Kodi matenda ashuga omwe amaphatikizidwa ndi kupuma movutikira amatanthauza chiyani?
Maonekedwe a mpweya woyipa silivuto lokongoletsa, limatha kuchitika chifukwa cha kusachita bwino mthupi, komwe kuyenera kuyang'aniridwa koyamba.
Zomwe zimachitika ndizosiyana kwathunthu - izi zitha kukhala zopanda pake pakamwa, kusowa kwa malovu, komanso matenda a ziwalo zamkati.
Chifukwa chake, ndi matenda am'mimba, fungo labwino limatha kumveka, ndi matenda am'matumbo - putrid.
M'masiku akale, ochiritsa samadziwa njira zamakono zothandizira kudziwa matendawa. Chifukwa chake, monga kuzindikira kwa matendawa, zizindikiro za wodwalayo zakhala zikugwiritsidwa ntchito monga kupuma koyipa, kusinthasintha kwa khungu, zotupa, ndi zizindikiro zina.
Ndipo masiku ano, ngakhale atakwaniritsa zinthu zambiri zasayansi komanso zida zamankhwala, madokotala amagwiritsabe ntchito njira zakale zopezera matendawa.
Kapangidwe kazizindikiro ndi mtundu wa ma alarm, omwe akuwonetsa kufunikira kukaonana ndi dokotala kuti akalandire chithandizo chamankhwala. Chimodzi mwazizindikiro zazikulu ndi kununkhira kwa acetone kuchokera mkamwa. Izi zikuwonetsa kuti kusintha kwamatenda kumachitika m'thupi la wodwalayo.
Komanso, zomwe zimayambitsa chizindikiro ichi mwa ana ndi akulu zimatha kukhala zosiyana.
Chifukwa chiyani acetone imanunkhiza mkamwa?
Fungo la acetone limatha kubwera pazifukwa zosiyanasiyana. Izi zikhoza kukhala matenda a chiwindi, acetonemic syndrome, matenda opatsirana.
Nthawi zambiri, fungo la acetone lochokera mkamwa limapangidwa mu matenda a shuga ndipo ndiye woyamba chizindikiro cha matendawa, chomwe chimayenera kulumikizidwa mwachangu.
Monga mukudziwa, matenda a shuga ndi kuphwanya kwakukulu kwa kagayidwe kazakudya chifukwa cha kuchepa kwa kuchuluka kwa insulin kapena chifukwa cha kuchepa kwa chidwi cha maselo kwa icho. Chochitika chofananira chimakonda kuyenda ndi fungo la acetone.
- Glucose ndiye chinthu chofunikira kwambiri chomwe thupi limafunikira. Imalowa m'magazi ndikudya zakudya zina. Kuti muchite bwino shuga, insulin imapangidwa pogwiritsa ntchito maselo a pancreatic. Ndikusowa kwa mahomoni, glucose sangathe kulowa mokwanira m'maselo, zomwe zimapangitsa kuti azifa.
- Mu shuga mellitus wa mtundu woyamba, timadzi timene timasowa kwambiri kapena insulini palibe. Izi zimachitika chifukwa cha zovuta zapakhosi, zomwe zimapangitsa kuti maselo azipereka insulin. Kuphatikizira chomwe chimayambitsa kuphwanya kumatha kukhala kusintha kwa majini, chifukwa chomwe kapamba sangathe kutulutsa timadzi tating'onoting'ono kapena kupanga insulin yolakwika. Zofanana ndi izi nthawi zambiri zimawonedwa mwa ana.
- Chifukwa chosowa insulini, shuga sitha kulowa m'maselo. Pachifukwa ichi, ubongo umayesa kupanga kuperewera kwa mahomoni ndipo umathandizira kupanga insulin kuchokera m'mimba. Mwazi wa shuga utakwera kwambiri chifukwa cha kuchuluka kwa glucose, ubongo umayamba kufunafuna mphamvu zina zomwe zitha kulowa m'malo mwa insulin. Izi zimabweretsa kudzikundikira kwa zinthu za ketone m'magazi, zomwe zimapangitsa kupuma koyipa kwa acetone kuchokera mkamwa, mkodzo ndi khungu la wodwalayo.
- Zofananazo zimawonedwa ndi matenda amtundu wa 2 shuga. Ndikofunikira kumvetsetsa kuti zinthu za acetone ndizowopsa, chifukwa chake, kuchuluka kwambiri kwa matupi a ketone m'thupi kungayambitse kupweteka.
Mukamamwa mankhwala ena mumkamwa, kuchuluka kwa malovu kumatha kuchepa, zomwe zimapangitsa kuti fungo liyambe.
Mankhwalawa amaphatikizapo mankhwala osokoneza bongo, ma antihistamines, mahomoni, okodzetsa ndi antidepressants.
Zoyambitsa Odor
Kuphatikiza pa matenda ashuga, kununkhira kwa acetone kuchokera mkamwa kumatha kuchitika pogwiritsa ntchito nthawi yayitali ndi mafuta komanso mapuloteni komanso mafuta ochepa. Potere, fungo limatha kuwonekera pakhungu kapena pakamwa, komanso mkodzo.
Kutalika kwa nthawi yayitali kumapangitsanso kuchuluka kwa acetone m'thupi, komwe kumapangitsa mpweya wabwino wosasangalatsa. Pankhaniyi, njira yodzikundikira matupi a ketone ndiyofanana ndi zomwe zimachitika ndi matenda ashuga.
Thupi likasowa chakudya, bongo limatumiza lamulo loti kuwonjezera kuchuluka kwa shuga m'thupi. Pambuyo pa tsiku, kuchepa kwa glycogen kumayamba, chifukwa chomwe thupi limayamba kudzazidwa ndi mphamvu zina, zomwe zimaphatikizapo mafuta ndi mapuloteni. Chifukwa cha kuwonongeka kwa zinthuzi, kununkhira kwa acetone kumapangidwa pakhungu komanso pakamwa. Kusala kudya kwakatalikirapo, kumanunkhira kwambiri.
Kuphatikiza fungo la acetone kuchokera mkamwa nthawi zambiri limakhala chizindikiro cha matenda a chithokomiro. Matendawa nthawi zambiri amayambitsa kuwonjezeka kwa mahomoni a chithokomiro, omwe amachititsa kuti chiwopsezo cha mapuloteni komanso mafosholo chiwonjezeke.
Ndi kukula kwa aimpso, thupi silingachotse kwathunthu zinthu zomwe zaphatikizidwa, chifukwa chake fungo la acetone kapena ammonia limapangidwa.
Kuwonjezeka kwa kuchuluka kwa acetone mu mkodzo kapena magazi kumatha kuyambitsa chiwindi. Maselo a chiwalochi akaonongeka, vuto la kagayidwe kachakudya limachitika, zomwe zimapangitsa kudzikundikana kwa acetone.
Ndi matenda opatsirana omwe amakhala nthawi yayitali, kuphulika kwa mapuloteni kwambiri komanso kuchepa thupi kwamthupi kumachitika. Izi zimatsogolera pakupanga fungo la acetone kuchokera mkamwa.
Pazonse, chinthu monga acetone m'miyeso yaying'ono ndiyofunikira m'thupi, komabe, ndikuwonjezereka kwakuthwa kwake, kusintha kwakuthwa muyezo wa acid-base ndikuwonongeka kwa metabolic kumachitika.
Zochitika zofananira nthawi zambiri zimawonetsa zizindikiro za matenda ashuga mwa akazi ndi abambo.
Mapangidwe onunkhira achikulire
Akuluakulu omwe ali ndi kununkhira kwa acetone kuchokera mkamwa mwawo amatha kukhala ndi matenda ashuga a 2. Choyambitsa mapangidwe ake nthawi zambiri chimakhala kunenepa kwambiri. Chifukwa cha kuchuluka kwa maselo amafuta, makoma amaselo amalephera ndipo samatha kuyamwa insulin mokwanira.
Chifukwa chake, odwala awa nthawi zambiri choyambirira chimasankhidwa ndi madokotala chakudya chapadera chothandizira kuchiritsa owonda, omwe amakhala ndi kudya zakudya zokhala ndi chakudya chochepa kwambiri cha chakudya.
Zinthu zabwinobwino za matupi a ketone mthupi ndi 5-12 mg%. Ndi chitukuko cha matenda a shuga, chizindikiritsochi chimakwera mpaka 50-80 mg%. Pachifukwa ichi, fungo losasangalatsa limayamba kumasulidwa mkamwa, ndipo acetone imapezekanso mkodzo wa wodwala.
Kupeza kwakukulu kwa matupi a ketone kumatha kubweretsa vuto. Ngati chisamaliro chachipatala sichiperekedwa munthawi yake, chikomokere cha hyperglycemic chimayamba. Ndi kuchuluka kwambiri kwa shuga m'magazi, pamakhala zoopsa m'moyo wa wodwalayo. Izi nthawi zambiri zimachitika chifukwa cholephera kudziletsa pakudya komanso kusowa kwa insulin. Kuzindikira kumabwerera kwa wodwala nthawi yomweyo atangomupanga mulingo wambiri wa timadzi timene timasoweka.
Odwala omwe ali ndi matenda ashuga, kukoka magazi m'magazi kumatha kukhala kolemala, komwe kumapangitsa kuti inshuwaransi isakwanitse. Izi zimayambitsa kuphwanya kapangidwe ka enamel ya mano, mapangidwe a zotupa zingapo mkamwa.
Matendawa amatulutsa fungo losasangalatsa la hydrogen sulfide ndipo amachepetsa mavuto a insulin m'thupi. Chifukwa cha kuchuluka kwa shuga m'magazi a shuga, fungo la acetone limapangidwanso.
Kuphatikiza achikulire, amatha kununkhiza mpweya woipa kuchokera ku acetone chifukwa cha anorexia manthaosa, njira zotupa, matenda a chithokomiro, komanso zakudya zosafunikira. Popeza thupi la munthu wamkulu limatha kuzolowera chilengedwe, fungo la acetone mkamwa limatha kupitilira kwa nthawi yayitali osayambitsa vuto.
Zizindikiro zazikulu za matendawa zimaphatikizapo kutupa, kusokonekera kukodza, kupweteka kumbuyo, kuthamanga kwa magazi. Ngati fungo losasangalatsa likutuluka mkamwa m'mawa ndipo nkhope yake ikunjenjemera kwambiri, izi zikuwonetsa kuphwanya dongosolo la impso.
Palibe chifukwa chachikulu kwambiri chomwe chingakhale chithokomiro. Ichi ndi matenda a endocrine dongosolo, momwe kupangika kwa mahomoni a chithokomiro kumachuluka. Matendawa, monga lamulo, amaphatikizidwa ndi kusakwiya, kutuluka thukuta, pafupipafupi. Manja a wodwala nthawi zambiri amanjenjemera, khungu limawuma, tsitsi limakhala lophweka ndipo limatuluka. Kuchepetsa thupi mwachangu kumachitikanso, ngakhale mutakhala ndi chidwi.
Zifukwa zazikulu za akuluakulu zimatha kukhala:
- Kukhalapo kwa matenda ashuga
- Zakudya zoperewera kapena zovuta kugaya chakudya,
- Mavuto a chiwindi
- Kusokonezeka kwa chithokomiro,
- Matenda a impso
- Kukhalapo kwa matenda opatsirana.
Ngati fungo la acetone limawoneka modzidzimutsa, muyenera kufunsa dokotala, kuyesedwa kwathunthu ndikupeza zomwe zidapangitsa kuchuluka kwa matupi a ketone mthupi.
Mapangidwe odor mu ana
Mwa ana, monga lamulo, fungo losasangalatsa la acetone limawoneka ndi matenda amtundu 1. Matenda amtunduwu nthawi zambiri amapezeka motsutsana ndi maziko amtundu wamatenda mukukula kwa kapamba.
Komanso, chifukwa chake chagona pakubadwa kwa matenda aliwonse opatsirana omwe amachepetsa thupi ndikuchepetsa kuchotsera kwa zinthu zotayika. Monga mukudziwa, matenda opatsirana amayambitsa kuwonongeka kwa mapuloteni, chifukwa thupi limalimbana ndi matenda.
Chifukwa chosowa kwambiri chakudya komanso kugona nthawi yayitali, mwana amatha kudwala matenda enaake acetonemic. Second syndrome nthawi zambiri imapangidwa ndimatenda opatsirana kapena osachiritsika.
Zofananazi mu ana zimayamba chifukwa cha kuchuluka kwa matupi a ketone, omwe sangathe kuchotsedwa kwathunthu chifukwa cha kuwonongeka kwa chiwindi ndi impso. Nthawi zambiri, zizindikirizo zimazimiririka muunyamata.
