Ciwon sukari Maganin Ciwon Jiki

Wata kasida daga jerin taken "Ciwon sukari: Daga Yaro zuwa Yaro."

Hadarin cutar cututtukan zuciya, wanda shine babban dalilin cutar tsufa, nakasa da mace-mace, yana da alaƙa da abin da ake kira syndrome metabolism (MS).

Zuwa yau, wannan sanannen sanannen sanannen sananne ne da ya haɗa da cin zarafin haƙuri ga carbohydrates ko nau'in ciwon sukari na 2 na mellitus (DM 2), dyslipidemia, rikicewar hemostatic tare da haɓakar thrombosis, hauhawar jini a jiki (AH) da nau'in kiba na tsakiya.

A rarrabe ɓangaren cututtukan ƙwayar cuta na iya zama ba ya nan ko yanzu, duk da haka, kowane ɗayan su mai zaman kansa ne na haɓaka cututtukan zuciya. Haɗin pathophysiological wanda ke haɗuwa da bayyanannun bayyanannun cututtukan metabolism shine insulin juriya (IR).

A cikin 2005, IDF ta sake bayyana ciwo na rayuwa, wanda a cewar sa shine haɗuwa da kiba na ciki, juriya na insulin, hauhawar jini, hauhawar jijiyoyi, rauni hemostasis da kumburi subclinical na ciki (Fig. 3.3).

Hoto 3.3. Fahimtar yanzu game da ciwo na rayuwa (IDF, 2005)

Ta hanyar insulin juriya ana nufin take hakkin insulin-matsakaici amfani da glucose a cikin gabobin guda uku (tsokar kasusuwa, tsotse nama da hanta), inda canje-canje na pathophysiological ya dogara da yanayin aikin insulin. Rashin ingantacciyar rayuwa (yawan wuce gona da iri a jikin dabbobi da sauƙin narkewa mai narkewa a cikin abinci, rashin aiki ta jiki, damuwa mai kuzari-mutum), har ya kai ga yawan amfani da kuzari fiye da amfani da kuzari a cikin mutane tare da “durƙusar” kwayoyin halittar jini (ko kuma ƙaddarar halittar mutum), yana ba da gudummawa ga adon tso adi nama tare da rarrabuwar kawuna a cikin (ko visceral) yanki na jiki.

A wannan matakin, insulin tsayayya insulin ta hanyar samar da isasshen adadin insulin, babu karkacewa cikin amfani da glucose. Bugu da ari, kunna tsarin juyayi na haifar da karuwar fitowar zuciya da bugun zuciya, wanda ke haifar da vasospasm da kuma karuwar jimlar jijiyoyin jiki.

Increasearin tsari na hawan jini (BP) shima yana haɓaka matsayin juriya na insulin, wanda ke ba da gudummawa ga haɓakar cuta mai narkewar ƙwayar cuta. Lipolysis yana faruwa a cikin ƙwayar mai, yana haifar da sakin mai yawa na kitse mai ƙanshi (FFA) da haɓaka kirar lipoproteins mai yawa (VLDL).

Maganin cutar metabolism na shekaru da yawa (kimanin 5) na iya faruwa ba tare da bayyanar da asibiti na rikice-rikice na metabolism metabolism ba.

Hyperglycemia a cikin ciwo na rayuwa yana haifar da karuwa a cikin juriya na insulin a kan asalin farkon raguwar ƙwayar insulin. Babban taro na FFA koyaushe yana haifar da karuwar haɓakar glucose ta hanta da jigilar glucose mai lalacewa a cikin tantanin halitta.

A matsakaici, ƙirƙirar cikakken tari na ciwo na rayuwa shine kimanin shekaru 10. Thearuwar tsananin MS yana haifar da ƙara yawan ayyuka na alamun masu kumburi, thrombosis da lalatawar ƙwaƙwalwar ƙwayar cuta.

