Matenda a shuga: Mwazi wa Magazi: Chithandizo cha Metformin

Kuchita masewera olimbitsa thupi kungakhale kosiyana kwambiri: kuphunzitsa kunyumba, kusambira padziwe, kulimbitsa thupi, volleyball, kuthamanga, kuyenda, kuvina ... Ndipo ngati mulumikiza okondedwa ndi izi, ndiye kuti kusangalala komanso kuchita masewera olimbitsa thupi kumatsimikiziridwa!

Matenda a shuga ndi vuto lalikulu, chifukwa chake njira zachikhalidwe zamankhwala zitha kugwiritsidwa ntchito pokhapokha kukaonana ndi dokotala ndikuthandizira povomerezedwa kuti mudye bwino.

Njira zodziwika bwino zamankhwala azikhalidwe zothetsera matenda a prediabetes ndi izi:

• Imwani makapu awiri a madzi otentha owiritsa m'mawa uliwonse musanadye. Izi "zimayambitsa" kagayidwe akagona.
• Kwa milungu itatu kapena itatu, imwani 50 ml ya decoction wamasamba a blackcurrant, Blueberry ndi rhizome of elecampane musanadye chilichonse,
• Mphindi 30 musanadye chakudya cham'mawa, imwani chithunzithunzi cha njere za fulakesi (wiritsani supuni ziwiri za njere zosenda bwino mu 500 ml ya madzi kwa mphindi 5),
• 2 tbsp sokosera wopera kutsanulira kapu ya kefir ndikutuluka usiku, tengani mphindi 30 musanadye chakudya cham'mawa komanso chakudya chamadzulo.

Mkhalidwe wa prediabetes ungapezeke muubwana. Zizindikiro za matendawa mu ana zimafanana ndi akulu.

Zomwe zikuluzikulu zakukula kwa prediabetes mwa ana ndi:

• Kukhazikika kwa vuto (makamaka amayi)
• Kunenepa kwambiri, kuperewera kwa zakudya m'thupi,
• Matenda opatsirana ndi ma virus (fuluwenza, rubella, ndi zina): kumatha kuyambitsa kuphwanya chitetezo cha m'thupi mwa mwana, chifukwa cha zomwe shuga amatenga.

Mu thupi la mwana, kuchuluka kwa katemera pakadali pano kumatha kuchita gawo lalikulu la matenda a prediabetes. kukula kwa mahomoni a pituitary gland (kukula kwa mahomoni).

Kuzindikira matenda a prediabetes kumachitika pogwiritsa ntchito mayeso omwewo monga akulu (1.75 g glucose pa 1 kg ya kulemera kwa thupi la mwana ndikokwanira kwa GTT).

Kuzindikira koyenera komanso chithandizo cha prediabetes mwa ana ndikofunikira kwambiri. Kuphwanya komwe kumakonzedwa muubwana ndi mwayi wokhala mpaka 90% kumapereka kuchiritsa kwathunthu komanso kusayambiranso kukhalanso munthu wamkulu.

Tiyeni tiwone pang'ono za vutoli:

Mkhalidwe usanachitike matenda a shuga ndi chizindikiro chochokera m'thupi kuti sizonse zomwe zili mu dongosolo ndi izo. Pofuna kuti musakhale ndi matenda oopsa, muyenera kukayezetsa kuchipatala pafupipafupi, idyani moyenera komanso osapewa kuchita masewera olimbitsa thupi. Iyi ndiyo njira yokhayo yakhalira wathanzi ndikukhala moyo wabwino.

Kodi matenda a prediabetes ndi ati ndipo ndizowonetsa chiyani za shuga m'magazi?

Nthawi zambiri, matenda a shuga samachitika mwadzidzidzi, harbinger wake woyamba amakhala prediabetes, pomwe shuga m'magazi amakhala okwera kawiri kuposa abwinobwino. Mkulu wama glucose samawonedwa nthawi zonse, koma pokhapokha chakudya. Pakadali pano zotheka kuchiza popanda mankhwala osokoneza bongo.

Matenda a shuga ndi vuto lomwe zimapangitsa kuti kagayidwe kazakudya asokere, koma kuwunika kwa shuga sikupangidwe. Komabe, msuzi wa shuga ndiwokwera kwambiri kuposa wabwinobwino. Ngati simukuchitapo kanthu, pakapita kanthawi wodwalayo ayamba matenda ashuga amitundu iwiri. Chifukwa chake, chithandizo chiyenera kuyamba pomwe zizindikiro zoyambirira zikuwoneka.

Matenda a shuga amapezeka mwa anthu onenepa kwambiri omwe amakhala pansi ndipo amakhala ndi zovuta zamankhwala. Mafuta ochulukirapo amadziunjikira mozungulira ziwalo zamkati, zomwe zimachepetsa kagayidwe. Nthawi yomweyo, munthu wonenepa kwambiri amakula insulin kukana (kuchepa mphamvu kwa insulin). Insulin imapangidwa mokwanira, koma samadyedwa ndi thupi mulingo woyenera.

Zotsatira zake, kuchuluka kwa shuga m'thupi kumachepa, koma zochuluka zake zimachokera ku chakudya. Zikondazo zimayamba kugwira ntchito mopindulitsa, panthawiyi pamakhala kuchuluka pang'ono kwa shuga m'magazi. Ichi ndi prediabetes. M'mbuyomu, izi zimadziwika kuti ndi gawo la shuga, ndiye kuti lidayamba kudziyesa ngati matenda odziyimira pawokha. Kutalika kwa prediabetes ndi zaka 2-4, pambuyo pake, ngati sizichiritsidwa, zimakhala shuga.

Matenda a shuga asanafike ndi mtundu wa shuga wachiwiri, womwe umayamba mwa anthu onenepa kwambiri chifukwa cha insulin. Cholinga chachikulu cha prediabetes ndizoperewera kwambiri, osati zakudya zotsekemera. Nthawi zambiri, mtundu wachiwiri wa matenda a shuga umapezeka mwa iwo omwe amamwa mwachangu chakudya. Chakudyachi chili ndi zoteteza komanso mafuta ambiri, motero zimathandizira kuti kuphwanya kwa lipid komanso carbohydrate metabolism. Misa yamisempha imalowetsedwa ndi mafuta, kagayidwe kake kamachepetsedwa.

Zomwe zimapangitsa kuti pakhale matenda a prediabetes ndi:

• Khalidweli.
• Kulemera kwakukulu kubadwa (kuposa 4.3 kg).
• Matenda a shuga pamimba.
• Khalidwe labwino.
• Kugwiritsa ntchito kwakanthawi mankhwala ena (glucocorticosteroids, diuretics).
• Kunenepa kwambiri
• Kuthamanga kwa magazi.
• Mavuto osiyanasiyana a mahomoni ndi endocrine.

Mu ana, matendawa amatha kudwala matenda opatsirana kapena opareshoni itatha.

Matenda a shuga nthawi zambiri amakhala pafupifupi zaka 2-3 kenako nthenda yoopsa, shuga, imayamba kukula. Ngati mungazindikire matendawo matendawo ndikuchitapo kanthu, mutha kupewa matendawa pawokha.

Madokotala asanadziwe matenda a prediabetes, nthawi zambiri amakupangira kuyezetsa magazi, shuga, komanso mayeso a HbA1c - glycated hemoglobin.

• Mulingo wamagulu a shuga wamagazi: 3.5 - 5.5mm / l
• Ngati kuyezetsa magazi kwa shuga kuli kosiyanasiyana kwa 5.5 - 6.9 mm / l, ndiye kuti titha kulankhula za prediabetes.
• Ndi manambala opitilira 6.9 mm / l komanso kuphatikiza ndi zizindikiro zina zomwe zimakhala nthawi yayitali, matenda a shuga amapezeka nthawi zambiri.

Matenda a shuga amakhazikika pang'onopang'ono komanso mosazindikira, ndipo koposa zonse, alibe zizindikiro. Nthawi zambiri munthu samakayikira kuti ali m'dera lamalire pakati pa matenda ndi thanzi. Titha kunena kuti uwu ndi mtundu wa chenjezo kwa munthu kuti nthawi yakwana yoti musinthe moyo wanu.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE .

"Magazi anu ndi abwino kuposa kale." Zitha kutanthauza kuti muli ndi matenda a prediabetes ... ”Nthawi zambiri, kukambirana nthawi zambiri kumapita ndi adotolo pazotsatira za mayeso omaliza a shuga. Nkhani zoipa zimamvedwa ndi anthu masauzande tsiku lililonse. Koma sikuti aliyense amadziwa kuti nkhaniyi ndi yoyipa kuposa nkhani yongopeza matenda oyamba.

Mwazi wokwanira wamagazi umangobweretsa osati ku prediabetes kapena matenda ashuga okha. Mavuto ena ambiri amatuluka, mwachitsanzo:

• masomphenya amawonongeka
• matsoka amachitika
• zamanjenje zawonongeka
• Pali zovuta ndi impso ndi mtima,
• mkhalidwe wa chitetezo chamthupi ukuwonjezeka.

Koma si zokhazo.

Kuti khansa ndi matenda ashuga zimayenderana kalekale. Koma pang'onopang'ono zinaonekeratu kuti ngakhale kuwonjezeka pang'ono kwa shuga wamagazi kumawonjezera chiopsezo cha khansa. Kugwirizana pakati pa khansa ndi shuga kunayamba kuzindikira mu 1931. Ma cell a khansa amagwiritsa ntchito shuga wamagazi (mu mawonekedwe a glucose) pazakudya zawo. Kuyambira pamenepo, izi zatsimikiziridwa mobwerezabwereza.

Popeza anthu mamiliyoni ambiri amakhala ndi misonkho yambiri yamwazi, titha kunena kuti anthu onsewa ali ndi mkhalidwe wotsogola komanso wathanzi la thupi. Ndizotheka kuti matenda ashuga, ndi khansa, komanso mavuto amtima - zonsezi ndi mawonetseredwe a matenda omwewo, "shuga wowonjezera m'thupi."

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kupititsa patsogolo chotupa cha khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwanjira yomwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Glucose ndi gawo lofunikira pakugwira bwino ntchito kwa thupi. Zimatipatsa mphamvu yofunikira pantchito ya chamoyo chonse pama cellular. Yokha, shuga samapangidwa m'thupi.

