Adrenaline wa matenda ashuga: kodi shuga amawonjezeka m'magazi?

Kugwiritsa ntchito khofi pa matenda ashuga kumayambitsa mafunso ambiri, makamaka popeza madokotala alibe malingaliro wogwirizana pankhaniyi. Chifukwa chake, sizikudziwikiratu kuti zakumwa izi zimakhudzana bwanji ndi shuga, komanso ngati anthu omwe ali ndi matenda ashuga amatha kuzigwiritsa ntchito.

Madokotala ena amati ndi matenda ashuga, khofi amalephera. Amaonanso kuti chakumwa chosasangalatsa chimapangitsa kuchuluka kwa shuga m'magazi ndi pafupifupi 8%. Izi zimachitika chifukwa khofi imalepheretsa kukhathamiritsa kwa glucose m'magazi ndi ziwalo, chifukwa chake mulingo wake umakwera, ndipo kupanga adrenaline kumakulanso.

Komabe, akatswiri ena amati khofi sikuti imakhala yovulaza, komanso yothandiza kwa matenda ashuga. Ichi chakumwa chimakhulupirira kuti chitha kubwezeretsa chidwi cha insulin, chomwe chimathandiza kuwongolera bwino shuga. Zotsatira za khofi zimafaniziridwa ndi mphamvu ya vinyo kapena sinamoni. Chosangalatsa ndichakuti insulin sensitivity siyikubwezeretsedwa chifukwa cha khofi. Chifukwa chake, tiyi wobiriwira, yemwe amakhalanso ndi caffeine wambiri, samakhala ndi zotere.

Malangizo abwino kwambiri a khofi kwa anthu omwe ali ndi matenda ashuga ndi upangiri aliyense payekha kuti mumvetse zakumwa izi. Ndikofunika kumvetsetsa kuti matenda a shuga nthawi zambiri amakhala ndi matenda osachiritsika, ndipo nthenda iliyonse yothandizirana imapangitsa kuti kumwa khofi kusakhale kotheka.

Mlingo wamagazi m'magazi komanso zifukwa zomwe zimachulukira kapena kuchepa

Pafupifupi, munthu wachikulire wathanzi, mashuga a shuga a magazi amayambira 3.3-5,5 mmol / L. Mukatha kudya, kuchuluka kwa glucose kumakwera kwambiri kwakanthawi, kenako ndikubwezeretsedwa.

Pali chinthu china monga glycemic index - uku ndi kuthekera kowonjezera kuchuluka kwa shuga m'magazi ndi zakudya zomwe zili ndi chakudya chamagulu. Ngati mfundo zake zimachuluka, ndiye kuti izi zikuwonetsa kuti glucose, yomwe imafunikira insulini kuti imupangire, imadziunjikira mwachangu komanso zambiri. Ngati izi zimatsitsidwa mu zakudya kapena mbale, ndiye kuti glucose amalowa m'magazi pang'ono pang'onopang'ono komanso moyenera, ndipo izi zimafunikira insulini yaying'ono.

Mndandanda wazinthu zomwe zili ndi glycemic index (GI):

• pansipa 15 (mitundu yonse ya kabichi, zukini, sipinachi, sorelo, radish, mpiru, nkhaka, katsitsumzukwa, leek, rhubarb, tsabola wokoma, bowa, biringanya, squash),
• 15-29 (prunes, blueberries, yamatcheri, plums, zipatso za malalanje, lingonberry, yamatcheri, cranberries, tomato, nthanga za maungu, mtedza, chokoleti chakuda, kefir, fructose),
• 30-39 (wakuda, woyera, wofiyira wofunda, peyala, maapulo atsopano ndi owuma, mapichesi, rasipiberi, maapulosi otentha, nandolo, nyemba, apricots, mkaka, chokoleti cha mkaka, yogurt yamafuta ochepa, mphodza),
• 70-79 (zoumba, beets, chinanazi, chivwende, mpunga, mbatata yophika, ayisikilimu, shuga, granola, cheesecakes),
• 80-89 (ma muffins, maswiti, kaloti, caramel),
• 90-99 (mikate yoyera, yophika ndi mbatata yokazinga).

Magulu awiri a mahomoni amakhudza kuchuluka kwa shuga m'magazi. Mahomoni omwe amachepetsa glucose wamagazi ndi insulin, mahomoni omwe amawonjezera glucose wamagazi ndi glucagon, kukula kwa mahomoni ndi glucocorticoids, ndi mahomoni a adrenal. Adrenaline, imodzi mwamafuta opsinjika, amaletsa kutulutsa kwa insulin m'magazi. Chizindikiro chimodzi cha matenda ashuga ndikuwonjezereka kwa glucose wamagazi (hyperglycemia).

Zomwe zimayambitsa hyperglycemia zitha kukhala:

• pamavuto osiyanasiyana
• cholowa
• zovuta zamtundu
• thupi lawo siligwirizana
• chimfine chachitali, etc.

Zakudya zamakono komanso zamakono ophika

Chakudyacho chikuyenera kukhala nthawi zisanu ndi ziwiri patsiku ndi nthawi pakati pa chakudya ndi maola awiri ndi chakudya chomaliza 1.5-2 maola asanagone.

1. Ndikofunika kuti muyambe kudya chakudya cham'mawa ndi chimanga ndikuphatikiza ndi dzira limodzi kapena mazira awiri mu mawonekedwe a omelet m'buku lino. Kuchuluka kwa mbewu monga chimanga kuli pafupifupi 250-300 ml. Pakati pa zakumwa zam'mawa, mungagwiritse ntchito tiyi ndi mkaka, khofi wokhala ndi mkaka, koko ndi mkaka, chicory wokhala ndi mkaka. Ngati simukukonda kuwonjezera mkaka ku zakumwa izi, mutha kuziphatikiza ndi tchizi cholimba cha 45% mafuta kapena tchizi cha kanyumba.
2. Pa nkhomaliro, tikulimbikitsidwa kuti mupange malo ogulitsa zipatso ndi mabulosi-yogurt, mutha kuwonjezera mtedza ndi zipatso zouma, kapena gwiritsani ntchito saladi zamasamba ngati Greek kapena Shopska kapena saladi zofananira.
3. Pa nkhomaliro, muyenera kugwiritsa ntchito mbale yoyamba (borsch yofiira, msuzi wobiriwira, msuzi wa nkhuku, msuzi wosiyanasiyana, sopo, etc.) mu voliyumu ya 250-300 ml / tsiku. Yachiwiri idalimbikitsa mawere a nkhuku, nkhuku (musanachiritse kutentha, chotsani khungu ku nkhuku), ng'ombe, nyama yamwana wankhumba, nyama ya nkhumba yodontha (mwa mawonekedwe a nyama, maukonde a nyama, brisole) popanda kuwonjezera mazira ku nyama yoboola. Popeza mapuloteni a avidin opezeka dzira amateteza kuyamwa kwa chitsulo munyama, osavomerezeka kuti aphatikize ndi ndiwo zamasamba mu chakudya chimodzi. Kuti mukonze nyama, tikulimbikitsidwa kuyeretsa nyamayi kuchokera ku fascia ndi tendons, falitsani maulendo awiri mu chopukusira cha nyama ndikuphatikizira anyezi ndi mchere. Ndikofunika kugwiritsa ntchito zigawo za nyama ndi phala kapena phala lonse la tirigu. Kutalikirana pakati pa nyama ndi masamba masamba kuyenera kupitilizidwa kwa maola 1-1,5.
4. Pakati pa zakumwa, ma compotes a zipatso zouma kapena msuzi wa rosehip, kapena zipatso ndi mabulosi odzola, kapena watsopano, wothira madzi akumwa a m'mabotolo, amalimbikitsidwa.
5. Ngati tiyi wamasana, mutha kugwiritsa ntchito tchizi tchizi ndi saladi ya zipatso kapena saladi ya zipatso, kapena saladi ya masamba ndi voliyumu ya 150 g / tsiku.
6. Chakudya chamadzulo chikulimbikitsidwa kuyamba ndi mbale zam'madzi ndi kuwonjezera kwa mbale yakumbuyo yamasamba. Kuchokera zakumwa: tiyi, koko kapena chokocha ndi kuwonjezera mkaka. Usiku, mumatha kumwa kapu ya biokefir kapena kudya yogati. Ndikofunika kumwa madzi mu voliyumu yowerengeredwa ndi formula: 20-30 ml ya madzi pa kilogalamu imodzi ya kulemera kwa thupi. Kuwongolera pang'ono: m'chilimwe, chiwerengerochi ndi 30 ml, nthawi ya masika ndi yophukira - 25 ml, ndipo nthawi yozizira - 20 ml. Izi zimagwiritsidwa ntchito poganizira zamadzimadzi zonse zomwe mumamwa (zakumwa ndi maphunziro oyamba).

Tekinoloje yophika idakhazikika poti ndikofunikira kukonzera zakudya zonse popanda kuwonjezera mafuta. Mafuta ophikira (maolivi, mafuta a chimanga) ayenera kuwonjezeredwa ku chakudya musanayambe kudya tebulo, chifukwa chifukwa chotenthetsera mafuta ophikira omwe amapaka masamba ndi ma carcinogens amapangidwa, zomwe zimakhudza kwambiri makoma amitsempha yamagazi ndikutsutsa osati kukula kwa mtima wama mtima. mwa anthu, komanso matenda a oncological. Mitundu yophika: kuwotcha, kuwira, kuwotcha, kuphika.

37. Malangizo a shuga wamagazi.

Mwazi wamagazi ndi amodzi mwa magawo a homeostatic. Kuwongolera kuchuluka kwa shuga m'magazi ndimagulu a njira zowongolera kukhalapo kwa mphamvu homeostasis kwa ziwalo zofunika kwambiri (ubongo, maselo ofiira am'magazi). Glucose ndiye chachikulu komanso pafupifupi gawo lokhalo la mphamvu kagayidwe. Pali njira ziwiri zovomerezeka:

Changu (kudzera pakatikati wamanjenje)

Zosatha (kudzera mu zotsatira zamafuta)

Makina azadzidzidzi nthawi zambiri amayambitsidwa ndi zochitika za thupi kwambiri. Imachitika molingana ndi mtundu wakale (chidziwitso chowopsa chimawonedwa kudzera mwaukatswiri wowonera.) Kutengeka kochokera mu gawo limodzi la kotekisi kumafalikira kudera lonse la kotekisi.Kenako kuzengereza kumapitilira ku hypothalamus, komwe kuli malo achifundo achisoni komwe amapezeka. Impulses imalowa mumtondo wachifundo kudzera mu chingwe cha msana komanso m'mbali mwa ulusi wa postganglionic kupita ku adrenal cortex. Pankhaniyi, kuthamangitsidwa kwa adrenaline kumachitika, komwe kumayambitsa adenylate cyclase limagwirira glycogen mobilization).

Makina ofulumira amakhala ndi glycemia yokhazikika kwa maola 24. M'tsogolomu, kupezeka kwa glycogen kumachepa ndipo maola 15 - 16 atatha kulumikizidwa kwina konse, omwe amachokera gluconeogeneis. Pambuyo pakuchepa kwa malo ogulitsa glycogen, kotekisi yosangalatsidwa imapitilizabe kutumiza zokopa ku hypothalamus. Kuchokera pamenepa, ma liberins amawoneka bwino, omwe, ndi mtsinje wamagazi, amalowa mu gululi la anterior pituitary, lomwe, limaphatikizanso STH, ACTH, TSH m'magazi, omwe amachititsa kuti triiodothyronine ndi thyrotropin amasulidwe. Ma hormones amenewa amalimbikitsa lipolysis. Ma mahomoni a Thyrotropic amachititsa kuti mapuloteni ayambe kupangika, zomwe zimapangitsa kuti pakhale ma amino acid aulere, omwe, monga zinthu zopangidwa ndi lipolysis, amagwiritsidwa ntchito ngati magawo a gluconeogenesis komanso kuzungulira kwa tricarboxylic acid.

Poyankha kuwonjezeka kwa shuga m'magazi, insulini imamasulidwa, komabe, chifukwa chakuti mafuta acids ndi mahomoni obisika amachotsa glycolysis mu minofu minofu, minyewa ya m'magazi siyimadyedwa, glucose onse amasungidwa ku ubongo ndi maselo ofiira amwazi.

M'mikhalidwe yovutitsidwa nthawi yayitali chifukwa cha kupsinjika kwa thupi, kuperewera kwa insulin kumatha kuchitika, chomwe ndi chimodzi mwazomwe zimayambitsa matenda a shuga.

Zotsatira za adrenaline pa shuga

Adrenaline amamasulidwa kuchokera ku ma adrenal gland kulowa m'magazi pazomwe zimachitika - mkwiyo, ukali, mantha, magazi ndi kuperewera kwa mpweya wa minyewa.

Kutulutsidwa kwa adrenaline kumathandizanso shuga m'magazi, kuchuluka kwa chithokomiro, radiation ndi kuledzera.

Mothandizidwa ndi adrenaline, munthu amayamba njira yoteteza kuti asathawe mdani kapena ngozi. Mawonekedwe ake ali motere:

• Zombo zikuchepera.
• Mtima ukugunda mwachangu.
• Ana amapaka.
• Kupanikizika m'mitsempha kumakwera.
• The bronchi kukuza.
• Khoma lamatumbo ndi chikhodzodzo limapumula.

