Mitundu ya insulin pambuyo pakukweza shuga pambuyo 2 maola

Moni. Ndili ndi zaka 28, 165 zokha, kulemera kwa kilogalamu 56. Anadutsa mayeso a kulolera kwa glucose, zotsatirazi zidadza: Glucose mu plasma - 4.85 mmol / L (yachilendo 4.10-6.10) Glucose pambuyo pa mphindi 120. mutatha kulongedza shuga - 6.78 mmol / L, (pafupipafupi 4.10-7.80) Kuthamanga kwamitsempha - insulin - 7.68 μU / ml (mwachizolowezi 2.60-24.90) Insulin insulin pambuyo pa 120 min - 43.87 μU / ml (chizolowezi 2.60-24.90). Kuwerengera dokotala pambuyo pa sabata, chonde ndiwuzeni ngati izi ndi matenda ashuga, chifukwa cha zomwe insulin ingalumphe monga chonchi? Kodi insulin ingabwezeretsedwe bwanji? Tithokoze yankho.

Kodi ndiyenera kuyesedwa liti?

Chifukwa matenda a shuga ndi matenda ofala kwambiri, WHO imalimbikitsa kwambiri kuyesa shuga ndi insulin kawiri pachaka.

Zochitika zoterezi zimateteza munthu ku zotsatira zoyipa za "matenda okoma", omwe nthawi zina amakula mwachangu popanda zizindikiro zotchulidwa.

Ngakhale, kwenikweni, chithunzi chachipatala cha anthu odwala matenda ashuga ndiochulukirapo. Zizindikiro zazikulu za matendawa ndi polyuria ndi ludzu losatha.

Njira ziwiri izi zimayambika chifukwa cha kuchuluka kwa impso, komwe kumapangitsa magazi, kumasula thupi ku mitundu yonse ya poizoni, kuphatikiza shuga wambiri.

Pakhoza kukhalanso zizindikiro zomwe zikuwonetsa kukula kwa matenda ashuga, ngakhale atakhala ochepa, zilembo zotsatirazi:

• kuwonda msanga
• njala yosalekeza
• kamwa yowuma
• miyendo kapena dzanzi.
• mutu ndi chizungulire,
• kupukusa m'mimba (nseru, kusanza, kutsegula m'mimba, kubala),
• kuwonongeka kwa zida zowonekera,
• kuthamanga kwa magazi
• kuchepa kwa chidwi,
• kutopa ndi kukwiya,
• mavuto azakugonana
• mwa azimayi - kusamba kwamiseche.

Ngati zizindikiro zoterezi zikupezeka mwa inuokha, munthu ayenera kufunsa dokotala nthawi yomweyo. Nawonso, katswiri nthawi zambiri amawongolera kuti apange njira yowonetsera kuchuluka kwa shuga. Ngati zotsatira zake zikuwonetsa kuti pali boma lomwe limayambitsa matenda ashuga, dokotala amamuwuza kuti ayesedwe.

Ndi kafukufukuyu yemwe angathandize kudziwa kuchuluka kwa kulolera kwa glucose.

Zizindikiro ndi zotsutsana mu kafukufukuyu

Chiyeso chopsinjika chimathandizira kudziwa kugwira ntchito kwa kapamba. Chomwe chikuwunikira ndikuti kuchuluka kwa shuga kumaperekedwa kwa wodwala, ndipo atatha maola awiri amatenga magazi kuti apangidwenso. Pali ma cell a beta mu kapamba omwe amachititsa insulin. Mu shuga mellitus, 80-90% ya maselo oterewa amakhudzidwa.

Pali mitundu iwiri ya maphunziro awa - amkati ndi pakamwa kapena pakamwa. Njira yoyamba imagwiritsidwa ntchito kawirikawiri. Njira iyi ya kagwiridwe ka shuga imagwira ntchito pokhapokha wodwala payekha sangathe kumwa madzi otsekemera. Mwachitsanzo, mukakhala ndi pakati kapena m'mimba mumakwiya. Mtundu wachiwiri wamaphunziro ndikuti wodwalayo ayenera kumwa madzi okoma. Monga lamulo, 100 mg ya shuga imatsitsidwa mu 300 ml ya madzi.

Kodi ndi madokotala ati omwe madokotala angaupangire mayeso ololera a glucose? Mndandanda wawo sunali wocheperako.

Kusanthula ndi katundu kumachitika ndi kukayikira:

1. Type 2 shuga.
2. Mtundu woyamba wa shuga.
3. Matenda a shuga.
4. Metabolic syndrome.
5. Prediabetesic boma.
6. Kunenepa kwambiri.
7. Kuchepa kwa kapamba ndi ndulu za adrenal.
8. Kusokonezeka kwa chiwindi kapena pituitary gland.
9. Njira zosiyanasiyana za endocrine.
10. Kusokonezeka kwa kulolera kwa shuga.

Komabe, pali zotsutsana zina zomwe machitidwe a phunziroli amayenera kukhazikitsidwa kwakanthawi. Izi zikuphatikiza:

• njira yotupa mthupi
• general malaise
• Matenda a Crohn ndi zilonda zam'mimba,
• mavuto akudya atatha opaleshoni pamimba,
• stroke yayikulu ya hemorrhagic,
• kutupa kwa ubongo kapena kugunda kwa mtima,
• kugwiritsa ntchito njira zakulera,
• kukulitsa kwa acromegaly kapena hyperthyroidism,
• kudya kwa acetosolamide, thiazides, phenytoin,
• kugwiritsidwa ntchito kwa corticosteroids ndi ma steroids,

Kuphatikiza apo, phunziroli liyenera kuimitsidwa ngati pali kuchepa kwa magnesium ndi calcium m'thupi.

Kukonzekera mayesowo

Kuti mupeze zotsimikizika zodalirika, muyenera kudziwa momwe mungakonzekere zopereka zamagazi kwa shuga. Choyamba, osachepera masiku atatu musanayesedwe ndi shuga, simuyenera kukana zakudya zokhala ndi michere. Ngati wodwalayo anyalanyaza chakudya, mosakayikira zimakhudza zotsatira za kusanthula kwake, kuwonetsa kuchuluka kwa shuga ndi insulin. Chifukwa chake, simungadandaule ngati chinthu china chikhala ndi mafuta okhala ndi 150g kapena ochulukirapo.

Kachiwiri, musanamwe magazi kwa masiku osachepera atatu, ndizoletsedwa kumwa mankhwala enaake. Izi zimaphatikizapo kulera kwapakamwa, glucocorticosteroids, ndi thiazide diuretics. Ndipo maola 15 musanayesedwe ndi katunduyo ndizoletsedwa kumwa mowa ndi chakudya.

Kuphatikiza apo, thanzi lonse la wodwalayo limakhudza kudalirika kwa zotsatira zake. Ngati munthu wachita ntchito yolimbitsa thupi tsiku loti lisanachitike kusanthula, zotsatila za phunziroli zitha kukhala zopanda umboni. Chifukwa chake, asanatenge magazi, wodwalayo amafunika kugona tulo tabwino. Ngati wodwala akuyenera kuwunikira atasinthana usiku, ndibwino kuchedwetsa mwambowu.

Tisaiwale za mkhalidwe wama psycho-nkhawa: kupsinjika kumakhudzanso zochita za metabolic mthupi.

Kuyika pazotsatira zakusaka

Dokotala atalandira mayeso ndi katundu m'manja, amatha kudziwa bwino wodwalayo.

Nthawi zina, ngati katswiri akukayikira, amawongolera wodwalayo kuti ayambirenso.

Kuyambira 1999, WHO yakhazikitsa njira zina zoyeserera za kulolera kwa glucose.

Zomwe zili pansipa zimakhudzana ndi kuyesedwa kwa magazi ndi chala ndikuwonetsa kuchuluka kwa shuga m'magawo osiyanasiyana.

