ARVI ndi matenda ashuga

Ngati muli ndi nseru, kusanza, kutentha thupi, kutsegula m'mimba, kapena chizindikiro chilichonse cha matenda opatsirana, muyenera kufunsa dokotala nthawi yomweyo. Matenda opatsirana komanso mtundu 1 kapena matenda amtundu wa 2 ndi kuphatikiza wakupha. Chifukwa chiyani - tidzafotokozera mwatsatanetsatane pambuyo pake m'nkhaniyi. Osataya nthawi, kuyimbira ambulansi kapena kupita kuchipatala inunso. Ndi matenda a shuga a mtundu woyamba 1 kapena 2, ngati pali matenda m'thupi, ndikofunikira kuti munthu alandire chithandizo chamankhwala mwachangu.

Osazengereza kudandaula madotolo mwachinyengo, chifukwa ngati, chifukwa cha matenda opatsirana m'matenda a shuga, kuzungulira kwamphamvu kumachitika, ndiye kuti inu ndi madotolo simudzatopa.

Zomwe Matenda Ati Matenda Ati Akulimbana Nawonso Amakhala Ovuta

Mtundu 1 kapena matenda ashuga 2, matenda opatsirana amayambitsa kusowa kwamadzi, ndipo izi ndizowopsa, nthawi zambiri zowopsa kuposa kwa achikulire ndi ana omwe alibe shuga. Khalani omasuka kuyimba ambulansi nthawi iliyonse odwala matenda ashuga ayamba kumva kupweteka, kusanza, kutentha thupi kapena kutsegula m'mimba. Kodi matenda opatsirana a shuga ndi oopsa bwanji? Chifukwa zimayambitsa kusowa kwamadzi. Kodi kusowa kwamadzi kumatha bwanji? Chifukwa kusowa kwamadzi ndi shuga m'magazi zimapanga kuzungulira koipa. Izi mwachangu - mkati mwa maola - zimatha kubweretsa kulephera kwa impso, chikomokere, kufa kapena kulumala.

Palinso chiopsezo chakuti matenda opatsirana, akayamba kuthandizidwa mochedwa, maselo a beta otsala amwalira. Kuchokera pamenepa, nthawi ya shuga imakulirakulira. Pazomwe zachitika kwambiri, matenda ashuga amtundu wa 2 amatha kusintha kukhala matenda ashuga akulu kwambiri. Tiyeni tiwone bwino momwe matenda opatsirana amakhudzira shuga wamagazi ndi momwe angawathandizire moyenera. Kupatula apo, aliyense amene achenjezedwa amakhala ndi zida.

Chitsanzo chabwino kuchokera ku zamankhwala

Kuti atsimikizire zakufunika kolumikizana mwachangu ndi ambulansi, Dr. Bernstein anena nkhaniyi. Loweruka lina nthawi ya 4 koloko, mayi wina wodwala matenda ashuga adamuyimbira yemwe sanali wodwala. Dokotala wake adazimitsa foni kumapeto kwa sabata ndipo sanamsiye malangizo oti alumikizane ndi ndani pamavuto. Adapeza nambala ya foni ya Dr. Bernstein mundandanda ya mzinda.

Wodwalayo anali kunyumba yekhayo ndi khanda lake, ndipo anali kusanza mosalekeza kuyambira 9 koloko m'mawa. Adafunsa - nditani? Dr. Bernstein adati mwina adasowa madzi kotero kuti sangathe kudzithandiza okha, chifukwa chake akufunika kukhala kuchipatala mokhulupirika. Pamenepo adzatha kudzaza kuchepa kwamadzi m'thupi ndi amtsempha olowa mkati. Nditamaliza kucheza naye, Dr. Bernstein adayimbira chipatala cha komweko ndikuchenjeza kuti akuyenera kudikirira wodwalayo ndikukonzekera kumpatsa madzi am'madzi osagwirizana ndi madzi.

Wodwalayo anali ndi mphamvu zopititsa mwanayo kwa agogo ake, kenako pansi pa mphamvu yake kuti afikire kuchipatala .. Patatha maola 5 izi zitachitika, a Dr. Bernstein adaitanidwa kuchokera ku dipatimenti yangozi. Zinapezeka kuti mayi wodwala matendawa amayenera kupita kuchipatala “kwathunthu,” chifukwa sakanamuthandiza ku dipatimenti yodzidzimutsa. Kutulutsa kwamphamvu kunali kwamphamvu kwambiri kotero kuti impso zinalephera kwathunthu. Ndikwabwino kuti chipatalachi chinali ndi cholembera ziwalo, komwe adachikoka kuchokera kudziko lina, sichoncho. Zotsatira zake, wodwalayo adakhala masiku asanu “otopetsa” m'chipatala, chifukwa nthawi yomweyo adawonetsetsa kuti ali ndi vuto.

Kodi kuzungulira kwamadzi ndi shuga kwambiri ndi kotani?

Ngati mukusanza kapena kutsegula m'mimba, ndiye kuti muli ndi matenda opatsirana. Zomwe zimayambitsa zingakhalebe ziphe ndi ziphe zina kapena zitsulo zolemera, koma sizokayikitsa. Komanso tidzaganiza kuti chomwe chimayambitsa matenda. Kulikonse komwe kachilomboka kali mthupi - mkamwa, m'matumbo, chala chakutupa kapena china chake - shuga wamwazi atha kupita m'mwamba. Chifukwa chake, poyambira: kachilomboka pakokha kamadzutsa shuga.

Thupi laumunthu limalowa mkati mwa makina amitsempha yamagazi. Kutali kwambiri ziwiya izi ndizoyambira pakatikati, kupendekera kotalikira. Zombo zakutali kwambiri komanso zopapatiza zimatchedwa "zotumphukira", ndiye kuti, kutali ndi pakati. Nthawi iliyonse, magazi ambiri amakhala m'mitsempha yamapazi. Tsoka ilo, ngati magaziwo achuruka, ndiye kuti zimavutika kuti zimangidwe kulowa m'mitsempha yopapatiza. Zotsatira zake, zotumphukira zathu sizimaperekedwa ndi mpweya ndi michere, kuphatikizapo insulin ndi glucose. Izi zikuchitika ngakhale kuti kuchuluka kwa shuga m'magazi kumakwera. M'malo mwake, chifukwa chakuti glucose ndi insulin kuchokera m'magazi akhungu sizimalowa mu ziwiya zotumphukira, insulin yolimba imayamba.

Tizilombo tofiyira timayamba kuyamwa glucose wocheperako, ndichifukwa chake kukhazikika kwake m'magazi kumakweza kwambiri. Mukakhala ndi shuga m'mwazi, mumalimbikiratu kukana insulini. Ndipo kukana insulini, kumawonjezera shuga. Impso zimayesanso kuchotsa glucose wambiri mumkodzo, womwe umayambitsa kukodza pafupipafupi, ndipo izi zimawonjezera kuchepa mphamvu kwa madzi m'thupi. Ichi ndi chimodzi mwazomwe zachitika pakupanga kuzungulira kwamadzi komanso kuthamanga kwa magazi, ndipo gawo lina, lomwe tidzafotokozere pansipa, ndilolumikizana ndi izi.

