Shuga (glucose) m'magazi pa 24-24

Ngati magazi a shuga amasiyana pakati pamagawo 3.3-5,5, izi zikuwonetsa kuyendetsa bwino kwa thupi lonse. Komabe, shuga wamagulu 24 akamawonedwa, izi zikusonyeza kuti mwayi wokhala ndi mavuto akulu umachuluka.

Matenda a shuga ndi matenda osachiritsika omwe amayamba chifukwa chakutha kwa kupangika kwa glucose pamaselo a cellular motsutsana ndi kuchepa kwa insulin kapenanso matenda a insulin mthupi la munthu.

Mtundu woyamba kapena wachiwiri wa matenda ashuga nthawi zambiri umapezeka. Mu mtundu woyamba, wodwalayo akulimbikitsidwa kupatsa insulin ya mahomoni kuti azilamulira kuchuluka kwa shuga. Ndi mtundu wachiwiri wa matenda, poyambira akuyesera kuthana ndi vutoli ndi kudya mokwanira komanso kuchita masewera olimbitsa thupi.

Chifukwa chake, muyenera kudziwa kuti chiwopsezo cha shuga wambiri ndi chiyani, ndipo zotsatira zake zingakhale chiyani? Mukudziwa zomwe zikuwoneka ndi shuga m'magawo 24, ndipo muyenera kuchita chiyani pamenepa?

Momwe mungapezere shuga yanu?

Monga tanena kale, kuchuluka kwa shuga komwe kumakhazikitsidwa mu zamankhwala kumakhala ndi malire komanso otsika. Ngati zopatuka zimawonedwa mbali imodzi kapena pamtundu wina, ndiye kuti mkhalidwe wamatenda umapezeka.

Ngati shuga wamagazi aposa mayunitsi a 5.5, ndiye kuti titha kulankhula za kukula kwa chikhalidwe cha hyperglycemic. Masewera a glucose ali pansi pazigawo 3.3, izi zikuwonetsa dziko la hypoglycemic.

Kafukufuku wamadzi obwera chifukwa cha shuga ndi machitidwe wamba, ndipo kuwunika kumalimbikitsidwa kwa anthu onse, kupatula. Maphunziro a Laborator amakupatsani mwayi kuwona zopatuka mu nthawi, molingana, mutha kuchitapo kanthu mwachangu.

Nthawi zambiri, kuchuluka kwa shuga kwa anthu onse kumawoneka kuti ndi ofanana, osagwirizana ndi amuna ndi akazi komanso zaka. Komabe, pali zopatuka pang'ono kwa ana onse (chizolowezi chimakhala chocheperako) komanso kwa anthu okalamba (chizolowezicho ndichokwera pang'ono).

Chiyeso cha shuga chili ndi mawonekedwe ake, omwe ndi awa:

• Kusanthula nthawi zonse kumayikidwa m'mawa, wodwalayo amalangizidwa kuti asadye, sibwino kupukuta mano ngakhale mano anu.
• Musanamwe madzi obwera ndi zakumwa zanu, mutha kumamwa madzi okha osapsa (zakumwa zina ndizoletsedwa, chifukwa zimatha kusokoneza zotsatira za kafukufukuyu).
• Masiku angapo lisanachitike kusanthula sikungadye kwambiri. Kuphatikiza pa izi, kudziletsa wekha sikofunikira. Ndikokwanira kuchepetsa kuchuluka kwamafuta, zakudya zotsekemera.

Magazi owunikira amathanso kutengedwa kuchokera pachala, komanso kuchokera mu mtsempha. Kwa venous shuga m'magazi amawonjezeka ndi 12% ndipo ndizofananso. Ndipo malire apamwamba amasiyana kuchokera pamagulu 6.1 mpaka 6.2.

Ngati kuyezetsa magazi kwa shuga kwawonetsa mayunitsi opitilira 5.5, njira zina zodziwikirazi zimaphatikizidwanso kuti azindikire / kutsutsa matenda osokoneza bongo kapena matenda a prediabetes.

Shuga wa Magazi 24: Zizindikiro

Shuga akamachuluka ndikuyima pama 24 unit, mkhalidwewu umadziwika nthawi zonse ndi zovuta zilizonse zamagetsi osiyanasiyana. Mwa odwala ena, Zizindikiro zimatha kukhala zowopsa, mwa ena, akhoza kudzuka.

Madokotala amati ngati wodwala ali ndi matenda osokoneza bongo kwa zaka zosakwana zisanu, ndiye kuti ndi zovuta zake zonse zidzaoneka "muulemerero wake wonse." Ngati munthu wadwala kwanthawi yayitali, thupi lake limatha kuzolowera kusiyana koteroko, komwe kumayambitsa kuzizindikiro zofowoka kapena kusakhalapo kwathunthu.

Mulimonsemo, aliyense wodwala matenda ashuga ayenera kudziwa zomwe zimapezeka ndi shuga m'magawo 24:

1. Kuwona sikumveka bwino, wodwalayo sawona bwino, chifunga kapena ntchentche pamaso.
2. Kusweka kwazonse, ulesi, kukhumudwa, samafuna kuchita kalikonse.
3. Chizungulire chachikulu, kupweteka kwa mutu kumawonekera.
4. Wodwalayo amamwa madzi ambiri, ndipo kutuluka kwa madzi mthupi sikumabweretsa mpumulo, mukufunabe kumwa.
5. Kugwiritsa ntchito madzi ambiri kumabweretsa maulendo pafupipafupi kupita kuchimbudzi.
6. Khungu limayamba kuyungunuka ndi kusenda.
7. Pakamwa pakoma.

Monga taonera kale, shuga wambiri samakhudzanso thanzi lathu komanso mphamvu ya thupi. Nawonso, izi zimabweretsa kuchepa kwa chitetezo cha mthupi, chifukwa chake, odwala matenda ashuga nthawi zambiri amadwala ma virus ndi matenda opatsirana.

Ngati zizindikiro zomwe zili pamwambazi zikuwoneka, muyenera kudziwa kaye zomwe zili ndi shuga. Mutha kulumikizana ndi achipatala, kapena kudziyesa nokha (ngati muli ndi glucometer kunyumba).

Magulu 24 a Glucose ndiowopsa osati thanzi la odwala matenda ashuga okha, komanso moyo wake.

Kupsinjika kwamphamvu kumatha kuyamba - kudwala matenda ashuga.

Pachimake mavuto a shuga

Odwala ambiri amafunsa kuti chitha kukhala chiyani ndi shuga 24 mayunitsi kapena kupitilira apo? Poyerekeza ndi shuga, munthu amakhala ndi vuto lalikulu la hyperglycemic, lomwe limafunikira kuti munthu adziwe zoyambirira, chifukwa zimakhala ndi zotsatirapo zoyipa.

Mitundu itatu ya chikomokere matenda a shuga imayankhulidwapo: ketoacidotic, lactic acidic, hyperosmolar. Ndipo akuyenera kulandira chithandizo chamankhwala kuchipatala chowayang'aniridwa ndi adokotala.

Ketoacidosis ndi vuto lodziwika bwino kwambiri lomwe limayamba ndi mtundu woyamba wa matenda kuphatikiza maziko am'magazi ambiri m'magazi. Monga lamulo, zotsatira zoyipa zimawonekera pazifukwa zotsatirazi:

• Mlingo wokwanira wa mapiritsi ochepetsa shuga kapena insulin. Chowonadi ndi chakuti wodwalayo amatha kutsatira mosamalitsa zomwe dokotalayo akuwonetsa, ndipo amamwa mankhwala onse mogwirizana ndi zomwe akupatsani. Komabe, zinthu zonse sizingaganiziridwe, ndipo zina zimafunikira kuchuluka kwa mankhwalawa: kuzizira, kutentha kwambiri kwa thupi, komanso kusanza.
• Kuchulukitsa kwa mbiri yodwala matenda opatsirana, matenda opatsirana, kulowetsedwa kwam'mimba, sitiroko, kugwedezeka, kuwotcha, kuvulala kwambiri, kusowa kwamadzi.
• Mlingo wolakwika wa insulin / mapiritsi, makonzedwe a mahomoni omwe amakhala ndi moyo wa alumali omwe atha kapena osungidwa molakwika.

Ketoacidosis ili ndi magawo anayi. Pa gawo loyamba, kuyanika kwambiri pakhungu ndi ma membala amtundu wa mucous kuwululidwa, mumamvanso ludzu, kufooka, kugona, kuwonekera kwa mutu kumawonekera, kukoka kwamkodzo kwamkodzo patsiku kumawonjezeka.

Pa gawo lachiwiri, kugona kuwonjezeka, wodwalayo samamvetsetsa zomwe akunena, amanunkhira acetone, kuthamanga kwa magazi ake kumachepa, mtima wake ukugunda mwachangu, ndipo pamakhala kuwukira.

Gawo lachitatu ndilabwino. Wodwalayo amakhala akugona mosalekeza, zimakhala zovuta kumudzutsa, kuukira kumakulitsa (kusanza kwa bulauni ndi mtundu wofiira). Momwe kupuma kumasinthira, wodwalayo amapuma pafupipafupi, nthawi zambiri, komanso maphokoso.

Gawo lotsiriza ndi chikomokere, chifukwa cha omwe odwala matenda ashuga afinya. Kuchuluka kwa nkhaniyi si kwa maola ambiri, koma kwa mphindi. Wodwala amafunikira chithandizo chokwanira pakukonzekera kwadongosolo, ndikofunikira kuti pakhale kuchepa kwa insulini, kuti asinthe kuchepa kwa thupi.

Pokhudzana ndi chiwopsezo cha zotsatira za moyo ndikulimbikitsidwa kuyang'anira shuga nthawi zonse.

Ndipo pakuwonjezeka pang'ono, chitani zonse zofunika kuti muchepetse.

Hyperosmolar chikomokere

Hyperosmolar coma mu milandu yambiri imakhala yamtundu wa 2 odwala matenda ashuga omwe ali ndi zaka zopitilira 50. Izi zimachitika chifukwa cha kuchuluka kwa shuga ndi sodium m'magazi.

Zomwe zimayambitsa chitukuko ndi izi:Poyerekeza ndi mikhalidwe iyi, nthawi zonse pamakhala kusowa kwa mahomoni.

Nthawi zambiri kupanikizika kwa hyperosmolar sikuchitika modabwitsa. Kuyambira koyamba mpaka pachimake, masiku angapo kapena masabata angapo amatha. Poyamba, zizindikiro za wodwalayo zimayamba kutchulidwa: ludzu, mkodzo wambiri, kusowa kwa chilimbikitso.

Pambuyo pang'onopang'ono minofu yaying'ono ikuwonedwa, pakapita nthawi, chizindikiro ichi chimasandulika kukhala kukokana. Kutsegula m'mimba kumalowerera, wodwalayo amadwala komanso akusanza.

Kenako chikumbumtima chimasokonekera, poyamba wodwalayo samamvetsetsa komwe ali, zimamuvuta kuti azichita kayendedwe kake. Kuphatikiza apo, amatha kukhala ndi malingaliro onyenga. Dokotala amatha kuthandiza wodwalayo, chifukwa chake, ndi zizindikiro zotere, gulu la ambulansi limayitanidwa nthawi yomweyo.

Chithandizocho chimakhala podzaza kusowa kwa insulin, ma electrolyte, madzimadzi ndipo amachitika m'chipatala.

Kodi glucose wamkulu atani?

Ngati shuga m'thupi ndi magawo 24, ndiye kuti choyamba muyenera kufunsa dokotala. Monga mukuwonera pazambiri zomwe zili pamwambapa, kuchedwa pang'ono kumatha kuwononga moyo wa wodwala.

Zochita zikuwonetsa kuti shuga imayenera kuyang'aniridwa pafupipafupi, chifukwa njira yokhayo yolola munthu wodwala matenda ashuga kukhala ndi moyo wabwinobwino komanso yokwaniritsira ndikubwezera matendawa, ndipo kungopeza kwake kokha kumatsimikizira zovuta zochepa.

Vuto ndilakuti shuga wamagazi amakula mosayembekezereka, ngakhale wodwala wazaka 10 sangathe kulosera za mphindi iyi. Chifukwa chake, tikulimbikitsidwa kuti muphunzire mosamala njira zotsatilazi:

1. Kuyenda, ntchito zakunja, masewera (kusambira ndi matenda ashuga, kuthamanga, kuyendera masewera olimbitsa thupi).
2. Kukana kwathunthu kumwa mowa, kusuta.
3. Tsatirani mosamalitsa zakudya zomwe mudayamwa, yang'anani kuchuluka kwa chakudya chamafuta, perekani zokonda pazogulitsa zokhala ndi index yotsika ya glycemic.
4. Mankhwalawa agwiritsidwe ntchito panthawiyi osayambitsa. Pewani zovuta za matenda.
5. Pewani kupsinjika, zochitika zamanjenje.
6. Kuyang'anira shuga pafupipafupi (kangapo patsiku)

Zimadziwika kuti ngati mumatsatira malingaliro osavuta, ndiye kuti moyo wanu ungasinthidwe kukhala wabwino. Zochitika ngati izi zimakhala ndi zabwino zambiri. Choyamba, amasunga shuga pamlingo woyenera, osalola kudumpha mwadzidzidzi. Kachiwiri, chiopsezo chovuta kwambiri komanso chovuta chimachepa.

Ngati wodwala kumayambiriro kwa mankhwalawa anyalanyaza malangizo a dokotalayo, pakapita nthawi, kuti matenda asinthe, muyenera kumwa mapiritsi kuti muchepetse. Komabe, kugwiritsa ntchito kwawo kukhozanso kuchepa pakapita nthawi.

Zomwe zimayambitsa insulini, zomwe zidzachitike m'moyo wonse wodwala.

Njira zopanda chithandizo

Pochiza matenda a shuga, khungwa la aspen ndi njira imodzi yothandiza kwambiri yolimbana ndi glycemia komanso kukulitsa chitetezo cha mthupi. Makungwa ali ndi zabwino zingapo.

Ikagwiritsidwa ntchito ngati ma tinctures / decoctions, zimatha kusintha njira zama metabolic mthupi, kubwezeretsa ma membrane am'magazi, kusintha kagayidwe kazakudya, kukonza chitetezo chamthupi, kuonjezera kupanga kwa insulin yake.

Kunyumba, mutha kukonzekera kulowetsamo komwe kumathandizira kuwerenga kwa shuga. Njira yophikira ndi yosavuta: supuni imodzi ya gawo losweka imadzazidwa ndi 400 ml ya madzi otentha. Kuumirira kwa theka la ora. Tengani 125 ml m'mawa ndi madzulo musanadye.

