Mwazi 20: Zotsatira za Level 20

Kukhalapo kwa matenda monga matenda a shuga kumatanthauza kuwunika koyenera kwa glycemia kuti tipewe zovuta.

Kuyang'anira chizindikirocho pogwiritsa ntchito glucometer kumakuthandizani kuti mudziwe kuchuluka kwa glucose, kupewa kulumpha lakuthwa, komanso kusintha chithandizo ngati pakufunika. Zolakwika mu zakudya kapena kuphwanya dongosolo la jakisoni wa insulin ndi kumwa mankhwala kumatha kuyambitsa kusinthasintha kwa glycemia.

Zikatero, shuga wama 20 kapena kupitilirapo umakhala chifukwa cha muyezo wodwala. Kuwoneka kwa ziwerengero zotere pa chinsalu cha mita kuyenera kukhala chifukwa chokhazikitsira njira zomwe zingapangitse chizindikirocho.

Zimayambitsa kuchuluka kwa shuga m'magazi

Miyezo ya glycemia imatha kuchuluka pazifukwa zingapo:

• kuchuluka mothandizidwa ndi zinthu zopsetsa mtima,
• kukula kwa matenda ena.

Kuwonjezeka kwa glucose kumachitika chifukwa kuphwanya kukonza kwa mafuta omwe amaperekedwa ndi chakudya. Kupatuka kulikonse kwa miyezo kumachitika chifukwa chokhazikitsidwa (pamimba yopanda 3.3 -5,5 mmol / l) kumawonetsa kukhalapo kwa kupatuka kotheka mu ntchito ya thupi.

Zinthu zomwe zimapangitsa kuti shuga azikwera kuposa 20:

1. Chakudya chopanda malire. Panthawi ya chakudya, kuchuluka kwa shuga kumakhala kokwanira nthawi zonse, chifukwa pamakhala zochitika zake pakakonzedwe kake.
2. Moyo wamunthu. Anthu omwe sachita masewera olimbitsa thupi amatha kupeza kuchuluka kwa shuga.
3. Kupsinjika kapena kutengeka mtima kwambiri. Nthawi ngati izi, kusintha kwa mndandanda wa glycemic kumawonedwa m'thupi.
4. Zizolowezi zoipa. Zakumwa zoledzeretsa, kusuta fodya kumawononga thanzi la munthu, kuphatikizapo kungayambitse kuchuluka kwa shuga m'magazi.
5. Kusintha kwa mahomoni. Mimba, kusamba, kapena premenstrual syndrome zitha kuwonjezera shuga.

Matenda omwe amayambitsa kuchuluka kwa glycemia:

1. Matenda a shuga ndi njira zina za endocrine zomwe zimatsogolera kutha kwa chinsinsi cha mahomoni.
2. Matenda a kapamba kapena neoplasms mmenemo, omwe amachepetsa kupanga kwa insulin komanso amathandizira kusokonezeka kwa metabolic.
3. Kumwa mankhwala ena, omwe glucose amatha kutuluka (okodzetsa, mankhwala a steroid ndi mahomoni, njira zakulera).
4. Matenda a chiwindi. Owopsa kwambiri ndi cirrhosis, zotupa, chiwindi. Chiwalochi chimatulutsa glycogen, kotero kupatuka kulikonse pakugwira ntchito yake kumabweretsa kukula kwa shuga.

Matenda a shuga amawoneka kuti ndi omwe amachititsa kuti shuga azikulirakulira. Munthu yemwe wapezeka ndi izi sikuti nthawi zonse amayesa kudziwa tanthauzo la izi ndi momwe izi zitha kuwongoleredwera.

Matendawa amadziwika ndi kusinthasintha kwa chisonyezo, mulingo wa zomwe zimatengera zinthu zambiri:

• kudya
• kuchitira insulin mankhwala,
• kumwa mankhwala a antipyretic,
• glycemic control mafunde.

Mosasamala kanthu zomwe zimayambitsa kuphwanya kuchuluka kwa shuga, wodwalayo ayenera kuchita zonse munthawi yake kuti adziwitse chizindikiro. Zovuta zokhazokha za kukula kwa glycemic sizingakhale chifukwa chofufuzira monga matenda a shuga, koma amafunikira chisamaliro chokhudza thanzi lawo kuti zinthu zisawonjezeke.

Kuopsa kwa shuga

Pophunzira zotsatira za kuyesa kwa magazi pamlingo wa shuga womwe ulimo, munthu akuyenera kutsogoleredwa ndi chizolowezi chokhazikitsidwa cha 5.5 mmol / L.

Kuchulukitsa kozindikira kwa chizindikirocho kumawerengedwa kuti ndi kwamitengo yopitilira 7.8 mmol / L, ndipo kutsika ndikulandila kwa data osakwana 2.8 mmol / L.

Manambalawa akafika, kusintha kosasinthika kumayamba m'thupi.

Zotsatira zoyipa ndi:

• kuwonongeka kwamanjenje,
• kukomoka kumachitika pafupipafupi
• kufooka okulirapo, limodzi ndi kutayika kwa zinthu zoyambira,
• chikomokere chifukwa cha hyperglycemia,
• kuchepa kwa madzi kumbuyo kwa ketoacidosis,
• zotsatira zakupha.

Mitundu yovuta ya shuga yomwe imayambitsa kukomoka kwa hyperglycemic ndi yosiyana kwa wodwala aliyense. Anthu ena amati amakhala bwino ngakhale ali ndi glucose mpaka 17 mmol / L, motero samazindikira kuti chikukula. Mwanjira iyi, mankhwala adangokhala magawo azizindikiro okha, amawoneka kuti amapha anthu.

Matenda akulu a shuga amatha kuyambitsa ketoacidosis. Vutoli limawonedwa kwambiri mwa odwala omwe amadalira insulin. Zimachitika motsutsana ndi maziko a kuchepa kwa glycemia.

Zizindikiro zomwe zimatsagana ndi ketoacidosis chikomokere:

• kusowa kwamadzi,
• kugona
• khungu lowuma
• mawonekedwe a fungo la asitone kuchokera pamlomo wamkamwa,
• kupuma kwambiri.

Chizindikiro cha glycemic cha 55 mmol / L chimafunikira kuchipatala mwachangu kuti asafe msanga kufa. Kutsika kwa shuga kumayambitsa ubongo. Kuukira kumachitika mosayembekezereka ndipo kumayendera limodzi ndi ululu, kuzizira, chizungulire, kufooka, ngakhale thukuta labodza.

Zizindikiro za Makhalidwe Otsutsa

Kuwonjezeka kwa glycemia kumayendetsedwa ndi izi:

• ludzu lalikulu
• kukodza pafupipafupi,
• kamwa yowuma
• mawonekedwe owoneka ngati kugona, ulesi,
• kutopa
• kusakhazikika
• chizungulire
• kuyabwa
• nkhawa
• kusowa tulo
• mawonekedwe a mibadwo pakhungu,
• kupweteka kwa molumikizana
• dzanzi la miyendo
• kusanza ndi mseru.

Zizindikiro za phewa lanu:

• kutayika kofulumira pakuyankha,
• mukununkhiza acetone kuchokera mkamwa mwanu
• kugona kuwoneka ngati kukomoka.

Ngati zoterezi zikuchitika, shuga amayenera kuwayeza mwachangu. Chizindikiro chikakwaniritsa zofunika kwambiri, ndikofunikira kuyitanitsa gulu lazachipatala. Kupanda kutero, chiopsezo chaimfa chikuwonjezeka.

Njira zosinthira chizindikiro

Lakuthwa limakwera m'magulu a shuga nthawi zambiri kumachitika zolakwika pakudya. Ndiye chifukwa chake odwala onse omwe ali ndi matenda ashuga ayenera kuyang'anitsitsa zakudya zawo kuti ateteze kusinthasintha kwa chizindikiro. Boma pamene mulingo wa glycemia wakwera kwambiri kuposa wabwinobwino, sunganyalanyazidwe. Muyenera kudziwa zoyenera kuchita m'malo oterowo kuti muzimveketsa bwino.

Momwe mungachepetse glycemia:

1. Tsatirani zakudya. Zakudya zochepa zopatsa mphamvu zimathandizanso kuti shuga asungunuke komanso kuti asadutse. Zolakwika zilizonse zakudya ndizomwe zimayambitsa kuwonongeka kwa matendawa. Zakudya zoyenera ndizovomerezeka zamitundu yonse yamatenda mosatengera kupezeka kwa zovuta. Patatha masiku angapo atasintha zakudya kukhala chakudya, kusintha kumawonedwa ndipo chiopsezo cha matenda am'mbuyo omwe amayamba chifukwa cha matenda a shuga amachepa.
2. Tsatirani upangiri wachipatala wokhudza kumwa mankhwala omwe amathandiza kuchepetsa shuga ndi magazi a insulin.

Thandizo loyamba la hyperglycemia yovuta:

1. Katemera munthu mosazindikira ndi mankhwala a insulin malinga ndi mlingo womwe dokotala wawapatsa. Ndikofunikira pokhapokha jekeseni kuti mutsimikizire kuti chifukwa chomwe chikuwonongeka ndikuwonjezereka kwa shuga. Kuti muchite izi, ndikokwanira kuyeza mulingo wake ndi glucometer. Kupanda kutero, kuphatikiza mankhwala a insulini poyambira kumbuyo kwa shuga wochepa kwambiri sangangokulitsa vutolo, komanso kungayambitse imfa.
2. Itanani gulu lachipatala ngati pambuyo pa jakisoni awiri, thanzi lanu silinabwerenso. Odwala ovuta amapititsidwa kuchipatala komwe amakalandira chithandizo chofunikira.

Pambuyo pakuwongolera shuga, mulingo wake uyenera kuyang'anidwanso kwa ola lina, popeza pali kuthekera kwakuti insulin yochulukirapo idalowetsedwa molakwika, chifukwa chake, chizindikirocho chimatha kuchepa.

Kuti mukonze glycemia, muyenera kupita kwa dokotala nthawi zonse, chifukwa cha zotsatira za kafukufuku ndi mayeso a wodwalayo, omwe amapereka chithandizo choyenera. Katswiriyu amathandizira kukhazikitsa mulingo woyenera wa mankhwalawa chifukwa cha mankhwala a insulin, chifukwa ndiye kuwerengera kolakwika kwa kuchuluka kwa mahomoni omwe amachititsa kusinthasintha kwa chizindikirocho.

Njira zodzitetezera

Kukula kwa glycemia mpaka magulu ovuta kungalephereke mothandizidwa ndi malingaliro osavuta koma ogwira mtima:

1. Imwani mankhwala opangidwa ndi dokotala munthawi yake kuti mukhalebe ndi shuga.
2. Pewani kugwiritsa ntchito zakudya zamafuta ndi maswiti othamanga.
3. Chotsani zizolowezi zoyipa, m'malo mwa masewera, komanso zochitika zina zolimbitsa thupi.
4. Wunikirani mtundu ndi kuchuluka kwa insulini yomwe imayikidwa pa jakisoni, ndikutha kuwerengera. Kuphatikiza apo, ndikofunikira kupaka jakisoni musanadye, osadya. Izi zikuthandizira kupewa kukwera kwakuthwa kwa glucose.
5. Yang'anirani shuga. Kuti izi zitheke, wodwala aliyense ayenera kugula glucometer. Pogwiritsa ntchito zida zotere, kuyezetsa shuga kumatha kuchitidwa kulikonse. Izi zipangitsa kuti zitheke kutenga zofunikira pakuwuka, komanso kugwa.

