Kuchuluka kwa shuga mwa akazi - tebulo pobera, zizindikiro za kupatuka

Ali ndi zaka 50, ndikofunikira kuwongolera kupatutsidwa kwa shuga m'mawonekedwe, chifukwa pambuyo pa zaka 50 m'magazi ndi m'thupi la mkazi, kusintha kumachitika komwe kumayambitsa kupangika kwa matenda a shuga mellitus (DM).

Ana azaka zapakati pa 50 amawerengedwa kuti ndi a gulu la zaka zapakati, momwe pafupipafupi kuchuluka kwa glucose othamanga kumawonjezeka, ndipo kumva kwa insulin kumachepa.

Mikhalidwe ya glycemic

Kuyambira wazaka makumi asanu, azimayi amatha kuwonjezera shuga ya magazi (glycemia). Kuti awongolere njirayi, kangapo pachaka amapereka magazi a shuga.

Kukula kwa kuyezetsa magazi sikuwonetsera kwathunthu chithunzi cha kusintha mthupi. Ali ndi zaka zapakati, dokotala amatha kukupatsani mayeso ololera a glucose (GTT).

Chakudya chamagulu omaliza

GTT imakupatsani mwayi wokhazikitsa kuchuluka kwa glucose okwanira chifukwa cha kuyesedwa kwa magazi mutatha kudya chakudya chamafuta, komanso momwe amabwezera mwachangu mwa amayi pa 50.

Monga njira yowunikira yoyerekeza kuchuluka kwa shuga, phunziroli limapemphedwa kuti mumwe njira yothetsera shuga. Zotsatira za GTT mwa akazi nthawi zambiri zimakhala zapamwamba kuposa momwe zimayembekezeredwa ngakhale ndi shuga wamba yotsika.

Shuga pambuyo pazakudya zingapo, zopumira ndi zakudya zimakwera m'magazi ndikukwera mwa amayi pambuyo pa zaka 50-60 motalikirapo kuposa achichepere.

Komabe, kusintha kotereku sikuli kwacibadwa, koma kumawonetsera kuphwanya, koyambirira kochepa, koma kokhoza kutsimikizira matenda ashuga m'tsogolo.

Mitundu ya GTT pa zaka 50 ndi zaka zingapo atatha msinkhu sizosiyana ndi zomwe achinyamata amakhala nazo. Kwa mayeso ololera a glucose, zomwe glycemia imayambira kuchokera mu mtsempha ndi chala ndizofanana.

Zizindikiro za shuga za GTT m'magazi kuchokera kumunwe ndi m'mitsempha, pamene sampling h / s patatha maola awiri atayesedwa shuga, mwa akazi azaka 50 amafotokozedwa mwachidule patebulo.

Monga zotsatirazi kuchokera ku deta, zaka khumi zilizonse kuchokera pakufika zaka 50, glycemia imawonjezeka ndi 0,5 mol / L.

Ngati mfundozo zili zapamwamba, ndiye kuti prediabetes imapezeka ndi 11.1 mmol / L, komanso matenda a shuga omwe ali ndi mitengo yayikulu ya GTT.

Kusala kudya

Kafukufuku wazokhudza shuga, magazi amatengedwa kuchokera kwa azimayi atagona, amakumananso ndi zikhalidwe za akulu msinkhu wazaka 50. Kukula pang'ono kumadziwika pokhapokha zaka 60.

Mulingo wa shuga mwa akazi zaka 50 mutadutsa mayeserowo uli pakati pa 3.5 mpaka 5.5 mmol / L.

Ndi ukalamba, mitengo ya glycemic imakwera pang'onopang'ono. Kuchokera pagome pansipa, zikuwonekeratu kuti zomwe shuga amasamba zimatsimikizika mwa azimayi azaka 50 kapena 64, zimakhalabe zofanana zaka 100 zitatha.

