Mekhoa ea boikoetliso bakeng sa mofuta oa lefu la tsoekere la 2
- Lithuto tsa 'mele bakeng sa lefu la tsoekere li na le phello e akaretsang ea pholiso' meleng kaofela, li ntlafatsa metabolism, ka lebaka leo maemo a tsoekere ea mali a fetohang. Ho ikoetlisa khafetsa ho lefu la tsoekere ho ka liehisa nts'etsopele ea mathata a amanang le tšenyo ea methapo. Mme mathata a joalo a ama hoo e ka bang mmele ohle - mahlo, meno, pelo, methapo.
- Boikoetliso ba lefu la tsoekere bo ka fana ka litho tsohle le lisele tsohle ka botlalo, ba tlisa oksijene e hlokahalang. Ntle le moo, ho ikoetlisa ho ntlafatsa mohopolo, ho etsa hore motho a be le maikutlo a matle, 'me ho fokotseha ha khatello ea maikutlo ho lebisetse ho fokotseha ha tlhahiso ea Hormone ea adrenaline ea contra. Ka lebaka leo, ho bonolo haholoanyane ho boloka boemo bo amohelehang ba glycemia.
Mehopolo ea boikoetliso
Ho lefu la tsoekere mellitus, kalafo ea kalafo ea kalafo e bontšoa e le mokhoa o eketsehileng oa kalafo. Ho lokela ho thehiloe boikoetliso bo ke keng ba lematsa kapa ho khathatsa mokuli, bo bohlokoa haholo ho lefu la tsoekere.
Ho fumana kutloisiso e nepahetseng ea boikoetliso ba kalafo, ho bohlokoa ho ithuta lisebelisoa tsa video. Liithuti li lokela ho ikamahanya hantle le litšobotsi tsa motho le moetlo oa hae o tloaelehileng oa bophelo.
Mokhoa o rarahaneng oa bakuli ba nang le lefu la tsoekere:
- e ntlafatsa boemo ba pelo le methapo ea pelo,
- e ntlafatsa mokhoa oa ho hema,
- e eketsa ts'ebetso ea motho ho sa tsotellehe lilemo le lefu la hae.
Lenaneo le nang le bokhoni la ho ikoetlisa le etsa hore ho khonehe ho fokotsa hyperglycemia ho batho ba nang le lefu le ikemetseng la insulin. Ntle le moo, ke boikoetliso ba 'mele bo fanang ka monyetla oa ho ntlafatsa ketso ea' nete ea insulin ho batho ba nang le lefu la tsoekere la mofuta oa 1.
Ho lokela ho hlokomeloa khanyetso ea macroangiopathy le microangiopathy. Empa ho bohlokoa ho latela melao e behiloeng.
Li-gymnastics tsa lefu la tsoekere - li-sete tse nepahetseng ka ho fetisisa tsa ho ikoetlisa
Boikoetliso ba lefu la tsoekere e ka ba bo matlafatsang ka kakaretso, bo shebane haholo le thibelo ea mathata, 'me bo ikhethang - ho phekola mathata a seng a ntse a tsoetse pele. Ka thoko, boikoetliso ba ho phefumoloha, boikoetliso ba maoto bakeng sa maoto a nang le lefu la tsoekere, boikoetliso ba hoseng ba letsatsi le letsatsi bakeng sa batho ba nang le lefu la tsoekere bo totobatsoa. Bakeng sa mefuta e 'ngoe le e' ngoe, mokhoa oa eona oa ho ikoetlisa oa ho ikoetlisa bakeng sa lefu la tsoekere oa ntlafatsoa.
Ho ikoetlisa ka kakaretso ho matlafatsa
- Ho ikoetlisa ke ntho e lokelang ho etsoa letsatsi le letsatsi ke batho ba nang le hyperglycemia. Ts'ebetso ena e lokela ho ba tloaelo. Mofuta oa boikoetliso ba lefu la tsoekere, o entsoeng e le boikoetliso ba hoseng, o kenyeletsa:
- hlooho e fetoha ka litsela tse fapaneng
- leoto la mahetla
- otlanya matsoho ka pele, ka morao le ka lehlakoreng,
- torso ntlheng tsohle
- swings ka maoto a otlolohileng.
