Zizindikiro ndi chithandizo cha matenda ashuga mwa akazi

Kutengera ndi zomwe zikukula, shuga imagawidwa m'mitundu iwiri:

Mtundu 1 (kapena fomu yodalira insulin) - walembedwa, monga lamulo, pakati pa achinyamata. Cholinga chachikulu chakukhazikitsidwa kwa matendawa ndi kaphatikizidwe ka ma antibodies omwe amawononga ma cell a pancreatic. Izi zimachitika chifukwa cha kusokonekera kwa chitetezo chathupi. Kachiromboka (monga chikho kapena rubella) chimatha kukhala chosangalatsa. Mapangidwe a chibadwa cha matenda ashuga ndikofunikira.
Mtundu 2 (mawonekedwe osadalira insulin) - amakula pakati pa anthu azaka zopitilira 40 omwe ali onenepa kwambiri kapena achikulire. Chomwe chimayambitsa matenda amtunduwu ndikutayika kwa minofu kumverera kwa insulin. Zinthu zikuluzikulu za matendawa zimatengera kunenepa komanso chibadwa.

Tiyeneranso kudziwa kuti matenda ashuga, omwe amayamba chifukwa cha matenda ena kapena zovuta zina mthupi. Ndi kuthetsedwa kwa ma concomitant pathologies, shuga yodziyimira payokha imabweranso yokhazikika. Mwa matenda omwe amachititsa hyperglycemia, ayenera kutchedwa:

zotupa kapena chotupa m'mene kapamba amakhudzidwira,
ma Horoni pathologies (mwachitsanzo pheochromocytoma),
mphamvu ya mankhwala ndi mankhwala,
syndromes amtundu uliwonse.

Kuphatikiza apo, pali matenda ashuga apakati (gestationalabetes) ndi matenda osokoneza bongo (shuga), omwe amayamba chifukwa cha kuperewera kwa zakudya m'thupi.

Zizindikiro zoyambirira za shuga

Mawonekedwe omwe angawonetse kukula kwa matenda ashuga:

kutopa kochulukirapo, kuchepa kwa ntchito yogwira ngakhale nditakhala ndi thanzi labwino, kugona mokwanira komanso kusakhalapo kwa kupsinjika kwa thupi kapena kwamaganizidwe,
kugona pakudya,
polyuria (kuchuluka kwamkodzo wa mkodzo), ludzu komanso mkamwa youma - mawonekedwe awa amakhudzanso odwala kwambiri,
mwa amayi omwe ali ndi matenda a shuga, polyphagia imadziwikanso - kumverera kwanjala, komwe kumakhala kujambulidwa nthawi zonse ndipo sikumatha ngakhale mutatha kudya zakudya zopatsa mphamvu kwambiri,
kupuma kofanana ndi acetone kungadziwike,
kukhalapo kwa kunenepa kwambiri kapena kunenepa kwambiri, makamaka ndi kuchuluka kwa mafuta m'mimba,
matenda oopsa
ndi shuga yemwe amadalira insulin, kuwonda kwambiri kungawonedwe, ndicho chizindikiro choyamba cha matenda.
kusamba kwa msambo,
zotupa zosiyanasiyana za fungus zamankhwala ndi ma mucous membrane (chifukwa cha hyperglycemia),
chimfine pafupipafupi chifukwa kuchepa kwa chitetezo chathupi,
Ngakhale zotupa za pakhungu zochepa zimachira bwino ndipo nthawi zambiri zimayambukiridwa.
pafupipafupi kukokana mu minofu ya ng'ombe
Zizindikiro za matendawa zimaphatikizaponso mutu, kukhumudwa, komanso kukwiya msanga.

Khalidwe pakhungu. Ndi matenda a shuga, zinthu zosiyanasiyana zimatha kuwoneka pakhungu. Chodziwika bwino kwambiri:

Xanthomas - imayamba chifukwa cha kusintha kwa kagayidwe ka lipid motsutsana ndi maziko a hyperglycemia. Amawoneka ngati zikaso zachikasu zomwe zimawoneka, ngati lamulo, pamafelemu a miyendo.
Erythema - mawanga ofiira okhala ndi malire omveka omwe amapezeka m'malo otseguka a thupi.
Mabulosi kumapazi ndi madzi amtundu wa serous.
Matenda a diabetesic scleroderma - owonetsedwa ndi kukula kwa khungu (makamaka kumbuyo kapena khosi).

