Hyperglycemia mu shuga

Anthu ambiri amafa ndi matenda amtima (CVD) chaka chilichonse kuposa matenda ena onse. World Health Organisation ilosera kuti kufa kwa CVD kudzachulukanso chaka chilichonse.

Njira ina yosachiritsika ndi matenda a shuga. Amayenda ndi wodwala mpaka kumapeto kwa masiku ake. Kuti mukhale ndi vutoli, muyenera kudziwa momwe mungazithetsere. Kudziwa zomwe zingatheke komanso zomwe sizingatheke, kukhala ndi kumvetsetsa kwamapangidwe amtundu wamatenda ndi njira zothandizira moyo wapamwamba, kuthana ndi zida zamankhwala, kumvetsetsa mankhwala.

Kwazaka makumi angapo zapitazi, mankhwala afika pamlingo wina watsopano wa matenda amtima: pali mankhwala omwe amachepetsa cholesterol, maopareshoni omwe amachotsa zolembera za atherosclerotic, magazi amawopsa kwambiri.

Komabe, pakadali pano chinthu chokhacho chomwe madokotala angachite ndi matenda omwe adapezeka ndikuchepetsa kukula kwa matenda am'mimba ndikuchotsa zizindikiro. Njira yothandiza kwambiri yolimbana ndi matenda amtima imakhalabe yopewera.

Matenda a mtima ndi monga:

• matenda oopsa
• matenda a mtima komanso kuvuta kwa myocardial infaration,
• ngozi yamatenda, sitiroko,
• zotumphukira mtima matenda
• kulephera kwa mtima
• mimosokoma
• matenda amtima wosangalatsa,
• zolakwika zamtima wobadwa nazo.

Zambiri mwa izi zimagwirizanitsidwa ndi kukula kwa atherosulinosis - matenda osachiritsika omwe amapezeka ndi kuwonongeka kwamitsempha yamagazi, matenda a lipid metabolism. Amadziwika ndi mapangidwe a atherosselotic zolembera pamakoma a ma sing'anga akuluakulu.

Chomwe chimapangitsa kuti mtima ukhale wamatenda ambiri ndi njira zolakwika. Munthu akangowerenga zochita zake zoipa, amakhala ndi mwayi wokhala ndi moyo wautali. Pafupipafupi, matenda amayamba chifukwa cha zolowa m'malo obadwa nawo ndipo zimayambitsa matenda a ziwalo zamkati.

Chifukwa chake, ndikofunikira kuti munthu wamakono azikhala ndi lingaliro lazonse zamatenda, zizindikiro zoyambirira, njira zolimbirana, kupewa, mfundo zapakati pazakudya zoyenera.

Tsamba lathu lithandizira kumvetsetsa zinthu zonse zokhudzana ndi chitukuko cha atherosulinosis, kugunda kwa mtima, stroke, ndi matenda ena a mtima dongosolo. Malembawo adalembedwa ndi akatswiri mu chilankhulo chomveka bwino kwambiri.

Mitundu ya matenda

Malinga ndi nthawi yomwe imachitika, mitundu iwiri ya kuchuluka kwa matenda a shuga m'magazi a shuga imasiyanitsidwa:

• kuchuluka kwa shuga osala kudya, kupereka chakudya chomaliza maola 8 apitawo (kusala kapena "posthyperglycemia"),
• kuchuluka kwachulukidwe ka glucose mukatha kudya (postprandial hyperglycemia).

Kwa anthu athanzi komanso odwala matenda ashuga, Zizindikiro zomwe zimawonetsa hyperglycemia zimasiyana. Chifukwa chake, kwa odwala omwe sapezeka ndi matenda ashuga, shuga othamanga omwe ali pamwamba pa 6.7 mmol / L amawonedwa ngati owopsa komanso osayenera. Kwa odwala matenda ashuga, chiwerengerochi chimakwera pang'ono - amaganiza kuti hyperglycemia ndiwowonjezera shuga pamimba yopanda kanthu kuposa 7.28 mmol / l. Pambuyo pachakudya, shuga yamagazi a munthu wathanzi sayenera kupitirira 7.84 mmol / L. Kwa wodwala matenda ashuga, chizindikiro ichi ndi chosiyana. Poterepa, shuga wa 10 mmol / L kapena kuposa pambuyo chakudya amawaganizira kuti ndi matenda.

Chifukwa chiyani wodwala matenda ashuga amatha kuwonjezera shuga?