Malingaliro azaka za kudya shuga m'magazi a capillary amayikidwa patsogolo

4 ndemanga

Kuopsa kwa matenda ashuga kumadziwika kwa onse. Amayi ambiri amadziwa chizolowezi cha shuga, ena aphunzira kugwiritsa ntchito ma glucometer onyamula. Komabe, kuwunika koyenera kwa shuga kumafunikira kudziwa zaka ndi zikhalidwe za tsiku ndi tsiku, komanso malamulo a sampu yamagazi kuti aunikidwe.

• Chifukwa chake glycemic standard 5.5 ndi chizindikiro chokhacho chomwe chimafunikira kulingaliridwa mwatsatanetsatane.

Matebulo a shuga ambiri mwa akazi

Muzochitika zina, shuga mu mibadwo ya akazi amatsimikiziridwa ndi tebulo lomwe limapereka chidziwitso chokwanira. Zimatengera momwe zakhalira zaka, ziwerengero ndizofanana kwa abambo ndi amai. Komanso magawo owerengera gwero la glucose ayenera kuganiziridwanso.

Nthawi zambiri shuga amayeza mu mmol / l; gawo limagwiritsidwanso ntchito munkhaniyi. Komabe, muyezo wina nthawi zina umasinthidwa kukhala - mg / dl. Pankhaniyi, 1 mmol / l ndi ofanana 18.15 mg / dl ndipo, mosiyana, 1 mg / dl ndi ofanana ndi 0.06 mmol / l.

Mwazi wamagazi mwa akazi pambuyo pa zaka 50 ukukula pang'onopang'ono. Komabe, mwa anthu achikulire ndimomwe shuga imapezeka kwambiri. Chiwopsezo chowonjezeka cha matenda okalamba ndi chifukwa cha zinthu zambiri. Izi zimaphatikizapo kuchepa kwa chidwi cha minofu kupita ku insulin ndi kupangika kwake kocheperako mu kapamba.

Komanso, chizindikiritso cha shuga chimakhudzidwa ndi kunenepa kwambiri komanso kudya zakudya zopanda anthu okalamba: mwayi wopeza ndalama samakulolani kuti mudye moyenera, ndipo mafuta ndi chakudya chamagulu ochepa omwe amapezeka muzakudya (kusowa kwa mapuloteni komanso zovuta zamakina). Udindo wofunikira umaseweredwa ndi matenda ophatikizika, komanso kumwa mankhwala, omwe amatsogolera ku hyperglycemia (shuga wambiri). Zikatero, kuti ayese magazi a mkazi, madokotala amapita patebulo labwino kwambiri.

Mwazi wamagazi kuchokera kumtsempha komanso kuchokera pachala: kusiyana

Zotsatira za kusanthula mwachindunji zimadalira njira yochotsera magazi. Chifukwa chake, pogwiritsa ntchito mita (magazi kuchokera ku chala chotengedwa m'mawa pamimba yopanda kanthu), malingaliro abwinobwino amachokera ku 3,3, koma osapitilira 5.5. Muzipatala, magazi nthawi zambiri amatengedwa kuti awunikidwe kuchokera mu mtsempha, mwanjira imeneyi chizikhala chachikulu kuposa 3.5, koma osapitirira 6.1. Chifukwa chake, ngati muwona chithunzi mu mawonekedwe akusanthula shuga, opitilira 5.5 sayenera kuda nkhawa.

Gome lagolositi yamasiku onse

Kuchuluka kwa shuga m'magazi kumasiyana malinga ndi nthawi ya tsiku komanso kudya: kuchuluka kwa glucose kumawonjezeka ndikatha kudya komanso kutsika kwambiri ngati kungatheke usiku. Gome lotsatirali limakupatsani mwayi wowunika shuga masana ndikuzindikira kutuluka kwa spasmodic. Izi zimathandizira kuyesa kulolera kwa glucose ndikuzindikira wodwala matenda ashuga.

Zofunika! Kusiyana kwa shuga m'magazi a venous plasma ndi magazi a capillary sikuyenera kupitirira 0,5.

