Kuyendetsa bwino shuga > Kuwongolera matenda a shuga

Masiku ano, achinyamata omwe ali ndi matenda ashuga ali ndi mwayi wokhala ndi moyo wautali komanso wosangalatsa popanda zovuta zovuta za matenda ashuga, bola atenga nawo mbali mankhwalawo. Kuwerengera pafupipafupi mthupi ndi malingaliro, kuwunika shuga wamagazi ndi HbA1c, ana ndi achinyamata amatha kukhala ndiubwana wabwinobwino komanso maphunziro.

Hba1c

HbA1c ndi kuyezetsa magazi komwe kumayeza shuga wanu wapakati pamasabata asanu ndi anayi apitawa. Miyezo yotsika ya HbA1c imawonetsa kuti shuga yamagazi inkayendetsedwa bwino. Shuga wamagazi wolamulidwa bwino amateteza kupezekanso kwakanthawi kwa maso, impso ndi mitsempha. HbA1c iyenera kuyesedwa kangapo 4 pachaka. Zotsatira zabwino zimakhala pansipa 8.5% popanda zigawo za shuga wamagazi ochepa. Nthawi zambiri ndikofunikira kukhazikitsa mfundo zovomerezeka za shuga m'magazi, makamaka kwa ana ang'onoang'ono ndi achinyamata omwe atha msinkhu.

Kuyesedwa kwa magazi

Shuga wamagazi amayenera kuyesedwa kawiri pa tsiku. Kutsimikiza kamodzi kuyenera kuchitidwa nthawi zonse asanagone kuti muchepetse shuga ya magazi usiku. Mwazi wamagazi amayenera kuwunikiridwa pafupipafupi m'malo osazolowereka, monga matenda opatsirana, tchuthi, masewera. Ndikofunikira kulemba zofunikira zamagazi. Chojambulachi chimapereka mwayi wowunika momwe magazi amawongolera ndipo ndiye maziko osinthira a insulin.

Magazi a shuga a magazi ayenera kuyambira 5 mpaka 15 mmol / L. Malangizo pa kusiyana kwamwini payokha amatha kupangidwa ndi akatswiri a shuga.

Insulin

Anthu ambiri omwe ali ndi matenda a shuga amawabayira insulin kawiri kapena kanayi pa tsiku. Kuti mupeze zotsatira zabwino, ndikofunikira kuti mupange dongosolo lamankhwala lomwe ndiloyenera kwambiri kwa wodwala. Anthu onse omwe ali ndi matenda a shuga ayenera kuphunzira kuwongolera Mlingo wa insulin molingana ndi kuchuluka kwa shuga m'magazi. Ayeneranso kudziwa momwe angayang'anire insulin Mlingo kuti athane ndi zochitika zapadera, monga masiku obadwa, zakudya zodyera mwachangu, mowa ndi masewera.

Kuphunzitsa ndi kutsatira maulendo azachipatala

Kuphunzitsa ndi kuyendera maulendo atatu ku chipatala cha matenda a shuga ndiye maziko olamulira bwino magazi. Ndikofunika kwambiri kuti anthu odwala matenda ashuga azichita zonse zomwe angathe kuti asungire shuga yawo yamagazi pamalo abwino. Kuthandizira mwana yemwe ali ndi matenda ashuga ndikofunikira.

Kuphatikiza pa kuyendetsa bwino matenda a shuga kunyumba, munthu yemwe ali ndi matenda ashuga amatenga nawo mbali pochiza matenda awo:

kutsatira malangizo onse a madotolo
kukhala woona mtima ndi katswiri wa matenda ashuga
kufunsa mafunso komanso kufunsa malangizo pakafunika kutero
kupindula ndi zida zophunzitsira monga maphunziro, mabuku ndi zikwangwani

Ulendo wotsatira kuchipatala cha odwala matenda ashuga uyenera kuphatikizapo kuphunzitsidwa za HbA1c, kutalika, kulemera kwake komanso thanzi lathunthu. Mwana akafika zaka 9, kenako ali ndi zaka 12, kuwunika kwa maso, impso (urinalysis kwa microalbuminuria) ndi kafukufuku wamalingaliro am'miyendo ndi kumapazi (kuthekera kumva kugwedezeka) kuyenera kuchitidwa. Pakatha zaka 12, maphunziro awa akuyenera kuchitika chaka chilichonse kuti alembe zoyamba za zovuta zomwe zidachedwa.

ZOPHUNZITSA NDIPONSO ZABWINO ZA MALO OGULITSA MITUNDU YA ATSOGOLO

Achinyamata amakono omwe ali ndi matenda ashuga ali ndi mwayi uliwonse wokhala ndi moyo wokwaniritsa komanso wokhutiritsa, bola atenga nawo mbali pochiza matenda ashuga.

Kodi mungatani?

Muzipanga shuga kangapo patsiku ndipo nthawi zonse musanagone
Muziwona shuga m'magazi aliwonse osadziwika bwino, monga tchuthi, masewera, komanso kudya kunja
Yankhani molingana ndi zotsatira za shuga. Ngati nthawi zambiri amakhala otsika kwambiri kapena okwera kwambiri, sinthani insulin yanu tsiku ndi tsiku. Akatswiri a matenda a shuga azithandiza, ngati kuli kotheka, ngakhale pakati paulendo wakuchipatala. Kufunika kosinthitsa kuchuluka kwa insulini sikungadikire mpaka ulendo wotsatira kuchipatala
Ngati shuga wanu wamagazi ndiwambiri kapena mukuyembekeza kuti iwuke, pitirirani! Idyani zakudya zochepa, muzichita masewera olimbitsa thupi kwambiri, kapena gwiritsani ntchito insulin pang'ono. Musamale posankha zovuta za insulin yowonjezera - izi zingayambitse kulemera.

Kodi gulu la matenda ashuga lingathandize bwanji?

Gulu la ashuga limatha kupereka upangiri, thandizo. Akatswiri amatha kutero bwino mukakhala oona mtima ndikuwawuza zovuta zanu.
Gulu la anthu odwala matenda ashuwere amayang'anira HbA1c yanu kuti ayang'anire shuga lanu lamagazi masabata angapo apitawa. Miyezi yochepa ya HbA1c inafunikira kuti muchepetse zovuta zaposachedwa

Mayeso apachaka amachitika chaka chilichonse pafupi ndi tsiku lobadwa anu:

Maso: dokotala wa matenda a maso amatha kuyesa kapena kuyesa chithunzicho. Ngati pali chizindikiro chilichonse chodandaula, shuga wamagazi amayenera kupititsidwa patsogolo ndipo mayeso amthawi zonse ayenera kuyikidwa.
Impso: amayesedwa mapuloteni a albumin mkodzo. Ngati amasemphana, ndikofunikira kukonza kasamalidwe ka shuga komanso kuyeza kuthamanga kwa magazi
Mitsempha: Kutha kwanu kuti mumve kugwedezeka kwa zala ndi zala kuyesedwa. Ngati chidwi chachepetsedwa, kayendedwe ka shuga m'magazi kuyenera kupititsidwa patsogolo.

KUSINTHA KWA KUSINTHA (EYES, KIDNEYS NDI NERVES)

Izi zimachitika pamene mwana ali ndi zaka 9 ndi 12. Pakatha zaka 12, ayenera kumachitika chaka chilichonse.

Urinalysis wa mapuloteni (microalbuminuria)

Popita nthawi, matenda ashuga amatha kuwononga impso. Pamene shuga ndi kuthamanga kwa magazi zimayendetsedwa bwino, chiopsezo chotenga matenda a impso a matenda a shuga (nephropathy) ndi ochepa kwambiri. M'masiku oyamba a matenda a impso, ochepa albumin amalowa mkodzo. Izi zimatchedwa microalbuminuria. Ngati albuminuria yapezeka m'mbuyomu, imatha kuchiritsidwa ndikuwongolera shuga. Nthawi zina amakhazikitsidwa mosiyanasiyana.