Pali zifukwa zambiri zomwe zimapangitsa munthu wodwala matenda ashuga kuchuluka kwambiri m'magazi awo. Zodziwika kwambiri zimaphatikizapo:

• Mlingo wolakwika wa insulin
• kulumpha jakisoni kapena kumwa piritsi (kutengera mtundu wa matenda ashuga ndi mtundu wa mankhwalawa),
• kuphwanya zakudya kwambiri,
• nkhawa, nkhawa,
• kumwa mapiritsi ena a mahomoni pochotsa ma endocrine pathologies a ziwalo zina.
• matenda opatsirana
• kukokoloka kwa concomitant aakulu pathologies.

Mwazi wa magazi umakwera pamwamba ngati wabwinobwino ngati mulibe insulin yokwanira kuikonza. Pali milandu ya hyperglycemia, yomwe insulin yokwanira imabisidwa, koma maselo amisempha amayankha motsimikiza, amasiya kumva komanso amafunikira kupanga kwake. Zonsezi zimayambitsa kuphwanya njira ya malamulo a shuga m'magazi.

Zizindikiro za hyperglycemia zimadalira kuchuluka kwa matenda. Mokulira shuga wambiri, zomwe zimam'vutitsa kwambiri wodwalayo. Poyamba, akhoza kusokonezedwa ndi izi:

• kusowa kwamphamvu, ulesi komanso chilakolako chofuna kugona.
• ludzu lalikulu
• kuyabwa kwambiri pakhungu,
• migraine
• matenda am'mimba (kudzimbidwa ndi kutsegula m'mimba kumatha kukhala),
• Khungu lowuma ndipo limatulutsa michere, makamaka yotchulidwa mkamwa, yomwe imangokulitsa ludzu,
• mawonekedwe osasalala, mawonekedwe a mawanga ndi "ntchentche" patsogolo pa maso,
• kusokonezeka kwa chikumbumtima.

Chimodzi mwazizindikiro zakuwonjezera kwa shuga ndikuwoneka kwa ma acetone mkodzo. Izi ndichifukwa choti ma cell samalandira mphamvu, chifukwa sangathe kuphwanya kuchuluka kwa glucose oyenera. Kuti athe kulipirira izi, amaphwanya mafuta opangira mafuta kuti apange acetone. Kamodzi m'magazi, chinthu ichi chimachulukitsa acidity ndipo thupi limatha kugwira bwino ntchito. Kunja, izi zimatha kuwonetsedwa ndikuwoneka ngati fungo lamphamvu la acetone kuchokera kwa wodwala. Zingwe zoyeserera za matupi a ketone mu mkodzo pamenepa nthawi zambiri zimawonetsa zotsatira zabwino.

Pamene shuga akukula, mawonetseredwe a matenda amizimba akuwonjezeka. M'mavuto ovuta kwambiri, munthu wodwala matenda ashuga amayamba.

Hyperglycemic chikomokere

Coma yoyambitsidwa ndi kuchuluka kwa shuga ndiowopsa kwambiri pamoyo wamunthu. Amayamba chifukwa cha hyperglycemia yayikulu ndipo akuwonetsedwa ndi izi:

• kulephera kudziwa
• phokoso losasangalatsa komanso kupumira pafupipafupi,
• Kununkhira kwa acetone mchipinda chomwe wodwalayo ali,
• kutsitsa magazi
• kufewa kwa minyewa ya eyeb (atapanikizika, dent imakhalako kwakanthawi),
• kufiyira, kenako khungu lakuthwa.
• kukokana.

Wodwala yemwe ali ndi vutoli sangamve kukoka kwa dzanja lake chifukwa chakuchepa kwa magazi. Iyenera kuyang'ana pazotengera zazikulu za ntchafu kapena khosi.

Mavuto

Hyperglycemia ndi wowopsa osati zizindikiro zosasangalatsa, komanso zovuta zina. Pakati pawo, mayiko oopsa kwambiri amatha kusiyanitsidwa:

• matenda a mtima dongosolo (kugunda kwa mtima, pulmonary thrombosis),
• ngozi yamatenda,
• matenda okhetsa magazi kwambiri,
• pachimake aimpso kulephera
• kuwonongeka kwamanjenje,
• kuwonongeka kwamawonekedwe ndi kupititsa patsogolo kwa matenda ashuga a retinopathy.

