Kunyanya kusanganiswa: kuumbwa, zviratidzo uye zvinopesana

Kuwanda kwezvirwere zvepfungwa nemunguva, zvinosuruvarisa, zviri kuwedzera zvishoma, asi dzimwe nzira dzokurapa zvirwere izvi zvinoramba zvisingachinji, sezvo pasina chido chekuvandudza izvo zvatozviratidza pachedu zvakanyatsonaka. Imwe yakadaro yekugadzirira isanganiswa inokurudzira. Kurongeka uye zviratidzo zvechinangwa chazvo zvichakurukurwa zvakadarika pasi apa. Zvichida kuti vazhinji vakanzwa nezvechirwere ichi, asi vashomanana zvikuru vanhu vanoziva kunyatsoshanda kwaro.

Chii ichi?

Chii chinokonzera kupisa? Kurongeka uye zviratidzo mukati maro, pamwe nemamwe mishonga, zvine hukama huri pakati peumwe. Semurairo, inorayirwa kune varwere vane zvinetso zvakakomba zvehutano hwemwoyo, asi kuwedzera yakawana kushandiswa kwayo muurourology.

Muchikamu chechiGiriki, kuumbwa kwesanganiswa kunosanganisira mishonga mina:

• Glucose, kuchengetedza simba rekuchengetedza masero;
• Potassium kuti zvive nyore kupa chiito chinogona;
• Magnesium, kusimbisa hurongwa hwekutya;
• Insulin, iyo inobatsira zvinhu zvose zvepakutanga kupinda mukati memusero.

Panogona kunge kune dzimwe nzira dzakasarudzwa pane imwe neimwe, zvichienderana nezviratidzo uye maitiro emuviri wemurwere.

Pfungwa yekushanda

Kunyanya kusanganiswa kwakashandiswa kwenguva yakareba, asi kubudirira kwayo uye zvinodiwa zvinokonzera kukakavadzana kunopisa mumamiriro ekurapa. Vanachiremba vakapatsanurwa mumisasa miviri inopikisana: avo vanotsigira kusangana kwechirapa ichi, uye avo vanofunga kuti hazvina maturo.

Asi kunyange zvazvo kune mhirizhonga yekudzoka shure, vanachiremba havaregi kutsanangura kusanganiswa kwevarwere kune varwere, vane chivimbo chokuti kunyange kana isina mishonga yepamusoro yenyika, haingauyi kukuvadza chaizvo. Ichokwadi ndechokuti zvikamu zvegadziriro inobatsira kugadzirisa chimiro chekushaya mwoyo, kuvandudza metabolism mumasero akabatwa uye kuderedza nzvimbo ye "grey" nzvimbo, kudzivirira kudzokorora kweparction.

Nekuderera kwe oksijeni, potasium inokurumidza kubviswa kubva mumuviri, kuderedza simba remagetsi remasero, saka zvakakosha kuti urambe huwandu hwayo pamwero wakakodzera. Insulin inoita basa rinobatanidza. Zvakakosha kuve nechokwadi kuti izvo zvinosara zvinoshandiswa nemuviri uye zvinopindirana sezvinodiwa.

Kuumbwa

Hakuchina huwandu hunosanganiswa nemusanganiswa wekuchera. Kurongeka, zviratidzo uye zvinopesana zvinopesana zvichienderana nezvinodiwa nemurwere panguva ino. Kusiyana kwakasiyana-siyana kwakasiyana-siyana kwekakanganiswa kunozivikanwa:

1. Makirogiramu maviri e-potassium chloride, diyuniti matanhatu ye insulini uye mazana matatu nemakumi mashanu nemakumi mashanu emashanu ye5 glucose. Iyi ndiyo yakagadzirwa kare.
2. Chinhu chechipiri chinosarudzwa chinoratidzika chete nekuenzana kwezvinhu. Tora kaviri potassium yakawanda, masere masere e-insulini uye zana remamiriyoni pasi peglucose, asi inofanira kunge yakawedzera kaviri.
3. Chimwe chinogamuchirwa: panangin - kusvika pamamilimita makumi masere, masere masere e-insulini nemamiriyoni zana nemakumi mashanu eglucose.

