Lefu la tsoekere le tsohle ka lona

Tlhophiso ea mathata a lefu la tsoekere ho bana

Ka tloaelo, mathata a bakoang ke lefu la tsoekere ho bana a ka aroloa ho ba makhopho le morao haholo.

Mathata a hlobaetsang (ketoacidosis le komisi) ke tsona tse kotsi ka ho fetisisa tlholehong, hobane hangata ho nka lihora tse 'maloa ho ntlafatsa,' me monyetla oa phello e bolaeang o phahame haholo.

Nakong ea ketoacidosis, 'mele o mongata oa mafura le ketone o bokellana maling, ka lebaka leo' mele o iphefumang.

Ha e le komisi, e ka bakoa ke ho eketseha ha tsoekere ea mali ka lebaka la ho felloa ke metsi 'meleng, kapa ho eketseha ha bongata ba lactic acid e bakiloeng ke ho fokola ha masapo kapa mokokotlo.

Mathata a morao-rao a etsahala kamora lilemo tse 4-5 ho tloha qaleho ea lefu lena ho ngoana. Maemong ana, ho senyeha ha mosebetsi oa setho kapa tsamaiso e itseng ho etsahala butle.

Mathata a morao-rao a tloaelehileng a kenyelletsa:

• retinopathy (nyenyefatso ea pono e butle-butle)
• angiopathy (ho thella marako a methapo ea mali, e lebisang ho thrombosis kapa atherosclerosis),
• polyneuropathy (Tšenyo ea nakoana ea methapo ea methapo ea methapo),
• lefu la tsoekere (ponahalo ea maqeba le li-microcracks holim'a leoto).

Ho lumellana le mehato ea thibelo ho ka lieha, 'me maemong a mang ho bile ho thibela nts'etsopele ea mathata a morao.

Livideo tse amanang

Dr. Komarovsky mabapi le lefu la tsoekere baneng:

Ho thata ho tseba hore lefu la tsoekere ho bana ho bakoa ke hore bakuli ba banyenyane ha ba khone ho hlalosetsa batsoali ba bona hantle hore na ba ikutloa joang.

Ka lebaka leo, lefu lena maemong a mangata le fumanoa le se le le mothating oa ho hola, ha ngoana a kula. Bakeng sa ho qoba kholo ea liketsahalo tse joalo, batsoali ba lokela ho lekola boitšoaro le boiketlo ba bana ba bona.

Lefu la tsoekere. Lenaneo la sepheo sa Federal. Mokhoa. likhothaletso

Taelo ea Lekala la Bophelo le Ntšetso-Pele ea Sechaba ea Rephabliki ea Russia ea 11.09 N 582 Kamohelong ea maemo a tlhokomelo ea bongaka bakeng sa bakuli ba nang le lefu la ts'oaetso ea lefu la tsoekere le amanang le insulin: http: // www. moeletsi. com / online / base /? r P, n = 404158

TLHOKOMELISO EA BOPHELO BA PUO
Ho kula ka "mellitus" e amanang le lefu la tsoekere

TISTEBELETSO EA BOPHELO LE PUSO EA MOLEMO OA LEFAT RE LA RUSSIAN

La 11 Hlakubele 2007
N 582

Ho latela Art. 38 Ntlha ea bohlokoa ea melao ea Russia
Qobella ts'ireletso ea bophelo bo botle ba baahi ka la 22 Phupu 1993 N 5487-1
(Liqephe tsa Congress of People's Deplements of the Russian Federation and the Supreme
Lekhotla la Russian Federation, 1993, N 33, Art. 1318, Kopano
Molao oa Federation ea Russia, 2004, N 35, Art. 3607)
Ke odara:
1. Ho amohela tekanyetso e hoketsoeng ea tlhokomelo ea bongaka bakeng sa bakuli ba nang le
Insulin e amanang le lefu la tsoekere.
Khothaletsa lihlooho tsa naha le tsa masepala
Mekhatlo ea bongaka e sebelisa tloaelo ea tlhokomelo
Bakuli ba nang le lefu la tsoekere le itšetlehileng ka insulin ha ba pepa
Tlhokomelo ea maikutlong.
3. Ho amohela e le e sa sebetseng Kopano ea Lekala la Bophelo le
Nts'etsopele ea sechaba ea Russia Federation ea la 7 Mmesa 2005 N 262
Mabapi le tumello ea tekanyetso ea tlhokomelo ea bongaka bakeng sa bakuli ba nang le tsoekere
Lefu la tsoekere
4. Taelo ena e tla kena tšebetsong ka la 1 Pherekhong 2008.

