Shuga 32 mpaka 32

Kodi mukufuna kudziwa zoyenera kuchita ngati shuga ali ndi 32? Kenako yang'aninso.

Mulingo wa shuga wamagazi kuchokera pachala chala chopanda kanthu m'mimba mwa akulu ndi achinyamata akuyamba kuyambira 3,3 mpaka 5.5 mmol / l.

Ngati shuga 32, ndiye kuti kuchipatala ndikofunikira! Imbani ambulansi! Ndi shuga wopitilira 30, mutha kukhala ndi hyperclycemic.

Zomwe zimayambitsa, kuzindikira ndi zizindikiro

Magazi a shuga amatha kusiyanasiyana pazifukwa zosiyanasiyana, nthawi zambiri akamachita masewera olimbitsa thupi, masewera olimbitsa thupi, zochitika zovuta komanso nthawi yapakati. Zakudya zopanda pake, zosokoneza bongo, kusintha kwa ma horoni kungayambitse mavuto ndi shuga.

Pamaso pa matenda a endocrine, kupangika kwa mahomoni kumasokonezeka; tikulankhula za matenda a Cushing, pheochromocytoma, thyrotoxicosis. Poterepa, shuga akachuluka, zimapangitsa kwambiri kuchuluka kwa mahomoni.

Njira za metabolism mthupi zimatha kusokonezeka ndi ma pathologies a kapamba, zilonda zapakhosi ndi benign neoplasms. Nthawi zambiri, kudumphira mu glucose kumadziwika ndi kugwiritsa ntchito nthawi yayitali mankhwala a steroid, mankhwala a diuretics komanso mapiritsi olembera.

Matenda a chiwindi amakhudzanso zizindikiro za glycemia, matenda monga awa:

Choyambirira kuchita ngati shuga wamagazi adakulirakhula mpaka 32 mmol / lita imodzi ndikuchotsa zomwe zimayambitsa izi. Milandu yokhayokha ya hyperglycemia singatchulidwe kuti ndi chizindikiro cha matenda ashuga, koma pankhaniyi ndikofunikira kuchita zonse zomwe zingatheke kuti vutoli lisabwerenso.

Muyenera kuonanso momwe mumadyera, muyenera kuyeza kuchuluka kwa shuga pogwiritsa ntchito chipangizo cha glucometer kapena kulumikizana ndi chipatala kuti chikuwunikeni. Koma malingaliro akuti azichita masewera olimbitsa thupi ndi mitundu ina yolimbitsa thupi pankhaniyi siothandiza, chifukwa izi zitha kupangitsa kuti glycemia iwonjezeke.

Wodwala ayenera kukumbukira kuti zida zapakhomo zothandizira kudziwa momwe glucose amayendera nthawi zonse zimakonzedwa kuti ziyeze magazi am'magazi, chifukwa chake zotsatira zomwe zimapezeka mu vuto lililonse zimatsitsidwa ndi 12%. Kafukufuku amafunikira kangapo masana, ngati kale zizindikiro za glycemia zinali ndi 32, koma matenda a shuga sapezeka mwa anthu. Njira imeneyi imathandiza kupewa matendawa munthawi yake ndikuchotsa zomwe zingayambitse matenda.

Ndi kuchuluka kwa shuga, adokotala amalimbikitsa kuyesa kwina kwa glucose, kumakuthandizani kudziwa mtundu woyamba wa matenda ashuga - prediabetes. Nthawi zambiri, kafukufuku woterewa amafunika kuti athetse matenda ashuga komanso osokoneza shuga.

Kusantikako sikumalandira anthu onse, koma kwa odwala onenepa kwambiri omwe ali ndi zaka zopitilira 40 kapena omwe ali pachiwopsezo cha matenda a shuga.

Kuphatikiza pa kusintha kwa zizindikiro za glucose mwa anthu, Zizindikiro zake zimadziwika:

1. kupopa kwambiri komanso pafupipafupi,
2. kutopa kwambiri, kufooka, mphwayi,
3. kutsika kwapang'onopang'ono kwamawonekedwe,
4. chitetezo chofooka, matenda opatsirana pafupipafupi,
5. kuyabwa pakhungu,
6. kutsika kapena kuchuluka kwa chilala pakati pa kuwonda msanga kapena kuwonda.