Ponena za zizindikiro zoyenera za shuga m'magazi a venous, ndizosiyana pang'ono ndi mfundo zomwe tatchulazi.

Gome lotsatirali limapereka zisonyezo.

Kodi insulin imakhala yotani musanayambe kuchita masewera olimbitsa thupi? Dziwani kuti zizindikirozo zimatha kusintha pang'ono kutengera ndi momwe Laborator wodwalayo amaphunzirira. Komabe, zofunikira kwambiri zomwe zimawonetsa kuti chilichonse chiri mu dongosolo la carbohydrate metabolism mwa munthu ndi motere:

1. Insulin musanatsatse: 3-17 μIU / ml.
2. Insulin pambuyo pochita masewera olimbitsa thupi (pambuyo pa maola 2): 17.8-173 μMU / ml.

Wodwala aliyense mwa 9 pa 10 alionse amene amadziwa za matenda opatsirana a shuga amayamba kuchita mantha. Komabe, simungakhumudwe. Mankhwala amakono samayima pakali pano ndipo akupanga njira zatsopano zothanirana ndi matendawa. Zigawo zazikulu zakuchira bwino zimakhalabe:

• mankhwala a insulini komanso kugwiritsa ntchito mankhwala osokoneza bongo,
• kuyang'anira pafupipafupi glycemia,
• kukhalabe ndi moyo wogwira ntchito, ndiye kuti, muzichita masewera olimbitsa thupi a matenda amtundu uliwonse,
• kudya mokwanira.

Kuyesedwa kwa glucose ndi kuwunika kosadalirika komwe kumathandiza kudziwa osati phindu la shuga, komanso insulini komanso osachita masewera olimbitsa thupi. Ngati malamulo onse atsatiridwa, wodwala amalandira zotsatira zodalirika kwambiri.

Kanemayo munkhaniyi akufotokoza momwe angakonzekerere mayeso.

Insulin patatha maola awiri mutatha kulongedza shuga

nditachita masewera olimbitsa thupi 47. Ndili ndi insulin.
Ndili ndi mayamwa oterowo .. timakonzekera kukhala ndi pakati zaka 4 zomwe zimapezeka kuti polycystosis ikuwonjezera insulin .. monga momwe ndikudziwira amachepetsa metformin ndiye ngati androgens amawukitsidwa kuchokera ku insulin ...

(Yankhani) (Zokambirana)

irinager future Tsiku:

Disembala 22, 2009 02:06 pm (Lumikizani)

Muli bwino, palibe matenda ashuga. Mikhalidwe imawonetsedwa kuti isala kudya insulini, shuga akapatsidwa shuga, imachuluka mwachilengedwe, ndipo wodwala matenda ashuga satero. Panalibe nzeru pakuyesa.

(Yankhani) (Zokambirana)

khalinkhan Tsiku:

Disembala 26, 2009 12:42 pm (Lumikizani)

Ine sindine dokotala. Koma mutatha kumwa shuga, thupi lanu limatulutsa insulini kuti mumwenso, ndiye kuti insulini idakulirakulira! (Reply) (Nthambi yakukambirana)

tanchik Tsiku:

Disembala 31, 2009 02:06 pm (Lumikizani)

Poganiza kuti palibe amene adachita chilichonse, ndikubwerera. Kuchita koteroko kwa insulin kungasonyeze kuti pali (mwina) zizindikiro zoyambirira za insulin, chifukwa insulin imachotsedwera kuposa momwe zimakhalira, ndipo glucose satsikira mpaka zero. Ndipo izi zikutanthauza kuti mwina muli ndi gawo loyambira la prediabetes (mtundu 2, inde). Koma adotolo ayenera kunena motsimikiza. Mutha kuwerenga nkhani yanga pa mtundu wachiwiri ndi prediabetes pano
http://narod.ru/disk/16287509000/fokus_diabet.pdf.html
(Yankhani) (Zokambirana)

neblondinkaya Tsiku:

Januware 2, 2010 06:36 pm (Lumikizani)

Ndawerenga nkhani yanu mosamala kwambiri. Ndinkayikira china chake ... Ndidapeza chakudya cha Montignac pomwe ndikuyesera kusinthira kwathunthu kuzinthu zamagetsi izi kuti muchepetse thupi, ndipo mwina zingakhale zothandiza. Ndiye mwina adotolo angavomereze china chake. Zikomo kachiwiri!

(Yankhani) (Pamwamba) (Zingwe Zokambirana)

Mayeso a kulolerana ndi glucose (kuyesa kwa glucose): Decoding Norm Value panthawi ya pakati

47MEDPORTAL.RU

Mayeso a Glucose kulolerana (GTT) - njira yofufuzira ya labotale yomwe imagwiritsidwa ntchito mu endocrinology kuti azindikire kulephera kwa glucose (prediabetes) ndi matenda ashuga. Mwakutero, kuthekera kwa thupi kuyamwa shuga (shuga) ndikotsimikiza

Njira yamakonzedwe a shuga amasiyanitsa:

• mkamwa (kuchokera lat. pa os) (OGTT) ndi
• intravenous glucose kulolerana mayeso.

Kutsimikiza kusala kwamadzi a m'magazi a glucose komanso mphindi 30 zilizonse kwa maola 2 mutatha kudya zinthu zamagulu, zomwe zimagwiritsidwa ntchito pofufuza matenda osokoneza bongo, kuperewera kwa shuga.

Njira yakuwunikira shuga

• Wodwala amaloledwa kudya shuga (shuga). Ndalamayi imatchedwa - muyezo wama carbohydrate, ndi 75 g shuga (50 ndi 100 g sagwiritsidwa ntchito kwambiri)
• Ndizofunikira kudziwa kuti pakuwunika, glucose amayeza pamimba yopanda kanthu kenako mphindi 30 zilizonse kwa maola awiri mutatha chakudya (shuga).
• Chifukwa chake, kusanthula kumachitika pazinthu zisanu: pamimba yopanda kanthu, ndiye pambuyo pa mphindi 30, 60, 90 ndi 120 (mayeso apamwamba).
• Kutengera ndi momwe zinthu ziliri, kuwunikirako kumatha kuchitika pazinthu zitatu kapena ziwiri

Amayambitsa magazi achilendo

Magazi a m'magazi ndi chizindikiro cha mankhwala omwe amatchedwa glycemia. Glucose ndi monosaccharide (chifukwa chake mawu akuti "shuga m'magazi" ndiofala), omwe amafunikira kulimbikitsa ndikuthandizira ntchito zofunika za maselo onse amthupi, makamaka ma neuron ndi maselo ofiira amwazi. Zakudya zonse zomanga thupi zimasinthidwa kukhala chinthu ichi pakukayikira.

Kwa zaka zambiri, kulimbana ndi matenda oopsa osagonjetseka?

Mkulu wa Sukulu: “Mudzadabwitsidwa momwe kumakhalira kosavuta kuchiza matenda oopsa tsiku lililonse.

Kuchuluka kwa shuga m'thupi kumadalira njira zingapo zathupi:

• Zakudya zopatsa thanzi zimatulutsa shuga m'magazi. Kuphatikiza apo, chakudya chopatsa mphamvu mosavuta chimapangitsa kuti munthu adumphe kwambiri, ndipo zakudya zowonjezera zovuta zimapangitsa kukula pang'onopang'ono.
• Kuchita masewera olimbitsa thupi, kupsinjika, kutentha kwambiri kwa thupi kumachepetsa kuchuluka kwa shuga.
• Kapangidwe ka mamolekyu a glucose kuchokera ku lactic acid, ma amino acid aulere, glycerol amapezeka m'chiwindi ndipo, pang'ono, mu adrenal cortex. Njirayi imatchedwa gluconeogeneis.
• Glycogenolysis ndi njira yovuta yopanga shuga kuchokera ku glycogen ya chiwindi ndi minofu yamatumbo.