Shuga pa nthawi yapakati

Kufunika koyang'anira kuchuluka kwa shuga panthawi yapakati. Ndi nthawi yakukonzanso thupi lonse la akazi komwe kumachitika shuga, komwe nthawi zambiri kumachitika motsutsana ndi matenda ashuga. Ziwerengero zomwe zimapangitsa kuchuluka kwa shuga mwa amayi apakati:

Zomwe Zimakhudza Mwazi

Kuti mupeze zotsatira zodalirika kuchokera poyeserera shuga, mfundo zotsatirazi ziyenera kulingaliridwa:

• Ntchito zamagetsi ochepa zimapangitsa shuga. Komanso, kuchita masewera olimbitsa thupi mwamphamvu (kuchita masewera olimbitsa thupi, kuthamanga, ndi zina) kumapangitsa kutsekeka kwa glycogen yonse (shuga m'magazi) m'mphindi 30, ndikuchepetsa shuga. Mzimayi asanapereke magazi a shuga samalimbikitsidwa kuti azichita zolimbitsa thupi ndi ntchito yausiku. Kusagona mokwanira komanso kutopa zimasokoneza zotsatira za phunziroli.
• Simungachepetsa zakudya zomwe mumadya (kupewa maswiti) kapena kutsatira zakudya musanazisanthule. Kusala kudya kumabweretsa kuchepa kwa shuga: glycogen yonse imaphwanyidwa mkati mwa maola 12 mutatha chakudya chatha, koma chithunzi chenicheni cha kapamba ndizosokoneza.
• Mowa, ngakhale pang'ono, umadzetsa shuga. Kusuta, komwe kumakhudza njira zonse za metabolic mthupi, kumayambitsanso kupatuka kwa shuga kuchokera ku chizolowezi.
• Mwa anthu onenepa kwambiri, kuchuluka kwa shuga pamatha zaka 60, komanso zaka zilizonse, kumawonjezeka pang'ono. Kunenepa kwambiri nthawi zambiri kumayenderana ndi matenda a shuga.
• Kutenga diuretics-thiazides ndi beta-blockers zotchulidwa kwa odwala oopsa kumawonjezera shuga. Corticosteroids, mankhwala ena amkamwa ndi mankhwala a psychotropic amakhala ndi zotsatira zofananira.

Zofunika! Ngati kuchuluka kwa shuga ndikokwera kwambiri, kuti mupewe zolakwika, kuwunikiranso kuyenera kubwerezedwa tsiku lina, makamaka kuchipatala.

Shuga wapamwamba: prediabetes komanso matenda ashuga

Zizindikiro za Mafuta Aakulu

Kutengera ndi shuga wa magazi, madokotala amasiyanitsa pakati pa prediabetesic state ndi shuga mellitus yokha. Ziwerengero zamagazi, komanso malingaliro a endocrinologist, ndizosiyana kotheratu.

Zofunika! Mukamagwiritsa ntchito glucometer zopangidwa ku USA, ziyenera kukumbukiridwa kuti dziko lino lili ndi njira yosiyana yowerengera. Nthawi zambiri, tebulo limalumikizidwa ndi malangizo, malinga ndi momwe mungasinthire zotsatira.

Matenda a shuga ndi vuto pamene shuga wa magazi amasinthasintha m'dera la 5.5-6, malinga ngati magazi amachotsedwa kuchokera pachala m'mawa m'mawa asanadye chakudya cham'mawa. Chizindikiro cha magazi a venous mu prediabetesic state chikuchulukitsidwa, koma osapitirira 7. Zizindikiro za shuga yayikulu yamagazi ndi prediabetes nthawi zambiri sizikupezeka, kupatuka kumapezeka pokhapokha mayeso akapita.

Gawani ku boma la odwala matenda ashuga:

• kupsinjika ndi zolimbitsa thupi,
• kusiya mowa ndi ndudu,
• matenda opatsirana am'mimba, matenda amanjenje,
• cholesterol yayikulu
• hyperthyroidism ndi hypothyroidism,
• chizolowezi cha kudya mwachangu ndi kuphika, mwa anthu onenepa kwambiri.

