Momwe mungadziwire shuga kunyumba

Zatsimikiziridwa kuti shuga, komanso kudziwiratu kwa matendawa, ndizinthu zamtundu. Matenda a shuga sangatenge kachilombo - ndi chowonadi. Ngati m'modzi wa makolo anali ndi matenda ashuga - chiopsezo cha matenda anu ndi 30%. Ngati makolo onse anali kudwala - 60-70%.

Pangozi ndi anthu onenepa kwambiri. Ngati muli ndi vuto la matendawa, muyenera kuwunika mosamala kwambiri kuti mupewe kulemera kwake komanso kupewa kupyola muyeso wokhazikika.

Chinanso chomwe chimapangitsa kuti matendawa atuluke ndi matenda a kapamba. Komanso matenda a shuga a mellitus amatha kuonekera pambuyo pa matenda ena a virus - rubella, chikuku, chimfine komanso matenda a chiwindi. Matenda a shuga nthawi zambiri amakhudza anthu okalamba.

Pali malingaliro olakwika akuti omwe amakonda ndi kudya maswiti ambiri amadwala matenda a shuga. Izi si kanthu koma nthano chabe.

Mitundu ya Matenda A shuga

Aliyense amadziwa kuti matendawa amayamba chifukwa cha zovuta za autoimmune. Pali mitundu iwiri yayikulu ya shuga - yodalira insulin (mtundu 1) ndi yosadalira-insulini (mtundu 2). Kuphatikiza apo, pali matenda osokoneza bongo komanso a neonatal. Kodi pali kusiyana kotani pakati pa mitundu yamatendawa?

Kukula kwa matenda amtundu wa 1 kumachitika ndili mwana. Maselo a Beta omwe amapezeka m'milumba ya Langerhans ya kapamba amasiya kupanga insulin. Chifukwa chake, mankhwalawa amatenga mbali yofunika kwambiri pothandizidwa ndi jakisoni wa nthawi yake. Tiyenera kudziwa kuti 10% yokha mwa anthu onse odwala matenda ashuga omwe ali ndi matenda amtunduwu.

Zizindikiro zake zimasiyana malinga ndi mtundu wa matenda. Mankhwala amasiyanitsa mitundu ingapo ya matenda ashuga:

  • choyambirira
  • mtundu wachiwiri
  • machitidwe
  • neonatal.

Kuphatikiza apo, woyamba ndi wachiwiri mtundu ndizowonetsera zazikulu zomwe shuga imapereka.

Matenda a shuga othamanga amapezeka mwa amayi apakati. Pakati pa masabata a 14 ndi 26 atakhala ndi pakati, azimayi ena oyembekezera amatha kuyamba kuchuluka kwa glucose m'magazi awo, zomwe zikusonyeza kuti kapamba sangapatse thupi insulin yokwanira.

Monga lamulo, shuga ya gestational imazimiririka pambuyo pobadwa. Ngati izi sizingachitike, ndiye kuti titha kuyankhula kale za chitukuko cha shuga weniweni, mulimonse, mayeso opezeka pa intaneti owopsa a matenda ashuga azimayi sadzakhala pompano.

Matenda a neonatal amayamba chifukwa cha jini losinthika lomwe limayambitsa insulini. Matenda amtunduwu ndi osowa kwambiri kuchipatala.

Insulin imapangidwa ndi zikondamoyo za anthu mokwanira kuti magazi a shuga aziyang'aniridwa nthawi zonse. Ngati, chifukwa cha kuphwanya dongosolo la autoimmune, kuperekera kwa mahomoniwa kumasokonekera, ndiye kuti zilembo zamtundu wa matenda a shuga zayamba kuwonekera.

Ngati kuchuluka kwa insulin kopangidwa, koma sikothandiza, ndiye kuti matenda a shuga a mtundu wachiwiri (wodalira insulin) akupanga kale.

Mwachindunji kutengera mtundu wamatenda, zizindikiritso zake zazikulu ndi zomwe zimasiyana zimasiyana. Mankhwala amakono amasiyanitsa magulu angapo akuluakulu ndi milingo ya matendawa.

Nayi mitundu wamba:

  1. Matenda a shuga a woyamba komanso mtundu wachiwiri.
  2. Matenda a Neonatal.
  3. Fomu yamtundu.

Mtundu woyamba ndi wachiwiri ndizowonekera kwambiri zomwe zimayambitsa matenda ashuga. Njira ya matenda ashuga imakhala yachilendo kwa amayi apakati, makamaka munthawi ya kubereka kwa mwana masabata 14-26.

Cholinga chake ndikuti thupi la amayi amtsogolo silitha kuthana ndi ntchito yopanga insulini yoyenera. Matenda amtunduwu amazimiririka atabereka mwana.

Ngati pazifukwa zina sizinachitike, ndikotheka kuganiza kuti shuga yeniyeni ikupezeka.

Ponena za matenda a shuga a mawonekedwe a neonatal, imachitika chifukwa cha jini losinthika lapadera, lomwe limayang'anira kupanga kuchuluka kwa insulini yofunikira thanzi. Uwu ndi mtundu wina wa matenda ashuga.

Insulin ndi chinthu chapadera chomwe chimapangidwa ndi kapamba wa munthu aliyense. Ndiye amene amalamulira kuchuluka kwa shuga m'magazi.

Ngati, pazifukwa zina, kusokonezeka mu dongosolo la autoimmune kuwoneka m'thupi, kuperekera kwa timadzi timeneti kumakhala pang'ono. Izi zimangotengera kukula kwa matenda ashuga amtundu 1.

Ngati mankhwalawa amapangidwa moyenera, koma osagwira ntchito kwenikweni, ndiye kuti pali chiopsezo chokhala ndi matenda a shuga a 2, ndiko kuti, shuga yodalira insulin.

Kuyesa “Zinthu Zowopsa za Matenda a shuga”

Matenda a shuga ndi imodzi mwamatenda owopsa komanso osasangalatsa kwambiri amtundu omwe angayambitse zovuta zazikulu, makamaka kuchokera ku ziwalo zamawonedwe ndi mtima dongosolo. FOX-Calculator yowerengera idaganiza zokuthandizani kuti mupeze kuchuluka kwa chiwopsezo chotenga matenda osasangalatsa awa kwa inu panokha, chifukwa ndibwino kupewa matenda kuposa kuvutika nawo mtsogolo.

Zizindikiro zoyipa za matendawa

Pali zizindikiro zina zowoneka bwino zomwe zikusonyeza momwe mungazindikire matenda ashuga. Nayi mndandanda wawo wathunthu:

  1. Kugwiritsa ntchito chimbudzi pafupipafupi (kuti pee).
  2. Kuchepetsa kwambiri kapena kunenepa kwambiri.
  3. Kuyanika kwa mucosa mkamwa.
  4. Kulakalaka kwambiri chakudya.
  5. Kusintha kosaganizira.
  6. Chimfine pafupipafupi komanso matenda a virus.
  7. Mantha.
  8. Mabala osakhazikika osakhazikika.
  9. Thupi limakonda kusuntha.
  10. Nthawi zambiri pamakhala zilonda, zolowa pakona pakamwa.

Mwa zina mwazizindikiro, kuchuluka kwamkodzo, komwe kumachoka m'thupi masana, kumakhala kodziwika. Kuphatikiza apo, kulumpha mwadzidzidzi kuyeneranso kukhala kwatcheru.

Momwe mungadziwire mtundu woyamba wa shuga?

Mtundu wina wa matenda a shuga umadziwika ndi zizindikiro zake, nanga mtundu woyamba ndi uti? Ngati tirikulankhula za zomwe zatchulidwa pamwambapa, ndiye koposa zonse kuti ndizachidziwitso makamaka kwa matenda a shuga 1.

Kusiyanaku kungawonedwe ndi katswiri pakufotokozedwa bwino kwa zizindikiro izi. Chofunikira pakuzindikira ndi kuchuluka kwa shuga m'magazi, mwachitsanzo, kusinthasintha kwakuthwa mu chizindikirochi.

Monga mukuwonera, ndizovuta kuyang'ana ndi kuzindikira matenda ena ndi zizindikiro zokha; zambiri zimafunikira.

Monga tanena kale, kwa choyambirira, china chilichonse chimadziwika ndi kuchepa kwa thupi. Kwa munthu aliyense, izi zimatha kuchitika mosiyanasiyana, koma m'miyezi yoyambirira yamatenda, munthu amatha kuchepa thupi mpaka mpaka makilogalamu khumi ndi asanu.

Zikuwonekeratu kuti zonsezi zimaphatikizira unyinji wazotsatira zina zosayenera: kugona, kuchepa mphamvu, kutopa, ndi zina. Nthawi yomweyo, ndikofunikira kudziwa kuti poyamba munthu amadya mwachizolowezi.

Ichi ndi chizindikiro chomwe chingakuchenjezeni. Ndikufuna kudziwa kuti malinga ndi ziwerengero, matenda amtunduwu amapezeka kwambiri mwa achinyamata, pomwe mitundu yachiwiri ya matenda ashuga imapezeka, monga lamulo, mwa anthu opitilira zaka makumi anayi.

Ngati tizingolankhula za momwe matendawo akupitilira, ndiye kuti kukula kwa anorexia ndikotheka. Izi zimachitika motsutsana ndi ketoacidosis, zomwe ndi:

  • kusanza ndi kusanza
  • kupuma zipatso
  • kupweteka
  • pamimba.

Mtundu wina wa matenda a shuga umadziwika ndi zizindikiro zake, nanga mtundu woyamba ndi uti? Ngati tirikulankhula za zomwe zatchulidwa pamwambapa, ndiye koposa zonse kuti ndizachidziwitso makamaka kwa matenda a shuga 1.

Kusiyanaku kungawonedwe ndi katswiri pakufotokozedwa bwino kwa zizindikiro izi. Chofunikira pakuzindikira ndi kuchuluka kwa shuga m'magazi, mwachitsanzo, kusinthasintha kwakuthwa mu chizindikirochi.

Monga mukuwonera, ndizovuta kuyang'ana ndi kuzindikira matenda ena ndi zizindikiro zokha; zambiri zimafunikira.

Monga tanena kale, kwa choyambirira, china chilichonse chimadziwika ndi kuchepa kwa thupi. Kwa munthu aliyense, izi zimatha kuchitika mosiyanasiyana, koma m'miyezi yoyambirira yamatenda, munthu amatha kuchepa thupi mpaka mpaka makilogalamu khumi ndi asanu.

Zikuwonekeratu kuti zonsezi zimaphatikizira unyinji wazotsatira zina zosayenera: kugona, kuchepa mphamvu, kutopa, ndi zina. Nthawi yomweyo, ndikofunikira kudziwa kuti poyamba munthu amadya mwachizolowezi.

Ichi ndi chizindikiro chomwe chingakuchenjezeni. Ndikufuna kudziwa kuti malinga ndi ziwerengero, matenda amtunduwu amapezeka kwambiri mwa achinyamata, pomwe mitundu yachiwiri ya matenda ashuga imapezeka, monga lamulo, mwa anthu opitilira zaka makumi anayi.

  • kusanza ndi kusanza
  • kupuma zipatso
  • kupweteka
  • pamimba.

Zizindikiro Za Matenda A shuga

Anthu ambiri amafunsa momwe angamvetsetsere kuti muli ndi matenda ashuga? Chithunzi cha chipatala cha matendawa ndichachikulu kwambiri. Choyamba, muyenera kulabadira kukodza pafupipafupi komanso ludzu losatha. Zizindikiro zoterezi mu shuga zimawonetsa kuchuluka kwa impso.

