Kodi shuga m'magazi amasonyezedwa bwanji?
Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.
Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.
Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowa amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.
Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.
Glycated hemoglobin wapadera ayenera kufufuzidwa. Izi zikuwonetsa momwe hemoglobin amaphatikizidwira ndi shuga mu chinthu china. Chizindikiro chake cha glycogemoglobin chimatengera mwachindunji kuchuluka kwa shuga. Phunziroli limapereka mwayi woganizira za zomwe zinachitika miyezi itatu mpaka isanakwane.
Kafukufuku wokhudzana ndi kuchuluka kwa fructosamine amakupatsani mwayi wowonjezera kuchuluka kwa shuga mu sabata imodzi kapena itatu. Kuyesakukukukuthandizani kuti muwone momwe mankhwalawo amathandizira kapena kupereka wina, woyenera kwambiri.
Kuwunikira kwa Express kumatha kuchitika mwachindunji. Imachitika pogwiritsa ntchito glycometer. Ngakhale kuti mayesowa satenga nthawi yayitali, mfundo za kafukufuku ndizofanana ndendende ndi zasayansi, zidziwitsozi zitha kuonedwa kuti ndizothandiza. Komabe, kuwunika kolondola kwambiri kwa akatswiri komanso kuwunikira kuchuluka kwa shuga. Komabe, odwala amadziwa kuyendetsa bwino thupi lawo tsiku lililonse.
Zomwe zimasindikizidwa pakuwunika kulikonse zimachitika pogwiritsa ntchito mtundu wa Latin Glu. Monga tafotokozera kale pamwambapa, 3.3-5.5 mmol / L amadziwika kuti ndi muyezo. Ndi biochemical, Zizindikiro zimasiyana pang'ono, kutengera zaka zambiri wodwala. Komabe, tsatanetsatane awa akhoza kuwonedwa ngati osafunikira komanso osawaganizira, ndiofunikira kwa akatswiri okha ndipo amafunikira pazovuta zina pamene chisonyezo chili pamalire.
Nthawi zina ndikofunikira kuti musangowunika magazi, komanso kutenga deta yokhala ndi katundu wofananiza. Izi zikutanthauza kuti mayeso asanafike, munthu amachitanso masewera ena olimbitsa thupi, izi zimachitika moyang'aniridwa ndi madokotala motetezeka. Nthawi zambiri kuyesedwa uku kumawonjezera kulondola kwina pazotsatira.
Chizindikirochi chimatha kufika pa 7.8 mmol / L ndipo izi sizingaganizidwe kuti ndi njira yodziwikiratu, ngati nthawi yoyesedwa katunduyo itaperekedwa, ndikofunikira kusintha mankhwalawo ngati pali kuchuluka kwa 11 kapena kupitirira apo.
Miyezi yokwezeka ya shuga makamaka ndi chizindikiro chokweza kuti thupi layamba kale kudwala matenda ashuga. Nthawi zina pamakhala kuchepetsedwa. Ndizosowa kwambiri, koma kuchepa kwakanthawi kokhazikika kapena kutsika kwamphamvu kumatanthauza kutsika kwakukulu kwa shuga, komwe kumatha chifukwa cha poyizoni.
Nthawi zonse ndizofunikira kuchita mayeso a shuga, makamaka kwa anthu omwe ali ndi mavuto omwewa ndi agogo awo. Kuphatikiza apo, mwachitsanzo, kafukufuku wa biochemical amatha kudziwa mwatsatanetsatane za momwe thupi liliri ndipo amatha kupereka chidziwitso pakuwonetsa zina. Izi zimathandiza kusamalira bwino matendawa ndikuyamba chithandizo choyenera panthawi yake.
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Kodi shuga amawonetsedwa bwanji poyesa magazi ndipo ndi chiyani?