Kuchita masewera olimbitsa thupi komanso kukonza thupi kumathandizanso kuti shuga azilimbitsa. Chakudyachi chimadzaza ndi fiber (masamba, zipatso), mafuta ndi mbale za ufa, shuga samayikidwa.

Matenda a shuga

Matenda a shuga amadziwika kuti kuchuluka kwa glucose m'magazi kumadutsa kuchokera kuminwe ya 6.1 ikaperekedwa pamimba yopanda kanthu m'mawa (kuchokera kumitsempha - 7) ndi zisonyezo za 10 (venous magazi - 11.1) maola 2 atatha kadzutsa. Kulimbana ndi matenda ashuga kwambiri, kumakulanso shuga. Komabe, azimayi ena adziwona zakuphwanya kale gawo la prediabetes. Zizindikiro za shuga m'magazi:

• Udzu wokhazikika komanso kumangokhala ndi njala pakudya
• Kuuma kwambiri pakhungu ndi kuyabwa;
• Zofooka, kuchuluka kwazowonjezera zomwe zikukakamiza,
• Mabala osachiritsika osakhalitsa pakhungu, chizolowezi chowonjezera komanso furunculosis,
• Kukoka pafupipafupi, kuyabwa m'malo oyandikira, azimayi nthawi zambiri amakhala ndi vuto lotupa losavulala,
• Kutulutsa magazi, kupweteka kwa dzino chifukwa cha matenda osakhalitsa,
• Kusamba kwa msambo (kusamba kwa msambo ndi hypothyroidism, pafupipafupi kapena kutulutsa magazi kwambiri kwa chiberekero ndi hyperthyroidism),
• Masomphenya otsika
• Kukula kwa mitsempha ya mitsempha ikuwonekera ndi endarteritis, mapazi ozizira komanso kuwuma.

Ngati mukupeza zizindikiro ziwiri kapena zingapo pamwambapa, muyenera kulumikizana ndi achipatala kuti muwone ngati pali shuga. Ndiophunzira za endocrinologist wokhawo amene amatha kuzindikira matenda a shuga ndi magazi ndi mkodzo, kenako n'kupereka chithandizo chofunikira.

Kufunika kwa mankhwala osokoneza bongo, kusankha kwa mankhwala - mapiritsi a antidiabetes kapena insulini - ndi mlingo wawo, amatsimikiza kutengera kuchuluka kwa shuga. Komabe, ngakhale atakufotokozerani mankhwala, kupatsa thanzi komanso kuwongolera moyo kumakhala ndi gawo lofunikira.

Zotsatira zakusintha kwokhudzana ndi zaka mu thupi la mkazi pambuyo pa zaka 40 pamlingo wa glycemia

Pakadutsa zaka 40, kusintha kwakukuru kwa mahomoni kumayamba mu thupi la mkazi.

Njira yolerera, yomwe, malinga ndi malamulo a chilengedwe cha amayi, safunidwa ndi mkazi moyo wake wonse, pang'onopang'ono imayamba kufooketsa ntchito yake.

Zotsatira zakusintha kotereku sikusintha kwakunja kokha, komanso kusintha kwakukuru kwa mahomoni komwe kumakhudza kugwira ntchito kwa chitetezo cha mthupi, endocrine, circulatory ndi machitidwe ena ambiri.

Mothandizidwa ndi zosintha zokhudzana ndi ukalamba, kusintha kwakukulu kwa mahomoni kumachitika komwe kumakhudza kwambiri kagayidwe kazachilengedwe.

Zotsatira zake, azimayi omwe ali ndi cholowa chamtsogolo amathandizira kuti azikhala ndi vuto lodana ndi shuga komanso matenda ashuga a mitundu yoyamba komanso yachiwiri.

Poletsa kukula kwa matenda oopsa, azimayi omwe ali ndi zaka 40-45 sayenera kunyalanyaza malangizo omwe adokotala amapeza chifukwa cha shuga wamagazi, omwe amaperekedwa pofuna kupewa.