Amabwera kwa ife kudzera mu chakudya chamafuta. Panthawi yokhazikika yogwira pancreatic ndi kupanga kwathunthu kwa insulin, shuga amalowa mu khungu lililonse m'thupi.

Koma ngati kapamba amaleka kugwira ntchito mwachizolowezi, glucose sangathe kulowa mu khungu lililonse la thupi lathu, kupatula maselo aubongo, ndipo maselo amayamba "kufa ndi njala" kwambiri.

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi. Nditakwanitsa zaka 66, ndinali ndikumenya insulin yanga, zonse zinali zoipa kwambiri.

Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha kwambiri, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Izi zimabweretsa kusagwira bwino ntchito kwa thupi lonse komanso kuchuluka kwa chakudya chambiri.

Kuchulukana kwa shuga (kapena "msinkhu wa shuga") m'madzi a m'magazi ku Russia ndi Ukraine kukuwonetsedwa m'mililita imodzi (mmol / l), m'maiko ena onse miyeso imachitidwa mu miligram% (mg%). Kwa thupi labwino, kuthamanga kwa shuga wa plasma kumachokera ku 3.6 mmol / L (65 mg%) mpaka 5.8 mmol / L (105 mg%).

Mukatha kudya, kuchuluka kwa chakudya chamagulu m'magazi a munthu wathanzi kumatha kukwera mpaka 7.8 mmol / L (140 mg%).

Inde, mwa munthu wathanzi, thupi lokha limawongolera kuchuluka kwa shuga m'magazi. Ndi chiwopsezo chowonjezereka, kapamba amayamba kupanga mwachangu insulin. Mulingo wochepa wa shuga umawonetsa kuchepa kwa kupanga kwa insulin ya mahomoni ndikuyamba kupanga kwa glucagon ya mahomoni (polypeptide hormone).

Nkhani za owerenga athu

Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndakhala ndikuchezera kangapo kwa akatswiri azamankhwala, koma amangonena kuti: “Imwani insulin.” Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!

Muli ndi matenda osokoneza bongo ngati kuwerenga kwanu shuga (glucose) kwanu kuli pakati pa 100-125 mg / dl (5.6 - 6.9 mmol / l).

Ngati simunasankhe kudya kwanu magazi, ndiye kuti muli ndi chiopsezo cha matenda osokoneza bongo ngati:

• muli ndi zaka 45 kapena kupitilira
• ndinu onenepa kwambiri
• kholo limodzi lili ndi matenda ashuga
• mlongo kapena m'bale ali ndi matenda ashuga
• ndinu African American, Hispanic, Hispanic, Asia kapena Pacific Islander
• mudadwala matenda ashuga panthawi yaisu (gestationalabetes) kapena munabereka mwana wolemera makilogalamu 4 kapena kupitilira apo
• Mumachita masewera olimbitsa thupi ochepera katatu pa sabata.

Matenda a shuga ndi matenda ovuta kwambiri. Koma chifukwa chopanga mankhwala, anthu omwe ali ndi vutoli amatha kupitiliza kukhala ndi moyo ndi anthu ena.

Koma, ngati matenda ena aliwonse, ndibwino kupewetsa, osabweretsa zotsatira zoyipa.

Chofunikira kwambiri ndikuchita mwadongosolo, kawiri pachaka, kutenga mayeso a shuga. Chifukwa chake, mutha kudziwa nthawi yomwe muli ndi matenda osokoneza bongo ndikuyamba kulandira chithandizo pakanthawi kochepa, komwe kumakhala kotsatira zakudya komanso moyo wathanzi (kugona mokwanira komanso njira zopumulira, magiredi ophunzitsira zolimbitsa thupi komanso magwiritsidwe ntchito).

Chachikulu ndikukumbukira kuti matenda aliwonse angachiritsidwe ngati muli ndi chidwi chachikulu ndikugwirizanitsa changu chanu kwa iwo.

Ngati muwerenga izi, mutha kuzindikira kuti inu kapena okondedwa anu mukudwala matenda ashuga.

Tinachita kafukufuku, tinaphunzira zambiri za zida ndipo koposa zonse tinayang'ana njira ndi mankhwala ambiri a shuga. Chigamulochi ndi motere:

Mankhwala onse, ngati ataperekedwa, anali zotsatira zosakhalitsa, atangomaliza kudya, matendawa amakula kwambiri.

Chithandizo chokhacho chomwe chapereka zotsatira zabwino ndi Dianormil.

Pakadali pano, awa ndiye mankhwala okhawo omwe amachiritsiratu matenda ashuga. Dianormil adawonetsa chidwi chachikulu magawo a shuga.

Tidafunsa Unduna wa Zaumoyo:

Ndipo kwa owerenga tsamba lathu lino mwayi
khalani ndi dianormil ZAULERE!

Yang'anani! Milandu yogulitsa Dianormil yabodza tsopano.
Mukayika lamulo pogwiritsa ntchito maulalo pamwambapa, mumatsimikiziridwa kuti mudzalandira malonda kuchokera kwa wopanga wamkulu. Kuphatikiza apo, mukamayitanitsa pa tsamba lovomerezeka, mumalandira chitsimikizo cha kubweza (kuphatikizapo ndalama zoyendera) ngati mankhwalawo alibe.

Matenda a shuga: Mwazi wa Magazi: Chithandizo cha Metformin

Madotolo akuwonetsa alarm: pofika 2030, matenda ashuga ndi omwe azitsogolera kwambiri. Mtundu wake wa harbinger ndi prediabetes, mulingo wa shuga wamagazi womwe ukukulirakulira ndipo umapitilira muyeso.

Njira yamakono yamoyo siyabwino kwenikweni: tidasiya kuyenda, kusewera masewera, ndipo m'malo mwa chakudya chopatsa thanzi timangodya zopanda pake. Zinthu zonsezi zimawononga thanzi lathu.

Ndi prediabetes, zovuta zapakhansa, sizingatulutsenso kuchuluka kwa insulini. Mukapita kwa dotolo munthawi yake ndikutsatira malingaliro ake onse, mavuto amatha kupewedwa.

Matenda a shuga ndi vuto lomwe kulekerera shuga kumapangitsa. Ndiye kuti, shuga yemwe amabwera ndi chakudya sangathe kugaya bwino. Zotsatira zake, timadzi totsitsa thukuta silipangidwa ndi kapamba mu kuchuluka kofunikira.

Wodwala akapezeka kuti ali ndi matenda osokoneza bongo, mwayi wake wopanga matenda a shuga 2 umakulitsidwa. Komabe, musachite mantha. Matendawa amathandizika ngati wodwala wayesetsa kutero. Kuti muchite izi, muyenera kukhala ndi moyo wokangalika, kutsatira zakudya zapadera ndikumwa mankhwala a hypoglycemic.

Wodwala akamadutsa mayeso a shuga, omwe ali ndi prediabetes, zotsatira za phunziroli zimakhala zamitengo kuyambira 5.5 mpaka 6.9 mmol / L. Mwanjira imeneyi, chizolowezi mwa munthu wathanzi chimafika pa 5.5 mmol / L, ndipo chizolowezi cha matenda ashuga chimaposa 7 mmol / L.

Kuphatikiza apo, kuwunika kamodzi sikungakhale umboni wolondola wa kukula kwa prediabetes kapena matenda ashuga. Kuti muzindikire matenda opatsirana oterewa, maphunziro pazokhudza glucose ayenera kuchitika kangapo.

Mukamatenga magazi kuchokera pachala kuti mupeze shuga, pali zinthu zingapo zofunika kwambiri zofunika kuchita. Izi zitha kukhala chisangalalo, chakudya chodyedwa kapena khofi woledzera m'mawa, kupsinjika kwamphamvu thupi, kumwa mankhwala ndi ena.

Pansipa mutha kuzolowera zomwe zalembedwa patebulopo, zomwe zikuwonetsa zazikulu za kuchuluka kwa shuga komanso mtundu wazikhalidwe zamkati komanso matenda a shuga:

Ngati kangapo kuwunika kwa m'mimba yopanda kanthu kamawonetsa kuchuluka kwa mankhwalawa, ndiye kuti dokotalayo amalamula kuti ayesere mayeso ena a hemoglobin wa glycated.

Kuwerenga uku ndikutalika (pafupifupi miyezi itatu), koma kumawonetsa kuchuluka kwa shuga komanso kumathandizira kuzindikira koyenera.

Chizindikiro chachikulu, kuchuluka kwa shuga, chitha kupezeka ndikuphunzira. Njira zazikulu zodziwitsira ndi kuyesa kwa magazi a capillary, kuyesa kwa glucose pakamwa komanso kuyesa magazi kwa venous kwa glycosylated hemoglobin.

M'malo mwake, palibe zizindikiro zosonyeza kuti boma limayambitsa matenda ashuga.

Anthu ambiri omwe ali ndi shuga wambiri m'magazi sangakhale akudziwa za prediabetes kwa nthawi yayitali.

Komabe, zomwe muyenera kulabadira mwachangu ndizowuma pamlomo wamkamwa, ludzu losatha komanso kukakamiza pafupipafupi kuchimbudzi "pang'ono ndi pang'ono".

Zizindikiro zochepa:

• kuchepa kwa masomphenya
• njala
• maloto oyipa
• kutopa
• kusakhazikika
• mutu
• kukokana
• kuchepa thupi pang'ono.

Anthu ena ali ndi mwayi wokhala ndi matenda osokoneza bongo a 2diabetes komanso amalemba matenda ashuga 2 kuposa ena. Gulu lamavuto limaphatikizapo:

1. Anthu omwe ali ndi chibadwa chamtsogolo.
2. Anthu onenepa kwambiri.
3. Anthu ochokera wazaka 40-45 wazaka komanso ukalamba.
4. Amayi omwe adabereka mwana wolemera makilogalamu opitilira 4 ndipo amadziwika ndi matenda a shuga.
5. Amayi omwe ali ndi ovary ya polycystic.
6. Anthu omwe amakhala moyo wongokhala.

