Chikondwerero cha uchi "kapena kuchotsedwa kwa matenda ashuga

Kodi Kuthekera kwa Matenda A shuga Ati Kuyamba? Kodi zingakhale kuti atayamba kulandira chithandizo ndi insulin, kufunikira kwake kudzachepa kwambiri kapena kuzimiririka? Kodi izi zikutanthauza kuti shuga wadutsa?

Nthawi zambiri, atatuluka kuchipatala ndikuyamba kulandira chithandizo cha insulin, munthu amawona kuti ngakhale popanda kuyambitsa insulin, kuchuluka kwa shuga m'magazi kumakhalabe kwabwinobwino. Kapena ndikuwonetsa milingo yoyesedwa ndi dokotala, hypoglycemia imachitika nthawi zonse - shuga wotsika wamagazi. Ndiye choti achite? Muleke kubaya insulini? Madotolo amapanga zolakwika ndi matendawo ndipo palibe matenda ashuga? Kapena ndizabwinobwino, ndipo tiyenera kupitiliza kuperekera Mlingo womwe dokotala watchulidwa? Koma bwanji za hypoglycemia? Vutoli silabwino kwambiri ... Tiyeni tiyesetse kumvetsetsa zomwe zikuchitika.

Pamene munthu ayamba kukhala ndi matenda amtundu 1 shuga - kulemera kumachepera msanga, ludzu limakhazikika, kukoka kumakhala kochulukira, mphamvu zimacheperachepera, mwa vuto losavomerezeka pamakhala fungo la acetone kuchokera mkamwa ndi nseru, mutu wokhazikika ndi zina zotero - zonsezi zimayankhula kuchuluka msanga wamagazi. Insulin, yomwe ikupitilizabe kupangidwa pang'ono ndi kapamba, ikusakwanira.

Kuphatikiza poti insulini imakhala yocheperako, thupi limakhalanso losalabadira - maselo samawona insulin, osayankha, zomwe zikutanthauza kuti kufunikira kwa mahomoni kumakulirakulira. Chifukwa chake, kumayambiriro kwa matenda, milingo yayikulu ya insulin imafunikira kuti muchepetse kuchuluka kwa shuga. Mankhwalawa akangoyamba, inshuwaransi ya magazi ibwerera mwachizolowezi, mphamvu ya insulini imabwezeretseka mwachangu - patatha sabata limodzi kapena awiri. Chifukwa chake, mlingo wa insulin woperekedwa uyenera kuchepetsedwa.

Pa nthawi yoyamba chizindikiro cha matenda 1 a shuga, pafupifupi 90% ya maselo a beta amasiya kugwira ntchito - amawonongeka ndi ma antibodies, ndiko kuti, chitetezo chawo cha mthupi. Koma ena onse akupitiliza insulin. Mphamvu yamtundu wa insulin ikadzabwezeretsedwa, insulini yotulutsidwa ndi ma cell a beta iyi 10% ikhoza kukhala yokwanira kuwongolera misempha yamagazi. Chifukwa chake, kuchuluka kwa insulin, komwe kuyenera kuperekedwa, kumachepetsa kwambiri. Chifukwa chake pali kumverera kuti chikhululukiro wafika - machiritso a shuga.

Koma, mwatsoka, izi sizowona konse. M'malo mwake, kukhululukidwa koteroko kumangotchedwa pang'ono, kwakanthawi. Mwanjira ina, nyengoyi imatchedwanso "tchuthi cha ukwati." Pakadali pano, ndikosavuta kuwongolera matendawa, chifukwa insulini yanu imamasulidwa malinga ndi kuchuluka kwa shuga. Chifukwa chiyani izi zikuchitika? Chifukwa chiyani kuchotsedwa uku sikungakhale kwamuyaya? Zabwinonso - zonse, osati zopanda tsankho?

Matenda a shuga a Type 1 ndi matenda a autoimmune. Mwachidule, awa ndi gawo lomwe gawo lina la thupi limazindikira kuti chitetezo chake sichachilendo ndipo chimayamba kuteteza thupi kuti lisachokere. Pankhaniyi, "achilendo", "ovulaza" amadziwika a beta maselo a kapamba, amawukiridwa ndi ma antibodies osiyanasiyana ndikufa. Mpaka pano, asayansi sadziwa momwe angaletsere ma antibodies awa. Chifukwa chake, zomwezo, zotsalira ndikugwira ntchito 10% ya maselo zimamwaliranso pakapita nthawi. Pang'onopang'ono, kupanga kwa insulini yathuyomwe kumayamba kuchepa ndikuchepa, komanso kufunikira kwa insulin, yoyendetsedwa kuchokera kunja, kukukulira.