Ngati kutulutsa kwa mapuloteni kwamkodzo kudutsa 20 mcg / mphindi, kayendedwe ka shuga m'magazi, monga anayeza HbA1c, kuyenera kupitilizidwa m'miyezi 6 yotsatira. Ngati izi sizikuthandizani, mankhwala omwe amachepetsa kuthamanga kwa magazi amayikidwa kuti ateteze matenda a impso. Kuthamanga kwa magazi kuyenera kuyezedwa pafupipafupi komanso kusungidwa m'njira zopanda malire.

Kuyesa kwa Microalbuminuria kumafuna kusonkhetsa mkodzo. Kufufuza kumachitika ndi othandizira ogwira ntchito. Mkodzo umasonkhanitsidwa mausiku awiri. Gawo limodzi la mkodzo wa usiku uliwonse limatumizidwa ku labotale yosonyeza nthawi yakusonkha ndi kuchuluka kwa mkodzo womwe watola.

Kufufuza ndi maso

Pambuyo pazaka zingapo za matenda ashuga, kuwonongeka kwa maso ndi matenda ashuga (retinopathy) kumakhala kofala. Kusintha koyambirira kwa fundus (pa retina) ndi asymptomatic, ndipo masanjidwewo sawawa mpaka atachedwa kuyamba chithandizo. Chifukwa chake, ndikofunikira kuchita mayeso apachaka kuyambira kutha msinkhu. Chithandizo choyambirira chingalepheretse kuwonongeka kwa mawonekedwe.

Chithandizo choyambirira cha matenda ashuga retinopathy m'magawo oyambira ndibwino kuti magazi a shuga ayesedwe ndi HbA1c. Ngati kusintha kwa maso kumaopseza masomphenya, chithandizo cha laser chiyenera kuyambitsidwa.

Kufufuza ndi maso kumayamba ndi kuyang'anitsitsa maso. Kenako madontho amaso amagwiritsidwa ntchito kuti akweze ndi kukonza mwanayo. Pakatha mphindi 30, dokotalayo amagwiritsa ntchito zida zapadera kuti ayang'anire ndalama zake kudzera mwa wophunzira. Dokotala amatha kujambulitsa chithunzicho.

Vibration Sensitivity Study

Matenda a mitsempha ya matenda ashuga (neuropathy) amadziwika kwambiri kwa anthu odwala matenda ashuga kwa zaka zingapo. Vutoli limakhala losowa kwambiri mwa ana ndi achinyamata, komabe, kusintha koyambirira nthawi zina kumapezeka mu m'badwo uno. Ngati matenda a diabetes a neuropathy atapezeka munthawi yake ndikuthandizidwa mwachangu, kupititsa patsogolo kwake kumatha kupewa. Chithandizo chachikulu pakuwonongeka kwa mitsempha yoyambirira ya shuga ndikuwongolera kuwongolera kwa shuga wamagazi monga kuyeza HbA1c.

Kuwerenga kwakumvetsetsa kwakuthupi sikubweretsa zovuta. Chida chofufuzira chimalumikizidwa ndi chala cha index ndi chala chachikulu. Dokotala amafunsa mwana kuti amuuze nthawi yomwe angayambe kugwedezeka. Nthawi yomwe mwana amayamba kumva kugwedezeka amayeza mu "volts" ndipo ayenera kukhala pansi pamlingo wofanana ndi msinkhu wa mwana.

ZOPHUNZITSA ZAULEMERERO

Anthu odwala matenda a shuga amakhala ndi mwayi wokhala ndi moyo wautali komanso wachimwemwe ngati:

kutenga nawo mbali pamankhwala awo, kuphunzira zonse zomwe angathe za matenda ashuga
fufuzani shuga wawo wamagazi ndikusintha mlingo wa insulin moyenerera
pindulani ndi mapulogalamu omwe apezeka kuti muphunzire kusamalira bwino glycemia
amayesedwa pachaka kuti azindikire zovuta kuchokera ku maso, impso, mitsempha ndi mitsempha yamagazi

Yambani ndi wodwala komanso chidziwitso cha banja.

Dziwani zomwe odwala ndi achibale amatanthauza chifukwa cha "shuga wolipidwa bwino"
Dziwani zambiri za odwala ndi mabanja awo za zovuta zomwe zimachitika mochedwa

Fotokozani chachikulu

Fotokozani momwe shuga yayikulu imakhudzira mochedwa zovuta.
Tsindikani kufunika kokhala ndi shuga wamagazi ambiri momwe mungathere popanda kuwonjezera mwayi wanu wokhala ndi hypoglycemia yayikulu.
Gogomezerani kufunikira kwa mayeso apachaka, chifukwa kuwonekera koyambirira kwa zovuta zaposachedwa nthawi zambiri kumakhala kovuta komanso chithandizo chanthawi yake ndichofunikira.

Fotokozani dongosolo lamankhwala

Tsindikani kufunikira kwa chithandizo kuchokera kwa abale ndi abwenzi
Fotokozerani kufunika kopenda shuga m'magazi tsiku lonse kuti musinthe Mlingo wa insulin pafupipafupi.
Dziwani milingo yoyenera ya shuga
Bwerezani mfundo zomwe mungasinthire za insulin
Fotokozerani HbA1c: tanthauzo, tanthauzo la tanthauzo, malingaliro ovomerezeka
Dziwitsani ana ndi achinyamata mwanzeru za zovuta za mochedwa, kusintha momwe amaphunzirira ndi zosowa zawo.
Fotokozerani kuthekera kokhala moyo wabwinobwino, pokhapokha ngati magazi a shuga amasungidwa m'malo ovomerezeka.
Fotokozerani kuyesa kwa zamankhwala zilizonse pakuwunika koyambirira pachaka, kuphatikiza tsatanetsatane wazotsatira.
Limbikitsani maphunziro kupitiliza ndi akatswiri a matenda ashuga
Gwiritsani ntchito mabuku, intaneti, zida zamaphunziro, ndi maphunziro kuti mumve zambiri za matenda ashuga.

Njira zopewera kupewa ngozi

Sankhani fomu yoyenera yodwala
Ganizirani za msinkhu wa mwana, kukula m'maganizo, kuchuluka kwa zomwe amafuna komanso mwayi wapabanja wambiri pokonzekera chithandizo chamankhwala
Kumbukirani kuti achinyamata ena amatha kusamalira matenda ashuga nthawi yakutha. Pezani zambiri, yesani kuthandizira m'malo modandaula, ndipo lankhulani ndi makolo anu
Fotokozani momveka bwino malamulo apadera omwe akuyenera kutsatiridwa pakukhazikitsa shuga m'magazi mwa ana aang'ono kwambiri.

Pomaliza

Mukamagogomezera zabwino zomwe zimachitika, onetsetsani kuti wodwalayo ali ndi mwayi wogwira nawo ntchito yochotsa matenda ashuga
Onetsetsani kuti mukuwadziwitsa makolo a ana ang'onoang'ono kwambiri za chiopsezo cha kukhala ndi hypoglycemia ngati chiwopsezo cha matenda ashuga chili cholimba kwambiri

Kodi chiwongolero cha shuga ndi chiyani?

Ngati mwapezeka kuti muli ndi matenda a shuga, ndiye kuti muyenera kuwadwala matenda ashuga tsiku lililonse komanso matenda ashuga. Tsiku lililonse muyenera kuyeza shuga, kuthamanga kwa magazi, kuwerengetsa kuchuluka kwa magawo a mkate ndi zopatsa mphamvu, kutsatira zakudya, kuyenda makilomita angapo , komanso nthawi ndi nthawi kukayezetsa kuchipatala kapena kuchipatala.