Kanema wokhudzana ndi mfundo za zakudya zopezeka mu shuga:

Pazowonongeka zilizonse zomwe zimachitika motsutsana ndi hyperglycemia, maphikidwe ena sayenera kugwiritsidwa ntchito. Siziwonjezera matendawa, koma imangokulitsa ndipo imabweretsa zotsatira zowopsa.

Shuga wamagazi 20: zomwe zikutanthauza ndi zoyenera kuchita, zotsatira zake

Aliyense amene amakakamizidwa kuwongolera Zizindikiro za thupi lake chifukwa cha matenda ashuga amadziwa vuto lalikulu ngati shuga ali ndi zaka 20. Kodi izi zikutanthauza chiyani: Choyamba, kusowa kwambiri kwa insulini ya mahomoni.

Amawonetsedwa kuti ndi owopsa kuchuluka kwa glucose m'magazi ngakhale mpaka 15, pomwe cholumikizira chikufika 20, muyenera kulumikizana ndi katswiri posachedwa ndikusintha dongosolo lachipatala lomwe lilipo.

Nthawi zina pamakhala mpata woti wodwala agonekere kuchipatala.

Ichi ndichifukwa chake kuyang'anira kusinthasintha kwa shuga m'magazi ndikofunikira. Izi zimachitika osati ndi mayeso wamba azachipatala, komanso mothandizidwa ndi glucometer kunyumba.

Zizindikiro Za Kukula Kwa shuga

Kuchuluka kwake m'thupi kumaonekera ndipo kumakhala ndi zizindikiro:

• ludzu lalikululi
• kuchuluka kukopa kukodza
• kamwa yowuma
• kuchuluka kwambiri koopsa, kutopa, kufooka, kugona,
• kuwonjezeka kwakukulu kwa kusakwiya ndikuyankha pazinthu zazing'ono zakhumudwitsa,
• chizungulire chachikulu,
• kuyabwa
• kugona, nkhawa zochulukirapo,
• Matenda a pakhungu,
• kupweteka kwapawiri, makamaka pamiyendo, dzanzi,
• kusanza ndi kusanza.

Palinso zisonyezo zosonyeza kuti munthu ali pafupi kwambiri mpaka kukomoka ndipo ali pachiwopsezo chachikulu:

1. Kutsika kowopsa mu liwiro la kuchitapo kanthu.
2. Fungo la mpweya wa acetone.
3. Kupumira kwakuya, kosowa komanso kwamkati.
4. Hibernation, ngati kukomoka. Chotsani wodwala kwa iye ndikugwedeza mwamphamvu.

Gawo lotsatira la kuwonongeka ndiimfa, chifukwa chake muyenera kufunsa dokotala ngati zizindikiro zotere zidatulukira.

Nthawi zambiri, vutoli limakhudza anthu omwe ali ndi matenda a shuga a mtundu woyamba. Koma "nthawi zambiri" sizitanthauza "nthawi zonse," ndipo anthu omwe ali ndi mitundu yonse yamatenda ayenera kuwongolera.

Zifukwa zakuchuluka kwa shuga

Magazi a shuga samayang'aniridwa kokha ndi miyezo yanthawi zonse. Pali zifukwa zomwe zingayambitse kusintha.

• Zakudya zolakwika kapena kukana zakudya zomwe dokotala wakupatsani.
• Kuperewera kwa zolimbitsa thupi, kuchepetsa shuga.
• Kupsinjika mtima.
• Kupezeka kwa zizolowezi zoipa: mowa komanso kusuta kumathandizira kuti shuga iwonjezeke.
• Kusinthasintha kwa mahomoni.
• Kukana kugwiritsa ntchito mankhwala a insulin nthawi zonse.

• Kumwa mankhwala angapo. Pakati pawo: mahomoni, diuretiki, njira zolerera, ma steroid.

Izi ndizomwe zimayambitsa tsiku lililonse zomwe zimapangitsa kuti shuga azituluka.

Palinso zifukwa zingapo zoyambira:

1. Mavuto a Endocrine dongosolo omwe amachepetsa kupanga kwa mahomoni a insulin ofunika kukhazikitsa shuga.
2. Matenda a kapamba ndi zotsatira zofananira.
3. Matenda a chiwindi.

Kuti mupewe kuchuluka kwa shuga m'magazi, muyenera kuwunika kwambiri moyo wanu watsiku ndi tsiku, kuwona zakudya zomwe dokotala amapereka ndikutsatira zolimbitsa thupi zochepa.

Pali njira zingapo zofunika kuzisamalirira:

• chiritsani matenda opatsirana ndi otupa msanga,
• yang'anirani zowotcha, kuvulala, frostbite ndi zovulala zina zakunja,
• kuthana ndi zovuta za matenda opezeka msanga.

Ngati izi zakwaniritsidwa, mulingo wokhazikika wamagazi ungatheke.

Pali zinthu zingapo zomwe zimathandizira kugwa kwa chizindikiro ichi, komanso pali zinthu zomwe siziyenera kudyedwa motere:

Kuphatikiza apo, pali njira zingapo zotchuka zomwe zingathane ndi shuga wambiri:

1. Msuzi wa Aspen. Zofunika: bark ya aspen (2 tsp), 0,5 l yamadzi. Aspen imadzipaka ndi madzi ndikuwiritsa kwa theka la ola pamwamba pa kutentha kwapakati. Pambuyo pake, kukulunga ndi thaulo kwa maola atatu. Msuzi wokhazikika umasefedwa kangapo. Tengani decoction iyenera kukhala theka la ola musanadye katatu pa tsiku mu ¼ chikho kwa miyezi itatu.
2. Tincture wa nyemba zofiira. Zofunika: nyemba zofiira (1 pc), 100 ml ya madzi. Nyemba zimadzaza ndimadzi ndikuyika usiku wonse m'malo amdima. M'mawa amadya, ndipo madzi aledzera.
3. Mafuta a Garlic. Zofunika: adyo (ma clove 12), mafuta a mpendadzuwa (1 tbsp), mandimu (1 tsp). Adyo amaphwanyidwa ndikuthira m'mbale yamagalasi ndi mafuta, pomwe mandimu awonjezera. Iwayikidwa mufiriji. Iyenera kudyedwa kawiri pa tsiku.

Izi wowerengeka azitsamba, komanso kuwonera zakudya zabwino, njira zodalirika zochepetsera shuga.

Kuyesa kwa shuga

Mukamayendetsa shuga mu labotale, ndikofunikira kulabadira zochitika zina zomwe zimatsimikizira kuti zotsatira zake ndi zolondola:

1. Osamadya maola 10 musanayesedwe. Chakudya nthawi zonse chimayambitsa kuchuluka kwa shuga.
2. Simungasinthe kwambiri zakudya musanawunike.
3. Kuopsa kwa kupsinjika kwakuthupi ndi kwamalingaliro sikuyenera kupatula.
4. Ndikofunikira kugona ndi kupuma.

Ngati shuga yamagazi ipitirira muyeso wabwinobwino, dokotala angakulamulireni mayeso owonjezera a shuga.

Si odwala onse omwe amadutsa, koma pali magawo omwe ayenera kudutsa:

• anthu opitilira 40
• anthu onenepa kwambiri
• anthu omwe ali pachiwopsezo cha matenda ashuga.

Mukamayesa mayeso a glucose, ndikofunikira kuti musayende, kusuta kapena kudya.

Izi ndizomwe zimawonetsedwa ngati zovuta:

Mitengo yotsika imatanthawuza kuti zonse zili mu dongosolo.

Kunyumba, mumafunika glucometer kuti muyeza shuga. Zimatenga magazi pang'ono, ndipo kuwunikanso sikumapitilira mphindi zisanu.

Ndikofunikira kudziwa izi:

1. Kusanthula kumaperekedwa m'mawa, pamimba yopanda kanthu.
2. Sambani m'manja kaye kuti musasokeretse mafuta omwe atulutsidwa m'matumba.
3. Dontho loyamba kuchokera kuchotsera silikugwiritsidwa ntchito kupenda ndipo limachotsedwa mosamala ndi swab thonje.
4. Zida zapakhomo, monga lamulo, zimapangidwa kuti zizigwira ntchito ndi plasma m'malo mwa magazi, ndipo zizindikiro zidzatsitsidwa ndi 12%.

Ndikofunika kukumbukira kuti ngati shuga ndimagazi 20, ndiye kuti izi zikutanthauza kufunikira kuchipatala msanga.

Shuga wamagazi 20: Zizindikiro, zoyambitsa, zakudya

Ngati mumadya mosayenera, shuga amatha kudumpha mpaka 20

Mwa munthu wathanzi, kuchuluka kwa shuga kwa magazi kumafanana ndi zomwe zimasintha kuyambira 3.3 mpaka 5.5 mmol pa lita imodzi ya madzi a m'magazi. Kuwonjezeka kwa shuga ndikosakhalitsa kapena chifukwa cha kukula kwa hyperglycemia.

Matenda a hyperglycemia aakulu amaonedwa ngati chiwonetsero cha matenda ashuga. Matendawa ndi oopsa ndipo amafunikira kuwunikidwa nthawi zonse.

Izi zimachitika mothandizidwa ndi mayeso a labotale kapena zida zapakhomo (glucometer).

Sinthani shuga m'magazi pogwiritsa ntchito mankhwala, insulin.

Wodwala yemwe ali ndi vuto la shuga akaphonya kuyamwa kwa insulin, shuga amayamba kukula kwambiri - 18-20 mmol / l. Pankhaniyi, kugonekedwa kuchipatala mwachangu sikungatheke.

Zizindikiro za shuga wambiri:

Shuga akamatuluka (hyperglycemia) munthu amamva:

• kufooka, kugona, kutaya mphamvu,
• chizungulire
• ludzu
• kupumira msanga
• kuwuma, kupindika, kapena kutulutsa khungu pakhungu,
• kuchepa kwa masomphenya
• kukodza kosalekeza
• kusakhazikika, kuda nkhawa,
• kuchiritsa kwamabala
• kupweteka kwa molumikizana
• kusanza kapena kusanza.

Ngati shuga wa magazi akwera mpaka 15-20 mmol / L, Munthu amatha kukhala ndi vuto la glycemic coma. Zizindikiro za izi zimakhala kuchepa kwakanthawi kwa chidwi ndi kuthamanga kwa zochita, kununkhira kwa acetone kuchokera pamlomo wamkamwa, kusagwira bwino ntchito pakupuma, kugwa kwambiri kapena kugona. Ngakhale kuchepetsa shuga kumatha kubweretsa imfa.