Khungu louma komanso chikazi cha kumaliseche, kusokonekera kwa misomali ndi tsitsi, chizungulire komanso kupaka nkhope kumaso kumadziwika ndi matenda ashuga. Odwala atatha zaka 50, kuwonongeka kwa zithunzi kumakhala kujambulidwa. Mawonekedwe onse amatendawa amatha kutsekedwa ndi ma pathologies ena, omwe amachititsa kuzindikira kukhala kovuta. Zizindikiro zomwe zili pamwambazi za hyperglycemia zikuwoneka, muyenera kufunsa dokotala wa endocrinologist. Adzaonetsa zomwe zimayambitsa madandaulo oterowo ndikupereka mayeso oyenera, ma ultrasound kapena mayeso ena.

Kodi matenda ashuga ndi prediabetes ndi chiyani?

Matenda a shuga a Type 1 kapena 2 ndi pomwe munthu amakweza magazi a munthu. Nthawi zonse pamakhala shuga wosungunuka m'magazi anu, omwe thupi limagwiritsa ntchito ngati mphamvu. Komabe, shuga wambiri amawononga thanzi. Kuchokera pagazi, glucose amalowa m'maselo, pomwe amawotcha ngati mafuta. Kuti mafuta alowe m'maselo, insulin ndiyofunikira. Awa ndi mahomoni omwe kapamba, makamaka maselo ake a beta, amatulutsa. Kuchokera ku kapamba, insulin imalowa m'magazi, pomwe imagwira ntchito yake, ndikuthandizira maselo kutulutsa shuga.

Matenda a shuga amtundu woyamba amachitika chifukwa kapamba samatulutsa insulin yokwanira. Mtundu wachiwiri wa matenda ashuga, mumakhala ma insulin okwanira kapena ochuluka kwambiri m'magazi, koma chidwi cha maselo kwa icho chimachepetsedwa. Kaya ndi mtundu wanji wa matenda ashuga, ndende ya magazi imakwezedwa. Izi zimatha kubweretsa zovuta kwambiri - khungu, kulephera kwa impso, kudula phazi kapena mwendo, ndipo nthawi zambiri kumayambitsa matenda a mtima kapena stroko. Mwa amayi omwe ali ndi zaka zobereka, matenda a shuga amawonjezera mwayi wokhala ndi zotsatira zoyipa za pakati.

Prediabetes - shuga wamagazi amunthu amakwezedwa, koma osati ochulukirapo. Izi si shuga "zathunthu". Ngati matenda ashuga asadawongolere, ndiye kuti m'kupita kwanthawi amasintha kukhala mtundu 2 wa shuga. Komabe, odwala nthawi zambiri amafa ndi vuto la mtima asanafike mtundu wachiwiri wa matenda ashuga. Dziwani izi mozama momwe mungathere, ngakhale palibe chomwe chimakukhumudwitsani kwambiri. Matenda a shuga sangakhale ndi zowononga ngati mutasinthira kukhala ndi moyo wathanzi - musinthe zakudya zanu ndikuchita masewera olimbitsa thupi.

Zizindikiro za matenda ashuga mwa akazi

Kwambiri, Zizindikiro za matenda ashuga mwa akazi ndizofanana ndi amuna. Chizindikiro chokhacho chachikazi ndi matenda achikazi. Matenda a shuga amapangitsa kuti pakhale kubadwa bwino kwa bowa mthupi. Mwa zina, bowa wa pathogenic amayambitsa kuyabwa ndi ukazi. Komanso, odwala matenda ashuga, thrush safuna kuchiza.

Lemberani mwachidule zizindikiro zomwe zatsala:

M ludzu, kukodza pafupipafupi.
Matenda a fungus mkamwa kapena miyendo.
Mzimayi amachepetsa thupi (osati nthawi zonse).
Kutopa, kuiwalika, mavuto a kukumbukira ndi zizindikiro zomwe zimadziwika kuti ndi zaka.

Nthawi zina nthenda mwa akazi imawonetsedwa chifukwa chakuti malo owala amapezeka pamanja ndi kumaso, misomali ndi tsitsi limakhala lophweka. Koma "zodzikongoletsera" za matenda ashuga sizingafanane ndi zodziwika. Ndi osowa. Ndipo nthawi yayitali musanasinthe pakhungu, misomali ndi tsitsi, mudzamva kufooka, kutopa kosatha, ludzu losatha ndi zizindikiro zina zazikulu.

Chithandizo cha matenda a shuga ndi:

zakudya zopatsa thanzi
zolimbitsa thupi
kudziyang'anira pafupipafupi shuga
jakisoni wa insulin - ngati pakufunika kutero.