Magazi a shuga m'magazi amayendetsedwa ndi mitundu ingapo ya mahomoni, makamaka insulin, yomwe imapangidwa ndi maselo a pancreatic beta. Zocheperako, glucagon, adrenaline, ma steroid, glucocorticoids amatenga nawo gawo pa malamulo.

Owerenga athu adagwiritsa ntchito bwino ReCardio kuchiza matenda oopsa. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Zachilendo komanso zopatuka

Magazi a glucose abwinobwino amatengera msinkhu wa munthu, mosaganizira za jenda. Makhalidwe amayesedwa pamimba yopanda kanthu:

• ana ochokera wazaka 14 ndi akulu - 3.5-5,5 mmol / l,
• ana kuyambira mwezi umodzi mpaka zaka 14 - 3,3-5,5 mmol / l,
• ana kuyambira masiku awiri mpaka mwezi umodzi - 2.8-4.4 mmol / l.

Mlingo wa shuga m'magazi a capillary ndi venous ndi osiyana pang'ono - kawirikawiri chizindikiro chachiwiri ndi 11% kuposa. Nthawi zambiri, magazi amatengedwa kuchokera ku chala kuti azitha kuyendetsa glucose.

Miyezi yambiri ya glucose - hyperglycemia - imadziwika kuti ndi yamtengo wapatali wa 5.6-6.1 mmol komanso pamwamba. Zizindikiro zotere zikuwonetsa kukula kwa:

• matenda ashuga
• zotupa zapachifuwa,
• chilonda chachikulu komanso chamba
• Matenda a chiwindi, impso,
• cystic fibrosis,
• myocardial infaration
• mitsempha yamatumbo.

Nthawi zambiri, shuga wokwezeka ndi chizindikiro cha matenda ashuga:

• Mtundu wa matenda ashuga amtundu 1, njira yotseka glucose imasokonezeka chifukwa chosakwanira insulin. Kutsika kwa timadzi tating'onoting'ono kumachitika chifukwa cha kufa kwa maselo a pancreatic beta.
• Mtundu wachiwiri wa matenda ashuga, maselo a beta amatulutsa insulin yokwanira, komabe, maselo amalephera kugwira ntchito yake.

Kuphatikiza pazidziwitso za labotale, hyperglycemia imawonetsedwa ndi zizindikiro zakunja:

• ludzu losalekeza komanso lalikulu
• khungu louma komanso ma mucous membrane,
• kukodza pafupipafupi ndi nocturia,
• kugona, ulesi,
• kusanza, kusanza,
• Maonekedwe a zilonda zam'mimba komanso zilonda zosachiritsa pakhungu,
• kuyamwa kwa ziwalo zamkati,
• kuchepa kwa masomphenya.

Magazi a shuga osapitirira 6.1 mmol / L siwopseza moyo, koma akuwonetsa kufunikira kwa kuyamba kulandira chithandizo. Hyperglycemia yokhala ndi mtengo wokwera 6.1 mmol / L ndi ngozi yayikulu:

• Minofu, khungu, ndi minyewa ya m'maso zimayamba kusokonekera (chotchedwa phazi la matenda ashuga, retinopathy, nephropathy, ndi zina zina).
• Magazi amanenepa, chiopsezo cha thrombosis chimawonjezeka.
• Hyperglycemic coma imatha kukhala - vuto lalikulu la metabolic ndikupanga matupi a ketone, kukula kwa acidosis ndi poizoni wambiri m'thupi. Chizindikiro chodziwika bwino cha matenda oyambira ndimomwe kununkhira kwa acetone kuchokera pakupuma kwa wodwalayo.

Hypoglycemia ndi mkhalidwe womwe mulingo wa shuga m'magazi umakhala m'munsi mwa 3.5 mmol / L.Mwazi wamchere wochepa umapezeka motere:

• zotupa zapachifuwa,
• Matenda a chiwindi, impso, adrenal gland, hypothalamus, kuphatikizapo zotupa zoyipa,
• hypothyroidism
• kuledzera
• mankhwala osokoneza bongo a mankhwala ena
• kusowa kwamadzi
• kuperewera kwa zakudya m'thupi mwamagetsi okhala ndi zakudya zamafuta ambiri komanso kusowa kwamchere, mavitamini, fiber.

Zizindikiro zotsatirazi zikugwirizana ndi kuchepa kwa shuga m'magazi:

• kufooka kwakukulu, kukomoka,
• tuluka thukuta,
• kunjenjemera miyendo
• palpitations
• kumverera kwa njala.

Hypoglycemia yayikulu imatha kubweretsa kutsokomola.

Kuyesedwa kwa Laborator kumachitika kuti mupeze kuchuluka kwa shuga m'magazi. Chosavuta kwambiri komanso chogwiritsidwa ntchito kwambiri ndikupenda magazi a capillary. Zitsanzo zimaperekedwa m'mawa, phunzirolo lisanathe kudya maola 8-12. Kuwunikaku ndikosavuta komanso kosavuta kuchita, kutha kuchitika modziyimira pawokha ndi glucometer. Komabe, kafukufukuyu ali ndi zovuta zingapo:

• kuchuluka kwa shuga sikumawonetsedwa mu mphamvu, chifukwa zotsatira zake zimakhala zofunikira pokhapokha pakubala,
• Zotsatira zake zimakhala zabodza ngati kuchita zolimbitsa thupi kusanachitike kusanthula (kupita kuchipatala, kuchita masewera olimbitsa thupi tsiku lotsatira).

Zotsatira zamagetsi zimawonetsa kuyesa kwa glucose kwa maola awiri. Kusanthula kumachitika m'magawo atatu: wodwalayo amapereka magazi pamimba yopanda kanthu ndipo pambuyo pa mphindi 5 amamwa madzi ndi shuga wosungunuka. Kenako, mulingo wa shuga umayeza pambuyo pa maola 1 ndi 2. Zizindikirozi zimatanthauziridwa motere:

• osakwana 7.8 mmol / l - mulingo wabwinobwino shuga,
• 7.8-11 mmol / L - kulolerana kwa shuga,
• oposa 11 mmol / l - hyperglycemia.

Kafukufuku wolondola kwambiri mpaka pano ndi kusanthula kwa glycated hemoglobin (HbA1C). Ndi iyo, kuchuluka kwa shuga komwe kumalumikizana ndi maselo ofiira ammadzi kumatsimikiziridwa, ndipo chifukwa chake, kuchuluka kwa shuga kwa miyezi 2-3. Zotsatira za kusanthula sikudalira chakudya ndi mankhwala, zolimbitsa thupi, izi sizikhudza kulondola kwake. Zizindikiro zowunikira za HbA1C zimawerengeredwa peresenti:

• 4% kapena kuchepera - hypoglycemia,
• 4,5-5.7% - mulingo wabwinobwino shuga,
• 5.7-6% - chiwopsezo chachikulu cha matenda a shuga,
• 6-6.4% - prediabetes
• 6.5% ndi apamwamba - hypoglycemia, shuga.

Onse akusowa komanso kuchuluka kwa shuga si matenda odziyimira pawokha, koma zizindikiro, motero, chithandizo cha aliyense payekha chimaperekedwa kwa wodwala aliyense. Kuphatikiza pa kumwa mankhwala, mankhwalawa amaphatikizapo physiotherapy, dosed zolimbitsa thupi ndi zakudya zapadera.

Chifukwa chake, ndi mtundu 1 wa shuga, chithandizo cha insulin chimakhala chofala. Matenda a 2 a shuga amawongoleredwa ndi zakudya zomwe zimakhala ndi zakudya zamagulu ochepa, kuwonda pang'ono panjira yachipatala, komanso maphunziro akuthupi.