Asi aya haasi ega ezvokusarudza zvingave zvakaita sanganiswa yakakanganiswa. Kurongeka, sekutonga, kunogadziriswa kune mumwe munhu, zvichienderana nezvinodiwa. Mukuwedzera, vanachiremba vanogona kuva nezviyeredzi zvavo zvakavonekwa zvechirwere ichi.

Kushanda

Chii chinoshandiswa pakusanganiswa kwemafuro, kunyorwa uye zviratidzo zverapi Ndezvipi zvatinofunga munyaya yedu? Kazhinji kazhinji inoshandiswa mukurapa uye neurology. Vashandi vose zvikamu zvehutano zvakakonzerwa mumuviri mukati, kuburikidza nehurongwa. Asi ichi hachisi chikonzero. Semuenzaniso, kana zvichidikanwa, kuburikidza nemadonho, insulini chete inogona kugadziriswa, uye izvo zvinosara zvinogona kupiwa nomuromo.

Nhamba uye kuwanda zvinosarudzwawo mumwe nomumwe, zvose zvinoenderana nekuoma kwemamiriro uye maitiro ehupenyu. Semuenzaniso, kana murwere akarasikirwa ne potassium yakawanda kana kuti akapiwa diuresis yakamanikidzwa, iyo inotungamirira pakurasikirwa kwevose electrolytes. Muchiitiko ichi, kutsigira mutsara wemwoyo, zvakawanda zvechikamu ichi zvinowedzera kumusanganiswa wekuchera.

Kana chirwere cheglucose cheropa chinoderedzwa muuropa rekutsvaga, kuchinja kwakakodzera kunogadzirirwa kugadzwa. Mishonga yose iri pasi pekuongororwa nguva dzose kwemu murwere, kuitira kuti aone kuchinja mamiriro ake ezvinhu munguva.

Zviratidzo

Mushonga unotarisa unoratidzwa kuna ani? Kurongeka, zviratidzo uye njodzi dzekushandiswa zvinotaridzwa mune imwe nyaya imwe neimwe. Kana zvakagara zvataurwa kubatsirwa zvakanyanya kudarika zvinogona kukuvadza, chiremba achapa mishonga iyi, asi achanyatsocherechedza chirwere chechirwere chacho.

Kunze kwechirwere chezvemapfupa, semakumbo emhecardial infarction uye arrhythmia, kusanganiswa kwekuchera kunorongedzerwa mune chipatara chepfungwa chekutarisira myasthenia gravis. Izvi zvinogona kuva zvose zvinetso zvakaoma mamiriro uye chirwere chekuchengetedza nehuwandu hwehutano.

Chiratidzo chechipiri chinokonzera kukuvara kweuropi. Iyo kusanganiswa inobatsira kudzivirira cerebral edema uye kuzadza neuroni ne glucose. Zvinonyanya kukosha kugovera musanganiswa wekuisa pfungwa panguva imwe chete ne loop diuretics. Vanokurumidzira kutungamirira kune hypokalemia, iyo inokanganisa zvakanyanya mamiriro emurwere.

Pamusana pehuwandu hwehutu hwakasvibiswa, madoroki akadaro anobatsira kupa kune vanorwara vaneta.

Contraindications

Pane chimwe chikonzero chekusashandisa musanganiswa wekuchera here? Zviratidzo zvekugadzwa kwayo zvakakwana zvakakwana, asi chikonzero chega chekusashandisa mushonga uyu chinogona kuratidzwa nechirwere cheshuga. Uyezve, chete muitiko apo gorosi yezinga haigoni kuendeswa kutonga.

Mukuwedzera, iyo yakakwirira ye potassium, zvakare, inogona kuva chikonzero chekusiya chirwere ichi, asi izvi zvinoitika mune zvisingawanzoitika. Zvinonzwisisika, muhupo hwehutano hwemagetsi kune zvikamu zvechirwere, hauna kurongerwa, asi inowanzoitika pamatambudziko kupfuura mutemo.