Ngati wodwala matenda ashuga amakwanitsa kukhala ndi shuga wamba (mpaka 7 mmol / l), ndiye kuti matendawa amatchedwa shuga woferedwa. Nthawi yomweyo, shuga amachulukitsidwa pang'ono, munthu ayenera kutsatira zakudya, koma zovuta zimayamba pang'onopang'ono.
Ngati shuga nthawi zambiri amaposa zomwe zimachitika, amapitilira mpaka 10 mmol / l, ndiye kuti matendawa amatchedwa shuga wopanda shuga. Nthawi yomweyo, munthu amakhala ndi zovuta zoyambirira pakapita zaka zochepa: mphamvu miyendo imatayika, kupweteka kwamaso, mawonekedwe a mabala osachiritsika, ndi mawonekedwe am'magazi.

Kufewetsa matendawa ndikuwunika shuga anu ndimadwala tsiku lililonse kwa odwala matenda ashuga. Njira zothandizira kubwezeretsedwa zimatchedwa chiwongolero cha matenda ashuga.

Kuwongolera shuga

Mulingo wofanana ndi shuga wamagazi mwa munthu wathanzi ndi 3.3 - 5.5 mol / L (musanadye) ndi 6.6 mol / L (mutatha kudya).
Kwa wodwala yemwe ali ndi matenda ashuga, Zizindikirozi zimawonjezeka - mpaka 6 mol asanadye komanso mpaka 7.8 - 8.6 mmol / l atatha kudya.

Kusungabe kuchuluka kwa shuga m'magawo amenewa kumatchedwa kulipira shuga ndipo kumatsimikizira zovuta zovuta za shuga.

Ndikofunikira kuthana ndi shuga musanadye chilichonse ndikatha (pogwiritsa ntchito glucometer kapena mizere yoyesera). Ngati shuga amakonda kupitirira miyezo yovomerezeka - ndikofunikira kubwereza zakudya ndi mlingo wa insulin.

Bweretsani ku nkhani

Hyper ndi hypoglycemia kuwongolera

Anthu odwala matenda ashuga ayenera kuwongolera shuga kuti asachulukitse kwambiri kapena ochepa. Kuchuluka kwa shuga kumatchedwa hyperglycemia (wamkulu kuposa 6.7 mmol / L). Ndi kuwonjezeka kwa shuga chifukwa cha atatu (16 mmol / L ndi apamwamba), mafomu olimbikitsa, ndipo patatha maola ochepa kapena masiku angapo chikomokere cha matenda ashuga chimachitika (kutaya chikumbumtima).

Shuga wochepa wotchedwa hypoglycemia. Hypoglycemia imayamba ndi kuchepa kwa shuga osachepera 3.3 mmol / L (wokhala ndi jakisoni wambiri). Munthuyo amatuluka thukuta kwambiri, kunjenjemera kwa minofu, ndipo khungu limasandulika.

Bweretsani ku nkhani

Glycated hemoglobin

Glycated hemoglobin - mayeso a labotale omwe amayenera kumwedwa kuchipatala miyezi itatu iliyonse. Zimawonetsa ngati shuga m'magazi yatuluka nthawi yayitali miyezi itatu yapitayi. Chifukwa chiyani ndiyenera kuyesedwa?

Kutalika kwa moyo wa maselo ofiira ndi masiku 80-120. Kukula kwa shuga m'magazi, gawo la hemoglobin limamangika mosagwirizana ndi glucose, ndikupanga hemoglobin ya glycated.

Kupezeka kwa hemoglobin wa glycated m'magazi kumawonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo.

Kuchuluka kwa glycogemoglobin kumapereka kuyerekezera kosamveka - kuchuluka kwa shuga komwe adakulitsa, kuchuluka kwake kunali kolimba komanso ngati wodwala yemwe amayang'anira matenda ashuga amayang'anira zakudya ndi zakudya. Ndi kuchuluka kwa glycogemoglobin, mawonekedwe a matenda ashuga.
Kodi chithandizo cha matenda ashuga ndi chiyani? Kodi njira zakulera zamankhwala zodwala matenda a shuga 1 ndi 2 ndi ziti?

Chimanga cha matenda ashuga. Chifukwa chiyani ayenera kuchita mantha ndi momwe angawachitire? Werengani zambiri mu nkhaniyi.

Cholozera cholowa. Zomwe mungasankhe odwala matenda ashuga: shuga kapena zina zolowa m'malo?

Bweretsani ku nkhani

Ululu wa Shuga Ululu - Glycosuria

Maonekedwe a shuga mumkodzo akuwonetsa kuwonjezeka kwa shuga m'magazi (oposa 10 mmol / l). Thupi limayesetsa kuthana ndi glucose owonjezera kudzera mu ziwalo zowonekera - ngalande yamkodzo.

Kuyesa kwa mkodzo kwa shuga kumachitika pogwiritsa ntchito zingwe zoyeserera. Nthawi zambiri, shuga amayenera kukhala m'magulu osagwirizana (ochepera 0,02%) ndipo sayenera kupezeka.

Bweretsani ku nkhani

Ululu Acetone Control

Maonekedwe a acetone mu mkodzo amalumikizidwa ndi kuphwanya mafuta kukhala glucose ndi acetone. Kuchita izi kumachitika pakamalala a shuga m'maselo, pamene insulini sikokwanira ndipo glucose sangathe kulowa m'magazi kupita kuzinthu zina zoyandikana.

Maonekedwe a fungo la asetoni kuchokera mkodzo, thukuta komanso kupuma kwa wodwala kumawonetsa kuchuluka kwa jakisoni wa insulini kapena chakudya cholakwika (kusowa kwathunthu kwa chakudya menyu). Zingwe zoyesa zimawonetsa kukhalapo kwa acetone mkodzo.

Bweretsani ku nkhani

Kuwongolera kwa cholesterol

Kuwongolera kwa kholesterol ndikofunikira kuti muchepetse vuto la mtima - mavuto a mtima, angina pectoris, kugunda kwamtima.

Cholesterol chowonjezera chimayika pamakoma amitsempha yamagazi, ndikupanga cholesterol plaques. Nthawi yomweyo, lumen ndi mtima patency zimachepetsedwa, magazi omwe amapezeka m'matumba amasokonezeka, njira zosasunthika, kutupa ndikuwonjezera zimapangidwa.

Kuyesedwa kwa magazi kwa cholesterol ndi tizigawo ting'onoting'ono timachitidwa mu labotale yamankhwala. Pankhaniyi:

cholesterol yathunthu sayenera kupitirira 4.5 mmol / l,
low density lipoproteins (LDL) - sayenera kukhala oposa 2.6 mmol / l (kuchokera ku lipoprotein awa omwe cholesterol amachokera mkati mwa zotengera). Pamaso pa matenda amtima, LDL imangokhala 1.8 mmol / L.

Udindo ndi ntchito ya chithokomiro England m'thupi la munthu. Zomwe mukufunikira kudziwa za matenda ashuga

Kodi mkate wa njuchi ndi chiyani? Kodi imagwiritsidwa ntchito bwanji pochiza matenda ashuga?

Mavuto a shuga: gingivitis - zimayambitsa, Zizindikiro, chithandizo

Bweretsani ku nkhani

Kuyendetsa magazi

Kupanikizika kwamphamvu kumazindikira mtundu wamitsempha yamagazi ndi kuthekera kwa zovuta zamtima, kugwidwa. Kuphatikiza apo, magazi akhungu "okoma" samayenda mosavuta kudzera m'matumbo ang'onoang'ono komanso ma capillaries. Kukankha magazi kudzera m'matumbo, thupi limakulitsa kuthamanga kwa magazi.

Kuchuluka kwambiri kwa mavuto ndi kusayenda bwino kwa mitsempha ya magazi kumabweretsa kupasuka ndi chotupa chamkati cham'mimba (matenda a mtima kapena matenda ashuga).

Ndikofunikira kwambiri kuthana ndi kukakamiza odwala okalamba. Ndi zaka komanso kukula kwa matenda ashuga, matendawa amafoola. Kuponderezedwa (kunyumba - ndi tonometer) kumapangitsa kuti mankhwalawa athe kumwa mankhwalawa munthawi yake kuti muchepetse kupanikizika ndikuchita chithandizo cha mtima.