Werengani nkhani zina:

Chithandizo cha matenda a shuga a mtundu wachiwiri sichikhala ndi njala, insulin ndi kulimbikira.
Njira yothandiza yodwala matenda a shuga 1 ndi shuga abwinobwino, kuchuluka kwa insulini, komanso kuletsa zovuta.

Tsatanetsatane wa chithandizo cha matenda ashuga mwa akazi adafotokozedwa pansipa. Dziwani momwe kusamba, msambo, ndi msambo zimakhudzira shuga, magazi, ndi mulingo wa insulin.

Mawonekedwe a shuga 1

Insulin ndi amodzi mwa mahomoni omwe amachititsa kuti chakudya chiziwayika. Zimasokoneza glucose kuchokera m'magazi kupita m'maselo ndipo zimakhudzanso mosavomerezeka ma protein ndi mafuta. Kukhala kofunikira kwa inu kuti muwerenge nkhani ya "Momwe insulin imagwirira ntchito, momwe imayang'anira shuga wamagazi". Amayi ambiri omwe ali ndi matenda amtundu wa 1 amawona kuti ngati muchepetsa kuchuluka kwa insulin, mutha kuchepa thupi. Prick insulin yocheperako - ndipo kulemera kwa thupi kumachepera msanga ndi 2-3 kg. Komabe, pamayesedwe oterowo, shuga wamagazi amachoka. Kuchepetsa thupi kwakanthawi kumatheka chifukwa cha zovuta zovuta za matenda ashuga, omwe nthawi zambiri sasintha.

Kumbukirani kuti chifukwa chosowa insulini, madzi, komanso osati mafuta, ndichinthu choyamba chomwe chimachoka m'thupi. Chifukwa chake, kuchepetsa thupi kumachitika mwachangu. Komabe, mkazi akabwezeretsa kuchuluka kwa insulin, kulemera kwake nthawi yomweyo kumabweranso. Nthawi zambiri zimachulukanso. Mavuto obwera chifukwa cha matenda ashuga omwe amapezeka samatha. Ndipo ngati muchepetsa insulin kwa nthawi yayitali, zimakuthandizani kuti musamalidwe kwambiri ndi matenda ashuga a ketoacidosis. Tsoka ilo, kuchepetsa kuchuluka kwa insulini kuti muchepetse kunenepa ndi vuto limodzi mwazovuta zomwe azimayi omwe ali ndi matenda ashuga ali nazo. Nthawi zambiri mumafunikira thandizo la katswiri wazamisala, ndipo nthawi zina ngakhale wamisala.

Zidzachitika ndi chiyani ngati sizichitika

Matenda a shuga kwa amayi ndi abambo, achikulire ndi ana ndi owopsa pamavuto ake, omwe amachititsa kulumala ndi kufa msanga. Matendawa amatchedwa "wakupha mwakachetechete" chifukwa palibe chomwe chimapweteka mwa munthu, ngakhale zovuta zikuyamba kale. Ikadwala, imachedwa kwambiri ... Onani mndandanda wowonekera wa zovuta za matenda ashuga. Njira zoletsa komanso kuchizira zovuta zimafotokozedwa mwatsatanetsatane pamenepo. Limbikitsani chilimbikitso chowunikira kagayidwe kanu ka shuga.

Mu 2007, European Cardiovascular Journal inafalitsa zotsatira zakafukufuku wazaka zambiri zazotsatira zamatenda a shuga kwa amuna ndi akazi. Tsoka ilo, zidapezeka kuti shuga imavutitsa azimayi kuposa abambo. Matendawa amachepetsa chiyembekezo chokhala ndi moyo wamwamuna pakadutsa zaka 7.5, ndipo amayi ndi zaka 8.2. Kwa amuna, matenda a shuga amawonjezera chiopsezo cha matenda amtima ndi katatu, komanso kwa akazi, katatu. Komanso azimayi ali pachiwopsezo chachikulu chakuti vuto la mtima lingathe kufa.

Matenda okhumudwa komanso matenda ashuga amadyetsana ndipo amapanga zinthu zoyipa zomwe zimayambitsa kumwalira koyambirira. Koma kupsinjika mtima mwa akazi kumachitika kawiri kawiri kuposa abambo, ndipo mwa odwala omwe ali ndi matenda ashuga izi zimapitilira. Mu kuchuluka kwa anthu omwe ali ndi chakudya chambiri cha thupi, azimayi sakhala ndi vuto la impso. Koma pakati pa odwala matenda ashuga, mwayi uwu wa azimayi umatayika. Amadwala kulephera kwa impso nthawi zambiri monga amuna.

