Mwazi wa Magazi Pambuyo Chakudya
Kuwonjezeka kwakukulu kwa shuga wamagazi, maola awiri atatha kudya, ndizachilengedwe zathupi. Machitidwe a shuga mutatha kudya mwa munthu wathanzi sapitirira 8.9 mmol / L. Mukugaya zinthu, insulin imagwira glucose ndipo ndende yake imasintha. Kuchulukitsa zizindikiritso patatha maola atatu munthu atadya ndiye chizindikiro cha kuphwanya kwa kagayidwe kazakudya kapena kukula kwa matenda ashuga.
Kuwonjezeka kwa chakudya mukatha kudya kumatha kuwonetsa matenda ashuga, koma sizikhala choncho nthawi zonse.
Kusiyana pakusala kudya komanso mukatha kudya shuga
Maziko a kagayidwe kachakudya ndi timadzi timene timayendetsa shuga m'magazi - insulin. Amapangidwa mu kapamba monga kuyankha kwa kudya kwa mafuta m'thupi, pakasinthana kamene shuga amatulutsidwa m'magazi. Hormayo imalimbikitsa kusinthidwa kwachangu ndi shuga kwa matupi amthupi.
Kuthamanga glucose ndizotsika kwambiri. Izi zikufotokozedwa ndikuti m'mimba muli ndi njala ndipo palibe njira zama metabolic. Mwa munthu wathanzi, kuchuluka kwabwino kwa shuga kumayenera kukhala kosiyanasiyana 3.4 mpaka 5.5 mmol / L.
Mwa odwala matenda ashuga, mfundo zake ndi zapamwamba:
- mpaka 8,5 mmol / l - ndi mtundu 2,
- mpaka 9,3 mmol / l - ndi mtundu 1.
Mukatha kudya, kagayidwe kake ka chakudya kamayamba, komwe shuga amatulutsidwa. Pakadali pano, kuwonjezereka kwa ndende yake ndi 2-2.5 mmol / L mwaumoyo wathanzi ndizovomerezeka. Zonse zimatengera kulimba kwa thupi kuthira shuga msanga. Zizindikiro zimakhalanso zabwinobwino pambuyo pa maola 2 ndi 2,5 mutadya.
Shuga Wabwinobwino Pambuyo Chakudya
Kuyeza kwa shuga pamimba yathunthu sikuchitika. Mukatha kudya, pafupifupi ola limodzi liyenera kudutsa. Zizindikiro zopatsa chidwi mwa munthu wathanzi komanso odwala matenda ashuga amawaganizira kuti ndi data yomwe amapeza 1, 2 kapena 3 maola atatha kudya.
Gome "shuga wabwinobwino atatha kudya"
Gulu Lodwala | Matenda a shuga, mmol / l | ||
Mu ola limodzi | Pambuyo 2 maola | Pambuyo maola atatu | |
Anthu athanzi mosatengera zaka komanso jenda | Kufikira pa 8.9 | Kufikira 7 | Mpaka 5.7 |
Ndi matenda ashuga Mtundu 1 | |||
Mtundu 2 | Kufikira 9 | Kufikira pa 8.7 | Kufikira 7.5 |
Zifukwa zopatukira kuzizindikiro kuzungulira pompopompo
Zambiri zimatha kukhudza kuwonjezeka kwa shuga wamagazi:
- kumwa kwambiri mafuta osavuta,
- moyo wongokhala, kusachita masewera olimbitsa thupi, komwe kumayambitsa kunenepa kwambiri komanso kulephera kwa kagayidwe kachakudya m'thupi,
- uchidakwa
- kulimbikira ntchito, kupsinjika, mavuto amanjenje,
- kuwonongeka kwa glucose amatenga njira chifukwa cha kusachita bwino kwa chiwindi, kapamba, njira za endocrine.
Mu chithunzichi, mafuta ovomerezeka omwe samakhudza kuchuluka kwa shuga kwambiri
Kuzungulira kwa shuga kwamagazi kumakhala kopambana motsogozedwa ndi okodzetsa kapena mankhwala a mahomoni.
Pazinthu zingapo zomwe zimatha pakati pa chakudya, zakudya zama calori ochepa otsika kwambiri komanso nkhawa zamagetsi, komanso njira zotupa m'matumba, zomwe zimayambitsa kupanga insulini, zimapangitsa kuchepa kwa shuga pambuyo podya.