Glucose ndi insulini yochokera m'magazi sizimafikira. Maselo amakhala ndi chisankho chovuta - kufa ndi njala kapena kuyamba kugaya mafuta. Onse pamodzi amasankha njira yachiwiri. Komabe, zopangidwa ndi mafuta kagayidwe kake kamapanga zinthu zopangidwa ndi ketones (matupi a ketone). Pamene kuchuluka kwa ma ketones m'magazi kukwera moopsa, chidwi chofuna kukodza chikukulirakulirabe, ndipo madzi am'madzi amapita patsogolo. Mzere wowopsa womwe umatha wodwalayo amasiya kuzindikira, ndipo impso zake zimalephera.

Chachikulu ndichakuti zochitika zomwe tafotokozazi pamwambapa zimatha kuchitika mwachangu, chifukwa cha chikomokere ndi kulephera kwa impso zimachitika patangopita maola ochepa. Zitsanzo za mzimayi yemwe ali ndi matenda ashuga omwe tawatchula koyambirira kwa nkhaniyi ndi achimodzimodzi. Kwa madokotala azadzidzidzi, sizachilendo. Tsoka ilo, mwa izi, ndizovuta kuti madokotala abwezeretse moyo wabwinobwino wa wodwalayo. Imfa imafika pa 6-15%, ndipo kulumala kwamtsogolo - pafupipafupi.

Kuthetsa madzi m'thupi kumangoperekedwa mchipatala ndi ophatikizira amkati. Amayamba kuyika oponya awa mu ambulansi. Koma titha kuchita zambiri kupewa izi. Tiyerekeze kuti mwadzuka pakati pausiku kapena m'mawa kwambiri chifukwa mukusanza kapena kutsegula m'mimba. Zofunika kuchita? Choyamba, ngati muli ndi dokotala "wanu", mumamuyimbireni ndikudziwitse, ngakhale 2 koloko m'mawa. Kubweza kapena kutsegula m'mimba mwa munthu wodwala matenda ashuga ndikulakwika kwambiri kuti kuwonongeka kungaphwanyidwe. Kachiwiri, ngati muli ndi matenda mthupi, ndiye kuti mungafunike jakisoni wa insulin kwakanthawi, ngakhale ngati simulimbana ndi matenda a shuga a 2.

Matenda opatsirana nthawi zambiri amawonjezera shuga wamagazi mwa odwala matenda a shuga. Ngakhale ngati simumaba jakisoni wa insulin, ndiye kuti thupi likulimbana ndi matendawa, ndikofunika kuti muyambe kuchita izi kwakanthawi. Cholinga ndikuchepetsa katundu pama cell a beta anu kapamba, omwe akugwirabe ntchito, ndikuwasunga amoyo. Komanso, jakisoni wa insulin amathandizira kuti shuga asungidwe m'magazi ndipo izi zimalepheretsa kuchepa kwamphamvu kwamadzi ndi shuga wambiri.

Maselo a pancreatic beta amafa ambiri chifukwa cha shuga wambiri, izi zimatchedwa kuti glucose toxicity. Imfa ikaloledwa pa matenda opatsirana, ndiye kuti matenda ashuga amtundu wa 2 atha kukhala mtundu 1 wa shuga, kapena mtundu wa matenda a shuga awonjezeka. Chifukwa chake, onse (!) Odwala omwe ali ndi matenda ashuga ayenera kudziwa bwino jakisoni wa insulin wopanda ululu ndikukonzekera kugwiritsa ntchito mankhwalawa akapatsidwa chithandizo.

Tilembapo zomwe zimayambitsa kusowa kwamadzi mu shuga:

• kutsegula m'mimba kapena kusanza kangapo mzere mosatalikirana,
• shuga wamagazi kwambiri
• kutentha thupi, anthu kulumbira kwambiri,
• ndayiwala kumwa madzi okwanira nthawi yotentha kapena nthawi yochita masewera olimbitsa thupi,
• pakati pa ludzu muubongo amakhudzidwa ndi atherosulinosis - okalamba odwala matenda ashuga.

Chimodzi mwazizindikiro zazikuluzakuti shuga m'magazi ndichokwera kwambiri ndi ludzu lamphamvu, komanso kukodza pafupipafupi. Zikakhala zoterezi, mavuto amakumana ngakhale munthu amamwa madzi chifukwa ataya ma elekitirodi. Komabe, pali njira zingapo zosavuta zomwe mungatenge kunyumba kuti muchepetse kuzungulira kwamadzi komanso kuthamanga kwa magazi.

Matenda a shuga ketoacidosis

Matenda a matenda ashuga ketoacidosis amapezeka mwa anthu omwe kapamba wawo samatulutsa insulin. Awa ndi odwala matenda a shuga 1, komanso matenda ashuga amtundu wa 2, omwe atayiratu kuchita nawo ma cell a beta. Kuti matenda ashuga a ketoacidosis apangidwe, payenera kukhala chotsika kwambiri cha insulin m'magazi a seramu kuphatikiza insulin chifukwa cha kuchuluka kwa magazi ndi kusowa madzi m'thupi.

Panthawi imeneyi, kuchuluka kwa shuga ndimaselo, komwe nthawi zambiri kumalimbikitsa insulin, kumayima. Kuti akhale ndi moyo, maselo amayamba kugaya mafuta. Zogulitsa za metabolism yamafuta zimadziunjikira - ma ketones (matupi a ketone). Chimodzi mwa mitundu ya matupi a ketone ndi acetone, solvent yotchuka komanso chinthu chachikulu cha msomali wopukutira misomali. Ma ketoni amatha kupezeka mumkodzo pogwiritsa ntchito zingwe zapadera zoyesera, komanso fungo la acetone mumlengalenga. Chifukwa cha fungo la acetone, anthu omwe sazindikira chifukwa cha matenda ashuga a ketoacidosis nthawi zambiri amalakwitsa kwa oledzera omwe amamwa kuti asadziwe tanthauzo.

Ngati matupi a ketone amadziunjikira m'magazi kwambiri, ndiye kuti ndi poizoni. Impso zimayesetsa kuchotsa thupi lawo mwa kuwachotsa mkodzo. Chifukwa cha izi, kuchepa madzi m'mimba kumakulirabe. Zizindikiro za matenda a shuga a ketoacidosis:

• mikwingwirima yoyeserera ikuwonetsa kuti muli ma ketoni ambiri mumkodzo,
• ludzu lalikulu
• kamwa yowuma
• nseru
• kukodza pafupipafupi,
• kupuma movutikira,
• shuga wamagazi ambiri (nthawi zambiri amakhala pamwamba pa 19.5 mmol / l).

Zizindikiro zonsezi nthawi zambiri zimawoneka nthawi imodzi. Ngati ma ketoni amapezeka mumkodzo, koma shuga wamagazi ndi abwinobwino - osadandaula. Mafuta kagayidwe kake ndikupanga matupi a ketone ndichinthu chabwinobwino, chopatsa thanzi, mwachilengedwe. Mtundu wachiwiri wa matenda ashuga, timatha kuutcha mothandizidwa ndi chakudya chamafuta ochepa kuti wodwalayo awotche mafuta omwe amasunga ndikuchepetsa. Simufunikanso kuchitapo kanthu mwadzidzidzi ngati kuchuluka kwa ma ketoni mumkodzo kuli kochepa kapena kwapakatikati, pomwe shuga wamagazi sawonjezeka, munthu amamwa madzi okwanira ndipo thanzi lake limakhala labwinobwino.

