Momwe mungaperekere magazi a shuga

Magazi a shuga amayenera kuperekedwa panthawi yopima kafukufuku wopangidwa kuti azindikire achikulire ndi ana matenda monga matenda a shuga.

Mothandizidwa ndi mayeso a labotale, onse a shuga 1, omwe amapezeka kwambiri mwa achinyamata, komanso shuga 2, yomwe imadziwika kwambiri ndi okalamba, imawululidwa.

Kuyesa kwa labotale kwa shuga kumathandizanso kupewa matenda ashuga. Mwa kuchuluka kwa kupatuka kwa kusanthula kumachitika kuchokera kwazizoloŵezi, zizindikiro zoyambirira za vuto losagwirizana ndi shuga zimapezeka, zomwe zimathandiza kupewa kapena kufikisa kukula kwa matenda ashuga.

Kuphatikiza pa kuzindikiridwa kwa matenda ashuga, monga chifukwa chachikulu chothandizira kupatuka kwa shuga kuchokera ku chizolowezi, kuyesedwa kumayesedwa kuti kupezeke ngati matenda a endocrine dongosolo, kuwunika kwa matenda a mtima, kugwidwa.

Kupereka kwa magazi kwa shuga ndikofunikira pamavuto a mahomoni:

kuperewera kwa adrenal,
hypothyroidism
matenda a hypothalamic-pituitary dongosolo la ubongo.

Zomwe zimapangitsa kuti ayesedwe magazi mwina ndi mwina:

matenda a shuga
matenda a chiwindi
kunenepa.

Momwe mungaperekere magazi a shuga

Kafukufuku yemwe amazindikira kuchuluka kwa shuga m'magazi amawayikidwa mosasamala chakudya kapena pamimba yopanda kanthu. Kuyesa kumachitika:

pamimba yopanda kanthu
- pakutsimikiza kwa shuga,
- glucose kulolerana mayeso (GTT),
ngakhale chakudyacho - glycated hemoglobin.

Malamulo okonzera wodwala kuyezetsa magazi kuti asala kudya shuga kuchokera m'mitsempha komanso kuchokera pachala ndi chimodzimodzi.

Kuti muwonjezere shuga molondola, simungadye chakudya kwa maola 8 mpaka 14 musanamwe magazi, kumwa zakumwa monga tiyi, koloko, khofi, msuzi.

Zimaloledwa, komabe, ndikosayenera kumwa ngakhale madzi ochepa. Kugwiritsa ntchito zakumwa zilizonse kumaletsedwa.

Kuyesedwa kwa glucose kumachitika poyamba ngati kuphunzira mwachizolowezi. Kenako, kuyezetsa magazi kumabwerezedwa pambuyo pa ola limodzi ndi pambuyo pa maola awiri.

Palibe vuto ngati nkotheka kudya ngati magazi aperekedwa chifukwa cha glycated hemoglobin, yomwe imadziwika ndi shuga miyezi 3 isanachitike.

kuwunika machitidwe a hyperglycemic pamene misinkhu ya shuga imakwezedwa,
kudziwa hypoglycemia shuga atachepetsedwa.

Kukhazikitsidwa kwa mayeso kumakuthandizani kuzindikira kusintha koopsa kwa glycemia.

Ngati ndizosatheka kuyeserera m'mawa pamimba yopanda kanthu, ndiye kuti mutha kufufuza magazi kuti mukhale ndi shuga pambuyo maola 6 akusala kudya, kupatula zakudya zamafuta pazakudya.

Zachidziwikire, zotsatira za kafukufukuyu sizingatchulidwe kuti ndizodalirika. Posachedwa, muyenera kukonzekera bwino mayesowo, ndikupatsanso magazi mayeso a shuga.

Momwe mungakonzekerere kuphunzira kopanda m'mimba

Mukamadutsa pamimba yopanda kanthu kuti mupeze shuga, tikulimbikitsidwa kuti muzitsatira zakudya zabwino, kupewa kudya kwambiri, kuchuluka kwa thupi, mantha.

Simungathe mwachindunji, kuti mupange kusanthula, muchepetse zopatsa mphamvu za zakudya, ndipo musafe ndi njala. Menyuyi muyenera kukhala ndi zopatsa mphamvu zamafuta (chimanga, masamba, mkate) zosachepera 150 g.

Komabe, simuyenera kuwonjezera kuchuluka kwa chakudya. M'malo mwake, zakudya zama calorie ambiri sizimachotsedwa pakadali masiku atatu kuyezetsa magazi.

Mitundu yayikulu ya glycemic index (GI) yomwe imathandizira kuti shuga iwonjezeke imatha kupotoza zotsatira zakuwunika.

Kuti muzitha kukonzekera bwino mayeso okhudza kuchuluka kwa shuga m'magazi, zinthu zomwe zili ndi GI yayikulu ziyenera kupatula masiku 3 zisanachitike kusanthula, monga:

mpunga
mikate yoyera
masiku
shuga
mbatata zosenda
chokoleti cha mkaka, etc.

Otsatirawa saloledwa pokonzekera phunzirolo:

khofi wamphamvu, tiyi,
mowa
chakudya chofulumira
chakudya chamafuta,
madzi m'matumba
mandimu, zakumwa zochokera mu kaboni, kvass,
kuphika, kuphika.

Zakudya zonsezi zimachulukitsa glycemia, yomwe imasokoneza kukula kwake kwenikweni.

Simuyenera kuchuluka musanayambe kuyesedwa, m'zakudya, zakudya zomwe zimachepetsa glycemia. Pali malingaliro ambiri okhudza ngati zakudya zimatha kutsitsa glycemia ndikuchiza matenda ashuga.

Komabe, mu mankhwala azikhalidwe anthu amakhulupirira kuti zinthu zomwe zimathandizira kuthana ndi shuga m'magazi zimaphatikizapo Yerusalemu artichoke, rasipiberi, mabulosi abulu, zitsamba zina, anyezi ndi adyo.

Asanayezedwe magazi pazopezeka shuga, zakudya izi zimaphatikizidwa kwakanthawi. Izi zikuthandizani.

Kodi ndingadye chiyani ndisanatenge sampa yamagazi kuti ndidziwe kuchuluka kwa shuga, ndizofunikira kudya zomwe ndizisamalira?

Pamaso kusanthula, chakudya chamadzulo chimatha kukhala ndi mbale imodzi yomwe mungasankhe:

Nyama yophika, nkhuku kapena nsomba,
kefir kapena yogati yopanda shuga,
gawo laling'ono la phala
tchizi chamafuta ochepa.

Kuchokera pa zipatso, mumatha kudya apulo, peyala, maula.

Kukonzekera kwa kusanthula panthawi yapakati

Mimba imakhala pachiwopsezo cha matenda ashuga. Izi zikutanthauza kuti glycemia imayendetsedwa, kuyambira gawo lakukonzekera kutenga pakati, komanso nthawi yonse ya bere.

Pakadutsa masabata 8-12 ndi masabata 30, azimayi amapereka magazi kuchokera chala / mtsempha pamimba yopanda kanthu. Ngati zikwangwani zoposa 5.1 mmol / l zapezeka, GTT imayikidwa.

Ngati mayi ali ndi toxosis yayikulu, ndiye kuti kuyesako sikulimbikitsidwa, chifukwa zotsatira zake zimakhala zosadalirika. Dokotala amatha kuchedwetsa mayesowo ngati mayiyo sakumva bwino, pomwe amakakamizidwa kuti agone pabedi.

Zizolowezi zabwino

Osamawatsuka mano musanayesedwe. Kuthira mano kumakhala ndi mankhwala osiyanasiyana, kuphatikizapo shuga. Pamodzi ndi malovu, amatha kulowa mgonero ndikuwononga zotsatira za kusanthula.

