Chifukwa chiyani kusala shuga kumaposa kudya

Matenda a shuga ndi matenda omwe amadziwika chifukwa chosala kudya shuga.

Kuti mukhale otsimikiza za matendawa, pangana ndi dokotala. Amapereka mayeso a labotale omwe amatsimikizira kuti ali ndi matendawa.

Magazi a shuga amasintha tsiku lonse. Ngati kuphwanya kumachitika mthupi, hyper- kapena hypoglycemia imawoneka. Nthawi zambiri izi zimachitika chifukwa cha kusintha kwa thupi komwe kumachotsedwa pakapita nthawi. Ngati matenda a pathological akuwonekera, chisonyezo musanadye chimakhala chachikulu kuposa pambuyo pake.

Mchitidwe wa shuga mutatha kudya

Mwa munthu wathanzi pamimba yopanda kanthu, chizindikirocho chili mkati mwazolondola - 3.3-5.5 mmol / L. Masana, phindu limawonjezeka, makamaka mukatha kudya. Madokotala anakula machitidwe a shuga pambuyo chakudya. Izi ndizofunikira pakuwongolera shuga.

Mitundu ikufotokozedwa pagome.

Chiwerengero cha maola mutatha kudya	Mlingo wa glucose, mmol / l
1	7,5-8,86
2	6,9-7,4
3	5,8-6,8
4	4,3-5,7
5	3,3-5,5

Chisonyezo chimakwera, chifukwa m'mimba ndipo m'matumbo shuga mumayamwa ziwiya. Zikondazo zimatulutsa insulini, yomwe imatulutsa shuga m'minyewa ndi ziwalo. Ziwalo zambiri zimapezeka m'magawo am'midzi, kayendedwe ka shuga kakufunika nthawi. Chifukwa chake, mulingo wake wamafuta am'madzi umachepa pang'onopang'ono.

Ngakhale kupatuka pang'ono pazotsatira za kusanthula kungawonetse matendawo. Chifukwa chake, anthu oterowo amafunika kupitilira mayeso a labotale kuti asaphonye matendawa komanso zovuta zake.

Kusintha kwa Endocrine

Kusintha kwa ma Hormonal kumatsogolera kukuwonjezeka kwa kuchuluka kwa mahomoni omwe amaphwanya chakudya. Chiwerengero cha magazi chimakwera. Koma pakapita nthawi, zimasinthasintha, zimachepetsa pambuyo chakudya. Pakakhala chisokonezo chanthawi zonse, funsani dokotala, pitani mayeso a labotale kuti musamachotse kutupa kapena kufooka kwa mahomoni.

Viral, matenda opatsirana

Maonekedwe a viral, matenda opatsirana mthupi.

Chiwerengero cha maola mutatha kudyaMlingo wa glucose, mmol / l 17,5-8,86 26,9-7,4 35,8-6,8 44,3-5,7 53,3-5,5

Ngakhale kupatuka pang'ono pazotsatira za kusanthula kungawonetse matendawo. Chifukwa chake, anthu oterowo amafunika kupitilira mayeso a labotale kuti asaphonye matendawa komanso zovuta zake.

Choyimira

Kudya zakudya zambiri zopatsa mphamvu. Munthu akagona, mahomoni ake ndi michere yomwe imasweka ndikupereka glucose ku ziwalo zimachepa. Chifukwa chake, ili m'magazi kwa nthawi yayitali. Pambuyo podzuka, pang'onopang'ono amayamba kutsika, mpaka amafika pamikhalidwe yokhazikika.

Mawonetseredwe a Postmenopausal mwa akazi. Pakadali pano, kuchuluka kwa mahomoni ogonana kumachepa. Izi zimabweretsa shuga wowonjezera m'mawa. Nthawi zambiri pamakhala hyperglycemia wolimbikira.

Chithandizo cha hypoglycemia m'mawa

Ngati kuchuluka kwa shuga kwadutsa, dokotala amayenera kuthandizidwa asanadye. Kuti muzindikire chomwe chikuyambitsa, matendawo amafunika mayeso a labotale. Kuti muchite izi, tengani chopanda kanthu m'mimba ndikatha kudya m'mawa. Fanizoli likuwonetsa kuti mtima wofuna magazi asinthe.

Chithandizo cha mankhwala:

Zakudya, kupatula mafuta, yokazinga, zakudya zonunkhira, kusowa kwa chakudya pogona,
moyo wokonda kuwonetseredwa, masewera amasewerera amatsutsana,
Ngati shuga sabwereranso kwina pakapita nthawi, dokotala amasankha kuchuluka kwa insulin, kutengera nthawi ya tsiku, pamene glucose imakwera komanso kuchuluka kwake,

Mukasintha kuchuluka kwa shuga m'magazi, kukaonana ndi dokotala, adzakuwuzani chifukwa chake pali shuga wambiri pamimba yopanda kanthu mukatha kudya. Ngati matendawa amawonedwa kwakanthawi, kenako ndikusowa, palibe chifukwa chamankhwala. Munthu ayenera kusintha moyo wake, kadyedwe, ngati kuphwanya kumapitirira kwanthawi yayitali, dokotala amakupatsani mankhwala.

Momwe mungathane ndi chodabwitsa

Chifukwa chake, tidazindikira chifukwa chake shuga atatha kudya ndizochepa kuposa chakudya. Tsopano tiyeni tikambirane za momwe tingapangire shuga wosala kudya kukhala wabwinobwino. Kutengera zifukwa zomwe zikufotokozera njirayi, pali njira zingapo zochitira izi:

Funsani dokotala yemwe akupatseni mankhwala omwe amasintha mahomoni,
Ngati shuga osala kwambiri chifukwa cha kugawa koyenera kwa mankhwalawa, adotolo amakupatsirani njira ina kuti muwatenge ndikuwona kuti mufunika kutsatira njira yatsopano yanji
Ngati mukugona ndi njala, ndiye kuti siyani kutero. Kuthamanga shuga m'magazi kumachitika ngati mumamwa kapu ya kefir usiku. Koma kumbukirani kuti izi zidzakwanira kuti musinthane mwabwinobwino. Ndikothekanso kudya kwambiri,
Pokhala ndi chimfine, glucose wofulumira amakhala ngati mumakambirana ndi dokotala ndikuyamba kumwa mankhwala ena.

Chifukwa chake, tidazindikira kuti ndizinthu zamtundu wanji, momwe mungathanirane nazo. Ndipo kumbukirani, ngati kuchuluka kwa magazi kumakhala kwakukulu musanadye, muyenera kulumikizana ndi dokotala. Zomwe shuga zimatsika ndikatha kudya zimatha kubisika muzochitika zosayembekezereka zomwe adokotala adzadziwe posachedwa.

