Madzulo, shuga ndimagazi, ndipo m'mawa limakwezedwa: chifukwa chiyani izi zikuchitika
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Madzi a insulin ndi amodzi mwa ofunika kwambiri m'thupi la munthu. Popanda iyo, magwiridwe antchito a machitidwe ambiri ndiosatheka. Choyamba, zimathandizira kudziwa kuchuluka kwa shuga m'magazi a munthu ndipo, ngati pakufunika, musinthe.
Koma nthawi zina ngakhale ndi shuga wabwinobwino, insulin imakulitsidwa kwambiri. Zomwe zimachitika izi, monga zikuwonetseredwa ndi kuchuluka kwa shuga kapena insulini m'magazi, kuposa momwe amawopsezera, ndizotsika.
Insulin ndi tanthauzo lake
Monga ananenera, palibe njira iliyonse m'thupi la munthu yomwe imayamba popanda insulini. Amathandizira nawo pakuwonongeka kwa mapuloteni ndi mafuta. Koma, zoona, ntchito yayikulu ndikuwongolera kuchuluka kwa shuga m'magazi. Ngati shuga asweka, mphamvu ya metabolism sidzachitika mthupi moyenera.
Insulin yathanzi, yathanzi yogwira ntchito imakhala yambiri:
- Ana, kuyambira 3.0 mpaka 20 μU / ml,
- Akuluakulu, kuyambira 3.0 mpaka 25 μU / ml.
Mwa anthu achikulire omwe zaka zawo zadutsa zaka 60-65, insulin ikhoza kukhala ndi kuchuluka kwa 35 mcU / ml. Zonsezi ndizizindikiro wamba. Ngati manambala apamwamba adapitilira, muyenera kukaonana ndi dokotala posachedwa - adzakhazikitsa zifukwa ndikufotokozera chifukwa chake insulini imakwezedwa modabwitsa.
Chidandaulo chachikulu chiyenera kukhala mkhalidwe momwe mahomoni amakwezedwa, ndipo shuga amakhalanso abwinobwino. Pofuna kuyang'anira kuchuluka kwa insulin ndi glucose kunyumba, glucometer iyenera kukhala pafupi.
Ndikofunikira kutenga miyezo ya shuga kangapo patsiku - makamaka osachepera 5, kuti mumvetse bwino.
Koma ngati izi sizingatheke, ndiye kuti shuga amayenera kuwunika kawiri patsiku: m'mawa mutadzuka, ndipo madzulo, asanagone.
Chifukwa insulin ndi yokwera - zifukwa
Ngati insulini imakwezedwa, izi nthawi zonse zimawonetsa kuvulaza kwakukulu m'thupi, china chake sichili bwino ndi thanzi. Choyamba, titha kufotokoza za chitukuko cha mtundu wachiwiri wa matenda ashuga - ndi mtundu uwu wa matendawa omwe amawonetsa ali amtunduwu.
Nthawi zambiri, milingo yokwezeka kwambiri imawonetsa matenda omwe amatchedwa Cushing's. Ndi acromegaly, mahomoni ambiri okula m'magazi amawerengedwa limodzi. Shuga, komabe, amakhalabe wabwinobwino.
Insulin yokwera ndi chimodzi mwazizindikiro za zovuta zazikulu za chiwindi. Nthawi zambiri, chizindikiro chofananacho chikuwonetsa kupezeka kwa insulinomas - chotupa chomwe chimatulutsa timadzi timeneti.
Dystrophic myotonia, matenda oopsa a neuromuscular, ndi chifukwa china chowonjezera cha kuchuluka kwa insulin. Mutha kukayikiranso gawo loyamba la kunenepa kwambiri komanso kuchepa kwa chidwi cha maselo am'mimba kupita ku mahomoni ndi ma carbohydrate omwe amachokera pamenepo.
Zomwe zimapangitsa kuti insulin iwonjezeke mwadzidzidzi, kupenda wodwalayo ndikofunikira.
Chofunikira: nthawi zambiri mahomoni a pancreatic amawonjezereka mwa azimayi panthawi yopaka. Amakhulupilira kuti popeza thupi limalowa mthupi latsopano, kusintha kotereku ndikwabwinobwino. Koma, komabe, ndikulimbikitsidwa kuwunikira thanzi lanu, zakudya komanso kunenepa.
Sitinganyalanyaze mfundo yoti kusintha kwa mahomoni m'thupi la mkazi nthawi zambiri kumalumikizidwa ndi ma neoplasms osiyanasiyana - makamaka, thumba losunga mazira kapena thumba losunga mazira limayamba. Chizindikiro pa nkhaniyi chikuwonjezeka ndipo ndikuthinitsidwa kwamphamvu kwa mafuta mu kukhuthala pamimba.
Matenda onse omwe ali pamwambawa amayamba kukhazikika motsutsana ndi kumbuyo kwa kuchuluka kwa insulin mthupi. Koma pali ma pathologies omwe amayamba m'malo mwake, kuchepa kapena kuwonongeka kwa insulin kapena shuga ya magazi. Kodi ayenera kuopa chiyani pamenepa?
Kuopsa kwa magwiritsidwe a insulin
Ngati kuchepa kwambiri kwa insulin, njira ziyenera kuchitidwa mwachangu, chifukwa izi zimatha kukhala chisonyezo cha zinthu ngati izi:
- Mtundu woyamba wa shuga
- Matenda a shuga
- Matenda a shuga
- Hypopituitarism ndimatenda omwe amaphatikizidwa ndi kusowa kwa pituitary.
Wodwala akakhala kuti wachita masewera olimbitsa thupi kwambiri, masewera olimbitsa thupi kwa nthawi yayitali, kuchuluka kwa insulin kumatha kutsika kwambiri. Mwachilengedwe, mulimonsemo, nthawi zonse mumayenera kulabadira zofunikira za zikondwerero ndi shuga - zimatha kukhala zazitali kuposa zabwinobwino ndi insulin yotsika.
Kudziwa kuchuluka kwa insulin kumatenga gawo lalikulu kwa odwala omwe apezeka posachedwa, sanakhazikitse mtundu wa matenda, ndipo sanasankhe njira zamankhwala. Pulogalamu yosankhidwa, yomwe wodwala matenda ashuga amayenera kutsatira kwa moyo wake wonse, zimatengera zomwe adazipeza.
Momwe mungadziwire kuchuluka kwa mahomoni mwakukhala bwino
Ndikofunikira kwambiri kudziyimira palokha mulingo wa insulin ndi shuga. Kuchita izi sikovuta ngati momwe zingawonekere, ngakhale pakalibe glucometer komanso kutha kupititsa mayeso a labotale - ndikukwanira kuyang'anira mosamala zizindikiro zomwe thupi limatumiza.
Ngakhale kusinthasintha pang'ono pa chiŵerengero cha mahomoni nthawi yomweyo kumakhudza kuchuluka kwa shuga. Zonsezi zimakhudza thanzi la wodwalayo.
Ngati chizindikiro cha insulini chikupatika pa chizindikiro chovomerezeka, chakwera kapena kuchepa, izi zitha kutsimikiziridwa ndi izi:
- M ludzu, womwe ndi wovuta kwambiri kuzimitsa,
- Khungu loyera
- Kukodza pafupipafupi,
- Lethargy
- Kutopa
Ngati kuchuluka kwa mahomoni kumakhala kukwezedwa kwa nthawi yayitali, kuchiritsa kwanthawi yayitali ngakhale kuvulala kochepa kwambiri, zikanda ndi mabala kumadziwika. Ichi ndichifukwa chake onse odwala matenda ashuga kuvulala kulikonse ndi ntchito siziyenera kwenikweni.
