Chifukwa chiyani shuga limatuluka: zimayambitsa shuga
Glucose ndi gawo lofunikira kwambiri m'maselo a thupi la munthu. Pa gawo lanyumba, mutha kukangana monga momwe mungafunire ngati munthu akufuna shuga kapena ayi. Sayansi sakayikira pankhaniyi: glucose ndiye gwero lamphamvu kwambiri lamaselo athu onse, ndipo kwa maselo ofiira ambiri ndiye okhawo.
Glucose amalowa mthupi ndi chakudya, ndikulowa m'magazi, amatengedwa ndi maselo onse a minyewa ndi ziwalo zofunika za munthu. Ndi kupanda kwake, munthu amadzuka, ofooka komanso kugona. Ichi ndiye chakudya chachikulu cha bongo, popeza chimatha kugwiritsa ntchito mphamvu kuchokera kwa chakudya chambiri. Chifukwa choperewera m'magazi, thanzi la munthu limakulirakulira, munthu samatha kulimba, ndipo kukumbukira kwake kumavutika. Glucose imafunikanso pakuchita bwino kwa mtima. Ndi gawo la mankhwala ambiri othana ndi nkhawa komanso magazi omwe amagwiritsidwa ntchito mu matenda amanjenje, chiwindi, matenda osiyanasiyana komanso kuledzera. Popanda chofunikira ichi, munthu sangathe kuthana ndi mavuto. Ndipo shuga, kulowa m'magazi, kukonza mkhalidwe wamaganizidwe, kumapereka mtendere wamkati ndi chidaliro.
Koma shuga wambiri ndi owopsa. Komabe, ziyenera kunenedwa kuti kuwonjezeka kwa shuga m'magazi sikuti nthawi zonse kumakhala chizindikiro cha matenda ashuga.
Mitsempha yamagazi yochepa ingasiyane:
- ndi zolimbitsa thupi,
- pamavuto,
- ndi kuchuluka kwa kutentha kwa thupi (mavairasi, mabakiteriya ndi chimfine),
- wokhala ndi ululu wosalekeza,
- Zoyaka,
- motsutsana ndi kukula kwa khunyu.
Kukula kosalekeza kwa shuga m'magazi kumatha kuchitika:
- Ndi njira zam'mimba zam'mimba,
- ndi matenda a chiwindi,
- ndi matenda otupa a endocrine gland (kapamba, hypothalamus, adrenal gland ndi pituitary gland),
- ndi vuto la kusungunuka kwa maholide pakukula kwa endocrinopathies komanso panthawi yapakati.
Komabe, chochititsa chofala kwambiri cha kuchuluka kwamphamvu kwa shuga m'magazi ndi matenda a shuga.
Ndi kuchuluka kosalekeza kwa shuga m'magazi, poyamba, palibe kusintha komwe kumamveka kapena wodwala sakusonyeza kufunika kwa iwo, koma nthawi yomweyo, kusintha kowopsa kumachitika m'thupi lake. Chifukwa chake, kuti mukhale ndi thanzi, muyenera kudziwa zomwe zimawoneka ndi kuwonjezeka kwa shuga wamagazi.
Zizindikiro zazikulu zomwe zimachenjeza za shuga wambiri ndi:
- kukodza pokodza ndi kuwonjezeka kwa mkodzo wambiri,
- ludzu lamphamvu lamkamwa nthawi zonse komanso pakamwa pouma, kuphatikiza usiku,
- kutopa, ulesi ndi kufooka kwakukulu,
- nseru, kusanza kwambiri,
Mutu wosalekeza
- kuwonda mwadzidzidzi,
- Kuwonongeka kowoneka bwino kumatha kuchitika.
Gulu lomwe lili pachiwopsezo cha matenda ashuga limaphatikizapo:
- azimayi omwe ali ndi ovary ya polycystic,
- anthu omwe ali ndi potaziyamu ochepa kwambiri m'magazi, makamaka nthawi zambiri matendawa amakula mwa odwala omwe ali ndi matenda oopsa chifukwa chakuti kuwonjezeka kwa kukakamiza kumalimbikitsa kukokana pafupipafupi komanso kuchotsa potaziyamu m'thupi,
- odwala omwe onenepa kwambiri kapena onenepa kwambiri,
- ndi cholowa chamtsogolo pakukula kwa matenda a shuga,
- amayi omwe adakhala ndi mawonekedwe osokoneza bongo nthawi yayitali.