Kumbukirani kuti kutsatira zakudya zapadera, kuchita masewera olimbitsa thupi pafupipafupi komanso kutsatira malangizo onse a dokotala ndiyo njira yanu yowonetsetsa kuti zochitika ngati izi sizikukukhudzani.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, matenda ashuga amabweretsa mavuto osiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kupititsa patsogolo chotupa cha khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu weniweni wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Pulogalamu ya Federal "Health Health Nation" ikuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

Malamulo omwe adafotokozeredwa pamwambapa ayenera kuwonedwa osati kokha ndi odwala, komanso ndi anthu athanzi, chifukwa kunyalanyaza kwawo kukhoza kupangitsa kuti matendawa azioneka komanso azitha kutukuka.

Kusala magazi a m'magazi ndikatha kudya

Miyezo ya glycemia isanayambe komanso itatha kudya chakudya ndizosiyana. Madokotala atukula miyezo yovomerezeka ya shuga wa seramu mwa munthu wathanzi.

M'mawa pamimba yopanda kanthu, shuga sayenera kupitirira 3.5-5,5 mmol / l. Asanadye nkhomaliro, chakudya chamadzulo, izi zimakwera mpaka 3,8-6.2 mmol / l.

Mwazi wama venous umawonetsa miyezo yapamwamba. Mlingo wovomerezeka wa glycemia mu biomaterial wopezeka kuchokera kumitsempha amawerengedwa kuti ndi 6.2 mmol / L.

Kodi ndichifukwa chiyani kusala kudya kwamwazi ndiwokwera kwambiri kuposa chakudya?

Nthawi zambiri m'mawa musanadye, shuga amachepetsa, ndipo chakudya cham'mawa chikadzuka. Koma zimachitika kuti chilichonse chimachitika mwanjira ina. Pali zifukwa zambiri zomwe zimapangitsa kuti shuga azisala kudya kwambiri, ndipo akamaliza kudya amatsika kwambiri.

m'mawa kutacha matenda. Pansi pa ichi mukumvetsetsa kuchuluka kwa mahomoni omwe amaphwanya chakudya. Zotsatira zake, shuga wa seramu amadzuka. Popita nthawi, zinthu zimasintha. Koma, ngati matendawa amachitika pafupipafupi ndipo sabweretsa mavuto, ndiye kuti mankhwala osokoneza bongo amagwiritsidwa ntchito,
somoji syndrome. Chofunikira chake ndikuti usiku hypoglycemia imayamba, yomwe thupi limayesetsa kuthana ndi kuwonjezera kuchuluka kwa shuga. Nthawi zambiri izi zimabweretsa njala. Somoji syndrome imakwiyitsanso kumwa kwa mlingo waukulu wa mankhwala omwe amakhudza shuga,
kutenga ndalama zosakwanira zomwe zimachepetsa kugwira ntchito kwa kapamba. Ndiye pali kuchepa kwa zinthu zomwe zimawongolera machitidwe ofunikira m'thupi,
ozizira. Zotetezazo zimayambitsidwa. Glycogen inayake imamasulidwa. Izi zimapangitsa kuti shuga azikhala othamanga,
kudya zakudya zamagulu ambiri asanagone. Pankhaniyi, thupi lilibe nthawi yogwiritsira ntchito shuga,
kusintha kwa mahomoni. Ndi chikhalidwe cha kugonana kwabwinoko nthawi yomwe amasamba.

Nthawi zambiri, azimayi amadandaula za kuchuluka kwa shuga panthawi yapakati. Munthawi yovutayi, thupi limakonzanso, katundu pazinthu zamkati zimakulanso. Amayi oyembekezera ali pachiwopsezo chachikulu chotenga matenda a shuga, omwe amadutsa nthawi yobereka itakwana.

Shuga wamkulu m'mawa komanso wabwinobwino masana: zimayambitsa

Anthu ena amazindikira kuti m'mawa kuchuluka kwawo kwa shuga kumawonjezereka, ndipo masana sapitilira malire a zovomerezeka. Izi sizachilendo.

Mkhalidwe wa m'mawa hypoglycemia ungayambitse chifukwa choti munthu:

anagona pamimba yopanda kanthu,
Ndadya zakudya zambiri usiku watha,
masana amayendera magawo azamasewera (masewera olimbitsa thupi amachepetsa kuchuluka kwa shuga),
kusala kudya masana komanso kudya kwambiri madzulo,
ndi wodwala matenda ashuga ndipo amakhala ndi insulin yokwanira masana,
kugwiritsa ntchito mankhwala osokoneza bongo.

Ngati kutsika kwachilendo kwa seramu glucose kumawonedwa, izi zikutanthauza kuti muyenera kuyang'ananso moyo wanu, kuonana ndi dokotala ndikuyezetsa.

Kodi chiwopsezo cha hypoglycemia m'mawa ndi chiani?

Hypoglycemia ndi vuto pamene munthu ali ndi shuga wa seramu pansi pa muyeso wokhazikitsidwa. Amawonetsedwa ndi kufooka, chisokonezo, chizungulire, nkhawa, kupweteka kwa mutu, thukuta lozizira ndi kunjenjemera, mantha.

Hypoglycemia ndiowopsa chifukwa imatha kubweretsa kukomoka komanso kufa.

Hypoglycemic syndrome m'mawa ndi chizindikiro chofala cha insulinoma (chotupa cha pancreatic). Matendawa amawonekera pakupanga kosasinthika kwa insulin ndi maselo a Langerhans.

M'thupi lathanzi, ndikuchepetsa shuga, kupanga kwa insulin kumachepa. Pamaso pa chotupa, makina awa amaphwanyidwa, mikhalidwe yonse yotsutsa hypoglycemic imapangidwa. Kuchuluka kwa glucose panthawi ya insulinoma kumakhala kosakwana 2.5 mmol / L.

Dziwani za kuphwanya

Kuti mumvetsetse chifukwa chomwe kuphwanya njira za glycogeneis, glycogenolysis, ndikofunikira kuyesedwa. Kuti muchite izi, muyenera kulumikizana ndi akatswiri azachipatala.

Dokotala adzalemba kalata yotumizira kuyezetsa magazi ndi katundu wamafuta.

Chinsinsi cha njirayi ndikuti wodwala amatenga gawo la plasma pamimba yopanda kanthu, pambuyo pa mphindi 60 ndi maola awiri atatha kugwiritsa ntchito shuga. Izi zimakuthandizani kuti muwonetsetse kusintha kwa kuchuluka kwa glycogen m'magazi.

Kupereka kwa Serum kumalimbikitsidwanso kuti mupeze kuchuluka kwa glucose tsiku lonse. Hemoglobin ya glycosylated imayesedwa. Kuti mupeze zotsatira zodalirika, tsiku lisanafike phunziroli, muyenera kudya chakudya chamadzulo musanakwane 6 madzulo, osamwa zakumwa zoledzeretsa, osamudya maswiti, mkate, komanso kupewa nkhawa.