Kutalika kwa maselo otsalira, ndiye kuti nthawi ya "tchuthi", ikhoza kukhala yosiyana. Nthawi zambiri, imatha miyezi itatu kapena isanu ndi umodzi. Koma zonse ndi payekha. Wina wa nthawi imeneyi sangakhaleko konse, pomwe wina akhoza kukhala zaka 1.5-2. Ana amakhala ndi "chikwati chofupikira", makamaka ngati amadwala asanafike zaka 5 kapena atadwala ketoacidosis kumayambiriro kwa matendawa.

Amakhulupilira kuti chithandizo cha insulin chaposachedwa chinayambika kuyambira pachiwonetsero cha matenda a shuga komanso kutha kwa kuwongolera kwamagazi a glucose kumayambiriro kwa matendawa, nthawi yayitali imatha Kukwatira. Kuchiza kwambiri kumapangitsa kuti "kubwezeretsanso" maselo a beta otsala, kumawonjezera mwayi wa ntchito yawo yayitali.

Zoyenera kuchita pa tchuthi?

Monga lamulo, kukonza insulin mankhwala kumafunika. Mlingo wa insulin wa tsiku ndi tsiku umatha kuchepetsedwa kukhala 0,2 U / kg, mwina pang'ono. Nthawi zambiri amachepera 0,5 U / kg thupi.
Mlingo wa basal insulin ukhoza kukhala wochepetsetsa kwambiri, kapena mwina sungakhale wofunikira konse. Zokhudza botus insulin (chakudya), ndiye kuti mutha kukhala ochepa mlingo musanadye. Ndikofunikira kukumbukira kuti izi ndizosakhalitsa.
Ndikofunikira kupitiliza kuwunika kuchuluka kwa shuga m'magazi ndi glucometer, popeza iyi ndi njira yokhayo yodziwira kuti mutsimikizire ngati insulin ikufunika pachakudya, ngakhale kuchuluka kwa shuga m'magazi kumadzuka usiku ndimankhwala ochepa a insulin, komanso nthawi yoyenera kuyamba kuchuluka kwake.
Ngati mukukhala ndi hypoglycemia mukamagwiritsa ntchito Mlingo wochepa wa insulin, ndikofunikira kwakanthawi kuyimitsa makonzedwe a mankhwalawa ndikupitiliza kuwunika mayendedwe a shuga.

Ndikofunikira kwambiri kuti mupitirize kuyang'anira shuga wamagazi anu! Ndikosatheka kuwerengera nthawi yomwe tchuthi chimenecho chidzakhale. Koma mothandizidwa ndi matenda ashuga, amatha kukhala nthawi yayitali kenako nkumadzipumitsa pang'ono matenda atayamba.

Ngati pa "chisa chaukwati" munthu wadwala matenda ena opatsirana, akakhala ndi nkhawa kwambiri kapena akakhala ndi vuto lina lalikulu kapena zoopsa, ndikofunikira kuwonjezera mlingo wa insulin. Maselo otsala a beta sangathe kupirira, chifukwa pamavuto, kutulutsidwa kwa cortisol ndi adrenaline, mahomoni omwe amawonjezera glucose wamagazi, amawonjezeka kwambiri. Zizindikiro za kuwonongeka (kapena, chowonjezera, chikuipiraipira) matenda a shuga angayambenso: ludzu, kuchepa thupi, kukodza pafupipafupi komanso, chifukwa cha kuperewera kwa insulin, ketoacidosis imayamba. Chifukwa chake, kuyang'anira shuga wamagazi ndikusintha kwakanthawi kwa Mlingo wa insulin panthawiyi ndikofunikira kwambiri!

Mwinanso matenda onse omwewa adutsa?

Monga momwe tingafune, koma chikhululukiro chathunthu mu mtundu 1 wa shuga panobe zosatheka kukwaniritsa. Kukhululukidwa kwathunthu kumatanthauza kuti insulini sifunanso konse. Ndipo sadzakhala mtsogolo. Koma ngakhale mankhwala omwe angalole kumayambiriro kuti aletse matendawa kapena kubwezeretsa maselo a beta sanapezekemo. Tiyenera kuyesa kukweza nthawi ya chikondwerero chotere cha Utali wa nthawi yayitali. Ndipo, zoona, pitilizani kukhulupilira zabwino zonse!

