Kungani kudingekile futhi kwenziwa kanjani ukuhlolwa kwezokwelapha isifo sikashukela?

Isifo sikashukela sezinhlobo zombili sisikisela indlela yokuhlola indlela esisebenza ngayo.

Ngenxa yale ndlela, kutholakala izindlela eziningi zokuphambuka phakathi nalesi sifo, ukuwohloka / ukuphuculwa kwesimo sempilo seziguli kuyaqashwa, zithola usizo oludingekayo, bese kwenziwa ukwelashwa okuyikho.

Ngaphansi kokuqondisa kochwepheshe bezokwelapha, abanesifo sikashukela baphuza imithi yabo ngesikhathi. Lokhu kusiza ukubuyisela iziguli empilweni ejwayelekile, ukuze zilondoloze amandla azo okusebenzela isikhathi esiphezulu esingenzeka.

Ngakho-ke, ukuhlolwa kokuhlolwa kwesifo sikashukela kudlala indima ebaluleke kakhulu. Ukwenqaba le nqubo kumane kungenangqondo.

Uhlelo lokulandela lokwelashwa kweziguli ezinesifo sikashukela

Izinqubo zokuhlukaniswa kwezinkinga ziqinisekisa ukuqedwa kwazo zonke izimpawu zomtholampilo:

1. ubuthakathaka obujwayelekile bomzimba;
2. i-polyuria;
3. ukoma.

Ngaphezu kwalokho, lokhu kuzovikela ubunzima obukhulu - ketoacidosis, hypoglycemia.

Konke lokhu okungenhla kuyenzeka, ngoba ukuhlolwa kwezokwelapha kuvamisa isisindo somzimba wesiguli, ngenxa yalokho kunxeshezelwa okuqhubekayo kwesifo sikashukela.

Thayipha 1 Abashukela

Ukuvakasha kokuqala kwe-endocrinologist yeziguli ezinjalo kuhambisana nokuhlolwa ngumelaphi, ophthalmologist, neuropathologist. Abesifazane kufanele bavakashele i-gynecologist.

Ngisho nangaphambi kokuqokwa kokuhlolwa kwezokwelashwa, kumele kwenziwe lezi zivivinyo ezilandelayo:

• i-fluorography;
• umchamo
• igazi
• ukuhlolwa kwegazi okuningiliziwe ukuthola amazinga kashukela, i-acetone, i-cholesterol.

Ngaphezu kwalokho, isisindo somzimba, ukuphakama, umfutho wegazi kulinganiswa, kwenziwa i-electrocardiogram.

Ngokuqondene nokuhlolwa kwezokwelashwa, kumele kwenziwe njalo ezinyangeni ezintathu. Kepha odokotela beluleka ukuvakashela udokotela kaningi kakhulu.

Type 2 Diabetesics

Le ndlela yalesi sifo ayizuzwa njengefa, itholakala ngenxa yendlela engalungile. Iziguli zihlupheka ngamakhilogremu angeziwe, zihola indlela yokuphila engasebenzi.

Iqembu lengozi libuye lifake nabantu abatholakala ukuthi bane-:

1. i-pancreatitis
2. zonke izinhlobo zezifo ze-purulent (ibhali, ama-carbuncle, ama-abscesses, i-furunculosis);
3. dermatitis;
4. i-polyneuritis;
5. eczema
6. i-retinopathy
7. ikati
8. kwehlukanisa i-endarteritis.

Ukuhlolwa kwemitholampilo kwesifo sikashukela sohlobo 2 kwenziwa njalo ezinyangeni ezintathu. Kwenziwa udokotela noma udokotela we-AFP.

Udokotela udonsela ukunaka kwezikhalazo, ama-anamnesis, uhlola isiguli, lapho:

• kunakwa okukhethekile kudayari yokuzithiba;
• isilinganiso somzimba wokulinganisa, amandla aso;
• ukulinganisa umfutho wegazi kwenziwa;
• ukuhlolwa kwezinyawo.

Zonke lezi zenzo kufanele zenziwe ekuhlolweni kwempilo ngayinye. Kanye ngonyaka, kubalulekile futhi ukufaka amandla okuxinana kwemithambo yezinyawo.

Abesifazane abakhulelwe abanesifo sokuthinta umzimba

Lapho owesifazane onesifo sikashukela esesikhundleni, udinga ukunakekelwa okulandelwayo okutholwe ngudokotela wobelethi nodokotela oyi-endocrinologist. Engxenyeni yokuqala yokukhulelwa, laba dokotela kufanele bavakashelwe kanye njalo emavikini amabili. Lapho-ke isibalo sokuhlolwa siphindwa kabili.

Ngokufanelekile, umama okhulelwe kufanele achithe esibhedlela ezintathu emnyangweni wezifo zabesifazane abakhulelwe:

• ekuhambeleni kokuqala kudokotela;
• kusuka kumaviki angama-20 kuye kwangama-24, ngoba ngalesi sikhathi kunokuwohloka kwesifo ngesikhathi sokugula;
• isigamu senyanga ngaphambi kokuzalwa okusolwayo.

Inani lezibhedlela lingakhuphuka ngenxa yezifo, ukubola kwesifo sikashukela.

Zikhona nezinye izimo ezingezinhle ezingaholela kowesifazane emnyangweni wezifo zabesifazane abakhulelwe. Izisebenzi zokubelethisa zinaka ngokukhethekile ukulaliswa esibhedlela okokuqala, kufanele kwenziwe ngokushesha okukhulu. Izivivinyo zokwelashwa okuphelele zizosiza ekuxazululeni inkinga yokuthi kungenzeka ukulondolozwa kombungu yini, futhi kulungiswe nenkambo yesifo.