Zoyambitsa Kukula kwa Matenda a shuga

Kuthamanga kwambiri kwa shuga m'magazi:

• osafuna kumwa insulin ngati mankhwala osatha,
• kuchuluka kwa matenda ophatikizika: chiwindi, chithokomiro ndi kapamba, wamanjenje
• machitidwe
• chakudya ndi poyizoni wazakudya,
• kupsinjika m'maganizo ndi m'thupi, kupsinjika,
• kugwiritsa ntchito mankhwala a mahomoni, okodzetsa, oletsa kubereka komanso a steroid,
• mowa ndi kusuta
• kusokonezeka kwa mahomoni
• kusowa zolimbitsa thupi,
• kukana chakudya,
• mimba

Momwe mungayesere shuga

Kwa odwala matenda a shuga, muyeso wa glucose amayenera kuwunika tsiku lililonse pamimba yopanda kanthu. Popanda kupita kuchipatala, mutha kudziwa za shuga kwanu pogwiritsa ntchito glucometer.
Ngati chipangizocho chikuwonetsa pafupi 20mmol / l, shuga amayenera kuchepetsedwa mwachangu, ndikuwunikiranso mobwerezabwereza tsiku lonse. Izi ndizowona makamaka kwa anthu omwe alibe matenda ashuga.

Chosangalatsa ndichakuti, zomwe zikuwonetsa kuyesa kwa glucometer ndi mayeso a labotale omwe amakhala ndi zitsanzo za magazi amasiyana azidzasiyana ndi 10-15%. Chowonadi ndi chakuti glucometer amafunafuna shuga m'madzi a m'magazi, ndipo m'malo opangirako ma laboti amayang'anitsitsa magazi onse. Chifukwa chake, zotsatira za mita zidzakhala zapamwamba.

Zotsatira zakuyesa magazi kwa shuga ndizokwera kwambiri kuposa zabwinobwino, maphunziro owonjezera akhoza kuperekedwa kwa wodwala. Mwachitsanzo, kuyezetsa magazi ndi katundu, ndiko kulekerera kwa shuga.

Wodwalayo amatenga shuga wambiri m'madzi. Kusanthula kumachitika m'magawo anayi: pamimba yopanda kanthu, ola limodzi, theka ndi theka mutatha kuchita masewera olimbitsa thupi.

Mwa zizindikiro za kuyeserera kwa glucose ndi katundu, mphamvu yokwanira 1.7 imawoneka yabwinobwino, ndipo patatha maola awiri sayenera kupitirira 1.3.

Pafupipafupi, odwala amayesedwa mayeso: kupilira kwa glucose ndi kutsimikiza kwa C-peptide, kuchuluka kwa fructosamine ndi lactate, kwa glycosylated hemoglobin m'magazi.

Maphunziro oterewa amathandizira kudziwa ngati shuga idakwezedwa miyezi itatu isanayesedwe. Kafukufuku wa matenda a shuga amapereka chidziwitso cha kuchuluka kwa maselo omwe amapanga insulin.

Kuti mudziwe ngati munthu ali ndi lactocytosis, mayeso ololera a lactate angathandize.

Zomwe muyenera kudziwa pokhudza mayeso a shuga

Njira zoperekera magazi kwa shuga siziyenera kuthandizidwa mwapadera. Kuti izi zitheke, ndikwabwino kutsatira malamulowo:

• kusanthula kuyenera kuchitidwa pamimba yopanda kanthu, ndikofunikira kudya osachepera maola 8 musanawunike,
• ana akhoza kuyesedwa nthawi iliyonse, mosasamala kanthu za kudya,
• Imwani madzi oyera ndikupewa zakumwa zozizilitsa kukhosi, komanso mowa ndi khofi,
• pereka magazi kwa odwala omwe ali ndi matenda opatsirana, komanso pambuyo kutikita minofu, physiotherapy, x-ray,
• anthu omwe amamwa mankhwala osokoneza bongo, makamaka mahomoni, okodzetsa, mankhwala osokoneza bongo kapena maantibayotiki samayesa magazi,
• chifukwa cha shuga mkati mwawo, sikulimbikitsidwa kutsuka mano kapena kutsuka pakamwa panu ndi kutafuna chingamu kapena zopopera zotsalira musanatenge magazi.

Madokotala amalimbikitsa kuti kusintha zakudya musanapereke magazi kwa shuga sikofunikira. Samalangiza kuti azidya kwambiri komanso kuti afe ndi njala. Momwe mungapangire matenda a shuga

Chithandizo chomwe chingachepetse shuga wa plasma chimaperekedwa ndi dokotala ndipo chimachitika motsogozedwa ndi a chipatala mosamalitsa.

Ndikotheka kutsika shuga pogwiritsa ntchito izi: chakudya chamagulu, masewera ndi masewera olimbitsa thupi, mankhwala, njira zina.

Mwazi wamagazi 20 mmol? Mwinanso wodwala yemwe ali ndi matenda ashuga amuphwanya zakudya. Kuchuluka kwa glucose kumaonetsa ngozi yomwe ikubwera, zomwe zikutanthauza kuti chithandizo ndikofunikira kuti shuga ibwezeretsedwe.

Mutha kutsitsa shuga pogwiritsa ntchito zakudya zamafuta ochepa. Sizotheka kuthetsa kupsinjika kwa glucose ndimatenda amodzi, koma ndizowona kukonzanso thanzi.

Patha masiku atatu a zakudya zoyenera, shuga amachepetsa kangapo.

Kuchepetsa shuga mwachangu ndikofunikira kwambiri, chifukwa ndi glycemia wa nthawi yayitali, ziwalo zamkati zimayamba kuvutika.

Zakudya za zakudya za odwala matenda ashuga

Kudya moyenera ndi chida chachikulu cha odwala omwe ali ndi matenda ashuga. Chakudya chokhacho chimathandiza shuga m'magazi, kubwezeretsanso mwakale, ndipo chizikhala chokhacho.

Sankhani moyenera zinthu zomwe zingakhale za anthu odwala matenda ashuga zimathandizira matebulo apadera omwe amawonetsa mndandanda wazomwe zimagwiritsidwa ntchito. Glycemic index ndi chisonyezo chomwe chimawonetsa zotsatira za chinthu china pamlingo wa shuga wa plasma.

Popeza index ya glycemic, munthu sayenera kuyiwala kuti odwala matenda ashuga ayenera kupatula zakumwa zomwe zimakhala ndi zopatsa mphamvu zamagetsi ndi mafuta.

Mwambiri, njira yokhayo yopatsa thanzi ndi zakudya zamagulu ochepa. Ndi regimen iyi ndiye maziko a omwe amadziwika bwino pakati pa odwala matenda ashuga "tebulo nambala 9".

Pokhapokha kupanga menyu kumaganizira magawo a munthu aliyense payekha: jenda, zaka, kulemera, mtundu wa shuga, mawonekedwe a thupi.

Zakudya za anthu odwala matenda ashuga amadwala kutentha kochepa, ndipo masamba ndi zipatso zimathandizidwa makamaka mu mawonekedwe osaphika. Koma zakudya zamafuta ndi nyama yokazinga siziyenera kukhala zofunikira.

Tsiku lililonse, zakudya za anthu odwala matenda ashuga ziyenera kuphatikizapo ndiwo zamasamba, zipatso, nyemba, mazira, nyama, nsomba zam'madzi, mtedza, mafuta amkaka ochepa. Zipatso zatsopano ndi masamba zimatha kukonzedwa, ndipo chakudya cham'mawa chimatha kuphatikizidwa ndi mbewu zamphesa.

Zakudya zazikulu zomwe zili ndi shuga wambiri:

• bulwheat
• tomato, nkhaka,
• kabichi yoyera, kabichi wofiira, broccoli, kolifulawa,
• radish, radish,
• biringanya, zukini,
• adyo, anyezi,
• mabuluni
• dzungu
• Yerusalemu artichoke
• udzu winawake, katsitsumzukwa, phala, sipinachi, chilantro, katsabola,
• bowa
• nyemba zobiriwira.
• Musagwiritse ntchito:
• nyama zamafuta, nsomba,
• nyama yankhumba, masoseji osuta,
• pasitala
• mikate yoyera, maswiti amafuta ophika, kuphika,
• batala
• masamba azakudya zambiri (mbatata, chimanga),
• zipatso zamtengo wapamwamba (mphesa, ma tangerine), zipatso zouma,
• shuga wabwino, amasunga, jams, jams,
• maswiti, chokoleti choyera ndi mkaka,
• ma pickles ndi ma pickles,
• mowa, zakumwa zoziziritsa kukhosi za kaboni
• undiluted zipatso timadziti, mmatumba timadziti.

Kuphatikiza pazogulitsa zomwe sizingagwiritsidwe ntchito, pali mndandanda wa "matsenga" wa omwe amaloledwa, koma osatero. Ngati mungafune, palibe vuto kudzipweteka nokha ndi chokoleti chakuda, uchi, kupanga mpunga, semolina, barele kapena mapira. Muthanso kudya dzira, nyemba, nandolo zobiriwira.

Okonda tiyi kapena okonda khofi ayenera kukumbukira kuti zakumwa siziyenera kukhala zotsekemera ndi shuga. Muyenera kugwiritsa ntchito zotsekemera kapena kumwa tiyi kapena khofi yomwe mumakonda.

Shuga ya magazi 20: chochita pamlingo uwu

Matenda a shuga ndi matenda omwe amayenera kuwunikidwa nthawi zonse kuti asadzetse zovuta mthupi. Kuti izi zitheke, odwala matenda ashuga nthawi zambiri amayesa magazi kuti apange shuga pogwiritsa ntchito pulogalamu yapadera ya glucometer. Kuphatikiza apo, adokotala amakupangira chithandizo chofunikira, mankhwala kapena insulin.

Ngati simutenga nthawi ndi kudumphira kukhazikitsidwa kwa mahomoni m'thupi, kuchuluka kwa shuga kwa magazi kumatha kudumphira mpaka magawo 15 kapena 20. Zizindikiro zoterezi zimakhala zowopsa pa thanzi la odwala matenda ashuga, chifukwa chake, ndikofunikira kuwona dokotala ndikuchotsa zomwe zimapangitsa kuti wodwalayo asokonezeke.

Matenda a shuga

Ndiye, titani ngati shuga wambiri wawonjezereka mpaka magawo 15 ndi 20? Kupatula kuti muyenera kufunafuna chithandizo chamankhwala, muyenera kuwerenganso zakudya zomwe anthu amadwala matenda ashuga. Mwambiri, shuga m'magazi amalumpha kwambiri chifukwa cha kuperewera kwa zakudya. Kuphatikiza chilichonse chomwe muyenera kuchita kuti muchepetse shuga m'thupi, ngati zizindikiro zikufikika.

Kuchepetsa shuga m'magazi kuyambira pa 15 mpaka 20 mayeso kukhala mulingo wabwinobwino ndikotheka ndi zakudya zochepa. Ngati wodwala matenda ashuga alumpha shuga, palibe chakudya china chokwanira chomwe chingathandize.

Zizindikiro za mayunitsi 20 kapena kuposerapo kumanenanso za ngozi yomwe imawopseza wodwala ngati chithandizo champhamvu sichinayambike. Atasanthula ndikupeza zotsatila za mayesowo, adotolo amakupatsani mankhwala ndi zakudya zamagulu, zomwe zimachepetsa shuga ya magazi mpaka mulingo wa 5.3-6.0 mmol / lita, chomwe ndi chizolowezi kwa munthu wathanzi kuphatikiza odwala matenda ashuga.