Zizindikiro zoterezi, pamodzi ndi mndandanda wa glycemic wa 32, zimapereka mwayi wofulumira kwa dokotala komanso kuyamba kwa maphunziro.

Zizindikiro za High shuga

Mndandanda wazopezeka wazakudya zam'magazi azambiri ndi:

1. Udzu wokhazikika.
2. Mwadzidzidzi, mphamvu kapena kuchepa mphamvu mwadzidzidzi.
3. Kukodza pafupipafupi.
4. Matenda otopa kwambiri.
5. Khungu lowuma komanso zimagwira pakhungu.
6. Mavuto amaso, spasms a minofu yogona.
7. Arrhythmias.
8. Kuchepetsa mphamvu yodzitetezera kumatenda, machiritso olakwika a mabala.
9. Kupuma kwambiri kwamkokomo, mawonekedwe apakati oopsa.
10. Mu mitundu yayikulu ya hyperglycemia, kuchepa madzi m'thupi, ketoacidosis, kusokonezeka kwa chikumbumtima, ndipo nthawi zina chikomokere zimawonedwa.

Tiyenera kumvetsetsa kuti zizindikiro zomwe zili pamwambapa zitha kukhala zizindikiro za matenda osiyanasiyana, chifukwa chake, ngati mukupezeka mawonekedwe angapo osayenera, muyenera kufunsa dokotala ndikuyesa mayeso kuti mudziwe ngati ali enieni.

Zotheka

Nthawi zambiri, chomwe chimayambitsa chizindikirocho ndi:

1. Matenda a shuga. Mwambiri, nthawi zambiri kuwonetsa kwa matenda a hyperglycemia ndiye chofunikira cha matendawa.
2. Zakudya zopanda pake. Kuphwanya kokhazikika kwa zakudya zamagulu, komanso kuchuluka kwa chakudya chochuluka kwambiri, kumatha kuyambitsa matenda a hyperglycemia osagwirizana ndi mtundu wake wa matenda ashuga.
3. Kupsinjika. Post-nkhawa hyperglycemia imakhala yofanana ndi odwala omwe ali ndi chitetezo chofooka, nthawi zambiri chotsutsana ndi maziko a kukula kwa njira yotupa.
4. Matenda opatsirana owopsa a sipekitiramu.
5. Kulandila kwa mitundu ingapo ya mankhwala - rituximab, corticosteroids, niacin, freeara asparaginase, beta-blockers, 1-2 genid antepressants, protease inhibitors, thiazide diuretics, fentimidine.
6. Kuperewera kwakuthupi kwakuthupi, mavitamini a gulu B.

Zomwe zimayambitsa High shuga mwa Akuluakulu ndi Amayi Oyembekezera

Monga momwe zamankhwala zimasonyezera, mu 90 peresenti ya milandu yomwe imapitirira kwa hyperglycemia mwa akulu ndikuwonetsera kwa matenda a shuga, makamaka a 2 mtundu. Zowonjezera zina zomwe zimapangitsa kuti pakhale kugona komanso kukhala maso, kupanikizika kuntchito, komanso kukhala moyo wongokhala ndi kunenepa kwambiri.

Kuchuluka kwa shuga m'magazi amayi apakati kuyenera kuyang'aniridwa mwapadera - hyperglycemia pano ikhoza kukhala yakanthawi mwachilengedwe, yolumikizidwanso kukonzanso thupi kwathunthu komanso kusintha kwa mahomoni makamaka (mawonekedwe a thupi), ndipo ikhoza kukhala mtundu wapadera wa matenda oopsa a shuga - otchedwa gestationalabetes, omwe amapezeka nthawi ya Mimba ndipo nthawi zambiri zimatha pambuyo pobala. Ngati koyamba kuwunika kwa wodwala kokwanira, kachiwiri, matenda omwe amapezeka mu 4-5% ya amayi omwe ali ndi mwayi wosangalatsa amatha kuvulaza mwana wosabadwayo komanso thanzi la mayi woyembekezera, choncho akatswiri amapereka chithandizo chovuta poganizira physiology yomwe ilipo kudwala.

