Shuga wamagazi 13 mpaka 13
Ndikulimbikitsidwa kuwunika mwadongosolo zizindikiro za shuga kwa anthu onse, makamaka iwo amene adadutsa zaka 50 zakubadwa ndipo ali pachiwopsezo chokhala ndi matenda ashuga. Miyezo yamayunitsi 3.3-5.5 imawoneka yabwinobwino ngati kusinthana kwa mphamvu kumachitika popanda zosokoneza. Ngati shuga wamagazi ndi magawo 13, izi zitha kuwononga thanzi, chifukwa ndi manambala manambala onse ndi machitidwe onse amayamba kugwira ntchito molakwika. Mitsempha yamagazi, urogenital, manjenje, mtima dongosolo zimakhudzidwa, khungu ndi maso akuvutika. Zoyenera kuchita, ndipo ndingathandize bwanji wodwalayo?
Mwazi wa Magazi 13 - Zimatanthauzanji
Ngati zotsatira za kuyezetsa magazi zikusonyeza chizindikiro chokhumudwitsa cha 13.1 ndi mayunitsi apamwamba mwa munthu yemwe sanakhalepo ndi matenda ashuga, izi zitha kukhala chifukwa cha:
- kutupa kapena khansa, yokhudza kapamba,
- kuchuluka kwa zamaganizidwe,
- zovuta za endocrine
- matenda a chiwindi ndi impso,
- kusintha kwa mahomoni (mwachitsanzo, kusintha kwa thupi, kubereka),
- chiyambi cha matenda ashuga.
Kuti muwonetsetsetsetsetsetsetse, ndikofunikira kuyambiranso ndikuwunikanso, zotsatira zake zikuwonetsa motsimikiza ngati chithandizo chikuyenera kuchitika komanso mankhwala omwe angatenge kuti muteteze izi mtsogolo.
Glucose m'magazi imatha kukwera mpaka 13.9 wodwala matenda ashuga akapitilira izi:
- kuphwanya zakudya
- kuthamangitsa munthu wodwala kapena wowononga mankhwala,
- kusowa kwa masewera olimbitsa thupi
- kusasamala kwa mahomoni,
- uchidakwa ndi kusuta fodya,
- kugwiritsa ntchito mankhwala ena
- Matenda a chiwindi, impso, kapamba,
- matenda, matenda opatsirana.
Glucose m'magazi omwe ali ndi 13.2-13.8 ndipo apamwamba ndi mkhalidwe wowopsa womwe umayenera kukhazikika nthawi yomweyo.
Ndiyenera kuchita mantha
Ngati shuga wambiri azikhalapo kwa nthawi yayitali, izi zimatha kubweretsa mavuto akulu:
- wodwala matenda ashuga
- zilonda zam'mimba, chikanga,
- zigawenga
- matenda olowa
- kuwonongeka kwa zida zama glomerular ndi a impso parenchyma,
- matenda oopsa
- kuwonongeka kwa diso la diso.
Ngati zikutsimikiziridwa kuti pali shuga 13 wamagazi, muyenera kutsatira kadyedwe kena, masewera olimbitsa thupi, kumwa mankhwala okhazikitsidwa ndi katswiri. Izi zikuthandizira kupewa kukula kwa zovuta zoopsa, zomwe nthawi zambiri zimabweretsa kulumala kapena kufa kwa wodwala.
Mwa zizindikiro zotchulidwa za shuga, zilipo:
- kukodza pafupipafupi
- kamwa yowuma
- ludzu losalekeza
- magawo a kusanza, nseru,
- kusabala, ulesi, kutopa kwambiri,
- kuvutika kupuma.
Munthu akangosamala za thanzi lake, amakhala bwino.