Chigamulo chakuti prediabetes siyowopsa ndipo ingasiyidwe osachiritsidwa ndi cholakwa. Kunyalanyaza thanzi lanu kumatha kukhala ndi zotsatirapo zoyipa kwambiri.

Koma anthu omwe amatsatira malangizo onse a dokotala wawo ali ndi ziwonetsero zabwino.

Katswiriyo amakonzera njira yodwala yodwala, poganizira momwe thanzi lake lakhalira.

Malamulo oyambira omwe amafunikira kuti azisamalira matenda a prediabetes, komanso kupewa, ndi awa:

• zakudya zapadera
• moyo wokangalika
• kuyang'anira shuga wamagazi ndi glucometer,
• kumwa mankhwala.

Tiyenera kudziwa kuti pokhazikitsa lamulo lililonse kuphatikiza ndi ena, zotsatira zenizeni zimatha kutheka m'magazi a glucose mpaka 5.5 mmol / L. Odwala omwe amangomwa mankhwala a hypoglycemic sangathe kukwanitsa kuchepa kwa shuga ndikuwonetsa zizindikiro za prediabetes. Kudya maswiti, zakudya zamafuta, makeke, zakumwa za shuga, odwala amalakwitsa kwambiri ndikuwonjezera glycemia wawo wokwezeka kale.

Ndikofunikira kwambiri pochiza matenda a prediabetesic kuti achepetse thupi. Chifukwa chake, wodwalayo amatha kudalira kuchepa kwa glucose komanso kusintha kwathunthu kwa thupi.

Ngati munthu ali pachiwopsezo chotenga matenda a prediabetes ndi mtundu 2, zingamuthandizenso kutsatira malamulowa.

Zakudya ndizimodzi mwazinthu zazikulu zomwe zimapangitsa kuti odwala azitha kuchira osati matenda a prediabetes, komanso matenda ena akuluakulu.

Ndikofunika kwambiri kudya zakudya zazing'ono, koma nthawi zambiri - mpaka 6 pa tsiku. Wodwala yemwe ali ndi matenda a prediabetes amayenera kukaonana ndi katswiri wazakudya zomwe zingapangitse munthu kukhala ndi thanzi labwino. Chifukwa chake, wodwalayo sangangochepetsa kuchuluka kwa shuga, kuiwalako ndi zomwe zimakwiyitsa, komanso kuchotsa mapaundi owonjezera.

Kudya ndi matenda oterewa kumaphatikizapo kukana kwathunthu mafuta (zakudya zamzitini, soseji, tchizi), zakudya yokazinga, zinthu zomwe zili ndi chakudya chamafuta (zophika mkate, maswiti, chokoleti, makeke, uchi, kupanikizana, shuga).

Koma m'zakudya za odwala mulinso zinthu zotsatirazi:

1. Mkate (wonse kapena rye).
2. Zopanda mafuta opanda lactic acid (tchizi tchizi, wowawasa wowawasa, mkaka wowotchera, kefir).
3. Zakudya za nyama ndi nsomba (nyama ya kalulu, nkhuku, nkhuku, hake ndi ena).
4. Zipatso zopanda tanthauzo (ndimu, lalanje, pomelo, maula, chitumbuwa wowawasa, mphesa, pichesi).
5. Masamba (kabichi, kaloti, phwetekere, dzungu, nkhaka, amadyera).
6. Oat, barele wa peyala ndi burwheat.
7. Zogulitsa mchere.

Pakadali pano, endocrinologists ochulukirachulukira amapereka mankhwala a Metformin 850 kapena 1000. Awa ndi othandizira ku hypoglycemic omwe amatha kuchepetsa kuchuluka kwa shuga wopangidwa m'chiwindi ndikuchotsa kulolera kwa glucose. Kuphatikiza apo, odwala matenda ashuga komanso odwala omwe ali ndi vuto lapakati anganene kuti kutenga Metformin kumathandizira kuchepetsa kunenepa kwambiri kwa thupi. Zachidziwikire, izi zimatha kuchitika pokhapokha powona kadyedwe komanso moyo wokangalika.

Mu 2006, Metformin idayesedwa ndi International Diabetes Federation. Mankhwalawa adapezeka kuti amagwira ntchito ndipo adalimbikitsidwa pakalandira chithandizo choyambirira cha matenda a prediabetes ndi matenda a shuga 2. Kafukufuku akuti Metformin inachepetsa mwayi wokhala ndi matenda ashuga, zovuta zake komanso kuchuluka kwaimfa ndi 30%. Zotsatira zabwino motere sizingatheke chifukwa cha insulin mankhwala ndi kukonzekera kwa sulfonylurea.

Padziko lapansi, wothandizira hypoglycemic uyu ndiodziwika kwambiri. Chifukwa chake, sizosadabwitsa kuti mumsika wogulitsa mankhwala ku Russia mumapezeka mankhwala ambiri okhala ndi mankhwala ophatikizika a metformin, mwachitsanzo, Glucofage, Glycomet, Metformin-BMS, Metfogamma ndi ena.

Kugwiritsa ntchito bwino komanso kutsatira mankhwalawa, mankhwalawa samayambitsa zovuta zina. Komabe, metformin ili ndi zotsutsana:

• mimba ndi kuyamwitsa,
• kusalolera payekhapayekha,
• lactic acidosis ndi boma la precomatose,
• othandizira opaleshoni
• uchidakwa wambiri,
• hepatic / aimpso / adrenal kuchepa,
• matenda opatsirana
• wodwala matenda ashuga
• kusowa kwamadzi ndi hypoxia.

Kumayambiriro kwa chithandizo, odwala amatenga 1000 mg ya mankhwalawa patsiku, kumwa madzi ambiri. Kodi ndingatenge metformin mpaka liti? Mankhwala okhala ndi Mlingo wa 1000 mg amagwiritsidwa ntchito kwa masabata 1 mpaka 2. Kenako mlingo uzikula. Komabe, mfundo zonsezi ziyenera kukambirana ndi katswiri. Kudzichitira nokha mankhwala nkoletsedwa.

Mlingo woyenera wa mankhwalawa ndi 3000 mg patsiku. Madokotala ambiri amalimbikitsa kumayambiriro kwa mankhwalawa kugawa Mlingo mu 2-3 Mlingo, kuti thupi lithe kusintha mogwirizana ndi momwe mankhwalawo amathandizira.

Thupi limazolowera Metformin, wodwalayo amatha kudandaula za kukhumudwa, koma izi ndizomwe zimachitika pakapita milungu iwiri kapena itatu.

Njira zina zochiritsira sizingathandize kuchiritsa matenda osokoneza bongo omwe adalipo kale, koma, motero, amathandizira kuchepetsa shuga komanso kulimbitsa chitetezo cha mthupi.

Ubwino wamankhwala achilengedwe kuposa mankhwala ndikuti samayambitsa mavuto. Mfundo yokhayo ndi Hypersensitivity wa wodwala ku chilichonse chomera.

Kuphatikiza pa chithandizo chamankhwala, mankhwala wowerengeka azithandiza kuthana ndi matendawa mwachangu.

Zomeretsa zotsika ndi shuga zimakhala ndi zinthu zotere:

1. Goatberry officinalis.
2. Masamba a Walnut
3. Nyemba Pods.
4. Blueberries ndi blueberries mu shuga mellitus amtundu uliwonse.
5. Lingonberry.
6. Zipatso za Rowan.
7. Cuff
8. Garlic.
9. Mizu ya dandelion.

Zomera zamankhwala zotere zimagwiritsidwa ntchito ngati mitundu ya decoctions, infusions, teti kapena tinctures. Malangizo a mankhwala achilengedwe atha kupezeka pa intaneti. Kuphatikiza apo, zophatikiza zopangidwa ndi phyto zomwe zimapangidwa zitha kugulidwa ku pharmacy. Odziwika kwambiri ndi Arfazetin, Vitaflor, Stevia ndi ena.

Zitsamba zamankhwala ndi mbewu zimakhala ndi mavitamini ofunikira kwambiri kwa wodwala wofooka yemwe ali ndi matenda a prediabetes. Zochizira matenda oyenera:

• zipatso za viburnum,
• zipatso za rosehip
• yarrow
• Wort wa St.
• masamba a currant.

Pogwiritsa ntchito mankhwala osakaniza ndi wowerengeka, mutha kudzipatsa nokha shuga. Powona zakudya zoyenera komanso kusewera masewera, wodwalayo amachotsa zizindikiro za prediabetes. Chifukwa chake, munthu sangakane matenda ashuga ndikusangalala ndi moyo nthawi yayitali osaganizira zovuta zake.

Mu kanema munkhaniyi, ndi njira ziti zomwe zingagwiritsidwe ntchito kuthana ndi matenda a prediabetes.

1. 
   Dedov I.I., Shestakova M.V., Milenkaya T.M. Matenda a shuga: retinopathy, nephropathy, Mankhwala -, 2001. - 176 p.
2. 
   Kohout P., Pavlichkova J. Zakudya za shuga (kutanthauzira kuchokera ku Czech). Moscow, Kron-Press Publishing House, 1998, masamba 142, makope 10,000
3. 
   Dolores, Schobeck Basic ndi matenda endocrinology. Buku 2 / Schobeck Dolores. - M: Binom. Laborator ofChidziwitso, 2017 .-- 256 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Njira Zina Zamankhwala

Mothandizidwa ndi adotolo, wodwala yemwe ali ndi prediabetes amatha kuyesa kusintha matenda ake mothandizidwa ndi wowerengeka azitsamba. Koma mukamagwiritsa ntchito, musaiwale za zoyambira za zakudya zoyenera komanso kufunika kowonjezera ntchito.

Ambiri amalimbikitsa kudya buckwheat. Kukonzekera mbale yochiritsa, pukuta ma grits mu khofi wopukusira ndikutsanulira kefir usiku wofanana ndi supuni ziwiri pa chikho cha kefir. Imwani zakumwa zakonzekereratu m'mawa popanda kanthu.

Muthanso kumwa decoction wa nthanga za fulakesi: zipatso zosaphika zimathiridwa ndi madzi ndikuwiritsa kwa mphindi 5 (supuni ya mbewu zosweka imatengedwa mugalasi). Kumwa amalangizidwa pamimba yopanda kanthu asanadye chakudya cham'mawa.