Chifukwa chake, chifukwa chachikulu chikhoza kutchedwa:
- Kukhalapo kwa matenda,
- Kusala chakudya choperewera,
- Anakumana ndi kupsinjika
- Kugwira ntchito mopitirira muyeso
- Matenda a endocrine
- Matenda a mitsempha
- Kuphwanya ntchito za ziwalo zamkati.
Popeza thupi la mwana limakhudzidwa kwambiri ndi kupangika kwa acetone m'thupi, fungo losasangalatsa mwa mwana limawonekera nthawi yomweyo.
Chizindikiro chofanana ndi matendawa chikuwoneka, muyenera kuyimbira ambulansi nthawi yomweyo kuti mupewe zovuta.
Momwe mungachotsere fungo
Wodwala yemwe ali ndi fungo loipa pakamwa ayenera kufunsa malangizo a endocrinologist. Dokotala adzalembera kuyesedwa kwa magazi ndi mkodzo kwa shuga ndi kupezeka kwa matupi a ketone.
Kumwa pafupipafupi kuchuluka kwamadzimadzi kumapangira kuchepa kwa malovu ndikuthandizira kupewa mapangidwe osafunikira. Kumwa madzi sikofunikira, mutha kungochotsa pakamwa panu, osameza madzi.
Kuphatikizira muyenera kukumbukira za zakudya zoyenera, kutsatira kwambiri zakudya zamafuta ndi kukhazikika kwa insulin mthupi.
Mpweya woyipa komanso shuga
Lokoma, zipatso kapena zolemba zochepa za peyala. Izi sizofotokozera za dessert, koma m'malo mwake, mawu awa amagwiritsidwa ntchito pofotokozera kupuma kosasangalatsa komwe kumalumikizidwa ndi matenda a shuga.
Mpweya wanu umatha kutsegula makiyi a thanzi lanu lonse.Kununkhira kwa zipatso kungakhale chizindikiro cha matenda ashuga, ndipo kununkhira kwa ammonia kumayenderana ndi matenda a impso. Momwemonso, fungo losasangalatsa la zipatso zambiri limatha kukhala chizindikiro cha matenda a anorexia. Matenda ena monga mphumu, cystic fibrosis, khansa yam'mapapo, komanso matenda a chiwindi amathanso kuyambitsa kununkhira kosiyanasiyana.
Mpweya woyipa, wotchedwanso halitosis, akuti amatha kugwiritsa ntchito ngakhale ndi madokotala kudziwa matenda ashuga. Posachedwa, ofufuza apeza kuti owunikira omwe amapuma amatha kudziwa bwino. Kodi mumadwala matenda ashuga asanakwane kapena matenda oyamba. Ku Western New England, kuyunivesite imayesa ndi mpweya, womwe umayeza kuchuluka kwa shuga m'magazi.
Dziwani chifukwa chake kupuma koipa kumatha kutsagana ndi matenda a shuga, ndikupeza zomwe mungachite.
Wodwala yemwe ali ndi matenda ashuga amafotokozera kuti ali ndi ludzu kwambiri komanso amapuma.
Zoyambitsa Kupuma Pangozi: Matenda a shuga
Mpweya woipa womwe umayambitsa matenda a shuga uli ndi zifukwa zazikulu ziwiri: matenda a periodontal ndi ma ketones akulu a magazi.
Matenda a shuga ndi periodontitis ali ngati lupanga lakuthwa konsekonse. Ngakhale matenda ashuga angayambitse matenda a periodontal, matendawa amathanso kubweretsa mavuto kwa anthu omwe ali ndi matenda ashuga. Pafupifupi munthu mmodzi mwa atatu alionse odwala matenda a shuga amakhalanso ndi matenda opatsirana. Matenda a mtima ndi sitiroko, omwe amatha kupezeka chifukwa cha zovuta za shuga, amaphatikizidwanso ndi matenda a periodontal.
Matenda a shuga angayambitse magazi kuyenda mthupi lonse, mpaka kumkati. Ngati mano anu ndi mano zilibe magazi okwanira, amatha kufooka komanso kuyamba kudwala. Matenda a shuga amawonjezera kuchuluka kwa shuga mkamwa, zimathandizira kukula kwa mabakiteriya, matenda ndi fungo loipa. Shuga wanu wamagazi akakhala pamwamba, zimapangitsa kuti thupi lizilimbana ndi matenda, zomwe zimapangitsa kuti mano azichiritsa.
Matenda a Periodontal amatchedwanso matenda a chingamu ndipo amaphatikizanso gingivitis, periodontitis yofatsa, komanso periodontitis yapamwamba. Matendawa, mabakiteriya amalowa m'matumbo ndi fupa lomwe limathandizira mano. Izi zingayambitse kutupa, ndipo, zimatha kukhudzanso kagayidwe ka magazi ndikuwonjezera shuga ya magazi, yomwe imakulitsa vutoli.
Ngati muli ndi matenda osachiritsika, ndiye kuti zimakhala zovuta komanso kutenga nthawi yayitali kuti muchiritse kuposa munthu wopanda matenda a shuga.
Zoyipa za halitosis: periodontitis, amenenso zikuphatikiza:
- mano ofiira kapena ofatsa
- gamu magazi
- mano ozindikira
- kutsitsa mano.
Thupi lanu likapanda kutulutsa insulin, ma cell samakhala ndi glucose ndipo amafunika mafuta. Kuti mulipirire izi, thupi lanu limasinthasintha kukonzekera B: mafuta oyaka. Kuwotcha mafuta m'malo mwa shuga kumatulutsa ma ketones, omwe amadziunjikira m'mwazi ndi mkodzo. Ma ketones amatha kupezekanso mukasala kudya kapena mukakhala ndi mapuloteni ambiri, otsika muzakudya zomanga thupi.
Mitengo yambiri ya ma ketoni nthawi zambiri imayambitsa kupuma kwabasi. Chimodzi mwazida, ma acetone (komanso mankhwala omwe amapezeka mu kupukutira misomali), ikani phula la msomali - ndipo imamveka ngati mpweya wanu.
Ma ketoni akakwera kukhala oopsa, pamakhala chiopsezo cha mkhalidwe woopsa wotchedwa matenda ashuga ketoacidosis (DKA). Zizindikiro za DKA zimaphatikizapo:
- Kutsekemera ndi zipatso zimapuma.
- kukodza pafupipafupi kuposa masiku onse
- kupweteka kwam'mimba, mseru kapena kusanza,
- shuga wamagazi ambiri
- kupuma movutikira kapena kufupika kwa mpweya
- chisokonezo.
Ichi ndi chiopsezo, makamaka kwa anthu omwe ali ndi matenda amtundu woyamba 1 omwe magazi awo ndi osayang'anira. Ngati muli ndi zizindikirozi, pitani kuchipatala mwachangu.
Mungatani
Vuto lalikulu la matenda ashuga ndi neuropathy, matenda amtima, periodontitis, ndi ena. Komabe, mutha kuchitapo kanthu kuti muchepetse matenda a chingamu. Pezani zowongolera ndikutsatira malangizo a tsiku ndi tsiku, monga:
- Pukuta mano anu kawiri patsiku ndikuwonetsa tsiku ndi tsiku.
- Kumbukirani kuyeretsa lilime lanu, lomwe limagawa mabakiteriya oyipa kwambiri.
- Imwani madzi ndikukhala pakamwa panu.
- Gwiritsani ntchito maswiti a peppermint kapena chingamu kuti mulimbikitse kupopera mphamvu.
- Pitani ku dokotala wamano nthawi zonse ndikutsatira malingaliro a chithandizo ndikuwonetsetsa kuti dokotala wamano akudziwa kuti muli ndi matenda a shuga.
- Dokotala wanu kapena dokotala wamano atha kukulemberani mankhwala othandizira kupaka ma mate.
- Ngati mumavala mano, onetsetsani kuti akukwanira bwino ndikuwatenga usiku.
- Osasuta.
Mupeza thandizo ngati mukufuna
Ngati muli ndi mpweya wabwino, ndiye kuti simuli nokha. Pafupifupi 65 miliyoni aku America omwe ali ndi mpweya woipa m'miyoyo yawo yonse.
Lero mwaphunzira zomwe zimayambitsa kupuma movutikira, zomwe zimatha kukhala chizindikiro cha china chake choopsa. Ngati muli ndi matenda ashuga, ndikofunikira kudziwa kuti kupuma kumatha kukuwuzani izi. Kuzindikira kwanu kungakupulumutseni ku matenda amakono.
Fungo la acetone mu matenda ashuga: Kodi munthu wodwala matenda ashuga amakhala ngati chiyani?
Kanema (dinani kusewera). |
Nthawi zambiri, zinthu zimayamba kumveka fungo la acetone mu shuga. Kuphatikiza poti chizindikiritso chotere chimabweretsa kusapeza bwino, zitha kutanthauzanso kupezeka kwa kusintha kwina kwa thupi.
Ndipo mukamayang'anira mwachangu vutoli ndikuchotsa zomwe zimayambitsa chizindikirocho, ndiye kuti mudzatha kukhala wathanzi komanso kupewa kuwonongeka kwina.
Fungo la acetone limawoneka pachifukwa, ndipo likuwonetsa kukhalapo kwa matenda ena. Mwakutero:
- kuwonongeka kwaimpso,
- mavuto ndi dongosolo la endocrine,
- kuperewera kwa zakudya m'thupi
- zovuta za chiwindi.
Kanema (dinani kusewera). |
Poyamba, fungo losasangalatsa lingasonyeze kuti wodwalayo amayamba nephrosis kapena dystrophy ya impso. Kuzindikira kumeneku kumayendetsedwa ndi kutupa kwambiri, kukodza kwamkati, komanso kupweteka kwambiri m'munsi.
Ngati zomwe zikuyambitsa ndikuyenda bwino kwa dongosolo la endocrine, ndiye kuti zizindikiro zowonjezera zitha kuwoneka ngati kugunda kwamtima. Nthawi zambiri kukhazikika kumawonjezera kukwiya kwa wodwala komanso thukuta kwambiri.
Cholinga chake chingakhale kusowa kwa chakudya m'thupi. Zotsatira zake, matupi a ketone amayamba kuwoneka. Mwanjira iyi, acetone amawonekera mkodzo. Kuphwanya kumeneku kumatha kuchitika chifukwa cha kagayidwe kachakudya mthupi. Cholinga cha izi chimawerengedwa ngati kusintha kwa zakudya, kufa ndi njala kwambiri komanso zakudya zingapo. Kapena matenda omwe amayambitsidwa ndi zovuta za metabolic. Ndizotsatira zomaliza zomwe matenda a shuga amakhala.
Munthu aliyense amene akudwala matendawa angavomereze kuti matendawa ali ndi zizindikilo zambiri zomwe zimadutsana ndi zizindikiro zamatenda ena.
Izi ndichifukwa choti matendawa amakhudza thupi lonse. Imakhudzanso magwiridwe antchito a chiwalo chilichonse ndipo imasintha kapangidwe ka selo lililonse. Choyamba, njira yogwiritsira ntchito shuga ikusintha. Maselo a thupi samalandira izi, zimayambitsa zizindikiro zingapo. Zina mwazo zimawoneka ngati fungo losasangalatsa. Potere, fungo limatha kutuluka pakamwa kapena munjira ina.
Nthawi zambiri, fungo la acetone mu shuga limawonekera mwa odwala omwe ali ndi matenda oyamba. Kupatula apo, ndi panthawiyi pomwe zovuta za metabolic zimadziwika.Anthu omwe akudwala matenda oyamba a shuga amakhala ndi vuto loti njira yogawikana mapuloteni ndi mafuta m'thupi lawo imakhala ndi vuto lalikulu.
Zotsatira zake, matupi a ketone amayamba kupanga, omwe amakhala chifukwa cha fungo lamphamvu la acetone. Izi zimadziwika kwambiri mumkodzo ndi magazi. Koma kukonza izi ndizotheka pokhapokha kuwunikira koyenera. Ndipo nthawi zambiri, odwala samalabadira za matendawa ndipo amatha kudwala mpaka atakhala ndi matendawa ndipo amakhala osagonekanso kuchipatala.
Ichi ndichifukwa chake, zizindikiro zoyamba za fungo lakuthwa za acetone zikaonekera, muyenera kufunsa dokotala.
Pambuyo pakuwunikira koyenera, dokotalayo adzatsimikizira kapena kukana kukhalapo kwa matenda ashuga mwa wodwala, ndipo akatsimikiziridwa, akhazikitsa gawo lake.