Kuzindikira Morning Dawn Syndrome, Somoji amayeza shuga kuyambira 2 mpaka 3 m'mawa komanso atadzuka.

Kuzindikira mkhalidwe wa kapamba (momwe amagwirira ntchito, kukhalapo kwa chotupa) ndi impso, kuwunika kwa ultrasound kumachitika.

Ngati pali neoplasm, ndiye njira ya MRI, biopsy, ndi cytological kusanthula kwa maselo a chotupa amadziwika.

Dziwani vuto

Zizindikiro zotsatirazi ndi chifukwa cholumikizirana ndi dokotala:

malaise
nseru
ludzu losalekeza
kuwonda mwadzidzidzi kapena kunenepa kwambiri,
kukodza pafupipafupi.

Kuti mumvetsetse chifukwa chake shuga m'magazi pamimba yopanda kanthu, ndikokwanira kukayezetsa magazi kuchokera ku chala komanso kuchokera m'mitsempha, komanso kufunsa dokotala. Nthawi zambiri, kuchuluka kwa shuga kumawonetsa mtundu wa shuga 1 kapena mtundu 2. Pafupipafupi, shuga amatha kuchuluka chifukwa cha kupsinjika, kulimbitsa thupi kwambiri, matenda a kapamba. Ngati chizindikiro cham'mawa chimakhala chokwera kuposa chizolowezi chofika 0.5-1 mmol / l, matendawa amatchedwa prediabetes. Cholinga chokhacho chatsimikizika chimatha kutsimikizika pambuyo pakuwunika kwathunthu.

Zofunika! Magazi amaperekedwa kuti aunikidwe pamimba yopanda kanthu m'mawa. Popeza chakudya chomaliza, pafupifupi maola 8 ayenera kudutsa. Mowa suyenera kuperekedwa kwa maola 48 asanaunike, apo ayi zotsatira zake zimakhala zabodza. Kuti mupeze zotsatira zolondola kwambiri, kusinthaku kumachitika mobwerezabwereza patatha masiku angapo.

Ricochet hyperglycemia

Ngati munthu akudwala matenda ashuga ali ndi glucose wabwinobwino madzulo ndipo amadzuka m'mawa, pamenepo titha kulankhula za kuyankha kwa hyperglycemia (Somoji syndrome). Izi matenda zimagwirizana ndi insulin. Mukamagwiritsa ntchito mankhwala a insulin okwanira, shuga amachepetsedwa kwambiri, mpaka hypoglycemia (shuga yochepa kwambiri) ikamachitika. Poyankha, thupi limapanga mahomoni omwe amachulukitsa glucose. Zotsatira zake, wodwala matenda ashuga amakhala ndi shuga wambiri m'mawa komanso wabwinobwino kapena wotsika masana chifukwa chosagwiritsa ntchito insulin bwino.

Dokotala amayenera kuchitira matenda a hyperglycemia mu shuga. Nthawi zambiri mokwanira kusintha mulingo wa insulin pang'ono. Chepetsa mlingo pang'onopang'ono. Muyenera kukhala ndi chakudya chokwanira tsiku lililonse pakudya zakudya zopatsa thanzi. Ndikofunika kudziwa kuti kulumpha kosalekeza mu glucose (ngakhale ang'onoang'ono) kumawopseza mkhalidwe wamatayala ndipo ndiowopsa makamaka paukalamba.

Mawa m'mawa matenda

Izi matenda nthawi zambiri amapezeka odwala matenda ashuga. Amadziwika ndi kuchuluka kwa glucose kwambiri usiku kapena m'mawa kwambiri, popeza ndi nthawi imeneyi pomwe secretion yowonjezera ya mahomoni olimbana ndi mahomoni amachitika. Mu mwana, matendawa amawonekera chifukwa cha kuchuluka kwambiri kwa mahomoni a kukula ndi shuga wodwala.

Kuti muchotse matenda awa, muyenera kugwiritsa ntchito mankhwala kumapeto kwa usiku. Komanso, njira yothandiza ndikuyambitsa insulini yocheperako pang'ono pa 4: 00-5: 00 popewa kuwonjezeka kwa shuga. Musanalowetse insulin mu shuga, ndikofunikira kuganizira zamagulu ambiri omwe amagwiritsidwa ntchito. Mwa munthu wathanzi, zodabwitsazi zimaponderezedwa ndi kutulutsidwa kwa insulin yawo.

Mwa zina mwazomwe zimachitika mu matendawa, pali:

Pambuyo pakuchepa kwa glucose, mawonekedwe awa amazimiririka. Ndikofunika kudziwa kuti pambuyo pa kuwombera kwa insulin yochepa, kudya zakudya ndikofunikira, chifukwa amatha kuchepetsa shuga m'magazi.

Zifukwa zina

Shuga mutatha kudya ndi yotsika kuposa pamimba yopanda kanthu, ndipo ndi madokotala okha omwe angadziwe chifukwa chake. Ngati munthu sakudwala matenda amtundu uliwonse wa shuga, ndiye kuti atachotsa zomwe zimapangitsa, chizindikiritso cha glucose chimasintha. Ndi matenda a shuga, muyenera kuyamba kumwa mankhwala.

Zinthu zotsatirazi zimatha kuyambitsa hyperglycemia m'mawa:

kupsinjika
mantha
kumwa chakudya chochuluka,
Njala.

Kupsinjika ndi mantha zimatha kuwonjezera shuga kwa nthawi yochepa. Mukamadya chakudya chambiri, hyperglycemia imatha kuchitika, makamaka ngati pali zovuta ndi kapamba.

Njira zoyeserera

Ngati glucose ndiwokwera m'mawa kuposa madzulo, kapena pafupipafupi pamlingo wambiri, ndiye kuti kuyezedwa kwathunthu kumafunikira.Mayeso otsatirawa adalembedwa:

shuga pamimba yopanda kanthu,
magazi insulin
shuga
urinalysis.

Kutengera ndi mayeso awa, matenda a shuga amapezeka, kenako njira yachipatala imasankhidwa.

Ngati kuwunika kwa matenda ashuga kwachitika kale ndipo chithandizo chikuchitidwa, koma shuga ali pamlingo wambiri m'mawa, ndikofunikira kuzindikira zamankhwala osawerengera matenda a m'mawa kapena hyperglycemia yam'mawa. Kusiyanako ndikuti mayankho a hyperglycemia amapezeka ndi nocturnal hypoglycemia. Ndi matenda otsegula m'mawa, kuchuluka kwa shuga usiku sikuchepa.