Hyperosmolar chikomokere

Vutoli linanso lomwe limachitika chifukwa cha kuperewera kwa madzi m'thupi ndi shuga wambiri wamwazi ndi hyperosmolar coma. Izi ndizovuta kwambiri za matenda ashuga kuposa ketoacidosis. Zimachitika kwa anthu odwala matenda ashuga, amene kapamba wake amatulutsa insulin, ngakhale pang'ono. "Hyperosmolar" - amatanthauza kuti kuchuluka kwa glucose, sodium ndi chloride kumachulukanso m'magazi, chifukwa chifukwa chakusowa kwamadzi kulibe madzi okwanira kupha zinthuzi. Odwala omwe ali ndi vuto la hyperosmolar coma, nthawi yayitali beta-cell imasungidwa kuti thupi lisayambe kugaya mafuta. Koma nthawi imodzimodzi, insulini sikokwanira kuti shuga asungidwe magazi kuchokera pakukwera kwamphamvu kwambiri.

Hyperosmolar coma imasiyana ndi ketoacidosis popeza kuti matupi ake a ketone sapezeka mkodzo wa munthu wodwala matenda ashuga kapena mumlengalenga atamutha. Monga lamulo, zimachitika mwa odwala okalamba omwe ali ndi matenda ashuga, omwe pakati pake pakumva ludzu muubongo amakhudzidwa ndi atherosulinosis yokhudzana ndi zaka. Odwala otere samamva ludzu, motero, panthawi yachipatala, kuchepa kwa thupi kwawo kumakhala kwamphamvu kuposa momwe amachitira ndi matenda ashuga a ketoacidosis. Zizindikiro zoyambirira za hyperosmolar chikomokoma ndiko kugona, kusazindikira bwino. Ngati sanachitepo kanthu mwachangu, ndiye kuti agwa. Mwazi wamagazi mwa odwala nthawi zambiri umakhala wapamwamba kuposa 22 mmol / l, komanso umakhala wokwera kwambiri. Milandu ya mpaka 83 mmol / L zalembedwa.

Chithandizo cha matenda ashuga ketoacidosis ndi hyperosmolar chikomokere - madzimadzi m'malo ndi mtsempha wamagazi, komanso mtsempha wa magazi a insulin. Zochitikazo ndi zofanana, koma njira zoyendetsera zake ndizosiyana pang'ono. Werengani zambiri zamankhwala a matenda ashuga ketoacidosis ndi mankhwala a hyperosmolar coma. Kuletsa kuchepa kwamadzi m'malo mwa madziwo kumatsitsanso shuga, ngakhale khansa ya insulin. Chifukwa amadzimadzi amasungunula shuga m'magazi, zimathandizanso impso kuti ichotse minyewa yayikulu ndi matupi a ketone mumkodzo.

Matenda a shuga a ketoacidosis ndi hyperosmolar amapezeka mwa odwala omwe ali aulesi kuti azilamulira matenda awo a shuga. Pafupipafupi imfa imachokera pa 6 mpaka 25%, kutengera zaka komanso momwe thupi la odwala matenda ashuga limakhalira. Ngati mukuwerenga tsamba lathu, ndiye kuti ndinu wodwala wolimbikitsidwa ndipo mwina simungakumane ndi zovuta izi, pokhapokha ngati muli ndi matenda opatsirana. Chithandizo cha matenda ashuga ketoacidosis ndi hyperosmolar coma zimachitika kokha kuchipatala. Ntchito yathu ndikuchita zochitika zowalepheretsa, osangowonjezera nkhaniyo mopitirira muyeso. Izi zikutanthauza - onani dokotala msanga pazoyambitsa matenda, komanso njira zanyumba kuti muchepetse shuga wabwinobwino komanso kupewa kutaya madzi m'thupi.

Kusanza, kusanza, ndi m'mimba

Mseru, kusanza, ndi kutsekula m'mimba nthawi zambiri zimayamba chifukwa cha bacteria kapena ma virus. Nthawi zina amakhala ndi zizindikiro ngati chimfine. Ngati muli ndi nseru, kusanza komanso / kapena kutsekula m'mimba, ndiye njira yofunikira ndiyo kusiya kudya. Kuphatikiza apo, nthawi zambiri kulibe chakudya. Mutha kupulumuka masiku ochepa osadya. Poterepa, muyenera kupitilirabe kumwa madzi ndi madzi ena omwe alibe chakudya. Funso limabuka - kodi kusala kudya kumasintha bwanji kuchuluka kwa mapiritsi a insulin ndi shuga?

Odwala omwe amaliza mtundu wa 1 wa chithandizo cha matenda a shuga kapena mtundu wachiwiri wa chithandizo cha matenda ashuga amawonjezera insulini kokha kuti azikhala ndi shuga. Tikatha kudya, timayendetsa shuga m'magazi ndi insulin yochepa kapena yochepa kwambiri. Pakusintha kwa kayendedwe ka kusala kudya panthawi ya matenda, jakisoni wofulumira wa insulin yomwe chakudya isanadye imatha, ndikuwonjezera insulin m'mawa ndi / kapena madzulo akupitilizabe monga mwa masiku onse. Akuti mukubaya insulin yochulukirapo kuposa momwe mungafunikire kuti mukhale ndi shuga wamba. Kuti muchite izi, muyenera kuwerengera pasadakhale kuchuluka kwa mankhwalawo molingana ndi njira yomwe tafotokozera apa.

Ndi mapiritsi a shuga - chinthu chomwecho. Mapiritsi omwe mumatenga usiku kapena m'mawa kuti muchepetse kusala kudya, pitilizani. Mapiritsi omwe amatengedwa musanadye - osakhalitsa ndi chakudya. Mapiritsi onse awiriwa ndi insulin, omwe amayendetsa shuga m'magazi, amayenera kupitilizidwa muyezo waukulu. Izi sizimalola shuga wamagazi "kuchepa mphamvu" ndikukhala ndi matenda ashuga a ketoacidosis kapena hyperosmolar coma - zovuta zakupha za matenda ashuga.Chifukwa chake, kwa odwala omwe akupanga pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu ya 2 yokhala ndi matenda ashuga, zimakhala zosavuta kusintha machitidwe awo ochiritsira panthawi yayitali ya matenda opatsirana komanso kufa ndi njala. Anthu odwala matenda ashuga omwe amathandizidwa ndi njira zovomerezeka komanso kupaka jekeseni wamkulu wa insulin amakhala ndi mavuto ambiri.