Simuyenera kusamba moto m'mawa musanapendeke kapena basiki mu sauna, pitani ku solarium. Mikhalidwe iyi yokonzekera, ponseponse, aliyense amakwaniritsa, kuyambira nthawi yomwe muyenera kuyesa magazi kuti mupeze shuga limagwa m'mawa kwambiri.

Amakana masewera masiku awiri asanaunike. Simungathe kulipiritsa patsiku la kusanthula.

Mankhwala

M'mawa, mayeso akachitika, musamwe mankhwala. Masabata angapo asanafike phunziroli, mankhwala omwe amakhudza glucose amathetsedwa, mwachitsanzo, maantibayotiki.

Mndandanda wa mankhwala omwe wodwala amatenga ayenera kufotokozeredwa kwa dokotala musanawunikidwe. Zotsatira zake zimatha kukhudzidwa osati ndi mankhwala okha, komanso ndi makapisozi kapena zipolopolo momwe mankhwalawa adatsekera.

Kuphatikizika kwa zipolopolozi kumaphatikizapo zinthu zomwe zingasokoneze zotsatira za kafukufukuyu.

Mapiritsi azala zam'manja, ngati magazi a capillary amatengedwa kuti athe kupenda shuga, ayenera kukhala oyera. Sayenera kukhala zodzola, mafuta odzola.

Zizolowezi zoipa

Kusuta sikuyenera kuperekedwa kwa ola limodzi chisanachitike kusanthula. Ndudu zamagetsi zimaletsedwanso musanadutse mayeso kwa ola limodzi.

Mowa umaphatikizidwa ndi zakudya usanawunikidwe kwa masiku atatu. Izi ndichifukwa choti mowa wa ethyl umakhudza mwachindunji mphamvu ya chiwindi kuti ipange shuga wake.

Zotsatira zake zimatha kulimbikira, kutengera mlingo wa mowa, kwa maola angapo mpaka masiku angapo. Mndandanda wazoletsedwa umaphatikizapo zakumwa zonse zokhala ndi zakumwa zoledzeretsa - vinyo, mowa, vodka, peyala.

Musanapereke mayeso a magazi a shuga, simuyenera kudya chilichonse chomwe chili ndi mowa. Mowa wa Ethyl mwanjira yovomerezeka kapena yopopera amatha kupezeka m'maswiti, chokoleti, zophika, ndi zophika.

Njira zonse zodziwonera komanso zolimbitsa thupi siziphatikizidwa kusanachitike. Njira ndi maphunziro a physiotherapeutic, monga ultrasound, radiography, UHF, zimachitika masiku angapo magazi asanayesedwe.

Malangizo oyendetsera asanafufuze

Pamaso kusanthula, simungathe:

kuthamanga
kukwera masitepe
kuda nkhawa komanso kuda nkhawa.

Kuthamangira mayesowo, simungathamangire, kukhala wamanjenje, chifukwa kupsinjika ndi mahomoni opsinjika (cortisol, adrenaline), omwe amachulukitsa kuchuluka kwa glycemia, amamasulidwa panthawi yopsinjika ndi zochita zolimbitsa thupi.

Musanalowe mu ofesi kuti mukawunikidwe, muyenera kukhala modekha kwa mphindi 10, kukhazikika. Kupanda kutero, zotsatira zake zidzakhala zochulukirapo.

Ndipo akapitirira muyeso wabwinobwino, adzayambiranso, komanso kukayezetsa mayeso a glucose, ngati dokotala akuwona kuti kuphunziraku nkofunika.

Tsiku lomaliza

Kusanthula kwa magazi a capillary kuchokera chala kumakonzedwa mwachangu, patangopita mphindi zochepa.

Kusanthula kwakanthawi pang'ono kumachitika kuti mupeze kuchuluka kwa glucose m'magazi otengedwa kuchokera mu mtsempha. Zitha kutenga ola limodzi kuti izi zidziwike.

Patsogolo, zotsatira zake kuchipatala zimaperekedwa ndikuchedwa, zomwe zimalumikizidwa ndi kuchuluka kwa maphunziro omwe akupitilira.

Mukamaganiza za kusanthula, munthu asachite mantha ndi zotsatira zake. Kumbukirani kuti kuwonjezeka kumodzi kapena kuchepa kwa glycemia sikokwanira kuti muzitsimikizira.

Kuzindikira kumachitika pokhapokha pakuwunika kwathunthu, kutsimikiziridwa ndi zotsatira za mayeso angapo pakutsimikiza kwa shuga m'magazi, GTT, hemoglobin ya glycated.

Kutsimikiza kwa magazi ndi glucometer

Kutenga kuyesa kwa shuga kuchokera kumunwe wanu, sikofunikira kupita kuchipatala, chifukwa mutha kuwunika magazi glycemia kunyumba ndi glucometer.

Ndikudziyesa nokha shuga, zotsatira zoyeserera zakonzeka nthawi yomweyo. Kugwiritsa ntchito chipangizo chomwe mungafufuzire:

Mlingo wa Glycemia
Mphamvu pakusintha - kuchuluka, kuchepa kwa kuchuluka kwa shuga
Sinthani shuga m'magazi pazakudya - kuyeza shuga m'mawa m'mimba yopanda ola limodzi, maola awiri mutatha kudya

Asanayeze kuchuluka kwa glucose kunyumba, kukonzekera komweku kumachitika ngati musanalowe kuchipatala.

Ndikofunikira, komabe, kukumbukira kuti mita ya glucose yakunyumba imangoyesa kuchuluka kwa shuga. Ngati chipangizocho chadutsa kale momwe mumayezera shuga m'magazi a capillary, musachite mantha.

Chipangizocho chili ndi cholakwika chokwanira mokwanira, ndipo matenda a shuga sapezeka muyezo umodzi. Mutha kuwerengera za miyezo ya shuga mwa akulu ndi ana m'magazi pamasamba osiyana a tsamba.

Kodi kafukufukuyu amamuchitira chiyani?

Kutumiza shuga kwa magazi a venous kapena capillary miyezi isanu ndi umodzi iliyonse ndikofunikira kwa anthu azaka zopitilira 40. Phunziroli ndilothandizanso kwa anthu omwe ali onenepa kwambiri kapena omwe ali ndi vuto la matenda ashuga. Kuzindikira koyambira kwa matenda a zam'mimba kumakupatsani mwayi wosankha chithandizo choyenera munthawi yake: chithandizo cha zakudya, jakisoni wa insulin, mankhwala.

Kuyeza magazi kwa shuga wokhala ndi kapena popanda katundu (kuyesa kwa glucose test) (kuyesa kwamagazi kwa shuga) ndi njira yotsika mtengo komanso yolondola yovomerezeka yodziwira matenda. Ku Russia, anthu pafupifupi 9 miliyoni amapezeka ndi matenda ashuga. Ofufuzawo amalosera kuwonjezeka kawiri kwa odwala m'zaka khumi ndi zinayi. Kufunika kodziwitsidwa koyambirira ndikusankhidwa kwa mankhwala oyenera kumachitika chifukwa chakuti matenda ashuga ali m'malo 4th pakati pa pathologies okhala ndi zotsatira zakupha.

Kuyesa kwa shuga wamagazi ndi katundu

Kuyesedwa kwa shuga ndimagazi kapena kuyesedwa kwa glucose kumayesedwa poyesa kuchuluka kwa shuga. Algorithm yofufuza: wodwalayo amapereka magazi a venous kapena capillary mosamala pamimba yopanda kanthu, ndiye kuti amampatsa kapu yamadzi yokhala ndi shuga wosungunuka m'mimba mwake (mankhwalawo amawerengedwa potengera kulemera kwa thupi la wodwalayo), kenako biomaterial imabwezedwanso theka lililonse la ola (kanayi).