Bweretsani ku nkhani

Kuchepetsa Kunenepa - Thupi la Mass Mass

Kuchepetsa thupi ndikofunikira kwa odwala omwe ali ndi matenda a shuga a 2. Matenda amtunduwu nthawi zambiri amapangidwa ndi zakudya zopatsa mphamvu kwambiri ndipo amaphatikizidwa ndi kunenepa kwambiri.

Index Mass Body - BMI - imawerengeredwa ndi njira: kulemera (kg) / kutalika (m).

Mlozera wotsatira ndi kulemera kwakanthawi kwamthupi ndi magawo 20 (kuphatikiza kapena opanda 3) ofanana ndi kulemera kwakanthawi. Kuchulukitsa mlozera kukuwonetsa kunenepa kwambiri, kuwerengera kwama index kwamagulu opitilira 30 ndiko kunenepa kwambiri.

Phindu ndi zovulaza za mtedza mu zakudya za odwala matenda ashuga

Kodi ndi buledi wamtundu uti wabwino kwa odwala matenda ashuga? Kodi mungasankhe bwanji m'sitolo ndikuphika nokha?

Towty ndimachiritso ozizwitsa a matenda ashuga. Nthano ina kapena zenizeni?

Bweretsani ku nkhani

Kuwongolera matenda a shuga ndichizolowezi cha munthu wodwala. Nthawi yokhala ndi matenda ashuga komanso kuchuluka kwake kumatengera kuwongolera kwa matenda ashuga - nthawi yayitali bwanji yomwe munthu azitha kuyenda payekha, momwe maso ake ndi miyendo yake zidzakhalire, momwe zombo zake zidzakhalire patatha zaka 10 mpaka 10 za matenda ashuga.

Kulipira shuga kumapangitsa wodwala kukhala ndi matenda opitilira zaka 80. Matenda osafupikitsidwa omwe amawonjezera shuga m'magazi amapanga zovuta ndikuyamba kufa.

Mwazi wamagazi

Adazindikirika mkati mwa zaka za makumi awiriwa malinga ndi kafukufuku wa anthu masauzande ambiri athanzi ndi odwala matenda a shuga. Mitengo ya shuga ya odwala matenda ashuga ndiwokwera kwambiri kuposa wathanzi. Mankhwala samayesanso konse kuwongolera shuga m'matenda a shuga, kotero kuti amafika pamlingo wamba. Pansipa mupeza chifukwa chake izi zikuchitika komanso ndi njira zina zochizira.
Zakudya zoyenera zomwe madokotala amalimbikitsa zimadzaza ndi mafuta. Zakudya izi ndizabwino kwa anthu odwala matenda ashuga. Chifukwa chakudya amapangitsa kuti shuga azingokhala. Chifukwa cha izi, odwala matenda ashuga samva bwino ndipo amakula. Odwala omwe ali ndi matenda a shuga omwe amathandizidwa ndi njira zachikhalidwe, shuga amadumpha kuchokera kumtunda kwambiri mpaka kutsika. Zakudya zamafuta zimachulukitsa, kenako ndikubaya jakisoni wamkulu wa insulin. Nthawi yomweyo, palibe chifukwa chobweretsera shuga kukhala yabwinobwino. Madotolo ndi odwala ali ndiokhutitsidwa kale kuti angathe kupewa kukomoka kwa matenda ashuga.

Komabe, ngati mutsatira shuga wochepa wopatsa thanzi, ndiye kuti muli ndi matenda a shuga a 2 komanso ngakhale muli ndi matenda osokoneza bongo 1 shuga, mutha kukhalabe ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Odwala omwe amaletsa kudya kwa carbohydrate amawongolera shuga yawo yonse popanda insulin, kapena kuwongolera pamiyeso yochepa. Chiwopsezo cha zovuta mu mtima, impso, miyendo, maso - amachepetsa kukhala zero. Tsamba la Diabetes-Med.Com limalimbikitsa kudya zakudya zamafuta ochepa kuti azilamulira odwala a shuga olankhula Chirasha. Kuti mumve zambiri, werengani "Chifukwa Chomwe Mtundu 1 ndi Matenda Atiwiti Awiriwa Akusowa Mthupi." Zotsatirazi zikufotokozera kuchuluka kwa shuga m'magazi mwa anthu athanzi komanso momwe amasiyana mosiyanasiyana malinga ndi boma.

Mwazi wamagazi

Chizindikiro	Kwa odwala matenda ashuga	Mwa anthu athanzi
Shuga m'mawa pamimba yopanda kanthu, mmol / l	5,0-7,2	3,9-5,0
Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / l	pansipa 10.0	nthawi zambiri osapitirira 5.5
Glycated hemoglobin HbA1C,%	pansipa 6.5-7	4,6-5,4

Mwa anthu athanzi, shuga wamwazi pafupifupi nthawi yonseyo amakhala m'mitundu 3.9-5.3 mmol / L. Nthawi zambiri, ndi 4.2-4.6 mmol / l, pamimba yopanda kanthu ndikatha kudya. Ngati munthu akudya kwambiri chakudya chamafuta, ndiye kuti shuga amatha kutuluka kwa mphindi zingapo mpaka 6.7-6.9 mmol / l. Komabe, ndizokayikitsa kuti ndizokwezeka kuposa 7.0 mmol / L. Kwa odwala matenda a shuga mellitus, kuchuluka kwa shuga m'magazi a 7-8 mmol / L pakatha maola 1-2 chakudya chikamawonedwa ngati chabwino, mpaka 10 mmol / L - chovomerezeka. Dokotala sangapatseni mankhwala chithandizo chilichonse, koma amangopatsa wodwala chidziwitso chofunikira - kuwunika shuga.

Chifukwa chiyani ndizofunikira kuti odwala matenda ashuga azitsatira posonyeza shuga, monga mwa anthu athanzi? Chifukwa zovuta zambiri zimayamba ngakhale shuga m'magazi akakwera kufika pa 6.0 mmol / L. Ngakhale, zowonadi, sizimakula mwachangu monga pamwambamwamba. Ndikofunika kuti musunge hemoglobin yanu ya glycated pansipa 5.5%. Ngati cholinga ichi chikwaniritsidwa, ndiye kuti chiopsezo cha imfa kuchokera kuzomwe zimayambitsa ndizochepa kwambiri.

Mu 2001, nkhani yokhudza mtima idasindikizidwa ku Britain Medical Journal yokhudza ubale wa glycated hemoglobin ndi kufa. Amatchedwa "Glycated hemoglobin, shuga, ndi kufa kwa amuna ku Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk)." Olemba - Kay-Tee Khaw, Nicholas Wareham ndi ena. HbA1C inayesedwa mwa amuna 462 wazaka 45-79, kenako zaka 4 zinawonedwa. Mwa omwe adachita nawo kafukufukuyu, ambiri anali anthu athanzi omwe sanali kudwala matenda ashuga.

Zinapezeka kuti kufa kwa zinthu zonse, kuphatikizapo kugunda kwa mtima ndi sitiroko, ndizochepa kwambiri pakati pa anthu omwe hemoglobin ya glycated siinapamwamba kuposa 5.0%. Kukula kulikonse kwa 1% ku HbA1C kumatanthauza chiopsezo cha kufa ndi 28%. Chifukwa chake, mwa munthu yemwe ali ndi HbA1C ya 7%, chiopsezo cha imfa ndichipamwamba ndi 63% kuposa munthu wathanzi. Koma glycated hemoglobin 7% - amakhulupirira kuti uku ndi kuwongolera kwabwino kwa matenda ashuga.