Zoyenera kuchita ngati shuga ali pamwamba 13
Ndi zizindikiro zokhazikika zomwe zakwera pamlingo wa 13.3-13.7 ndi pamwamba, endocrinologist ikuchita mankhwalawa. Chithandizo cha mankhwalawa chimakhazikika pamtundu wa matenda, zifukwa zomwe zimakhalira, moyo wa wodwalayo. Mtundu woyamba wa matenda ashuga umafuna kukhazikika kwa insulin, yomwe imalola kuti thupi lizisungunuka pama cellular. Mlingo komanso kuchuluka kwa jakisoni amawerengedwa payekhapayekha. Ndi mtundu wachiwiri, mfundo zamankhwala zimadalira makamaka zomwe zimayambitsa matenda.
Zoperekedwa:
- Thanzi lathanzi
- maphunziro akuthupi
- maphikidwe omwe si achikhalidwe (decoctions, infusions, etc.).
Kuchepetsa kwa Mafuta Athupi
Ndi shuga wokhala ndi 13.4 kapena kupitilira apo, kudya zipatso zamtundu uliwonse wa bulosi kungakuthandizeni kusintha vutoli (osaposa 200 g patsiku). Muli glycosides ndi othandizira pofufuta. Komanso, mankhwala opangira mankhwala amatha kukonzekera kuchokera ku masamba a mbewuyo: supuni yaying'ono ya zinthu zophatikizika imalimbikitsidwa mu kapu yamadzi otentha kwa theka la ola. Tengani theka limodzi la kapu katatu / tsiku.
Kodi odwala matenda ashuga amachita chiyani ndi shuga wambiri? Ndi matenda ashuga, njira zonse za metabolic zimasokonezeka, motero amafunika kubwezeretsedwanso pakudya zakudya zopatsa thanzi. Mwachitsanzo, nkhaka zatsopano zimakhala ndi zinthu zokhala ndi insulini mumkati mwawo ndipo zimachepetsa kudya.
Zosafunikira kwenikweni pazakudya za wodwala zidzakhala zopanda phindu:
- Buckwheat Mbewu zake zimatsukidwa, zouma ndi kuzikazinga mu poto, kenako ndikuzisakaniza ndi khofi. Supuni ziwiri zazikulu za ufa womwe zimapezeka zimathiridwa mu kapu ya kefir, ndikuumirira usiku ndi kumwa kamodzi patsiku musanadye.
- Yerusalemu artichoke amatsukidwa ndikumadyedwa mu ma PC 1-2. kusintha matenda am'mimba thirakiti - zabwino za Yerusalemu artichoke mu shuga.
- Madzi a kabichi aledzera kawiri patsiku mu theka lagalasi, lomwe limalemeretsa thupi ndi mavitamini ndi michere mineral, amathandizanso kuyambitsa chidwi cha kutupa.
- Madzi a mbatata amatengedwa mu 120 ml kawiri pa tsiku theka la ola musanadye. Idzawonetsetsa kugaya bwino, shuga wotsika, kufikira magawo 13.5 komanso pamwamba,
- Zakudya zamasamba (mwachitsanzo, karoti, phwetekere) zimatha kuledzera kuti zikhale bwino, koma osaposa magalasi awiri patsiku.
- Barele ndi oatmeal. Zomera zonse za tirigu ndizothandiza mu ma pathologies ambiri, kuphatikizapo matenda a shuga. Zosungazo zingaphatikizepo rye, tirigu, mpunga wa bulauni.
Zakudya zonse zomwe zimakhala ndi hyperglycemia zomwe zimagawika m'magulu atatu:
Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva
Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.
Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.
Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!
- Zololedwa, popanda choletsa kugwiritsa ntchito: tomato, radish, nkhaka, kabichi, kaloti, zipatso zobiriwira, bowa, mtedza. Madzi ochepa, tiyi ndi khofi amatha kusiyanitsidwa ndi zakumwa.
- Ochepa kugwiritsidwa ntchito: Mitundu yamafuta ochepa am'madzi ndi nyama, mbatata, pasitala, chinangwa, zakumwa mkaka, tchizi kanyumba, mkate.
- Zoletsedwa: mafuta, yokazinga, maswiti, zipatso zouma, mayonesi, zakumwa za shuga, mowa, ayisikilimu. Pewani zipatso ndi masamba oundana, komanso kusunga, komwe shuga woyengedwa adawonjezeredwa - zambiri pazakudya zoletsedwa za shuga.