Kutsiliza: onetsetsani kuti muli ndi matenda ashuga, zisamalire. M'nkhani yokhudza mayeso omwe muyenera kutenga, mudzapeza mndandanda watsatanetsatane wa mayeso. Maubwino omwe amayenera kudutsidwa mu labotore akusonyezedwa. Awa sangoyezetsa magazi okha, komanso cholesterol ndi zinthu zina zomwe zimayambitsa mtima. Aperekeni pafupipafupi. Onaninso ntchito ya impso yanu. Lumikizanani ndi akatswiri ngati pangafunike. Gulu lanu lachipatala liyenera kukhala ndi mtima wazachipatala, wamisala ... ndi ma nephrologist sangapweteke, zingachitike.

Kupewa

Matenda a 2 a shuga ndi omwe amayambitsa 9/10 pazaka zonse za matendawa. Nkhani yabwino ndiyakuti imalephera komanso kupewa. Itha kukhala yotsimikizika kuti mupewe ngati mukukhala ndi moyo wathanzi. Ndipo pa izi simuyenera kukhala pazakudya za "njala" ndikudzitopetsa mu masewera olimbitsa thupi. Dziwani kuti zakudya zopatsa thanzi komanso zopatsa thanzi ndizotani, komanso momwe mungasangalalire ndi maphunziro akuthupi.

Madokotala angakuuzeni kuti sizingatheke kuletsa matenda ashuga a 2 ngati munthu walephera majini. Komabe, izi sizowona. Kholo loipa limangotanthauza chizolowezi chodya zakudya zopanda pake komanso moyo wokhala chabe womwe umaperekedwa kwa ana kuchokera kwa makolo awo. Zakudya za anthu anjala komanso kulimbikira sizigwira ntchito. Chakudya chopatsa mphamvu zamagulu ochepa komanso njira yophunzitsira thupi chingakusangalatseni ndipo chidzakupatsani chitsimikizo chonse chakuti sipadzakhala mtundu wa shuga 2.

Tsoka ilo, monga mtundu 1 wa matenda ashuga, njira zopewera zovuta kulibe lero. Amaganiziridwa kuti ngati khanda limayamwa, koma osati lochita kupanga, ndiye kuti mwayi wokhala ndi matenda a 1 amachepetsa. Koma izi sizikutsimikiziridwa mwalamulo. Palibe katemera kapena mapiritsi othandizira.

Msambo

Pa magawo osiyanasiyana a kusamba kwa thupi, mphamvu ya mahomoni m'thupi la mayi imakhala yosiyana. Mahomoni ena amakula, pomwe ena amachepetsa shuga m'magazi a shuga. Amayi ambiri omwe ali ndi matenda a shuga a mtundu woyamba kapena a 2 oopsa amakhala kuti amawonjezera shuga masiku angapo masiku ovuta asanayambe. Kenako, msambo ukayamba, shuga amabwerera mwakale mkati mwa masiku awiri. Kutalika kwa msambo kumakhudza kwambiri shuga. Werengani momwe muzibwezeretseranso ngati zabwinobwino.

Zonsezi zikufanana ndi mimbayo, yomwe ikufotokozedwa mwatsatanetsatane pansipa. Mu theka lachiwiri la kubereka, shuga amadzuka, ndipo pambuyo pobadwa mwana amabwerera mwachangu. Koma, zowona, pakapita msambo, kusinthasintha kwa shuga m'magazi kulibe mphamvu.

Muyenera kuti mukudziwa nthawi yovuta yomwe ikuyembekezeka. Sungani zolemba za shuga kuti muzitsatira momwe zimakhalira magawo osiyanasiyana azungulira. Pambuyo pa miyezi itatu, muwona kuti chithunzicho chili chofanana nthawi zonse ngati kuzungulira sikunasokere. Ndikutanthauza - momwe zinthu zilili, simukuchita mantha, etc. Yesetsani kulipira kuchuluka kwa shuga wamagazi omwe mahomoni anu amayambitsa. Kuti muchite izi, pamasiku oyenera, onjezani mlingo wa tsiku ndi tsiku wa insulin ndi 10-20%. Mwazi wamagazi umatha kugwa pambuyo pa kuyamba kwa msambo. Poyankha izi, chepetsani kuchuluka kwa insulin yayitali kapena insulin yachangu musanadye ndi 20-30%.