Mwa abambo athanzi, kuwonjezeka kwa shuga m'magazi kumayenderana ndi ntchito yamanjenje, kuchita masewera olimbitsa thupi kwambiri, masewera olimbitsa thupi, komanso uchidakwa. Zizindikiro zimawonjezeka pakugwiritsa ntchito mankhwala a steroid nthawi zonse. Zimakhudza shuga wamagazi ndi moyo wosatopa, makamaka patatha zaka 40.
Mowa waukulu umayambitsa matenda ashuga
Zizindikiro zochepa zimakhala chifukwa cha kuperewera kwa zakudya m'thupi, kutopa, zotupa zoyipa.
Kugwiritsa ntchito njira zakulera za mahomoni, corticosteroids, diuretics kumabweretsa kuwonjezeka kwa shuga m'magazi. Zimakhudza glycemia ndi nthawi ya premenstrual, komanso kusintha kwa mphamvu ya mahomoni panthawi ya kusintha kwa thupi.
Pa nthawi yoyembekezera
Zinthu zotsatirazi zimadzetsa kuchuluka kwa shuga kwa amayi apakati:
- kuchuluka kwa ziphuphu zakumaso - thupi silitha kuthana ndi kupanga kwa insulin, komwe kumapangitsa kuchepa kwake ndikuchepetsa kukonzanso kwa shuga.
- kunenepa
- chibadwa chakumaso kwa matenda ashuga.
Kwa amayi apakati, kuwonjezeka kwa shuga kumawonekera ngati chizolowezi
Kuwongolera kwa glucose munthawi ya gestation kumachitika pafupipafupi kuteteza chitukuko cha matenda a m'mayi mwa mwana ndi mwana.
Kutsika kwa kuchuluka kwa shuga m'magazi kumakhala mwa ana osakwana chaka chimodzi cha moyo. Izi ndichifukwa cha mawonekedwe a kagayidwe, kamene kakungokhazikitsidwa ndipo sikokwanira konse. Mitengo yotsika kwa makanda imawonedwa ngati yachilendo.
Kuwonjezeka kwa malire kwa ana okulirapo kuposa chaka chimodzi kukusonyeza kusintha kwa zam'mimba zazinthu zochepa:
- chotupa mu ma gren adrenal,
- matenda a chithokomiro
- maphunziro mu gland
- zosokoneza m'maganizo.
Mu ana, kuwonjezeka kwa shuga kumatha chifukwa cha kupangika kwa pituitary gland.
Zotsatira za shuga wambiri
Kuchuluka kwa shuga m'magazi tikatha kudya, komwe kumachitika mwa munthu kwa nthawi yayitali, kumabweretsa zotsatirapo zovuta:
- Kuwonongeka kwa diso - khungu limayamba,
- kuwonongeka kwamitsempha, kutayika kwa elasticity ndi kamvekedwe ka nembanemba - chiwopsezo cha kugunda kwa mtima, kutsekeka kwa mitsempha yam'munsi,
- kuwonongeka kwa aimpso minofu, chifukwa chomwe kusefa mphamvu ya impso ndi mkhutu.
Popitilira kuchuluka kwa shuga m'magazi kumakhudza ziwalo zonse ndi machitidwe mthupi, zomwe zimakhudza kwambiri moyo komanso zimachepetsa nthawi yayitali.
Chochita ndi kusinthasintha kwa shuga?
Kusintha kwa shuga m'magazi - Chizindikiro choyamba cha kusintha kwamatenda m'thupi komwe kumayambitsa matenda a shuga. Kuchuluka kwa glucose kumafuna kuwunikira nthawi zonse, kudya komanso kukhala ndi moyo wathanzi.
Kutsogolera moyo wathanzi, simungadandaule ndi zolakwika m'thupi
Kuyeza kwa shuga
Kuyesedwa kwa Laborator kumagwiritsa ntchito magazi kuchokera mu mtsempha kapena chala. Phunziroli limachitika pamimba yopanda kanthu ndipo 1, 2 maola atatha kudya. Miyezo yapamwamba kwambiri - chisonyezero chowonjezera cha misempha ya shuga. Kunyumba, ndizotheka kuwongolera shuga mwa akulu ndi ana pogwiritsa ntchito glucometer.