Ukuze ukukhulelwa kuqhubeke kahle, isikhathi esithile ngaphambi kokuqala kwayo, owesifazane kufanele athole isinxephezelo esiphezulu sesifo sikashukela.

Uma lokhu kwenziwa, umama ongaba khona uzohlala akwazi ukusebenza, ngeke kube nezikhalazo nge-hypoglycemia, ketoacidosis. Kodwa-ke, ngisho nalokhu, umphumela omuhle wokukhulelwa awunakuqinisekiswa.

Izingane

Udokotela we-endocrinologist (noma owelaphi) wenza ukuhlolwa kanye ngenyanga. Udokotela wamazinyo, i-ENT, i-Optometrist - isikhathi esingu-1 ezinyangeni ezi-6.

Amantombazane nawo kudingeka avakashele i-gynecologist. Lapho kungekho dokotela we-endocrinologist emtholampilo endaweni yokuhlala yengane, udinga ukuya naye esifundeni, esikhungweni sesifunda kanye njalo ezinyangeni ezintathu.

Ngesikhathi sokuhlolwa, ochwepheshe bahlola isimo jikelele sempilo, somzimba, sobulili, se-neuropsychic development, somzimba. Ukunakwa kudonswa ekubeni khona kwezinkinga. Ukuhlolwa kwidayari.

Kubhekelwa kakhulu ukuvuselelwa okufika ngesikhathi kwethambo lomlomo. Ngokuya kokuthuthuka kwalesi sifo, izincomo ezidingekayo zinikezwa okuhloswe ngazo ukugcina impilo enempilo, ukuhlela izondlamzimba ezifanele nokubheka umsebenzi wezimoto.

Abadala

Abantu abaneminyaka engaphezu kwengama-40 ubudala basengozini yesifo sikashukela sohlobo 2. Isifo sabo kwesinye isikhathi si-asymptomatic.

Ngesikhathi sokuhlolwa kwezokwelashwa, isiguli esikhulile sinelungelo loku:

1. ukuthuthukiswa kokudla okukhethekile okwenzelwe yena;
2. ukubalwa komthamo odingekayo we-insulin, ezinye izidakamizwa;
3. ukuthuthukiswa kwenkinga yezokwelapha yomuntu ngamunye;
4. ukucwaninga okujwayelekile.

Yibaphi odokotela okufanele ngibavakashele?

Ngaphezu kwe-Therapist kanye ne-endocrinologist, udinga ukuya kudokotela wezifo zamehlo. Abesifazane nabo bavakashela udokotela wezifo zabesifazane.

Izingane zidinga i-ENT, udokotela wamazinyo. Kubukeka sengathi uhlu lodokotela lukhulu, kepha udinga ukuzinika isikhathi sokubahambela.

Ochwepheshe be-Narrow ekuhlolweni kwezokwelashwa baveza ngokushesha zonke izinkinga, banikeze ukwelashwa okufanele.

Yiziphi izivivinyo okufanele zithathwe unyaka nonyaka?

Noma uzizwa ulungile, ukunganaki ukuhlolwa kwezokwelapha akunconywa. Ukuhlaziya kanye nezifundo ezinsizakalo, okumele zenziwe minyaka yonke, kuyimpoqo kumuntu onesifo sikashukela.

Ucwaningo olugunyaziwe lubandakanya:

1. ukuhlolwa kwegazi komtholampilo, kwe-biochemical;
2. ukuhlolwa okujwayelekile komchamo (njalo ezinyangeni ezi-3);
3. i-urinalysis ye-microalbuminuria;
4. I-X-ray
5. ukuthatha i-cardiogram.

Kudingeka nini ukuhlolwa kwezokwelapha kushukela?

Lo ngumcimbi waminyaka yonke ongenakunakwa.

Ukuvimbela Izinkinga Zesifo Sikashukela

Imvamisa, ngokusekelwe ekuhlolweni kwegazi lomtholampilo, i-anemia namanye ama-pathologies ayatholakala.

Kubhekelwa kakhulu ukuthuthukiswa okungenzeka kwamafutha hepatosis, isifo sokuqina kwemithambo yegazi, kanye nokwehluleka kwezinso okungamahlalakhona. Ukuhlolwa kwegazi okune-biochemical kuzokhombisa ubukhona balezi zinkinga.

IGlucose, i-acetone, amagciwane, amangqamuzana abomvu egazi, amaseli amhlophe egazi kumchamo azosho ngesimo sohlelo lwe-excretory, carbohydrate metabolism. Kudingeka i-x-ray ukuthola isifo sofuba samaphaphu, njengoba iziguli ezinesifo sikashukela zisengozini.

I-nephropathy yesifo sikashukela inqunywa kusetshenziswa ukuhlolwa komchamo nsuku zonke. I-ECG iyadingeka ukuthola ukuthambeka ekusebenzeni kwemisipha yenhliziyo. Ngakho-ke nquma isigqi saso esingajwayelekile, ukugcwala ngokweqile kwe-atria, ama-ventricle, ukuba khona kwe-myocardial ischemia.

Amavidiyo ahlobene

Mayelana nezimbangela zokuhlolwa kwesifo sikashukela kuvidiyo:

Ukuhlolwa kwemitholampilo kungumcimbi obaluleke kakhulu ongakugwema ubunzima obukhulu besifo, uthuthukise ikhwalithi yempilo, uselule.