Fungo la thupi m'magazi a shuga limasintha chifukwa chakuti kuchuluka kwa matupi a ketone kumadziwika m'magazi. Izi zimachitika pamene thupi la wodwala silitenga glucose pamlingo woyenera. Zotsatira zake, zizindikilo zimatumizidwa ku ubongo kuti glucose m'thupi ndi yotsika kwambiri. Ndipo m'malo amenewo komwe kumakhalako, njira yachangu yodzikundikira imayamba.
Mwakutero, izi zimachitika m'magawo ogawa mafuta. Matendawa amathanso kukulitsa matenda monga hyperglycemia mu shuga mellitus, chifukwa nthawi zambiri matenda a shuga thupi silipanga mokwanira insulin, ndipo glucose amakhalabe m'magazi.
Mafuta ochulukirapo amachititsa kuti thupi la ketone lipangidwe. Zomwe zimapangitsanso kuwoneka ngati fungo losasangalatsa kuchokera mthupi.
Mwachizolowezi, fungo lamthupi ili limakhala lofanana kwa odwala matenda ashuga omwe ali ndi matenda amtundu woyamba. Ndi omwe ali ndi mseru wokwanira wamafuta komanso zovuta zama metabolic.
Komanso fungo la acetone limatha kuwoneka ndi matenda a shuga a mtundu wachiwiri. Pakadali pano chinthu ndichakuti pali mtundu wina wa zoopsa kapena matenda m'thupi. Koma chimodzimodzi, pazochitika zonsezi, zomwe zimapangitsa kununkhira ndi shuga wambiri.
Izi zikachitika, ndiye kuti nthawi yomweyo muyenera kuyimbira ambulansi ndikujambulira wodwala ndi insulin.
Ngati munthu ayamba kuona kuti akununkha kwa acetone, ndiye kuti muyenera kufunsa dokotala nthawi yomweyo. Kupatula apo, choyambitsa chiwonetserochi chimawonedwa ngati kusagwira bwino ntchito kwa ziwalo zamkati, komanso kusokoneza ma metabolic a thupi.
Choyambitsa choyamba chakuti panali mpweya wakuthwa kuchokera mkamwa ndikugwira ntchito kwa kapamba. Mwakutero, kuti siyipanga insulin yokwanira. Zotsatira zake, shuga amakhalanso m'magazi, ndipo maselo amawona kuti alibe.
Ubongo, nawonso, umatumiza zizindikilo zoyenera kuti pali kuchepa kwakukulu kwa insulin ndi glucose. Ngakhale omalizira ambiri amakhala m'magazi.
Mwakuthupi, izi zimawonetsedwa ndi zizindikiro monga:
- kulakalaka
- kukwera kwakukulu
- kumverera kwa ludzu
- thukuta
- kukodza pafupipafupi.
Koma makamaka munthu amamva kwambiri kumva kwamphamvu njala. Kenako ubongo umamvetsetsa kuti pali shuga wambiri m'magazi ndipo njira yopangira matupi a ketone omwe atchulidwa pano ayamba, chomwe chimakhala chifukwa chomwe wodwalayo amanunkhira acetone. Ndi mndandanda wa mphamvu zamagetsi, womwe, mwanjira yabwinobwino, umakhala ndi glucose ngati ilowa m'maselo. Koma popeza izi sizichitika, maselo amawona kusowa kwamphamvu kwa zinthu zamagetsi izi.
M'mawu osavuta, kununkhira kwa fungo lamchere la acetone kumatha kufotokozedwa ngati kuwonjezeka kwamphamvu kwa shuga m'magazi. Pankhaniyi, muyenera kupanga jakisoni wowonjezera wa insulin, koma ndibwino kukaonana ndi dokotala nthawi yomweyo.
Ndi madokotala okha omwe amatha kuyeserera kwathunthu ndikupanga kusintha koyenera kwa kuchuluka kwa insulin.Ngati mungodziwonjezera pawokha jakisoni, ndiye kuti mutha kuyambitsa kukula kwa hypoglycemia, ndipo nthawi zambiri zimatha ndi zotsatira zowopsa, ngati chikomokere cha glycemic.
Zoyenera kuchita ngati pali fungo la acetone mu shuga?
Monga zadziwika kale kuchokera kuzonse zomwe zanenedwa pamwambapa, ngati munthu amununkhira fungo lamphamvu la acetone mu shuga, ayenera kufunsa dokotala nthawi yomweyo.
Inde, fungo losasangalatsa ngati ili silikhala chizindikiro cha matenda ashuga nthawi zonse. Pali matenda ena angapo omwe amadziwika ndi fungo la acetone. Koma kuti mudziwe zomwe zimayambitsa zenizeni ndizotheka pokhapokha mayeso athunthu. Izi zimachitika makamaka ngati pali fungo lochokera mkamwa.
Mulimonsemo, munthu akangofika kukaonana ndi dokotala, amapezeka msanga kuti amupatse matenda ndipo amupatsanso njira yolandirira.
Ngati timalankhula makamaka za matenda a shuga, ndiye kuti, fungo la acetone limatha kuwoneka kuchokera mkamwa komanso mkodzo. Cholinga cha izi chimawerengedwa kuti ndi ketoacidosis wamphamvu. Ikatha kukomoka, ndipo nthawi zambiri imatha ndi imfa.
Ngati mukuwona kupuma koyipa mu shuga, chinthu choyamba chomwe muyenera kuchita ndikusanthula mkodzo wanu wa acetone. Itha kuchitika kunyumba. Koma, zoona, ndikofunikira kuyeserera kuchipatala. Kenako zotsatira zake zidzakhala zolondola kwambiri ndipo zidzatha kuyamba kulandira chithandizo chadzidzidzi.
Mankhwalawa pawokha amasintha mtundu wa insulin ndikuwupereka pafupipafupi. Makamaka pankhani ya odwala amtundu woyamba.
Nthawi zambiri, kununkhira kwakuya kwa acetone ndi chizindikiro cha matenda amtundu 1. Ngati wodwala akudwala mtundu wachiwiri wa matenda, ndiye kuti chizindikiro ichi chikuwonetsa kuti nthendayi yadutsa pagawo loyamba. Kupatula apo, mwa odwala okha izi kapamba samatulutsa insulin yokwanira. Mwakutero, kusowa kwake mthupi kumakhala chifukwa cha kununkhira.
Pamodzi ndi jakisoni wa analogue achilengedwe a insulin, mukuyenera kumangotsatira zakudya zokhwima ndikudya ndi pafupipafupi. Koma pokhapokha mutayamba kumwa jakisoni wa insulin nokha, ndi dokotala yekhayo amene angakupatseni jekeseni woyenera ndi mtundu wa jakisoni. Kupanda kutero, hypoglycemia ikhoza kuyamba, yomwe nthawi zambiri imatha kufa. Kanemayo munkhaniyi akukamba za zomwe zimapangitsa fungo la asetoni kudwala matenda ashuga.
Chimodzi mwazizindikiro zomwe akuti acetone amapezeka mumkodzo ndi matenda a shuga ndi fungo lolemera lochokera kumkamwa wamkamwa. Amachitira umboni kuti ma ketoni ambiri opangidwa m'magazi ndi ketoacidosis amapangidwa. Nthawi zambiri, kununkhira kwa acetone kuchokera mkamwa kumachitika m'mayambiriro a matenda ashuga, ndikuthandizira kuzindikira matendawo kuyambira pachiwopsezo ndipo nthawi yomweyo amayamba kulandira chithandizo. Komabe, shuga sindiye gwero lokha la fungo lamkamwa, chifukwa, musanapange matenda, ndikofunikira kupatula zomwe zatsala.
Kuti muchepetse kununkhira kwa acetone, ndikofunikira kudziwa komwe adayambira panthawi ndikuyamba chithandizo choyenera.
Kupezeka kwa matupi a ketone m'magazi ndikwabwinobwino. Koma chiwerengero chawo chikaposa zomwe zikuchitika, ndikofunikira kulabadira izi, chifukwa izi zikutanthauza kuwonjezeka kwa shuga. Pokhala ndi kuchuluka kwa matupi a ketone mthupi, fungo la ammonia limachokera kwa munthu wodwala matenda ashuga. Mutha kuyerekezera ndi fungo la maapulo wowawasa. Poyamba imanunkhiza kuchokera kumkamwa wamkamwa, pambuyo pake fungo limayamba kutuluka ndi fungo la mkodzo. Fungo la thukuta limayambiranso kupereka ammonia kapena acetone.
Choyambitsa chachikulu cha kupuma koyipa ndi ketoacidosis. Amayamba mtundu wa matenda a shuga 1 ngati chikhodzodzo chimalumikizika komanso osapatsidwa insulin. Pakadali pano, shuga amapitilira kuyenda, koma sangatengeredwe mu maselo chifukwa chosowa timadzi tambiri timadzi tambiri timadzimadzi totulutsa magazi. Maselo, osalandira glucose, amawononga mafuta ndi mapuloteni, ndipo kuchuluka kwa ma ketoni m'thupi kumachuluka, makamaka, acetone.Ndi fungo la acetone lomwe limamveka kuchokera kwa odwala matenda ashuga ndi ketoacidosis. Kupitilira apo, kuchuluka kwa acetone mu mkodzo kumawonjezeka, kotero mkodzo umanunkhanso mosasamala komanso mowopsa. Acetone mu mtundu 2 wa shuga ndiwokwera chifukwa cha matenda, kudya mosasamala, kapena kuvulala kwamtundu wina. Ndiponso, ngati mkodzo umanunkhira ngati acetone mu shuga, mwina ndi chizindikiro cha kukula kwa matenda amtundu 1.
Ma Caries amathanso kuyambitsa mpweya wabwino.
Koma matenda ashuga sindiwo kumene komwe amakupatsako kukoma. Mpweya woyipa umachitika pazifukwa zotsatirazi:
- kulephera kwa impso
- endocrine matenda,
- kukanika kwa chiwindi,
- kutupa kwamkamwa patsekemera (caries, periodontitis).
Gwero lina la fungo lenileni la acetone kuchokera mkamwa ndi acetone syndrome kapena acetonomy. Zimachitika mwa ana omwe ali ndi vuto la shuga. Mwa ana, mosiyana ndi akuluakulu, palibe ma enzyme omwe amagawa poizoni, motero acetone imadziunjikira m'thupi. Kuti muchepetse zinthu zochulukirapo, mwana ayenera kumwa madzi ambiri, chifukwa kusowa kwa madzi munthawi imeneyi ndi kowopsa. Zomwe zimayambitsa zingaphatikizepo kuchepa kwa chakudya cha ana, kupsinjika, kugwira ntchito mopitirira muyeso, kapena mtundu 1 wa shuga. Mwana akamakula msanga, zizindikiro zotsatirazi zimachitika:
- fungo loipa la malovu, ndowe ndi mkodzo,
- nseru
- ulesi
- cramping
- Mavuto opita kuchimbudzi m'njira yayikulu.
Bweretsani ku zomwe zalembedwa
Wodwala matenda ashuga sangathe kununkhira kuchokera pakamwa pake pakamwa chifukwa cha mawonekedwe a nasopharynx. Ndikothekanso kuzindikira kuchuluka kwa acetone mu shuga ngati zizindikiro zotsatirazi zilipo:
Ketoacidosis imatha kuwonetsedwa ndi thukuta lochulukirapo.
- kuchuluka kwanjala
- kufuna kumwa nthawi zonse,
- kutuluka thukuta kwambiri
- oyenda pafupipafupi,
- kuchuluka kwamawonekedwe.
Zizindikirozi ndi chizindikiro chochokera m'thupi kuti shuga m'magazi achuluka ndipo pakufunika kuchitapo kanthu mwachangu. Chizindikiro china chimatha kukhala kukoma kwa acetone mkamwa ndi matenda a shuga, limodzi ndi miasms ya acetone kapena ammonia. Mtsogolomo, matupi a ketone amafalikira thupi lonse la odwala matenda ashuga, ndipo fungo losasangalatsa limayamba kutuluka mkodzo wa wodwalayo.
Kuzindikira kwa ketoacidosis kumatha kutengera ndi zomwe zimachitika, kapena kunyumba nokha. Kuti muwone ngati acetone ali ndi mkodzo mu matenda a shuga, mutha kuyeserera:
- Pamimba yopanda kanthu, sonkhanitsani mkodzo mumtundu uliwonse wabwino.
- Pangani yankho la 5% ya sodium nitroprusside ndi ammonia.
- Onjezani njira yothetsera mkodzo.
- Yang'anirani kusintha kwa mitundu. Ngati mkodzo uli ndi acetone wambiri, madziwo amasandulika ofiira.