Kupereka kwa magazi ndi kulemera kwa glucose kumapereka lingaliro la wodekha wodekha pambuyo kapu yamadzi okoma. Pakadutsa pakati pa miyeso, simuyenera kuyenda masitepe, ndibwino kuti mukhale pansi kapena mutagona modekha.

Kukonzekera kuyezetsa magazi kwa anthu omwe ali ndi shuga pamtunduwu sikumaphatikizapo kudya kwa maola 12, komanso zakumwa zoledzeretsa zilizonse ndi mankhwala osachepera tsiku limodzi. Kuchita masewera olimbitsa thupi kuyeneranso kuthetsedwa, kuti muchepetse kukhumudwa kwambiri.

Kodi kuyezetsa magazi kwa shuga ndi mitundu yake ndi kotani?

Wodwala atha kulandila kuchokera kwa dokotala wamkulu, endocrinologist, gynecologist kapena dokotala wa ana. Mwanjira yotumizira, adokotala akuwonetsa mtundu wa kafukufuku. Zofananira:

Kutsimikiza kwa shuga m'magazi,
kusintha kwa shuga wamagazi (pamimba yopanda kanthu),
kuthamanga kwa shuga m'magazi (FBS),
kuyesa kwa shuga
kusala magazi m'magazi (FBG),
kusala madzi am'magazi,
shuga wamagazi.

Kuphatikiza pa kuwunika kwa shuga komwe kumachitika pansi pa katundu, njira zina zodziwonetseratu zasayansi zimadziwika. Amachitika kuti adziwe chithunzi chachipatala chodziwika komanso kuzindikira zolephera mu kagayidwe kazachilengedwe:

kuyezetsa magazi kwa biochemistry ndiyo njira yosinthasintha kwambiri yomwe imawonetsa chithunzi chonse chaumoyo wa wodwala yemwe akuwunikidwa. Zimachitika pakuwunika pachaka, komanso koyambirira koyambitsa matenda. Phunziroli limaphatikizapo kupereka magazi kwa bilirubin, ALAT, ASAT, mapuloteni onse, creatinine, cholesterol, phosphatase ndi shuga,
kuyezetsa kwa C-peptide kumachitika ngati kuli kofunikira kumaliza ziphuphu zam'mimba zomwe zimapanga insulin. Imalola kuti azindikire mitundu ya matenda ashuga,
Kutsimikiza kwa glycated hemoglobin wambiri - hemoglobin yokhala ndi shuga. Mkulu wama glucose amalumikizana mwachindunji ndi kuwonjezeka kwa glycated hemoglobin. Malinga ndi malingaliro a WHO, njirayi imawonedwa ngati yoyenera ndi yokwanira kuyang'anira momwe anthu omwe ali ndi matenda ashuga onse amakhalira. Ubwino wa mayesowo ndikuti mungathe kuwunikiranso za kuchuluka kwa glucose m'miyezi 1-3 yapitayi kafukufukuyu asanachitike,
Kutsimikiza kwa fructosamine ndende (shuga + mapuloteni) amawonetsa phindu la glucose masabata angapo isanachitike kusanthula. Izi zimatipangitsa kuti tiwunikenso bwino momwe njira zamankhwala zosankhidwira zimafunikira komanso kufunika kwake kukonza,
kuwonetsa kufotokozera kumaphatikizira kuperekera kwa magazi a capillary a shuga kunyumba pogwiritsa ntchito zingwe ndi glucometer. Njira zowonetsera sizingakhale njira yabwinoko yothandizira njira zodziwitsira matenda.

Kodi shuga m'magazi amayeza chiyani?

Magawo a shuga wamagazi ndi millimol pa lita imodzi (mmol / l), njira ina ndi milligram pa mamililita 100 (mg / 100 ml). Pomasulira, muyenera kugwiritsa ntchito fomula: mg / 100 ml * pa 0.0555 = mmol / L.

Kunja kwa Russia, gawo latengedwa kutiayeza mtengo wake - mamiligalamu pa desilita (mg / dts).

Momwe mungaperekere magazi a shuga?

Kukonzekera zopereka zamagazi kwa shuga kumatanthauza kusungidwa kwa malamulo ofunikira, kunyalanyaza komwe kumabweretsa zotsatira zabodza, kuzindikira kolakwika ndi kuwonongeka kwa mkhalidwe wa wodwalayo. Chifukwa chake, muyenera kulabadira mwapadera nkhaniyi.

Chofunika: Malamulowa ndi ofanana pa njira zonse zodziwonera pamwambapa. Chosiyana ndi chowunikira chawonekera, chifukwa chimachitika nthawi iliyonse ndikukula kwa mkhalidwe wa munthu.

Mukamasulira zomwe zapezedwa, kuchuluka kwa nthawi pakati pa chakudya chomaliza ndikuyezera phindu kumazindikiridwa. Ngati magazi adaperekera zosakwana 1 - 2 maola mutadya, ndiye kuti zovomerezeka zimasinthidwa kukhala 7 - 10 mmol / L. Pomwe chidziwitso cha chizindikiritso pamimba yopanda kanthu chimachokera ku 4 mpaka 6.1 mmol / l kwa akulu ndi 3.5 - 5.5 mmol / l kwa ana.

Njira yodziwika yovomerezeka ya labotale ndi hexokinase.Nthawi yotsika siyikhala kuchokera maola awiri mpaka tsiku limodzi, osawerengera tsiku lomwe atenge.

Kukonzekera malamulo

Wodwala wamkulu amapereka magazi m'mawa pamimba yopanda kanthu, atatha kudya maola 12, kwa ana ndizovomerezeka kuti achepetse nthawi yotalikirana mpaka maola 6-8. Sizoletsedwa kumwa khofi ndi tiyi, makamaka zotsekemera. Mutha kumwa madzi oyera osapanda kaboni. Kugwiritsa ntchito madzi ambiri kumachepetsa chiwonongeko cha maselo ofiira a m'magazi (hemolysis) ndikuthandizira kwambiri njira yotengera biomaterial. Chofunika kwambiri ndi lamulo la ana.

Amadziwika kuti panthawi yopanikizika kuchuluka kwa shuga m'magazi kumakwera kwambiri. Izi ndichifukwa choti pakukhumudwa mu thupi la munthu, zida zoteteza zimayendetsedwa, pomwe gawo logaya chakudya ndi zogonana limaletsedwa. Mphamvu zazikuluzikulu zathupi zimalimbana ndi kuthana ndi vuto lakunja. Kuphatikiza pamodzi kwa insulin ndi kapamba ndi kutulutsa shuga wambiri (gwero lalikulu lamphamvu) m'magazi kumathandizira kukulitsa kwa hyperglycemia.

Kutengera izi, magazi a shuga okhala ndi kapena opanda katundu amaperekedwa m'malo opanda phokoso. Kunyalanyaza dongosololi sikukuteteza kuti mupeze zotsatira zoyipa zabodza zomwe zili ndi shuga wambiri. Pewani kukhala ndi nkhawa kwambiri pakatha masiku 1 musanabadwe, ndipo mutabwera ku labotale muyenera kukhala osachepera mphindi 15.

Ndi kulimbitsa thupi kulikonse, mphamvu yosunga thupi la munthu imadyedwa, zomwe zikutanthauza kuti shuga ya magazi imachepetsedwa. Masewera olimbitsa thupi musanapite ku labotale amabweretsa zotsatira zabodza. Chifukwa chake, tsiku lisanaperekedwe kwa biomaterial, masewera olimbitsa thupi ayenera kudumpha, ndipo mu ola limodzi kuti muchepetse zovuta zilizonse zolimbitsa thupi.