Kusintha kwachilengedwe kumachitika chifukwa chakuti thumba losunga mazira la mayi wazaka pang'ono pang'ono pang'ono limatulutsa estrogen yocheperako. Kusamba kumathanso kuchitika chifukwa cha opaleshoni yochotsa thumba losunga mazira. Potere, mapangidwe a estrogen amayima mwadzidzidzi. Pa nthawi ya kusamba, thupi la mkazi limakwera. Zizindikiro zina ndizakuwotcha, kusinthasintha kwa mawu, kutopa. Estrogen imawonjezera chidwi cha zimakhala mpaka insulin. Homoni uyu akakhala wocheperako, kuwongolera kwa shuga kumatha kukhala kovuta.

Kumayambiriro kwa kusintha kwa thupi, azimayi ambiri omwe ali ndi matenda osokoneza bongo omwe amadalira insulin amadziwa kuti hypoglycemia imachitika nthawi zambiri ndipo imakhala yovuta kwambiri. Makamaka kuukira kosasangalatsa kwa hypoglycemia usiku. Mavutowa amabwera chifukwa chakuti kuchuluka kwa estrogen kumasintha. Pambuyo pake imakhazikika pansi. Chifukwa cha izi, mphamvu ya insulin imachepa, ndipo mlingo wake uyenera kuchuluka.

Kusinthasintha kwa shuga m'magazi azimayi panthawi ya kusintha kwa thupi ndi munthu payekha. Sizingatheke kupereka malingaliro aliwonse a insulin. Pangani kuyeza shuga ndi glucometer, kusunga zolemba, kusanthula. Phunzirani momwe mungawerengere zolondola zamankhwala a insulin kuchokera m'magazi anu a shuga ndi zakudya zomwe mumadya. Shuga amatha kusintha mosiyanasiyana m'mbuyo komanso mtsogolo, koma ichi sichiri chifukwa chosintha kwambiri njira ya insulin. Chitani zinthu moyenera, koma mwadongosolo - ndipo pakapita nthawi zinthu zonse zidzakhazikika.

Matenda a shuga

Matenda a shuga m'mimba ndipamene shuga ya magazi a mkazi nthawi yapakati imakula kwambiri. Ndipo m'mbuyomu, asanakhale ndi mwana, anali wabwinobwino. Mavuto a shuga pa nthawi yapakati amapezeka mwa amayi 2-10%. Ngati matenda ashuga samayendetsedwa bwino, pamakhala zotsatirapo zoyipa kwa mayi, makamaka kwa mwana wosabadwayo. Komano, vuto la metabolic uyu limachiritsidwa kwambiri pakudya ndi jakisoni wa insulin. Chachikulu ndikuchizindikira pakapita nthawi, ndikuchizindikira mosamala.

Muyenera kugwiritsa ntchito mita kangapo patsiku, makamaka pambuyo pa mphindi 30-60 mutatha kudya. Dzichiritseni mwachangu, ngakhale shuga wambiri sawonetsa chilichonse. Simufunikanso kusokonezedwa kwa mwana wosabadwa ndi kubadwa kovuta, kodi sichoncho? Yang'anirani shuga yanu ndikutsatira njira yomwe madokotala anu amaonetsetsa kuti mwana wanu wakhazikika.Pambuyo pobadwa, shuga ibwerera mwakale, ndipo olamulira amatha kufooka.

Kuti muwone bwino lomwe zomwe zingachitike kuti mukhale ndi matenda ashuga, yankhani mafunso otsatirawa:

Kodi ndinu onenepa kwambiri kapena wodwala kwambiri?
Kodi pali abale amtundu wa 2 kapena matenda ashuga 1?
Mimba yoposa zaka 25?
Kodi panali zovuta zilizonse pa nthawi yapakati yoyembekezera? Matenda a shuga, kutaya padera, mwana wosabadwayo wolemera makilogalamu 4-4,5 kapena kuposerapo, mwana wobadwa wakhanda.
Kodi muli ndi matenda a ovary polycystic kapena matenda ena oyambitsidwa ndi insulin?
Kodi mwakhala mukudziwapo izi: kukana insulini, kulekerera kwa glucose, prediabetes?
Kodi cholesterol chamagazi “choyipa” chakwera? Zowopsa? Kapena kodi pali zina zomwe zingayambitse ngozi?

Ngati mwayankha kuti “inde” pa limodzi la mafunso, pali ngozi. Ngati pali mayankho awiri kapena angapo olimbikitsa, ndiye kuti ndi wokwera.

Kaya mwayankha yankho liti pamafunso oyesa, yang'anani shuga lanu pakati pa milungu 24 ndi 28 ya bere. Dokotala wanu mwina angakuwongolereni.