Zakudya zamafuta ochepa zimapangitsa wodwalayo kukhala ndi mtundu uliwonse wa shuga, ngakhale atadwala.

Izi, zimachepetsa shuga m'magazi 15 ndi 20 mpaka kutsika ndipo zimapewa kukula kwa matenda achiwiri omwe nthawi zambiri amayenda ndi matenda ashuga.

Kuti musiyanitse zakudya, ndibwino kugwiritsa ntchito maphikidwe apadera pophika zakudya osangochepetsa shuga wamagazi, komanso kusintha mkhalidwe wa munthu wodwala matenda ashuga.

Nkhani ya m'modzi wa owerenga athu, Inga Eremina:

Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.

Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.

Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowa amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.

Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.

Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chisonyezo chidzatsitsidwa ndi 12 peresenti.

Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.

Ngati wodwalayo wakweza shuga m'magazi, dokotala atha kuyitanitsa kuyesa kwa glucose kuti athandize kudziwa mtundu wa prediabetes. Nthawi zambiri, kuwunika koteroko kumayikidwa kuti kupatula kukhazikitsidwa kwa matenda ashuga mwa wodwala ndikuwona kuphwanya shuga m'mimba.

Chiyeso chololera glucose sichimalamulidwa kwa aliyense, koma anthu opitirira 40, odwala onenepa kwambiri komanso omwe ali pachiwopsezo cha matenda a shuga amapitilira.

Kuti achite izi, wodwalayo amapititsa kuyezetsa magazi pamimba yopanda kanthu, pambuyo pake amupeza kuti amwe kapu ya shuga yowonjezera. Pambuyo maola awiri, kuyezetsa magazi kumachitidwanso.

Pa kudalirika kwa zotsatira zomwe zapezeka, zotsatirazi ziyenera kuonedwa:

• Nthawi kuchokera pachakudya chotsiriza mpaka kuwunikiridwa iyenera kudutsa osachepera maola khumi.
• Musanapereke magazi, simungagwire ntchito yogwira ntchito zolimbitsa thupi ndipo katundu onse wolemera pamthupi sayenera kupatula.
• Ndikosatheka kusintha kwambiri zakudya musanayambe kusanthula.
• Yesetsani kupewa kupsinjika ndi nkhawa.
• Musanafike pakuwunikiridwa, ndikofunikira kuti mupumule komanso mugone bwino.
• Pambuyo poyamwa shuga atamwa, simungathe kuyenda, kusuta ndi kudya.

Vuto lololera glucose limapezeka ngati kuwunikako kunawonetsa deta pamimba yopanda pafupifupi 7 mmol / lita ndipo mutatha kumwa shuga 7.8-11.1 mmol / lita. Ngati zizindikirozo ndizotsika kwambiri, musadandaule.

Kuti muzindikire chomwe chikuwonjezera shuga m'magazi amodzi, muyenera kuyang'aniridwa ndi kapamba ndi kukhululuka koyeserera kwa magazi kwa ma enzymes. Mukamatsatira malingaliro a madokotala ndikutsatira zakudya zochizira, kuwerengera kwa glucose posachedwa kumakhala kokhazikika.

Kuphatikiza pa kusintha kwamagazi a shuga, wodwalayo atha kuona zotsatirazi:

1. Kukodza pafupipafupi
2. Pakamwa pakamwa ndi ludzu losatha,
3. Kutopa, kufooka komanso kuyipa matenda,
4. Kuchulukitsa kapena, mosachepera, kunachepa, pomwe kulemera kumacheperachepera kapena kulipidwa,
5. Chitetezo cha mthupi chimafooka, pomwe mabala a wodwala amachira.
6. Wodwalayo amamva mutu pafupipafupi
7. Masomphenya akuchepa
8. Kuyabwa kumawonedwa pakhungu.

Zizindikiro zotere zikuwonetsa kuchuluka kwa shuga m'magazi ndikufunika kuchitapo kanthu mwachangu.

Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya. Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.

Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya. Ndikulimbikitsidwa kudya pafupipafupi, koma m'magawo ang'onoang'ono. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.

mwambo (15, 37554863, 5558),

Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.

Ndi matenda a shuga, kuyang'anira shuga nthawi zonse ndikofunikira. Mlingo wovuta kwambiri wa shuga ndi kuyamba kwayamba kusintha kosasintha m'thupi la munthu. Kuchulukitsidwa kwakanthawi kochepa ndi koopsa ndi zovuta zomwe zimachitika nthawi yomweyo, ndipo kuthamanga kwa shuga kokwanira kumabweretsa kuwonongeka kwamitsempha yamagazi ndi ziwalo. Ndikofunikira kudziwa zomwe zili wamba, komanso zomwe zimawonetsa kuti shuga ndizovuta.

Mu thupi lathanzi, kuchuluka kwa glucose m'magazi (pamimba yopanda kanthu) sikuyenera kukhala okwera kuposa 3.5-5,5 mmol. Mukatha kudya, mtengo wake umachuluka ndipo sayenera kupitirira 7.8 mmol. Zizindikiritso izi ndi gawo lachipatala lomwe limakhazikitsidwa nthawi zonse pazinthu zamagazi zomwe zimatengedwa kuchokera chala. M'magazi a venous, gawo lovomerezeka lidzakhala lokwera - 6.1 mmol pamimba yopanda kanthu, komanso imawoneka yabwinobwino.

Mlingo wa shuga kwa odwala matenda ashuga sungafanenso kuchuluka kwa momwe shuga amuchotsera mkodzo. 8-11 mmol imawerengedwa ngati kuwonjezeka pang'ono, shuga ya magazi 17 ndi gawo labwino, shuga wamagazi 26 ndi gawo lovuta la hypoglycemia. Kuchuluka kwa shuga m'magazi kumapangitsa kuti thupi lizigwira ntchito bwino, zomwe zimabweretsa zovuta zosasinthika. Malingaliro a shuga wamagazi, malinga ndi chikhalidwe cha msinkhu, akuwonetsedwa patebulopo.

Zaka zimachepetsa Mtengo Wobadwa nawo (mmol) Wobadwa watsopano kuchokera ku 2.8 mpaka 4.4 Mpaka zaka 14 Kuyambira 3.5 mpaka 5.5 14-60 60-90 Kuyambira 4.6 mpaka 6.4 Kuposa 90 Kuyambira 4.2 mpaka 6, Kubwereranso ku tebulo la zamkati

Chizindikiro cha 18 mmol / l chimawerengedwa kale kuti chinthu chowonjezera. Ndipo shuga wamagazi a 20 mmol / L ndi okwera kwambiri amakhumudwitsa kukula kwa ma pathologies osasinthika omwe amakhudza thanzi la munthu. Koma kufananizira chizindikiro ichi ndi anthu onse kudzakhala kulakwika. Mwa zina, zotsatira zosasinthika zimayamba pa 15 mmol, pomwe ena samamva kusokonezeka, ngakhale shuga ali 30 mmol. Ndikosavuta kudziwa kuchuluka kwa shuga omwe amapha popanda vuto lililonse, munthu aliyense amakhala ndi chisonyezo chodziwika bwino, kupatsidwa thanzi labwinobwino.

Matenda a shuga sindicho chokha chomwe chikuwonjezera kuchuluka kwaz shuga. Kupsinjika, nkhawa, kutenga pakati, matenda osiyanasiyana amatha kukulitsa shuga. Kupatuka kunthawi zambiri kumalumikizidwa ndi kuphwanya kwamakanidwe a chakudya. Pankhaniyi, madokotala azindikira zifukwa zingapo zazikulu zomwe zimatha kukweza shuga mwachidule mpaka 20 kapena kuposa:

• kuperewera kwa zakudya m'thupi
• kumangokhala
• kutentha kuwonjezeka
• ululu
• kusuta fodya komanso mowa
• malingaliro osalamulirika.

Mavuto azaumoyo omwe amayambitsidwa ndi kusintha kwa ma pathological mu magwiridwe amkati mwazomwe zimapangitsa kuchuluka kwa shuga. Amagawika m'magulu, kutengera gawo lomwe lawonongeka:

• ziwalo zam'mimba,
• chiwindi
• zotupa za endocrine
• kusakwanitsa kwa mahomoni.

Kuti muchepetse chizindikirocho, ndikofunikira kupeza chifukwa chake ndikuwonjezera.

Ndikotheka kudziwa chizindikiro chokha pofufuza magazi omwe atengedwa pamimba yopanda kanthu. Kukhala ndi shuga wambiri mwa munthu kumapangitsa thanzi labwino, kumayambitsa zizindikiro:

• kutaya mphamvu
• ulesi
• dzanzi m'm miyendo
• kulakalaka
• ludzu losalekeza
• kukodza pafupipafupi
• kuchepa thupi
• Khungu loyera ndi zotupa,
• mabala ochiritsa bwino
• kunachepetsa chilakolako cha kugonana.

Bwererani ku tebulo la zamkati

Kuti adziwe kuchuluka kwa shuga, magazi amatengedwa kuchokera pachala. Kusanthula kungatengedwe ku chipatala, kapena mutha kugwiritsa ntchito mita kuchititsa maphunziro kunyumba. Kuti tsatanetsataneyu azidziwike, ndikofunikira kuzindikira momwe zinthu ziliri asanakonzedwe:

• Kuyeza kwa zizindikiro kuyenera kuchitika pamimba yopanda kanthu. Osachepera maola 10 magazi asanaloledwe.
• Sikulimbikitsidwa kuyambitsa zakudya zatsopano muzakudya.
• Pewani kukhumudwa komanso yesetsani kupewa mantha.
• Zotsatira zolondola kwambiri, kupumula komanso kugona mokwanira ndizofunikira.

Ngati, chifukwa cha kusanthula, shuga ndi wopitilira chizindikiro chofunikira, dokotala amayambitsa kafukufuku wowonjezera - kuwunika kwa shuga. Amakhala ndikumwa magazi pamimba yopanda kanthu ndikuyamwa kachiwiri nditamwa madzi ndi shuga. 7 mmol pamimba yopanda kanthu ndi malire ndipo imawerengedwa kuti ndi vuto, ndipo madzi akumwa ataloledwa, kuchuluka kwa shuga kwamwazi kumayambira pa 7.8 mpaka 11.1 mmol.

Ndi kuchuluka kwambiri kwa shuga, kukomoka kumatha kuchitika, ketoacidosis ndi chikomokere (shuga m'magazi 21 mmol kapena kuposerapo) kumatha, kukulira poyambira kuwonongeka kwa dongosolo lamanjenje lamkati. Chikomokere chimadziwika ndi anthu ambiri omwalira, motero vutoli limafunikira kuchipatala msanga. Zizindikiro zomwe zimayambitsa kupsa mtima:

• kuchuluka kwamikodzo mpaka malita 3-4 patsiku,
• ludzu lakuya ndi pakamwa lowuma
• kufooka, kupweteka mutu.