Mkulu wamagazi akachuluka, impso zimayamba kugwira ntchito molimbika kuchotsa shuga wambiri m'thupi.

Komabe, machitidwe otere amafunika madzi ambiri, omwe impso zimayamba kutenga kuchokera ku minofu ndi ma cell. Zotsatira zake, munthu amayendera zimbudzi pafupipafupi ndipo amafuna kumwa.

Zizindikiro zina zomwe zikuwonetsa kuti shuga yanu yakula ikuphatikizaponso:

  • kamwa yowuma, njala yopanda nzeru,
  • kupweteka mutu komanso chizungulire ndi matenda ashuga ndi prediabetes state,
  • kulira kapena kutopa kwa malekezero ake,
  • kusakwiya ndi kutopa kosalekeza,
  • kuwonda msanga
  • kuthamanga kwa magazi
  • Kuchiritsa kwakatalika kwa mabala ndi zilonda zam'mimba,
  • kuwonongeka kwamawonekedwe
  • Khungu
  • mavuto azakugonana
  • kusamba mosalekeza mwa akazi.

Ndi kukula kwa matendawo, ubongo umakhudzidwa kwambiri. Popeza glucose samalowetsedwa bwino m'maselo, amataya mphamvu ndikuyamba "kufa ndi njala."

Zotsatira zake, odwala matenda ashuga sangathe kulolera, kumva kupweteka mutu komanso kutopa. Munthu wokayikira ngakhale zingapo mwazizindikirozi, ayenera kupita kwa endocrinologist kukayezetsa matenda ashuga.

Tiyenera kumvetsetsa kuti zotsatira za matendawa zimatha kukhala zosatsimikizika, chifukwa chake, chithandizo chamankhwala chimayamba msanga, ndibwino kwa wodwalayo.

Koma kodi shuga imatsimikiziridwa motani? Mukuyenera kudziwa.

Matenda a shuga omwe amadalira insulin nthawi zambiri samadzimverera. Mosiyana ndi izi, matenda a shuga omwe amadalira insulin nthawi zambiri amayamba modzidzimutsa komanso mwadzidzidzi, nthawi zina amakhala ndi vuto la hyperglycemia.

Kodi ndingadziwe bwanji matenda ashuga kunyumba ndi zizindikiro? Pali zizindikiro zingapo zomwe zimadziwika ndi mitundu iwiri ya matenda ashuga:

  • ludzu ndi kukodza pafupipafupi, makamaka usiku,
  • khungu lowuma
  • kuwonda (ngakhale chakudya sichinasinthidwe),
  • kuchepa kwa zowoneka bwino (muyenera kulabadira chisonyezo ichi ngati mutha kuwona kuzizira kwa zovuta za zinthu, kunyada kwawo),
  • kuyabwa kwa pakhungu ndi mucous;
  • kupoleka pang'onopang'ono
  • Maonekedwe achikasu +
  • kuyabwa kwamtundu (mwa amuna ndi akazi),
  • kukokana.

Mu matenda a shuga a mtundu woyamba, zizindikiro izi zimawonjezeredwa:

  • kusanza, kusanza, ndi kufooka kowonjezereka,
  • njala
  • kuchuluka kukwiya.

Pali zizindikiro zingapo zomwe mungazindikire kuti mungakhale ndi matenda ashuga. Chifukwa chake, zizindikiro zazikulu za matenda oopsa ndi izi:

  • kukodza pafupipafupi komanso kopatsa chidwi,
  • kusintha kwadzidzidzi kwa kulemera
  • kumangokhala wotopa
  • kamwa yowuma
  • malingaliro osaletseka aanjala
  • kusinthasintha
  • kuchuluka kwamanjenje kwamanjenje,
  • kuchuluka kwa matenda,
  • mabala kapena kuvulala kwa khungu kumachiritsa kwakutalika.

Ndi dokotala yekhayo amene angatsimikizire za matenda awa. Kuti izi zitheke, mungafunike kuyeserera ndikuyesa mayeso.

Kuti mupewe kukula kwa matendawa komanso zovuta zomwe zingayambitse, ndikofunikira kudziwa nokha zoyamba za matenda ashuga mwa abambo ndi amayi.

Ndikofunikanso kudziwa momwe mungadziwire matenda a shuga nokha, kutengera zizindikiro ndi zida zapamwamba.

Pali zizindikiro zingapo, potengera zomwe, mutha kudziwa mwayi wanu wodwala matenda ashuga. Izi ndizofunikira kwambiri:

  • kukodza pafupipafupi komanso kopatsa chidwi,
  • spikes kulemera
  • kutopa kosalekeza
  • kuchuluka kwanjala
  • kamwa yowuma
  • kusinthasintha
  • kuchuluka kwamkwiyo,
  • kupezeka kwa matenda opatsirana oyambitsidwa ndi matenda,
  • mabala aatali osachiritsika pakhungu.

Ngati pali zizindikiro zotere, muyenera kufunsa dokotala yemwe angakutsimikizireni za matendawa pakuyesa mayeso ena ndi mayeso odutsa.

Kupezeka kwa shuga kumawonetsedwa ndi kuchuluka kwa mkodzo womwe umatulutsidwa patsiku. Zimakhala zambiri, popeza thupi limasokoneza ntchito ya impso.

Dokotala amayenera kuthandizidwa kukaonana ngati pali kulumpha kwakuthwa mbali imodzi kapena imodzi. Kusintha kwamphamvu kwa thupi kumawonekera chifukwa wodwalayo amatha kukhala ndi shuga wochepa mphamvu kapena wambiri m'magazi.

Kunenepa kwambiri kapena kutopa kwambiri nthawi zambiri kumawonjezera kukhumudwa, komwe kumatha kusiyanasiyana.

Ngati mwakumana ndi kupsinjika kwakuthupi kapena kwamaganizidwe, kuchuluka kwa insulini m'magazi kumatsika kwambiri, zomwe zimangotayika pakutha mphamvu yayikulu.

Anthu ambiri odwala matenda ashuga amakhala ndi vuto losalephera lanjala. Matendawa akangoyamba kupita patsogolo, kuchuluka kwa insulin kumatsika kwambiri, komwe kumangoyambitsa njala.

Munthu amayamba kudya kwambiri, osapeza kuti ndi wokwanira, koma ochulukirapo. Nthawi zambiri, phindu lotere limakhala chisonyezo cha momwe matenda a shuga amawonekera.

Kuyankha funso lomwe zizindikiro za matenda ashuga zimakhudza munthu, zitha kudziwika kuti kulephera kwa kuchuluka kwa shuga m'magazi pazaka zilizonse - atatha zaka 30 kapena 50 - kumatha mathero amitsempha mu ubongo.

Izi zimadziwonetsera mukupanda kopanda pake kwa mkwiyo ndi kusokonezeka kwa malingaliro.

Anthu omwe ali ndi matenda a shuga amakhala nthawi zambiri amakhala ndimanjenje, komanso sangathe kupirira nkhawa.

Iyi ndi njira yoyamba komanso yofunika kwambiri yodziwira matenda anu a shuga kunyumba. Pogwiritsa ntchito zomwe zalembedwa pansipa, muphunzira momwe mungazindikire matenda ashuga.

Momwe mungadziwire shuga wamkodzo

Ngati matenda a shuga sakhazikika pa nthawi yake, ndiye kuti akhoza kukhala ndi zovuta zingapo.

Kuchita masewera olimbitsa thupi mopitirira muyeso, kuperewera kwa zakudya m'thupi, kuchepa kwa shuga wamagulu ena, komanso kusagwirizana ndi mankhwalawa zitha kukhala zinthu zomwe zitha kupangitsa kuti matenda azidutsa.

Pa mankhwalawa matenda a shuga, ndikofunikira kwambiri kutsatira malamulo onse omwe amakhalanso glycemia wabwinobwino.

Ngati mukukayikira kuti muli ndi matenda ashuga, koma simukufuna kuonana ndi dokotala, mutha kuyesa kuwona kuchuluka kwa shuga mumkodzo mothandizidwa ndi njira zopezekera.

Kuti mudziwe kuchuluka kwa shuga mu mkodzo, pali timizere tapadera tomwe mungagule ku pharmacy. Amagwiritsidwa ntchito ndi onse odwala matenda ashuga.

Ndikofunika kuyesa m'mawa m'mimba yopanda kanthu ndikatha kudya. Mzere umakutidwa ndi reagent wapadera, womwe, polumikizana ndi mkodzo, umasintha mtundu.

Mzere uyenera kutsitsidwa mumtsuko wa mkodzo kapena kungogwira pakungothamanga. Osakhudza chingwe choyesera ndi manja anu kapena kupukuta ndi thaulo.

Nthawi zambiri zotsatira zimatha kupezeka mu miniti.

Kutengera mtundu wa mzere, kuchuluka kwa shuga mumkodzo kumatsimikiziridwa. Komabe, cheke chotere sichothandiza kwa odwala matenda ashuga amtundu 1, komanso kwa anthu azaka zopitilira 50.

Nthawi zambiri, mizere yoyesera imatha kungoyankha shuga ochuluka - oposa 10 mmol pa lita. Ndalamayi imatchedwa cholumikizira impso. Ngati mayesowo akuwonetsa mu mkodzo kuchuluka kwa shuga ndi kwakukulu kuposa chizindikiro ichi, ndiye kuti glucose amalowa mkodzo ndipo thupi silingathe kulimbana nalo.

Palinso zingwe zomwe zimayeza shuga. Kuti mupeze kusanthula, muyenera kusamba manja anu bwino, popeza shuga pang'ono pakhungu limatha kuyambitsa zosokoneza.

Chala choyera chimayenera kupyozedwa ndi singano yosabala ndikutsitsidwa kuti dontho la magazi lithe. Gwirizanitsani gawo loyeserera kuti dontho kuti gawo lonse lotalikiralo lophimbidwa ndimwazi.

Pambuyo pa izi, muyenera kudikira kwakanthawi mpaka mtundu utawonekera pa Mzere. Mtundu uliwonse umafanana ndi shuga wina - izi zimatha kupezeka pamakontena amiyeso.

Kulikonse komwe amagwiritsa ntchito glucometer, zomwe zimagwiranso ntchito ndi zingwe zoyeserera. Mzere umayikidwa mu dontho la magazi, ndikuyika ndikuyika. Amatsimikiza bwino shuga. Mitundu ina yamakono imakhala ndi ntchito yokumbukira, mawu omveka, komanso kukhoza kukumbukira zotsatira.

Miyezi yachilengedwe wamba ili pakati pa 3.3 ndi 6.1 mmol pa lita, ngati itengedwa pamimba yopanda kanthu. Mukatha kudya, kuchuluka kwa shuga kumatha kuchuluka mpaka 9 ndi 10 mmol pa lita. Pakapita nthawi mukatha kudya (maola 1-2), shuga amabwereranso kwawonso. Ngati zizindikiro zanu ndizokwera kwambiri kuposa zabwinobwino - osakoka, onani dokotala nthawi yomweyo!

Tanthauzo popanda kusanthula

Momwe mungadziwire matenda a shuga ndikuyesa mkodzo? Muyenera kuyendetsa zomwe zalembedwa, zomwe zimasanthulidwa mu labotale. Munthu wathanzi sayenera kukhala ndi matupi a glucose kapena ketone mu mkodzo wake. Kuchulukitsa kwa shuga m'magazi kwa 8-9 mmol / l kumabweretsa chifukwa chakuti thupi limayesetsa kumuchotsera kudzera mu impso.