Anthu odwala matenda oopsa a hyperglycemia amafunika kuwongolera kuchuluka kwa shuga ndi glucometer, kuphatikiza chakudya chisanachitike komanso pambuyo pake. Izi zikuthandizani kuti musinthe moyo wanu komanso kadyedwe kanu, komwe, komweku, kumachepetsa mphamvu za shuga kukhala milingo yabwino.

Ndikulimbikitsidwa kupereka magazi m'mawa (kuyambira maola 8 mpaka 11), mwamphamvu pamimba yopanda kanthu (osachepera 8 ndipo osaposa maola 14 akusala kudya, mutha kumwa madzi). Pewani kuchuluka kwambiri masiku asanakwane

• M'masiku atatu asanafike tsiku loyesa mayeso a glucose, ndikofunikira kutsatira chakudya chokhazikika popanda choletsa chamafuta, kupatula zinthu zomwe zingayambitse kuperewera kwa thupi (chakudya chosakwanira, zochita zolimbitsa thupi, kukhalanso ndi kusokonezeka kwamatumbo).
• Masiku atatu phunziroli lisanachitike, ndikofunikira kumwa mankhwala, kugwiritsa ntchito komwe kungakhudze zotsatira za phunziroli (salicylates, njira zakulera zamkamwa, thiazides, corticosteroids, phenothiazine, lithiamu, metapiron, vitamini C, ndi zina).
• Yang'anani! Kuchotsa mankhwala kumatheka pokhapokha atakambirana ndi adokotala!
• Madzulo a maola 24 kafukufukuyu asanachitike, kumwa mowa kumaletsedwa.
• Kuyesa kwa glucose sikumachitika kwa ana ochepera zaka 14.

Zizindikiro za

• Mukamayang'ana odwala omwe ali pachiwopsezo cha matenda osokoneza bongo (kugona pansi, kunenepa kwambiri, kupezeka kwa wachibale woyamba, wodwala matenda a shuga, matenda oopsa komanso matenda ena a mtima dongosolo, kusokonezeka kwa gluidosis).

• Kunenepa kwambiri (kulemera kwa thupi).
• Atherosulinosis
• Matenda oopsa.
• Gout
• Achibale apafupi a odwala matenda ashuga.
• Amayi omwe akhala ndi pathupi pobadwa, osabereka msanga, akhanda akulu kwambiri kapena ana omwe ali ndi vuto la kukula, kubereka, matenda a shuga nthawi ya pakati.
• Metabolic syndrome.
• Matenda a chiwindi.
• Polycystic ovary.
• Neuropathy ya etiology yosadziwika.
• Kugwiritsa ntchito kwa nthawi yayitali ma diuretics, glucocorticoids, ma estrogens opanga.
• Matenda a periodontosis ndi furunculosis.

Kuyeserera kwa Mimba Kuwala

Mukalembetsa ndikusonkhanitsa chidziwitso chokhudza thanzi la mayi wapakati, mwina ndizotheka kuyesererapo kale, ngakhale kumayambiriro kwa kutenga pakati. Zotsatira zabwino, azimayi otere amawona mimba yonse ndikulemba malangizo oyenera ndi njira zowongolera kuchuluka kwa shuga m'thupi.

Pali gulu linalake langozi, lomwe limakopa chidwi polembetsa. Mulinso amayi oyembekezera omwe ali ndi:

• shuga mellitus imatha kutsatiridwa ndi cholowa (sichinatenge, koma chobadwa nacho),
• kupezeka kwa kuchuluka kwa thupi mwa mayi woyembekezera komanso kunenepa kwambiri,
• kupweteka kwapakatikati ndi kubereka kunachitika
• kukhalapo kwa mwana wosabadwayo wamkulu pomubadwa komaliza (zimaganiziridwa ngati kulemera kwa mwana wosabadwayo kumaposa ma kilogalamu anayi),
• mochedwa gestosis, kukhalapo kwa matenda opatsirana a kwamikodzo,
• kutenga mochedwa (amawerengera azimayi achikulire kuposa zaka makumi atatu ndi zisanu).

Kuyeserera kwa glucose (momwe angatenge, zotsatira ndi zikhalidwe)

Chiyeso chololera glucose (GTT) sichimangogwiritsidwa ntchito ngati njira imodzi yochizira matenda ashuga, komanso monga imodzi mwazomwe mungapangire kudziletsa.

Chifukwa chakuti amawonetsa kuchuluka kwa glucose m'magazi ndi ndalama zochepa, ndizosavuta komanso otetezeka kugwiritsa ntchito osati odwala matenda ashuga okha kapena anthu athanzi, komanso amayi oyembekezera omwe amakhala nthawi yayitali.

Kuphweka kwa mayeso kumapangitsa kuti zitheke mosavuta. Itha kutengedwa ndi onse akuluakulu ndi ana kuyambira zaka 14, ndipo malinga ndi zofunikira zina, zotsatira zomaliza zimakhala zowoneka bwino.

Nanga kuyesaku ndikuti, ndichifukwa chiyani kukufunika, momwe mungatengere ndipo ndi chiyani chomwe chiri kwa odwala matenda ashuga, anthu athanzi komanso amayi apakati? Tiyeni timvetse bwino.

Mitundu ya mayeso ololera a glucose

Ndimasankha mitundu ingapo ya mayeso:

• pamlomo (PGTT) kapena pakamwa (OGTT)
• intravenous (VGTT)

Kodi kusiyana kwawo kofunikira ndi kotani? Chowonadi ndi chakuti zonse zili momwe zingapangire chakudya. Izi zomwe zimatchedwa "glucose katundu" zimachitika pakangotha ​​mphindi zochepa kuchokera pakupanga magazi koyambirira, ndipo mudzafunsidwa kuti mumwe madzi otsekemera, kapena yankho la shuga liperekedwe mwachangu.

Mtundu wachiwiri wa GTT umagwiritsidwa ntchito kwambiri kawirikawiri, chifukwa kufunikira koyambitsa mafuta amkati m'magazi a venous kumachitika chifukwa chakuti wodwalayo sangathe kumwa madzi otsekemera iyemwini. Kufunika kumeneku sikuchitika kangapo.

Mwachitsanzo, ndi toxosis yayikulu mwa amayi apakati, mayi amatha kupatsidwa “glucose” kudzera m'mitsempha.

Komanso, mwa odwala omwe amadandaula za kukhumudwa kwa m'mimba, pokhapokha ngati pali kuphwanya mayankho a zinthu pakukonzanso michere, palinso kufunika kukakamiza shuga mwachindunji m'magazi.

Odwala otsatirawa omwe angapezeke ndi matendawa, atha kuzindikira zovuta zotsatirazi atha kulandira kuchokera kwa katswiri wazachipatala, gynecologist kapena endocrinologist:

• kukayikira kwa mtundu wachiwiri wa matenda ashuga a m'matenda (pakukonzekera matenda), ndi kupezeka kwa matendawa, posankha ndikusintha kwa mankhwalawa "matenda a shuga" (pokambirana zotsatira zabwino kapena kusowa kwa chithandizo).
• lembani 1 matenda ashuga, komanso podziyang'anira,
• shuga wokayikitsa kapena kupezeka kwake,
• prediabetes
• kagayidwe kachakudya matenda
• zolakwika zina mu ziwalo zotsatirazi: kapamba, tiziwalo timene timatulutsa, zotupa, chiwindi,
• kulolerana kwa shuga,
• kunenepa
• matenda ena endocrine.

Chiyesocho sichidachite bwino pokhapokha posankha deta ya matenda omwe amamuganizira, komanso machitidwe owunika.

Pazifukwa zotere, ndikosavuta kugwiritsa ntchito kusanthula kwama biochemical magazi kapena mita yamagazi. Zachidziwikire, kunyumba ndizotheka kupenda magazi athunthu. Nthawi yomweyo, musaiwale kuti kusanthula kulikonse kosunthika kumalola kachigawo kakulakwitsa, ndipo ngati mungaganize zopereka magazi a venous kuti aunike ma labotale, zizowerezo zidzasiyana.