- Boikoetliso bo joalo ba mofuta oa 2 mellitus oa tsoekere bo ka ntlafatsa ho potoloha ha mali hohle 'meleng, ba khothaletsa ho hlahisa insulin, le ho thusa ho tsamaisa oksijene liseleng. Boikoetliso bo bong le bo bong bo lokela ho fapana le ho ikoetlisa ka ho phefumoloha.
Ho rarahana ha leoto le khethehileng
- Liphetoho tsa lefu la tsoekere la mofuta oa 2, tse kang angiopathy ea methapo ea maoto kapa polyneuropathy, li ka alafala haholo ha motho a etsa mefuta e khethehileng ea kalafo ea lefu la tsoekere la mofuta oa 2 lefu la tsoekere. Li etselitsoe ho khutlisetsa phallo ea mali libakeng tse tlase le ho tlosa bohloko le maikutlo a mang a sa thabiseng.
- Lithuto tsa mmele tsa lefu la tsoekere, tse thusang ho fokotsa maemo ana, li kenyelletsa koetliso e latelang:
- ho tsamaea sebakeng se otlolohileng,
- ho tsamaea naha ka maoto
- ba tsamaee ka mangole,
- haeba bokhoni ba 'mele bo lumella - ho matha ho bohlokoa haholo.
- Sehlopha sa boikoetliso bakeng sa maoto bakeng sa letsatsi le letsatsi:
- e fetole ka maoto a otlolohileng,
- squats
- Litsela tsa hoseng le ka thoko
- mofuta oa boikoetliso "baesekele".
Mekhoa ena e bonolo ea ho ikoetlisa e lokela ho etsoa letsatsi le letsatsi, pakeng tsa mesebetsi e tloaelehileng ea ntlo le ea mosebetsi.
Boikoetliso ba pelo
Mesifa ea pelo le eona e sekamela ho angoa ke hyperglycemia. Ka hona, koetliso e khethehileng ea lefu la tsoekere la mofuta oa 2, e bitsoang koetliso ea Cardio, e ile ea etsoa molemong oa hae. Li etsoa ho latela lipontšo tse tiileng tsa ngaka hape li kenyelletsa boikoetliso ba ho hema, ho matha hang, squats, le boikoetliso ba boima ba 'mele.
Boikoetliso bo bong le bo bong bo etsoa ho fihlela tekanyo e phahameng ea pelo e fihlile. Boikoetliso bo sebetsang ha bo nkeloe sebaka ke ho phomola, empa ke boikoetliso bo khathollang haholoanyane - ho tsamaea, ho matha.
Lipapali
Ho felisa hyperglycemia, bakuli ba fuoa lihlopha tse itseng lipapaling tse itseng. Ts'ebeliso e nepahetseng ea tsona e lumella nako e telele ho boloka tsoekere e hlokahalang ea mali le ho thibela nts'etsopele ea mathata. Lipapali tse joalo li kenyelletsa ho matha, ho sesa, ho thellisa lehloeng le ho thella.
Ts'ebetso ea 'mele e na le thuso ho bakuli ba lefu la tsoekere ba mofuta oa 2 oa lefu lena: ba etsa hore boemo ba "glycemic" bo hlophisehe, ba khutlisetse methapo ea kutlo linthong tse bohlokoa ka ho fetisisa tsa insulin, hape ba kenya letsoho ho khothatseng mehloli ea mafura.
Pele ho tsohle, ka lefu la tsoekere, ke feela boikoetliso ba isotonic bo loketseng, bo tsamaeang le bongata bo boholo ba ho sisinyeha eseng mesifa e hatelletsoeng haholo. Liithuti li lokela ho ba kamehla: metsotso e 3040 ka letsatsi kapa hora letsatsi le leng le le leng.
Boikoetliso ba lefu la tsoekere la mofuta oa 2 bo lokela ho etsoa moeeng o mocha: ke feela moo ho nang le tsoekere le mafura a chesetsoang.
Bakeng sa lefu la tsoekere le itšetlehileng ka insulin, nako e nepahetseng ea ho qosa ke lihora tse 16-17. U hloka ho ba le lipompong le uena e le hore ha ho tsoa mofufutso o batang le ho tsekela - matšoao a pele a hypoglycemia - o ka fola kapele. Ho qoba maemo a boima, ho bohlokoa ho tseba ka botlalo hore na ke lihlopha life tsa boikoetliso tse tla ba molemo haholo.