Osachepera tsiku limodzi, ndikofunikira kupatula kugwiritsa ntchito mankhwala aliwonse mwagwirizana ndi dokotala wanu. Ngati ndizosatheka kusiya mankhwalawa, wogwira ntchito akuyenera kuchenjezedwa za kumwa kwake, afotokozereni kuti mankhwalawo adatengedwa liti ndi dzina lake lenileni.

Kufunika kwa mankhwala osuta komanso kusuta fodya musanaunike

Zimadziwika kuti magulu ena a mankhwala amatha kuwonjezera kuchuluka kwa zomwe zimaganiziridwa ndipo ndi chifukwa chopezera zotsatira zabodza. Izi zikuphatikiza:

mahomoni a steroid
psychotropic mankhwala (antidepressants),
okodzetsa
mankhwala a mahomoni, kuphatikizapo njira zakulera za pakamwa,
Kukonzekera kwamu
antimicrobials
antiepileptic mankhwala
magulu ena a ma pinkiller ndi antipyretic mankhwala, mwachitsanzo, sodium salicylate.

Chifukwa chake, muyenera kukana kumwa magulu omwe ali pamwambawa (atakumana ndi dokotala).

Musanapereke magazi kwa shuga, nkoletsedwa kusuta kwa theka la ola. Pambuyo pa ndudu mwa anthu, kuchuluka kwa shuga kumawonjezeka kwakanthawi. Ichi ndi chifukwa cha kutseguka kwa katulutsidwe ka mahomoni opsinjika (cortisol ndi catecholamines), omwe ndi insulin antagonists. Mwanjira ina, iwo amalepheretsa magwiridwe antchito a insulin, omwe amasokoneza kagayidwe kake ka shuga.

Kusuta kumakhala kowopsa makamaka kwa anthu omwe ali ndi mtundu wachiwiri wa matenda ashuga. Popeza maselo awo amatha kulolerana kwambiri ndi zochita za insulin, ndipo chikonga chimawonjezera njirayi.

Ndi zakudya ziti zomwe sizingadyedwe musanapereke magazi a shuga?

Ngakhale kuti kusanthula kumaperekedwa pamimba yopanda kanthu, chifukwa tsiku 1 wodwalayo ayenera kusintha kwathunthu chakudya chake. Ndikofunika kusiya zakudya zamagetsi zomwe zimapezeka mosavuta:

makeke
makeke
kupanikizana
Zinthu zophika buledi
chakudya chofulumira
ndi zakudya wowuma kwambiri.

Popeza zimachulukitsa kuchuluka kwa shuga m'magazi, ndipo ngakhale thupi lamunthu wathanzi limafunikira nthawi yayitali kuti bweretsere chizindikirocho.

Mwa zakumwa, ndibwino kumwa madzi abwino kapena tiyi wopepuka wopanda shuga. Zoletsedwa: zakumwa zoziziritsa kukhosi komanso zopangidwa ndi zakumwa zoledzeretsa, kuphatikizapo zakumwa zamagetsi, misuzi m'matumba ndi khofi. Nthawi yomweyo, mowa samachotsedwa masiku osachepera atatu, chifukwa Mowa ndi zinthu zake zowonongeka zimachotsedwa m'thupi kwa nthawi yayitali.

Kodi kuwunika kumawonetsa chiyani?

Zotsatira zomwe zapezedwa zikuwonetsa mkhalidwe waumoyo wa wodwalayo. Monga lamulo, shuga wambiri amawonetsa shuga mellitus, komabe, kupatula kwawonekeratu, kuyesedwa kowonjezera kotsimikizika kumayikidwa. Zifukwa zomwe zingakhalepo pakupatuka kwa chizindikirocho zikuphatikiza:

acromegaly
Hyperfunction a adrenal glands komanso kuchuluka kwa mahomoni awo kumthupi,
khansa ya kapamba
kapamba
kuchuluka kwa chithokomiro,
kupsinjika mtima
sitiroko.

Kuzindikiritsidwa kwa hypoglycemia kumatheka pokhapokha kutsimikiziridwa kwa Whipple triad:

shuga ndende zosakwana 2.2 mmol / l,
chithunzi cha matenda a hypoglycemia: kusokonezeka m'maganizo, kumangokhala ndi njala, kunachepetsa kupenyerera, kutuluka kwambiri,
kukhathamiritsa kwathunthu kwa mavuto osokoneza pambuyo matenda a shuga.

Zofanana zitha kuchitika chifukwa cha zinthu zakale komanso zinthu zina, pakati pawo:

matenda amtundu wa adrenal, chiwindi, komanso kapamba kapena chithokomiro.
uchidakwa wambiri,
panhypopituitarism,
kusala kudya kwanthawi yayitali.

Mwachidule, ndikofunikira kufotokoza mfundo zofunika:

kukonzekera koyenera ndikomwe kumatsimikizira kuti mupeze zotsatira zolondola, pochotsa kufunikira kwa mayeso obwereza,
kupeza zotsatira zomwe zikupatuka pazomwe zimakhazikika, ndizomwe zimafunikira pakuwonjezera mayeso pogwiritsa ntchito njira zosiyanasiyana,
perekani magazi kwa shuga pafupipafupi kamodzi pachaka, popeza matenda ashuga koyambira amatha kuchitika popanda zizindikiro zamankhwala. Komabe, kupezeka kwake koyambirira kumathandizira kwambiri kukonza chithandizo ndikuwongolera kudwala.

Julia Martynovich (Peshkova)

Omaliza maphunziro, mu 2014 adachita maphunziro apamwamba ku Federal State Budget Educational Institution of Higher Education ku Orenburg State University ndi digiri ya Microbiology. Omaliza maphunziro a digiri yoyamba FSBEI HE Orenburg State Agrarian University.

Mu 2015 Institute of Cellular and Intracellular Symbiosis of the Ural Nthambi ya Russian Academy of Science inachita maphunziro apadera pansi pa pulogalamu yowonjezera yaukadaulo "Bacteriology".

Laureate mpikisano wa All-Russian pantchito yabwino yasayansi mukutchedwa "Biological Sayansi" wa 2017.

Chomwe chikuwunikira

Kuyesedwa kwa shuga m'magazi ndikofunikira kwa magazi m'magazi.

Kufunika kwa kuchuluka kwa shuga m'magazi sikunganyalanyazidwe, chifukwa ndichimodzi mwazinthu zazikulu za kagayidwe kamunthu. Zophatikiza ndi shuga ndizomwe zimapatsanso mphamvu kwa thupi, zofunikira pa moyo wabwinobwino.

Kupatuka kulikonse mu shuga wamagazi kungayambitse matenda oopsa. Kuwunikira mwachindunji kuti mupeze kuchuluka kwa shuga ndikofunikira kuti mupeze chithunzi chonse cha momwe munthu wamkati wamunthu alili.

Zotsatira zomwe zimapezeka nthawi zambiri zimathandizira kuzindikira panthawi yake ndikuyamba kuchitira matenda a zamatsenga, zomwe ndizofunikira, chifukwa magwiridwe antchito onse ndi chinsinsi chothandizira bwino.

Mlingo wa shuga m'magazi a munthu wamba nthawi zonse umakhala wokhazikika, nthawi zina umangopatuka kuchoka pazomwe zimachitika chifukwa cha kusintha kwina kwa mahomoni. Chifukwa chake, mwachitsanzo, kupanikizika kwa spasmodic kumawonedwa pa kutha msambo kapena kwa akazi nthawi yomwe akusamba, pakati komanso zina. Nthawi zina, kuchuluka kwa shuga m'magazi kuyenera kukhala chimodzimodzi, kusinthasintha kakang'ono kokha komwe kumaloledwa kutengera zifukwa zina.

Kukonzekera

Kukonzekera koyesedwa koyesa kwa magazi ndi njira yofunika kwambiri!