Ngati hyperglycemia imapezeka mwa wodwala matenda amtundu wa 1 ndipo chizindikiro pamtunda chimaposa 14 mmol / l, wodwalayo ayenera kuyimba ambulansi nthawi yomweyo. Monga lamulo, wopezeka wa endocrinologist pazoyenera kukonzekera amachenjeza wodwalayo za kuthekera kwa zoterezi ndikumulangiza za zoyenera kuchita. Nthawi zina adotolo amalimbikitsa kuti muzipangira jakisoni wa insulin kunyumba asanafike gulu lachipatala, koma simungathe kusankha nokha. Ngati endocrinologist yemwe sanalangize chilichonse ndipo sananene chilichonse, mutha kufunsa woyang'anira ma ambulansi mukamuyimba. Dokotala asanafike, wodwala akhoza kuperekedwanso chithandizo choyambirira ngakhale popanda mankhwala.

Kuti muchite izi, muyenera:

• ndikuwonetsetsa kuti odwala matenda ashuga azikhalapo pamalo abata, abwino, opanda kuwala kowala komanso mwayi wopezeka ndi mpweya wabwino,
• Imwani ndi madzi ambiri kuti musunge mchere wamchere ndikuchepetsa shuga m'magazi ndikumapaka (pakadali pano, iyi ndi analog yakunyumba).
• Pukutani khungu louma ndi thaulo yonyowa.

Dokotala asanafike, muyenera kukonzekera zofunikira zakuchipatala, makhadi azachipatala ndi pasipoti ya wodwala. Izi zipulumutsa nthawi yofunikira ndikufulumizitsa njira yotumizira kuchipatala. Ndikofunika kwambiri kukumbukira izi ngati zizindikiro zikuwonetsa kukomoka. Onsewa hypo- ndi hyperglycemic coma ndi oopsa kwambiri. Amangotengera chithandizo chamtundu wa mankhwala. Kuyesera kuthandiza munthu yemwe ali ndi vuto lofananalo popanda madokotala ndizowopsa, chifukwa kuwerengera sik kwa maola, koma kwa mphindi.

Kuchiza kuchipatala kumaphatikizapo chithandizo chamankhwala osokoneza bongo ndi mankhwala kuti muchepetse shuga ndikuthandizira othandizira ziwalo zofunika. Nthawi yomweyo, wodwalayo amapatsidwa chithandizo, malinga ndi kuopsa kwa zizindikirazi. Pambuyo pothetsa boma ndi zizindikiro za shuga, wodwalayo amamuthamangitsira kunyumba.

Kupewa

Kupewa hyperglycemia ndikosavuta kuposa kuyesera kuti tichotse. Kuti muchite izi, muyenera kukhala bata ndi thupi. Simungathe kusintha mosavomerezeka mlingo wa insulin kapena mapiritsi ochepetsera shuga - muyenera kufunsa dokotala za zomwe mungachite. Ndikofunika kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndi glucometer ndikujambulira kusintha konse koopsa.

Zakudya zopatsa thanzi komanso zakudya ndizomwe zimabweretsa thanzi labwino komanso kuchuluka kwa shuga m'magazi. Palibe chifukwa muyenera kuyesa kuchepetsa shuga kokha ndi wowerengeka azitsamba, kukana mankhwala. Kusamala thupi lanu ndi matenda ashuga ndizofunikira kwambiri kuti wodwala azitsatira ngati akufuna kukhala ndi moyo wabwino.

Zizindikiro zazikulu za hyperglycemia ndi njira ya chitukuko

Chochititsa chidwi, madokotala akale amatcha shuga "matenda okoma a mkodzo." Pundits adazindikira kuti mwa odwala omwe adamva ludzu losaletseka komanso amakonda kukodza, mkodowo adalawa wokoma. Zaka mazana angapo pambuyo pake, ataphunzira kudziwa shuga m'magazi, njira yolembera anaulula kuti shuga yowonjezera yam'magazi imawonekera kale kwambiri m'magazi.

Ndimayambitsa zizindikiro zapadera, ndikukhazikika:

• glucosuria - mawonekedwe a mkodzo wa glucose, ndende yake m'magazi pamwamba pa 10 mmol / l,
• polyuria - mkodzo wambiri (mwa munthu wamkulu, chizolowezi cha tsiku ndi tsiku mpaka malita awiri). Maonekedwe a mkodzo wa glucose amatulutsa madzi m'maselo kuti akwaniritse kufanana kwamankhwala,
• polydipsia - kuchuluka ludzu, chifukwa cha kuchepa kwamphamvu kwa thupi.

Gulu II sindiye chizindikiro, chimayamba pang'onopang'ono.