Babban alamar asibiti, yana bada damar tura mai haƙuri zuwa ƙungiyar hadarin don ƙirƙirar ciwo na rayuwa, shine kiba. An tabbatar da cewa kiba a farkon lokacin tana da alaƙa da cututtukan zuciya, take hakkin daidaita tunanin mutum da ingancin rayuwa. Kusan rabin matasa da kuma uku bisa uku na masu kiba za su sami kiba a cikin balaga.

A cikin 2004, WHO ta yiwa rajista game da yara miliyan 22 da ke ƙasa da shekara 5 waɗanda ba su da kiba ko kiba. A halin yanzu, bisa ga Obungiyar Kiba ta Duniya (IOTF), aƙalla 10% na yara tsakanin shekaru 5 zuwa 17 sun wuce kiba ko kiba, wanda kusan mutane miliyan 155 ne. Daga cikin waɗannan, kimanin miliyan 30-45 (2-3%) suna da halin halayyar ƙwayar cuta na android. Wannan yanayin ya tsananta a kan lokaci.

A cikin yawan jama'ar Amurka a cikin shekaru 20 da suka gabata, yawan kiba a cikin yara da matasa masu shekaru 6 zuwa 18 kusan kusan ninki biyu. A cewar masana kimiyya na Rasha, an rubuta kiba a cikin 8% na yara maza masu shekaru 12 zuwa 18 da kusan 10% na girlsan matan da shekarunsu ɗaya. A cikin ƙananan yara masu kiba, 53% suna da alamun MS.

Ta wannan hanyar kiba yara wani lamari ne da ke haifar da tsoratarwar samuwar cututtuka daban-daban da kuma rashin haihuwa. An gano cewa a cikin yara masu ƙwayar ƙwayar cuta na visceral da ƙimar darajar ƙashin ƙugu zuwa kwatangwalo (OT / OB), ƙwaƙwalwar insulin tana da ƙasa fiye da marasa lafiya da ƙananan ƙimar ƙarshen.

Kamar yadda yake a cikin manya, a cikin yarinta da lokacin samartaka, ana ɗaukar kiba ciki a matsayin maƙasudi kuma ƙima mai zaman kanta ga IR saboda ƙayyadaddun masu karɓar Adipocyte Glu T 4 waɗanda ke ba da tasirin insulin.

Kwayar cuta ta metabolic a farkon shekarun rayuwar yaro yana kasancewa ne ta hanyar abubuwa daban-daban, wasu daga cikinsu har yanzu suna tasiri tayin.

Dangane da manufofin zamani, zamu iya bambance masu zuwa abubuwan da ake amfani da su kamar yadda ake samarda kayan kara karfi a rayuwa.

1. Abubuwan da ke tsinkaya:
   • kiba ko da kuwa da kwayoyin,
   • lahanin kwayoyin halittar ƙungiyar lipoprotein,
   • lahani ga farji a matakai daban daban na jikin kansar,
   • asalin lahani na masu karɓar insulin ko kuma asarar su sakamakon haɗuwar ƙwayar ciki.
2. Ganewa (warware) abubuwan:
   • yawan wuce haddi na carbohydrates da lipids,
   • sutudiyyar rayuwa
   • akai-akai game da danniya.

Babu shakka, mahimmin abu a cikin samuwar cututtukan metabolism shine insulin juriya, wanda ke haifar da mummunan tashin hankali na bayyanar cututtuka, yana haifar da ƙarshe zuwa bayyanuwar rikicewar cututtukan zuciya.

Akwai ka'idar ci gaban cututtukan ƙwayar insulin, wanda ya ba da labarin cewa a cikin yara da ke fama da rashin isasshen abinci mai gina jiki kuma an haife su da ƙasa da kilogiram 2.5, isasshen ƙwaƙƙwaran kyallen takarda da gabobin jiki, ƙarancin jijiyoyin kyallen takarda zuwa insulin tuni ya samar cikin utero.

