Kuchuluka kwa shuga m'misinkhu ya amuna ndi akazi
Kuwunikira momwe thupi lanu limakhalira ndi njira yofunika kwambiri yodzitetezera kumatenda ambiri oyamba.
Kuti muwone momwe zinthu ziliri, zikwangwani zingapo zimagwiritsidwa ntchito zomwe zimafotokoza kukhalapo kapena kusapezeka kwa zopatuka ku chizolowezi. Chimodzi mwazofunikira kwambiri pakati pawo ndi kuchuluka kwa glucose m'magazi.
Chifukwa chiyani tifunika kusanthula?
Glucose imakhala gawo lalikulu lamphamvu lopatsa mphamvu thupi. Pa oxidation, mphamvu yofunikira pantchito ya ziwalo zonse imatulutsidwa, ndipo kuti ifike kwa iwo, iyenera kudutsa m'magazi.
Zakudya zam'madzi izi zimalowa m'thupi limodzi ndi chakudya, makamaka zotsekemera ndi ufa. Imamwa mosavuta ndipo imayamba kudyedwa. Zowonjezera zake zimasungidwa mu mawonekedwe a glycogen mu chiwindi.
Ngati glucose sikokwanira, thupi limayamba kugwiritsa ntchito mphamvu zina: mafuta ndipo, mochulukirapo, mapuloteni. Potere, matupi a ketone amapangidwa, owopsa pantchito ya ziwalo zambiri.
Ndi kuchuluka kwa shuga m'magazi, kumapeto kumakhala kotsika, ndipo shuga pawokha ndi njira yabwino kwambiri yopangira ma tizilombo. Kuphatikiza apo, masinthidwe ena amthupi mu thupi amachitika, okhudza kuphwanya kapangidwe ka mitsempha yamagazi, mathero a mitsempha ndi zinthu zina.
Horoni ya pancreatic, insulini, iyenera kuwongolera njirayi, imathandizira kuti shuga igwiritsidwe ntchito, ndikuchepetsa kwambiri. Ngati kupangika kwa insulin kumayipa, izi zimabweretsa kuchuluka kwa shuga m'magazi - hyperglycemia, kapena kutsikira - hypoglycemia.
Mu magawo oyambapo ophwanya, kuchuluka kwa shuga m'magazi kumatha kuwongoleredwa ndipo zotsatira zoyipa zitha kupewedwa pogwiritsa ntchito njira zosavuta monga zakudya zoyenera. Ngati vutoli likukhudza kapangidwe ka ziwalo zamkati, munthu amayenera kulandira mankhwala amoyo wonse ndikuwonjezereka kwa moyo.
Kafukufuku
Kuti mupeze vuto loyambira m'magawo oyambira, kusanthula pafupipafupi kuchuluka kwa shuga m'magazi kumathandiza. Ambiri mwa anthuwa amadzipereka panthawi yopereka chithandizo chamankhwala, mwachitsanzo, pakuyesa kwa madokotala.
Komabe, magulu ena amayenera kupimidwa pafupipafupi, awa ndi:
- odwala omwe apezeka ndi matenda a shuga a mtundu woyamba 1 kapena 2,
- anthu onenepa kwambiri
- azimayi oyembekezera
- anthu omwe ali ndi matenda a endocrine dongosolo ndi chiwindi,
- akudwala matenda amisala,
- anthu omwe abale awo enieni ndi odwala matenda ashuga.
Njira zingapo zimagwiritsidwa ntchito pophunzira kuchuluka kwa shuga, zomwe zimakonda kwambiri kuyesa shuga.
Zimachitika m'mawa pamimba yopanda kanthu. Chojambulachi chimatengedwa kuchokera pazala zakuda kapena kuchokera mu mtsempha. Mfundoyi iyenera kukumbukiridwa, chifukwa zotsatira zake zimakhala zosiyana pang'ono.
Mulingo wa glucose umatengedwa mu njira ya kusanthula kwamwazi m'magazi, mogwirizana ndi mulingo wa cholesterol ndi zizindikiro zina. Amachitidwanso pamimba yopanda kanthu; magazi amatengedwa kuchokera m'mitsempha.
Imachitika m'magawo angapo:
- Choyamba, wodwalayo amapereka magazi kuchokera chala kumimba yopanda kanthu,
- kenako amamwa yankho la shuga - pafupifupi 75 g, ana pamlingo wa 1 gramu pa kulemera kwa thupi,
- pambuyo pafupifupi maola 1.5, magazi amatulutsidwanso kuchokera ku ma capillaries,
- malinga ndi zotsatira za phunziroli, mkhalidwe wa kagayidwe kazakudya umatsimikizika, omwe ma 2 coefficients amawerengedwa: hyperglycemic ndi hypoglycemic.