Miyezo yatsopano ya shuga imasefedwa chifukwa kudya “moyenera” sikuloleza kupatsidwa shuga. Madokotala amayesetsa kuti achepetse ntchito yawo popanda kuwononga zotsatira za wodwala. Palibe phindu boma kuti lichiritse odwala matenda ashuga. Chifukwa anthu oyipa amawongolera matenda awo a shuga, omwe amawonjezera ndalama pakubweza ndalama ndi mapindu osiyanasiyana. Khalani ndi udindo pazamankhwala anu. Yesani zakudya zamafuta ochepa - ndipo onetsetsani kuti zimapereka pambuyo pa masiku awiri ndi atatu. Mwazi wa magazi umatsikira kukhala wabwinobwino, Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, thanzi limasintha.

Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani

Mchere wochepera mwa anthu uli pamimba yopanda kanthu, pamimba yopanda kanthu. Chakudya chakudyacho chikamamwa, michere imalowa m'magazi. Chifukwa chake, kuchuluka kwa shuga atatha kudya kumatuluka. Ngati kagayidwe kazakudya sikasokonekera, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo sikokhalitsa. Chifukwa chakuti zikondamoyo zimabisa insulin yowonjezera kuti itsitse shuga pambuyo pudya.

Ngati mulibe insulin yokwanira (mtundu 1 wa shuga) kapena yofooka (mtundu 2 wa shuga), ndiye kuti shuga mutatha kudya imatuluka maola ochepa aliwonse. Izi ndizovulaza chifukwa zovuta zimayamba pa impso, masomphenyawo amagwa, ndipo mapangidwe ake amanjenje amakhala opuwala. Choyipa chachikulu ndikuti mikhalidwe imapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, amafunika kuthandizidwa, mwinanso wodwalayo sangakhale ndi moyo wapakati komanso wokalamba.

Glucose amawerengera:

Kuthamanga shuga	Kuyeza kumeneku kumatengedwa m'mawa, munthu atatha kudya chakudya chamadzulo kwa maola 8 mpaka 12.
Kuyesedwa kwa shuga kwa maola awiri	Muyenera kumwa madzi amchere okhala ndi magalamu 75 a shuga, kenako kuyeza shuga pambuyo 1 ndi maola awiri. Uku ndiye kuyesa kolondola kopima matenda ashuga ndi prediabetes. Komabe, siyabwino chifukwa ndiyitali.
Glycated hemoglobin	Zimawonetsa zomwe% glucose imalumikizidwa ndi maselo ofiira ammagazi (maselo ofiira amwazi) Uku ndi kuwunika kofunikira kwambiri pofufuza matenda ashuga ndikuwunika momwe mankhwalawo amathandizira mu miyezi iwiri yapitayi. Zovuta, sizifunikira kutengedwa pamimba yopanda kanthu, ndipo njirayo imachitika mwachangu. Komabe, siyabwino kwa amayi apakati.
Kuyeza kwa shuga 2 pambuyo pa chakudya	Kuwunika kofunikira kuti kuwunikire bwino ntchito ya chisamaliro cha matenda ashuga. Nthawi zambiri odwala amachita okha pogwiritsa ntchito glucometer. Amakulolani kuti mudziwe ngati mulingo woyenera wa insulin musanadye.

Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondamoyo, pazifukwa zosiyanasiyana, sizingathe kupirira kuti zichepetse mwachangu kuti zizolowereka. Kuonjezera shuga mutatha kudya pang'onopang'ono kumawononga mitsempha yamagazi ndikuyambitsa zovuta. M'zaka zochepa za matenda ashuga, kuthamanga kwa glucose kumatha kukhala kwabwinobwino. Komabe, pakadali pano, zovuta zikupezeka kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.

Kuti mupeze matenda a shuga, tengani magazi a glycated hemoglobin mu labotale. Ngati muli ndi mita ya shuga m'magazi - yeretsani shuga 1 ndi maola awiri mutatha kudya. Musapusitsidwe ngati kuchuluka kwanu kwa shuga kusala kudya. Amayi omwe ali mu II ndi III ma trimesters am'mimba amayenera kuchitadi kuyesa kwa maola awiri pamagetsi. Chifukwa ngati matenda a shuga apezeka, kuwunika kwa hemoglobin ya glycated sikungathandize kuti muzitha kudziwa nthawi yake.

Matenda a shuga ndi matenda ashuga

Monga mukudziwa, 90% ya omwe amachititsa kuti shuga asamayende bwino ndi mtundu wa 2 shuga. Simamera nthawi yomweyo, koma kawirikawiri prediabetes imayamba. Matendawa amatha zaka zingapo. Ngati wodwala sanalandire chithandizo, ndiye kuti gawo lotsatira limachitika - "zonse" shuga mellitus.

Momwe mungadziwire matenda oyamba ndi matenda a prediabetes:

Kuthamanga shuga m'magazi 5.5-7.0 mmol / L.
Glycated hemoglobin 5.7-6.4%.
Shuga pambuyo pa maola 1 kapena 2 mutatha kudya 7.8-11.0 mmol / L.

Ndikokwanira kukwaniritsa chimodzi mwazomwe zafotokozeredwa pamwambapa kuti mupeze matenda.

Matenda a shuga ndi vuto lalikulu la metabolic. Muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2. Mavuto owopsa pa impso, miyendo, mawonekedwe amaso akupanga tsopano. Ngati simusintha ndikukhala ndi moyo wathanzi, ndiye kuti prediabetes isandulika mtundu 2 shuga. Kapenanso mudzakhala ndi nthawi yakufa kale chifukwa cha vuto la mtima kapena sitiroko. Sindikufuna kukuwopani, koma izi ndi zotheka, osanyengerera. Kodi amathandizidwa bwanji? Werengani zolemba Metabolic Syndrome ndi Insulin Resistance, kenako kutsatira malangizowo. Matenda a shuga amatha kuyendetsedwa mosavuta popanda jakisoni wa insulin. Palibenso chifukwa chodzakhala ndi njala kapena kugwira ntchito molimbika.

Njira zoyenera kudziwa mtundu wachiwiri wa matenda ashuga:

Kufulumira kwa shuga kumakhala kwakukulu kuposa 7.0 mmol / L malinga ndi zotsatira za kusanthula kawiri mzere pamasiku osiyanasiyana.
Nthawi inayake, shuga wamagazi anali okwera kuposa 11.1 mmol / L, mosasamala kanthu za kudya.
Glycated hemoglobin 6.5% kapena kuposa.
Panthawi yovomerezeka ya glucose ya maola awiri, shuga anali 11.1 mmol / L kapena kuposa.

Monga matenda am'mbuyomu, chimodzi mwazomwe zatchulidwa pamwambapa ndizokwanira kuzindikira. Zizindikiro zodziwika bwino ndi kutopa, ludzu, komanso kukodza pafupipafupi. Pangakhale kuchepetsa osafotokozera. Werengani nkhani "Zizindikiro za matenda a shuga" mwatsatanetsatane. Nthawi yomweyo, odwala ambiri sazindikira chilichonse. Kwa iwo, zotsatira zoyipa za shuga m'magazi ndizosadabwitsa.

Gawo lapitalo limafotokoza chifukwa chake kuchuluka kwa shuga m'magazi kumakhala kwambiri. Muyenera kuwomba alamu kale shuga atatha kudya ndi 7.0 mmol / L, ndipo makamaka ngati apamwamba. Kusala shuga kumatha kukhala kwabwinobwino kwa zaka zochepa pomwe matenda ashuwarawa amawononga thupi. Kusanthula uku sikuli kwanzeru kupitilira kuzindikira matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.