Kodi magazi abwinobwino ndi ati?
Shuga (glucose) m'magazi omwe amatengedwa pamimba yopanda kanthu amakhala amtundu wa 3.88 - 6.38 mmol / l, mwa makanda: 2.78 - 4.44 mmol / l, mwa ana: 3.33 - 5.55 mmol / l Nthawi zina, pa fomu yosanthula, zikuwonetsedwa ndizowonetsa zosiyana pang'ono, ndipo muyenera kuziwunika - njira zosiyanasiyana, zikhalidwe ndizosiyana.
Zomwe muyenera kudziwa pankhani yoyesa shuga
Kuti mupeze cholinga, zina ziyenera kuchitika:
- tsiku lisanafike kuwunikira, ndibwino kuti musamwe mowa,
Maola 8-12 asanakudziwe, musadye chilichonse, imwani madzi okha,
musamawotseke mano m'mawa musanawunike (mano akakhala ndi shuga, amakamizidwa kudzera mucous membrane wamkamwa wamkamwa ndipo amatha kuthana ndi zolondola pazisonyezo). Pazifukwa zomwezi, kutafuna mano sikuyenera kutafunidwa musanaunike.
Zifukwa za shuga wambiri
Magazi a shuga amatha magazi pazifukwa zosiyanasiyana kupatula shuga. Zomwe zimatha kugawidwa zimatha kugawidwa mu pathological, zomwe zimagwirizanitsidwa ndi matenda aliwonse, komanso thupi, zogwirizana ndi momwe munthu aliri.
Mwazi wamagazi ukhoza kukwezedwa chifukwa cha kupsyinjika kwamaganizidwe kapena kupsinjika kwa thupi. Ndi kupsinjika pafupipafupi m'thupi la munthu, kuchuluka kwa adrenaline kumachitika, komwe kumapangitsa kuti glycogen iwonongeke mwachangu. Zotsatira zake, shuga m'magazi amatha kuchuluka kwambiri.
Zakudya zopanda pake, makamaka, kugwiritsa ntchito chakudya chambiri chamafuta ambiri. Ngati izi zikuchitika nthawi imodzi, ndiye kuti kuchuluka kwa shuga m'magazi ochepa kumakhala kofanana.
Komabe, ngati kudya kotereku ndi njira ya moyo, ndiye kuti kuchuluka kwa shuga kokhazikika kungakhale kokhazikika, ndipo matendawo amapezeka.
Titha kusiyanitsa zifukwa zotsatirazi zomwe zimapangitsa shuga wambiri m'magazi a anthu:
- Shuga amatha kutuluka mwa azimayi kusamba.
- Glucose amatha kumuka pambuyo pa kusuta.
- Kugwiritsa ntchito mankhwala ena a psychotropic kungapangitse kuchuluka kwa shuga m'thupi la munthu.
Odwala ambiri akudzifunsa ngati glucose amatha kuchuluka pogwiritsa ntchito Protofan? Malangizo ogwiritsa ntchito mankhwalawa akuti ayi, shuga sangathe kuwonjezera, koma amachepetsa kwambiri.
Komabe, ena odwala matenda ashuga akuti mankhwalawa sawathandiza, shuga amakhalanso pamodzimodzi, kapenanso kukwera. Pamodzi ndi izi, madotolo ati izi ndizotheka mwanjira imodzi pa miliyoni, ndipo zifukwa zingakhale zosiyanasiyana.
Choyamba, pamakhala zotheka kuti mwa wodwala wina thupi lisamayankhe mwanjira iliyonse mankhwala, ndiye kuti, shuga samachepa. Kachiwiri, sizimayikidwa pokhapokha kuti mulingo wa chinthucho umasankhidwa molakwika.
Ngati vuto lotere likuwonetsedwa mwa wodwala, ndikulimbikitsidwa kuti mupezeke ndi dokotala nthawi yomweyo kuti musinthe chithandizo.