Ngati simukuthandiza panthawi yake, lowani:

• zopinga zoletsa
• kuzindikira kwambiri
• zovuta zamanjenje,
• kugona kwambiri.

Ngati shuga ndi magawo 28, koma palibe chizindikiro cha ketoacidosis, chikomokere cha hyperosmolar chimayamba.

Hyperglycemia ndi chifukwa cha kuchuluka kwa glucose komwe kumakhalapo kwanthawi yayitali. Zimagwira ntchito yamoyo yonse. Zotsatira zotsatirazi zimawerengedwa kuti ndi zowopsa:

Ngati shuga amakhalabe okwera kwa nthawi yayitali, ndiye kuti imakhudza masomphenya, ndikupangitsa khungu.

• chiwonongeko chamkono cha m'maso, chomwe chingapangitse kuti anthu asaone bwino,
• kuwonongeka kwamitsempha yamagazi ndi mitsempha (kugunda kwamtima, phazi la matenda ashuga),
• kuwonongeka kosasinthika kwa ma nephrons (fyuluta ya impso).

Bwererani ku tebulo la zamkati

Ngati mulingo wa shuga m'magazi uposa malire ovomerezeka kwa nthawi yoyamba, simuyenera kupanga chisankho chakuchepetsa payekhapayekha. Ndikofunika kufunsa mwachangu kwa dokotala yemwe akupatseni mankhwala. Ngati dokotala wapezeka kale, ndiye kuti kusintha kwa glucose kumayendetsa insulini. Koma ndikofunikira kukumbukira kuti shuga iyenera kutsikira pang'onopang'ono, kotero ma insulin jabs ayenera kukhala ochepa. Musaiwale zakufunika kokulitsa kudya kwamadzi. Ngati kuyesayesa sikubweretsa kutsitsika komwe kukufunikira, onetsetsani kuti mukuyimbira ambulansi.

Kudumphadwala kwa glycemia kumawononga thanzi la wodwala, kumabweretsa zovuta ndipo kumayambitsa kukomoka. Muzovuta kwambiri, izi zimabweretsa imfa kapena kulemala kwa odwala. Nthawi zambiri, kuchuluka kwa shuga kumatha pambuyo podya zakudya zopanda thanzi zomwe zili ndi zakudya zamafuta, zomwe siziletsedwa kwa odwala matenda ashuga. Zoyenera kuchita ngati shuga m'magazi apitilira zizindikiro 9, 10, 11, 12, 13, 14, 15, 16, 18, 20 mmol / l, chiopsezo cha izi ndi zotsatirapo ziti zomwe zingayambitse?

custom_block (30, 2523989, 3356),

custom_block (12, 37149073, 3356),

custom_block (29, 20649252, 3356),

Ngati zotsatira za kusanthula zidawonetsa shuga wowonjezera m'magazi athunthu 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, izi zikutanthauza chiyani, kodi ndi matenda ashuga komanso amtundu wanji? Mwa anthu omwe sanakhalepo ndi matenda ashuga, hyperglycemia imayamba chifukwa:

• yotupa, khansa ya kapamba,
• kupsinjika
• matenda a endocrine
• zotupa chiwindi matenda: chiwindi, matenda enaake, khansa zotupa,
• kusokonezeka kwa mahomoni
• kukula kwa mtundu wa I kapena mtundu wachiwiri wa matenda ashuga.

Kuti muwonetsetsetsetsetsetse, odwala amayesedwanso kachiwiri magazi, amapanga maphunziro owonjezera pa postprandial glycemia, kulolera kwa glucose, glycated hemoglobin, C-peptide. Zotsatira zake zithandizira kudziwa kuchuluka kwa shuga omwe wodwala amakhala nawo asanadye komanso atatha kudya, ngati kapamba ikugwira ntchito, kapena ngati minofu imamwa insulin. Pambuyo pokhapokha nditazindikira kuti ndili ndi matenda ashuga kapena ndimakana. Kuphatikiza apo, kuyesa kwa ultrasound, kusanthula kwamkodzo kwamikodzo ndi mankhwala. Lumikizanani ndi endocrinologist, oncologist, neuropathologist.

Wodwala akangopita kwa dotolo kuti akathandizidwe, chithandizo chamankhwala chimaperekedwa mwachangu ndipo sipangakhale zovuta zina.

Zitha kuthandizira kuwonjezeka kwamphamvu m'magazi a shuga:

• kulephera kutsatira zakudya zamafuta ochepa,
• kudumpha jakisoni wa insulin kapena mapiritsi,
• zopsinjitsa
• kusowa zolimbitsa thupi,
• kuphwanya zakudya
• kulephera kwa mahomoni
• mavairasi, chimfine kapena matenda ena aliwonse,
• zizolowezi zoipa
• matenda kapamba
• kumwa mankhwala: mahomoni, okodzetsa, zoletsa,
• matenda a chiwindi.

Shuga wamkulu m'magazi pa 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, akuyenera kuchitidwa chiyani ndipo ndi owopsa? Choyamba, ndikofunikira kuti muchepetse zinthu zoyipa zomwe zidapangitsa kudumpha kwa glycemia. Ngati wodwalayo adayiwala kubaya insulin yochepa kapena kumwa mankhwala, muyenera kuchita izi posachedwa.

Simungathe kuthana ndi zakudya, ndi mawonekedwe odziyimira pawokha, masewera olimbitsa thupi angakuthandizeni. Izi zimathandizira kuyamwa kwa shuga ndi minofu minofu.

Chifukwa chodziwika bwino ndi kudya kapena kuphwanya zochitika za tsiku ndi tsiku, kudya kwambiri. Malangizo a wodwalayo azitha kubweretsa glycemia mwa masiku awiri kapena atatu.

Nthawi zina odwala omwe ali ndi matenda a shuga omwe amadalira insulin amafunsa adotolo kuti: "Ndimapereka jakisoni nthawi zambiri, ndipo shuga amasungako 10, 12, 13, 14, 16, 17, 18, 19, 20 mmol / l, chochita, zomwe amawopseza ndi" ? Pakhoza kukhala zifukwa zingapo zosagwira insulin mankhwala:

• Mlingo wa mankhwalawa wasankhidwa molakwika,
• osagwirizana ndi zakudya ndi jakisoni,
• kusungidwa kosayenera kwa ma insulin ampoules,
• kusakaniza ma insulini osiyanasiyana mu syringe imodzi,
• tsamba la jakisoni, kuphwanya teknoloji,
• jakisoni kwa chisindikizo
• kusisita khungu pakumwa musanapereke mankhwala,
• kuchotsa mwachangu singano pakhungu pambuyo pakubaya.

Wodwala aliyense yemwe ali ndi matenda a shuga a 1 amatengera wodwala, dokotalayo amafotokozera momwe angabayire bwino, komwe kumakhala thupi ndi zina zobisika. Mwachitsanzo, kupaka khungu ndi yankho la mowa kumachepetsa mphamvu ya mankhwalawa, pambuyo poti insulini ilowa, muyenera kudikirira masekondi 10 musanachotsere singano, apo ayi, mankhwalawa amatha kutayikira.

Ngati mumalembera jakisoni malo amodzi, zisindikizo mawonekedwe, mankhwalawa akafika malo oterowo amalephera pang'onopang'ono. Muyenera kudziwa momwe mungasakanizire mitundu ya insulin, yomwe ingaphatikizidwe, ndipo siyani. Mbale yotseguka iyenera kusungidwa mufiriji.

Pankhani yolakwika ya mankhwalawa, ndikofunikira kukonza, mogwirizana ndi adokotala. Izi sizingachitike palokha, chifukwa hypoglycemia imatha kuyamba. Ngati wodwala saona bwino ndipo sangathe kudziwa kuchuluka kwa mankhwalawo, achibale amafunsidwa kuti amuthandize.

Kodi chiwopsezo chowonjezeka cha shuga m'magazi ndi chiyani, ngati glucose ali 10, 12, 14, 16, 17, 18, 20, 21, 22, 30 mmol / l ndipo izi zikutanthauza chiyani? Kuwerengedwa kwa shuga kwambiri, komwe kumasungidwa nthawi yayitali, kumatha kuyambitsa ketoacidosis. Thupi limayesetsa kugwiritsa ntchito shuga ochulukirapo pophwanya mafuta, chifukwa, matupi a ketone amapangidwa, ndipo thupi limamwa.

• kufooka wamba, malaise,
• kukodza pafupipafupi kokhala ndi mavoliyumu akuluakulu, kenako anuria,
• Kununkhira kwa acetone kumamveka kupuma,
• mseru, kusanza, khoma lamkati pamatumbo, kusokoneza kwa chopondapo,
• kupuma kwamkati
• kuchuluka kukwiya
• ulesi, kugona,
• mutu
• shuga shuga 20, 21, 25, 26, 30 mmol / l,
• matupi a ketone amapezeka m'magazi ndi mkodzo,
• kusawona bwino,
• kugona

Ndikofunikira kuchiza ketoacidosis pachipatala. Mankhwala a insulin amadziwika, kuchepa kwa madzimadzi m'thupi, potaziyamu ndi zinthu zina zomwe zikusoweka zimalipiriridwa, mulingo woyambira wa asidi umabwezeretseka.

Kodi chiwopsezo cha shuga wambiri m'magazi ndi 10, 12, 16, 17, 18, 19, 20, 21, 22, 25, 27, 30 mmol / l, chingachitike ndi chiyani ngati zoterezi zingachitike, ndipo zotsatira zake zingakhale chiyani? Kuwonjezeka kwakukulu kwa glycemia kumatha kuyambitsa kukomoka kwa matenda ashuga (kusowa chikumbumtima, kusakhazikika maganizo), komwe kumayamba masana.

• ketoacidosis, fungo la acetone,
• khungu
• kuyanika kwa mucous nembanemba wamkamwa, khungu, lilime wokutidwa ndi zolembera,
• kutsitsa minofu kamvekedwe
• mseru, kusanza, kupweteka kwam'mimba,
• kutsitsa magazi,
• kuchuluka kwamtima, palpitations,
• kupuma kwamkati
• kutsitsa kutentha kwa thupi
• polyuria, kenako anuria,
• chikumbumtima
• kuchuluka kwa shuga m'magazi kumachulukitsidwa (15 - 25, 26), matupi a ketone.

Ngati pali zizindikiro za chikomokere, muyenera kufunsa dokotala nthawi yomweyo! Odwala amathandizidwa m'chipinda chothandizira kwambiri.

Mulingo wa shuga m'magazi 10, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 30 mmol / l, izi zikuwopseza chiyani? Odwala omwe ali ndi insulin-yodziyimira payokha yamatenda, hyperosmolar coma imawonedwa kwambiri, popanda zizindikiro za ketoacidosis. Magazi amakhala okhuthala chifukwa cha kuchuluka kwa shuga. Zochita za opaleshoni, kuwonongeka kwa impso, pachimake kapamba, kutenga mankhwala ena, kukha magazi, kulowetsedwa kwa myocardial kumatha kudzetsa matendawa.

