Steroid shuga: zimayambitsa, zizindikiro, chithandizo

Steroid shuga - ichi ndithu matenda, chomwe chiri choyimira matenda a shuga. Dzinali ena - yachiwiri insulin amadalira shuga a mtundu woyamba. Disease imafuna kukhala pachibwenzi ndi wodwalayo. Mtundu wa matenda a shuga kumachitika ndi maziko a ntchito yaitali pokonzekera m'thupi, choncho amatchedwa matenda ashuga mankhwala.

Amene anakhudzidwa ndi matenda?

Steroid shuga ndi amodzi mwa matenda amene ali ndi makhalidwe vnepankreaticheskim. Ndiko kuti, si kugwirizana ndi mavuto mu ntchito ya kapamba. Odwala anati matenda a zimam'patsa kagayidwe, koma zomwe ankagwiritsa ntchito glucocorticoids (mahomoni opangidwa ndi zopangitsa kwa adrenal) kwa nthawi yaitali, akhoza kukhala matenda a shuga steroid, amene ndi wofatsa.

Kuwonekera kwa matenda zikawoneka Munthu wasiya kumwa mankhwala timadzi. peresenti sikisite odwala matenda mwa mtundu wachiwiri wa shuga kumabweretsa chakuti odwala ayenera kusuntha kwa chithandizo insulin. Komanso, shuga mankhwala akhoza kukhala monga vuto la matenda amene munthu kumatheka ulimi wa mahomoni adrenal, mwachitsanzo, hypercortisolism.

Kodi mankhwala lingachititse shuga mankhwala?

Chifukwa shuga steroid kungakhale yaitali ntchito mankhwala glucocorticoid, monga "Dexamethasone", "Prednisolone" ndi "Hydrocortisone". Mankhwalawa ndi odana ndi yotupa wothandizila kuti kuthandiza mankhwala mphumu, nyamakazi, komanso matenda ena autoimmune, monga pemphigus, lupus erythematosus, ndi chikanga. Komanso, mankhwala ntchito pochiza ngati matenda aakulu ubongo ngati ofoola ziwalo.

Komanso, shuga mankhwala kumachitika chifukwa ntchito m'thupi mankhwala olera, komanso ena okodzetsa thiazide, amene okodzetsa. mankhwala amenewa ndi monga "Dihlotiazid", "Hypothiazid", "Nefriks", "Navidreks".

Zinthu zina zambiri za matenda

shuga steroid kumachitika mwa anthu ndipo pambuyo kupatsa impso. Anti-yotupa mankhwala pambuyo limba kupatsidwa zina amafuna kugwiritsa ntchito nthawi yaitali corticosteroids pa mlingo waukulu, kotero odwala kumwa mankhwala wonse kubisa chitetezo chokwanira. Komabe, steroid shuga zimachokeradi odwala onse amene anali ngati zovuta opaleshoni, koma Mwina ndi apamwamba kwambiri chifukwa phwando mahomoni kuposa pa nkhani ya mankhwala a matenda ena.

Ngati munthu kwa nthawi yaitali ntchito mankhwala anayamba zizindikiro za matenda a shuga, izo zikusonyeza kuti wodwalayo ali pangozi. Kupewa steroid shuga, anthu akunenepa ayenera kuonda ndi kusintha moyo wawo, nthawi zonse kuchita zinthu zolimbitsa thupi kuwala. Mu nkhani ngati munthu predisposed matenda, izo kutiletsa kutenga mahomoni Atafufuza wake.

The kulunjika matendawa

Mankhwala Chingelezi amakhala ndi mfundo kuti Chili mitundu onse zizindikiro shuga. Pa chiyambi cha matenda corticosteroids ambiri anayamba kuwononga maselo beta, zomwe zili mu kapamba. zizindikiro ndi chitsanzo kwa DM 1. Komabe, insulin maselo a beta akupitirizabe vrabatyvatsya. Patapita kanthawi, mlingo insulin umayamba kuchepa ndipo zimakhala kukhala saganizira timadzi izi. zizindikiro ndi khalidwe la matenda a shuga 2. Patapita nthawi, maselo beta zimasiya kugwira. Motero, ulimi wa insulin ndi ndinayima. Mofananamo umayenda ndi wabwinobwino insulin amadalira shuga yoyamba.

symptomatology

Zizindikiro za matenda a shuga steroid ndi zofanana mitundu ina ya matenda a shuga. Munthu amadwala mphamvu pafupipafupi pokodza, ludzu lake ndi maganizo kutopa amapezeka mofulumira kwambiri. Zizindikiro zimenezi amakhala ofatsa akuwonetseredwa mu odwala, kotero iwo kawirikawiri kulabadira izo. Mosiyana ndi mtundu odwala 1 popanda mofulumira kuwonda. Osati nthawi zonse madokotala angathe matenda a shuga mankhwala ngakhale pambuyo atayezetsa mtima. mlingo wokweretsa mu mkodzo ndi shuga magazi chosowa kwambiri. Komanso, acetone mmphepete kanjedza mu kusanthula wodwalayo komanso zimachitika nthawi zina.