Mutha kupanga kulowetsedwa kwa masamba a mabulosi abulu, ma currants ndi ma rhizomes a elecampane. Kusakaniza kumathiridwa ndi madzi otentha (supuni yokwanira chikho), iko kumazizira ndipo kumakhala kumledzera tsiku lililonse pa 50 ml.

Prediabetes iyenera kuthandizidwa ndikuyang'aniridwa ndi endocrinologist. Ngati matendawo akuipiraipira, mankhwalawa sangaperekedwe nawo. Ngati adotolo atipatsa mankhwala, ndiye kuti pali chifukwa.

Ziwerengero zamanyumba zikuchepa kwambiri chaka chilichonse! Russian Diabetes Association imati munthu m'modzi mwa anthu 10 m'dziko lathu ali ndi matenda a shuga. Koma chowonadi ndichakuti si matenda omwewo omwe amawopsa, koma zovuta zake ndi moyo womwe umawatsogolera. Kodi ndingathane bwanji ndi matendawa, akutero poyankhulana ... Phunzirani zambiri ... "

Kodi prediabetes: kuchuluka kwa shuga m'magazi, zomwe zimayambitsa ndi njira zamankhwala

Matenda a shuga ndi mzere wam'magazi momwe mulingo wamagazi m'magazi, ngakhale uli wokwera, sizokwanira kuti tipeze matenda omwewo.

Wotsitsika wa matendawa ali munthawi yake ya asymptomatic. Ndi harbinger wa matenda oopsa: mtundu 2 shuga.

Mwamwayi, izi sizichitika kawirikawiri - mu 25% ya milandu. Khalidwe labwino komanso chithandizo choyenera chithandiza kupewa matenda.

Prediabetes ndi chiyani?

Choyambitsa matendawa ndikulephera kwa maselo kuti amwe insulin mulingo woyenera. Zotsatira zake, shuga omwe amalowa mthupi ndi chakudya amadziunjikira m'magazi.

Kuopsa kwa PD kuli pachiwopsezo chachikulu chotenga matenda osokoneza bongo omwe amadalira insulin.

Koma simuyenera kuchita mantha - matendawa amayankha bwino chithandizo. Amanenanso za matenda a m'magazi pomwe phindu la shuga m'magazi limatsika pakati pa 100-125 mg / dl.

Ndani angatenge kachilombo?

Zakhazikitsidwa kuti anthu pafupifupi mamiliyoni asanu ndi atatu aku Russia akudwala matendawa, ndipo mwalamulo anthu opitilira 2,5 miliyoni ndi odwala matenda ashuga.Ena onse (pafupifupi 2/3) safuna thandizo kuchipatala, ndipo ambiri sadziwa za matendawa.

Gulu lamavuto limaphatikizapo:

• odwala onenepa kwambiri. Pankhaniyi, mwayi wokhala ndi matenda a shuga umachulukitsa ndi gawo lachitatu,
• matenda oopsa
• anthu omwe ali ndi vuto lobadwa nalo (pali odwala matenda ashuga pakati pa abale),
• azimayi omwe ali ndi matenda ashuga
• odwala kwambiri cholesterol
• azimayi omwe ali ndi ovary ya polycystic,
• anthu okalamba
• odwala omwe samalandira chithandizo cha matenda a periodontal kapena furunculosis.

Madokotala makamaka amagogomezera kufunikira kwa kuzindikira koyambirira kwa PD, chifukwa kumatha kulepheretsa kuwoneka kwa pathologies owopsa.

Matenda a shuga amatha kupezekanso mwa ana. Izi zimachitika chifukwa cha matenda am'mbuyomu kapena nthawi ya postoperative. Chifukwa chake, ndikofunikira kuyang'anira mkhalidwe wa mwana pakukhazikitsidwa.

Zifukwa zachitukuko

Choyambitsa matendawa sichinadziwikebe.

Vuto lalikulu ndikuchita molakwika kwa thupi kupita ku insulin (chitetezo chokwanira), ngakhale kuti kapamba amapanga nthawi zonse.

Ntchito yayikulu ya mahomoni ndi kuperekera kwa glucose (ndipo, motero, mphamvu) ku maselo a zimakhala za ziwalo zonse. Glucose amalowa m'magazi ngati gawo la chakudya.

Chifukwa chake, zakudya zotsekemera zimachulukitsa glycemia, chifukwa imamwa mosavuta. Ngati shuga alowa mthupi pafupipafupi, thupi limaphatikizanso "kudzitchinjiriza". Maselo amalephera kuzindikira insulini ndipo salola kuti shuga achepe. Umu ndi momwe PD imakhalira.

Chithunzi cha chipatala cha PD ndichofanana ndi zomwe zimayambitsa matenda a shuga a 2 kapena osapezeka konse. Chifukwa chake, kuti musaphonye mawonetseredwe oyamba a prediabetes, ndikofunikira kukayezetsa kuchipatala chaka chilichonse.

Matendawa amakhumudwitsa kupezeka kwa zotsatirazi:

• kumverera kwa ludzu. Chifukwa cha kuchuluka kwa shuga, magazi amadzuka, ndipo thupi limafunikira madzi ambiri kuti amuchotsetse,
• maloto oyipa. Izi zimachitika chifukwa cha kusokonekera kwa glucose metabolism,
• kukodza pafupipafupi, pomwe wodwalayo amamwa madzi ambiri,
• kuwonda kwa asymptomatic. Popeza mitsempha ya magazi singagwire glucose kwathunthu, imangokhala m'madzi am'magazi ndipo simalowa ziwalo. Omalizirawo alibe chakudya, ndipo munthu amachepetsa thupi.
• masomphenya osalala, ziphuphu zakumaso, ndi pruritus. Izi ndi zotsatira za kusayenda bwino kwamagazi (chifukwa cha kukula, magazi amadutsa bwino m'mitsempha yaying'ono),
• minofu kukokana. Ndi prediabetes, ziwalo zonse zimakhala ndi "kuperewera kwa zakudya",
• malungo
• migraine Popeza nthendayo imayambitsa (yaing'ono) kuwonongeka m'mitsempha ya ubongo, munthuyo amamva kuwawa.

Ngati amayi ali ndi matenda a ovary a polycystic, amalangizidwa mwamphamvu kuti ayang'anire shuga yawo.

Diognostics: Mitundu ya kusanthula

Popeza matendawa alibe zizindikiro zowonekera, kufunsa kuchipatala ndikofunikira kuti muzindikire. Mukamayesedwa, wodwalayo amawonetsa khungu, kwambiri. Munthu amadandaula za kusakwiya, kufooka, pakamwa louma. Kutengera ndi mbiri yachipatala, adotolo amakupangira mayeso.

Mutha kudziwa za matendawa pogwiritsa ntchito mayeso otsatirawa:

• kuzindikira kwa kulolera kwa glucose (mkamwa),
• kusala magazi magazi (capillary),
• shuga mkodzo.

Poyambirira, kuyamwa magazi kumachitika pambuyo pa kusala kudya kwa maola asanu ndi atatu.

Kafukufuku akuwonetsa momwe thupi limapangira shuga. Kuzindikira kwa PD (kapena matenda ashuga) kungatheke ngati mfundo zake zigwera mkati mwa 100-125 mg / dl kapena (5, 56-6, 95 mmol / l).

Kuti muyankhule molimba mtima za matenda am'mbuyomu, kuphunzira kamodzi sikokwanira. Muyenera kuwunikira kangapo, chifukwa kutsimikiza kwa zotsatira zake kumatha kukhudzidwa ndi chisangalalo, kapu ya khofi, kumwa mankhwala ndi zifukwa zina.

Ngati miyezo ya shuga yapitilizidwa mobwerezabwereza kwambiri, kuwonjezeranso kusintha kwa hemoglobin ya glycosylated. Imawulula kuchuluka kwa shuga m'miyezi itatu yapitayo.Mukakhala ndi kuchuluka kwa glycogemoglobin, ndiye komwe kumakhala pachiwopsezo cha matenda a shuga. Nthawi zambiri, zizindikirozi ndi 4-5.9%.

Wodwalayo amapemphedwa kuti avomereze mtundu wamakono wazodziwikitsa - prenisone-glucose katundu:

• kwa masiku atatu musanawunike, wodwalayo ayenera kudya zakudya zosachepera 300 g zamankhwala,
• ndikofunikira kuti mapuloteni komanso mafuta azakudya ndichizolowezi,
• Maola 2 asanayambike kuchuluka kwa shuga, wodwalayo amapatsidwa mankhwala a Prednisol (12,5 g).

Ngati kuyesedwa kochitika pamimba yopanda kanthu kumawululira mtengo woposa 5.2 mmol / L, ndipo pambuyo maola 2 apitilira 7 mol / L, PD imapezeka.

Kuyesedwa kwa Staub-Traugott ndi njira ina yopezera matenda a shuga a latent. Zake zimadziwika kuti asanatenge magazi, wodwalayo amamwa 50 g ya shuga komanso pambuyo - maola 1.5. Popeza mwa munthu wathanzi, phindu la shuga limangowonjezera pokhapokha muyezo woyamba, ndiye kuti kuwonjezeka kwake konseko kukuwonetsa PD.

Mwazi wamagazi

Ndikofunikira kudziwa! Mavuto omwe ali ndi shuga m'magazi nthawi yayitali amatha kubweretsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba, komanso zotupa za khansa! Anthu amaphunzitsa zomwe zinawawa kuti azisinthasintha misempha yawo ...

Makhalidwe a glucose oyambira a PD ndi matenda a shuga awonetsedwa pansipa:

Kufunika komanso pafupipafupi kuyesedwa

Laboratory diagnostics makamaka imachitika pafupipafupi. Zotsatira zake zikuwonetsa momwe zakudya zanu komanso njira zanu zilili zabwino.

Kuyesedwa kumayambira, kumathandiza kupeza matendawa m'njira. Chithandizo chopangidwa bwino chidzaimitsa PD.