Popeza kuchuluka kwa shuga m'magazi ndi gawo lolemetsa kwambiri, zomwe zimatengera zinthu zingapo, kuwunika kuti adziwe kuyenera kuperekedwa pokhapokha kukonzekera koyenera.

Tiyenera kumvetsetsa kuti zinthu zingapo zimakhudza kuchuluka kwa shuga. Chifukwa chake, ndikofunikira kutsatira njira zonse pokonzekera. Zotsatira zokhazokha, zowonetsa "chithunzi cha shuga" cha thupi, ndizothandiza kwa dokotala.

Kutengera izi, musanayambe kuyezetsa magazi, muyenera kutsatira izi:

Musasute maola 6 musanawunikidwe.
Kwa maola 12, ndikofunikira kupatula kugwiritsa ntchito zakumwa zina, zoperekedwa mu mawonekedwe a khofi, tiyi, supuni ya tiyi ndi misuzi ya zipatso.
Osachepera masiku atatu asanafike mayeso, osamwa zakumwa zoledzeretsa.
Tengani kusanthula m'mawa, nthawi yabwino kuchokera maola 8 mpaka 11.
Chakudya chotsiriza chikuyenera kuchitika zoposa maola 8 musanatenge zinthu zachilengedwe. Chakudyacho chizikhala chopepuka, chopanda mafuta komanso cholemetsa pakugaya chakudya.
Yesetsani kudzipatula ku zolimbitsa thupi komanso zolimbitsa thupi masiku angapo izi zisanachitike.
Komanso, onetsetsani kuti mwadziwitsa dokotala wanu za mankhwala omwe mumamwa (ngati, alipo, alipo).

Tiyenera kumvetsetsa kuti malingaliro omwe aperekedwa pamwambapa ndiwachilengedwe chonse, ndipo mlandu uliwonse ungafune kutsatira njira zina pokonzekera. Kulongosola kufunikira kwa maphunziro owonjezera ndikofunikira asanaunikidwe ndi dokotala.

Kuyang'ana shuga wanu wamagazi ndi glucometer

Masiku ano, ndikofunikira kwambiri kuwona kuchuluka kwa magazi mthupi la munthu m'njira zingapo:

Yoyamba imachitika mu labotore mwa kuwunika magazi. Monga lamulo, njirayi imagwiritsidwa ntchito kuzipatala, zipatala ndi mabungwe ena azachipatala.
Njira yachiwiri yofufuzira kuchuluka kwa shuga m'magazi ndikugwiritsa ntchito chipangizo chapadera - glucometer. Zochitika zotere nthawi zambiri zimachitika kunyumba ndi wodwalayo. Njira yowunikira ndiyosavuta: muyenera kuboola chala chanu ndi singano yapadera ya chipangizocho, zotsatira zake zizioneka pazenera la mita.

Nthawi zina, kusankha kowonjezerapo zinthu kuchokera mu mtsempha ndikotheka. Chochitikachi sichilandira machitidwe okhazikika, chifukwa cha kuchuluka kwa zotsatira zake.

Mosasamala kanthu za njira yodziwira kuchuluka kwa shuga, kukonzekera koyenera ndi njira yachangu komanso yofunika kwambiri.

Mafunso omwe amafunsidwa nthawi zambiri ndi awa: kodi zotsatira za mita ndizodalirika motani, ndipo ndizotheka kuzigwiritsa ntchito mwadongosolo? Yankho ndilosavuta: malinga ndi malamulo onse osungira ndi kusanthula, chipangizocho chimawonetsa zotsatira zolondola. Chipangizochi chatchuka kwambiri, chifukwa chimathandizira kuyang'anira msanga misempha ya magazi popanda kupita kuchipatala kwa akatswiri.

Kufotokozera: chizolowezi cha ukalamba ndi kutenga pakati

Kuunikira zotsatira pambuyo poyeserera magazi ndi shuga ndichinthu chosavuta chosafunikira kukonzekera mwapadera. Monga lamulo, limodzi ndi zotsatira zake, othandizira ma labotale nawonso amagwiritsa ntchito zizindikiritso.

Mchitidwewu umalumikizidwa ndi kusiyana komwe kungakhalepo m'magazi a glucose omwe amapezeka ndi njira zosiyanasiyana zotengera zachilengedwe. Zikatero, ndikofunikira kuyang'ana pazomwe zimagwiritsidwa ntchito.

Zokhudza miyambo yonse ya shuga m'magazi, zimaperekedwa pansipa:

mpaka zaka ziwiri: 2.78-4.4 mmol pa lita
kuyambira zaka ziwiri mpaka 6: 3.3-5 mmol pa lita
kuyambira zaka 6 mpaka 14: 3.3-5.5 mmol pa lita
kuyambira zaka 14 mpaka 60: 3.89-5.83 mmol pa lita
pambuyo pa zaka 60: 4-6,5 mmol pa lita
mwa amayi apakati: 3.33-6.6 mmol pa lita

Miyezo yomwe ili pamwambapa imaperekedwa kwa ma sampuli a magazi a capillary. Kwa venous biological material, ndikofunikira kuwonjezera 12 peresenti mwazofanana miyezo, chifukwa zisonyezo za glucose nthawi zonse zimakhala zazambiri mkati mwake. Ndikofunika kudziwa kuti mfundo zonse zomwe zaperekedwa ndizothandiza pachiwonetsero chokha chomwe chikukonzekera.

Shuga wochepa

Mwazi wotsika magazi ndi chizindikiro choopsa, muyenera kupimidwa ndikuzindikira zomwe zimayambitsa.

Kusochera kwa shuga m'magazi am'munsi ndikuwonetsa zovuta zingapo zomwe zimapezeka m'thupi la munthu. Zimachitika kuti ndizakanthawi, koma nthawi zina zimakhala zazikulu kwambiri ndipo zimafunikira chisamaliro choyenera.

Zomwe zimapangitsa kutsika kwa shuga m'magazi ndi izi:

Odwala odwala matenda a shuga: kusowa kudya kapena mankhwala osokoneza bongo panthawi yake
magawo osiyanasiyana onenepa
kagayidwe kachakudya
matenda a chiwindi, mitsempha ya magazi, kapamba, mtima
matenda am'tsogolo ndi sarcoidosis
poyizoni ndi mowa komanso mankhwala ena oopsa
uchidakwa wambiri kapena uchidakwa kwambiri
Njala
kudya kwambiri

Tiyenera kumvetsetsa kuti akatswiri okhawo omwe akuthandizani ndi omwe angawadziwitse matenda ake enieni, popeza ndi iye yekha amene ali ndi chidziwitso chokwanira.

Kuchepetsa shuga m'magazi sikunganyalanyazidwe, chifukwa popanda kuthetseratu vuto lanu, mutha kudzipangira zovuta zazikulu. Mkhalidwe waumoyo wa wodwalayo uyenera kuphunziridwa ndipo zifukwa zakutsikira kwa zizindikiro ziyenera kuzindikirika.

Zifukwa zakukula

Mwazi waukulu wamagazi ndi chizindikiro chachikulu cha matenda ashuga

Monga shuga yochepa magazi, kwambiri ndi matenda oopsa. Nthawi zambiri, kuchuluka kwamtunduwu kumalumikizidwa ndi matenda a shuga.

Komabe, kuphatikiza pa chifukwa ichi, ena ambiri amatha kusiyanitsidwa:

mavuto ndi endocrine dongosolo
matenda am'mimba
khunyu
kugwiritsa ntchito mankhwala mwatsatanetsatane (mahomoni opanga, ma pinkiller, ndi ena otero)
poyizoni wamagesi osiyanasiyana
kupweteketsa mtima
opareshoni
matenda a chiwindi
ubongo ukuvulala
amayaka

Pozindikiritsa panthawi yake ndikuyamba kuthetsa vuto lomwe linapangitsa kuchuluka kwa shuga m'magazi, mutha kuchepetsa chithandizo chanu. Zotsatira zake, ndikofunikira kudziwa kufunika koyang'ana mwatsatanetsatane za thanzi la munthu ndikudutsa mayeso osiyanasiyana, kuphatikizapo shuga.