Zomwe zimayambitsa shuga wambiri m'makanda ndi ana

Mu ana a sukulu za pulayimale ndi unyamata, hyperglycemia nthawi zambiri imalumikizidwa ndi zinthu zingapo - kuperewera kwa zakudya, kupsinjika ndi chitukuko cha njira zopatsirana komanso zotupa motsutsana ndi maziko a kuyambitsa kwa mahomoni amthupi amkati, omwe amapangidwa mwambiri ndi kukula kwa thupi. Pokhapokha pokhapokha, pambuyo pazifukwa zonse zapamwambazi, ana amapezeka ndi matenda a shuga, makamaka amtundu woyamba.

Hyperglycemia yatsopano ya ana imayenera kuyang'aniridwa mwapadera - imayambitsidwa ndi zifukwa zingapo, nthawi zambiri sizigwirizana ndi zoyambitsa zazakale mwa ana ndi akulu. Mwambiri, kuchuluka kwa shuga m'magazi kumachitika chifukwa cha kutsekeka kwa shuga kwa ana obadwa kumene omwe ali ndi thupi pang'ono. Mu makanda asanabadwe m'masiku oyamba amoyo, hyperglycemia ndi mawonekedwe a kusowa kwa timadzi timene timawonongeka proinsulin, nthawi zambiri motsutsana ndi maziko a kukana insulini palokha.

Mtundu wosakhalitsa wa hyperglycemia ungayambenso chifukwa cha kuyambitsidwa kwa glucocorticosteroids, fungus sepsis, kupuma kwa vuto la maganizo, hypoxia. Monga ziwonekero zamankhwala zamakono zikusonyeza, oposa theka la akhanda omwe amafika pa chifukwa chimodzi kapena zingapo kumalo osamalira odwala kwambiri amawonetsa kuchuluka kwa shuga m'magazi. Ngakhale kuti kuchuluka kwa glucose sikochepa kwenikweni poyerekeza ndi hypoglycemia ya classical, kuthekera kwa zovuta ndi chiopsezo cha kufa ndizokulirapo.

Zizindikiro

Zigawo zingapo zoyesera zodziwira kuchuluka kwa shuga m'magazi zimaphatikizapo zolemba ndi kuyesa. Ngati muli ndi vuto locheperachepera, zimavuta kudziwa nokha mothandizidwa ndi glucometer yabwino. Pankhaniyi, ndibwino kufunsa dokotala yemwe akupatseni mayeso oyenera.

1. Kuthamanga magazi. Njira yodziwika bwino ya orthotoluidine, yomwe imasankha kuchuluka kwa shuga m'magazi popanda kuganizira zina zomwe zimachepetsa. Imaperekedwa m'mawa pamimba yopanda kanthu (maola 12 asanafike pofufuza ndikofunikira kukana kudya, mankhwala ndi zochita zolimbitsa thupi). Ngati matenda oyambirirawo akuwonetsa kupatuka panjira, katswiriyo amamuwuza kuti awonjezere maphunziro.
2. Njira yonyamula. Imachitika makamaka mothandizidwa ndi chipatala cha tsiku / mozungulira. M'mawa, magazi amaperekedwa pamimba yopanda kanthu, kutsatira malamulo a njira yoyamba, pambuyo pake shuga amayatsidwa m'thupi ndipo patatha maola ochepa, magazi amaphatikizidwanso. Ngati zotsatira za lotsatira la 11 mmol / L zitha kupitilira, dokotala nthawi zambiri amadzazindikira “hyperglycemia”.
3. Kufotokozera njira yochepetsera. Kupereka kwa magazi kosanthula poganizira zinthu zina - makamaka uric acid, ergonin, creatinine. Amakulolani kuti mufotokoze bwino za matendawa ndikuzindikira mavuto okhudzana ndi matendawa - mwachitsanzo, matenda a shuga.