Kunena mwachidule, kuyesa kwa shuga m'magazi si njira yabwino kwambiri. Amatha kubisa vutoli, ndikupereka zotsatsa zabodza. Glycated hemoglobin ndiyeso yabwino kwambiri yofufuzira matenda ashuga ... koma osati panthawi yokhala ndi pakati, chifukwa zochitika zikukula mwachangu kwambiri. Pezani nthawi yokhala ndi mayeso ololera a maola awiri.

Matenda a shuga a Gestational amadziwika ngati kuyezetsa magazi awiri shuga pamasiku osiyanasiyana kunakhala koipa. Nthawi imodzi sikokwanira. Ngati mayi alabadira kuwongolera shuga, ndiye kuti nthawi zambiri mimbayo imatha bwino. Njira yakuchiritsira ikufotokozedwa mwatsatanetsatane m'nkhani "Matenda a shuga."

Pambuyo pa 2010, zakudya zomwe zimaletsedwa pang'ono zamafuta zimatsimikiziridwa mwalamulo, mpaka magalamu 80-100 patsiku kapena mpaka 35-45% ya calorie. Zakudya zomanga thupi zomwe zimamwa mwachangu zimachotsedwa kwathunthu. Pazakudya za mayi woyembekezera kuchokera pazinthu zomwe zimakhala ndi chakudya chamagulu, ndiwo zamasamba, zipatso ndi phala zochepa chabe. Zakudya zoterezi zimachepetsa shuga m'magazi ndipo zimachepetsa chiopsezo cha zotsatira zoyipa za pakati, poyerekeza ndi zakudya “zopatsa thanzi” zomwe zimakhala ndi 45-65% chakudya. Source - buku "Diabetes: Diagnosis, Treatment, Prevention", ed. I. I. Dedova ndi M. V. Shestakova, 2011, mutu 23 “Gestationalabetes mellitus”.

Kutsatira zakudya zama carbohydrate otsika kwambiri (20-40 g ya chakudya chambiri patsiku) panthawi yomwe ali ndi pakati sikulimbikitsidwa lero. Komabe, ndikofunikira kupita pambuyo pobadwa. Ichi ndiye chinthu chofunikira kwambiri poletsa kukula kwa matenda ashuga amtundu wa 2 pakukalamba ndi ukalamba.

Mukangobereka, shuga wanu wamagazi amabwerera mwakale. Komabe, kuwonjezera apo pali chiwopsezo chowonjezeka cha matenda a shuga a 2. Chilichonse cholembedwa pamwambapa "Prevention" ndichanu. Amayi omwe adakumana ndi matenda ashuga amalangizidwa kuti akamayezetse magazi a hemoglobin kamodzi pachaka. Mukutsimikiziridwa kuti mupewe matenda amtundu wa 2 ngati mungakhale ndi moyo wathanzi. Matendawa ndi osapeweka.

Mtundu woyamba wa shuga

Ngati muli ndi matenda a shuga 1, kumbukirani kuti zofunikira za insulini zisintha mosiyanasiyana. Mlingo wa insulin wa tsiku ndi tsiku udzakhala wosiyana mu I, II ndi III trimesters ya mimba. Komanso, kuchuluka kwa insulin yayitali (basal) komanso mwachangu (bolus) kungakhale kosasinthika.

Malinga ndi kusintha kwa insulin zofunika, pakati pamagawika nthawi zotsatirazi:

kuyambira koyamba mpaka masabata 6,
Masabata 7-12
Oyang'anira II ndi III, mpaka kumapeto kwa milungu 36,
kuyambira masabata 37 asanabadwe,
oyamba masiku atatu atabadwa.

Mpaka sabata la 6 la mimba, zonse zikhala monga nthawi zonse. Kufunika kwa insulini kumakhalabe chimodzimodzi ngati asanachitike mwana. Mwina simudziwa kuti muli ndi pakati. Kupitilira apo, kuyambira milungu isanu ndi umodzi mpaka 12, mlingo wa insulin wa tsiku ndi tsiku umachepa. Kodi sizikuwoneka zachilendo kwa inu? Tiyeni tiwone chifukwa chake izi zikuchitika. Zochita za chitetezo chamthupi panthawiyi zimachepetsedwa kuti kukanidwa kwa fetal sikuchitika. Chifukwa cha izi, autoimmune kuukira kwa maselo a pancreatic beta amayamba kufooka kwakanthawi.

Mwina kapamba amayamba kupanga kuchuluka kwake kwa insulini. Zotsatira zake, kuyambira masabata 6 mpaka 12, kuopseza kwa hypoglycemia kumawonjezera katatu. Ndiowopsa kwa mwana wosabadwa. Khalani omasuka kuti muchepetse mankhwalawa a insulin mukangowonetsa kuti shuga yanu ili pansi. Mwabwino, azikhala ochepetsedwa ndi 25%, koma onsewa ndi payekha. Sungani mapiritsi a shuga m'manja. Ngakhale musanakhale ndi pakati, muyenera kuphunzira momwe mungazigwiritsire ntchito kupewera ndi kupumula kwa hypoglycemia.