Kuti mudziwongolere nokha, ndizokwanira kugwiritsa ntchito owunikira, omwe, mwa zina, sangawone kuchuluka kokha kwa glycemia komanso kuchuluka kwa glycated hemoglobin (HbA1c). Zachidziwikire, mita ndi yotsika mtengo kuposa kuyesa magazi a biochemical Express, kukulitsa mwayi wophunzitsira bwino.

GTT zotsutsana

Si aliyense amene amaloledwa kuchita mayesowa. Mwachitsanzo, ngati munthu:

• vuto la shuga
• matenda am'mimba thirakiti (mwachitsanzo, kuchuluka kwa kapamba am'mimba),
• pachimake yotupa kapena matenda opatsirana,
• toxosis yayikulu,
• ntchito itatha,
• kufunika kopuma.

Mawonekedwe a GTT

Tidamvetsetsa momwe mungapezere mwayi wolumikizira mayeso okhudzana ndi shuga. Tsopano nthawi yakwana yoti mupeze mayesowa molondola.

Chimodzi mwazinthu zofunikira kwambiri ndikuti sampling yoyamba ya magazi imachitika pamimba yopanda kanthu ndipo momwe munthu wakhalira asanapereke magazi zimakhudzanso zotsatira zomaliza. Chifukwa cha izi, GTT imatha kutchedwa "capricious", chifukwa imakhudzidwa ndi izi:

• kugwiritsa ntchito zakumwa zoledzeretsa (ngakhale pang'ono zakumwa zoledzeretsa zimasokoneza zotsatira),
• kusuta
• zolimbitsa thupi kapena kuchepa kwake (ngati mumasewera kapena mukuchita masewera olimbitsa thupi),
• kuchuluka kwa momwe mumatha kudya zakudya za shuga kapena madzi akumwa (zikhalidwe zomwe mumadya zimakhudza mayesowa),
• zinthu zopsinjika (kusokonezeka kwamanjenje kawirikawiri, nkhawa kuntchito, kunyumba panthawi yolowa ku sukulu yophunzitsira, kuti mupeze chidziwitso kapena mayeso odutsa, etc.),
• Matenda opatsirana (matenda opumira pachakudya, matenda opatsirana pachimake, chimfine kapena mphuno yakumwa, chimfine, tonsillitis, etc.),
• mkhalidwe wogwira ntchito (munthu akavulala pambuyo pochita opaleshoni, saloledwa kuyesa mtundu uwu).
• kumwa mankhwala (okhudza malingaliro a wodwala, kutsika kwa shuga, mahomoni, mankhwala othandizira kagayidwe kachakudya ndi zina zotero).

Monga tikuwona, mndandanda wazomwe zimakhudza zotsatira zoyesedwa ndizitali kwambiri. Ndikwabwino kuchenjeza dokotala wanu za izi pamwambapa.

Pankhani imeneyi, kuwonjezera pa iyo kapena ngati mtundu wina wodziwitsa za matenda

Kuyesa kwa magazi kwa hemoglobin ya glycated

Itha kutha kupatsidwanso nthawi yomwe mayi ali ndi pakati, koma imatha kuwonetsa zotsatira zoyipa kwambiri chifukwa chakuti kusintha kwachangu komanso koopsa kumachitika mthupi la mayi wapakati.

Momwe angatenge

Kuyeza kumeneku si kovuta, komabe, kumatenga maola awiri. Kuyenera kwa njira yayitali motere yosonkhanitsira deta kumakhala koyenera chifukwa kuchuluka kwa glycemia m'magazi sikugwirizana, ndipo lingaliro lomwe adotolo adzaika kwa inu limatengera momwe limayendetsedwera ndi kapamba.

Kuyeserera kwa glucose kumachitika m'njira zingapo:

Lamuloli liyenera kutsatira! Kusala kudya kumayenera kumatenga maola 8 mpaka 12, koma osapitilira maola 14. Kupanda kutero, tidzapeza zotsatira zosadalirika, chifukwa chizindikiro chachikulu sichikuyang'anidwanso ndikuwona kuti sichingafanane ndi kukula kwina ndi kutsika kwa glycemia ndi iyo. Ndiye chifukwa chake amapereka magazi m'mawa kwambiri.

Pakadutsa mphindi 5, wodwalayo amamwa "shuga wa m'magazi" kapena jekeseni ndi njira yotsekemera (onani Mitundu ya GTT).

Pamene VGTT njira yapadera ya 50% ya glucose imathandizira pang'onopang'ono kuyambira mphindi ziwiri mpaka zinayi. Kapena yankho lamadzi limakonzedwa momwe 25g ya glucose imawonjezeredwa. Ngati tikulankhula za ana, ndiye kuti madzi okoma amakonzedwa pamlingo wa 0,5g / kg wa bwino thupi.

Ndi PHTT, OGTT, munthu ayenera kumwa madzi otentha otentha (250-300 ml), momwe 75g ya shuga idasungunuka, mkati mwa mphindi 5. Kwa amayi apakati, Mlingo ndi wosiyana. Amasungunuka kuchokera ku 75g mpaka 100g shuga. Ana amasungunuka m'madzi 1.75g ​​/ kg kulemera kwa thupi, koma osapitirira 75g.

Asthmatics kapena iwo omwe ali ndi angina, omwe anali ndi stroke kapena vuto la mtima, ndikulimbikitsidwa kuti adye 20 g yamatumbo othamanga.

Glucose yoyeserera kulekerera kwa glucose imagulitsidwa muma pharmacies mu mawonekedwe a ufa

Ndizosatheka kudzipangira palokha chakudya chamagulu ochulukirapo!

Onetsetsani kuti mwawonana ndi dokotala musanapange lingaliro lililonse mwachangu ndikupanga GTT yosavomerezeka ndi katundu kunyumba!

Podziyang'anira nokha, ndibwino kutenga magazi m'mawa m'mimba yopanda chakudya, mutatha kudya chilichonse (osadutsa mphindi 30) komanso musanagone.

Pakadali pano, zitsanzo zingapo zamagazi zimatengedwa. Pakupita mphindi 60, amatenga magazi kuti awoneke kangapo, ndikuwona kusinthasintha kwa glucose m'magazi, pamaziko a zomwe zingatheke.

Ngati mumadziwa pafupifupi momwe chakudya chimapangidwira (mwachitsanzo, mumadziwa momwe kagayidwe kazakudya kameneka kamakhalira), sizingakhale zosavuta kuyerekezera kuti glucose yemwe amamwa mofulumira, kupanikizika kwathu bwino kumagwira ntchito. Ngati "shuga yokhotakhota" ikhala nthawi yayitali kwambiri ndipo sikuchepa, ndiye kuti titha kukambirana za prediabetes.

Ngakhale zotsatirapo zake zitakhala zabwino, ndipo mwapezeka kuti muli ndi matenda ashuga, ndiye kuti ichi sichifukwa chokhumudwitsidwa isanakwane.

M'malo mwake, kuyesa kwa glucose kumafuna kufufuza kawiri konse! Ndizosatheka kuzitcha kuti ndizolondola kwambiri.

Kuyesedwa kwachiwiri kudzayikidwa ndi adokotala, omwe, pamaziko a umboni womwe wapezeka, atha kufunsa wodwalayo kale.

Milandu yotere nthawi zambiri imakhala nthawi yomwe mayeso amayenera kutengedwa kuchokera kamodzi mpaka katatu ngati njira zina zasayansi zolembetsera matenda a shuga 2 sizinagwiritsidwe ntchito kapena ngati zimakhudzidwa ndi zinthu zinafotokozedwa koyambirira kwa nkhaniyo (mankhwala, chopereka cha magazi sichinachitike pamimba yopanda kanthu komanso kuti etc.).

