Kuchuluka kwa shuga m'magazi a matenda amtundu 1 komanso matenda ashuga 2 - chizachilendo?
Anthu ambiri amadzionera okha kuti shuga ndi magazi ndi chiyani. Masiku ano, pafupifupi mmodzi mwa anayi amadwala kapena ali ndi wachibale yemwe ali ndi matenda ashuga. Koma ngati mukukumana ndi matendawa kwa nthawi yoyamba, ndiye kuti mawu onsewa sakunena chilichonse.
Mu thupi lathanzi, kuchuluka kwa glucose kumayendetsedwa mosamalitsa. Ndi magazi, imayenda m'matupi onse, ndipo owonjezera amatulutsidwa mkodzo. Kuchepa kwa shuga m'thupi kumatha kudziwonetsa m'njira ziwiri: mwakukula kapena kuchepetsa zomwe zili.
Kodi mawu oti "shuga wamkulu" amatanthauza chiyani?
M'malo azachipatala, pamakhala nthawi yapadera yolephera - hyperglycemia. Hyperglycemia - kuwonjezeka kwa kuchuluka kwa shuga m'magazi am'magazi kungakhale kwakanthawi. Mwachitsanzo, ngati zimayambitsidwa ndi kusintha kwamakhalidwe.
Ndi masewera othamanga kapena kupsinjika, thupi limasowa mphamvu zambiri, chifukwa chake, glucose ochulukirapo amalowa mu minofu kuposa masiku onse. Pobwerera ku moyo wabwinobwino, shuga wamagazi amabwezeretsedwa.
Kuwonetsedwa kwa hyperglycemia yokhala ndi shuga wambiri nthawi yayitali kumawonetsa kuti kuchuluka kwa shuga kulowa m'magazi ndikokwera kwambiri kuposa komwe thupi limatha kuyamwa kapena kuyipukusa.
Magulu a glucose amatha kudumpha pamtundu uliwonse. Chifukwa chake, muyenera kudziwa zomwe zili mu ana ndi akulu.
Mpaka mwezi | 2,8-4,4 |
Osakwana zaka 14 | 3,2-5,5 |
Zaka 14-60 | 3,2-5,5 |
Zaka 60-90 zakubadwa | 4,6-6,4 |
Zaka 90+ | 4,2-6,7 |
Munthu akakhala wathanzi, zikondamoyo zimagwira ntchito mwachizolowezi, kuchuluka kwa shuga m'magazi omwe amatengedwa pamimba yopanda kanthu ali m'gulu la 3.2 mpaka 5.5 mmol / L. Izi zimavomerezedwa ndi mankhwala ndipo zimatsimikiziridwa ndi maphunziro ambiri.
Mukatha kudya, kuchuluka kwa glucose kumatha kukwera mpaka 7.8 mmol / h. Pambuyo maola ochulukirapo, amabwereranso kwazonse. Zizindikirozi ndizothandiza pakuwunika magazi omwe amachokera ku chala.
Munthu amene akudwala matenda a shuga a mtundu woyamba kapena wachiwiri, kuchuluka kwa shuga m'magazi omwe amaperekedwa pamimba yopanda kanthu kumawonjezeka. Amapangidwa mwamphamvu ndi zomwe malonda amaphatikizidwa kwachakudya cha wodwalayo. Koma malinga ndi kuchuluka kwa shuga, ndizosatheka kudziwa mtundu wa matenda.
Zizindikiro zamagazi zotsatirazi zimawerengedwa kuti ndizowopsa:
- Kusala magazi kuchokera chala - shuga pamwamba pa 6.1 mmol / l,
- Kuthamanga magazi kuchokera m'mitsempha ndi shuga pamwamba pa 7 mmol / L.
Ngati kuwunika kumatenga ola limodzi mutatha kudya, shuga imatha kudumpha mpaka 10 mmol / L. Popita nthawi, kuchuluka kwa shuga kumachepa, mwachitsanzo, maola awiri mutatha kudya mpaka 8 mmol / L. Madzulo umafika pachimodzimodzi pa 6 mmol / l.
Ndi kuwunika kwambiri kwa shuga, shuga imapezeka. Ngati shuga adakula pang'ono pokha ndipo ali pakati pa 5.5 mpaka 6 mmol / l, amalankhula za boma lapakati - prediabetes.
Ndizovuta kwa anthu wamba opanda maphunziro azachipatala kuti amvetse mawu. Ndikokwanira kudziwa kuti ndi mtundu woyamba, kapamba pafupifupi amasiya kubisalira insulin. Ndipo chachiwiri - insulin yokwanira imabisidwa, koma siyigwira ntchito momwe iyenera kukhalira.
