Mwaziwisi wamagazi mumyaka yamyaka iili 16

Kodi mukusangalatsidwa ndi kuchuluka kwa shuga pamwazi wazaka 16 mwa achinyamata? Kenako, muphunzira zomwe zili mu nthawi ino.

Mwambo wofulumira kudya shuga wamagazi kuyambira chala mwa akulu ndi achinyamata: kuyambira 3,3 mpaka 5.5 mmol / l.

Mwa ana kuyambira zaka 5 ndi achinyamata, kuchuluka kwa shuga ndikwabwinobwino - 3.3 - 5.5 (komanso achikulire).

Kodi mukudziwa kuti kuchuluka kwa shuga kwa ana kuyambira azaka 5 ndi achinyamata akuyenera kukhala olondola chimodzimodzi ndi akulu? 3,3 - 5.5.

Mwazi wamagazi mwa achinyamata azaka 16: chizindikiro cha glucose

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Kusunga shuga wabwinobwino m'mwazi ndikotheka ndikugwira ntchito koyenera kwa kapamba ndi ziwalo za endocrine. Matenda ofala kwambiri a carbohydrate metabolism amagwirizanitsidwa ndi matenda a shuga.

Muubwana, glycemia imapangidwanso ndi kuchuluka kwakukulu kwa mahomoni ndi kusinthasintha kwa kuchuluka kwa mahomoni ogonana, chifukwa chake kusunga shuga mumagazi a achinyamata azaka 16 zokhala ndi matenda ashuga ndi ntchito yovuta.

Kuti muteteze ana ku zovuta zomwe zimakhudzana ndi kusintha kwa shuga m'magazi, komanso kuti mwana azitha kukula bwino, kuyang'anira pafupipafupi komanso kuwongolera glycemia kumafunika.

Carbohydrate kagayidwe mu achinyamata

Zinapezeka kuti pamikhalidwe yofanana, achinyamata amawonetsa hemoglobin wokwera kwambiri kuposa achikulire, ngakhale kuchuluka kwa insulin. Insulin nthawi zambiri imakhala yofunikira kwambiri kwa achinyamata kuposa mwana wazaka chimodzi kapena wodwala wazaka 20.

Izi zikuwonetsedwa pokhudzana ndi mfundo yoti msinkhu wa mahomoni okula msinkhu wopsinjika uli pafupi kuwirikiza, komanso ma steroid ogonana ndi pafupifupi 35%. Izi zimabweretsa kuti mafutawa amathyoledwa mwachangu ndikuwonjezera mafuta acids aulere, omwe amagwiritsidwa ntchito kupangira mphamvu, ndipo kumva kwa insulin kumachepa.

Zotsatira za insulin pa achinyamata zim 30-30% kutsika kuposa momwe zimakhalira kwa munthu wazaka 21 kapena wamkulu. Chifukwa chake, pochita insulin mankhwala, makonzedwe akulu a insulin ayenera kugwiritsidwa ntchito, ndikuwonjezera pafupipafupi pakukonzekera kwake.

Zomwe zimapangitsa kuti matenda ashuga akhale ndi:

• Mulingo wambiri wokhala ndi nkhawa.
• Kuwonekera pamavuto akudya.
• Zizolowezi zoipa.
• Kukhumudwa ndi kudzitsitsa.

Chifukwa chake, ngati pali zovuta zomwe zingayambike pakudya zakudya ndi chithandizo, nthawi zina ndikofunikira, kuwonjezera pa endocrinologist, kuchita psychotherapist kuti muwongolere machitidwe amachitidwe.

Kuyesedwa kwa magazi

Kuzindikira matenda ashuga, kuphunzira kusala kudya kwa glycemia. Zizindikiro za kukhazikitsidwa kwake zimatha kukhala cholowa chamtsogolo komanso mawonekedwe a matenda amtundu wa shuga: wachinyamata adayamba kumwa madzi ambiri ndipo nthawi zambiri amapita kuchimbudzi, ngakhale kuti kulakalaka kudya ndikukula kwakanthawi kochepa kumachepetsedwa.

