Magazi okwera m'magazi: Zizindikiro zisanu ndi ziwiri zofunika

Hyperglycemia ndi chikhalidwe chomwe tiyenera kuyang'anitsitsa. Kulephera kuonetsetsa kuti chithandizo chanthawi yake kumayambitsa matenda ashuga. Chifukwa chake, ndikofunikira kudziwa zizindikiro zake, tikambirana za iwo.

Shuga wamagazi, kapena glucose, ndiye gwero lalikulu lamphamvu la maselo a thupi lathu. Shuga yamtunduwu imapezeka mu ufa, uchi, kaloti, mpunga. Imapezekanso muzosakaniza ndi zakudya zina zambiri. Tilankhula za zofunikira za shuga wambiri. Chifukwa cha mphamvu iyi, thupi lathu limatha kugwira ntchito zosiyanasiyana. Izi, mwachitsanzo, kufalikira kwa kukhudzidwa kwa mitsempha, kugwira ntchito kwa mtima, kugaya chakudya, ndi zina. Poterepa, sipadzakhala zotsatirapo zoyipa zaumoyo.

Hyperglycemia: Zizindikiro 7

Kuwonjezeka kwa shuga m'magazi kumatchedwa hyperglycemia. Ndipo, mwatsoka, zimayambitsa ziwalo zosiyanasiyana. Mwazi wamagazi ukapitirira 180 mg / dl, matenda a shuga amapezeka. Ndikofunika kuyang'anira momwe zinthu ziliri mukuyang'aniridwa ndi madokotala. Popeza zingayambitse zovuta zazikulu.

Kodi hyperglycemia ndi chiyani?

Chifukwa chake, akuti hyperglycemia pamene msempha wamagazi uli pamwamba pa 140 mg / dl. Ndipo izi zitha kuchitika pazifukwa ziwiri:

Chifukwa cha zovuta mu kapamba. Makamaka, zovuta zopeza insulin yokwanira, mahomoni omwe ali ndi udindo wokhazikitsa shuga wamagazi.

Ndipochifukwa chakuti thupi silitha kugwiritsa ntchito bwino insulin iyi.

Mulimonsemo, ndikofunikira kukambirana ndi adotolo kuti apatseni mankhwala. Adzanenanso zakusintha kwa zakudya komanso masewera olimbitsa thupi oyenera.

Zizindikiro za Mafuta Aakulu

Tsoka ilo, hyperglycemia imavuta kuzindikira. Makamaka ngati simukuzolipira chidwi chokwanira pa thanzi lanu. Komabe, nthawi zonse amakhala ndi zisonyezo. Njira yabwino ndiyakuti mukayezetsa kuchipatala miyezi isanu ndi umodzi iliyonse. Izi zikuthandizani kuzindikira panthawi yake shuga.

Njira yosavuta komanso yotsika mtengo kwambiri ndiyo kuyesa magazi a shuga. Jakisoni wowoneka bwino komanso dontho limodzi lamwazi.

Koma ngakhale zili choncho, izi ndi zizindikiro zomwe zimayenera kutengedwa mosamala:

1. Polydipsia

Ili ndi ludzu losalekeza, chiwonjezeko pakufunika kwamadzi akumwa ... Izi zimayendera limodzi ndikusangalatsa kosangalatsa kwa kamwa yowuma. Ndipo ndikofunikira kumwa madzi ambiri monga momwe thupi lanu limafunira. Inde, akuyesera kukwaniritsa kukula kwa shuga.

Komabe, muyenera kumvetsetsa kuti vutoli lidzakhala mpaka gawo la shuga la magazi libwereranso pamlingo wovomerezeka. Ndipo kuti mudzithandiza nokha mu izi, musaiwale kusewera masewera tsiku lililonse. Komanso imwani mankhwalawa monga momwe dokotala wakupangirani.

2. Kuwonongeka kwa khungu

Maonekedwe a zilonda zamkati zosiyanasiyana zimakhalanso ndi shuga wambiri. Awa ndi mawanga abula pamiyendo, redness ya nkhope ndi khungu louma. Kuphatikiza apo, misomali, manja ndi manja amatha kukhala chikasu.

Ndipo ngati mungazindikire kuti mabomawa sachoka kwa nthawi yayitali, pitani kuchipatala msanga. Osanyalanyaza chizindikiro ichi! Popeza mutha kuvulaza thanzi la mitsempha yanu.

3. Kusinthasintha

Hyperglycemia imatha kusinthasintha zochitika. Makamaka, izi ziwoneka ngati kuwonjezeka kwa kukwiya kapena kukhumudwa. Pali anthu omwe, makamaka, amakwiya kapena amakhala ndi mtima wankhanza kwambiri. Komabe ngati siyomwe muli momwemo, samalani ndi chizindikiro ichi.

Kumbukirani kuti kutengeka ndi malingaliro kumakhudzana ndi ma ubongo omwe amapanga ubongo.. Ndipo iwonso akusintha chifukwa cha shuga wambiri.

4. Kufooka ndi kugona

Popeza maselo sangathe kuyamwa shuga wamagazi omwe alipo, mphamvu zamagetsi zimatsika. Ndipo kenako izi zimabweretsa kuwonekera kwa:

Kumva kutopa kwambiri

Kuti muchepetse kukula kwa chizindikiro ichi, ndikofunikira kudya masamba abwino atsopano. Amapatsa thupi mavitamini ndi michere yabwino. Vutoli likakhala lalikulu kwambiri, dokotala angakupatseni mankhwala ena owonjezera.

5. Kuchepetsa bala

Hyperglycemia imayambitsa kusintha kwakukuru mwa njira zopangika (kuchuluka kwa magazi). Zimayambitsa magazi komanso kuchiritsa mabala nthawi yayitali ndipo zimafanana kwambiri ndi mawonekedwe a zilonda pakhungu.

Ngati mukuwona kuti mabala anu atuluka magazi kwa nthawi yayitali ndipo achira nthawi yayitali kuposa masiku onse, njira zoyenera ziyenera kuchitidwa. Mukabwezeretsa shuga m'magazi anu, chizindikirochi chimazimiririka.

6. Mavuto akuwona

Mitsempha yaying'ono ndi nkhata zomwe zimapezeka mu retina, macula (macula), ziwiya za retina, ndi mutu wamitsempha ya maso nthawi zambiri zimawonongeka chifukwa cha hyperglycemia. Pakati pamavuto omwe angabuke, zotsatirazi ziyenera kudziwika:

Choyamba, kusawona bwino

Kachiwiri, kupezeka kwa malo amdima m'munda wowonera

Komanso kupweteka m'maso

Ndipo ndimavuto mukamayang'ana pa zinthu zapafupi (mawonekedwe ofananira nawo)

Kuyendera pafupipafupi kwa ophthalmologist kungakuthandizeni kuzindikira mavuto awa komanso kutsitsa shuga yanu yamagazi kwambiri.

7. Mavuto ogonana

Zowonongeka zamitsempha ndi mitsempha yamagazi chifukwa cha kuwonjezeka kwa shuga m'magazi - pzomwe zimapangitsa kuti pakhale kusintha kwazinthu zingapo zogonana ndi amuna ndi akazi.

Mwa amuna, hyperglycemia ikhoza kuyambitsa:

Kulephera kukwaniritsa kapena kusunga erection yokwanira kugonana.

Kubwezerani ejaculation, momwe mamembala onse kapena gawo limodzi la umuna umayenda kulowa mu chikhodzodzo m'malo mwa mbolo nthawi yokumira.

Amayi amatha kukumana ndi mavuto otsatirawa:

Kuchepa chilakolako chogonana kapena kusakhalapo kwathunthu

Kugonana kopweteka

Kodi mwazindikira zizindikirozi za shuga wambiri? Ngati ndi choncho, aziwathandiza mosamala ndi kusainira kwa dokotala posachedwa.

Ngati muli ndi mafunso, afunseni.apa

Kodi mumakonda nkhaniyo? Kenako tithandizireni kanikiza:

Shuga ya 34: mungatani ndi shuga wambiri?

Chithandizo chosavomerezeka cha matenda a shuga - kukana kugwiritsa ntchito mankhwala, kulephera kuyendetsa magazi, kusowa kwa thandizo la kuchipatala panthawi yomwe matenda opatsirana kapena matenda ena oyanjana nawo aphatikizana, zimabweretsa zovuta zambiri pakukomoka.

Matenda a shuga amakhalanso ndi hyperglycemia, kuchepa madzi m'thupi komanso kuwopseza miyoyo ya odwala. Hyperglycemia yayikulu imatha kuwoneka ngati ketoacidotic (yokhala ndi matenda a shuga 1 kapena Hyperosmolar (mtundu 2 shuga).