Kukwanira koyamba kumawonetsa kuchuluka kwa kuchuluka kwa shuga m'magazi ola limodzi mutatha kudya shuga ndikuwonetsa pamimba yopanda kanthu. Miyezo, muyezo uwu uyenera kuwonetsa malire mpaka 1.7.
Lachiwiri likuwonetsa kuchuluka komweko, koma maola 2 mutatha shuga, ndipo sayenera kupitirira 1.3. Zotsatira zikakhala pamwamba pa chizolowezi, dokotala amapanga - prediabetes state, ngati m'modzi ataphwanyidwa - munthuyo ndi wa gulu lowopsa ndipo ayenera kuyang'anira kuchuluka kwa shuga pafupipafupi.
Kulingalira zotsatira
Zotsatira zakusintha kwa kafukufukuyu wa shuga zimayezedwa ndi zizindikiro zingapo: mmol / l, mg / dl, mg /% kapena mg / 100 ml. Omwe amagwiritsidwa ntchito kwambiri ndi mmol pa lita.
Matenda a shuga amalumikizidwa ndi magawo osiyanasiyana a munthu:
- Kwa ana ochepera chaka chimodzi, amamasulidwa kukhala 2.8-4.4 mmol / L, zotsatira za 4.5-4.9 mmol / L ndi mzere wam'malire, zomwe ndizowopsa ndikuwonetsa kuthekera kwa matenda a shuga. Ngati zotsatira zake ndizapamwamba, dokotala amapangidwa.
- Kwa ana ochepera zaka 5, chizolowezi chimakhala chizindikiro cha 3.3-5 mmol / L, zotsatira zake zimakhala 5.4 mmol / L ndi mzere m'malire, ndipo pamwamba pake amadziwika ndi matenda.
- Kuyambira zaka 5 ndi kupitilira, zomwe zimachitika ndi 3.3-5,5 mmol / l, ndipo malire ndi 5.6-6. Chilichonse choposa izi chikunena za vuto la malamulo a shuga kagayidwe.
Kuchuluka kwa shuga m'magazi
Zotsatira za kusaka kwa shuga m'magazi zimatengera zaka, jenda, komanso masewera olimbitsa thupi. Chifukwa chake, kuchuluka kwa shuga m'magulu azimayi kumacheperachepera kuposa amuna, komwe kumalumikizidwa ndi mawonekedwe a metabolism komanso kuchuluka kwa zochitika zolimbitsa thupi.
Tidzapereka chidziwitso chachikulu patebulo:
Gulu la zaka | Kusala mwachizolowezi | |
---|---|---|
amuna | azimayi | |
Osakwana zaka 14 | 3,4-5,5 | 3,4-5,5 |
Zaka 14-60 | 4,6-6,4 | 4,1-6 |
Zaka 60-90 zakubadwa | 4,6-6,4 | 4,7-6,4 |
Zoposa zaka 90 | 4,2-6,7 | 4,3-6,7 |
Pankhani ya kutenga pakati kwa mkazi, Zizindikiro zimatha kusintha, chifukwa thupi lake limagwira ntchito mozungulira. Koma kudziwongolera ndikofunikira chifukwa chiwopsezo cha matenda ashuga, chomwe pambuyo pake chimatha kukhala mtundu wa matenda ashuga 2.
Kwa ana, Zizindikiro ndizotsika kwambiri, komanso zimasiyana malinga ndi zaka:
Zaka za mwana (chaka) | Adaloledwa Glucose |
---|---|
Mpaka mwezi umodzi | 2,7-3,2 |
Mpaka miyezi isanu ndi umodzi | 2,8-3,8 |
Miyezi 6-9 | 2,9-4,1 |
Chaka chimodzi | 2,9-4,4 |
1-2 | 3-4,5 |
3-4 | 3,2-4,7 |
5-6 | 3,3-5 |
7-9 | 3,3-5,3 |
10-18 | 3,3-5,3 |
Zizindikiro Zovomerezeka za odwala matenda ashuga
Mwa anthu omwe ali ndi matenda ashuga, malamulo a shuga m'magazi amachepa, izi zimapangitsa kuti shuga yawo iwonjezeke.
Pankhaniyi, kugwiritsa ntchito mankhwala komanso kutsatira malangizo a zopatsa thanzi kumakupatsani mwayi wowongolera njirayi, ndikukwaniritsa kuchepa kwa magwiridwe antchito.