Njira zoyesera magazi ndi zigawo zake

Tiyenera kunena nthawi yomweyo kuti ndikofunikira kutsimikizira zowerengera zikuzindikira kuti magazi omwe adasanthulidwa panthawi yoyesedwa.

Mutha kulingalira magazi onse a capillary komanso magazi a venous. Komabe, zotsatira sizosiyana kwambiri. Chifukwa chake, mwachitsanzo, ngati tiwona zotsatira za kusanthula magazi kwathunthu, ndiye kuti zidzakhala zochepa poyerekeza ndi zomwe zidapezeka kuti zimayesa ziwalo zamagazi zomwe zimapezeka kuchokera ku mtsempha (plasma).

Ndi magazi athunthu, zonse ndi zomveka: adalasa chala ndi singano, amatenga dontho la magazi kuti liwunikenso biochemical. Pazifukwa izi, pamafunika magazi ambiri.

Ndi venous ndizosiyana pang'ono: zitsanzo zoyambirira za magazi kuchokera mu mtsempha zimayikidwa mu chubu choyesera chozizira (ndikwabwino, ndithudi, kugwiritsa ntchito chubu yoyesera, ndiye kuti makina owonjezera omwe asungidwe magazi sangakhale ofunika), omwe ali ndi mankhwala osungirako omwe amakupatsani mwayi kuti mupulumutseni sampuli mpaka mayeso omwe. Ili ndi gawo lofunikira kwambiri, chifukwa zinthu zosafunikira siziyenera kusakanikirana ndi magazi.

Zosungidwa zingapo nthawi zambiri zimagwiritsidwa ntchito:

• 6mg / ml yonse ya sodium fluoride

Imachepetsa ma enzymatic njira m'magazi, ndipo panthawi imeneyi imawaletsa. Chifukwa chiyani izi ndizofunikira? Choyamba, magazi samayikidwa pachabe mu chubu chozizira.

Ngati mudawerengapo kale nkhani yathu ya hemoglobin ya glycated, ndiye kuti mukudziwa kuti kutentha, "hemoglobin" ndi "shuga", magazi atakhala ndi shuga wambiri kwa nthawi yayitali.

Kuphatikiza apo, chifukwa cha kutentha komanso kugwiritsa ntchito mpweya, mpweya umayamba “kuzimiririka” mwachangu. Amasungunuka, amakula poizoni. Pofuna kupewa izi, kuphatikiza ndi sodium fluoride, chophatikizira china chimawonjezeredwa ku chubu choyesera.

Zimasokoneza kuchuluka kwa magazi.

Kenako chubu chimayikidwa pa ayezi, ndipo zida zapadera zimakonzedwa kuti zigawike magazi kukhala zigawo zikuluzikulu. Plasma ndiyofunikira kuti ipangidwe pogwiritsa ntchito centrifuge ndipo, pepani chifukwa cha tautology, kuphatikiza magazi. Plasma imayikidwa mu chubu china choyesera ndipo kuwunika kwake mwachindunji kwayamba kale.

Zachinyengo zonsezi ziyenera kuchitika mwachangu ndipo mkati mwakanthawi kamphindi makumi atatu. Ngati plasma yapatulidwa pambuyo pa nthawi iyi, ndiye kuti kuyesa kungaganizidwe kwalephera.

Kuphatikiza apo, ponena za kusanthula kwina kwa magazi a capillary ndi venous. Laborator angagwiritse ntchito njira zosiyanasiyana:

• glucose oxidase njira (masiku 3.1 - 5.2 mmol / lita),

Kunena zowoneka bwino komanso zopanda pake, zimakhazikika pa enzymatic oxidation ndi shuga oxidase, pamene hydrogen peroxide imapangika potulutsa. Orthotolidine yopanda utoto, mothandizidwa ndi peroxidase, amapeza mtundu wowoneka bwino. Kuchuluka kwa tinthu tina tokhala ngati utoto "kumayankhula" zamagalasi. Zochulukirapo za izo, zimachulukanso kuchuluka kwa shuga.

• Njira ya orthotoluidine (masiku 3.3 - 5.5 mmol / lita)

Ngati poyambirira pali makutidwe a okosijeni malinga ndi enzymatic reaction, ndiye kuti izi zimachitika mwa acidic sing'anga ndipo mphamvu yake imachitika mothandizidwa ndi mankhwala onunkhira ochokera ku ammonia (iyi ndiye orthotoluidine). Zomwe organic zimachitika, zimachitika chifukwa cha zomwe glucose aldehydes imatulutsa. Ma machulukidwe amtundu wa "momwe" yankho limayambira akuwonetsa kuchuluka kwa shuga.

Njira ya orthotoluidine imawonedwa yolondola kwambiri, motero, imagwiritsidwa ntchito kwambiri pakuwunika magazi ndi GTT.

Mwambiri, pali njira zambiri zodziwira glycemia omwe amagwiritsidwa ntchito poyesa ndipo onse agawidwa m'magulu akulu akulu: colometric (njira yachiwiri, yomwe tidawunikira), enzymatic (njira yoyamba, yomwe tidawunikira), reductometric, electrochemical, strips test (yogwiritsidwa ntchito mu glucometer ndi ena ojambula ojambula)

Glucose kulolerana mayeso insulin

Sinthani funso kuti mudzabweranso liti kuchokera ku chiletso
Phunzirani kuyang'ana nthawi ya omwe adavutika kuti akuthandizeni ndikuyankha mafunso anu.

Yambani kumvetsetsa kuti mwina simudziwa zambiri, kapena kukhala ndi malingaliro oyipa kapena olakwika - ndipo ntchito yothetsa malingaliro awa (chifukwa chokuthandizani) zimatenga nthawi
Phunzirani kumvetsetsa kuti madokotala a RMS amayankha mwakufuna kwawo, popanda kulipiritsa komanso munthawi yawo yaulere

Apanso - malingaliro anu okhudzana ndi insulin ku PCOS, OGTT, ndi zina zotero - chiwonetsero cholakwika komanso chosagwirizana cha zolemba zamankhwala (zolemba) zam'mbuyomu

Ngati mukufuna thandizo - m'malo mwa Mulungu, tikufotokozerani zonse

Ngati cholinga chanu chikukhumudwitsidwa ndi madokotala (komanso momwe anthu ambiri onenepa) - mwakwaniritsa

Tsoka ilo, mudadzilolanso kuphwanya malamulo angapo a forum - ndipo mudzatumizidwa kumalo oletsa kuwerenga

Koma mutha kuwerengera bwino za momwe kusintha kwa moyo kumakhalira, zakudya zabwino za nthawi yoletsedwa mwalemba mawu osakira kapena kusaka kwa Google. Kusintha kwa moyo ndi kusanthula mwanzeru ndizo maziko othandizira kunenepa kwambiri m'maiko onse komanso chifukwa cha kupewa matenda ashuga. Dokotala amakhala wabwino nthawi zonse, ndichifukwa chake timakhala okonzeka kukambirana ndi okonzekera nthawi zonse, ndipo palibe chochititsa manyazi ndi kusamvetsetsa kanthu, ayi - funsani - tiziuza

Koma dotolo woyeserera - mu chiletso!

Kuyeserera kwa glucose (mayeso a glucose kulolerana) - kulera mwana

Chiyeso chololera glucose, kapena mayeso ololera a glucose, amawunika momwe thupi lanu limayang'anira shuga. Shuga, kapena shuga, amapezeka muzakudya zambiri zomwe timadya.
Kuyesaku kumachitika kuti adziwe matenda a shuga panthawi yomwe ali ndi pakati (gestationalabetes) ndipo amaperekedwa kwa azimayi omwe ali ndi vuto lotere.

Chifukwa chiyani nditha kufunikira mayeso?