Kupezeka kwamphamvu kwa shuga m'magazi kumayambitsa kuperewera kwamatenda, makamaka ubongo:

• mutu
• kugona
• zosokoneza
• kukumbukira kwamaso,
• kusokonezeka kwa kukumbukira

Hyperglycemia, makamaka yopitilira kwa nthawi yayitali, imaphwanya njira zonse za kukhudzana kwa zamankhwala osati zamatumbo okha, komanso mapuloteni, mafuta, mavitamini komanso zinthu zina. Kuphwanya mapuloteni kaphatikizidwe kamayendedwe kumayambitsa kukhudzidwa kwachilengedwe kakang'ono kwambiri, pakakhala palibe kuchuluka kwazomwe zimakhala ndi chitetezo chamthupi (chitetezo choteteza chitetezo), kusintha kwa lipid metabolism kumapangitsa kuchuluka kwa cholesterol ndi zina.

Izi zimayambitsa zizindikiro monga:

• kutaya kwa magazi (kusintha kwamapangidwe am'magazi),
• kuwonda (kuwonongeka kwa minofu ya adipose),
• polyphagy (kuchuluka kudya),

Zizindikiro ziwiri zomaliza zimadalirana ndipo zimayamba chifukwa cha njala. glucose salowa m'maselo moyenera, bongo limapereka lamulo loti kudya chakudya chochuluka m'njira yanjala, ndikuchotsa michere ku depot.

• machiritso a bala lotsika
• kuchepa chitetezo chokwanira
• khungu lowuma
• bakiteriya ndi fungal matenda a pakhungu ndi mucous nembanemba,
• kukulitsa kwa zotupa zotupa za atherosselotic,

Zomwe zimayambitsa matenda a hyperglycemia zimatha kukhala zingapo matenda, komabe ambiri a iwo ndi matenda ashuga. Matenda a shuga amakhudza anthu 8%.

Ndi matenda a shuga, kuchuluka kwa glucose kumachulukitsa mwina chifukwa cha kuperewera kwa insulin mthupi, kapena chifukwa choti insulin singagwiritsidwe ntchito moyenera. Nthawi zambiri, kapamba amatulutsa insulin tikatha kudya, ndiye kuti maselo amatha kugwiritsa ntchito shuga ngati mafuta.

Izi zimakuthandizani kuti muzikhala ndi shuga m'magazi munthawi yochepa.

Vuto la Hypoglycemic ndilofala mokwanira. Ndi izo, shuga wamagazi ndi otsika. Ngati vuto la hypoglycemic silichiritsidwa munthawi yake, chikomokere cha matenda ashuga chimatha kuchitika.

Kodi nchifukwa ninji matendawa amayamba? Monga lamulo, vuto limakhala chifukwa cha kuchuluka kwa insulin.

Ngati wodwala wapatsidwa mlingo waukulu wa mankhwalawo, ndiye kuti shuga yamwazi imachepetsedwa, zomwe zimapangitsa kuti pakhale zovuta.

Matenda a shuga muubwana pazifukwa ndi gulu sizosiyana kwambiri ndi zomwe zimachitika munthu wamkulu. Nthendayi mwa ana ndi yochepa kwambiri kuposa matenda ena, koma m'zaka zaposachedwa pakhala kupita patsogolo.

Odabwitsa ana azaka zonse, kuyambira mwezi woyamba wa moyo. Pachimake matendawa amapezeka pafupifupi zaka 8 mpaka 13. Izi zimachitika chifukwa cha kuchuluka kwachulukidwe kagayidwe ndi kutulutsidwa kwa mahomoni, makamaka kukula kwa mahomoni okula.

Mukukula komanso kusasitsa, kaphatikizidwe wa mapuloteni amathandizidwa, kuchuluka kwa kumwa kwa ma insulin ena kumakulirakulira.

Ngati kapamba amakhudzidwa ndi matenda aliwonse, ndiye kuti kuchepa kwa maselo apadera omwe amapanga insulin kumachitika mwachangu ndipo shuga imayamba. Chomwe chimayambitsa matenda a hyperglycemia mwa ana ndicho kuzindikira mochedwa za matenda ashuga ndi zizindikiro zosayenera.

Ana akamadandaula chifukwa cha ludzu, pakamwa pouma, kufooka, kutopa, kukoka pafupipafupi, ndiye kuti izi zimadziwika ngati ziwopsezo za helminthic, matenda am'mimba kapena matenda ena. Chithandizo chotsatira nthawi zina zimabweretsa chiwopsezo chachikulu cha hyperglycemia, mawonekedwe a shuga mumkodzo, ndi m'mphepete mwa malire.

Hypoglycemia imamveka ngati mkhalidwe womwe umadziwika ndi kuchuluka kwa shuga m'magazi pansi pazoyenera. Hyperglycemia ndi kulumpha lakuthwa mu glucose mmwamba.