Zovuta zomwe zimayambitsa shuga
Zachidziwikire kuti poyambirira pali matenda omwe amatchedwa shuga. Imadziwoneka ngati yovuta pogwira ntchito ya endocrine system, pakakhala kuperewera kwa mahomoni m'thupi omwe amatenga mbali mu kagayidwe kazinthu.
Poyerekeza ndi maziko a matenda a shuga, shuga amachulukitsidwa, kulemera kwa thupi kumatha kuchuluka kapena kuchepa kwambiri, kuwonjezeka kwa chilakolako chofuna kudya, kukodza pafupipafupi, kumangokhala ndi ludzu, komanso chitetezo chamthupi cha munthu chimafooka.
Kuphatikiza apo, ndi matenda a shuga, wodwalayo amakhala ndi chizolowezi cha matenda osiyanasiyana opatsirana, mabala amachiritsa pang'onopang'ono, ndipo mawonekedwe amawonongeka amachepa. Pali shuga mumkodzo, komanso matupi a ketone, omwe akupatuka kuchoka pazomwe zimachitika.
Zochita zamankhwala zimazindikira za matenda otsatirawa, chifukwa omwe shuga m'thupi amatha kuchuluka:
- Pheochromocytoma ndimatenda a endocrine dongosolo, chifukwa chomwe kuchuluka kwa adrenaline ndi noradrenaline kumasulidwa m'magazi. Ndi mahomoni awa omwe amapsetsa kulumpha mu shuga mthupi.
- Pathology ya Itsenko-Cushing - mavuto ndi pituitary gland.
- Matenda a chithokomiro.
- Matenda a kapamba amakhudzana ndi chotupa cha mkati. Ndi kuphwanya magwiridwe antchito a kapamba, insulin sangathe kubisalira kuchuluka kofunikira, komwe kumapangitsa kuti shuga azikhala mthupi la munthu.
- Cirrhosis a chiwindi, chiwindi, chotupa mawonekedwe.
Muyenera kudziwa kuti kuchuluka kwa shuga m'magazi si matenda.
Ichi ndi chizindikiro chachipatala chabe, kuwonetsa kuti njira za pathological zimawonedwa m'thupi la munthu.
Chithunzi cha chipatala cha hyperglycemia
Chizindikiro choyambirira chomwe chikuwonetsa kuti shuga ndi pamwamba pa malire ndi ludzu losatha. Chifukwa cha kuchuluka kwa kuchuluka kwa shuga, thupi la munthu limasiya pafupifupi madzimadzi onse.
Poona izi, ziwalo zamkati ndi minofu yofewa ndiz "ludzu", chifukwa chake zimatumiza chizindikiro kuubongo kuti zithetsenso madzi. Zotsatira zake, izi zimapangitsa kuti anthu azikhala ndi ludzu nthawi zonse.
Pakamwa pakamwa ndi chizindikiro chachiwiri chazakudya zambiri za shuga mthupi. Shuga amatha kukopa madzi onse pawokha, ndipo kuchokera ku kuchepa kwake, ziwalo zamkati "zimapempha madzi."
Palinso zizindikiro monga:
- Pafupipafupi komanso kupemphetsa kukodza. Popeza kuchuluka kwa shuga mthupi la munthu kwachuluka, motero, kuchuluka kwa madzi kumachulukanso. Impso imagwira ntchito mwachangu, kuyesera kuchotsa chilichonse m'thupi.
- Kuthamanga kwa magazi. Poyerekeza ndi kuchepa kwa ntchito ya impso, madzi owonjezera sachoka m'thupi la munthu, chifukwa chomwe magazi amawonekera.
- Kuchepetsa thupi. Chizindikiro ichi chimawonedwa mwa odwala omwe amapezeka ndi matenda amtundu woyamba, pomwe kusapezeka kwa kupanga insulin kumawonedwa kwathunthu.
Kuwonjezeka kwambiri kwa thupi, mpaka kunenepa kwambiri, titha kuonanso. Izi zimadziwika ndi mtundu wachiwiri wa matenda ashuga.
Zomwe zikuchitika pankhaniyi ndizosiyana, mahomoni adapangidwa mopitilira muyeso, ndipo zolandilira zomwe sizimagwira sizikuyenda bwino.