Monga mukudziwa, matenda ndi kusowa kwamadzi kumapangitsa kuchuluka kwa shuga m'magazi. Chiwopsezo chokhala ndi kuzungulira kwamadzi komanso shuga wambiri amakhalapobe, ngakhale mukufa ndi njala. Ngati magazi a magazi atakwera, ndiye kuti ayenera kubwezeretsedwa mwachangu mothandizidwa ndi jakisoni wa insulin mwachangu. Ichi ndi chifukwa chake timalimbikira kuti onse odwala matenda ashuga apeze njira ya jakisoni wopanda insulin, ngakhale atakhala kuti sanachite bwino ndi insulin. Mukakhala ndi matenda opatsirana, jakisoni wa insulin yochepa ndiwothandiza komanso wofunikira kwambiri.

Zingwe za insulin panthawi ya matenda zimachepetsa katundu pama cell a beta ndipo zimapangitsa kuti akhale ndi moyo. Zimatengera kuti nthawi ya shuga imayamba kutha mukachira matendawa. Ngati simunakonzekere pasadakhale kuti mupeze insulin yanu kwakanthawi mukamalandira chithandizo, ndiye kuti mufunsane ndi dokotala kuti apange dongosolo la mankhwala a insulini ndikuphunzitsani momwe mungadzibweretsere nokha. Mukanyalanyaza izi, ndiye kuti pali zovuta zambiri kuti matendawa azichita chifukwa maselo a beta "atha". Choyipa chachikulu, matenda a shuga a ketoacidosis kapena hyperosmolar coma akhoza kuyamba.

Timalongosola mwachidule momwe shuga ya magazi imakhalira mothandizidwa ndi jakisoni wa insulin mwachangu pa matenda opatsirana. Muyenera kuyeza shuga ndi glucometer m'mawa mutadzuka, komanso maola 5 aliwonse. Ikani mulingo wokwanira wa ultrashort kapena insulini yochepa kuti mubweretse shuga ngati yatukulidwa. Pangani shuga m'magazi ndipo, ngati kuli kotheka, jekeseni insulin kwambiri maora 5 aliwonse, ngakhale usiku! Kuti muchite izi, khalani ndi koloko ya alamu kuti mudzuke pakati pausiku, mwachangu kumaliza zochitika zonse ndi kugona. Ngati muli ofooka kwambiri mwakuti simungathe kuyeza shuga ndi kubayira insulin, ndiye kuti wina ayenera kutero. Izi zitha kukhala wachibale wanu kapena wothandizira zaumoyo.

Ndi mapiritsi ati omwe ndiyenera kumwa

Mankhwala ambiri otchuka amalimbikitsa kuchepa thupi kapena ngakhale kufooketsa ntchito kwa impso kwakanthawi. Panthawi ya matenda opatsirana a shuga, kayendetsedwe kake amayenera kuyimitsidwa, kwakanthawi. Mndandanda wakuda umaphatikizapo mapiritsi opanikizika - okodzetsa, zoletsa za ACE, angiotensin-II receptor blockers. Komanso, musatenge mankhwala omwe si a antiidal a antiidal - ibuprofen ndi ena. Mwambiri, kambiranani zamankhwala zomwe mukumwera ndi adotolo omwe adakupangira.

Momwe mungapewere kusanza

Popewa kusowa kwamadzi, muyenera kumwa madzi, kuphatikizapo njira zamchere. Koma ngati mukusanza mosalekeza, ndiye kuti madziwo sadzakhala ndi nthawi yokumba. Ngati masoka 1-2 atatha kusanza, ndiye kuti siowopsa, komabe dziwitsani dokotala. Ngati kusanza kukupitiliza, imbani ambulansi nthawi yomweyo kuti agonekere kuchipatala. Kuwonongeratu zakupha! Ku chipatala, akatswiri adzaona momwe angaletsere kusanza, ndipo koposa zonse - mothandizidwa ndi omwe akusiya, adzakujambulani ndi ma electrolyte amadzimadzi komanso ofunikira. Sitilimbikitsanso kumwa mankhwala aliwonse a antiemetic kunyumba.

Masanzi atasiya, muyenera kuyamba kumwa madzi kuti musinthe madzi omwe atayika m'thupi ndi kupewa kutaya madzi m'thupi. Imwani nthawi zonse, koma pang'ono ndi pang'ono, kuti musatambasule makhoma am'mimba komanso osasanza. Ndikofunikira kuti amadzimadzi azikhala ndi kutentha pafupi ndi kutentha kwa thupi - kotero amatha kumamwa nthawi yomweyo. Kodi madzi abwino kwambiri ndi otani pamenepa? Kodi mumamwa zochuluka motani? Madzi oyenera a inu muyenera kukwaniritsa zinthu zitatu:

• siziyenera kukhala chinthu chomwe sukukonda,
• zakumwa zopanda mchere wamafuta zokha zili zoyenera, pomwe zotsekemera zopanda mafuta zimaloledwa,
• madzimadzi ayenera kukhala ndi ma electrolyte - sodium, potaziyamu ndi ma chloride - kuti alipire ndalama zomwe adataya zomwe zidachitika munthawi ya kusanza kapena kutsegula m'mimba.

Mutha kumwa tiyi ya zitsamba, madzi osafunikira kapena mchere, ndipo ngati ndi nthawi yoti muyambe kudya, ndiye kuti msuzi wolimba wa nyama wopanda mafuta. Madzi onsewa amatha ndipo ayenera kukhala "opitilizidwa" ndi ma elekitirodi ena owonjezera. Pa lita iliyonse, onjezerani supuni ya 0,5-1 yopanda mchere wa tebulo, ndipo mutha kuthanso ¼ supuni ya potaziyamu wa potaziyamu. Ichi ndi cholowa chamchere chomwe chimagulitsidwa ku pharmacy. Mchere wa tebulo umapatsa thupi sodium ndi chloride, ndipo potaziyamu mankhwala enaake amapatsanso potaziyamu wofunikira. Ngati kusanza kwayima pambuyo pa ma episkopi a 1-2, ndiye kuti ma elekitirofiyiti sangawonjezedwe ndi madzi. Osagwiritsa ntchito ufa wa electrolyte wokonzeka ngati ali ndi shuga.

Mukasala kudya, madzi akumwa tsiku lililonse azikhala 48 ml pa kilogalamu imodzi ya kulemera kwa thupi. Kwa munthu wolemera makilogalamu 62, izi zimakhala pafupifupi malita atatu patsiku. Kwa anthu okulirapo - zochulukirapo. Ngati kuchepa kwamadzi ndi electrolyte kumachitika chifukwa cha kutsegula m'mimba kapena kusanza, ndiye kuti malita ochepa owonjezera amafunika kuti aledzere pasanathe maola 24 kuti athetse izi. Mwambiri, pamatenda opatsirana omwe ali ndi matenda ashuga, muyenera kumwa osati zochuluka, koma kwambiri. Ngati simunathe kapena kuyiwalako kumwa nthawi, muyenera kubayiratu madzi kuchipatala ndi omwe amatsitsa kuti alowetse madzi m'thupi.