Kuyeza koyenera:
- m'mimba yopanda kanthu m'mawa,
- ola limodzi mutatha kadzutsa ndi maola awiri mutadya,
- pambuyo polimbitsa thupi, pamikhalidwe yovuta,
- musanagone.
Kuyeza shuga ndibwino musanadye chakudya chilichonse.
Kuchuluka kwa shuga m'madzi am'magazi kumakhudzidwa ndi thanzi la anthu - chakudya chamagulu ochulukirapo m'zakudya, kuchuluka kwa shuga.
Sinthani kagayidwe kachakudya kagayidwe kazakudya ndi kapangidwe ka insulin kamathandizira zakudya zapadera, zomwe zimakhala ndi zake:
- Zakudya zam'magazi
- chakudya chiziphwanyidwa, kuwiritsa, kudyetsa, kuwotcha kapena kuwotcha,
- Chotsani zakudya zopanda pake, mowa, shuga,
- Ration iyenera kukhala yokhudza nsomba, nkhuku, zipatso (shuga wochepa), zitsamba ndi masamba.
Kodi odwala matenda ashuga angawachitire chiyani anthu athanzi?
Mfundo yayikulu yazakudya - kugwiritsa ntchito zakudya zochepa zamafuta.
Gome “Zololedwa ndi Zoletsedwa”
Chakudya chopatsa thanzi | Mkate wa oatmeal, obika, makeke osapezekanso |
Masamba ophika msuzi, nsomba zachiwiri ndi msuzi wa nyama | |
Nyama yamafuta ochepa - ng'ombe, kalulu, nkhuku, nkhuku | |
Nsomba Zopanda - carp, cod, nsomba za pike | |
Sipinachi, arugula, letesi, phwetekere, radishi, nkhaka, amadyera, kabichi, kaloti, mbatata | |
Maapulo, mandimu, malalanje, ma currants, cranberries | |
Maembe, chimanga, mazira ophika zofewa, omelet otentha, tchizi chokoleti | |
Mkaka, tiyi wopanda mphamvu, compote wopanda shuga, msuzi wa phwetekere, zipatso zatsopano zowawasa | |
Zinthu zovulaza | Batala ndi confectionery ndi shuga, chokoleti, kupanikizana, marshmallows, maswiti, uchi |
Soseji zosuta, nsomba | |
Zakudya zothira, zonunkhira, zamafuta | |
Zonunkhira, ketchup, mayonesi, zokometsera | |
Mphesa (zouma ndi zatsopano), nthochi, zipatso zokoma | |
Mowa | |
Zakumwa za shuga |
Mkulu akalumpha m'magazi, timalimbikitsidwa kudya nthawi yomweyo, osamadya kwambiri komanso osakhala ndi njala.
Moyo wathanzi
Ndizotheka kusintha shuga wa m'magazi ngati muganiziranso moyo wanu:
- khalani ndi moyo wogwira - kuthamanga, kusambira, kuchita masewera olimbitsa thupi m'mawa, kuyenda mumlengalenga,
- lekani zizolowezi zoyipa - mowa ndi kusuta ndizoletsedwa
- pewani kupsinjika, kukhumudwa kwambiri, komanso kudziletsa.
- samalira ma tulo - kugona osachepera maola 8 patsiku.
Sungani njira yanu yogona ndikuyesera kugona osachepera maola 8
Kukhala ndi moyo wathanzi kumalimbitsa chitetezo cha mthupi, kumathandizira kusintha kwa kagayidwe kachakudya mthupi, kumakhazikika pakukonza ndikuyamwa kwa shuga.
Shuga amalowa m'thupi limodzi ndi chakudya, kuchuluka kwamphamvu kwa shuga mkati mwa maola 1-2 mutatha kudya kumawonedwa ngati njira yachilengedwe. Mwa munthu wathanzi, mulingo wabwinobwino uyenera kukhala wopezeka 7.8-8.9 mmol / L. Kupatuka kumatha kubweretsa kupsinjika, kugwira ntchito kwambiri, matenda a kapamba, chiwindi, endocrine pathology kapena kukula kwa matenda ashuga.
Kunyalanyaza kulumpha kwa glucose kumayambitsa kuwonongeka kwamawonedwe, mavuto amitsempha yamagazi ndi mtima, komanso mawonekedwe a matenda ashuga. Ndizowona kupewa zovuta ngati mumayang'anira kuchuluka kwa shuga anu, idyani pomwe ndikukhala ndi moyo wathanzi.