Mchitidwe wa kusinthika kwa minofu umakhala wosakwiya komanso wopweteka, mabala amakhala ndi kutupa komanso kuthandizira. Pa chifukwa chomwechi, mitsempha ya varicose, zilonda zam'mimba zambiri zimayambitsa gangore. M'malo otukuka, izi zimawopseza ndikudula miyendo.
Ngati kuchuluka kwa insulin kukwera kwambiri, nthawi zambiri shuga m'magazi amatsika nthawi yomweyo. Izi zikuwonetsedwa ndi zizindikiro izi:
- Zadzidzidzi za njala.
- Tachycardia, pafupipafupi zimachitika.
- Kunjenjemera mwamphamvu mthupi lonse.
- Kuchulukitsa thukuta.
- Mkhalidwe womwe watsala pang'ono kukomoka nawonso mwadzidzidzi.
Mawonetsedwe onsewa akuwonetsa kuti wodwala amafunikira chithandizo chamankhwala champhamvu, simungakayike
Zomwe zimawopseza kuchuluka kwa insulin
Kuwonjezeka kwa kuchuluka kwa insulini ya magazi ndizowopsa osati kwa omwe ali ndi matenda a shuga a 2, komanso kwa aliyense wathanzi. Izi zimadzetsa matenda osaneneka a ziwalo zosiyanasiyana zamkati, opuwala ntchito.
Choyamba, kuchuluka kwa insulini m'thupi kumakhudza kukongola kwa makoma amitsempha yamagazi ndi mitsempha. Ndipo izi zikuwopseza kukula kwa matenda oopsa oopsa. Chifukwa chake, ngati mtima wa mtima ukuwonjezeka, chiwopsezo cha matenda osiyanasiyana a mtima chikuchulukirachulukira.
Mitsempha ya carotid imavutikanso, kuphatikiza maselo ake ndi makhoma ake amayamba kutsika ndikukula, ndipo izi zimadzetsa kuwonongeka m'magazi kupita ku ubongo. Mwa odwala okalamba, izi zimawonekera ndikuwonongeka m'maganizo ndi kumveka bwino kwa malingaliro, kuchepa kwa zochitika, ndi zovuta zina zogwira ntchito.
Choyipa chachikulu chomwe kuchuluka kwina kwa insulini kungayambitse ndikupanga matenda a shuga 1. Matendawa amatenga matenda. Kuphatikiza apo, popanda jakisoni wokhazikika wa insulin, wodwalayo sangathenso kuchita popanda tsiku limodzi.
Malangizo: ngati mukukayikira kuti kuchuluka kwa mahomoni ndi shuga m'magazi amachoka pamenepa, ndikofunikira kuti mupange mayeso oyenera posachedwa.
Njira zomwe zimatsatidwa posachedwa ngati zikutsimikizika, ndizotheka kupewa zovuta zazikulu. Zosintha pang'ono sizinganyalanyazidwe, ziyenera kufufuzidwa pakapita nthawi ndikuchitidwa moyenera.
Izi ndi zofunikira kwambiri pochitika kuti kusintha kwamankhwala a insulin ndikofunikira kwambiri, pomwe shuga amakhalabe wokhazikika. Zodabwitsazi ndizowopsa, sizingatheke kuona momwe wodwalayo alili wokhazikika, amafunikira thandizo lakuchipatala.
Pomaliza, titha kunena kuti kuwongolera mulingo wa insulini mthupi ndikofunikira chimodzimodzi monga mulingo wa shuga. Kutengera malamulo onse omwe ali pamwambapa ndi kuwalimbikitsa, ndizotheka kupitiliza kugwira ntchito kwa ziwalo zofunika kwambiri pamlingo wokulirapo komanso kupewa kupangika kwa matenda awo a pathological munthawi yake.
Chifukwa chiyani shuga m'magazi amadzuka usiku
Zomwe shuga wa magazi akakwera usiku zimalumikizidwa ndi chakudya cha wodwalayo kapena kuvulala kwamthupi. Ngati shuga m'magazi samapitirira miyezo yovomerezeka - zinthu zimatengedwa ngati zabwinobwino, chifukwa m'mawa Zizindikiro zimatsitsidwa nthawi zonse musanadye. Ngati shuga ali kwambiri m'mawa, izi zimawonetsa matenda a "Morning Dawn" mu odwala matenda ashuga kapena kudya mopitirira muyeso, kumwa mowa usiku watha. Kusintha kwa thupi kuzizindikiro (katundu wolemera, njira yoganizira, zokumana nazo) zimayambitsa kusalinganika kwakanthawi kochepa, pambuyo pake zimayamba kukhala zachilendo. Nthawi zina, muyenera kulumikizana ndi endocrinologist kuti akuthandizeni.
Mulingo wabwinobwino
Kuchuluka kwa shuga m'magazi a 2 matenda a shuga ndi mtundu 1 wa shuga ndi zofunikira kwambiri. Chikhalidwe kwa munthu wathanzi nthawi zambiri chimayala 3.3-5,5 mmol / l - shuga wosala (shuga m'mawa pamimba yopanda kanthu). Mkhalidwe womwe shuga m'mawa imakhala yotsika kwambiri (mu ndege yoyezera tsiku ndi tsiku) ndipo shuga pogona musanagone ndi yachibadwa. Chizolowezi cha shuga m'magazi chimatsimikizira mkhalidwe wabwino wa wodwalayo, kupezeka kwa zizindikiro zoyipa. Chizindikiro pamwambapa 5.5 mmol / L chikuwonetsa kuphwanya thupi ndikusintha. Ndikotheka kuyeza kuchuluka kwa shuga pawekha kapena mothandizidwa ndi mayeso a labotale omwe akuyenera kuchitidwa m'mawa. Kuthamanga shuga wamagazi kumayeza.
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Chifukwa chiyani chimadzuka nthawi ndi nthawi?
Zomwe shuga imamera sikuti nthawi zonse zimangosonyeza mtundu 2 wa shuga kapena mtundu 1 wa shuga. Itha kukhala yayikulu chifukwa cha zovuta zathupi:
- zolimbitsa thupi
- chidwi chachikulu ndi zochitika zam'mutu,
- mantha
- pa mimba
- kupsinjika
Zochitika zoterezi zimatha kuyambitsa shuga wa magazi osakhalitsa, omwe amawonjezeredwa kwakanthawi kochepa ndikubwerera mosadukiza.
Zakudya zazonunkhiritsa zimatha kuwonjezera kuchuluka kwa shuga m'magazi.
Ngati kuchuluka kwabwinobwino kwamadzulo kumachulukitsa, chifukwa chake kumatha kukhala zakudya zamafuta, zamafuta kapena zakumwa zina za khofi. Zakudya zonunkhira komanso zonunkhira zimathanso kukweza msanga. Mtundu 1 komanso mtundu wa matenda ashuga 2, chizolowezichi chimapezeka m'matumbo okhathamira komanso okhuthala, makamaka madzulo. Ma antidepressants ndi corticosteroids amachititsa shuga wambiri. Mavuto azachilengedwe m'thupi lathu amapanga zomwe zimachitika m'magazi a glucose:
- matenda a chiwindi
- mavuto ndi dongosolo la endocrine,
- matenda kapamba
- kulephera kwa mahomoni.