Mawunikidwe amatengedwa bwino kwambiri mu ma labotale omwe adalipira, popeza ali ndi zida zapamwamba komanso zida zamakono. Kulondola kwa kafukufuku kumachitika m'makiriniki oterowo ndizambiri. Ndikofunika kuti nthawi zonse muziyang'ana momwe impso imagwirira ntchito: perekani magazi ndi mkodzo kuti muwoneke. Muyenera kuwunika shuga pafupipafupi, kotero kuti glucometer ikhale panyumba.

Ngati mukukayikira PD, muyenera kuyang'aniridwa pafupipafupi ndi katswiri ndikuyesa mayeso a labotale kamodzi pa miyezi 3-4.

Ngati muli ndi zaka 45 (kapena kuchepera) ndipo muli ndi mapaundi owonjezera, muyenera kuchita mayeso chaka chilichonse. Pamene kulemera kwakhazikika - kamodzi pachaka chilichonse.

Zinthu zomwe zimakulitsa mwayi wamatenda

Zinthu zomwe zimapangitsa kuti matenda a shuga asadutse kwambiri ndi monga:

• kuthamanga kwa magazi kumachulukitsidwa (140/90) kuphatikiza cholesterol yapamwamba,
• achibale enieniwo akudwala matenda osachiritsika omwe amadalira insulin,
• Matenda a shuga apezeka mwa mayi anu kapena mwa inu,
• zolimbitsa thupi zolimbitsa thupi (mpaka maola atatu pa sabata),
• kulemera kwa wakhanda kupitirira 4 makilogalamu,
• wapezeka ndi hypoglycemia (shuga wotsika pakati pa chakudya),
• kugwiritsa ntchito mankhwala kwa nthawi yayitali.
• kugwiritsa ntchito khofi pafupipafupi (makapu oposa atatu patsiku),
• ziphuphu zakumaso ndi zotupa zina pakhungu,
• matenda a periodontal.

Chofunika cha mankhwalawa ndikuwonetsetsa kuti shuga ndiwabwinobwino. Chachikulu ndikuyesetsa kusintha moyo wanu.

Choyamba, muyenera kuwunika zakudya zanu.

Zakudyazo ziyenera kubwezeretsedwanso ndi zakudya zomwe zimakhala ndi fiber.

Zakudya zamafuta ziyenera kuchepetsedwa. Ndikofunikira kuwongolera kuchuluka kwa chakudya chamafuta (mkaka, maswiti).

Ndikofunika kugwirizanitsa chakudya ndi dokotala. Nthawi zonse onani kulemera kwanu.

Kuchulukitsa zolimbitsa thupi (thanzi). Phunzitsani thupi lanu, pang'onopang'ono kuwonjezera nthawi yophunzitsira. Yambani ndikuyenda. Zabwino kwambiri kuyendera dziwe. Lumikizani anthu oyandikira ku makalasi anu. Ngati chithandizo chimaphatikizapo kumwa mankhwala ena, tsatirani malangizo a dokotala.

Mowa wokhala ndi zakumwa zoledzeretsa zimakhudza thupi m'njira zosiyanasiyana.Chifukwa chake, zakumwa zoziziritsa kukhosi kapena zokhala ndi shuga wambiri, kumene, zimaphatikizidwa mu prediabetes.

Koma sichoncho ndiye mfundo. Chowonadi ndi chakuti mowa uliwonse umakwiyitsa hypoglycemia wosakhalitsa: chiwindi chimaletsa kutulutsa shuga, ndipo shuga amatsika pansi pazonse (ziwalo 3.3). Ndi "zopereka" pafupipafupi izi zimachitika masiku angapo. Ndiye kuti muyenera kumwa mosamalitsa.

Ma cookta okoma ndi zakumwa ndizoletsedwa.

Ndikulakwitsa kuganiza kuti mowa mu PD ungathe kutsitsa shuga. Komanso, chiopsezo chotenga matenda amtundu wa 2 ndichokwera kwambiri. Mowa wadzaoneni ambiri umatha kupha, chifukwa thupi lodwala silitha kulimbana ndi poizoni wambiri.

Ndikofunika kukumbukira kuti kumwa mowa pamimba yopanda kanthu kumaletsedwa kochepa asanagone!

Ndi prediabetes kapena gawo losavuta la matenda, mumatha kumamwa, koma muyenera kuchita izi mwa apo ndi apo osati oposa 150 g a mowa wouma kapena 250 ml ya mowa.
Mowa uliwonse umaletsedwa ngati PD imagwirizanitsidwa ndi ma pathologies ena:

• mafuta oyeretsa m'magazi,
• Matenda a kapamba ndi chiwindi,
• matenda a impso,
• atherosulinosis.

Chidwi cha mowa chimatsogolera kunenepa kwambiri. Amayi nthawi zambiri amakhala ndi chizolowezi chomwa.

Zovuta zazing'ono mu mayamwidwe a shuga zimayankha bwino mankhwalawa. Pochiza matenda a prediabetes, zimatengera wodwalayo. Ngati mupeza mphamvu mwa inu nokha ndikusintha moyo wanu, mutha kudalira kuti matendawa atha kukhala popanda chithandizo chamankhwala.

Kodi matenda a prediabetes ndi omwe amakonda

M'mbuyomu, anthu ankawaganizira kuti ndi gawo lofunikira kwambiri la matenda ashuga, koma amapezeka palokha. Kusintha koyambirira kwa kagayidwe kake ndizovuta kuzindikira pawokha, koma ndizosavuta kuzindikira kudzera mwa mayeso a labotale.

Mitundu ya kusanthula:

1. Mayeso a kulolera a glucose imatengedwa kuti ndi yodalirika kwambiri pakupezeka matenda a prediabetes, chifukwa nthawi zambiri odwala amakhala atalephera kuloza shuga. Ndi cheki cha kuchuluka kwa glucose omwe amapezeka m'misempha. Mlingo wa shuga mwa munthu wathanzi ndi wabwinobwino maola awiri mutatha kudya. Ndi prediabetes, adzakhala osachepera 7.8 mmol / L.
2. Kuthamanga Glycemia. Kuzindikira kwa matenda ashuga kumachitika pamene shuga akusala m'magazi a wodwala apitilira 7 mmol / L. Zowonjezera ndizosachepera 6 mmol / l. Prediabetes - zizindikiro zonse ndizapakati pa 6 ndi 7 mmol / L. Ndi za magazi a venous. Ngati kuwunika kumachotsedwa chala, manambala amachepera pang'ono - 6.1 ndi 5.6 - momwe angaperekere magazi a shuga.
3. Kusala insulin. Shuga ikasiya kuchotsedwa m'magazi mu nthawi, kapamba amalimbitsa ntchito yake. Mwayi wa prediabetes ndiwokwera ngati mulingo wa insulin ndi wokulirapo kuposa 13 μIU / ml
4. Glycated hemoglobin ikuwonetsa ngati pakhala kuwuka kwa shuga m'magazi 3 apitawa. Zowonjezerazo zikufika pa 5.7%. Matenda a shuga - mpaka 6,4%. Pamwambapa pali shuga.

Kufunika komanso kusanthula pafupipafupi:

Zinthu zomwe zimapangitsa kuti matenda a shuga asadutse:

1. Kupanikizika kwakukulu kuposa 140/90 kuphatikiza cholesterol yokwezeka komanso triglycerides.
2. Achibale a mzere woyamba amadwala matenda amtundu wa 2.
3. Mumadwala matenda ashuga nthawi iliyonse yomwe muli ndi pakati.
4. Matenda a shuga a amayi anu.
5. Kulemera kuposa 4 kg pakubadwa.
6. Kukhala wa liwiro la Negroid kapena Mongoloid.
7. Kuchuluka kwa zolimbitsa thupi (zosakwana maola 3 pa sabata).
8. Kupezeka kwa hypoglycemia (kutsika kwa shuga m'munsi mwa nthawi yochepa pakati pa chakudya, chizindikiro chachikulu ndi kugwedezeka kwamkati panthawi ya njala).
9. Kugwiritsa ntchito nthawi yayitali ma diuretics, estrogen, glucocorticoids.
10. Kumwa makapu oposa atatu a khofi patsiku.
11. Matenda a periodontal matenda.
12. Pafupipafupi zotupa pakhungu, zithupsa.

Zizindikiro za prediabetes ndi zizindikiro

Chifukwa chakuti ndi prediabetes, kusintha kwa kapangidwe ka magazi sikokwanira, sikungakhale ndi zowoneka bwino. Odwala omwe ali ndi vuto loyambirira la metabolic amawona zovuta zina ndipo amafunsira dokotala kawirikawiri. Nthawi zambiri, thanzi loperewera limadziwika chifukwa cha kutopa, kuperewera kwa mavitamini ndi michere, komanso chitetezo chokwanira.

Zizindikiro zonse za prediabetes zimagwirizanitsidwa ndi kuchuluka kwa shuga. Zinapezeka kuti kuwonongeka kochepa mu ziwiya ndi mitsempha ya wodwalayo kumayamba ngakhale asanayambitse matenda ashuga.

Zizindikiro zake:

1. Kuchuluka ludzu, ziwalo zowuma, zotupa, khungu losalala. Zizindikirozi zimafotokozedwa ndikuti thupi limafunikira madzimadzi ambiri kuti muchepetse shuga. Kuwonjezeka kwa madzi akumwa kumatha kuwonekera pakuwonjezeka kwamikodzo komanso kuchuluka kwa mkodzo. Chizindikiro chodabwitsachi ndikuwoneka ngati usiku ndikutuluka kuchimbudzi, ngati kale kulibe.
2. Kuchulukitsa kwa njala chifukwa chosowa zakudya zama minofu, ngati pali insulin.
3. Kukhazikika kwa khungu ndi kumaliseche. Chifukwa cha kuchuluka kwa shuga, ma capillaries ang'onoang'ono amakhala otsekeka ndikuwonongeka. Zotsatira zake, kutulutsa zinthu zapoizoni kuchokera m'maselo kumacheperachepera. Ma Receptor okhala ndi kuyimitsidwa akuwonetsa vuto.
4. Kuwonongeka kwakanthawi kwakanthawi konga kupendekera, malo amtundu wamatsitsi. Umu ndi momwe kuwononga kwa capillaries mu retina kumawonekera.
5. Ziphuphu ndi zotupa pakhungu.
6. Mikwingwirima mu minofu ya ng'ombe, nthawi zambiri imayandikira m'mawa. Chizindikiro ichi chimawoneka ndi kukana kwambiri kwa insulini, pamene minofu yayamba kufa.
7. Kusowa tulo, kumva kutentha, kutentha kwa moto, kusakwiya. Umu ndi momwe thupi limagwirira ntchito mpaka kukwera insulin yambiri.
8. Mutu wapafupipafupi chifukwa cha zovuta zoyipa za m'magazi a bongo.
9. Kutsekemera kwa mano.