Motlatsi oa Letona
V. STARODUBOV
La 11 Hlakubele 2007
N 582

E QETILE
Kemiso ea Tšebeletso
bophelo bo botle le sechabeng
nts'etsopele ea 'Muso oa Russia
La 11 Hlakubele 2007
N 582

TS'ELISO
HO FIHLELA TSIETSO HO BATSOALI BA HO BONT WITHA LITLHAKISO TSA BOPHELO
MAHLOMOLA SUGAR

1. Mohlala oa mamello
Mokhahlelo oa lilemo: bana, batho ba baholo
Sebopeho sa Nosological: mellitus e itšetlehileng ka lefu la tsoekere
Khoutu ea ICD-10: E10.0
Taba: E sa foleng
Mothati: methati eohle
Khatello: Ha ho mathata
Lipehelo tsa phumants'o: tlhokomelo ea kantle ho nako

1.2. Kalafo ea matsatsi a 365

———————————
1 Sehlopha sa Anatomical-Therapeutic-Chemical.
2 Tekanyetso ea letsatsi le letsatsi.
3 Pilisi ea netefatso e lekanang.
Ho fanoa ka meriana e 4 ho latela se boletsoeng
Odara ho latela lethathamo la meriana e abiloeng
Ho latela litaelo tsa ngaka (paramedic) ka phano ea mahala
Thuso ea bongaka ho mefuta e meng ea baahi e nang le tokelo ea ho
Ho fumana thuso ea 'muso sechabeng.

Lihlahisoa tsa Bongaka

———————————
* E fane hang ha ho se na pente ea syringe bakeng
Ho kenyelletsa insulin le ho nkela nako e le ngoe ho lilemo tse 2.

Lefu la tsoekere

Kajeno, e le karolo ea Letsatsi la Machaba la Litokelo tsa Batho ba nang le Bokooa, ho ile ha tšoaroa seboka sa thupelo bakeng sa batho ba nang le bokooa mabapi le thibelo le kalafo ea lefu la tsoekere, moo litsebi li buileng ka mekhoa ea sejoale-joale ea kalafo le thibelo ea mathata a lefu lena, kamoo ho ka fokotsang phello ea lefu ho boleng ba bophelo ho lefu la tsoekere. Motho e mong le e mong a ka buisana le litsebi tsa endocrinologists. Ketsahalo ena e tšoeroe ke DIAGETIC MOVuction TOGETHER ka lilemo tse 'maloa joale ka tšehetso ea Lekala la Bophelo le Lefapha la Likamano tsa Sechaba sa Setereke sa Chelyabinsk ka sepheo sa ho ts'ehetsa litaba tsa sechaba, tsa molao le tsa molao bakeng sa ba holofetseng.

"Lilemong tsa morao tjena lefu la tsoekere la II le atile haholo ho bacha le ho bana," ho boletse Valeria Tyulganova, setsebi se ka sehloohong sa Lefapha la Bophelo la Setereke sa Chelyabinsk. - Ena ke lefu le nang le ts'oaetso ea lefutso le phahameng: bana bao batsoali ba bona ba nang le lefu la tsoekere la mofuta oa 2 ba na le menyetla ea liperesente tse 40 ea hore ba tla ba le lefu le le leng. Ntle le moo, ho nona ho feta mengoaha efe kapa efe ho eketsa haholo menyetla ea ho ba le lefu lena; Ntho e 'ngoe e amang ho qaleha ha lefu la tsoekere ke mesebetsi e fokolang ea koloi.

Litsebi tsa Setsi sa Tikoloho sa Chelyabinsk sa Thibelo ea Bongaka li entse tekanyo ea khatello ea mali bakeng sa motho e mong le e mong, ho ile ha khothalletsoa ho hlahloba boemo ba tsoekere ea mali, ho fumana likeletso ka mekhoa ea memos le lipampiri. Baeti ba boetse ba amohetse lipuisano ho tsoa ho litsebi tsa Lefapha la Likamano tsa Sechaba tsa Setereke sa Chelyabinsk mabapi le litaba tsa tšehetso ea sechaba le molao bakeng sa batho ba nang le bokooa.

G. Chelyabinsk, st. Vorovsky 70, moaho 1

Karaganda State Medical University

Lefapha la Maloetse a Bana №2

Tataiso bakeng sa boikoetliso bo sebetsang

Moko-taba: Mofuta oa 1 oa lefu la tsoekere ho bana.

Khalemelo: hematology ea bana le endocrinology

Ikhethetse 051301 Bongaka ka kakaretso

E hlophisitsoe ke Moprofesa oa Kopano, Lefapha la Maloetse a Bana No 2, Ph.D. Dyusenova S. B.