Zakudya ziyenera kugawidwa m'magulu asanu ndi limodzi a 5-6, pomwe ndizofunikira panthawi imodzi, m'magawo ang'onoang'ono, mukamamva njala. Akatswiri amalimbikitsa kuti apange menyu pasadakhale, sabata pasadakhale, kuti asinthe ma calorie ndi voliyumu ya chakudya.
Njira zina zokhala ndi shuga wabwinobwino
Ngakhale nditamadya matenda ashuga, zakudya zomwe zimapezeka m'magazi zimatha kuwonjezeka kapena kuchepera pazinthu zina:
- Zizindikiro zimawonjezeka mu ola limodzi kapena awiri mutadya,
- pakuchita masewera olimbitsa thupi, glucose amachokera m'magazi kupita m'maselo kwambiri, omwe amachepetsa zomwe zili m'magazi.
- kusamba kumayambitsa kusinthasintha chifukwa cha kusintha kwa mahomoni,
- zinthu zodetsa nkhawa zimathetsa thupi mphamvu komanso nyonga. Ngakhale ndizosatheka kudziteteza kwa iwo, muyenera kuphunzira momwe mungakhalire ndi malingaliro oyipa kudzera mukuchita masewera olimbitsa thupi, kusinkhasinkha, yoga,
- mowa ndi fodya zimakhudza thupi kuti lipange insulin, motero muyenera kuwasiya mwachangu, popanda kukhazikika pazofooka zanu ndi zizolowezi zoipa,
- pafupifupi mankhwala onse angakhudze kuchuluka kwa shuga, choncho funsani katswiri musanagwiritse ntchito mankhwala.
Nthawi zambiri muma media mumakhala mawu otsatsa omwe amati chinthu chotere kapena mankhwala amathandiza kuchiritsa matenda osokoneza bongo mpaka kalekale, ngakhale ndi manambala 13, 15, 20 mmol / l. Nthawi zambiri izi ndi nthano chabe yomwe ilibe mayesero asayansi komanso umboni. Chifukwa chake, ndibwino kufunsa akatswiri angapo musanakhulupirire mawu okwera.
Kupewa
Kuti mfundo za shuga sizikufika pamlingo wovuta, mwachitsanzo, mpaka 13.6, muyenera kudziwa momwe mungadzithandizire ndi kudumpha mosayembekezereka mu hyperglycemia:
- Nthawi zonse mumakhala ndi mankhwala ochepetsa shuga,
- Osamadya chakudya, ngakhale khola,
- yesetsani kuchepetsa kumwa,
- kuwunika mlingo wa insulin yomwe imayikidwa musanadye ndikutha kudziwa kuchuluka kwa mankhwalawo.
- Dziwani kuchuluka kwanu kwa shuga, komwe mita ya glucose yosunthika ingakuthandizeni. Pogwiritsa ntchito chipangizochi, mutha kuchita nthawi yake yochotsa hyperglycemia.
Ndikofunikira kuchita masewera olimbitsa thupi: kusambira, kukwera miyendo, kuchita masewera olimbitsa thupi (osachepera theka la ola patsiku, kasanu pa sabata). M'pofunikanso kuyeza kuchuluka kwa shuga. Popeza ndi matenda ena nthawi yochita masewera olimbitsa thupi, imatha kuwuka, ndikupangitsa thupi kutulutsa shuga wambiri m'magazi.
Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>
Matenda a shuga
Mu odwala matenda ashuga, shuga amalumpha chifukwa cha kuperewera kwa zakudya, kusachita masewera olimbitsa thupi, motsutsana ndi maziko a kusowa kwa chithandizo choyenera ndi zina. Ena ali ndi chisonyezero cha mayunitsi 13-17, omwe amatsogolera pakukula kwa hyperglycemic coma.