Komanso, makolo amatha kudziwa kuzizira, zotupa ndi kuyabwa pakhungu, ziwalo zopukutira ziwalo, kuwonjezereka kutopa, kusakwiya, komanso kusachita chidwi. Cholinga choyesedwa chikhoza kukhala kuthamanga kwa magazi komanso kuwonongeka kwa mawonekedwe.

Wachinyamata akamamuyesa koyamba, ndiye kuti amamulembera mayeso a shuga, omwe amachitidwa m'mawa asanadye. Ndikofunikira kuti musanaphunzire kwa maola 8 kuchokera pakudya, kwa maola awiri ndi atatu kuchokera pakusuta komanso kulimbitsa thupi, zakumwa zilizonse, kupatula madzi. Mulingo wothira magazi kwa achinyamata azaka 13-16 ndi 3,3 - 5.5 mmol / l.

Ngati kuchuluka kwa glycemia sikupitilira 6.9 mmol / L, koma ndiwokwera kuposa masiku onse, ndiye kuti kupezeka kwa kulekerera kwamatumbo kumatsimikiziridwa ndi kuyesedwa kowonjezera ndi katundu wa glucose, ndipo ngati magazi ali ndi shuga wopitilira 7 mmol / L, ndiye kuti dokotala wa matenda ashuga ndiwonetseratu kwa dokotala.

Zomwe zimayambitsa matenda osagwirizana ndi matenda a shuga:

1. Matenda a chiwindi.
2. Kumwa mankhwala omwe ali ndi mahomoni.
3. Matenda a impso.
4. Matenda a chithokomiro kapena adrenal gland.
5. Matenda a pituitary kapena hypothalamic metabolic.

Hyperglycemia yabodza imatha kuchitika ngati chakudya chinatengedwa phunzirolo lisanachitike kapena panali kupanikizika, kapena kulimbitsa thupi, kusuta, kumwa mankhwala a anabolic, zakumwa zamphamvu kapena khofi.

Shuga wochepa amachititsa kutupa m'mimba kapena matumbo, njira za chotupa, kuchepa kwa mahomoni am'matumbo a adrenal ndi chithokomiro cha chithokomiro, poyizoni, kuvulala kwamkati mwa ubongo.

Matenda ena amtundu ungayambitse shuga wamagazi ochepa.

Kuwongolera kwa glycemia mu achinyamata odwala matenda ashuga

Muyezo wa shuga uyenera kukhala ndi shuga osachepera 2 kawiri pa tsiku. Kutsimikiza kumodzi kuyenera kupangidwa isanagonedwe kuti tipewe hypoglycemia usiku. Kuphatikiza apo, muyenera kuwunika momwe masinthidwe azakudya, zochitika zamasewera, matenda ophatikizira, mayeso.

Ndikofunikira kuti azisunga kuchuluka kwa shuga ndi mitundu ya insulin yomwe yalowetsedwa. Kwa achinyamata, njira yabwino kwambiri ndi kugwiritsa ntchito mapulogalamu apadera opangira zida zamagetsi zamagetsi.

Maphunziro a achinyamata omwe ali m'masukulu a matenda ashuga ayenera kuganizira malingaliro osintha momwe mankhwalawo angathandizire: masiku obadwa, mowa, chakudya mwachangu, masewera kapena jakisoni wokakamizidwa zakudya ndi jakisoni wa insulin.

Ndi kuchuluka kwa shuga kapena kukwera koyembekezeka, muyenera kuchepetsa gawo la chakudya kapena masewera olimbitsa thupi. Njira imodzi ndikuwonjezera kuchuluka kwa insulin yochepa, koma dziwani kuti kuchuluka kwa mankhwalawa kungayambitse kulemera, komanso matenda a insulin.