Zomwe zimachepetsa shuga? Kuti muchepetse shuga, mutha kuchita izi:

• 10 magalamu a chithokomiro chowuma kutsanulira 250 ml ya madzi otentha, kubweretsa kuwira pamadzi osamba, ozizira mwachilengedwe. Tengani 125 ml katatu patsiku. Njira yamankhwala sikhala yochepa.
• Pogaya 10 cloves wa adyo, muzu wa horseradish (pafupifupi 20 cm), kutsanulira chilichonse ndi lita imodzi yamowa wabwino. Kuumirira masiku 10.Yambani kutenga ndi supuni, pang'onopang'ono kuwonjezera kuchuluka kwa supuni.
• Supuni ziwiri zatsopano buliberries kutsanulira 250 ml ya madzi, kubweretsa kwa chithupsa, gawani kuchuluka m'magawo awiri ofanana. Tengani m'mawa ndi madzulo tisanadye.
• Mutha kubala rasipiberi kapena masamba a sitiroberi mukatha kumwa ngati tiyi. Kumwa koteroko kumachepetsa shuga, kumathandizanso kuchepetsa mavuto.

Ndikofunika kudziwa kuti mankhwala ena wowerengeka popanda kudya zakudya zoyenera komanso kuchita masewera olimbitsa thupi sangathandize kuthana ndi shuga. Chithandizo cha matenda ashuga ndi mankhwala ovuta, omwe amakhala ndi mayendedwe ambiri.

Chifukwa chake, kutsatira malingaliro onse si kuchiritsa matendawa, ndi moyo watsopano womwe umayenera kutsatira nthawi zonse.

Mwazi wambiri umakhala utayamba kupangika chifukwa cha matendawa. Izi zafotokozedwa mu kanema munkhaniyi.

Mwazi wa Magazi 24 - Zimatanthauzanji

Zomwe zimayambitsa glycemia ndi zina zoyambitsa kutsutsa kapena kukula kwa matenda ena. Makhazikitsidwe amtundu wa 24.2 mpaka 24,9 amalembedwa ngati aphwanya masinthidwe a chakudya omwe alowa m'matumbo a chakudya ndi chakudya. Kupatuka ku chizolowezi cha 3.3-5.5 mmol / l ndikuganiziridwa kale kuti ndi zam'mbuyomu ndipo zimafunikira kuyang'aniridwa kuchipatala msanga.

Zinthu zomwe shuga zimatha kudumpha mpaka 24,8 mmol / l ndi:

• mpanda wodula wolakwika - osati pamimba yopanda kanthu. Zakudya zamagayidwe zikamaloŵetsedwa m'magazi, shuga wambiri nthawi zonse amatuluka. Onani momwe mungaperekere magazi a shuga,
• kusachita masewera olimbitsa thupi komanso kusachita masewera olimbitsa thupi. Anthu omwe amakhala ndi moyo wongokhala nthawi zambiri amakhala ndi glycemia, ndipo amalemba zofunikira za shuga m'magawo 24.3 ndi pamwamba,
• moyo wopsinjika, kupsinjika m'maganizo kumatha kupereka chidwi pakuwonjezera shuga,
• kukhalapo kwa zizolowezi zoipa. Kugwiritsa ntchito moyenera ndudu, kusuta kumawononga thanzi.
• kusintha kwa mahomoni. Mwa azimayi pa nthawi ya kusamba, shuga amatha kufikira 244 mmol / L. Komanso, kutenga pakati kumatha kuyambitsanso chimodzimodzi. Kenako mayi woyembekezera amapezeka ndi matenda a shuga, ndipo amamuwongolera asanabadwe mwana.

Mwa matenda omwe amathandizira kuonekera kwa glycemia, awa ndiosiyanitsidwa:

• matenda a shuga a m'mellitus ndi endocrine omwe amachititsa kuti azigwira bwino ntchito yopanga ndi kulowetsedwa kwa insulin,
• matenda okhudza kapamba,
• Kugwiritsa ntchito nthawi yayitali antidepressants, psychotropic mankhwala, anabolics, steroids, njira zakulera pakamwa nthawi zambiri zimakhala ngati zowonjezera shuga wambiri,
• hepatic pathologies pomwe njira yopanga glycogen imasokonekera, zomwe zimabweretsa kuwonjezeka kwa minyewa ya glucose.

Matenda a shuga ndi njira yoopsa kwambiri komanso yopanda matenda yomwe shuga imatha kukula mpaka kuchuluka kwa 24,7 komanso kupita pamwamba. Kusinthasintha kotereku kumalumikizidwa ndi moyo, zakudya, mankhwala, komanso pafupipafupi kuyang'anira magazi. Mosasamala kanthu za zifukwa zomwe wakuphayo, wodwalayo ayenera kuchitapo kanthu kuti athetse vuto lawo ndikudziwa zoyenera kuchita ngati kudumpha kwakuthwa kwa shuga.

Zofunika! Kukhalapo kwa matenda ashuga kumatsimikizira kuwunika kwa zizindikiro za glucose popewa zovuta zowopsa munthawi yake. Kuzindikira kunyumba kumatheka chifukwa cha shuga wa magazi omwe wodwala aliyense angapeze. Atawulula shuga wambiri m'magazi, mwachitsanzo, 24.1 mmol / l ndi kukwera, amatha kusintha mankhwalawo kuti apewe zovuta.

Kuopsa kotani

Mukamayesa magazi kwa shuga, akatswiri amaika 5.5 mmol / L. Mulingo wovuta ndi magawo 7.8. Mkuluyu akangolowa mu magazi zochuluka choncho, zosintha zosasintha sizichitika m'thupi.

Zowopsa komanso zowopsa za glycemia ndi:

• kuwonongeka kwamanjenje,
• kukomoka
• kufooka kosalekeza komanso kupanda mphamvu poyendetsa zinthu zazikuluzikulu,
• hyperglycemic chikomokere,
• kuchepa kwa madzi chifukwa cha ketoacidosis,
• zotsatira zakupha.

Mwa matenda omwe amayamba ndi hyperglycemia, phokoso la matenda ashuga, retinopathy, zilonda zam'mimba, zotupa zam'mimba, kulephera kwa impso, gangore, polyneuropathy ndizodziwika. Pafupifupi zonsezi zimayambitsa kulumala ndikulephera kudzisamalira.

Magazi ofunika a glucose omwe amapangitsa kuti akomane ndi kufa ndi amodzi pa wodwala aliyense. Anthu ena amasangalala kwambiri ndi mtengo wa 17 mmol / l, mwa odwala ena omwe amawunikira, kumwalira kumatha kuchitika. Chifukwa chake, chizindikiro cha 24,6 kapena kuposerapo mu mankhwala sichingaganizidwe kuti chimafa kwa wodwala.

Zizindikiro zomwe zimatsagana ndi ketoacidosis chikomali ndi monga:

• kusowa kwamadzi kwambiri
• kugona
• kuyanika kwa mucosa ndi khungu,
• kununkhira kosalekeza kwa mkamwa.
• kupuma kwambiri.

Mutha kumvetsetsa popanda mita yamagazi ndi kuyeserera kwa magazi kuti hyperglycemia imachitika mthupi ndi izi:

• ludzu lamphamvu, losasinthika (munthu amatha kumwa malita 3.5-4 amadzimadzi patsiku),
• kukodza pafupipafupi,
• kamwa yowuma
• ulesi ndi kugona.
• khutu kulira
• maliseche (nthawi zambiri mwa akazi),
• kukwiya, manjenje,
• nkhawa, kusowa tulo,
• mawonekedwe a pakhungu la malo owoneka ndi mabala aatali osachiritsa,
• kupweteka kwa minofu ndi minyewa
• dzanzi la miyendo
• kusanza kopanda tanthauzo ndi kusanza.

Dziko la precomatose limadziwika ndi:

• Kutaya kwakukuru ndende ndikuyankha mwachangu,
• kukomoka mtima,
• dontho mu kuthamanga kwa magazi
• Fungo lonena za acetone lochokera mkamwa,
• kugona, kofanana ndi kukomoka.

Ndi zizindikiro zotere, kuchuluka kwa shuga m'magazi kuyenera kutsimikizika nthawi yomweyo. Ngati zizindikirozo zadutsa chizindikiro cha 7 ndipo zafika pa 24,5, muyenera kuyimba ambulansi.

Zoyenera kuchita ngati shuga ali pamwamba pa 24

Kuchepa kwadzidzidzi m'magazi a shuga nthawi zambiri amalembedwa chifukwa cha zolakwika zazakudya. Odwala omwe ali ndi matenda ashuga ayenera kutsatira zakudya zapadera ndikuyang'anitsitsa zakudya zawo kuti zisasinthike. Momwe glycemia imaposa yovomerezeka, muyenera kudziwa zoyenera kuchita kuti mukhale okhazikika:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

1. Tsatirani zakudya zomwe zimalimbikitsidwa ndi endocrinologist kapena wathanzi. Osatengera chomwe chimayambitsa matendawa komanso kupezeka kwa zovuta, wodwalayo ayenera kumangodya zakudya zomwe sizingayambitse kuchuluka kwa shuga.
2. Tsatirani malangizo onse omwe adotolo adalandira ndikutsimikiza kuti mumwa mankhwala omwe adalembera.

Ndi zilembo zamatenda azachipatala omwe amafikira mayunitsi 24, thandizo loyamba ndikofunikira:

• kutumikirira insulin, insulin mu mankhwala. Chinthu chachikulu izi zisanachitike ndikuti mudziwe kuti chifukwa chazovuta za wolakwiridwadi amakhala ndi shuga wambiri. Shuga atangobwerera wamba, amayenera kufufuzidwa mphindi 20 zilizonse,
• Imbani ambulansi ngati pambuyo pa jakisoni awiri, thanzi la munthuyo silikuyenda bwino

Endocrinologist amathandizira pa matenda a shuga. Atalandira zotsatira za mayeso ndikuwunika wodwalayo, amamulembera mankhwala ndikuthandizira kukhazikika kwa insulin, chifukwa kuwerengera molakwika kwa mankhwalawa kumatha kukhala chifukwa chodumpha kwambiri mu hyperglycemia.

Zofunika! Ngati munthu sapezeka ndi matenda a shuga, koma nthawi yomweyo kuchuluka kwa glucose m'magazi kumakwera mpaka 24 kapena kupitirira, ndizoletsedwa kupereka insulin payokha.

Kupewa

Kuwonjezeka kwa glycemia mpaka 24 mmol / l kungalephereke pakuwona malingaliro angapo osavuta:

• Imwani mankhwala panthawi yake omwe amakhala ndi shuga mokulirapo,
• maswiti otayira ndi zakudya zina zopepuka,
• mopewa kupewa zizolowezi zoipa, m'malo mwake mumachita masewera olimbitsa thupi,
• onetsetsani kuchuluka kwa insulini ndikuphunzira momwe mungawerengere mlingo. Nthawi ya makonzedwe a mankhwalawa ilinso yofunikira. Jekeseni amaperekedwa musanadye kuti apewe kuchuluka kwambiri kwa shuga,
• gwiritsani ntchito njira zina ngati njira yowonjezerapo yamankhwala. Zojambula zambiri ndi chindapusa zimathandizira kupewa kuwonongeka kwa thanzi kumbuyo kwa hyperglycemia. Mwachitsanzo, sinamoni ndi uchi imawonedwa ngati njira yabwino. Amatengedwa pamimba yopanda kanthu tsiku lililonse kwa supuni yaying'ono,
• shuga amatha kuwuka chifukwa cha kupsinjika, chifukwa chake odwala matenda ashuga ayenera kupewa zisokonezo ndipo ngati kuli kotheka, apange malo abwino okhala ndi anthu ozungulira.

Ngati shuga wambiri m'magazi akhazikika nthawi yoyamba, palibe chifukwa chokhala ndi mantha. Mwina, pambuyo pa kuyezetsa magazi kwotsatira, komwe kuyenera kuchitika posachedwa, matendawa amakhala osafunikira popanda chithandizo chamankhwala. Ngati matenda a shuga apezeka, chilichonse chikuyenera kuchitidwa kuti zizindikiritso zikhale bwino.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Chifukwa Chomwe Odwala Matenda A shuga Akulimbikitsira shuga

Pali zifukwa zambiri zakukwera kwambiri kwa glucose wamagazi. Koma nthawi zambiri, nthawi zowopsa zotere zimakhala chifukwa cha kuperewera kwa zakudya m'thupi, kupsinjika kwakukulu, kusachita masewera olimbitsa thupi komanso matenda opatsirana (ndi matenda ena, kugwira ntchito kwa ziwalo zamkati kumakhala kolemala kwambiri).

Zinthu zonsezi zimatha kuwonjezera shuga ngakhale mwa odwala athanzi. Kwa odwala matenda ashuga, madontho a shuga amakhala abwinobwino, ngati atha kutchedwa osafunika. Koma ngati shuga alumphira, muyenera kumvetsetsa - vuto ndi chiyani, ndizinthu ziti zomwe zidatsogolera.

Anthu odwala matenda ashuga ndi gulu la odwala omwe ayenera kumvetsetsa bwino matendawo. Matenda a shuga akukhala njira ya moyo, ma nuances omwe amakhudzana ndi matendawa amatha kudzikumbutsa tsiku ndi tsiku.

Ndikofunika kwambiri kuti munthu asangodziwa za matenda ake, komanso mosachita mantha, amakumana ndi ziwonetsero zapamwamba pa glucometer (chipangizo choyeza kuchuluka kwa shuga m'magazi). Ayenera kumvetsetsa kuti ndi ziti zomwe zili zovomerezeka, zomwe zili zowopsa, komanso zomwe ndizovuta.

Nthawi kapena kupatuka

Kwa munthu wathanzi, kuchuluka kwa shuga mumagazi 3.3-5,5 mmol / L; mukayezedwa mukatha kudya, umakwera mpaka 7 mmol / L, womwe umanenedwanso ngati chizolowezi.

Ngati muyeza pamimba yopanda kanthu chiwonetsero cha 11 mmol / l chikapezeka, ndiye kuti izi zimawoneka ngati boma la prediabetes. Ndikofunikira kufunsa uphungu wa endocrinologist yemwe angakupatseni mankhwala ndi zakudya kuti muchepetse komanso kukhazikika kwa shuga.

