Olga Demicheva: “Tsarin endocrine shine mai gabatar da tsari na jiki da yawa”

Bayanin da taƙaitawar "Ciwon sukari" karanta kyauta akan layi.

Olga Yurievna Demicheva

mai aiwatar da aikin endocrinologist tare da shekaru 30 na gwaninta a cikin lura da ciwon sukari da sauran cututtukan endocrine, memba na Europeanungiyar Turai don Nazarin Ciwon sukari.

Anton Vladimirovich Rodionov

Cardiologist, dan takarar Medical Science, Mataimakin Farfesa na Ma'aikatar Faculty Therapy No. 1 of Na farko Medical University Jihar Moscow suna I.M. Ashen Memba ne na Cardungiyar Zuciya ta Rasha da Societyungiyar Turai ta Cardiology (ESC). Mawallafin wallafe-wallafen sama da 50 a cikin labaran Rasha da na kasashen waje, mai halarta na yau da kullun a cikin shirin tare da Dr. Myasnikov "A kan mafi mahimmanci."

Zuwa ga mai karatu!

Wannan littafin ba kawai ga waɗanda ke da ciwon sukari ba, har ma ga waɗanda suke so su guje wa wannan cutar ta rashin hankali.

Bari mu fahimci juna. Sunana Olga Yuryevna Demicheva.

Fiye da shekaru 30 ina aiki a matsayin endocrinologist, Ina tuntuɓar marasa lafiya da ciwon sukari kowace rana. Daga cikinsu akwai manya da kanana tsofaffi. Kun zo da matsalolinku da matsalolinku, wanda muka ci nasara ta hanyar haɗin gwiwa. Wajibi ne a tattauna da mutane sosai, a fayyace batutuwan hanya da lura da cutar, zaɓi kalmomi masu sauƙin bayyana matakai masu rikitarwa.

Na ba da laccoci da yawa game da endocrinology ga likitoci a biranen Rasha daban-daban. Ina halartar taro a kai a kai a cikin taron majalisar duniya na endocrinological, Ni memba ne na Europeanungiyar Turai don Nazarin ciwon sukari. Na tsunduma ba kawai a cikin likita ba, har ma a cikin bincike, buga labaran a cikin wallafe-wallafen likitanci na musamman.

Ga marasa lafiya, Ina gudanar da azuzuwan a makarantar ciwon sukari, makarantar ƙarancin makarantar anti-kiba. Tambayoyi da yawa waɗanda suka tashi a cikin marasa lafiya sun ba da shawarar buƙatar shirin ilimin likita mai araha.

Na fara rubuta littattafai da labarai don marasa lafiya 'yan shekaru da suka gabata. Ba tsammani, wannan ya zama mafi wuya fiye da rubuta labaran da aka gabatar ga abokan aiki kwararru. Ya ɗauki wasu kalmomi, yanayin gabatar da bayanai da kuma hanyar gabatar da abu. Ya zama dole don koyan yadda za ayi "a yatsunsu" don bayyana mawuyacin ra'ayi koda ga likitoci. Ina matukar son taimaka wa mutanen da suke nesa da magani su sami amsoshin tambayoyi masu yawa.

Kyautar da aka bayar don sakin littafi a cikin jerin "Dr. Rodionov Academy", wanda ya zama alama ta ainihi a cikin sanannun litattafan likitanci, abin girmamawa ne a gare ni. Ina godiya ga Anton Rodionov da gidan wallafa EKSMO saboda wannan shawara. Aikina shi ne shirya wani littafi game da ciwon sukari ga marasa lafiya, inda za a sami bayanai game da wannan cuta, da gaskiya da ƙarfin aiki.

Aikin wannan littafin ya zama da wuya kuma yana da nauyi a kaina.

An daɗe da sanin sa a cikin duniya cewa marasa lafiya masu ciwon sukari mellitus suna rayuwa tsawon rai kuma suna da complicarancin rikitarwa idan suna da horo sosai kuma suna da ilimi mai zurfi game da cutar, kuma koyaushe akwai likita kusa da wanda zasu amince da shi kuma zasu iya tattaunawa tare dashi.