Dangane da wani ka'idar, an tabbatar da juriyawar insulin bisa ga asalinsa, kamar yadda aka tabbatar ta hanyar halayen wannan cutar a cikin yawancin yan uwa.

Canje-canje na atherosclerotic yana farawa a lokacin ƙuruciya da lokacin samartaka, ana nunawa a cikin bakin ciki na cikin ciki na aorta da carotid artery, haka kuma a cikin nau'in anherosclerosis na jijiya na jijiyoyin zuciya, waɗanda aka gano ta hanyar kwantar da hankalin duban dan tayi (duban dan tayi). A wannan yanayin, atherosclerosis na jijiya da jijiyoyin jini a cikin yara da matasa suna da alaƙa da ingancin ikon sarrafa glycemic (matakin shaida A).

Akwai tabbataccen hujja game da tsinkayar ƙwayar halittar jini ga cutar cututtukan ƙwayoyin cuta na atherosclerotic. Kasancewar dangi da ke fama da cututtukan zuciya yayin da suke kasa da shekaru 55, rashin lafiyar lipid, tare da cutar sankara 2, hauhawar jini, da shan sigari, ya sanya mai haƙuri cikin hatsarin gaske.

Ta wannan hanyar metabolism ciwo matsala ce ta gaggawa ta magani na zamani, wanda aka ƙaddara ta wurin babban ɗimbinsa (20-25%) a cikin yawan jama'a da kuma haɓakar ci gaba "farfadowa". Daga ra'ayi na asibiti, babban burin hana cutar cuta na rayuwa shi ne a ware marassa lafiyar da ke cikin hadarin kamuwa da jini a cikin jama'a, wanda aiwatar da matakan kariya, gami da sauya salon rayuwa da kuma amfani da isassun magunguna, na iya yin tasiri sosai ga manyan alamu na kiwon lafiya. Wannan yanayin na iya juyawa, wato, tare da kulawa da ta dace, zaku iya cimma ɓacewar, ko aƙalla rage tsananin mahimmin bayyanuwar ta.

Sakamakon matsanancin asibiti da mahimmancin zamantakewar matsalar, a cikin 2006 IDF sun yarda da yarjejeniya akan MS, wanda ya ƙayyade alamun wannan cutar, dabarun gudanarwa don irin waɗannan marasa lafiya, da kuma makasudin magani. An gabatar da ka'idojin ganewar asali don magance ciwo na rayuwa a cikin tebur. 3.1.

Tashin kiba na tsakiya (an ayyana shi bisa ga karkatar da kugu tare da halayen ƙabilanci)

Tare da BMI> 30 kilogiram / m 2, ba a buƙatar auna ma'aunin matsakaicin matsakaicin matsatsi

+ Duk biyu daga cikin abubuwan da aka ambata a sama:

Asedara yawan triglycerides

≥ 1.7 mmol / L (≥ 150 mg / dL) ko takamaiman magani don dyslipidemia

Rage yawan-lipoprotein cholesterol (HDL)

Maza:
2, RT - 106.80 ± 10.20 cm. An wajabta magunguna sau ɗaya da safe a kan kashi 0.4 mg / rana don makonni 12. Idan ya cancanta, bayan mako guda, an kara adadin moxonidine zuwa 0.8 mg / rana. An yi la'akari da rarrabuwa don ƙimar ƙwayar cuta a matsayin raguwa a cikin karfin jini (BP) ƙasa da 140/90 mm RT. Art. ko kasa da 10% na matakin farko.

Moxonidine monotherapy ya kasance mai tasiri a cikin 63% na marasa lafiya, kuma a cikin 58% na marasa lafiya a kashi na 0.4 MG. Marasa lafiya sun yi haƙuri da maganin. Patientswararrun marasa lafiya huɗu ne kawai ke da bakin bushewa (a kashi ɗaya na 0.8 mg / rana), amma babu buƙatar soke maganin ko rage maganin sa. Ganin ingancinsa, an yi maganin moxonidine na mako sha biyu. Marasa lafiya waɗanda ke maganin ƙwaƙwalwar ƙwayar cuta tare da moxonidine a kashi na 0.8 MG ba su da tasiri an tsara su hade da maganin cututtukan farji.