Chifukwa cha kusagwira bwino ntchito m'thupi ndi matenda ashuga, minofu imalandira mphamvu zosakwanira. Munthu amatopa msanga, nthawi zonse amamva kufooka. Nthawi yomweyo, impso zikugwira ntchito mochulukitsa, kuyesera kuchotsa shuga owonjezera, ndichifukwa chake muyenera kuthamangira kuchimbudzi nthawi zonse.
Ngati misempha ya glucose imasungika nthawi yayitali, magazi amayamba kunenepa. Amataya mwayi wodutsa mitsempha yamagazi yaying'ono, yomwe imakhudza ntchito ya ziwalo zonse. Chifukwa chake, ntchito yoyamba ndikubwezeretsa shuga m'magazi kuti akhale abwinonso posachedwa.
Momwe mungakonzekere kuyezetsa magazi kwa shuga?
Kuti phunziroli lipereke zotsatira zolondola kwambiri, muyenera kumvera malamulo ochepa osavuta:
- Osamamwa mowa tsiku lotsatira,
- Maola 12 asanakonzedwe, kanizani kudya. Mutha kumwa madzi
- Pewani kutsuka mano m'mawa. Kuchita mano kumakhala ndi zinthu zomwe zingakhudze kuyera kwa kusanthula,
- Osamameta m'mawa.
Chifukwa chiyani kuchuluka kwa shuga m'mimba yopanda kanthu ndikatha kudya kumasiyana?
Mitengo yochepa ya shuga m'magazi imatha kutsimikizika pokhapokha munthu atakhala ndi m'mimba yopanda kanthu, ndiye kuti, pamimba yopanda kanthu. Pokonzekera kudya zakudya, michere imasamutsidwira magazi, zomwe zimapangitsa kuti shuga azikhala ndi plasma atatha kudya.
Ngati munthu saona kusokonezeka kwa kagayidwe kazakudya, ndiye kuti ziwonetserozo zimangokulira pang'ono komanso kwa nthawi yochepa. Chifukwa chakuti kapamba amapanga insulin yokwanira kuti achepetse msanga shuga moyenera.
Pakakhala insulin yokwanira, yomwe imachitika ndi mtundu woyamba wa matenda ashuga, kapena sizigwira bwino, monga mtundu wachiwiri, kuchuluka kwa shuga kumakwera nthawi iliyonse mukatha kudya ndipo osatsika kwa maola angapo. Kufooka kotereku mthupi kumatha kuyambitsa matenda a impso, kuwonongeka m'maso, kuwonongeka kwamanjenje, ngakhale kubweretsa kugwidwa kapena kugunda kwa mtima.
Kodi shuga amawunika liti ndipo amawunika bwanji?
Kusanthula kwa shuga kumaphatikizidwa ndi muyeso wokhazikika wa mayeso mukamafunsira ntchito, kuvomerezedwa ku bungwe lophunzitsira, kindergarten.
Koma amatha kumutumiza mogwirizana ndi madandaulo a wodwala:
- Kuchiritsa kwakatalika kwa zipsera
- Kugwedeza miyendo
- Kununkhira kwa acetone kuchokera mkamwa
- Kusintha kwa malingaliro.
Kupereka lingaliro kuti liunikidwe, adokotala nthawi zonse amachenjeza kuti akumwa pamimba yopanda kanthu. Mwazi ukhoza kutulutsidwa kuchokera ku chala kapena kuchokera mu mtsempha. Anthu osadziwika ndi matenda monga matenda ashuga nthawi zambiri amapereka magazi m'malo azaumoyo.
Ndikwabwino kumuchenjeza adotolo pasadakhale za kukhalapo kwa matenda osachiritsika, kupsinjika, kuzizira kapena kutenga pakati, popeza mfundo zonsezi zimatha kupotoza chithunzi chenicheni. Mwachitsanzo, kuchuluka kwambiri kwa prolactin kwa mkazi kumatha kuyambitsa shuga. Komanso, musapereke magazi ngati munagwira ntchito yosinthira usiku.
Ngakhale mutakhala ndi matenda a shuga kapena ayi, kusanthula kumayenera kuchitika kamodzi pachaka. Makamaka kwa anthu omwe ali pachiwopsezo:
- Pambuyo pa zaka 40,
- Zambiri
- Matenda a mahomoni,
- Kukhala ndi abale omwe ali ndi matenda ashuga a 2.
Kodi shuga ayenera kuyesedwa kangati?