Hyperosmolar syndrome imayamba pang'onopang'ono kuposa ndi ketoacidosis, Zizindikiro zake sizimatchulidwa. Palibe fungo la acetone, kupuma kwamaso, kusanza. Odwala amakhala ndi nkhawa pokodza pafupipafupi, mwapang'onopang'ono mkodzo umatha kutulutsidwa chifukwa chosowa madzi. Odwala amathandizidwapo, kuyembekezera mwachangu, kusokonekera kwa kulankhula, kusunthira kwamaso kwa msanga, komanso ziwindi zamisempha ina. Chithandizo cha hyperosmolar coma ndichofanana ndi ketoacidosis.

Mlingo wowopsa wa shuga m'magazi (10, 20, 21, 25, 26, 27, 30 mmol / L), womwe umatenga nthawi yayitali kapena kulumpha pafupipafupi mu glycemia kumabweretsa chitukuko cha zovuta kuchokera kumanjenje, mtima, dongosolo la genitourinary, masomphenya

• wodwala matenda ashuga
• polyneuropathy yam'munsi,
• angiopathy
• retinopathy
• zilonda zam'mimba
• zigawenga
• matenda oopsa
• nephropathy
• chikomokere
• arthropathy.

Mavuto oterewa ndi osachiritsika, opita patsogolo, sangathe kuchiritsidwa, mankhwalawa amathandiza wodwalayo komanso kuwonongeka. Matenda angayambitse kudula miyendo, khungu, kulephera kwa impso, kugunda kwa mtima, sitiroko, kupindika kolumikizana.

Matenda a shuga a mtundu uliwonse amafunika kuwongolera zakudya zamafuta ambiri, mulingo wa mankhwala, kusintha kwa thanzi ndikofunikira, zochitika zamasiku onse ndi zakudya ziyenera kuchitika, ndipo zizolowezi zoyipa ziyenera kusiyidwa. Pokhapokha ngati matendawa atha kulipidwa ndikuchepetsedwa zovuta zazikulu.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

Mwazi wamagazi ungathe kuchuluka chifukwa cha kutenga pakati, kupsinjika kwambiri kapena kupsinjika kwamaganizidwe, mitundu yonse yamatenda a sekondale.

Zoyenera, ngati kuchuluka kwa glucose kukwera mpaka magawo 15 kapena 20, titha kulingalira zakuti ichi ndi chizindikiro chowonjezera chidwi pa thanzi.

Nthawi zambiri shuga m'magazi amakwera ngati wodwala ali ndi vuto lakukonza chakudya.

Chifukwa chake, zifukwa zazikulu zowonjezera kuchuluka kwa shuga m'magazi 20 kapena kuposerapo ndizosiyanitsidwa:

• Zakudya zopanda pake. Mukatha kudya, kuchuluka kwa shuga m'magazi nthawi zonse kumakwezedwa, chifukwa pakadali pano pali njira yogwira ntchito yopangira chakudya.
• Kulephera kuchita zolimbitsa thupi. Kuchita masewera olimbitsa thupi kuli ndi phindu lililonse pa shuga.
• Kuchulukitsa kwa malingaliro. Panthawi yamavuto kapena kupsinjika mwamphamvu, kulumpha mu shuga kumatha kuonedwa.
• Zizolowezi zoipa. Mowa ndi kusuta zimakhudza kwambiri zomwe zimachitika mthupi komanso kuwerenga kwa glucose.
• Kusintha kwa mahomoni. Mu nthawi ya premenstrual syndrome ndi kusintha kwa thupi kwa azimayi, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka.

Kuphatikiza pazomwezo zingakhale zovuta zamtundu uliwonse, zomwe zimagawidwa malinga ndi gawo lomwe lakhudzidwa.

1. Matenda a Endocrine chifukwa cha kupsinjika kwa mahomoni amatha kuyambitsa matenda ashuga, pheochromocytoma, thyrotooticosis, matenda a Cushing. Mwanjira imeneyi, msuzi wa shuga umakwera ngati kuchuluka kwa mahomoni kumachulukitsa.
2. Matenda a kapamba, monga kapamba ndi mitundu ina ya zotupa, amachepetsa kupanga insulin, komwe kumayambitsa mavuto a metabolic.
3. Kumwa mankhwala ena kungapangitsenso kuchuluka kwa shuga m'magazi. Mankhwalawa amaphatikizapo mahomoni, diuretics, njira zolerera komanso mankhwala a steroid.
4. Matenda a chiwindi, komwe glue amawonongera glycogen, amachititsa kuchuluka kwa shuga m'magazi chifukwa chakuchita bwino mkati. Matendawa ndi monga cirrhosis, hepatitis, zotupa.

Zonse zomwe wodwalayo ayenera kuchita ngati shuga atakwera mpaka magawo 20 kapena kupitilira apo ndikuchotsa zomwe zimayambitsa kuphwanya kwa umunthu.

Inde, vuto limodzi kumawonjezera kuchuluka kwa shuga magawo 15 ndi 20 mwa anthu athanzi silimatsimikizira kupezeka kwa matenda ashuga, koma pankhani iyi zonse ziyenera kuchitidwa kuti zinthu zisamawonjezeke.

Choyamba, ndikofunikira kukonza zakudya zanu, ndikuchita masewera olimbitsa thupi nthawi zonse. Poterepa, tsiku lililonse muyenera kuyeza shuga wamagazi ndi glucometer kuti musabwerenso zomwe zikuchitika.

Mwazi wamagazi

Mwazi wamagazi nthawi zambiri umayezedwa pamimba yopanda kanthu. Kuyesedwa kwa magazi kumatha kuchitika onse kuchipatala mu labotale komanso kunyumba pogwiritsa ntchito glucometer. Ndikofunikira kudziwa kuti zida zam'nyumba nthawi zambiri zimapangidwa kuti zizindikire kuchuluka kwa shuga m'magazi, pomwe mumagazi, chisonyezo chidzatsitsidwa ndi 12 peresenti.

Muyenera kuwunika kangapo ngati kafukufuku wapitayo adawonetsa kuchuluka kwa shuga m'magawo 20, pomwe wodwalayo sanapezeka ndi matenda a shuga. Izi zimalola kuti matendawa athe nthawi komanso kuthetsa zonse zomwe zimayambitsa matendawa.

Ngati wodwalayo wakweza shuga m'magazi, dokotala atha kuyitanitsa kuyesa kwa glucose kuti athandize kudziwa mtundu wa prediabetes. Nthawi zambiri, kuwunika koteroko kumayikidwa kuti kupatula kukhazikitsidwa kwa matenda ashuga mwa wodwala ndikuwona kuphwanya shuga m'mimba.

Chiyeso chololera glucose sichimalamulidwa kwa aliyense, koma anthu opitirira 40, odwala onenepa kwambiri komanso omwe ali pachiwopsezo cha matenda a shuga amapitilira.

Pa kudalirika kwa zotsatira zomwe zapezeka, zotsatirazi ziyenera kuonedwa:

• Nthawi kuchokera pachakudya chotsiriza mpaka kuwunikiridwa iyenera kudutsa osachepera maola khumi.
• Musanapereke magazi, simungagwire ntchito yogwira ntchito zolimbitsa thupi ndipo katundu onse wolemera pamthupi sayenera kupatula.
• Ndikosatheka kusintha kwambiri zakudya musanayambe kusanthula.
• Yesetsani kupewa kupsinjika ndi nkhawa.
• Musanafike pakuwunikiridwa, ndikofunikira kuti mupumule komanso mugone bwino.
• Pambuyo poyamwa shuga atamwa, simungathe kuyenda, kusuta ndi kudya.

Vuto lololera glucose limapezeka ngati kuwunikako kunawonetsa deta pamimba yopanda pafupifupi 7 mmol / lita ndipo mutatha kumwa shuga 7.8-11.1 mmol / lita. Ngati zizindikirozo ndizotsika kwambiri, musadandaule.

Kuti muzindikire chomwe chikuwonjezera shuga m'magazi amodzi, muyenera kuyang'aniridwa ndi kapamba ndi kukhululuka koyeserera kwa magazi kwa ma enzymes. Mukamatsatira malingaliro a madokotala ndikutsatira zakudya zochizira, kuwerengera kwa glucose posachedwa kumakhala kokhazikika.

Kuphatikiza pa kusintha kwamagazi a shuga, wodwalayo atha kuona zotsatirazi:

1. Kukodza pafupipafupi
2. Pakamwa pakamwa ndi ludzu losatha,
3. Kutopa, kufooka komanso kuyipa matenda,
4. Kuchulukitsa kapena, mosachepera, kunachepa, pomwe kulemera kumacheperachepera kapena kulipidwa,
5. Chitetezo cha mthupi chimafooka, pomwe mabala a wodwala amachira.
6. Wodwalayo amamva mutu pafupipafupi
7. Masomphenya akuchepa
8. Kuyabwa kumawonedwa pakhungu.

Zizindikiro zotere zikuwonetsa kuchuluka kwa shuga m'magazi ndikufunika kuchitapo kanthu mwachangu.

Zakudya zowonjezera zowonjezera shuga

Kuwongolera shuga la magazi, pali zakudya zapadera zochiritsira zomwe zimafuna kuchepetsa kuthana ndi zakudya zomwe zili ndi chakudya chambiri. Ngati wodwala amakhala ndi thupi lochulukirapo, kuphatikiza dokotala amalembera zakudya zamagulu ochepa. Poterepa, ndikofunikira kubwezeretsanso zakudya zomwe zili ndi mavitamini ndi michere.

Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni oyenera, mafuta ndi chakudya. Mukamasankha mbale, muyenera kudziwa kaye tebulo la glycemic index, lomwe aliyense wodwala matenda ashuga ayenera kukhala nawo. Mutha kuchotsa zizindikilo za matenda ashuga kokha komanso kudya zakudya zopatsa thanzi.

Ndi shuga wowonjezereka, ndikofunikira kusintha pafupipafupi zakudya. Ndikulimbikitsidwa kudya pafupipafupi, koma m'magawo ang'onoang'ono. Payenera kukhala zakudya zitatu zazikuluzikulu zitatu ndi zakudya zazing'ono patsiku. Komabe, muyenera kudya zakudya zabwino zokha, kupatula tchipisi, othandizira ndi madzi owala, owononga thanzi.

Zakudya zazikulu zikuphatikiza masamba, zipatso ndi zakudya zama protein. Ndikofunikanso kuwunika momwe madzi alili. Ngati mulingo wa glucose ukhalabe wokwera, ndikofunikira kusiya kotheratu kugwiritsa ntchito zotsekemera za confectionery, zakumwa zotsekemera ndi zamafuta, zakumwa zoledzeretsa. Ndikulimbikitsidwanso kupatula mphesa, zoumba ndi nkhuyu kuchokera muzakudya.

Mwazi 20: kuchita?

Mwa munthu amene alibe nkhawa ndi mavuto azaumoyo, kuchuluka kwa shuga mthupi kumafanana ndi 3.3 - 5.5 mmol pa lita.