Boikoetliso ba 'mele le boikoetliso bakeng sa lefu la tsoekere la mofuta oa 2
Ntle le boikoetliso, boikoetliso ba ho phefumoloha ba lefu la tsoekere bo boetse bo tsoela bakuli molemo. Ena ke khetho ea kalafo e khetholloang ka ho otlolla mesifa. Ha u etsa boikoetliso bofe kapa bofe, ho bohlokoa ho ela hloko ka ho khetheha ho phefumoloha.
Bakeng sa sena, ho na le tefo e ikhethang ea aerobic le ea ho phefumoloha bakeng sa batho ba 2 lefu la tsoekere le video. Letsatsi le leng le le leng u hloka ho qeta bonyane metsotso e 15 ho ikoetlisa. Ho ikoetlisa hohle ho etsoa ho fihlela mokhathala o itseng o qala.
Ka mofuta oa 2 lefu la tsoekere, ho fanoa ka boikoetliso bo etsoang ka setofo. Taba ea pele, leoto lea otloloha, menoana ea otloloha le ho tiea. Li-heel ha lia lokela ho tlosoa fatše, ha menoana e phahama ebe e oa.
Ho boetse ho bohlokoa ho sebelisa menoana ea hau ho phahamisa lipentšele, lipene kapa ho li tlosa ka leoto ka leng. Ho ntšetsa leoto le ka tlase, ho bohlokoa ho etsa metsamao e chitja le lieta, ntle le ho phahamisa menoana fatše. Ba lutse setulong, ba otlolle maoto a bona ho ts'oana le fatse, ba hula lisokisi, ebe ba beha maoto a bona fats'e makhetlo a 9.
Ebe u tlameha ho ema 'me u its'etlehe holima setulo. Ho tloha boemong bona, ka mokhoa o emeng, motho o tloha ho serethe ho ea ho menoana, ebe o nyoloha butle ho ea holimo le tlase ho lisokisi le tlaase.
Haeba ho khonahala, u ka ikoetlisa fatše. Monna o robala mokokotlong, o phahamisa maoto a hae a otlolohile. Ka mor'a moo, mekoloko e 'maloa e etsoa ka maoto ho tloha boemong bona. Mekhoa e meng ha e nke feela metsotso e mmedi. Haeba e le thata haholo, e lumelletsoe ho tšoara maoto ka matsoho.
Ka lefu la tsoekere, ho bohlokoa ho etsa hangata ho tsamaea ka ho matha ka tsela e bobebe kapa ho tsamaea.
Litlamorao tsa lefu la tsoekere hangata li bonahatsoa ke tšenyeho ea marako a methapo ea mali, ho fokotseha ha lumen ea bona, ka ponahalo ea mafu a pelo. Ho bakuli, matla a ho sebetsa aa fokotseha 'me metabolism ea matla ea fokola. Hape, lefu la tsoekere le ama liphio (nephropathy), ho na le letsoalo la maoto le matsoho, li-contractions tsa mesifa e sisinyehang, liso tsa kahare.
Ho sebetsana le lefu la tsoekere la mofuta oa 2 qalong kapa ho fokotsa boemo ba mokuli ea nang le lefu la tsoekere la mofuta oa 1 e ka ba lintlha tse peli: ho ja le ho ikoetlisa. Tšusumetso ea lintlha tsena ka bobeli e lebisa ho fokotseheng ha tsoekere ea mali, ho fokotseha hoa litlamorao tse mpe tsa lefu la tsoekere.
Ela hloko
Ho latela WHO, selemo se seng le se seng lefatšeng ka bophara batho ba limilione tse 2 ba bolaoa ke lefu la tsoekere le mathata a lona. Ha ho se na tšehetso e tšoanelehang bakeng sa 'mele, lefu la tsoekere le lebisa mefuta e fapaneng ea mathata, butle-butle a senya' mele oa motho.
Mathata a atileng ka ho fetisisa ke a: lefu la tsoekere, 'metso, lefu la morao-rao la mokokotlo, lefu la trophic, hypoglycemia, ketoacidosis. Lefu la tsoekere le lona le ka lebisa ho hlahisoeng ha marangrang a nang le mofetše. Hoo e batlang e le maemong ohle, motho ea nang le lefu la tsoekere o shoa, a kula le lefu le bohloko kapa o fetoha motho oa nnete ea holofetseng.
Batho ba nang le lefu la tsoekere ba etsa eng? Setsi sa Patlisiso sa Endocrinology sa Russian Academy of Medical Science se atlehile