Madokotala a kumadzulo ambiri amalangiza odwala kuti apange "mndandanda" wa matenda awo, kumene mungalembere mwatsatanetsatane mavuto omwe akudwala komanso achibale anu apamtima. Munthu woganizira amatha kuzindikira kuti anthu omwe ali m'banja limodzi amavutika ndi matenda omwewo. Nthawi zambiri zimati: "Apulo sali pafupi ndi mtengo wa apulo". Ndipo mwambi uwu suli kutali ndi choonadi. Ngakhale kuti chibadwidwe sichiri chigamulo. Lero, matenda ambiri akhoza kutetezedwa ngati mukudziwa za iwo pasadakhale. Choncho, musayembekezere kuti Aibolit yemwe ndi dokotala adzakutengerani ndi pensulo ku ofesi yoyenera. Udindo wa thanzi lanu ndi bizinesi yanu. Choncho, timapempha mafunso kuti tipeze matenda omwe angatengere, monga matenda omwe amadziwika okha.
Kodi zonse zili bwino ndi vuto?
Mosasamala za zaka, siziyenera kupitirira 140/90 mm Hg. Ili ndilo malire apamwamba kwambiri. Amayi ali ndi zambiri? Onetsetsani kuti amatenga vutoli, komanso mlingo wake pamlungu. Ngakhale kuti cholowacho sichitha kukhala ndi mbali yochepa pa chitukuko cha matenda oopsa, komabe kawirikawiri, m'chinenero cha akatswiri, matenda opatsirana. Izi zikutanthauza kuti zifukwa zambiri zimabweretsa mavuto ochulukirapo. Kupsinjika maganizo, kusuta fodya, kukhala ndi moyo wambiri, kupitirira muyeso, kuledzeretsa mowa, nyama, mafuta ndi zakudya zamchere, kugwiritsa ntchito mankhwala oletsa kuteteza mahomoni ndi mankhwala. Musawachotsere iwo, ndipo ngozi yowonjezera kuthamanga kwa magazi idzakhala yotsika kwambiri. Mu matendawa, ndibwino kuti zifukwa zoopsya zimasinthika, ndiko kuti, zosinthika pa pempho lathu. Kotero palibe ndipo sizingakhale zovuta zowonongeka mazinthu, malinga ndi chikhalidwe chiti chimene chimapweteka matenda a hypertensives.
Komabe, m'pofunika mwamsanga kumvetsetsa mtundu wa chibadwidwe womwe umaonedwa kuti ndi woipa, ndipo ndibwino. Nenani, ngati agogo aakazi, atapuma pantchito, akudwala ndi matenda oopsa, mukhoza kugona mwamtendere. Mpata wanu wopezera matenda kuchokera pa izi sizinawonjezeke. Koma ngati pakakhala vuto lachiwopsezo cha mwana, matenda osokoneza bongo kapena kukwapulidwa ali wamng'ono (zaka zosachepera 40), ena mwa achibalewo sanakhale ndi moyo zaka 60 chifukwa cha zovuta zomwe zimayambitsidwa ndi matendawa, ndiye ngoziyo ilipo. Ndipo zambiri! Pali zifukwa zokhulupirira kuti matendawa adzapitirira ndi mavuto, ndipo kukakamizidwa kukana kutsatira mankhwala osokoneza bongo. Pofuna kupewa zochitikazi, musadandaule nokha, samalirani thanzi lanu, ndipo yang'anani kuwerenga kwa tonometer tsiku lililonse!
Kodi amunawa anasiya zaka zingati?
Pafupi theka la milandu kuchokera kwa mayi kupita kwa mwana wamkazi amafalitsidwa choloŵa choloŵa cholowa kwa mahomoni ndi momwe zimakhalira kusamba. Zitha kuchitika mofulumira kapena, mochedwa, mochedwa, ndikutuluka thukuta, kutsekemera, kusokonezeka maganizo. Chidziwitso ichi, ngati adagawana ndi amayi ndi agogo anu, chidzakuthandizani kuchitapo kanthu. Ndipo potero pewani zochitika zambiri zosasangalatsa za nyengo ya kusintha. Kukonzanso thupi kwa thupi kumayambira zaka 10 mpaka 15 kutha kumapeto (kusamba kwa thupi). Amayi amakono amapezeka zaka 50-55, ndipo zaka 100 zapitazo anali ndi zaka 40. Kotero mawu akuti "Zaka makumi anayi ndi zaka zazimayi".