Ngati kuchuluka kwa shuga m'magazi ndi 34, ndiye adokotala okha omwe angasankhe zoyenera kuchita ngati zoterezi, kudzipereka nokha ndikubweretsa moyo. Chithandizo cha zinthu zotere zimachitika pokhapokha ngati odwala akufunika kwambiri.

Mkhalidwe wa Comatose ukhoza kukhala chizindikiro choyamba cha matenda ashuga atazindikira mochedwa kapena njira yayitali yodwalayo. Chomwe chimapangitsa kuchuluka kwa shuga m'magazi ndikusowa kwa insulin. Mtundu woyamba wa matenda ashuga, kusowa kwa mahomoni anu kumabweretsa ketoacidosis.

Nthawi zambiri, zochitika za ketoacidotic zimachitika ndi mlingo wosankhidwa bwino wa insulin, kukana chithandizo, kuphwanya njira yolamulirira mankhwala, zovuta, kuyambitsa maopaleshoni, matenda opatsirana oyipa kwambiri kapena opweteka kwambiri.

Pakuchepa kwenikweni kwa insulin m'magazi ndi glucose m'maselo, thupi limayamba kugwiritsa ntchito malo ogulitsa mafuta ngati mphamvu. M'magazi, zomwe zimakhala ndimafuta ochulukirapo, zimagwira monga gwero la matupi a ketone. Poterepa, pamakhala kusintha kosiyanasiyana m'magazi momwe magazi amayambira, ndipo kuchuluka kwa glucose kumapangitsa kuti madzi amitsekedwe mu mkodzo.

Hyperosmolar coma nthawi zambiri imasokoneza mapangidwe a matenda a shuga a 2, kukula kwake kumakhala kotheka kwambiri mwa achikulire omwe amamwa mapiritsi kukonza hyperglycemia ndikuchepetsa kudya kwamadzi. Zoyambitsa zikuluzikulu izi:

Pachimake kufalikira kwa magazi.
Matenda opatsirana motsutsana ndi maziko otentha kwambiri.
Pachimake kapena kuchulukitsa kwa matenda kapamba.
Kupuma, kuvulala, kuwotcha, kulowererapo kwa opaleshoni.
Matenda amkati.
Kulephera kwina.

Mtundu wachiwiri wa matenda ashuga, insulini m'magazi ikhoza kukhala yokwanira kulepheretsa kupangika kwa matupi a ketone, koma chifukwa cha kuchuluka kwa catecholamine m'magazi, sikokwanira kulipirira kuwonjezeka kwa glucose m'magazi.

Kuwonetsera kwamankhwala a hyperosmolar coma kumalumikizidwa ndi kuchepa madzi m'thupi komanso kuwonongeka kwa dongosolo lamanjenje.

Vuto la matenda ashuga limadziwika ndi kuwonjezeka pang'onopang'ono kwa zizindikiro, zomwe zimasiyanitsa ndi zochitika za hypoglycemic, pomwe munthu atha kuzindikira mwadzidzidzi.

Zizindikiro zodziwika bwino za ketoacidosis ndi vuto la hyperosmolar zimachitika chifukwa cha kuthamanga kwa magazi ndi kuchepa kwa madzi amthupi.

Kwa masiku angapo, odwala akumva ludzu lochulukirapo, kufooka, chidwi chambiri chimasinthidwa ndi mseru komanso kudana ndi chakudya, kukodza kumakhala pafupipafupi komanso kumachulukitsa, kupweteka mutu, chizungulire komanso kugona.

Ketoacidosis imadziwika ndi zisonyezo za acidization ya magazi, kupuma kwamkokomo, mawonekedwe a fungo la acetone mumlengalenga wotulutsa. Chifukwa cha kukhumudwitsa kwa acetone pa mucous membrane, pamakhala kupweteka kwam'mimba komanso kusokonezeka kwa khoma lamkati lam'mimba, kusanza mobwerezabwereza, komwe kumabweretsa kuzindikira koyipa kwa matenda opweteka kwambiri a opaleshoni.

Zizindikiro zambiri za dziko la hyperosmolar:

Kutulutsa kwambiri mkodzo, komwe umasinthidwa ndikusakhalapo kwathunthu.
Kufooka kwambiri, kufupika ndi palpitations.
Makatani amaso amakhala ofewa akakakamizidwa.
Dontho mu kuthamanga kwa magazi.
Kuwonongeka kwa chikumbumtima ndikulowa mu chikomokere.
Matalala, mayendedwe amaso osokoneza.
Kusokonekera kwa mawu.

Pofuna kudziwa molondola chomwe chimayambitsa kukomoka, wodwalayo amayesedwa magazi ndi mkodzo atangolowa kuchipatala. M'magazi okhala ndi boma la ketoacidotic, kuchuluka kwambiri kwa hyperglycemia, kusintha kosintha komwe kumachitika kumbali ya asidi, matupi a ketone, komanso zovuta zamagetsi zamagetsi zimapezeka.

Mumkodzo, mumapezeka kuchuluka kwa glucose ndi acetone. Zizindikiro zomwe zingatheke zingakhale leukocytosis, kuchuluka kwa creatinine ndi urea m'magazi (chifukwa cha kuwonongeka kwa mapuloteni). Kutengera ndi kuopsa kwa vutoli, glycemia imatha kukhala 16 mpaka 35 mmol / L.

Hyperosmolar coma imadziwika ndi kuwonjezeka kwa shuga wamagazi kuchokera pa 33 mpaka 55 mmol / L, kuchuluka kwa osmolarity, kusowa kwa ma ketones ndi acidosis, komanso kusakwanira kozungulira kwa magazi. Miyezo ya sodium, chloride, ndi besi ya nitrogenous ndiyambiri, ndipo potaziyamu ndiwotsika.

Mu mkodzo, glucosuria wotchulidwa, ma acetone samapezeka.

Kuti muchepetse magazi, odwala onse, mosasamala kanthu ndi chithandizo cham'mbuyomu, ayenera kusamutsidwa kwathunthu ku insulin. Poterepa, lamulo lalikulu ndi kuchepa kwapang'onopang'ono kwa shuga m'magazi. Izi ndizofunikira popewa kukula kwa edema yamatumbo.

Ndi zida za insulin zomwe zimapangidwa pakanthawi kochepa chabe zomwe zimagwiritsidwa ntchito. Kukhazikitsidwa kwawo kumayamba kuchitidwa kudzera m'mitsempha, monga magazi a magazi amachepetsa - kudzera m'mitsempha, kenako ndikusinthira njira yachikale yopanga insulin.

The insulin mu ketoacidosis akuwonetsedwa kuchokera maola oyambirira a chithandizo, ndikuchotsa hyperosmolar coma mu shuga, Mlingo wocheperako wa mankhwala umayikidwa pokhapokha kubwezeretsa kwamphamvu kuchuluka kwa madzimadzi m'thupi.

Kwa kulowetsedwa, njira yothandizira ya sodium chloride imagwiritsidwa ntchito, ngati pali kuchuluka kwa sodium m'magazi, ndiye kuti kupanikizika kwake kumayikidwa m'malo - yankho la 0.45% lakonzedwa. Kuthanso magazi mthupi kumachitika kwambiri tsiku loyamba motsogozedwa ndi mtima ndi impso.

Kuphatikiza apo, pochizira matenda a shuga:

Antioxidant mankhwala - kukhazikitsidwa kwa vitamini B12.
Potaziyamu mayankho.
Heparin akukonzekera kupewetsa magazi.
Maantibayotiki.
Mankhwala amtima.

Pambuyo poti odwala akhazikika, amatha kudya okha, amalimbikitsidwa ndi mchere wamchere wamchere, chakudya chophika chokhazikika ndikuletsa mafuta osavuta a nyama ndi mafuta a nyama.

Kutengera kuchuluka kwa shuga m'magazi, Mlingo wa insulin wa nthawi yayitali (woperekedwa kawiri pa tsiku) ndikuchita zinthu zazifupi (majekeseni osafunsidwa musanadye chilichonse). Mankhwalawa zinthu zomwe zinachititsa kuti matenda a shuga achire komanso kupewa thrombosis amachitidwanso.

Lamulo lalikulu lopewa kukula kwa zovuta za matenda ashuga mu mawonekedwe a chikomokere ndikulamulira kwa shuga. Matenda a matenda ashuga amakula pang'onopang'ono, chifukwa chake, ndi kuwonjezeka kwa shuga oposa 11 mmol / l ndi kulephera kukwaniritsa kwake pakukulitsa kuchuluka kwa mankhwala omwe mumalandira, muyenera kufunsa dokotala.