Mutha kugulabe mayeso apadera kumalo ogulitsa mankhwalawa, mwachitsanzo, Mayeso a Ketur, Kuyesa kwa Acetone, Ketostix, Samotest. Amagulitsidwa momwe amapangira mapiritsi kapena zingwe. Kuti mudziwe kuchuluka kwa ma ketoni, chovalacho chimamizidwa mchombo ndi mkodzo ndipo mtundu wake umayang'aniridwa malinga ndi tebulo potsatira malangizo.
Ngati wodwalayo adayamba kuda nkhawa za kupuma koyipa mu matenda a shuga, muyenera kufunsa dokotala kuti adziwe zomwe zimayambitsa kafukufuku. Kuti muchotse amber yosasangalatsa pamlomo wam'mimba wokhala ndi matenda amtundu wa 2, ndikokwanira kutsatira pafupipafupi zakudya zamafuta ochepa, kumwa madzi ambiri. Mutha kumatsuka pakamwa panu ndi madzi kuti muchotse fungo. Zokongoletsa za khungwa la oak, chamomile, sage ndi timbewu timathandiza kuchotsa fungo labwino la acetone. Muzimutsuka pakamwa panu mime kangapo patsiku.
Kapenanso, mutha kugwiritsa ntchito mafuta a masamba, ndikofunikira kuti muzitsuka pakamwa pawo katatu pa tsiku kwa mphindi 10. Ndikofunikanso kusintha zolimbitsa thupi, kudzipezera nokha zovomerezeka ndikuzichita mokhazikika osagwiritsa ntchito kwambiri ntchito. Ngati munthu ali ndi matenda ashuga amtundu 1, kuwonjezera apo, muyenera kusintha mtundu wa insulin yochita kupanga kuchokera kufupi kupita nthawi yayitali, ndikupanga jakisoni pafupipafupi.
Ngati simuchotsa zizindikiro za ketoacidosis pakapita nthawi, matendawa amathanso kukhala achilendo.
Kwa odwala matenda a shuga, ndikofunikira kuwunika thanzi lawo ndi moyo wawo kuti apewe kuchitika kwa acetone. Njira zothandiza kwambiri ndizochita zolimbitsa thupi pafupipafupi, kutsatira zakudya zoyenera ngati mtundu wa matenda, komanso chithandizo chokwanira cha insulin. Palibe chifukwa chomwe muyenera kumamwa mowa, popeza ma ethanol omwe amapezeka amathandizira kuwonjezera shuga komanso kuchuluka kwa ma ketones. Ndikofunikira kuyang'anira momwe khomo lamkamwa limayendera, kuwongolera kuchuluka kwa shuga m'magazi ndi ma ketoni a mkodzo. Komanso muziwona dokotala pafupipafupi ndikutsatira malingaliro ake.
Zomwe zimayambitsa ndi njira zochotsera mpweya woipa m'magazi a shuga
Kupumira koyipa m'magazi a shuga kumawonetsa kusokonezeka kwamatumbo mkati mwa thupi. Chifukwa chake, zikafika, ndikofunikira kwambiri kulumikizana ndi endocrinologist. Kuyesa kudziyimira palokha kuti muthane ndi mafungo osasangalatsa ndikosavomerezeka, chifukwa poyamba muyenera kukhazikitsa chomwe chimachitika.
Ngakhale isanayambike mankhwala amakono, anthu akale adatha kuzindikira matenda aliwonse ndi mpweya wabwino. M'malo mwake, ndizosangalatsa za "fungo". Umboni wa matenda a shuga wakhala ukuganiziridwa nthawi zonse ndipo mpaka pano mpweya wa acetone. Amapangidwa chifukwa cha Mlingo wambiri wa matupi a ketone mthupi. Nthawi zambiri, ayenera kukhala opambana 12 mg.
Acetone "fungo" ndi shuga wokwera woyamba limadziwonekera mkamwa, koma pambuyo pake limapezekanso pakhungu. Pakufufuza zasayansi, ma acetone amapezeka m'magazi ndi mkodzo. Chifukwa chake, kununkhira kwa acetone ndi "fungo" linalake la odwala matenda ashuga.
Kodi bwanji kupuma koyipa kumachitika mu shuga?
Fungo lochokera pamlomo wam'mayi wodwala matenda ashuga limatha kuwonekera pazifukwa zosiyanasiyana. Chachikulu ndikusowa kwa michere yofunika, chifukwa thupi silingadzipange payokha. Zotsatira zake, ma carbohydrate samangoyamwa. Ndikofunika kuganizira chifukwa chilichonse mwatsatanetsatane.
Ketoacidosis ndiyomwe imayambitsa matenda ambiri a halitosis mu mtundu 1 ndi mtundu 2 matenda a shuga. Imafanana ndi kununkhira kwa acetone komwe amagwiritsidwa ntchito ngati kupukutira msomali. Kodi fungo lotere limawoneka bwanji? Likukhalira kuti limapangidwa chifukwa cha kuchuluka kwa shuga m'magazi. Inde, chinthu ichi ndi chofunikira kuti thupi lizigwira ntchito bwino, koma osati zochuluka chotere. Kuti mupondereze, mumafunikira timadzi tomwe timapangidwa ndi kapamba. Mwa odwala matenda ashuga, maselo omwe ali ndi vuto lopanga timadzi timeneti timamwalira. Chifukwa chake, thupi likuyesera kugwiritsa ntchito shuga moyenera.
Izi zimathandizanso kupanga fungo la acetone, zomwe zikutanthauza kuwonjezeka kwa zomwe matupi a ketone amapezeka. Zotsatira zake zitha kukhala kuledzera kwa thupi lonse. Izi zimachitika kawirikawiri ndi matenda amtundu 1.
Koma ndi matenda amtundu wa 2, chomwe chimapangitsa kuchuluka kwa matupi a ketone kungakhale kuphwanya zakudya. Ngati wodwala matenda ashuga amadya zakudya zama protein ndi lipid, izi zimayambitsa njira za oxidative. Chowonadi ndi chakuti thupi la odwala matenda ashuga sangathe kuthana ndi lipids, motero amakhala ndi mankhwala opha poizoni. Komanso fungo la acetone limawoneka wopanda mafuta ambiri. Koma ngakhale ndi zochuluka za zinthu izi, zimachitikanso chimodzimodzi.
Chizindikiro cha ketoacidosis chimadziwulula mosiyanasiyana, kutengera kuopsa kwa matendawa. Chifukwa chake, kuwonjezera pa kununkhira kwa acetone, wodwala yemwe ali ndi matenda ashuga amatchulanso zina:
- kufatsa kumawonekera ndi nseru, kutopa msanga ndi mantha,
- digiri yapakatikati - khungu lopitirira, kumva ludzu, kupweteka komanso kuzizira.
Chifukwa cha kapangidwe kake ka nasopharynx, munthu wodwala matenda ashuga sangathe kumva bwino, koma anthu omwe amakhala naye akumva izi.
Acetonemic syndrome nthawi zambiri imakhala yaubwana ndipo singagwirizane ndi matenda ashuga. Komabe, zimachitikanso ndi matenda amenewa, pokhapokha ngati wodwala agwiritsa ntchito mankhwala ochulukirapo omwe cholinga chake ndi kuchepetsa kuchuluka kwa shuga. Njira yosalamulidwayo pamankhwala imayambitsa kusowa kwa shuga m'magazi, chifukwa ndipamene mankhwalawa amapangika. Fungo limafanana ndi maapulo owola ndi zipatso zina. Zizindikiro zazikulu ndikumakhala ndi mseru komanso kusanza.
Mu matenda a shuga, pafupipafupi etiology yofuma ya pakamwa imayambira ndi periodontitis ndi matenda ena amkamwa ndi mano. Izi ndichifukwa choti shuga imayambitsa kuphwanya magazi komanso kufooka kwa chitetezo cha mthupi, zomwe zimayambitsa matenda amkamwa. Ngati mulingo wa glucose umakwezeka m'magazi, ndiye kuti umakulitsidwa mkamwa, ndipo ndiwo malo abwino kwambiri ochulukitsa kwa tizilombo toyambitsa matenda.
- Chimbudzi ndi matenda ena am'mimba. Potere, fungo lochokera mkamwa mwa munthu wodwala matenda ashuga limafanana ndi zowola. Makamaka kuledzera kumawonedwa ndi diverticulum, ndiye kuti, kutulutsa ngati thumba ngati khoma la esophagus. Izi zimachitika motsutsana ndi maziko azakudya zomwe zimapezeka m'mimba, zomwe sizikumbidwa kwathunthu ndikuyamba kuwola.
- Zakudya zoyipa zimanunkha kuchokera mkamwa chifukwa chazovuta zomwe zimagwira ntchito pachiwindi. Amadziwika kuti thupi limasefa poizoni wapoizoni, koma kugwira ntchito kwa chiwindi kukayamba, kuledzera kumachitika.
- Nthawi zambiri ndimatenda a shuga, mpweya woipa umasintha ndikumwa mankhwala. Koma adotolo ayenera kuchenjeza za izi.
- Kulowerera kwa thupi, matenda a impso, poyizoni ndi kubereka kwa matenda am'mimba, momwe mukusowa ma enzymes a chimbudzi chokwanira. Izi zimathandizanso kuti munthu azikhala ndi matenda osokoneza bongo.
Ngati wodwala matenda ashuga ali ndi mpweya wosavomerezeka wopumira, muyenera kulumikizana ndi kuchipatala. Kuchitira panthawi yake kumachotsa zovuta komanso zovuta.
Ngati kununkha kwa matenda ashuga, muyenera kulumikizana ndi a endocrinologist ndikuyezetsa.
Kunyumba, mutha kuchititsa kafukufuku pogwiritsa ntchito mankhwala apadera ndi zida zoyesera. Amapezeka mu mawonekedwe a mizera, zizindikiro kapena mapiritsi, omwe amayenera kumizidwa mumkodzo wam'mawa. Phukusi lililonse lili ndi mtundu wapadera wautoto wosavuta kutsata.
Kuyesedwa kumachitika motere:
- M'mawa pamimba yopanda kanthu, sonkhanitsani mkodzo woyamba,
- chepetsa mzere wolowa,
- dikirani masekondi angapo
- yerekezerani za mtundu wake ndi tebulo.
Zina zomwe amakonda kwambiri ndi Ketur Test, Ketostix, Acetone Test, ndi Samotest. Zotsalazo zimakupatsani mwayi wodziwa osati kuchuluka kwa acetone, komanso glucose m'madzi amadzimadzi.
Ngati mulibe mankhwala apadera a pharmacy, mutha kugwiritsa ntchito njira yokhazikika yamowa wa Amia ndi Sodium Nitroprusside. Pambuyo polumikizana ndi mkodzo, onani kusintha kwamtundu. Pamaso pa acetone, imakhala ndi mtundu wofiira kwambiri.
Kuti muwone bwino chomwe chimayambitsa fungo losasangalatsa kuchokera pamlomo wamkati wodwala matenda ashuga, mayeso otsatirawa amachitika kuchipatala:
- kuyezetsa magazi kwa mitundu yosiyanasiyana ya mapuloteni, kuperewera, lipase, urea ndi zinthu zina,
- kuyezetsa magazi konse
- kutsimikiza kwa shuga ndi mahomoni,
- Kutulutsa mkodzo wathunthu wokhudza matupi a ketone, mapuloteni, shuga ndi matope,
- kudziwa ntchito ya enzymatic ya tiziwalo timene timatulutsa chiwindi ndi impso, pulogalamu imachitika.
- mayeso osiyanasiyana.
Munthawi zonsezi, ma labotale owonjezera ndi zida zothandizira amatha kupatsidwa.
Ndi amadalira a insulin (mtundu 1) matenda a shuga, izi zimachitika:
- mankhwala a insulin okwanira,
- kuyang'anira shuga mosalekeza
- zakudya zapadera zimawonedwa.
Ndi osadalira insulin (mtundu 2) matenda a shuga:
- zakudya zimasinthidwa
- mankhwala ochepetsa shuga amatengedwa,
- shuga
- zolimbitsa thupi zotchulidwa.
- Ndikofunika kuyang'anira mosamala mkamwa - kutsuka mano anu kawiri patsiku, gwiritsani ntchito lansalu kuti muchotse zinyalala za chakudya kapena zothira madzi. Kuphatikiza apo, nthawi zonse muziyang'ana ndi mano anu ndikuwonetsetsa kuti mumamuwuza za kukhalapo kwa matenda ashuga.