Syndromes masu ciwon sukari

Shekaru da yawa ba tare da gwagwarmaya ba game da IYAYE?

Shugaban Cibiyar: “Za ku yi mamakin yadda sauƙin sauƙin magance ciwon sukari ta hanyar shan shi kowace rana.

A yau zamuyi magana game da syndromes na ciwon sukari. Mutane da yawa suna rikitar da manufar “ciwo” da “alama”. A zahiri, sun yi kama. Cutar kawai ita ce haɗuwa da bayyanar cututtuka da yawa a lokaci daya, waɗanda ke hade da wannan dalilin na faruwa (etiology) da aiwatarwa a cikin jiki (pathogenesis).

• Syndromes masu ciwon sukari
• Cutar Moriak
• Maganin cutar metabolism
• Cutar Somoji
• Ciwon asuba da asuba
• Ciwon ƙwayar cutar sankara
• Ciwon Mara
• Ciwon mara na rashin lafiya

Syndromes tare da ciwon sukari, ba shakka, suma suna nan, saboda ba tare da su babu wata cuta da zata ci gaba ba. Tsarin cututtukan cuta a cikin jiki, haɓaka sakamakon ciwon sukari, yana yin canje-canje a cikin aikin duk tsarin.

Syndromes masu ciwon sukari

Babban nau'ikan syndromes ga masu ciwon sukari nau'in 1 da 2 sune kamar haka:

• Cutar Moriak
• na rayuwa
• cutar ta somoji
• sanyin safiyar asuba
• nefrotic
• mai raɗaɗi
• na jijiyoyi

Bari muyi la’akari da su daki daki kadan, yadda aka kamanta kowannensu kuma menene haɗari ga masu ciwon sukari?

Cutar Moriak

Pathology ya samo sunan ta da sunan likitan Faransa wanda ya gano shi. Wannan yanayin yana faruwa ne kawai a cikin yara, kuma galibi a cikin waɗanda suka kamu da cutar sukari a farkon shekarunsu.

An kwatanta shi da jinkirin ci gaba a cikin jarirai, kazalika da fuska mai canzawar wata tare da jan cheeks. Wadannan yara suna da kitse mai yawa a ciki, kirji da cinya, ba kamar sauran jikin ba.

Cutar na Moriak na faruwa ne sakamakon rashin isasshen magani. A wasu kalmomin, lokacin da aka gudanar da insulin a wurin da ba daidai ba, a sashi mara kyau, ko wannan magani yana da inganci mara kyau. Godiya ga kyawawan magunguna na zamani don tallafawa rayuwar irin waɗannan masu haƙuri, wannan ciwo ya yi ƙasa sosai kuma ba da jimawa ba.

Maganin cutar metabolism

Syndromes tare da ciwon sukari suna da alaƙa da canje-canje a cikin jiki. Metabolic, alal misali, ana danganta shi da rikice-rikice na rayuwa. A wannan yanayin, sel suna tsayar da fahimtar insulin ne, kuma saboda haka kwayoyin ba sa iya yin ayyukanta. Wannan yana shafar dukkanin tsarin jiki.

A gaban wannan yanayin pathological (wanda, ta hanyar, ba cuta ce ta daban ba), mutum yana fama da cututtuka da yawa a lokaci guda. Wato:

• Daga kiba
• Daga cututtukan da ba na insulin-da ke fama da ciwon suga ba,
• Daga hauhawar jini
• Daga ischemia.

Ilimin ƙwaƙwalwar ƙwayar cuta yana da haɗari; ba don komai ba ne cewa likitoci sun kira shi "matattarar mutuwa" Yana haifar da gazawar abinci, rashin aiki, yanayi mai wahala da rashin isasshen magani don hawan jini.