Odwala onse, hyperglycemia imayamba ndi magawo osiyanasiyana a glucometer. Mwa ena, kuwonjezeka kwa mayunitsi 13 mpaka 13 ndi asymptomatic, pomwe ena pa 13 mmol / l akumva kuwonongeka kwakukulu mu mkhalidwe wawo.
Kutengera ndi chidziwitso ichi, titha kunena kuti palibe chizindikiro chimodzi chomwe chingatsimikizidwe ndi gawo lovuta. Pali zosiyana zina muchipatala cha hyperglycemia, kutengera mtundu wa matenda.
Ndi mtundu woyamba wa matenda, kusowa kwamadzi kumachitika mwachangu, zomwe zimatsogolera pakukula kwa ketoacidosis. Ndi matenda 2 a shuga, odwala ali ndi mathupi okha. Koma zimathanso kukhala zowawa kwambiri; kuchotsedwa kwa dziko lino kumachitika nthawi zambiri.
Wodwala "wokoma" kwambiri, kumachitika ketoacidotic chikomokere. Zizindikiro zazikulu za izi:
- Maonekedwe a shuga mumkodzo (nthawi zambiri samapezeka mkodzo).
- Kukula kwakanthawi kwam'madzi.
- Kudzikundikira kwa matupi a ketone, pamene thupi limayamba kutenga mphamvu kuchokera ku minofu yamafuta.
- Kugona, kufooka ndi ulesi.
- Pakamwa pakamwa.
- Khungu lowuma.
- Fungo linalake la acetone limatuluka mkamwa.
- Mpweya wolira.
Ngati shuga akupitiliza kukwera, izi zimayambitsa kukomoka kwa hyperosmolar. Imakhala ndi shuga wambiri m'thupi. Mlingo wake ukhoza kukhala mayunitsi 50-55 ndipo pamwambapa. Zofunikira:
- Kukodza pafupipafupi.
- Udzu wokhazikika.
- Kufooka, kugona.
- Mawonekedwe amaso.
- Pukuta pakamwa.
- Kufupika, kupuma movutikira.
Panthawi imeneyi, wodwala amafunikira chithandizo chachipatala mwachangu, palibe njira zanyumba zomwe zingathandizire kukonza.
CNS kuwonongeka kwa matenda ashuga
Ngati shuga amachitika pafupipafupi pa 13.7 kapena kupitirira, ndiye kuti kuwonongeka kwa madera apakati ndi zotumphukira zamitsempha kumachitika. Mankhwala, matendawa amatchedwa diabetesic neuropathy.
Neuropathy ndi chimodzi mwazomwe zimayambitsa zovuta kwambiri - phazi la matenda ashuga, omwe nthawi zambiri limatha ndikadula miyendo.
The etiology ya diabetesic neuropathy sichimamveka bwino. Asayansi akadali pano sanganene zifukwa zopangira chitukuko cha zotsatira za matenda ashuga. Ena amati shuga wambiri mthupi limatupa kutupa ndi kuwononga mizu yamitsempha, pomwe ena amati pathogenesis imayamba chifukwa cha kusadya bwino kwamitsempha yamagazi.
Zizindikiro zamankhwala ndi chifukwa cha mawonekedwe:
- Mtundu wamalingaliro umadzetsa vuto lachiwopsezo, pamakhala zokhudzana ndi goosebumps komanso kuzizira kosalekeza, makamaka kumverera kumeneku kumachitika mwapansi malekezero a munthu. Chifukwa cha kufalikira kwa matendawa, chizindikirocho chimadutsa miyendo, chifuwa ndi m'mimba. Popeza chiwopsezo chimalephera, wodwalayo nthawi zambiri samawona kuvulala kwapakhungu, komwe kumabweretsa nthawi yayitali.
- Kuwonekera kwamtima kumayendera limodzi ndi kugunda kwamtima mofulumira motsutsana ndi maziko a kusowa kochita zolimbitsa thupi. Izi zimatsogolera ku mfundo yoti mtima sungazolowere kuchita zolimbitsa thupi.