Njira zoyenera kuchitira odwala matenda ashuga achinyamata ndi izi:

• Mulingo wothamanga wa glycemia ndi 5.5-5.9 mmol / L.
• Glycemia atatha kudya (pambuyo pa mphindi 120) ali pansi pa 7.5 mmol / L.
• Lipid spectrum (mu mmol / L): cholesterol mpaka 4.5, triglycerides pansipa 1.7, LDL yocheperako 2.5, ndi HDL yapamwamba kuposa 1.1.
• Glycated hemoglobin nthawi zambiri imakhala pansi pa 6.5%.
• Kuthamanga kwa magazi mpaka 130/80 mm RT. Art.

Kukwaniritsa zolinga za glycemic zomwe zimachepetsa kwambiri zovuta za matenda ashuga zimatheka pokhapokha pokonza zakudya.

Muyeneranso kukonzekera kuchuluka kwa chakudya chamagulu omwe atengedwa ndi mlingo wa insulin, womwe ungathandize mayamwidwe awo.

Kodi mungapewe bwanji hypoglycemia mwa achinyamata omwe ali ndi matenda ashuga?

Mankhwala othandizira insulin, omwe ndi chithandizo chachikulu cha matenda a shuga 1 muubwana, komanso kusakhazikika kwa chakudya komanso kuchita masewera olimbitsa thupi nthawi zambiri. Chifukwa chake, odwala oterowo ayenera kukhala nawo nthawi zonse msuzi wokoma kapena shuga.

Ndi digiri yofatsa, hypoglycemia imawonetsedwa ndikuwopseza njala, yomwe imayendetsedwa ndi kufooka, kupweteka kwa mutu, manja ndi miyendo, kusintha kwa mawonekedwe ndi kusinthasintha - kukwiya kwambiri kapena kukhumudwa kumachitika. Mwanayo akhoza kumva chizungulire kapena kuona.

Ndi digirii yabwino, achinyamata amatha kusiya malingaliro awo m'malo, kuchita zosayenera ndikusazindikira kuopsa kwa vutoli, ndikuyankha mwamphamvu poyeserera chithandizo chamankhwala. Ana akamamenyedwa kwambiri, amagwa, ndipo nthawi zina amakomoka.

Malamulo oyambira kupewa hypoglycemia:

1. Mwazi wa magazi suyenera kugwera pansi pa 5 mmol / L.
2. Onetsetsani kuti mumayeza glycemia musanagone.
3. Ngati shuga ndi wotsika kuposa 5 mmol / l musanadye, ndiye kuti palibe jakisoni yemwe amaperekedwa musanadye, mwana ayenera kudya kaye, kenako ndi kuyeza shuga ndi kubayirira insulin.
4. Osamwa zakumwa zoledzeretsa pamimba yopanda kanthu.

Kuchita masewera olimbitsa thupi nthawi zambiri kumayambitsa hypoglycemia, chifukwa kufunika kwa glucose mu minofu minofu kumawonjezeka, ndipo mwakuchita masewera olimbitsa thupi, mphamvu za glycogen zimatha. Zovuta zamasewera zimatha kukhala kwa maola 8-10. Chifukwa chake, kwa odwala matenda a shuga, tikulimbikitsidwa kuti muchepetse mlingo wa insulin womwe umayendetsedwa nthawi yayitali.

Popewa kugwedezeka kwa hypoglycemia usiku, muyenera kudya komanso pambuyo kuchita masewera olimbitsa thupi. Achinyamata amafunikira chakudya pakatha mphindi 45 zilizonse. Pankhaniyi, muyenera kupeza theka la chakudya kuchokera ku zipatso, ndipo gawo lachiwiri liyenera kukhala ndi zovuta zamatumbo - mwachitsanzo, sangweji tchizi. Ndi pafupipafupi hypoglycemia, kusamutsa makalasi m'maola.

Kuti muthane ndi hypoglycemia yofatsa kapena yolimbitsa thupi, muyenera kumwa 10 ga a shuga m'magome (kapu imodzi ya madzi kapena chakumwa chokoma). Ngati Zizindikiro sizitha, ndiye kuti patatha mphindi 10 - bwerezani. Ndi shuga wambiri wotsika shuga, glucagon amayenera kubayidwa, pambuyo pake mwanayo adye.