Kodi kuchira pamene insulin opangidwa

Pamene thupi mabasi yopanga insulin, ndi steroid shuga mofanana ndi mtundu woyamba wa anatsogozedwa, ngakhale ali makhalidwe a chachiwiri (minofu insulin kukana). shuga Izi amaliona chimodzimodzi monga CD 2. Inde, izo zonse zimadalira zimene chisokonezo m'thupi wodwala akuvutika. Ngati wodwala ali ndi vuto onenepa, koma akupitiriza kupanga mankhwala, iye ayenera n'kudziphatika kwa zakudya ndi kudya mankhwala shuga-kuchepetsa, monga "thiazolidinediones" kapena "Glucophage".

Pamene kapamba wakhala poipa kugwira ntchito, Ndi bwino kubaya insulin, amene amathandiza kuchepetsa katundu pa thupi. Ngati beta-maselo sanafikebe atrophied, ndiye patapita kanthawi kapamba ntchito akubwera kubwerera mwakale. Pakuti vuto lomwelo, madokotala mankhwala odwala ndi otsika-zimam'patsa zakudya. Odwala amene alibe mavuto ndi kulemera muyeso, dayeti nambala 9. amene amadwala chidzalo, madokotala amalangiza zakudya nambala 8.

Features mankhwala pamene insulin si opangidwa

Steroid wodwala matenda a shuga zimadalira insulin opangidwa ndi kapamba kapena ayi. Ngati timadzi izi salinso opangidwa m'thupi la wodwalayo, ndi kutumikiridwa mu mawonekedwe a jekeseni. Chithandizo kuti azigwira, wodwala ayenera kuphunzira kupereka jakisoni wa insulin. Anthu ambiri shuga m'magazi ayenera nthawi zonse kuyang'aniridwa. chithandizo shuga mankhwala ndi njira yomweyo monga mu LED 1. Koma maselo akufa beta zosatheka kubwezeretsa.

zinthu sanali muyezo

Pali zina payekha chithandizo steroid a shuga Mwachitsanzo, mu mphumu kwambiri kapena pambuyo opaleshoni ya kupatsidwa zina aimpso. Zikatero, timadzi mankhwala, ngakhale wodwalayo komanso kukhala shuga. misinkhu shuga ayenera anakhalabe pa maziko a momwe bwino kapamba ntchito. Komanso akatswiri kuganizira tilinazo zimakhala kuti insulin. Pazochitika izi, odwala amapatsidwa mahomoni anaboliticheskie, ndiwo thandizo zina thupi, komanso kukwaniritsa zimene glucocorticoids.

Zina mwa zifukwa

munthuyo ali ndi kuchuluka kwa timadzi adrenal mlingo wa amene anasintha lililonse mosiyana. Koma si anthu onse amene glucocorticoids ali pa chiopsezo osauka shuga mankhwala. Corticosteroids bwanji magwiridwe a kapamba, kuchepetsa zotsatira za insulin kanthu. Pofuna kukhala ndende wabwinobwino shuga m'magazi, kapamba ali kulimbana ndi katundu lalikulu. Ngati wodwala anasonyeza zizindikiro za matenda a shuga steroid, izo zimatanthauza kuti zimakhala kukhala saganizira insulin, ndi chitsulo zimavuta kupirira maudindo awo.

Kusamala angathe kukhala shuga mankhwala kumawonjezera pamene munthu ali ndi vuto la kulemera muyeso, amagwiritsa mankhwala mu mlingo waukulu kapena kwa nthawi yaitali. Popeza zizindikiro matenda si yomweyo, achikulire kapena amene ali onenepa kwambiri ayenera ndisanabadwe likamanena zobisika a shuga musanayambe timadzi mankhwala ngati mukumwa mankhwala lingachititse chitukuko cha matenda.