Voterani nkhaniyi
(8 mitengo, pafupifupi 4,75 pa 5)
Serum Glucose
Chidziwitso chodalirika chokhudzana ndi mankhwalawa chimatha kupezeka m'mawa, pakati pa maola 7 ndi 8. Ichi ndichifukwa chake kuwunika kwa shuga kumachitika nthawi zonse m'mawa. Pakakhala mavuto azaumoyo, glucose othamanga amasintha pakati pa 3.4-5,5 mmol / L. Kuchuluka kwa insulin kumawonekera masana, pafupi ndi maola atatu.
Ichi ndichifukwa chake amalimbikitsidwa kuti muzilimbirana nthawi ndi nthawi osati kokha anthu omwe ali pachiwopsezo, komanso kwa nzika zomwe sizili ndi mavuto azaumoyo. Kusanthula koteroko kumachitika nthawi zonse kwa amayi apakati, chifukwa amalola kuti azindikire matenda a shuga.
Kuchuluka kwa shuga mwa akulu ndi ana
Mwa munthu wathanzi, kuchuluka kwa glucose m'magazi a capillary kuli m'magulu a magawo 3,4-5,5. Ngati biomaterial idatengedwa kuchokera m'mitsempha, chizindikirocho chikuwonjezeka ndi 12%. Mwakutero, zomwe zili mu chipangizochi zimakwera mpaka 3.5-6.1 mmol / L. Chizindikiro cha glucose chimasiyanasiyana kwa odwala azaka zosiyanasiyana.
Komanso, mitundu ingapo yamitundu ingasiyane pang'ono kutengera labotale ndi momwe mungawerengere. Ichi ndichifukwa chake mitundu yonse ya masamba imanena za ma glucose ofunikira. Kwa ana omwe angobadwa kumene, mulingo wabwinobwino wa insulin ndi 2.8-4.4 mmol / L.
Chizindikiro chimatha kupulumutsidwa m'mwezi woyamba wa moyo. Pang'onopang'ono, kuchuluka kwa shuga kumayamba kukwera ndikufika pazofunikira zomwe ambiri amazilandira. Kuchulukana kwachilengedwe kwa insulin m'mwazi nthawi zambiri kumachitika pafupifupi zaka 60.
Pazaka izi, ndende ya shuga imasiyana kuchokera ku 4.6-6.4 mmol / L, Yomwe sikuti imasinthidwa kuchoka pazomwe zimachitika. Ngati kusanthula kumachitika kwa odwala omwe ali ndi zaka zopitilira 60, chizindikiro chotsimikizika chikulimbikitsidwa kuti chisinthidwe pachaka ndi 0.056.
Mwa akazi, zomwe zimakhala ndi glucose zimapatukanso pang'ono kuzinthu zomwe zimavomerezeka. Mukanyamula mwana, thupi limamangidwanso, ziwalo zamkati ndi machitidwe zimayamba kugwira ntchito mosiyanasiyana, chifukwa chake shuga kuchokera ku 3.3 mpaka 6.6 mmol / l amawonedwa kuti ndivomerezeka.
Insulin
Mukangodya, shuga m'magazi amakwera, njirayi ndiyachilengedwe. Pakangotha mphindi 60 mutatha kudya, kufalikira kwamphamvu kwa chakudya komanso kumasulidwa kwa glucose kumachitika. Njira izi zimachitika pogwiritsa ntchito mahomoni opangidwa ndi kapamba. Kuphatikiza apo, pakugonana moyenera, njirazi zimachitika mwachangu kuposa amuna.
Kupanga kwa insulin kumayamba pafupifupi munthuyu atayamba kudya. Kutulutsa kwake kwakukulu kumachitika pafupifupi mphindi 8 chakudya chikayamba. Ndi gawo ili la thupi lomwe limafotokozera chifukwa chake kuchuluka kwa shuga m'magazi kumawonjezeka ndikatha kudya.
Akuluakulu, zomwe zili mu chipangizochi zimawonjezeka ndi magawo 9, mwa ana ndi 7. Malinga ndi momwe mankhwala apadziko lonse lapansi, kuchuluka kwa shuga wamagazi mukatha kudya kumafika pa 8.9 mmol / l. Pambuyo pa mphindi 120, mtengo umatsikira mpaka ku ma unit 7. Chizindikirocho chimabwereranso ku nthawi zonse pakatha pafupifupi maola atatu.