Kuopsa kosautsa pafupipafupi kwa hypoglycemia mu matenda ashuga ndikuti kuwonongeka kwa ubongo kumayamba pang'onopang'ono, komwe kumatha kuchepetsa luntha lamtsogolo. Kwa ana, chinthu chomvetsa chisoni kwambiri chimakhala chotengera cha zomwe anzawo akuchita pamakhalidwe otere osadziletsa.

Choopsa kwambiri muubwana ndikugwiritsa ntchito zakumwa zoledzeretsa zomwe zimakhala ndi hypoglycemia. Tisaiwale kuti pakakhala vuto lalikulu, glucagon kumayambiriro kwa mowa sagwira ntchito, choncho wachinyamata amafunikira kuchipatala mwachangu komanso kuyamwa kwa njira yokhazikika ya shuga.

Katswiri kuchokera pa kanema munkhaniyi akamba za kuchuluka kwa shuga m'magazi.

Kodi kukweza insulini m'mwazi kumatanthauza chiyani?

Insulin ndi timadzi tomwe timagwira gawo limodzi lofunikira mthupi la munthu. Imakhudzidwa ndi njira za metabolic, ndiye kuti, zimakhudza kutsika kwa shuga m'magazi. Insulin imayeneranso kusamutsa shuga kuchokera ku seramu yamagazi kupita kuzinthu zosiyanasiyana za thupi komanso kuphatikiza kagayidwe kazakudya.

Insulin yokwezeka iyenera kuchenjeza aliyense, ngakhale anthu ambiri saziona mopepuka. Sangayambitse zosokoneza ndi matenda kwakanthawi. Pakadali pano, insulini yambiri m'thupi la munthu imatha kusokoneza thanzi lake ndikupangitsa zotsatira zoyipa komanso zoyipa.

Zizindikiro zomwe zikuwonetsa kuti kuchuluka kwa insulin kwamwazi kumakwezedwa

Zizindikiro zomwe ziyenera kuchenjeza:

• kumakhala ndi njala yosalekeza, mwina nthawi yonseyi,
• kuthamanga ndi pafupipafupi,
• tuluka thukuta,
• kupuma movutikira, ngakhale pang'ono zolimbitsa thupi.
• kupweteka kwa minofu ndi mwendo kukokana,
• kuchiritsa pang'onopang'ono kwa abrasions ndi mabala ndi pafupipafupi kuyabwa.

Zizindikiro zonse zomwe zili pamwambazi ndizongokhala mwachindunji, koma malinga ndi iwo zitha kuganiziridwa kuti zomwe zili mu insulin zikukula, ndipo muyenera kuwona dokotala kuti mutsimikizire izi kapena mukutsutsa.

Zomwe zimayambitsa kuwonjezeka kwa insulin

Munthu yemwe amadya maswiti ambiri ndi chakudya chamafuta, motero amachulukitsa insulin. Komanso chifukwa chabwino chitha kukhala njala yosalekeza. Chifukwa chake, chakudyacho chimayenera kumangidwa kuti munthu asamakhale ndi njala nthawi zonse. Izi zikutanthauza kuti muyenera kudya 4-5 pa tsiku, kuphatikiza zopepuka. Muyenera kudya pafupipafupi.

Kuchita zolimbitsa thupi mosalekeza ndi chimodzi mwazifukwa zakuchuluka kwa insulini. Mantha komanso nkhawa.

Komabe, chifukwa chachikulu ndi kunenepa kwambiri. Kunenepa kwambiri kumayambitsa kuyamwa pang'ono kwa mafuta ndi kupulumutsa mphamvu. Izi zimathandizanso kuti magazi aziyenda bwino komanso kuti impsozo zilephera.