Zisonyezo za plasma shuga

Mlingo wa glycemia m'magazi a capillary ndi lingaliro losintha. Nthawi zambiri, chizindikirochi chimasintha masana, ngakhale odwala athanzi, atagwa pambuyo polimbitsa thupi ndikuphwanya pang'ono chizolowezi pambuyo pakupeza zakudya zamafuta ambiri.

Kuti mupewe zolakwika, shuga ya plasma imawerengedwa.

Pazifukwa izi, magazi nthawi zambiri amatengedwa kuchokera ku chala. Koma ngati kuli kofunikira, kuchuluka kwa magazi a venous kungathenso kutengedwa, shuga omwe amakhala wokhazikika.

Kuwona kuchuluka kwa shuga wa plasma kungafunike pakuganiza kwa dokotala pazinthu zotsatirazi:

• monga mbali ya mayeso a chizolowezi, pomwe wodwala ali ndi zaka 40,
• mawonekedwe a hypo- ndi hyperglycemia,
• kuzindikira zamisala mu ntchito ya ziwalo za endocrine dongosolo,
• kugwiritsa ntchito okodzetsa kapena corticosteroids,
• kulimbitsa magazi kosalekeza komanso kuwonjezeka kwa kupanikizika kochokera 14/90 mm Hg ndi kumtunda
• zosokoneza mu chiwindi (matenda enaake),
• boma la prediabetes
• kupezeka kwa matenda ashuga
• kusanthula kapamba,
• kumangokhalira kumva kufooka komanso kuchepa kwa ntchito.

Komanso, pakufunsidwa kwa katswiri, chifukwa chomwe amawunikira kungakhale zinthu zina zomwe zimapangitsa kuti pakhale zovuta zamagulu kagayidwe kazakudya.

Kuchokera mu mtsempha kapena chala - kodi nkhaniyo imachokera kuti?

Kuyesedwa kwa shuga kwa shuga (kuwunikira kambiri) nthawi zambiri kumachitika ngati mbali yoyeserera kuchipatala. Zikatero, wondithandizira amakhala ndi magazi okwanira otengedwa kuchokera kunsonga ya chala kuti aphunzire.

Kuyesedwa kotere kumatengedwa pamimba yopanda kanthu. Ndipo pakuyenda kwake sikofunikira ayi kuti pali zinthu zina zomwe zikuwonetsa kuti ali ndi matenda ashuga.

Ngati wodwalayo wavumbulutsa kale kuwonongeka kamodzi mu chakudya cha carbohydrate, adokotala amafunikira kutulutsa magazi kuchokera m'mitsempha.

Popeza kuchuluka kwa shuga m'magazi a venous ndikokhazikika kuposa magazi amkati, katswiri angafunike chidziwitso cha kuchuluka kwa shuga m'magazi a venous kuti apange malingaliro ake pamkhalidwe wodwalayo.

Musadabwe ngati dokotala akupatsirani mwayi woti mukayezetseni magazi kuchokera mumtsempha.

Mndandanda wa miyezo ya shuga yamagazi mwa akazi pambuyo pa zaka 50-60

Matenda a shuga amawopa mankhwalawa, ngati moto!

Muyenera kungolemba ...

Pofuna kupewa zolakwika pakufufuza komanso kuti mudziwe zambiri, akatswiri amagwiritsa ntchito zizindikiritso zamagulu amisinkhu yosiyanasiyana azimayi.

Mwazi wa shuga wamagazi kwa akazi malinga ndi zaka:

Ngati wodwalayo waulula kale matenda osokoneza bongo kapena kuperewera kwa chakudya mu thupi, muyezo wake ukhoza kukhazikitsidwa ndi dokotala aliyense payekha.

Manambalawa amatha kusiyanasiyana kwambiri kapena pang'ono pang'onopang'ono pamiyeso yovomerezeka kwa odwala athanzi.Komabe, amaonedwa kuti ndi abwinobwino pankhani yachipatala inayake.