Cutar Somoji

A takaice dai, wannan shine tsarin kulawa na yau da kullun na babban allurai na insulin, wato, yawan zubar da hankali na hormone. An gano cutar ne da sunan masanin kimiyyar Amurka. Hakanan ana kiranta hyperglycemia.

Ana nuna cutar ta Somoji ta hanyar sha'awar cin abinci da ƙima mai nauyi, a lokacin rana matakan glucose a koyaushe yana jujjuya su, suna zama ko ƙasa sosai ko ƙasa sosai, kuma ƙoƙari na haɓaka adadin insulin kawai yana cutar da mai haƙuri.

Ciwon asuba da asuba

Da yake magana game da syndromes na ciwon sukari, wannan sabon abu ba za'a iya watsi dashi ba. Sun kira shi daidai saboda a wannan yanayin matakan sukari na jini marasa lafiya yakan tashi da sassafe. Wannan sabon abu yana faruwa tare da nau'in 1 da nau'in ciwon sukari na 2.

Ba a fayyace musabbabin faruwar faruwar hakan ba. An yi imani da cewa cututtukan alfijir lokacin asuba mutum ne bayyananne na jiki. Koyaya, yana da gama gari.

Ciwon ƙwayar cutar sankara

An kwatanta shi da babban kewayon furotin tare da fitsari. Don ma'anar: a cikin yanayin al'ada na furotin a cikin fitsari a kusan faruwa baya faruwa. Ciwon ƙwayar cuta shine alama ta lalacewar koda.

Wannan yanayin pathological yana faruwa a cikin kashi ɗaya cikin uku na marasa lafiya da ciwon sukari. Yana da haɗari ga rayuwar ɗan Adam, tunda lura da kodan a wannan yanayin aiki ne mai wahala mai wahala. Bugu da kari, da farko cutar ta ci gaba ba da jimawa ba, kuma ana gano ta, a matsayin mai mulkin, riga a wani mataki na ƙarshe.

An yi imani da cewa yanayin da abin da ya faru na wannan ciwo ne immuno-mai kumburi.

Ciwon Mara

Syndromes masu ciwon sukari sun sha bamban. Hatta wadanda ba sa cikin wannan cutar. Cutar da kanta ba zata iya haifar da ciwo ba, amma maganganun haɗin kai suna da ikon yin wannan. Mafi yawan lokuta, wannan shine rauni na hanyoyin jini na ƙananan ƙarshen.

Abubuwan da ke haifar da ciwo a cikin ciwon sukari ba 'yan kaɗan ba ne, amma babban abin da ya rage ya kasance - don jagorantar rayuwar da ta dace. Hanya guda daya don kaucewa rikice-rikice da alamomi kamar jin zafi.

Ciwon mara na rashin lafiya

Cutar sankarar jijiyoyin jiki yayin mellitus ciwon sukari alama ce ta asibiti wanda ke ba da damar tuhumar mara lafiya da ciwon zuciya ko angina pectoris.

Ci gabanta yana inganta ne ta hanyar rikice-rikice a cikin hanyoyin rayuwa na jiki, raguwa mai kaifi a cikin sukarin jini, lalacewar tasoshin jini na zuciya, kodan, kwakwalwa, da kuma gabatarwar manyan allurai na insulin na hormone.

Don kawar da wannan ciwo, an tsara mai haƙuri mai tsananin rage cin abinci, ana ƙididdige mafi kyawun ƙwayar insulin, kuma, ba shakka, ana ɗaukar matakan kula da tsarin jijiyoyin zuciya.