Ngati inu kapena mwana wanu wodwala matenda ashuga agonekedwa m'chipatala kuti muchotse magazi m'thupi ndi omwe amasiya magazi, vuto lotsatirali lingachitike. Ogwira ntchito zachipatala adzafunika kupereka njira zamavuto amkati mwa shuga, fructose, lactose, kapena shuga wina amene amavulala ndi matenda a shuga. Osazilola kuchita izi. Tsimikizani kuti madokotala amapereka ma electrolyte njira popanda glucose kapena shuga wina. China chake chikachitika, kulumikizana ndi oyang'anira ndikuwopsezerani kuti mukadandaula ku Unduna wa Zaumoyo. Madzi amkati ndi ma elekitirodi a magetsi ndiofunikira kwambiri, yothandiza komanso yofunikira ... komabe, kwa iwo omwe amachiza matenda a shuga omwe ali ndi zakudya zamagulu ochepa, ndizofunikira kuti yankho lake lisakhale ndi shuga kapena shuga wina.

Kutsegula m'mimba ndi momwe mungachitire bwino

Choyamba, tikuwonetsa kuti kutsegula m'mimba ndi magazi ndipo / kapena kuphatikiza ndi kutentha kwambiri kumafunikira kuchipatala msanga. Mutha kuyesa kuthandizidwa kunyumba pokhapokha ngati mulibe magazi kapena kutentha kwambiri kwa thupi. Chithandizo chili ndi zigawo zitatu:

• magazi shuga
• kuwongolera m'mimba kuti muchepetse kuwonongeka kwa madzimadzi ndi ma electrolyte,
• m'malo madzimadzi ndi ma elekitirodi otaika kale kuti tipewe kuchepa kwamadzi ndi shuga wambiri.

Kuwongolera shuga kumayendedwe kumachitika chimodzimodzi monga kusanza, ndipo tafotokozera kale pamwambapa. Ndi kusintha kwa madzimadzi ndi ma electrolyte - chinthu chomwecho, pokhapokha ngati m'mimba mungathe kuwonjezera supuni imodzi popanda slider ya siliva pa lita iliyonse yamadzi. Chithandizo chachikulu cha kutsegula m'mimba, monga kusanza, ndiko kusiya kudya. Ngati mumwa mankhwala aliwonse am'mimba, ndiye okhawo omwe amavomerezedwa ndi dokotala. Werengani "Mankhwala ochizira matenda am'mimba (matenda otsegula m'mimba) a matenda ashuga."

Ngati kutsegula m'mimba kumayendera ndi kutentha kapena chopondera ndi magazi - musaganize za kumwa mankhwala aliwonse, koma pitani kuchipatala msanga.

Kutentha kwambiri

Kutentha kwambiri kumayambitsa kusowa kwamphamvu kwamadzi, chifukwa munthu amatuluka thukuta kwambiri. Kuchuluka kwa kuchuluka kwa zotayikirazi ndikosavuta kuyesa, chifukwa chake timangolimbikitsa kumwa madzi okwanira malita 1-2 patsiku kuposa masiku onse. Kutentha kwamphamvu kwa thupi kumathandizira kuti ma virus kapena mabakiteriya omwe amayambitsa matenda opatsirana. Ngati nthawi yomweyo munthu amagona kuposa masiku onse, ndiye kuti izi zimathandizanso kuchira. Koma ndi matenda a shuga, kugona kugona kungakhale koopsa, chifukwa kumasokoneza njira zofunika - maola asanu aliwonse kuti muyeza magazi, ngati kuli kofunikira, perekani jakisoni wa insulin, kumwa madzi, kuyitanitsa dokotala. Khazikitsani alamu kuti mudzuke kamodzi pa ola lililonse.

Timasamala kwambiri ma antipyretics. Mlingo wofunikira wa aspirin kapena mankhwala osapatsirana a antiidal (ibuprofen ndi ena) angayambitse kwambiri hypoglycemia. Ndikosayenera makamaka kugwiritsa ntchito mankhwala a maguluwa pama kutentha kwambiri ana. Kuphatikizidwa kwa mankhwala osapweteka a anti-yotupa omwe amachititsa kuti munthu asowe magazi kungapangitse kulephera kwa impso. Mapiritsi a antisteroidal odana ndi kutupa amakhala osayenera kwa anthu omwe ali ndi vuto la impso.

Pa kutentha kwambiri, muyenera kuwongolera shuga ndi kumwa zamadzimadzi monga momwe tafotokozera pamwambapa pothandizira kutsuka komanso kutsegula m'mimba. Pali phanga limodzi. Ndikulumbira, kutayika kwa ma electrolyte ndizochepa kwambiri. Chifukwa chake, ngati palibe kusanza komanso / kapena kutsekula m'mimba, ndiye kuti simungathe kuwonjezera njira zamchere pazakumwa zomwe wodwala amamwa. Ngati simukumva njala, ndiye kuti musadye. Ngati muli ndi njala, mwina окажется kapena 1/2 ya zakudya zanu zamasiku onse zidzakukwanire. Jekeseni 1/4 kapena ½ mwazomwe mumakonda kuchita insulin mwachangu, musanadye.

Kuthetsa shuga kwa shuga: Zopeza

Monga hypoglycemia, kuchepa magazi kumatha kukhala matenda osokoneza bongo. Chifukwa chake, achibale a wodwala matenda ashuga ayenera kuphunzira bwino nkhaniyi. Masheya omwe atchulidwa munkhani ya “zida zothandizira anthu oyamba. Zomwe mukufunikira kuti mukhale ndi odwala omwe ali ndi matenda ashuga kunyumba komanso nanu ”ziyenera kugulidwa pasadakhale ndikukhala pamalo osavuta kufikako. Apanso, tikulimbikitsa odwala onse omwe ali ndi matenda a shuga a mtundu wachiwiri kuti adziwe luso la jakisoni wosapweteka wa insulin ndikuwona momwe ma insulin osiyanasiyana amakukhudzirani. Izi zikuyenera kuchitika pasadakhale, ngakhale mutha kuwongolera shuga anu ndi chakudya, masewera olimbitsa thupi, komanso mapiritsi.

Itanani dokotala wanu chizindikiro choyamba cha kutentha, kusanza, kapena kutsekula m'mimba. Munthu wodwala matenda ashuga akamalandira chithandizo chamankhwala, amakhala kuti amatha kupewa kuchepa kwa madzi m'thupi, matenda ashuga a ketoacidosis, kapena hyperosmolar coma. Madzi akayamba kale, mankhwalawo amakhala ovuta kwambiri. Dotolo amadziwa izi bwino, kotero sangasamale ngati mumusokonezeranso ndikuyitanitsa pasadakhale.

Dokotala mwina adzafunsanso ngati pali ma ketoni mumkodzo, ndipo ngati ndi choncho, mumatupa ati. Chifukwa chake, ndikofunikira kuyesa mkodzo ndi timiyeso ta ketone musanayitane adokotala. Ngati simukudya chilichonse, ndiye kuti timizere tina tomwe tingaonetse kuti pali ma ketoni mumkodzo wocheperako kapena wapakati. Ngati ma ketoni mumkodzo amaphatikizidwa ndi shuga wabwinobwino wamwazi, ndiye kuti palibe chodandaula. Matenda a shuga a ketoacidosis amayenera kuthandizidwa pokhapokha shuga amakwezedwa mpaka 10 mmol / L kapena kuposerapo. Ngati mwakhala mukumwa mankhwala a aspirin kwa maola 24, muyenera kumuuza dokotala za izi chifukwa ma aspirin angayambitse matenda abwinobwino a mkodzo wa ketone.