Ilimin marasa lafiya a makarantu na musamman na cutar sankarau na iya inganta ci gaba game da cutar. Amma, abin takaici, yawancin marasa lafiyarmu ba a horar da su a cikin irin waɗannan makarantu kuma suna ƙoƙarin samun mahimman bayanan daga Intanet da littattafai da mujallu daban-daban game da kiwon lafiya. Irin waɗannan bayanan ba su da tabbas ko da yaushe abin dogara ne, mafi yawanci waɗannan tallace-tallace ne, waɗanda ke ba da wani panacea ga masu ciwon sukari, waɗanda masu kera da masu talla suna fatan samun wadata.

Aikina shi ne in samar maku da ilimi, masoyi mai karatu, domin in kare ka daga masassarar likitanci wanda ke amfani da jahilcin mutane marassa lafiya da niyyar aiki.

A cikin wannan littafin, ba za mu ba da fifikon bayani ba, amma zamu bincika asalin abubuwan da ke haifar da sakamakon cututtukan ciwon sukari, wanda aka shimfida cikin sauki Rasha don mutane ba tare da ilimin likita na musamman ba.

Dole ne likita koyaushe ya kasance mai gaskiya ga mai haƙuri. Uku mu ne kai, ni da cutar ku. Idan kun yi imani da ni, likita, to ku da ni, mun haɗu tare da cutar, za mu shawo kan shi. Idan baku yi imani da ni ba, to, ba zan zama mara ƙarfi a kan ku biyu ba.

Gaskiya game da ciwon sukari a cikin wannan littafin. Yana da mahimmanci cewa ku fahimci cewa littafin na ba a cikin maye gurbin makarantar masu ciwon sukari ba. Bayan haka kuma, ina fatan cewa, bayan karanta shi, mai karatu zai ji bukatar zuwa makaranta a cikin irin wannan makarantar, saboda ga mutumin da ke fama da ciwon sukari, ilimin ya yi daidai da ƙarin shekarun rayuwa. Kuma idan kun fahimci wannan ta hanyar karanta littafin, to aikina ya cika.

Gaisuwa, naku Olga Demicheva

Cuta ko salon rayuwa?

Me muka sani game da ciwon sukari?

Ba koyaushe bane cikin ikon likita don warkar da mai haƙuri.

Shin yana yiwuwa a "lalata" kanka game da ciwon sukari kuma ku guji shi? Shin akwai "alurar riga kafi" don ciwon sukari? Shin akwai ingantaccen rigakafin?

Babu wanda ke rigakafin kamuwa da ciwon sukari, kowa zai iya samun sa. Akwai hanyoyin rigakafin da ke rage hadarin cutar, amma ba su da tabbacin cewa cutar sankara ba za ta kama ka ba.

Kammalawa: yakamata kowa yasan mene ne ciwon sukari, yadda za'a gano shi a lokaci da kuma yadda ake rayuwa tare dashi don kada shekara guda, ba ranar rayuwa bace saboda wannan cutar.

Bari mu dace, masoyi mai karatu, idan wasu bayanai suna ba ku tsoro, kada ku yanke ƙauna: babu wasu kashe-kulle a cikin tsarin maganin cututtukan zuciya.

Tsoratar da mara lafiya matsayi ne wanda bai cancanci likita ba; a zahiri, magudi ne tare da wata manufa guda daya: tilasta mara lafiyar ya cika manufar. Wannan ba adalci bane.

Kada mutum ya ji tsoron cutar sa da likitan sa. Mai haƙuri yana da damar sanin abin da ke faruwa da shi da kuma yadda likita ke shirin warware matsalolin. Duk wani magani yakamata a yarda da mara lafiyar kuma a aiwatar da shi tare da yardarsa (sanar).

Shirya don tattaunawa ta gaskiya. Zamu iya fuskantar matsaloli domin cin nasarar su.