- Maonekedwe am'mimba amadziwika ndi vuto lakumayenda kwa chakudya kudzera m'mero, pamakhala kuchepa kapena kuthamanga kwa m'mimba, komanso njira ya kugaya zakudya imakulirakulira. Odwala amadandaula posinthanitsa kudzimbidwa ndi kutsegula m'mimba.
- Maonekedwe a urogenital amachitika pamene mitsempha ya sacral plexus ikukhudzidwa. Ma ureters ndi chikhodzodzo amasiya kugwira ntchito kwawo. Amuna ali ndi mavuto ndi erection ndi potency. Amayi amawonetsa kuwuma kwambiri kumaliseche.
- Mtundu wa khungu umakhudza thukuta la thukuta, chifukwa chake, khungu limakhala louma kwambiri, limakonda kuvulala zamitundu mitundu, zovuta zamkati.
Neuropathy ndimavuto owopsa a matenda ashuga, popeza wodwalayo amasiya kudzimva kukhala hyperglycemic chifukwa chophwanya kuzindikirika kwa chizindikiritso cha thupi.
Zotsatira zomaliza za shuga
Zotsatira zoyipa zimayamba pang'onopang'ono. Zitha kugawidwa m'magulu awiri akuluakulu a pathologies - kuphwanya kapangidwe ka mitsempha yamagazi ndikuwonongeka kwa dongosolo lamanjenje.
Diabetes angiopathy imagawidwa m'mitundu iwiri: microangiopathy ndi macroangiopathy. Poyambirira, zombo zazing'ono kwambiri, capillaries, mitsempha zimakhudzidwa, kudzera momwe mpweya ndi michere imachitika. Pali matenda - retinopathy (kuphwanya ziwiya za diso) ndi nephropathy (kuwonongeka kwa aimpso).
Macroangiopathy imayamba ndi kuwonjezeka kwa shuga m'magazi. Mapangidwe a Atherosulinotic m'matumba. Chifukwa chake, kuwonongeka kwa mitsempha ya mtima kumachitika, komwe kumayambitsa matenda a angina pectoris ndi kugunda kwa mtima, magwiridwe antchito am'munsi (gangrene akufalikira), ubongo (sitiroko, encephalopathy) umasokonekera.
Encephalopathy imayendera limodzi ndi kufooka kwambiri, kulephera kwamunthu kumadziwonekera, kulumikizidwa kwa m'maganizo kumadziwonetsa, kuyang'anitsitsa chidwi kumayipa, kupweteka kwambiri pamutu kumakhalapo komwe sikungathandize pakumwa mankhwala.
Macroangiopathy ya miyendo imayendera limodzi ndi izi:
- Zovuta m'mawa.
- Kutuluka thukuta kwamiyendo.
- Kutopa kwa minofu ya mwendo.
Kenako, njirayi ikayamba, miyendo imayamba kugundana kwambiri, khungu limasinthika, limatayika ngati lachilengedwe. Wodwala ayamba kuyenda, pali zopweteka zokhudzana ndi kayendedwe. Matenda a ululu amawonekera pakupuma.
Ngati palibe chithandizo, ndiye kuti gawo lotsiriza limabweretsa zotsatira - gangrene ya phazi, mwendo wapansi kapena phalanx ya zala. Ndi kuphwanya kochepa kwa magazi mu miyendo, zilonda zam'mimba zimatuluka.
Retinopathy imayambitsa kuphwanya kwamawonedwe owoneka. Nthawi zambiri kuphatikiza uku kumabweretsa kulumala chifukwa cha khungu lonse. Matendawa ndi bwino kudziwa kumayambiriro kwa chitukuko. Chifukwa chake, odwala matenda ashuga amafunika kuyendera katswiri wa ophthalmologist, kupita kukayang'ana kwa maso, ndikuyang'ana zotengera zamagetsi.
Nephropathy amakula mu 70% ya anthu odwala matenda ashuga.Amadziwika ndi chotupa cha impso, chomwe pamapeto pake chimapangitsa kulephera kwa impso. Malinga ndi ziwerengero, pamankhwala ambiriwa, a 1 matenda ashuga amafa.