Kuperewera kwa chakudya kwa munthu ndi chizindikiro cha ngozi, chifukwa chake, monga zinthu zina zovuta, akuphatikiza kutulutsidwa kwa adrenaline. Zizindikiro zakuchepetsa shuga m'magazi (hypoglycemia mu shuga mellitus) zimawonetsedwa ndi manja akunjenjemera, thukuta lozizira, palpitations wamtima. Zizindikiro zonsezi zimayamba chifukwa cha kutseguka kwa mtima wamanjenje komanso ma adrenaline amayenda m'magazi.

Adrenaline, kuphatikizapo norepinephrine, cortisol, somatotropin ndi mahomoni a chithokomiro, mahomoni ogonana ndi glucagon, amawonedwa ngati otsutsana. Ndiye kuti, insulin ndi adrenaline imachita mosiyana pa carbohydrate metabolism.

Otsutsana ndi insulin amalimbikitsa shuga wa magazi. Izi zimawerengedwa ngati chosinthira, choteteza pokhudzana ndi zovuta zomwe zimabweretsa.

Zochita zamahomoni awa mu shuga mellitus amafotokoza kukula kwa zochitika monga:

1. Zodabwitsa za "mbandakucha m'mawa."
2. Kuvuta kwakubwezera anthu omwe ali ndi matenda ashuga.
3. Kuchuluka kwa shuga m'magulu opsinjika.

Chodabwitsa cha "m'bandakucha" - kuwonjezeka kwa shuga m'mawa kwambiri tulo titagona. Izi ndichifukwa kutulutsidwa kwa mahomoni opikisana, kuchuluka kwa kubisika komwe kumachitika kuyambira 4 mpaka 8 m'mawa. Nthawi zambiri, panthawiyi, insulin imalowa m'magazi ndipo shuga sakwera. M'mikhalidwe yovuta yokwanira kapena ya insulin, kuchuluka kwa shuga m'magazi kumatha kuwonjezeka m'mawa.

Kuwonjezeka kwa glucose motsogozedwa ndi adrenaline kumachitika chifukwa cha momwe limagwirira ma cell mu chiwindi ndi minofu. Mu chiwindi ndi minofu, glycogen imasiya kuyikika, kupanga kwa glucose kuchokera ku organic acid kumayamba, masitolo a glycogen amachepa, chifukwa adrenaline imapangitsa kutembenuka kwake kukhala glucose.

Kuchita kwa adrenaline pa kagayidwe kazakudya kumapangidwanso ndikulepheretsa kupanga kwa insulin ndikuyambitsa kutulutsa shuga m'magazi.

Chifukwa chake, adrenaline amachepetsa kugwiritsa ntchito shuga ndikuwonjezera mapangidwe ake mthupi kuchokera ku amino acid, amathandizira kutsekeka kwa glycogen kupita ku glucose. Kuphatikiza apo, adrenaline amachepetsa kutulutsa shuga. Mwazi wamagazi umakwera, koma maselo nthawi yomweyo amakhala ndi njala. Kuchuluka kwa glucose kumathandizira kuthamanga kwake kuchoka m'thupi kudzera mu impso.

Mukakhala ndi minyewa ya adipose, mafuta amawonongeka ndipo mapangidwe ake amakhala oletsedwa. Ndi kuchuluka kwambiri kwa adrenaline m'magazi, kuwonongeka kwa mapuloteni kumayamba. Kuphatikizika kwawo kumachepa.

Izi zimabweretsa kutsika pang'ono pakukonza minofu.

Momwe mungachepetse mulingo wa adrenaline m'magazi

Ndikulimbikitsidwa kuti odwala omwe ali ndi matenda a shuga azipewa mavuto, koma popeza izi sizingapeweke kwathunthu, muyenera kudziwa momwe mungachepetse mphamvu ya adrenaline m'thupi.

Masewera olimbitsa thupi omwe amatha kupuma angathandize. Kupsinjika kumamupangitsa munthu kupuma pafupipafupi komanso mopitilira muyeso, ndipo kupuma mwamphamvu komanso kosalala kumathandizira kupumula, mochititsa chidwi kumachepetsa kugunda kwa mtima.

Ndikofunikira kuwongolera kutalika kwa kudzoza ndi mpweya wotuluka. Momwe mpweya umapumira uyenera kutalikiranso kawiri. Pochita masewera olimbitsa thupi, ndikofunikira kukhala ndi nsana wanu molunjika ndikupumira m'mimba yanu.

Kuphatikiza pa kuthana ndi kupsinjika, mutha kugwiritsa ntchito:

• Kusintha chidwi.
• Njira zopumira kwambiri.
• Maganizo abwino.
• Zochita zolimbitsa thupi (kusambira, kukwera maulendo, zolimbitsa thupi zolimbitsa thupi).
• Yoga ndi kusinkhasinkha.
• Kusisita.
• Kusintha kwa chakudya.

Kuti muchepetse kumasulidwa kwa adrenaline mukapanikizika, muyenera kusintha chidwi chanu, mwachitsanzo, kuwerengera kuti mukhale makumi awiri.

Njira yopumira kwambiri ingakhale yopindulitsa kwambiri: kugona chagada kumbuyo kwanu, kuyambira minofu yamapazi, poyamba kwa masekondi 10, limbitsani minofu mwamphamvu, kenako pumulani. Pang'onopang'ono, kusunthira chidwi kuchokera pansi mpaka pamtunda, kufikira minofu ya mutu. Kenako gonani kumbuyo kwanu kwakanthawi kwa mphindi 15 mpaka 20.

Njira yolingalira moyenera ithandizira kupeza njira yochoka pamavuto. Kuti muchite izi, muyenera kulingalira m'maganizo njira yabwino kwambiri yopangira zochitika ndikuyang'anitsitsa zotsatira.

Kuphatikiza pazoganiza, nyimbo zodekha ndikuwonera mavidiyo okhala ndi malo okongola amatha kuthandizira kupumula.

Masewera ochepetsa adrenaline

Kuchita masewera olimbitsa thupi, ngakhale kwa mphindi khumi ndi zisanu, kumachepetsa kuchuluka kwa adrenaline, popeza kutulutsidwa kwa mahomoni awa adapangidwira pazomwezi - kuyenda.

Ndi masewera olimbitsa thupi nthawi zonse, munthu amayamba kusangalala, monga ma endorphin ndi serotonin amapangidwa omwe amasintha kugona ndi kusinthasintha, ndiye kuti amachita ngati adrenaline antagonists.

Masewera olimbitsa thupi opambana ndi nkhawa ndi yoga. Kuzindikira zomwe mukumva mukamachita masewera olimbitsa thupi komanso kuganizira kwambiri kupuma kumathandiza kuti muchepetse mavuto anu mofulumira komanso mwamphamvu.

Kusisita kwa matenda ashuga kumathandizira kupumula minofu ndikuchepetsa magazi. Ndi kutikita minofu kotsitsimula, kupanga oxytocin kumatheka, komwe kumakulitsa chisangalalo.

Ngati ndizosatheka kukaonana ndi katswiri, mutha kuchita masewera olimbitsa thupi, khosi, mapewa ndi khutu, zomwe zimachepetsa kwambiri nkhawa.

Chakudya chopatsa thanzi chimatha kusintha kusintha kwamthupi ndikukulitsa kukana kwa thupi pazinthu zodetsa nkhawa. Kuti muchite izi, tsatirani malamulo awa:

• Zakudyazo ziyenera kuphatikiza avocados ndi nyemba, chimanga ndi mazira.
• Zakudya zama protein ochepa zimatha kuthana ndi nkhawa.
• Tiyi yokhala ndi ginger ndi chamomile imachepetsa kuphipha kwa mitsempha yamagazi ndikuthandizira kupumula.
• Usiku mutha kumwa kapu imodzi ya mkaka ofunda.
• Ndikofunikira kukana panthawi yopanikizika ndi khofi ndi mowa, zakumwa za tonic (mainjiniya).

Mankhwala osokoneza bongo kuti muchepetse kuwonongeka kwa adrenaline m'thupi limagwiritsidwa ntchito ndi alpha ndi beta-blockers. Pogwiritsa ntchito ma receptor omwe adrenaline amamangiriridwa, mankhwalawa samalola kuti achulukitse kuthamanga kwa magazi, kutsitsa khoma lamitsempha, komanso kuchepetsa kugunda kwa mtima.

Kwenikweni, mankhwalawa amagwiritsidwa ntchito pochiza matenda oopsa a mtima komanso kuchepa kwa mtima, komanso kukulitsa kwa gland. Odziwika kwambiri a alpha-blockers: Prazosin, Ebrantil, Kardura, Omnik.

Beta-blockers amagwiritsidwa ntchito kuti achepetse kugunda kwa mtima komanso kutsitsa magazi. Izi ndi monga mankhwalawa: Atenolol, Bisoprolol, Nebivolol. Mankhwala Coriol amaphatikiza zomwe magulu onse awiriwa amapanga.

Kuti muchepetse zotsatira za adrenaline mu mantha am'magazi, mankhwalawa omwe ali ndi mphamvu yogwira ntchito amagwiritsidwa ntchito. Pachifukwa ichi, kukonzekera kwazitsamba kumagwiritsidwa ntchito: valerian, mamawort, timbewu, peony, hops. Palinso mankhwala omwe adapangidwa kale:

Kwa odwala matenda ashuga, choyambirira chomwe chimachitika ndikakumana ndi vuto ndizowongolera kuchuluka kwa gluu m'magazi. Kuyesedwa kwa shuga kwa tsiku ndi tsiku kumafunika musanadye, maola awiri mutatha kugona komanso musanagone. Ndikofunikanso kuphunzira za mbiri ya lipidemic ndikuwongolera kuthamanga kwa magazi.

Ndi zovuta zomwe zimakhalapo kwa nthawi yayitali, kufunsa kwa endocrinologist ndikofunikira kukonza chithandizo. Kanema yemwe ali munkhaniyi amapereka malingaliro osangalatsa okhudzana ndi zovuta za adrenaline ndi shuga.

Ndemanga zaposachedwa

Ndimayang'ana MUNGAWONSE ZONSE MU DIABETES MellITUS. ZATHA! Adrenaline wa matenda ashuga:
Kodi shuga wamagazi amawonjezeka?

. Kodi ndingathe kulowetsa insulin ndimapiritsi a matenda ashuga 2?

Kodi ingathe kuchiritsidwa?

Zotsatira zake. Kulemala . Diatrivitin athandizira ndi matenda ashuga. Nov 17, 2017, 19:
17. Mankhwala a choledol a cholesterol.
Mu shuga mellitus, mankhwala omwe ali ngati jakisoni wa intramus sangathe kugwiritsidwa ntchito. . Mwachitsanzo, catecholamines ndi adrenaline amalimbikitsidwa ndi ketamine ndi diethyl ether.
Syntren adrenaline, yotchedwanso epinephrine, imagwiritsidwa ntchito ngati mankhwala. . Mochenjera ndi matenda ashuga. Mankhwalawa amatha kutumikiridwa mosavuta, m'mitsempha kapena m'mitsempha, pang'onopang'ono.

Baru, kuchokera kuvuta kwa matenda ashuga. . Sizotheka nthawi zonse kujambula kusiyana pakati pa zochita za glutocorticoids ndi mineralocorticoids.

Matenda a shuga amayamba ndikuphwanya ntchito za kapamba. Tiyenera kudziwa kuti adrenaline sikuti imangoyambitsa shuga, komanso. Christina:
Kodi ndizotheka kutenga pakati ndi endometriosis? Jeanne:
Udindo wa testorena
Ndinamva kale kuti adrenaline ikhoza kutumikiridwa mosazindikira. Mlingo?

. Nkhani zokhudza Adrenaline Shuga. Matenda a shuga mu ana ndi achinyamata Sibileva E.N. Matenda a shuga (monga kufotokozedwa ndi WHO) ndi matenda osachiritsika.
Kuti muchite izi, ubweya umametedwa m'mphepete mwa m'makutu (kumeta m'malo mwake ndikudula). tsamba 173. . Onani masamba omwe mawu akuti Kukhudzika kwa adrenaline pa shuga wa magazi atchulidwa:
c.265.
Kodi matenda ashuga angachiritsidwe? Kodi adrenaline ndiyotheka ndi matenda a shuga- 100 PERCENT!

. Zochita za matenda ashuga. Matenda a shuga ndi kupsinjika. . chizindikiro cha glucose chikupitilirabe kukula, ndipo mothandizidwa ndi iye, mahomoni adrenaline, cortisol, amapangidwa mokulira.
Mavuto omwe amachitika kwambiri masiku ano ndi shuga.
Ngati muli ndi matenda a shuga, ndiye kuti m'malo mwa shuga, thupi lanu limadya makamaka fructose, chifukwa insulini siliyenere kuyamwa chinthuchi.. adrenaline ndi m'gulu la mahomoni omwe amapanga ma contra. Imakhazikitsa (yosavuta kuyimitsa).
5 Mayeso okweza. 6 Kodi ndizotheka kuchita nawo masewera olimbitsa thupi a matenda ashuga?

. ndi hyperglycemia, ndiko kuti, kuwonjezeka kwakukulu kwazinthu zobisika zam'madzi ena, mwachitsanzo, adrenaline ndi glucagon.
Odwala omwe ali ndi matenda a shuga, amakhalanso ovuta. . Mwa anthu otere, kutulutsidwa kwa adrenaline koyambirira kwa hypoglycemia sikuchitika. . Khungu pamaso jakisoni ndi antiseptic sangathe kuthandizidwa.
Kuti muchepetse kuchuluka kwa adrenaline chifukwa cha zovuta zomwe zimapangidwa pafupipafupi, tikulimbikitsidwa kuti musinthe. . Kodi nyanja yamchere imatha kudwala matenda ashuga?

