Kodi magazi amadzuka ndi chimfine?
Anna February 19, 2007 10:25 p.m.
Chiara February 19, 2007 10:27 p.m.
Anna February 19, 2007 10:42 PM
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Natasha_K "Feb 20, 2007 10:38 AM
Osati kuchuluka kwakukulu kotero, mkati mwa kulondola kwa mita, ndikuganiza. Komanso, palibe chomwe chimapezeka mkodzo.
Inenso ndimwalira ndikayeza SK kukhala imodzi yanga.
Mwazi wa magazi ozizira
Mwa munthu wathanzi, kuchuluka kwa shuga kumachokera ku 3.3-5,5 mmol / l, ngati magazi amachotsedwa kuchokera pachala kuti awunikenso. Mu malo omwe magazi a venous amawunikira, malire akumtunda amasunthira ku 5.7-6.2 mmol / L, malingana ndi zikhalidwe za labotale yoyeserera.
Kuchulukitsa kwa shuga kumatchedwa hyperglycemia. Zitha kukhala zazakanthawi, zosakhalitsa kapena zachikhalire. Magazi a glucose amasiyana malinga ndi momwe wodwalayo aphwanya kagayidwe kazakudya.
Zotsatira zamankhwala ndizotsatira:
- Osakhalitsa hyperglycemia motsutsana ndi chimfine.
- Kuwonongeka kwa matenda ashuga omwe ali ndi kachilombo ka virus.
- Kubwezera shuga omwe alipo pakadwala.
Osakhalitsa hyperglycemia
Ngakhale mwa munthu wathanzi, msuzi wa shuga wokhala ndi chimfine wokhala ndi mphuno yolimba umatha kukwera. Izi zimachitika chifukwa cha kusokonezeka kwa metabolic, machitidwe olimbitsa thupi komanso endocrine, komanso zovuta zoyambitsa ma virus.
Nthawi zambiri, hyperglycemia imakhala yotsika ndipo imazimiririka yokha ikatha kuchira. Komabe, kusintha koteroko pakuwunika kumafunikira kumuwunika wodwalayo kuti asachotse zovuta za kagayidwe kazakudya, ngakhale atangokhala ndi chimfine.
Pachifukwa ichi, dokotala yemwe akupezekapo amalimbikitsa kuyesedwa kwa glucose akamatha kuchira. Wodwalayo amayesa magazi mosamala, amatenga 75 g ya shuga (monga yankho) ndikubwereza mayesowo atatha maola awiri. Pankhaniyi, kutengera mtundu wa shuga, zotsatirazi zingathe kukhazikitsidwa:
- Matenda a shuga.
- Matenda othamanga a glycemia.
- Kuchepetsa chakudya chokwanira.
Zonsezi zikuwonetsa kuphwanya kagayidwe ka glucose ndipo zimafunikira kuyang'ana kwamphamvu, zakudya kapena chithandizo chapadera. Koma nthawi zambiri - ndi kufupika kwa hyperglycemia - kuyeserera kwa glucose sikuwulula.
Matenda a shuga
Mtundu woyamba wa matenda a shuga umatha kuyamba pambuyo pa matenda oyambitsidwa ndi kupuma kapena kuzizira. Nthawi zambiri amakula pambuyo matenda owopsa - mwachitsanzo, chimfine, chikuku, rubella. Kuyambika kwake kumayambitsanso matenda opatsirana.
Kwa odwala matenda ashuga, kusintha kwina kwamagazi a glucose kumadziwika. Mukasala kudya magazi, ndende ya shuga sayenera kupitirira 7.0 mmol / L (magazi a venous), ndipo mutatha kudya - 11.1 mmol / L.
Koma kusanthula kumodzi sikutanthauza. Kukula kwina kulikonse kwa glucose, madokotala amalimbikitsa kubwereza mayesowo ndikupanga kuyesa kwa glucose, ngati pakufunika.