- Microalbuminuria Mawonetseredwe ofunikira kulibe, zizindikiro za kuthamanga kwa magazi zimawonjezeka pang'ono.
- Proteinuria Ndi mkodzo, zinthu zambiri zomanga thupi zimatuluka. Kutupa kumayamba, makamaka kumaso. Kuthamanga kwa magazi kwa systolic ndi diastolic kumawonjezeka.
- Matenda aimpso kulephera. Mphamvu yamphamvu yamkodzo patsiku imachepa, khungu limakhala louma komanso louma, kuthamanga kwamphamvu kumadziwika. Pali magawo omwe amakhudzidwa ndi mseru komanso kusanza, kukomoka.
Kupewa kwakukulu kwa matenda "okoma" ndikumakhala ndikukhazikika kwa glucose ndi glycated hemoglobin. Kuti muchite izi, perekani mapiritsi ochepetsa shuga, wodwalayo ayenera kutsatira zakudya zamafuta ochepa, azilimbitsa thupi, asiye zizolowezi zoyipa.
Mkhalidwe wa hyperglycemia wafotokozedwa mu kanema munkhaniyi.
Glucose 13 - amatanthauza chiyani
Chiwonetsero cha shuga wamagazi cha 13 mmol / L nthawi zambiri chimakhala mzere wamalire a munthu. Chiwerengero cha 13 mmol l chikuwonetsa kuti wodwalayo ali pachigawo choyambirira cha chikhalidwe cha hyperglycemia. Pano, kagayidwe kamapangidwa ndi acetonuria - katulutsidwe ka acetone mu mkodzo. Kuwonjezeka kwina kwa shuga m'magazi kumawopseza moyo wa wodwalayo.
- Kukodza pafupipafupi, mkodzo umatha kukhala ndi fungo lomveka bwino la acetone (fungo lofananalo limachokera ku nsonga za zala za wodwalayo komanso kupuma kwake,
- W ludzu
- Kutulutsa kwamadzi, komwe kumatsimikiziridwa ndi khungu lotyinya la zala, maso owala.
- Kufooka, kusawona bwino.
Choyamba thandizo la shuga
Kuti khazikitse vutoli, wodwala yemwe amadalira insulin amayenera kupatsidwa mlingo woyenera wa mankhwalawo kunja kwa dongosolo. Ngati izi sizinayambitse kusintha kwakanthawi patapita nthawi, ndiye kuti wodwalayo ayenera kubwereza jakisoni. Kenako pali zochitika ziwiri:
- Miyeso yomwe idatengedwa idathandizira, kuchuluka kwa shuga kunachepa. Kuti khazikitse vutoli, odwala matenda ashuga ayenera kupatsidwa chakudya pang'ono. Itha kukhala maswiti kapena kapu ya tiyi wokoma wotentha (womwe ndi wabwino).
- Njira zochizira sizinathandize. Matenda a wodwalayo akupitilirabe, kuchuluka kwa glucose m'malo mwake kapena kukulira.
Chimachitika ndi chiani ngati munganyalanyaze njira yachiwiri? Mwazi wamagazi uzikula pang'onopang'ono, popeza kagayidwe kake sikatha kupereka kuchuluka kwa shuga, ndipo thupi (motsutsana ndi shuga mumkodzo) limapitilirabe kuchepa kwamadzi.
Njirayi ikuwopseza kulowa gawo la hyperosmolar coma, pamene manambala adzafika 55 mmol l.
Zizindikiro za hyperosmolar coma:
- Ludzu losatha
- Mawonekedwe akuthwa
- Chisokonezo, kutaya mtima.
Wodwala wokhala ndi zizindikiro zofananira (kapena osadikirira izi) amayenera kupita kuchipatala.
Mu anthu omwe apezeka ndi mtundu wachiwiri wa matenda ashuga a mellitus (insulin-Independent), mkhalidwe wokhala ndi hyperglycemia womwe umakhalapo pakapita zaka.