Dziwani zambiri zakusiyana kwa kanemayo:

Atazindikira chomwe chimapangitsa kuti shuga azikhala wamphamvu, adokotala amatenga njira zofunika kuti akonze mankhwalawo. Makamaka chidwi ayenera kulipidwa zochizira matenda ashuga mwa amayi apakati. Glucose pa nthawi yonse yoyembekezera iyenera kukhala yopanda malire, apo ayi mwana wosabadwayo angavulazidwe. Kuthamanga glucose pamenepa sikuyenera kupitirira 5 mmol / L.

Pomaliza

Ngati munthu akudwala matenda ashuga akumva kudwala m'mawa, ndiye kuti chifukwa chake chikuwonjezera kuchuluka kwa shuga m'magazi. Muyenera kuyeza shuga ndi glucometer. Mukazindikira matenda, thandizo la endocrinologist ndilofunikira. Njira zoyenera zitha kuthetsa vutoli mwachangu.

Kuti mumve bwino ndi matenda ashuga, ndikofunikira kuti mukhale ndi moyo wathanzi, kumwa mankhwala ndikutsatira zakudya.

Zoyenera kuchita ngati shuga pamimba yopanda kanthu ikuposa chakudya?

Ngati kuchuluka kwa shuga pamimba yopanda kanthu ndikokwera kuposa mutatha kudya chakudya, muyenera kupita kukakumana ndi akatswiri othandizira. Ndikofunikira kuzindikira ndikuthetsa vutoli mwachangu momwe mungathere. Mwinanso, kufunsa kowonjezereka kwa endocrinologist, oncologist, dokotala wa opaleshoni, othandizira zakudya amafunika.

Munthu ayenera kusinkhasinthanso moyo wake, kupatula zinthu zomwe zimapangitsa kuti shuga azikula. Ndikulimbikitsidwa kudya zakudya zamadzulo zomwe zimakhala ndi index ya glycemic yotsika ndipo zimakumbidwa kwa nthawi yayitali. Ndikofunika kupindulitsa zakudya ndi zipatso ndi ndiwo zamasamba.

Zodabwitsa zam'mawa zam'mawa odwala matenda ashuga amathandizidwa motere:

kupatula kugwiritsa ntchito mafuta ochulukirapo nthawi yogona,
Mlingo woyenera wa insulin (mankhwala ochepetsa shuga) amasankhidwa,
Sinthani nthawi ya makonzedwe a mahomoni a insulin yamadzulo.

Zotsatira za Somoji mwa odwala matenda a shuga zimathetsedwa motere:

samalani chakudya chamafuta maola ochepa musanagone,
kuchepetsa mlingo wa wothandizira wa hypoglycemic wa nthawi yayitali madzulo.

Ngati izi sizithandiza kukhazikika, ndiye kuti dokotala amasankha mankhwala.

Makanema okhudzana nawo

Kodi ndichifukwa chiyani kusala kudya kwamwazi ndiwokwera kwambiri kuposa chakudya? Yankho mu kanema:

Ndende ya shuga ya seramu imasintha nthawi zonse. M'mawa wam'mawa mwa anthu athanzi, mitengo yotsika imawonedwa.

Ndi kuphwanya, hyperglycemia imayamba, yomwe imazimiririka mukatha kudya chakudya cham'mawa. Zifukwa zake ndizambiri: kuchokera pa kuperewera kwa vuto la kuperewera kwa zakudya m'thupi mpaka pakumwa m'matumbo. Ndikofunikira kuzindikira ndikuthetsa vutoli munthawi yake.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Momwe mungayesere kuyesa kwa shuga?

Mwachidziwikire, simungadye chilichonse chamadzulo. Koma nthawi yomweyo, kuchepa thupi kwa thupi sikuyenera kuloledwa. Imwani madzi ndi tiyi wazitsamba. Yesetsani kupewa kupsinjika kwakuthupi ndi kwam'mawa tsiku loti litayesedwe. Osamamwa mowa wambiri. Ngati pali matenda omveka bwino kapena obwera m'thupi, kuchuluka kwa glucose m'magazi kumachulukanso. Yesani kuganizira izi. Ngati simunapime mayeso anu, onetsetsani ngati muli ndi mano owanika, matenda a impso, matenda amkodzo, kapena chimfine.

Kodi kusala kudya magazi ndi chiyani?

Yankho lenileni la funsoli linaperekedwa munkhani yoti: "shuga wamagazi". Zimawonetsa zomwe amayi ndi abambo akuluakulu, ana amisinkhu yosiyanasiyana, amayi oyembekezera. Mvetsetsani momwe kusala kudya kwa glucose kumasiyana ndi anthu athanzi komanso anthu omwe ali ndi matenda ashuga. Zambiri zimawonetsedwa mwanjira ya matebulo osavuta ndi owoneka.

Kodi kusala shuga kumasiyana bwanji ndi chakudya musanadye chakudya cham'mawa?

Sizosiyana ngati mumadya kadzutsa nthawi yomweyo, mukadzuka m'mawa. Anthu odwala matenda ashuga omwe samadya madzulo pambuyo pa maola 18-19, nthawi zambiri amayesa kudya chakudya cham'mawa mwachangu. Chifukwa amadzuka amapumula bwino komanso amakhala ndi chidwi chofuna kudya.

Ngati mwadya mochedwa, ndiye m'mawa simudzafuna chakudya cham'mawa kwambiri. Ndipo, nthawi yayikulu, chakudya chamadzulo chimapangitsa kuti mugone bwino. Tiyerekeze kuti mphindi 30-60 kapena kuposerapo patadutsa chakudya cham'mawa. Pankhaniyi, zotsatira za kuyesa shuga mukangodzuka komanso musanadye zidzakhala zosiyana.

Zotsatira zam'mawa zam'mawa (onani pansipa) zimayamba kugwira ntchito kuyambira 4-5 m'mawa. M'chigawo cha maola 7-9, pang'onopang'ono amayamba kufooka ndikusowa. Mu mphindi 30-60 iye akutha kufooka. Chifukwa cha izi, shuga m'magazi musanadye akhoza kutsika kuposa momwe mumatulira nthawi yomweyo.

Kodi ndichifukwa chiyani shuga amasala kudya kwambiri m'mawa kuposa masana ndi madzulo?

Izi zimatchedwa chodabwitsa cha m'bandakucha. Ikufotokozedwa mwatsatanetsatane pansipa. Shuga m'mawa wopanda kanthu amakhala okwera kuposa masana ndi madzulo, odwala matenda ashuga ambiri. Ngati mungayang'anire izi kunyumba, simukuyenera kungosankha izi ngati lamulo. Zomwe zimayambitsa izi sizikudziwika kwenikweni, ndipo simuyenera kudandaula nazo. Funso lofunika koposa: momwe mungapangire matenda a shuga m'mawa popanda kanthu. Werengani za izi pansipa.