Matupi a Ketone, munjira, poizoni yemwe thupi limayang'ana kuti athetse impso. Amalowa m'thupi chifukwa glucose sangathe kunyamulidwa ndi ma cell am'magazi, chifukwa chotsatira amakhala ndi vuto chifukwa chosowa mphamvu chifukwa chakukhala. Kulipirira kusowa kwake, kuwonongeka kwa mafuta kumayambira, njirayi imathandizanso kupanga matupi a ketone.

Matendawa ali ndi mitundu yosiyanasiyana, kuti amvetsetse zomwe ndizofunikira kwambiri. Kuti muwone ngati muli ndi matenda amtundu wa 2 kapena matenda ashuga 1, muyenera kuyezetsa insulin ndi C-peptides.

Kodi mungadziwe bwanji mtundu wa matenda ashuga ndi mayesowo? Poyamba, ziyenera kudziwika kuti njirayi imagwiritsidwa ntchito pokhapokha patakhala kuti kufufuza kwazipangidwe kale kwazindikiridwa kale. Popeza nthawi zina kusanthula kumawonetsa zikhalidwe zoyenera ngakhale ndi nthenda yomwe ikupita patsogolo.

Kuti mumvetse momwe mungadziwire mtundu wa matenda ashuga, muyenera kupenda ndikuwona zotsatira zake. Ngati muli ndi matenda amtundu wa 2, ndiye kuti zizowonetseratu zonse zizikhala zopanda malire, ndipo ngati mukuvutika ndi matenda a 1 digiri, ndiye kuti zizindikirozo zidzakhala zochulukirapo. Kumbukirani kuti njirayi ndiyofunika kokha kuti mudziwe mtundu wa matenda chifukwa sangathe kuzindikira matendawo omwe.

Pofuna kudziwa molondola kuchuluka kwa shuga m'madzi am'magazi, mayeso angapo a labotale amachitidwa:

  1. Zitsanzo za magazi a shuga.
  2. Urinalysis kwa shuga ndi matupi a ketone.
  3. Chiyeso cha glucose chiwopsezo.
  4. Kudziwitsa hemoglobin, insulin ndi C-peptide.

Kuyesedwa kwa shuga kunyumba

Chida chodziwira shuga wamagazi chimatchedwa glucometer. Odwala ambiri omwe ali ndi matenda ashuga, amapezeka.

Magazi amaperekedwa pamimba yopanda kanthu, akatswiri amati ngakhale saloledwa kumwa madzi. Zingafunikenso kuchititsa kafukufuku ndi katundu, chifukwa, pambuyo pa kuphunzira, munthu amadya ndipo kusanthula kumabwerezedwanso patatha maola awiri. Mukadutsa mayeso a magazi, pali malamulo ena omwe akuyenera kutsatiridwa:

  • munthu asamadye pasanathe maola khumi maphunziro asanachitike,
  • muyenera kusiya kumwa mankhwala omwe angakhudze magazi anu,
  • sizoletsedwa kumwa ascorbic acid,
  • kupsinjika mwamphamvu kwamthupi ndi m'maganizo kungakhudze zotsatira za kafukufukuyu.

Kuyesedwa kwa mkodzo kwa shuga kumachitidwanso. Kuti muchite izi, muyenera kusuta mkodzo patsiku: kuyambira m'mawa tsiku lina mpaka m'mawa tsiku lotsatira.

Pali zingwe zapadera zoyeserera zomwe zimasintha mtundu kutengera mtundu wa shuga mkodzo. Ngati palibe shuga, ndiye kuti mzerewo sungasinthe mtundu wake; ngati utasandulika wobiriwira, ndiye kuti ulipo.

Kutengera kukula kwa banga, kutsukidwa kwa shuga mu mkodzo kumatsimikiziridwa.

Chikhalidwe cha matenda a shuga chimatha kupezeka ndi munthu aliyense, ngakhale akuluakulu kapena ana ali otetezeka ku izi. Koma ichi si chigamulo, koma nthawi yolipira thanzi lanu.

Ndizotheka kuchiritsa matendawa osati mothandizidwa ndi mankhwala, kudya mokwanira bwino kumatenga gawo lofunikira. Ngati mukugwiritsa ntchito zinthu zoyipa, ndiye kuti chithandizo sichingaphule kanthu.

Onani malamulo oyamba okhudza chakudya:

  • Ndikofunikira kuti mukhale ndi mphamvu zambiri, ndiye kuti, zopatsa mphamvu zambiri momwe mungafunikire kuti muzitha,
  • kudya mapuloteni, mafuta ndi michere yambiri kuyenera kukwaniritsa zosowa za thupi lanu.
  • ziyenera kudyedwa pang'ono, m'malo ochepa.

Tsatirani malangizowa:

  • kuyang'anira kudya zakotsekemera, ufa, chokoleti ndi uchi,
  • Zakudya zamafuta kwambiri ndi zonunkhira zimatsutsana,
  • Mlingo sayenera kungokhala shuga wowoneka bwino, koma kukhalapo kwake kupanikizana kapena maswiti,
  • zakumwa zoledzeretsa siziyenera kupezeka nthawi iliyonse yomwe zingatheke.

Ambiri ali ndi chidwi ndi momwe angadziwire matendawa popanda kuyesedwa kuchipatala. Kodi mumadziwa bwanji kuti muli ndi matenda ashuga? Palibe chizindikiro chimodzi, ngati sichikutsimikiziridwa ndi kafukufuku wapadera, titha kuwonetseratu kuti muli ndi matenda a shuga. Komabe, ngati mungazindikire zodabwitsa m'thupi lanu ndipo mukufuna kudziwa momwe mungakhalire ndi shuga kunyumba, kuyesedwa kwa matenda a shuga kungakuthandizeni.

  • Kugwiritsa ntchito chipangizo chapadera chomwe chimafotokozera kuchuluka kwa shuga m'magazi. Amatchedwa glucometer ndipo amatha kupereka zotsatira zolondola kwambiri ngati agwiritsidwa ntchito molondola. Madokotala amalangizidwa kuti atenge chipangizocho kuchokera ku mtengo wapamwamba, chifukwa ma glucometer otsika mtengo angapangitse zolakwika. Chipangizocho chimagulitsidwa m'malo ndi mikwingwirima ndi singano kutiboboze khungu. Kuti mugwiritse ntchito chipangizocho, sambani manja anu ndi sopo, ziume, kenako kuboola chala chanu ndikuthira dontho la magazi pachifuwa. Muyenera kuyesa pamimba yopanda kanthu. Chizindikiro chofananira ndi 70-130 mg / dl.
  • Kuyesa kwa matenda ashuga ndi mikwingwirima yapadera ya mkodzo. Njirayi ndiyotchuka kwambiri chifukwa nthawi zambiri ilibe ntchito. Kuyesaku kukuwonetsa kukhalapo kwa matendawa pokhapokha pali shuga wambiri, ngati zikuwonetsa kupitilira 180 mg / dl. Ndi kuchuluka kwa shuga kwa odwala, sizingatheke kudziwa ngati pali shuga.
  • Njira yogwiritsira ntchito A1C kit ndikuyang'ana kuchuluka kwa shuga. Zotsatira zake zikuwonetsedwa kwa miyezi 3 yapitayo. Pogula zida, ndikwabwino kusankha imodzi yomwe ingathe kuzindikira matendawa pasanathe mphindi 5. Zizindikiro za munthu wathanzi sizidutsa 6%.

Ngati kuyesedwa kwa matenda ashuga kwawonetsa kuchuluka kwa shuga m'thupi, muyenera kufunsa dokotala. Kodi pakhoza kukhala cholakwika m'mayesedwe? Mwina ngati mayesowa asankhidwa kuchokera ku zotsika mtengo, ngati mwachita molakwika. Chifukwa chake, samalani moyenera kusankha kwa mayeso; tsatirani mosamala malangizo ogwiritsa ntchito.

Momwe mungadziwire matenda a shuga poyesa magazi, onani pansipa.

Chida chodziwira shuga wamagazi chimatchedwa glucometer. Odwala ambiri omwe ali ndi matenda ashuga, amapezeka.

Kuyesedwa kwa matenda ashuga ndikosavuta: dontho la magazi liyenera kudonthedwa pa mzere woyezetsa kenako ndikuyika mu chipangizocho. Choyamba, kupangika kumapangidwa pogwiritsa ntchito njira yochepetsera magazi ndipo dontho loyamba la magazi liyenera kuchotsedwa ndi thonje, ndipo lachiwiri ndi loyenerera kale kufufuza.

Izi ndichifukwa choti chala choyamba chimathandizidwa ndi mowa. Ndikofunikira kudziwa kuti mita iliyonse yoyeserera ili ndi mizere yoyambirira yomwe sioyenera chipangizo china.

Zizindikiro

Zizindikiro zimasiyana mosiyanasiyana. Mutha kudziwa kukula kwa matenda ashuga poyang'ana thupi.

Zizindikiro zithandiza kuzindikira matenda ashuga m'magawo oyamba, ngakhale atakhala kuti ndi amuna kapena akazi, zaka komanso thanzi:

  • Kutsekemera kwamkamwa kumawuma, kudya kwamadzi tsiku ndi tsiku kumaposa malita awiri, chifukwa chake katundu pazimpso amawonjezeka.
  • Kuyamwa mwachangu. Mlingo wa tsiku ndi tsiku wa mkodzo wowonjezera umachuluka, womwe umatha kufika 10 malita.
  • Kusintha kwakuthwa, kuwongolera kapena kuchepa. zotupa pakhungu zitha kuwoneka. Kupanikizika kwa magazi kumasinthasintha.
  • Kulakalaka kugona nthawi zonse, kukwiya popanda chifukwa, chizungulire chachikulu. Ndikusowa kwa glucose, zosungika m'thupi zimatha msanga, kutaya mphamvu kofunikira kumayamba.
  • Manja ndi miyendo izituluka, kumanjaku kumachitika. Kutupa kwanyimbo kumatha kuchitika. Matenda a shuga akamakula, zotsatira zake zimatha kutha.
  • Kusintha kwamawonedwe. Pali zotupa za ziwiya zing'onozing'ono za retina, zomwe zimapangitsa kuchepa kwa mawonekedwe owoneka.
  • Zovuta zam'mimba zomwe zimapangika chifukwa cha anthu. Khansa ya m'mimba, kutsegula m'mimba, kusanza, ndi kugona mwachangu zimachitika popanda zifukwa zapadera. Zithunzi zimatha kusintha. Wodwalayo amakhalanso ndi nkhawa.

Pali zizindikiro zomwe zimanena momwe mungazindikire shuga, kupatula zazikulu. Kukula kwawo kumatengera kuchuluka kwa kunyalanyaza matendawo.

Mosasamala kanthu za jenda, odwala amatha kukhala ndi mavuto ndi moyo wapamtima, kuyabwa kwambiri komanso kuwotchera maliseche kumatha kuchitika.

Choyamba, vuto la mahomoni limawonekera. Kwa amayi, zolakwika ndizikhalidwe, kukulira kusabereka, kupanga testosterone m'thupi kumachuluka. Amuna amazindikira mavuto ndi potency, pali zovuta pakamangidwe kachulukidwe, kupanga kwa testosterone m'thupi kumachepetsedwa.

Ngati pali zolakwika zingapo, wodwalayo amayenera kukaonana ndi katswiri yemwe am'thandize kuti ayesedwe magazi. Malinga ndi zotsatira za kusanthula, azitha kudziwa kapena kutsutsa matenda ashuga.

Mitundu ya matenda ashuga

Matenda a shuga - mavuto ndi magwiridwe antchito a endocrine system. Amalumikizidwa ndi kufafaniza kwathunthu kapena kuchepetsa pakupanga kwa insulin ndi thupi. Chifukwa cha kuphwanya kotero, shuga amadziunjikira m'thupi.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Pali mitundu itatu yayikulu ya matenda ashuga:

Komanso pa momwe mungadziwire mtundu wa matenda ashuga.