Zotheka

Hyperglycemia ndi chizindikiro chokhacho chomwe chimawonetsa kusayenda bwino kwamthupi kapena matenda ashuga. Komabe, izi sizitanthauza kuti ndi shuga wamagazi ambiri palibe zovuta. Zotsatira zoyipa kwambiri za matenda amtunduwu ndi ketoacidosis. Kuphwanya kumene kwa kagayidwe kazakudya kumachulukitsa kuchuluka kwa matupi a ketone m'madzi am'magazi, nthawi zambiri kumatsutsana ndi maziko a matenda amtundu uliwonse wa gawo la kubowola, komwe kumakwiyitsa ketonuria, arrhythmia, kulephera kupuma, kupita patsogolo kwamatenda oyamba omwe amapezeka m'thupi, kusowa kwamadzi. Nthawi zina, pakakhala kuti palibe woyenera woyenera kuyankha, wodwala matenda ashuga / hyperglycemic amayamba, ndipo atatsika pH (acidity) mpaka 6.8, kumwalira kwachipatala kumachitika.

Momwe mungachepetse shuga?

Hyperglycemia therapy ikufuna kuthetsa kwakanthawi kuchuluka kwa shuga m'magazi, komanso kuchiza matenda oyambitsa zomwe zimayambitsa matenda amtunduwu.

Mankhwala ndi mankhwala omwe amachepetsa magazi:

1. Kubaya mwachindunji insulin. Mlingo amasankhidwa payekhapayekha, ngati pali vuto linalake, mankhwala ogwiritsira ntchito mwachangu omwe amagwiritsidwa ntchito mwachangu amagwiritsidwa ntchito - humalog, humulin.
2. Kugwiritsa ntchito mankhwala a hypoglycemic. Magulu a mankhwala ozikidwa ndi benzoic acid, sensitizer, A-glucosidase inhibitors, phenylalanine amino acid, sulfonylureas - maninyl, metformin, etc.
3. Imwani zambiri. Njira yofooka yophika ndi soda mu mitundu yayikulu ya hyperglycemia.
4. Zochita zolimbitsa thupi (mofatsa mitundu ya matenda).
5. Pakatikati - wowerengeka azakudya.

Zakudya Zabwino Komanso Zakudya

Popeza kupitiliza kwa vuto la hyperglycemia ochulukira nthawi zambiri ndikuwonetsa matenda a shuga, kudya zakudya zoyenera ndikofunikira kuti mankhwalawa athandizike.

Ndikofunikira kwambiri kuti azitsatira zakudya pofufuza matenda a shuga 1. Pansi pamakhala kusiyanasiyana ndi zakudya zomwe zimapezeka m'makanizo othandizira kugaya chakudya, komanso kuchuluka kwa zakudya zopezeka pama calories, mafuta ndi mapuloteni.

Magazi amachepetsa zakudya

Mwa mitundu yosiyanasiyana yazogulitsa pamsika woweta, wokhala ndi shuga m'magazi, ndikofunikira kusankha omwe ali ndi index yotsika ya glycemic. Tiyenera kumvetsetsa kuti palibe chakudya chomwe chimachepetsa shuga - zakudya zonse zomwe zimadziwika kuti ndi za m'magazi ochepa kwambiri zomwe sizimachulukitsa, koma sizingathandize munthu kukhala ndi hyperglycemia.

1. Zakudya zam'nyanja - nkhanu, nkhanu ndi nkhanu zam'madzi zokhala ndi malo amodzi otsika kwambiri a glycemic.
2. Masheya a soya - makamaka tofu.
3. Kabichi, zukini, dzungu, masamba letesi.
4. Sipinachi, soya, broccoli.
5. Bowa.
6. Mitundu ina ya zipatso - mandimu, mapeyala, zipatso za mphesa, yamatcheri.
7. Nkhaka, phwetekere, tsabola wa belu, udzu winawake, kaloti, katsitsumzukwa, mphukira.
8. Anyezi watsopano, Yerusalemu artichoke.
9. Mitundu ina ya zonunkhira - ginger, sinadi, sinamoni.
10. Mafuta - okongoletsedwa kapena raspovye.
11. Zakudya zamafuta ambiri zimakhala ndi nyemba, mtedza (ma walnuts, ma cashews, ma almond), ndi chimanga (oatmeal).
12. Makina

Zinthu zonse zomwe zili pamwambazi ndi za "mndandanda wobiriwira" ndipo mutha kuzigwiritsa ntchito mopanda mantha kwa anthu omwe ali ndi hyperglycemia.