Kusala shuga wambiri ndikotheka chifukwa chosowa tulo, kumwa mowa kwambiri komanso kutentha thupi. Ngati shuga ali pansipa, wodwalayo ayenera kulabadira kuchuluka kwa ntchito, achulukitse kuchuluka kwake ndikupumula kuti asafe ndi njala. Zomwe zimayambitsa mikhalidwe yoterezi zikuwonetsa kufunikira kukaonana ndi dokotala kuti amupatse malangizo ndi kuwazindikira. Kunyalanyaza zizindikiro zake kumatha kudzetsa mavuto akulu azaumoyo. Anthu odwala matenda ashuga nthawi zambiri amadwala Morning Dawn Syndrome. Munthawi imeneyi, kuchuluka kwa shuga kumaposa 6.1 mmol / L. Izi zimangosinthidwa ndi dokotala posintha Mlingo ndi nthawi ya insulin.
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Zimayambitsa kuwonjezeka kwa shuga m'magazi
Kudya kwambiri m'mimba nthawi yogona kumapangitsa kuti magazi a shuga atumphuke.
Mutazindikira zomwe zimapangitsa kuti chiwonetsero cha glucose chikwere m'mawa, muyenera kuwonetsa zomwe zingathe kusintha. Kukweza usiku uliwonse m'magulu a shuga kumalumikizidwa ndi zakudya zokha. Madzulo limadzuka chifukwa cha:
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
- chakudya chamagulu omwera pazakudya
- kudya kwambiri asanagone.
Zikakhala zotere, thupi limakakamizidwa kuti ligwiritse ntchito mphamvu zambiri ndikugwiritsa ntchito zinthu zobisika. Kuperewera kwa chakudya tsiku lonse komanso kuwonjezereka kwamadzulo kumaphwanya njira zonse za metabolic mthupi, ndipo chizoloŵezi chomanga shuga chimasokonekera. Kuchepetsa m'malo oterowo ndikotheka ndikusintha zakudya zanu ndi zomwe mumadya.
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Zoyenera kuchita
Kuchepetsa glucose wamagazi, omwe ali pamwamba pa mulingo wabwinobwino, amatha kokha mothandizidwa ndi chithandizo chachikhalidwe komanso zakudya zoyenera. Kuphatikizidwa pamenyu yazinthu zomwe zimapangitsa kuti azidumphira shuga, kukana mowa kumathandizira kukhazikika. Nthawi zina, ndi mankhwala okhawo amene angakuthandizeni. Mwa amayi apakati, kulumpha kwa shuga sikufunikira kuwongoleredwa, chifukwa izi zimachitika chifukwa cha kusintha kwa thupi ndi chikhalidwe cha anthu. Ngati shuga m'mimba yopanda kanthu m'mawa uposa 7 mmol / L, ndipo maola 2 mutatha kudya kumakhala kuwonjezeka mpaka 11 mmol / L - mkhalidwewo ndiwowopsa ndikuwonetsa kukula kwa matenda a shuga. Pankhaniyi, muyenera kulankhulana ndi dokotala nthawi yomweyo.
Kodi shuga amasintha bwanji masana?
Pafupifupi kusintha kulikonse komwe thupi lathu limachita limatsatiridwa ndikusintha kwathanzi komanso mavuto azaumoyo. Chifukwa, mwachitsanzo, ndi katundu pa chiwalo, momwe zimachitikira zimatha kuwonjezeka kwambiri shuga ndi matenda monga hyperglycemia.
M'mawa uliwonse thupi lanu limadzuka, zomwe zimachitika chifukwa cha kuchuluka kwa mahomoni okula. Kwa nthawi yayitali m'mamawa amachepetsa mphamvu ya insulin m'magazi a shuga, zomwe zimapangitsa kuti "belu" liyambe kudzutsidwa. Kuwonjezeka kwa shuga m'magazi kumagwera pakati pa anayi ndi eyiti m'mawa. Shuga wapamwamba amathanso kuchitika chifukwa cha kutulutsa shuga wowonjezera m'chiwindi, komwe kumathandiza kudzuka ndikuyamba kugwira ntchito yogwira.
Inde, ndikofunikira kuyang'anira nthawi zonse momwe shuga ya magazi imakwera kapena kugwera. Ndipo ngati chiwonjezerochi chikuchitika tsiku lonse, ndiye kuti ndibwino kufunsa katswiri yemwe angakupatseni mankhwala omwe angakuthandizeni kusintha mlingo wa insulin m'mawa. Insulin m'mawa izithandiza kugwirira glucose womasulidwa ku chiwindi. Kuphatikiza apo, pali njira yabwino yochepetsera "kudzuka m'mawa" popanda kumwa mankhwala. Kutuluka komweku kungakhale kukana kugwiritsa ntchito mafuta ambiri akudya chamadzulo. Ndikotheka kuponderesa m'mawa m'magazi a magazi mwa kubaya insulin pakati pa 4 ndi 6 m'mawa. Izi zingathandize kupondereza matenda am'mawa, koma mankhwala ndi okhawo omwe dokotala amakupatsani. Ngati mukumwa mankhwala osayenera kapena musagwiritse ntchito mapiritsi ochepetsa shuga, mutha kupeza matenda monga hypoglycemia.
Zolinga za Misinkhu Sewu
Mukamayesa mayeso am'magazi a wodwala, lingaliro lolakwika lokhudza matenda a shuga lingapangike.Kuwonjezeka kwa shuga m'magazi sikuti nthawi zonse kumangowonetsa kuzindikira komwe kulipo komanso kukhalapo kwa matenda oopsa. Ngati tilingalira zifukwa zazikulu zomwe shuga zimadumphira m'magazi, ndiye kuti anthu athanzi kwathunthu sayenera kupatula. Pali kusintha kwakuthupi kwamunthu mu thupi komwe kumapangitsa kukweza kwa m'mawa. M'moyo wamakono, nthawi zina pamakhala kuchepa kapena kuwonjezeka kwa shuga m'magazi. Tikuyankhula za machitidwe owonjezereka, ndipo kutulutsidwa kumene kamakhala kakanthawi ndipo sikumakhala ndi zotsatirapo zoyipa kwa anthu. Chitsanzo ndi izi:
- kuchita masewera olimbitsa thupi, kuphunzitsa kapena kugwira ntchito zolimbitsa thupi kuntchito,
- kuchuluka kwamalingaliro akuchulukitsa (kupititsa mayeso, kupereka lipoti),
- zinthu zoopsa zomwe zimawopseza moyo wa munthu,
- mantha amphamvu kapena mantha,
- anakhudzidwa kwambiri (kutaya okondedwa).
Zina zonse pamwambapa ndi zosakhalitsa, ndipo kuchuluka kwa glucose m'magazi kumabweranso kwachilendo atasiya kukhudzana ndi thupi la zinthu zomwe zili pamwambazi. Ngati shuga alumphira mu zochitika zotere, ndiye kuti izi sizitanthauza kupezeka kwa matenda oopsa. Khalidwe la thupi limayenera kuonedwa ngati njira yoteteza yomwe imathandizira munthu kuthana ndi zovuta ndikuti abwerere mwakale.
Koma sitiyenera kuyiwala za zifukwa zokulirapo zowonjezera shuga m'magazi. Kusintha kwachisokonezo m'thupi kumatha kukhala gwero la vuto lotere, ndipo kuwonjezeka kwam'mawa muyezo wachiphuphu wa glucose ikhoza kukhala chizindikiro choyamba chamankhwala.
Mitundu yotsatirayi yamatenda ingakhudze misempha ya magazi:
- khunyu
- kupweteketsa mtima
- ubongo ukuvulala
- ululu
- kuwotcha matenda
- kugwidwa muubongo
- myocardial infaration
- Opaleshoni
- kuvulala ndi kuwunduka
- matenda a chiwindi.