Chithandizo ndi kupewa matenda a shuga ku zovuta za adrenal gland. Kusankhidwa kwa chithandizo cha matenda a shuga a steroid kuli chimodzimodzi ndi matenda ashuga. Zopangira mkaka ndi nyama zimatha kudyedwa pang'ono.
Mahomoni ena ndi adrenaline. Zitha kugwiritsidwa ntchito ndi anthu omwe ali ndi matenda a shuga a mtundu wachiwiri, omwe insulin ikupangidwabe. . Zakudya zamtundu wa shuga. Zakudya za ku Japan h 4.
Kunyumba »Kukhala ndi matenda ashuga» Kusamba kwa matenda ashuga:
Kodi ndizotheka kukhala nthunzi ndipo zingakhale zopindulitsa?

. The adrenaline yopangidwa ndi adrenal gland imakwera, kusintha homeostasis ndi ma elekitiroma mu impso.
1. Ndi matenda a shuga, hyperglycemia imachitika, kenako glucosuria. . 6. Ndi mahomoni ati omwe amadziwika ngati anabolic ndipo chifukwa chiyani?

7. Kodi chachitika chani mu mahomoni a adrenaline, glucagon GCS?

Insulin ndi adrenaline

Insulin ndi adrenaline ndi mahomoni omwe amakhala ndi zotsutsana m'njira zina mthupi. Zotsatira za insulin zopangidwa ndi kapamba pazakudya zam'mimba ndizoti shuga akalowa, amadziunjikira m'chiwindi ngati glycogen, polysaccharide yovuta. Katunduyu ndi gwero lamphamvu ndipo amapangitsa kuti glucose azikhala thupi lonse. Kuphatikiza apo, hormone iyi imathandizira kuyamwa kwa ma amino acid ndi minofu, imagwira nawo ntchito pakuphatikizidwa kwamafuta ndi mapuloteni, chifukwa chake imatchedwa mahomoni omanga. Pamodzi ndi mahomoni akukula, zimapereka chitukuko cha thupi komanso kuwonjezeka kwa thupi ndi kukula kwake.

Adrenaline ndi mahomoni opangidwa mu adrenal medulla, m'malo mwake, amathandiza kusintha masitolo a glycogen kukhala shuga. Mahomoni a adrenal cortex - adrenaline ndi norepinephrine - kuwonjezera kuchuluka kwa shuga m'magazi, kuletsa mapuloteni osakanikirana, kusintha kuthamanga kwa magazi ndi kugunda kwa mtima, kuzama kupuma, kuwonjezera minofu ya okosijeni ndikuwonjezera kutentha kwawo.

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Izi ndi.

Kutulutsidwa kwa insulin ndi adrenaline kumayendetsedwa ndi dongosolo lamanjenje lamkati, kotero, chisangalalo chilichonse cha m'maganizo chimatsagana ndi kutulutsidwa kwa adrenaline m'magazi. Ndipo izi zimatsogolera kukuwonjezeka kwa shuga. Ngati ichulukana ndi masiku onse, insulin imaphatikizidwanso pantchito. Homoni wopangidwa ndi kapamba amachepetsa chizindikirochi kukhala mulingo wabwinobwino. Koma izi zimachitika ngati munthu ali wathanzi. Mu shuga mellitus, mahomoni ake omwe samapangidwa kapena osakwanira, chifukwa chake, ndi zokumana nazo zamphamvu zamaganizidwe, palibe chomwe chingalipire kuwonjezeka kwa shuga. Pokhapokha kupanga jakisoni wa exulin. Chifukwa chake, anthu omwe ali ndi matendawa amalangizidwa kuti apewe kupsinjika.

Ntchito zonse zofunika za insulin zimawonetsedwa zonse chifukwa cha momwe zimapangira momwe amapangira zinthu mthupi, komanso chifukwa cha chibadwa cha timadzi ta pancreatic kuti tikulitse malowedwe a glucose ndi ma amino acid. Makhalidwe onse othandizira awa a mahomoni amagwiritsidwa ntchito kwambiri ngati mankhwala pochiza ndikubwezeretsa odwala ovuta, ofooka omwe ali ndi matenda. Odwala amapatsidwa insulin limodzi ndi shuga komanso zovuta zamavitamini.Njira yothandizirayi imathandizira kukonza kagayidwe kachakudya mthupi, ndipo odwala amabwezeretsa thanzi ndikulimba pambuyo pochita opaleshoni yayikulu.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Monga mukudziwa Adrenaline ndi mahomoni opangidwa m'matumbo a adrenal, neurotransmitter. Imapezeka m'matumbo ndi ziwalo zambiri za munthu. Syntren adrenaline, yotchedwanso epinephrine, imagwiritsidwa ntchito ngati mankhwala.

Imakhudzanso mphamvu yamanjenje yapakati, ngakhale kuti imalowera pang'onopang'ono kudzera mu chotchinga cha magazi. Kukulitsa vivacity, mphamvu zamaganizo ndi zochitika, kulimbikitsa kwa malingaliro, kuyang'ana ndi kumverera kwa nkhawa, nkhawa, kusokonezeka. Thupi limapangidwa mozungulira malire.

Epinephrine hydrochloride

Mayina a makemikolo ndi (R) -1- (3,4-dihydroxyphenyl-2-methylaminoethanol) hydrochloride, hydrotartrate. Malangizo a adrenaline hydrochloride akuti amapezeka mu mawonekedwe a yankho la jakisoni m'mabotolo kapena ma ampoules. Machitidwe pa zotumphukira adrenergic njira.

Zotsatira zake zimagwirizanitsidwa ndi zotsatira za ma receptors ndipo momwemo zimafanana ndi kukweza kwa mitsempha yachifundo. Imachepetsa ziwiya zamkati, khungu, zimagwira pakhungu ndipo, pang'ono, minofu yamatumbo. Adrenaline imathandizanso kuthamanga kwa magazi, imathandizira kugunda kwamtima ndikuwalimbitsa.

Komanso Adrenaline hydrochloride imatha kupumula m'matumbo a m'matumbo ndi bronchi, imafinya ana, kumawonjezera shuga m'magazi, kumathandizira kagayidwe kazakudya zam'mimba komanso michere ya okosijeni ya myocardial.

Imakhala ndi mphamvu yogwira mtima pa kugundika kwa magazi, kumawonjezera ntchito ya maselo ndi kuchuluka kwake, ndikuwonjezera mphamvu.

Tisaiwale kuti mphamvu ya adrenaline hydrochloride siyisiyana ndi adrenaline hydroartrate, kusiyana kumangokhala mu mlingo.

Mankhwalawa amaphatikizidwa bwino ndi subcutaneous kapena intramuscular management, koma ndi makolo awo amawonongeka mwachangu.

Mankhwala amagwiritsidwa ntchito ngati mwachitika:

• Kugwedezeka kwa anaphylactic
• Matenda amtundu wamtambo,
• Kufunika koimitsa kupweteka kwambiri kwa mphumu,
• Thupi lawo siligwirizana, kuphatikizapo kugwiritsa ntchito mankhwala,
• Pachimake myocardial infarction ndi yamitsempha yamafuta, kupatsirana kwa electrodefibrillation,
• Kugwidwa mwadzidzidzi kwamtima
• Pachimake kumanzere kwamitsempha,
• Asystole,
• Kutulutsa kuchokera pansi ziwiya za pakhungu ndi mucous nembanemba, kuphatikiza mano,
• Hypoglycemia,
• Kulephera kwina
• Open glaucoma ndi opaleshoni yamaso,
• Kufunika kwa vasoconstrictor wakwanuko.

Contraindication

Osagwiritsa ntchito mankhwala Adrenaline milandu:

• Matenda oopsa
• Aneurysms,
• Matenda opatsirana mwamphamvu,
• Kupuma
• Mimba komanso kuyamwa
• Hypertrophic cardiomyopathy,
• Feochromocytoma,
• Matenda a mtima
• Opaleshoni yokhala ndi fluorotane, cyclopropane, chloroform (popeza arrhythmia imatha kupanga),
• Mochenjera ndi matenda ashuga
• Mosamala ndi hyperthyroidism,
• Kusamalira ana.

Kugwiritsa ntchito ndi zoyipa zina za adrenaline

Mankhwalawa amatha kuperekedwa mosavuta, kudzera m'mitsempha kapena m'mitsempha, pang'onopang'ono, kutsika kwa intracardiac, makamaka ngati mtima wake wamangidwa kapena kupweteka kwamitsempha yamagazi. Mlingo watsimikiza ndi dokotala. Adrenaline amagwiritsidwanso ntchito ku mucous nembanemba kuti atengeko vasoconstrictor.

Maupangiri a Adrenaline pazovuta zomwe zingachitike. Kukhazikitsa kwa mankhwalawa kumatha kupangitsa kuti magazi azithamanga, arrhythmia kapena tachycardia, komanso kupweteka m'dera la mtima. Zikachitika kuti adrenaline adayambitsa phokoso pakusokoneza, ndikofunikira kupereka beta-blockers, monga Anaprilin, Obzidan ndi ena.

Zizindikiro za mawonekedwe owoneka ndi zina mwa mankhwalawa a hypoglycemia

Wodwala yemwe ali ndi matenda a shuga, okhala ndi mahomoni ambiri m'thupi, zitha kuwoneka. Anthu odwala matenda ashuga amakakamizidwa kupsinjika pafupipafupi, kugwirira ntchito mwachangu, kuyezetsa magazi kumawonetsa kuchuluka kwambiri kwa testosterone, azimayi amatha kukhala ndi estradiol.

Komanso, wodwalayo amasokonezedwa ndi kugona, chithokomiro cha chithokomiro sichigwira ntchito mwamphamvu yonse. Kuphwanya phokoso kumatha kuyambitsa masewera olimbitsa thupi, kugwiritsa ntchito pafupipafupi zakudya zopatsa thanzi zopatsa mphamvu.

Nthawi zambiri, ndikuwonjezeka kwa shuga wamagazi, kuchuluka kofunikira kwa insulini kumapangidwa, timadzi timene timatsogolera glucose ku minofu ya minofu kapena kumalo ophatikizika. Ndi zaka kapena chifukwa cha kuchuluka kwa mafuta m'thupi, ma insulin receptors amayamba kugwira ntchito molakwika, ndipo shuga sangathe kulumikizana ndi mahomoni.

• Pankhaniyi, munthu atatha kudya, kuwerengera kwa glucose kumakhalabe okwera kwambiri. Cholinga cha izi chagona mu insulin, ngakhale kuti imapangidwa.
• Omwe amathandizira ku ubongo amazindikira shuga wambiri nthawi zonse, ndipo ubongo umatumiza chizindikirocho koyenera, kuti umasulidwe kwambiri kuti apange insulin yambiri. Zotsatira zake, mahomoni amakula m'maselo ndi magazi, shuga amafalikira thupi lonse, ndipo odwala matenda ashuga amakula ndi hypoglycemia.

Komanso, odwala omwe ali ndi matenda a shuga, amachepetsa chidwi cha insulin ya mahomoni nthawi zambiri, izi zimakulitsa vutoli. Mwanjira imeneyi, wodwala matenda ashuga amawonetsa kuchuluka kwa insulin ndi shuga.

Shuga imadziunjikira mwa ma depositi amafuta m'malo momangowononga mphamvu. Popeza insulin pakadali pano sangathe kukhudza maselo am'misempha, munthu amatha kuwona zotsatira za kuchepa kwa chakudya chofunikira.

Popeza maselo alibe mafuta okwanira, thupi limangolandira chizindikiro cha njala, ngakhale kuti pali shuga wambiri. Vutoli limapweteketsa kuchuluka kwa mafuta m'thupi, maonekedwe onenepa kwambiri komanso kukula kwa kunenepa kwambiri. Ndi kukula kwa matendawo, zinthu zomwe zimachulukitsa thupi zimangokulirakulira.

1. Chifukwa chosazindikira kwenikweni za insulin, munthu amayamba kunenepa ngakhale ndi chakudya chochepa. Vuto lofananalo limachepetsa chitetezo cha mthupi, zomwe zimapangitsa kuti odwala matenda ashuga azitha kutenga matenda opatsirana.
2. Mapilala amawonekera pamakoma amitsempha yamagazi, zomwe zimayambitsa matenda a mtima.
3. Chifukwa cha kuchuluka kwa minofu yosalala m'mitsempha, magazi amathira ziwalo zofunika zamkati amachepa kwambiri.
4. Magazi amakhala povutirapo ndipo amayambitsa maselo othandiza magazi kuundana. Monga lamulo, hemoglobin mu shuga, yomwe imayendetsedwa ndi insulin kukana, imakhala yotsika.

Kanema yemwe ali munkhaniyi akuwonetsa mosangalatsa zinsinsi za insulin.

Sonyezani shuga yanu kapena sankhani jenda kuti mulimbikitse

Zindikirani zaka za mwamunayo

Sonyezani zaka za mkazi

• Zizindikiro poyambira
• Mawonetsero ena
• Zizindikiro za chotupa
• Hypoglycemia Chithandizo

Hypoglycemia, ngati chodabwitsa Chodabwitsa cha hypoglycemia kuchokera pakuwonekera kwa physiology ndi njira yothandizira thupi, yomwe imalongosola chifukwa chakuti shuga yochepa yamagazi imapangidwa. Kupatuka kumeneku kumapangidwa mu shuga komanso kumakhala ndi zisonyezo zapadera.