Zosankha zonsezi ndiopsa kwa anthu. Chifukwa chake, muyenera kudziwa zomwe zimayambitsa khunyu komanso kupewa zoyambitsa.

Hyperglycemia

Cholinga chachikulu cha shuga ambiri mwa odwala omwe ali ndi matenda ashuga ndikuthawa kumwa mapiritsi ochepetsa shuga kapena jakisoni wa insulin. Ngati mankhwalawo adasungidwa molakwika ndikuwonongeka, ndiye kuti sangathe kugwira ntchito.

Zotsatira zake, kuchuluka kwa shuga m'magazi kumaonjezera.

Zina mwazomwe zimayambitsa hyperglycemia ndi:

• kudya zakudya zopatsa mphamvu
• kupsinjika kwakukulu, chisangalalo,
• kusowa kwa magalimoto,
• kupezeka kwa mitundu yosiyanasiyana ya matenda, kuphatikizapo matenda opatsirana,
• kudya kwambiri

Hypoglycemia

Zimayambitsa hypoglycemia mwa munthu wodwala matenda a shuga, mankhwala osokoneza bongo. Kutsika kwakukulu kwa shuga m'magazi kungayambitse kusintha kwa pharmacokinetics ya mankhwala ena.

Izi zimachitika wodwala akayamba matenda aimpso kapena chiwindi. Zosintha mu pharmacokinetics zimawonedwanso ndikukhazikitsa kwa mankhwalawa pakuya kolakwika (mwachitsanzo, insulin siyalowa pakhungu, koma m'matumbo).

Kodi Zizindikiro za hyperglycemia ndi ziti?

Ndi kuchuluka kwa glucose m'magazi, mawonekedwe a shuga mumkodzo amawonedwa nthawi zambiri (glucosuria). Nthawi zambiri, mkodzo suyenera kukhala ndi glucose, chifukwa umasinthidwanso ndi impso.

Zizindikiro zazikulu za hyperglycemia ndi ludzu lochulukirapo ndikuwonjezera kukodza. Zizindikiro zina zimaphatikizapo kupweteka mutu, kutopa, kusawona bwino, kumva njala, komanso mavuto ndimalingaliro.

Kuchuluka kwa shuga m'magazi kumatha kubweretsa mwadzidzidzi ("diabetesica"). Izi zitha kuchitika ndi matenda ashuga amtundu 1 komanso matenda amitundu iwiri.

Anthu odwala matenda amtundu woyamba amakhala ndi matenda ashuga a ketoacidosis, ndipo odwala omwe ali ndi matenda a shuga 2 amakhala ndi hyperglycemic hyperosmolar bezketonovy syndrome (kapena hyperosmolar coma). Izi zotchedwa hyperglycemic crises ndi zovuta kwambiri zomwe zimawopseza moyo wa wodwala ngati chithandizo sichinayambike nthawi yomweyo.

Popita nthawi, hyperglycemia imatha kuwononga ziwalo ndi minofu. Hyperglycemia yomwe imakhalapo nthawi yayitali imachepetsa mayankho a chitetezo cha mthupi, zomwe zimapangitsa kuti mabala ndi mabala asamayende bwino. Mchitidwe wamanjenje, mitsempha yamagazi, impso, ndi masomphenya amathanso kukhudzidwa.

Hyperglycemia ndi vuto lalikulu lomwe limafuna chithandizo chamankhwala. Pofuna kupewa zovuta zoyipa, ndikofunikira kuzindikira kuphwanya kagayidwe kachakudya koyambirira.

Tsoka ilo, ndizosatheka kuti nthawi zonse kumva kutentha kwa shuga.

Ngati mndandanda wa glucose wa 10-15 mmol / lita utatha zaka zambiri, ndiye kuti munthu amatha kumva bwino komanso wopanda mawonekedwe.

• munthu amachepetsa thupi
• Kukumana ndi mkodzo pafupipafupi (polyuria) ndi madzimadzi ambiri amatsitsidwa mkodzo
• waludzu
• shuga wopezeka mumkodzo (glucosuria)
• makamaka pogona kapena usiku limatuluka kwambiri pakhosi
• wotopa msanga, akumva kufooka, kuthyoka
• kusanza, kusanza, kupweteka mutu

Momwe kuchuluka kwa "mphamvu yokoma" kumapitirira gawo lachiwonetsero, ndiye kuti shuga wambiri amathira mkodzo. Nthawi zambiri munthu amapita kuchimbudzi kwa ola limodzi kapena awiri.

Chifukwa chake, thupi limataya kwambiri chinyezi ndipo thupi limatha kumatha kumva ludzu losatha.