Kuyesereraku kukuthandizani kudziwa ngati muli ndi matenda a shuga. Pafupifupi 14% ya amayi oyembekezera amakhala ndi vutoli. Matenda a shuga a m'mimba amayamba pamene kapamba amapanga kuchuluka kosakwanira kwa insulin.

Insulini imayang'anira shuga wamagazi ndikuthandizira thupi kusunga malo ogulitsa shuga ngati safunikira kusintha nthawi yomweyo kukhala mphamvu.

Nthawi yapakati, thupi la mkazi limafunikira kutulutsa zambiri za insulin, makamaka kuyambira mwezi wachisanu, pamene mwana akukula mwachangu. Ngati thupi lanu silisunga insulini yofunikira, mutha kuyamba kudwala matenda ashuga.

Matenda a gestational samakhalira limodzi ndi zizindikiro zowoneka, ndichifukwa chake kuyesedwa ndikofunikira. Ngati matenda ashuga akapsa sanapezeke ndipo sanalandire chithandizo, inu ndi mwana wanu mutha kukumana ndi zovuta.

Chovuta chachikulu chomwe chimayamba chifukwa cha shuga m'magazi ndichakuti mwana wanu akhoza kukhala wamkulu, zomwe zimapangitsa kuti kubereka kubereka. Mwana amene mayi ake ali ndi matenda a shuga angayambenso kudwala matenda ashuga a m'matumbo (matenda omwe amadziwika ndi dysfunctions ya polysystemic, metabolic ndi endocrine).

Kodi ndingakhale ndi matenda ashuga?

Mutha kukhala ndi matenda osokoneza bongo ngati:

• thupi lanu lambiri (BMI) ndi 30 kapena kuposerapo,
• kale anali ndi mwana wamkulu wolemera makilogalamu 4.5 kapena kuposerapo,
• kale mudali ndi matenda a shuga
• Mmodzi wa makolo anu, mchimwene kapena mlongo, kapena mwana wanu ali ndi matenda ashuga,
• Mumachokera kumadera komwe matenda ashuga ndiofala (South Asia, Middle East).

Ngati mungathe kudziwa chimodzi mwa zingapo mwa maguluwa, mwalangizidwa kuti mupange mayeso ololera a glucose.

Kodi kuyesedwa kwa glucose kumachitika bwanji?

Kuyeza kumeneku nthawi zambiri kumachitika pakati pa masabata 24 mpaka 28 milungu ya bere. Ngati mudakhalapo ndi matenda ashuga m'mbuyomu, mudzafunsidwa kuti muchite izi poyambilira - kwa masabata pafupifupi 16-18 kenanso - masabata 24-28. Dokotala wanu adzakuuzani kuchuluka kwa simuyenera kudya musanayesedwe, nthawi zambiri muyenera kupewa kudya usiku watha.

Mutha kumwa madzi opanda kanthu. Ngati mukumwa mankhwala aliwonse, onani ndi dokotala ngati angatengedwe pakukonzekera mayeso. M'dziko lathu, mayesowo amachitika ku chipatala kapena m'malo apadera (malo akulu omwe ali ndi ma labotore). Dokotala wanu amatenga magazi kuchokera mu mtsempha wanu. Sampuli iyi imakupatsani mwayi kuti muyeza shuga yanu yamagazi.

Kenako mudzapatsidwa chakudya chotsekemera chapadera chomwe chili ndi 75-100 g shuga. Ndikofunika kuti mumwe zakumwa zonse. Pambuyo maola awiri, magazi anu adzatengedwanso ndipo shuga yanu idzayerekezeredwa ndi mayeso oyamba. Maora awiri awa amakhala bwino amakhala nokha. Mwina mudzaloledwa kuchoka pachipatalachi panthawiyi, kapena mwina mupemphedwa kuti mukhalebe.

Simuyenera kudya kapena kumwa nthawi ino.

Koma tengani chakudya nanu, chifukwa mukadzayesedwa mudzakhala ndi njala. Mutha kudya pokhapokha ngati mumaliza kupereka magazi kwachiwiri, osati koyambirira. Zotsatira zoyesedwa zidzakhala zikukonzekera maola 48.

Ndi mayesero enanso ati a shuga omwe amapezeka?

M'makliniki ena, dokotala angakupatseni mwayi woti mukayesere mkodzo wa mayeso a shuga pakuwunika kulikonse. Ngati shuga akupezeka mumkodzo, ichi chikhoza kukhala chizindikiro cha matenda ashuga.

Koma amathanso kukhala chifukwa cha kusintha kwa thupi komwe kumachitika mwachilengedwe nthawi yapakati. Nthawi zambiri, mulimonsemo, mumayesa mayeso a mkodzo pafupipafupi, ndipo sizisonyeza kuti muli ndi matenda ashuga.

Mwa azimayi ambiri omwe ali ndi shuga mumkodzo wawo, kuyesa kwa glucose sikumayambitsa matenda ashuga.

Ngati mukukhala ndi matenda a shuga (mwachitsanzo, mukadakhala nawo kale), mutha kuyesedwa kunyumba. Iyi ndi njira yosavuta yofufuzira shuga wamagazi anu kuposa mayeso ololera a glucose.

Nanga bwanji ngati kuyesedwa kwa glucose kuli koyenera?

Chithandizo chimatengera shuga wanu wamagazi. Dokotala wanu azikambirana nanu zotsatira za mayesedwe ndi tsatanetsatane wa chithandizo. Katswiri wazakudya akukuthandizani pazakusintha kwanu kuti musunge shuga wokwanira bwino. Mudzalangizidwanso kuti mugule mankhwala azigawo zamagazi a kunyumba.

Nthawi zambiri, matenda osokoneza bongo amatha kuthana ndi kudya zakudya zopatsa thanzi komanso kuchita masewera olimbitsa thupi.

Ngati mwapezeka kuti muli ndi matenda opatsirana pogonana, muyenera kupita kukayezetsa pafupipafupi, komwe kumatenga nthawi yayitali kuposa masiku, kuti adokotala azitha kuyang'ana thanzi lanu komanso thanzi la mwana wanu.

Mutha kupatsidwanso ma scan ena owonetsa kukula kwa mwana wanu. Monga lamulo, ngati matenda amishuga apezedwa, kukonzedwa kwakanthawi kwamasabata 37-38 ndikulimbikitsidwa. Ngati ngalande yakubadwa sinakonzekere panthawiyi, kuperekera chithandizo ndikofunikira.

Amayi ambiri omwe amakhala ndi matenda ashuga panthawi yoyembekezera amabereka ana athanzi omwe misempha yamagazi yawo imabwezeretseka pambuyo pobadwa. Masabata asanu ndi limodzi atabereka, muyenera kupatsanso kuyesa kwachiwiri kwa glucose kuti mutsimikizire kuti matendawa anali ogwirizana ndi pakati.

Insulin

Pancreatic yowonjezera ntchito Ntchito ya pancreatic endocrine imagwirizanitsidwa ndi ma isanc pancreatic (ma Langerhans islets). Mwa munthu wamkulu, ma islets a Langerhans amapanga 2-3% ya kuchuluka kwa kapamba wonse.

Islet ili ndi maselo 80 mpaka 200, omwe amagawidwa m'mitundu itatu yayikulukulu molingana ndi magwiridwe antchito, mapangidwe ake ndi mbiri: alpha, beta ndi D-cell. Maselo a Beta ndi omwe amachititsa kuti ambiri azikhala pachilumba - 85%, maselo a alpha ndi 11%, ndipo ma cell a D - 3%.

M'maselo a beta a isanger a Langerhans, insulin imapangidwa ndikutulutsidwa, ndipo m'maselo a alpha - glucagon. Maselo a Beta amakhala m'chigawo chapakati cha zilumba, ndipo maselo a alpha amakhala kumapeto. Pakati pa maselo a beta ndi alpha pali ma D-cell omwe amapanga somatostatin ndi gastrin, omwe ndi othandizira mwamphamvu chinsinsi cha chapamimba.