Mene ne cututtukan metabolism: bayanin, bayyanar cututtuka da kuma hana ciwon sukari

A yau, shugabannin da ke yawan mutuwa sune cututtukan cututtukan zuciya da jijiyoyin jini (bugun jini, infarction na zuciya) da nau'in ciwon sukari na 2, don haka ɗan adam ya daɗe da taurin kai yana fama da waɗannan cututtukan. A zuciyar hanyoyin kariya daga kowace cuta shine kawar da abubuwanda ke haifar da hadari.

Maganin cutar metabolism kalma ce da aka yi amfani da ita a cikin aikin likita don ganowa da kawar da abubuwan haɗari ga masu ciwon sukari da cututtukan zuciya. A ainihinsa, ciwo na rayuwa rukuni ne na haɗarin haɗari ga masu ciwon sukari da cutar zuciya.

Abubuwan da suka faru a cikin yanayin cutar mahaifa ya kasance ba a gano shi na dogon lokaci. Sau da yawa, sukan fara farawa a cikin ƙuruciya ko lokacin samartaka kuma su haifar da abubuwan da ke haifar da ciwon sukari, cututtukan atherosclerotic, hauhawar jini.

Sau da yawa, marasa lafiya tare da kiba, ƙarancin ƙara yawan matakan glucose a cikin jini, hawan jini, wanda yake a saman iyakar ƙa'idar, ba a kula da shi sosai. Marasa lafiya na samun kulawar likita ne kawai idan ma'aunin haɗari ya ƙunshi haɓaka mummunan cuta.

Yana da mahimmanci a gano irin waɗannan abubuwan kuma a gyara su da wuri-wuri, kuma ba lokacin da bugun zuciya ba

Don saukakawar masu aiki da marasa lafiya da kansu, an tsai da ingantattun sharuɗɗa waɗanda suka sa ya yiwu a bincika ciwo na rayuwa tare da ƙaramin bincike.

A yau, yawancin kwararrun likitanci suna amfani da ma'anar guda ɗaya wanda ke nuna halayen sikila a cikin mata da maza.

Federationungiyar Ciwon Kula da Cutar ta Duniya ta gabatar da ita: haɗuwa da kiba a ciki tare da kowane ƙarin sharudda guda biyu (hauhawar jijiyoyin jini, rashin abinci mai narkewa mai narkewa, dyslipidemia).

Kwayar cutar alamomi

Da farko, ya cancanci yin la’akari da cutar sikari, tsarinta da alamu a cikin dalla-dalla.

Babban kuma alamace ta kasance mai kiba na ciki. Menene wannan Tare da kiba mai ciki, ana sanya nama mai danshi musamman a ciki. Irin wannan kiba kuma ana kiranta "android" ko "nau'in apple." Yana da mahimmanci a lura da kiba a cikin cutar siga.

Kiba mai yawa "gynoid" ko "nau'in pear" an san shi ne ta hanyar saka tsoka nama a cikin cinya. Amma wannan nau'in kiba ba shi da irin wannan mummunan sakamako kamar wanda ya gabata, saboda haka ba a amfani da ƙa'idodin cututtukan metabolism kuma ba za a yi la'akari da su a wannan batun ba.

Don sanin girman kiba na ciki, kuna buƙatar ɗaukar santimita kuma auna ƙarar matsatsi a tsakiyar nesa tsakanin ƙasan ilium da arches mai tsada. Girman kugu na wani mutum dan ƙabilar Caucasian, sama da cm 94, alama ce ta ƙasan ciki. Mace tana da girma fiye da 80 cm, alama ce iri ɗaya.

Yawan kiba ga Asiya ya fi tsauri. Ga maza, ƙarancin damar shine 90 cm, ga mata ya kasance iri ɗaya ne - 80 cm.

Kula! Sanadin kiba na iya zama ba kawai wuce gona da iri ba da kuma rayuwar ba daidai ba. Mai tsanani endocrine ko cututtukan ƙwayoyin cuta na iya haifar da wannan ilimin!