Zizindikiro Za Matenda A shuga
Ndi kuwonjezeka kwa shuga m'magazi, mutha kuwona kusintha kapena zizindikiro za matenda akulu kwa wodwala. Chodziwika kwambiri ndi ludzu losalekeza. Zodabwitsazi zimachitika chifukwa choti ndi shuga wowonjezereka thupi limataya madzi nthawi zonse ndipo silimatha kuigwira kwa nthawi yayitali. Chowonjezera kapena chizindikiro cha matenda ashuga ndi pakamwa pouma. Glucose imamwa madzi onse obwera, pomwe chizindikiro kuchokera ku ziwalo zonse zakusowa kwa madzi chimafika ku ubongo.
Munthu yemwe ali ndi matenda ashuga amatha kusungunuka ndikuwona kuchuluka kwa madzi omwe amatuluka. Chizindikiro cha matendawa ndi kuthamanga kwa magazi, zomwe zikusonyeza kuphwanya impso. Kuphatikiza apo, m'malo osiyanasiyana komanso matenda osiyanasiyana, odwala matenda ashuga amatha kudwala kwambiri kapena kuwonda.
Zomwe zimawopseza kuchepetsa shuga
Pali nthawi zina pomwe kuchepa kwa shuga kumachitika. Ili ndi vuto lalikulu monga milingo yama glucose okwera. Nthawi zambiri, wodwala amatha kuzindikira zizindikiro zoyambirira pomwe kuchepa kumafikira 4 mmol / L.
Chomwe chikuwopseza kuchepa kwa shuga? Izi ndizowopsa kwa odwala matenda ashuga, omwe amakhala ndi zotsatirapo zoopsa. Zizindikiro zazikulu za matendawa zitha kuganiziridwa: kumangokhala ndi njala, kutopa ndi kuwonongeka kawirikawiri, thukuta losadziwika bwino, kuchuluka kwa mtima ndi kumva kulira m'milomo.
Kodi nchiyani chomwe chikuwopseza mlandu wonyalanyazidwa wa kuchepa kapena kuchuluka kwa shuga m'magazi? Muzochitika zapamwamba, pamene kutsika kwa shuga m'magazi mpaka 55 mg / dl, munthu amayamba kusokoneza ubongo. Kuchokera pakuchepa kwa shuga m'thupi, chiwalochi chimalephera kugwira bwino ntchito, ndipo wodwala sangayankhe mokwanira padziko lapansi. Ndi kutsika kwamwadzidzidzi m'magazi a shuga, thupi la wodwalayo silikwananso kudzipulumutsa lokha, ndipo ngati lingachepe mpaka 30 mg / dl, kukhudzika ngakhale kufa kungatheke.
Kupewa matenda
Pofuna kupewa matenda ashuga komanso matenda ena onse omwe amadalira kutulutsidwa kwa shuga m'thupi lanu, muyenera kutsatira zakudya zapadera ndikuwunika zomwe mumadya.
Chofunikira kwambiri ndikuwongolera kuchuluka kwa shuga omwe amamwa tsiku lililonse komanso zinthu zonse zokhala ndi shuga.
Dzichepetsani nokha ku confectionery, zipatso za shuga ndi mizimu. Kuti tikwaniritse kusintha kwamisempha yamagazi, kudya kamodzi sikokwanira. Madokotala amalimbikitsa kuti azilimbitsa thupi lanu tsiku lililonse komanso kuchita masewera olimbitsa thupi apadera. Yesetsani kuyenda mumlengalenga tsiku lililonse ndikukhala ndi malingaliro abwino. Kuphatikiza apo, muyenera kumvera thupi lanu ndipo ngati muwona zofanana ndi zizindikiro ndi matendawa, funsani dokotala nthawi yomweyo.
Chifukwa chiyani shuga ndimagazi nthawi zambiri madzulo ndipo amakwezedwa m'mawa: zifukwa
Kuti mumvetsetse zomwe zikuwonjezera komanso kuchepa kwa shuga nthawi zosiyanasiyana masana, muyenera kupenda mawonekedwe amthupi omwe amagwirizana ndi izi. Chifukwa chake, lero tiona chifukwa chake zizindikiritso za thupi madzulo zimadutsa malire, ndipo m'mawa zimadzuka.
Shuga wambiri ndi vuto lomwe limadetsa nkhawa anthu ambiri odwala matenda ashuga. Zimakhala zowonekera kwambiri ngati shuga ali bwino usiku ndi madzulo, ndipo amadzuka m'mawa ndi masana.
Nthawi iliyonse mukawona gawo lalikulu kwambiri la chizindikirochi mthupi, muyenera kumvetsetsa kuti pali zifukwa zomwe izi zimafunikira kuzindikira nthawi yomweyo ndikuchotsedwa.
Lero tiona chifukwa chake m'mawa shuga amawakwezedwa, ngakhale anali abwinobwino usiku watha. Chifukwa chake, chifukwa chiyani shuga m'magazi amadzuka m'mawa, zimatengera zinthu zingapo.
Zomwe madotolo amati pa matenda ashuga
Doctor of Medical Science, Pulofesa Aronova S. M.
Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.
Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 100%.
Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale atha kupeza mankhwala ZAULERE.
Ziwonetsero zam'mawa bwanji?
Ngati muli ndi shuga m'mawa, pakhoza kukhala zifukwa zingapo za izi. Iliyonse ingathetsedwe, koma choyamba muyenera kusankha zomwe zikugwirizana nanu:
- Morning Dawn Syndrome. Izi ndi zodabwitsamo zomwe m'mawa mahomoni apadera amayamba kugwira ntchito m'thupi zomwe zimatulutsa chakudya, chomwe chimaphwanya nthawi yomweyo ndikulowa m'magazi. Vutoli likhoza kutha lokha, popanda kuchitapo kanthu, koma nthawi zina zimakula kwambiri. Ngati chifukwa cha ichi mumatuluka shuga m'mawa, kambiranani ndi dokotala wanu za zakudya zomwe mumamwa,
- Somoji syndrome. Ichi ndichinthu chinanso chomwe chimapangitsa kuti shuga azikula m'mawa kuposa madzulo. Izi zimachitika chifukwa usiku kuchuluka kwake kunachepa. Poyankha pamavuto omwe abwera, thupi lidakhazikitsa malo omwe alipo kale, zomwe zimapangitsa kuti kuwonongeka kwa mafuta osungira ayambe, ndipo zizindikirazi zakwera kwambiri.
Izi ndi zinthu zomwe zimafotokozera chifukwa chake shuga m'magazi amadzuka m'mawa. Iliyonse ya mankhwalawa itha kuthetsedwa ngati tifika mosamala pankhani ya chithandizo. Koma shuga m'mawa ndiwabwinobwino - siliri vuto lokha la odwala matenda ashuga.
Zomwe Zimayambitsa Kuwala Kwakukulu usiku
Ngati mukufuna kudziwa chifukwa chake kuchuluka kwa gawo ili m'magazi kumatuluka chakudya chamadzulo kapena usiku, kenako werengani mndandanda wa zinthu zomwe zingatheke:
- Mumadya zakudya zamafuta ambiri pakudya kwamadzulo. Izi ndi zofunikira kwambiri pamene kugawanika kwa mphamvu kumayambira ndipo zizindikiro zonse zikukwera kwambiri,
- Mumadya zakudya zazing'ono tsiku lonse, komanso kudya kwambiri usiku. Kenako katundu wamkulu kwambiri m'thupi amagwera munthawi yomweyo.