Mtundu 1 wamatenda

Chachikulu chimatengedwa ngati mtundu wodalira insulini. Zimachitika chifukwa cha kusokonekera kwa chitetezo cha mthupi, momwe thupi limadzionongera payekha kapamba, yemwe amachititsa kuti pakhale insulini yofunikira.

Chifukwa cha kuchepa kwa timadzi ta m'magazi, kudzikundikira kwa glucose m'magazi ndi kujambula kwamadzimadzi kuchokera minofu imayamba. Kuwopseza ziwalo zamkati ndi matupi a ketone, wodwalayo amatha kudwala matenda am'madzi, chifukwa chosiya madzi pafupipafupi pokodza.

Izi zimasokoneza kugwira ntchito kwa thupi komanso zimakhudza ubongo.

Mtunduwu umanena za matenda aunyamata ndi ubwana, chifukwa nthawi zambiri umapezeka mwa achinyamata azaka za 1 mpaka 30. Sikovuta kuzindikira matenda amtunduwu, chifukwa amadziwika ndi kuchepa kwa thupi la wodwalayo.

Kukula kwa mtundu wodalira insulin kungayambitsidwe ndi:

  • kusowa kwa kapamba,
  • kuukira kwa thupi ndi rubella, hepatitis, mumps,
  • kumwa mkaka wa ng'ombe ali wakhanda.

Akalandira chithandizo mosayembekezereka, wodwala amakumana ndi matenda ashuga, mwinanso akumwalira.

Kuyambira kuyambira ali aang'ono, matendawa akupitilizabe kupita patsogolo pakati pa odwala azaka zapakati ndi okalamba. Kukula kwa mtundu wodalira insulin kumatenga zaka zitatu mpaka 20.

Type 2 shuga

Momwe mungadziwire matenda amtundu wa II? Amadziwika ndi kupanga insulin ndi thupi mokwanira, koma palibe kuzindikira kwa maselo ake. Izi zikutanthauza kuti kapambayu akugwira ntchito molondola, koma momwe thupi limapangidwira ndi mahormon silolondola. Zotsatira zake, shuga salowa m'maselo ndi minofu.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Horm imakhala yosafunikira ndikupanga kwake kumachepa, zomwe zimayambitsa kuchepa pakupanga mphamvu yofunikira. Kulephera pa ntchito ya mankhwala opangira mapuloteni kumachitika, zotsatira zake ndikuphwanya kwathunthu kwa mapuloteni komanso kuchuluka kwa makutidwe ndi mafutawa. Magazi amapangidwa ndi poizoni.

Cholinga chakuchepa kwa chidwi cha maselo ku insulin amadziwika kuti kuchepa kwa kuchuluka kwa ma cell receptors chifukwa cha:

  • masinthidwe ofunikira okalamba m'thupi,
  • poyizoni wamphamvu wamankhwala,
  • kugwiritsa ntchito mankhwala ambiri,
  • kunenepa.

Matendawa amakhudza azimayi ndi anthu omwe amayenda pang'ono, omwe zaka zawo ndi zopitilira 40. Mu theka la milandu, matenda amtundu wa 2 amapezeka mwa odwala omwe ali ndi kunenepa kwambiri. Ndizokhudza matenda wamba, popeza pafupifupi 85% ya odwala amadwala matendawa.

Mtundu wamtundu

Matendawa ndi amodzi mwa amayi apakati.

Panthawi yamatenda a mwana wosabadwa, kusintha kwa ma horoni kumachitika mthupi la azimayi ndipo kupanga kwa mahomoni kumachepa. Shuga amadziunjikira m'thupi. Mtunduwu umasowa pawokha mwana atabadwa. Amayi oyembekezera omwe ali ndi matendawa nthawi zambiri amabereka ana akuluakulu olemera kuposa 4 kg.

Gulu lamavuto

Zowopsa zomwe zimayambitsa matendawa ndi izi:

  • Kutumiza kwa matenda opatsirana oyambitsidwa ndi mavairasi,
  • matenda amtundu wa endocrine dongosolo mwa achibale woyamba,
  • onenepa kwambiri
  • Matenda a mahomoni, chithokomiro cha chithokomiro, kusokonezeka m'matumbo, ndulu za adrenal,
  • kukula kwa mtima atherosulinosis,
  • moyo wopsinjika nthawi zonse
  • kuthamanga kwa magazi komwe sikuchizidwa kwanthawi yayitali,
  • kugwiritsa ntchito mitundu ina ya mankhwala,
  • kulakwitsa mafuta kagayidwe,
  • kugwira ntchito popanda kusuntha,
  • mtundu wa matenda ashuga nthawi ya pakati,
  • kusiya mankhwala osokoneza bongo osokoneza bongo,
  • zakudya zosayenera, zosagwirizana.

Kuti zinthu izi zisayambitse matenda monga matenda ashuga, sayenera kungopezeka, komanso kupewa munthawi yake.

Powunikiranso mkhalidwe waumoyo wa munthu, thanzi ndi matenda omwe apezeka munthawi yake, ndizotheka kuthetseratu zovuta zamatenda omwe muyenera kukhala nawo mpaka kumapeto.

Zotsimikizira Zotsimikizira

Kuti mumvetsetse kuti matenda anu a shuga azithandiza mayeso angapo omwe amawona kuchuluka kwa shuga m'thupi.

Mutha kuyezetsa matenda a shuga podutsa mayeso monga:

  • magazi kuchokera pachala chanu kuti mudziwe kuchuluka kwa shuga,
  • Kuyesa kwa shuga
  • kudziwa kuchuluka kwa insulin, c-peptide ndi hemoglobin m'thupi,
  • kuyang'ana mkodzo wa matupi a ketone.

Ndikotheka kudziwa matenda a shuga ndi mkodzo komanso kuyezetsa magazi komwe kumatengedwa pamimba yopanda kanthu kuchokera kwa wodwala komanso patangotha ​​maola ochepa mutatha kudya. Nthawi zina, zotsatira zoyesa zimawonetsa kukhudzidwa kwa glucose, koma kukula kwake sikupitirira mwabwinobwino.Izi zikuyamba gawo loyamba la matendawa.

Kuzindikira matenda kunyumba

Njira zingapo zitha kugwiritsidwa ntchito kudziwa kuchuluka kwa shuga m'magazi.

Mutha kugula ku mankhwala:

  • kuyesa kwa mkodzo - kumawonetsa shuga,
  • glucometer - kusanthula kwakanema poyesa glucose wamagazi, wogwiritsidwa ntchito kunyumba,
  • glycogemoglobin A1C kit - imathandizira kuyeza kuchuluka kwa shuga komwe kumayenderana ndi hemoglobin.

Musanagwiritse ntchito njira, muyenera kuwerenga mosamala malangizo omwe angagwiritsidwe ntchito.

Kufunika kwa chithandizo chanthawi yake

Ndikofunikira kudziwa matenda ashuga munthawi yake .. Matendawa amayambitsa zovuta izi:

  • Kulera kulephera
  • Kukula kwa sitiroko, kusokonezeka kwamitseko ya magazi kupita ku ubongo,
  • kusawona bwino,
  • kutupa kwa m'mphuno,
  • mawonekedwe a mafupa,
  • matenda a mtima
  • m'mimba kulephera
  • kukula kwa mavuto a impso,
  • zolakwika zamanjenje,
  • wodwala matenda ashuga.

Kuchiza pa nthawi yake kumathandizira m'tsogolo kupewa matenda oyipa m'thupi la wodwalayo.

Malangizo Kupewa

Popewa kuyambika kwa matenda ashuga, njira zingapo zodzitetezera ziyenera kuonedwa.

  • Idyani nyama zochepa zamafuta, m'malo mwa mafuta azamasamba,
  • Dzitetezeni ku nkhawa ndikukuteteza misempha yanu,
  • khalani ndi chizolowezi chosewera masewera,
  • Nthawi ndi nthawi mumayesedwa kuti mupeze kuchuluka kwa shuga m'thupi,
  • chepetsa kugwiritsa ntchito maswiti, zakumwa zoledzeretsa, kusiya zizolowezi zoipa.

Ndikofunika kukumbukira kuti matenda ashuga, monga matenda ena, ali ndi zizindikiro zake. Mwa kumvera zizindikilo za thupi, simungathe kungodziwa nthawi, komanso kupewa matendawa. Chifukwa cha mankhwala amakono, mutha kukhala moyo wathunthu.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Mudziwa bwanji ngati pali shuga kunyumba?

Matenda a shuga - zimachitika chifukwa cha kuwonongeka kwa dongosolo la endocrine. Kulephera kumachitika chifukwa chosowa insulini, timadzi tomwe timatulutsidwa ndi kapamba.

Matendawa ndiofala kwambiri komanso owopsa, chifukwa zizindikiro zake sizimawoneka nthawi yomweyo. Chifukwa chake, matendawa amapezeka pafupipafupi pamlingo wopita patsogolo, zovuta zikayamba kale.

Koma ungadziwe bwanji ngati pali matenda ashuga kunyumba? Ngati sizotheka kukaonana ndi dokotala ndikukayezetsa, muyenera kuphunzira zomwe zingachitike matendawa. Komanso, ngakhale ali ndi matenda osiyanasiyana, ali ofanana kwambiri.

Kanema (dinani kusewera).

Kodi shuga ndi chiyani ndipo umatheka chifukwa chiyani?

Kuti muzindikire matenda a shuga kunyumba, muyenera kudziwa kaye zambiri za matendawa. Pali mitundu iwiri yamatendawa, yomwe imalumikizidwa ndi chizindikiro chofala - kuchuluka kwa shuga m'magazi.

Poyamba, matenda amapezeka ndi kusowa kwa insulin mu 10-15% ya milandu. Ndi matenda amtunduwu, chithandizo cha insulin chimachitika nthawi zonse.

Mtundu wachiwiri wa shuga, timadzi timene timapangidwa mu kuchuluka, koma maselo amakhala osazindikira. Pankhaniyi, insulin chithandizo imayikidwa pokhapokha ngati mawonekedwe apamwamba a matenda.

Pali "matenda abwinobwino", koma ndizovuta kudziwa. Matenda obwera chifukwa cha matenda a shuga amathandizidwanso, momwe chiopsezo chodwala matenda a hyperglycemia amachulukitsidwa kwambiri.

Ngati pali zoopsa, makamaka mwa ana, zizindikiro zomwe zingatheke ziyenera kuganiziridwa, ndipo ndibwino kumayesedwa kwathunthu kuchipatala. Kuchepa kwa matendawa kumawonjezeka motere:

  1. onenepa kwambiri
  2. hyperglycemia pa mimba,
  3. chibadwa
  4. kugwiritsa ntchito mankhwala kwakanthawi
  5. matenda oopsa
  6. uchidakwa
  7. matenda a kapamba ndi zonyansa mu endocrine system,
  8. kupsinjika ndi kukhumudwa,
  9. kuperewera kwa zakudya m'thupi
  10. moyo wosachita bwino.

Koma mudziwa bwanji kuti muli ndi matenda ashuga ndi zizindikiro za matendawa? M'malo mwake, kunyumba, ndizotheka kudziwa kukhalapo kwa matenda amtundu uliwonse, koma pokhapokha atatsagana ndi chithunzi chotchulidwa kuchipatala.

Mphamvu yowonetsera imakhudzidwanso ndi kuchuluka kwa kupanga kwa insulin, kukana kwa maselo kwa mahomoni, kupezeka kwa matenda a pathologies, komanso zaka za wodwalayo.