Karaganda 2011

E buisanoe mme ea amoheloa sebokeng sa Lefapha la Maloetse a Bana No. 2

Metsotso No. 1 ka la 08/26
Hlooho ea Lefapha, Ngaka ea Saense ea Bongaka Moprofesa _______ B.T. Tukbekova

^ Sehlooho: Lefu la tsoekere ho bana ba mofuta oa 1.

Morero sebopeho sa tsebo ea baithuti, bokhoni ba ho khetholla, khethollo ea tlhahlobo ea methapo ea bana.

... Lipheo tsa ho ithuta: ho kopanya tsebo le boiphihlelo liponts'ong tsa bongaka, metheo ea tlhahlobo, tlhahlobo ea tlhahlobo le kalafo.

A) bokella le ho lekola lintlha tsa nalane, tšoaea maemo a kotsi

B) Ho etsa tlhahlobo ea bongaka, ho tšoaea matšoao a lefu la thuto ea bophelo, ho etsa moralo oa tlhahlobo le kalafo, ngola lingoloa

C) ho lekola datha tsa mekhoa ea lipatlisiso tsa laboratori, tsa bongaka le tse sebetsang.

D) ho fihlela sephetho motheong oa lipatlisiso.

D) etsa tlhahlobo e khethollang ea mafu a tšoanang.

E) theha sebopeho ka nepo ho latela sehlopha.

G) etsa moralo oa tlhahlobo ea bongaka.

^ Lipotso tsa sehlooho tsa sehlooho

1. Tlanya mofuta oa lefu la tsoekere mellitus, tlhaloso, etiology. Karolo ea lefutso, tšoaetso ea vaerase, mathata a autoimmune, lesapo le leng la manyeme (pancreatitis, tumors, hemochromatosis) kholisong ea IDDM.

Mohopolo oa puseletso, puseletso, tšoarelo. Tlhahlobo ea lefu la tsoekere le mathata a lona. Boikemisetso bo lekanang le ba bongata ba tsoekere ho moroto. Boikemisetso ba acetone ka har'a moroto, tsoekere ea mali. Boemo ba boemo ba leholimo.

3. Phekolo ea lefu la tsoekere, kalafo ea ho ja, kalafo ea insulin. Matšoao a ho khethoa ha insulin.Litokisetso tse khutšoane tsa nakoana, nako e mahareng, litokisetso tsa insulin tsa nako e telele. Mokhoa oa phekolo oa insulin, khetho ea litekanyetso. Syndrome "mafube" le "insulin" e sa foleng. Litla-morao tse bang teng litokelong tsa insulin. Ho fetisoa ka seleng ea Beta. Ho ithuta ka mamello, boitšoaro.

4. Matšoao, contraindication, mathata le thibelo ea bona. Phekolo e kopaneng ea bakuli ba nang le sulfonamides le biguanides, hammoho le motsoako oa li-hypoglycemic agents tse nang le insulin. Melao-motheo ea kalafo ea mathata a lefu la tsoekere. VTEK le lefu la tsoekere le mathata a lona. Tlhahlobo ea bongaka.

^ Mekhoa ea ho ruta le ho ruta: tlhahlobo ea molomo, ho etsa liteko, ho sekaseka bakuli ba itlhommeng pele, ho sebetsa ka lihlopha tse nyane, lipuisano, lipuo, tlhahiso

I. Kaholo 1.Children's lengolo la ho kula + CD. E hlophisitsoe ke A. A. Baranov. Khatiso ea bobeli e lokisitsoe le ho tlatsetsoa. - M. 2009. - 1008 leq.

Endocrinology: buka ea ho ithuta. E hlophisitsoe ke Dedov I.I. Melnichenko G.A. Fadeev V.V. khatiso ea bobeli, e ntlafalitsoeng le ho eketsoa. - M. 2009 .-- 432 leq.

1. Matšoao a Metabolic ho bana le bacha / ed. L.V. Kozlova. - M. - 2008 .-- 96 s.

2. Endocrinology. Litlhahiso tsa kliniki / tse hlophisitsoeng ke I. I. Dedov, G. A. Melnichenko. - M. 2008 .-- 300 p.

Ho hlahloba le kalafo ho endocrinology. Mokhoa o thata / phetolelo ho tsoa ho Senyesemane. e hlophisitsoe ke V.V. Fadeev, G.A. Melnichenko. - M. 2010 .-- 288 leq.

Bopaki bo thehiloeng ho bopaki: Tataiso ea lingaka / Per. ho tsoa ho Senyesemane tlasa tokiso ea L. Ya. Rozhinskaya. - M., 2008. - 640 s.

Mkrtumyan A. M. Nelaeva A. A. Emergency Emerocrinology: tataiso / phetolelo. ho tsoa ho Senyesemane Khatiso ea bobeli. - M., 2008. - 128 leq.