Chifukwa chiyani shuga m'mawa amathamanga kwambiri, ndipo ndikatha kudya zimakhala zabwinobwino?

Zotsatira zam'mawa zam'mawa zimatha 8-9 a.m. Anthu ambiri odwala matenda ashuga samavutika kusintha shuga atatha chakudya cham'mawa kuposa chakudya chamasana komanso chakudya chamadzulo. Chifukwa chake, pakudya m'mawa, kudya zakudya zamagulu ochulukitsa kuyenera kuchepetsedwa, ndipo mlingo wa insulin ungakulidwe. Mwa anthu ena, zodzuka zam'mawa zimachitika mofooka ndipo zimasiya msanga. Odwala awa samakhala ndi vuto lalikulu ndi kuchuluka kwa shuga m'magazi awo atatha kadzutsa.

Zoyenera kuchita, momwe mungathandizire ngati shuga amatuluka m'mawa kokha pamimba yopanda kanthu?

Odwala ambiri, shuga m'magazi amadzuka m'mawa wopanda kanthu, ndipo masana ndi madzulo asanagone amakhalanso abwinobwino. Ngati muli ndi vuto ngati ili, musaganize kuti ndinu osiyana ndi ena. Cholinga chake ndichinthu cham'mawa cham'mawa, chomwe chimadziwika kwambiri pakati pa odwala matenda ashuga.

Matendawa ndi prediabetes kapena matenda ashuga. Zimatengera kuchuluka kwa momwe shuga yanu ya m'mawa imafikira. Onani kuchuluka kwa shuga m'magazi. Komanso kuchokera ku glycated hemoglobin.

Kanani kudya mochedwa, musamadye pambuyo pa maola 18-19.
Kumwa mankhwala a metformin (abwino Glucofage Long) usiku ndi kuwonjezeka kwapang'onopang'ono kwa mlingo kuchokera 500 mpaka 2000 mg.
Ngati othandizira oyambirira komanso mankhwala a Glucofage sathandizira mokwanira, mukufunikabe kuyika insulin yayitali usiku.

Vuto la shuga wam'mawa kwambiri pamimba yopanda kanthu sayenera kunyalanyazidwa. Kunyalanyaza izi kungapangitse kukula kwa zovuta za matenda ashuga pakapita miyezi yambiri kapena zaka. Ngati munthu wodwala matenda ashuga apitilirabe kudya mochedwa, mapiritsi kapena insulin sangamuthandize kubwezeretsa shuga m'mawa.

Zoyenera kuchita ngati kusala shuga kuli 6 komanso pamwambapa? Kodi ndi matenda ashuga kapena ayi?

Dokotala wanu mwina angakuuzeni kuti shuga yofulumira ya 6.1-6.9 mmol / L ndi prediabetes, osati matenda oopsa. M'malo mwake, ndi zizindikirozi, zovuta za matenda ashuga zimayamba kusinthika. Muli ndi chiopsezo chachikulu cha matenda a mtima komanso chiyembekezo chochepa chamoyo. Ngati mtima ndi mitsempha yamagazi yomwe imadyetsa ija ndi yolimba, ndiye kuti pali nthawi yokwanira kuti mudziwe zovuta zowopsa zamasomphenya, impso ndi miyendo.

Kuthamanga shuga wa 6.1-6.9 mmol / L ndi chizindikiro chakuti wodwala amafunikira chithandizo champhamvu. Muyenera kudziwa momwe shuga yanu imakhalira mutatha kudya, ndikuwunikanso hemoglobin ya glycated, ndikuwonetsetsa ntchito ya impso. Werengani nkhani yakuti “Kuzindikira matenda a shuga” ndi kudziwa mtundu wa matenda omwe mumakonda. Pambuyo pake, gwiritsani ntchito njira ya 2 yothandizira odwala matenda ashuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga.

M'mawa kutulutsa mphamvu

Kuyambira pafupifupi 4:00 mpaka 9:00 m'mawa, chiwindi chimagwira kwambiri magaziwo ndikuwawononga. Chifukwa cha izi, odwala matenda ashuga ambiri samakhala ndi insulin yokwanira m'mawa kwambiri kuti shuga azikhala bwino. Miyezo ya glucose imakwezedwa ndikayesedwa mutadzuka pamimba yopanda kanthu. Zimakhalanso zovuta kuchita shuga mutakhala chakudya cham'mawa kuposa chakudya chamasana komanso chakudya chamadzulo. Izi zimatchedwa chodabwitsa cha m'bandakucha. Sichimawonedwe mu odwala matenda ashuga onse, koma ambiri. Zomwe zimayambitsa zimagwirizanitsidwa ndi zochita za adrenaline, cortisol ndi mahomoni ena omwe amapangitsa thupi kudzuka m'mawa.

Kuchulukitsa shuga kwa maola angapo m'mawa kumalimbikitsa kukula kwa zovuta za matenda ashuga. Chifukwa chake, odwala odziwa kuyesa amayang'anira nyengo yam'mawa. Koma izi ndizosavuta kukwaniritsa. Kuchita jakisoni wa insulin yayitali, yotengedwa usiku, m'mawa imafooketsa kapena ngakhale kusiya kwathunthu. Ngakhale zosapindulitsa kwenikweni ndi mapiritsi omwe amamwa usiku. Kuyesa kuwonjezera kuchuluka kwa insulin yayitali yomwe imabayidwa usiku kumatha kubweretsa hypoglycemia (shuga yochepa magazi) pakati pausiku. Kuchepetsa shuga patsiku kumayambitsa zovuta, zolakwika ndi thukuta.

Momwe mungachepetse kusala kwa magazi?

Kumbukirani kuti shuga lomwe limalawirira m'mimba yopanda kanthu, monga nthawi ina iliyonse masana, ndi 4.0-5,5 mmol / l. Kuti mukwaniritse, choyambirira, muyenera kuphunzira kudya mwachangu. Idyani zamadzulo osachepera maola 4 musanagone, ndipo makamaka maola 5. Mwachitsanzo, idyani chakudya chamma 18:00 ndikupita kukagona 23:00. Pambuyo pake chakudya chamadzulo chidzakulitsa shuga wamagazi m'mawa wotsatira. Palibe insulin ndi mapiritsi omwe amamwa usiku omwe angakupulumutseni ku izi. Ngakhale Treshiba insulin yatsopano kwambiri komanso yapamwamba kwambiri, yomwe ikufotokozedwa pansipa. Pangani chakudya cham'mawa kwambiri. Ikani chikumbutso pafoni yanu theka la ola isanakwane nthawi yakudya yamadzulo.