Pa nthawi yomwe mayi ali ndi pakati, mayi ayenera kuwongolera matenda ake a shuga mosamala kwambiri kuposa masiku onse

Mu trimesters II ndi III, kufunikira kwa mkazi kwa insulin kukuchulukirachulukira. Kulemera kwa thupi kukuchulukirachulukira. The placenta imapanga mahomoni omwe amachepetsa mphamvu ya insulin. Awa ndi ma lactogen a placental a anthu, progestron, prolactin ndi cortisol. Kuyambira milungu 12 mpaka 36 ya mimba, tsiku lililonse mlingo wa insulini umachulukitsa katatu. Izi ndizabwinobwino. Chipatsochi chikukula mwachangu. Kuti musinthe njirayi, mumafunikira insulini yambiri.

Kuyambira masabata 36 asanabadwe, kufunika kwa insulin sikumakulanso, koma kumakhalabe kokwezeka. Mwana akangobadwa kumene, sikuti amangogwa, koma amagwa kwambiri. Zilibe kanthu kuti kubadwa kunali kwachilengedwe kapena kesare. Mankhwala atachotsedwa, kuchuluka kwa mahomoni omwe amayambitsa kukana kwa insulin nthawi yomweyo kumatsikira m'thupi la mkazi. Mu maora 24-48 oyambilira pambuyo pobadwa, mlingo woyenera wa tsiku ndi tsiku wa insulin ukhoza kukhala wotsikirapo kuposa momwe amakhalira pakati. Samalani ndi hypoglycemia panthawiyi! Kwa amayi ena omwe ali ndi matenda a shuga omwe amadalira insulin, masiku apadera awa, jakisoni wa insulin sangakhale wofunikira nkomwe. Izi sizichitika kawirikawiri, koma kumbukirani izi.

Kupitilira apo, zosowa zanu za insulin zidzakhala zofanana ndi zomwe zinachitika asanakhale ndi pakati. Kuyamwitsa pang'ono kumachepetsa shuga. Chifukwa chake, Mlingo wa insulin amafunikanso kuchepetsedwa. Komabe, ngati mayi atakhala wolemera pambuyo pobadwa, izi zimapangitsa kuti insulin ikane. Kuti mupeze izi, muyenera kukhala ndi insulin yokwanira tsiku lililonse. Mukamasamalira mwana, mudzagona mosagwirizana, osagona mokwanira. Izi zikhudzanso zosowa zanu za insulini, mwina potsatira kuchuluka kwawo.

Kwambiri, matenda ashuga mu akazi si osiyana ndi matenda amuna. Zizindikiro zake ndi zofanana. Kusiyana ndi matenda obwera ndi ukazi, komwe chilengedwe chimatsitsimula amuna. Koma amayi musadandaule za kusabala ...

Mawonekedwe a maphunziro a shuga omwe amadalira insulin mwa akazi afotokozedwa mwatsatanetsatane pamwambapa. Magawo a msambo, kusamba ndi nthawi yayitali yonse imakhudza kuchuluka kwa shuga m'magazi. Pazochitika zonsezi, mulingo wa insulin uyenera kusintha. Phunzirani kuwerengera molondola mlingo, ndipo musamwe jakisoni zinthu zomwezo nthawi zonse, monga ambiri odwala matenda ashuga amachitira.

Tsamba la Diabetes-Med.Com limalimbikitsa njira zosintha zakuwongolera kwa matenda ashuga ku Russia:

Zakudya zamafuta ochepa
maphunziro olimbitsa thupi
njira zachinyengo zowerengera insulin.

Phunzirani izi kuti shuga yanu ikhalebe yabwinobwino, monga anthu athanzi. Shuga uyu siwotalika kuposa 5.5-6.0 mmol / l mutatha kudya, m'mawa pamimba yopanda kanthu ndipo makamaka musanadye. Ndi zizindikiro zotere, kukula kwa zovuta za shuga sikudafunso. Moyo wathanzi mpaka ukalamba tsopano wapezeka kwa odwala olankhula Chirasha. Ngati mukukhalabe ndi mafunso okhudzana ndi matenda ashuga mwa akazi, mutha kuwafunsa ndemanga. Oyang'anira tsambalo ndiwofulumira komanso mwatsatanetsatane.