Ndikofunikira pazinthu zotere kuti mumwe madzi okwanira oyera, ndikupatula kwathunthu zinthu zotsekemera ndi ufa, komanso nyama yamafuta, kirimu wowawasa, ndi batala. Zakudya zamasamba ambiri komanso nsomba zowiritsa ndizofunikira. Zakudya za khofi ndi tiyi wamphamvu ziyenera kuchepetsedwa chifukwa cha kupukusa kwawo.

Ngati mankhwala a insulin adayikidwa, ndiye kuti kusokonezeka kwake ndikoletsedwa. Odwala omwe ali ndi matenda ashuga sayenera kungosinkhasinkha za matenda oyambitsidwa ndi matenda opatsirana kapena matenda ena. Ndizowopsa kwambiri kukana mankhwala ochepetsa mphamvu ya shuga ndikuyamba kugwiritsa ntchito zina zowonjezera.

Mtundu wachiwiri wa matenda a shuga, kukwera kosawerengeka kwa shuga m'magazi kungatanthauze kuchepa kwa mphamvu ya kapamba kuti apange insulini yake. Njira ya matenda ashuga imayamba kufuna insulini. Chifukwa chake, ndikofunikira kufunafuna chithandizo chamankhwala munthawi yake ngati sizotheka kulipira anthu odwala matenda ashuga ndi mapiritsi olembedwa.

Katswiri mu kanema mu nkhaniyi adzalankhula za chikomokere cha matenda ashuga.

Shuga wambiri m'magazi: zimayambitsa, Zizindikiro, mankhwala | diabetsite.ru

| diabetsite.ru

Mkhalidwe womwe shuga ya magazi imakwera umatchedwa hyperglycemia. Zinthu zamtundu wa glucose zimayenera kukhala 3.3-5,5 mmol / L, kutengera njira yotsimikiza.

Mlingo wa shuga ndiwofunikira kwachilengedwe nthawi zonse (Zizindikiro zamkati mwathupi a thupi, zimapangika mwanjira yachilengedwe yachilengedwe yomwe imachitika m'makina, ziwalo), zomwe zimatha kusintha pazifukwa zambiri, zomwe zimayambitsa kuwoneka kwa shuga.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

Zofunikira pakukula kwa glucose	Zomwe zimapangitsa kuti shuga awonjezeke
Mavuto Mimba Kutenga ma steroid Matenda a shuga Kumwa kwa chakudya chamafuta ambiri, Matenda ena azachilengedwe.	Matenda a khunyu Wotani, kuwawa kwambiri, Acute myocardial infaration, Angina angina.

Zizindikiro za Mafuta Aakulu

Zizindikiro zazikulu za hyperglycemia ndi:

Chodzidzimutsa mwachangu, kupweteka,
Kutentha kwa khungu, m'manda
Polydipsia (ludzu losatha), kamwa youma,
Kufooka kwambiri, kutopa kwambiri, kugona.
Kuchepetsa kapena kuchuluka kwa thupi,
Nocturia (pokodza usiku),
Polyuria (kutulutsa mkodzo wowonjezera),
Masomphenya ofooka, Fungo la acetone kuchokera mkamwa.
Matenda opatsirana pafupipafupi
Mabala amachiritso aatali
Mutu, chizungulire,
Matenda pafupipafupi kumaliseche, nthawi zina amakhala osabereka mwa amuna,

Zizindikiro zonsezi zimawonetsa kusintha kwa glucose, kutsimikizira kumapangidwa pamaziko a mayeso a labotale. Mwachitsanzo, kwambiri hyperglycemia imatchulidwa kuposa mawonekedwe ake osachiritsika.

Njira yopanga zizindikiro

Kuti mumvetsetse chifukwa chomwe chisonyezo china chake chikuwonekera, muyenera kudziwa njira zake

Polydipsia (ludzu losalekeza) limapangidwa chifukwa chakuti shuga imakopa madzi, pomwe pali kutulutsa kowonjezera kwamadzimadzi kuchokera m'thupi. Kupanga zotayika, thupi "limapempha" zochulukirapo zamadzi kuchokera kunja,
Kuyankha mwachangu kumalumikizidwa ndikuti molekyu yamadzi imamangilira ku molekyulu ya glucose, yomwe imatsogolera kutulutsa kowonjezereka kwamadzimadzi kuchokera mthupi pogwiritsa ntchito zida zosefera.
Kuchepetsa thupi kumawonedwa nthawi zambiri mu mtundu woyamba wa shuga chifukwa chakuti kapamba sangapangitse insulini yake, pomwe glucose sangathe kulowa m'maselo ndi minyewa. Thupi limakhala ndi mphamvu nthawi zonse. Ndi mtundu 2, kuwonjezeka kwa kulemera kwa thupi kumawonedwa, pomwe kutsutsana ndi maziko a kunenepa kwambiri, glucose sangathe kulumikizana ndi minofu, chifukwa ma receptor omwe amawamanga samagwira ntchito bwino,
Ululu m'mutu, kugona, kufooka kumalumikizidwa ndi kufa ndi ludzu laubongo, chifukwa glucose ndiye gwero lalikulu lamphamvu kwa chapakati mantha dongosolo (CNS),
Kuchiritsa mabala osavomerezeka kumalumikizidwanso ndi milingo yambiri ya shuga, chifukwa shuga ndi malo abwino oswana pofuna kufalitsa microflora ya mabakiteriya (mabakiteriya, mavairasi). Pogwira maselo oyera am'magazi, glucose amafunikiranso, yomwe siyokwanira. Chifukwa chake, maselo oteteza magazi sangathe kuwononga tizilombo toyambitsa matenda,
Fungo la acetone limawonekera chifukwa cha makutidwe ndi okosijeni a lipids (mafuta), kuchuluka kwa matupi a ketone m'magazi.

Dziwani za shuga wambiri

Mu hyperglycemia, wodwalayo amayenera kukayezetsa magazi kuti apeze mayeso olondola. Kuyesaku kumachitika ndi kutenga nawo gawo la shuga mu mawonekedwe ake oyera (75 g.). M'mawa, pamimba yopanda kanthu, munthu amapereka magazi kwa shuga, ndiye kuti amamwa yankho la glucose, pambuyo pa maola 2 magazi amaperekedwanso.

Kuti zotsatira zake zikhale zodalirika, malamulo otsatirawa ayenera kusamalidwa:

Madzulo a kusanthula, masewera olimbitsa thupi, masewera olimbitsa thupi,
Chakudya chotsiriza sichikhala chopitilira maola 10 phunzirolo lisanachitike,
Musanayambe kusanthula, muyenera kutsatira zakudya zabwino,
Musanapime mayeso muyenera kugona mokwanira usiku,
Ndikofunika kupewa kupsinjika, kukhumudwa kwambiri,
Osadandaula ndi kusanthula, muyenera kudekha,
Mukamwa njira ya shuga, ndikofunika kuti musayende.

Matenda a shuga amapezeka ngati shuga ali pamwamba pa 7.0 mmol / L pamimba yopanda kanthu, ndipo atatha kuthana ndi vutoli atatha maola 2 - 11.1 mmol / L ndi pamwambapa.

Kuphatikiza apo, kuyesa kwa hemoglobin ya glycated kumachitika, matenda amawonedwa ngati chisonyezo chiri pamwamba 6%. Kuphatikiza apo, kuyesedwa kumachitika pamlingo wa amylin, womwe umalepheretsa kutulutsidwa kwa insulin m'magazi atatha kudya chakudya (kwa anthu omwe ali ndi matenda ashuga, chizindikiro chizikhala chotsika), ma insretins (zolimbikitsa kupanga insulin), glucagon (imalimbikitsa kupanga shuga).

Momwe mungachepetse shuga?

Kuti muchepetse shuga osasunthika, muyenera kudziwa chifukwa chomwe chinawonjezera kuchuluka kwake. Ndi shuga yachiwiri, imodzi mwanjira zitatu zomwe zingagwiritsidwe ntchito:

Chotsani vuto
Lekani kumwa mankhwala omwe amachulukitsa shuga,
Chiritsani thyrotoxicosis ndi matenda ena.

Ngati ndizosatheka kuthetsa chomwe chinayambitsa kuchuluka kwa shuga, kapena mtundu wa 1 kapena matenda a shuga a 2 omwe amapangidwa koyambirira, chithandizo chamankhwala chimalamula. Pazifukwa izi gwiritsani ntchito kuyambitsa kwa insulin (mtundu 1 wa shuga) kapena mapiritsi ochepetsa shuga (mtundu 2 shuga). Ngati munthu ali ndi matenda a shuga, ndiye kuti hyperglycemia imatha kuchepetsedwa ndi chakudya chimodzi chokha.