Chizindikiro cha 11 mmol / L chimatanthawuza kuti shuga ikupezeka. Chizindikiro cha 24 mmol / L ndipo pamwambapa chikuwopseza kukula kwa mkhalidwe wowopsa kapena imfa.

amuna ndi akaziwoyembekezeraana osakwana zaka 14okalambachatsopano 3.3-5.5 mmol / L4.6-6.7 mmol / L3.8-5.9 mmol / L4.6-6.4 mmol / L2.8-4.4 mmol / L

Ngati muyeza pamimba yopanda kanthu chiwonetsero cha 11 mmol / l chikapezeka, ndiye kuti izi zimawoneka ngati boma la prediabetes.Ndikofunikira kufunsa uphungu wa endocrinologist yemwe angakupatseni mankhwala ndi zakudya kuti muchepetse komanso kukhazikika kwa shuga.

Chizindikiro cha 11 mmol / L chimatanthawuza kuti shuga ikupezeka. Chizindikiro cha 24 mmol / L ndipo pamwambapa chikuwopseza kukula kwa mkhalidwe wowopsa kapena imfa.

Hypoglycemia (shuga wotsika) amadziwika ndi zizindikiro za 2,2,2 mmol / L. Kuti muthe kukhazikika, nthawi zambiri zimakhala zokwanira kudya maswiti a chokoleti.

Ndi magwiridwe antchito a endocrine gland, amuna ndi akazi amakhala ndi shuga wofanana. Koma ndi kusokonezeka kwa mahomoni mwa azimayi (kusintha kwa thupi, kubereka), shuga amawuka. Dokotala yemwe amawona kuti ali ndi pakati amapereka chithandizo, popeza kuti matenda osokoneza bongo amatha kuvulaza osati amayi okha, komanso mwana wosabadwa.

Kuwonjezeka kofulumira kumatha kuchitika ndi atrophy ya endocrine gland, pomwe chiwalocho chimachepa ndikuyamba kunenepa. Matendawa ndi amodzi kwa odwala matenda ashuga omwe akhala akudwala kwa zaka zoposa 10.

Zotheka

Kukhalapo kwa shuga wambiri kumakhudzidwa ndi:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• kupsinjika
• mimba
• kuperewera kwa zakudya m'thupi
• kusokonezeka kwa mahomoni
• kutentha kwambiri (kukhalapo kwa matenda opatsirana),
• ululu
• zizolowezi zoipa (kusuta fodya ndi mowa),
• moyo wosachita bwino.

Kuphatikiza apo, kupezeka kwa shuga kumakhudza kuchuluka kwa shuga, chifukwa chake ndikofunikira kuyeza mulingo wake pafupipafupi ndi glucometer.

Ndikofunika kudziwitsa odwala matenda ashuga omwe amawaona kuti ndi ofunika kwambiri kotero kuti palibe chiyembekezo chilichonse poyeza. Kuchuluka kwa insulin kapena mapiritsi olowetsedwa kumakhudza thanzi lanu. Chofunikira ndi tsiku lotha ntchito kapena kutsatira malamulo osungira mankhwala.

Kuzindikira matenda ashuga

Chizindikiro cha 24-24.9 mmol / l sichimapezeka kawirikawiri pamayeso. Nthawi zambiri, msuzi wa shuga umabadwa mwa odwala omwe ali ndi matenda a endocrine ndipo amathandizidwa.

Mu ma labotore, muyenera kudutsa:

• magazi poyesa kuchuluka kwa shuga (ndikofunikira kuti chakudya chotsiriza ndi madzi ndi maola 8-10 asanaunike),
• mkodzo
• kulolerana kwa shuga m'magazi.

Kuti muyezedwe, magazi amatengedwa kuchokera m'mitsempha kapena ma capillaries. Mitengo yochokera m'mitsempha imakwera pang'ono. Zizindikiro zake zimayambira matenda ashuga:

Ndi matenda amtundu wa 1 shuga, kuchepa thupi kumawonedwa, kupatsidwa chidwi chambiri. Mtunduwu umadalira insulini, zizindikilo zake zomwe zimayamba msanga.

Matenda 2 endocrine matenda onenepa kwambiri. Nthawi yomweyo, kuchuluka kwa insulini kumakhalabe pakati pa malire, koma zotsatira za kuyesedwa kwa magazi kulolerana ndi shuga zikuwonetsa kuphwanya. Zizindikiro zoyambirira ndikusokonekera mu mawonekedwe, miyendo, komanso kuchepa kwa chitetezo cha mthupi.

Zotsatira zake

Ndi zizindikiro za 24 - 24.9 mmol / l, pali vuto la ketoacidosis chikomokere, ndipo ndi matenda amtundu woyamba 1, mawonekedwe a hyperosmolar coma. Ma ketones ndi poizoni yemwe amadziunjikira m'thupi pakuwonongeka kwa mafuta. Akakola, poyizoni wa thupi amapezeka. Keatocidosis chikomichi chimachitika:

• kukweza shuga mpaka 16 kapena kupitirira
• kupezeka kwa acetone mu mkodzo,
• shuga mu mkodzo kuchokera 50 g / l.

Poyamba, thupi limayesetsa kulimbana ndi lokha, koma vutolo likamakulirakulira, kumakhala ndi zotsatirapo:

• kupweteka m'mimba
• acetone kuchokera mkamwa,
• khungu lowuma,
• kulemera kwa mpweya
• kufewa kwa nsidze
• kulephera kudziwa.

Pali magawo anayi a ketoacidosis chikomokere. Vutoli limafunikira chithandizo chamankhwala kuchipatala chovuta kwambiri. Ndalama:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• mankhwala a insulini kuti muchepetse shuga,
• panga zakumwa zotayika
• chifukwa cha mankhwala opha maantibayotiki,
• anticoagulants.

Hyperosmolar coma imadziwika ndi zizindikiro:

• kugona, kufooka,
• kugwa kwamaso,
• khungu louma ndi nembanemba
• kupumira pafupipafupi.

Vutoli lilibe ululu komanso fungo la acetone, koma pamakhala chiwopsezo cha kulephera kwa impso. Kukula kwambiri kwa shuga mpaka 24 mmol / l - izi zikutanthauza kuti muyenera kufunafuna thandizo kwa endocrinologist, simuyenera kuthana ndi vutoli.

Zoyenera kuchita kuti muchepetse shuga

Mkhalidwe womwe chizindikiro cha 24 - 24,9 mmol / l chikuyang'aniridwa ndikuwonetsa chidziwitso chachipatala mwachangu, chifukwa zotsatira zake zimakhala zoipa. Ndikofunikira kuyimba ambulansi.

Kuti muchepetse kuchuluka kumeneku, muyenera kuyang'ana kuchuluka kwa glucose pogwiritsa ntchito glucometer.

Ndikofunikira kutsatira malingaliro a endocrinologist:

• masewera (kusambira, kuyendetsa njinga, kuthamanga mwanzeru),
• amayenda mumweya watsopano,
• kusiya mowa
• pafupipafupi komanso zakudya zazitali,
• kudya
• mtendere, kupsinjika ndi kupsinjika,
• munthawi yake chithandizo cha matenda ena.

Pewani kudziletsa pakumwa mankhwala. Kudya zakudya zamagulu ochepa komanso zakudya. Ubwino ndi kumwa kwa infusions ndi decoctions a zitsamba ndi zipatso (thyme, rosehip, Bay tsamba).

Ngati hyperglycemia imachitika, muchepetse shuga pokhapokha motsogozedwa ndi dokotala. Pazinthu zobwereza, ndikofunikira kugwiritsa ntchito malingaliro a dokotala. Mukamachepetsa shuga m'magazi, ndikofunikira kukumbukira kuti kuchepa kwambiri kumayambitsa hypoglycemia. Chifukwa chake, tikulimbikitsidwa kupaka insulin yaying'ono. Poterepa, ndikofunikira kubwezeretsa kuperekera kwamadzi mthupi. Ngati palibe kusintha, itanani ambulansi.

Ndi shuga wambiri, muyenera kufunsa dokotala. Osazengereza, chifukwa zinthu kunyumba zizingokulirakulira.

Ngozi zowopsa zomwe zili ndi shuga wambiri

Kuwonjezeka kwa glucose kumawonetsedwa ndikuwonjezereka kwa vutoli, ndipo vutoli likhoza kufika pamavuto - kukomoka kwa ketoacidotic sikuchotsedwa (odwala odalira insulin - chikomokere cha hypermolar).

Chiwopsezo cha ketoacidotic chikomokere chikukulira:

• Ndi kukwera kwa shuga 16 +,
• Ngati acetone wapezeka mkodzo,
• Mukachotsa ndi shuga wa mkodzo woposa 50 g / l.

Choyamba, thupi limadziyendetsa lokha. Ntchito yofunsira imathandizidwa. Koma patapita nthawi, zizindikiro za hyperglycemia zimayamba kutchulidwa. Ngati munthu samathandizidwa ndi nthawi, shuga sangachepetse, mavuto amabuka.

Mfundo yoti ketoacidotic chikomachi chikuyandikira akuti:

1. Kupweteka kwam'mimba kwachitukuko chosadziwika,
2. Fungo la acetone la oral
3. Khungu lowuma,
4. Kufatsa kwa ma eyebulo,
5. Kupuma kwambiri
6. Matenda a Dyspeptic.

Chifukwa chiyani mafuta m'malo mwa glucose ayamba kuwonongeka

Thupi silitha kugwiritsa ntchito shuga ngati gwero lamphamvu, njira yolipirira ndalama imayatsidwa, thupi limakhala ndi mafuta obwera. Pakusintha kwawo, ma ketoni amasulidwa. Izi si kanthu koma poizoni yemwe amadziunjikira bwino m'thupi ndikuwupweteka. Ndipo kuledzera kotereku kumayambitsa kudwala matenda ashuga.

Zomwe zimatha kulosera zovuta za ketoacidosis:

• Zizindikiro zoyambirira za matenda amtundu 1,
• Chithandizo cholakwika cha matenda a shuga 1,
• Kulephera kutsatira zakudya zomwe zalembedwa,

Matenda a diabetes ketoacidosis amatha kuwonekera madigiri atatu. Ndi pang'ono matenda a pathological, kukodza kumachitika pafupipafupi, wodwalayo amamva kupweteka, zizindikilo zoyambirira za kuledzera zimawonedwa. Pali fungo la acetone mlengalenga lomwe limatulutsa.

Ndi avareji ya ketoacidosis, mkhalidwe wodwalayo umakulirakulira. Zizindikiro zamatenda amkati pamtima, kupanikizika kumachepa, tachycardia imayamba. Wodwalayo amasokonezeka ndi kukanika kwa dyspeptic komanso kusapeza bwino mu epigastrium.

Mlingo woopsa wa ketoacidosis ndiowopsa makamaka - mkhalidwe ukukomoka, ophunzira sapereka kuyankha, komanso fungo loyipa la acetone. Dziwani ndi zodziwikiratu kuti madzi akumwa amatha.

Kodi ketoacidosis amadziwika bwanji?

Pazizindikiro zoyambirira za vuto lotere, wodwalayo ayenera kuthamangira kuchipatala, ndipo ndibwino kuyimba ambulansi.

Madotolo apenda zisonyezo, ayesa mbiri yakale ya zamankhwala, othandizira a pathologies. Iwo adzayesanso magazi mwachangu ndi shuga, komanso urinalysis kuti adziwe matupi a ketone, komanso acetone. Zifunikiranso kuyesedwa kwa magazi ndi mkodzo, komanso zopereka zamagazi pazinthu zam'magazi.

Kuchiza kumayamba mosamala pambuyo podziwonetsa moyenera. Nthawi zambiri, matenda oterewa amafunika kuchiritsa pothandizanso kupumula.

Zosankha monga chithandizo:

• Mankhwala a insulin. Insulin imaperekedwa kuti muchepetse magazi. Mphamvu ya shuga mumkhalidwewu sichichotsedwa.
• Zochita zam'madzi. Madzi otaika amayeneranso kukonzedwanso. Saline imayendetsedwa kudzera m'mitsempha.
  Kuwongolera kulephera kwa electrolytic.
• Mankhwala othandizira. Njira iyi ndiyofunikira kuteteza kupitirira kwa zovuta zamagulu.
• Ma Anticoagulants.

Kodi chithokomiro chimayamba bwanji?

Matendawa amakula pakapita milungu iwiri. Ndipo kuchuluka kwa glucose kumatha kukula mpaka kuwopseza - mayunitsi 50, pomwe glucose imatulutsidwa mwachangu mu mkodzo.

Zizindikiro za kukomoka kwa Hypersmolar:

1. Kugona ndi kufooka kwambiri,
2. Khungu lowuma,
3. Kununkhira nsidze
4. Kupanda kununkhira kwa acetone,
5. Kulimbitsa, kupumira pafupipafupi komanso kopanda mawonekedwe.

Kupweteka kwam'mimba sikubadwa mu chikomokere cha hypersmolar, komanso mavuto a dyspeptic. Koma chiopsezo chotenga matenda a impso kwambiri ndi chambiri, chifukwa chake thandizo liyenera kukhala lachangu.

Ndi hypoglycemia, munthu akhoza kukhala ndi vuto lachilendo lanjala, euphoria imachitika, khalidwe limatha kukhala lachilendo, mgwirizano umasokonekera, matenda opatsirana amayamba, wodwalayo akudandaula zakuda m'maso.

Kodi pali zolakwika pankhani ya insulin?

Kwa odwala matenda ashuga, kulumpha mu shuga monga mayunitsi 24 nthawi zambiri kumakhala kulakwitsa. Ndiye kuti, ngati munthu akuchitiridwa zinthu, ndiye kuti payenera kukhala mfundo zapamwamba kwambiri. Mapeto ake ndiwosavuta: mankhwalawa adapereka mtundu wina wa vuto, ndipo izi zimathekadi.

5 zolakwika za insulin.

1. Osati mtundu wa mankhwalawo. Masiku ano, mitundu 4 yayikulu ya insulini imagwiritsidwa ntchito - awa amatchedwa achinthawi-kocheperako komanso ma insulin achidule, amathandizidwa asanadye ndipo amathandizira kukonza kuchuluka kwa shuga. Zomwe zimadziwika kuti zimapanga insulini ndi ma insulin omwe akhala akuchita kwakanthawi zimasunga shuga wamagazi m'magazi "amafupika" Ndipo mukamagwiritsa ntchito mapulani a "insulin yochepa komanso yayitali" munthu amatha kusokonezeka m'dongosolo. Koma nthawi zambiri, insulin yomwe ili m'mavuto amenewa siliwopseza kwambiri, nthawi zambiri shuga, m'malo mwake, imatsika kwambiri.
2. Sinthani cholembera cholembera insulin. Masiku ano, zolembera za syringe ndi zotheka kutulutsa kapena kusinthanso. Omalizawa amasankhidwa ndi odwala ambiri. Koma ngati mutatenga cholembera cha munthu wina, ngakhale kupotoza singano yanu pamenepo, pamakhala ngozi yotenga kachilombo ka wina.

Koma muyenera kuwunika mitundu yonse yomwe ingatheke. Shuga adalumpha kwambiri - alumikizanani ndi madotolo, ndipo musayerekeze zomwe zidayenda. Musamale kwambiri mukamachulukitsa matenda, nthawi imeneyi chiopsezo chodumphadwala glucose ndicofunika kwambiri.

Shuga kulumpha ndi pancreatic atrophy

Pancreatic atrophy ndi chikhalidwe chodziwika ndi kuchepa kwa kukula kwa thupilo, komanso kuphatikizika kwa kapangidwe ka ndulu ndi kusagwira ntchito kwake. Nthawi zambiri, kusintha koteroko kumachitika ndi thupi limodzi ndi matenda ashuga omwe amapita patsogolo.

Zizindikiro zodziwika bwino za matendawa ndi kupweteka kumanzere kwa hypochondrium, kumangotulutsa maluwa pakudya, kusinthika kwa lilime (kumakhala rasipiberi kapena kufiyira), kupindika kwa dzino komanso chidutswa chowoneka bwino palilime. Ziwonizo zikaoneka, muyenera kupita kwa dokotala wa gastroenterologist. Dokotala adzalemba maphunziro othandiza kuti adziwe matenda ake.

Magazi a shuga magawo 24 - choti achite

Shuga wapamwamba wotere nthawi zambiri amatsimikiziridwa mu odwala matenda ashuga, ndipo munthu amawona manambala pamtunda pamene akuyeza. Nthawi zambiri, zofunika kwambiri zimapezeka payezetsa magazi pafupipafupi, koma zizindikiro ngati izi kuchipatala (mwachitsanzo, pambuyo pa opaleshoni) ndizofala kwambiri.

Ngati wodwala kunyumba apeza shuga wambiri pamankhwala oterowo, muyenera kulankhulana ndi madokotala. Chisankho cholondola kwambiri ndikuyimbira ambulansi.

Onetsetsani kuti mukufotokozera akatswiri zomwe zingayambitse kudumpha mu shuga, zomwe zimapangitsa kuti zinthu ziwayendere bwino. Kumbukirani kuti mudadya, kodi mudabaya insulin molondola komanso nthawi (ngati muli ndi matenda a shuga). Chidziwitso cholondola choterechi chimagwirizana ndi zomwe madokotala amachita.

Inde, sizotheka kuyembekeza kuti "zonse zidzachitika zokha". Mayunitsi 24 ndi shuga okwanira kwambiri, chifukwa chosagwiritsa ntchito sichingakhululukidwe. Kuyang'ana koyenda ndi mayeso athunthu akuwonetsedwa. Ngati mfundo za shuga zamagazizi zikapezeka m'modzi wa banja, achibale ayenera kudziwa kuti munthuyo akufunika thandizo kuchipatala.

Magazi shuga katundu

Health-ua.org ndi njira yachipatala yolumikizirana pa intaneti madokotala a ana ndi akulu a zamagetsi. Mutha kufunsa funso "shuga m'magazi ndi kupeza upangiri wa dokotala waulere pa intaneti.

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February 04, 2013

Mayankho a Shikht Olga Ivanovna:

Moni, Catherine. Choyamba, muyenera kuyamba kutenga kukonzekera kwa Metformin. Kenako onjezerani Zakudya Zaumoyo kwa inu ndi zabwino zonse!

adapereka magazi a shuga ndi katundu pamimba yopanda kanthu-5.0 pambuyo maola 2 shuga sakubwerera mwabwinobwino, 7.0 zikutanthauza chiyani?

Disembala 07, 2008

Mayankho a Zuev Konstantin Alexandrovich:

Makhalidwe abwinobwino ofala magazi a shuga kwa anthu athanzi ndi 3.3 - 5.5 mmol / L, shuga m'magazi 2 patatha masiku angapo mutakweza magazi (75 g) a shuga omwe ali pansi pa 7.8 mmol / L. Chifukwa chake, Tatyana, kwa iwe, sindikuwona chifukwa chodera nkhawa.

Moni Chonde ndithandizeni kudziwa. Ndili ndi zaka 45, kutalika 153, kulemera 55. Posachedwa, kusokonezedwa mu ntchito ya mtima kudayamba kuda nkhawa. Nthawi zina, ndimakhala ndikulimbana ndi mikwingwirima, ndikamayesa kumenyedwa m'chiwuno, ndimatsitsi, amasiya, osatinso chilichonse, koma mwatsoka, ndimakhala ndi mantha, mantha, ndikulimbikitsa kuti ndikope ndikukhala pafupipafupi.

Zovuta zimachitika masana, nthawi zambiri kumapuma (kukhala, kugona, kuyimirira) usiku - ayi. Pochita zolimbitsa thupi, zosokoneza zimasowa (kapena sindimamva). Zovuta zimachitika popanda chomangirira chilichonse. Izi ndizosokoneza kwambiri. Kuyesedwa kwa magazi, hemoglobin, shuga ndizabwinobwino. Ultrasound ya chithokomiro England.

Ecg-2 ndiye chizolowezi, pa 3 yomwe adazigwira nthawi ina: kuyimba kwa sinuses kumasokonekera ndi njira ya repol ()? m'mbali mwa makoma.

Zotsatira za kuwunikira kwa Holter (Ndimamva bwino tsiku lonse, kunalibe zowukira, sindimamva kusokonezedwa): kutentha kwa mtima79ud / dziko lapansi, malire a mtima47ud / dziko, pazofunikira 174, ma contract okwana 76, kuphatikiza 76 systolic, 8 supraventicular contractions, kuphatikizapo 8 systolic , kupsinjika kwakukulu st-0,62mm, kukweza kwa st-kukweza 2.

56 mm. Nthawi yopumira yopitilira masekondi 1.6. Pa kuwunika kwa 0,61%, atroperment ya atria inali yodziwika bwino. Nthawi yayitali yapamwamba kwambiri QT430ms ndiyambiri QT c529ms, nthawi yayitali ya QT ndi 212 ms, nthawi yochepa ya QT s ndi 294 ms. Chizindikiro cha circadian ndi 1.58. Ultrasound yamtima: kugunda kwamtima 112 kumenyedwa / dziko.

Pricricle lamanzere: DPRK 4.6, KSR-2.4, contractility 47%, MFD 0.72, MFL 0.8 mu MFD akufotokozedwa kuti ndi hyperechoic inclusions. Zowonetsa: KDO 86.7, KSO 29.4, voliyumu ya 57.3, fv 66.0. Aorta: d2.7, kutsegula matalikidwe 1.6, V max 1.32, GP max / dziko 7.0, kapangidwe ka AK flaps ndi malinga aortic. Mphepete yamanja: D 1.8, khoma makulidwe 4 mm.

Pulmonary artery V max. 0.83, GPsist / pepala 2.8. Kumanzere atrium 2.6, Tricuspid valavu: Pa max 0,45, VH syst / tsamba 0,8, kubwezeretsa m'mavalavu. Mitral vala: de 1.48. Ef96, e 0.83, ndi 0.71, e / a 1.1, mu max. 0, 83, gp max / mphindi 2.8, kusindikiza kutsogolo kwa cusp μ, kupindika kwa kutsogoloku mpaka 3 mm. Kupereka ulemu. Pericardium yopanda mawonekedwe, Ma trabeculae owonjezera amapezeka mu LV patsekiti.

Juni 14, 2016

Bugaev Mikhail Valentinovich amayankha:

Moni. Zachidziwikire, kuti mukhale ndi machitidwe oyenera, muyenera kuwona ECG mwachindunji panthawi ya kuukiridwa. Izi zitha kuthandizira kuwunikira Holter, komanso ndi tsiku la 2-3. Muyenera kuchita.

Mutatenga mankhwala a antiarrhythmic kuti mugwiritse ntchito mosalekeza. Ndipo muyenera kusanthula mahomoni a chithokomiro. Ngakhale kuthekera kwambiri, mwa lingaliro langa, fibrillation ya atria.

Koma izi zimafunikira chitsimikiziro.

moni, kachiwiri, ndafunsa kale za kuyesa kwa shuga kolemedwa (Okutobala 26, 2015 afunsira Ekaterina: Moni, ndili ndi zaka 34, amayi awiri ali ndi pakati pamasiku 34-35, akukakamizidwa kuyesa magazi a PTG ndipo, zotsatira zake ndi m'mimba opanda kanthu 4.22 , patatha ola limodzi - - 10,33, patatha maola awiri - 9,35., endocrinologist adazindikira kuti ali ndi vuto la matenda a shuga - Kodi ndichitenji tsopano? Novembala 2, 2015 Elena Mikhailenko Mayankho: Dokotala wa gulu lapamwamba kwambiri, endocrinologist, mwana wazakudya, Ph.D. zambiri mlangizi

Masana abwino Madzulo atatha kuyesa, kunali kofunikira kupatula chakudya cham'mimba chofulumira. (Makeke, makeke, maswiti, ndi zina). Pitani mayeso oyang'ana kukhazikitsidwa kwathunthu. Uku ndikuyesa kovuta (kumatenga masabata 20 mpaka 26), koma ngati mwapereka mosayenera, ndibwino kuibwereza, apo ayi muyenera kuyikapo mankhwala, mwina mwana adzavutika kwambiri.), Ndikufuna kufotokozeranso chinthu chimodzi: ndidaperekanso kuyesa kovutitsidwa. hemoglobin - zotsatira zake ndi 5.7 (zikuwoneka ngati zabwinobwino) Ndikufuna ndidziwe malingaliro anu.

Novembara 10, 2015

Mayankho Mikhailenko Elena Yuryevna:

Vutoli ndi lalikulu. Ndakuyankha kale. Apa ndikofunikira kuthetsa funso la insulin. popeza muli ndi matenda ashuga. Pa ultrasound, muyenera kuyang'ana chitukuko cha mwana wosabadwayo, kuchuluka kwa kukhwima kwa placenta. Mkhalidwe wanu wamba. Tsopano, chakudya chokhwima, chopanda kukhathamiritsa chakudya (osapatula maswiti onse). Kuperekera mu masabata 38, monga lamulo.

Moni Chonde ndiuzeni, ndili ndi zaka 26, ndili ndi pakati ndidapeza matenda ashuga, ndimachiza ndimatenda, zonse zinali bwino! Ndidabereka mwana, zonse zili bwino ndi iye komanso shuga m'magazi ndipo ndidabadwa mkati mwa 48cm 3.325 kg kwa masabata 40! Pambuyo pa masabata 6 ndidapanga shuga wambiri ndi shuga ndimtundu wa 75 shuga ndipo nditatha maola awiri atatenga magazi, zotsatira zake ndimimba yopanda kanthu ndipo pambuyo pa maola 2 164, izi zikutanthauza chiyani? Ndi matenda ashuga ati omwe sanandisiye? Ndichite chiyani tsopano? Kutalika kwanga ndi 172 kulemera pambuyo pobadwa 62 (ndisanakhale ndi pakati pa 58) sindimadwala matenda onenepa kwambiri komanso sindinadwale, m'banja mwathu palibe amene anali ndi matenda osokoneza bongo ....
Zikomo kwambiri yankho lanu.

Meyi 23, 2014

Ayankha Volobaeva Lyudmila Yuryevna:

Masana abwino Malinga ndi zotsatira za mayeso a kulolera kwa glucose, mumakhala ndi kuphwanya kwa carbohydrate kulolerana. Amayi omwe ali ndi matenda osokoneza bongo ali ndi chiopsezo chachikulu chotenga matenda ashuga pambuyo pobereka.

Malangizo kwa inu: 1) zolimbitsa thupi.2) kuletsa kwa chakudya (confectionery, makeke, ufa). 3) kutsimikiza kwa mulingo wa glycosylated hemoglobin.

4) kusala kudya kwa shuga kamodzi pamiyezi itatu iliyonse.

Ultrasound ya chithokomiro England: hypoechoic, kapisozi kokhazikika, osakhazikika, palibe cysts. kakulidwe kazitsulo kakang'ono 10.6 Kudziwitsa - AIT. Kusanthula kwa ma Homons: TTG - 5, 71 (pafupipafupi mpaka 4,2), AkTPO - 8.6 (pafupipafupi mpaka 36), AkTG-197 (chizolowezi mpaka 115). Magazi a shuga - 4.5. Pambuyo pa masabata awiri, shuga yokhala ndi katundu -6.5 pamimba yopanda kanthu inali capillary (isanachitike panali kupsinjika kwakukulu ndi usiku osagona), patatha ola limodzi - 6.

9, patatha maola awiri - 6.1. Dokotala adakhazikitsa 25mkg ya eutirox, mafuta a nsomba kwa miyezi 6, vitamini E kwa miyezi 6, mafuta a mkungudza - miyezi iwiri. Adanenanso kuti sindingakhale bwino (170 kutalika, 52 kg), wokhala ndi vuto la matenda ashuga, kulibe SD mu banja, palibe wonenepa. Pa nthawi yoyembekezera, kulemera kunapeza 13 makilogalamu, mwana amabadwa 3150, palibe chotupa. Anamuuza kuti adye - chakudya 20. kufikira chimaliziro cha moyo.

Januware 14, 2014

Berezhnaya Irina Yuryevna amayankha:

Dokotala endocrinologist, Ph.D.

Moni Natalya
Mwapereka mayeso okwanira ndi nthawi yoikika. Funso la kutalika kwa chithandizo limatengera kumveka bwino pakutsatira malangizowa, ndipo, adzawongoleredwa. Kufotokozera vutoli kumapereka maziko olosera zam'tsogolo.

Moni, ndikupeza chithandizo kwa mwezi ndi theka ndikuzindikira matenda a gastroduodenitis, adachita gastroscopy, akuwonetsa Reflux, m'mimba mwathunthu wa bile, kupimidwa kwa chizolowezi cha kapamba, chiwindi, mawonekedwe a ndulu, kuyezetsa magazi kwa mayunitsi 50, creotinin 53m, urea 4.73m.

, hemoglobin 123, erythrocyte sedimentation rate 8, shuga anayesedwa mwachizolowezi, de nol adalandira chithandizo, quamatel 20 sizinathandize, panalibe zowawa ndipo sizinali, amapaka kuphika kwa solar, asanadye, ndipo atatha maola 1-2 atamwa, pakamwa lowuma , khungu lamanja, kufooka, khungu la khungu, nthawi zina limakoka m'chigawo cha mtima, mtima ndi wabwinobwino, zaka 3 zapitazo kutentha kunali 39, ndiye shuga idatsikira ku 1.5 -2, idapita osavomerezeka, ndiye zimatenga miyezi isanu kuti mukhale ndi pakati, kubereka, ndipo tsopano mkhalidwe wofananawo udayambanso, asanapezeke ndi gastritis, chifuwa chachikulu, mayeso anali amylase 44, creatinine 74, cholesterol 3. Madokotala sakudziwa kuti ine? Thandizo! Ine chakumwa mavitamini miyezi 1.5, osamwa paketi wotumbululuka ndi lotopetsa ....

Epulo 01, 2013

Mayankho Ventskovskaya Elena Vladimirovna:

Wokondedwa Lilia! Mudabweretsa zambiri zosagwirizana pano, Pepani. Zowonadi kuti mudakhala ndi kutentha kwa zaka 39 zapitazo, sizikugwirizana ndi gastroduodenitis ndi Reflux, koma m'malo mwake zinali nthawi yovomerezeka ya ARVI nthawi imeneyo.

Ponena za shuga la magazi ndi deta ina - ndingakulangizeni kuti mufunse wa endocrinologist. Chithandizo ndi kuonedwa ndi gastroenterologist wanu. Ngati mwabereka posachedwa, mutha kukhala ndi nkhawa yotentha, kusowa tulo, ndi zina zambiri.

Kenako ndikofunikira kumwa mavitamini, kutsatira boma lantchito ndikupuma, idyani bwino, etc.

Masana abwino Nditangokhala ndi shuga m'magazi amodzi, kuyesedwa kwa katundu kunachitika, zisonyezo zonse zinali zachilendo. Koma kuyambira pamenepo ndinayamba kuyang'anitsitsa shuga yanga. Chaka chatha ndidapereka magazi kuchokera m'mitsempha kupita ku glucose (pafupifupi kasanu pachaka), Zizindikiro sizinapitirire 5.1.

nthawi zambiri anali 4-4.6. Pokonzekera kutenga pakati, adotolo adalamula kuyesa kwa glucose kuchokera chala, motero zidadziwika kuti tsiku lomwelo ndidadutsa chala ndi mtsempha. Zotsatira: venous -4.6, capillary -6.34. Kutembenukira kwa endocrinologist, adayesa mayeso ndi katundu wa 75 g shuga.

Zotsatira: pamimba yopanda kanthu-5.53, mutatha maola 2-6.29. Dokotala adati izi ndi zofunikira, koma zotchulidwa kuti zipereke pa c-peptide, insulin ndi glycemic hemoglobin. Ndili ndi kulemera kowonjezera, kutalika kwa 164cm ndimalemera kwinakwake 78 kg.

Mwa njira, mayeso asanakhale ndi katundu, nthawi yomweyo ndinadzipereka kuti ndiziwononga zovulaza zonse, sindinazisiyire kunja konse, koma ndinayamba kugwiritsa ntchito mafuta osachepera.

Pazokhudzana ndi zonse zomwe tafotokozazi, ndili ndi mafunso kwa inu - kodi ndingakhalebe ndi matenda ashuga pakadali pano? Ndipo kodi magazi ochokera m'mitsempha sakanatha kuwonetsa izi kwa chaka chathunthu? Ndipo kodi kuletsa mafuta osungunuka kumatha kukhala zotsatira zabwino zabodza pakudutsa mayeso olemetsa?

Ogasiti 03, 2012

Mlangizi wothandizira wogwira ntchito yachipatala "Sinevo Ukraine" amayankha:

Shuga wovomerezeka wamagazi komanso zomwe zimayambitsa kupatuka

Kwa nthawi yayitali chizolowezi kugwiritsa ntchito mawu akuti shuga m'magazi, ngakhale izi zili zabodza pang'ono. Lingaliro la shuga m'magazi limatanthawuza gwero lokhalo lazinthu zopatsa thanzi m'ziwalo ndi minofu ya thupi - shuga.

Shuga, ikamwetsedwa, imaphwanyidwa mpaka glucose mothandizidwa ndi zinthu zapadera zamkati, ndipo imalowa m'magazi momwe mulili.

Gawo lake limagwiritsidwa ntchito popanga mphamvu zamthupi, ndipo mbali ina imasungidwa m'magazi a glucagon, omwe, pakufunika pang'ono, amawonongeka ndikusintha shuga.

Chifukwa chake, ndiye kuti glucose amene amakwezedwa m'magazi, koma tanthauzo la izi silisintha. Ichi ndi chizindikiro, ngati sichoncho matenda oopsa, monga matenda ashuga, ndiye chinthu choyenera kuchitika.

Chifukwa chiyani shuga m'magazi

Monga tafotokozera pamwambapa, glucose ndiye gawo lalikulu la michere yathupi lathu. Ndi monosaccharide - chotsiriza chomaliza cha kuphulika kwa mashuga ovuta m'mimba. Ndi glucose yomwe imakhudzana ndi njira zonse zosinthira mphamvu m'thupi lathu.

Machitidwe a glucose amatenga, kusungidwa kwake mu mawonekedwe a glycogen ndikusintha kosinthika ndikogwirizana. Nthawi zambiri imasungika m'magazi othandizira. Kupatuka kuzizwitsa - kulephera kwa kayendetsedwe kazomwe zimayambitsa matenda.

Imayendetsedwa bwanji

• adrenaline ndi norepinephrine - yopangidwa munthawi ya kupsinjika ndi zolimbitsa thupi mu ma gren adrenal,
• glucagon - amapangidwa mu kapamba, amamvera kuchepa kwa shuga,
• glucocorticoids - amapangidwanso mu tiziwalo timene timatulutsidwa m'mimba
• mahomoni a chithokomiro,
• mahomoni achilengedwe komanso a hypothalamic omwe amachititsa kuti pakhale mahomoni a chithokomiro komanso adrenal, potero amawonjezera shuga.

Vuto limodzi lokha limatsitsa shuga m'magazi - insulin yopangidwa ndi maselo a kapamba.

Chifukwa chake ziyenera kukhala zabwinobwino

Kuphatikiza apo mahomoni, shuga wamba m'magazi amathandizidwa ndi dongosolo laumwini la autonomic, lomwe limakulitsa kuchuluka kwa glucose m'chigawo chachifundo, kwinaku ndikutsitsa gawo la parasymsympathetic.

Zokhudza thupi ndi zoyambitsa matenda a hyperglycemia

Tidzazindikira kuti kuchuluka kwakuchulukirapo kungakhale kotani. Izi zimachitika mu milandu yotsatirayi:

• mutatha kudya
• ndi mavuto amanjenje
• pakulimbitsa thupi.

Kukula kwakanthawi kochepa kungakhale ndi:

• kupweteka kwambiri
• amayaka
• myocardial infarction kapena angina pectoris,
• atadwala khunyu.

Kugwiritsa ntchito mankhwala kwa nthawi yayitali kumatha kuwonjezera shuga. Mankhwala othandizira omwe amachititsa izi ndi glucocorticoids, kulera kwa mahomoni, mankhwala ena a antihypertensive ndi psychotropic, thiazide diuretics.

Kukula kosalekeza kwa glucose kumawonedwa ndi matenda akulu a metabolic - matenda ashuga. Lingalirani izi pang'ono.

Matenda a shuga, opangitsa kukula kwake

M'malo mwake, shuga imatha kukhala yoyamba komanso yachiwiri. Matenda oyamba a shuga ndi matenda awiri odziimira pawokha - matenda amtundu woyamba 1 komanso mtundu wa shuga.

Izi zimabweretsa kuyimitsidwa pang'ono kapena kwathunthu kwa mapangidwe a insulin ndi chiwalo chowonongeka. Palinso matenda omwe amachititsa kuphwanya kagayidwe kazachilengedwe ndikuwonjezera kupanga kwa mahomoni omwe amawonjezera shuga m'magazi. Ili ndi mkhalidwe wa pheochromocytoma, seketiataly, matenda a Itseko-Cushing.

Payokha, pali matenda osokoneza bongo omwe ali ndi pakati.

Mtundu woyamba wa shuga ndi matenda obadwa nawo a chilengedwe cha autoimmune. Ndi iyo, kudzipha kwokha kwa maselo a pancreatic omwe amapanga insulin kumachitika, ndipo shuga amasiya kumizidwa. Kuphatikiza apo, mapuloteni ndi mafuta amaphwanyidwa kwambiri, ndikuwononga thupi ndi zinthu za metabolic.

Anthu omwe ali ndi matenda amtundu wa 1 amakakamizika kupaka jakisoni wawo ngati mankhwala

Matenda a 2 a shuga amakula mosiyanasiyana. Komanso ndi matenda otengera kwa makolo. Ma cell a pancreatic secrete insulin, komabe, chifukwa cha zinthu zina ndi matenda, mphamvu zama cell omwe akufuna kuzikonza amachepa. Chifukwa chake, kuchuluka kwa shuga m'magazi kumachuluka ndipo insulin yambiri imawonedwa.

Ndikofunikira kuzindikira matendawa m'mayambiriro oyambirira. Ngakhale poyamba kusala shuga m'magazi kumatha kukhala kwachilendo kwa nthawi yayitali.

Zomwe zimayambitsa matenda a shuga:

• kunenepa
• kumwa mowa mwauchidakwa, makamaka wotsika komanso ambiri.
• kuperewera kwa chakudya mokwanira ndi kugwiritsa ntchito chakudya chambiri cham'mimba chambiri,
• kusuta, mwachindunji ndi kuyambitsa matenda oyanjana,
• ntchito yongokhala ndi kukana masewera,
• kupsinjika nthawi zonse, kuntchito komanso kunyumba,
• atherosulinotic ndi matenda oopsa.

Kugwiritsa ntchito kotchedwa "chakudya chofulumira" kumawonjezera chiopsezo cha matenda ashuga kakhumi

Kusanthula kwa shuga mwatsatanetsatane

Kuzindikira matenda a shuga komanso kulekerera kwa glucose, muyeso wamagazi amachitika. Pokonzekera kusanthula, ziyenera kukwaniritsidwa:

• Pamimba yopanda kanthu, ndipo ngakhale kugwiritsa ntchito madzi kulibe.
• Tsiku latha, muyenera kudya mwachizolowezi, kudya zakudya zonsezo komanso mitundu yonse ya zakudya, monga nthawi zonse,
• Yesetsani kupewa kupsinjika ndikuwonjezera kulimbitsa thupi kwamadzulo, popeza onse awiri amatha glucose pamlingo wothamanga ndipo kusanthula kungakhale kukondera,
• Ndikofunika kupeweratu kuwunikira pafupipafupi matenda opatsirana kwambiri, chifukwa zotsatira zake zimakhala zosadalirika.

Kuwerengedwa kwa shuga wamagazi ndi

• kuchokera chala chakumimba chopanda 3.5 - 5.5 mmol / lita
• kuchokera vein 4 - 6.0 mmol / lita

Pali magawo ena. Kutengera izi, kuchuluka kwa shuga kumachokera ku 60 mpaka 100 mg / dl. Kuti mumasulire kumasulira kuchokera ku mol / lita kupita ku milligram / milliliter, muyenera kuchulukitsa zotsatira ndi 18.

Mlingo wa shuga ndiwokhazikika. Zilinso chimodzimodzi kwa amuna ndi akazi.
Shuga amatha kusintha pang'ono masana. Mwachitsanzo, mutatha kudya, shuga wovomerezeka amatha kupitirira 7.8 mmol / lita. Ndipo chimenecho chizikhala chizolowezanso. Ndiye chifukwa chake pamafunika koyamba kupereka magazi pofuna kusala shuga.

Kutanthauzira kwa Zotsatira

Chifukwa chake, mwapereka magazi a shuga ndikuwona zotsatira zanu. Ngati shuga ndi ochepera 5.5 mmol / lita, zonse zili bwino. Ngati shuga achokera 5.5 mpaka 6.5 mmol / lita - pali vuto lomwe likufunika kuthana ndi mavuto mwachangu.

Mikhalidwe yotere, shuga akamakwezedwa komanso matenda a shuga sanakulirepo, amatchedwa kulolerana kwa shuga.

Kuphatikiza apo, amafunikira chidwi chokha kwa iwo kuti ateteze kupitirira ndi kukula kwa matenda ashuga.

Ngati zikuwonetsa kupitirira 6.5 mmol / lita, ndiye kuti mwina muli ndi matenda ashuga kale. Kufunika kofufuzidwa kuti ayesedwe ndikuyamba chithandizo chokwanira. Kuphatikiza apo, ngati pali kukayikira kwa matenda ashuga komanso kulekerera kwapakati, ndikofunikira kuyezetsa magazi ndi shuga ndikuwongolera glycated hemoglobin.

Mutha kuwerengenso:
Zakudya zokhala ndi shuga wambiri

Kuti mutsimikizire matendawa, gwiritsani ntchito mayeso otsatirawa:

1. Mobwerezabwereza kusala magazi.
2. Kulekerera kwa shuga m'magazi - mumapatsidwa chakumwa cha shuga chosungunuka m'madzi, atatha maola awiriwo kuyeza. Pankhaniyi, simuyenera kusuntha, kudya kapena kumwa mpaka musanthule. Zotsatira pansipa 7.8 mmol / lita zimadziwika kuti ndizochitika; kuyambira 7.8 mpaka 11.1 mmol / lita ndikuphwanya kulolerana. Mu matenda a shuga, chizindikiro ichi ndichoposa 11.1 mmol / lita.
3. Glycated hemoglobin ndi kuchuluka kwa magazi, komwe kumadziwika kuti kumawonetsa kuchuluka kwa shuga kwa magazi nthawi yayitali. Amayeza peresenti.Monga lamulo, imaphatikizidwa ndi zovuta ndi kuyezetsa magazi a biochemical, koma, chosangalatsa, sikofunikira kuti muwunike pamimba yopanda kanthu. Chiwerengero cha 5.7 kapena zochepa chimawerengedwa kuti ndi chabwino. Ngati glycated hemoglobin woposa 6.5%, matenda a shuga amatha kupezeka. Komanso, kutengera ndi kuwunika kumeneku mu matenda ashuga, munthu akhoza kuwunika ngati matendawa adalipidwa kapena ayi.

Mimba, ana ndi glycemia

Kusintha kwakukuru kumachitika mthupi la mayi woyembekezera kuwonetsetsa kuti mwana akudya mokwanira komanso kuti akula. Metabolism imasinthanso. Mwazi wa magazi panthawi yokhala pakati umakhala wokwera pang'ono ndipo umachokera pa 3,8 mpaka 5.8 mmol / lita. Iyenera kuwonetsa kuchuluka kwa chizindikiro pamwambapa 6.0 mmol / lita. Palinso matenda a shuga odzola, nthawi zambiri kuyambira masabata 26 mpaka 28.

Mwa ana osakwana chaka chimodzi, chizolowezi ndi 2.8-4.4 mmol / lita, mpaka zaka zisanu - 3,3-5.0 mmol / lita. Pazaka zamtsogolo - mochuluka monga akulu.

Ndani amafunikira komanso momwe angapereke jakisoni wa matenda a shuga

Zingwe za insulin za matenda a shuga ziyenera kuchitidwa, nthawi yonse ya moyo. Pakadali pano, mankhwala sakudziwa njira inanso yopititsira patsogolo shuga m'magulu a shuga a mtundu wodalira insulin komanso osadalira insulini. Odwala ayenera kusintha momwe amawonera jakisoni ndi kusawachitira ngati themberero, koma ngati njira yothandizira moyo.

Mukabayidwa, muyenera kupeza mita yolondola ya shuga. Ndi chithandizo chake, ndizotheka kuyendetsa matendawa. Osasunga m'malire kupita ku mita, apo ayi mwina mungagwiritse ntchito ndalama zambiri mtsogolo pothana ndi zovuta zowopsa.

Ndi mitundu yanji ya insulini yomwe ili pamsika?

Mpaka 1978, insulini yochokera ku nyama imagwiritsidwa ntchito pochiza matenda a shuga a shuga. Ndipo m'chaka chowonetsedwachi, chifukwa cha zopanga zamitundu, zinali zotheka kupanga insulin pogwiritsa ntchito Escherichia coli wamba. Masiku ano, insulin ya nyama sigwiritsidwa ntchito. Matenda a shuga amathandizidwa ndi mankhwalawa.

1. Ultrashort insulin. Kukhazikika kwa zochita zake kumachitika pakadutsa mphindi 5-15 pambuyo pa kupangika ndipo kumatenga mpaka maola asanu. Ena mwa iwo ndi Humalog, Apidra ndi ena.
2. Insulin yochepa. Awa ndi Humulin, Aktrapid, Regulan, Insuran R ndi ena. Kukhazikika kwa ntchito ya insulin ndi 20-30 mphindi pambuyo jakisoni ndi nthawi ya maola 6.
3. Insulin yapakatikati imayatsidwa m'thupi patatha maola awiri jekeseni. Kutalika - mpaka maola 16. Izi ndi Protafan, Insuman, NPH ndi ena.
4. Insulin yayitali imayamba kugwira ntchito ola limodzi kapena awiri jakisoni atatha mpaka tsiku limodzi. Awa ndi mankhwala monga Lantus, Levemir.

Chifukwa chiyani insulin iyenera kuperekedwa?

Zilonda zam'mimbazi zimalola kuti ma cell a pancreatic beta ayambirenso. Ngati chithandizo cha matendawa ndi insulin chikuyambika m'nthawi yake, mavuto amabwera pambuyo pake. Koma izi zimatheka pokhapokha ngati wodwala ali pachakudya chapadera ndi chakudya chochepa kwambiri.

Odwala ambiri amawopa kuti ayamba kulandira chithandizo ndi insulin, chifukwa pambuyo pake ndizosatheka popanda icho. Zachidziwikire, ndibwino kupaka jakisoniyo m'malo moika pachiwopsezo ndikuwonetsa thupi lanu zovuta zomwe zingayambitse zovuta zazikulu.

Pali ma cell a beta mu kapamba omwe amapanga insulin. Mukawapereka katundu wolemera, ayamba kufa. Amawonongekanso ndi shuga wambiri.

Mu gawo loyamba la matenda a shuga, ena mwa ma cell sagwiranso ntchito, ena amafooka, ndipo gawo lina limagwira bwino ntchito. Jakisoni wa insulin amangothandizira kumasula ma cell a beta. Chifukwa chake ma jakisoni a insulin ndi ofunika kwa odwala omwe ali ndi matenda amtundu uliwonse wa shuga.

Kodi tchuthi chanji?

Munthu akapezeka ndi matenda a shuga omwe amadalira insulin, ndiye kuti, ngati lamulo, amakhala ndi shuga wambiri.Ichi ndichifukwa chake amakhala ndi chizolowezi cha matenda ashuga, monga kuchepa thupi, ludzu, komanso kukodza pafupipafupi. Amadutsa ngati wodwala wayamba kubaya insulin. Kufunika kwake mankhwala atangoyamba kumene kumatsika kwambiri.

Mukasiya kubaya insulin, ndiye kuti shuga ya wodwalayo imakhalabe yokhazikika komanso yopanda malire. Lingaliro labodza ndilakuti kuchiritsa kuchokera ku matenda oopsa kwabwera. Izi ndizomwe zimatchedwa tchuthi.

Ngati wodwalayo amadya zakudya zoyenera (ndipo zili ndi chakudya chambiri), ndiye kuti matendawa amatha kumapeto kwa mwezi umodzi kapena iwiri, makamaka, mchaka chimodzi. Kenako kudumpha kwa shuga kumayambira - kuchokera kutsika kwambiri mpaka kukwera kwambiri.

Ngati mungatsatire zakudya zochepa zamafuta ndipo nthawi yomweyo jakisoni wachepetsa, ndiye kuti nthawi yokondwerera holide itha kukulitsidwa. Nthawi zina amatha kupulumutsidwa moyo. Zimakhala zowopsa ngati wodwalayo adasiya kubayitsa insulini ndikupanga zolakwika m'zakudya. Chifukwa chake amawulula zikondamoyo zambiri. Ndikofunikira nthawi zonse komanso molondola kuyeza shuga ndi jekeseni wa insulin kuti kapamba apumule. Izi zikuyenera kuchitidwa kwa mtundu uliwonse wa matenda ashuga.

Momwe mungapangire insulin mopweteka

Odwala ambiri amadandaula kuti jakisoni wa insulin adzapweteka. Amawopa kubaya moyenera mahomoni ofunikirawo, podziyika pachiwopsezo chachikulu. Ngakhale atapanda jakisoni wa insulin, amakhala mwamantha nthawi zonse kuti tsiku lina adzabaya jakisoni ndikumapweteka Komabe, izi siziri chifukwa cha insulini, koma chifukwa chakuti zimachitika molakwika. Pali njira yothandizira ma jakisoni osapweteka, ngati achita molondola.

Odwala onse ayenera kuyamba kubayirira insulin, makamaka mtundu wosadalira insulini. Ndi chimfine, njira yotupa, mulingo wa shuga umakwera, ndipo simungathe kuchita popanda jakisoni. Kuphatikiza apo, ndi mtundu uwu wa matenda ashuga, ndikofunikira kuti muchepetse katundu pama cell a beta. Ndipo ndi matenda a shuga a mtundu woyamba, jakisoni wotere ayenera kuchitidwa kangapo patsiku.

Insulin imalowetsedwa m'mimba. Dokotalayo amawonetsa odwala ake njira ya jakisoni wotere. Magawo ena amthupi omwe muyenera kukabaya ndi:

• m'mimba, m'munsi mozungulira msomali - ngati pakufunikira kunyamula mwachangu kwambiri,
• ntchafu yakunja - kuyamwa pang'onopang'ono,
• dera gluteal dera - kufupikitsa,
• panja paphewa ndikuthiridwa mwachangu.

Madera onsewa ali ndi kuchuluka kwakukulu kwa minofu ya adipose. Khungu pa iwo ndilothandiza kwambiri kupukutira ndi chala chamanthu. Ngati tagwira minofu, timalandira jakisoni wa mu mnofu. Zimabweretsa ululu waukulu. Pankhaniyi, insulini idzachitapo kanthu mwachangu, zomwe sizofunikira nthawi zina. Zomwezi zimachitikanso ngati mupereka jakisoni m'manja ndi mwendo.

Kuti mupeze bwino, tengani khungu pakhungu. Ngati khungu limakhala ndi mafuta ambiri, ndiye kuti ndi zolondola kumadulamo mwachindunji. Syringe iyenera kugwiridwa ndi chala, ndi awiri kapena atatu. Chachikulu ndikuti muyenera kuphunzira momwe mungapangire mwachangu, ngati kuti mumataya dart.

Kukhala kosavuta kwa inu kuti mupeze jakisoni watsopano yemwe ali ndi singano yochepa. Pakadutsa nthawi yomwe singano idagwa pansi pa khungu, kanikizani pisitoni kuti ipangitse madzi. Osachotsa singano nthawi yomweyo - ndibwino kudikirira pang'ono, ndikuchichotsa mwachangu.

Palibenso chifukwa chogwiritsira ntchito ma insulin. Poterepa, chiopsezo chachikulu cha kuphatikizidwa kwa insulin. Insulin yolinganizidwa sangagwiritsidwe ntchito chifukwa sachepetsa shuga. Mu syringe imodzi, sikofunikanso kusakaniza mitundu yosiyanasiyana ya mankhwalawa: iwo, kwenikweni, amakhala ndi zotsatira zosayembekezereka.

Jakisoni wodwala matenda a shuga

Odwala onse omwe ali ndi matenda amtunduwu ayenera kubaya insulin. Kupanda kutero, kukhala ndi shuga yambiri kumabweretsa zovuta zingapo zowopsa.Pamodzi ndi jakisoni, yesani kukwaniritsa zosachepera shuga, ndiye kuti kukulitsa nthawi ya tchuthi. Kumbukirani kuti insulin yochepa, yochepa, yapakati, komanso yayitali imagwiritsidwa ntchito pochiza matenda ashuga.

• Mlingo wotchulidwa,
• insulin jakisoni nthawi
• pafupipafupi jakisoni.

Ndipo zowonadi, mkhalidwe wabwinobwino wamunthu ndiwosatheka popanda kudya.

Kudziletsa

Anthu odwala matenda ashuga komanso anthu omwe ali ndi vuto lolephera kuyang'anira amafunika kuwunikira pafupipafupi, kangapo patsiku. Mwa izi, zida zosunthika zotchedwa glucometer zimagwiritsidwa ntchito.

Ma Glucometer opanga osiyanasiyana amatha kukhala ndi kusiyana kwina, koma lingaliro la kugwira nawo ntchito ndilofanana, komanso zida (zoperewera pobowoleza, zingwe zoyesera, chipangacho chokha ndi malangizo)

Poyesa shuga wamagazi ndi glucometer, muyenera:

• pendani pamimba yopanda kanthu,
• kusamba m'manja ndi sopo,
• gwiritsani ntchito malo opumira pogwiritsa ntchito mankhwala osokoneza bongo, makamaka ndi mowa,
• ndikwabwino kupangira pamtengo osati pakatikati pa chala.
• pukuta dontho loyamba ndi zinthu zosabala (bandeji kapena ubweya wa thonje),
• ikani dontho lachiwiri kumtambo woyeserera, mutasinthira mita, kutsatira malangizo,
• onani zotsatira zitatha kutha kwa kuwerengera ndi chipangizocho.

Ndi kusanthula mobwerezabwereza, tikulimbikitsidwa kusintha malo omwe amapezeka magazi pazala zosiyanasiyana zakumanzere ndi dzanja lamanzere kuti mabala azikhala ndi nthawi yochira komanso kutupa kusatukuka.

Zomwe shuga imakhala yoyipa kudya chakudya chamafuta

Zakudya zambiri zamatumbo zimathandizira kudumpha mu shuga komanso kufunika kwa insulin. Kenako, Mlingo waukulu wa inulin ungachepetse kuchuluka kwa shuga m'magazi. Ichi ndichifukwa chake sikulakwa kwa munthu wodwala matenda ashuga kudya zakudya zambiri zamagulu ochulukitsa.

M'malo mwake, ndikofunikira kukhutira ndi zochepa za chakudya, ndipo chifukwa chake, Mlingo wochepa wa mankhwalawa. Chifukwa chake mutha kusintha magazi anu kukhala olondola kwambiri. M'malo mophatikiza chakudya chochuluka, muyenera kudya mapuloteni (amakhutiritsa) komanso mafuta azamasamba athanzi.

Malonda omwe ali ndi mtundu uliwonse wamatenda ndi awa:

• nyama ndi nkhuku
• mbale zamazira
• mbale zam'madzi ndi nsomba zam'nyanja,
• masamba (obiriwira, kupatula mbatata, popeza ali ndi chakudya chamagulu ambiri),
• tchizi
• batala, kirimu wolemera, yogurt yaulere,
• mitundu ina ya mtedza,
• zopangidwa ndi soya.

Zotsatirazi ndizoletsedwa:

• maswiti
• mbewu zonse
• mafuta onse owuma
• zipatso zonse, komanso masamba omwe ali ndi chakudya,
• Zakudya zotchedwa shuga,
• mkaka wonse, tchizi tchizi.

Kudya kwa mapuloteni kumathandizanso shuga, koma osachuluka kwambiri, ndipo kulumpha kwake kumatha kuzimitsidwa nthawi zonse. Mafuta samachulukitsa glucose. Koma zakudya zopatsa mphamvu zamafuta ambiri zimakhazikitsa shuga ngakhale pazosagwirizana.

Jakisoni wa matenda ashuga limodzi ndi zakudya ndiwo mkhalidwe waukulu wowonetsera matenda amtundu uliwonse wa shuga popanda chiwopsezo cha zovuta.

Zizindikiro zokayikitsa bwanji

Matendawa odwala matenda ashuga amakhala amtundu wa shuga ndipo amayamba chifukwa cha kuperewera kwa michere ndimapangidwe am zilonda zam'mimba

Shuga wokwezeka wapamwamba amawoneka yekha pazinthu zazikulu zotsatirazi:

• ludzu
• kukodza mwachangu (polyuria),
• kulakalaka
• kufooka ndi kutopa,
• kuyabwa pakhungu,
• kukokana m'miyendo, nthawi zambiri usiku,
• pafupipafupi, matenda opatsirana operewera komanso otupa,
• Zizindikiro za lipid kagayidwe kachakudya mu mawonekedwe a chikasu pansi pa khungu, Hyperemia wa nkhope ndi makutu,
• zilonda zam'mimba za m'munsi.

Kuopsa kwa shuga wambiri komanso zotsatira zake

Kuchuluka kwa shuga kwa magazi kwa nthawi yayitali kumakhudza kwambiri mbali zonse za mtima, zamanjenje, ndi ma thupi ena. Zimabweretsa kuchepa kwa kukumbukira, nzeru, chitukuko ndi kupitilira kwa atherosulinosis yamitsempha yamagazi.

Zotsatira zake, zimatsogolera ku kugunda kwa mtima ndi sitiroko.Minyewa ya impso imakhudzidwanso, matenda a impso amayamba chifukwa cha matenda ashuga.

Matenda a shuga a polyneuropathy amakula, minyewa yam'mimba imasokonezeka ndikupanga zilonda zam'mimba, ndipo pambuyo pake gangrene.

Odwala omwe ali ndi shuga yayikulu magazi, amatha kukhala ndi nkhawa.

Momwe mungachepetse shuga komanso kupewa matenda ashuga

Njira zazikulu zochizira matenda amishuga amtundu uliwonse:

• kulimbana ndi kunenepa kwambiri,
• Zakudya zomveka bwino kupatula zakudya zathu zomwe zimapatsa mphamvu chakudya cham'mimba,
• Kuchita masewera olimbitsa thupi,
• kukana mowa ndi ndudu,
• Kutsatira popanda cholakwika pakuvomereza kwa madokotala.

Sinthani shuga - cholimbikitsira chabwino kuti muchepetse kunenepa

Komabe, ngati shuga adakwezedwa chifukwa cha matendawa, muyenera kumwa mankhwala omwe amapangidwa kuti muchepetse (Diabeteson, Metformin). Pankhani ya shuga wodalira insulin, kulandira mankhwala osakaniza ndi insulin kukonzekera kumayikidwa moyo. Ponena za matenda a shuga akumwa, nthawi zambiri chithandizo chamankhwala chokwanira.

Palinso zitsamba zotsimikiziridwa zomwe zimathandizira kuchepetsa shuga. Mwachitsanzo, Yerusalemu artichoke ndi adyo amakhala ndi zotsatira zabwino. Masamba onse kupatula mbatata ndi othandiza.

Chinsinsi chabwino cha kuphatikiza shuga ndi kulowetsedwa kwa mafuta ophika. Kuti muchite izi, ayenera kuthiridwa ndi madzi otentha ndikuumirizidwa kwa ola limodzi. Gwiritsani ntchito kulowetsedwa kangapo pa sabata tsiku lonse.

Chachikulu ndichakuti muzindikire kusokonekera kwa thupi mthupi kuti mupewe kukula kwa matenda ashuga. Ndipo ngati matenda a shuga ayambika, yambani chithandizo ndi kulandira insulin m'malo mwake musanachitike zovuta zazikulu.

Kuopsa kwa shuga magawo 24 - choti achite?

Magazi a glucose abwinobwino amachokera ku 3,3 mpaka 5.5 mmol / L. Kuwonjezeka kwa manambalawa kukuwonetsa prediabetes, mkhalidwe womwe umawopseza kukula msanga kwa matenda ashuga. Ma mfundo pamwambapa 8-11 mmol / L amadziwika kale matenda a shuga.

Ndipo ngati wodwala matenda ashuga ali ndi shuga wamagazi pafupi ndi mayunitsi 24, izi ndizowopsa kwambiri. Makhalidwe otere amapezeka mwa anthu omwe nthawi zambiri amadziwa matenda awo. Funso lanzeru ndiloti, ngati munthu akuthandizidwa, glucose angatuluke bwanji ku mfundo zotere? Pali kulongosola kwa chilichonse.

Kodi chiwopsezo cha shuga wambiri ndi chiani: kuopsa, zovuta, kupewa

Masiku ano, matenda ambiri amapezeka. Onsewa samasiyana mu zizindikiro zawo zokha, komanso m'kuvuta.

Ndikofunikira kusankha njira yoyenera kwa aliyense, kuti mumvetsetse ngati ndiowopsa. Akatswiri amakono amasiyanitsa matenda ngati a shuga.

Ndiye kuti, shuga wambiri amaphatikizidwa m'magazi a anthu. Koma kodi chiwopsezo cha shuga wambiri ndi chiyani?

Magulu odwala

Madokotala amagawa odwala m'magulu atatu.

1. Loyamba ndikuwopa anthu omwe, ngakhale ndi zochepa zosasangalatsa, amadzipha okha. Safuna kumva chilichonse, kuvomereza matendawa. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakhala kovuta. Zotsatira zake, chithandizo chamankhwala chofunikira chikufunika, zovuta zimayamba.
2. Chachiwiri ndi anthu omwe amanyalanyaza kwathunthu vuto la shuga. Amakonda kuchita zizolowezi pansi pa dzina "ikani mutu wanu mumchenga." Zotsatira zake, mavuto amabwera omwe amatha kupha. Mwazi wamagazi umakwera. Kuti izi zisachitike, muyenera kufunsa dokotala.
3. Chachitatu ndi chiwerengero chawo chaching'ono kwambiri. Awa ndi anthu omwe amatha kupenda mozama momwe zinthu ziliri ndikupanga chilichonse chofunikira kuti athane ndi matenda ashuga. Odwala awa sadzakhala ndi shuga wamagazi ambiri. Amatha kutsatira malangizo a dotolo, amapezeka m'njira zonse zotchulidwa.

Munkhaniyi, tikambirana za magulu awiri oyambirirawo, makamaka kwa iwo.Okhalawo amakhulupirira kuti matenda ashuga si chiganizo, ndipo omaliza ali ndi chidaliro kuti kusagwira ntchito kumabweretsa mavuto akulu. Akatswiri ambiri atsimikiza kuti ngati munthu ali ndi shuga wambiri, ndiye kuti izi sizowopsa. Monga lamulo, anthu azaka 30 zakubadwa amavutika ndi vutoli.

Chowonadi ndi chakuti chilengedwe, moyo wolakwika ndi kupsinjika kumayambitsa kukula kwa matendawa. Pakadali pano pali kuchuluka kwa mankhwala omwe angatsitsimule wodwala yemwe ali ndi matenda ashuga. Ndikofunikira kutenga chilichonse molondola ndikuyendera dokotala pafupipafupi. Popanda izi, ndizosatheka kupeza zotsatira zabwino, kuchuluka kwa shuga kwa magazi sikudzatsika.

Kodi matendawa ndi oopsa bwanji?

Mukamayesedwa, mavuto ambiri amatha kuwonekera. Onsewa amasiyana m'magulu awiri:

Loyamba limachitika chifukwa chakuti kuchuluka kwa shuga m'magazi kumasintha mosiyanasiyana. Ndikosatheka kuzindikira tanthauzo lake. Mavuto owopsa amakhala ndi hypoglycemia, ketoacidosis, ndi lactic acidosis.

Gulu lachiwiri ndi chifukwa cha kuchuluka kwa shuga m'magazi. Poterepa, munthu amakumana ndi mavuto otsatirawa:

• kuwonongeka kwa diso
• kuwonongeka kwa impso,
• lamumo
• ubongo umamwalira pang'onopang'ono
• mathero a mitsempha amakhudzidwa
• ziwalo zamkati zimakhudzidwa
• mafupa ndi mafupa amakhudzidwa.

Kuti zonsezi zitheke, ziyenera kuwonjezeredwa kuti matenda a hyperglycemia amakhudzana ndi chinthu chachikulu chomwe chimachitika ndi mtima ischemia, kugunda kwa mtima, ndi zina zambiri. Izi ndichifukwa cha kuwonongedwa kwa ziwiya zama coronary, zomwe zimagwira gawo lofunikira.

Werengani komanso Gangrene wam'madera akutali ngati vuto la matenda ashuga

Zitha kukhala zabwino ngati magazi a shuga amasungidwa mopanda malire. Izi zimayandikira munthu wathanzi.

Muno, kuthana ndi matenda a shuga sikovuta. Kuti muchite izi, mufunikira chithandizo choyenera komanso chosapindulitsa.

Njira zowalipirira zimangotengera zaka za wodwalayo, kupezeka kwake kapena kusapezeka kwa matenda.

Chifukwa choyamba

Mulingo wa shuga wamunthu umachulukirachulukira. Ndiko kuti, tsiku lonse, kusintha kwakuthwa pamlingo kumatheka m'malo a 8-13 mmol / L. Ndi njirayi, thupi limatha kupitilira miyezi ingapo. Mwa izi, zida zamkati zimagwiritsidwa ntchito, kuphatikiza njira zowalipiridwa.

Zotsatira zake, shuga pamitsempha yamagazi ingachitike. Zachidziwikire, ngati ali ndi zaka 30 zitha kudziwa njira iyi kumayambiriro, ndiye kuti zili bwino. Panthawi imeneyi, ndikotheka kukonza chilichonse ndikusintha mtundu wa shuga m'magazi.

Kuti muchite izi, ndikofunikira kuchita kafukufuku wina ndi katswiri. Sizachilendo kuti pali maphunziro ambiri kuti adziwe matenda.

Chifukwa chachiwiri

Mkulu wama glucose amalumpha kwambiri. Chifukwa cha izi, sizingatheke kuzindikira kufunika kolondola. M'mawa, masana ndi madzulo zizindikiro zosiyanasiyana.

Ndizofunikira kudziwa kuti kusiyana kwa 3 mmol / l sikofunikira, iyi ndivomerezeka. Kuphatikiza apo, akatswiri amadziwa kuchuluka kwa kusintha kwa glucose. Zoyenera, siziyenera kupitirira 4 mmol / l pa ola limodzi.

Ngati wodwalayo ali ndi phindu lina, ndiye kuti chithandizo ndikofunikira.

Chifukwa chokonzera

Chiwopsezo chathanzi. Izi ndizosowa, koma ndizofunikira kwambiri. Nthawi zina zimachitika kuti munthu ali wathanzi kwathunthu, samasamala, koma pali chiwalo chotere chomwe chimasokonezeka ndi matenda a shuga.

M'malo mwake, iyi ndi cholumikizira chofooka, chomwe chimabweretsa zovuta. Chochititsa chidwi chimadziwika.

Anthu 20 mwa anthu 100 alionse samakumana ndi mavuto, 5 peresenti ngakhale atakhala ndi shuga kwakanthawi kochepa, ena onse amakana.

Mankhwala amakono amathanso kukhudza zifukwa ziwiri zoyambirira. Owopsa kwambiri nthawi zonse amakhala okwera shuga. Munthu sangakhale mwamtendere, ali ndi zomwe akufuna. Ndikofunikira kutsatira zakudya, kukaonana ndi dokotala kuti mutsike kwambiri.Izi ndizowona makamaka kwa anthu azaka 30 ndi kupitilira.

Ntchito Yagulu

Malinga ndi lamulo la Unduna wa Zaumoyo wa 04.06.1991 No. Matenda a shuga molingana ndi lamuloli amapatsidwa gawo lachitatu: ili ndi mndandanda wazikhalidwe zomwe zimapereka ufulu wopatsa olumala. Ndime 15 imawonetsa matenda a shuga (mitundu yake ya insulin).

Izi zimatsogolera kukuchepera kwa moyo wa mwana. Amafuna chitetezo chamtundu, thandizo la boma.

Kupatula apo, mtundu wa matenda a shuga omwe amadalira insulin ndi omwe amachititsa kuti pakhale kusokonezeka kwakukulu kosagwiritsidwa ntchito kwa makina ndi ziwalo. Satifiketi ya udokotala pakapatsidwa vuto la kulemala imaperekedwa nthawi 1 mpaka zaka 18. Tsiku la 18 lakubadwa lisanachitike, ana amapita kukayesedwa.

Payokha, lipoti lachipatala limapangidwa za kufunika kopatsa mwana zida zothandizira. Izi zimaphatikizapo zida zapadera, zida zofunika kulipirira mkhalidwewo ndikuwongolera kusintha kwake.

Anathandizira

Malinga ndi malamulo a Federation, ana omwe akudwala matenda ashuga, nthumwi zawo ziyenera kudalira:

• kuperekedwa kwa chisamaliro chaulere kuchipatala (kapena mwanjira zokonda),
• kugawa mankhwala ofunikira,
• chiphaso cha kuthekera ndi chithandizo cha mankhwala a mwana amene ali ndi vuto linalake (nzika yoyendetsedwa nayo imapatsidwa voti yofanana),
• kuyenda kwaulere kumalo opangira chithandizo cha spa (kamodzi pachaka),
• kusiya msonkho
• kuvomereza kulephera kwathunthu pantchito yankhondo,
• kuchotsera pa zinthu zofunikira ndi renti mu 50%,
• kuchotsedwa pakulipira msonkho wamagalimoto (kuyenera kukhala katundu wa mwana wolumala),
• kumasula msonkho: nthaka, katundu wa munthu payekha, mphatso, cholowa,
• kubwezera ndalama zolipirira maphunziro apanyumba,
• kuvomerezedwa ku mabungwe ophunzitsira pamsika wopanda mpikisano.

Mabanja omwe ana odwala matenda ashuga amaleredwa ali ndi ufulu wogwira ntchito yolandira malo oyenera omwe angapangidwe pomanga kapena kukonza nyumba ndi malo awo.

Ufulu wowonjezereka umaperekedwa kwa makolo ngati mwana wawo wapezeka ndi matenda a shuga ndipo ali ndi vuto:

• Ulendo waulere kupita kumalo azithandizo,
• masiku 4 ochulukirapo mwezi uliwonse (woperekedwa kwa kholo limodzi),
• kuperekedwa kwa masiku 14 osaperekedwa,
• kuchepa kwa ndalama za msonkho,
• Nthawi yosamalira mwana wolumala yomwe yapatsidwa imawerengedwa kutalika kwa ntchito.

Ngati mwana wazindikiridwa kuti ndi wolumala wazaka zosakwana zisanu ndi zitatu, ndiye kuti kholo lomwe limam'samalira lili ndi zaka zopitilira 20, ali ndi ufulu wopuma pantchito pasadakhale: azimayi azaka 50, abambo 55.

Amayi aana omwe ali ndi zilema, omwe adalandidwa ufulu wawo, akhoza kulandira mwayi wokaona gawo loyang'anira kamodzi kamodzi pachaka kwa masiku 7.