Mwazi waukulu m'mawa, bwanji?
Selo lililonse m'thupi la munthu limafunikira shuga. Chifukwa cha glucose, mphamvu imatulutsidwa mu ubongo, dongosolo lothandizira, kupuma ndi zina zotero. Ndiye kuti, khungu lililonse limafunikira kulumikizana kotere.
Zotsatira zake, thupi la munthu limayamba kugwira ntchito mokwanira. Kuti thupi lizigwira ntchito nthawi zonse, limafunikira shuga wina, yemwe amamwa monga amafunikira.
M'thupi lathanzi lonse, momwe machitidwe onse ndi ziwalo zamkati zimagwira ntchito mokwanira, insulin imamasulidwa. Mwa odwala matenda ashuga, chithunzi chotere sichimawonedwa. Kuchuluka kwa insulin kumatha kusiyanasiyana.
Kodi ndichifukwa chiyani m'mawa mumadumphadumpha? Akatswiri azachipatala amafotokozera izi chifukwa chakuti m'mawa thupi limasowa insulin. Thupi laumunthu "limafunsa" mphamvu, koma mahomoni siokwanira kupereka zosowa zake.
Maselo amayamba "kupanduka" chifukwa akufuna "kudya". Zowona, pali kuchuluka kwa glucose, koma thupi limazindikira izi monga kuperewera kwa mphamvu zamagetsi. Zotsatira zake, magawo owonjezera a shuga amatulutsidwa m'magazi, zizindikiro zikuwonjezeka.
Kodi mukuganiza bwanji pamenepa? Kodi mumayendetsa shuga wanu wamagazi ndipo mumatani kuti muchepetse?
Zomwe Zimayambitsa Madzi Akuluakulu a shuga
Kodi chimayambitsa shuga m'magazi ndi chiyani? Homoni yapadera, insulini, imayang'anira zizindikiro za glucose; imapangidwa ndi maselo a pancreatic beta. Mu shuga mellitus wa mtundu woyamba, insulin katulutsidwe amachepetsa kangapo, zomwe zimayambitsa zimakhudzana ndi beta-cell necrosis komanso njira yotupa. Tikulankhula za hyperglycemia yayikulu panthawi yomwe oposa 80% a maselo awa afa.
Matenda a shuga a Type II amadziwonekeranso mosiyanasiyana, mothandizidwa ndimatenda a thupi kuphatikiza insulin, titha kunena kuti "sazindikira" timadzi tating'onoting'ono. Pazifukwa izi, ngakhale kuchuluka kwamahomoni sikungathandize kusunga shuga wa magazi m'malo oyenera. Zotsatira zake, kukana insulin kumayamba pang'onopang'ono, kenako hyperglycemia.
Kuchuluka kwa shuga m'magazi kumadalira zinthu zingapo, kuphatikizapo chizolowezi chodya, zina zopsinjika, komanso matenda ena a ziwalo zamkati. Mwa munthu wathanzi, shuga wamagazi amatha kuchuluka pazifukwa zosiyanasiyana, kuchepa kwa magazi kwa kanthawi kochepa chifukwa cha zochita zolimbitsa thupi: kuchita masewera olimbitsa thupi mopitirira muyeso, kupsinjika, kuwotcha, matenda opatsirana, ma virus, limodzi ndi kutentha ndi thupi.
Zifukwa zina zidzakhala:
- Zakudya zamafuta ambiri
- kusowa zolimbitsa thupi
- zizolowezi zoipa
- zovuta zamanjenje.
Mwa akazi, shuga wokwanira amatha kukhala chifukwa cha premenstrual syndrome.
Madotolo amayambitsa zonse zomwe zimayambitsa hyperglycemia kutengera matenda, chomwe chofunikira kwambiri: matenda a chiwindi, dongosolo la endocrine, kukanika kwa pancreatic. Ziwalo zomwe zili m'gulu la endocrine zimathandizira kupanga insulin. Ngati ntchito yake yasokonekera, mayamwidwe a shuga ndi maselo amthupi akuipiraipira.