- Kuti muthane ndi chimbudzi, imwani madzi amchere - "Luzhanskaya", "Narzan", "Borjomi".
- Njira zolimbitsa thupi ndizotheka. Awa ndimasamba ofunda a alkaline enem, chifukwa omwe m'matumbo amachotsedwa acetone.
- Ngati chifukwa cha fungo losasangalatsa sichikukwera kwa matupi a ketone, ndiye kuti mankhwala amathandizidwa kuti athetse chazikulu.
- Zakudya sizimapatula zakudya zomanga thupi komanso zamafuta. Zokonda ziyenera kuperekedwa kwa zakudya zamatumbo.
- Mutha kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe ngati chithandizo chothandizira. Maphikidwe omwe ali oyenera inu, kaonaneni ndi dokotala.
- Onetsetsani katundu. Ndi koletsedwa konse kudya thupi ndi matenda ashuga.
- Tchera khutu ku zochitika zam'maganizo. Chowonadi ndi chakuti zochitika zovuta zimapangitsa kupanga norepinephrine (mahomoni omwe amatsutsana ndi insulin ya mahomoni). Izi zimabweretsa kukulira mkhalidwe wa wodwalayo.
- Osamamwa mowa.
Ngati mwapezeka kuti muli ndi odwala kapena anthu odwala matenda ashuga pafupi ndi mkamwa wa acetone kuchokera pakamwa panu, njira yabwino ndikukhazikitsa insulin m'magazi anu kuti mupewe kupsa. Osati munthawi iliyonse yomwe muyenera kuchita mantha, chifukwa choyambitsa kununkhira sichingadalire matenda ashuga. Yang'anani mwatsatanetsatane ndi fungo la fungo lanu ndikuyang'ana kwa endocrinologist.
Kodi matenda ashuga omwe amaphatikizidwa ndi kupuma movutikira amatanthauza chiyani?
Ngati mukuda nkhawa ndi mpweya woyipa, ndiye kuti mupeze zomwe zimayambitsa matenda a halitosis mu shuga.
Lokoma, zipatso kapena zolemba zochepa za peyala. Izi sizofotokozera za dessert, koma m'malo mwake, mawu awa amagwiritsidwa ntchito pofotokozera kupuma kosasangalatsa komwe kumalumikizidwa ndi matenda a shuga.
Mpweya wanu umatha kutsegula makiyi a thanzi lanu lonse. Kununkhira kwa zipatso kungakhale chizindikiro cha matenda ashuga, ndipo kununkhira kwa ammonia kumayenderana ndi matenda a impso. Momwemonso, fungo losasangalatsa la zipatso zambiri limatha kukhala chizindikiro cha matenda a anorexia. Matenda ena monga mphumu, cystic fibrosis, khansa yam'mapapo, komanso matenda a chiwindi amathanso kuyambitsa kununkhira kosiyanasiyana.
Mpweya woyipa, wotchedwanso halitosis, akuti amatha kugwiritsa ntchito ngakhale ndi madokotala kudziwa matenda ashuga. Posachedwa, ofufuza apeza kuti owunikira omwe amapuma amatha kudziwa bwino. Kodi mumadwala matenda ashuga asanakwane kapena matenda oyamba. Ku Western New England, kuyunivesite imayesa ndi mpweya, womwe umayeza kuchuluka kwa shuga m'magazi.
Dziwani chifukwa chake kupuma koipa kumatha kutsagana ndi matenda a shuga, ndikupeza zomwe mungachite.
Wodwala yemwe ali ndi matenda ashuga amafotokozera kuti ali ndi ludzu kwambiri komanso amapuma.
Mpweya woipa womwe umayambitsa matenda a shuga uli ndi zifukwa zazikulu ziwiri: matenda a periodontal ndi ma ketones akulu a magazi.
Matenda a shuga ndi periodontitis ali ngati lupanga lakuthwa konsekonse. Ngakhale matenda ashuga angayambitse matenda a periodontal, matendawa amathanso kubweretsa mavuto kwa anthu omwe ali ndi matenda ashuga. Pafupifupi munthu mmodzi mwa atatu alionse odwala matenda a shuga amakhalanso ndi matenda opatsirana.Matenda a mtima ndi sitiroko, omwe amatha kupezeka chifukwa cha zovuta za shuga, amaphatikizidwanso ndi matenda a periodontal.
Matenda a shuga angayambitse magazi kuyenda mthupi lonse, mpaka kumkati. Ngati mano anu ndi mano zilibe magazi okwanira, amatha kufooka komanso kuyamba kudwala. Matenda a shuga amawonjezera kuchuluka kwa shuga mkamwa, zimathandizira kukula kwa mabakiteriya, matenda ndi fungo loipa. Shuga wanu wamagazi akakhala pamwamba, zimapangitsa kuti thupi lizilimbana ndi matenda, zomwe zimapangitsa kuti mano azichiritsa.
Matenda a Periodontal amatchedwanso matenda a chingamu ndipo amaphatikizanso gingivitis, periodontitis yofatsa, komanso periodontitis yapamwamba. Matendawa, mabakiteriya amalowa m'matumbo ndi fupa lomwe limathandizira mano. Izi zingayambitse kutupa, ndipo, zimatha kukhudzanso kagayidwe ka magazi ndikuwonjezera shuga ya magazi, yomwe imakulitsa vutoli.
Ngati muli ndi matenda osachiritsika, ndiye kuti zimakhala zovuta komanso kutenga nthawi yayitali kuti muchiritse kuposa munthu wopanda matenda a shuga.
Zoyipa za halitosis: periodontitis, amenenso zikuphatikiza:
- mano ofiira kapena ofatsa
- gamu magazi
- mano ozindikira
- kutsitsa mano.
Thupi lanu likapanda kutulutsa insulin, ma cell samakhala ndi glucose ndipo amafunika mafuta. Kuti mulipirire izi, thupi lanu limasinthasintha kukonzekera B: mafuta oyaka. Kuwotcha mafuta m'malo mwa shuga kumatulutsa ma ketones, omwe amadziunjikira m'mwazi ndi mkodzo. Ma ketones amatha kupezekanso mukasala kudya kapena mukakhala ndi mapuloteni ambiri, otsika muzakudya zomanga thupi.
Mitengo yambiri ya ma ketoni nthawi zambiri imayambitsa kupuma kwabasi. Chimodzi mwazida, ma acetone (komanso mankhwala omwe amapezeka mu kupukutira misomali), ikani phula la msomali - ndipo imamveka ngati mpweya wanu.
Ma ketoni akakwera kukhala oopsa, pamakhala chiopsezo cha mkhalidwe woopsa wotchedwa matenda ashuga ketoacidosis (DKA). Zizindikiro za DKA zimaphatikizapo:
- Kutsekemera ndi zipatso zimapuma.
- kukodza pafupipafupi kuposa masiku onse
- kupweteka kwam'mimba, mseru kapena kusanza,
- shuga wamagazi ambiri
- kupuma movutikira kapena kufupika kwa mpweya
- chisokonezo.
Ichi ndi chiopsezo, makamaka kwa anthu omwe ali ndi matenda amtundu woyamba 1 omwe magazi awo ndi osayang'anira. Ngati muli ndi zizindikirozi, pitani kuchipatala mwachangu.
Vuto lalikulu la matenda ashuga ndi neuropathy, matenda amtima, periodontitis, ndi ena. Komabe, mutha kuchitapo kanthu kuti muchepetse matenda a chingamu. Pezani zowongolera ndikutsatira malangizo a tsiku ndi tsiku, monga:
- Pukuta mano anu kawiri patsiku ndikuwonetsa tsiku ndi tsiku.
- Kumbukirani kuyeretsa lilime lanu, lomwe limagawa mabakiteriya oyipa kwambiri.
- Imwani madzi ndikukhala pakamwa panu.
- Gwiritsani ntchito maswiti a peppermint kapena chingamu kuti mulimbikitse kupopera mphamvu.
- Pitani ku dokotala wamano nthawi zonse ndikutsatira malingaliro a chithandizo ndikuwonetsetsa kuti dokotala wamano akudziwa kuti muli ndi matenda a shuga.
- Dokotala wanu kapena dokotala wamano atha kukulemberani mankhwala othandizira kupaka ma mate.
- Ngati mumavala mano, onetsetsani kuti akukwanira bwino ndikuwatenga usiku.
- Osasuta.
Mupeza thandizo ngati mukufuna
Ngati muli ndi mpweya wabwino, ndiye kuti simuli nokha. Pafupifupi 65 miliyoni aku America omwe ali ndi mpweya woipa m'miyoyo yawo yonse.
Lero mwaphunzira zomwe zimayambitsa kupuma movutikira, zomwe zimatha kukhala chizindikiro cha china chake choopsa. Ngati muli ndi matenda ashuga, ndikofunikira kudziwa kuti kupuma kumatha kukuwuzani izi. Kuzindikira kwanu kungakupulumutseni ku matenda amakono.
Ambiri a ife tinkayenera kuchita ndi anthu m'moyo wathu omwe, polankhula, ochokera, kuti tiwayike pang'ono, osati fungo labwino kwambiri.Choyambirira chomwe chimadza m'maganizo: "Munthu amakhala ndi mano oyipa kapena samadziwa kuti msuzi ndi chiyani." Koma zifukwa zomwe zimawoneka ngati fungo loipa sizikhala zodetsa nkhaulitsa njira zaukhondo kapena kuwopa madokotala a mano.
Nthawi zambiri, mawonekedwe a amber amakhala chifukwa cha zifukwa zazikulu kwambiri kuposa zomalidwa. Izi zitha kukhala ma pathologies a ziwalo zamkati kapena vuto la endocrine. Timamvetsetsa chifukwa chiyani fungo la acetone lochokera mkamwa ndi matenda ashuga, komanso kudziwa kuti ketoacidosis ndi chiyani ndipo ndi chiopsezo chanji cha wodwalayo.
Kungakhale kulakwitsa kuganiza kuti kupuma kwamphamvu kumachitika kokha chifukwa cha mabakiteriya omwe amachulukana mumkamwa. Fungo lama acidic kapena la putrid limawonetsa kutayika m'matumbo. "Fungo" la acetone limayendera limodzi ndi matenda ashuga, limawonetsa hypoglycemia, ndiye kuti, kuperewera kwa zakudya m'thupi lathu. Njirayi imachitika, nthawi zambiri, motsutsana ndi zovuta za endocrine, komanso ndendende, mtundu 1 wa matenda ashuga.
Thupi laumunthu silitha kudzipangira payokha, motero, limatenga michere yomwe imalowetsa ndi chakudya.
Fungo la acetone kuchokera kwa anthu omwe ali ndi matenda amtundu wa 1 likuwonetsa chitukuko cha ketoacidosis, imodzi mwazosiyanasiyana za metabolic acidosis chifukwa cha kuchuluka kwa glucose ndi organic acetone m'magazi.
Glucose ndi chinthu chofunikira pakugwirira ntchito kwa ziwalo zonse ndi machitidwe. Thupi limazipeza kuchokera ku chakudya, kapena, gwero lake ndi chakudya chamagulu. Kuti mumwe ndi kuyamwa shuga, mumafunikira insulini yoperekedwa ndi kapamba. Ngati ntchito yake yasokonekera, thupi silingalimbane ndi ntchitoyi popanda thandizo lakunja. Minofu ndi ubongo sizikulandila chakudya chokwanira. Mtundu I shuga, chifukwa cha kapamba, maselo omwe amapereka mahomoniwo amafa. Thupi la wodwalayo limatulutsa insulin yaying'ono, kapena samayipanga konse.
Glycemia ikachitika, thupi limalumikiza zomwe zimasungidwa. Ambiri amva kuti shuga imanunkhiza ngati acetone kuchokera mkamwa. Zikuwoneka chifukwa cha kugwiritsidwa ntchito kwa shuga popanda kutenga insulini. Thupi lomwe limachita izi ndi acetone. Amapezeka mthupi la munthu wathanzi, amatenga nawo mbali mu kagayidwe kazakudya ndipo alibe zotsatira zoyipa.
Koma ndi kuchuluka kwa matupi a ketone m'magazi, kuledzera kumachitika.
Mankhwala oopsa kwambiri amathandizidwa mkodzo ndipo, ndiye kuti, thupi lonse limanunkhiza. Mtundu wachiwiri wa matenda ashuga, momwemonso. Ndikofunika kukumbukira kuti poizoni wa ketone amatha kutha.
Choyambitsa fungo la mtundu wa 2 odwala matenda ashuga nthawi zambiri chimakhala chakudya chosakwanira.
Ngati chakudyacho chili ndi mapuloteni komanso mankhwala a lipid, thupi limakhala "acidified".