Kwa wodwala aliyense, njira yochepetsera shuga imasankhidwa payekhapayekha komanso kokha ndi katswiri, koma pali zinthu zomwe ndizoyenera kuchitira mitundu yonse ya matenda ashuga:

Kutsatira zakudya zamafuta ochepa, ntchito komanso kupuma,
Kukwaniritsidwa kwa malingaliro onse a adotolo,
Kuwunika mwadongosolo shuga.

Zakudya za shuga zambiri

Ndi hyperglycemia, chisamaliro chapadera chiyenera kulipidwa pazakudya zanu, zakudya zopangidwa mwapadera, cholinga chake chachikulu ndikuchepetsa kumwa kosavuta kwa chakudya chambiri (chofulumira).

Ngati munthu wonenepa kwambiri, zakudya zopatsa thanzi ziyenera kukhala zochepa-zopatsa mphamvu, kuphatikizapo zonse zofunikira, mavitamini. Tsiku lililonse, munthu ayenera kudya mafuta, chakudya, mapuloteni. Pankhaniyi, chakudya chamafuta chimayenera kudulidwa pang'onopang'ono ndikupeza zabwino. Chizindikiro cha mtundu wopatsa mphamvu wamafuta ndi malo ake otsika pagome la glycemic index (GI).

Muyenera kudya m'magawo ang'onoang'ono mpaka 6 pa tsiku, nthawi yopuma isanathe maola atatu. Kuchuluka kwa zopatsa mphamvu zimadalira magawo a thupi (kulemera, jenda) komanso zochitika zolimbitsa thupi za munthu.

Zakudya zamagazi zochepetsa shuga:

Buckwheat - ili ndi mchere wambiri (chitsulo, rutin), mavitamini (B6), mapuloteni azomera. Phala ya Buckwheat imakhala ndi chakudya chamagulu ochulukirapo, chifukwa cha izi, osati shuga wokha, komanso kulemera kwa wodwalayo sikungofanana. Mapuloteni azamasamba amalowetsedwa mwachangu ndipo kwa nthawi yayitali amasiya kumva kukomoka. Zinthu za Buckwheat zimachotsa poizoni, zimachepetsa cholesterol "yoyipa", yeretsani mitsempha yamagazi, chiwindi,
Buckwheat ufa ndi yogati ndi njira yodalirika yochepetsera shuga kukhala manambala wamba. Pophika, muyenera 1 tbsp. spoonful ya buckwheat ufa (akupera grits mu chopukusira khofi) kutsanulira 200 ml ya yogurt kapena kefir. Siyani kusakaniza usiku, muyenera kudya pamimba yopanda ola limodzi musanadye masiku 7,
Zipatso ndi zipatso zowawasa (ndimu, lalanje, mphesa) zimapangitsa shuga m'magazi,
Masamba (Yerusalemu artichoke), zitsamba, zonunkhira (anyezi, adyo, sipinachi). Zipatso (aronia, blueberries, lingonberries). Ma Leamu (mphodza, nyemba).

Zithandizo za Folk za shuga wambiri

Mutha kutsitsa shuga msanga pogwiritsa ntchito njira za anthu wamba:

Chapakatikati, sonkhanitsani chotupa cha lilacs, kutsanulira 2 tbsp. supuni 2 ozungulira madzi otentha. Muyenera kuteteza kwa maola 6, mutha kukhala mu thermos. Zosefera, kenako wonongerani masana
40 gr magawo kuchokera ku mtedza zipolopolo kuthira madzi ½. Valani moto wochepa kwa mphindi 60, ozizira, sefa. Gwiritsani 1 tbsp. supuni nthawi iliyonse chakudya chachikulu chisanachitike,
Kabati mwatsopano horseradish muzu, kusakaniza wowawasa mkaka kapena yogurt mu chiyerekezo cha 1:10. Gwiritsani 1 tbsp. supuni ya osakaniza musanadye katatu patsiku,
Tengani 1 chikho cha oats ndikumatsanulira makapu 6 a madzi otentha otentha, onjezani kutentha pang'ono kwa mphindi 60. Kuziziritsa, zosefera ndi kumwa mukafuna komanso kuchuluka kulikonse. Sungani zakumwazo pamalo abwino,
Pukuta masamba 10 a bay, amathira mu thermos ndikutsanulira 1 chikho cha madzi otentha. Kuumirira tsiku lonse, zosefera, imwani zotentha ¼ chikho pamaso chakudya chachikulu, osapitirira 4 pa tsiku.

Mavuto a Mwazi

Pachimake mavuto a hyperglycemia	Mochedwa mavuto a hyperglycemia
Kukula kwa precoma, chikomokere, kuwonongeka kwa chapakati mantha dongosolo. Zizindikiro - kulumikizidwa kwa mawonekedwe oyambira, kusokonezeka kwa zochitika zamanjenje, kulephera kudziwa, Lactic acid chikomokere Kuthetsa madzi m'thupi Ketoacidosis.	Matenda a shuga - zotumphukira zamitsempha, zotumphukira zamitsempha zimakhudzidwa, khungu limapangidwa, necrosis (minofu necrosis), Retinopathy - mawonekedwe amkati wamaso akukhudzidwa, angayambitse kuchepa kwa mawonekedwe, mpaka khungu, Matenda a diabetes ndi nephropathy ndi chiwonongeko chosasinthika cha mawonekedwe a impso, mpaka kulephera kwa aimpso ndi imfa.

Zovuta za pachimake zimakhala ndi zizindikiro - zotsogola:

Ludzu lalikulu, kamwa youma
Mafuta amadzimadzi amadzaza malita 3-4 patsiku,
Mutu, kutopa, minofu ndi kufooka wamba.

Shuga wochepa wamagazi: amayambitsa ndi zizindikilo mwa munthu wamkulu, zomwe akunena komanso zoyenera kuchita

Mwinanso, aliyense amadziwa kuti kuwonjezeka kwa glucose wamagazi ndikowopsa kwa anthu. Koma ndi anthu ochepa omwe amaganiza kuti kuchepa kwamphamvu kwa chinthuchi kumabweretsa chiopsezo kwambiri mthupi.

Ndi isanayambike hypoglycemia, masokedwe a shuga akatsika kwambiri, munthu amatha kugwa mpaka kufa.

Nthawi zambiri, kuchuluka kwa hypoglycemia kumawonedwa mwa odwala matenda a shuga, koma matendawa amathanso kuchitika mwa anthu athanzi. Munkhaniyi, tikuwuzani za shuga wochepa wa magazi mwa munthu wamkulu, Zizindikiro ndi zomwe zimapangitsa kuchepa kwake.

Zoyambitsa za shuga

Zomwe zimayambitsa shuga m'magazi odwala matenda ashuga:

Kugwirizana ndi zakudya zomwe zimaphatikizapo kuchuluka kwa mafuta osavuta.
Kumwa mowa pamimba yopanda kanthu komanso popanda kudya.
Kugwiritsa ntchito mankhwala odana ndi matenda ashuga okalamba, omwe nthawi zambiri amabweretsa hypoglycemia.
Kulephera kutsatira dongosolo lazakudya (zakudya zosakonzeka).
Kumwa mowa kapena mankhwala ena nthawi yomweyo ngati mankhwala a shuga.
Kuchita masewera olimbitsa thupi mopitirira malire.
Kukhazikitsidwa kwa mlingo waukulu wa insulin.

Koma si odwala okha omwe ali ndi matendawa omwe amatha kudwala kuchepa kwa shuga, komanso anthu athanzi, ngakhale izi sizimawonetsedwa kawirikawiri.

Zomwe zimayambitsa shuga wochepa zimatha kukhala zochitika:

Bamboyo adamwa mowa kwambiri.
Munthu amatsatira zakudya zopatsa mphamvu zopatsa mphamvu.
Kuchita zolimbitsa thupi kwambiri.
Munthu amadya maswiti ambiri.
Pali nthawi yopumula yayitali pakati pa chakudya (maola 8 kapena kupitirira).
Munthu amamwa mankhwala ena ake.
Wodwalayo ali ndi matenda a kapamba, ndulu za adrenal kapena impso.

Anthu ena amakhala ndi shuga m'magazi m'mawa, akangodzuka. Izi zimachitika chifukwa chokana chakudya kwanthawi yayitali, mwachitsanzo, iwo amene amasunga lamulo kuti asadye pambuyo pa 6 pm.

Zizindikiro za Mwazi Pansi

Ndi kuchepa kwa shuga, odwala amatha kumverera mosiyanasiyana, zomwe zimatengera kuchuluka kwa kuphwanya, komanso kuthamanga kwa njirayi.

Popeza shuga amatha kuchepa mosiyanasiyana, zizindikilo za mkhalidwewu ndizosiyana.