1. gawo lofatsa la hypoglycemia - momwe wodwalayo amakhala akudziwa nthawi zonse ndipo amatha kuyimitsa, kuyimitsa, matendawa ndi kuyesetsa kwake,
2. mawonekedwe owopsa - pankhaniyi, wodwalayo amadziwa, komabe, kuyimitsidwa bwino kwa hypoglycemia, akunja adzafunika kuthandizidwa,
3. chikomokere pamsika wamavuto a hypoglycemic - kusiya kukayika komanso kuwonongeka kwakanthawi kwakanthawi. Matenda a shuga akhoza kukhala osasintha.

Pali lingaliro la lotchedwa "chiratidzo hypoglycemia." Mwanjira imeneyi, zizindikiro za matendawa zimapangidwa ndi muyezo kapena kuchuluka kwa shuga m'magazi. Zimayambikanso kuwonekera mwachangu ndi glucose wamagazi kuchokera pakuwonjezeka mpaka kufika pamlingo woyenera.

Mkhalidwe wotere suyenera kuonedwa ngati wowopsa pamoyo wa munthu kapena chifukwa cha kulumala, kapena safunikira chithandizo chilichonse, komabe, pankhaniyi, funsani kwa endocrinologist.

Chochita chachikulu pakuchepetsa shuga ya magazi ndikuchotsa adrenaline m'dera la adrenal ndi mathero a mitsempha. Izi zimachitika chifukwa chakuti adrenaline amakhudza "kumasulidwa" kwa glucose mu shuga kuchokera kumalo osungirako thupi. Zotsatira zake, ndi hypoglycemia, zizindikiro zina za nkhawa zimachitika nthawi:

• thukuta,
• kuchuluka kwamanjenje,
• kunjenjemera
• kumva chizungu
• kukakamizidwa pamtima,
• kulephera kwa aimpso
• njala nthawi zina.

Popeza zizindikiro izi za hypoglycemia sizikunena zenizeni za matendawa, ndikofunikira kufunsa katswiri. Chifukwa nthawi yotsatira gawo loyambirira, mawonekedwe a adrenergic monga mydriasis, omwe ali chiwopsezo chambiri cha ophunzira, amatha kuonedwa.

Chizindikiro china chodziwika bwino cha matenda ashuga chiyenera kuonedwa ngati hypertonicity ya minofu, kusokonezeka kwa mitsempha komanso kusintha kwa magazi. Zonsezi zikusonyeza kuti mkhalidwe wa hypoglycemia uyamba kukhazikika.

Pokonza matenda owopsa kwambiri, kuchepa pang'ono pang'ono kwa shuga mu ubongo kumayamba. Izi zimakwiyitsa chizungulire cha nthawi yayitali. Mtsogolo, odwala omwe ali ndi hypoglycemia amazindikira zizindikiro monga:

• kusokonezeka kwa chikumbumtima
• kutopa
• kufooka kwakukulu (kuphatikiza minofu),
• migraine yogwira masiku angapo odwala matenda ashuga,
• Kusintha kwa machitidwe (kungakhale kolakwika kwa kuledzera).

Zizindikiro zina zimawonekeranso: kulephera kuyang'ana pa china chake, kusokonezeka kowoneka, kukomoka, komanso ngakhale kukomoka.

Zizindikiro zomwe zili pamwambazi za nkhawa, komanso kuwonekera kwa ubongo, zitha kuyamba pang'onopang'ono kapena mosayembekezereka, mkati mwa mphindi ziwiri kapena zitatu. Ndi hypoglycemia, amasintha kuchokera pakungomva pang'ono kwakasokonekera mpaka pakusokonezeka kwambiri kwa zochitika zaubongo kapena kuwopseza mwamphamvu.

Nthawi zambiri, vuto lofananalo mu shuga limapezeka mwa anthu omwe amalandila insulin kapena mankhwala ochepetsa matenda a shuga. Ngati mankhwala a hypoglycemia mwadzidzidzi, zizindikiro za neuroglycopenic zingachitike, monga:

1. masomphenya apawiri, otchedwa diplopia ndi zina zowoneka,
2. Zizindikiro zakutsogolo zamtundu wamanjenje, zomwe zimakhala ndi ziwalo zina zokha komanso zimapweteketsa mtima.
3. magalimoto oyambira, kuwonetseredwa chifukwa cha kusokonezeka kwa chikumbumtima - zoyipa, kulephera kutenga chilichonse m'manja,
4. Makhalidwe osakwanira kapena zoletsa zomwe zimachitika.

Ndikofunikira kulingalira kuti ndi hypoglycemia, ntchito zamaubongo zimafooka, zomwe zimatha kukhala chothandizira kuvulala komanso kuwonetsa kwina kulikonse ka kuchepa kwa magazi m'derali ndi matenda ashuga.

Zizindikiro za hypoglycemia zitha kufotokozedwanso mu amnesia - osakhalitsa komanso kuiwalika pang'ono.Chifukwa cha zozungulira, zovuta zimatha kupanga zomwe zimapangitsa kuti ziwalo zina, m'mimba, chiwindi, zizigwira ntchito moyenera.

Vuto lina ndi kukomoka komwe kuli kofanana ndi khunyu. Izi ndi zizindikiro za gawo lotsiriza la hypoglycemia. Kuwonekera kwa khunyu kumatha patangopita mphindi zochepa atangoyamba kumene, koma amadziwika ndi njira yowopsa kwambiri.

Gawo lotsatira la matenda ashuga limakhala kugona kwambiri, komwe sikungatheke kuti munthu atulukemo. Izi zimatsatiridwa ndikusiya chikumbumtima. Izi zitha kutsatana ndi vuto la kupuma komanso kuchepa kwa magazi.

Pankhani ya chotupa cha pancreatic chomwe chimatulutsa insulin, mawonetsedwe oterewa amapezeka m'mawa. Izi zikufotokozedwa ndi njala yausiku, makamaka m'malo pamene wodwala amachita masewera olimbitsa thupi asanadye kadzutsa.

Mwanjira imeneyi, amachepetsa masitolo oyamba a shuga m'magazi. Pa gawo loyamba, chotupa chotere, zimapangidwa mosintha mwachisawawa. Komabe, miyezi ingapo, yopitilira chaka, zimakhala zambiri komanso zovuta.

Chithandizo cha hypoglycemia chimakhazikitsidwa pa mfundo zingapo, monga chizindikiritso komanso kuvomerezedwa kwina kovomerezeka kwamankhwala onse m'thupi omwe adabweretsa izi.

Izi zimatanthawuza kupatula kokhazikika kwa gawo lililonse la shuga woyengedwa. Izi zimaphatikizapo uchi, molasses ndi shuga, komanso ufa woyera ndi zinthu zina zomwe zimakhala ndi wowuma bwino.

Kuphatikiza apo, kuti tiyankhe funso la momwe tingagwiritsire hypoglycemia, ndikofunikira kutengera muyeso umodzi, ndiko kuti, kudya chakudya kangapo kasanu ndi kawiri patsiku (mmalo mwa ziwiri kapena zitatu zochulukirapo).

Zakudya zomwe zaperekedwa ziyenera kuphatikizapo kuchuluka kwa mapuloteni monga nyama, nsomba, nkhuku ndi mkaka. Nthawi yomweyo, kusankha kwaulere zinthu monga zipatso, masamba ndi mbewu zapansi ndizovomerezeka kuposa zovomerezeka.

Potere, chithandizo cha mankhwala a hypoglycemia chikhala chothandiza kwambiri ngati timakambirana za mankhwalawa, ndibwino kuti musalole mankhwala ndi zinthu zomwe zimakhala ndi khofi (monga khofi kapena kola).

Mavuto owopsa a matenda amtunduwu, omwe amaphatikizidwa ndi kugwiritsidwa ntchito kwambiri kwa insulin, nthawi zambiri amayimitsidwa ndi shuga kapena m'malo mwake, koma nthawi zina pakufunika kukonzekera kwamankhwala okonzekera shuga.

Momwe thupi limathandizira ndi shuga mu shuga

Pafupifupi, munthu wachikulire wathanzi, mashuga a shuga a magazi amayambira 3.3-5,5 mmol / L. Mukatha kudya, kuchuluka kwa glucose kumakwera kwambiri kwakanthawi, kenako ndikubwezeretsedwa.

Pali chinthu china monga glycemic index - uku ndi kuthekera kowonjezera kuchuluka kwa shuga m'magazi ndi zakudya zomwe zili ndi chakudya chamagulu. Ngati mfundo zake zimachuluka, ndiye kuti izi zikuwonetsa kuti glucose, yomwe imafunikira insulini kuti imupangire, imadziunjikira mwachangu komanso zambiri.

Mwazi wamagazi ndi amodzi mwa magawo a homeostatic. Kuwongolera kuchuluka kwa shuga m'magazi ndimagulu a njira zowongolera kukhalapo kwa mphamvu homeostasis kwa ziwalo zofunika kwambiri (ubongo, maselo ofiira am'magazi).

Changu (kudzera pakatikati wamanjenje)

Zosatha (kudzera mu zotsatira zamafuta)

Makina azadzidzidzi nthawi zambiri amayambitsidwa ndi zochitika za thupi kwambiri. Imachitidwa molingana ndi mtundu wakale (chidziwitso chowopsa chimadziwika kudzera pa chithunzi chowunikira.

Kusintha kochokera kumalire amodzi kumadutsa gawo lonse la kotekisi. Kenako kuzengereza kumapitilira ku hypothalamus, komwe kuli malo achifundo achisoni komwe amapezeka.Impulses imalowa mumtondo wachifundo kudzera mu chingwe cha msana komanso m'mbali mwa ulusi wa postganglionic kupita ku adrenal cortex.

Makina ofulumira amakhala ndi glycemia yokhazikika kwa maola 24. M'tsogolomu, kupezeka kwa glycogen kumachepa ndipo maola 15 - 16 atatha kulumikizidwa kwina konse, omwe amachokera gluconeogeneis.

Pambuyo pakuchepa kwa malo ogulitsa glycogen, kotekisi yosangalatsidwa imapitilizabe kutumiza zokopa ku hypothalamus. Kuchokera pamenepa, ma liberins amawoneka bwino, omwe, ndi mtsinje wamagazi, amalowa mu gululi la anterior pituitary, lomwe, limaphatikizanso STH, ACTH, TSH m'magazi, omwe amachititsa kuti triiodothyronine ndi thyrotropin amasulidwe.

Ma hormones amenewa amalimbikitsa lipolysis. Ma mahomoni a Thyrotropic amachititsa kuti mapuloteni ayambe kupangika, zomwe zimapangitsa kuti pakhale ma amino acid aulere, omwe, monga zinthu zopangidwa ndi lipolysis, amagwiritsidwa ntchito ngati magawo a gluconeogenesis komanso kuzungulira kwa tricarboxylic acid.

Poyankha kuwonjezeka kwa shuga m'magazi, insulini imamasulidwa, komabe, chifukwa chakuti mafuta acids ndi mahomoni obisika amachotsa glycolysis mu minofu minofu, minyewa ya m'magazi siyimadyedwa, glucose onse amasungidwa ku ubongo ndi maselo ofiira amwazi.

M'mikhalidwe yovutitsidwa nthawi yayitali chifukwa cha kupsinjika kwa thupi, kuperewera kwa insulin kumatha kuchitika, chomwe ndi chimodzi mwazomwe zimayambitsa matenda a shuga.

Mawu oti "kulolera glucose" amatanthauza mphamvu yakuyamwa shuga kwa chakudya kapena akapatsidwa ndi pakamwa kapena m'mimba. Kuphunzira kuthekera uku, kuyesa kwa glucose kumachitika.

Mukamamwa glucose pamlingo wa 1 g / kg pa ola limodzi, mlingowo umatha kukwera kamodzi ndi theka. Kenako mulingo wake uyenera kuchepa, popeza minofu yake imayamba kuyamwa ndikugawana ndi insulin. Kulowa kwa glucose m'maselo kumapangitsa kagayidwe kachakudya kuti kazitulutsa mphamvu mu izo.

Nthawi yomweyo, mapangidwe a glycogen amawonjezeka, makutidwe a glucose amawonjezeka, ndipo ora lachiwiri pambuyo poyesedwa limabweretsa zomwe zili ndi shuga kwa zoyambayo. Itha kupitilizabe kugwa motsogozedwa ndi insulin.

Mafuta a m'magazi akatsika, insulini imaleka kubisidwa ndipo pokhapokha pokhapokha pokhapokha patakhala chofunikira, chobisika. Kuyeserera kwa glucose nthawi zambiri samayambitsa glucosuria (mawonekedwe a shuga mumkodzo).

Ndi matenda ashuga, kulolera shuga wochepa kumayamba, komwe kumadziwonekera:

1. Kuchuluka kwa shuga wamagazi oyambira.
2. Pambuyo pochita masewera olimbitsa thupi, glycemia imachuluka ndipo sagwera koyambira mu 2 hours.
3. Mluza umatuluka mkodzo.

Kuyesedwa kwa glucose kumakupatsani mwayi wodziwika magawo a asymptomatic a shuga - prediabetes, momwe mulingo woyambayo ungakhale wabwinobwino, ndipo kukoka kwa glucose kumakhala kovuta.

Kuyesedwa kwa zotsatira zoyeserera kumachitika molingana ndi magawo otsatirawa (magazi athunthu mu mmol / l): kwabwinobwino kuyesa - 3,3 mpaka 5.5, pambuyo maola 2 - mpaka 7.8, kutsitsa kulolerana kusala - osakwana 6.1, atatha maola 2 - zopitilira 6.7, koma zosakwana 10. Chilichonse pamwambapa chimawerengedwa ngati matenda a shuga.