Monga mukuwonera, yankho la funso loti shuga limatuluka madzulo limadziwika. Palibe mahomoni kapena mankhwala omwe amakhudza izi. Zonse ndi zanu. Sinthani pambuyo pofunsa dokotala koyamba kuti mupewe zovuta. Mutha kupatsidwa mankhwala ogulitsa mankhwala.
Osatinso zomveka, koma zovuta kwambiri: chifukwa chiyani shuga ndimagazi nthawi zambiri madzulo ndikukwezedwa m'mawa?
Anthu wamba amazolowera kuti amakhulupirira kuti kuchuluka kwa shuga m'magazi kumatha kokha pambuyo pa kudya zakudya zamagulu.
Ndipo kudabwitsika kwawo ndikotani, atatha kuyesa kunyumba, adazindikira kuti kuwerenga m'mawa kosala kudya kupitilira miyambo yonse.
M'malo mwake, zomwe zimachitika mthupi zimakhala ndi mawonekedwe osiyana. Ndipo kuti musadabwe ndi zotsatirapo zake, muyenera kuzolowera zomwe zidawonekera.
Chifukwa chiyani shuga ndimagazi ndilabwinobwino madzulo ndikukweza m'mawa?
Mumagona ndi glucose abwinobwino, ndipo mumadzuka ndi glucose okwera, ndipo zimakuvutitsani ... ziyenera kukhala njira inayo. M'malo mwake, pali zifukwa zina zamtunduwu.
Mwa zina mwazomwe zimapangitsa kuchuluka kwa shuga m'mawa ndi awa:
- Madzulo mumadya chakudya chamafuta ochulukirapo, ndikupangitsa shuga kuchuluka;
- vuto la hypoglycemic lidapangitsa kuchuluka kwa shuga m'magazi,
- unagona osadya, chifukwa choti thupi lidagwiritsa ntchito malo obisika.
- mukumwa mankhwala molakwika. Ndikothekanso kuti dokotala anakusankhirani mlingo woyenera.
Ngati shuga adakwera chifukwa cha zifukwa zomwe zili pamwambapa, onetsetsani kuti mukumana ndi dokotala. Katswiriyu adzakutumizirani kuyezetsa, malinga ndi zotsatira zake zomwe adzasankhe njira zoyenera zomwe zingapatse thupi momwe mungafunire.
Ngati chomwe chimapangitsa kuti kudumpha kukhale kupanikizika nthawi zonse, muyenera kuganiziranso za moyo wanu. Kupanda kutero, ngakhale kugwiritsa ntchito mankhwala osatha sikungakuthandizeni.
Ngati muli athanzi, wodekha, chizolowezi chatsiku ndi tsiku komanso kudya moyenera ndi njira yabwino kwambiri yopeedzera shuga. Kuchita izi kumathandizira kusintha zomwe zimathandizira komanso kupewa kudumpha.
Chifukwa chiyani kusala kudya kwa glucose kumakwera?
Kuchuluka kwa shuga m'mawa pamimba yopanda kanthu kumatha kuchitika ngakhale mwa anthu athanzi lathunthu. Maziko azotsatira izi ndi njira zachilengedwe zomwe zimachitika mthupi la munthu.
Momwe munthu ali m'tulo, mulingo wa shuga uli pamlingo woyenera.
M'mawa, ntchito yayikulu ya mahomoni imayamba, kupezeka kwake komwe kumakhudza kudzutsidwa. Panthawi inayake, kugwira ntchito kwa insulin pa glucose kumapanikizika, chifukwa chomwe chizindikiro chimayambika cha kuyambika kwake.
Komanso, chomwe chimayambitsa kulumpha m'mawa kwambiri chikhoza kukhala kutulutsidwa kwa gawo lina la shuga m'chiwindi. Kutukuka kwamawonekedwe a shuga m'magazi kumachokera 4 mpaka 7 m'mawa.
Inali panthawiyi kuti nthawi yodzutsa kwachilengedwe idayamba, pomwe thupi la munthu limadzuka ndikuyamba kugwira ntchito yolimbikira.
Musadabwe ngati zotsatira zam'mawa m'mawa ndizochulukirapo kuposa masiku onse.
Zomwe zimapangitsa kuti shuga achulukane m'mawa 1 ndi 2 matenda ashuga
Odwala a Type 1 ndi 2 a shuga nthawi zambiri amadandaula za kulumpha kwakuthwa m'magazi m'mawa.
Nthawi zambiri, izi zimachitika kuyambira 3 mpaka 5 koloko m'mawa, pomwe adalandira dzina la ndakatulo "m'mawa kutacha" kuchokera kwa akatswiri.
Matendawa sapezeka mwa odwala onse omwe ali ndi matenda ashuga. Nthawi zambiri, achinyamata amadwala.
Komanso, "m'bandakucha" kumadzipangitsa okha komanso akulu kudziwa, mosasamala mtundu wa matenda. Pakadali pano, zomwe zimayambitsa matendawa sizinakhazikitsidwe ndi akatswiri.
Komabe, asayansi amati chinthu chachikulu chomwe chimapangitsa kudumpha kwakukulu ndi njira zachilengedwe za endocrine zomwe cholinga chake ndi kuuka ndi kuchitika m'thupi la munthu aliyense.
Zina mwazinthu zomwe zimayambitsa kuyambika kwa "m'bandakucha" ndi izi:
- chakudya chamadzulo kwambiri
- kupsinjika komwe kunachitika dzulo
- machitidwe a thupi
- Mlingo wolakwika wa insulin
- kutupa kwamkati mwa matenda kapena pachimake.
Kuti muzindikire za matendawa, mudzayenera kuchita zoyeserera kunyumba kuchokera pa 00 mpaka 7 m'mawa.
Zomwe zimapangitsa kuti shuga Asachepera Masana ndi High Morning
Chomwe chimakhala ndi shuga m'mawa kwambiri panthawi yochepa kapena yabwinobwino kapena madzulo odwala matenda ashuga chagona mu "m'mawa kutacha".
Nthawi kuyambira 3 mpaka 5 oveni m'mawa, thupi limayamba kupanga shuga mawa, ndikugwiritsa ntchito malo obisika kapena kudya chakudya chomwe mwadya tsiku latha.
Kudumpha kwazizindikiro kumawonekeranso mwa iwo omwe alibe matenda a shuga. Komabe, anthu athanzi nthawi zambiri sazindikira kusintha kotere ndipo samawakomera.
Nthawi zina, wodwala akakhala ndi matenda a shuga kapena mtundu woyamba wa 2 kapena wa 2, zomwe zimapangitsa kuti asinthe kwambiri ndi chakudya champhamvu, chogwiritsidwa ntchito dzulo, kapena vuto.
Vutoli limafunikira kuwunikidwa ndi katswiri pafupipafupi, ndipo ngati pakuchitika zochulukirapo mwamphamvu, kuchitapo kanthu mwadzidzidzi.
Chifukwa chiyani shuga amapezeka kwambiri usiku, komanso sabwinobwino masana ndi m'mawa?
Muzochita zachipatala, palinso mikhalidwe yosinthika pamene shuga amadzuka usiku, ndipo m'mawa amabwerera mwakale ndikukhazikika pamlingo wonsewo tsiku lonse.
Zomwe zimasinthika zimapezeka mu zakudya zosakonzedwa bwino. Choyambitsa chachikulu cha kudumpha kwamadzulo ndikudya kwambiri nthawi yogona kapena yogwiritsa ntchito chakudya usiku.