Nthawi yomweyo, pakapita kanthawi, ketoacidosis imayamba kukula m'thupi, chomwe chimapangitsa kuchuluka kwa mankhwala oopsa. Vutoli limachitika chifukwa cha kulephera kwa thupi kuphwanya lipids. Ndiyenera kunena kuti chizindikiritso chofanana chikhoza kukhalanso mwa munthu wathanzi, ngati amakonda kusala, amatsatira zakudya zopanda mafuta osokoneza bongo, monga "Kremlin" kapena dongosolo la zakudya la Montignac.
"Skewing" potsogola zakudya zochulukirapo zamafuta, makamaka zosavuta kugaya, ndi matenda amtundu II zimabweretsa zotsatirapo zomvetsa chisoni.
Takambirana kale pazifukwa izi.
Mpweya wathu wa nasopharynx unapangidwa mwanjira yoti tisamve fungo labwino la kupuma kwathu. Koma omwe ali pafupi, makamaka apafupi, ayenera kusamala pozindikira fungo lakuthwa, lomwe limadziwika kwambiri m'mawa. Mafuta osasangalatsa omwe ali ndi acetone, ochokera kwa munthu, ndiye chifukwa chowunikira kwathunthu kwa thupi. Chizindikiro chofananacho chikuwonetsa kukula kwa ma pathologies akulu, monga:
- acetonemic syndrome (kulephera kwa kagayidwe kachakudya),
- matenda opatsirana omwe amaphatikizidwa ndi kutentha kwambiri kwa thupi
- chiwindi ntchito,
- kulephera kwa aimpso
- mtundu 1 shuga
- poyizoni (poizoni kapena chakudya),
- kupanikizika kwa nthawi yayitali
- kobadwa nako pathologies (kuchepa kwa michere yam'mimba).
Mpweya woyipa umatha kuchitika ndi ena opanga mankhwala. Kuchepetsa kuchuluka kwa malovu kumathandizira kuwonjezeka kwa mabakiteriya azachilengedwe, omwe amangopanga "kununkhira".
Kununkhira kwakukulu nthawi zonse kumawonetsa momwe ma pathological akuwonekera m'thupi, zomwe zimapangitsa kuti magazi azikhala ndi michere yambiri - zotumphukira za acetone.
Zizindikiro zimatengera kuphatikizidwa kwa ketone mankhwala m'magazi. Ndi mtundu wofatsa wa kuledzera, kutopa, nseru, ndi mantha zimawonedwa. Mkodzo wa wodwalayo amanunkhira acetone, kuwunika kumavumbula ketonuria.
Ndi ketoacidosis wokwanira, pamakhala ludzu lochulukirapo, khungu louma, kupumira mwachangu, nseru komanso kuzizira, kupweteka pamimba.
Kuzindikira kwa ketoacidosis kumatsimikiziridwa ndi kuyesa kwa magazi ndi mkodzo. Komanso, mu seramu yamagazi mumakhala ochulukirapo pazomwe zimakhala mu ketone matupi 16-20 motsutsana ndi chikhalidwe cha 0.03-0.2 mmol / L. Mu mkodzo, mumapezeka kuchuluka kwa ma acetone ena.
Matendawa amayenera kukambirana mosiyana, chifukwa zimachitika mwa ana okha. Makolo amadandaula kuti mwana sakudya bwino, nthawi zambiri amadwala, atatha kudya, kusanza kumawonedwa. Ambiri amadziwa kuti fungo lonunkhira lofanana ndi fungo la munthu m'matenda a shuga limachokera mkamwa mwa khanda. Palibe chachilendo mu izi, chifukwa chomwe chimapangitsa izi ndizowonjezera za matupi a ketone.
- Fungo la maapulo oyipsa omwe amachokera mkodzo, khungu ndi malovu,
- kusanza pafupipafupi
- kudzimbidwa
- kutentha kuwonjezeka
- kukopa kwa pakhungu
- kufooka ndi kugona,
- kupweteka m'mimba
- kukokana
- arrhythmia.
Kapangidwe ka acetonemia kumachitika motsutsana ndi maziko a kusowa kwa glucose, komwe kumagwira ntchito ngati mphamvu. Ndi kuchepa kwake, thupi la munthu wamkulu limapita kumasitolo a glycogen, mwa ana sikokwanira ndipo m'malo mwake mumakhala mafuta. Pochita kaphatikizidwe, mamolekyulu amafuta amapanga acetone ndi zotumphukira zake. Inde, chilengedwe chimapereka njira zoyipirira pamilandu yotere.
Akuluakulu, mankhwala oopsa amawonongeka ndi ma enzyme, koma mwa ana aang'ono sakhalapobe.
Chifukwa chake, acetone owonjezera amadziunjikira. Pakapita kanthawi, thupi limayamba kupanga zinthu zofunika ndipo mwanayo amachira.
Komabe, chiopsezo chachikulu cha matendawa ndi kufooka thupi kwambiri.
Monga lamulo, kuchotsa mwana kuchokera ku malo ovuta kumalola kuti njira ya shuga iperekedwe pamitsempha, komanso mankhwala a Regidron.
Zizindikiro monga mkhalidwe wa pakhungu, kununkhira kochokera mkodzo kapena mkamwa mwa wodwalayo kungakayikire kupezeka kwa zosokoneza mthupi. Mwachitsanzo, kupuma movutikira kumangowonetsa osati ziwonetsero za caries kapena matenda a chingamu, komanso zovuta zazikulu. Zomwe zimayambitsa zimatha kukhala diverticulum (chotupa chokhala ngati khoma la esophagus) pomwe tinthu tating'onoting'ono timakola chakudya. Vuto lina lomwe lingachitike ndi chotupa chomwe chimayamba m'mero. Zizindikiro zophatikizana: kutentha kwa mtima, kuvuta kumeza, kupindika pammero, kupweteka m'dera lachiberekero.
Fungo la zakudya zowola limadziwika ndi matenda a chiwindi. Pokhala fayilo yachilengedwe, chiwalochi chimapopera zinthu zapoizoni m'magazi athu.
Koma ndikupanga ma pathologies, chiwindi chokha chimakhala chowonjezera cha poizoni, kuphatikizapo dimethyl sulfide, yomwe imayambitsa amber yosasangalatsa.
Kumaoneka ngati "fungo" labwino ndi chizindikiro cha zovuta zazikulu zaumoyo, zikutanthauza kuti kuwonongeka kwa chiwindi kwapita patali.
Ndi fungo la maapulo owola omwe ali chizindikiro choyamba chodwala ndipo ayenera kukhala chifukwa chopita kwa endocrinologist.
Muyenera kumvetsetsa kuti kununkhira kumawonekera pamene chizolowezi cha shuga chamagazi chikuwonjezeka nthawi zambiri ndipo gawo lotsatila pakukula kwa matendawa limatha kukhala kuphwanya.
Mankhwala a pharmacy amakupatsani mwayi wophunzirira kupezeka kwa ma ketones mumkodzo nokha, osalumikizana ndi bungwe lazachipatala. Ma chingwe cha mayeso a Ketur, komanso zizindikiro za Acetone Test, ndizosavuta kugwiritsa ntchito. Amamizidwa mumtsuko ndi mkodzo, kenaka mawonekedwe ake amawayerekeza ndi tebulo lomwe lili phukusi. Mwanjira imeneyi, mutha kudziwa kuchuluka kwa matupi a ketone mumkodzo ndikuyerekeza iwo ndi mawonekedwe. Mikwingwirima "Samotest" imakupatsani mwayi nthawi yomweyo kudziwa kukhalapo kwa acetone ndi shuga mkodzo. Kuti muchite izi, muyenera kugula mankhwalawa nambala 2. Ndi bwino kuchita kafukufuku woterewu pamimba yopanda kanthu, popeza kuchuluka kwa zinthu mkodzo kumasintha tsiku lonse. Ndikokwanira kungomwa madzi ambiri, kuti zizindikirazo zimacheperapo kangapo.
Mwachiwonekere, njira yodziwika yodzitetezera pakuwonekera kwa acetone mu mkodzo ndi magazi a munthu wodwala matenda ashuga ndi chakudya chopatsa chidwi komanso jakisoni wa insulin wa panthawi yake. Ndi mphamvu yochepa ya mankhwalawa, iyenera m'malo mwake ina, ndikuchita kwakali.
M'pofunikanso kuwongolera katundu. Ayenera kupezeka tsiku ndi tsiku, koma osadzitengera kutopa kwambiri. Pamavuto, thupi limasokoneza kwambiri norepinephrine. Pokhala wotsutsana ndi insulin, imatha kuyipa.
Kutsatira zakudya ndi zina mwazinthu zazikulu zothandizira kuti mukhale ndi thanzi labwino ndi mtundu uliwonse wa matenda ashuga. Zosavomerezeka komanso kumwa mowa, makamaka zamphamvu.
Anthu odwala matenda ashuga amakonda kwambiri kudwala matenda am'kamwa monga periodontitis ndi kuwola kwa mano (chifukwa cha izi ndikusowa kwa malovu komanso kuwonongeka kwamitsempha yamagazi). Amayambitsanso kupuma kwamphamvu, kuphatikiza apo, njira zotupa zimachepetsa mphamvu ya insulin. Zosagwirizana, izi zitha kubweretsanso kuwonjezeka kwa zomwe ma ketones amapanga.
Gitun T.V. Chitsogozo chofufuza cha endocrinologist, AST - M., 2015. - 608 p.
Romanova E.A., Chapova O.I. Matenda a shuga. Handbook, Eksmo -, 2005. - 448 c.
Rozanov, V.V.V.V. Rozanov. Nyimbo. M'mavoliyumu 12. Gawo 2. Chiyuda. Saharna / V.V. Rozanov. - M: Republic, 2011 .-- 624 p.- Chithandizo cha Zipatala za Endocrinology. - M: State Publishing House of Medical Literature, 2002. - 320 p.
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.
Chifukwa chiyani limawonekera?
Kuti mukhale ndi mphamvu, maselo amthupi, makamaka ubongo, amafunika shuga. Pazifukwa zodabwitsa za shuga, munthu amafunikira insulin, yomwe m'thupi lathanzi limapangidwa ndi kapamba shuga akangolowa m'magazi.
- Ngati pali vuto ndi kapamba - insulini siyipangidwa kapena yopangidwa moperewera.
- Glucose simalowa m'maselo, kufa ndi njala kumayambira - ubongo umatumiza chizindikiro cha kusowa kwa michere.
- Munthu amakhala ndi njala, amadya kachiwiri - koma zikondamoyo sizimabisalira insulin.
- Glucose imadziunjikira m'magazi, osatha kuyamwa.
Mlingo wodwala umadumpha, matupi a ketone amatulutsidwa m'm magazi. Maselo omwe amakhala pansi panjala amayamba kudya mafuta komanso mapuloteni - kuphatikizapo zosungidwa m'thupi - ndipo zikaonongeka, acetone imamasulidwa.
Kodi chimanunkhira ngati matenda a shuga?
Fungo la matenda ashuga ndiwofatsa - limawoneka ngati fungo la maapulo omwe ankanyowa, pang'ono pang'ono. Amanunkhiza chinthu chapadera - acetone.
Pamavuto am'mimba, mano ndi mano, zomwe zimapezeka kwambiri kwa odwala omwe ali ndi matenda ashuga, kununkhira kosasangalatsa kumawonjezeredwa ndi kununkhira kowawa, kukumbukira kwa "kununkhira" kwa kuwola kwa chakudya ndi nsomba zowola.
Ngati mukukayikira gawo loyambirira la matendawa, mutha kuyesa mayeso osavuta - kunyambita dzanja lanu ndikumununkhiza pambuyo masekondi angapo. Ndi matenda a shuga, kununkhira kwa acetone kudzanenedweratu.
Kodi muyenera kuchita chiyani "fungo" likawoneka?
Osadandaula - nthawi zina, kununkhira kwa maapulo wowawasa kumawonekeranso ndi kusowa kwenikweni kwa glucose m'magazi. Mwachitsanzo, munthu akamadya chakudya chamafuta ochepa, amalimbitsa thupi, amaphunzirira kutopa. Odor ikhoza kuwonekanso m'matenda opatsirana komanso matenda a chiwindi ndi impso.
Poyamba chizindikiro cha matenda, ndikofunikira:
- sinthani kumwa kwa shuga ndi ufa,
- onjezerani masamba abwino, zitsamba ndi mbewu zonse m'zakudya,
- muchepetse zolimbitsa thupi kuti zikhale zanzeru.