Kuyesedwa kwa glucose kumasonyezedwa kuwonjezeka kwa kulemera kwa thupi, cholowa chamtsogolo, matenda amtima, komanso matenda oopsa, omwe amapezeka pafupipafupi ndi matenda a shuga a 2.

Pewani shuga ndi zinthu zonse zomwe zili nazo, makeke kuchokera ku ufa wa premium.

• Chepetsa mowa, nyama zamafuta.
• Kanani zinthu zam'chitini, nyama zosuta, marinade, ayisikilimu, timadziti tomwe timatulutsa.
• Sinthani ku chakudya chamtengo chokhala ndi mapuloteni okwanira, masamba atsopano, ndi mafuta azamasamba.

Thupi la munthu wathanzi limatha kuyendetsa shuga m'magazi ocheperako pakati pa 4 ndi 7 mmol / lita. Wodwala akayamba kuchepa m'magazi mpaka 3.5 mmol / lita kapena kutsikira, munthuyo amayamba kumva bwino kwambiri.

Mchere wochepetsedwa umakhudzanso ntchito zonse za thupi, uwu ndi mtundu wa kuyesera kufotokozera zambiri za ubongo za kuchepa komanso kusowa kwenikweni kwa shuga. Pakakhala kuchepa kwa shuga mthupi, magwero onse a glucose angayambike kutenga nawo mbali moyenera.

Makamaka, shuga amayamba kupanga ma protein ndi mafuta. Komanso, zinthu zofunika zimalowa m'magazi kuchokera ku chakudya, chiwindi, pomwe shuga amasungidwa mu mawonekedwe a glycogen.

• Ngakhale kuti ubongo ndi chinthu chokhacho chomwe chimapanga insulin, sichingagwire ntchito mokwanira popanda kupezeka kwa glucose nthawi zonse. Ndi shuga wamagazi ochepa, kupanga insulini kumayima, izi ndizofunikira kuti tisunge glucose wa bongo.
• Pakusakhalapo kwazinthu zofunikira, ubongo umayamba kusinthasintha ndikugwiritsa ntchito mphamvu zina, nthawi zambiri zimakhala ma ketones. Pakadali pano, mphamvu izi sizingakhale zokwanira.
• Chithunzi chosiyana kotheratu chimakhala ndi matenda ashuga ndi shuga wamagazi ambiri. Maselo osadalira insulin amayamba kutenga shuga mopitirira muyeso, zomwe zimayambitsa kuwonongeka kwa munthu ndi matenda a shuga.

Ngati insulin imathandizira kuchepetsa shuga, ndiye kuti cortisol, adrenaline, glucagon, kukula kwa mahomoni kumawonjezera. Monga kuchuluka kwa glucose okwanira, deta yochepetsedwa ndiwopseza thupi lonse, munthu amakhala ndi hypoglycemia. Chifukwa chake, mahomoni aliwonse m'magazi amawongolera kuchuluka kwa shuga.

Nocturnal hypoglycemia m'maloto

Zizindikiro za noogurnal hypoglycemia m'maloto:

• wodwala amakhala ndi khungu lozizira, lotupa, makamaka pakhosi,
• Kusokoneza kupuma
• kugona osagona.

Ngati mwana wanu ali ndi matenda ashuga amtundu woyamba, ndiye kuti muyenera kumuyang'ana nthawi zina usiku, kuyang'ana khosi lake pakukhudza, mutha kumudzutsanso, mwina mungatero, kuyeza shuga m'magazi pakati pausiku. Kuti muchepetse mankhwalawa a insulin komanso kuti mukhale ndi chiopsezo cha hypoglycemia, tsatirani pulogalamu ya matenda a shuga 1.

Mwa odwala ena omwe ali ndi matenda ashuga, Zizindikiro zoyambirira za hypoglycemia ndizopepuka. Ndi hypoglycemia, manja akunjenjemera, kukhuthala kwa khungu, kugwedezeka mwamphamvu, ndi zizindikilo zina zimayambitsa mahomoni a epinephrine (adrenaline).

M'mitundu yambiri ya ashuga, kupanga kwake kumakhala kofooka kapena ma receptors samvera kwenikweni. Vutoli limayamba nthawi yayitali odwala omwe ali ndi shuga yochepa kwambiri kapena amene amalumpha kuchokera shuga wambiri kupita ku hypoglycemia.

Pali zifukwa zisanu ndi zina zomwe zingapangitse kuwongolera kwa ziwonetsero za hypoglycemia:

• Sever autonomic diabetesic neuropathy ndi zovuta za shuga zomwe zimayambitsa kuphwanya kwamitsempha.
• Adrenal minofu yam'mimba. Uku ndi kufa kwa adrenal gland minofu - tezi timene timatulutsa adrenaline. Zimayamba ngati wodwala amakhala ndi matenda a shuga kwa nthawi yayitali ndipo amamuthandizira mwaulesi kapena molakwika.
• Mwazi wa m'magazi umakhala wotsika kwambiri.
• Wodwala matenda a shuga amwe mankhwala - beta-blockers - azithamanga magazi, atakumana ndi vuto la mtima, kapena chifukwa cha kupewa.
• Mwa odwala matenda ashuga omwe amadya zakudya zabwino ", odzaza ndi mafuta, motero amakakamizidwa kubaya waukulu insulin.

Ngati mita ikuwonetsa kuti shuga yanu ili m'munsi mwa 3.5 mmol / L, tengani mapiritsi a glucose, ngakhale ngati palibe zizindikiro za hypoglycemia. Mumangofunika shuga pang'ono kuti muwonjezere shuga kuti akhale abwinobwino. 1-3 magalamu a chakudya chokwanira - awa ndi mapiritsi 2-6 a shuga. Osamadya chakudya chopatsa thanzi!

Odwala ena omwe ali ndi matenda a shuga amakana kumwa mapiritsi a glucose ngakhale atayetsa shuga awo ndikupeza kuti ndi yochepa. Amati akumva bwino ngakhale alibe mapiritsi. Anthu oterewa ndi omwe amakhala "makasitomala" akuluakulu kwa madotolo azidzidzidzi, kuti athe kuyeseza kuchotsa munthu wodwala matenda oopsa.

Anthu omwe amakhala ndi gawo la hypoglycemia kapena shuga m'magazi nthawi zambiri amakhala "osokoneza" izi. Adrenaline m'magazi awo nthawi zambiri amawonekera komanso ambiri.

Izi zimabweretsa kuti chidwi cha ma receptors ku adrenaline chifooke. Momwemonso, Mlingo wa insulin yambiri m'magazi umapangitsa chidwi cha insulin zolandirira khungu.

Zizindikiro zoyambirira za hypoglycemia - kunjenjemera kwa khungu, kuthamanga kwa mtima komanso zina - ndizizindikiro zochokera m'thupi zomwe wodwala matenda ashuga ayenera kulowererapo kuti apulumutse moyo wake. Ngati chizindikirocho sichikugwira ntchito, ndiye kuti mwadzidzidzi wamkulu amadzimva chifukwa chayamba kupsa mtima.

Anthu oterewa amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Njira yokhayo yothanirana ndi vutoli, ngati yakula, ndikuwayeza shuga wanu wamagazi pafupipafupi ndikuwukonza.

Kutenga mbali kwa Cortisol

Kupanga kwa glucagon yam'mimba kumachitika mu kapamba; amapangidwa ndi ma alpha maselo a islets a Langerhans. Kuwonjezeka kwa shuga wamagazi ndi kutenga nawo gawo kumachitika ndi kutulutsidwa kwa glucose kuchokera ku glycogen m'chiwindi, ndipo glucagon imathandizanso kupanga glucose kuchokera pamapuloteni.

Monga mukudziwa, chiwindi chimagwira ngati malo osungira shuga. Mwazi wa glucose ukachuluka, mwachitsanzo, mutatha kudya, glucose mothandizidwa ndi insulin ya mahomoni amapezeka m'maselo a chiwindi ndipo amakhala pomwepo mwa mawonekedwe a glycogen.

Mkulu wa shuga akakhala wochepa komanso osakwanira, mwachitsanzo, usiku, glucagon amalowa ntchito. Imayamba kuphwanya glycogen kupita ku glucose, yemwe kenako amawonekera m'magazi.

1. Masana, munthu akumva ludzu maola anayi aliwonse, ngakhale usiku thupi limatha kudya popanda maola opitilira asanu ndi atatu. Izi ndichifukwa choti nthawi yausiku pali kuwonongeka kwa glycogen kuchokera ku chiwindi kupita ku glucose.
2. Mu shuga mellitus, musaiwale kubwezeretsanso kupezeka kwa zinthuzi, apo ayi glucagon sangathe kuwonjezera shuga, zomwe zingayambitse kukula kwa hypoglycemia.
3. Zomwezi zimachitikanso nthawi zambiri ngati wodwala matenda ashuga sanadye kuchuluka kwa chakudya, kusewera masewera masana, chifukwa chomwe glycogen yonse idadyedwa masana. Kuphatikiza pa hypoglycemia kumatha kuchitika. Ngati munthu amamwa mowa tsiku lathalo, chifukwa amaletsa ntchito ya shuga.

Malinga ndi kafukufuku, kuwunika kwa mtundu woyamba wa shuga 1 kumangoletsa kupanga kwa cell ya beta-cell, komanso kusintha ntchito ya maselo a alpha. Makamaka, kapamba sangathe kupanga kuchuluka kwa glucagon komwe kumachitika m'thupi. Zotsatira zake, zovuta za insulin ndi glucagon zimasokonekera.

Kuphatikiza mu odwala matenda ashuga, kupanga glucagon sikuchepa ndi kuchuluka kwa shuga m'magazi. Izi ndichifukwa choti insulini imagwiridwa mosamala, imayenda pang'onopang'ono kupita ku ma alpha, chifukwa pomwe kuchuluka kwa mahomoni kumachepa ndipo sikungaletse kupanga glucagon.

Cortisol ndi timadzi tofunikira kwambiri timene timatulutsidwa ndimatumbo a adrenal pakachitika zinthu zovuta komanso zimathandizira kukulitsa kuchuluka kwa shuga m'magazi.

Kuwonjezeka kwa shuga komwe kumachitika chifukwa cha kuchuluka kwa shuga m'mapuloteni komanso kuchepa kwa mayamwidwe ake ndi maselo amthupi. Hemoni imaphwanyanso mafuta kuti apange mafuta achepetsa, omwe ma ketoni amapangidwa.

Ndi matenda ochulukirapo a cortisol odwala matenda ashuga, pamakhala kuchuluka kwakuchulukirapo, kupsinjika, kuchepa kwa potency, mavuto a matumbo, kuchuluka kwa mtima, kusowa tulo, munthu akukalamba mwachangu, akulemera.

1. Ndi okwera mahomoni ambiri, matenda a shuga amayamba popanda zovuta ndipo mitundu yonse yamavuto imayamba.Cortisol imachulukitsa kuchuluka kwa shuga - choyamba pochepetsa kupanga insulin, pambuyo poyambitsa kuwonongeka kwa minofu minofu ku glucose.
2. Chimodzi mwazizindikiro za cortisol yayikulu ndikumverera kosalekeza kwa njala komanso kufunitsitsa kudya maswiti. Pakadali pano, ichi chimakhala chifukwa chodyetsa kwambiri komanso kunenepa kwambiri. Mu matenda ashuga, mafuta omwe amapezeka m'mimba, ndipo kuchuluka kwa testosterone kumachepetsedwa. Kuphatikiza ndi mahomoniwa chitetezo chochepa, zomwe zimakhala zowopsa kwa wodwala.

Chifukwa chakuti thupi limagwira ntchito mopanda malire ndi zochitika za cortisol, chiopsezo cha munthu amene ali ndi stroke kapena kuvulala ndi mtima chikuwonjezeka kwambiri.

Glucose metabolism ndi zovuta zake mu shuga

Hypoglycemia imayamba m'magazi momwe insulin yochulukirapo imazungulira m'magazi, molingana ndi kudya kwa glucose kuchokera ku chakudya komanso m'masitolo a chiwindi.

Zimayambitsa hypoglycemia

B. Zogwirizana ndi Chakudya

ngati mutsatira mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wa 2 wodwala, ndiye kuti hypoglycemia imakhala yocheperako. Chifukwa ndi matenda amtundu wa 2 shuga, tidakana mapiritsi oyipa (sulfonylureas ndi ma dongo) omwe angayambitse.

Mwina mwamvapo nkhani zambiri zowonetsa kuti odwala omwe ali ndi matenda ashuga 1, hypoglycemia imachitika ndipo imakhala yovuta kwambiri. Nkhani yabwino ndiyakuti vutoli limangokhudza anthu omwe ali ndi matenda ashuga omwe amatsata zakudya "zopatsa thanzi", kudya zakudya zambiri ndipo chifukwa chake amafunika kubaya insulini yambiri.

Ngati mukutsatira pulogalamu yathu yothandizira odwala matenda ashuga a mtundu woyamba, chiopsezo cha hypoglycemia ndichotsika kwambiri. Kuchepetsa kambiri pachiwopsezo cha hypoglycemia ndikofunikira, koma osakhala chifukwa chofunikira kwambiri chosinthira mtundu wathu 1 wodwala matenda a shuga.

mumadzibaya mwangozi ndi insulini yambiri kuposa momwe muyenera, kapena jekeseni mlingo wa insulin mwachangu osadikirira maola 5 kuti mlingo wapitawu usathe.Khalani omasuka kufunsa am'banja mwanu ndi ogwira nawo ntchito kuti aphunzire nkhaniyi.