Kuyesedwa kwa magazi kumachitika kuti katswiri athe kuwona momwe matendawa amachitikira. Ngati ndi kotheka, mutatha kuphunzira kusanthula, dokotalayo angamupatsenso mankhwala ena. Kusintha komwe kumachitika m'thupi pamaso pa matenda kumawonekera pazotsatira zomwe zapezeka. Poterepa, matendawa amatha kupezeka m'thupi la munthu ngakhale m'mayambiriro ake.
Mwa mayi wapakati, zotupa zimapezeka ndi kuyezetsa magazi. Komanso, malinga ndi zomwe zapezeka, ndizotheka kudziwa zomwe zimachitika mwana wosabadwayo.
Zotsatira zake zimakhala ndi zizindikiro zingapo. Chizindikiro chilichonse pankhaniyi chili ndi chizolowezi chake. Ngati mutapatuka pazikhalidwe izi, adotolo adazindikira matendawo, pambuyo pake atatha kukupatsani chithandizo choyenera. Chizindikiro chilichonse chimawonetsedwa ndi chidule cha Chingerezi.
Ngati mukudziwa miyezo yomwe ilipo, ndiye kuti mutha kuwerengera zakudzisanthula nokha. Koma mutatha kuwamvetsetsa, simuyenera kudzipangira nokha, popanda kufunsa dokotala.
Kuyesedwa kwa magazi kumatengedwa ngati mayeso wamba. Magazi amachotsedwa kuchokera pachala popanda kukonzekera mwapadera. Atalandira zotsatira, dokotala amatha kuwona zolakwika zomwe zakhala zikuchitika ndikupanga chithunzi chokwanira chaumoyo wodwalayo.
Nthawi zambiri, wodwalayo amakhala ndi chidwi ndi izi: "Kodi ndizotheka kudziwa kuchuluka kwa shuga m'magazi ndikuwonetsa bwanji shuga poyesa magazi?
Ndi kafukufuku wamankhwala amitundu mitundu, mutha kudziwa kuchuluka kwa shuga m'magazi. Kusanthula koteroko kumawerengedwa kuti ndi njira ya kusanthula kwachilengedwe. Zidzachitika pomwe zopatuka kuzinthu wamba zidzaululidwa mu kusanthula kwakukulu. Ndi chithandizo chake, mutha kumveketsa kulondola kwa matendawo ndikuwonetsetsa kuti mankhwalawo adalembedwa molondola.
Kusinthaku kumagwiritsa ntchito chidule cha zilembo. Ndiye, kodi shuga amawonetsedwa bwanji poyesa magazi?
Pakufufuza kwamitundu iwiri, shuga amatchedwa "glucose". Mwanjira ina, amatha kutchedwa "Glu". Malingaliro ake sayenera kukhala otsika kuposa 3.30 mmol / L, komanso sayenera kukhala apamwamba kuposa 5.50 mmol / L. Ngati chizindikirochi ndichokwera kuposa chabwinobwino, ndiye kuti izi zitha kuwonetsa kukhalapo kwa matenda ashuga mwa munthu. Katunduyu ali ndi udindo wopanga kagayidwe kazachilengedwe.
Malinga ndi kuyesedwa kwa magazi, mutha kudziwa ngati munthu ali wathanzi kapena akudwala. Itha kugwiritsidwanso ntchito kuti mumvetsetse zovuta zomwe zilipo komanso zomwe zikufunika kuthandizidwa.
Kusanthula shuga m'magazi ndi chizindikiro chodalirika komanso chofunikira kwambiri chokhudza thanzi la anthu omwe ali ndi matenda ashuga. Kuwerengetsa kuyezetsa magazi kwa shuga ndikofunikira kuti mumvetsetse momwe zinthu zilili ndi matenda osokoneza bongo monga matenda a shuga, chifukwa nthawi zambiri pamakhala popanda zizindikiro.