Phwando la matenda ashuga amtundu woyamba wokha?

Chifukwa chiyani chisangalalo cha tchuthi cha mtundu 1 wa shuga chokha? Mtundu woyamba wa shuga, hyperglycemia imayamba chifukwa cha kuchepa kwa insulin ya m'thupi, yomwe imachitika chifukwa cha kuwonongeka (kuwonongedwa) kwa maselo a pancreatic ndi autoimmune kapena njira ina.

Koma kodi izi zingapitirirebe mpaka liti? Popita nthawi, maselo a beta ayamba kutaya, insulin idzapangidwa pang'ono komanso pang'ono. Zotsatira zake, lembani matenda ashuga 1.

Mwa wina, njira ya autoimmune imakhala yolimba kwambiri, ndichifukwa chake matenda a shuga amatha masiku ochepa atayamba. Wina amachedwa, ndipo, motero, shuga adzachitika pambuyo pake. Koma izi sizisintha tanthauzo. Posakhalitsa, kusowa kwathunthu kwa insulini kudzachitika.

Kuperewera kwa insulin kumayambitsa kusokonezeka kwa kutengera kwa glucose obwera. Pang'onopang'ono, amadziunjikira m'magazi ndikuyamba kuwononga thupi lonse. Ndi kuwonjezeka kwakukulu kwa msana wa glycemia m'thupi la munthu, njira zowalipiritsa zimayendetsedwa - "opanga ena". Shuga owonjezera amamuchotsa ndi mpweya wambiri, mkodzo ndi thukuta.

Thupi lilibe chosankha koma kusinthira kumalo osungirako mafuta amkati ndi osakanikirana. Kuwotcha kwawo kumayambitsa kupangidwa kwa matupi ambiri a acetone ndi ketone, omwe ali ndi poizoni kwambiri m'thupi, ndipo, choyambirira, amapita kuubongo.

Wodwala amakula zizindikiro za ketoacidosis. Kuchulukitsa kwakukulu kwa matupi a ketone m'magazi kumawatheketsa kudutsa chotchinga magazi (chotchinga muubongo) ndikulowa muubongo. Zotsatira zake, kukomoka kwa ketoacidotic kumakula

Mankhwala a insulini - woyamba wa tchuthi

Madokotala akamapereka mankhwala a insulin kwa wodwala, ndiko kuti, kayendetsedwe ka insulin kuchokera kunja, 20% yotsalayo ya maselo imasweka kotero kuti sangathe kugwira ntchito yawo (kuphatikiza insulin). Chifukwa chake, m'mwezi woyamba (nthawi zina ochulukirapo), chithandizo chokwanira cha insulin chimadzilungamitsa chokha komanso chimathandizira kuchepetsa shuga mpaka pakufunika.

Pakatha mwezi umodzi kapena awili ena onse otsala a kapamba, amayambanso kuchita ntchito yawo, osalabadira thandizo lomwe limatumizidwa (insulin kuchokera kunja) kuti apitirize kugwira ntchito molimbika. Izi zonse zimabweretsa kuti shuga yafupika kwambiri kotero kuti muyenera kuchepetsa kwambiri insulin.

Zowona kuchuluka kwa momwe mungafunikire kuchepetsa mlingo wa insulin kwathunthu zimatengera kuchuluka kwa maselo a beta am'malo aku Langerhans. Odwala ena amatha kusiya mankhwalawo kwakanthawi (komwe ndikosowa), ndipo ena mwina sangamverenso kukondwerera.

Komabe, ngakhale kuti pali nthawi yabwino m'moyo wa munthu aliyense wodwala matenda ashuga 1, munthu sayenera kuyiwala kuti ngakhale panthawiyi machitidwe a autoimmune samachepa. Chifukwa chake, patapita kanthawi, maselo a beta otsalawo adzawonongedwa, kenako gawo la insulin mankhwala limangokhala lopanda phindu, lofunikira kwa munthu.

Mwamwayi, masiku ano mumsika wamankhwala mumakhala zosankha zingapo zakukonzekera kwa ma hormone awa. Zaka makumi angapo zapitazo, wina amangolota za izi, odwala ambiri anali akufa chifukwa cha kuchepa kwathunthu kwa insulin.