Matenda omwe samayambitsa madzi am'madzi

Matenda ambiri samakhala ndi vuto lakusowa madzi m'thupi, koma pafupifupi onsewo amawonjezera shuga m'magazi. Matenda opatsirana amayambitsa zizindikiro zomwe zimatha kusiyanitsidwa mosavuta. Ngati muli ndi matenda a kwamkodzo thirakiti, pamakhala kumva koyaka mukakodza. Bronchitis amawonetsedwa ndi kutsokomola, ndi zina zotero. Zonsezi ndizizindikiro zomveka bwino zochokera ku thupi kuti chisamaliro chachipatala chofunikira chikufunika. Chifukwa ngati muli ndi matenda a shuga a 2 kapena mtundu 1 wa shuga wofatsa, ndiye kuti simukufuna kuti maselo anu ochepa otsala a beta afe.

Zofanana ndi izi ndizakuti wodwala matenda amtundu wa 2 amamva kuti ali ndi nthenda ya kwamikodzo. Koma amaimitsa nthawi yochezera urologist ndipo samachiritsidwa. Zotsatira zake, shuga yamagazi ake imakwera kwambiri mpaka ma cell otsala a beta "amawotcha". Pambuyo pa izi, mtundu 2 wa shuga umasandulika kukhala mtundu woyamba wa shuga, ndipo tsopano wodwalayo ayenera kuchita jakisoni 5 wa insulin tsiku lililonse. Choyipa chachikulu, kutenga matenda a kwamikodzo popanda chithandizo mosamala kumayambitsanso impso, kenako "bokosi lakuda" likungofika pakona.

Matenda obisika nthawi zambiri amapezeka omwe samayambitsa matenda ena alionse kupatula shuga wosadziwika bwino. Ngati shuga amakhala wokwezeka masiku angapo ndipo insulini imachita zoyipa kuposa masiku onse, ndiye iyi ndi nthawi yolankhula ndi dokotala. Zikatero, zimapezeka kuti wodwalayo wasokoneza insulini chifukwa chosungidwa bwino kapena kugwiritsanso ntchito ma syringes, kapena matenda atayamba pakamwa.

Kupewa komanso kuchiza mavuto a mano

Matenda amlomo ndi omwe amakhala ofala kwambiri ndi matenda obwera chifukwa cha matenda obwera chifukwa cha matenda amkati. Bacteria mkamwa imakhudza chingamu, mizu ya mano komanso mafupa a m'nsagwada. Ngati matenda ashuga sawayendetsa bwino ndipo shuga amakhala magazi okwanira, ndiye kuti izi zimapangitsa kuti mabakiteriya akhale pakamwa. Ndipo kenaka matenda amkamwa amatulutsa shuga wamagazi ndikuchepetsa mphamvu ya thupi kuloza insulin. Ichi ndichitsanzo china cha bwalo loipa.

Chifukwa chake, ngati magazi a m'magazi amakhala osakhazikika masiku angapo, chifukwa choyamba ndichakuti insulini idachepa, makamaka chifukwa chogwiritsanso ntchito ma syringe enanso. Ngati insulin ilidi yabwinobwino, ndiye kuti wodwalayo apite kwa dokotala wamano posachedwa. Pofufuza komwe angapezeko matenda, dokotalayo amasanthula mano ndikulowetsa mpweya wowondera padz dzino lililonse. Ngati kupweteka kukuwonetsa kuti dzino limakonda kuzizira, ndiye kuti ili ndi matenda komanso kutupa. Kupitanso apo, dotolo wamano amachiza yekha dzino kapena atumiza wodwala kwa akatswiri a mano.

Kumbukirani kuti kuwongoletsa mano kumayiko olankhula Chirasha, ndi, madziko lonse lapansi, mtengo wotsika mtengo kwambiri komanso munthawi yomweyo, wapamwamba kwambiri kuposa Kumadzulo. Anthu anzeru ochokera kumeneko amabwera kuno makamaka kuti adzagwiritse mano awo. Chifukwa chake, timachita manyazi kuyenda ndi mano owola. Amaganiziranso kuti kachilombo komwe kamakhala mkamwa kumafalikira kudzera m'mitsempha yamagazi mthupi lonse ndikukulitsa chiwopsezo cha matenda a mtima, kuwononga makoma amitsempha yamagazi kuchokera mkati. Chiphunzitso ichi sichinatsimikizidwebe, koma akatswiri ochulukirapo akutsimikizira izi. Osanena kuti mavuto amano amachititsa kuti zikhale zovuta kuthana ndi matenda a shuga.

Kutsiliza: pezani dotolo wamano wabwino, komanso bwino pasadakhale, pang'onopang'ono, mano anu akadali osapweteka. Mukufuna dotolo wamano yemwe:

• waluso mwaukadaulo,
• imagwiritsa ntchito zinthu zabwino zodzaza,
• sichimapulumutsa okhazikika,
• Asanalowetse nkhokwe m'mimba, amayesa ziwengo.
• ali ndi chilengedwe mwachilengedwe.

Anthu onse amalangizidwa kuti azikaonana ndi dotolo wamano miyezi isanu ndi umodzi iliyonse ya prophylactically. Mu matenda a shuga, ndikofunikira kuchita izi kamodzi pakatha miyezi itatu. Pamaulendo amenewa, zolembera ndi mwala womwe umapangidwira umachotsedwa m'mano. Iyi ndi njira yabwino yopewera matenda opatsirana pamlomo. Muyeneranso kutsuka mano anu kawiri patsiku, mukatha kudya m'mawa komanso usiku, ndipo iliyonse mukatha kudya, gwiritsani ntchito maluwa.

Tsoka ilo, shuga wokwezeka amatha kupitilira miyezi ingapo pambuyo poti matenda onse amkamwa atachiritsidwa. Izi zikutanthauza kuti mukufunikirabe kumwa maantibayotiki, omwe dotolo wamano angakupatseni. Ngati maantibayotiki ena sagwira ntchito, ndiye kuti amabwezeranso wina. Maantibayotiki othandizira kapena ayi - izi zitha kumveka ndikusintha kwa shuga ndi magazi anu.Ndikofunikanso kutenga kukonzekera komwe kumayikidwa limodzi ndi maantibayotiki kuti muthane ndi mabakiteriya opindulitsa m'matumbo am'mimba omwe amafa limodzi ndi mabakiteriya oyipa chifukwa cha maantibayotiki.