Zikakhala choncho, thupi limayenera kugwiritsa ntchito mphamvu zambiri pokonza shuga yemwe adalowetsedwa.
Kuperewera kwa chakudya masana komanso kuyamwa kwambiri chakudya madzulo kumayambitsa kusokonezeka kwa kayendedwe kazopaka, chifukwa chomwe kuchuluka kwa shuga m'magazi kumatha kuwuka kwambiri.
Njira yokhayo yosinthira kuchuluka kwa shuga ndikusintha menyu, komanso kugawa chakudya cholowetsedwa m'magawo ang'onoang'ono.
Momwe mungachepetse shuga m'mawa
Ndikofunikira kudziwa! Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi angayambitse matenda athunthu, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso ngakhale zotupa za khansa! Anthu amaphunzitsa zomwe zinawawa kuti azisinthasintha misempha yawo ...
Funso ili ndilokondweretsa kwa odwala ambiri. Chizindikiro cha shuga wabwinobwino m'magazi a capillary kwa anthu athanzi m'mawa pamimba yopanda kanthu ndi 4.0-5,5 mmol / l.
Osatengera kuti mwadwala matenda a shuga 1 kapena mtundu 2 kapena prediabetes, njira zofunikira ndizofunikira.
Dziwani bwino chakudya chamadzulo. Idyani maola 4 asanagone. Ndikwabwino ngati nthawi yayitali pakati pa chakudya chotsiriza komanso nthawi yogona ndi maola 5 (mwachitsanzo, idyani chakudya chamadzulo ku 18,00 ndikupita kukagona 23,23).
Kuphatikiza pa chakudya cham'mawa choyambirira, odwala omwe ali ndi matenda a shuga a 2 ayenera kudya metformin pamapiritsi otulutsidwa (mwachitsanzo, Glucofage Long). Mankhwala amakupatsani mwayi kuti muzisunthira muyezo ngakhale m'mawa.
Glucophage Mapiritsi Amtali
Kwa odwala matenda ashuga omwe ali ndi matenda omwe amadalira insulin, tikulimbikitsidwa kugwiritsa ntchito mankhwala a insulin nthawi yayitali kusiyanasiyana ndi zizindikiro.
Ndipo kumbukirani, palibe chakudya chomwe chingachepetse kugwira ntchito m'mawa! Kutsika kumatha kuchitika mothandizidwa ndi mankhwala, kapena chifukwa chogwiritsa ntchito kukonza zakudya komanso zochita za tsiku ndi tsiku. Chifukwa chake, simuyenera kutsatira malangizowo pakugwiritsa ntchito zakudya zina zotsika shuga zomwe osagwiritsa ntchito bwino amagawa pa Webusayiti.
Chifukwa chiyani shuga limatuluka m'mawa pamimba yopanda kanthu? Mayankho mu kanema:
Kuyang'anira shuga m'magazi am'mawa, sikofunikira kufunsa ogwira ntchito. Miyeso imatha kupangidwa kunyumba, pogwiritsa ntchito njira yofanana ndi glucometer.
Kuwonjezeka kwamphamvu kwa glucose nthawi imodzi ndi belu lodetsa nkhawa kwa wodwala. Kuwonjezeka kwa chiwonetsero cha shuga kungawonetse kukula kwa matenda a shuga kapena kungakhale chifukwa cha zakudya zopanda dongosolo.
Kusala shuga lamwazi: chizolowezi ndi momwe mungachepetse. M'mawa kutulutsa mphamvu
Kusala shuga lamwazi: pezani chilichonse chomwe mukufuna. Werengani kuti mudziwe momwe zimakhalira, momwe mungayang'anire kuchokera mu chala komanso kuchokera m'mitsempha, ndipo koposa zonse - momwe mungachepetse chizindikirochi ndi chakudya chamagulu, kumwa mapiritsi ndi jakisoni wa insulin. Mvetsetsani zomwe zili zodabwitsa m'mawa zam'mawa, chifukwa chake zimadzutsa shuga m'mimba yopanda kanthu m'mimba yopanda kanthu masana ndi madzulo.
Kusala shuga m'magazi m'mawa: Nkhani yatsatanetsatane
Momwe mungayesere kuyesa kwa shuga?
Mwachidziwikire, simungadye chilichonse chamadzulo. Koma nthawi yomweyo, kuchepa thupi kwa thupi sikuyenera kuloledwa. Imwani madzi ndi tiyi wazitsamba. Yesetsani kupewa kupsinjika kwakuthupi ndi kwam'mawa tsiku loti litayesedwe. Osamamwa mowa wambiri.
Ngati pali matenda omveka bwino kapena obwera m'thupi, kuchuluka kwa glucose m'magazi kumachulukanso. Yesani kuganizira izi. Ngati simunapime mayeso anu, onetsetsani ngati muli ndi mano owanika, matenda a impso, matenda amkodzo, kapena chimfine.
Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitsidwe
Kodi kusala kudya magazi ndi chiyani?
Yankho lenileni la funsoli linaperekedwa munkhani yoti: "shuga wamagazi". Zimawonetsa zomwe amayi ndi abambo akuluakulu, ana amisinkhu yosiyanasiyana, amayi oyembekezera. Mvetsetsani momwe kusala kudya kwa glucose kumasiyana ndi anthu athanzi komanso anthu omwe ali ndi matenda ashuga. Zambiri zimawonetsedwa mwanjira ya matebulo osavuta ndi owoneka.
Kodi kusala shuga kumasiyana bwanji ndi chakudya musanadye chakudya cham'mawa?
Sizosiyana ngati mumadya kadzutsa nthawi yomweyo, mukadzuka m'mawa. Anthu odwala matenda ashuga omwe samadya madzulo pambuyo pa maola 18-19, nthawi zambiri amayesa kudya chakudya cham'mawa mwachangu. Chifukwa amadzuka amapumula bwino komanso amakhala ndi chidwi chofuna kudya.
Ngati mwadya mochedwa, ndiye m'mawa simudzafuna chakudya cham'mawa kwambiri. Ndipo, nthawi yayikulu, chakudya chamadzulo chimapangitsa kuti mugone bwino. Tiyerekeze kuti mphindi 30-60 kapena kuposerapo patadutsa chakudya cham'mawa. Pankhaniyi, zotsatira za kuyesa shuga mukangodzuka komanso musanadye zidzakhala zosiyana.
Zotsatira zam'mawa zam'mawa (onani pansipa) zimayamba kugwira ntchito kuyambira 4-5 m'mawa. M'chigawo cha maola 7-9, pang'onopang'ono amayamba kufooka ndikusowa. Mu mphindi 30-60 iye akutha kufooka. Chifukwa cha izi, shuga m'magazi musanadye akhoza kutsika kuposa momwe mumatulira nthawi yomweyo.
Kodi ndichifukwa chiyani shuga amasala kudya kwambiri m'mawa kuposa masana ndi madzulo?
Izi zimatchedwa chodabwitsa cha m'bandakucha. Ikufotokozedwa mwatsatanetsatane pansipa. Shuga m'mawa wopanda kanthu amakhala okwera kuposa masana ndi madzulo, odwala matenda ashuga ambiri.
Ngati mungayang'anire izi kunyumba, simukuyenera kungosankha izi ngati lamulo. Zomwe zimayambitsa izi sizikudziwika kwenikweni, ndipo simuyenera kudandaula nazo.
Funso lofunika koposa: momwe mungapangire matenda a shuga m'mawa popanda kanthu. Werengani za izi pansipa.
Chifukwa chiyani shuga m'mawa amathamanga kwambiri, ndipo ndikatha kudya zimakhala zabwinobwino?