Ndikofunika kukumbukira kuti ngati kuchuluka kwa glucose kumatsika kwambiri, koma nthawi yomweyo kukula kwake konse kumakhalabe kwabwinoko, zizindikiro zina za hypoglycemia zitha kuwonekeranso.

Monga lamulo, kuchuluka kwa Zizindikiro ndi kulimba kwake zimadalira kuchuluka kwa kuchepetsa shuga.

Gawani madigiri atatu azovuta zakukula kwa shuga. Tiyeni tikambirane chilichonse mwatsatanetsatane.

Ofatsa

Potere, glucose wamagazi amachepetsedwa pafupifupi 3.7 - 3.9 mmol / L, ndipo zizindikirazo zimatha kukhala zosiyanasiyana kapena sizipezeka paliponse.

Nthawi zambiri, zizindikiro zotsatirazi zimawonedwa mu digiri iyi:

Kumva kuzizira komanso kufooka, ndipo nthawi zina kunjenjemera thupi lonse.
Chizungulire
Kuchepetsa mseru
Kukulitsa thukuta m'malo ena a thupi, makamaka kumbuyo kwa khosi ndi kumbuyo kwa mutu, pomwe thukuta lomwe limatuluka limakhala lolimba komanso lozizira.
Kumverera kwanjala yayikulu.

Matenda am'mitima, ndipo nthawi zina amatsutsa tachycardia.
Kuda nkhawa, kuchuluka kwa mantha, kumverera kwa nkhawa mosalekeza.
Kuzindikira kwa chithunzicho mozindikira.
Kuchuluka kwa manja, makamaka zala, kumangika, pomwe mawonetsedwe oterewa amatha kuwoneka m'dera la milomo.

Kuthana ndi zizindikiro zotere ndikosavuta. Nthawi zambiri zimakhala zokwanira kuti munthu azitha kudya zotsekemera kuti izi zisamachitike ndipo kuchuluka kwa glucose kumachitika.

Giredi yapakatikati

Mwanjira iyi, gawo la glucose limagwera pansi pamtengo wamtengo wapatali wa 3 mmol / L.

Zizindikiro zakuthwa koopsa kwa hypoglycemia:

Munthu amakhala wosakwiya msanga komanso wopanda mkwiyo.
Pakhoza kukhala kusokonezeka m'malo.
Kusavomerezeka kwa mawu kumawonekera, pomwe kuyankhula kumayamba kuchepa.
Kutupa kwanyimbo kumatha kuchitika.
Kuzindikira kumakhala kovutirapo, chisokonezo ndikuwonongeka kukumbukira kungawoneke.
Kutopa kwakukulu ndi kufooka kwakukulu.
Kugona nthawi zonse.
Kupanda mgwirizano, pomwe gait imakhala yosakhazikika, yosakhazikika.
Munthu amatha kulira pafupipafupi komanso popanda chifukwa.

Momwe mungayang'anire kulondola kwa mita? Matayala ndi Mitundu

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Miyezo ya shuga yamagazi idakhazikitsidwa mkati mwa zaka za zana la makumi awiri chifukwa cha kuyesa koyerekeza magazi mwa anthu athanzi komanso odwala.

Mankhwala amakono, kuwongolera kwa glucose m'magazi a odwala matenda ashuga samapatsidwa chidwi chokwanira.

Mafuta a shuga m'magazi a shuga nthawi zonse amakhala okwera kuposa anthu athanzi. Koma ngati musankha zakudya zopatsa thanzi, mutha kuchepetsa chizindikirocho, ndikuchifikitsa pafupi bwino.

Miyezo ya shuga

Asanadye m'mawa (mmol / L): 3.9-5.0 kwa wathanzi ndi 5.0-7.2 kwa odwala matenda ashuga.
Maola 1-2 atatha kudya: mpaka 5.5 wathanzi komanso mpaka 10,0 kwa odwala matenda ashuga.
Glycated hemoglobin,%: 4.6-5.4 wathanzi komanso mpaka 6.5-7 kwa odwala matenda ashuga.

Palibe mavuto azaumoyo, shuga wamagazi amakhala m'magawo 3.9-5.3 mmol / L. Pamimba yopanda kanthu ndipo atatha kudya, izi ndizofunikira 4.2-4.6 mmol / L.

Ndi kumwa kwambiri zakudya zokhala ndi mafuta ochulukirapo, shuga mwa munthu wathanzi amatha kuchuluka mpaka 6.7-6.9 mmol / l. Imakwera pamwamba pokha pokha.

Kuti mudziwe zambiri zamagulu a shuga a magazi mwa ana ndi akulu, dinani apa.

Kodi kuchuluka kwa shuga m'magazi mutatha kudya, kufotokozedwa m'nkhaniyi.

Zizindikiro za glucometer za shuga

Ma glucometer amakono amasiyana ndi makolo awo makamaka chifukwa samawerengeka ndi magazi athunthu, koma ndi madzi a m'magazi. Izi zimakhudza kuwerengedwa kwa chipangizocho ndipo nthawi zina kumabweretsa kuyesa kosakwanira kwa zomwe zapezeka.

Kuchuluka kwa plasma

Kuwerengera Magazi Onse

Kulondola poyerekeza ndi njira zasayansipafupi ndi zotsatira zopezeka ndi kafukufuku wa ma labotalezolondola pang'ono Glucose wamba (mmol / L): kusala kudyakuyambira 5.6 mpaka 7.2 osaposa 8.96kuyambira 5 mpaka 6.5 osapitirira 7.8 Kugwirizana kwa zowerengera (mmol / l)10,89 1,51,34 21,79 2,52,23 32,68 3,53,12 43,57 4,54,02 54,46 5,54,91 65,35 6,55,8 76,25 7,56,7 87,14 8,57,59 98

Ngati glucometer imapangika m'madzi a m'magazi, ndiye kuti magwiridwe ake azikhala okwera 10-12% kuposa zida zonse zokhala ndi magazi athunthu. Chifukwa chake, kuwerengera kwapamwamba pamilandu iyi kumawerengedwa kuti ndi kwachilendo.

Kulondola kwa Glucometer

Kuyeza kwa mamitidwewo kumatha kusintha mulimonsemo - zimatengera chipangizocho.

Mutha kukwaniritsa cholakwika chochepa cha zowerengera za zida potsatira malamulo osavuta:

Glucometer aliyense amafunikira cheke nthawi ndi nthawi mu labotale yapadera (ku Moscow ili 1 Moskvorechye St.).
Malinga ndi muyezo wapadziko lonse lapansi, kulondola kwa mita kumayang'aniridwa ndi miyezo yolamulira. Nthawi yomweyo, kuwerengako 9 mwa 10 sikuyenera kusiyana kwa wina ndi mnzake 20% (ngati kuchuluka kwa glucose ndi 4.2 mmol / l kapena kuposa) ndipo osapitirira 0.82 mmol / l (ngati mawu oti shuga ndi ochepera 4.2).
Musanalembedwe magazi kuti muunikidwe, muyenera kusamba ndi kupukuta manja anu osagwiritsa ntchito mowa ndikupukuta - zinthu zakunja pakhungu zitha kupotoza zotsatira.
Kuti muchepetse zala zanu komanso kuti magazi azithamanga, muyenera kuchita kutikita minofu.
Chowombera chizichitika ndi mphamvu zokwanira kuti magazi atuluke mosavuta. Pankhaniyi, dontho loyamba silikuwunikidwa: lili ndi zinthu zambiri zamadzimadzi zamagetsi ndipo zotsatira zake sizingakhale zodalirika.
Ndikosatheka kupaka magazi pa mzere.

Malangizo kwa odwala

Anthu odwala matenda ashuga ayenera kuyang'anitsitsa kuchuluka kwa shuga. Iyenera kusungidwa m'mawa 5.5-6.0 mmol / L m'mawa popanda kanthu ndipo mukatha kudya. Kuti muchite izi, muyenera kutsatira zakudya zamafuta ochepa, zomwe zoyambira zimaperekedwa apa.

Mavuto osokonezeka amakula ngati kuchuluka kwa shuga kwa nthawi yayitali kupitirira 6.0 mmol / L. Chotsikirapo, chimakhala chokwanira kuti munthu wodwala matenda ashuga azikhala moyo wopanda mavuto.
Kuyambira pa 24 mpaka sabata la 28 la kubereka, ndikulimbikitsidwa kuyesa mayeso okhudzana ndi glucose kuti muchepetse chiopsezo chotenga matenda a shuga.
Tiyenera kukumbukira kuti kuchuluka kwa shuga m'magazi ndi chimodzimodzi kwa anthu onse, ngakhale atakhala kuti ndi amuna kapena akazi komanso zaka.
Pakatha zaka 40, tikulimbikitsidwa kupenda hemoglobin kamodzi pa zaka zitatu zilizonse.