Mwa munthu wathanzi, atatha kudya, shuga m'magazi amawonjezeka, koma patatha maola awiri, msambo wa glycemia umakhazikika. Ndipo odwala matenda ashuga, kuphatikizidwa kwa glucose kumachepa kapena kukwera pang'onopang'ono, pomwe zimachitika zingapo. Izi zimaphatikizapo ludzu (polydipsia), pamene munthu amamwa mpaka malita 9 amadzi patsiku, ndikuwonjezera kukodza komwe sikuima ngakhale usiku.

Nthawi zambiri wodwalayo amakhala ndi njala yosatha, ndipo khungu lake limakhala louma komanso lotuwa. Kufooka kwa minofu ndi kukokana, kufooka kopanda pake, kusakwiya komanso kusachita chidwi kumawonekeranso.

Kuphatikiza apo, ndi matenda a shuga, kuona kumatha kusokonezeka ndipo nthawi zambiri pamakhala kugaya chakudya, kuwonetsedwa ndi mseru komanso kusanza. Ngakhale munthu wodwala matenda ashuga ali ndi zizindikiro zofanana ndi chimfine, kupweteka kwa m'mimba, dzanzi la miyendo ndi kuyabwa kwa khungu kumaliseche, m'mimba, miyendo.

Kuphatikiza apo, mutha kuzindikira matendawo mwakuwonetsa monga:

  • Kuchulukana kwa tsitsi
  • matenda apakhungu
  • kutumphuka kwa denga lokwera kwambiri, lomwe limatuluka chifukwa cha kukoka pafupipafupi,
  • mawonekedwe a xanthomas pa thupi,
  • Kutha kwa tsitsi m'mphepete.

Mu makanda, matendawa amatha kuwoneka ngati kuchepa kwa phindu lochulukirapo, matenda opatsirana komanso chotupa. Mkodzo ukalowa mu diaper, nkhope zawo zimasamba.

Matenda a shuga kwa mwana wazaka zisanu ndi zitatu zakubadwa amatha kukhala ndi matendawa monga kusowa kudya, kutopa kwambiri, kugona, mavuto ndi mavuto a dysbiosis. Kuphatikiza apo, chizindikiritso cha matenda oopsa a hyperglycemia mwa ana ndimomwe kununkhira kwa acetone kuchokera mkamwa.

Kudziwa matenda ashuga mu achinyamata ndi kosavuta kwambiri kuposa kwa ana. Pazaka izi, matendawa amawonetsedwa ndi chilakolako chambiri, kukodza pafupipafupi, kuchepa thupi, kuwonetsa thupi ndi ludzu.

Ndikofunikira kudziwa kuti mtundu uliwonse wa matenda ashuga uli ndi zomwe umasiyana nawo komanso zomwe ali nazo. Chifukwa chake, ndi mtundu woyamba wa matendawa, ambiri mwa zizindikiro za matendawo amawonekera, koma amatha kusiyana mu mphamvu yakuwonekera. Chizindikiro cha fomu yodalira insulin ndi kulumpha lakuthwa mu shuga, komwe nthawi zambiri kumayambitsa kukomoka, komwe kumayambitsa kukomoka.

Komanso, ndi matenda amtundu 1 m'miyezi 3-4, munthu amatha kutaya mpaka 15 kg. Komanso, njira yochepetsera thupi imayendera limodzi ndi chidwi, kufooka ndi khungu. Kuperewera kwa mankhwalawa kumadzetsa matenda a anorexia, ndipo pambuyo pake ketoacidosis imayamba, yokhala ndi kupuma kwa zipatso.

Kuphatikiza apo, ndi matenda amtundu wa 1 shuga, munthu amayamba kuchepa thupi, ngakhale kuti amakhala ndi chidwi chofuna kudya. Matendawa amatapezeka mpaka zaka 30, ndipo amatha kutsagana ndi munthu kubadwa.

Ndipo pakukalamba, anthu nthawi zambiri amakhala ndi mtundu wina wa matenda ashuga. Monga lamulo, mwa ine adawonetsedwa ndi kamwa yowuma, ludzu komanso kukodzanso. Kuphatikiza apo, mtundu wa insulin wopanda matenda umayendera limodzi ndi kuyabwa kwamtundu. Nthawi zambiri, matenda oterewa amapezeka motsutsana ndi maziko a matenda oopsa, kunenepa kwambiri komanso chifukwa cha kukana kwa maselo kupita ku insulin.

Komabe, poyamba matendawa samadziwonetsera, motero munthu amayendera dokotala pokhapokha ngati pali zovuta zina zomwe zimayambitsa zizindikiro zosasangalatsa. Zotsatira zake zimawoneka motsutsana ndi maziko akuwonongeka kwa mtima komanso kulimba kwa minofu.

Nthawi zambiri izi zimakhudza ziwonetsero ndi mawonekedwe a miyendo. Chifukwa chake, odwala ambiri amapita kwa dokotala wa opaleshoni, opaleshoni, ndipo pokhapokha kupita kwa dokotala wa opaleshoni.

Ngati mukuzindikira zizindikiro zilizonse zokhudzana ndi matenda a shuga, ndiye kuti muyenera kupita kuchipatala kukayezetsa mayeso onse ofunikira. Inde, kuzindikira koyambirira kwamatendawa kumapewetsa zovuta zazikulu mtsogolo.

Njira yosavuta kwambiri komanso yolondola yoyeza shuga mumagazi anu ndikugwiritsa ntchito mita. Chidacho chimakhala ndi timiyeso tachiyeso ndi chida chapadera choboola chala.

Musanapendeketse nyumba, ndikofunikira kusamba m'manja ndikupukuta pakhungu ndi zakumwa. Izi ndizofunikira kuti mupeze zotsatira zodalirika, chifukwa dothi pazala lingakhudze magwiridwewo.

Kusala shuga wambiri kumatha kuyambira 70 mpaka 130 mg / dl. Koma mutatha kudya, zizindikirozo zimakwera mpaka 180 mg / dl.

Njira inanso yopangira kunyumba yodziwira matenda a shuga ndi kudzera zingwe zoyeserera zomwe zimagwiritsidwa ntchito poyesa mkodzo. Komabe, akuwonetsa kukhalapo kwa matendawa pokhapokha ngati ndende ya shuga ikwera kwambiri. Ngati mulingowo ndi wochepera pa 180 mg / dl, ndiye kuti zotsatira zoyesedwa zimatha kupereka mayankho abodza, chifukwa chake ndikofunikira kuyesedwa kwa labotale.

Pogwiritsa ntchito zovuta za AC1, ndizothekanso kuzindikira zosokoneza mu kagayidwe kazachilengedwe komanso ntchito ya kapamba kunyumba. Zomerazi zimakuthandizani kudziwa kuchuluka kwa hemoglobin A1C, amawonetsa kuchuluka kwa shuga kwa miyezi itatu. Zinthu za hemoglobin zabwinobwino zimakhala mpaka 6%.

Chifukwa chake, kwa iwo omwe ali ndi zizindikiritso za matenda a shuga, omwe, atachita zoyeserera kunyumba, adadzipezanso ndi hyperglycemic (pamwambapa 130 mg / dl), muyenera kufunsa dokotala mwachangu.

Nthawi inanso, vuto la insulin limatha, lomwe nthawi zambiri limatha ndi imfa.

Popewa kuyambika kwa matendawa, ndikofunikira kusintha kwathunthu moyo. Pachifukwa ichi, muyenera kuyang'anira momwe thupi lanu lilili ndikudya moyenera. Chifukwa chake, muyenera kudya zakudya zosachepera 5 pa tsiku muzigawo zochepa. Nthawi yomweyo, ndikofunikira kusiya mafuta ambiri, chakudya chambiri, zakudya zotsekemera ndi zakumwa zochokera mu kaboni.

Kuphatikiza apo, kuvutitsidwa kwa fodya ndi mowa kumaletsedwa. Nthawi ndi nthawi, muyenera kuyang'ana shuga wamagazi, kupewa nkhawa komanso musaiwale za zolimbitsa thupi zolimbitsa thupi.

Koma ngati muli ndi matenda a shuga 1, ndiye kuti kuwonjezera pa kutsatira malamulo onse omwe ali pamwambawa, insulin chithandizo ndiyofunikira. Pankhaniyi, mlingo ndi mtundu wa insulin ziyenera kusankhidwa payekha ndi dokotala wopita. Koma ndi kulemera kwabwinobwino kwamthupi komanso mkhalidwe wamaganizidwe abwino, avareji ya insulini ndi 0,5-1 PIERES pa 1 kg yolemera.

Kuti mulipirire shuga, muyenera kuchita masewera olimbitsa thupi pafupipafupi. Ubwino wakuchita zolimbitsa thupi ndikuti panthawi yolimbitsa thupi minofu yam'magazi, oxidation yambiri ya glucose imachitika. Chifukwa chake, shuga akamawotchedwa m'minyewa, kukhazikika kwake m'magazi kumachepa.

Mtundu wachiwiri wa matenda a shuga, mankhwala a insulini amachitika pokhapokha ngati ali ndi vuto lalikulu. Koma ndi matenda amtunduwu, chithandizo chamankhwala chimawonjezeredwa zolimbitsa thupi ndi zakudya, zomwe zimaphatikizapo kumwa mankhwala ochepetsa shuga. Kupewa zovuta zomwe sizingachitike sikungakhale kopanda pake, koma pankhaniyi, chithandizo chimasankhidwa payekhapayekha. Kanema yemwe ali munkhaniyi akufotokozerani momwe mungadziwire matenda anu a shuga.

Momwe mungadziwire shuga ndi dokotala komanso kunyumba. Zizindikiro za Matenda Akulakula

Matendawa nthawi zambiri amakhala ndi mawonekedwe osakhazikika ndipo amalumikizidwa ndi kuperewera kwa dongosolo la endocrine, makamaka chifukwa cha kusakwanira kwamankhwala a insulin (mahomoni apansi a kapamba). Kodi limagwirira bwanji matendawa komanso momwe mungadziwire shuga?

Insulin imabisidwa ndi kapamba. Ntchito yake yayikulu ndikutumiza kwa glucose kusungunuka m'mwazi kupita kuzinthu zonse komanso maselo a thupi. Amachititsanso kuti kagayidwe kazakudya kagayidwe kake kazikhala mwamphamvu. Insulin imathandizira kuphatikiza pa amino acid kenako imasinthira mapuloteni kupita m'maselo.

Pamene kupanga kwa mahomoni kapena kulumikizana kwake ndi ziwalo za thupi kusokonekera, kuchuluka kwa shuga m'magazi kumakwera molimba (izi zimatchedwa hyperglycemia). Ndikupezeka kuti yemwe amayendetsa shuga kulibe, ndipo iye sangathe kulowa m'maselo. Chifukwa chake, kusapereka kwa glucose kosasinthika kumakhalabe m'magazi, kumakhala kowonjezereka ndikulephera kutulutsa okosijeni ndi michere yomwe imafunikira pothandizira njira ya metabolic.

Zotsatira zake, makoma azotengera samatha kulowa ndipo amalephera. Zimakhala zosavuta kuvulaza. Ndi "siz" izi, mitsempha imatha kuvutika. Zochitika zonsezi mumapangidwe amatchedwa shuga.

Wodwala pakalibe chithandizo amatha kugwa, komwe nthawi zambiri kumabweretsa kufa.

Mapuloteni aprotein amasokonezeka, makutidwe ndi okosijeni amathandizidwa. Matupi a Ketone amayamba kudziunjikira m'magazi. Cholinga chakuchepa kwa chidwi chitha kukhala okalamba kapena matenda (poyizoni wa mankhwala, kunenepa kwambiri, mankhwala osokoneza bongo) kuchepa kwa chiwerengero cha ma receptors.