Chizindikiro	Matenda a shuga	Type 2 shuga
Kuthamanga magazi a m'magazi, mmol / L	5,5-7,0	Pamwambapa 7.0
Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / l	7,8-11,0	Pamwambapa 11.0
Glycated hemoglobin,%	5,7-6,4	pamwambapa 6.4

Zowopsa zomwe zimayambitsa matenda a prediabetes ndi matenda a shuga a 2:

Kunenepa kwambiri - index of body 25 kg / m2 and above.
Kupsinjika kwa magazi 140/90 mm RT. Art. ndi mmwamba.
Zotsatira zoyesa zamagazi cholesterol.
Amayi omwe amakhala ndi mwana wolemera makilogalamu 4.5 kapena kuposerapo kapena wapezeka ndi matenda ashuga akakhala ndi pakati.
Polycystic ovary.
Milandu ya matenda amtundu 1 kapena matenda ashuga 2 m'banja.

Ngati muli ndi chimodzi mwazovuta izi, muyenera kuyang'ana shuga wanu wamagazi zaka zitatu zilizonse, kuyambira pazaka 45. Kuyang'anira ana ndi achinyamata omwe ali onenepa kwambiri komanso omwe ali ndi vuto lina lowonjezera kumalimbikitsidwanso. Afunika kuwunika shuga pafupipafupi, kuyambira ali ndi zaka 10. Chifukwa kuyambira 1980s, matenda ashuga amtundu wa 2 adakula. M'mayiko a Azungu, zimawonekera ngakhale mwa achinyamata.

Momwe thupi limayang'anira shuga

Thupi limayang'anira mosalekeza kuchuluka kwa shuga m'magazi, kuyesera kuti lisasungidwe mkati mwa 3.9-5.3 mmol / L. Izi ndiye zolondola pamoyo wabwino. Anthu odwala matenda ashuga amadziwa bwino kuti mutha kukhala ndi moyo wambiri ndi shuga. Komabe, ngakhale ngati palibe zizindikiro zosasangalatsa, shuga wowonjezereka amalimbikitsa kukula kwamavuto a shuga.

Shuga wotsika amatchedwa hypoglycemia. Uku ndi tsoka lenileni kwa thupi. Ubongo sulekerera pakakhala kuti palibe magazi okwanira m'magazi. Chifukwa chake, hypoglycemia imangodziwonetsera ngati zizindikiro - kusakwiya, mantha, palpitations, njala yayikulu. Ngati shuga agwera mpaka 2.2 mmol / L, ndiye kuti kusokonekera kwa chikumbumtima ndi kufa kumatha kuchitika. Werengani zambiri mulemba "Hypoglycemia - Kupewa ndi Kupulumutsidwa kwa Attack."

Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana. Kuti mumve zambiri, werengani nkhani "Momwe Insulini Imalamulira Magazi a shuga mwa Matenda Achimodzimodzi ndi Matenda A shuga".

Nthawi iliyonse, shuga wambiri amayenda m'magazi a munthu. Mwachitsanzo, mwa bambo wamkulu wolemera makilogalamu 75, kuchuluka kwa magazi m'thupi ndi malita asanu. Kuti tikwaniritse shuga m'magazi a 5.5 mmol / L, ndikokwanira kupukusa mkati mwake magalamu asanu okha a glucose. Izi ndi pafupifupi supuni 1 ya shuga ndi slide.Pa sekondi iliyonse, ma microscopic Mlingo wama glucose ndi mahomoni owongolera amalowa m'magazi kuti akhale bwino. Izi zimachitika maola 24 tsiku lililonse osasokoneza.

Shuga wapamwamba - zizindikiro ndi zizindikiro

Nthawi zambiri, munthu amakhala ndi shuga wambiri chifukwa cha matenda ashuga. Koma pakhoza kukhala zifukwa zina - mankhwala, kupsinjika kwamphamvu, kusokonezeka m'matumbo a adrenal kapena pituitary, matenda opatsirana. Mankhwala ambiri amalimbikitsa shuga. Awa ndi ma corticosteroids, beta-blockers, thiazide diuretics (okodzetsa), antidepressants. Kuti mupeze mndandanda wathunthu munkhaniyi sizotheka. Dokotala wanu asanakupatseni mankhwala ena, kambiranani momwe zakhudzira shuga wanu wamagazi.

Nthawi zambiri hyperglycemia siziwonetsa chilichonse, ngakhale shuga atakhala wamkulu kwambiri kuposa wabwinobwino. Woopsa akayamba kudwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.

Zovuta pachimake, koma zofala zambiri:

ludzu lalikulu
kamwa yowuma
kukodza pafupipafupi,
Khungu lumauma,
mawonekedwe osaneneka
kutopa, kugona,
Kuchepetsa thupi
mabala, zipsera sizichiritsa,
zomverera zosasangalatsa m'miyendo - kumeza, tsekwe,
pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.

Zizindikiro zowonjezera za ketoacidosis:

kupuma pafupipafupi komanso kwanthawi yayitali
Fungo la acetone popuma,
chikhalidwe chosakhazikika.

Chifukwa chiyani shuga wambiri ndi woipa

Ngati simumalandira shuga wamagazi ambiri, zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic chikomokere ndi matenda ashuga ketoacidosis. Amawonetsedwa ndi kusazindikira bwino, kukomoka ndipo amafuna chithandizo chamankhwala mwadzidzidzi. Komabe, zovuta zazovuta zimayambitsa kuphedwa kwa 5-10% ya odwala matenda ashuga. Ena onse amafa ndi zovuta mu impso, kupenya, miyendo, mantha am'mimba, ndipo koposa zonse - kuchokera ku vuto la mtima ndi sitiroko.

Shuga wokwera kwambiri amawononga makoma amitsempha yamagazi kuchokera mkati. Amakhala olimba mopanda kunenepa. Pazaka zambiri, calcium amawayika pa iwo, ndipo zombozo zimafanana ndi mapaipi akale amiyala. Izi zimatchedwa angiopathy - kuwonongeka kwa mtima. Komanso imayambitsa zovuta za matenda ashuga. Zoopsa zake zazikulu ndi kulephera kwa impso, khungu, kudula mwendo kapena phazi, ndi matenda amtima. Mukakhala ndi shuga m'mwazi, zovuta zake zimayamba kukhazikika ndikuwonekera kwambiri. Yang'anirani chithandizo ndi chisamaliro cha matenda anu a shuga!

Zithandizo za anthu

Chithandizo cha anthu omwe amachepetsa shuga m'magazi a ku Yerusalemu ndi artichoke, sinamoni, komanso mitundu ingapo ya mankhwala azitsamba, mankhwala, zotupa, mapemphero, chiwembu, zina. kuti simunalandire phindu lililonse. Zithandizo za anthu zimapangidwira kwa odwala matenda ashuga omwe amadzinyenga, m'malo mothandizidwa bwino. Anthu oterewa amafa msanga chifukwa cha zovuta.

Mafanizi azitsamba azikhalidwe za anthu odwala matenda ashuga ndiwo "makasitomala" enieni a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto a matenda a shuga a impso, miyendo ndi maso zimawonetsa zaka zovuta zambiri wodwala asanaphe kapena matenda a mtima. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, ntchito zawo zimaphwanya malamulo amakhalidwe abwino.

Yerusalemu artichoke	Zomera zabwino. Muli mafuta ochulukirapo, kuphatikizapo fructose, omwe ndi bwino odwala omwe ali ndi matenda ashuga kupewa.
Cinnamon	Fungo lonunkhira lomwe nthawi zambiri limagwiritsidwa ntchito pophika. Umboni wa matenda ashuga umatsutsana. Mwina amachepetsa shuga ndi 0.1-0.3 mmol / L. Pewani zosakaniza zopangidwa kale ndi sinamoni ndi shuga wa shuga.
Kanema "M'dzina la moyo" wolemba Bazylkhan Dyusupov	Palibe ndemanga ...
Njira ya Zherlygin	Zowopsa. Akuyesa kukopa ma eyuroni okwana 45-90, 000 popanda chithandizo. Mtundu wachiwiri wa matenda ashuga, zolimbitsa thupi zimachepetsa shuga - ndipo popanda Zherlygin zakhala zikudziwika kale. Werengani momwe mungasangalalire ndi maphunziro akuthupi kwaulere.