Mankhwala amakono amawona kuti chakudya ndi chimodzi mwazinthu zazikulu zomwe zimapangitsa kuti odwala azikhala ndi thanzi labwino komanso kuti azikhala ndi thanzi labwino.

Kwa odwala omwe amadziwika kuti ali ndi mtundu woyamba wa shuga, zakudya ndizovomerezeka komanso zofunikira. Mtundu wachiwiri wa odwala matenda ashuga, zakudya zoyenera nthawi zambiri zimathandizira kukonza thupi.

Lingaliro lofunikira la chakudya ndi gawo la mkate, lofanana ndi magalamu 10 a chakudya. Kwa anthu omwe ali ndi hyperglycemia, matebulo atsatanetsatane adapangidwa omwe amawonetsa gawo ili la zakudya zamakono kwambiri zomwe zilipo muzakudya.

Mukafuna kudziwa kuchuluka kwa zinthu zotere masiku ano, ndikofunikira kupatula zakudya zilizonse, maswiti, shuga komanso kuchepetsa zakudya zambiri monga mkate, mkate woyera, mpunga / semolina, komanso zakudya zamafuta omwe amayamba chifukwa cha zakudya zamafuta ambiri osayiwalanso kuchuluka kwamafuta a polyunsaturated / acid.

Ndikofunikira kudya pang'ono Zomwe zimapangidwira tsiku lililonse kwa anthu osachepera 2,000 zopatsa mphamvu kwa munthu amene ali ndi vuto la hyperglycemia popanda zovuta komanso mndandanda wazowonjezera ukuphatikizapo:

• Chakudya cham'mawa 1 - 50 magalamu a mkate wakuda, dzira limodzi, magalamu 5 a batala, kapu ya mkaka, 40 magalamu a mbewu zololedwa.
• Chakudya cham'mawa 2 - 25 magalamu a mkate wakuda, 100 magalamu a zipatso ndi tchizi chochepa cha mafuta.
• Chakudya chamasana - magalamu 50 a mkate wololedwa, magalamu 100 a nyama yopuntha ndi mbatata, magalamu 20 a zipatso zouma, magalamu 200 a masamba ndi magalamu 10 a mafuta a masamba.
• Zakudya zazing'ono - 25 magalamu a mkate wakuda ndi magalamu 100 a zipatso / mkaka.
• Chakudya chamadzulo - 25 magalamu a mkate, magalamu 80 a nsomba zamitundu yochepa kapena nsomba zam'madzi, 100 magalamu a mbatata, masamba ndi zipatso, magalamu 10 a mafuta a masamba.
• Musanagone - 25 magalamu a mkate ndi kapu ya kefir yochepa.

Kusintha kwina kulikonse kwamalonda kungachitike ndi ma calorie ofanana m'magulu anayi oyambira:

1. Masamba, zipatso / zipatso, buledi, njere.
2. Tchizi tchizi, nsomba / mafuta ochepa.
3. Kirimu wowawasa, kirimu, batala.
4. Mkaka / mazira ndi zinthu zina zomwe zimakhala ndi zakudya zosiyanasiyana.

Kugwiritsa ntchito zotsekemera, kotchuka kwambiri kuchiyambiyambi kwa zaka zatsopano, pakali pano kumatsutsidwa ndi magulu akulu azakudya chifukwa chazambiri zama calorie, kotero sitipangira izi kuti muziwazunza, pazowonjezera, kugwiritsa ntchito mosamalitsa muzakudya zanu za tsiku ndi tsiku.