Odwala onenepa kwambiri omwe ali ndi matenda a shuga a 2 amatha kuyesa kutenga mapiritsi a Metformin usiku wonse Glucofage Long. Mlingo ungaonjezeke pang'onopang'ono mpaka kufika pa 2000 mg, mapiritsi 4 a 500 mg. Mankhwalawa amagwira ntchito pafupifupi usiku wonse ndipo amathandiza odwala ena kukhala ndi shuga m'mawa wotsatira pamimba yopanda kanthu. Kuti mugwiritse ntchito usiku umodzi, mapiritsi a glucophage omwe akhala akuchita kwa nthawi yayitali ndi oyenera. Anzawo otsika mtengo ndi bwino osagwiritsa ntchito. Masana, pakudya cham'mawa komanso nkhomaliro, mutha kumwa mapiritsi ena wamba a metformin 500 kapena 850 mg. Mlingo wa tsiku lililonse wa mankhwalawa suyenera kupitirira 2550-3000 mg.

Gawo lotsatira ndikugwiritsa ntchito insulin. Kuti mupeze shuga wabwinobwino m'mimba yopanda kanthu, muyenera kubaya insulin yokwanira madzulo. Werengani zambiri mu nkhani "Kuwerengera kuchuluka kwa insulin yayitali usiku ndi m'mawa." Imapereka zofunikira zonse.

Mvetsetsani chifukwa chomwe Tresiba insulin ilili bwino lero kuposa anzawo. Onerani kanema pomwe Dr. Bernstein akufotokozera mwatsatanetsatane momwe angayang'anire zochitika zam'mawa. Ngati mungayese, mudzakwaniritsa kuchuluka kwa shuga m'mawa pamimba yopanda kanthu.

Kuyamba kubayila insulin, muyenera kupitiliza kutsata zakudya zama carb ochepa komanso kudya chakudya chamadzulo molawirira, monga tafotokozera pamwambapa.

Ndikudya chiyani madzulo chakudya chamadzulo kapena usiku musanagone kuti shuga azikhala bwino m'mawa wotsatira?

Mitundu yosiyanasiyana ya chakudya chochulukirapo kapena chochuluka imawonjezera shuga m'magazi. Kutengera ndi katunduyu, komanso zomwe zili ndi mavitamini ndi michere, zopangidwa muzakudya zimagawidwa zoletsedwa komanso zovomerezeka kwa odwala matenda ashuga. Koma palibe chakudya chomwe chimachepetsa shuga!

Mukudziwa kuti ma carbohydrate a magazi amawonjezera shuga m'magazi atakakwiridwa ndi kumizidwa. Tsoka ilo, shuga nawonso amatuluka chifukwa cha kutalika kwa makoma am'mimba ndi chakudya chomwe chakudya. Izi zimachitika mosasamala zomwe munthu amadya, ngakhale nkhuni za nkhuni.

Kumva kutalika kwa makoma am'mimba, thupi limatulutsa shuga m'magazi m'malo ake osungirako mkati. Umu ndi momwe mahomoni a insretin, omwe amapezeka mu 1990s, amathandizira. Dr. Bernstein m'buku lake amatcha "zotsatira za malo odyera achi China."

Palibe chakudya chomwe chingachepetse m'mawa m'mimba yopanda kanthu, pakudya m'madzulo, komanso kwambiri, usiku musanagone. Ndikofunikira kukhala ndi chakudya chamadzulo ndi zinthu zovomerezeka ndikutsimikiza osachedwa kuposa maola 18-19. Anthu odwala matenda ashuga omwe samasiya chizolowezi chodyera chakudya chamadzulo mochedwa, palibe mankhwala ndi insulin omwe angathandize kubwezeretsa shuga m'mawa.

Kodi kumwa kwamadzulo kumakhudza bwanji shuga m'mawa wopanda kanthu?

Yankho la funsoli limatengera:

njira ya matenda ashuga,
kuchuluka kwa mowa wotengedwa
zokhwasula-khwasula
mitundu ya zakumwa zoledzeretsa zomwe zidamwedwa.

Mutha kuyesa. Anthu odwala matenda ashuga saloledwa kumwa moyenera. Komabe, kuledzera kumavulaza kangapo kuposa anthu omwe ali ndi matenda a shuga. Nkhani ya "Mowa wa Matendawa" ili ndi zambiri zosangalatsa komanso zothandiza.

Chizindikiro chachikulu cha matenda a shuga ndikuwonetsetsa kwa hyperglycemia. Kuchuluka kwa shuga m'magazi kumawonetsa kuchuluka kwa zovuta za kagayidwe kazakudya ndi chindapusa cha shuga.

Kungoyeserera kamodzi kwa glucose sikuwonetsedwa nthawi zonse. Chifukwa chake, munthawi zonse zokayikira, kuyesedwa kwa glucose kumachitika komwe kumawonetsa kuthekera kwa kuphatikiza chakudya chamagulu kuchokera ku chakudya.

Ngati ma glycemia okwera apezeka, makamaka ndi mayeso ololera a glucose, komanso Zizindikiro zomwe zili ndi vuto la matenda ashuga, kuzindikira kwake kumayesedwa.

Yachilendo komanso shuga kagayidwe kagayidwe

Kuti munthu akhale ndi mphamvu, amafunika kumukonzanso mothandizidwa ndi zakudya. Chida chachikulu chogwiritsidwa ntchito ngati mphamvu ndi glucose.

Thupi limalandila zopatsa mphamvu kudzera pama protein ambiri. Mafuta amtunduwu amasungidwa m'chiwindi monga glycogen ndipo amawadyedwa panthawi yakuperewera kwa chakudya chamagulu mu chakudya. Kuti muthane ndi zovuta zopanga magazi (wowuma) ziyenera kuthyoledwa kukhala shuga.

Zakudya zamafuta osavuta monga glucose ndi fructose zimalowa m'matumbo osasinthika ndikuwonjezera kuchuluka kwa shuga m'magazi. Suprose, yomwe imangotchedwa shuga, imatanthauzira ma disaccharides, imakhalanso, monga glucose, yomwe imalowa mosavuta m'magazi. Potengera kudya kwa mafuta m'magazi, insulin imamasulidwa.

Cancreas insulin secretion ndiye mahomoni okhawo omwe angathandize kuti glucose adutse kudzera mumitsempha yama cell ndikuchita nawo zochita zosiyanasiyana. Nthawi zambiri, pambuyo poti atulutsidwe insulin, maola awiri atatha kudya, amatsitsa shuga mpaka pafupifupi zikhalidwe zoyambirira.

Odwala omwe ali ndi matenda a shuga, matenda amtunduwu amachitika m'magazi.