Odwala omwe ali ndi matenda a shuga 2, akamaliza kudya, kuchuluka kwa zinthuzo kumakhala motere:
- patatha ola limodzi - pafupifupi 11 mmol / l.,
- pambuyo maola 2 - pamwamba 7.8 mmol / L.
Kuchulukitsa
Ngati kuyesedwa kwa shuga kwa shuga kwawonetsa kuti zomwe zili ndi glucose zimaposa 11.1 mmol / L., Ichi chikhoza kukhala chizindikiro cha matenda ashuga. Komanso, izi zitha kuyambitsidwa ndi zifukwa zotsatirazi:
- kupsinjika kwakukulu
- bongo wa mankhwala osokoneza bongo
- kupanga kwambiri samotropin,
- vuto la mtima waposachedwa
- Matenda a Cushing.
Titha kunena zenizeni chifukwa chake kuchuluka kwa shuga m'magazi a seramu kumatheka pokhapokha atazindikira.
Shuga wotsika
Mwa odwala ena, kuchuluka kwa glucose m'magazi atatha kudya pang'ono kumachepetsedwa kwambiri. Mwanthawi yaukadaulo, matendawa amatchedwa hypoglycemia. Chodabwitsa cha hypoglycemia ndikuti nthawi zambiri chimadziwonetsera chokha ndi insulin.
Mkhalidwe wowopsa kwambiri ndi pomwe kuwunikirako kunawonetsa kuti mphindi 60 mutatha kudya, kuchuluka kwa insulin kumasiyana mkati mwa 2.2 mmol / L. ndi pansipa. Kuchita koteroko kumawonetsa kukhalapo kwa insulinoma, chotupa chomwe chimayamba kupangika insulin yambiri.
Kukonzekera kusanthula ndi kukhazikitsa
Masiku ano, shuga wamagazi amatha kuyezedwa pafupifupi muzipatala zonse, zazinsinsi komanso zamankhwala. Kuti mupeze kusanthula, magazi amatengedwa kuchokera ku chala (m'makliniki ena, magazi amatengedwa kuchokera mu mtsempha). Kuwunikira zotsatira nthawi zambiri kumatenga masiku osapitilira atatu, ndipo wodwalayo akapatsidwa mawonekedwe ndi chidziwitso.
Monga momwe zamankhwala zimasonyezera, nthawi zambiri zotsatira zowunikira zimadzakhala zabodza, zomwe zimagwirizanitsidwa ndikunyalanyaza malamulo okonzekera. Dokotala yemwe adayambitsa mayeso ayenera kuuza wodwalayo momwe angakonzekerere kuwunikaku.
Nthawi zambiri, kukonzekera kumaphatikizapo malamulo awa:
- musanapendeke, mutha kudya usiku wokhawo. Ndikofunika kuti chakudyacho chichitike pasanathe maola 10 chakudya chisanachitike. Tsiku lisanafike kusanthula, munthu ayenera kusiya kudya zakudya zam'madzi, zotsekemera zotsekemera, chokoleti, kupanikizana, nthochi ndi zinanazi,
- Pamaso pa kusanthula, zochitika zovuta komanso zokumana nazo siziyenera kuloledwa,
- ndizoletsedwa kumwa mowa tsiku limodzi musanatengere magazi, chifukwa mowa umachulukitsa shuga pafupifupi kamodzi ndi theka,
- Pamaso pa njirayi ndizoletsedwa kusuta ndi kutafuna chingamu.
Komanso, njirayi isanachitike, tikulimbikitsidwa kuti tisamachite zolimbitsa thupi chifukwa zimatha kuyambitsanso chidziwitso cholakwika.
Pomaliza
Ngati munthu ali wathanzi, ndikatha kudya, shuga sangakhale wabwinobwino kapena azikhala wovomerezeka pang'onopang'ono. Pali zinthu zambiri zomwe zimayambitsa chizindikiritso, zomwe sizimagwirizana nthawi zonse. Koma mulimonsemo, ngati kuchuluka kwa glucose kumangodumphadumpha, ndikofunikira kuti mufufuze mozama, zomwe zingakuthandizeni kudziwa zomwe zidayambitsa matendawa.