Kuwonjezeka kwa shuga kungakhale kwakanthawi kapena kuonedwa motsutsana ndi maziko a chitukuko cha hyperglycemia. Mkulu wamkati ndi chiwonetsero cha matenda ashuga. Matendawa ndi oopsa ndipo amafunika kuwunikira nthawi zonse. Itha kuchitika kudzera mu kafukufuku wama labotale kapena, popanda kusiya nyumba, pogwiritsa ntchito glucometer.
nkhani

Chifukwa cha mankhwala apadera ndi insulin, mutha kusintha mtundu wa glucose mthupi lanu. Komabe, ngati chizindikiro cha shuga cha 20 mmol / L chidutsa, ndibwino osachiyika pachiwopsezo. Pankhaniyi, kugonekedwa kuchipatala mwachangu ndiye njira yabwino kwambiri.

Zizindikiro za Kuwala Kwakukulu

Zikachitika kuti shuga asadutse chinthu chovuta, munthu amamva:

• kusowa mphamvu, kugona,
• chizungulire
• ludzu losaletseka
• kupuma pafupipafupi
• Kuuma kapena kupindika pakhungu,
• kuchepa kwa masomphenya
• kukodza kosalekeza
• kuda nkhawa, kusasinthika,
• kuchiritsa kwamabala
• kupweteka kwa molumikizana
• kusanza kapena mseru.

Kuphatikiza apo, ngati ndende ya glucose ikukwera mpaka 20 mmol / L., Munthu ali ndi chiopsezo cha glycemic coma. Zizindikiro za izi ndi kuchepa kwakukuru mu chidwi ndi kuthamanga kwa zochita, kununkhira kwa acetone kuchokera mkamwa, kulephera kupuma, kulephera kudziwa. Komanso, ngati simungachepetse shugayo pakapita nthawi, munthu akhoza kufa.

Zifukwa zowonjezera shuga

Zina mwazomwe zimapangitsa kuchuluka kwa shuga m'thupi ndi izi:

• kupanda chidwi chofuna kumwa insulin ngati mankhwala osatha,
• kuchuluka kwa matenda oyanjana: chiwindi, chithokomiro ndi kapamba, dongosolo lamanjenje,
• poyizoni wazakudya ndi chakudya,
• kupsinjika, kupsinjika,
• kugwiritsa ntchito mahomoni, mankhwala oletsa kubereka, komanso mankhwala a steroid,
• kumwa ndi kusuta
• kuvutika kwamafuta,
• kusowa zolimbitsa thupi,
• kusafuna kutsatira chakudya,
• kuyembekezera khanda.

Momwe mungayesere shuga

Anthu omwe ali ndi matenda ashuga azikhala ndi muyeso wa tsiku ndi tsiku m'matupi awo asanadye m'mawa. Popanda kuchoka kunyumba, mutha kudziwa zambiri zokhudzana ndi shuga m'thupi pogwiritsa ntchito glucometer.

Ndikofunikira kudziwa kuti zomwe zikuwonetsedwa pa chipangizochi, komanso zomwe zimapezeka mu labotale, nthawi zina zimasiyana mpaka 15%. Chinsinsi chagona kuti ntchito ya mita ndikuyang'ana shuga m'magazi, ndipo m'mabotolo amaphunzira magazi konse.

Pankhaniyi, zotsatira zoperekedwa ndi glucometer nthawi zambiri zimakhala zapamwamba.

Ngati zotsatira za kuyesedwa kwa magazi pakuwazidwa shuga ndizambiri kuposa kuchuluka kwazomwe zikuchitika, maphunziro owonjezera akhoza kuperekedwa kwa munthuyo.

Ndi chithandizo chawo, mutha kudziwa ngati panali kuchuluka kwa glucose kwa miyezi itatu musanayesedwe.

Kwa anthu omwe ali ndi matenda ashuga, maphunziro ngati awa amapereka chidziwitso chofunikira pokhudzana ndi kuchuluka kwa maselo apadera m'thupi omwe ali ndi vuto la kupanga insulini.

Chilichonse chomwe muyenera kudziwa pokhudza mayeso a shuga

Njira zoperekera magazi ziyenera kuchitika ndi zovuta zonse. Kuti mupeze zotsatira zolondola kwambiri, muyenera kutsatira malamulo ena:

• kusanthula kuyenera kuchitika pamimba yopanda kanthu, pafupifupi maola asanu ndi atatu asanafike phunzirolo,
• Ana amatha kuyesedwa nthawi iliyonse, ngakhale atakhala kuti amadya,
• gwiritsani ntchito madzi okha, osapatula zakumwa kaboni, zakumwa zoledzeretsa, khofi ndi tiyi,
• pambuyo kutikita minofu, physiotherapy ndi x-ray imapereka magazi sizikumveka,
• simuyenera kusanthula anthu omwe amamwa mitundu yonse ya mankhwala,
• Musanapite ku phunziroli, ndibwino kudumula ndikutsuka mano ndikugwiritsa ntchito kupukutira kosiyanasiyana ndi kutafuna mano kuti mutsenso mpweya.

Madokotala amalimbikitsa mwamphamvu kuti musasinthe zakudya zanu zamasiku onse poyembekezera kuperekedwa kwa magazi. Chomwe sichingokhala kudya kwambiri, komanso kusakhala ndi njala.

Momwe mungapangire matenda a shuga

Chithandizo chomwe chingachepetse shuga wa plasma chimaperekedwa ndi adokotala okha ndipo amachitidwa motsogozedwa kwambiri.

Zochita zazing'ono zimathandizira kuchepetsa kuchuluka kwa shuga m'thupi: zochitika zolimbitsa thupi, kumwa mankhwala ndi wowerengeka, komanso kuwona momwe boma limadyera.

Ngati shuga wamagazi wawonjezereka kukhala 20 mmol, mwachidziwikire munthu amaphwanya zakudya zoyenera. Kuchuluka kwa shuga m'magazi kumaonetsa ngozi yomwe ikubwera, zomwe zikutanthauza kuti chithandizo chidzafunika kuti pakhale shuga.

Milingo ya shuga imatha kuchepetsedwa pogwiritsa ntchito zakudya zamafuta ochepa. Ndipo ngakhale kusinthana kwa shuga ndi chakudya chokhacho sikungathetsedwe, ndizotheka kwathunthu kukhala bwino.

Pambuyo pa masiku ochepa a chakudya choyenera, shugayo amatsika kangapo.

Ndikofunikira kwambiri kuchepetsa kuchuluka kwa shuga mthupi momwe mungathere, chifukwa nthawi yayitali hyperglycemia, ziwalo zamkati zimavutika.

Zakudya zopatsa thanzi kwa odwala matenda ashuga

Kudya moyenera mwina ndiye chida chachikulu cha anthu odwala matenda ashuga. Mothandizidwa ndi chakudya kokha pomwe shuga ya ndende imachepetsedwa, imakhala yofunikira ndipo imakhalapo kwa nthawi yayitali.

Pakusankha zinthu zomwe zimaloledwa kwa odwala matenda ashuga, matebulo apadera adzakuthandizani, okhala ndi chidziwitso pa index ya glycemic ya zinthu zina.

GI imawonetsa zotsatira za zinthu pazomwe zimaphatikizidwa ndi shuga mu plasma.

Poganizira chizindikiro ichi, tiyenera kukumbukira kuti odwala matenda ashuga ayenera kusiya kugwiritsa ntchito zinthu zomwe zimapangidwa ndi zakudya zomwe zimapezeka m'mimba, komanso mafuta.

Zakudya zopatsa thanzi zimaphatikizapo kuphatikizidwa muzakudya za tsiku ndi tsiku za zipatso zosiyanasiyana, masamba, nyemba, mazira, nsomba zam'madzi, nyama, mtedza, komanso zinthu zopanda mafuta zozikidwa mkaka.

Chifukwa chake, mndandanda wazakudya zazikulu zomwe zimalimbikitsa shuga wambiri ndi motere:

• bulwheat
• nkhaka
• Tomato
• mitundu yamitundu yamasichi
• radishi
• biringanya
• zukini
• adyo, anyezi,
• mabuluni
• dzungu
• amadyera
• bowa
• Nyemba

Zakudya zoletsedwa ndizophatikiza:

• mafuta amitundu yam'madzi ndi nyama,
• nyama yankhumba,
• pasitala
• mikate yoyera
• zinthu zotsekemera, ma muffin,
• batala
• masamba ophika kwambiri (chimanga, mbatata),
• zipatso zouma
• shuga, komanso mitundu yonse ya jams ndi jams,
• maswiti
• mkaka ndi chokoleti choyera,
• maapulo
• mizimu, sodas ndi zakumwa za shuga,
• zipatso zokhazikitsidwa ndi timadziti.

Kuphatikiza pazogulitsa zomwe zimaloledwa ndikuletsedwa kuti zigwiritsidwe, palinso mndandanda wa "matsenga" wa zomwe zingasangalale, koma nthawi zina. Ngati mukufunadi, nthawi zina mumatha kudzichitira nokha mpunga, barele, mapira kapena semolina, chokoleti chakuda, komanso nyemba, mazira kapena nandolo zobiriwira.

Iwo omwe sangathe kuganiza za moyo wawo wopanda khofi kapena tiyi adzazolowera zakumwa zawo zomwe amakonda zomwe amawakonda.

Zoyenera kuchita ngati shuga m'magazi 20

Shuga (glucose) ndi gawo lachilengedwe la magazi. Chizindikiro chowoneka bwino ndi 5.5 mmol / L pamimba yopanda kanthu, 7.8 - atatha kudya. Matani amafunikira chakudya chochepa ichi kuti atenge mphamvu. Kuperewera kwa glucose kumayambitsa kuphwanya mapuloteni, mafuta ndi chakudya chamagulu, zomwe zimawononga thupi lonse.

Chifukwa chiyani kusanthula kumasintha

Kuyamwa kwa shuga ndi minofu kumachitika mchikakamizo cha insulin - mahomoni omwe amapangidwa ndi maselo apadera mu kapamba. Ngati mahomoniwa satikwanira, minofu yake singatenge glucose, imadziunjikira m'magazi am'magazi komanso mtundu wa matenda a shuga omwe ndimadalira insulin. Matendawa amayambika ubwana pambuyo pakulimbana ndi ma virus pamtundu wa kusintha kwa makolo.

Zimachitikanso kuti matenda ashuga sayamba chifukwa insulini yotsika (yokwanira imapangidwa), koma chifukwa minofu imasiya kuimvera. Uku ndi mtundu II matenda a shuga - osagwirizana ndi insulin. Pamtima pa nthendayi ndimatenda a metabolic, motero amakula pambuyo pa zaka 45.

Kukula kwa glucose mu mtundu I shuga

Kubayidwa mosavomerezeka ndi insulin, kupsinjika kwambiri, kugwiritsa ntchito maswiti kapena mowa - zonsezi zimatha kuyambitsa shuga. Kuchulukitsa chisonyezo ku 15-16 kumawonjezera kwambiri mwayi wokhala ndi matenda ashuga.

Shuga wamagazi 20 mwa odwalawa ndi tsoka, chifukwa zimatsogolera pang'onopang'ono kukomoka motsutsana ndi maziko a ketoacidosis. Kusowa kwa glucose kumabweretsa mphamvu kuchokera ku mapuloteni ndi mafuta. Ndi kusweka kwa chotsirizachi, matupi a sumu a ketone amapangidwa (acetone, etc.), fungo la acetone kuchokera kwa wodwalayo.