Mavuto a shuga ndi ARI

Kwa onse omwe ali ndi matenda ashuga popanda kusiyanasiyana, vuto lofunikira kwambiri mu matenda opumira kwambiri ndi kuwonjezeka kwa shuga m'magazi. Kuyambira pakadali pano, dongosolo la endocrine limang'ambika pakati pa kupanga mahomoni kuti agonjetse chimfine wamba ndikupanga ndikugwiritsa ntchito insulin. Pali kusowa bwino m'thupi, kumene shuga m'magazi amayamba. Pali mitundu iwiri ya matenda ashuga, ndipo omwe akuvutika ndi 1st ali pachiwopsezo cha ketoacidosis, yomwe imawopseza imfa. Matenda a 2 a matenda ashuga amavuta ndi hypersmolar hypoglycemia, ofanana ndi matenda a shuga.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Zizindikiro zosonyeza kuzizira

Kutengera ndi zovuta za matendawa, ARVI ya matenda ashuga imayamba ndikutayika kwamadzi komanso pakamwa pouma. Mu ana, kuzizira koopsa kumakhala kovuta kuposa munthu wamkulu wodwala matenda ashuga, koma kwa zisonyezo zina, kupita kuchipatala ndikofunikira kwa aliyense. Zowopsa:

• kuchuluka kwa shuga wamagazi - 17 mmol / l,
• kulephera kwa mankhwala, kuwonda ndi kuwonda.
• ketoacidosis
• kukokana kapena kuzindikira.
• kutentha kwakukulu kosasunthika,
• kutsegula m'mimba ndi kusanza kwa nthawi yoposa kotala la tsiku.

Matenda Ozizira Odwala

Chofunikira kwambiri ndikamazizira kwa anthu odwala matenda ashuga ndikuwongolera magazi.

Ndikofunika kuti muzipanga miyeso maola onse awiri ndi atatu, ndipo ngati ndi kotheka, gwiritsani ntchito othandizira a hypoglycemic. Kuti mupeze vuto lokwanira la chimfine ndi kulandira njira zochizira, wodwala matenda ashuga amafunsira dokotala. Makamaka ana, mkhalidwe wawo ndi wowopsa, womwe umawalola kuwunikira kwambiri matenda omwe akupuma kwambiri mwa iwo. Patsiku la 4 la chimfine, adokotala amawongoletsa asipone mu mkodzo. Glucose imayeza nthawi zonse: muyenera kupita ku 3.9-7.8 mmol / L. Kuti mukwaniritse cholinga, mlingo wosatha ungakulitse mpaka 20%, chifukwa kupatuka sikungayambitse zabwino zilizonse, ndipo zotsatira zake ndizokhazikika zimathandiza thupi kuthana ndi chimfine kapena chimfine pafupipafupi. Pofuna kuthana ndi kuledzera, kuchepa mphamvu kwa thupi komanso kutentha thupi, kupatula nthawi yoikika, kumamwa pafupipafupi komanso kosamwa kwa zakumwa zopanda mpweya kapena madzi kumathandizadi. Ndizowopsa kutenga njira zakudziyimira palokha popanda kufunsa katswiri.

Mapiritsi, madontho, manyumwa, zitsamba

Kwa odwala matenda ashuga, njira zingapo zochizira siziyenera kungochotsa chimfine, komanso kubwezeretsa mphamvu ya thupi, kukonza shuga m'magazi. Ndi dokotala yekhayo yemwe amatha kuyesa kuchuluka kwa zovuta ndikuyambitsa mankhwala: madontho, mapiritsi a virus, kutentha, chifuwa. Mankhwala ozizira a shuga amatha kumwa nthawi zonse, nthawi zina popanda upangiri wa dokotala. Koma kuphatikiza pa zomwe zimaphatikizapo shuga, awa ndi ma syms, lozenges wochizira pakhosi. Nthawi zambiri amatha kuthana ndi mankhwala azitsamba. Phukusi limakonda kunena kuti "shuga wopanda". Kuwerenga malangizo ogwiritsa ntchito ndikofunikira, ndipo ngati mukukayika, upangiri wa dokotala ndiwofunika.

Kuchita moyenera ndi inhalation.

Vitamini C amalimbitsa chitetezo chathupi, chomwe chimathandiza kuchiritsa chimfine mwachangu. Imapezeka m'mazipatso (kwa odwala matenda ashuga ayenera kukhala osawadziwa!), Zamasamba kapena kukonzekera zamankhwala. Mutha kuthandizidwa ndi inhalation, kusankha mankhwala osokoneza bongo kapena zitsamba zomwe sizimayambitsa chifuwa, zimakhala ndi zotsutsana ndi zotupa. Kuvulala kwamkati kumakonzanso bwino pakhosi, komanso kutsanulira madontho m'mphuno, kuthandizira kukhala ndi chiwonetsero cha kutsokomola kwina kulikonse. Inhalation imachitika ndi mankhwala a nebulizer kapena wowerengeka: adyo kapena anyezi amadulidwa mzidutswa ndikusiyidwa pambale yovulaza ndi odwala.

Dokotalayo afotokozanso kuti ndi zitsamba ziti zomwe ndibwino kwambiri kuzisintha kuti zithetse zomwe zimayambitsa kupweteka. Ndikofunikira kudziwa momwe mungagwiritsire madontho kuchokera kuzizira wamba: musanagwiritse ntchito, yeretsani mafotokozedwe amphuno, werengani malangizo pazosungidwa, sankhani zinthu zomwe zili ndi poyipa ndikusintha kapamba, kutsatira malamulo. Kupanda kutero, mutha kuvulaza thanzi lanu koposa.

Ndi kuthamanga kwa magazi

Ndikofunikira kuyeza kukakamizidwa pafupipafupi ndikuthandizidwa ndi mankhwala osokoneza bongo popanda ma decongestants (a-adrenergic agonists). Ndi gawo limodzi la madontho ochulukitsa kuchokera pamphuno yam'mimba ndikukonzekera kophatikiza, kutsitsa mitsempha ya m'magazi, kuchepetsa kuchulukana kwa m'mphuno ndi kutupa, pomwe mavuto akukwera. Zokhudza madontho amphuno, njira ina yothetsera matenda ashuga ndi antiseptic. Koma apa ndi dokotala wokha yemwe amatha kuyesa zovuta ndikusankha madontho oyenera kuzizira kapena mapiritsi wamba. Zowopsa zamanjenje, kudya zamchere, zamafuta.

Mawonekedwe Amphamvu

Sars amalimbana ndi chilala, koma simungafe ndi matenda ashuga: thupi limafunikira mphamvu zambiri kuti lilimbane. Ndikofunika kusiya zakudya monga mwa masiku onse kuti muchepetse shuga. Zakudya zamafuta ochulukirapo zimapatsa mphamvu (phala, msuzi, yogati). Ola lililonse, tikulimbikitsidwa kumwa chakudya chamagulu pa 1 XE (15 g).

Madzi ochepa opanda gasi kapena tiyi wamatenda - otsika. Kuchuluka kwa mavitamini ambiri omwe amathandiza kulimbana ndi kuzizira kumapezeka mu zipatso ndi ndiwo zamasamba zokhala ndi khungu lolimba. Mphesa ndizoletsedwa: zimakhala ndi glucose wambiri, ndipo mulingo wake wamuka kale. Mu matenda opumitsa pachakudya, chakudya cholemera sichimachotsedwa pazakudya: zokazinga, zokometsera, zamchere, zamafuta. Ndi bwino kudya masamba, msuzi, chimanga, nyama yophika kapena nsomba. Wodwala matenda a shuga amagwirizanitsa zakudya ndi adotolo.

