ngokuvamile kuyashiywa kuphela uma kungenakwenzeka ngesizathu esithile ukuya eholidini.
Noma kunjalo, noma benqabile iphakethe lomphakathi, abahlomuli basenelungelo lokuthola izidakamizwa, izinsimbi zokulinganisa ushukela nosirinji mahhala.
Isifo sikashukela saziwa njenge "nhlupho" yekhulu lama-21. Inani labanesifo sikashukela liyanda minyaka yonke. Lesi sifo singakhula masisha, senze abantu abajwayela indlela yokuphila ejwayelekile. Izinzuzo zengane ekhubazekile ezinesifo sikashukela sohlobo loku-1 nazo zinikezwa.
Umbuso, ngokwawo, usiza iziguli ezinalokhu kutholwa. Inikeza ezinye izidakamizwa, impesheni yokukhubazeka nokusizwa kwezenhlalo mahhala. Njengoba ukwelashwa kwesifo sikashukela kubiza kakhulu, akufanele wenqabe usizo olunjalo.
Ividiyo ekulesi sihloko ikhuluma ngezinzuzo ezingokomthetho zaluphi uhlobo lwesifo sikashukela.