Kapangidwe kake ka mtundu uliwonse wa shuga ndikosiyana, koma pali zizindikiro zomwe zili ndi aliyense wa iwo. Sizitengera zaka komanso mtundu wa wodwala. Izi zikuphatikiza:

  1. Kulemera kwa thupi
  2. Wodwala amamwa madzi ambiri, pomwe akumva ludzu nthawi zonse,
  3. Kukakamira pafupipafupi kukodza, kuchuluka kwamkodzo tsiku lililonse kumatha kufika mpaka malita 10.

Matendawa ndiosavuta kupewa kuposa kuchiza. Matenda a shuga amayamba kukhala osachiritsika ndipo amayamba kuchira. Maonekedwe a matendawa amakhudza magulu omwe ali ndi odwala omwe akhudzidwa ndi izi:

  • Matenda a Beta-cell (kapamba, khansa ya kapamba, etc.),
  • Khalidweli
  • Matenda a endocrine dongosolo: Hyper- kapena hypofunction ya chithokomiro England, matenda a adrenal gland (kotekisi), pituitary gland.
  • Pancreatic arteriosulinosis,
  • Matenda opatsirana ndi ma virus: chikuku, chimfine, rubella, nthomba, nsungu,
  • Moyo wodekha (kusowa masewera olimbitsa thupi),
  • Kunenepa kwambiri (makamaka panthawi yapakati)
  • Zovuta zambiri
  • Matenda oopsa
  • Kuledzera ndi uchidakwa,
  • Kuwonetsedwa kwakanthawi kwa mankhwala ena (pituitary somatostatin, prednisone, furosemide, cyclinthuazide, antibacterial, hypothiazide)

Amayi amakonda kwambiri matendawa kuposa amuna. Izi ndichifukwa choti mthupi la abambo mumakhala testosterone yambiri, yomwe imakhudza bwino kupanga kwa insulin. Kuphatikiza apo, malinga ndi ziwerengero, atsikana amatenga shuga wambiri ndi chakudya chamagulu, zomwe zimapangitsa shuga wamagazi.

Kuyesedwa kwa matenda a shuga kungaphatikizepo kuyesedwa kwa magazi ndi mkodzo, komanso kuwunika momwe wodwalayo alili. Kwanenedwa kale kuti matenda amadziwika ndi kusintha kwa kulemera. Nthawi zambiri chizindikiro ichi chimakupatsani mwayi woti mudziwe mtundu wa matenda ashuga.

Pali zizindikiro zapadera zomwe zikuwonetsa kukula kwa matenda a shuga 1 kapena 2. Kukula kwa mawonekedwe awo kumadalira m'badwo wamatendawa, kuchuluka kwa insulin, momwe chitetezo cha mthupi chimakhalira komanso kupezeka kwa matenda akumbuyo.

Ngati palibe ma pathologies, ndiye kuti maola angapo mutatha kudya, kuchuluka kwa shuga kuyenera kubwereranso kwina (mutangomaliza kudya kumadzuka, izi ndizabwinobwino).

Ngati pali matenda a shuga, ndiye kuti pali zizindikiro:

  1. Pakamwa pokhazikika pouma
  2. Khungu komanso khungu lowuma
  3. Njala yokhutira komanso chilakolako chokwanira, ngakhale wodwala azidya zochuluka motani,
  4. Munthu amatopa msanga, kumva kuti ndi wofooka (makamaka mu minofu), amakhala wopanda chidwi komanso wosakwiya.
  5. Khunyu nthawi zambiri imakhala ndi nkhawa, imapezeka makamaka mu ana a ng'ombe,
  6. Nebula wa masomphenya
  7. Kuzizira m'miyendo.

Zizindikiro zina zimatha kukuthandizani kuzindikira matenda ashuga mukangoyamba kumene. Thupi lokha limayamba kuwonetsa kuti zosokoneza zina zikuchitika mkati mwake. Kukula kwa matendawa kungatsimikizidwe ndi izi:

  • Kudwala nthawi zonse, kusanza,
  • Mabala otuluka amachiritsa bwino, fester (chizindikiro chodziwika ndi matenda amtundu wa 2),
  • Matenda apakhungu awoneka, akhoza kutumphuka,
  • Kuyamwa kwambiri pamimba, maliseche, mikono ndi miyendo,
  • Tsitsi kumapeto kumatha
  • Paresthesia (kumva kulira) ndi dzanzi la miyendo,
  • Tsitsi la nkhope limayamba kukula
  • Zizindikiro za chimfine zimawonekera
  • Xanthomas ndi kakang'ono kakang'ono kutalika mthupi lonse,
  • Mwa amuna, balanoposthitis (chifukwa cha kukodza pafupipafupi, khungu limatupa).

Zizindikirozi ndizothandiza pamitundu yonse iwiri yamatenda. Mavuto a pakhungu amawoneka kwambiri ndi matenda amtundu wa 2.

Amapereka kuti adziwe kuchuluka kwa shuga m'madzi a m'magazi. Ndikwabwino kupanga zovuta zomwe zimakhala ndi maphunziro awa:

  • Mkodzo pamatupi a ketone ndi shuga,
  • Magazi a shuga kuchokera ku chala chanu
  • Magazi a insulin, hemoglobin ndi C-peptide,
  • Kuyesa kwamphamvu kwa khungu.

Musanadutse mayeso, muyenera kutsatira malamulo otsatirawa:

  1. Patulani mankhwala onse mu maola 6,
  2. Osamadya osachepera maola 10 mayeso asanachitike,
  3. Osamadya vitamini C,
  4. Musadzinyengere nokha ndi kuthupi.

Ngati palibe matenda, ndiye kuti chizindikiro cha glucose chidzachokera ku 3,3 mpaka 3.5 mmol / L.

Momwe mungadziwire matenda ashuga kunyumba?

Kuti muchite izi, muyenera kugula ku pharmacy:

  • Khazikitsani A1C - iwonetsa kuchuluka kwa shuga kwa miyezi itatu.
  • Mizere yoyeserera mkodzo - malingaliro onse osanthula ali mumalangizo. Pamaso pa glucose mkodzo, ndi MANDATORY kuchita kafukufuku ndi glucometer.
  • Glucometer - ili ndi lancet yomwe imaboola chala. Ma strapp apadera amayesa kuchuluka kwa shuga ndikuwonetsa zotsatira zake pazenera. Kudziwa shuga kunyumba ndi njirayi kumatenga zosaposa mphindi 5. Nthawi zambiri, zotsatira zake ziyenera kukhala 6%.

Matendawa m'magulu ochita ntchito nthawi zambiri amatchedwa "njira yofikira kukalamba", chifukwa matenda a shuga amasokoneza njira zonse za thupi. Zitha kuyambitsa zovuta zowopsa:

  1. Kuphwanya ntchito ya maliseche. Kusabala kungayambike mwa amuna, komanso kusamba kwamiseche kwa akazi. Muzochitika zapamwamba, kusabereka kumawonekera, kukalamba koyambirira ndi matenda ena amachitidwe obala.
  2. Stroke, zovuta zamagazi mu ubongo, encephalopathy (kuwonongeka kwa mtima).
  3. Kukhulupirira masomphenya. Izi zimaphatikizapo: conjunctivitis, matenda a shuga, balere, kuwonongeka kwa ziphuphu, kuphwanya kwa khungu ndi khungu, kuwonongeka kwa iris.
  4. Kutupa kwamkamwa. Mano athanzi amatuluka, matenda a periodontal ndi stomatitis amakula.
  5. Matendawa
  6. Matenda a matenda ashuga. Njira za purroc necrotic, zotupa za osteoarticular zimayamba ndi zilonda zam'mimba (mafupa, minofu yofewa, mitsempha, mitsempha yamagazi, khungu, mafupa amakhudzidwa). Ichi ndiye chifukwa chachikulu chodulidwa mwendo mwa odwala.
  7. Matenda a mtima dongosolo (atherosulinosis, mtima arrhythmias, matenda amitsempha yamagazi).
  8. Zovuta zam'mimba zodutsa - fecal incinuence, kudzimbidwa ndi zina zotero.
  9. Kulephera kwamkati komwe kumayambitsa impso yochita kupanga.
  10. Kuwonongeka kwa dongosolo lamanjenje.
  11. Coma

Matendawa ndi akulu kwambiri, motero odwala amafunikira chithandizo chamankhwala monga insulin, kusintha kwathunthu kwa moyo wawo komanso zakudya.

Zochita zonsezi zidzakhala za moyo wonse, chifukwa ndizosatheka kuchiritsa matendawa.

Ndi mitundu yosiyanasiyana ya matenda ashuga, njira zochiritsira zimasiyana:

  • Mtundu 1. Mankhwala a insulin amachitika - jakisoni wa mahomoni a mayunitsi a 0,5-1 pa kilogalamu ya kulemera. Zakudya zomanga thupi ndi masamba / zipatso zina zimachepetsedwa. Zochita zolimbitsa thupi. Ndi chithandizo choyenera cha thupi, wodwalayo samakumana ndi zovuta.
  • Mtundu 2. Insulin imagwiritsidwa ntchito pokhapokha ngati muli ndi zochitika zapamwamba kwambiri, motero palibe chifukwa chochitira izo. Chithandizo chachikulu ndicho kudya mankhwala ndikumwa mankhwala a hypoglycemic. Amathandizira shuga kulowa m'maselo. Nthawi zambiri infusions pa zitsamba.

Imachita imodzi mwatsatanetsatane pochiza matendawa. Pazakudya zinazake, ndibwino kufunsa katswiri wazakudya. Ngati tirikulankhula za mfundo zazikuluzonse zokhudzana ndi zakudya za matendawa, titha kusiyanitsa izi:

  • Chotsani shuga ndi zinthu zonse zomwe zimapezeka muzakudya. Ngati ndizovuta popanda shuga, mutha kugwiritsa ntchito zina. Zilibe zopindulitsa thupi, koma osayambitsa zovulaza.
  • Kuti m'mimba mutha kugaya bwino zakudya zamafuta, mutha (m'malo oyenera) kugwiritsa ntchito zonunkhira.
  • Kofi iyenera kusinthidwa ndi zakumwa zochokera ku ceccoria.
  • Adyo ochulukirapo, kabichi, anyezi, sipinachi, udzu winawake, tomato, nsomba (kupatula mitundu yamafuta), dzungu ndi masamba ena atsopano.
  • Kuti muchepetse kapena kusadya zakudya zotere konse.

Masewera amawotcha shuga owonjezera. Pali masewera olimbitsa thupi omwe amapangidwira odwala matenda ashuga. Muyenera kuzichita tsiku ndi tsiku.

  1. Kukweza masokosi, manja amapuma kumbuyo kwa mpando - mpaka 20 zobwereza,
  2. Squat akugwirizira chithandizo - maulendo 10-15,
  3. Muyenera kugona kumbuyo kwanu moyang'anizana ndi khoma, pambuyo pake muyenera kukweza miyendo yanu ndikulimbitsa mapazi anu kukhoma kwa mphindi 3-5,
  4. Kuyenda tsiku lililonse pamsewu ndikuyenda mosinthasintha.

Ndikofunika kukumbukira kuti izi sizophunzirira muholo, zomwe nthawi zambiri zimafuna kumaliza kudzera "Sindingathe."

Thupi silikuyenera kuchuluka ndipo ngati zikuvuta kuti wodwalayo azibwereza - asiyire zochepa. Wonjezerani katundu pang'onopang'ono.