Glucose wabwinobwino mwa amayi achikulire omwe ali ndi matenda ashuga

Monga tidanenera pamwambapa, matenda ashuga okalamba komanso achinyamata palibe zomwe zikuwonetsa muyezo.

Nthawi zambiri, kwa odwala otere, chiwerengerochi, chomwe chingatengedwe ngati chizindikiro cha kukhazikika kwa vutoli, chimatsimikiziridwa ndi dokotala, poganizira za momwe thupi limakhalira ndi matendawa.

Ngakhale magawo amodzi okhazikitsidwa ndi adotolo, wodwala yemwe ali ndi matenda ashuga amayenera kuyesetsa kuti abweretse kuchuluka kwa glycemia momwe angathere ndi zisonyezo za munthu wathanzi, zovomerezeka pamsika wake.

Miyezo yotereyi imakhala yotetezeka momwe ingakhalire wathanzi, chifukwa monga kuchuluka kwa shuga m'magazi, chiopsezo chokhala ndi matenda ashuga ndi pafupifupi zero.

Zomwe zimapangitsa kuti shuga azikalamba

Chifukwa chachikulu chomwe chimayambitsa kukula kwa shuga kwa amayi achikulire ndikuchepa kwa chidwi cha maselo a beta, omwe amachititsa kuti inshuwaransi ipange.

Pazifukwa izi, mikhalidwe ndiyabwino kukulitsa matenda a shuga.

Chifukwa chachiwiri chomwe chimathandizira kukula kwa matenda a shuga mu ukalamba ndi kupezeka kwa zovuta zamankhwala, chithandizo chomwe chimafuna mankhwala okhazikika (nthawi zina amphamvu). Ambiri aiwo ali ndi zotsatirapo zosiyanasiyana zoyipa, zomwe zimaphatikizaponso chisokonezo pantchito yogaya chakudya.

Zotsatira zake, kuchuluka kwa kapamba kumasokonezeka. Zotsatira zake, pali kuchepa kwamphamvu kwa kupanga kwa insulini kapena kuchepa kwa chidwi cha maselo mpaka glucose. Ndipo uwu ndi maziko abwino pakupezeka kwa matenda ashuga.

Kuwunikira zizindikiro ndi mita yamagazi a nyumba

Kuti muwonetsetse thanzi lanu, sikofunikira kuti muziyendera labotale pafupipafupi. Miyeso imatha kuchitika kunyumba, pogwiritsa ntchito glucometer yokhala ndi mawonekedwe.

Chomwe chimapangitsa kudziwunikira kumatha kukhala deta yomwe ili patebulo, yomwe imawonetsa chizolowezi kwa azimayi amisinkhu yosiyanasiyana.

Pankhani yokhazikika yoyang'ana zizindikiro zapamwamba, muyenera kufunafuna thandizo la dokotala.

Kuti muwone zolondola, miyeso yonse iyenera kuchitika m'mawa pamimba yopanda kanthu.

Kodi mtengo wam shuga ndi ndalama zingati?

Mtengo wa glucometer pakugwiritsira ntchito nyumba ukhoza kukhala 450 mpaka 1500 rubles.

Chizindikiro ichi chikhoza kukhudzidwa ndi makina a ntchito za chipangizocho, mbiri ya wopanga, kuchuluka kwa zinthu zofananira mu seti, ndi zina zotero. Ngati mukufuna kupulumutsa ndalama, mutha kuganizira zamomwe mumagulitsa pa intaneti omwe nthawi zonse mumagulitsa zinthu zomwe muli nazo pamtengo.

Makanema okhudzana nawo

About miyezo ya shuga yamagazi mwa akazi asanafike zaka 50 mu kanema:

Kutalika kwa zaka 40-45 kwa thupi la mkazi ndi nthawi yofunikira malinga ndi kusintha kwa thupi. Chifukwa chake, amayi omwe afika msinkhu woyenera ayenera kulimbikitsa kuwongolera chikhalidwe chawo.