Kutalika kwa chisangalalo cha matenda ashuga kumatha kukhala kochepera kapena kupitirira mwezi. Kutalika kwake kumatengera kuchuluka kwa machitidwe a autoimmune, chikhalidwe cha odwala komanso kuchuluka kwa maselo otsala a beta.

Kodi kukulitsa chisangalalo cha shuga?

Kuti mukulitse nthawi yamatenda okhululuka, poyambilira, ndikofunikira kuyesa kuti muchepetse chizolowezi chodzidzimutsa. Kodi zingachitike bwanji? Njira imeneyi imathandizidwa ndi matenda oyamba a matenda. Chifukwa chake, kukonzanso kwa foci ya matenda ndi ntchito yayikulu. Matenda owopsa a virus atha kufupikitsanso nthawi yayitali, choncho onetsetsani kuti mwapewa. Tsoka ilo, kuimitsa njirayi kwathunthu sizotheka. Njira izi zikuthandizira osathandizira njira yowonongeka kwa maselo.

Kakhalidwe ka chakudya chathupi la anthu kumakhudza kwambiri nthawi yayitali yochotsedwa kwa matenda ashuga. Pewani kuthamanga kwa shuga. Kuti muchite izi, ndikofunikira kupewa kugwiritsa ntchito mafuta osakanikirana, kudya chakudya pang'ono, ndikuwerengera molondola.

Ndikofunikanso kuti musachedwe kuyamba kwa insulin. Odwala ambiri amaopa kusinthira ku insulin osadziwa mafunso ofunikira ngati kubaya insulini, momwe angawerengere mankhwalawo pawokha, momwe angaisungire, etc. Komabe, kuyamba kwa mankhwala a insulini kungathandize kupewa kufa kwathunthu (kapena kuchedwetsa pang'onopang'ono njirayi ) maselo a beta.

Chovuta chachikulu mu nthawi ya chikondwerero cha shuga

Odwala ambiri, atapeza kusintha kwa matenda ashuga, amakhulupirira kuti ndikotheka kusiya kwathunthu mankhwala a insulin. M'milandu 2-3%, mutha kuchita izi (kwakanthawi), nthawi zina, izi ndizolakwika kwambiri, zomwe sizingafanane ndi chilichonse chabwino. Monga lamulo, izi zimatsogolera kumapeto kwa chikondwerero ngakhale chitukuko cha matenda oopsa a shuga.

Munthawi ya kukondana, wodwalayo amatha kusamutsidwira ku regimen of basic, ndiye kuti ndikakwanira kubaya insulin kuti isungidwe chinsinsi chake cha tsiku ndi tsiku. Insulin ya chakudya yofanananso itatha. Koma ndikofunikira kufunsa dokotala musanasinthe chilichonse pamankhwala anu.

Zomwe zimachitika madokotala atayamba kubayitsa insulin kuchokera kunja

Axamwali, ndife odala kwambiri kuti tikukhala m'zaka za zana la 21. Kuperewera kwa insulin tsopano kutha kuyendetsedwa kunja. Ndizovuta kuganiza kuti m'masiku agogo athu a agogo athu ngakhale agogo awo sanathe kulota zozizwitsa ngati izi. Ana onse ndi achinyamata, komanso achikulire ena anamwalirabe.

Chifukwa chake, kuyika kwa insulin kwa maselo 20% otsalawo kuli ngati mpweya wabwino. "Pamapeto pake adatumiza zithandizo!" Opulumuka adapulumuka mwachimwemwe. Tsopano maselo amatha kupumula, "alendo ogwira ntchito" amawagwirira ntchito. Pakapita kanthawi (masabata angapo a 4-6), maselo otsala, atapuma ndikupeza mphamvu, amatengedwa pazomwe adabadwira - kuti apange insulin.

Pamodzi ndi insulin, gland yodutsayo imayamba kugwira ntchito bwino. Ichi ndichifukwa chake "alendo" ambiri sakufunikanso ndipo kufunika kwawo kukuchepera. Kuchuluka kwake kwa insulin yoyendetsera kumadalira kuchuluka kotsalira kwa maselo a pancreatic.