Saboda haka, idan alamun cututtukan da aka lissafa a ƙasa suna kasancewa guda ɗaya ko a hade, ya kamata ka tuntuɓi cibiyar likita da wuri-wuri don bincika ta ƙwararren masanin ilimin endocrinologist wanda zai ware ko tabbatar da sifofin kiba:

• fata bushe,
• kumburi
• ciwon ƙashi
• maƙarƙashiya
• shimfiɗa alamu a kan fata,
• karancin gani
• launin fata yana canzawa.

1. Hauhawar jini a cikin jijiya - ana bincikar cutar idan cutar sankarar systolic tayi daidai ko ta wuce Hm 130 mm. Art., Da diastolic daidai yake ko mafi girma daga 85 mm RT. Art.
2. Take hakkin jijiya. Don tantance wannan ilimin, ana buƙatar gwajin jini na biochemical, wanda ya zama dole don ƙayyade matakin cholesterol, triglycerides da babban lipoproteins mai yawa. An ayyana matakan ma'aunin ciwo kamar haka: ragin triglycerides ya fi 1.7 mmol / l, alamace mai yawa na lipoproteins mai ƙasa da 1.2 mmol a cikin mata da ƙasa da 1.03 mmol / l a cikin maza, ko kuma tabbataccen gaskiyar magani don dyslipidemia.
3. Take hakkin carbohydrate metabolism. Wannan ilimin ilimin alamu yana tabbatar da gaskiyar cewa azumin sukari na jini ya wuce 5.6 mmol / l ko amfani da magunguna masu rage sukari.

Ciwon ciki

Idan bayyanar cututtuka ba a kwance ba kuma cutar ba ta bayyana ba, likitocin da ke halartar sun ba da ƙarin ƙarin gwajin. Bayyanar cututtuka na rayuwa kamar haka:

• Gwajin ECG
• saka idanu na yau da kullum game da karfin jini,
• Duban dan tayi na jini da zuciya,
• tabbatar da lipids a cikin jini,
• ƙuduri na sukari jini 2 hours bayan abinci,
• nazarin koda da aikin hanta.

Yadda za a bi

Da farko dai, mai haƙuri dole ne ya canza salon rayuwarsa. A wuri na biyu shine maganin ƙwayar cuta.

Don lura da gidajen abinci, masu karatunmu sunyi nasarar amfani da DiabeNot. Ganin shahararrun kayan wannan samfurin, mun yanke shawarar ba da shi ga hankalin ku.

Canjin rayuwa sune:

• canza canji da abinci,
• barin mummunan halaye,
• increasedara yawan aiki na jiki tare da rashin aiki na jiki.

Idan ba tare da waɗannan ƙa'idodin ba, magani ba zai haifar da sakamako mai kyau ba.

Shawarwarin abinci masu gina jiki

Abubuwan rage cin abinci mai tsauri kuma, musamman, yin azumi tare da ciwo na rayuwa ba da shawarar ba. Yawan jikin mutum yakamata ya ragu a hankali (5 -10% a farkon shekarar). Idan nauyi ya ragu da sauri, zai zama da wahala mai haƙuri ya aje shi a matakin da aka cimma. Kilo da aka rasa, a mafi yawan lokuta, sake dawowa.

Canza abincin zai zama da amfani sosai kuma yana da tasiri:

• maye gurbin fatalwar dabbobi da kitse na kayan lambu,
• da haɓaka yawan adadin zarurrukan da fiber ɗin shuka,
• rage cin gishiri.

Ya kamata a cire Soda, abinci mai sauri, irin kek, farin gurasa daga abincin. Miyar kayan lambu ya kamata ya ci, kuma ana amfani da nau'in naman naman da ake amfani da shi azaman kayayyakin nama. Kayan kaji da kifi ya kamata a steamed ko a dafa.

Daga cikin hatsi, an ba da shawarar yin amfani da buckwheat da oatmeal; an ba da shinkafa, gero, da sha'ir. Amma semolina yana da kyawawa don iyakance ko kawar da gaba ɗaya. Kuna iya tsaftace ma'aunin glycemic na hatsi don ƙididdige komai.