Ngati zikutanthauza kuti kutha msambo wanu kumatha musanakwanitse zaka 45, onetsetsani kuti mumauza mayi wodwala matenda odwala matendawa. Mufunseni kuti amupatse chithandizo pasanapite nthawi kuti athe kusamalira mahomoni ndipo, ngati kuli koyenera, musinthe ndikusiya kusuta. Zimangowoneka panthawi yoyamba kuti, atachotsa masiku ofiira a kalendala, mkazi akhoza kupuma kupuma. Zikuwoneka kuti simuyenera kudwala matenda a mwezi ndi mwezi, chitetezeni nokha, kuopa kuthamanga pa nthawi yolakwika ndikuwonongeka ndi gaskets. Ndipotu, palibe chabwino kumayambiriro kwa nthawi yopuma. Ovariya amachepetsa kupanga mahomoni ogonana, ndipo mumayamba kukalamba. Ndipo osati kunja kokha: mtima wafooka, mitsempha imamasulidwa, kashiamu imasiya mafupa. Kuphwanya kotereku kuyenera kuyembekezera kuti zisachitike kuti zichitike mtsogolomu.
Kodi pali mavuto aakulu ndi mitsempha?
Thanzi lalembedwa mu majini. Ngati amayi anu akuvutika ndi mitsempha yovuta, mitsempha yanu sizingakhale yolimba kwambiri. Pitani kupyolera kachipangizo kakang'ono ka ultrasound - Doplerography, kuti mudziwe kuti ndi zotani zomwe ziwiya zamatumbo zili. Chowonadi ndi chakuti chilengedwe, mu nthawi yochepa ya intrauterine chitukuko, kwenikweni kuchoka ku kanthu kumapanga thupi laumunthu. Choyamba, muzimveka "kangaude" chamtundu wakuda, kotero kuti panthaŵi yomwe wabadwa munali osakanikirana. Zonsezi, ziyamba kugwira ntchito mwakhama chaka chimodzi, pamene mwanayo akufika kumapazi ake. Panthawiyi khanda "kangaude" liyenera kuthetsa, ndipo nthambiyi imatulutsa ndondomeko imodzi - thunthu.
Komabe, njirayi ingalepheretse majini omwe mudalandira. Kenaka kubwezeretsa mimba kudzasokonezedwa pakatikati. Ma capillaries osakhalitsa satha konse, thunthu silinakhazikitsidwe kwathunthu. Izi ndizothandiza kwambiri pa bedi lopweteka kwambiri ndipo zimapereka mayeso apadera. Nthaŵi zina ngakhale popanda ultrasound pansi pa khungu, kapezi, kwambiri nthambi buluu sosudae akuwonekera. Ichi ndi chizindikiro chowopsya! Ngati choloŵa choloŵa chololedwa kukulumikiza kwachidziwitso chikutsimikiziridwa panthawi yamafukufuku, chisonyezani chidwi chapadera cha mitsempha!
Kodi shuga imakwera m'magazi?
Shuga m'magazi ndi 3.3-5.5 mmol / l, kupatula kuti magazi amaperekedwa m'mawa opanda chopanda kanthu. Amakakamiza Amayi kuti achite izi! Pambuyo pa zaka 40, iyenera kubwerezedwa kamodzi pachaka, pamene chiopsezo cha mtundu wa shuga wachiwiri chikuwonjezeka. Amatchedwanso matenda a shuga a okalamba. Matendawa amakula mosavuta ndipo amatsogolera ku zotsatira zoopsa kwa thupi - khungu, matenda oopsa, impso za impso, kufa kwa ziwalo zamapazi, chifukwa cha madokotala omwe amapita kukamenyedwa.