Ngati zizindikiro zoyipa zikuwoneka, kuyesedwa kwa glucose kuyenera kuchitidwa kuti mupeze matenda osokoneza bongo. Kuyeza kuchuluka kwa shuga ndi mita ya shuga m'magazi sikokwanira, popeza zida izi zimapangidwira odwala omwe ali ndi matenda ashuga ndipo samakhala ndi chidziwitso chokwanira kuti adziwe kusintha kwamomwe magazi amapangidwira.

Kodi matenda a prediabetes angachiritsidwe?

Tsogolo la munthu yemwe ali ndi prediabetes lili m'manja mwake kwathunthu. Ndi iye yekha amene amatha kupanga chisankho.

Mutha kupitiliza kukhala kumadzulo pamaso pa TV ndi tiyi ndi keke yomwe mumakonda ndipo potengera izi ,wonongerani kumapeto kwa moyo wanu polimbana ndi matenda ashuga komanso zovuta zake zambiri.

Ndipo mutha kusintha malingaliro anu, moyo wanu ndikuwona prediabetes monga chikumbutso choti malingaliro athanzi sangachite popanda thupi lathanzi.

Kuletsa kwazosankha zamagalimoto othamanga, kuchepa thupi, maphunziro a thupi zimadabwitsa. Ngakhale kuyeserera kochepa kumalipira kangapo. Mwachitsanzo, kuchepetsa kulemera kwa 7% kokha kumachepetsa chiopsezo cha matenda ashuga pafupifupi 58%. Kutsatira potsatira upangiri wonse wa dokotala kumachiritsa matenda ashuga, ndikuchepetsa matenda oopsa, matenda a mtima ndi matenda a impso nthawi 1.5.

Momwe mungapewere kukula kwa matenda ashuga

Ngati mayeso a labu asonyeza kuloleza kwa glucose, muyenera kucheza ndi endocrinologist.

Adzaikanso mayeso ena kuti adziwe kuopsa kwa matenda ashuga posachedwa, kuti adziwe kuchuluka kwa kuwonongeka kwa makoma amitsempha yamagazi.

Ndi mawonekedwe achilendo onenepa (mwachitsanzo, mwa azimayi amtundu wa admin), kafukufuku wam'mbuyo wa mahomoni adzalembedwera.

Kutengera ndi zomwe zalandiridwa zokhudzana ndi zaumoyo, pulogalamu ya munthu payekha yothandizira matenda a matenda ashuga iphatikizidwa. Ili ndi magawo atatu: zakudya zapadera, masewera olimbitsa thupi komanso mankhwala.

Zoyambayo ziwiri ndizovomerezeka, popanda iwo zovuta za metabolic sizingathetsedwe. Koma phindu la mankhwala ndilocheperako. Amachepetsa chiopsezo cha matenda ashuga ndi gawo limodzi lokha.

Chifukwa chake, mankhwalawa amathandizidwa ngati othandizira anthu onenepa kwambiri kapena ngati wodwalayo alibe kupirira komanso kupirira pakudya.

Kugwiritsa ntchito zakudya zapadera

Zolinga za zakudya zochizira matenda a prediabetes:

• kutsika kwa calorie kudya,
• kuwonetsetsa mulingo wofanana wa shuga,
• kutsika kwa kuchuluka kwa shuga m'magazi.

Chithandizo cha prediabetes ndizosatheka popanda kutaya kwathunthu chakudyacho kuchokera ku chakudya chambiri. Izi ndi zinthu zonse zomwe zimakhala ndi index ya glycemic pamtunda wama 50.

Onaninso tebulo la GI, samalani ndi zakudya zomwe zili ndi index yotsika, yomwe idayiwalika mwanjira yanu. Tsegulani cookbooks kapena masamba, pezani maphikidwe potengera iwo.

Ngati mungathe kupanga osati thanzi labwino, komanso chakudya chokoma kwa inu, iyi ndi gawo lalikulu lopewera matenda a prediabetes.

Zoyenera kuchita kuti zakudya zomwe zili ndi prediabetes zizigwira bwino monga momwe mungathere:

1. Dzazani firiji yanu ndi zakudya zololedwa kuti musayesedwe ndi zovulaza. Tengani mndandanda wazinthu zomwe zikugulitsidwe kuti musatsegule mwachisawawa.
2. Kongoletsani mbale zopangidwa ndi anthu, pangani malo abwino, muziyang'ana anthu amitima yawo. Mwachidule, chitani chilichonse kuti chakudya chisawonekere ngati chopinga, koma monga njira yopita kumoyo wabwino.
3. Kuti muwone kuti glucose amalowa m'magazi momwemonso, idyani m'magawo ang'onoang'ono kasanu patsiku.
4. Mukachoka kunyumba, mudye naye chakudya. Kwa matenda ashuga asanakwane, mumatha kudya masamba osankhidwa, mtedza, ndi buledi wopanda tirigu monga chakudya.
5. Lekani kuyika shuga mu tiyi. Ngati simungathe kupirira kukoma kwatsopano, gulani lokoma.
6. Siyani khofi kwathunthu. Ndi kulowerera pang'onopang'ono kwa khofi wanu m'thupi lanu, ngakhale kumwa pang'ono pang'ono ndi chachitatu kumakulitsa chiopsezo cha matenda a shuga.
7. Funsani kwa endocrinologist. Ngati muli ndi insulin yayikulu, mankhwala amkaka ayenera kuletsedwa kwa miyezi ingapo. Kukhazikitsidwa kuti ali ndi index yayikulu ya insulin, ndiye kuti, amachititsa kuti maholide azitulutsa.

Kusintha momwe mumadyera ndi prediabetes ndizovuta kwambiri. Ngakhale thupi lako lidzatsutsana nawe. Kwa zaka zambiri, adazolowera kupanga magetsi osavuta, chifukwa chake zakudya zilizonse zopanda chakudya zimatha kuoneka ngati zopanda vuto komanso zopanda chiyembekezo.

Zimatenga nthawi, nthawi zambiri pafupifupi miyezi iwiri, kuti mumangenso kagayidwe.

Ngati mungathe kupirira nthawi imeneyi, mudzadabwitsidwa kumva kuti masamba abwino omwe ali ndi nyama amathanso kukhala okoma, ndipo zipatso zokhala ndi mchere zimabweretsa chisangalalo chochepa kwambiri.

Zochita zolimbitsa thupi zamitundu yosiyanasiyana

Kusintha kwa zakudya za prediabetes sikokwanira. Ndikofunikira kuti musamangitse shuga wambiri m'thupi, komanso kukhazikitsa njira zomwe zimayamwa.

Njira yothandiza kwambiri yochepetsera kukana insulini ndikusintha kwa magazi kuchokera m'magazi kupita m'maselo ndikulimbitsa thupi mwadongosolo. Minofu ndiyo yogwiritsa ntchito mphamvu zambiri mthupi lathu.

Zikagwira ntchito kwambiri, shuga azikhala ochepa.

• Kuti muchepetse matenda a prediabetes, kukhala wothamanga sikofunikira. Amakhulupirira kuti pochiza matenda amtundu wa metabolic, kulimbitsa thupi theka la ola tsiku lililonse kapena ola limodzi katatu pamlungu ndikokwanira.
• Cholinga choyamba panjira yopita ku moyo wathanzi ndikusiya chizolowezi chokhala tsiku lonse. Yambani kusuntha - yendani madzulo, pang'onopang'ono kuwonjezera liwiro ndi mtunda. Yendani kukagwira ntchito, kukwera masitepe, osati okwera, kuchita masewera olimbitsa thupi pomwe mukuwona TV kapena kucheza pafoni.
• Gawo lotsatira ndi kuphunzira pafupipafupi. Sankhani maphunziro malinga ndi momwe mumafunira, funsani dokotala wanu ngati waloledwa mu thanzi lanu. Kwa anthu onenepa kwambiri, zochitika zilizonse mu dziwe kapena kuyenda zimalimbikitsidwa. Ndi kuwonda pang'ono - kuthamanga, masewera amtimu, masewera achisanu, kuvina, kulimbitsa thupi.
• Kumayambiriro kwa maphunziro, chinthu chachikulu sikuti muchichita mopitirira muyeso. Kuchita masewera olimbitsa thupi kuyenera kuthandizira kuchuluka kwamtima. Ngati mwatopa, chepetsani. Ndikwabwino kukwaniritsa cholinga chanu patapita nthawi pang'ono kusiya kusiya kuthamangira kulandira chithandizo.
• Pokhala ndi zochulukirapo zochita, musaiwale za kupumula kwabwino. Kuti thupi ligawane mosavuta ndi mafuta omwe asungidwa, muyenera kugona pafupifupi maola 8. Insulin imapangidwa usiku wocheperako, kotero magazi ochokera ku shuga yambiri ayenera kumasulidwa pasadakhale: khalani olimbitsa thupi ndipo musadye maola awiri asanagone.

Kodi mankhwala ndi ofunika?

Nthawi zambiri, kusintha kwa moyo kumakwanira kuchiritsa matenda ashuga. Amayesera kuti asapereke mankhwala othandizira kuti azitha kusintha zotsatira zake.

Ngati patatha miyezi itatu kuyambira pomwe munayamba kulandira chithandizo palibe zotsatira, mudzayikidwa Metformin. Mankhwala amatha kuchepetsa kapangidwe ka shuga ndi chiwindi, zomwe zikutanthauza kuti azithandizanso kusala glycemia.