Tsybulnik E.K. Maemo a hlokofatsang maemong a bana. Thuso ea bongaka ea maemo a tšohanyetso. - M. - 2007. - 224 leq.

Lisebelisoa tsa bongaka tse sebetsang le tse sebetsang ho bana / ed. R.V. Nildiyarova. - M. 2008 .-- 192 leq.

1. Reflexory albinuria ho bakuli ba nang le lefu la tsoekere - 1, letšoao la laboratori la tšenyo

C) tsamaiso ea pelo

D) tsamaiso ea methapo

E) tsamaiso ea methapo e bohareng
Bophahamo ba glycemia ea ho itima lijo le ho se be teng ha litletlebo tsa hypoglycemic ho bakuli ba nang le lefu la tsoekere ke lefutso

E) khutlela bothateng
3. Ho ba teng ha lefutso le ts'ebetso e sebetsang ea autoimmune ke tšobotsi ea lefu le latelang

A) lefu la tsoekere

B) renal tubular acidosis

C) lefu la tsoekere

E) autoimmune thyroiditis

E) Bolwetse ba Itsenko-Cushing
4. Fana ka Hormone eo eseng hormone ea likhang.

B) lihormone tsa thobalano

D) tsohle tse ka holimo

E) ha ho na karabo e nepahetseng
5.Ho lekanya palo ea glucose ea tlhahlobo ea mamello ea glucose

E) 1,25 g / kg
6. Mamello ea lilemo li 15, ea nang le lefu la tsoekere ho tloha ho lilemo tse 8. Ka fundus, keketseho ea methapo ea methapo ho macula, leru le lekanang la lense. Qolla mathata a lefu la tsoekere.

A) lefu la tsoekere la retinopathy

B) lefu la tsoekere

D) insulin

E) Boloetse ba Moriak

Meqoqo e tšoanang:

Litlhahiso tsa mokhoa oa ho ikoetlisa lihlooho tsa sehlooho: Lefu la tsoekere le leihlo
Mekhoa ea ho ikoetlisa le ho ruta: Boikoetliso (Puisano ea litaba tsa theory mabapi le lihlooho tsa lihlopha, ho rarolla mathata a sebaka), ho bapala karolo.

Type 2 lefu la tsoekere mellitus (eo e seng insulin e itšetlehileng ka eona)
Mofuta oa lefu la tsoekere la mofuta oa 2 mellitus insulin-Independent (lefu la tsoekere la 2) ke lefu le bakoang ke khaello ea insulin.

Sehlooho sa thuto: "Lefu la tsoekere ho bana ba mofuta oa 1. Tlhahlobo e fapaneng. Phekolo
Morero: ho tloaelana le tlhahlobo le tlhahlobo ea lefu la tsoekere la 1, lipontšo tsa kliniki, metheo ea tlhahlobo.

Litlhahiso mabapi le mekhoa ea ho ikoetlisa lihlooho tsa sehlooho: Litlokotsi.
Morero: Ho tseba lisosa tsa mantlha le methapo ea mafu a amanang le metabolism ea carbohydrate. Ho ithuta lisosa, mekhoa le lipontšo tse ling tsa tlolo ea molao.

Litlhahiso mabapi le mekhoa ea koetliso e ikhethang: 051301 "Bongaka ka kakaretso"
Sehlooho: Hypo - le hyperglycemia syndrome. Etiopathogenesis, sehlopha, lefu la tsoekere, tleliniki, mathata a mofuta oa 1 lefu la tsoekere ho bana.

Litlhahiso mabapi le mekhoa ea litlelase tse sebetsang Sehlooho sa thuto ea ho qetela karolong (2)
Morero: ho lekola tsebo ea baithuti ka melao-motheo le mekhoa ea phekolo ea ho ja bakeng sa mafu a liphio le tsamaiso ea moroto, bakeng sa maloetse.

Litlhahiso mabapi le mokhoa oa litlelase tse sebetsang Sehlooho sa thuto ea ho qetela karolong ea (3)
Morero oa ho ithuta: ho khetholla tsebo ka melao-motheo le mekhoa ea kalafo ea ho ja bakeng sa mafu a liphio le tsamaiso ea moroto, bakeng sa maloetse.

Sehlooho: Lefu la tsoekere Lefu la lefu la tsoekere
Lefu la tsoekere (lefu la tsoekere). Bohlokoa ba taba, likarolo tsa mafu a amanang le lefu lena, etiology le pathogeneis, liponahatso tse ka sehloohong tsa kliniki

Litlhahiso mabapi le mekhoa ea ho ikoetlisa lihlooho tsa sehlooho: Mathata a pele.
Morero: Sebopeho sa tsebo ea baithuti, boiphihlelo lithutong tsa lefu lena, tlhahlobo ea tlhahlobo ea methapo ea bana