Ngakhale chiwopsezo chimachepetsedwa, mutha kukhalabe mu vuto la hypoglycemia, pomwe simungathe kudzipulumutsa nokha, ndipo anthu okhawo omwe akuzungulirani ndi omwe angakupulumutseni kuti musataye chikumbumtima, imfa kapena kulumala.

Zakudya zophatikiza ndi mapuloteni pang'ono zimawonjezera kuchuluka kwa shuga, komanso kutulutsa shuga m'magazi ndi chiwindi m'misika yake. Hemuloni insulin imachita mwanjira ina. Imachepetsa shuga m'magazi, ndikupangitsa minyewa kuyamwa glucose.

Kuphatikiza pa chakudya, kumasulidwa kwa insulin ndi maselo a beta kumalimbikitsidwa ndi mapiritsi owopsa kuchokera ku mtundu wa 2 shuga, omwe amatchedwa sulfonylurea derivatives (Diabeteson, Maninil, Amaryl ndi ena). Kuphatikiza pa kapangidwe kake, insulin imatha kulowa mthupi kuchokera kunja mothandizidwa ndi jakisoni.

Ngati shuga m'magazi amatsika, pancreatic insulin secretion imasiya yomweyo. Komabe, zochitika za sulfonylurea zochokera sizingathetsedwe mosavuta. Muyenera kudikirira maola ambiri kuti impso ndi chiwindi zichotse mankhwalawa.

Hypoglycemia imachitika pakakhala insulin yambiri mthupi, ndipo magwero a glucose ndi osakwanira. Mu chiwindi, glucose amasungidwa bwino monga glycogen. Katundu wa zinthu izi akhoza kutha. Wodwala matenda ashuga amatha kulakwitsa ndi mtundu wa insulin kapena zotumphukira za sulfonylurea.

Ndiponso, chifukwa cha shuga wochepa ndimapulogalamu owonjezera a insulini poyerekeza ndi kudya kwa michere kuchokera kunja komanso kutulutsa shuga m'magazi ndi chiwindi. Kusavomerezeka kungachitike chifukwa cha mankhwala osokoneza bongo a insulin kapena mapiritsi owopsa a shuga 2.

Zoyambitsa zomwe zalembedwa pansipa:

• Mankhwala osokoneza bongo a insulini kapena mapiritsi ambiri chifukwa chosowa luso lotha kudzisamalira
• Kuperewera kwa makolo a ana odwala matenda ashuga, kusowa kwa insulin dilution
• Cholembera cholakwika cha insulin chomwe chidayambitsa bongo
• Glucometer yolakwika, yomwe imapatsa zizindikiro kwambiri kuposa zenizeni
• Adaganiza kwambiri ndi zolinga zodzipha kapena zokuthandizira
• Mlingo wa kukonzanso kwachulukidwe posintha insulin
• Kuchepetsa pang'onopang'ono kwa insulin kuchokera mthupi chifukwa cha impso kapena chiwindi
• Njira yolakwika yoperekera insulin - jakisoni wozama kwambiri, malo opaka jakisoni
• Mankhwala ena adathandizira zotsatira za sulfonylurea
• Kuzindikira insulin ndi mapiritsi kuchuluka chifukwa cholimbitsa thupi kwakanthawi
• Mimba mu trimester yoyamba, nthawi yoyamwitsa
• Kuzindikira kwa insulin kumawonjezeka mwa azimayi atabereka
• Ndi kuchepa kwa thupi, kugwiritsa ntchito insulin kapena mapiritsi osachepetsa
• Kusokonezeka kwa kayendedwe ka chakudya kuchokera m'mimba kupita m'matumbo (diabetesic gastroparesis)
• Kusokoneza chimbudzi chifukwa cha matenda am'mimba

Payokha, ziyenera kunenedwa za hypoglycemia yomwe imayamba chifukwa chomwa mowa kwambiri. Nthawi zambiri, chiwindi chimaphwanya glycogen ndikutulutsa shuga m'magazi chifukwa cha shuga. Komabe, kumwa mitundu yayikulu ya mowa kumaletsa njirayi.

Mulingo wotetezeka wa insulin kapena mapiritsi a mtundu 2 wa shuga chifukwa chomwa mowa ungayambitse hypoglycemia. Komanso, ena adzaganiza kuti wodwalayo amagona chifukwa cha kuledzera. Sangoganiza kuti munthu amafunika chithandizo chamankhwala chodzidzimutsa.

Anthu odwala matenda ashuga omwe amamwa jakisoni kapena kumwa mapiritsi owononga a 2 matenda a shuga sayenera kuledzera. Mowa hypoglycemia ndimtundu wamba wa imfa ndi kuwonongeka kwakanthawi kwa ubongo. Komabe, kumwa moyenera pang'ono kumaloledwa. Werengani nkhani yoti “Mowa wa Matendawa” kuti mumve zambiri.

Hypoglycemia nthawi zina imatha kupezeka mwa anthu omwe alibe shuga, osatinso insulin, komanso osamwa mapiritsi omwe amachepetsa shuga. Nthawi zambiri, amayamba chifukwa cha zakudya zosayenera zomwe zimakhala ndi wowuma yambiri, shuga ndi fructose.

Potsatira kukondoweza kwa chakudya chamafuta, kapamba amatha kutulutsa insulin yambiri. Zakudya zamafuta zimawonjezera shuga m'magazi. Komabe, kuchuluka kwa insulin mwachangu kumatsitsa kukhala kwabwinobwino, kenako kutsika, chifukwa chake munthu amamva zosakomera.

M'malo mwake, kuti muchepetse shuga wamagazi muyenera kudya michere. Komabe, zakudya zamafuta ochepa zimathandiza anthu athanzi kulimbana ndi hypoglycemia, chifukwa sizodabwitsa. Chifukwa imakhazikika m'magazi a glucose pamlingo wamba.

Kuphatikiza pa chakudya chopatsa mphamvu, anthu athanzi nthawi zambiri amakhala ndi zifukwa zina za hypoglycemia. Mwachitsanzo, kupanga shuga. Ndi mahomoni omwe amachititsa chiwindi kuti chimasule glucose m'magazi ake. Tsoka ilo, zovuta zachilendo ngati izi zilibe chithandizo chovuta komanso chothandiza.

Kupsinjika kwa magazi ndi shuga wamagazi sizigwirizana. Mavuto a kuthamanga kwa magazi ndi glucose amayenera kuthandizidwa ndikuwathandizira padera.

Anthu odwala matenda ashuga omwe akufuna kudzuka ndi shuga wabwinobwino m'mawa ayenera kudya chakudya chamadzulo osachepera maola 18-19. Odwala ena amadya chakudya chamadzulo mochedwa, asanagone, kuyesa kupewa usiku hypoglycemia.

Kudya usiku kupewa hypoglycemia m'maloto ndi malingaliro olakwika. Kuti magazi anu asangalale m'mawa, idyani chakudya cham'mawa kwambiri. Musanagone, muyenera kubaya jekeseni wosamala wa insulin.

Kukula kwa timadzi tambiri

Adrenaline ndi mahomoni opsinjika omwe amatulutsidwa ndi tiziwalo timene timatulutsa m'mimba. Zimathandizira kukulitsa shuga m'magazi ndikuphwanya glycogen m'chiwindi. Kuwonjezeka kwa kuchuluka kwa adrenaline kumachitika pamavuto, kutentha thupi, acidosis. Madzi amtunduwu amathandizanso kuchepetsa kuyamwa kwa glucose ndi maselo amthupi.

Kuwonjezeka kwa kuchuluka kwa glucose kumachitika chifukwa cha kumasulidwa kwa shuga kuchokera ku glycogen m'chiwindi, kuyamba kwa kupanga kwa glucose kuchokera pamapuloteni azakudya, komanso kuchepa kwa mayamwidwe ake ndi maselo amthupi. Adrenaline mu hypoglycemia imatha kuyambitsa zizindikiro pakunjenjemera, palpitations, kuchuluka thukuta Komanso, mahomoni amalimbikitsa kuwonongeka kwa mafuta.

Poyamba, zidakhazikitsidwa mwachilengedwe kuti kupanga kwa adrenaline ya mahomoni kunachitika atakumana ndi zoopsa. Munthu wakale anafunika mphamvu zowonjezerapo kuti amenye chirombo. M'moyo wamakono, kupanga kwa adrenaline nthawi zambiri kumachitika ndikakhala ndi nkhawa kapena mantha chifukwa cha nkhani zoipa. Motere, mphamvu zowonjezera sizofunikira kwa munthu amene ali ndi vuto lotere.

• Mwa munthu wathanzi, insulini imayamba kupangidwira mwachangu panthawi yopsinjika, chifukwa chomwe mafuta am shuga amakhala abwinobwino. Sikovuta kuti odwala matenda ashuga asiye kusangalala kapena mantha. Ndi matenda a shuga, insulini sikokwanira, chifukwa cha izi pali chiopsezo chotenga zovuta zazikulu.
• Ndi hypoglycemia wodwala matenda ashuga, kuchuluka kwa adrenaline kumakweza shuga m'magazi ndipo kumapangitsa kutsekeka kwa glycogen m'chiwindi. Pakalipano, mahomoni amawonjezera thukuta, amayambitsa kugunda kwamtima komanso kumva kuda nkhawa. Adrenaline amawononganso mafuta kuti apange mafuta aulere acids, ndipo ma ketoni mu chiwindi amapanga kuchokera kwa iwo mtsogolo.

Kupanga kwa hormone yokukula kumachitika mu pituitary gland, yomwe ili pafupi ndi ubongo. Ntchito yake yayikulu ndikulimbikitsa kukula, ndipo mahomoni amathanso kuwonjezera shuga m'magazi mwakuchepetsa kuyamwa kwa glucose ndi maselo amthupi.

Kukula kwa mahomoni kumachulukitsa minofu ndikuwonjezera kuchepa kwamafuta. Makulidwe amakulu a mahomoni amapezeka mu achinyamata, akamayamba kukula mwachangu komanso kutha msanga kumachitika. Ndi nthawi iyi yomwe kufunika kwa insulin kumawonjezeka.

Panthawi ya matenda obwera chifukwa cha shuga, wodwalayo amatha kuchepa.Izi ndichifukwa choti pakapita nthawi yayitali, mahomoni amakula amakhala othandizira kwambiri pakupanga somatomedins. Mwa odwala matenda ashuga, pakadali pano, chiwindi chimapeza kukanidwa ndi zotsatira za timadzi timeneti.

Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia

Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi zimayenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa.

Kuti zochitika zithandizike, odwala matenda a shuga omwe amadalira insulin amafunikira kupitiliza kukhazikika pakulamulira kwazonse za shuga, i.e., nthawi zambiri amayeza, amalemba zotsatira zake komanso zochitika zina.

Hypoglycemia yayikulu imatha kubweretsa ku zomwe zimachitika maola angapo zisanathetsedwe konse kuchokera kukumbukira kwa wodwala matenda ashuga. Ngati asungabe chidule chake cha kudziletsa, pamenepo pazomwezi zingakhale zothandiza.

Sikokwanira kungolemba zotsatira za shuga wa magazi, ndikofunikira kulemba zochitika. Ngati muli ndi zigawo zingapo za hypoglycemia, koma osamvetsetsa chifukwa chake, onetsani kwa adotolo. Mwina adzakufunsani mafunso momveka bwino.

Hypoglycemia: mankhwala

Algorithm yotsika ndi shuga ya Ndalama Zothandiziridwa pansipa ndi ya odwala omwe amagwiritsa ntchito njira ya 2 yothandizira odwala matenda ashuga kapena pulogalamu ya matenda a shuga 1. Amaganiza kuti mumasinthira zakudya zamafuta ochepa ndipo mumalowetsa insulin yaying'ono yofanana ndi insulin.

Ndipo akana kale kumwa mapiritsi owopsa a shuga 2, omwe angayambitse hypoglycemia. Pansi pa mikhalidwe imeneyi, makamaka, mankhwala osokoneza bongo okwanira sangakhale. Kuti muimitse hypoglycemia, palibe chifukwa chofunikira kudya chakudya chamagulu angapo a 1.5-2 mkate, monga momwe madokotala amalangizira.

Dr. Bernstein akuti mapiritsi a glucose okha ndi omwe ayenera kugwiritsidwa ntchito pochiza shuga ochepa. Woopsa milandu, wodwalayo amatha kumeza, - yankho lamchere la shuga. Osapatsa shuga, zopangidwa ndi ufa, uchi, sodas, masangweji kwa odwala matenda ashuga.

Muyenera kumwa mlingo wochepetsetsa, wowerengeka wa glucose, womwe umakweza shuga mpaka 3.5-4,5 mmol / l, koma osakwezeka. Kuti muthane ndi vutoli, mapiritsi okha ndi shuga, omwe amagulitsidwa ku pharmacy, ndi oyenera. Palibe zakudya zomwe zimayenera kugwiritsidwa ntchito chifukwa zimachedwa komanso sizolondola.

Hypoglycemia ikachitika, ndiye kuti tachedwa kwambiri kupita kuchipatala kuti tikapeze miyala ya glucose. Musanayambe kuchiza matenda ashuga ndi insulini, muyenera kusunga mankhwalawa ndikuyandikira. Mapiritsi a glucose amagulitsidwa ku pharmacy iliyonse ndipo ndiokwera mtengo.