Popeza impso zimaleka kuthana ndi ntchito yawo, magazi samalandira kuyeretsa koyenera komanso osati shuga owonjezera, komanso zinthu zina zofunikira zimaperekedwa mkodzo: potaziyamu, sodium, chloride, mapuloteni. Izi zimawonekera mu kuchepa thupi, kufoka, kugona.

Ngati impso zalephera kwathunthu (poyamba matenda a shuga a nephropathy amayamba, ndiye kuti kulephera kwa impso kumayamba), ndiye kuti muyenera kuyambiranso impso, komwe magazi amayeretsedwa.

Kodi hemodialysis ya impso ndi chifukwa chiyani ikufunika?

Mokulirapo kuchuluka kwa glucose komanso kumatenga nthawi yayitali, kumakhala kowonjezereka komanso kuzikirapo kwa zizindikiro ndi zizindikiro za hyperglycemia.

Ngati simulowerera nthawi ndi kuyamba kulandira chithandizo, matendawa limodzi ndi glucosuria amathandizira kukulitsa kwa ketonuria ndi ketoacidosis.

Hyper-, hypoglycemia ikhoza kukupangitsani kukomoka mukapanda kuchitapo kanthu kuti pasakhale shuga. Muyenera kuchita kumayambiriro kwa kuwukira. Chifukwa chake, muyenera kudziwa zizindikiritso zama glucose okwera komanso otsika kwambiri.

Hypoglycemic

Zizindikiro za hyperglycemia zimadalira kuchuluka kwa matenda. Mokulira shuga wambiri, zomwe zimam'vutitsa kwambiri wodwalayo. Poyamba, akhoza kusokonezedwa ndi izi:

• kusowa kwamphamvu, ulesi komanso chilakolako chofuna kugona.
• ludzu lalikulu
• kuyabwa kwambiri pakhungu,
• migraine
• matenda am'mimba (kudzimbidwa ndi kutsegula m'mimba kumatha kukhala),
• Khungu lowuma ndipo limatulutsa michere, makamaka yotchulidwa mkamwa, yomwe imangokulitsa ludzu,
• mawonekedwe osasalala, mawonekedwe a mawanga ndi "ntchentche" patsogolo pa maso,
• kusokonezeka kwa chikumbumtima.

Chimodzi mwazizindikiro zakuwonjezera kwa shuga ndikuwoneka kwa ma acetone mkodzo. Izi ndichifukwa choti ma cell samalandira mphamvu, chifukwa sangathe kuphwanya kuchuluka kwa glucose oyenera.

Kuti athe kulipirira izi, amaphwanya mafuta opangira mafuta kuti apange acetone. Kamodzi m'magazi, chinthu ichi chimachulukitsa acidity ndipo thupi limatha kugwira bwino ntchito.

Kunja, izi zimatha kuwonetsedwa ndikuwoneka ngati fungo lamphamvu la acetone kuchokera kwa wodwala. Zingwe zoyeserera za matupi a ketone mu mkodzo pamenepa nthawi zambiri zimawonetsa zotsatira zabwino.

Pamene shuga akukula, mawonetseredwe a matenda amizimba akuwonjezeka. M'mavuto ovuta kwambiri, munthu wodwala matenda ashuga amayamba.

Chithandizo cha hyperglycemia chimafuna chithandizo cha matenda omwe amayambitsa. Acute hyperglycemia nthawi zambiri amatha kuthandizidwa ndi insulin. M'mitundu yoopsa, mankhwalawa amagwiritsidwa ntchito, omwe nthawi zina mumayenera kumwa mapiritsi a shuga.

Ndi hyperglycemia, wodwalayo amawonedwa ndi endocrinologist. Komanso, miyezi isanu ndi umodzi iliyonse ndikofunikira kuyesedwa ndi a mtima, a nephrologist, a ophthalmologist ndi a neuropathologist.

Ndi shuga wowonjezereka, kwa oyamba kumene, mankhwala osagwiritsa ntchito mankhwalawa amalimbikitsidwa, omwe amapezeka pakudya kwapadera. Chifukwa chake, ndikofunikira kudya zakudya zazochepa zam'madzi (ufa ndi zinthu zotsekemera) momwe mungathere. Masiku ano, malo ogulitsira ambiri amakhala ndi dipatimenti yomwe imagulitsa zakudya zapadera za anthu odwala matenda ashuga.