Matenda a chiwindi ndi kapamba zimakhudzanso zizindikiro za glycemia osachepera, ziwalo izi ndizomwe zimayambitsa, kuphatikiza, kupopera shuga.
Zizindikiro za Hyperglycemia
Kuti mukaikire kuchuluka kwa shuga m'magazi ndikosavuta, muyenera kusamala ndi thupi lanu. Ndi funso lachiwopsezo chowonjezeka, osati chakanthawi, monga, mwachitsanzo, matenda opumira kwambiri.
Munthu akhoza kukhala ndi shuga wowonjezereka ngati akumva zotsatirazi: kutopa, kupweteka kwamkamwa pakhungu lamkamwa, ludzu losasinthika, kusokonezeka kwa phokoso la mtima, kuchuluka kapena kuchepa kwa chilakolako cha thupi, komanso kusintha msanga thupi.
Odwala ena amazindikira kuyabwa pakhungu, maonekedwe a mabala m'thupi omwe sachira kwa nthawi yayitali, kuchepa kwa mawonekedwe am'maso, komanso kupuma kwa wodwalayo kumakhala kovuta komanso kopumira. Komanso, ndi hyperglycemia, mutu umatha kupweteka, kusanza, kusanza kumayamba, fungo lodziwika bwino la acetone limawoneka kuchokera mkamwa.
Ngati chizindikiro chimodzi kapena zingapo za hyperglycemia zapezeka, ndikofunikira:
- pitani kuchipatala kukapereka magazi a shuga,
- kufunsidwa ndi katswiri wazamankhwala komanso endocrinologist.
Ngati simukutenga chithandizo, shuga imatha kukwera kwambiri.
Zida zakuchiritsa shuga wambiri
Mwazi wamagazi umatsitsidwa moyang'aniridwa ndi dokotala; amalimbikitsa chithandizo chokwanira kwa wodwala, chomwe chimaphatikizapo njira ya mankhwala osokoneza bongo komanso kudya. Zimachitika kuti kungosintha zakudya ndikokwanira, ndipo sikukula.
Pali mtundu wapadera wa shuga - postprandial glycemia. Mwa ichi muyenera kumvetsetsa pang'ono kuchuluka kwa shuga pambuyo pudya. Malinga ndi kuti kwa maola awiri shuga imakhala pa 10 mmol / L ndipo pamwamba, kukonza kwa glycemia kumawonetsedwa kuti kumabweretsa msinkhu wake mpaka 7.8 mmol / L.
Ziwerengero zoterezi zimafanana ndi chizolowezi cha shuga wamafuta mutatha kudya mwa munthu wathanzi, komabe, kuwerengera kolondola ndikofunikira kuti muchepetse shuga ndi 2.1 mmol / l. Makamaka malangizowo ndi othandizira odwala omwe ali ndi mtundu woyamba wa shuga omwe amagwiritsa ntchito insulin yochepa.
Wodwala akakhala ndi shuga wambiri, amalangizidwa kuti aziona zakudya zomwe amadya. Pafupifupi chakudya chomwe chakumwa chikhale chotere:
- mchere - osapitirira 1-2 g,
- mapuloteni - 85-90 g,
- chakudya - 350 g
- mafuta - 75-80 g.
Zakudyazi ziyenera kuphatikizapo nyama yophika, nyama yophika, nsomba yosakhwima, zinthu zophika mkate kuchokera ku wholemeal, masamba (kupatula mbatata), mazira, chiwindi cha nkhuku. Muyeneranso kudya zinthu zamafuta zamafuta ochepa, zipatso zopanda zipatso, ndi nyemba (kupatula chimanga).
Chovomerezeka kugwiritsa ntchito uchi wachilengedwe, marshmallows, marmalade ndi marshmallows.Ma compotes osasankhidwa, zakumwa za zipatso, zakuda, tiyi wobiriwira, timadziti tamitengo, chicory tidzakhala othandiza. Menyuyi imaphatikizapo batala pang'ono, mafuta a masamba, bowa.
Shuga amatha kuchuluka ngati mumwa madzi pang'ono, kotero madziwo ayenera kukhala osachepera malita awiri patsiku. Zinthu zonse za calorie zam'mbale ndizopezeka 2400 kcal patsiku.