Kumbukirani, kutsatira zakudya zapadera, mutha kuchepetsa chiopsezo cha zovuta m'mtima, kupenya kwam'maso, impso.

Zizindikiro za hypoglycemic chikomokere ndi kupewa

Zizindikiro zake ndi ziti
Njira zochizira ndi kupewa

Kodi hypoglycemic coma

Kuzindikira kwa matenda ashuga, omwe amapezeka mwachangu kwambiri ndipo nthawi zambiri, omwe ali ndi makhwala othandizika, ndi matenda a shuga kapena a hypoglycemic.
Tiyenera kudziwa kuti kudwala matenda ashuga sikungowonjezera kumene kwa shuga.

Ndi matenda a shuga, omwe ali ndi mwayi wofanana, izi zimapangidwa:

ketocidotic chikomokere,
hyperosmolar
hyperatacidemic,
hypoglycemic.

Zizindikiro zake zokomera matenda ashuga ndizachidziwikire, koma adzatchulidwa pambuyo pake.
Zomwe zimayambitsa matenda a shuga odwala matenda ashuga ziyenera kuonedwa ngati kusintha kwa chiwopsezo cha shuga. Izi zitha kuyambitsidwa ndi:

mtundu wapadera wa shuga
njira yosankhidwa mwamankhwala,
kusowa kwa dongosolo lililonse pakumwa mankhwala, kuphatikizapo matenda ashuga.

Shuga, pakakhala kuti palibe insulin, ndiye kuti singapakidwe zinthu zomwe zimafunikira thupi. Potengera izi, chiwindi chimangoyamba "kukhazikika kwa shuga, poganiza molakwika kuti palibe zinthu zomwe zimapangidwa m'thupi chifukwa cha kusowa kwa shuga wokha.

Komanso, aliyense amene ali ndi chidwi, werengani za matenda a matenda ashuga a ketoocytosis.
Nthawi yomweyo, chitukuko cha matupi enieni chimayambitsidwa. Mkulu akayamba kupanga magazi m'magawo akuluakulu kwambiri kuposa momwe matupi a ketone amathandizira, wodwalayo amatha kuzindikira. Matendawa amatchedwa "kukomoka kwa shuga." Nthawi yomweyo, chikomokere mu shuga sichimakhala chogwirizana nthawi zonse ndi kuwonjezeka kwa shuga.
Milandu yodwala Mlingo wambiri ndi mtundu womwe umadalira insulin ndiwotheka. Potere, pali kuchepa kwadzidzidzi kwa shuga pansi pazoyenera kwambiri, chifukwa, wodwalayo amagwera pagawo loperekedwa. Izi ndi zamitundu mitundu kale.

Tiyenera kuzindikira zazikuluzikulu ndi zizindikiritso zomwe zili ndi vuto la shuga.

Zizindikiro zake ndi ziti

Zizindikiro ndi zizindikilo zofanana mu matenda ashuga ndi ofanana ndipo zimadziwika mwapadera ndi njira zofufuzira zasayansi.

Popanga chikomokere, ndikofunikira kuti misempha ya magazi ifike pamlingo wokwera 32-34 mmol pa lita (yokhala ndi mulingo wabwinobwino wa 3.4 mpaka 5.6 mmol).
Zizindikiro ndi hypoglycemia yomwe ili ndi mawonekedwe pachiyambi pomwe:

kumverera kwa ludzu losalekeza
nephropathy, kuphatikizapo mkodzo wotuluka kwambiri,
kufooka kwodziwikiratu
migraine yopitilira
chisangalalo champhamvu kwambiri, chomwe chimasinthidwa ndi kugona.
kuchepa kwamtima
kumverera kwa nseru (komwe kumayendetsedwa ndi kusanza mu shuga).

Ngati zoterezi zimatha kwa maola 10 kapena 24 popanda chithandizo chamankhwala chapadera, wodwalayo adzakhala ndi vuto lenileni la hypoglycemic:

kupanda chidwi ndi omwe ali pafupi (chizindikiro chochititsa chidwi cha matenda a shuga),
kupititsa patsogolo ntchito zaubongo (ndikusintha kwakanthawi),
kusakhalapo kwathunthu kwa chikumbumtima ndi zomwe zimachitika ku zomwe zimapangitsa (monga gawo lovuta kwambiri la matenda ashuga).

Mukamayesedwa, katswiri adazindikira zizindikiro monga:

khungu lowuma,
fungo la acetone kuchokera kumkamwa wamkamwa, yemwenso limafanana ndi maapulo wowawasa (mawonekedwe a hypoglycemic sakhala ndi izi),
kukoka kwamanyazi
kuchepetsa mavuto,
khungu limatentha kukhudza
kusintha kwa nsidze.

Fomu ya hypoglycemic ili ndi zizindikiro ndi zizindikiro zomwe ndizosiyana pamagulu onse otsalawo. Zizindikiro zakutha kwa mtundu uwu ndi izi:

Kupanga kwadzidzidzi kwanjala,
maonekedwe akunjenjemera pankhope yonse ya thupi,
kufooka kwodziwikiratu komwe kumachitika pakapita mphindi ziwiri kapena zitatu,
thukuta lidakwera thupi lonse;
mkhalidwe wamantha (monga gawo lowonjezera la mawonekedwe ashuga).

Ngati pakadutsa mphindi imodzi kapena ziwiri izi sizinasinthe, wodwalayo amadzazindikira, amakomoka.

Kuletsa izi ndizotheka ndi shuga komanso lokoma.
Zizindikiro za kuchepetsedwa dziko ndi motere:

khungu limapola kukhudza
minofu imamveka bwino,
maso sakhala ofewa.

Njira zochizira ndi kupewa

Kuti fomu ya hypoglycemic ichiritsidwe bwino, kuchuluka kwa matupi onse m'magazi kuyenera kukhazikika. Izi zachitika pogwiritsa ntchito:

insulin makonzedwe
shuga, pamene hypoglycemic coma ili ndi khalidwe.

Kuphatikiza apo, tikulimbikitsidwa kuti tichite zomwe zimadziwika kuti kulowetsedwa ndi njira zothetsera. Njira iyi ya mankhwalawa imakhudza kugwiritsa ntchito jakisoni ndi ma dontho, omwe amalimbitsa kusokonezeka kwa kapangidwe ka electrolyte, amachititsa kuchepa kwa madzi m'thupi ndi kukhazikitsa acidity ya magazi.
Njira yonse ya mankhwalawa ikuchitika mu malo ena ocheperako masiku awiri kapena atatu kapena chisamaliro chachikulu. Pambuyo pa izi, wodwalayo amasamutsidwa ku dipatimenti ya endocrinological, komwe mkhalidwe wake umakhala wokhazikika.
Chifukwa chake, ngakhale kuli ndi zosasangalatsa za zomwe zakambidwazo, ndizotheka kuchira. Ndiosavuta kudziwa nthawi yomwe chikomokere chimabwera. Chofunikira kwambiri pankhaniyi kwa iwo omwe ali pachiwopsezo ndikutembenukira kwa katswiri woyenera munthawi yake kuti athe kuthana ndi mavuto onse.

Momwe mungabweretsere shuga wamagazi ambiri

Kukhala ndi shuga wambiri m'magazi sikungakhale kosavutikira, ndipo ambiri omwe ali ndi matenda ashuga amafuna kudziwa zomwe angachite kuti achepetse magazi. Shuga wambiri amadziwika kuti hyperglycemia. Tiona zina mwazomwe mungachite kuti muchepetse shuga m'magazi munthawi yochepa.

Zoyambitsa Coma

Mkhalidwe wa Comatose ukhoza kukhala chizindikiro choyamba cha matenda ashuga atazindikira mochedwa kapena njira yayitali yodwalayo. Chomwe chimapangitsa kuchuluka kwa shuga m'magazi ndikusowa kwa insulin. Mtundu woyamba wa matenda ashuga, kusowa kwa mahomoni anu kumabweretsa ketoacidosis.

Pachimake kufalikira kwa magazi.
Matenda opatsirana motsutsana ndi maziko otentha kwambiri.
Pachimake kapena kuchulukitsa kwa matenda kapamba.
Kupuma, kuvulala, kuwotcha, kulowererapo kwa opaleshoni.
Matenda amkati.
Kulephera kwina.

Zizindikiro za chikomokomo mu odwala matenda ashuga

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. 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 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Julayi 6 alandire mankhwala - ZAULERE!

Vuto la matenda ashuga limadziwika ndi kuwonjezeka pang'onopang'ono kwa zizindikiro, zomwe zimasiyanitsa ndi zochitika za hypoglycemic, pomwe munthu atha kuzindikira mwadzidzidzi.