Amathandizanso kuchepetsa nkhawa, koma sangathe kupereka mankhwala athunthu. Iyenera kugwiritsidwa ntchito limodzi ndi chithandizo chamankhwala komanso chilolezo chodwala. Pokonzekera infusions gwiritsani anyezi, vodika, khungwa la oak, acorns, plantain, burdock, linden, walnuts.

Chofunikira kwambiri ndikuwunika nthawi zonse thanzi lanu komanso momwe mukukhalira moyo wabwino. Popewa kukula kwa matendawa, tsatirani malamulo awa:

  • M'malo mafuta nyama nyama,
  • Osakhala ndi mantha kwambiri
  • Sewerani masewera
  • Kawiri pachaka, yang'anani kuchuluka kwa shuga mkodzo ndi magazi,
  • Chepetsa kapena siyani mowa ndi fodya
  • Idyani pang'ono
  • Chepetsa kuchuluka kwa shuga ndi zakudya zina zosavuta m'zakudya zanu.

Kumbukirani kuti thanzi lanu limawonetsera mayendedwe amoyo. Zimavutika mukapanda kuzitsatira ndikukuthandizani ndi chisamaliro choyenera. Chifukwa chake, chitani ulemu mthupi lanu ndipo matenda adzakudutsani!

Matenda a shuga ndi matenda oopsa omwe amakhudza ziwalo zonse zamunthu ndipo zimayambitsa mavuto akulu. Pa chithandizo chanthawi yake, ndikofunikira kudziwa momwe mungayesedwe matenda a shuga. Ganizirani njira zikuluzikulu zodziwira kupezeka kwa matendawa kunyumba.

Matenda a shuga omwe amadalira insulin nthawi zambiri samadzimverera. Mosiyana ndi izi, matenda a shuga omwe amadalira insulin nthawi zambiri amayamba modzidzimutsa komanso mwadzidzidzi, nthawi zina amakhala ndi vuto la hyperglycemia.

Kodi ndingadziwe bwanji matenda ashuga kunyumba ndi zizindikiro? Pali zizindikiro zingapo zomwe zimadziwika ndi mitundu iwiri ya matenda ashuga:

  • ludzu ndi kukodza pafupipafupi, makamaka usiku,
  • khungu lowuma
  • kuwonda (ngakhale chakudya sichinasinthidwe),
  • kuchepa kwa zowoneka bwino (muyenera kulabadira chisonyezo ichi ngati mutha kuwona kuzizira kwa zovuta za zinthu, kunyada kwawo),
  • kuyabwa kwa pakhungu ndi mucous;
  • kupoleka pang'onopang'ono
  • Maonekedwe achikasu +
  • kuyabwa kwamtundu (mwa amuna ndi akazi),
  • kukokana.

Mu matenda a shuga a mtundu woyamba, zizindikiro izi zimawonjezeredwa:

  • kusanza, kusanza, ndi kufooka kowonjezereka,
  • njala
  • kuchuluka kukwiya.

Ngati muli ndi zochepa mwazizindikiro zomwe zalembedwa pamwambapa, muyenera kuyesa mayeso a matenda ashuga. Ngati mumayesa matenda a shuga kunyumba mwachangu momwe mungathere, pali mwayi wopewa kukula kwa zovuta za matenda ashuga (omwe ndi owopsa) ndikusunga matendawa.

Mukamagwiritsa ntchito gawo lotchedwa A1C kit, ndizotheka kudziwa kukhalapo kwa malo okwera a glycated hemoglobin (pafupifupi miyezi itatu). Wodwala amalandira zotsatira zodalirika m'mphindi zochepa zokha, zomwe ndi mwayi wogwiritsa ntchito.

Chiyeso cha A1C chikuwonetsa chithunzi cholondola cha kusintha mthupi lomwe limagwirizanitsidwa ndi glycemia. Ngati glycated hemoglobin woposa 6 peresenti, ndiye kuti chizindikiro chizenera kukhala tcheru. Chizindikiro cha 8 peresenti chikuwopseza kukula kwa chikomero cha hyperglycemic - Mkhalidwe wowopsa kwa odwala matenda ashuga.

Anthu ena, posadziwa kuyesedwa kwa matenda ashuga, molakwitsa amakhulupirira kuti muyenera kupita kuchipatala nthawi yonse kuti mudziwe kuchuluka kwa glycemia. Kupangitsa moyo kukhala wosavuta kwa odwala matenda ashuga, glucometer imapangidwa ndikugwiritsa ntchito bwino. Zotsatira zomwe mwapeza komanso, mankhwalawo zimatengera momwe mungayang'anire matenda anu a shuga kunyumba ndi glucometer.

Mtengo wa zida zamtunduwu umatha kusiyanasiyana. Palibe chifukwa chosungira pa izo, chifukwa zida zotsika mtengo sizingatsimikizire muyeso wolondola. Glycemia imayezedwa ndikudula chala ndi singano yapadera, pogwiritsa ntchito zingwe zowonjezera. Chipangizocho ndi chachijito, ndiye kuti, chikuwonetsa zotsatira zake mu mawonekedwe omwe amafikika komanso pamagulu ambiri ovomerezeka.

Musanagwiritse ntchito mita, muyenera kuona ukhondo, ndipo choyamba, kusamba m'manja.

Ukadaulo wamakono umakulolani kuyeza shuga mumkodzo. Monga mukuwonera, chifukwa cha ichi simuyenera kupita kukachipatala ndikuyima mizere yayitali. Momwe mungayang'anire matenda a shuga m'mikhalidwe yotere? Izi zimachitika pogwiritsa ntchito zingwe zapadera zoyeserera zomwe zimamizidwa mkodzo.

Monga lamulo, amagwiritsidwa ntchito pokhapokha ngati glycemia wapezeka. Ngati mungawagwiritse ntchito pokhapokha ngati mita ikutanthauza zosakwana 10 mmol pa lita imodzi, ndiye kuti kudziwa kwanu kotereku kudzakhala kopanda ntchito. Koma kusintha kwamunthu mu mzere woyeserera kumachitika mutamiza mkodzo, mutha kuzindikira zina ndi kufunsa dokotala.

Odwala ambiri ali ndi chidwi chodziwa momwe angadziwire shuga kunyumba pogwiritsa ntchito njira yolekerera shuga. Kupatula apo, nthawi zambiri zimachitika kuti zimveketse mtundu wa matenda osokoneza bongo, komanso kutsimikizira kuti wodwalayo amatenga matendawa. Mothandizidwa ndi glucometer, cheke choterechi chitha kuchitika popanda mavuto kunyumba. Inde, muzochitika zoterezi, glucose amatengedwa pakamwa.

Kumbukirani kuti kuyeserera kumatha kuchitika kokha pogwiritsa ntchito glucometer yolondola. Gulani chida (musasunge ndalama ndi chabwino) ndikuyang'ana. Pangani mayeso a shuga mu labotale, ndipo nthawi yomweyo muyang'anire chizindikirocho ndi glucometer. Fananizani zotsatila ndikupanga masinthidwe ofunikira.

Kuyesedwa kumachitika m'mawa. Simungasute fodya musanayesedwe usiku komanso isanathe. Njira zowunikira ndi izi:

  1. Chizindikiro cha shuga wamagazi chimatsimikiziridwa musanadye (i.e., pamimba yopanda kanthu).
  2. Yankho la magalamu 75 a shuga aledzera m'mphindi zisanu (sikofunikira kumwa iwo m'mphepete imodzi).
  3. Chotsatira, muyenera kudziwa glucose theka lililonse la ola. Izi zimachitika pofuna kupewa nsonga ya glycemia.

Muzochitika zonse zamatendawa, shuga sayenera kupitirira 11.1 mmol pa lita. Kupitilira izi zikuwonetsa kupezeka kwa matenda ashuga mwa munthu. Kumbukirani kuti panthawi yoyeserayi munthu amafunika kuchita masewera olimbitsa thupi. Ndiye kuti, simunganame kapena kugwira ntchito molimbika. Ndipo, pamenepo, ndikofunikira kusintha kuwerengera kwa mita, ngati kuli kotheka.

Muli ndi mwayi wokhala ndi mayeso a shuga pa intaneti. Amapezeka pamasamba ambiri ndipo zimapangitsa kudziwa matenda oyipa omwe ali ndi mwayi wambiri. Mafunso onse ayenera kuyankhidwa mowona mtima komanso molondola: zotsatira zomwe zimapezeka komanso, machitidwe anu, zimadalira momwe mungadziwire shuga kunyumba.

Njira zoyesera matenda a shuga ndizosavuta: muyenera kuyankha mafunso:

  • zaka
  • mndandanda wamasamba ambiri, womwe umafotokozedwa ngati gawo logawanitsa anthu (makilogalamu) malinga ndi kutalika kwa masentimita,
  • m'chiuno kutalika kwa masentimita
  • kumwa mankhwala a antihypertensive,
  • kukhalapo kwa achibale omwe ali ndi matenda ashuga, komanso zochitika za hyperglycemia.

Inde, kuyesa koteroko sikungakupatseni matenda, koma zikuwonetsa ngati pali mwayi wokhala ndi matenda ashuga. Malinga ndi zotsatira zake, ndizowona kuti kuyamba mankhwalawa panthawi yake.

Momwe mungadziwire shuga kunyumba

Madokotala adziko lonse lapansi amadabwitsidwa ndi zovuta za matenda ashuga. Chaka chilichonse matendawa amakhala ocheperako, anthu ochulukirapo amawonekera. Koma musataye mtima ngati mukuganiza kuti muli ndi matenda a shuga. Tekinoloji zamakono, mankhwala ndi njira zamankhwala zimakulolani kuti muthane ndi matendawa. Zakhala zikutsimikiziridwa ponseponse kuti mwakuwonetsetsa pa zamankhwala, zakudya ndi malangizo a dokotala, ndizotheka kukhala ndi matenda.

Kodi matenda ndi chiyani? Poyamba, matenda ashuga ndi matenda a endocrine. Zikondazo nthawi zambiri zimatulutsa timadzi tambiri tambiri tambiri tomwe timapanga thupi, timene thupi limafunikira pokonza chakudya chochepa. Ngati insulin iyi ilibe kapena imakhala yochepa, thupi silingathe kupanga shuga, kuchuluka kwa glucose mutatha kudya kulumpha. Zitha kukhala zowopsa. Chifukwa chake pali matenda a shuga a mtundu woyamba - wodalira insulin. Matendawa amapezeka pafupipafupi kwa achinyamata. Monga lamulo, iwo ndi ochepa ngakhale adya kwambiri. Pofuna kuchiza matenda amtunduwu, odwala amapatsidwa jakisoni yemwe amalephera.

Mtundu wachiwiri wa matenda ashuga ndi osadalira insulini. Mwanjira imeneyi, thupi limatulutsa insulin yokwanira, koma zimakhala zake sizigwira mwachilungamo insulin iyi pazifukwa zosiyanasiyana. Anthu odwala matenda ashuga nthawi zambiri amakhala onenepa kwambiri, matenda ake amapezeka akukhwima. Pazithandizo zawo, mankhwala amagwiritsidwa ntchito omwe amachepetsa kukana kwa maselo ku insulin.

Komabe matenda ashuga amatha kukhala othandiza. Amayamba kapena amapezeka nthawi yapakati. Komanso, shuga imatha kukhala yachiwiri, ndiye kuti, kapamba ikasiya kupanga insulini chifukwa cha matenda oyamba (kapamba, cystic fibrosis, ndi zina).
Nthawi zambiri munthu amatha kukhala ndi matenda ashuga osazindikira. Nthawi zambiri, zizindikiro za matenda ashuga zimagwirizanitsidwa ndi matenda ena. Kuti muzindikire nokha matendawa, muyenera kumvera thupi lanu.

Iyi ndi njira yoyamba komanso yofunika kwambiri yodziwira matenda anu a shuga kunyumba. Pogwiritsa ntchito zomwe zalembedwa pansipa, muphunzira momwe mungazindikire matenda ashuga.

  1. Chimodzi mwazizindikiro zazikulu ndizokoka pafupipafupi komanso ludzu losaletseka. Nthawi zambiri munthu amangokhalira kumwa chifukwa akumva kuti watopa. Chifukwa chake - thupi limakhala wopanda madzi, chifukwa madzi samakhala ndipo samatengedwa. Ngati mwasiya munthu kwa kanthawi osapeza madzi, amamva kuwuma mkamwa mwake, kuyimitsa khungu kumakulirakulira.
  2. Pruritus ndi mnzake wothandizidwa ndi odwala matenda ashuga. Manja, crotch, mapazi ndi m'mimba zimakhudzidwa. Chizindikiro ichi chikuwoneka mwa anayi mwa odwala 5 omwe ali ndi matenda ashuga. Ndizofunikira kudziwa kuti kuyimitsidwa sikumachotsedwa ndi mafuta ndi mafuta osiyanasiyana.
  3. Muyenera kukayikira kuti muli ndi matenda ashuga ngati thupi lanu lili ndi mabala osiyanasiyana, ming'alu, zipsera ndi zilonda zam'mimba zomwe sizichiritsa kwa nthawi yayitali.
  4. Chifukwa cha zovuta za endocrine, chikhalidwe cha munthu chimasintha. Amakhala woopsa, wodwala, wowopsa. Amataya chidwi ndi ntchito, banja, zochitika zapakhomo. Kumangokhala wotopa ndi kufooka masana ndi chifukwa chachikulu choyesera.
  5. Ndi matenda a shuga, njira za metabolic zimasokonezeka, kotero mkhalidwe wa tsitsi umakulirakulira. Amakhala ofooka komanso oonda, nthawi zambiri amagwera.
  6. Matenda a shuga a Type 1 amadziwika ndi njala yosatha. Munthu amatha kudya chakudya chosawerengeka nthawi.Nthawi yomweyo, silin wonenepa, koma m'malo mwake, limatha kutaya makilogalamu khumi ndi theka m'miyezi ingapo chifukwa chakuti zakudya zomwe zimadyedwa sizimangoleketsa (palibe insulin).
  7. Ndi matenda a shuga, fungo la acetone kuchokera mkamwa, nseru, kusanza kumatha kuonekera, chophimba chikuwonekera pamaso pa maso, chizungulire chikuwonekera.
  8. Nthawi zambiri miyendo imavutika, makamaka miyendo. Pali kutupa, kulemera, mabala osiyanasiyana pakhungu lomwe sachira kwa nthawi yayitali.
  9. Nthawi zambiri mwa odwala matenda ashuga, thupi limachepetsa. Izi zimachitika chifukwa chakuchepa kwa njira zonse za metabolic mthupi.
  10. Odwala omwe ali ndi matenda osokoneza bongo amakhala ndi vuto lokhala ndi mkodzo pafupipafupi, komanso mkodzo wambiri (mpaka 10 malita patsiku). Ana omwe ali ndi vutoli amadwala chifukwa cha kugona, ngakhale ngati pakanapanda mavuto ngati amenewo.
  11. Anthu ambiri omwe ali ndi matenda ashuga amakhala ndi chitetezo chochepa kwambiri. Zotsatira zake - matenda pafupipafupi, njira yayitali ya matenda opatsirana.
  12. Matenda a 2 a shuga amadziwika ndi kunenepa kwambiri, komanso kuwonongeka kwa mawonekedwe. Izi ndichifukwa choti shuga wambiri amawononga retina.
  13. Mwa abambo, matenda a shuga amatha kukhala chifukwa chodwala. Nthawi zambiri, matenda ashuga amachititsa kuti munthu akhale wopanda mphamvu.

Ngati mukuzindikira zochepa mwazomwezo, muyenera kuwona dokotala posachedwa kuti mudziwe zowona.

Zatsimikiziridwa kuti shuga, komanso kudziwiratu kwa matendawa, ndizinthu zamtundu. Matenda a shuga sangatenge kachilombo - ndi chowonadi. Ngati m'modzi wa makolo anali ndi matenda ashuga - chiopsezo cha matenda anu ndi 30%. Ngati makolo onse anali kudwala - 60-70%.

Pangozi ndi anthu onenepa kwambiri. Ngati muli ndi vuto la matendawa, muyenera kuwunika mosamala kwambiri kuti mupewe kulemera kwake komanso kupewa kupyola muyeso wokhazikika.

Chinanso chomwe chimapangitsa kuti matendawa atuluke ndi matenda a kapamba. Komanso matenda a shuga a mellitus amatha kuonekera pambuyo pa matenda ena a virus - rubella, chikuku, chimfine komanso matenda a chiwindi. Matenda a shuga nthawi zambiri amakhudza anthu okalamba.

Pali malingaliro olakwika akuti omwe amakonda ndi kudya maswiti ambiri amadwala matenda a shuga. Izi si kanthu koma nthano chabe.

Ngati mukukayikira kuti muli ndi matenda ashuga, koma simukufuna kuonana ndi dokotala, mutha kuyesa kuwona kuchuluka kwa shuga mumkodzo mothandizidwa ndi njira zopezekera.

Kuti mudziwe kuchuluka kwa shuga mu mkodzo, pali timizere tapadera tomwe mungagule ku pharmacy. Amagwiritsidwa ntchito ndi onse odwala matenda ashuga. Ndikofunika kuyesa m'mawa m'mimba yopanda kanthu ndikatha kudya. Mzere umakutidwa ndi reagent wapadera, womwe, polumikizana ndi mkodzo, umasintha mtundu. Mzere uyenera kutsitsidwa mumtsuko wa mkodzo kapena kungogwira pakungothamanga. Osakhudza chingwe choyesera ndi manja anu kapena kupukuta ndi thaulo. Nthawi zambiri zotsatira zimatha kupezeka mu miniti.

Kutengera mtundu wa mzere, kuchuluka kwa shuga mumkodzo kumatsimikiziridwa. Komabe, cheke chotere sichothandiza kwa odwala matenda ashuga amtundu 1, komanso kwa anthu azaka zopitilira 50. Nthawi zambiri, mizere yoyesera imatha kungoyankha shuga ochuluka - oposa 10 mmol pa lita. Ndalamayi imatchedwa cholumikizira impso. Ngati mayesowo akuwonetsa mu mkodzo kuchuluka kwa shuga ndi kwakukulu kuposa chizindikiro ichi, ndiye kuti glucose amalowa mkodzo ndipo thupi silingathe kulimbana nalo.

Palinso zingwe zomwe zimayeza shuga. Kuti mupeze kusanthula, muyenera kusamba manja anu bwino, popeza shuga pang'ono pakhungu limatha kuyambitsa zosokoneza. Chala choyera chimayenera kupyozedwa ndi singano yosabala ndikutsitsidwa kuti dontho la magazi lithe. Gwirizanitsani gawo loyeserera kuti dontho kuti gawo lonse lotalikiralo lophimbidwa ndimwazi. Pambuyo pa izi, muyenera kudikira kwakanthawi mpaka mtundu utawonekera pa Mzere. Mtundu uliwonse umafanana ndi shuga wina - izi zimatha kupezeka pamakontena amiyeso.

Kulikonse komwe amagwiritsa ntchito glucometer, zomwe zimagwiranso ntchito ndi zingwe zoyeserera. Mzere umayikidwa mu dontho la magazi, ndikuyika ndikuyika. Amatsimikiza bwino shuga. Mitundu ina yamakono imakhala ndi ntchito yokumbukira, mawu omveka, komanso kukhoza kukumbukira zotsatira.

Miyezi yachilengedwe wamba ili pakati pa 3.3 ndi 6.1 mmol pa lita, ngati itengedwa pamimba yopanda kanthu. Mukatha kudya, kuchuluka kwa shuga kumatha kuchuluka mpaka 9 ndi 10 mmol pa lita. Pakapita nthawi mukatha kudya (maola 1-2), shuga amabwereranso kwawonso. Ngati zizindikiro zanu ndizokwera kwambiri kuposa zabwinobwino - osakoka, onani dokotala nthawi yomweyo!

Ngati mwapatsidwa udziwisi, palibe chifukwa chochitira mantha. Kuchira moyenera komanso kusamalira zofunikira za thupi kudzakuthandizani kuti musadwale matenda a shuga, koma muzigwirizana nawo modekha. Nayi malamulo oyamba a moyo wabwinobwino ndi matenda ashuga.

  1. Pewani kudya shuga - muyenera kutenga zotsekemera m'malo mwake. Cholesterol yocheperako, zakudya zophatikizika, mafuta a nyama amaloledwa ndi mafuta azamasamba. Ndikofunika kwambiri kutsatira zakudya zosasinthika - osapatsa mafuta othamanga.
  2. Muyenera kuyang'anira magazi anu nthawi zonse kuti azilamulira thupi lanu.
  3. Ngati onenepa kwambiri, muyenera kutaya mapaundi owonjezera. Chitani masewera olimbitsa thupi pafupipafupi.
  4. Tsiku lililonse muyenera kuyang'anitsitsa miyendo kuti iwononge khungu. Musanagone, muyenera kusambitsa mapazi anu ndi sopo ndi kupukuta bwino ndi thaulo. Izi ndizofunikira chifukwa ndi matenda ashuga pali chiopsezo chachikulu cha zilonda zam'mimba.
  5. Pitani ku dokotala wamano munthawi yake kuti mupewe kuwonongeka kwa mano komanso kuti musatenge matenda oyamba.
  6. Yesetsani kupewa zinthu zovuta komanso mantha.
  7. Imwani mankhwala omwe dokotala amakupatsani nthawi zonse. Tengani insulin nanu m'thumba lanu kuti mumwe mankhwala pangozi. Kuphatikiza apo, muyenera kunyamula cholembera mchikwama chanu kapena thumba lanu ndi uthenga wokhudzana ndi kukhalapo kwa matenda osokoneza bongo, komanso adilesi ndi nambala yafoni ya munthu amene angafikire vuto mwadzidzidzi.

Anthu ambiri odwala matenda ashuga amavomereza kuti malamulo osavuta awa ndi ozikika kwambiri m'miyoyo yawo mwakuti amawawona ngati amodzimodzi komanso achilengedwe. Kwa iwo, kuyeza kuchuluka kwa shuga m'magazi ndikosavuta komanso kofunikira monga kutsuka mano kapena kudya. Matenda a shuga si sentensi. Ngati mukupezeka ndi matendawa, muyenera kungophunzira momwe mungakhalire nawo. Ndipo moyo wanu sungasinthe.


  1. Kazmin V.D. Chithandizo cha matenda a shuga ndi wowerengeka azitsamba. Rostov-on-Don, Nyumba Yofalitsa ya Vladis, 2001, masamba 63, kufalitsa 20,000.

  2. Dedov I.I. ndi ena. Momwe mungakhalire ndi matenda a shuga. Malangizo kwa achinyamata omwe ali ndi matenda ashuga, komanso makolo a ana odwala. Brosha Moscow, 1995, masamba 25, osatchulapo wosindikiza ndi kufalitsa, adasindikiza mothandizidwa ndi kampani "suti ya Nvo Nord."

  3. Matenda a Rudnitsky L.V. Chithandizo ndi kupewa, Peter - M., 2012. - 128 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Kusiya Ndemanga Yanu