Zotsatira zam'mawa zam'mawa zimatha 8-9 a.m. Anthu ambiri odwala matenda ashuga samavutika kusintha shuga atatha chakudya cham'mawa kuposa chakudya chamasana komanso chakudya chamadzulo.
Chifukwa chake, pakudya m'mawa, kudya zakudya zamagulu ochulukitsa kuyenera kuchepetsedwa, ndipo mlingo wa insulin ungakulidwe. Mwa anthu ena, zodzuka zam'mawa zimachitika mofooka ndipo zimasiya msanga.
Odwala awa samakhala ndi vuto lalikulu ndi kuchuluka kwa shuga m'magazi awo atatha kadzutsa.
Zoyenera kuchita, momwe mungathandizire ngati shuga amatuluka m'mawa kokha pamimba yopanda kanthu?
Odwala ambiri, shuga m'magazi amadzuka m'mawa wopanda kanthu, ndipo masana ndi madzulo asanagone amakhalanso abwinobwino. Ngati muli ndi vuto ngati ili, musaganize kuti ndinu osiyana ndi ena. Cholinga chake ndichinthu cham'mawa cham'mawa, chomwe chimadziwika kwambiri pakati pa odwala matenda ashuga.
Matendawa ndi prediabetes kapena matenda ashuga. Zimatengera kuchuluka kwa zomwe glucose wanu amafikira. Onani kuchuluka kwa shuga m'magazi. Komanso kuchokera pazotsatira za kusanthula kwa glycated hemoglobin.
Chithandizo cha shuga m'mawa pamimba yopanda kanthu:
- Kanani kudya mochedwa, musamadye pambuyo pa maola 18-19.
- Kumwa mankhwala a metformin (abwino Glucofage Long) usiku ndi kuwonjezeka kwapang'onopang'ono kwa mlingo kuchokera 500 mpaka 2000 mg.
- Ngati othandizira oyambirira komanso mankhwala a Glucofage sathandizira zokwanira, mukufunikabe kuyika insulin yayitali madzulo musanagone.
Osanyalanyaza vutoli. Kunyalanyaza izi kungapangitse kukula kwa zovuta za matenda ashuga pakapita miyezi yambiri kapena zaka. Ngati munthu wodwala matenda ashuga apitilirabe kudya mochedwa, mapiritsi kapena insulin sangamuthandize kubwezeretsa shuga m'mawa.
Zoyenera kuchita ngati kusala shuga kuli 6 komanso pamwambapa? Kodi ndi matenda ashuga kapena ayi?
Dokotala wanu mwina angakuuzeni kuti shuga yofulumira ya 6.1-6.9 mmol / L ndi prediabetes, osati matenda oopsa.
M'malo mwake, ndi zizindikirozi, zovuta za matenda ashuga zimayamba kusinthika. Muli ndi chiopsezo chachikulu cha matenda a mtima komanso chiyembekezo chochepa chamoyo.
Ngati mtima ndi mitsempha yamagazi yomwe imadyetsa ija ndi yolimba, ndiye kuti pali nthawi yokwanira kuti mudziwe zovuta zowopsa zamasomphenya, impso ndi miyendo.
Kuthamanga shuga wa 6.1-6.9 mmol / L ndi chizindikiro kuti wodwala amafunikira chithandizo champhamvu.
Muyenera kudziwa momwe shuga yanu imakhalira mutatha kudya, ndikuwunikanso hemoglobin ya glycated, ndikuwonetsetsa ntchito ya impso.
Werengani nkhani yakuti “Kuzindikira matenda a shuga” ndi kudziwa mtundu wa matenda omwe mumakonda. Pambuyo pake, gwiritsani ntchito njira ya 2 yothandizira odwala matenda ashuga kapena mtundu wa pulogalamu ya 1 ya matenda a shuga.
M'mawa kutulutsa mphamvu
Kuyambira pafupifupi 4:00 mpaka 9:00 m'mawa, chiwindi chimagwira kwambiri magaziwo ndikuwawononga. Chifukwa cha izi, odwala matenda ashuga ambiri samakhala ndi insulin yokwanira m'mawa kwambiri kuti shuga azikhala bwino. Miyezo ya glucose imakwezedwa ndikayesedwa mutadzuka pamimba yopanda kanthu.
Zimakhalanso zovuta kuchita shuga mutakhala chakudya cham'mawa kuposa chakudya chamasana komanso chakudya chamadzulo. Izi zimatchedwa chodabwitsa cha m'bandakucha. Sichimawonedwe mu odwala matenda ashuga onse, koma ambiri. Zomwe zimayambitsa zimagwirizanitsidwa ndi zochita za adrenaline, cortisol ndi mahomoni ena omwe amapangitsa thupi kudzuka m'mawa.
Kuchulukitsa shuga kwa maola angapo m'mawa kumalimbikitsa kukula kwa zovuta za matenda ashuga. Chifukwa chake, odwala odziwa kuyesa amayang'anira nyengo yam'mawa. Koma izi ndizosavuta kukwaniritsa.
Kuchita jakisoni wa insulin yayitali, yotengedwa usiku, m'mawa imafooketsa kapena ngakhale kusiya kwathunthu. Ngakhale zosapindulitsa kwenikweni ndi mapiritsi omwe amamwa usiku.
Kuyesa kuwonjezera kuchuluka kwa insulin yayitali yomwe imabayidwa usiku kumatha kubweretsa hypoglycemia (shuga yochepa magazi) pakati pausiku. Kuchepetsa shuga patsiku kumayambitsa zovuta, zolakwika ndi thukuta.
Momwe mungachepetse kusala kwa magazi?
Kumbukirani kuti shuga lomwe limalawirira m'mimba yopanda kanthu, monga nthawi ina iliyonse masana, ndi 4.0-5,5 mmol / l. Kuti mukwaniritse, choyambirira, muyenera kuphunzira kudya mwachangu. Idyani zamadzulo osachepera maola 4 musanagone, ndipo makamaka maola 5.
Mwachitsanzo, idyani chakudya chamma 18:00 ndikupita kukagona 23:00. Pambuyo pake chakudya chamadzulo chidzakulitsa shuga wamagazi m'mawa wotsatira. Palibe insulin ndi mapiritsi omwe amamwa usiku omwe angakupulumutseni ku izi.
Ngakhale Treshiba insulin yatsopano kwambiri komanso yapamwamba kwambiri, yomwe ikufotokozedwa pansipa. Pangani chakudya cham'mawa kwambiri.
Ikani chikumbutso pafoni yanu theka la ola isanakwane nthawi yakudya yamadzulo.
Odwala onenepa kwambiri omwe ali ndi matenda a shuga a 2 amatha kuyesa kutenga mapiritsi a Metformin usiku wonse Glucofage Long. Mlingo ungaonjezeke pang'onopang'ono mpaka kufika pa 2000 mg, mapiritsi 4 a 500 mg. Mankhwalawa amagwira ntchito pafupifupi usiku wonse ndipo amathandiza odwala ena kukhala ndi shuga m'mawa wotsatira pamimba yopanda kanthu.
Kuti mugwiritse ntchito usiku umodzi, mapiritsi a glucophage omwe akhala akuchita kwa nthawi yayitali ndi oyenera. Anzawo otsika mtengo ndi bwino osagwiritsa ntchito. Masana, pakudya cham'mawa komanso nkhomaliro, mutha kumwa mapiritsi ena wamba a metformin 500 kapena 850 mg. Mlingo wa tsiku lililonse wa mankhwalawa suyenera kupitirira 2550-3000 mg.