Da farko, bari muyi magana game da ciwon sukari gabaɗaya - zamu tsara babban hoto tare da shanyewar jiki, domin daga baya zamu iya fahimtar cikakkun bayanai.

Menene ƙididdigar ciwon sukari ke faɗi? Kuma ga abin da. A yau, matsalar ciwon sukari daga tsararren likita ya canza zuwa likita da zamantakewa. Ana kiranta cutar sankarau wani cuta ba cuta. Yawan mutanen da ke fama da wannan cuta na haɓaka daga shekara zuwa shekara kuma, bisa ga ƙididdiga iri daban-daban, ya kai ga ƙasashen da suka ci gaba zuwa kashi 5-10% na yawan balagaggu.

Dangane da kididdigar, kowane dakika 10, mutum daya a duniya ya mutu sakamakon kamuwa da cutar sankara, a lokaci guda kuma, cutar sankarau zata fara farawa a cikin wasu mazaunan Duniya biyu. A ƙarshen littafinmu, mun koma ga waɗannan adadi waɗanda suka rigaya suna da ilimin sani, tare da bincika wanene zai zarga da laifi game da wuraren da cutar ciwon sukari ba ta da fa'ida da abin da za a yi don hana ciwon sukari daga satar rayuwar rayuwarku.

Ba ciwon sukari bane a jikinsa yana da haɗari, amma rikitarwarsa. Hadin gwiwar kamuwa da cutar za a iya guje masa.

Mai karatu mai fadakarwa mai yiwuwa ya san cewa ba cutar sankarau bane a cikin kanta wacce ke da haɗari, amma rikice-rikice. Gaskiya ne. Rikici na ciwon sukari yana da haɗari, wani lokacin mawuyacin hali, da kuma hana su lokaci ta hanyar ganowa da kuma kulawa da ta dace yana da matukar muhimmanci.

A lokaci guda Babu wani abin mamaki a cikin farkon cutar siga. Mutumin baya jin cewa metabolism dinsa yana “karye”, kuma yaci gaba da rayuwa yadda ya saba.

Jikinmu yana da halayen ada ada da yawa wadanda zasu bamu damar gujewa lalacewa cikin lokaci. Tare da taɓa wani abu mai zafi ba da sannu ba, za mu sha azaba kuma mu cire hannunka nan take. Mun fitar da berries mai ɗaci - wannan ɗanɗano bashi da dadi a gare mu, 'ya'yan itatuwa masu guba, a matsayin mai mulkin, suna daci. Ayyukanmu na musamman don tuntuɓar kamuwa da cuta, rauni, sautuka masu yawa, haske mai yawa, sanyi da zafi suna kare mu daga tasirin abubuwanda zasu cutar da lafiyar mu.

Akwai wasu nau'ikan haɗarin da mutum bai ji ba. Don haka, alal misali, ba ma jin sakamakon tasirin iska. A farkon cutar sankara ba a lura da mutane.

Ba za a iya jin ciwon suga ba.

Wani zai ƙi: "Ba gaskiya bane, tare da ciwon sukari, mutum yana jin ƙishirwa, yana fitar da abubuwa masu yawa, yana asara nauyi kuma yana raunana da ƙarfi!"

Wannan daidai ne, lallai waɗannan alamun alamun cutar sankara ce. Ba wai kawai a farko ba, amma ya riga ya kasance mai mahimmanci, yana nuna cewa ciwon sukari ya lalace, wato, yawan glucose (sukari) a cikin jini yana ƙaruwa sosai, kuma a kan wannan yanayin, metabolism yana da rauni sosai. Kafin waɗannan bayyanar cututtuka su bayyana, galibi yakan ɗauki ɗan lokaci daga farkon ciwon sukari, wani lokacin shekaru, lokacin mutumin ba ma tunanin cewa matakin glucose a cikin jininsa ya yi yawa.

- Akwai rukunan abubuwa guda uku wadanda maganin cututtukan sukari ya danganta:

• abincin da ya dace
• aiki na jiki, zai fi dacewa dan lokaci bayan cin abinci,
• da kuma zaɓaɓɓen maganin ƙwaƙwalwar magani daidai.