Komabe, mwa anthu odwala matenda ashuga, zotsatira zake zimakhala zokwera pang'ono, ndipo kwa iwo zizindikiro monga 5-7.2 m'mawa pamimba yopanda kanthu, osaposa maola 10 - 2 chakudya chitakhala chovomerezeka.
Kuchulukitsa-chakudya kuwonjezeka
Biomaterial yoperekedwa m'mawa imawonetsa ntchito yonse ya endocrine dongosolo ndi kuthekera kwake kuthana ndi shuga. Mwatsatanetsatane, njirayi imatha kuwonetsa kafukufuku yemwe anachita atatha maola awiri akudya.
Zikuwonetsa momwe thupi limayankhira mwachangu kusintha kwa ndende.
Mwa anthu athanzi, izi zizowonetsa mu ola loyamba mukatha kudya ziyenera kukhala 6.2 mmol / L, atatha maola awiri - 3.9-8.1 mmol / L. Ngati zachitika nthawi iliyonse, osaganizira zakudya, ziyenera kuzikika mkati mwa 3.9-6.9 mmol / L.
Mu odwala matenda ashuga, Zizindikiro zomwezo ziyenera kusungidwa, popeza ndizoperewera. Ndi kuphwanya kwawo kosalekeza, kusintha kwa ziwonetsero mu ntchito ya ziwalo kumachitika, zomwe zimabweretsa zovuta zovuta zomwe zimakhala ndi matenda a shuga.
Kanema kuchokera kwa katswiri:
Mwa ana, zizindikiro zoyenera ndi:
- atangodya - mpaka 5.7 mmol / l,
- pambuyo pa ola limodzi - mpaka 8 mmol / l,
- pambuyo 2 maola - zosaposa 6.1 mmol / l.
Ndi zotsatira zowonjezereka, kupezeka kwa matenda a shuga kumakayikiridwa.
Kusala kudya
Njira yayikulu yoperekera mawunikidwe awa imaphatikizapo kafukufuku wopanda kanthu m'mimba. Ndiye kuti, chakudya chomaliza musanachidziwe sichikhala pasanathe maola 12. Kuphatikiza apo, m'masiku apitawa, zakudya zomwe zimayenera kuchitika ziyenera kuchitika, komwe ndikofunikira kupatula kumwa mowa, ngati nkotheka, mankhwala.
Madzi amayenera kumamwa nthawi yochepa. M'malo ndi khofi, tiyi kapena timadziti siziyenera kukhala. Akatswiri salimbikitsa kutsuka mano kapena kugwiritsa ntchito chingamu musanachite kafukufukuyu, chifukwa amakhala ndi shuga wambiri ndipo amatha kusintha zotsatira zake.
Kwa odwala matenda ashuga, nthawi yopanda kudya imatha kuchepetsedwa mpaka maola 8, popeza sangakhale ndi njala kwa nthawi yayitali, izi zimakhala zodzala ndi chipere. Phunziroli litangotha, ayenera kudya china chake kuti atenge glucose m'magazi.
Kuyeza kolondola
Phunziroli liyenera kuchitikira mu labotale. Potere, wodwalayo ayenera kutsatira malingaliro onse omwe adokotala adawakonzera pokonzekera kuwunika kwake. Kupanda kutero, zotsatira zake zitha kukhala zolakwika, ndipo sizingatheke kuzindikira matenda.
Posonyeza zotsatira zowopsa, kusanthula kumayenera kubwerezedwa sabata yotsatira ndikuphunzira zamphamvu. Ngati kuphwanya kwapezeka kamodzi, izi zitha kukhala zolakwika zaukadaulo kapena kulakwitsa kwa nthawi imodzi mu gland.
Ngati zikuwonjezerazo zikuwonjezereka, adotolo amakupangira maphunziro owonjezera, monga kulolera kwa glucose kapena kutsimikiza mtima kwa fructosamine. Apereka chithunzi chatsatanetsatane ndikuthandizira kuzindikira bwino lomwe matenda.
Ngati matenda a shuga akhazikitsidwa, chithandizo choyenera chimakhazikitsidwa.
Kanema kochokera kwa Dr. Malysheva:
Kuyesedwa kwa magazi ndi shuga ndi kuyesa kosavuta komanso kotsika mtengo komwe kumachitika m'makliniki onse amzindawo. Pangani zophweka komanso zachangu, ndipo zotsatira zake zingathandize kupewa mavuto ambiri azaumoyo makamaka matenda oopsa ngati matenda a shuga.