Zakudya zomwe zimakhala ndi mawonekedwe a hyperglycemia zimatanthauzira kuvomerezeka kwa kabichi, tomato, sipinachi, nandolo zobiriwira, nkhaka, soya. Tchizi chamafuta ochepera, oatmeal, semolina kapena phala ya chimanga, nyama, nsomba amalimbikitsidwanso. Kuti mumalize mavitamini, mumatha kudya zipatso zouma komanso zipatso.

Ngati chakudyacho sichingabweretse zotsatira zoyenera ndipo shuga m'magazi sakhazikitsa matendawa, ndiye kuti dokotalayo amapereka mankhwala omwe amathandiza kapamba kuti apangitse shuga kukhala ndi shuga wokwanira.

Kugwiritsa ntchito insulin, muyenera kuyang'anira shuga yanu nthawi zonse. Pa mitundu yochepa ya matenda a shuga, mankhwalawa amaperekedwa pakhungu m'mawa mphindi 30 asanadye (Mlingo ndi magawo 10-20).

Ngati matendawa ali ovuta, ndiye kuti mlingo woyenera mamawa ndi 20-30 PIECES, ndipo madzulo, musanatenge gawo lomaliza la chakudya, - 10-15 PESCES. Ndi mawonekedwe ovuta a shuga, mlingo umachulukirachulukira: masana, wodwalayo ayenera kubayira jakisoni katatu wa 20-30 m'mimba mwake.

Ngati wodwala ali ndi vuto la vuto la hyperglycemic, ayenera kupatsidwa thandizo. Poyamba, zimalimbikitsidwa kuyambitsa insulini yotsitsimutsa pang'ono, ndikuyezera shuga.

Komanso, wodwalayo amawonetsedwa zakumwa zambiri. Ndikofunika kupatsa munthu madzi amchere, omwe amakhala ndi magnesium ndi mchere. Ngati ndi kotheka, kumwa potaziyamu. Njira izi zitha kuchepetsa mwayi wopitilira ku ketoacidosis.

Onetsetsani kuti mukuwona momwe zimakhalira komanso kupuma. Ngati palibe kukoka kapena kupuma, ndiye kuti kupuma movutikira ndi kutikita minofu ya mtima mwachindunji ziyenera kuchitidwa mwachangu.

Ngati vuto la hyperglycemic limatsatiridwa ndi kusanza, ndiye kuti wodwalayo ayenera kuyikidwa mbali imodzi. Izi zimapewetsa kusanza kulowa munjira za mlengalenga komanso kumata lilime. Muyeneranso kuphimba wodwalayo bulangete ndikuphimba ndi otenthetsa madzi otentha.

Wodwala akakula chikomokere, ndiye kuchipatala, zimachitika izi:

1. Kukhazikitsidwa kwa heparin. Izi ndizofunikira kuti muchepetse kuchuluka kwa magazi m'zotengera.
2. Khazikitsani kagayidwe kazakudya ndi insulin. Hormoniyo imatha kutumizidwa ndi ndege, kenako ndikokoka.
3. Kukhazikitsidwa kwa yankho la koloko. Kuchita izi kudzalimbikitsa kagayidwe koyambira ka asidi. Kuti kukhazikika kwa mulingo wa electrolyte, kukonzekera kwa potaziyamu kumagwiritsidwa ntchito.

Komanso pochita chithandizo, wodwalayo amapatsidwa mankhwala omwe amathandiza kukhazikika kwa mtima. Amasankhidwa mosiyanasiyana.

Pambuyo pa chithandizo, wodwala ayenera kupita kukonzanso. Zimaphatikizapo kukana zizolowezi zoyipa, kukhazikika kwa zakudya za tsiku ndi tsiku, kudya magwiridwe a multivitamin. Komanso, panthawi yakukonzanso, wodwalayo amawonetsedwa zolimbitsa thupi.

Zinthu zomwe zimapezeka muzomera zimathandizira kuchepetsa shuga m'magazi pochiza matenda a hyperglycemia. Timapereka njira pokonzekera mankhwala azitsamba.

Dandelion. Mizu ya mbewuyi imayenera kudulidwa bwino. Onjezerani supuni ya tiyi yaiwisi ndi kapu imodzi yamadzi otentha ndikuumirira maola awiri. Muyenera kumwa kulowetsedwa okonzekera theka lagalasi, kanayi patsiku musanadye.

Saladi ya Dandelion ipindulanso ndi hyperglycemia. Masamba ang'onoang'ono a mbewuyo ayenera kuwawaza m'madzi oyera, kenako osadulidwa, osakanizidwa ndi zitsamba, kuwonjezera mafuta amchere ndi wowawasa zonona.