Matenda a shuga a Type 1 nthawi zina amapezeka ndi hyperglycemia yayikulu - shuga amatha kukwera mpaka 15-30 mmol / L. Nthawi zambiri zizindikiro zake zimakhala zolakwika pofuna kuwonetsa zakumwa zoledzera. Matendawa amadziwika ndi:
- Kukodza pafupipafupi (polyuria).
- W ludzu (polydipsia).
- Njala (polyphagy).
- Kuchepetsa thupi.
- Kupweteka kwam'mimba.
- Khungu lowuma.
Komanso, zomwe wodwalayo amadwala zimakulirakulira. Kuwoneka kwa zizindikiro zotere kumafunika kuyesedwa kwa magazi kwa shuga.
Kubweza shuga ndi chimfine
Ngati munthu wapezeka kale ndi matenda a shuga - mtundu woyamba kapena wachiwiri, ayenera kudziwa kuti matendawo atha kudwala. Mankhwala, kuwonongeka kumeneku kumatchedwa kuwonongeka.
Matenda a shuga ophatikizika amadziwika ndi kuwonjezeka kwa misempha ya glucose, nthawi zina yofunika. Ngati mcherewo wafika pazovuta zazikulu, kumatha kupweteka. Nthawi zambiri zimachitika ketoacidotic (matenda ashuga) - ndi kudzikundikira kwa acetone ndi metabolic acidosis (kuthamanga kwa magazi). Ketoacidotic chikomitima chimafuna kuthamanga kwamawonekedwe a shuga komanso kukhazikitsa mayankho a kulowetsedwa.
Wodwala akagwira chimfine ndipo nthendayo ikapitirira ndi kutentha kwambiri, kutsekula m'mimba, kapena kusanza, madzi am'mimba amatha msanga. Ichi ndiye chinthu chofunikira kwambiri pakukonzanso mtima kwa hyperosmolar coma. Potere, kuchuluka kwa glucose kumakwera kuposa 30 mmol / l, koma acidity yamagazi imakhalabe yochepa.
Ndi chikomokere kwa Hyperosmolar, wodwalayo ayenera kubwezeretsa mwachangu kuchuluka kwa madzi omwe atayika, izi zimathandizira kuchepetsa shuga.
Chithandizo chozizira
Momwe mungachiritsire ozizira kuti asakhudze shuga? Kwa munthu wathanzi, palibe zoletsa kumwa mankhwala. Ndikofunika kumwa ndendende mankhwala omwe amafunikira. Pa izi, kufunsira kwa dokotala ndikulimbikitsidwa.
Koma ndi matenda ashuga, munthu wozizira ayenera kuwerengera mosamalitsa zonena zake za mankhwalawo. Mapiritsi kapena madzi ena ali ndi glucose, sucrose kapena lactose mwa kapangidwe kake ndipo atha kuphatikizidwa ndikuphwanya chakudya cha metabolism.
M'mbuyomu, kukonzekera kwa sfanfanilamide kunkagwiritsidwa ntchito pochiza matenda a bacteria. Ali ndi katundu wochepetsera shuga ndipo angayambitse hypoglycemia (kutsitsa kuchuluka kwa shuga m'magazi). Mutha kuwonjezera mofulumira mothandizidwa ndi mikate yoyera, chokoleti, msuzi wokoma.
Tisaiwale kuti kuwonongeka kwa matenda ashuga popanda chithandizo nthawi zina kumabweretsa kukula, makamaka ngati chimfine chikuyenda ndi madzi osamba. Odwala otere amafunika kuti athetse kutentha thupi nthawi yomweyo ndikumwa kwambiri. Ngati ndi kotheka, amapatsidwa njira yolowerera kulowetsedwa.
Matenda a shuga ophatikizika nthawi zambiri amakhala chisonyezo chosamutsa wodwala kuchokera pamapiritsi kupita kuchipatala cha insulin, chomwe sichofunikira nthawi zonse. Chifukwa chake chimfine ndi matenda ashuga ndizowopsa, ndipo chithandizo chanthawi yake ndichofunika kwambiri kwa wodwalayo - ndikosavuta kupewa zovuta za endocrine pathology kuposa kuthana nawo.