Insulin imachotsedwa mosavomerezeka kapena ikusowa mtundu 1 wa shuga.
Insulin imapangidwa, koma sangathe kulumikizana ndi ma receptors - Type 2 shuga.
Mukatha kudya, shuga sayamwa, koma amakhalabe m'magazi, hyperglycemia imayamba.
Maselo a chiwindi (hepatocytes), minofu ndi adipose minofu sangathe kulandira glucose, amakhala ndi njala.
Mafuta ochulukirapo amakhumudwitsa mphamvu yamagetsi yamagetsi, chifukwa mamolekyu ake amakopa madzi kuchokera ku minofu.

Kuyeza kwa glucose

Mothandizidwa ndi ma insulin ndi mahomoni a adrenal, gland ya pituitary ndi hypothalamus, glucose wamagazi amawongoleredwa. Mkulu m'magazi a glucose okwanira, amapanga insulin kwambiri. Chifukwa cha izi, mawonekedwe ochepa operewera amtundu wabwinobwino amasungidwa.

Mwazi wam'mawa m'matumbo oyenda 3.25 -5.45 mmol / L.Pambuyo podya, amakula mpaka 5.71 - 6.65 mmol / L. Pofuna kuyeza kuchuluka kwa shuga m'magazi, pali njira ziwiri zomwe zimagwiritsidwa ntchito: diagnostics a Laborator kapena kutsimikiza kunyumba ndi glucometer kapena mayeso owoneka.

Ku labotale iliyonse ku chipatala kapena chodziwika bwino, kafukufuku wa glycemia amachitika. Njira zitatu zazikulu zimagwiritsidwa ntchito pa izi:

Ferricyanide, kapena Hagedorn-Jensen.
Ortotoluidine.
Glucose oxidant.

Ndikofunika kudziwa momwe njira yotsimikizirira iyenera kukhalira, popeza kuchuluka kwa shuga m'magazi kumatha kudalira momwe ma reagents adagwiritsidwira ntchito (njira ya Hagedorn-Jensen, manambala akukwera pang'ono). Chifukwa chake, ndikwabwino kusanthula shuga m'magazi mu labotale nthawi zonse.

Malamulo ochitira kafukufuku wama glucose:

Unikani shuga m'magazi m'mawa wopanda kanthu mpaka 11 koloko.
Palibe njira yosanthula kuchokera maola 8 mpaka 14.
Kumwa madzi sikuletsedwa.
Tsiku lisanafike kusanthula, simungamwe mowa, kumwa zakudya pang'ono, osadya mopambanitsa.
Patsiku la kusanthula, zolimbitsa thupi, kusuta fodya kulibe kanthu.

Ngati mankhwala amwedwa, ndikofunikira kuti mufunsane ndi dokotala za kufafaniza kapena kusinthanitsa, chifukwa zotsatira zabodza zitha kupezeka.

Mulingo wofanana ndi shuga m'magazi kwa magazi kuchokera pachala ndi kuyambira 3.25 mpaka 5.45 mmol / L, ndipo kuchokera m'mitsempha, malirewo amatha kukhala pamimba yopanda 6 mmol / L. Kuphatikiza apo, miyezo imasiyanasiyana mukafufuza magazi athunthu kapena madzi a m'magazi momwe maselo onse am magazi amachotsedwa.

Palinso kusiyana pakumvekera kwa zizindikiro zabwinobwino zamagulu osiyanasiyana. Kuthamanga shuga kwa ana osakwana zaka 14 kungakhale 2.8-5.6 mmol / L, mpaka mwezi umodzi - 2.75-4.35 mmol / L, ndipo kuyambira mwezi 3.25 -5.55 mmol / L.

Mwa okalamba pambuyo pa zaka 61, msambo wokwera umakwera chaka chilichonse - 0,056 mmol / L ukuwonjezeredwa, mulingo wa shuga mwa odwalawa ndi 4.6 -6.4 mmol / L. Pa zaka 14 mpaka 61, kwa akazi ndi amuna, chizolowezi chimachokera ku 4.1 mpaka 5.9 mmol / l.

Pa nthawi yapakati, kagayidwe kazakudya umatha kusokonekera. Izi zimachitika chifukwa chopanga ma placenta a ma contra-mahormone mahomoni. Chifukwa chake, amayi onse apakati amalangizidwa kuti ayesedwe. Ngati yatukulidwa, ndiye kuti matenda a shuga opatsirana amapangidwa. Mkazi ayenera kumayesedwa ndi endocrinologist atabereka.

Mwazi wamwazi masana umatha kusiyanasiyana pang'ono, chifukwa chake muyenera kuganizira nthawi yakumwa magazi (data mmol / l):

Kutacha kusanachitike (kuyambira 2 mpaka 4 maola) - pamwambapa 3.9.
M'mawa m'mawa shuga ayenera kukhala kuchokera ku 3.9 mpaka 5.8 (asanadye chakudya cham'mawa).
Asanadye nkhomaliro masana - 3,9 -6.1.
Asanadye, 3.9 - 6.1.

Mitengo ya shuga pamimba yopanda kanthu ndipo mutatha kudya amakhalanso ndi kusiyana, kuchuluka kwake kwa matenda: ola limodzi mutatha kudya - osakwana 8.85.

Ndipo pakatha maola awiri, shuga ayenera kukhala ochepera 6.7 mmol / L.

Mkulu komanso wotsika magazi

Zotsatira zake zikapezeka, adotolo amawunika momwe kagayidwe kazachilengedwe kamakhala. Zotsatira zowonjezereka zimawonedwa ngati hyperglycemia. Mkhalidwe wotere ungayambitse matenda ndi kupsinjika kwakukulu, kupsinjika kwamthupi kapena m'maganizo, komanso kusuta.

Glucose imatha kuwonjezeka chifukwa cha zochita za mahomoni a adrenal kwakanthawi pazinthu zomwe zimawopseza moyo. Pansi pa izi, kuchuluka kumakhala kwakanthawi ndipo pambuyo pake kutha kwa chinthu chomukwiyitsa, shuga amachepa kukhala abwinobwino.

Hyperglycemia nthawi zina imatha kukhala ndi: mantha, mantha akulu, masoka achilengedwe, masoka, kayendedwe ka nkhondo, ndi imfa ya okondedwa.

Mavuto akudya chifukwa cha kuchuluka kwambiri pakudya kwamadzulo ndi khofi amathanso kuwonetsa shuga m'mawa. Mankhwala ochokera ku gulu la thiazide okodzetsa, mankhwala a mahomoni amalimbikitsa kuchuluka kwa shuga m'magazi.

Choyambitsa chachikulu cha hyperglycemia ndi matenda ashuga. Imatha kupezeka mwa ana komanso akulu, nthawi zambiri wokhala ndi vuto lotengera thupi komanso kuchuluka kwa matendawa (matenda a shuga a 2), komanso chizolowezi cha matenda a shuga.