Vuto la Hyperglycemic: thandizo ndi chithandizo choyambirira

Choyamba muyenera kupanga kuchuluka kwa shuga ndi magazi ndi chipangizo chapadera - glucometer, yomwe aliyense wodwala matenda ashuga angakhale nayo. Kugwiritsa ntchito ndikosavuta: chitani khungu pakumapeto kwa chala chanu, ikani dontho la magazi lomwe limatulutsidwa.

Kenako, digito imawonetsedwa pazenera, kuwonetsa kuchuluka kwa shuga. Ngati palibe glucometer, ndiye ngati kuli kotheka muyenera kufunsa dokotala - akatswiri ambiri azachipatala komanso ma endocrinologists atha kupezeka mwachindunji muofesi.

Mulingo wamba wamagazi m'magazi ndi 3.5-5,5 m / mol pa lita imodzi ya magazi. Tiyeneranso kukumbukira kuti mu ana osaposa miyezi 1.5 ya moyo, chizindikirochi chimatha kukhala 2.8-4.4 m / mol pa lita, ndipo mwa amayi ndi amuna pambuyo pa zaka 60 - 4.6 - 6.4 m / mol pa lita

Zotsatira ndi zovuta

Nthawi zambiri, odwala matenda oopsa a hyperglycemia amakumana ndi odwala matenda ashuga amtundu woyamba. Ndi matenda a shuga a 2, kuwonjezereka kwa shuga m'magazi ndikuthekanso, koma izi ndizochepa ndipo chofunikira, monga lamulo, ndikumenya koopsa kapena myocardial infarction.

Mavuto obwera kwanthawi yayitali ndi hyperglycemia amatha kwambiri. Amapezeka mwa anthu omwe ali ndi matenda ashuga ngati matendawo sawongolera bwino. Monga lamulo, izi zimachitika pang'onopang'ono komanso mosavutikira, kwa nthawi yayitali. Nayi ena a iwo:

• Matenda a mtima ndi mitsempha yamagazi omwe angakulitse chiopsezo cha matenda a mtima, sitiroko, ndi matenda a mtsempha wamagazi.
• Kuchepa kwa ntchito ya impso, kuchititsa kulephera kwa impso,
• Kuwonongeka kwa mitsempha, komwe kumatha kuyambitsa kutentha, kugunda, kupweteka komanso kumva kukhumudwa.
• Matenda amaso, kuphatikizapo kuwonongeka kwa retina, khungu ndi khungu
• Matendawa.

Mtundu uliwonse wamatenda, shuga mellitus, umadutsa mu chitukuko chake zomwe zimatsata zomwe zimawoneka zovuta kwambiri. Izi ndizofunikira kwambiri pamaso pa matenda ena ophatikizika komanso vuto losavomerezeka la munthu (ukalamba, magwiridwe antchito oyipa, malo ochepetsetsa).

Kwa matenda ashuga, zovuta zotsatirazi ndizodziwika:

1. Myocardial infaration, kugunda kwaubongo, gangrene ya zala zakumapeto, chifukwa cha kuthamanga kwa atherosclerosis, komanso kuwonongeka kwa zombo zazing'ono komanso zazing'ono.
2. Microangiopathies ndi kukula kwa kulephera kwa impso. Kuwonongeka kwa capillaries a impso chifukwa cha kukulitsidwa kwa khoma la chotengera komanso kusokonekera kwa metabolic pakati pa magazi ndi minofu.

• Retinopathies - kuwonongeka kwa ziwiya zazing'ono za retina, kufalikira kwa retina, khungu,

1. Neuropathies - zotupa zapadera zamanjenje ndi kuphwanya pang'ono kwa kapangidwe kazinthu zamafupa

Kukula kwambiri kwa hyperglycemia, popanda chithandizo chanthawi yake, kumatha kuyambitsa mavuto. Mavutowa amatha kutha pakapita masiku angapo, kapena maola angapo.

Hyperglycemia ndi wowopsa osati zizindikiro zosasangalatsa, komanso zovuta zina. Pakati pawo, mayiko oopsa kwambiri amatha kusiyanitsidwa:

• matenda a mtima dongosolo (kugunda kwa mtima, pulmonary thrombosis),
• ngozi yamatenda,
• matenda okhetsa magazi kwambiri,
• pachimake aimpso kulephera
• kuwonongeka kwamanjenje,
• kuwonongeka kwamawonekedwe ndi kupititsa patsogolo kwa matenda ashuga a retinopathy.

Kuti mupewe izi pazizindikiro zowopsa, muyenera kuyeza shuga ndi glucometer ndipo ngati kuli koyenera, pezani thandizo kuchipatala.