Idan mutum ya ci yadda yakamata, yana motsawa tare da bin duk shawarwarin magani, za a biya shi ciwon kansa mai gamsarwa, wato, matakin. jini kusanci ga dabi'un al'ada.

Idan muna magana ne game da nau'in ciwon sukari na biyu, da farko, muna tuna game da atherosclerosis. Don haka, muna ware duk kitse na dabbobi, wato, nama mai kitse, duk sausages, sausages, cheeses mai, kayan kiwo. Mun canza komai zuwa mafi ƙarancin mai. Kuma, ba shakka, muna cire kayan zaki mai daɗi, don kar mu ɗauki nauyi. Bugu da ƙari, ya zama dole don tabbatar da cewa mara lafiya ba shi da saurin hauhawar sukari. A cikin irin waɗannan mutane, ƙwayoyin suna da matukar damuwa ga glucose, insulin ba zai iya isar da glucose nan da nan a cikin tantanin halitta ba, kamar yadda a farkon nau'in. Tare da nau'in na biyu, koyaushe muna tuna cewa akwai juriya na insulin. Don haka, ya kamata ku yi ƙoƙarin cire Sweets. Abincin mafi wuya a cikin mutane masu ciwon sukari na 2.

Majinyatanmu da nau'in ciwon sukari na biyu tsofaffi ne, sun fi shekaru 40, sun zo wurin likita ne da tsarin yarjejeniyar su. Kuma likita ya ce: "Don haka, muna karya komai, mun watsar da shi, komai ba daidai ba ne, kuna buƙatar cin abinci, amma ba ainihin abin da kuke so bane." Yana da wuya, musamman ga mazajen da ke kukan yadda za su rayu ba tare da tsiran alade ba. Sai na ce musu: “Kun sayi daskararren murfi, kun ɗora da kayan yaji, tafarnuwa, shafa shi da barkono, a ɗanɗana shi, a ciko shi da yisti a cikin tanda. A nan kuna da tsiran alade. Komai, rayuwa tana kara kyau. Wajibi ne a taimaki mutum ya nemi abin nema.

- Kuna buƙatar cin kowane awa 2.5-3, kada ku jira lokacin da kuke so. Lokacin da mutum, musamman ma tare da kiba, ke fama da yunwa, ba zai yuwu a sarrafa nawa ya ci ba. Zai sami "hadaddiyar abinci." Don haka, don kada wannan masifa ta faru, mai haƙuri dole ne ya ɗan ɗanɗano komai, alhali yana iya gano cewa ya ci biskit biyu kawai ya sha gilashin ruwan tumatir. Sabili da haka a takaice, daga safe zuwa maraice, lokacin ƙarshe na rabin sa'a kafin baccin dare. Wannan tatsuniya ce wacce ba za ku ci bayan 6. Za ku iya. Kuma ko da dole. Iyakar tambaya ita ce menene daidai kuma a cikin wane adadi.

Ina tsammanin cewa babu wanda ya isa ya yi tunanin cewa ya kamata ya je wurin binciken tarihin. Amma idan mutum yana da abin da ba daidai ba, idan wani abu ya same shi, idan bai farka da karfi ba, yana da wata azaba a cikin rana, wasu abubuwan ji daɗi (karuwa da gumi, narkewar ruwa, ko, ba daɗi, bushe bakin), to, kuna buƙatar zuwa GP, gaya masa duk abin da ke damunsa. Kuma daga nan likitan kwantar da hankali zai binciki sannan ya yanke shawarar wacce likita zata turawa mara lafiyar.