Kulimbitsa ukhondo wa pakamwa, gwiritsani ntchito sewera ndipo gulani ndi ma decoctions a sage, chamomile ndi mandimu.
Mulimonsemo, ngati pali zizindikiro zenizeni za halitosis, ndikofunikira kukaonana ndi dokotala ndikuyesa mayeso kupatula kukhalapo kwa matenda akulu.
Kodi ndiyenera kupita kwa dokotala uti?
- Muyenera kuyamba ndi kuchezera othandizira - Katswiri wazachipatala amamuyesa wodwalayo, amamuyesa koyambirira ndikupereka mayeso owonjezera.
- Ngati ndi kotheka, tumizani kuti mukakambirane ndi endocrinologist, zomwe zimatsogolera wodwala pakutsimikizira kuti adziwe.
- Mudzafunikiranso kuyendera gastroenterologist ndi mano - Ndi chitukuko cha matenda ashuga, mavuto a mano ndi mano zimachitika pafupipafupi.
Ndi mayeso ati omwe amafunikira kuperekedwa kuti mudziwe zenizeni?
Choyamba, adotolo amafotokozera kuyesa kwamikodzo ndi magazi kuti adziwe:
- kodi mumapezeka mkodzo uliwonse?
- Kodi kukula kwa shuga ndikokwezeka?
Ngati acetone wapezeka, wodwalayo amatumizidwa kukayezetsa kwa endocrinologist. Katswiri wopendekera, amamuwunikira wodwalayo ndikuyankhulana kuti adziwe ngati pali matenda ena a shuga, monga:
- zilonda, zikanda pakhungu, zotupa pa mucosa,
- kuchuluka kwamkodzo, kukodza pafupipafupi,
- ludzu lamphamvu nthawi zonse ndi chimodzi mwazizindikiro za matenda ashuga, chifukwa ndikamakokana pafupipafupi, thupi limataya madzi ambiri.
- kuchepa thupi mwadzidzidzi, osagwirizanitsidwa ndi zakudya komanso kuchuluka kwa nkhawa.
Komanso endocrinologist ikuthandizani kuti muonjezere urinalysis - kudziwa:
- shuga - mwa munthu wathanzi, chotchinga cha impso sichimalola kuti shuga azilowa mkodzo,
- acetone (acetonuria),
- matupi a ketone.
Kuyesedwa kwa glucose kumachitidwanso - kumakuthandizani kuti muwone kuyipa kwamasewera a shuga ndi maselo.
Ngati shuga ndi mtundu wake wakhazikitsidwa - pangani maphunziro owonjezera:
- fundus - kuti mupeze ndikofunikira kukaonana ndi ophthalmologist,
- ECG pafupipafupi, ndimatenda a mtima komanso chiwopsezo cha kufalikira kwa matenda amtima,
- excretory urology - ndi kulephera kwa aimpso.
Mulimonsemo, fungo lochokera pakamwa likatuluka, ndikofunikira kukaonana ndi othandizira posachedwa ndikudutsitsa kuyesa kwamkodzo ndi magazi. Ngati matenda a shuga ayambitsidwa, samawonedwa ndi endocrinologist, samaba jakisoni komanso samamwa mankhwala - chilichonse chitha kutha ndi kupweteka komanso kufa kwa wodwalayo.
Choyambitsa chachikulu cha matenda ashuga odwala odwala matenda ashuga
Fungo loletsa antipathic kuchokera pamlomo wamkati limatchedwa halitosis, kapena halitosis. A shuga halitosis ndi acidic, ndi kukhudza ammonia. Izi zimachitika chifukwa chophwanya kagayidwe kazachilengedwe.Glucose ndiyofunikira kwa thupi monga mphamvu yayikulu komanso michere ya muubongo. Amapangidwa pakupasuka kwa zovuta zamankhwala mu monosaccharides, komanso panthawi ya gluconeogenesis (kuchokera ku ma amino acid a mapuloteni odyedwa).
Kutayidwanso kwina kwa glucose m'maselo ndi minofu imaperekedwa ndi insulin ya intracecretory timadzi timene amapangidwa ndi kapamba. Mu shuga mellitus wa mtundu woyamba, kupanga kwa insulin kumayima, motero, kubereka kwa shuga kumayima kuti thupi likhale ndi thanzi.
Pa anthu omwe ali ndi matenda ashuga omwe ali ndi mtundu wachiwiri, kapamba samaletsa kuphatikiza insulin, koma maselo amataya chidwi chake ndi mahomoniwo ndikutha kuwawononga. Mulimonsemo, shuga amapezeka m'magazi. Ndi kusweka kwa shuga, zinthu zakupha, ma ketones, mwinanso acetone, zimatulutsidwa kulowa m'magazi.
Matupi a Ketone amayenda ndimagazi kumapazi ndi impso. Chifukwa chake, akapuma komanso kukodza ndi acetone kumasulidwa, ichi ndi chifukwa chake chimanunkhira kuchokera pamlomo wamkamwa komanso kuchokera mkodzo la wodwala wodwala matenda ashuga.
Ketoacidosis
Fungo lotchedwa ammonia lochokera mkatikati mwa thupi ndi mkodzo wa munthu wodwala matenda ashuga ndi chizindikiro chophwanya kwambiri homeostasis ya thupi. Pokhala ndi shuga wambiri m'magazi ndi zinthu zomwe zimasokonekera, ketoacidosis imayamba - zovuta za shuga (mtundu I ndi II), zomwe zimawopseza kukula kwa chikomokere.
Malinga ndi kukula kwa ketoacidosis, amadziwika kuti:
- Mapapu okhala ndi zizindikiro za kuledzera ndi fungo la acetone kuchokera kumkamwa wamkamwa.
- Pakati, ndi kuwonjezera mseru, kusanza, tachycardia, matenda oopsa.
- Zambiri, ndi kukula kwa kuchepa kwa madzi m'thupi, areflexia (kutaya mphamvu kwa Reflex), kuwonongeka kwa dongosolo lamanjenje lamkati (dongosolo lamkati lamanjenje). Acetone amber imayamba kuonekera mukakhala m'chipinda chimodzi ndi wodwala.
Kuti mudziwe kupezeka kwa matupi a acetone mu mkodzo, ndikofunikira kuti mupereke chitsanzo cha mkodzo kuti muunikidwe kapena kuchita kafukufuku pawokha pogwiritsa ntchito mayeso a pharmacy. Kwa izi, zingwe zapadera (zingwe zoyesera) za Uriket zopangidwa ndi pulasitiki zimagwiritsidwa ntchito. Mzere uliwonse umachitidwa ndi reagent. Kuti muyesedwe, mkodzo wam'mawa (pamimba yopanda kanthu) umasonkhanitsidwa mumtsuko wina, Mzere wozungulira umayesedwa kwa masekondi 5.
Pambuyo pa nthawi yomwe ikunenedwa, stripyo imayenera kuchotsedwa, kufutidwa mbali ndi thaulo la pepala, ndikuyika pansi. Mutha kuwunikira zotsatilazo mu mphindi 2-3. Kuyesaku kumachitika poyerekeza mtundu womwe wapezeka pamayeso ndi muyeso womwe umayikidwa pa chubu Uriketa.
Zowonjezera za Antipathic Ambre
Kuphatikiza pa matenda a shuga a shuga, zomwe zimayambitsa kupuma kwamphamvu mu shuga zitha kukhala:
- Muli zakudya. Choyamba, izi zimagwira ntchito pazakudya zotchuka zama protein (Kremlin, Atkins, Kim Protasov, etc.). Kuchepetsa kwamakina am'mimba komanso mapuloteni ochulukirapo m'zakudya amatsogolera kukutha kwa mafuta ndi kupanga kwa poizoni. Mu matenda a shuga, pofuna kuchepetsa shuga m'magazi, odwala amasintha zakudya zamapuloteni, potero amalimbikitsa ketoacidosis.
- Ral and hepatic pathologies. Ziwalo izi zimagwira ntchito yosefera. Ndi matenda a shuga, magwiridwe awo amachepetsa kwambiri ndipo poizoni amadziunjikira m'thupi. Ndi kukanika kwa chiwindi, mavuto amatuluka ndi kutuluka kwa ndulu, izi zimayambitsa lamba owawa ndi kuwawa mkamwa. M'matenda a impso, njira za mapangidwe, kusefedwa ndi mkodzo umasokonezeka, zomwe zimafotokozera ammonia amber.
- Matenda am'kamwa. Fungo loipa lomwe limakhala ndi acetone hue limatsagana ndi anthu odwala matenda ashuga omwe ali ndi vuto la mano. Kuwonongeka kwa magazi, kufooka chitetezo chokwanira, kufooka kwa phosphorous ndi calcium - izi zovuta za shuga zimayambitsa kukula kwa matenda am'kamwa.Halitosis imakhala ndi gingivitis, stomatitis, matenda a periodontal ndi periodontitis, caries, tartar.
- Zomwe zimayipa m'mimba. Matenda a metabolism amawononga mphamvu ya magawo onse am'mimba (thirakiti la m'mimba). Poyerekeza ndi matenda omwe amayambitsa, odwala matenda ashuga amapezeka ndi matenda am'mimba. Chimodzi mwazizindikiro ndi Reflux, apo ayi asidi amaponyedwa m'mimba chifukwa chofooka kwa zamkati zotsekera (sphincter). Kuchepa kwa acidity ndi hyperacid gastritis kumayambitsa kusweka kwa asidi, ndi fungo logwirizana. Hypoacid gastritis imayambitsa kuvunda ndi kuvunda kwamabala chifukwa chosowa acid. Ndi zilonda zam'mimba, malamba, kutentha kwa mtima, kumathandizidwanso ndi kupuma kwa antipathic.
- Matenda a tonsillitis. Matani a Palatine ndi gawo limodzi la chitetezo chathupi mthupi kuteteza ku ma virus ndi matenda. Odwala omwe ali ndi matenda a shuga, chitetezo chokwanira, monga lamulo, chimafooka kwambiri. Izi ndi zomwe zimayambitsa pafupipafupi kuzizira komwe kumasintha kukhala njira zosachiritsika, makamaka, tonsillitis (kutukusira kwa ma toni). Gwero labwino la fungo labwino ndi mabakiteriya omwe amachulukana kwambiri ndipo amapanga hydrogen sulfide.
"Fungo" lobwezera kuchokera kumlomo wamkamwa limatha kuchitika chifukwa chogwiritsa ntchito mankhwala ena.
Kuyesa kwa Halitosis
Poika mano, kuyesa kwa halitosis kumachitika pogwiritsa ntchito halitometer yapadera. Kuchulukitsa kwa magawo asanu a chipangizocho kumakupatsani mwayi wofufuza zotsatira kuchokera ku "0" - osanunkhira, mpaka "5" - wotchulidwa komanso wakuthwa. Kunyumba, mutha kudziyesa nokha ndi mankhwala otupa osokoneza bongo. Iyenera kuvalidwa komanso kutuluka kwamphamvu.
Kukula kwa "kununkhira" kowoneka kudzatsimikizira kutsitsimuka kwa mpweya. M'malo mopaka chigoba, mutha kugwiritsa ntchito kapu kapena thumba la pulasitiki, lomwe liyenera kukanikizidwa mwamphamvu kumkono wamkamwa, pumirani kwambiri ndikuwonjezera kunja momwe mungathere. Njira ina ndiyo kuyesa kwa dzanja. Kuti muchite izi, nyambitsani gawo ili la dzanja, dikirani masekondi 20 ndikuwombera.
Njira zochepetsera fungo
Choyamba, muyenera kudziwa chomwe chimayambitsa matenda a halitosis. Ngati matenda ashuga a halitosis okhala ndi fungo la ammonia amathandizidwa ndi puttfil, acid, "zovunda", kuwunika kwamkati kuyenera kuchitidwa, kuphatikiza:
- zasayansi mayeso a mkodzo ndi magazi,
- Ultrum yam'mimba (ndi impso).
Ngati ndi kotheka, chithandizo cha endocrinologist chitha kukupatsani njira zina zodziwira matenda. Kuthetsa ketoacidosis, tikulimbikitsidwa kusintha zakudya. Pazakudya za tsiku ndi tsiku, ndikofunikira kuti muchepetse kuchuluka kwa mapuloteni ndi mafuta ambiri, ndikuzisintha ndi zovuta zam'mimba (chimanga, mbale zamasamba, zipatso zololedwa mu shuga).