Zizindikiro zodziwika bwino za ketoacidosis ndi vuto la hyperosmolar zimachitika chifukwa cha kuthamanga kwa magazi ndi kuchepa kwa madzi amthupi.

Zizindikiro zambiri za dziko la hyperosmolar:

Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.

Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.

Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.

Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.

Kutulutsa kwambiri mkodzo, komwe umasinthidwa ndikusakhalapo kwathunthu.
Kufooka kwambiri, kufupika ndi palpitations.
Makatani amaso amakhala ofewa akakakamizidwa.
Dontho mu kuthamanga kwa magazi.
Kuwonongeka kwa chikumbumtima ndikulowa mu chikomokere.
Matalala, mayendedwe amaso osokoneza.
Kusokonekera kwa mawu.

Kuzindikira matenda akumwa

Chithandizo cha odwala matenda ashuga a Coma

Ndi zida za insulin zomwe zimapangidwa pakanthawi kochepa chabe zomwe zimagwiritsidwa ntchito. Kukhazikitsidwa kwawo kumayamba kuchitidwa kudzera m'mitsempha, monga magazi a magazi amachepetsa - kudzera m'mitsempha, kenako ndikusinthira njira yachikale yopanga insulin.

Kuphatikiza apo, pochizira matenda a shuga:

Antioxidant mankhwala - kukhazikitsidwa kwa vitamini B12.
Potaziyamu mayankho.
Heparin akukonzekera kupewetsa magazi.
Maantibayotiki.
Mankhwala amtima.

Pambuyo poti odwala akhazikika, amatha kudya okha, amalimbikitsidwa ndi mchere wamchere wamchere, chakudya chophika chokhazikika ndikuletsa mafuta osavuta a nyama ndi mafuta a nyama.

Kodi mungapewe bwanji chitukuko cha matenda ashuga?

Ndikofunikira pazinthu zotere kuti mumwe madzi okwanira oyera, ndikupatula kwathunthu zinthu zotsekemera ndi ufa, komanso nyama yamafuta, kirimu wowawasa, ndi batala. Zakudya zamasamba ambiri komanso nsomba zowiritsa ndizofunikira. Zakudya za khofi ndi tiyi wamphamvu ziyenera kuchepetsedwa chifukwa cha kupukusa kwawo.

Katswiri mu kanema mu nkhaniyi adzalankhula za chikomokere cha matenda ashuga.

Madigiri akulu

Vutoli limachitika pang'onopang'ono pomwe phindu la shuga limatsikira ku 1.9 mmol / L. Apa wina sayenera kuyankhulanso za zomwe zimayambitsa matendawa, koma za zotsatira zake.

Zotsatira za digiri yachitatu yakuvuta:

Coma kumayambiriro.
Maonekedwe akuthwa.
Kutsika kwamphamvu kwa kutentha kwa thupi.
Kupezeka kwa sitiroko.
Kuyamba kwa imfa.

Tiyenera kudziwa kuti kuchepa kwambiri kwa shuga m'magazi kwa nthawi yayitali kumatha kubweretsa zovuta, zomwe zambiri sizimasintha.

Zotsatira zotere zimayendetsedwa nthawi zambiri ku kachitidwe ka mtima ndi mitsempha yamagazi. Nthawi zambiri, mukamamwa mankhwala a beta-blocker gulu, Zizindikiro zakuopsa izi zitha kupezeka, choncho ndi chithandizo chotere ndikofunika kuyang'anitsitsa shuga wamagazi.

Ngati shuga amatsika pakugona, ndiye kuti munthu yemwe ali ndi mutu wopweteka adzuka. Zizindikiro za nocturnal hypoglycemia:

Kuchulukitsa thukuta usiku.
Kuyenda mu loto.
Maloto osokoneza kapena zolota pafupipafupi.
Kugwa m'maloto kuchokera pabedi.
Kuda nkhawa kwambiri, kuda nkhawa.
Anthu okuzungulirani amatha kuzindikira phokoso kapena phokoso zosiyanasiyana za munthu m'maloto.

Monga lamulo, ana samvera kwenikweni glucose wotsika. Ngati mu akulu kuwonetsa kwa hypoglycemia kumayamba ndi kutsika kwa chisonyezo kupita ku 3.8 mmol / L, ndiye mu ana zizindikiritsozo zimawonekera pokhapokha shuga itatsikira ku 2.5 - 2.2 mmol / L.

Yang'anani shuga yanu yamagazi

Ngati mukumwa mankhwala omwe angayambitse shuga m'magazi (hypoglycemia), tikulimbikitsidwa kuti mufufuze shuga lanu la magazi musanayese kutsitsa shuga yanu. Izi zikuyenera kuonetsetsa kuti shuga wamagazi ndi okwera komanso osatsika, popeza zizindikirazo zimatha kufanana. Kuyesa shuga yanu m'magazi musanafike pofunika kwambiri ngati mukumwa mankhwala a insulin. Patsamba lino, werengani zomwe zimayambitsa kuchuluka kwa shuga m'magazi.

Kuchepetsa shuga

Ngati mukumwa insulin, njira imodzi yochepetsera shuga m'magazi ndikumabaya insulin.

Komabe, samalani chifukwa insulin imatha kutenga maola anayi kapena kupitilira kuti ikwaniritse thupi lonse, chifukwa chake muyenera kuonetsetsa ndikuzindikira kuchuluka kwa insulin yomwe ili kale mthupi, yomwe siyikumizidwa m'magazi. Insulin, yomwe sinalowetsedwe m'magazi, imatchedwa "insulin yogwira."

Ngati mungaganize zochepetsa shuga ndi insulini, onetsetsani kuti mwasankha mlingo woyenera, chifukwa izi zingayambitse hypoglycemia ndipo zimatha kukhala zowopsa, makamaka musanagone.

Kuchita masewera olimbitsa thupi kungathandize kuchepetsa shuga m'magazi anu ndipo kuyenda ndi njira yabwino yokwaniritsira izi. Izi zikusonyeza kuti kuchita masewera olimbitsa thupi kumathandizanso kuchepetsa shuga m'magazi, koma sizikhala choncho nthawi zonse, chifukwa zochitika zolimbitsa thupi zimatha kuyambitsa kupsinjika komwe kumapangitsa kuti thupi lizikula kwambiri misempha yamagazi.

Imwani madzi ambiri

Mwazi wa magazi ukakwera, thupi limayesa kupukusa shuga owonjezera kuchokera m'mwazi kudzera mkodzo. Zotsatira zake, thupi lifunika madzi ambiri. Kumwa madzi kungathandize kuti thupi lisungunuke ena mwa magazi.

Kanema: Momwe Mungachepetse shuga ya shuga

Kuzindikira ndi chithandizo

Nthawi zambiri, kuyezetsa magazi kuti mupeze kuchuluka kwa glucose, komanso anamnesis ndi zizindikiro, ndikokwanira kuzindikira vutoli ndikupanga matenda. Hypoglycemia imaperekedwa kwa wodwala ngati pali zizindikiro za izi zomwe zimasowa ndikugwiritsa ntchito maswiti, motsutsana ndi kumbuyo kwa kuchepa kwa glucose muzotsatira zoyeserera.

Ngati kuchepa kwa shuga m'magazi kulibe vuto, wodwalayo amatha kuthetsa vutoli yekha ndikubwezeretsa msanga pomangodya supuni ya uchi, caramel, shuga pang'ono, mapiritsi angapo a glucose, akumamwa yankho lake kapena madzi otsekemera.

Anthu ena (makamaka omwe sakonda maswiti) amakhulupirira kuti chifukwa chaichi mungathe kudya sangweji iliyonse, mwachitsanzo, ndi soseji kapena tchizi pa chidutswa cha mkate woyera, ndikuti thupi limapeza shuga wofunikira kuchokera mkate.

Baton, monga mkate wina, siyabwino kukweza shuga m'magazi, ndipo kuwonjezera kwina kulikonse mwa mawonekedwe a batala, tchizi, soseji zomwe zimakhala ndi mafuta zimasokoneza kuyamwa kwa shuga, ndikuchepetsa izi. Simuyenera kugwiritsa ntchito pasitala pazolinga izi, komanso chokoleti, zipatso, makeke, chimanga ndi ayisikilimu.

Ngati mawonekedwe oopsa a hypoglycemia apezeka, ngati munthu wataya chidwi, ambulansi imayenera kuyitanidwa nthawi yomweyo.