Glucose 13 wamatenda a 2 ashuga
Ngati mita ya glucose yakunyumba nthawi zambiri imawonetsa kukwera kwa glucose mpaka 13 mmol l, ndiye kuti wodwalayo ayenera kupita kwa endocrinologist. Odwala omwe ali ndi matenda ashuga kwa nthawi yoposa chaka chimodzi, thupi limapumira pang'onopang'ono kuthekera kuthana ndi chiwawa pakukula kwa shuga. Wodwalayo "amasinthasintha ndikusintha" kusintha kwamatenda, kusiya kuwamverera. anthu otere sangadandaule za thanzi lawo ngakhale akawerenga shuga pafupi ndi 17.
Komabe, chithunzi cha 13 mmol l ndichizindikiro pakufunika kwa insulin kuchokera kunja.
Aliyense wodwala matenda ashuga amayesa kuchepetsa nthawi ya jakisoni woyamba wa insulin. Amakakamiza adotolo, iyemwini, kuti mutha kuchita ndi mapiritsi. Ndizovuta kwambiri kuvomereza m'maganizo cholinga cha jakisoni, koma mantha alibe.
Mavuto omwe angakhalepo chifukwa chokumana ndi dokotala mwadzidzidzi
Kukula kwambiri kwa shuga m'magazi popanda kuwongolera kumayambitsa kukulitsa zovuta kuchokera ku ziwalo zonse ndi machitidwe, popanda kupatula. Izi ndi:
- Kusokonezeka kwa mtima. Kuwonjezeka kwa mtima pakupuma kumayamba, tachycardia komanso kulephera kwamtima.
- Chisoni. Wodwalayo amasiya kumva kuvulaza pang'ono kwa khungu ndikuligwira. Kudzimva kwamphamvu kwa miyendo, “kugona” miyendo kumadwaladwala. Izi zimatsogolera pakuthandizira kuvulala kwapakhungu komwe wodwalayo samanyalanyaza.
- Zodandaula. Mimba imatha kuwonjezera kapena kuchepetsa ntchito yamagalimoto. Wodwalayo amakhala ndi zizindikiro za kudzimbidwa: kulemera kwam'mimba, belching, flatulence. Kuchokera m'matumbo - kutsekula m'mimba kumatha ndi kudzimbidwa kosalekeza.
- Kusokonezeka kwa urogenital kumapangidwa motsutsana ndi maziko a kuchepa kwa chidwi cha mathero a mitsempha m'dera lumbosacral. Mwa akazi, izi zimawonetsedwa ndi kuwuma kwa nyini, komwe kumayambitsa microtrauma ndi matenda otupa. Kwa abambo, izi zimawopseza kutayika kwa potency. Kuchokera mkodzo dongosolo, izi (mosasamala za jenda) ndikokula kwa kusokonezeka, njira zopatsirana, komanso mawonekedwe a mkodzo wotsalira.
Zizindikiro zomwe zili pamwambazi zimaphatikizidwa ndi lingaliro la "diabetesic neuropathy", lomwe limayamba motsutsana ndi maziko a matenda a hyperglycemia. Mu diabetesic neuropathy, zotumphukira zamitsempha zimakhudzidwa, onse ochita kudziletsa (ogwira ntchito pamalingaliro) ndi somatic (amagwira ntchito motsogozedwa ndi chikumbumtima cha anthu).
Komabe, nkhani yabwino ndiyakuti kuwunika pafupipafupi kuchuluka kwa shuga odwala matenda ashuga, kuisunga moyenerera (mpaka 10 mmol / l atadya) kumabweretsa kubwezeretsa pang'onopang'ono kwa mathero a mitsempha.
Kutengera kwa zokwanira, kuyang'aniridwa kwa achipatala, ngati shuga ali 13 kapena kuposa, ndi zofunikira kuchita kwa moyo wautali komanso wathunthu wokhala ndi mbiri yodwala matenda ashuga. Pakadali pano zamankhwala, izi ndizotheka.