Odwala omwe ali ndi matenda ashuga, kuyezetsa magazi kumachitika, mosasamala mtundu wa shuga. Kuyesedwa kwa magazi kumakupatsani mwayi wofufuza momwe metabolism amawonongera ndikusankha njira zoyenera kuchitira wodwala matenda ashuga. Kusanthula kumawunikira zizindikiro monga glucose m'madzi a m'magazi, komanso kuchuluka kwa hemoglobin ya glycated.
Glucose ndiye gwero lalikulu komanso lofunikira kwambiri lamphamvu kuzinthu zonse za thupi, makamaka ubongo. Nthawi zambiri, kusanthula kumatsimikizira glucose pamtunda kuchokera 3mmol / l mpaka 6 mmol / l, omwe ndi mphamvu zolimbitsa thupi za glycemia. Glucose imatha kuyezedwa onse m'magazi a capillary, pogwiritsa ntchito mini-glucometer, komanso m'magazi a venous pogwiritsa ntchito chosanthula cha stationary. Kuchuluka kwa shuga m'magazi a capillary magazi ndi venous amatha kusiyanasiyana pang'ono, pafupifupi, shuga ya 1 mmol / l imaloledwa.
Mwazi wamagazi ndiye chisonyezo chachikulu chomwe chikuwonetsa ntchito ya kagayidwe kazakudya m'thupi la munthu. Kuphatikizika kwathunthu kwa ziwalo ndi machitidwe kumayambitsa kagayidwe kazakudya m'thupi, kotero kuti mwa kuchuluka kwa glucose mu plasma ndi hemoglobin, munthu akhoza kuweruza magwiridwe antchito a ziwalo ndi machitidwe monga kapamba, chiwindi, ndi dongosolo la neurohumoral.
Chofunikira kwambiri ndikuwunikira shuga wa plasma mwa anthu omwe ali ndi matenda osiyanasiyana a shuga. Mu matenda a shuga, pali kuphwanya kupanga kwa insulin - ndiye mahomoni omwe amachititsa kuti shuga azigwiritsidwa ntchito, zomwe zimapangitsa kuti magazi azikundana, pomwe maselo amthupi amayamba kufa ndi njala ndikusowa mphamvu. Kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin, kuwunika glycemia kosalekeza ndikofunikira, popeza kuchuluka kwa insulin kapena kuchepa kwake kumakhudza kwambiri kupitirira kwa shuga. Pokhapokha popanga shuga nthawi zonse shuga amatha kukhalabe wolimba kwambiri.
Kuti muwonjezere kulondola kwa zotsatira za kusanthula ndikupeza chidziwitso chofunikira kwambiri pakupanga magazi, musanapereke kusanthula, ndikofunikira kutsatira malamulo ena:
- M'pofunika kusiya kumwa zakumwa zoledzeretsa ndi zakumwa zoledzeretsa pafupifupi tsiku lisanachitike kusanthula. Mowa umakhudza kwambiri kapangidwe ka magazi.
- Ndikulimbikitsidwa kuti mudye chakudya chanu chomaliza maola 10 musanakumane ndi mayeso a shuga, i.e. pamimba yopanda kanthu. Nthawi yomweyo, kumwa madzi opanda madzi popanda zowonjezera sikuletsedwa.
- Patsiku la mayeso achangu mwachindunji, muyenera kudumpha kutsuka m'mawa, chifukwa mano ambiri ali ndi shuga omwe amatha kulowa m'mimba. Kutafuna mano kumafanana.
Zimapereka mwayi wofufuza matenda a shuga m'magazi a zotumphukira za m'magazi a capillary, omwe siowona bwino koma chisonyezo chofunikira. Njirayi ndiyosavuta kunyumba. Pazofufuza zam'nyumba zotere, pali mitundu yambiri yamagazi a glucose osunthika. Komabe, kuwongolera koteroko kunyumba, ndikofunikira kuyang'anira njira zamayendedwe a mita, chifukwa kuyika mizere yotseguka kumayambitsa kusayenera kwawo. Onetsetsani kuti mukutsatira mosamalitsa zofunikira zaukadaulo ndi malangizo omwe adabwera ndi mita!