Pafupipafupi masampidwe a magazi a kusanthula amatengera mtundu wa matenda ashuga. Ndi mtundu woyamba, ziyenera kuchitidwa popanda kulephera jakisoni wa insulin. Ngati mavuto adachitika, kupsinjika, kuchuluka kwa moyo kuthamanga, komanso kukhala bwino, zisonyezo za shuga ziyenera kuyang'aniridwa mosamala.
Mankhwala, mitundu inayi ya kusanthula kwa shuga imagwiritsidwa ntchito. Chifukwa chiyani kafukufuku wambiri? Kodi yolondola kwambiri ndi iti?
- Kuyesedwa kwa shuga kuchokera kumunwe kapena mtsempha pamimba yopanda kanthu. Kuchita renti m'mawa. Pali zoletsedwa maola 12 isanachitike.
- Chiyeso chololera cha glucose ndi maola awiri. Munthu amapatsidwa chakumwa kuti amwe njira yapadera yamadzi, yomwe imaphatikizapo magalamu 75 a shuga. Magazi amatengedwa kuti aunikidwe ola limodzi kapena awiri pambuyo pa kuperekedwa. Njirayi imawerengedwa kuti ndiyo yolondola kwambiri pofufuza matenda a prediabetes kapena matenda ashuga. Koma vuto lake ndikutalika.
- Kusanthula kwa glycated hemoglobin. Imalola madokotala kumvetsetsa kuti% ya gluu m'magazi imakhudzana mwachindunji ndi maselo ofiira am'magazi (magazi a magazi). Njira ikufunika kwambiri. Amagwiritsidwa ntchito pofuna kukhazikitsa kuwunika koyenera, komanso kuwunika momwe njirayi imagwirira ntchito m'miyezi iwiri yapitayo. Zizindikiro sizitengera kuchuluka kwa chakudya. Mutha kutenga kuwunikira nthawi iliyonse yabwino. Ndondomeko yakeyinso imatenga nthawi yochepa. Osayenera amayi apakati.
- Kuyesedwa kwa shuga maola awiri mutatha kudya. Amagwiritsidwa ntchito kuwunika momwe njira zosankhidwira zimathandizira. Nthawi zambiri, odwala amachita okha pogwiritsa ntchito glucometer. Ndikofunikira kudziwa momwe mlingo umasankhidwira jekeseni wa insulin musanadye.
Masiku ano, kuyesa wamba kwa shuga si njira yabwino yodziwira matenda ashuga. Chifukwa chiyani?
Pakukhazikika kwa matendawa, kulumpha m'magazi a glucose kumawonedwa mukatha kudya. Mu zaka zochepa zoyambirira za shuga mthupi, kusanthula kwam'mimba kopanda kanthu kumatha kuwonetsa kuchuluka kwa shuga m'magazi. Koma nthawi yomweyo, zovuta zaumoyo zomwe matendawa amakupeza zimayamba kukhazikika.
Kodi mungasungire bwanji shuga wanu wamagazi panokha?
Mwa munthu yemwe ali ndi matenda ashuga, chizolowezi cha shuga ndimagulu osiyanasiyana.
Chofunika cha chithandizo ndikukwaniritsa zomwe zimadziwika ndi thupi lathanzi. Koma pochita, ndizovuta kwambiri kuchita. Chifukwa chake, zimawonedwa ngati zabwinobwino ngati glucose ali mgulu la 4 mpaka 10 mmol / L. Imalola malire owonjezereka.
Kukhala ndi zizindikiro zotere, wodwalayo samva kuwonongeka m'moyo wamtundu wanthawi yayitali. Pofuna kuwunikira nthawi yomwe akupatuka ku shuga m'magazi, muyenera kukhala ndi glucometer.
Kuphatikiza pa mankhwala omwe dokotala wakupatsani, muthanso kuchepetsa chiwopsezo chanu cha shuga wambiri posankha moyo wathanzi kamodzi.
Dotolo amalamula kuti ayesedwe, amapanga matenda ndi kupereka mankhwala. Zotsalira zonse zili ndi inu. Anthu ambiri amakhala ndi matenda amtundu wa 2 ndipo amakhala ndi moyo wakhama, amakhala ndi ntchito yabwino, amakhala okwera, amayenda.
Kuti muwonetsetse kukhala ndi thanzi labwino kwazaka zambiri, mungofunikira chidwi chochepa kwambiri kwa thupi lanu komanso kudziletsa. Palibe wina koma mutha kuchita izi.
Tsatirani malangizo a dotolo, tsatirani njira ya shuga, zakudya, osagonjera, ndiye kuti matenda ashuga sangathe kukulepheretsani kuzindikira, ndipo sadzakhala cholepheretsa zolinga zanu.