Njira yodziwira chithandizo mwachindunji imadalira kuchuluka kwa shuga m'magazi. Matenda a mtundu woyamba 1 akatsimikizika, wodwalayo amawonetsedwa jakisoni wokhazikika wa insulin. Monga lamulo, jakisoni amaperekedwa kwa moyo, komanso zakudya zamankhwala. Mtundu woyamba wa shuga ndi woopsa kwambiri, wodwalayo amakhala ndi chithandizo cha nthawi yayitali. Mu mtundu wachiwiri wa matenda ashuga, adotolo amalimbikitsa mankhwala ochepetsa shuga, achulukitse chitetezo chokwanira, mavitamini ndi michere mineral.
Ngati anthu atenga moyo wongokhala, osapita kumasewera, olimbitsa thupi, glucose wawo wamagazi akhoza kuwuka. Chifukwa chake, ndikofunikira kuphatikiza zochitika zolimbitsa thupi m'moyo wanu, zidzakuthandizani kukonza kagayidwe, kusintha matenda a glycemia, komanso kusangalala.
Zabwino pochiza komanso kupewa matenda a shuga:
- kuyendetsa njinga
- akuyenda masitepe
- Kuyenda
- kusambira
- masewera olimbitsa thupi mu mpweya wabwino.
Ntchito yolimbitsa thupi yothandiza kwambiri ikuyenda mothamanga, kuyenda mwachangu. Madokotala amalangizidwa kuti aziyenda m'mawa, osayendanso ndi misewu yayikulu. Ola limodzi patsiku ndikokwanira.
Njira zochiritsira zosagwiritsidwa ntchito masiku onse ndizofala masiku athu ano, zimadziwika ndi ambiri ngati njira yotsika mtengo komanso yothandiza kwambiri yothanirana ndi shuga. Zizindikiro za matenda a shuga zimayenderana ndi njira zina, koma zovuta za matendawa ziyenera kukumbukiridwa. Zomera zochiritsa nthawi zambiri zimagwiritsidwa ntchito: ginseng ofiira, mabulosi abulu, lilac, tsamba la bay, blueberries.
Ngati wodwala waona kuchuluka kwa zizindikiro za hyperglycemia, ayenera kupita kukayezetsa thupi ndi kukaonana ndi dokotala.
Iyi ndi njira yokhayo yomwe ingadziwire chifukwa chake panali kuwonongeka m'moyo wabwino, momwe angabweretsere ziwonetsero za glycemia pagulu wamba.
Kodi chiwopsezo cha madontho amwazi wa magazi ndi chiani?
Pali zolakwika ziwiri zomwe zingayambitse chikomokere: matenda a shuga komanso a hyperglycemic. Matenda a matenda ashuga ndi chifukwa chakuti glucose amatuluka amakhala wovuta kwambiri. Ndi kuchuluka kwa shuga, zovuta zaumoyo zomwe zikupita patsogolo, kusintha kwa chikumbumtima kumatha kuonekera. Izi zitha kuchitika m'masiku ochepa kapena masabata angapo.
Kuzindikira kuwonongeka kwaumoyo wabwino komanso kuwonjezeka kwa glucose kumafuna kuwunikira pafupipafupi, muyenera kupeza glucometer ndikuyezera mulingo wa glycemia tsiku lililonse. Ndi zovuta zoonekeratu zamatenda, kuchipatala ku chipatala kumasonyezedwa. Malangizowa ndiwofunikanso ngati dokotala watumiza mankhwala a shuga, ndipo sizithandiza kukwaniritsa glycemia wabwinobwino.
Ndikofunikira kuti musamatsike kwambiri shuga pamagazi, apo ayi vutoli lingawoneke - hypoglycemic coma. Ngati zikhalidwe zikuchitika, muyenera kudya chakudya cham'madzi mofulumira. Zizindikiro za hypoglycemia yomwe ikubwera ndi izi: manja akunjenjemera, kutentha kwambiri, kumva kufooka. Pakakhala vuto usiku, wodwala matenda ashuga sangathe kudzuka m'mawa. Kanemayo munkhaniyi athandiza kuchepetsa magazi.