Njira Zachizindikiro

Kuti shuga ya magazi ikhale yopanda malire, muyenera kutsatira moyo wathanzi

Zosiyanasiyana zosiyanasiyana zopezeka pazotsatira za shuga m'magazi ziyenera kuthetsedwa. Tiyenera kumvetsetsa kuti kudwala kwathunthu mwanjira zina kumatheka pokhapokha ngati matenda omwe akudwala akutulutsa.

Ponena za njira zowonjezera msuzi, monga lamulo, zimagwirizanitsidwa ndi kusunga zakudya zoyenera komanso kutenga njira zotchulidwa ndi dokotala, koma ndi kuchepa kwake zinthu zimakhala zosangalatsa kwambiri.

Pali njira zambiri zochepetsera shuga. Mwambiri, ndikofunikira kuphatikiza njira zowonjezera luso la mankhwala. Njira zazikulu zothandizira kukula kwa shuga m'magazi akachuluka mu kuchuluka kwake m'magazi zimaperekedwa pansipa:

Gulu la zakudya zoyenera, zomwe zimaphatikizapo kumwa zosaposa 120 magalamu a chakudya tsiku. Komanso, simungathe kudya shuga ndi zakudya zomwe zili ndi zochuluka. Zakudya zokhuthala ziyenera kuphatikizidwanso kuchakudya. Kudya ndikofunikira kuchita kangapo ka 4-6 patsiku m'magawo ang'onoang'ono.
Ndikofunikira kudzinyamula nokha pang'ono momwe mungathere ndi kupsinjika kulikonse ndi kupsinjika kwakuthupi. Chilichonse chiyenera kukhala choperewera.
Ngati ndi kotheka, mutha kupanga bungwe la kumwa mankhwala ena, koma mukakumana ndi dokotala.

Kanema wothandiza - Zizindikiro zoyambirira za matenda ashuga:

Munjira yodziwika bwino, ndikofunikira kuyang'ana kuchuluka kwa shuga m'magazi tsiku lililonse ndi glucometer. Monga lamulo, zotsatira zoyambirira zimawonedwa patatha masiku 7-10 kuchokera ku chithandizo chotere. M'pofunika kuganizira kufunikira kwa kufunsa dokotala panjira ya momwe angapangire matenda a shuga.

Mwambiri, vuto la kupatuka m'magazi a shuga m'magazi limachitika kangapo. Matendawa ndi owopsa, koma ndikazindikira nthawi yomweyo komanso kuchira kwake amapatsidwa chithandizo. Palibe amene ali otetezeka ku zisokonezo zotere poyendetsa thupi, chifukwa chake ndikofunikira kwambiri kuyang'ana thanzi lanu podutsa mayeso komanso njira zina zodziwonera.

Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl + Lowanikutiuza.

Kodi kuyezetsa magazi kwa shuga kungawonetse chiyani

Tikapereka magazi kwa shuga, timapezako chidziwitso cha kuchuluka kwa shuga m'magazi. Mthupi lathu, shuga amagwira ntchito yofunika kwambiri - imapereka mphamvu ku maselo onse. Thupi limalandira "mafuta" awa kuchokera kosiyanasiyana: zipatso, zipatso, uchi, marmalade, chokoleti, beets, kaloti, dzungu ndi zinthu zina zambiri. Zambiri zokhudzana ndi shuga wamagazi zitha kuthandiza kuzindikira matenda osiyanasiyana.

Shuga wamagazi ochepa (hypoglycemia) Nthawi zambiri zotsatira za matenda a kapamba, chiwindi, impso ndi ma adrenal gland, komanso hypothalamus. Ngati munthu amatsatira zakudya zomwe siziphatikiza shuga onse m'zakudya zake, kuchuluka kwake kwa shuga kumatha kuchepa, zomwe zimakhudza kuthamanga kwa ubongo wake.

Chifukwa chofala kwambiri shuga wambiri (hyperglycemia) - matenda ashuga. Hyperglycemia ikhoza kuphatikizidwanso ndi matenda ena a endocrine, omwe ali ndi mavuto a chiwindi ndi hypothalamus, komanso njira zopitilira muyeso m'thupi. Ndi kuchuluka kwa shuga, kapamba amayamba kupanga insulin kuti agwetse, koma njirayi ili ndi malire. Ngati insulini sikokwanira, shuga amamuyika mkati mwa ziwalo zamkati ndipo amadziunjikira monga ma deposits a mafuta.

Matenda onse omwe ali pamwambawa amayendera limodzi ndi zizindikiro zina, kupenda momwe adotolo amayeserera kuyesa kwa shuga.

Dokotala akamakupatsirani kuyesedwa kwa magazi

Munthu akakhala kuti alibe shuga (hypoglycemia), amatopa, ameta mphamvu, amalephera kugwira ntchito yolimbitsa thupi komanso yamisala. Kugwedezeka ndi thukuta kumachitikanso. Nthawi zina pamakhala kumverera kwa nkhawa yosalamulirika kapena kugwidwa ndi njala yayikulu.

Ndi kuchuluka kwamphamvu kwa glucose m'magazi (hyperglycemia), munthu amamva youma pakamwa pake, amatha kuzindikira kupuma mwachangu, kugona, khungu lowuma, kuchepa kwamphamvu kwamaso. Kukodza pafupipafupi, kuchiritsa mabala osavomerezeka, kulimbikira kwamphamvu pakhungu pakhungu ndi chizindikiro cha hyperglycemia. Kuperewera komanso shuga wowonjezera kumatha kukhala limodzi ndi malingaliro osakhazikika.

Ngati zizindikirozi zikuwoneka, muyenera kufunsa dokotala yemwe akupatseni mtundu wina wa mayeso a magazi. Mitundu iyi imasiyana mwanjira ya kafukufuku ndi mtundu wa zotsatira.

Mitundu yoyesa magazi ndimagazi ndi zotumphukira zake

Kodi ndi mayeso ati omwe dokotala angakulembeni kuti mudziwe shuga?

Kuyesa kwa shuga m'magazi . Kuwunika kofala kwambiri, komwe kumawonetsa kuchuluka kwa glucose m'magazi, kumayesedwa ngati njira yodzitetezera, monga gawo loyezetsa kuchipatala, komanso ndi zizindikiro za kupatuka panjira yokhazikika.
Kutsimikiza kwa fructosamine ndende . Kusanthula kumeneku kukuwonetsa kuchuluka kwa shuga omwe anali masabata 1-3 mayeso asanakwane mayeso, amakupatsani mwayi wowunika momwe mankhwalawa amathandizira hyperglycemia.
Kuyesererana kwa glucose poyeserera kutsimikiza mtima kwa shuga pambuyo "katundu" . Imadziwona kuchuluka kwa shuga m'magazi am'magazi. Choyamba, kuyesedwa kumachitika pamimba yopanda kanthu, kenako wodwalayo amatenga shuga wosungunuka m'madzi ndikuwunikanso kumachitika kanayi kwa maola awiri. Njira yodziwira matenda ashuga imakupatsani mwayi wodziwa zovuta zobisika za carbohydrate metabolism.
Kuyesererana kwa glucose ndi kutsimikiza kwa C-peptide. Kuyeza kumeneku kumathandizira kuwerengera maselo omwe amapanga insulin, ndipo amagwiritsidwa ntchito kuzindikira mtundu wa shuga.
Mlingo wa ndende ya lactate m'magazi. Kudziwitsa kuchuluka kwa lactic acid mu biomaterial. Kusanthula kumeneku kungawonetse mtundu wapadera wa lactocytosis womwe umachitika chifukwa cha matenda ashuga.
Kuyesererana kwa glucose pakakhala pakati. Zimachitika pofuna kupewa kuchuluka kwambiri kwa fetal, komwe kumatha kuchitika chifukwa cha kuchuluka kwa shuga m'magazi a amayi.