Ichi ndichifukwa chake kupangitsa kuchiritsa matenda a shuga kudapangidwa, ngakhale mu zamankhwala izi zimatchedwa "Honeymoon" ya matenda ashuga. Mwanjira ina, matenda a shuga amachepetsa pang'ono, Mlingo wa insulini umachepetsedwa kangapo, chifukwa munthu amakhala ndi hypoglycemia chifukwa cha kuchuluka kwa insulin. Chifukwa chake, mlingo umachepetsedwa kuti izi hypoglycemia zisachitike. Mwa anthu ena, insulini iyenera kuti imachoka kwathunthu, chifukwa maselo otsala akhoza kupereka insulin yokwanira. Ndipo ena mwina samamva izi "tchuthi".

Osati pachabe kuti chisangalalochi chimatchedwa tchuthi. Zonse zimatha kamodzi, ndipo kukwatiranso. Musaiwale za kayendedwe ka autoimmune, komwe sagona, koma mwakachetechete ndikulimbikira kumagwira ntchito yake yoyipa. Pang'onopang'ono maselo amenewo omwe anapulumuka amafa. Zotsatira zake, insulini imakhalanso yocheperachepera, ndipo shuga amayamba kutulukanso.

Kutalika kwa nthawi yayitali bwanji kwa matenda ashuga komanso kuikulitsa

Kutalika kwa kuchotsedwa kwa matendawa kumatengera munthu aliyense payekhapayekha ndipo kumachitika mosiyanasiyana kwa aliyense, koma chakuti aliyense amadutsa pamlingo wotere ndiye chowonadi. Zonse zimatengera:

ndondomeko ya autoimmune imathamanga
kuchuluka kwa maselo otsalira
chikhalidwe cha zakudya

Monga ndanenera kale, ena amatha kumwa mankhwala ochepa a insulin kwakanthawi, ndipo ena amachepetsa pang'ono ma insulin. Ndinawerenga kuti ndikakamodzikamodzi chikhululukiro chimatha kukhala zaka zingapo. "Chisangalalo chathu" chinangokhala miyezi iwiri yokha, kuchepetsa kwa mankhwalawa kunalibe, koma mpaka kuthetsedwe kwathunthu. Tinaikanso insulini zazifupi komanso zazitali.

Ndikulakalaka nthawi ino sinathe kapena idakhalapobe mpaka kalekale! Kodi tingathandize bwanji pa izi?

Choyamba, ndikofunikira kuchita kukonzanso matenda oyamba a matenda omwe amathandizira pakuchitika kwa autoimmune, popeza mpweya umathandizira kuyaka. Matendawa akuthwa, omwe amayambitsanso, ayenera kupewedwa. Chifukwa chake, sitithandizira njira ya autoimmune, koma sitimayima, mwatsoka.

Pakadali pano, mankhwala sanatulutsirepo mankhwala omwe amabwezeretsa maselo otaika pamsika wamankhwala, ngakhale alipo kale ndipo akuyesedwa kuchipatala. Mankhwalawa amayenera kukulitsa kukula kwa maselo a gland kuti zithetse njira ya autoimmune, chifukwa kuchita nayo, monga momwe zidakhalira, ndizovuta kwambiri. Chifukwa chake, chinthuchi chimatengera ife osatinyoza. Mwakutero, chithandizo cha insulin choyambirira chimayamba, maselo ambiri amakhala othandiza.

Gawo lachitatu likudalira kwathunthu kwa munthu kapena wachibale amene akusamalira mwana wodwala. Ngati mukufuna kuwonjezera kutalika kwa chikhululukiro, kulumpha kwambiri m'magazi a magazi kuyenera kupewedwa. Popeza kulumpha kwa shuga kumachitika makamaka chifukwa chogwiritsa ntchito zakudya zomwe zili ndi index yayikulu ya glycemic, osaziphatikiza ndi zakudya, zotsekemera zambiri kapena zosakhazikika.

Ena akufuna kuwonjezera chikhululukiro pakulipira mankhwala azitsamba zosiyanasiyana. Koma sindingakulangizeni chilichonse, chifukwa sindimamvetsa mankhwala azitsamba, ndipo ndilibe abwenzi abwino azitsamba azitsamba. Popeza mwana wanga wamwamuna anali ndi mavuto osiyanasiyana, sindinawafunse funso kwenikweni, kuti ndisamawonjezere zovuta. Mapeto ake, ndinasankha zochepa zoyipa.