Kuti muchepetse shuga m'mawa pamimba yopanda kanthu, simuyenera kugwiritsa ntchito mapiritsi ena kupatula metformin. Onani mndandanda wamankhwala oyipa a shuga. Kanani kuzitenga nthawi yomweyo.
Gawo lotsatira ndikugwiritsa ntchito insulin. Kuti mupeze shuga wabwinobwino m'mimba yopanda kanthu, muyenera kubaya insulin yokwanira madzulo. Werengani zambiri mu nkhani "Kuwerengera kuchuluka kwa insulin yayitali usiku ndi m'mawa."
Imapereka zofunikira zonse.
Mvetsetsani chifukwa chomwe Tresiba insulin ilili bwino lero kuposa anzawo. Onerani kanema pomwe Dr. Bernstein akufotokozera mwatsatanetsatane momwe angayang'anire zochitika zam'mawa. Ngati mungayese, mudzakwaniritsa kuchuluka kwa shuga m'mawa pamimba yopanda kanthu.
Kuyamba kubayila insulin, muyenera kupitiliza kutsata zakudya zama carb ochepa komanso kudya chakudya chamadzulo molawirira, monga tafotokozera pamwambapa.
Ndikudya chiyani madzulo chakudya chamadzulo kapena usiku musanagone kuti shuga azikhala bwino m'mawa wotsatira?
Mitundu yosiyanasiyana ya chakudya chochulukirapo kapena chochuluka imawonjezera shuga m'magazi. Kutengera ndi katunduyu, komanso zomwe zili ndi mavitamini ndi michere, zopangidwa muzakudya zimagawidwa zoletsedwa komanso zovomerezeka kwa odwala matenda ashuga. Koma palibe chakudya chomwe chimachepetsa shuga!
Mukudziwa kuti ma carbohydrate a magazi amawonjezera shuga m'magazi atakakwiridwa ndi kumizidwa. Tsoka ilo, shuga nawonso amatuluka chifukwa cha kutalika kwa makoma am'mimba ndi chakudya chomwe chakudya. Izi zimachitika mosasamala zomwe munthu amadya, ngakhale nkhuni za nkhuni.
Kumva kutalika kwa makoma am'mimba, thupi limatulutsa shuga m'magazi m'malo ake osungirako mkati. Umu ndi momwe mahomoni a insretin, omwe amapezeka mu 1990s, amathandizira. Dr. Bernstein m'buku lake amatcha "zotsatira za malo odyera achi China."
Palibe chakudya chomwe chingachepetse m'mawa m'mimba yopanda kanthu, pakudya m'madzulo, komanso kwambiri, usiku musanagone. Ndikofunikira kukhala ndi chakudya chamadzulo ndi zinthu zovomerezeka ndikutsimikiza osachedwa kuposa maola 18-19. Anthu odwala matenda ashuga omwe samasiya chizolowezi chodyera chakudya chamadzulo mochedwa, palibe mankhwala ndi insulin omwe angathandize kubwezeretsa shuga m'mawa.
Kodi kumwa kwamadzulo kumakhudza bwanji shuga m'mawa wopanda kanthu?
Yankho la funsoli limatengera:
- njira ya matenda ashuga,
- kuchuluka kwa mowa wotengedwa
- zokhwasula-khwasula
- mitundu ya zakumwa zoledzeretsa zomwe zidamwedwa.
Mutha kuyesa. Anthu odwala matenda ashuga saloledwa kumwa moyenera. Komabe, kuledzera kumavulaza kangapo kuposa anthu omwe ali ndi matenda a shuga. Nkhani ya "Mowa wa Matendawa" ili ndi zambiri zosangalatsa komanso zothandiza.
Chifukwa chiyani shuga m'mawa
Kuti mumvetsetse zomwe zikuwonjezera komanso kuchepa kwa shuga nthawi zosiyanasiyana masana, muyenera kupenda mawonekedwe amthupi omwe amagwirizana ndi izi.
Chifukwa chake, lero tiona chifukwa chake zizindikiritso za thupi madzulo zimadutsa malire, ndipo m'mawa zimadzuka.
Shuga wambiri ndi vuto lomwe limadetsa nkhawa anthu ambiri odwala matenda ashuga. Zimakhala zowonekera kwambiri ngati shuga ali bwino usiku ndi madzulo, ndipo amadzuka m'mawa ndi masana.
Nthawi iliyonse mukawona gawo lalikulu kwambiri la chizindikirochi mthupi, muyenera kumvetsetsa kuti pali zifukwa zomwe izi zimafunikira kuzindikira nthawi yomweyo ndikuchotsedwa.
Lero tiona chifukwa chake m'mawa shuga amawakwezedwa, ngakhale anali abwinobwino usiku watha. Chifukwa chake, chifukwa chiyani shuga m'magazi amadzuka m'mawa, zimatengera zinthu zingapo.
Zolemba zotchuka pamutuwu: bwanji m'mawa kwambiri magazi
Matenda a shuga a mellitus (DM) a mitundu yonse ya 1 ndi mtundu 2 amalumikizidwa ndi chiopsezo chachikulu cha matenda amtima, kuchuluka kwaimfa komwe odwala omwe ali ndi matenda amtundu wa 2 ndiwokwera katatu kuposa anthu ambiri, ndipo amaposa 75-80% yaimfa yonse, oposa theka la izi.
Kupitilizidwa. Yambirani pa No. 82. Tipitilizabe kufalitsa nkhani zamisonkhano yothandiza yasayansi yokhudza vuto la matenda ashuga, womwe unachitika pa Novembala 1 ku Kiev mothandizidwa ndi Aventis. Mutu wa matenda ashuga.
Kupewa komanso kuchiza matenda a shuga ndizothandiza nthawi zonse. Malingaliro atsopano aliwonse m'derali amakhala chidwi chokwanira kwa madotolo ndi odwala. Dziwani za zinthu zomwe zingaletse zovuta za matenda ashuga
Mafunso ndi mayankho pa: bwanji m'mawa kwambiri magazi
Kuchulukana kwamitsempha kumachulukitsa shuga.
Mimba ndibwino kuti musakonzekere tsopano. Zitha kutha kwa inu ma DIABETES. Yambitsani kulemera kwanu poyamba.
1) Choyamba, muyenera DIET: siyani maswiti pachakudya, muchepetsani mafuta m'zakudya kuti muzikwanira (osapatula omwe amakana: mafuta anyama, mafuta anyama, margarine, kusiya masamba ndi batala pang'ono), chifukwa mafuta ndiwo mafuta omwe amapanga mphamvu kwambiri. Ndipo zina zonse, payenera kukhala chakudya chochuluka kwambiri kotero kuti mungachepetse thupi mpaka mutakwanitsa kulemera koyenera.
2) Zambiri zolimbitsa thupi, kuyenda.
3) Ndipo kuikidwa kwa mankhwala ndikovomerezeka - pamaso pa endocrinologist. Mimba sayenera kukonzekera isanafike kg. Ndikukufunirani zabwino komanso zabwino!
Ndikubweretsa protocol:
"Gawo lamanzere lakutsogolo la parietali, kuyambira kumanja, lalikulu, pafupifupi 37 * 37 * 92mm kachulukidwe kachulukidwe kakang'ono. Kapangidwe kake sikakuwunikiridwa, makoma ammbali a membrane, pafupi-edema! Zizindikiro za matenda oopsa zimawonekera (pepani chifukwa chazolondola, zalembedwa mosasamala). .
Kutsiliza: kugunda kwamtima mu gawo lakumaso kwa ubongo.