Kuphatikiza magazi kwa venous kumachitika pang'onopang'ono kapena potayira, i.e. kuchipatala. Magazi ochokera m'msempha amatengedwa ndi kuchuluka kwa 3-5 ml. Magazi ambiri omwe atengedwa amafunika kudziwa momwe magazi amapangidwira mu chosakanizira chimodzi. Pulogalamu yojambula yokha imakuthandizani kuti mupeze zambiri zolondola pamlingo wa glycemia.
Kuti mumvetsetse bwino kusanthula, ndikofunikira kudziwa zomwe zimachitika mu glucose ndindende komanso kuchuluka kwake zomwe amayeza. M'mitundu yambiri yokhala ndi zotsatirapo, magawo azomwe zimakhazikitsidwa pafupi ndi zomwe zapezedwa, kotero ndizosavuta kuyendera manambala ndi zotsatira.
Kodi glucose amtundu wanji? Ngati zonse zili zomveka bwino ndi glucometer - zimangowonetsera zokhudzana ndi glucose, ndiye kuti zinthu zimakhala zovuta kwambiri ndi owunika pokhapokha, popeza kuchuluka kwazinthu zambiri kumatsimikiziridwa pakuwunika kwa biochemical. Pamafamu a shuga amasonyezedwa, koma pa owunikira akunja akuwonetsedwa ngati GLU, womwe kuchokera ku Latin umatanthauzira kuti shuga. Mlingo wabwinobwino wa glycemia umachokera pa 3,33 mpaka 6.5 mmol / l - izi ndizofanana ndi zachikulire. Mwa ana, miyambo ndi yosiyana pang'ono. Amakhala otsika kuposa akuluakulu. Okuva ku 3,33 okutuuka ku 5.55 - mu baana abato omwaka wa pulayimale, ne mu baana abato - okuva ku 2,7 okutuuka ku 4.5 mmol / l.
Ndikofunikira kudziwa kuti omwe amasanthula makampani osiyanasiyana amatanthauzira mosiyana, koma zikhalidwe zonse zimakhalabe mkati mwa 1 mmol / l.
Ngakhale nthawi zambiri shuga wamagazi amayeza mu mol / L poyesa magazi, mayunitsi ena monga mg / dl kapena mg% angagwiritsidwe ntchito mwa ena openda. Kutanthauzira izi kukhala mol / L, ingogawani zotsatila ndi 18.
Ndi mitundu yanji ya kusanthula komwe kulipo?
Pakayezetsa magazi ambiri, kuchuluka kwa shuga sikumawonetsedwa.
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
Otsimikizira masiku ano ogwetsa magazi amalemba kuchokera pa magawo 5 mpaka 24. Zinthu zimatengedwa kuchokera ku chala chonse ndi m'msempha. Mwazi wamagazi amayezedwa m'mamilimita angapo pa lita imodzi kapena mg% (mamiligamu). Njira zotsatirazi zodziwira kuchuluka kwa shuga zimagwiritsidwa ntchito:
- Njira yowonetsera - yochitidwa pogwiritsa ntchito glucometer ndi zingwe zoyeserera.
- Laboratory shuga mayeso - anachita ntchito chosanthula kapena reagents.
- Kuchuluka kwa hemoglobin wa glycated - kumawonetsa kuchuluka kwa kuchuluka kwa glucose pakatha miyezi 1-3.
- Glucose kulolerana mayeso - amayeza mulingo wa chakudya cham'mimba komanso kupezeka kwa kulekerera kwa iwo.
Zosankha zina
Openda ma hemelological ali ndi zizindikiro zawo chilichonse. Mwa zina magawo omwe amawunikidwa pazida, pali omwe amafotokozedwa pagome: