Kodi shuga mumagazi mumakhala chiyani ana akamaliza kudya ndipo zomwe zingachitike zingasonyeze chiyani?

Mwazi wa magazi si terminology mu zamankhwala, koma dzina la colloquial. Mwazi wamagazi, umatanthawuza glucose index.

Pogwiritsa ntchito njira yachilengedwe komanso michere mthupi la munthu, ma calories ofunikira amapangidwira kuti thupi likhale ndi thanzi. Mphamvu ya glucose imasungidwa m'chiwindi ngati glycogen.

Ngati kuchuluka kofunikira sikulowa m'thupi kuti mupatse zakudya zam'maselo am'mimba, ndiye kuti shuga imamasulidwa ku chiwindi kuti ikapatse mphamvu maselo.

Kodi chimatsimikizira kuchuluka kwa shuga ndi chiyani?

Mphamvu yothira shuga imasiyanasiyana malinga ndi zaka za munthu, nthawi ya tsiku, komanso kupsinjika ndi kuchuluka kwa thupi.

Gawo limakhudzidwa ndi zakudya, komanso kapamba, mothandizidwa ndi insulin. Amakonza shuga ndi adrenaline, yomwe imapangidwa ndi ma adrenal gland.

Kulephera mu kachitidwe ka ziwalo za endocrine kumayambitsa kupatuka kuchokera ku kupangika kwa mahomoni, komwe kumabweretsa kuwonjezeka, komanso kuchepa kwa shuga m'thupi.

Hypoglycemia

Hypoglycemia ikuwonetsa kuti palibe glucose wokwanira mthupi kuti zitsimikizire kugwira bwino ntchito kwa ziwalo zofunika ndi machitidwe onse mu thupi la munthu wamkulu.

Kutsitsa shuga mpaka wotsika kwambiri ndi kowopsa.

Ngati glucose amakhala nthawi yayitali panjira yokhazikika kumatanthauza kuti zotsatira zake zimakhala ndi kusintha kosasintha mu ubongo, komanso mumtima ndi mtima.

Ngati index ya shuga ikutsikira pansi pa 1.90 mmol - 1.60 mmol - ndiye kuti pamakhala vuto loti sitiroko itayamba, shuga atapendekera pang'onopang'ono mpaka index ya 1.40 mmol mpaka 1.10 mmol, ndiye kuti uku ndikomanso.

Hypoglycemia mwa munthu wathanzi lathunthu imatha kukhala m'mawa pomwe m'mimba simadzaza.

Zinthu zachitukuko

Zinthu zomwe zimakhudza kuchepetsa magazi:

• Njala komanso kusadya bwino
• Zakudya zowonjezera zomanga thupi
• Kuthetsa madzi m'thupi
• Mowa
• Zomwe zimachitika pomwa mankhwala ena ake
• Kulephera kwa chiwindi
• Kunenepa kwambiri
• Zochita zolimbitsa thupi kwambiri,
• Pathology mu kapangidwe ka mahomoni, ndikuwonjezereka kwa insulin,
• Kuperewera: mtima ndiimpso.

Zizindikiro za Mlozera Wamchere Wochepa

Mvetsetsani kuchepa kwa shuga m'magazi ndi zizindikiro zotsatirazi zamitundu:

• Kufooka m'thupi, kuzizira kwambiri, kudulira manja,
• Kukwiya komanso kukwiya kosafunikira,
• Kutukwana
• Mutu ukupindika
• Njala
• Kuchepetsa mseru
• Mavuto azisoni
• Zosangalatsa pamtima
• Kuchuluka kwa lilime ndi milomo.
• Nebula m'maso.

Zizindikiro za glycemic zimachitika ngati index ya glucose ndiyotsika kuposa - 3.30 mmol.

Kwa odwala omwe ali ndi matenda a shuga, kuchepa kwa index kwa 8.0 mmol pa 1 lita kungakhale kovuta.

Hyperglycemia

Hyperglycemia ndi chizindikiro chomwe chimatanthawuza kupezeka kwa glucose m'magazi a thupi la munthu.

Hyperglycemia imapezeka makamaka mwa odwala matenda a shuga komanso matenda a endocrine.

Hyperglycemia imagawika m'magawo atatu:

• Wofatsa hyperglycemia - shuga index - 6.0 - 10 mmol,
• Digiri yapakati pa 10,0 - 16,0 mmol,
• Sekulu hyperglycemia ndi wamkulu kuposa 16.0 mmol.

Ngati mndandanda wa shuga uli pamtunda wa 16.50 mmol / L, ndiye kuti pali malire a kukomoka.

Zinthu Zabwino Zapamwamba

Zinthu zomwe zimawonedwa ngati zofunika kwambiri pakupezeka kwa anthu odwala matenda ashuga:

• Kudziletsa
• Zosintha zokhudzana ndi zaka zakale zamafuta,
• Kuchuluka kwa thupi (kunenepa kwambiri),
• Kupitilira muyeso kwamanjenje,
• Pathology mu kapamba,
• Matenda a chiwindi
• Matenda a virus
• Hypersensitivity wa adrenal glands,
• Neoplasms mu ziwalo zam'mimba,
• Matenda a chiwindi
• Matenda a Hyperthyroidism
• Peresenti yochepa ya chakudya chamagulu am'thupi ndi thupi.

Ngati pali deta ya matenda, ndiye kuti munthuyo ali pachiwopsezo cha matendawa.

Kuphatikiza pa kuyesedwa kwa magazi a index ya glucose, munthu ayenera kudutsa mayeso owonjezera:

• Kuyesa kwa thupi
• Kutha kwa mayeso a glucose,
• Dziwani za magazi amtundu wa hemoglobin.

Zizindikiro Zowonjezera shuga

Kuchepetsa kwambiri shuga kumatha kuzindikiridwa ndi zizindikiro za matenda ashuga komanso thanzi la wodwalayo.

Zizindikiro ndi zofanana kwa onse akulu thupi ndi mwana.

Zizindikiro

• Kutopa kwa thupi ndi kufooka kwa thupi lonse. Kutopa ndi kugona zitatha kudya,
• Kulakalaka kwambiri ndi kumverera kosalekeza kwamimba yopanda kanthu. Munthu amadya chakudya chochuluka, ndipo palibe kuwonjezeka kwa thupi, ndipo munthu amachepetsa thupi popanda chifukwa,
• Kuchuluka kwa magazi chifukwa chakumwa ludzu kwambiri
• Kukodza pafupipafupi. Kuchuluka kwa kutulutsa kwachilengedwe kumachulukitsidwa, makamaka usiku,
• Khungu loyera, zotupa pakhungu. Zomwe zimadutsa zilonda zazing'ono ndi kukokoloka koma osachiritsidwa, kwanthawi yayitali.
• Kuwonongeka kwa diso ndi kuchepa kwa mawonekedwe. Anthu omwe ali ndi zaka 50 kapena kuposerapo amamva chizindikiro ichi,
• Mucosal ndi kuyamwa
• Kugwiritsa ntchito chitetezo cha mthupi
• Ziwengo

Mlingo wa glucose malinga ndi zaka za munthu

Muyezo wa shuga azimayi pofika zaka patebulo azikhala wofanana ndi mlozera mu thupi laimuna. Pakatha zaka 50, pamakhala kusamvana pakati pa index ya mkazi wachikazi ndi wamwamuna. Zimatengera kuchepa kwa mahomoni komanso kusamba kwa azimayi.

Pa nthawi yomwe muli ndi pakati, kuchuluka kwa glucose kumakhala kochepa kwambiri ndi 3.30 mmol, ndipo muyeso wambiri ndi 6.60 mmol pa 1 lita imodzi yamadzi.

Shuga mutatha kudya

Mu thupi la mwana, zovuta zimasiyana. Ngati zakudya zam'magazi a mwana m'mawa a 3.0 ndizabwinobwino, ndiye kuti mutatha kudya chakudya shugayo amatuluka kufika 6.0 - 6.10. Uku ndikusintha kusinthika kwa shuga muubwana.

Mndandanda wa muyezo wamagulu mthupi la ana

Mndandanda wamafuta a shuga mwa munthu wathanzi komanso wodwala matenda ashuga

Kuyesedwa kwa magazi

Kuchita mu labotale ku chipatala chilichonse.

Njira yodziwira shuga m'magazi imagawidwa m'njira zitatu:

• Glucose oxidase
• Ortotoluidine,
• Hagedorn-Jensen (fericidal).

Njira zofufuzira shuga zakhala zikuchitika kuyambira 1970. Njira zoyesedwa kuti zidziwike molondola, zomangidwa pazomwe zimachitika ndi mankhwala ku glucose.

Zotsatira zakuchitikazo ndi yankho la mtundu wina. Chizindikiro cha chithunzielectrocolorimeter ndicho chimazindikira kukula kwa magazi m'thupi mwake mwa kuchuluka kwa madzi ndi mthunzi. Wothandizira ma labalatizawa amathandiziranso utotowo pakachulukidwe kake.

Choyimira chimayeza malinga ndi gulu la maiko ena - mmoles pa lita imodzi yamagazi kapena mamiligalamu pa mamililita 100 a magazi.

Kuleza mtima poyeserera

Kugwiritsa ntchito kuyesedwa kwa kulolera kwa glucose, njira ya matenda a shuga m'mayendedwe am'mawa imayendera, ndipo hypoglycemia syndrome (index ya shuga yotsitsidwa) imatsimikiziridwa ndi kuyesedwa uku.

Ngati pali zopatuka kuzinthu zomwe zimachitika pazotsatira zoyeserera, ndiye kuti adokotala amayika kukomoka kwa shuga kwa NTG (shuga). Ichi ndi chizindikiro kuti matenda ashuga omwe amapezeka mwa anthu osachepera zaka 10.

Kuyesera kulolerako kumathandizira kuzindikira kuphwanya mu kagayidwe kazachilengedwe, mitundu yotsimikizika ndi yaposachedwa. Ngati mukukayikira kuti mwazindikira, ndiye kuti kuyesaku kumakulolani kumveketsa bwino za matenda anu.

Kuyeserera koyeserera ndikofunikira pankhani zotsatirazi:

• Palibe shuga m'magazi, koma mkodzo umapezeka nthawi ndi nthawi.
• Ndi zizindikiro zosowa za matenda ashuga, zizindikiro za polyuria zinaonekera. Mloza wa shuga pamimba yopanda kanthu uli mkati mwa malire,
• Mafuta am'mimba mu mkodzo amawonjezeka panthawi yapakati,
• Shuga wa mkodzo amadzuka mwa odwala omwe amapezeka ndi thyrotoxicosis ndi matenda a impso,
• Zizindikiro za matenda ashuga, koma glucose yekha samapezeka mkodzo,
• Kukhazikika kwa mantha, koma popanda zizindikiro za matenda ashuga,
• Ana omwe amabadwa ndi thupi lolemera ma kilogalamu anayi ndi kufikira miyezi 12 zakubadwa adapeza kulemera kwakukulu,
• Matenda a Neuropathy (kuwonongeka kwa mitsempha yopanda kutupa),
• Matenda a retinopathy (kuwonongeka kwa retina la nsidze ya mtundu uliwonse).

Kodi NTG imayesedwa bwanji?

Kuyesedwa kwa NTG (kulekerera glucose) kumachitika molingana ndi ukadaulo wotsatirawu:

• Mpanda umapangidwa kuchokera kumitsempha pamimba yopanda kanthu kapena kuchokera pachala,
• Pambuyo pa njirayi, wodwalayo amadya 75 g. glucose (kuchuluka kwa ana a glucose pa mayeso - 1.75 g. pa 1 kg. kulemera kwa mwana),
• Pakatha maola awiri kapena kupitilira apo, atatha ola limodzi amatenga magazi obwereza (werengani nkhaniyo momwe yakwaniritsidwira),
• Mayeso a NTG akalemba zotsatira - 11.10 mmol pa 1 lita imodzi mu plasma ndi 10,0 m'magazi,
• Umboni wotsimikizira - glucose samadziwika ndi thupi ndipo ali m'magazi ndi magazi.

Komanso, zotsatira za kuyesaku zimawonetsa kagayidwe kazakudya m'thupi.

Pali mitundu iwiri ya carbohydrate metabolism:

• Mtundu wa Hyperglycemic - chizindikiro choyesa sichakwera kwambiri kuposa cholimba cha 1,7,
• Hypoglycemic - mgwirizano akuyenera kukhala wofanana ndi 1.3.

Mndandanda wa metabolism wa carbohydrate ndi wofunikira kwambiri pazotsatira zomaliza. Pali zitsanzo zambiri momwe kulekerera kwa glucose ndikwabwinobwino komanso kagayidwe kazachilengedwe kamakhala kapamwamba kuposa chizolowezi.

Potere, chifukwa chodabwitsika chimakhala chotsimikizika, ndipo wodwala ali pachiwopsezo cha hyperglycemia.

Kuyesa kwa hemoglobin wa Glycated

Kuti mudziwe shuga, palinso kuyezetsa magazi kwa glycated hemoglobin. Mtengo uwu umayeza ngati peresenti. Choyimira chimakhala chofanana nthawi zonse pazaka zilizonse, monga mwa akulu, komanso mwa ana.

Glycated hemoglobin mayeso

Magazi amatha kuperekedwa ku mtundu wa hemoglobin wa glycated nthawi zosiyanasiyana masana, popeza palibe zomwe zimakhudza index ya hemoglobin.

Mwazi utha kuperekedwa:

• Mutatha kudya
• Mutatha kumwa mankhwalawa.
• Pa matenda opatsirana komanso tizilombo.
• Ndi chopereka chilichonse cha magazi a hemoglobin, zotsatira zake zimakhala zolondola.

Mlozera wa hemoglobin umatsimikizira kuwongolera kwa shuga kwa wodwalayo m'magazi a shuga komaliza.

Njira yoyesera iyi ili ndi zovuta zingapo:

• Kuyesa uku kumawononga ndalama zambiri kuposa maphunziro ena ambiri,
• Ngati wodwala amakhala ndi kuchepa kwa kuchuluka kwa mahomoni omwe chithokomiro cha chithokomiro chimapanga, ndiye kuti zotsatira zoyeserera zitha kukokomeza pang'ono.
• Ndi anemia, hemoglobin imakhala ndi zotsatira zolakwika,
• Si aliyense amene amayesa mtundu uwu,
• Chizindikiro (chosasangalatsa) mutatenga vitamini C ndi vitamini E.

Hemoglobin wabwinobwino (glycated)

Kuyesa kwa magazi kwa shuga pogwiritsa ntchito chipangizo chonyamula

Mnyumba, mutha kuyeza shuga m'magazi tsiku lonse pogwiritsa ntchito mita.

Anthu omwe ali ndi vuto la hyperglycemia (kuthamanga) ndi hypoglycemia (index yotsika) amakakamizidwa kuwunika chizindikiritso cha glucose nthawi zonse, chifukwa shuga amatha kulumpha ndikuwonetsetsa pompopompo, wodwala matenda ashuga amadziwa zoyenera kuchita kuti asamwe.

Momwe mungayesere shuga masana pogwiritsa ntchito glucometer:

• Musanaganize index ya shuga - sambani m'manja bwino,
• Mangani chingwe cholumikizira zida,
• Chala chabooledwa ndi chida chapadera,
• Ikani magazi kumunsi.
• Chida chokha chimayeza glucose ndipo pakatha masekondi 10 - 15 zotsatira zake zimawonekera.

Njira yotsatsira magazi popanga shuga wotsogolera

Kukonzekera thupi pakuwunika kumachitika tsiku lisanafike pobereka, kutsatira malamulo okhwima:

• Malinga ndi njira, magazi a venous ndi capillary magazi amatengedwa kuti akafufuze,
• Zitsanzo zosungidwa zimachitika m'mawa,
• Mchitidwewo umachitika pachinthu chanjala,
• Tsiku lisanafike kusanthula, sikulimbikitsidwa kudya zakudya zamafuta, zakudya zosuta, marinade ndi pickles. Ndi zoletsedwa kugwiritsa ntchito maswiti, mowa komanso kupatula mankhwala a tsiku limodzi,
• Musachulukitse thupi mwathupi komanso mwamalingaliro,
• Osasuta mphindi 120 mpandawo usanachitike.

Kulephera kutsatira malamulowa kumabweretsa chidziwitso chabodza.

Ngati kusanthula kwapangidwa kuchokera m'magazi osaneneka, ndiye kuti kuchuluka kwa shuga kumawonjezeka ndi 12 peresenti.

Mitundu ya shuga m'magazi a capillary imachokera ku 3.30 mmol mpaka 5.50 mmol pa lita imodzi yamagazi.

Mitundu ya shuga m'magazi am'madzi amachokera ku 3.50 mmol mpaka 6.10 mmol pa lita imodzi.

Malinga ndi mfundo za WHO mwa munthu wamkulu, malire a shuga ndi:

• M'magazi ang'ono ndi capillary - 5.60 mmol pa lita,
• Mu madzi am'magazi - 6.10 mmol pa lita imodzi.

Mukakalamba, kuwongolera kwa index kwa 0.0560 mmol kumafunikira chaka chilichonse.

Kuti munthu wodwala matenda ashuga azindikire kuchuluka kwa glucose panthawi yake, muyenera kukhala ndi chida chonyamula (glucometer).

Chithandizo cha matenda a hyperglycemia ndi hypoglycemia

Ndikosatheka kuchiritsa matenda ashuga kwathunthu. Madokotala sanapange mankhwala othandizira matenda onse.

Masiku ano, mankhwalawa amagwiritsidwa ntchito pochiza matenda pofuna kuti matendawa asadutse kwambiri komanso kupewa mavuto a matendawa.

Hyperglycemia ndimatenda opatsirana kwambiri ndipo ndi owopsa pakuwonekera kwa ziwalo ndi kofunikira mthupi.

Hypoglycemia amathandizidwa ndimankhwala, zakudya zosinthika, komanso moyo wamphamvu.

Mulingo wa shuga: zomwe makolo ayenera kudziwa

Ngati m'modzi kapena abale ake apafupi a mwanayo akudwala matenda ashuga, izi zikutanthauza kuti wachibale wachinyamata ali pachiwopsezo, ndipo amayenera kumuyesa pafupipafupi kuposa anzawo.

Kuyeserera pafupipafupi kumatsimikiziridwa ndi dokotala, koma nthawi zambiri, kupereka magazi kuti azindikire kuchuluka kwa shuga kumachitika kangapo pachaka.

Kuchuluka kwa shuga m'magazi kwa ana kumasintha masana, zinthu zambiri zimawalimbikitsa, kotero, kuti apange chithunzi chofunikira, ndikofunikira kutsatira malamulo operekera biomaterial, komanso malingaliro ena a madokotala.

Kuti zotsatira za kafukufukuyu zikhale zofunikira momwe mungathere, ndikulimbikitsidwa kuyeseza pamalo omwewo - nthawi zambiri zotsatirazi zimasiyanasiyana kutengera ndi omwe Laborator adatulutsa.

Mitundu ya shuga pamimba yopanda kanthu

Asanadziwe kuchuluka kwa shuga m'magazi atatha kudya, dokotala amalimbikitsa kuti ayesetse mayeso a m'mimba yopanda kanthu.

Asanapereke magazi, mwana sangadyetsedwe kwa maola khumi (kwa ana nthawi imeneyi imachepetsedwa mpaka maola atatu). Mwa zakumwa zakumwa zoyera zokha ndi zovomerezeka.

Kusala miyezo ya shuga kwa ana:

• chatsopano: kuyambira 1.7 mpaka 4.2 mmol / l,
• makanda: 2.5-4.65 mmol / l,
• kuyambira miyezi 12 mpaka zaka zisanu ndi chimodzi: 3.3-5.1 mmol / l,
• kuyambira zaka zisanu ndi chimodzi mpaka khumi ndi ziwiri: 3.3-5.6 mmol / l,
• kuyambira zaka khumi ndi ziwiri: 3.3-5.5 mmol / l.

Musanayesedwe, sizikulimbikitsidwa kuti musambe mano, chifukwa mano a ana amakhala ndi zotsekemera zambiri, zomwe zimatha kupotoza zotsatira za mayesowo.

Mwazi wamagazi mwa ana atatha kudya

Choyamba, mwana amafunika kuyesedwa pamimba yopanda kanthu, kenako ndi katundu (wogwiritsa ntchito glucose ufa wosungunuka m'madzi). Pambuyo pothana ndi vutoli, pamafunika maola awiri magazi asanatenge.

Ngati chizindikiro chokhala ndi katundu sichidutsa 7 mmol / l, izi zikuwonetsa kuti thanzi la mwana ndilabwino. Ngati chizindikirocho chiri pamwamba 11 mmol / l, izi zikuwonetsa chizolowezi chokhala ndi matenda ashuga.

Ngati tizingolankhula za kuchuluka kwa shuga m'magazi mwa ana mutatha kudya, ndiye kuti mayendedwe ake pano ndi awa:

• ola limodzi mutatha kudya, shuga sayenera kupitirira 7.7 mmol / l,
• patatha maola awiri mutatha kudya, chizindikiro sichiyenera kupitirira 6.6 mmol / L.

Pali miyambo ina yomwe imawerengera malingaliro a endocrinologists omwe amakhulupirira kuti shuga m'magazi mwa ana, mosasamala kanthu za kudya, ayenera kukhala 0,6 mmol / L ochepera kuposa mwa akulu.

Poterepa, malamulo ndi osiyana pang'ono:

• Pakatha mphindi makumi asanu ndi limodzi chakudya, shuga sayenera kupitirira 7 mmol / l,
• atatha mphindi zana limodzi ndi makumi awiri: osapitirira 6 mmol / l.

Makhalidwe enieni amatengera mtundu wa chakudya chomwe wodwala watenga, momwe dongosolo lake la endocrine limagwirira ntchito, etc.

Zizindikiro za nkhawa

Osowa kwambiri, kuphwanya kwakukulu kwa endocrine metabolism mwa ana ndi asymptomatic, chifukwa chake makolo ayenera kulabadira izi: -

• mwana amakhala ndi ludzu pafupipafupi, ngakhale sanachite masewera olimbitsa thupi, osathamanga, sanadye mchere, etc.
• mwana amakhala ndi njala nthawi zonse, ngakhale adadya theka la ola lapitalo. Kulemera, ngakhale ndi chidwi chambiri, nthawi zambiri sizichitika,
• kukodza pafupipafupi
• pali mavuto amawonedwe
• pafupipafupi matenda opatsirana
• pafupipafupi matenda apakhungu
• ana ena amalephera kuchita zinthu kwa maola angapo atadya, amafuna kugona kapena kungopuma,
• ana ena (makamaka ang'onoang'ono) amatha kumva kuwawa, kusangalala
• Kulakalaka kwambiri maswiti ndi chizindikiro china chakuti mwana akhoza kukhala ndi vuto la metabolism la endocrine.

Chifukwa chiyani hyperglycemia imachitika mwa ana? Tikulemba zifukwa zazikulu:

• adrenal hyperfunction,
• matenda a chithokomiro
• zotupa kapena ma adrenal gland chotupa,
• kupanikizika kwa nthawi yayitali
• matenda aakulu
• kapamba
• kumwa mahomoni acorticosteroid,
• khunyu, yomwe sinadziwonekere kwa nthawi yayitali,
• kunenepa kwambiri (makamaka chifukwa ichi ndi chofunikira kwa achinyamata).

Ngati shuga ndi ochepa

Mwa ana a mibadwo yosiyana, sikuwonjezera kuchuluka kwa shuga wamagazi, komanso hypoglycemia.

Zoyambitsa hypoglycemia:

• kuphwanya kusokonezeka kwa chakudya ndi michere ya kapamba,
• kapamba, colitis, gastroenteritis, malabsorption syndrome, komanso matenda ena akuluakulu am'mimba,
• Matenda a adrenal gland kapena kapamba, kuphatikizapo matenda osokoneza bongo,
• kusala
• poyizoni wamkulu ndi kuledzera komwe kumayambitsa,
• kunenepa kwambiri komwe kumachitika chifukwa chosagwiritsa ntchito mafuta osavuta a mafuta,
• matenda a m'magazi: lymphoma, leukemia, hemoblastosis,
• kusabadwa kobadwa nako,
• zifukwa zina.

Makanema okhudzana nawo

Zisonyezero za shuga wamagazi mwa ana mu kanema:

Miyezo yamasewera a shuga mwa ana atatha kudya amangosiyana pang'ono ndi omwe ali mwa mwana yemwe analibe nthawi yakudya. Ngati zopatikazo ndizofunikira kwambiri, uwu ndi nthawi yolankhula ndi dokotala nthawi yomweyo.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Kuyesa kwa shuga m'magazi mwa mwana

Ngati makolo akukaikira kuchuluka kwa shuga m'magazi mwa ana, ayenera kulumikizana ndi endocrinologist ku chipatala yemwe angapereke wodwalayo kumodzi mwa mayeso:

1. Phunziro la biochemical. Pankhaniyi, magazi a venous kapena capillary angagwiritsidwe ntchito. Mukamagwiritsa ntchito mankhwala osokoneza bongo, muyenera kudziwitsa dokotala. Asanapereke magazi kwa achikulire, ndikofunikira kuwunika momwe mwana akutsatirira ndi mikhalidwe ina. Tilankhula zambiri pansipa.
2. Kuyesa kwambiri (kuyesa kwa glucose). Nthawi zambiri amauzidwa kuti afotokozere bwino za zotsatira za kafukufuku wamitundu iwiri. Mulinso magawo awiri. Gawo 1: magazi amatengedwa pamimba yopanda kanthu. Gawo lachiwiri: wodwalayo amamwa madzi otsekemera (300 ml amadzimadzi - 100 g shuga). Kenako, kwa maola awiri, mphindi 30 zilizonse, magazi a capillary amatengedwa. Pakadali pano, kudya ndi madzi aliwonse nkoletsedwa.
3. Kafukufuku wa glycated hemoglobin. Imathandiza kudziwa mlingo wa mankhwala a insulin. Nthawi yopeza zotsatira za kusanthula ikufika miyezi itatu. Zotsatira zake ndikuwonetsa shuga mu thupi.
4. Mbiri ya Glycemic. Njira yowunikira mwamphamvu kuchuluka kwa shuga m'thupi kwa maola 24. Nthawi zambiri zotchulidwa odwala omwe akudwala matenda a shuga.

Miyezo ya shuga yamagazi kwa ana azaka zosiyanasiyana

Zaka za mwana zimazindikira kuchuluka kwa shuga mwa ana, chifukwa chake simuyenera kufananiza zotsatira za kusanthula kwa mwana wazaka chimodzi ndi mwana wazaka ziwiri. Muyezo wa shuga msanga zimatengera mathamangitsidwe a kagayidwe kachakudya njira. Chifukwa cha izi, kuchuluka kwa shuga mwa akhanda kumatsika kwambiri. Kupereka magazi kwa shuga kumalimbikitsidwa 2 pachaka. Gome limaperekanso kuwunika kwa zoyenera kwambiri zomwe zikugwiritsidwa ntchito pozindikira padziko lonse lapansi, zomwe zikugwirizana ndi m'badwo wina.

Ngati chizolowezi chimaposa (pamtunda wa 6 mmol / l m'magazi a capillary), mkhalidwe wa hyperglycemic umatsimikiziridwa, womwe umatha kukhala wathanzi komanso wa m'magazi. Mtundu woyamba ukhoza kutha wokha, ndipo wachiwiri umafunikira kuchipatala. Kutsitsa chizolowezi (2,5 mmol / l) kumawonetsa mkhalidwe wa hypoglycemic. Choopsa cha izi ndichakuti thupi sililandira mphamvu zokwanira zogwirira ntchito moyenera.

Zifukwa zopatuka kuzisonyezo zodziwika bwino

Kusanthula kumachitika pamimba yopanda kanthu, mwanayo sayenera kuchita masewera olimbitsa thupi, chifukwa tiziwalo timene timatulutsa "adrenal", omwe amatha "kumasula" shuga ku chiwindi ndikuwongolera magazi, samayambitsa. Ngati zomwe zakonzedwazo zakwaniritsidwa, shuga imawoneka kuti ndiyomwe imayambitsa kupatuka kuchokera ku ma standardative, koma pali zina zomwe zimakhudza shuga wambiri kapena wotsika, pakati pawo: kulephera kwa impso, kusowa kwa chiwindi, kusokonekera kwa dongosolo la endocrine, kunenepa kwambiri, chifukwa chobadwa nawo. Pali zifukwa zomwe zimangokhala za hypoglycemia kapena hyperglycemia.

Mafuta otsika

Mwanayo, ali mu vuto la hypoglycemia, samva kupsinjika, samva mantha, amakhala ndi mantha, thukuta. Kuchuluka kwa glucose pakapita nthawi yayitali kumatha kukhudza kugwira ntchito kwa mikono ndi miyendo. Miyendo imatha kuchepa komanso kugwedezeka osagwedezeka. Zimakhala zowopsa mwana akamaluka mwadzidzidzi chifukwa chokomoka, chifukwa izi zimatha kuwononga khansa ya m'mimba komanso kuphwanya kwa magazi. Chifukwa chiyani hypoglycemia imayamba? Zoyambitsa monga:

Mchere wochepa umakhala wowopsa ndikutheka kwa wodwala kuti asokonezeke, chifukwa chofika pamalo ovuta. Ndikotheka kupewa kupewera kwa hypoglycemic popereka thandizo panthawi yake. Kuti apereke chisamaliro chamankhwala, amafunika kupatsa mwana chakudya chokoma. Ngati palibe kusintha komwe kukuwoneka, muyenera kuyimbira foni dokotala - azidzayendetsa shuga m'mitsempha. Zizindikiro monga kusalankhula bwino komanso kulumikizika bwino, kukhudzika ndi kukopeka kumaonekera, ambulansi iyenera kuyitanidwa.

Shuga wapamwamba

Zotsatira zotsatirazi zimakhudza chitukuko cha hyperglycemia, kapena kuwonjezeka kwa zizindikiro za glucose: kuvutikira kwa mahomoni, kupanikizika kwa oncology, matenda a chithokomiro, mtundu 1 kapena mtundu 2 shuga. Zizindikiro za shuga wambiri:

1. madontho a khosi mu makanda,
2. Mwana ali ndi ludzu, ngakhale usiku,
3. Khungu limatayika pakhungu, ndipo zimakola mucous - youma,
4. Khungu m'miyendo ndi kumapazi kwake kumaterera.
5. pakhoza kukhala furunculosis ndi zotupa kuchokera ku ma pustules.

Zizindikiro zonse zomwe zili pamwambazi zimasonyezanso matenda a shuga. Gulu lamavuto - ana 5-8 ndi 10-14 wazaka chifukwa cha kuchuluka kwakukula kwa thupi. Zizindikiro za matenda ashuga zimachitika kwambiri, ndipo kupezeka kwake kumachitika chikomoka cha matenda ashuga, omwe amakwiya chifukwa cha kuwonongeka kwa maselo omwe amapanga insulin. Nthawi zambiri, oyambitsa matenda a shuga ndi matenda opatsirana, matenda a chiwindi / impso. Zizindikiro zofanana ndi matenda ashuga: ludzu, kulakalaka kudya, limodzi ndi kuchepa kwa thupi, kuchuluka komanso kukodza, makamaka usiku.

Kudziwa kuchuluka kwa shuga ndi glucometer kunyumba

Chifukwa cha ukadaulo wamakono, ndizotheka kudziwa kuchuluka kwa shuga m'magazi popanda kusiya nyumba yanu. Mwa kuwona malamulo omwe atchulidwa pamwambapa, mutha kupeza zotsatira zolondola kwambiri. Kuyang'ana kuchuluka kwa shuga ndi glucometer kumaphatikizapo zinthu izi:

1. Kukonzekera. Muyenera kusiya zakudya ndi zakumwa zotsekemera, chakudya chomaliza - pafupifupi maola 10, ndi zina (ngati mukuyenera kuchita mayeso pazotsatira).
2. Kuyang'ana chipangizocho, kuzindikira cholakwika cha mita (nthawi zina imatha kufika 20%).
3. Kuthana ndi matenda omwe amapezeka pamalowo. Yoyenera monga yankho lililonse lomwe lili ndi mowa, komanso mowa wabwino.
4. Zitsanzo za magazi. Kuboola chala kumachitika ndi chosakhalitsa. Dontho loyamba la magazi limachotsedwa ndi thonje, ndipo dontho lachiwiri limatsimikizira kuchuluka kwa shuga. Amayikidwa pa strip yoyesa.
5. Kusanthula malowa. Njira yothetsera mowa idzachita.
6. Kulemba zotsatira.

Momwe amasinthira kuchuluka kwa shuga m'magazi?

Kukulitsa kuchuluka kwa shuga m'magazi kumafunikira njira yophatikizira. Choyamba, zakudya zoyenera, zopangidwa ndi cholinga chokhudza chakudya. Dokotala amakupatsani zakudya, zomwe nthawi zambiri zimakhala ndi shuga wochepa, kusankha kumakhala pa chakudya No. 9. Kachiwiri, tiyi wokhala ndi shuga komanso timadziti ta zipatso ayenera kuphatikizidwa muzakudya. Pali njira zabwino zochizira pakati pa wowerengeka azitsamba. Decoction yomwe ndiyabwino kudya mukatha kudya ndi yabwino. Itha kupangidwa kuchokera ku mbewu monga St. John wa wort, thyme, sea buckthorn, calendula.

Hyperglycemia imafuna kuletsa zakudya zapamwamba zopatsa mphamvu komanso kusiyidwa kwathunthu ndi zakudya za ana maswiti: makeke, ma pie, tchizi, maswiti, kupanikizana. Ndikulimbikitsidwa kuti musinthe maswiti ndi masamba otsatirawa: zukini, nkhaka, phwetekere, kabichi. Kugwiritsa ntchito zinthu zopangidwa mkaka, nsomba, nyama, zipatso ndizothandiza. Lokoma amaloledwa kudya, koma osachepera 30 g kwa maola 24. Uchi amalangizidwa kuti asamachotsedwe pachakudya chilichonse. Kodi ndizolimbitsa thupi ziti zomwe ndizovomerezeka ndi shuga wambiri? Mawonekedwe ake amatengera kuchuluka kwa matendawo. Malangizo enieni atha kupezeka kuchokera kwa dokotala.