Shuga wambiri wamagazi (mayunitsi 15 kapena kuposapo): chochita, zotsatira za hyperglycemia

Madokotala amati shuga yamagazi imakwezedwa ngati ikwera pamwamba pa chizindikiro cha 5.5 mmol / L.

Komabe, pali zochitika zina pamene kuchuluka kwa glucose kuli 15, 20 kapena kuposa. Tiona chifukwa chake izi zitha kuchitika, ndipo koposa zonse, zoyenera kuchita ngati pali shuga wambiri wamwazi.

Kodi ndichifukwa chiyani shuga amawuka odwala matenda ashuga?

Kupanga kwa shuga m'thupi la odwala matenda ashuga kungafotokozeredwe motere:

• shuga amafunikira mu khungu lililonse la thupi lathu, popanda iwo, palibe dongosolo kapena chiwalo chomwe chitha kugwira ntchito moyenera. Timakhala ndi glucose pazakudya,
• kuti shuga atuluke m'magazi kupita mu maselo, mayendedwe apadera amafunikira - insulini ya mahomoni yopangidwa ndi kapamba,
• munthu akakhala wathanzi, m'thupi mwake insulin imapangidwa ndendende momwe zimafunikira, mwa anthu odwala matenda ashuga izi zimasokonekera,
• pomwe mulibe insulin yokwanira, njira yonyamula glucose kupita komwe ikusokonekera imasokonezeka, zikuwoneka kuti ma cell omwe thupi alibe mphamvu, ndiye kuti, glucose, amayamba "kufa ndi njala". Izi zimachitika ngakhale shuga atakhala okwanira pakadali pano.
• kulipirira kuchepa kwa mphamvu, ngakhale shuga wambiri amatulutsidwa m'mwazi, ndiye kuti, zizindikiro zikukulirakulirabe.

Gwero lalikulu la shuga ndi mafuta omwe timapeza ndi chakudya. Chifukwa chake, choyenera kuletsa, choyambirira, zopangidwa ndi carb kwambiri, osati mafuta ndi mapuloteni.

Kunyalanyaza kulumpha kwakuthwa mu shuga m'magazi ndi koopsa, popeza odwala ambiri omwe ali ndi chizindikiro cha 13.8-16 mmol / l amayamba kupanga zovuta zowopsa monga matenda ashuga a ketoacidosis.

Izi zimadziwika ndi mfundo yoti poyesa kulipirira kuchepa kwa mphamvu, thupi limayamba kukonza mafuta osungidwa, ndikumatulutsa "mtundu" wowopsa ngati ma ketones. Pakakhala ma ketoni ambiri, amadetsa thupi, zomwe zimatha kubweretsa mavuto ambiri.

Momwe mungachitire:

1. ngati pa mita yomwe mwawona zizindikiro za ma 15, 16, 17, 18, 19, 20, ndiye kuti pakufunika kuchitapo kanthu mwachangu kuti muthe kutsitsa zomwe zapamwamba. Ikhoza kukhala mankhwala ochepetsa shuga kapena jakisoni wa insulin. Chonde dziwani kuti zochita zodziyimira pawokha ndizovomerezeka pokhapokha ngati muli ndi matenda "a shuga" ndikudziwa kupanga jakisoni moyenera komanso malinga ndi njira yomwe mungagwiritsire ntchito mankhwala. Mukakumana ndi mfundo zapamwamba koyamba ndi bwino kuyimba ambulansi nthawi yomweyo,
2. wokhala ndi mayunitsi 21-25, chiopsezo cha matenda onga matenda a shuga chikukula kwambiri. Ngati shuga satha kuchepa ngakhale mutamwa mankhwala kapena jakisoni, pitani kuchipatala msanga,
3. pali magawo ena ovuta kwambiri pamene glucose amafikira mayunitsi 26-29, ndipo nthawi zina amatha kukhala magulu 30-32 kapena kupitilira. Pankhaniyi, kubwezeretsa ntchito zofunikira ndikotheka kokha m'chipinda chothandizira kwambiri, kuchipatala.

Ngati mukumva kusakonzeka ndi zisonyezo kuti shuga wayakuka kwambiri, tengani miyeso ndi nyumba yanu yamagalasi am'magazi kuti mutsimikizire kuti shugayo sanalumphe kuzinthu zomwe zimawopseza moyo ndi thanzi.

Zakudya zochizira komanso kupewa hyperglycemia

Monga lamulo, madokotala amalimbikitsa kugwiritsa ntchito manambala 9 piritsi.

Chakudya chizikhala motengera mfundo izi:

• pewani kusala kudya, komanso kudya kwambiri (ngakhale zakudya zopatsa thanzi),
• pewani chakudya "chothamanga",
• gwiritsani ntchito zokhazokha zomwe mwaphika, zophika, zophika kapena zonenepa.

Zakudya zolimbikitsidwa (zabwino zamagulu a shuga):

Simungadye:

• pasitala ndi Zakudyazi,
• mikate yoyera
• kuphika
• kuphika,
• puff makeke
• ayisikilimu
• maswiti
• chokoleti
• makeke
• makeke okoma
• kupanikizana
• ma pickles ndi ma pickles,
• zakudya zamafuta ndi zokazinga,
• zakumwa zonunkhira bwino.

Kugwiritsa ntchito kochepera: khofi, makeke ophika, mkate, uchi, uchi, fructose kapena zotsekemera zina, mbatata, kaloti, beets, zipatso zotsekemera, monga tangerines.

Odwala ena, pofuna kubwezeretsanso shuga kwachikhalidwe, akusintha kukhathamira kwa zotsekemera. Kumbukirani kuti sizothandiza kwambiri ndipo mutha kuzigwiritsa ntchito ochepa.

Zithandizo za anthu zomwe zimathandizira kuchepetsa shuga

Chifukwa chake, timayika mndandandawu ndi zomwe zimatchedwa kuti kutsitsa shuga:

1. chicory muzu. Itha kugulidwa ngati mawonekedwe a ufa womalizidwa, pomwepo ndichotheka kukonzekera chakumwa chomwe chimafanana ndi khofi pakukoma ndi katundu. Kulowetsedwa kwa muzu womwewo kuli ndi chododometsa champhamvu kwambiri. Muyenera kuchita motere: kutsanulira supuni ziwiri zatsopano za pansi ndi lita imodzi ya madzi otentha, wiritsani kwa kotala la ola, ozizira komanso kupsinjika. Pakatha mwezi umodzi, chakumwachi chimayenera kuledzera katatu patsiku, mphindi 15 asanadye,
2. Ndi bwino kudya zonunkhira ngati sinamoni. Itha kuwonjezedwa ndi kapu ya kefir (kuchuluka kwa magalamu 10) ndikumwa gawo ili madzulo, mwachitsanzo. Maphunzirowa adapangidwa kwa milungu iwiri kapena itatu,
3. tiyi wamaluwa a linden ndi njira ina yabwino kwambiri yomwe ingachepetse shuga m'magazi,
4. walnut ndi wotchuka pakati pa odwala matenda ashuga. Ndikulimbikitsidwa kugwiritsa ntchito osati ma beni okha, komanso kukonzekera ma tinctures othandizira kuchokera pazenera za zipolopolo zake. Chinsinsi chodziwika bwino: magalamu zana a zopaka zothira 250 ml ya madzi otentha, wiritsani kwa kotala la ola, kukhetsa, kumwa 10 ml katatu patsiku, musanadye,
5. Kuthekera kwazitsamba kosavuta: muzu wa licorice, udzu wa momwort, udzu wa centaury, muzu wa burdock, masamba a birch ndi masamba a timbewu tosiyanasiyana. Magalamu makumi anayi a osakaniza amathiridwa ndi 500 ml ya madzi otentha mu thermos kwa maola atatu. Tengani 60 ml katatu patsiku, musanadye.

Ndibwino kuti wodwalayo azitha kutsatira zotsatirazi tsiku lililonse: cilantro, parsley, katsabola, letesi.

Ngati pali shuga wambiri m'magazi, ndipo mkhalidwe waumoyo ndi wabwinobwino

Sikuti nthawi zonse wodwala amamva zizindikilo zakuti shuga mumagazi ake amakwezedwa.

Kwa ambiri, izi zimadabwitsidwa, zomwe zimapezeka mwamwayi, panthawi yoyeserera kapena pakachitika zinthu zina.

Ndikofunika kumvetsetsa: thupi la munthu aliyense ndi munthu payekha, ndipo ngati simukumva mavuto, izi sizitanthauza kuti kulibe.

Hyperglycemia iyenera kuthandizidwa mulimonsemo, apo ayi tsiku lina padzakhala kuchuluka kwa glucose mpaka milingo yovuta, yomwe imatha kumapeto kwa kukhumudwa.

Zotsatira za shuga wambiri mu shuga

Ndikofunikira kudziwa! Mavuto omwe amabwera ndi shuga pakapita nthawi imatha kubweretsa matenda ambiri, monga mavuto amaso, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba, komanso zotupa za khansa! Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Ngati shuga amadzuka kwa nthawi yayitali, pafupifupi khungu lililonse m'thupi limavutika:

• Njira zosintha maselo ndi minofu zimasokonekera,
• munthu amatha kuyamba kutenga matenda osiyanasiyana,
• Njira zoyambira m'magazi ang'onoang'ono zimasokonezeka, zomwe nthawi zambiri zimabweretsa ku thrombosis,
• pali chiwopsezo chachikulu chakuti wodwalayo angathane ndi vuto la matenda ashuga, ndipo munthuyo agwa.
• mtima umayankha mochulukitsa kuthamanga kwa magazi, komwe kumawonjezera kwambiri chiopsezo cha stroko ndi mtima,
• Nthawi zambiri motsutsana ndi maziko a glycemia, momwe thupi limakhazikitsira thupi limawonedwa, komanso kuwonjezeka kwa cholesterol "yoyipa",
• Poyerekeza zakakhalidwe kakang'ono ka shuga, matenda ashuga a ketoacidosis, omwe tawatchula koyambirira kwa nkhaniyi amatha. Kuphatikiza apo, munthu amatha kudwala matenda a shuga a polyneuropathy, omwe nthawi zambiri amatha kulumala chifukwa cha kutayika kwa miyendo.

Woopsa, pamene njira zochepetsera kuchuluka kwa shuga sizinatenge kapena sizibweretsa zotsatira, wodwalayo amakhala pachiwopsezo cha kufa.

Tsoka ilo, pakalibe njira zochiritsira zokwanira, vutoli limapita patsogolo mwachangu. Izi ndichifukwa choti m'thupi la wodwalayo mphamvu zama cell zolandila maselo zimatsika, ndipo izi zimadzetsa kuti pakapita nthawi maselo ndi minyewa "zimawona" mahomoniwo kukhala akuipiraipira.

Makanema okhudzana nawo

Momwe mungachepetsere shuga am'magazi mwachangu komanso moyenera kunyumba:

Vutoli litha kuwongoleredwa, koma njirayi iyenera kukhala yokwanira - kumwa mankhwala, kudya bwino, kuchita masewera olimbitsa thupi komanso kutsatira malangizo a dokotala omwe akupezeka kungakupatseni moyo wodwala matenda ashuga.