Insulin m'magazi imatha kukweza kusowa kwa vitamini E ndi chromium. Chifukwa chake, nthawi ndi nthawi ndizotheka ndikumwa mankhwala omwe amapanga kuti awonongeke. Kumwa mankhwala okhala ndi Vitamin E ndi chromium, thupi la munthu limalimbitsa ma membala am'mimba, ndipo maselo amakhala olimbana ndi oxidation wamafuta. Chifukwa chake, izi zimachepetsa kupanga kwa mahomoni kuti mafuta athe.

Insulin yokwera m'magazi imatha kupezeka ndi matenda monga matenda opatsirana, matenda a chiwindi, zotupa za adrenal gland, zotupa zam'mimba.

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

Chithandizo ndi moyo wowonjezera insulin

Musanapereke mankhwala, ndikofunikira kuzindikira chifukwa chomwe chinayambitsa izi. Kutengera chifukwa, kupereka mankhwala, mankhwala azakudya ndi masewera olimbitsa thupi. Miyezi yokwanira ya insulin ikhoza kutsitsidwa ngati chithandizo choyenera chikutsatiridwa.

Odwala amatha kupatsidwa mankhwala omwe amachepetsa insulin. Koma simungachite ndi mankhwala ena pokhapokha mutaphatikiza zakudya ndi masewera olimbitsa thupi.

Chakudya chopatsa insulin chimaphatikizapo zakudya zosankhidwa bwino. Shuga ndi maswiti sayenera kukhalapo mukudya kwa wodwalayo. Pali choloweza m'malo ichi. Imatha kukhala okoma, ma marmmallows otsika ndi calorie. Gawo lofunika mu chakudya ndikuwunika kuchuluka kwa chakudya. Sikuti muwachotse kwathunthu, koma ndikofunikira kuti musankhe ndikugawa moyenera muzakudya za tsiku ndi tsiku.

Ngati insulini m'magazi iwonjezereka, ndiye kuti kugwiritsa ntchito mchere kuyenera kuchepetsedwa kukhala zero kapena zochepa. Pazakudya za wodwalayo, zakudya zomwe zimakhala ndi sodium sizololedwa kuti zidyedwe. Izi zimaphatikizapo zakudya zamzitini, zokhwasula-khwasula ndi soseji, zopaka zosiyanasiyana ndi mafuta amchere.

Mukamadya zakudya ayenera kusiyiratu zakumwa zoledzeretsa. Koma muyenera kumwa madzi mpaka 2-2,5 malita patsiku. Imatha kukhala ma compotes ndi zakumwa zopanda mafuta, tiyi wobiriwira, madzi akumwa, msuzi wa rosehip.

Ndi zakudya ziti zomwe zimaloledwa magazi a insulin akakwezedwa? Zinthu zonse mkaka zimaloledwa, koma ndi mafuta ochepa. Mwa njere, ndizokwanira zokha zomwe zimaloledwa, monga chinangwa, mbande za tirigu, mpunga, koma bulauni.

Mutha kuyambitsa nyama yopanda mafuta ndi nkhuku, mitundu yamafuta ochepa mu chakudya. Mazira a nkhuku amaloledwa. Koma muyenera kusamala nawo. Simungawadye mopitilira katatu pa sabata kwa mazira 1-2.

Zamasamba, pafupifupi chilichonse chimaloledwa, koma mwaiwisi ndi yophika. Kuchokera pa zipatso ndi zipatso mungathe maapulo ndi mapeyala, chivwende ndi vwende. Ndibwino ngati mphesa ndi malalanje zilipo mu chakudya. Mutha kudya bwinobwino raspiberi, sitiroberi, yamatcheri ndi sitiroberi.

Kusunga chakudya, sitiyenera kuyiwala za masewera olimbitsa thupi.

Tsiku lililonse muyenera kuyenda kwa theka la ora kapena kuposerapo. Mutha kusankha masewera olimbitsa thupi. Kumbukirani, zakudya zimagwira limodzi ndi zolimbitsa thupi.