Momwe mungakonzekerere mayeso a shuga

Kuti mupereke magazi m'mayeso amodzi a shuga ndikupeza zotsatira zodalirika, muyenera kukonzekera njirayi. Kusanthula kumayenera kutengedwa pamimba yopanda kanthu (maola 8 mutatha chakudya chomaliza), moyenera - m'mawa. Imwani maola 8 musanachitike njirayi, mutha kungotulutsa madzi ochepa kapena mchere.

Mowa sungathe kumwa kwa masiku awiri usanawunikidwe, apo ayi shuga idzachulukitsidwa. Pazifukwa zomwezo, musasute maola ochepa mayeso asanachitike. Ndikwabwino kupewa kuchita masewera olimbitsa thupi. Kupsinjika kumakhudzanso misinkhu ya shuga, izi ndizofunikira kuziganizira. Kuwunikira sikuyenera kutengedwa pambuyo pochiritsira njira zochizira (kutikita minofu, x-ray, physiotherapy, ndi zina), zotsatira zake zitha kupotozedwa. Komanso, sizikupanga nzeru kupeleka magazi kwa shuga panthawi ya matenda opatsirana, kuchuluka kwa shuga kudzachulukitsidwa. Ngati panthawi yopereka magazi wodwala amamwa mankhwala aliwonse, muyenera kuchenjeza adokotala za izi.

Momwe mungaperekere shuga

Musanapereke magazi chifukwa cha shuga, muyenera kusankha njira yoperekera kusanthula kwanu. Mutha kugwiritsa ntchito njira yowonetsera, ndiye kuti, dziunitseni nokha - pogwiritsa ntchito glucometer. Kuti muchite izi, ikani dontho la magazi kuchokera chala pa Mzere wa tester, ndipo chipangizocho chikuwonetsa shuga. Ubwino wa njirayi ndikuti umapereka zotsatira mwachangu, simukusowa nthawi yocheza ku chipatala. Koma chopanda ndichakuti chizindikirocho sichikhala cholondola mokwanira. Njirayi ndi yoyenera kuwunika tsiku lililonse shuga. Odwala omwe ali ndi matenda ashuga ayenera kukhala ndi njirayi.

Ngati mukufuna kupeza zotsatira zolondola, muyenera kugwiritsa ntchito njira imodzi yothandizira ma labotale. Potere, adotolo amatenga magazi pachala ndikukutumiza ku labotale, zotsatira zake zimaperekedwa m'masiku angapo, nthawi zina mwachangu. Nthawi zina, magazi amatengedwa kuchokera mumtsempha.

Kufotokozera zotsatira za kuyesedwa kwa magazi: zikhalidwe ndi matenda

Mulingo wothira magazi amuna ndi akazi ndi ofanana - kuyambira 3,3 mpaka 5.5 mmol / L (magazi kuchokera chala) ndi 3.7-6.1 mmol / L (magazi ochokera m'mitsempha). Ngati chizindikiro cha magazi kuchokera pachala chadutsa kupitirira 5.5 mmol / l, wodwalayo amapezeka ndi boma la prediabetes, ndipo ngati mulingowo uli pamwamba pa mayunitsi 6.1, ali kale ndi matenda a shuga. Kwa ana kuyambira chaka chimodzi mpaka zaka zisanu, mtundu wabwinobwino umachokera pa 3,3 mpaka 5 mmol / L, kwa ana mpaka chaka - kuyambira 2.8 mpaka 4,4 mmol / L. Zizindikiro za ana opitilira zaka zisanu ndizofanana ndi kwa achikulire.

Kuti muwone mulingo wa fructosamine, magazi ochokera m'mitsempha amawunika. Mtengo wabwinobwino kwa akuluakulu ndi kuyambira 205 mpaka 285 μmol / L, kwa ana ochepera zaka 14 - 195-27-27 μmol / L. Ndi okwera kwambiri a fructosamine, osati matenda a shuga okha, komanso kuchepetsedwa kwa ntchito ya chithokomiro, zoopsa komanso zotupa za muubongo ndizotheka. Kutsika kwa chisonyezo kukuwonetsa nephrotic syndrome.

Zotsatira za kuyesedwa kwa glucose ndi katundu ndi ma coefficients omwe amawonetsa kuchuluka kwa shuga komanso mutatha kumwa shuga. Theka la ora kapena ola pambuyo "katundu" wophatikizika uyu sayenera kupitirira 1.7. Pambuyo pa maola 2, chizolowezi chimayamba kuchepa mpaka kufika pa 1.3. Ndi ziwonetsero zonse ziwirizi, wodwala amapezeka ndi matenda a shuga. Ngati chisonyezo chimodzi chokha chiwonjezeredwa, mayesowo amawonedwa ngati osakwanira. Kuyesedwa kwachiwiri kumayikidwa pakatha chaka, panthawiyi wodwala amafunika kuchepetsa kudya kwa chakudya cham'mimba. Pa nthawi yoyembekezera, mayeso abwinobwino a glucose amakhala okwera pang'ono. Ndikofunikira kuchita izi kuti muchepetse kukula kwa matenda ashuga mwa mayi, komanso kupatula kuthekera kwa kuwonjezereka kwa kulemera kwa mwana wosabadwayo, apo ayi mayi ndi mwana akhoza kuvulala panthawi yobereka.

Kuyeserera kwa glucose ndi kutsimikiza kwa C-peptide kumalola kupanga insulin. Chizindikiro chabwinobwino cha C-peptide ndi 0.5-3 ng / ml musanatsike komanso kuchokera ku 2.5 mpaka 15 ng / ml pambuyo. Kuonjezera kapena kuchepa kwa chizindikirocho sikungatanthauziridwe mopanda chidwi, dokotala amatha kumangoganiza pokhapokha kuyezetsa wodwalayo.

Mlingo wabwinobwino wa ndende ya lactate m'magazi a munthu wamkulu ndikuchokera ku 0,5 mpaka 2.2 mmol / l, mwa ana mulingo wokwera kwambiri. Komanso kuchuluka kwa C-peptide, kuchuluka kwa lactate sikuloleza kuti apange matenda, kungangotsimikizira kapena kutsutsa komwe kulipo.

Wodwala iyemwini amatha kuzindikira zomwe zikutanthauza kufunika kopereka magazi kwa shuga, ndipo malinga ndi magwiritsidwe ake, amatha kuunikiranso pawokha zotsatira zomwe adalandira atayesedwa. Koma ndi dokotala woyenera yekha amene angadziwe zamankhwala ndikupereka mankhwala.

Momwe mungayesere magazi kuti mupeze shuga

Kuti zotsatira zake zikhale zolondola komanso zolondola, ndikofunikira kusunga malamulo osavuta osavuta popereka magazi magazi.

Amayenera kusiya pamimba yopanda kanthu. Kuphatikiza apo, kupuma kwakanthawi mukatha kudya kofunikira - kuyenera kukhala osachepera maola 12. Kwa nthawi yonseyi, kumwa kokha ndikuloledwa, komanso madzi okha.

Kumbukirani, kuti musasokoneze zotsatira za kusanthula, kumwa madzi oyera okha. Mamineramu ndibwino osagwiritsa ntchito, ngakhale atakhala amchere. Mwachibadwa, muyenera kusiyira timadziti ndi koloko.

Musanayesedwe magazi kuti mupeze shuga, madokotala samalimbikitsa konse kupukuta mano, chifukwa muzolemba pali utoto wosiyanasiyana ndi zina zowonjezera zomwe zimalowa thupi ndipo zimatha kukhudza zotsatira za kafukufukuyu. Zomwezi zimafunanso kutafuna chingamu.