Pancreatic F cell secrete pancreatic peptide (PP), yomwe imalepheretsa kugwira ntchito kwa gallbladder ndi exocrine ntchito ya kapamba, komanso kumakulitsa kamvekedwe ka chotupa cha bile.

Udindo waukulu wa endocrine ntchito ya kapamba ndikusunga glucose yokwanira m'thupi.

Glucose homeostasis imayendetsedwa ndi mitundu yambiri ya mahomoni: - insulin - mahomoni akuluakulu a pancreatic incretory apparatus, omwe amatsogolera kuchepa kwa shuga m'magazi chifukwa chowonjezera kuchuluka kwa ma insulin omwe amadalira insulin ndi maselo ake, - mahomoni enieni otsutsa mahomoni (adrenaline, somatostatin),

- mahomoni olimbana nawo (glucagon, glucocorticoids, STH, mahomoni a chithokomiro, etc.).

Matenda a pancreatic endocrine amaphatikizapo matenda a shuga, matenda ochita kuthandizira kapena organic hyperinsulinism, somatostatin, glucogonoma, ndi pancreatic peptide-secreting chotupa (PPoma).

Kuwerenga kwa endocrine pancreatic ntchito kumaphatikiza mitundu yotsatirayi ya maphunziro. 1. Kukhazikika kwa kusala kwamagazi m'magazi mutatha kudya ndi kwamikodzo. 2.

Kudziwa mphamvu ya glucose wamagazi pambuyo pa mulingo wambiri wa shuga (munthawi ya mayeso ololera a shuga). 3. Kudziwitsa za kuchuluka kwa hemoglobin wa glycosylated ndi / kapena fructosamine. 4.

Kudziwitsa kuchuluka kwa insulin, proinsulin, C-peptide, glucagon m'magazi pamimba yopanda kanthu komanso panthawi yoyesedwa kwa glucose. 5.

Kutsimikiza m'magazi ndi mkodzo wa zomwe zili ndi ma cell ena a biochemical mwapang'onopang'ono olamulidwa ndi mahomoni a pancreatic: cholesterol, triglycerides, D-hydroxybutyrate (beta-hydroxybutyric acid), matupi a ketone, lactate, ndi CBS. 6. Kudziwitsa za insulin receptors.

7. Mukalembetsa hypoglycemia wolimbikira - kuchititsa mayeso ogwira ntchito.

Serum Insulin Yachilendo seramu insulin mu wamkulu ndi 3-17 mcED / ml. Mtengo wabwinobwino wa kuchuluka kwa insulini (μED) / glucose pambuyo pa njala pamagazi a glucose osakwana 40 mg% ndi ochepera 0.25, ndipo ndi glucose wochepera 2.22 mmol / l - ochepera 4.5.

Insulin Ndi polypeptide, mawonekedwe a monomeric omwe amakhala ndi maunyolo awiri: A (kuchokera 21 amino acid) ndi B (kuchokera 30 amino acid). Insulin ndi chinthu chomwe chimapanga projekiti ya insulin.

Kwenikweni, insulin imachitika mutatuluka m'chipindacho. Cleavage of the C chain (C peptide) kuchokera ku proinsulin amapezeka pamlingo wa nembanemba ya cytoplasmic momwe mapuloteni ogwirizana amatsekera. Maselo amafunika insulini kuti atenge glucose, potaziyamu, ndi amino acid ku cytoplasm.

Ili ndi vuto linalake la glycogenolysis ndi gluconeogeneis. Mu minofu ya adipose, insulini imakulitsa kayendedwe ka glucose ndikukulitsa glycolysis, kumawonjezera kuchuluka kwa mafuta acids ndi ma esterization awo, ndikuletsa lipolysis.

Ndi nthawi yayitali, insulini imawonjezera kapangidwe ka michere ndi kaphatikizidwe ka DNA, imapangitsa kukula.

M'magazi, insulini imachepetsa kuchuluka kwa shuga ndi mafuta acids, komanso (albeit pang'ono) amino acid. Insulin imawonongeka mwachangu m'chiwindi chifukwa cha enzyme glutathioneinsulin transhydrogenase. Hafu ya moyo wa insulin ya insulin ndi mphindi 5-10.

Zomwe zimayambitsa matenda a shuga zimawerengedwa kuti ndizosakwanira (mtheradi kapena wachibale) wa insulin.

Kudziwitsa za kuchuluka kwa insulini m'magazi ndikofunikira kusiyanitsa mitundu yosiyanasiyana ya matenda a shuga, kusankha kwa mankhwala othandizira, kusankha kwa mankhwala oyenera, komanso kutsimikiza kwa kuchuluka kwa kuperewera kwa cell ya beta-cell.

Mwa anthu athanzi, mukamayesa mayeso okhudzana ndi shuga, kuchuluka kwa insulini m'magazi kumafika pakatha ola limodzi mutatha kudya glucose ndikuchepera pambuyo pa maola awiri.

Insulin-wodwala matenda a shuga.

Mlingo woyambira wa insulin m'magazi ndi wabwinobwino kapena wochepetsedwa, pamakhala kuchepa kwamankhwala a insulin nthawi zonse za mayeso okhudzana ndi shuga.

Mwanjira yolimba kwambiri, kuwonjezereka kwa kuchuluka kwa insulin m'mwazi pamimba yopanda kanthu kumadziwika.Pa mayeso a kulolera kwa glucose, kutulutsidwa kwakukulu kwa insulin kumawonedwa mphindi 60, pambuyo pake kuchepa kwambiri kwa insulin m'magazi kumachitika. Chifukwa chake, kuchuluka kwambiri kwa insulin kumawonedwa pambuyo pa 60, 120 komanso ngakhale mphindi 180 pambuyo poti munthu atulutse shuga.

Hyperinsulinism. Mu mawonekedwe a matenda (insulinoma kapena non-zidoblastoma), amapanga insulin mwadzidzidzi, yomwe imayambitsa kukula kwa hypoglycemia, nthawi zambiri yamakhalidwe a paroxysmal. Hyperproduction ya insulin sikudalira glycemia. Chiwerengero cha insulin / shuga ndi choposa 1: 4.5.

Kuchuluka kwa proinsulin ndi C-peptide nthawi zambiri kumadziwika. Mitengo yambiri ya tolbutamide kapena leucine imagwiritsidwa ntchito ngati njira yoyesera: odwala omwe ali ndi chotupa chopanga insulin nthawi zambiri amakhala ndi kukwera kwa misulini ya magazi komanso kuchepa kwakukulu kwa glucose poyerekeza ndi athanzi.

Komabe, chibadwa chazomwezi sizimapangitsa kuti matenda awoneke.
Ntchito hyperinsulinism nthawi zambiri imawonedwa m'chipatala cha matenda osiyanasiyana okhala ndi vuto logaya.

Amadziwika ndi hypoglycemia, yomwe imatha kupezeka motsutsana ndi maziko a insulin yokhazikika kapena yokwera kwambiri, ndikuwonjezera chidwi cha insulin. Zitsanzo za tolbutamide ndi leucine ndizabwino.

Matenda ndi mikhalidwe momwe kuchuluka kwa insulin m'magazi kumasinthira

Kuchulukitsa mu ndende Mimba yachibadwa Type II matenda a shuga a mellitus (isanayambike) Kunenepa kwambiri Matenda a chiwindi Acromegaly Itsenko-Cushing's Insulinoma minofu dystrophy

Kuleza Kwabanja ku Fructose ndi Galactose

Kuchepa kwa ndende Kuchita masewera olimbitsa thupi kwa nthawi yayitali

Mtundu woyamba wa matenda a shuga a mellitus Mtundu Wachiwiri wa shuga