Njira zopewera matenda a ARVI za matenda ashuga

Njira yodalirika ndikupewa hypothermia komanso kucheza ndi anthu odwala, makamaka unyinji. Kachilombo ka HIV kamakhalapobe pambuyo pokumana ndi ma khomenti, makwerero, zoyendera pagulu. Manja akuda sayenera kupukusa mphuno, maso kapena kudya: kachilomboka kamalowa m'thupi kudzera mucous nembanemba. Muyenera kusamba m'manja nthawi zambiri, kupukuta ndi pukuta lonyowa. Nkhani yaukhondo ndiyofunikira pankhani yakutsuka nyumba. Ngati wina wapafupi ndi munthu wadwala, ndikofunikira kuyeretsa komanso kunyowetsa chipindacho pafupipafupi. Popeza kachilomboka kakufalikira ndi m'malovu, ndimofunikira kupewetsa kuzonda ndi kutsokomola anthu ena. Anthu omwe ali ndi matenda ashuga ayenera kupeza kuwombera kwa chimfine chisanayambe nyengo yachisanu. Ndizosatheka kulandira katemera ku SARS.

Zolemba zaukadaulo wazachipatala

Matenda a shuga ndi chimfine wamba. Anthu athanzi labwino amatha kutenga chimfine kuyambira 2 mpaka 3 pachaka, ndi ana omwe ali ndi chitetezo chamthupi - kuyambira 6 mpaka 12 pachaka. Koma ngati munthu ali ndi matenda ashuga, amatha kutaya chimfine kawirikawiri, ndipo zimatha kuponderezana ndi njira ya matenda ashuga. Kenako kachilombo koyambitsa matenda (ndipo kameneka ndi kachilombo koyambitsa matenda) kamapanga zovuta zina mthupi. Mwachitsanzo, shuga m'magazi amayamba kukwera kwambiri. Izi ndizomwe muyenera kudziwa ngati mukudwala matenda ashuga kapena chimfine.

, ,

Kodi nchifukwa ninji chimfine chimachulukitsa shuga wamagazi mwa odwala matenda ashuga?

Mukayamba kuzizira, pamakhala chiopsezo chachikulu choti shuga yanu ya m'magazi ingadzuke. Izi zimachitika thupi lanu likatulutsa mahomoni ochulukirapo olimbana ndi matenda oyambitsidwa ndi ma virus. Kwa munthu wathanzi, izi ndizabwinobwino - mahomoni amatha kuthandizira kulimbana ndi chimfine, koma kwa munthu wodwala matenda ashuga, zimapangitsa kuti zikhale zovuta kupanga insulin polimbana ndi matendawa.

Mwazi wa shuga ukakhala wambiri. Zimakhala zovuta kulimbana ndi chimfine kapena matenda ena oyambitsidwa ndi kachilombo - munthu amatha kukumana ndi mavuto monga ketoacidosis, makamaka akapezeka ndi matenda a shuga 1.

Ketoacidosis ndiko kudzikundikira kwa asidi wambiri m'magazi. Izi zitha kukhala pachiwopsezo cha moyo. Ngati munthu ali ndi matenda ashuga a 2, makamaka ngati ali ndi ukalamba, amatha kudwala matenda oopsa a hyperosmolar hyperglycemia. Matendawa ali pafupi ndi matenda otchedwa diabetes. Vutoli, malinga ndi madokotala, amayamba chifukwa cha shuga wambiri.

Kodi munthu angadye chiyani ngati ali ndi matenda ashuga komanso chimfine?

Ngati muli ndi matenda ashuga, simumatha kumva ludzu lakuzizira chifukwa cha chimfine. Koma ndikofunikira kuti musafe ndi njala, koma mulimonsemo. Mutha kusankha zakudya zamatenda a shuga kuchokera mumenyu yanu yanthawi zonse.

Porridge, yogati, madzi a zipatso - muyenera kuphatikiza zinthu zomwe zimapangidwa ndi zakudya menyu, makamaka zipatso, koma osati zokoma kwambiri. Ngati mungakhale ndi njala, shuga m'magazi anu amatha kutsika kwambiri, zomwe zimapangitsa kuti mukhale opanda mphamvu.

Ngati zizindikiro za chimfine mwa munthu wodwala matenda a shuga zatsatana ndi malungo, kusanza, kapena kutsekula m'mimba, onetsetsani kuti mumwera kapu yamadzi ofunda, osapatsa kaboni ola lililonse. Izi zikuthandizani kuti musasowe madzi m'thupi.

Ngati mulingo wa shuga m'magazi anu ndi wokulirapo, imwani tiyi ndi ginger, madzi ofunda kapena mchere wam'madzi wopanda mpweya - mutha kuchita izi pang'onopang'ono, pang'ono. Ngati mukufuna kukweza shuga m'magazi anu, imwani kapu imodzi ya madzi a apulosi kapena ½ chikho cha tiyi wa ginger. Nthawi zonse onetsetsani kuti mumadya kapena kumwa kuti chisasemphane ndi zakudya zomwe mumakhala nazo nthawi zonse, kuti mutsimikizire kuti zakudya ndi zakumwa zanuzo ndizolekerera ndi dokotala pazomwe muli.

Ndi mankhwala ati omwe anthu amamwa chifukwa cha chimfine komanso matenda ashuga?

Anthu omwe ali ndi matenda ashuga sangamwe mankhwala onse ozizira. Ndikofunika kwambiri kupewa zakudya zokhala ndi shuga wambiri. Koma aliyense amadziwa kuti mankhwala ozizira amadzimadzi nthawi zambiri amakhala ndi shuga. Chifukwa chake, onetsetsani kuti muwerenga zilembo zamankhwala musanatenge chimfine, ngakhale osalakwa poyang'ana maswiti, kuti muwone ngati pali shuga wambiri m'gululi. Ngati mukukayikira zomwe mwasankha, funsani dokotala.

Pogula zinthuzi, anthu odwala matenda ashuga ayenera kukumbukira kuti mankhwalawo amayenera kulembedwa kuti “shuga wopanda”.

Ngati muli ndi kuthamanga kwa magazi, muyenera kupewa mankhwala aliwonse ozizira omwe ali ndi mankhwala othandizira omwe angakulitse magazi anu kwambiri. Malinga ndi American Heart Association, zapamwamba kwambiri siziyenera kugwiritsidwa ntchito mwa anthu omwe ali ndi kuthamanga kwa magazi.

Kodi mungapewe bwanji kuzizira ngati munthu akudwala matenda ashuga?

Kaya munthu ali ndi matenda a shuga kapena ayi, nthawi zonse muzigwiritsa ntchito zinthu zaukhondo zamakono kuti muchepetse matenda opumira monga chimfine kapena chimfine. Kupewa kufalikira kwa chimfine kumayambira poti aliyense m'mabanja mwanu amakhala akusamba m'manja nthawi zonse. Palibe katemera wozizira, koma lankhulanani ndi dokotala wanu kuti akupatseni katemera wa chimfine chaka chilichonse kuti mupewe kutenga kachilomboka. Kachilombo kameneka kangathe kuwonjezera nkhawa yayikulu mthupi, ndiye kuti sikudzavuta kuthana ndi shuga mumagazi.

Cola ndi matenda ashuga ndi matenda omwe amatha kusokoneza kwambiri moyo wanu. Pewani kuzizira wamba - wokhala ndi moyo komanso masewera.