Kuphatikiza apo, amachepetsa kukana kwa insulin, ndiye kuti, mutatha kudya, shuga kuchokera m'magazi amalowa m'maselo. Chinanso chabwino cha Metformin ndi kuchepa kwa mayamwidwe a shuga kuchokera m'matumbo.

Gawo la glucose lomwe limatha lidzatsitsidwa mu ndowe.

Kumwa Metformin moyo wake wonse m'chiyembekezo chopewa matenda a shuga ndizowopsa. Mukamamwa, kutulutsa, kupweteka m'mimba, thupi lawo limatha kuwonedwa. Ngati pazifukwa zina mankhwalawa sangachotsedwe ndi impso munthawi yake, chiopsezo cha lactic acidosis ndi chambiri.

Kugwiritsa ntchito nthawi yayitali kumayambitsa kusowa kwa vitamini B12, wofundidwa ndi kufa kwa maselo amitsempha komanso kukhumudwa. Chifukwa chake, kuikidwa kwa Metformin kumakhala koyenera pokhapokha ngati chithandizo sichingatheke popanda thandizo la kuchipatala.

Nthawi zambiri uwu ndi mtundu wachiwiri wa matenda ashuga, osati prediabetes.

Zomwe zimayambitsa matenda a shuga?

Amakhulupirira kuti anthu omwe ali ndi thupi lolemera, omwe amakhala moyo wokhazikika kapena wokhala ndi mbiri yakale ya matendawa, amatha kukhala ndi prediabetes. Amakhulupiriranso kuti azimayi omwe adadwala matenda ashuga ali ndi mwayi waukulu wokhala ndi prediabetes.

Anthu ambiri omwe ali ndi prediabetes alibe zizindikiro. Koma ngati muli ndi matenda osokoneza bongo, muyenera kuyang'anira mawonetsero amishuga, monga:

Zizindikiro za prediabetes. Zizindikiro

Kusanthula shuga

Zizindikiro za prediabetes, kumene, zimawonekera motsutsana ndi maziko a shuga okwanira. Kuti muwone ngati muli ndi prediabetes ndipo muli pachiwopsezo cha matenda a shuga 2, kuyesedwa kwa shuga m'magazi kumachitika nthawi zambiri musanadye kwa maola 8 usiku. Nthawi zina, kuyesedwa kwa glucose pakamwa kungachitike. Kuti muchite izi, kuchuluka kwa shuga mumagazi anu kudzayezedwa pamimba yopanda kanthu kenako maola 2 mutamwa njira yapadera ya shuga.

Ngati zotsatira za kuyesedwa kwa shuga wamagazi zili pamlingo womwe uli pansipa, muli ndi prediabetes ndipo muli pachiwopsezo chotenga matenda amitundu iwiri:

Kuthamanga kwa glucose kumakhala kwakukulu kuposa ma milligram 110 pa decilita (mg / dl) kapena wamkulu kuposa 6, 1 mmol / L. Mukamayesa mayeso okhudzana ndi glucose, osachepera / ofanana ndi 140 ndi oposa 200 mg / dl (ochepera / ofanana ndi 7.8 ndi oposa 11.1 mmol / l) - maola awiri atatha kuyesedwa.

Mawu monga "shuga wofatsa", "shuga wa m'mphepete," kapena "shuga wokwezeka pang'ono" siolondola. Ngati mukumva mawu awa, afunseni ngati kuchuluka kwa shuga mumagazi momwe mungakhazikitsire matenda a prediabetes kapena matenda ashuga.

Ngati muli ndi matenda osokoneza bongo, mutha kupewa kapena kuchedwetsa kukula kwa matendawa mwakutsatira malangizo osavuta monga zakudya zapadera za prediabetes:

Chepetsani kuchuluka kwamafuta omwe mumatha. Idyani zakudya zopanda mafuta ochepa komanso zamafuta ambiri osungunuka.

Idyani zopatsa mphamvu zochepa.

Chepetsa maswiti kuti muchepetse kukwera msanga wamagazi. Mwa zakudya zitatu zazikuluzikulu (chakudya, mapuloteni, ndi mafuta), zamafuta ambiri zimakhudza shuga.

Lankhulani ndi dotolo wanu za njira yodyera yomwe muyenera kudya.

Kafukufuku wina wamkulu adawonetsa kuti anthu omwe amatsata zakudya - amadya masamba, nsomba, nkhuku, ndi zakudya za tirigu - ali pachiwopsezo chochepa kwambiri cha matenda ashuga amtundu wa 2 poyerekeza ndi anthu omwe amadya nyama yayikulu, nyama yokonzedwa , mafuta amkaka amkaka, chimanga chotsekemera ndi maswiti. Kukonzekera zakudya zanu za prediabetes nthawi zambiri kumakupangitsani kuwona zamitundu yatsopano. Pali njira zingapo zosavuta zosinthira zakudya zanu. Katswiri wovomerezeka wazakudya atha kukuthandizani kupanga mapulani azakudya zomwe zikugwirizana ndi moyo wanu.

Masewera olimbitsa thupi

Chitani masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku kwa masiku osachepera asanu pa sabata. Kuchita zolimbitsa thupi kuli kofanana ndi kuyenda mu mpweya wabwino, kuyenda mozungulira pamtunda wa mailo 900 pa ola limodzi, kuyenda kapena kuponyera mpira m'basiketi. Ndi ntchito zamtunduwu, mutha kuwona kuti mtima wanu ukugunda mwachangu.

Chitani zolimbitsa thupi kwa mphindi zosachepera 20 patsiku. Ndiwofanana kuthamanga, kupalasa njinga 12 mph, kusewera kapena kusewera basketball. Kuchita masewera olimbitsa thupi, mudzazindikira kuti kupuma kwanu kumafulumira ndipo mtima wanu ukugunda kwambiri.

Kutenga zinthu zingapo kwa mphindi 10 kapena kupitilira masana, mutha kutsatira malangizowa. Mutha kusankha nokha mtundu wamtundu uliwonse kapena wolimbitsa thupi. Kuchita masewera olimbitsa thupi kumakuthandizani kuti muchepetse shuga lanu lamagazi pogwiritsa ntchito glucose ngati gwero lamphamvu panthawi yophunzira komanso pambuyo poti muchite zolimbitsa thupi. Zimakuthandizaninso kuyankha bwino ku insulin ndikuchepetsa chiopsezo cha matenda a shuga. Kuphatikiza apo, kuchita masewera olimbitsa thupi kumakuthandizani kuti mukhale ndi thanzi labwino, muchepetse cholesterol yambiri, mumachulukitsa kuchuluka kwa choleopolotein (HDL) kapena cholesterol yabwino. Izi phindu zimathandizanso kupewa kukula kwa matenda a mtima ndi magazi a m'magazi (matenda amtima). Mutha kuthandizanso kuchepetsa chiwopsezo chanu chotenga matenda ashuga mwakuchita masewera olimbitsa thupi kwakanthawi nthawi iliyonse.

Makalasi akhoza kukhala ndi kuyenda pang'ono kapena kuchita masewera olimbitsa thupi, monga kuthamanga, kuthamanga, kuyendetsa njinga kapena kusewera tenisi. Kafukufukuyu adawonetsanso kuti zinthu zina, monga kulima kapena kuphimba matalala, zimathanso kukhala ndi phindu. Lankhulani ndi dokotala wanu za pulogalamu ya pulogalamu yoyeserera yolimbitsa thupi.

Mankhwala a prediabetes

Imwani mankhwala ngati mankhwala

Nthawi zina, madokotala amalembera mapiritsi kukonzekera, nthawi zambiri metformin. Amachepetsa kuchuluka kwa shuga wopangidwa ndi chiwindi mwa munthu wokhala ndi insulin. Ikhozanso kukhala yoyenera pa polycystic ovary syndrome. Ngati dokotala wakupangirani mankhwala osakaniza ndi prediabetes, musaiwale kutenga monga momwe adakulamulirirani.

Kuopsa kwa matenda am'mbuyomu ndikuti nthawi zambiri, malinga ndi ziwerengero komanso zolosera za akatswiri, amayamba kukhala amtundu wa shuga m'masiku ochepa. Matenda a prediabetesic siwosintha, ndipo pokhazikika podziletsa komanso mosamalitsa kutsatira malangizo azachipatala, wodwalayo amatha kukhalabe ndi thanzi ndikubweretsa shuga m'magazi.

Matenda a prediabetes

Pamaso pa zizindikiro zoyenera, njira zingapo zosavuta zimagwiritsidwa ntchito kukonza magazi a wodwalayo ndi chizolowezi ndikuganiza zokhudzana ndi chitukuko cha prediabetes.Kuti mupeze zolondola ndi zomwe zapezedwa, zitsanzo za magazi zimachitika pamimba yopanda kanthu, maola 10 mutatha chakudya chomaliza. Tsiku lisanafike mayeso, wodwalayo akulangizidwa kusiya kusuta ndi kuchita masewera olimbitsa thupi, kutentha kwake ndi kuthamanga kwa magazi panthawi yopereka magazi ziyenera kukhala zachilendo. Maphunziro otsatirawa amathandizira kuzindikira kukula kwa matendawa:

• Mayeso a kulolera kwa glucose - amawona kuchuluka kwa kulowa kwa glucose mu minofu. Zizindikiro pamwambapa 7.5 mmol / L zitha kuwonetsa kukhalapo kwa prediabetes.
• Kusala kudya kwa glycemia - magazi a venous amafunikira kuti apimidwe. Zizindikiro zomwe zimasintha pakati pa 6 ndi 7 mmol / l zimawonetsa kukula kwa matendawa.
• Kusala kudya kwa insulin - kuganizira kwambiri za 13 μIU / ml ndi umboni wa prediabetes.
• Glycated hemoglobin - wokhala ndi prediabetes, chizindikiro chimasiyana pakati pa 5.7 ndi 6.5%.

Njira Zodziwitsira

Matenda a shuga amadziwika ndi shuga okwera pang'ono atatha kudya. Kuchulukitsa kwa glucose kumafuna kuwonjezeka kwa insulin, ndipo kuphwanya kwa kapamba sikumakulolani kuti mupange kuchuluka koyenera kwa mahomoni. Pali njira ziwiri zomwe zingapangitse chitukuko cha prediabetes pogwiritsa ntchito mayeso a labotale.