Monga njira zofooketsera amber ya antipathic, mutha kugwiritsa ntchito:
- maswiti a peppermint ndi mapiritsi (kwa odwala matenda ashuga, kusowa kwa shuga ndikofunikira), masamba a timbewu,
- mbewu zokhala ndi zipatso, zipatso za mlombwa,
- kupopera kwa kutsitsimuka kwamkamwa ndi mphamvu yotsitsa,
- mankhwala pakamwa ndi buluzi, timbewu, menthol
- mankhwala a zitsamba okhala ndi antibacterial katundu (chamomile, sage, etc.) pakutsuka,
- mafuta a masamba otupa pakamwa (njira ya mphindi zisanu ingathandize kupumulanso kwa nthawi yayitali, pomwe mafuta sangathe kumeza).
Chofunikira ndikukhazikika kwa pakamwa nthawi zonse. Pazosankha zameno, muyenera kufunsa dotolo wamano.
Zosankha
Mpweya woipa sindiwo vuto lomwe limakulitsa moyo watsiku ndi tsiku odwala matenda ashuga. Ammonia imamasulidwa kudzera pores ya pakhungu, chifukwa cha kupuma kwa khungu. Khungu limatenga pafupifupi 7% ya okosijeni onse ndikuwonjezera kabukidwe kakang'ono katatu. Kupezeka kwa ma ketones m'mwazi kumawonjezera kununkhira kwa fungo la acetone.
Kuphatikiza apo, pamwamba pa thupi pamakhala tiziwalo tambiri tambiri timene timayendetsa kutentha kwa thupi.Kuthukuta ndi njira yothetsera mchere komanso zinthu zina. Ndi kagayidwe kosakwanira, matupi a ketone amawonjezeredwa pakupanga thukuta, mapangidwe ake omwe amakhudzana ndi hyperglycemia.
Chizindikiro chimodzi cha matenda ashuga ndi hyperhidrosis (kutuluka thukuta kwambiri). Izi zimachitika chifukwa chamavuto amchere a hyperglycemia (shuga wambiri) pantchito ya mtima ndi dongosolo lamanjenje. Ndi matenda a endocrine, thupi limalephera kutulutsa thukuta. Ndi kusintha kwa kutentha, acetone imamasulidwa limodzi ndi thukuta, kotero kuti khungu ndi tsitsi la odwala matenda ashuga limatha kununkhiza zosasangalatsa.
Kuchepetsa kapena kuchepetsa vutoli kumathandizira kusintha zakudya, njira zaukhondo nthawi zonse, kugwiritsa ntchito mankhwala osamalira thupi. Osatengedwera nawo masiku ano. Samangochotsa kununkhira kosasangalatsa, koma zimakhudza magwiridwe antchito a thukuta chifukwa cha kupezeka kwa mchere wamchere wa aluminium.
The deodorant ali ndi antibacterial komanso zotsitsimula katundu ndipo sakhala owopsa ku thanzi. Njira yabwino yothetsera mavutowa ndi kugwiritsa ntchito antiprostants kuphatikiza. Kugwiritsa ntchito kwawo kumaloledwa pakhungu loyera ndi lowuma.
Matenda a shuga amakhala ndi zizindikiritso zingapo zingapo, chimodzi mwazomwe zimapuma, mwinanso halitosis. A shuga halitosis nthawi zambiri amakhala acetone. Ichi ndi chifukwa cha ketoacidosis mwa odwala matenda ashuga - kupezeka kwa matupi acetone (ketone) m'magazi.
Ma ketoni amapangidwa chifukwa cha kuchuluka kwa glucose wosagwiritsidwa ntchito ndi zinthu zoopsa za kuvunda kwake. Ndi magazi, amalowa m'mapapu, omwe amachititsa kuti munthu apume. Komanso ndimagazi, matupi a acetone amalowa impso kenako kulowa mkodzo, komwe amayamba kununkhira kwa ammonia.
Kuchuluka kwa ketoacidosis kumapereka chiopsezo chokhala ndi vuto la matenda ashuga, momwe thupi limamledzera. Matendawa amatha kuopseza odwala matenda ashuga a ketoacidosis. Palinso matenda ena omwe amapangitsa antipathic amber. Kuti adziwe matenda awo, muyenera kukayezetsa kuchipatala.
Kuti muchepetse halitosis, kugwiritsa ntchito ziphuphu mwadongosolo komanso kupopera kwa khomo lamkamwa, mankhwala a zitsamba amalimbikitsidwa. Muyenera kumayendera dokotala wamano ndikuwonetsetsa thanzi la mano ndi mano.
Amanunkhiza chiyani kuchokera mkamwa ndi matenda a shuga?
Ngakhale isanayambike mankhwala amakono, anthu akale adatha kuzindikira matenda aliwonse ndi mpweya wabwino. M'malo mwake, ndizosangalatsa za "fungo". Umboni wa matenda a shuga wakhala ukuganiziridwa nthawi zonse ndipo mpaka pano mpweya wa acetone. Amapangidwa chifukwa cha Mlingo wambiri wa matupi a ketone mthupi. Nthawi zambiri, ayenera kukhala opambana 12 mg.
Acetone "fungo" ndi shuga wokwera woyamba limadziwonekera mkamwa, koma pambuyo pake limapezekanso pakhungu. Pakufufuza zasayansi, ma acetone amapezeka m'magazi ndi mkodzo. Chifukwa chake, kununkhira kwa acetone ndi "fungo" linalake la odwala matenda ashuga.
Acetonemic syndrome
Acetonemic syndrome nthawi zambiri imakhala yaubwana ndipo singagwirizane ndi matenda ashuga. Komabe, zimachitikanso ndi matenda amenewa, pokhapokha ngati wodwala agwiritsa ntchito mankhwala ochulukirapo omwe cholinga chake ndi kuchepetsa kuchuluka kwa shuga. Njira yosalamulidwayo pamankhwala imayambitsa kusowa kwa shuga m'magazi, chifukwa ndipamene mankhwalawa amapangika. Fungo limafanana ndi maapulo owola ndi zipatso zina. Zizindikiro zazikulu ndikumakhala ndi mseru komanso kusanza.
Matenda amlomo
Mu matenda a shuga, pafupipafupi etiology yofuma ya pakamwa imayambira ndi periodontitis ndi matenda ena amkamwa ndi mano. Izi ndichifukwa choti shuga imayambitsa kuphwanya magazi komanso kufooka kwa chitetezo cha mthupi, zomwe zimayambitsa matenda amkamwa.Ngati mulingo wa glucose umakwezeka m'magazi, ndiye kuti umakulitsidwa mkamwa, ndipo ndiwo malo abwino kwambiri ochulukitsa kwa tizilombo toyambitsa matenda.
Zifukwa zina
- Chimbudzi ndi matenda ena am'mimba. Potere, fungo lochokera mkamwa mwa munthu wodwala matenda ashuga limafanana ndi zowola. Makamaka kuledzera kumawonedwa ndi diverticulum, ndiye kuti, kutulutsa ngati thumba ngati khoma la esophagus. Izi zimachitika motsutsana ndi maziko azakudya zomwe zimapezeka m'mimba, zomwe sizikumbidwa kwathunthu ndikuyamba kuwola.
- Zakudya zoyipa zimanunkha kuchokera mkamwa chifukwa chazovuta zomwe zimagwira ntchito pachiwindi. Amadziwika kuti thupi limasefa poizoni wapoizoni, koma kugwira ntchito kwa chiwindi kukayamba, kuledzera kumachitika.
- Nthawi zambiri ndimatenda a shuga, mpweya woipa umasintha ndikumwa mankhwala. Koma adotolo ayenera kuchenjeza za izi.
- Kulowerera kwa thupi, matenda a impso, poyizoni ndi kubereka kwa matenda am'mimba, momwe mukusowa ma enzymes a chimbudzi chokwanira. Izi zimathandizanso kuti munthu azikhala ndi matenda osokoneza bongo.
Ngati wodwala matenda ashuga ali ndi mpweya wosavomerezeka wopumira, muyenera kulumikizana ndi kuchipatala. Kuchitira panthawi yake kumachotsa zovuta komanso zovuta.
Mayeso ofulumira
Kunyumba, mutha kuchititsa kafukufuku pogwiritsa ntchito mankhwala apadera ndi zida zoyesera. Amapezeka mu mawonekedwe a mizera, zizindikiro kapena mapiritsi, omwe amayenera kumizidwa mumkodzo wam'mawa. Phukusi lililonse lili ndi mtundu wapadera wautoto wosavuta kutsata.
Kuyesedwa kumachitika motere:
- M'mawa pamimba yopanda kanthu, sonkhanitsani mkodzo woyamba,
- chepetsa mzere wolowa,
- dikirani masekondi angapo
- yerekezerani za mtundu wake ndi tebulo.
Zina zomwe amakonda kwambiri ndi Ketur Test, Ketostix, Acetone Test, ndi Samotest. Zotsalazo zimakupatsani mwayi wodziwa osati kuchuluka kwa acetone, komanso glucose m'madzi amadzimadzi.
Ngati mulibe mankhwala apadera a pharmacy, mutha kugwiritsa ntchito njira yokhazikika yamowa wa Amia ndi Sodium Nitroprusside. Pambuyo polumikizana ndi mkodzo, onani kusintha kwamtundu. Pamaso pa acetone, imakhala ndi mtundu wofiira kwambiri.
Kufufuza koyenera
Kuti muwone bwino chomwe chimayambitsa fungo losasangalatsa kuchokera pamlomo wamkati wodwala matenda ashuga, mayeso otsatirawa amachitika kuchipatala:
- kuyezetsa magazi kwa mitundu yosiyanasiyana ya mapuloteni, kuperewera, lipase, urea ndi zinthu zina,
- kuyezetsa magazi konse
- kutsimikiza kwa shuga ndi mahomoni,
- Kutulutsa mkodzo wathunthu wokhudza matupi a ketone, mapuloteni, shuga ndi matope,
- kudziwa ntchito ya enzymatic ya tiziwalo timene timatulutsa chiwindi ndi impso, pulogalamu imachitika.
- mayeso osiyanasiyana.
Munthawi zonsezi, ma labotale owonjezera ndi zida zothandizira amatha kupatsidwa.
Momwe mungathetsere vutoli
Ndi amadalira a insulin (mtundu 1) matenda a shuga, izi zimachitika:
- mankhwala a insulin okwanira,
- kuyang'anira shuga mosalekeza
- zakudya zapadera zimawonedwa.
Ndi osadalira insulin (mtundu 2) matenda a shuga:
- zakudya zimasinthidwa
- mankhwala ochepetsa shuga amatengedwa,
- shuga
- zolimbitsa thupi zotchulidwa.
- Ndikofunika kuyang'anira mosamala mkamwa - kutsuka mano anu kawiri patsiku, gwiritsani ntchito lansalu kuti muchotse zinyalala za chakudya kapena zothira madzi. Kuphatikiza apo, nthawi zonse muziyang'ana ndi mano anu ndikuwonetsetsa kuti mumamuwuza za kukhalapo kwa matenda ashuga.
- Kuti muthane ndi chimbudzi, imwani madzi amchere - "Luzhanskaya", "Narzan", "Borjomi".
- Njira zolimbitsa thupi ndizotheka. Awa ndimasamba ofunda a alkaline enem, chifukwa omwe m'matumbo amachotsedwa acetone.
- Ngati chifukwa cha fungo losasangalatsa sichikukwera kwa matupi a ketone, ndiye kuti mankhwala amathandizidwa kuti athetse chazikulu.
- Zakudya sizimapatula zakudya zomanga thupi komanso zamafuta. Zokonda ziyenera kuperekedwa kwa zakudya zamatumbo.
- Mutha kugwiritsa ntchito maphikidwe a mankhwala achikhalidwe ngati chithandizo chothandizira. Maphikidwe omwe ali oyenera inu, kaonaneni ndi dokotala.
- Onetsetsani katundu. Ndi koletsedwa konse kudya thupi ndi matenda ashuga.
- Tchera khutu ku zochitika zam'maganizo. Chowonadi ndi chakuti zochitika zovuta zimapangitsa kupanga norepinephrine (mahomoni omwe amatsutsana ndi insulin ya mahomoni). Izi zimabweretsa kukulira mkhalidwe wa wodwalayo.
- Osamamwa mowa.
Ngati mwapezeka kuti muli ndi odwala kapena anthu odwala matenda ashuga pafupi ndi mkamwa wa acetone kuchokera pakamwa panu, njira yabwino ndikukhazikitsa insulin m'magazi anu kuti mupewe kupsa. Osati munthawi iliyonse yomwe muyenera kuchita mantha, chifukwa choyambitsa kununkhira sichingadalire matenda ashuga. Yang'anani mwatsatanetsatane ndi fungo la fungo lanu ndikuyang'ana kwa endocrinologist.