Pankhaniyi, wodwalayo nthawi zambiri amapaka jekeseni wa shuga kudzera m'mitsempha, mwa kulowetsedwa pang'onopang'ono, ndipo theka la ola pambuyo pa njirayi, magazi a shuga amawunika. M'malo mwa yankho lamkati, glucagon angagwiritsidwe ntchito - mankhwala omwe angagwiritsidwe ntchito mosagwirizana kapena mu intramuscularly.

Nthawi zina, munthu amatha kuchipatala, zomwe zimatengera zomwe zimayambitsa matendawa. Kutalika kwa njira yotsekemera ndi kuthamanga kwa njirayi kudzadalira kuchuluka kwa kutsika kwa shuga ndi zomwe zimayambitsa izi. Mulingo wa makonzedwe uyenera kupereka kuchuluka kwa glucose m'magazi kuyambira 5 mpaka 10 mmol / L.

Shuga wochepa komanso matenda a shuga

Mu odwala matenda ashuga, shuga wamagazi amatha kuchepa kwambiri ngati chakudya chaphokoso chasokonekera, mwachitsanzo, ngati chakudya china chidadulidwa kapena munthu atadya chakudya chosakwanira chamafuta. Komanso, njala (mwachitsanzo, poyesera kuchepetsa thupi), kuchita masewera olimbitsa thupi osadya, komanso kumwa mowa ungayambitse kuchepa kwa chisonyezo.

Njira zowonjezera shuga pamaso pa anthu odwala matenda ashuga:

Ngati mulingo wachepa chifukwa cha kusowa kwa chakudya chamafuta, muyenera kuonanso zakudya zanu.
Musanagone, onetsetsani kuti mumadya zakudya zochepa zamapuloteni, kapena zakudya zomwe zimakhala ndi zopatsa mphamvu.
Kudya kumayenera kukhala kumagawo ang'onoang'ono, koma kwakanthawi, kugawa zakudya kuti thupi lilandire chilichonse chofunikira kuti likhalepo.
Ngati kuchepa kwa shuga kumalumikizidwa ndi kugwiritsa ntchito insulin, makamaka, ndi mlingo wake wosayenera, ndikofunikira kufunsa dokotala kuti musinthe mlingo.

Kupewa kwa hypoglycemia, komwe kumathandizira kupewa kuchepa kwa shuga m'magazi, ndikofunikira mu shuga.

Anthu odwala matenda ashuga ayenera kuyang'anira kuchuluka kwa shuga m'magazipogwiritsa ntchito zida zam'manja zotchedwa glucometer. Osamapuma pakati pa chakudya kwa maola opitilira 4. Muyenera kukhala ndi zinthu zokhala ndi shuga nanu kuti muzitha kuchitapo kanthu mwachangu ngati kuli kofunikira.

Munkhaniyi, tapenda lingaliro la hypoglycemia, zomwe zimayambitsa ndi zizindikiritso zake. Tsopano mukudziwa zonse ngati pali shuga wochepa wamagazi, zomwe ukunena ndi zoyenera kuchita nazo.

Mutha kuphunzira zambiri zokhudzana ndi shuga wochepa wa magazi mwa mwana m'nkhaniyi.

Shuga wambiri: zifukwa zoyenera kuchitira

Kuwala kumakhala kofunikira kuti thupi la munthu lilandire mphamvu. Ndi zochulukirapo zamagalimoto izi, kagayidweko kamasokonekera ndipo dongosolo lonse limasokoneza, lomwe limasainira nthawi yomweyo.

Ndikofunika kwambiri kuyang'anira kusamalitsa kwakanthawi komanso, choyamba, kuti mudziwe chomwe chinali chifukwa chodwala.

Ngati matendawa akuwonetsa hyperglycemia, ndiye muyenera kudziwa kuti shuga ndi yotani: zifukwa, momwe muyenera kuchitira?

Zizindikiro zazikulu za matenda

Kuchepetsa kuyang'anira
ludzu losalekeza komanso pakamwa louma
kutopa ndi kufooka,
kukodza kwambiri,
mseru ndi kusanza zitha kuchitika
kuchepa kwa masomphenya
kuyabwa
kuchiritsa kwamabala.

Chizindikiro chilichonse chili ndi njira yake yotsimikizira matendawa.

Kusintha kwa kulemera kwa thupi, ma receptor omwe ali ndi vuto lantchito ya insulin sangathe kumupanga. Chifukwa chake, khungu sitha kupeza shuga wokwanira (kudya kwambiri kapena pang'ono) ndipo kusinthasintha kwa thupi kumachitika.

Ludzu lalikulu limawonekera chifukwa chakuti glucose ndi chinthu chogwira ntchito chomwe chimamwa madzi. Ikachulukitsidwa, madzi ochokera mthupi amachotsedwa mwachangu, kachitidwe amakakamizidwa kuti apange kutaya madzi. Chifukwa ichi chikufotokozera maonekedwe a kamwa yowuma ndi kukodza mwachangu.

Kutopa, kufooka ndi mutu kumachitika chifukwa maselo aubongo amasiya kudya moyenera chifukwa cha kuchuluka kwa glucose. Ndipo amakakamizidwa kuti alandire mphamvu kudzera mu makutidwe a oxide, omwe amachititsa kuti matupi a ketone awonjezeke, omwe amafotokozanso kununkhira kwa acetone kuchokera kumlengalenga wopopera.

Shuga wapamwamba amachititsa kusintha kwa mandala ndi ziwiya za m'maso, chifukwa zotengera zakale zimawonongeka ndipo zatsopano zimakhala zosalimba. Komanso, kuphwanya kwa kayendedwe ka madzi kumatsogolera pakugundika kwa mandala.

Zizindikiro zoterezi zimatha kuwoneka ngati nkhawa yamavuto, kuperewera kwa zakudya m'thupi, matenda opatsirana am'mbuyomu, zizolowezi zoipa komanso kubadwa kwa majini.

Zizindikiro zikaonekera, timafunikira kukayezetsa magazi omwe akuonetsa kuchuluka kwa shuga m'magazi. Mwanjira, kuwerengera shuga pamtundu wabwinobwino ndi chizindikiro cha matenda ashuga. Kuti mudziwe momwe thupi liliri, khalani ndi mayeso apadera. Kwenikweni, amalembera anthu omwe ali pachiwopsezo.

Kuyesaku kumachitika m'magawo awiri: choyamba, magazi amaperekedwa pamimba yopanda kanthu (kwa shuga), kenako muyenera kumwa kapu yamadzi ndi glucose kuti mupereke kusanthula pambuyo maola awiri. Izi zimafuna kukonzekera.

muyenera kudya osachepera maola 10 mayeso asanachitike,
kwa masiku angapo, katundu wochita masewera sayenera kuletsedwa,
kupsinjika kuyenera kupewedwa
osasintha kadyedwe,
kumwa mankhwala aliwonse koletsedwa (masiku angapo asanaunike).

Ngati mayesowa adapeza kuphwanya m'thupi komwe kumayenderana ndi kuchuluka kwa shuga, titha kulankhula za matenda a shuga a mtundu woyamba kapena wachiwiri. Ndikofunika kukumbukira kuti pali matenda omwe angayambitse shuga kwakanthawi.

Ngati mwapezeka ndi matenda a shuga, kupatsidwa mankhwala a insulin kapena mapiritsi. Kuphatikiza apo, muyenera kutsatira malamulo ena.

Njira zoyenera zothandizira

sinthani zolemetsa: izi zithandiza endocrinologist ndi wathanzi,
kutsatira zakudya ndi zakudya zomwe
lekani zizolowezi zoipa (mowa ndi kusuta),
Zochita zamasewera zimathandizira kuti maselo azikhala ndi mpweya, motero kuyamwa kwa shuga.

Zakudya zoyenera zimatha kukhwimitsa shuga. Pewani zakudya zopanda pake ndipo samalani ndi kalozera wa glycemic, zomwe zikuwonetsa kuti zakudya ndizoletsedwa.

Zakudya zabwino kwa odwala matenda ashuga

Kudya kuyenera kugawidwa m'njira zingapo patsiku. Zakudya zimatanthawuza kuchepetsera kudya kwanu kwamphamvu kwambiri. Zakudya za tsiku ndi tsiku ziyenera kuphatikizapo mapuloteni, mafuta, ndi chakudya chambiri chamafuta. Zakudya zilizonse zothamanga komanso madzi otsekemera adzafunika kuthetseratu.

Kugwiritsa ntchito zinthu zokhala ndi shuga ndizochepa pokhapokha ngati pali mtundu wofatsa wa matendawa, ndipo m'malo ovuta kwambiri sawasiyidwa.

Zakudya zamafuta sizilimbikitsidwanso kwa odwala matenda ashuga. Palibe mafuta opitilira magalamu 40 patsiku omwe angaloledwe kwa wodwala.