Kuti mupeze mlingo, muyenera kudziwa momwe 1 gramu ya glucose imakwezera shuga. Zimatengera kulemera kwamthupi la wodwalayo. Dr. Bernstein pazaka zochizira matenda ake a shuga ndikugwira ntchito ndi odwala adapeza zambiri zomwe adatifotokozera.

Tiyeni tiwone chitsanzo cha kuwerengetsa kuchuluka kwa glucose pakuyimitsa hypoglycemia. Mamita adawonetsa kuti wodwala matenda ashuga omwe amalemera 86 kg ali ndi shuga wamagazi a 2.6 mmol / L. Gawo lakulinga ndi 4.5 mmol / L. Kusiyanitsa: 4.5 mmol / L - 2.6 mmol / L = 1,9 mmol / L.

Kufunika kwa kulemera kwa thupi kwa makilogalamu 86 kulibe patebulo. Onani zamtengo wapatali pafupi ndi pansipa, kuwerengera pafupifupi: (0.22 mmol / L 0.18 mmol / L) / 2 = 0,2 mmol / L. Chifukwa chake, timaganiza kuti 1 g ya glucose mwa odwala athu iwonjezera shuga wamagazi ndi 0,2 mmol / L.

Tsopano mutha kuwerengera muyeso wofunikira: 1.9 mmol / L / 0.2 mmol / L = 9.5 g. Musatenge shuga wambiri kuposa kuchuluka kwake. Mutha kuzungulira mpaka 9,0 g chifukwa ngati shuga atakwera mpaka 3.5-4.0 mmol / L, akadali zotsatira zabwino.

Chonde dziwani kuti mwachitsanzo, kuchuluka kwa glucose kuwerengera munthu wodwala bwino wokhala ndi thupi lolemera makilogalamu 86. Kwa akuluakulu oonda, komanso makamaka kwa ana, mlingo wofunikira ukhoza kuchepetsedwa kangapo.

Ndi shuga ochepa magazi, wodwalayo amatha kudya shuga m'mapiritsi kapena kumwa yankho lamadzi. Hypoglycemia yayikulu ndi pomwe simungathe kuchita popanda thandizo lakunja. Ngati munthu wasowa chikumbumtima, ayenera kuyikika mbali yake ndikutsuka pakamwa pake pazakudya.

Sizoletsedwa kutsanulira zakumwa zotsekemera mumkamwa wamkamwa! Chifukwa cha izi, wodwala matenda ashuga amatha kutsekereza ndi kufa. Imbani ambulansi. Pomwe akuyendetsa, mutha kubayidwa glucagon kuchokera ku 1 ml syringe chubu. Ma syringe omwe anali okonzeka kugwiritsa ntchito amagulitsidwa m'masitolo ogulitsa mankhwala.

Glucagon ndi mahomoni omwe amachititsa chiwindi kuti chimasule glucose m'magazi ake. Pambuyo kumayambiriro kwake, wodwalayo ayenera kuchira pakatha mphindi 5 mpaka 10. Ngati izi sizingachitike, jakisoni wa glucagon akhoza kubwerezedwa.

Mankhwalawa sagwira ntchito kwa chidakwa cha hypoglycemia chifukwa, chifukwa cha kuledzera, chiwindi chimalephera kutulutsa shuga m'magazi. Komanso, glucagon sichithandiza ngati pachitika kale hypoglycemia m'maola 24 apitawa. Chifukwa malo ogulitsira a shuga m'chiwindi amathetsa kugunda komaliza ndipo alibe nthawi yoti achepe.

Dokotala wa ambulansi amayenera kupereka yomweyo 60 ml ya shuga 40% m'mitsempha, kenako ndikupititsa wodwalayo kuchipatala. Mukamayendetsa komanso kupitirira apo, glucose imathandizidwa mosalekeza kudzera ma dontho mpaka chikumbumtima chimabwezeretsedwa.

Yang'anani chifukwa cha kuvulala kwamatenda a craniocerebral, heracranial hemorrhage. Kupukusa kwa m'mimba kumachitika ndikuthira makala operekedwa ngati mankhwala osokoneza bongo a shuga 2 amawonjezera. Pankhani ya mankhwala osokoneza bongo a insulin ambiri pasanathe maola atatu apitawo, opareshoni ya malo a jakisoni amachitidwa.

Zochizira kunyumba zakumwa za shuga zochepa za mankhwala osokoneza bongo, ndiye glucagon wa syringe chubu ndi glucose m'magome omwe amagwiritsidwa ntchito. Glucagon ndiokwera mtengo komanso ali ndi moyo wa alumali ochepa. Sikoyenera kuti mugule ndikuisunga kunyumba kosungirako.

Odwala omwe amathandizidwa ndi matenda a shuga pogwiritsa ntchito njira zomwe zanenedwa patsamba lino nthawi zambiri amachepetsa mwayi wokhala ndi hypoglycemia. Iwo sangakhale ofunikira glucagon. Koma mapiritsi a shuga amalimbikitsidwa kuti agulidwe ndikusungidwa pafupi.

Anthu odwala matenda ashuga omwe amadzipaka insulin okha angafunike kumwa mankhwalawa osati kokha kuti athandize hypoglycemia, komanso kupewa shuga yochepa. Mapiritsi a Glucose sangathe kugawidwa nthawi yayitali, yophunzitsa masewera olimbitsa thupi komanso yolimbitsa thupi.

Jakisoni wa glucose amafunika kwambiri ngati wodwala matenda ashuga ataya chikumbumtima chifukwa cha hypoglycemia. Monga lamulo, dokotala wa ambulansi amavulala 60 ml ya 40% ya shuga m'mitsempha. Nthawi zina glucagon wa mahomoni amathandizidwanso.

Pambuyo pake, ikani dontho ndi njira ya glucose ya 10-15%. Wodwalayo amasungidwa pansi mpaka atapezekanso. Amatha kumutengera kuchipatala ali osakomoka, ndikupitiliza kukhetsa glucose.

Anthu odwala matenda ashuga, omwe amadziwa, amatha kupatsidwa shuga m'mapiritsi osatembenuza jakisoni. Odwala omwe amatsata zakudya zamafuta ochepa amakhala ndi insulin Mlingo wa 2-7 nthawi yochepera kuposa yoyenera.

Ngati mukukumana ndi zilizonse za zizindikiro za hypoglycemia zomwe taziwonetsa pamwambapa - makamaka njala yayikulu - nthawi yomweyo yikani magazi anu ndi glucometer. Ngati ndi 0,6 mmol / L pansi pa mulingo womwe mukufuna kapena kutsika, tsatani kuti muchepetse hypoglycemia.

Idyani chakudya chamafuta ochulukirapo, makamaka mapiritsi a shuga, kuti mukweze shuga yanu mpaka mulingo womwe mukufuna. Ngati palibe zizindikiro, koma mwayeza shuga m'magazi ndikuwona kuti ndi otsika, chinthu chomwechi ndikofunikira kudya mapiritsi a glucose mu mlingo wowerengeka.

Kodi muyenera kuchita chiyani ngati mulibe glucometer nanu? Ili ndi tchimo lalikulu kwa odwala matenda a shuga omwe amadalira insulin. Ngati mukukayikira kuti muli ndi hypoglycemia, ndiye kuti musataye mwayi ndikudya shuga wina kuti akweze shuga wanu ndi 2.4 mmol / L. Izi zidzakutetezani ku hypoglycemia, yomwe ili ndi zovuta zosasintha.

Momwe mita ingakulowereni - yeretsani shuga. Imatha kukwezedwa kapena kutsitsidwa. Mubwezereni ku zoyenera ndipo osachimwanso, ndiye kuti, sungani mita nthawi zonse nanu.

Chovuta kwambiri ndikuti ngati shuga lanu lamwazi latsika chifukwa cha kupaka jakisoni wambiri kapena kumwa mankhwala oopsa a mapiritsi a shuga. Zikakhala zotere, shuga amatha kugwiritsidwanso ntchito atamwa mapiritsi a shuga.

Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, kenako mubwerezenso pambuyo pamphindi 45 zilizonse. Ndipo zina zotero, mpaka zonse zitabweranso mwakale.

Pachikhalidwe, odwala omwe ali ndi matenda ashuga kusiya hypoglycemia amadya ufa, zipatso ndi maswiti, amamwa misuzi ya zipatso kapena koloko yabwino. Njira zamankhwala izi sizigwira ntchito pazifukwa ziwiri. Mbali imodzi, imagwira pang'onopang'ono kuposa zofunika.

Chifukwa zakudya zopezeka m'zakudya, thupi limafunikabe kugaya usanayambe kukweza shuga m'magazi. Komabe, "chithandizo" choterechi chimachulukitsa shuga wamagazi kwambiri, chifukwa ndizosatheka kuwerengera molondola kuchuluka kwa chakudya, ndipo mwamantha, wodwala matenda ashuga amadya kwambiri.

Hypoglycemia imatha kuwononga kwambiri matenda ashuga. Kugunda kwambiri kumatha kupangitsa kuti wodwala yemwe ali ndi matenda ashuga kapena wolumala chifukwa cha kuwonongeka kwa ubongo kosasinthika, sizivuta kudziwa kuti izi ndi ziti zomwe zili zoyipa kwambiri.

Chifukwa chake, timayesetsa kukweza shuga m'magazi kuti akhale abwinobwino msanga. Zakudya zomanga thupi, fructose, shuga mkaka, lactose - onsewa amayenera kupita munjira yogaya thupi mthupi asanayambe kukweza shuga.

Gwiritsani ntchito mapiritsi a glucose popewa ndi kusiya hypoglycemia. Gulani iwo ku mankhwala, osakhala aulesi! Zipatso, timadziti, maswiti, ufa - osafunika. Idyani shuga wambiri monga mungafunikire. Musalole shuga kuti "ayimbe" mutatha kuthana ndi hypoglycemia.

Zinthu zomwe talemba pamwambazi zimakhala ndi mafuta osakanikirana othamanga komanso osakwiya, omwe amachitika pang'onopang'ono, kenako amawonjezera shuga m'magazi mosayembekezereka. Nthawi zonse zimatha ndi chakuti atayimitsa kuukira kwa hypoglycemia, shuga mwa wodwala yemwe ali ndi matenda ashuga "amapitilira".

Madokotala osazindikira amakhulupirirabe kuti pambuyo pa gawo la hypoglycemia ndizosatheka kupewa kuchuluka kwa shuga m'magazi. Amawona kuti ndizabwinobwino ngati pambuyo maola ochepa shuga m'magazi odwala matenda a shuga ndi 15-16 mmol / L.

Zoyenera kuchita ngati shuga m'magazi asanakudya

Algorithm yochizira shuga m'magazi mwa ana ndi chimodzimodzi kwa akulu. Komabe, pali ma nuances omwe amafotokozedwa pansipa. Makolo ambiri otanganidwa amatenga kuchuluka kwa glucose wa mwana monga chizolowezi cha hypoglycemia.

Kwa akuluakulu, shuga wabwinobwino wamwazi ndi 4.0-5,5 mmol / L. Kwa ana kuyambira paubwana mpaka unyamata, mulingo wabwinobwino ndi 0,6 mmol / L wotsika. Ndi 3,4-4.9 mmol / L. Mlingo wa glucose wa mwana wa 2.9-3.2 mmol / L nthawi zambiri si hypoglycemia.

Simuyenera kuchita chilichonse kupatula milandu ya insulin. Ngati imagwera ku 2.8 mmol / L ndikuchepera, muyenera kupatsa mwana shuga pang'ono m'mapiritsi popanda mantha kuti akweze shuga mpaka 3.5 mmol / L.

Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya.Ngati mutsatira zakudya zamagulu ochulukirapo kuti muchepetse matenda a shuga 1 kapena mtundu wa 2, ndiye kuti mumadya mapiritsi a glucose nthawi yomweyo, kenako ndikudya "zenizeni".

Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati hypoglycemia siyimitsidwa, ndiye kuti izi zitha kuchititsa kuti mudye kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutulutsa.

Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia

Hypoglycemia yofatsa komanso yofatsa imatha kuyambitsa mavuto osaneneka komanso nkhawa. Kulakalaka kudya zakudya zodzaza ndi zomanga thupi kumatha kukhala kosalamulirika. Zikakhala zotere, wodwala matenda ashuga amatha kudya kilogalamu imodzi ya ayisi kapena ufa wa zipatso kapena kumwa lita imodzi ya zipatso.

Choyamba, yesani kudziwiratu ndikuwonetsetsa kuti mapiritsi a glucose amalosera kwambiri, makamaka ndi matenda amtundu wa 1 shuga. Ndi magalamu angati a shuga omwe mwadya - momwemonso shuga yanu yamagazi imakwera, osatinso mochepera.

Dziyang'anireni nokha, mudzionere nokha pasadakhale. Izi ndizofunikira kuti mukakhala ndi vuto la hypoglycemia musachite mantha. Mutatha kumwa mapiritsi a glucose, mudzakhala otsimikiza kuti kusiya kuzindikira ndi kufa sizowopsa.

Chifukwa chake, tidalamulira mantha, chifukwa tidakonzekeratu pasadakhale vuto la hypoglycemia. Izi zimathandiza wodwala matenda ashuga kuti akhale chete, asamaganize, ndipo pali mwayi wochepa woti chidwi chofuna kususuka chingathe kuchoka.

Koma bwanji ngati mutatha kumwa mapiritsi a glucose, simungathe kuletsa njala yakuthengo? Izi zitha kukhala chifukwa chakuti theka la moyo wa adrenaline m'mwazi ndi wautali kwambiri, monga tafotokozera m'gawo lapita. Pankhaniyi, kutafuna ndikudya zakudya zamafuta ochepa pamndandanda wololedwa.