Mwamwayi, n'zotheka kupeza matendawa. Matenda a shuga amatha kupewedwera ngati shuga imayang'aniridwa mu nthawi. Ndipo podziwa kale za choloŵa choloŵa cha mtundu wa shuga 2, ndizosatheka kuvomereza izo, ngakhale zowerengeka zoopsa. Ngati amayi ndi abambo anu akuvutika ndi matendawa, mwayi wokhala nawo mutatha zaka 40 ndi 65-70%. Pofuna kupewa mapuloteni kuti asakwaniritsidwe, sungani maswiti ndi zipatso, muzikhala olimbitsa thupi, yang'anani kulemera - ndipo thanzi silidzakugwetsani!
Kodi pali chilichonse cha chifuwa?
Ngakhale kuti zovuta sizili za matenda obadwa nawo, chiwerengero chake chimafalikira ku mibadwomibadwo. Njira zowonongeka za zochitikazi ndizovuta komanso sizikudziwika bwinobwino. Ngati amayi ali m'gulu la chifuwa, chiopsezo chotsatira mapazi ake ndi 20-50%. Bambo amakhalanso ndi vuto lopweteka? Mpata wanu wolowa nawo makolo ukuwonjezeka kufika 40-75%. Makolo ali ndi thanzi? Kukhala ndi mwayi wopeza matenda m'moyo kumachepetsedwa kukhala 5-15%. Kumbukirani: sanatengere matenda ena enieni monga njira yowonjezeramo kuti musamayende bwino. Mwachitsanzo, ngati bambo akudwala matenda a mphumu, ndipo mayi salola kuti tizilombo tofiira ndi mazira oyera, izi sizikutanthauza kuti mudzalandira chofufumitsa cha abambo. Madokotala akhoza kungoganiza momwe zinthu zimayambira. Popeza kuti majini amalembetsa luso lokhalo la thupi kuti lichite mwanjira yapadera yolumikizana ndi allergen. Ndipo palibe chidziwitso cha mtundu wanji wa zinthu zomwe zimayambitsa zomwe zimachitika ndi zomwe zidzasintha muzochitika zina. Mankhwala osokoneza bongo omwe muyenera kukhala nawo nkhawa sangakhale nawo ofanana ndi omwe amawavutitsa makolo anu.
Kupatulapo - zowonongeka ndi njuchi, njuchi ndi tizilombo tina. Amayi amasiye 100 amapita kwa ana kuchokera kwa makolo awo. Muyenera kudziwa za momwe mungayankhire (kutentha kwambiri ndi kutupa kwambiri pa malo akuluma) a amayi kapena abambo. Kuluma koyamba kumapita popanda zotsatira, koma yachiwiri ikhoza kupha. Palibe chifukwa choyenera kuloledwa!
Kodi pali vuto lililonse la masomphenya?
Ngati amayi anga ayang'anitsitsa, mwayi wanu wopeza zovuta zofanana ndizo 25%. Sungani maso anu! Kodi papa ali ndi vuto lomwelo? Mpata woti posachedwa udzakhale wanu, ukuwonjezeka kufika 50%. Makolo samadandaula za maso awo? Kuopsa kokhala ndi myopia ndi kochepa - ndi 8% okha. Ndipo cholowa si matenda omwewo, koma zizindikiro za metabolism ndi mawonekedwe a diso la diso. Ngati majeremusi amafufutidwa, chovala choyera (chovala choyera chophimba diso) chimatambasulidwa mopitirira malire, ndipo diso liri lopunduka, kupanga chofunikira choyang'ana pafupi.
Ndipo pambuyo pa zaka 40, chifukwa cha kutaya kwa elasticity ya mandala, pafupifupi anthu onse amakumana ndi kutalika kwa nthawi yaitali. Monga lamulo, kale mu 40-45 zaka, ambirife timafunikira magalasi owerenga ku +1 mpaka +1.5 ma diopters. Kuyambira zaka zisanu zilizonse, hyperopia imawonjezeka ndi 0.5-1 dioptre, magalasi mu magalasi adzayenera kuwongolera nthawi zambiri ndi amphamvu. Zoona, izi ndizo deta yofanana: liwiro la chitukuko cha hyperopia chimasiyana ndi onse. Funsani m'mene makolo anu akuchitira kuti adziphika okha.