Pangani shuga ndi magazi anu kangapo patsiku. Ngati mukuwona kuti zotsatira zake sizikuyenda bwino kapena zikuipiraipira, siyani kugwiritsa ntchito mankhwala opanda pake.

Funsani dokotala musanamwe mankhwala ena alionse a shuga. Makamaka ngati mwayamba kale zovuta za impso kapena muli ndi matenda a chiwindi. Zowonjezera zomwe zatchulidwa pamwambapa sizilowa m'malo mwa chithandizo ndi zakudya, jakisoni wa insulin, komanso zolimbitsa thupi. Mutayamba kumwa alpha-lipoic acid, mungafunike kuchepetsa mlingo wa insulin yanu kuti pasakhale hypoglycemia.

Glucometer - mita ya shuga kunyumba

Ngati mwazindikira kuti ndi prediabetes kapena matenda ashuga, ndiye kuti muyenera kugula mwachangu chida chakuyezera kwanu shuga. Chipangizochi chimatchedwa glucometer. Popanda icho, matenda a shuga sangathe kuyendetsedwa bwino. Muyenera kuyeza shuga osachepera 2-3 patsiku, makamaka nthawi zambiri. Mitsempha yamagazi a kunyumba inatuluka m'ma 1970. Mpaka pomwe amagwiritsidwa ntchito kwambiri, odwala matenda ashuga amayenera kupita ku labotale nthawi iliyonse, kapena ngakhale kukhala kuchipatala kwa milungu ingapo.

Mamita amakono a glucose amakono ndi opepuka komanso osalala. Amayeza shuga m'magazi pafupifupi osapweteka ndipo amawonetsa zotsatira zake. Vuto lokhalo ndiloti zingwe zoyeserera sizotsika mtengo. Muyezo uliwonse wa shuga mumakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani mukamachiritsa odwala matenda ashuga.

Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale chifukwa cha shuga. Mabungwe azachipatala adatha kuchedwetsa kukwezedwa kwa shuga wamagazi kunyumba kwa zaka 3-5. Komabe, zida izi zikagulitsidwa, adayamba kutchuka. Mutha kudziwa zambiri pa nkhaniyi pa Dr. Bernstein. Tsopano, mankhwala ovomerezeka akuchepetsa kupititsanso kwa zakudya zamafuta ochepa - chakudya chokhacho choyenera kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.

Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono

Odwala a shuga ayenera kuyeza shuga ndi glucometer osachepera 2-3 patsiku, makamaka makamaka. Iyi ndi njira yosavuta komanso yopweteka. M'miyendo yoloza zala, singano ndizowonda kwambiri. Zomverera sizimapwetekanso kwambiri monga momwe kulumidwa ndi udzudzu. Kungakhale kovuta kuyeza shuga lanu lamwazi koyamba, kenako mudzayamba kusuta. Ndikofunika kuti wina ayambe kuwonetsa momwe angagwiritsire ntchito mita. Koma ngati palibe munthu wodziwa zambiri pafupi, mutha kuthana nawo nokha. Gwiritsani ntchito malangizo omwe ali pansipa.

Sambani manja anu ndi youma bwino.
Kusamba ndi sopo ndikofunikira, koma osafunikira ngati palibe zikhalidwe za izi. Osapukuta ndi mowa!
Mutha kugwedeza dzanja lanu kuti magazi ayambe kupita ku zala zanu. Komanso, gwiritsani pansi pamtsinje wamadzi ofunda.
Zofunika! Tsambalo liponya louma. Musalole madzi kuti atulutsire dontho la magazi.
Ikani gawo loyeserera mu mita. Onetsetsani kuti uthenga wabwino ukuonekera pazenera, mutha kuyeza.
Pierce chala chokhala ndi lancet.
Kuchepetsa chala chanu kufinya dontho la magazi.
Ndikofunika kuti musagwiritse ntchito dontho loyamba, koma kuti muchotse ndi ubweya wouma kapena thonje. Uku si malingaliro ovomerezeka. Koma yesani kutero - ndipo onetsetsani kuti kuwongolera kwakeko kwatsimikizika.
Finyani dontho lachiwiri la magazi ndikuwapaka pamiyeso.
Zotsatira zake ziziwoneka pazenera la mita - zilembeni ku dayosiyamu yanu yoyang'anira matenda a shuga limodzi ndi zambiri.

Ndikofunika kusunga diary control diabetes mosalekeza. Lembani izi:

tsiku ndi nthawi ya muyeso wa shuga,
Zotsatira zake
zomwe adadya
omwe adamwa mapiritsiwo
kuchuluka ndi insulin yamtundu wanji,
zomwe zinali zolimbitsa thupi, kupsinjika ndi zina.

M'masiku ochepa muwona kuti ichi ndi chidziwitso chofunikira. Dzifufuzeni nokha kapena ndi dokotala. Mvetsetsani momwe zakudya zosiyanasiyana, mankhwala osokoneza bongo, jakisoni wa insulin, ndi zinthu zina zimakhudzira shuga wanu. Kuti mumve zambiri, werengani nkhani yakuti “Zomwe zimakhudza shuga. Mungapewe bwanji kuthana ndi kuyenda osazolowereka. "

Momwe mungapezere zotsatira zolondola poyesa shuga ndi glucometer:

Werengani mosamala malangizo a chipangizo chanu.
Onani mita kuti muone ngati ili pamwambapa. Ikapezeka kuti chipangizochi chagona, musachigwiritse ntchito, chotsani china.
Monga lamulo, glucometer yomwe imakhala ndi zotsika mtengo zoyesera siyolondola. Amayendetsa odwala matenda ashuga kumanda.
Pansi pa malangizo, werengani momwe mungagwiritsire dontho la magazi pachifuwa.
Tsatirani mosamalitsa malamulo osunga mizere. Tsekani botolo mosamala kuti mpweya wambiri usalowe. Kupanda kutero, zingwe zoyeserera ziwonongeka.
Osagwiritsa ntchito zingwe zoyeserera zomwe zatha.
Mukapita kwa dokotala, tengani glucometer nanu. Sonyezani adokotala momwe mumayeza shuga. Mwina dokotala wodziwa zambiri angakuwonetseni zomwe mukuchita zolakwika.

Kangati patsiku muyenera kuyeza shuga

Kuti muchepetse matenda a shuga, muyenera kudziwa momwe shuga yanu imakhalira tsiku lonse. Kwa odwala matenda ashuga ambiri, vuto lalikulu limachulukitsidwa m'mawa m'mimba yopanda kanthu, kenako ndikudya cham'mawa. Mwa odwala ambiri, shuga amawonjezereka kwambiri pambuyo pa nkhomaliro kapena madzulo. Mkhalidwe wanu ndi wapadera, wosafanana ndi wina aliyense. Chifukwa chake, tikufunika kukonzekera payekha - zakudya, jakisoni wa insulin, kumwa mapiritsi ndi zochitika zina. Njira yokhayo yopezera chidziwitso chofunikira pakuwongolera matenda a shuga ndikuyesa shuga wanu pafupipafupi ndi glucometer. Zotsatirazi zikufotokoza kangati patsiku muyenera kuyeza.

Kuyang'anira magazi konse ndikamayesa:

m'mawa - titangodzuka.
kenako - musanayambe kudya chakudya cham'mawa,
Maola 5 mutatha jakisoni aliyense wa insulin,
pamaso chakudya chilichonse kapena chakudya.
mukatha kudya chilichonse kapena zakudya zina - patatha maola awiri,
musanagone
musanakhale ndi maphunziro akuthupi, zochitika zovuta, zoyeserera zamphamvu kuntchito,
mukangomva njala kapena kukayikira kuti shuga yanu ndiyapansi kapena kuposa apo,
musanayendetse galimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ola lililonse mpaka mutamaliza,
pakati pausiku - kupewa mankhwalawa hypoglycemia.