Kusanthula komweko kumatengedwa kuchokera pachala. Mchitidwewo ndi chimodzimodzi ngati mukuwunika kwambiri. Komabe, nthawi zina kuphunzira koteroko kumayikidwa mu zovuta, kenako madokotala amatenga magazi kuchokera m'mitsempha.

Pali nthawi zina pamene munthu sakhudzidwa ndi shuga. Pankhaniyi, kuchuluka kwake kwa glucose ndikwabwinobwino, koma pambuyo chakudya amakwera kwambiri. Pankhaniyi, tikulimbikitsidwa kuti muthe kuyesedwa kwa glucose kawiri m'mawa. Choyamba, pamimba yopanda kanthu, kenako ndikudya kenaka ndikuperekanso magazi.

Kuyesedwa kwa magazi kunyumba

Makampani amakono samayimirira ndipo masiku ano anthu amapatsidwa zida zochulukirapo zomwe zimakupatsani mwayi kuti muyeza shuga kunyumba kwanu. Mfundo za magwiridwe antchito a glucometer ndi zosavuta: wodwalayo amaloza chala chake ndi singano yapadera, yomwe imayikidwa kit. Kenako amaponya dontho la magazi pachiwonetsero chapadera pamalo osankhidwa ndi izi, pambuyo pake chipangizocho chimasanthula zomwe zapezedwa.

Mfundo zakukonzekera kwanu kuti phunziroli lilingane ndendende ndi kuchipatala. Zotsatira zokha zomwe mumapeza nthawi yomweyo ndipo simukuyenera kuyimirira mzere.

Mwachilengedwe, ngati mukufuna kupeza zotsatira zolondola kwambiri - mpaka zikwizikwi - kuli bwino mupite kuchipatala kukapereka magazi ku labotale. Koma ndikofunikira kukumbukira kuti glucometer imapereka kulondola kwakukulu. Muyenera kuyezetsa magazi kuti musalandire chithandizo cholakwika.

Ngati, malinga ndi kusanthula, muli ndi zonse mwatsatanetsatane, koma nthawi yomweyo zizindikiro zimadziwika zomwe zikufanana ndi zomwe zimawoneka ndi matenda ashuga, pitani mayeso athunthu kuti mudziwe chomwe chimayambitsa matenda anuwo.

Mukafuna kusanthula

Patsani magazi shuga popanda kulephera: odwala matenda oopsa, anthu onenepa kwambiri komanso amayi oyembekezera. Dokotala wanu angakupangireni kafukufuku ngati mukukayikira shuga, yomwe imayendera limodzi ndi zizindikiro zotsatirazi:

ludzu lochulukirapo komanso kamwa yowuma kwambiri
kuwonda mwadzidzidzi
kukodza pafupipafupi
kutopa, kufooka ndi mutu,
kuda nkhawa kosalamulirika ndi kumva kwamphamvu njala.

Chaka chilichonse, kupereka magazi kwa shuga ndikofunikira kwa aliyense amene ali pachiwopsezo: azimayi omwe ali ndi mwana wolemera zoposa makilogalamu anayi, odwala omwe nthawi zonse amatenga glucocorticosteroids, iwo omwe ali ndi vuto la chotupa, zimachitika mthupi kapena mavuto ndi mtima. Odwala omwe abale awo ndi odwala matenda ashuga nawonso akuwonekanso.

Nthawi zina zizindikiro za matendawa zimatha kupezeka mwa ana aang'ono. Mwachitsanzo, ngati mwana akumva kufunika kwa maswiti, ndipo maola ochepa atatha kudya ali ndi kufooka kwambiri, ayenera kupereka magazi kuti akhale ndi shuga.

Njira zopezera magazi

Kusankha kwa njira yodziwira glucose m'magazi kumatengera chithunzi cha matenda, zomwe zimachitika mthupi ndi momwe zina zake zimathandizira. Akatswiri amasiyanitsa njira zotsatirazi zamakampidwe a magazi: muyezo (kuthamanga magazi kuchokera ku chala), kuyesa kwa glucose, kupezeka kwa hemoglobin ya glycated ndikuwonetsa diagnostics. Njira iliyonse imadziwika ndi mawonekedwe ake.

Njira yotsatsira, kapena yothandizira ntchito, yoyeretsa magazi imachitika m'mawa m'mimba yopanda kanthu. Amaloledwa kumwa madzi okha. Biomaterial imachotsedwa chala. Zotsatira za kuzindikira, monga lamulo, zakonzeka mu mphindi 15-20. Zizindikiro siziyenera kupitilira 3.5-55,5 mmol / L. Kuchulukitsa manambala kumatha kutanthauziridwa ngati prediabetes.

Kuyesedwa kwa glucose kumayikidwa ngati zotsatira za kusanthula kwawoneka 5.7-6.9 mmol / L. Asanatero, wodwalayo amapatsidwa chakudya chochepa kwambiri kwa masiku angapo. Maphunziro amachitika m'mawa, pamimba yopanda kanthu. Choyamba, magazi amatengedwa kuchokera pachala. Kenako wodwalayo amapatsidwa madzi akumwa a shuga (75 g pa 200 ml ya madzi). Pambuyo pake, amapereka magazi mphindi 30 zilizonse kwa maola awiri. Ngati kuchuluka kwa shuga m'magazi kumaposa 11 mmol / l, kuzindikira kwake ndi matenda a shuga. Chiyeso chololera cha glucose chikhoza kutumikiridwa panthawi yapakati.

Kupenda kuti mupeze kuchuluka kwa hemoglobin ya glycated imakupatsani mwayi wotsimikizira kapena kutsutsa matenda a glycemia. Phunziroli litha kuchitika musanadye komanso pambuyo chakudya. Pankhaniyi, wodwala sayenera kumwa mankhwala, zotsatira zake zimakhala zolondola ndipo amatha kudziwa kuyambika kwa matenda ashuga ngakhale koyambirira.

Zowunikira zowonekera nthawi zambiri zimachitikira kunyumba pogwiritsa ntchito glucometer. Biomaterial imayikidwa pa chingwe choyesera, chomwe chimayikidwa mu chipangizo choyeza, ndipo zotsatira zake zimawoneka pazenera la chipangizocho. Nthawi yodziwitsa zimatengera mtundu wa mita

Kulemba zotsatira

Chizindikiro cha zotsatira chimatha kusiyanasiyana kutengera njira yopatsira magazi ndi zida zomwe kafukufukuyu adachitidwira. Koma mulimonsemo, manambala otsatirawa amaonedwa kuti ndi abwino kwambiri: kuyambira 3.9 mpaka 6.2 mmol / L kwa akulu, kuyambira 3,3 mpaka 5.5 mmol / L kwa ana, kuyambira 2.8 mpaka 4.0 mmol / L - kwa akhanda ndi makanda.

Kupatuka kwakukulu kwa mfundo izi m'njira imodzi kumadwalitsa thanzi. Mkulu wa glucose nthawi zambiri amawonetsa shuga.Mitengo yotsika imawonetsa kusowa kwa chakudya, kugwiritsa ntchito moledzera zakumwa zoledzeretsa kapena kaboni, shuga kapena ufa. Ndikofunika kukumbukira: ngati zotsatira za maphunziro sizikugwirizana ndi miyezo, muyenera kufunsa dokotala nthawi yomweyo.

Kuyesedwa kwa shuga ndimagazi ndimachitidwe omwe angayang'anire matenda a shuga ndikuchita panthawi yake. Munjira imeneyi mokha momwe mungakhalire odekha zaumoyo wanu ndikupewa zovuta zowopsa zomwe zimayambitsa matendawa.