Kodi ndi migraine kangati?
Mipikisano ya kupweteka kwa kupweteka pakati pa mutu umodzi kapena (yomwe ndi yocheperachepera) kumbali zonsezi imafalitsidwa pambali ya amayi - kuchokera kwa amayi, agogo, azakhali ndi achibale ena apamtima. Amayi akudwala migraine? Mpata wokhala ndi matendawa ndi 72%. Kwa amuna, zimapezeka 3-4 nthawi zochepa. Koma ngati abambo anu ali pakati pawo, mwayi wokhala ndi mutu wa banja uwonjezeka kufika 90%. Powaletsa kuti asazindikire, muyenera kudziyang'anira - kugona maola 8 pa tsiku, kupeŵa kupanikizika ndi zakudya zokometsera, kuphunzitsa zombo ndi njira zosiyana.
Kodi kuchuluka kwa minofu ya fupa?
Pambuyo pa zaka makumi anayi, pamene chiopsezo chokwanira chochepa cha mafupa chikuwonjezeka - osteoporosis, densitometry iyenera kuchitika. Kudziwa za matendawa omwe akulowetsa nawo kuyenera kuikidwa m'ndandanda wa nthawi zonse. Mphuno ikhoza kukhala yofooka kwambiri kuposa momwe iyenera kukhalira, ngati amayi anu ataphulika, mwachitsanzo, kugwa. Pakutha koyamba, chiopsezo chikuwonjezeka ndi chinthu chachiwiri. Ndi bwino kuti musavomereze, ndikusamalira kupewa matendawa, omwe, mwa njira, akukhala achinyamata chaka chilichonse.
Lembani zakudya za lactic acid ndikuyenda nthawi zambiri. Zochita zamagalimoto ndi gawo la ultraviolet zomwe mudzatha kuzigwira panthawi ya kuyenda zimapereka chitetezo chowirikiza kufooka kwa mafupa. Kumbukirani: ngati mmodzi wa makolo kapena achibale awo akale atathyoka pambuyo pa zaka 50, chiopsezo chobwereza chiwonongeko chake chawonjezeka kwambiri. Samalani akulu ndipo motero mudzisamalira nokha!
Kodi mamemolo amati chiyani?
Pambuyo pa zaka 40, mayi ayenera kupita kukaonana ndi katswiri uyu chaka ndi chaka ndikuyesa kufufuza kwa amayi. Chitani izo ziribe kanthu kaya ndinu wamkulu bwanji. Makamaka ngati agogo a agogo ake, aakazi a amayi awo, alongo awo anali odwala ndi khansa ya m'mawere, amayi omwe ali ndi inu pa digiri yoyamba ya ubale ndi mzere wamayi. Izi sizikutanthauza kuti matendawa adzakupezani. Ingofunika kusonyeza chidwi kwambiri ku thanzi lanu! Malingana ndi deta yapadziko lonse, kugwiritsa ntchito mamimba kunachepetsa kufa kwa khansa ya m'mawere ndi 25% ndipo kuwonjezereka kutulukira kwa chotupacho kumayambiriro kwa 80%.
Kodi banjali lachita kusuta?
Asayansi a ku Britain apeza kuti kusuta-komwe kunachititsa kusintha kwa DNA kumafalitsidwa kudzera m'badwo. Ngati amayi anu akusuta asanatenge mimba, ndipo ngakhale panthawi yomweyi, pangozi ya mphumu yowonongeka imawonjezeka katatu. Ndipo ana anu - oposa kawiri. Izi zikutanthauza kuti sizingatheke kuti musagwiritse ntchito ndudu nokha, koma ndizoopsa kukhala komwe mumasuta.
Mafunso khumi okha angakuthandizeni kukonzekera zam'tsogolo. Musabisike ku zovuta. Ngati mukudziwa komwe mungatenge udzu, simungachite mantha kugwa! Pofotokoza za matenda obadwa nawo, matendawa amatha kupititsa patsogolo - kuteteza matendawa.