Kodi cholakwika chachikulu chatsopano chatsopano ndi chiyani

Choyipa choopsa kwambiri komanso chowopsa kwambiri cha omwe ayamba kumene ndikukana kwathunthu insulini ngakhale kuchepa kwa zosowa zake. Nthawi zina, izi zitha kukhala zofunikira, koma anthu ambiri amafunikirabe kuchirikiza kubisala.

Mwanjira ina, simungalowetse insulin m'zakudya, koma muyenera kusiya mlingo wochepa wa insulin. Izi zitha kuchitika pogwiritsira ntchito ma handapulo mu ma unit a 0.5. Ndikukonzekera nkhani yamomwe tingachitire izi, chifukwa chake lembetsani ku zosinthakuti musaphonye.

Sikoyenera kuti mupeze jakisoni, koma mwakutero mufupikitsa tchuthi chanu. Kuphatikiza apo, zomwe mumachita zimatha kuthandiza kukulitsa matenda a shuga - matenda ashuga, omwe ndi ovuta kuwongolera, omwe ndi osakwanira kuyankha insulin.

Nthawi zina kukana insulini kumatsatira malingaliro a othandizira osiyanasiyana ochita izi. Osagula! Mukalandirabe insulin mtsogolomo, kodi matenda anu a shuga azingoyenda bwanji? ... Mpaka pano, palibe mankhwala ochizira matenda ashuga amtundu 1.

Zonsezi ndi zanga. Ndikukhulupirira kuti simulakwitsa kwambiri, phunzirani kukhala mwamtendere ndi matenda ashuga, kuulandira monga momwe zilili.

Lingaliro la okondedwa wa matenda ashuga

Mtundu woyamba wa matenda ashuga, pafupifupi makumi awiri okha a ma pancreatic cell omwe amapanga insulin nthawi zambiri amagwira ntchito mwa wodwala.

Pambuyo pofufuza ndikupereka jakisoni wa mahomoni, pakapita kanthawi, kufunika kwake kumachepa.

Nthawi yakusintha kwa zomwe anthu odwala matenda ashuga amatchedwa pokonzekera ukwati. Pakukhululukidwa, maselo ena am'mimba amathandizidwa, chifukwa pambuyo poti ntchito yayikulu mphamvu yogwira ntchito pa iwo imachepetsedwa. Amapereka kuchuluka kwa insulini. Kukhazikitsidwa kwa mlingo wapitawu kumachepetsa shuga pansi pazomwe zili bwino, ndipo wodwalayo amakula hypoglycemia.

Mwa munthu wamkulu

Mwa odwala akuluakulu, mitundu iwiri yachikhululukiro imadziwika pakati pa matenda:

maliza. Amawoneka awiri peresenti ya odwala. Odwala safunikiranso mankhwala a insulin,
tsankho. Jakisoni wa matenda ashuga akadali ofunikira, koma mlingo wa mahomoni umachepetsedwa, mpaka pafupifupi magawo 0,4 a mankhwala pa kilogalamu ya kulemera kwake.

Chithandizo chothana ndi matenda. Tizilombo tofowoka sitingabwezeretsenso katulutsidwe ka insulini, ma antibodies amayambanso kuukira maselo ake ndikutchingira kupanga mahomoni.

Thupi la mwana wofooka limalekerera matendawa kuposa akulu, chifukwa chitetezo chake sichidapangidwe kwathunthu.

Ana omwe amadwala asanakwanitse zaka zisanu ali pachiwopsezo chachikulu chotenga ketoacidosis.

Chikhululukiro mu ana chimakhala chofupikirapo kuposa achikulire ndipo ndizosatheka kuchita popanda jakisoni wa insulin.

Kodi matenda ashuga a 2 amachitika?

Matendawa amakula chifukwa cha kuperewera kwa insulini, chifukwa cha mtundu uwu wa matendawa ndikofunikira kuwabaya.

Pakukhululuka, shuga m'magazi limakhazikika, wodwalayo akumva bwino, mlingo wa mahomoni umachepetsedwa. Matenda a shuga amtundu wachiwiri amasiyana ndi woyamba chifukwa chakuti insulini mankhwala sifunikira limodzi, ndikokwanira kutsatira zakudya zama carb zochepa komanso malingaliro a dokotala.

Zimatenga nthawi yayitali bwanji?

Kuchotsedwa kumatenga pafupifupi mwezi umodzi mpaka miyezi isanu ndi umodzi. Mwa odwala ena, kusintha kumawonedwa kwa chaka chimodzi kapena kupitirira.