Kayan lambu kamar su: beets, karas, dankali, masana harkar abinci sun ba da shawarar cin abinci ba fiye da 200 g ba. kowace rana. Amma zucchini, radishes, letas, kabeji, kararrawa barkono, cucumbers da tumatir za a iya ci ba tare da ƙuntatawa ba. Wadannan kayan lambu suna da wadatar fiber sabili da haka suna da amfani sosai.

Ana iya cinye berry da 'ya'yan itatuwa, amma ba fiye da 200-300 gr ba. kowace rana. Madara da kayayyakin kiwo yakamata su zama masu ƙarancin mai. Za a iya cin cuku na gida ko kefir a rana ɗaya 1-2, amma fat mai ƙamshi da kirim mai tsami ya kamata a cinye lokaci-lokaci.

Daga cikin abubuwan sha, zaku iya sha kofi mai rauni, shayi, ruwan tumatir, ruwan 'ya'yan itace da kuma stewed' ya'yan itãcen marmari ba tare da sukari ba kuma zai fi dacewa a cikin gida.

Magungunan magani

Domin warkar da ciwo, kuna buƙatar kawar da kiba, hauhawar jini, haɓaka ƙwayar metabolism, dyslipidemia.

A yau, ana kula da ciwo na rayuwa ta amfani da metformin, kashi na wanda aka zaɓa lokacin da ake sarrafa matakin glucose a cikin jini. Yawancin lokaci a farkon magani, yana da 500-850 MG.

Kula! Ga tsofaffi, an tsara maganin tare da taka tsantsan, kuma a cikin marasa lafiya da ke fama da hanta da aikin koda, an hana yin amfani da metformin.

Yawancin lokaci ana amincewa da miyagun ƙwayoyi, amma sakamako masu illa a cikin nau'in cututtukan gastrointestinal har yanzu suna nan. Sabili da haka, an bada shawarar yin amfani da metformin bayan cin abinci ko lokacin abincin.

Tare da cin zarafin abincin ko tare da yawan shan ƙwayoyi, ƙwayar cuta na iya haɓaka. Ana nuna alamun bayyanar yanayin ta hanyar rawar jiki da rauni a jiki, damuwa, jin yunwar. Saboda haka, dole ne a sa ido sosai da matakin glucose a cikin jini.

Zai fi dacewa, mai haƙuri ya kamata ya sami glucometer a gida, wanda zai ba ka damar kulawa da matakin sukari na yau da kullun a gida, zaka iya amfani da glucheeter Aychek, alal misali.

A cikin lura da kiba, Orlistat (Xenical) ya shahara sosai a yau. Itauki ba ya wuce sau uku a rana, yayin babban abincin.

Idan abincin da ke cikin abinci ba mai kitse ba, zaku iya tsallake shan maganin. Tasirin miyagun ƙwayoyi ya danganta ne da raguwar ɗimbin kitse a cikin hanji. A saboda wannan dalili, tare da haɓaka mai a cikin abinci, sakamako masu illa mara kyau na iya faruwa:

• m so ga komai
• rashin tsoro
• mai gudana daga dubura.

Marasa lafiya tare da dyslipidemia, tare da rashin tasirin magani na abinci mai tsawo, an wajabta magunguna masu rage rage liba daga kungiyoyin gungun fibrates da statins. Wadannan magungunan suna da iyakantattun iyakoki da mummunar illa. Saboda haka, likitan halartar ne kawai ya kamata a rubuto musu.

Rage magungunan saukar karfin jini da aka yi amfani da su a cikin cututtukan metabolism suna dauke da sinadarai masu hana haɓakar enzyme (lisinopril, enalapril), imidosaline receptor agonists (moxonidine, rilmenidine), masu hana tashar alli (amlodipine).

Zaɓin dukkanin magunguna ana aiwatar da su daban-daban.