Chilolezo chalemala

Asanamvetsetse momwe kuperekera kwa ana odwala matenda ashuga kumachitika, kulemala kuyenera kulembetsa. Adakali matenda a shuga aang'ono kwambiri. Ana onse omwe ali ndi matenda amtunduwu ali ndi ufulu kukhala ndi mwayi wokhala wolumala: gulu silinapatsidwe kwa iwo. Bungwe la zamankhwala limapereka tanthauzo kuti mwanayo ndi mwana wolumala. Kuti mupereke mawonekedwe awa muyenera:

• ntchito kuchokera kwa woimira boma (woyang'anira, kholo),
• chidziwitso cha mwana ndi woimira,
• zolemba zachipatala (khadi, zotsatira zoyeserera, kuchotsedwa kuchipatala),
• zambiri zokhudzana ndi kufunikira komwe adotolo akuti.

Mutapanga lingaliro ndikupereka gulu, muyembekezere kulandira zabwino. Ana amalandiriranso penshoni yodwala. Kukula kwake mu 2017 ndi ma ruble 11,903.51.

Makolo amathanso kudalira gawo laling'ono loti azisamalira mwana - izi ndi zolipira kwa kholo lomwe silikugwira ntchito lomwe limakakamizidwa kusamalira mwana yemwe ali ndi vuto. Kukula kwake kumakhazikitsidwa ndi Lamulo la Purezidenti wa Russian Federation ndipo amafika ma ruble 5500. kwa makolo ndi oyang'anira. Anthu ena adzalandira chindapusa mu kuchuluka kwa ma ruble 1200. Malipiro a pamwezi amachitika limodzi ndi penshoni ya mwana.

Kupeza mankhwala

Makolo omwe ali ndi ana olumala ali ndi chidwi ndi zomwe amapereka kwaulere ku pharmacy. Mankhwala aulere ayenera kutumizidwa ndi adokotala. Pansi pa malamulo, odwala omwe apatsidwa zilema amayenera kulandira:

• mankhwala opangidwa kuti muchepetse shuga,
• gluceter ndi kuyesa kuti,
• Mankhwala ena omwe amafunikira mankhwalawa pazotsatira ndi zovuta za matendawa.

Mankhwala ayenera kuperekedwa mwa kuchuluka kwa adotolo. The endocrinologist iyenera kutsogozedwa ndi muyezo wazachipatala kwa odwala omwe amadalira insulin. Amalemba mankhwala othandizira: ayenera kulandira pakadutsa mwezi umodzi kuchokera nthawi yomwe mankhwala adalandira. Pafupifupi mankhwala onse operekedwa kwa odwala matenda ashuga amakonda.

M'mwezi umodzi mutha kupeza:

• 100 mowa wa ethyl
• insulini, singano,
• syringes monga "Plyapen", "Novopen" 1 ndi 2,
• insulin

Komanso, odwala matenda a shuga amatha kudalira kuperekedwa kwaulere kwa mankhwala apadera. Mndandanda wamankhwala okondera:

• Insulin Glargin: yankho la subcutaneous makonzedwe,
• Insulin Aspart: yankho la jekeseni,
• Chitsulo cha Insulin: jekeseni pansi pa khungu,
• Insulin Aspart: kuyimitsidwa kwa biphasic kwa jekeseni,
• Human biphasic insulin mwa mawonekedwe a kuyimitsidwa kwa subcutaneous makonzedwe,
• Insulin Lizpro mwa njira yothetsera jakisoni,
• sungunuka wa insulin ya anthu mwa njira yothetsera jakisoni,
• Isulin insulin: kuyimitsidwa kwa jakisoni.

Mankhwala enieni amasankhidwa ndi adokotala. Ndani amafunikira insulini yaulere? Ana onse omwe ali ndi mtundu wa shuga wodalira insulin amayenera kulandira.

Kuphatikiza apo, mankhwala ena amadalira matenda ngati awa:

• kusankha beta-blockers
• beta ndi alpha blockers,
• zotumphukira za dihydropyridine, phenylalkylamine,
• ACE zoletsa
• angiotensin II olimbana nawo,
• HMG-CoA reductase inhibitors,
• mafupa
• kuthana kwa glycogen mahomoni,
• othandizira a gulu la penicillin, kuphatikiza ndi kuphatikiza ndi beta-lactamase inhibitors,
• salicylic acid (zotumphukira zake),
• chimfine.

Chinsinsicho chidalembedwa pamaziko a mayeso ndi mayeso. Nthawi zambiri, endocrinologists amakupangira mankhwala kuti akhale okwanira pamwezi. Mutha kulandira mankhwala okondera ku mafakitala apadera a boma m'madipatimenti apadera kuti muthe kupereka mankhwala kwaulere.

Mutha kudziwa zakupezeka kwa mankhwala aulere ku pharmacy yomwe ili pafupi ndi chipatala chanu. Nambala yake ya foni iyenera kuwonetsedwa pazoperekera mankhwala. Komanso, zidziwitso zokhudzana ndi ngati mankhwala aulere alipo zitha kupezeka poimbira anthu chithandizo chamankhwala.

Mitundu ina yothandizira

Kuphatikiza pa mankhwala aulere, ana omwe ali ndi matenda ashuga amathanso kulandira ndalama zothandizira kudziwa njira zodziwira matenda. Izi zikuphatikiza:

• glucometer
• zingwe zoyesera zofunika kuyeza shuga.

Ndikosavuta kudziwa kuchuluka kwa magawo a glucometer omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga 1. Kusankhidwa kuyenera kuchitidwa ndi achipatala, kutengera zizindikiritso zofunika.Nthawi zambiri, amaganiza kuti anthu omwe amadalira insulin amafunikira mizere 3 patsiku. Ngati zingwe zazikulu zowonjezera zikufunika kuti zitsimikizire ntchito zofunika, ndipo izi zatsimikiziridwa ndi madokotala, ndiye kuti titha kuyembekezera kuzilandira mu kuchuluka kofunikira.

Ngati bungwe la zamankhwala litazindikira kuti wodwala wodwala yemwe amadalira insulin amafuna mankhwala osagwirizana ndi chithandizo, amaperekedwanso kwaulere. Izi zikugwira ntchito kwa onse mankhwala ndi zida zofunika pakuwunika boma ndikukhalitsa wathanzi.

M'madera ena, amakana kupereka mizere yaulere mwa mayeso, kuti ndiwotheka kudya, osati chida chofufuzira. Koma kusaloledwa kwa zochitika zotere kumatsimikiziridwa ndi machitidwe oweruza.

Komanso, odwala amatha kubwera kuchipatala pafupipafupi 730 pachaka kukayeza magazi ndi kutsimikiza mtima kwa glucose.

Dongosolo la Boma la Russian Federation la pa Disembala 29, 2014 No. 2762-r lidawonetsanso mndandanda wazinthu zomwe zimaperekedwa ngati magulu azithandizo azamalamulo amaperekedwa malinga ndi zomwe zikulembedwera, komanso ndalama zomwe zimayikidwa m'thupi ngati gawo la mapulogalamu othandizira kupereka chithandizo chamankhwala kwaulere. Izi zikuphatikiza:

• machitidwe oyang'anira shuga,
• mapampu a kulowetsedwa ndi insulin okhala ndi glucometer
• insulin autoinjectors yokhala ndi ma cartridge osinthika ophatikizidwa,
• oyambitsa kulowetsedwa insulin cannula.

Mutha kudziwa momwe mungapangire zida ndi mankhwala kuchokera kwa katswiri kapena endocrinologist. Koma ngakhale atalandira zida zothandizira kuzindikira ndikusamalira zaulere, odwala (makolo awo) nthawi zambiri amayenera kugula zinthu zosiyanasiyana kuti azigula.

Thandizo kwa odwala omwe ali ndi matenda a shuga a mtundu II

Ngati munthu yemwe ali ndi matenda osokoneza bongo omwe amadalira insulin atapatsidwa chilema, ndiye kuti adzakhala ndi ufulu wolandila mankhwala aulere komanso azidziwitso.

Chifukwa chake, malinga ndi Unduna wa Zaumoyo Namba 748 pa 12/11 / 2007, odwala matenda ashuga akuyenera:

• Zida zoyeserera za 180
• Kupereka cholembera chindapusa chogwiritsira ntchito insulin (kamodzi, ngati kuli kotheka, kuikanso m'malo mwake kumachitika kamodzi pachaka 2),
• kuperekedwa kwa singano za jakisoni zolembera (110 pachaka).

Mndandanda wa mankhwala aulere a 2017 a mtundu wa 2 odwala matenda ashuga akuphatikiza mankhwala otsatirawa mu mawonekedwe a piritsi:

• Glyclazide
• Glycidone
• Acarbose
• Chikwanje,
• Glipizide,
• Glibenclamide,
• Glimepiride
• Metformin
• Repaglinide,
• Rosiglitazone.

Mankhwala oyenera amasankhidwa ndi adokotala. Amalemba mankhwala pazomwe adalandira kwaulere: kuchuluka kwa maphukusi amawerengedwa pamwezi. Dokotala amalemba mankhwala mogwirizana ndi ndandanda yolimbikitsidwa ya kumwa mankhwalawo. Monga lamulo, ndalama zotsika mtengo zam'nyumba zimaperekedwa kwaulere. Odwala ambiri amati sizothandiza. Chifukwa chake, muyenera kugula mankhwala mwachangu.

Koma kapangidwe ka muyezo wa chisamaliro chamankhwala kwa odwala omwe ali ndi matenda omwe samadalira insulini akuphatikizira mankhwala ena:

• othandizira omwe amakhudza mtima ndi dongosolo la mtima: ACE inhibitors, AT-1 receptor blockers, beta-blockers, calcium antagonists,
• othandizira magazi: antianemic, lipid-kuchepetsa,
• mankhwala ophatikizika
• mankhwala ofunikira zochizira kwamikodzo ndi impso,
• mankhwala opangira zochizira mafupa
• mankhwala ofunikira kuchiza ndi kupewa matenda opatsirana (mankhwala a antibacterial).

Akamalembera, anthu olumala ali ndi ufulu wolamula kuti apatsidwe mankhwala aulere.

Mukapereka gulu, wodwala matenda ashuga amalandira penshoni yolumala. Kukula kwake kudzatengera kutalika kwa ntchito, kuchuluka kwa mapenshoni omwe amapezeka.

Mankhwala Olumala

Pagulu la olumala lomwe mwapatsidwa, mankhwala ofunikira amayenera kuperekedwa kwaulere.Koma ngati wodwala wapezeka ndi matenda a shuga, ndiye kuti ali ndi ufulu kudalira thandizo laulere kuchokera ku boma. Pamodzi ndi olumala, ayenera:

• mankhwala opatsirana (mankhwala a hypoglycemic ndi mankhwala ochizira zotsatira za matenda ashuga),
• Patani mitunda yoyeserera mita
• perekani chithandizo chamankhwala, tumizani mayeso kumadera apadera.

Koma maubwino a odwala omwe ali ndi matenda a shuga a 2 opanda kulumala sadzalandira. Sayenera kudalira:

• kulandira penshoni
• kuchotsedwa kwa misonkho ndi chindapusa,
• kuchotsera ndalama zolipirira,
• kulandira chithandizo cha spa mwaulere.

Komanso, odwala matenda ashuga ayenera kugula pawokha glucometer.

Boma likuyesera kuthandiza anthu ndi ana omwe akudwala matenda a shuga. Koma nthawi zambiri thandizo lomwe limaperekedwa silokwanira: odwala amakakamizidwa kuti apeze gawo la mankhwalawo, kutanthauza kuti adziwe momwe alili komanso kulipira okha matendawa.

Zochita zolimbitsa thupi

Zochita za wodwalayo zimayenera chisamaliro chapadera. Ndikulimbikitsidwa kuti muzichita masewera olimbitsa thupi tsiku lililonse. Ndi njirayi, mafuta ochulukirapo amawotchedwa, ndipo minofu imalimba.

Mbali yabwino, glucose samayenda m'matumba. Ndiye kuti, zimachitika popanda mavuto, ngakhale ndi zochuluka.

Zokwanira mphindi 10-20 patsiku kuti mukhale ndi thupi. Njira zabwino zimaphatikizapo:

• akuyenda masitepe
• kuyenda paki ndi abwenzi
• sewera ndi ana
• gwiritsani ntchito zoyendera pagulu m'malo mwa zayekha.

Akatswiri amalimbikitsa kupewa zinthu zovuta. Ndiye kuti, musalumikizane ndi anthu osalimbikitsa. Ngati izi ndizosatheka, yesetsani kudziwongolera kuti musathe. Mutha kugwiritsa ntchito thandizo la wamisala kuti mupeze upangiri. Kupatula apo, ngati munthu waswa, ndiye kuti shuga ya glucose imalumphira kwambiri.

Simuyenera kugwiritsa ntchito fodya. Pali nthano kuti kusuta kumapumira. Koma awa ndi malingaliro olakwika. Chowonadi ndi chakuti pakusuta, maselo amthupi amakhala osasangalatsa. Nicotine wobwera umangowonjezera momwe munthu alili.

Nthawi zonse muziyang'anira nokha

Izi zimatanthawuza kuti kumachezera kwa dokotala komanso kupewa. Anthu ambiri amawona chipatala ngati malo owonjezerapo opumulira. Ngati chiwopsezo cha matenda ashuga ndiochulukirapo, motero mukupangiratu kusinthira ku chakudya chazomera ndikukhala pamenepo kwa miyezi ingapo.

Chithandizo cha mankhwala osokoneza bongo chitha kubweretsa zotsatirapo zosasangalatsa. Chowonadi ndi chakuti pali mankhwala amphamvu kwambiri omwe amachokera pazinthu zamafuta. Zachidziwikire, munthu amachotsa mwachangu zisonyezo za matenda ashuga, koma kapamba amalandilanso.

Miyezo ya shuga

Ndizofunikira kudziwa kuti chizolowezi chakhala chikudziwika kwanthawi yayitali, kumayambiriro kwa zaka za m'ma 1900. Chiwerengero chachikulu cha maphunziro chachitika kuti amalizire.

Tebulo likuwonetsa kuti kuchuluka kwa glucose ndikosiyana kwa munthu wodwala komanso wathanzi. Kuphatikiza apo, zimatengera chakudya. Ndikulimbikitsidwa kuti kuyesedwa kuchitike pamimba yopanda kanthu kuti mupeze zotsatira zolondola.

Ndipo pomaliza, ndikufuna kunena kuti ndikofunikira kuyeza kuchuluka kwa shuga m'magazi tsiku lililonse, sungani diary yapadera yowunikira, kutsatira zakudya zapadera. Ndi njira iyi, kuchotsa matenda ashuga ndikosavuta. Ngati china chake sichikuyenda bwino, muyenera kulankhulana ndi dokotala. Adzalembera maphunziro ndikupereka malangizo omwe angathandize mtsogolo.