Njira ya gawo lakukhululuka komanso kutalika kwake zimatengera zinthu izi:

jenda ya wodwala. Nthawi yachikhululukiro imapitilira mwa amuna,
zovuta mu mawonekedwe a ketoacidosis ndi kusintha kwina kwa metabolic. Mavuto ochepa omwe amadza ndi matendawa, kuchotsedwa kwake kumakhala kwa nthawi yayitali,
kuchuluka kwa secretion. Kukwera kwakukulu, nthawi yayitali yochotsedwa,
matenda oyamba ndi chithandizo cha panthawi yake. Mankhwala a insulin, omwe adapangidwa kumayambiriro kwa matendawa, amatha kutalika.

Kodi kuwonjezera nthawi yayitali bwanji?

Mutha kukulitsa kukondwerera kwa tchuthi ku malingaliro achipatala:

kuyang'anira moyo wabwino,
kulimbitsa chitetezo chokwanira
kupewa kuzizira ndi kufalikira kwa matenda oyamba,
munthawi yomweyo mankhwala a inulin jekeseni,
kutsatira zakudya zamagulu azakudya ndikuphatikizidwa kwa chakudya chamagetsi mosavuta mu zakudya komanso kupatula zakudya zomwe zimapangitsa shuga.

Anthu odwala matenda ashuga ayenera kudya zakudya zazing'ono tsiku lonse. Chiwerengero cha zakudya - 5-6 zina. Mukamadya mafuta kwambiri, katundu pazinthu zodwala zimachuluka kwambiri. Ndikulimbikitsidwa kutsatira zakudya zama protein. Kulephera kutsatira izi kumathandizira kuti maselo athanzi sangatulutse kuchuluka kwa insulini.

Njira zochiritsira zosagwiritsidwa ntchito masiku onse, zomwe zimalonjeza kuchiritsa matenda m'nthawi yochepa, sizothandiza. Pafupifupi ndizovuta kuti tichotse matendawa.

Ngati pali matenda obwera chifukwa cha matenda ashuga, muyenera kugwiritsa ntchito nthawi imeneyi nthawi yamatendawa kuti muchepetse kuchuluka kwa jakisoni ndikupatsanso thupi mwayi wothana nanu. Chithandizo choyambirira chimayambika, nthawi yayitali yochotsedwa.

Ndi zolakwika ziti zomwe ziyenera kupewedwa?

Ena amakhulupirira kuti kunalibe matenda, ndipo kuzindikira kwake kunali vuto lakuchipatala.

Chisangalalo chatha, ndipo nthawi yomweyo, wodwalayo adzakulirakulira, mpaka kukulira chikumbumtima cha matenda ashuga, zotsatira zake zomwe zingakhale zachisoni.

Pali mitundu yamatendawa pamene, m'malo mwa jakisoni wa insulin, wodwalayo amafunikira kukhazikitsa mankhwala a sulfonamide. Matenda a shuga amatha chifukwa cha masinthidwe amtundu wa beta-cell receptors.

Kuti muwonetsetsetsetsetsetsetsetse, kudziwika kwapadera ndikofunikira, malinga ndi zotsatira zomwe dokotala aganiza kuti asinthe mankhwala a mahomoni ndi mankhwala ena.

Makanema okhudzana nawo

Malingaliro ofotokozera za kukonzekera ukwati pa matenda amtundu woyamba 1:

Ndi matenda apanthawi yake, odwala matenda ashuga atha kusintha momwe zinthu ziliri komanso chithunzi cha matenda. Nyengo iyi imatchedwa "phwando laukwati". Pankhaniyi, kuchuluka kwa shuga m'magazi ndi kosakhazikika, Mlingo wa insulin ungachepetse kwambiri. Kutalika kwa chikhululukiro kumatengera zaka, jenda komanso mkhalidwe wa wodwalayo.

Zimakhala kuyambira mwezi umodzi mpaka chaka. Zikuwoneka kuti wodwalayo wachira kwathunthu. Ngati chithandizo cha mahomoni chimalekeka kwathunthu, matendawa amapita patsogolo mwachangu. Chifukwa chake, adotolo amangochepetsa mulingo, ndi malingaliro ake ena onse okhudzana ndi zakudya komanso kuwunika bwino ziyenera kuchitika.