Olga Demicheva, O. Yu. Demicheva

Wannan littafin ya samo asali ne daga laccocin marubucin a makarantu masu ciwon sukari da kuma tambayoyin da marasa lafiya da kansu suke tambaya. Shin za a iya magance cutar sankara? Kuma ba tare da insulin ba? Daga ciki zaku fahimci wane labari game da tatsuniyoyi masu ban sha'awa da ke tattare da wannan mawuyacin cuta su ne samfuran Intanet da bayanan da ba a tabbatar da su ba, kuma waɗanne ne sabon sahihan ra'ayi da ke buɗewa ga masu ciwon sukari. Bayani mai gaskiya, mara amfani da asali game da abubuwan da ke haifar da sakamakon cututtukan sukari zai ba ku dama ta haɓaka rayuwar ku idan kuna da ciwon sukari kuma ku guji ciwon sukari idan kun kasance cikin hadarin hakan. Ba za ku sami kawai ilimin da ake buƙata ba, har ma da tallafi a ƙarƙashin taken "Duk duniya - nesa da ciwon sukari."

Mafi kyawun Batun Karatu

Wani marubucin endocrinologist ne ya rubuta littafin tare da gwaninta - Olga Demicheva kuma yana dauke da amsoshin waɗannan tambayoyin:
1. Mene ne ciwon sukari mellitus (halayyar cutar: T1DM, T2DM).
2. Yadda ake nuna rashin lafiya.
3. Yadda ake sarrafa cutar don kaucewa rikice-rikice da mutuwar farko.
4. A waɗanne hanyoyi ne mutanen da suka taɓa yin yaƙi da ciwon sukari, waɗanda suka gano insulin, da sauransu. (Tarihin lura da cutar).
5. Hanyoyi don kiyayewa don guje wa rashin lafiya.
6. Abubuwa marasa kyau waɗanda ke haifar da ci gaba da cutar (rashin motsa jiki, rashin abinci mai gina jiki, haifar da kiba, wanda, a biyun, ke haifar da cutar sukari na 2).
7. Jeri na mako guda ga masu fama da ciwon sukari na 2.
8. Fa'idodi da cutarwa na sukari da mashaya.
9. Ciwon sukari na ciki da ciki.
10. Shahararrun tatsuniyoyi game da ciwon sukari.
Rashin maganin yana ba da halayen magunguna.

Babu wani amsar kai tsaye ga tambayar a cikin littafin: abin da za a yi wa dangin mara lafiya idan matakinsa na sukari ya tashi ba zato ba tsammani (ya sauka) - an ba da shawara don tattauna yanayin aikin gaba tare da likitan halartar sa. Ta wata hanyar, littafin bai maye gurbin tafiya zuwa likita ba - har ma ana tsammanin cewa dangi na gaba yana tafiya tare da mai haƙuri don karɓar alƙawari kuma zai yi hankali game da likita.

Naji daɗin abin da aka rubuta cikin harshen m, cikin haɗari mai jan hankali zuwa cikin shiri.
Ban ji daɗin zane ba: hotunan hotuna da yawa na likitoci: duka a kan murfin kuma a cikin rubutu. Da kaina, wannan ya raba ni da ma'anar abin da ake karantawa :)
Yana da ban sha'awa a karanta marassa lafiya da danginsu, da kuma rigakafin cutar sankara.

Wani marubucin endocrinologist ne ya rubuta littafin tare da gwaninta - Olga Demicheva kuma yana dauke da amsoshin waɗannan tambayoyin:
1. Mene ne ciwon sukari mellitus (halayyar cutar: T1DM, T2DM).
2. Yadda ake nuna rashin lafiya.
3. Yadda ake sarrafa cutar don kaucewa rikice-rikice da mutuwar farko.
4. A waɗanne hanyoyi ne mutanen da suka taɓa yin yaƙi da ciwon sukari, waɗanda suka gano insulin, da sauransu. (Tarihin lura da cutar).
5. Hanyoyi don kiyayewa don guje wa rashin lafiya.
6. Abubuwa marasa kyau waɗanda ke haifar da ci gaba da cutar (rashin motsa jiki, rashin abinci mai gina jiki, haifar da kiba, wanda, bi da bi, yana haifar da ciwon sukari na 2).
7. Jeri na mako guda ga masu fama da ciwon sukari na 2.
8. Fa'idodi da cutarwa na sukari da mashaya.
9. Ciwon sukari na ciki da ciki.
10. Shahararrun Litattafai game da Sarin ... Fitar