Kuphatikiza pa matenda ashuga, hypoglycemia ndi chizindikiro cha matenda otere:

Endocrine matenda: thyrotooticosis, gigantism, acromegaly, adrenal matenda.
Matenda a kapamba: zotupa, kapamba kapamba, kapamba kapamba kapena kapamba.
Matenda a chiwindi, chiwindi chamafuta.
Matenda a nephritis ndi nephrosis.
Cystic fibrosis
Stroke ndi kugunda kwa mtima pachimake.

Ndi autoallergic reaction ku beta cell mu kapamba kapena gawo lina lake, komanso kupanga ma antibodies kupita ku insulin, hyperglycemia imayamba.

Kutsitsa shuga m'magazi kumatha kuphatikizidwa ndi kuchepa kwa dongosolo la endocrine, ndi njira zotupa, makamaka zilonda.

Ana asanakwane ndi ana omwe ali ndi matenda ashuga amatha kukhala ndi shuga wochepa wamagazi. Mikhalidwe yotere imachitika ndi njala yayitali komanso kulimbitsa thupi.

Choyambitsa chachikulu cha hypoglycemia ndi mankhwala osokoneza bongo a insulin kapena antidiabetesic, anabolics.

Kutenga salicylates mu Mlingo wambiri, komanso amphetamine, kumatha kutsitsa shuga m'magazi.

Kuyesa kwa magazi

Mu shuga mellitus, ndikofunikira kukonza kuwonjezereka kwa shuga m'magazi popanda zifukwa zina zomwe zingayambitse kuphwanya. Popanda kuyezetsa magazi, matenda sangapezeke, ngakhale pali zizindikiro zazikuluzonse za matenda ashuga.

Mukamayang'ana zotsatira za kuyesedwa kwa magazi kwa shuga, osati mitengo yokwezeka chabe, komanso mfundo zam'malire, amawonedwa ngati prediabetes, njira yobisika ya matenda ashuga. Odwala oterewa amawaganizira, amawongolera shuga m'magazi kawirikawiri kuposa anthu athanzi, zakudya zimayikidwa ngati shuga, mankhwala azitsamba ndi zochitika zolimbitsa thupi.

Makhalidwe oyenerana ndi prediabetes: glucose m'magazi kuyambira 5.6 mpaka 6 mmol / l, ndipo ngati kuphatikizika kumakulirakulira mpaka 6.1 ndi pamwambapa, ndiye kuti shuga ikhoza kuganiziridwa.

Ngati wodwalayo ali ndi zizindikiro zokhala ndi matenda a shuga mellitus, ndipo shuga m'magazi ndi apamwamba kuposa 6.95 mmol / l, nthawi iliyonse (mosasamala chakudya) 11 mmol / l, ndiye kuti matenda a shuga amadziwika kuti amatsimikizira.

Kuyesa kwa glucose

Ngati mutayang'anitsitsa kuchuluka kwa glucose kusala ndikukayikira za matendawo, kapena zotsatira zosiyanasiyana zimapezeka ndi miyeso ingapo, ndipo ngati palibe chizindikiro chodziwika bwino cha matenda ashuga, koma wodwalayo ali pachiwopsezo cha matenda ashuga, kuyesedwa kwamphamvu kumachitika - TSH (mayeso a kulolera shuga).

Kuyesedwa kuyenera kuchitika popanda kudya zakudya zosachepera maola 10. Tisanayesedwe, tikulimbikitsidwa kusewera masewera ndipo zolimbitsa thupi zilizonse zolemetsa ziyenera kupatula. Kwa masiku atatu, simukuyenera kusintha zakudya ndikuchepetsa kwambiri zakudya, ndiye kuti, mtundu wa zakudya uyenera kukhala wabwinobwino.

Ngati mawa lake panali nkhawa yayikulu yam'maganizo kapena kupsinjika kwakukulu, ndiye kuti tsiku loyesedwa lakhazikitsidwa. Musanayesedwe, muyenera kugona, ndikukhala ndi chisangalalo champhamvu musanagone, mutha kuthira mankhwala azitsamba oziziritsa.

Zotsatira za kuyeserera kwa shuga:

Zaka kuchokera pa zaka 45.
Kulemera kwambiri, index yamasamba a thupi pamwamba 25.
Heredity - lembani matenda ashuga 2 m'mabanja apafupi (amayi, abambo).
Mayi woyembekezera anali ndi matenda a shuga kapena mwana wosabadwa wamkulu (wolemera kuposa makilogalamu 4.5). Mwambiri, kubereka mwana m'matenda a shuga ndi chisonyezo chazindikiritso chokwanira.
Matenda oopsa a arterial, kuthamanga kuposa 140/90 mm Hg. Art.
M'magazi, cholesterol, triglycerides imachulukitsidwa ndipo lipoproteins yapamwamba imachepetsedwa.

Kuti achite mayeso, choyamba kuwunika magazi osala kudya kumachitika, ndiye kuti wodwalayo amwe madzi ndi shuga. Kwa akulu, kuchuluka kwa glucose ndi 75 g. Pambuyo pa izi, muyenera kudikirira maola awiri, mukukhala mu mpumulo wamthupi komanso wamaganizidwe. Simungathe kuyenda. Patatha maola awiri, magazi amayesereranso shuga.

Kulekerera kwa shuga m'magazi kumawonekera ndikuwonjezereka kwa shuga m'magazi ndi pamimba yopanda kanthu, ndipo atatha maola awiri, koma ndizochepa kuposa matenda a shuga: kuthamanga kwa glucose osakwana 6.95 mmol / l, maola awiri atatha kuyesedwa kwa nkhawa - kuyambira 7, 8 mpaka 11.1 mmol / L.

Kuthamanga kwamkamwa kwa glucose kumawonetsedwa ndi glycemia wambiri musanayesedwe, koma patatha maola awiri mulingo wamagazi sukudutsa malire a thupi:

Kuthamanga glycemia wa 6.1-7 mmol / L.
Mutatha kumwa 75 g shuga, osakwana 7.8 mmol / L.

Mikhalidwe yonseyi ndi yodutsa malire pokhudzana ndi matenda ashuga. Chifukwa chake, chizindikiritso chawo ndichofunikira popewa matenda ashuga. Odwala nthawi zambiri amalimbikitsidwa kudya mankhwala, kuwonda, kuchita zolimbitsa thupi.

Pambuyo poyesedwa ndi katundu, kudalirika pakupezeka kwa matenda ashuga sikukayika ndi kusala kudya kwa glycemia pamtunda wa 6.95 ndi maola awiri mutatha kuyesedwa - pamwambapa 11.1 mmol / L. Fomu yomwe yatchulidwa munkhaniyi ikufotokozereni za shuga zomwe zimayenera kukhala mwa munthu wathanzi.