Matenda a shuga

Tiyenera kudziwa kukhalapo kwa matenda monga matenda a shuga insipidus. Kodi matendawa ndi ati? Mawuwa amatanthauza matenda ashuga apakati a genesis, omwe amayamba chifukwa chosakwanira kupanga mahomoni vasopressin ndi hypothalamus. Kuphatikiza apo, mawonekedwe a nephrogenic a matenda a shuga a insipidus, omwe amapezeka pamene kuchuluka kwa vasopressin kuli kwachilendo pakumva kupsinjika kwa impso kuchitira mahomoni, amakhala payokha.

Kodi matendawa amawonekera bwanji? Zizindikiro zake zoyambirira zimatha kufanana ndi shuga, popeza pamakhala ludzu lowonjezereka ndi polyuria (kuchuluka kwamkodzo patsiku kumakwera mpaka 6 l). Odwala amadandaula za kusokonezeka kwa kugona komanso kutopa kwambiri. Mutu, khungu louma, komanso secretion yocheperako komanso kuchepa kwa thupi zimalembedwanso. Pankhaniyi, kuchuluka kwa shuga kumadutsa malire, komwe ndi kofunikira kwambiri komwe kumathandizira kuzindikira matenda a shuga insipidus komanso kupatula kukhalapo kwa matenda ashuga, psychigenic polydipsia ndi kuwonongeka kwa impso.

Chithandizo cha matenda ashuga

Cholinga chachikulu cha chithandizo chilichonse cha matenda ashuga ndicho kulimbana ndi hyperglycemia. Njira zothandizira odwala zimatha kusintha kutengera mtundu wa matenda ashuga. Chifukwa chake, ndi matenda amtundu wa 1 shuga, chithandizo chokhacho ndi mankhwala a insulin. Jekeseni wa mankhwala omwe amagwira ntchito mwachidule amathandizira kugwiritsa ntchito mankhwala omwe amabwera ndi chakudya. Ma insulini okhala ndi nthawi yayitali amakhala ndi shuga m'thupi komanso pakati pa chakudya. Palinso kukonzekera kophatikiza komwe kuli ndi zinthu ziwiri zomwe zatchulidwa pamwambapa, koma sizikugwiritsidwa ntchito pochiza matenda a shuga 1. Mankhwala oti agwiritsidwe ntchito ndi zomwe mankhwalawa - adokotala amatsimikiza kutengera mulingo wa glycemia.

Masiku ano, njira zatsopano zamankhwala zikupangidwira. Pakati pawo akuyenera kutchedwa kupatsirana kwa maselo a beta, omwe amachititsa kuti insulin itulutsidwe, kapena chimbudzi chonse chochita kupanga, mankhwala amtunduwu kapena majeremusi othandizira omwe amasiya jakisoni. Komabe, zonsezi zimangokhala pakuchitika kafukufuku, ndipo insulin ikadali chithandizo chachikulu.

Pochiza matenda amtundu uliwonse wa shuga, gawo lofunikira limasewera ndi kupatsa thanzi. Ndikofunikira kuti odwala asafe ndi njala, kugawa chakudya moyenera tsiku lonse. Kudya kumalimbikitsidwa m'magawo ang'onoang'ono. Izi zimalepheretsa spikes mu shuga. Zopatsa mphamvu za zakudya za tsiku ndi tsiku zimawerengedwa poganizira insulin.

Mu matenda ashuga, mitundu iwiri yamanemayi imapangidwa kuti izitha kupewa kunenepa kwambiri, ndiye kuti, zakudya zamafuta ochepa zimaphatikizidwa menyu. Kuphatikiza apo, ndi matenda ashuga, kuwonjezereka kwamphamvu kwa cholesterol komwe kumalembedwa, komwe kumakhudza mtundu wa zotengera, chifukwa chake, mafuta a nyama ayenera kukhala ochepa. Zopangira mkaka sizikhala zopanda mafuta, nsomba zimaloledwa mitundu yochepa yamafuta m'mafuta owiritsa kapena owotcha.

Mwa zopangidwa, zokonda ziyenera kuperekedwa kwa iwo omwe ali ndi "pang'onopang'ono" chakudya (akalowa m'thupi, shuga amakula pang'onopang'ono, mphindi 20 atatha kudya). Ndikofunika kulabadira kuti kutentha kwa mbale ndi kusasinthasintha kwawo zimakhudza kugwiritsidwa ntchito kwa chakudya. Kwa odwala matenda ashuga, ndibwino kudya zakudya zabwino, zopaka komanso zopaka bwino zomwe zimakhala ndi fiber yambiri.