Nthawi iliyonse mukatha kuyeza shuga, zotsatira zake ziyenera kulembedwa mu diary. Sonyezani nthawi ndi zochitika zina:

Zomwe adadya - zakudya, magalamu angati,
insulin yomwe idalowetsedwa komanso mlingo uti
mapiritsi a shuga omwe adamwa
watani
zolimbitsa thupi
wokometsedwa
matenda opatsirana.

Lembani zonse, bwerani. Ma cell amakumbukidwe a mita samalola kujambula zochitika zotsatana. Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu. Zotsatira za kuwunika kwathunthu kwa glucose zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikufuna kudziwa kuti ndi nthawi yanji masana komanso kuti shuga yanu siyabwinobwino. Ndipo kenako, chitani zinthu - gwiritsani ntchito pulogalamu yochizira matenda ashuga.

Kudziletsa kwathunthu kwa shuga kumakupatsani mwayi wowunika momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, ma charlatans okha ndi omwe "amathandizira" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayetse matenda. Anthu ochepa odwala matenda ashuga omwe amakhala okonzekera kukhala tsiku ndi tsiku mu njira zomwe tafotokozazi. Chifukwa mtengo wa mayeso woyezera wa glucometer ukhoza kukhala wokwera kwambiri. Komabe, yang'anirani kwathunthu magazi osachepera tsiku limodzi sabata lililonse.

Ngati mukuwona kuti shuga wanu wayamba kusinthasintha mwanjira ina, ndiye kuti ingokhalani masiku angapo mumachitidwe owongolera mpaka mutapeza ndikuchotsa zomwe zimayambitsa. Ndikofunika kuphunzirira nkhani ya "Zomwe zimakhudza shuga. Momwe mungathetsere kudumpha ndi kukhalabe kwabwinobwino. ” Ndalama zochulukirapo zomwe mumagwiritsa ntchito poyesa mita ya glucose, mumasunga ndalama zambiri pochiza zovuta za shuga. Cholinga chachikulu ndikukhala ndi thanzi labwino, kupulumuka anzanu ambiri osakhala okalamba. Kusunga magazi nthawi zonse osapitilira 5.2-6.0 mmol / L ndi zenizeni.

Mafunso Ofunsidwa Kawirikawiri

Ngati mwakhala zaka zingapo ndi shuga wambiri, 12 mmol / L ndi kupitilirapo, ndiye kuti sibwino kuti muchepetse mwachangu mpaka 4-6 mmol / L, monga mwa anthu athanzi. Chifukwa zizindikiro zosasangalatsa komanso zowopsa za hypoglycemia zitha kuwoneka. Makamaka, zovuta za shuga m'masomphenya zimatha kukula. Ndikulimbikitsidwa kuti anthu oterowo ayambe kutsitsa shuga mpaka 7-8 mmol / L ndikulola kuti thupi lizolowere mkati mwa miyezi 1-2. Ndipo kenako pitirirani kwa anthu athanzi. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Ndi shuga uti amene muyenera kulimbana naye. ” Ili ndi gawo "Mukafunikira makamaka shuga."

Nthawi zambiri simumayesa shuga ndi glucometer. Kupanda kutero, akadazindikira kuti buledi, chimanga ndi mbatata zimachulukitsa chimodzimodzi ndi maswiti. Mutha kukhala ndi matenda osokoneza bongo kapena matenda oyamba a shuga 2. Kuti mumvetse bwino za matendawa, muyenera kupereka zambiri. Momwe angapangidwire - afotokozedwa mwatsatanetsatane m'nkhaniyi. Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa.

Shuga m'mawa pamimba yopanda kanthu amadzuka chifukwa m'maola angapo m'mawa, chiwindi chimachotsa insulini m'magazi. Izi zimatchedwa chodabwitsa cha m'bandakucha. Amapezeka mwa odwala ambiri omwe ali ndi matenda amtundu wa 2 komanso a 2. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda kanthu. Ili si ntchito yosavuta, koma yotheka. Muyenera kulangidwa. Pakatha milungu itatu, chizolowezi chokhazikika chimakhazikika, ndipo kumamatira ku regimen kumakhala kosavuta.

Ndikofunikira kuyeza shuga m'mawa uliwonse pamimba yopanda kanthu. Ngati mungabaye insulin musanadye, muyenera kuyeza shuga musanadye jekeseni iliyonse, ndipo kenanso maola awiri mutatha kudya. Izi zimapezeka 7 pa tsiku - m'mawa mopanda kanthu m'mimba komanso zina kawiri pachakudya chilichonse. Ngati muli ndi matenda ashuga amtundu wa 2 ndipo mumawongolera ndi zakudya zamafuta ochepa osaba jakisoni wothamanga, ndiye kuyeza shuga maola awiri mutadya.

Pali zida zomwe zimatchedwa pitilizani kuunika magazi. Komabe, ali ndi cholakwika chachikulu kwambiri poyerekeza ndi glucometer wamba. Mpaka pano, Dr. Bernstein sanalangizebe kuzigwiritsa ntchito. Komanso, mtengo wawo umakhala wokwera.

Yesani nthawi zina kuboola ndi chala chanu osati zala zanu, koma mbali zina za khungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina. Nkhani ili pamwambapa ikufotokoza momwe mungachitire izi. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.

Njira yokhayo yochepetsera shuga mwachangu ndi kubayirira insulin yochepa kapena yochepa kwambiri. Zakudya zamafuta ochepa zimatsika shuga, koma osati nthawi yomweyo, koma mkati mwa masiku atatu. Mitundu yina ya mapiritsi a shuga a 2 amachitapo kanthu mwachangu. Koma ngati mutawatenga pa Mlingo wolakwika, ndiye kuti shuga amatha kutsika mopitirira muyeso, ndipo munthu amatha kuzindikira. Zithandizo zachikhalidwe ndi zachinyengo, sizithandiza konse. Matenda a shuga ndi matenda omwe amafunikira chithandizo chamankhwala, kulondola, kulondola. Mukamayesetsa kuchita zinthu mwachangu, mwachangu, mutha kungovulaza.

Muyenera kuti muli ndi matenda ashuga amtundu woyamba. Yankho lenileni la funsoli linaperekedwa m'nkhani yakuti: “Maphunziro azachilengedwe a matenda ashuga.”Mulimonsemo, zabwino zolimbitsa thupi mumapeza kuposa zovuta. Osasiya maphunziro akuthupi. Pambuyo poyesera kangapo, mupeza momwe mungakhalire shuga wabwinobwino musanayambe kuchita masewera olimbitsa thupi komanso pambuyo pake.

M'malo mwake, mapuloteni amawonjezera shuga, koma pang'onopang'ono komanso osatinso michere. Cholinga chake ndikuti gawo la mapuloteni adyidwa m'thupi limasandulika kukhala glucose. Werengani nkhani yakuti "Mapuloteni, Mafuta, Zakudya Zam'madzi, ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga, muyenera kuganizira kuchuluka kwa mapuloteni omwe mumadya kuti muwerenge kuchuluka kwa insulin. Anthu odwala matenda ashuga omwe amadya chakudya chamagulu omwe amakhala ndi chakudya chambiri sazindikira mapuloteni. Koma ali ndi mavuto enanso ...

Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
Momwe mungasungire zolemba za matenda a shuga komanso motani
Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
Zomwe zimagwiritsidwa ntchito pochiza matenda ashuga owopsa komanso apamwamba.

Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kusunga shuga pamalo okhazikika, monga momwe zimakhalira ndi anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda ashuga amtundu 1 komanso makamaka ndi matenda a shuga 2. Mavuto ambiri sangathe kuchepetsedwa, komanso kuchiritsidwa kwathunthu. Kuti muchite izi, simuyenera kufa ndi njala, kuvutika m'makalasi ophunzitsa zolimbitsa thupi kapena kubaya Mlingo waukulu wa insulin. Komabe, muyenera kukulitsa kulanga kuti muzitsatira boma.