Loyamba limatengera wodwala kutenga njira yapadera yomwe ili ndi 75 g ya shuga. Pambuyo maola ochepa, shuga yamagazi sayenera kupitirira 7.8 mmol / L. Ngati mulingo watsimikiza kupitirira malire a 7.8-11 mmol / l, padzakhala prediabetes. Njira yachiwiri yopezera matendawa ndi kuyeza hemoglobin m'miyezi ingapo. Mlingo wambiri udzachokera pa 5.5-6.1%, chomwe chiri zotsatira zapakati pakati pa odwala matenda ashuga.

Matenda a shuga: Zizindikiro

Pali zisonyezo zambiri za matenda ashuga zomwe zimadziwika m'deralo. Pakati pawo, madandaulo a ludzu losatha, kuyabwa pakhungu, komanso kukodza pafupipafupi amadziwika kwambiri. Zizindikiro zochepa ndizoyambira monga:

• kusowa tulo
• kuwonongeka kwamawonekedwe,
• kusokonezeka kwa mtima ndi mitsempha yamagazi,
• kuwonda
• kukokana, kutentha thupi,
• kupweteka m'mutu ndi miyendo.

Chizindikiro chofunikira kwambiri komanso chachindunji ndi shuga wamwazi. M'mikhalidwe yapita mtundu wachiwiri wa matenda ashuga, zotsatira za mayeso a labotale zimayambira pa 5.5 mpaka 6.9 mmol / L.

Zoyenera kuchita mukamayandikira sindiye matenda abwino kwambiri - prediabetes? Zizindikiro zikudzipangitsa kale kumva, kufufuza kunatsimikizira mantha. Choyamba muyenera kukhazika mtima, mutha kuthana ndi matenda ashuga. Chithandizo cha zovuta chimayikidwa. Kuphatikiza pazomwe amalangizidwa ndi endocrinologist, onetsetsani kuti mukutsatira moyo wabwino. Ndikofunikira:

• ndodo kapena # 9)
• kuwonjezera zolimbitsa thupi
• lekani zizolowezi zoyipa,
• kuwongolera mphamvu zonse kuti amenyane ndi kunenepa kwambiri.

Chimodzi mwazinthu zofunikira zamankhwala ndichakudya choyenera. Chakudya chopatsa thanzi chimatha kubwezeretsa kapamba komanso kuchepetsa chiopsezo cha zovuta za prediabetes. Zimangothandiza kuchotsera zizindikiro zosasangalatsa ndikubwezeretsa thanzi.

Zakudya za prediabetes 8

Cholinga cha gulu la anthu omwe akuvutika ndi kunenepa kwambiri, chifukwa cha omwe matenda a prediabetes adayamba. Zizindikiro za matendawa zimachepetsa kukula kwa chiwonetsero ndi kusintha koyenera kwa zakudya. Gome la chithandizo limaphatikizapo kuchepetsa kuchepa kwa chakudya ndi mafuta. Chakudyacho chimakhazikitsidwa ndi zakudya zama calorie ochepa omwe amakhala ndi mavitamini ndi ma enzyme omwe amathandizira kuti metabolism ifulumizike.

Zakudya Zovomerezeka Zakudya No. 8

Zakudya za tsiku ndi tsiku zimaphatikizapo:

• rye kapena mkate wopindika,
• mkaka ndi mkaka,
• tchizi chamafuta ochepa
• nyama yophika ndi nsomba zamitundu mitundu,
• msuzi wamafuta ochepa pa msuzi wa masamba,
• nguluwe, balere,
• masamba, zipatso zomwe zili ndi shuga wamba,
• zopangidwa ndi mchere.

Zosankha zachitsanzo za prediabetes №8

Ganizirani kwambiri za zakudya zomwezi:

1. Chakudya cham'mawa - dzira, saladi wamasamba mu mafuta a masamba, mkate ndi batala.
2. Chakudya chamasana - chophika (nkhuku, kalulu, ng'ombe), buckwheat, masamba atsopano kapena zipatso.
3. Zakudya zokhazokha - msuzi pa msuzi wa masamba, sauerkraut, nyama yokazinga pang'ono, zipatso, mkate.
4. Chakudya chamadzulo - yophika nsomba yamafuta ochepa, masamba pudding, mkate.
5. Asanagone - kapu ya kefir.

Chakudya chimawerengeredwa ndi gawo la maola 3-4, lomaliza (p. 5) - asanagone.

Zakudya tebulo nambala 9

Zakudya za Pevzner zimapangidwira makamaka odwala matenda ashuga komanso odwala matendawa. Ndiwosasunthika kuposa mndandanda 8, chifukwa sikuti cholinga chake ndi kuchepetsa wodwala. Kukhazikitsa chakudya chamafuta ndi mafuta, tebulo lazakudya la 9 limasintha mkhalidwe wa odwala omwe ali ndi matenda osokoneza bongo a prediabetes ndi mtundu II. Kuchepetsa mphamvu ya glucose ndikofunikira mu chithandizo. Zosankhazo zili ndi kuchuluka kokwanira kwa zinthu zovomerezeka. Ngati mukufuna, mutha kupanga chakudya chokoma komanso chopatsa thanzi.

Ndikulimbikitsidwa kumwa pafupifupi malita awiri a mchere kapena madzi oyeretsedwa patsiku, osagwiritsa ntchito zakumwa zina. Chakudya chizikhala cha pafupipafupi, koma osakhutiritsa kwambiri: kudya kwambiri ndi kowopsa. Njira yabwino yokwaniritsira ndimenyedwe ndikudya chipatso kapena masamba.

Zololedwa ndi Zoletsedwa

Kodi kuchiritsa matenda a prediabetes? Zoyenera kuchita ndi zinthu, zomwe simumapatula, momwe mungaphikire? Mvetsetsani mafunso aliwonse omwe abuke. Osakondedwa kwambiri komanso ovuta, inde, dziperekeni nokha zakudya zomwe mumadya. Choyamba, ndikofunikira kupatula:

• zida, ufa wa tirigu,
• shuga ndi zakudya zokwanira mkati mwake,
• soseji, nyama yotsirizika,
• margarine, batala, mafuta a nyama,
• zogulitsa zowonjezera,
• chakudya chofulumira
• mafuta, zonunkhira, zakudya zamchere.

Chololedwa kudya zambiri zomwe zikupezeka ndizothandiza:

• masamba abwino komanso owiritsa (mbatata yochepera),
• amadyera
• zipatso ndi zipatso (makamaka wowawasa),
• zopangidwa mkaka wopanda mafuta,
• mkate ndi mkate wakuda,
• kudya nyama ndi nsomba.

Muyenera kudziwa kuti musanaphike msuzi, muyenera kumawukha kwa maola osachepera awiri ndikusintha kwamadzi ndikudula pakati.

Mwachitsanzo zakudya mndandanda 9

Masana amagawidwa m'magawo atatu a gawo lomwelo ndi zakudya zitatu. Kutalikirana kwakanthawi kokhazikika pakati pa chakudya kumakuthandizani kuti muzolowere kusintha kwatsopano. Kumbukirani kuti ndi zakudya za prediabetes zomwe zimapereka zotsatira zabwino. Makina atsatanetsatane adzakuthandizani kumvetsetsa momwe zolondola ziyenera kuyendetsedwera

• kadzutsa - zikondamoyo zosaphika, kirimu wowawasa 10-15%, tiyi,
• nkhomaliro - msuzi wamasamba, buledi, masamba osenda,
• chakudya chamadzulo - nkhuku yodula kuchokera mu uvuni, kanyumba tchizi casserole, phwetekere.

• chakudya cham'mawa - mapira mapira kuchokera ku mapira, chicory,
• nkhomaliro - msuzi wokhala ndi nyama, phala balere, saladi wa kabichi,
• chakudya chamadzulo - kabichi wowotcha, nsomba yophika, mkate.

• chakudya cham'mawa - phala lalikulu
• nkhomaliro - msuzi wa dzungu, mazira awiri owiritsa, buledi, nkhaka yatsopano,
• chakudya chamadzulo - zukini wophika ndi nyama ndi masamba.

Monga chithunzithunzi chomwe mungagwiritse ntchito:

• kapu yamkaka kapena mkaka,
• saladi wa zipatso ndi yogati yachilengedwe,
• saladi zamasamba (yaiwisi ndi yophika) ndi mbatata zosenda,
• tchizi tchizi
• zinthu zapadera za anthu odwala matenda ashuga (makeke, maswiti).

Menyuyi imakhazikitsidwa potsatira mfundo za kadyedwe koyenera ndipo sipatula zakudya zofunika. Zakudya zambiri zimapezeka kuchokera pazololedwa. Ndikulimbikitsidwa kugwiritsa ntchito chowiritsa chowirikiza, ophika pang'onopang'ono, uvuni kuti muwonjezere katundu wofunikira wazinthuzo ndikuchepetsa kulemera kwa chimbudzi. Njira zingapo zophikira zimapangitsa kuti patebulo podyerapo pakhale posawoneka bwino pazoperewera.

Boma la prediabetesic ndikuphwanya kwa kagayidwe kachakudya mthupi la munthu, momwe kuchuluka kwa mafuta kwama visceral kumakulirakulira, komanso kukhudzika kwa maselo kwa insulin yotulutsa kumachepa.Kulephera kwa lipid, metabolism ya carbohydrate kumachitika, ntchito yamtima imasokonekera. Pathology ndi gawo losinthika pakukula kwa mtundu wachiwiri wa matenda ashuga, zizindikiro za matenda ndi zofanana, koma zimawoneka ndi kulimba kochepa.

Kodi matenda a prediabetes ndi otani ndipo akuyenera kuthandizidwa bwanji? Mwa anthu odwala, kapamba amapanga insulin, koma pang'ono pang'ono kuposa mwa anthu athanzi. Nthawi yomweyo, zimakhala ndi zotumphukira zimachepetsa chidwi cha timadzi timeneti ndipo sitimamwa bwino. Izi zimatsogolera, pakuyesa mayeso, kuchuluka kwa glycemic index kumadziwika, koma osati kuzowonetsa ngati ndi mtundu wa 2 matenda a shuga.