Kuphatikiza apo, ndikofunikira kugwiritsa ntchito zinthu zomwe sizikhala ndi mafuta konse. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza chifukwa simungathe kukana ndikudya zambiri zake.

Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochulukirapo zimawonjezera shuga m'magazi, zomwe zimapangitsa zotsatira za malo odyera achi China. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.

Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia, ndiye kuti izi zimasokoneza kwambiri moyo wa abale ake, abwenzi ndi anzawo. Pali zifukwa ziwiri izi:

• wodwala matenda ashuga nthawi zambiri amakhala mwamwano komanso mwamwano.
• wodwalayo atha kuzindikira mwadzidzidzi ndipo akufunika kuchipatala mwachangu.

Momwe mungachite ngati wodwala matenda ashuga ali ndi vuto lalikulu la hypoglycemia kapena atayika, tikambirana m'gawo lotsatira. Tsopano tiyeni tikambirane zomwe zimayambitsa khwawa komanso momwe mungakhalire ndi wodwala matenda ashuga popanda kusamvana.

Pa vuto la hypoglycemia, wodwala matenda ashuga amatha kuchita zachilendo, mwamwano komanso mwamwano pazifukwa ziwiri zazikulu:

• adalephera kudziletsa
• Kuyesa kwa ena kuti amudyetse maswiti kumatha kuvulaza.

Tiyeni tiwone zomwe zimachitika mu ubongo wa wodwala yemwe ali ndi matenda ashuga pakamenyane ndi hypoglycemia. Ubongo umasowa glucose wogwira ntchito bwino, ndipo chifukwa cha izi, munthu amakhala ngati waledzera. Zochita zamisili zimalephera.

Izi zitha kuwonetsedwa ndi zizindikiro zosiyanasiyana - kupha mphamvu kapena, m'malo mwake, kusakwiya, kukoma mtima mopitirira muyeso kapena kuipidwa nayo. Mulimonsemo, zizindikiro za hypoglycemia zimafanana ndi kuledzera.

Wodwalayo akutsimikiza kuti tsopano ali ndi shuga wabwinobwino, monganso munthu woledzera amakhala wotsimikiza kuti ndi wodekha. Mowa woledzera komanso hypoglycemia amasokoneza ntchito zomwe zimachitika m'magawo amodzimodzi a ubongo.

Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, kwakukulu, ali ndi nyanja yakuya.

Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, m'mikhalidwe yotere, wodwala matenda ashuga angaganize kuti ndiwachiwiri yemwe akuchita zomwe zikuchitika kuti akuyenda bwino ndikuyesayesa kumuvulaza. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.

Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, akumamuyesa chakudya chosasangalatsa.

Mnzake kapena makolo a wodwala matenda ashuga amatha kuopa kwambiri matenda opatsirana, makamaka ngati wodwala matenda ashuga atalephera. Nthawi zambiri maswiti amasungidwa m'malo osiyanasiyana m nyumbayo kuti akhale pafupi ndipo odwala matenda ashuga amawadyera nthawi yomweyo zikafunika.

Vuto ndiloti theka la milandu, anthu omwe amakhala nawo amawayikira hypoglycemia wodwala matenda a shuga, pomwe shuga yake ndiyabwino. Izi zimachitika nthawi zambiri pamilandu yabanja chifukwa chazifukwa zina.

Otsutsa akuganiza kuti wodwala wodwala matenda ashuga ndiwosokonekera chifukwa ali ndi hypoglycemia tsopano. Mwanjira imeneyi amayesetsa kupewa zifukwa zenizeni, zovuta kwambiri zomwe zimachititsa kuti anthu ena azinyinyirika. Koma mu theka lachiwiri la milandu yachilendo, hypoglycemia ilipo, ndipo ngati wodwala matenda ashuga akutsimikiza kuti ali ndi shuga yokhazikika, ndiye kuti akudziika pachiswe.

Chifukwa chake, mu theka la milandu pamene anthu pafupi ayesa kudyetsa wodwala matenda a shuga ndi maswiti, akulakwitsa, chifukwa kwenikweni alibe hypoglycemia. Kudya zakudya zopatsa thanzi kumayambitsa kudumpha m'magazi, ndipo izi zimapweteketsa thanzi la munthu wodwala matenda ashuga.

Koma mu theka lachiwiri la milandu pomwe hypoglycemia ilipo, ndipo munthuyo akana, amapanga mavuto osafunikira kwa ena, amadziika pachiwopsezo chachikulu. Momwe mungakhalire kwa onse?

Ngati wodwala matenda ashuga amachita mosazolowereka, ndiye muyenera kumunyengerera kuti asadye maswiti, koma kuyezetsa magazi ake. Pambuyo pake, theka la milandu limapezeka kuti palibe hypoglycemia. Ndipo ngati zili choncho, ndiye kuti mapiritsi a shuga amapulumutsidwa, omwe tawasungitsa kale ndipo taphunzira kuwerengera bwino momwe awerengetsera.

Njira yachikhalidwe, pamene wodwala matenda ashuga akakamizidwa kudya maswiti, sizivuta ngakhale pang'ono. Njira zomwe tanena m'ndime yapitayi ziyenera kubweretsa mtendere m'mabanja ndikuwonetsetsa kuti onse akukhudzidwa.

Zachidziwikire, ngati simupulumutsa pamiyeso ya glucometer ndi lancets. Kukhala ndi wodwala matenda ashuga kuli ndi mavuto ambiri monga omwe wodwala matenda ashuga ali nawo. Kuyeza shuga panu pokhapokha ngati anthu am'banja lanu kapena omwe mukugwira nawo ntchito yanu ndiudindo wa odwala matenda ashuga.

Kenako ziwoneka kale ngati hypoglycemia iyenera kuyimitsidwa pakumwa mapiritsi a shuga. Ngati mwadzidzidzi mulibe glucometer pafupi kapena mizere yoyeserera yatha, ndiye idyani mapiritsi a glucose okwanira kuti akweze shuga lanu la magazi ndi 2.2 mmol / L.

Ngati munthu wodwala matenda ashuga ali kale pafupi kufa, ndiye kuti uku ndikumachepetsa kwambiri. Panthawi imeneyi, wodwalayo amawoneka wotopa kwambiri, wopanda nkhawa. Samayankha pazopempha, chifukwa sangathe kuyankha mafunso.

Wodwalayo akadali wamantha, koma salinso wokhoza kudzithandiza.Tsopano zonse zimatengera omwe ali pafupi nanu - kodi amadziwa momwe angathandizire ndi hypoglycemia? Komanso, ngati hypoglycemia sikulinso kosavuta, koma kwambiri.

Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mungotaya nthawi yamtengo wapatali. Mukapatsa wodwala mapiritsi a shuga kapena maswiti, ndiye kuti sangayendetse. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri.

Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi yankho la glucose. Ngati sichoncho, ndiye kuti yankho la shuga. Maupangiri a shuga ku America amalimbikitsa kugwiritsa ntchito mankhwala amtunduwu m'magazi, omwe amatsuka m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala matenda ashuga angadzaze madzi ndi kutsamira.

Njira yothetsera shuga imagulitsidwa ku malo ogulitsa mankhwala, ndipo odwala omwe ali ndi matenda ashuga kwambiri amakhala nawo kunyumba. Amatulutsidwa kuti athe kuyesa mayeso okhudzana ndi glucose a maola 2 m'magulu azachipatala.

Mukamamwa munthu wodwala matenda ashuga ndi shuga kapena njira ya shuga, ndikofunikira kuti muwonetsetse kuti wodwalayo samatsamwa, koma akameza madziwo. Ngati mutha kuchita izi, ndiye kuti zizindikiro zoopsa za hypoglycemia zitha mofulumira.

Muyenera kudziwa kuti wodwala matenda ashuga amatha kukhala osazindikira chifukwa cha hypoglycemia yokha. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi.

Izi zimatchedwa hyperglycemic coma, zimachitika kwa wodwala wosakwatiwa amene ali ndi matenda ashuga. Ngati mungalangize pulogalamu yanu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga, ndizokayikitsa kwambiri kuti shuga yanu imakwera kwambiri.

Monga lamulo, ngati muwona kuti wodwala matenda ashuga ataya chikumbumtima, palibe nthawi yoti mudziwe zifukwa zake, koma chithandizo chiyenera kuyambika nthawi yomweyo. Wodwala wodwala matenda ashuga akamwalira, ndiye kuti ayenera kupeza jakisoni wa glucagon, kenako ayenera kumvetsetsa zifukwa zake.

Glucagon ndi timadzi tomwe timadzutsa shuga m'magazi, zomwe zimapangitsa kuti chiwindi ndi minofu zisinthe m'masitolo awo a glycogen kukhala glucose ndikudzaza magazi ndi shuga. Anthu omwe amadwala matenda ashuga ayenera kudziwa:

• komwe zida zamwadzidzidzi zimasungidwa,
• momwe mungapangire jakisoni.

Chithandizo chadzidzidzi cha jakisoni wa glucagon chimagulitsidwa ku pharmacies. Umu ndi vuto lomwe syringe yokhala ndi madzi imasungidwa, komanso botolo lokhala ndi ufa oyera. Palinso malangizo omveka bwino pazithunzi momwe angapangere jakisoni.

Ndikofunikira kupaka jakisoni kuchokera mu syringe kulowa kudzera pachivindikizo, kenako ndikuchotsa singano pachikuto, ndikugwedeza vial bwino kuti yankho lithe, ndikubwezeretsanso syringe. Wachikulire ayenera kubaya buku lonse la syringe, subcutanely kapena intramuscularly.

Jakisoni itha kuchitika m'malo onse omwe insulin nthawi zambiri imabayidwa. Ngati wodwala yemwe ali ndi matenda a shuga alandiridwa jakisoni wa insulin, ndiye kuti am'banja amatha kuyeseza pasadakhale, ndikumamupangira jakisoni, kuti pambuyo pake athe kuthana ndi vuto la glucagon.

Ngati palibe zida zadzidzidzi zomwe zili ndi glucagon pafupi, muyenera kuyimbira ambulansi kapena kuperekera wodwala yemwe ali ndi matenda osokoneza bongo kuchipatala. Ngati munthu wasowa chikumbumtima, ndiye kuti musayesetse kuyika kenakake kudzera pakamwa pake.

Osayika mapiritsi a shuga kapena chakudya cholimba pakamwa pake, kapena yesani kuthira zakumwa zilizonse. Zonsezi zimatha kulowa mumtunda wopumira, ndipo munthu amadzaza. Wosazindikira, wodwala matenda ashuga sangathe kutafuna kapena kumeza, chifukwa chake simungamuthandize motere.

Wodwala wodwala matenda ashuga akamwalira chifukwa cha hypoglycemia, akhoza kukomoka. Pankhaniyi, malovu amamasulidwa kwambiri, ndipo mano akung'ung'udza ndikumeta.Mutha kuyesa kulowetsa ndodo m'm mano a wodwala wosazindikira kuti asathe kuluma lilime lake.

Sungani ku hypoglycemia pasadakhale

Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi ndi glucagon, ndi yankho la glucose yofunikiranso ndikofunikira. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga.

Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa. Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono komanso chikwama chanu chamankhwala.

Mukamayenda pa ndege, sungani zofunikira za hypoglycemic pamalonda anu, komanso katundu wapawiri mumalonda omwe mumayang'anamo. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.

Sinthani zida zodzidzimutsa ndi glucagon nthawi yake ikatha. Koma mukakhala mu vuto la hypoglycemia, mutha kupanga jakisoni, ngakhale itatha. Glucagon ndi ufa pang'ono. Popeza ndi youma, imakhalabe yogwira ntchito kwa zaka zingapo pambuyo poti ithe.

Inde, izi zimachitika pokhapokha ngati sizinawonekere kutentha kwambiri, monga zimachitika mchilimwe mgalimoto yotsekedwa padzuwa. Ndikofunika kusunga zida zamwadzidzidzi ndi glucagon mufiriji pamtenthedwe wa madigiri 2-8 Celsius. Njira yokhazikika ya glucagon itha kugwiritsidwa ntchito pokhapokha maola 24.

Ngati mugwiritsa ntchito china chake kuchokera m'matangadza anu, azibwezereni mwachangu. Sungani miyala yambiri ya glucose ndi mizere yama glucose mita. Nthawi yomweyo, mabakiteriya amakonda kwambiri shuga.

Ngati simugwiritsa ntchito mapiritsi a glucose kwa miyezi 6-12, ndiye kuti atha kukumbidwa ndi mawanga akuda. Izi zikutanthauza kuti mabakiteriya akhazikitsa. Ndikwabwino kukhazikitsa mapiritsi oterowo mwatsopano.

Zomwe Zimayambitsa Madzi Akuluakulu a shuga

Monga momwe zatsimikizidwira kale, kodi shuga mumagazi a munthu ndi chiyani, aliyense amene akufuna kukhalabe ndi thanzi kwa zaka zambiri ayenera kudziwa. Apa, kupatuka kulikonse kuli ndi mavuto akulu komanso kulumala kwamtsogolo. Ngati kusanthula kunawonetsa hyperglycemia, ndikofunikira kudziwa chomwe mavutowo ali. Ganizirani mfundo zazikuluzikulu zomwe zimapangitsa kuti shuga azikhala ndi shuga komanso ngati nthawi zonse mumakhala shuga.

1. Matenda a Endocrine, kuphatikizapo matenda ashuga. Kuphatikiza pamitundu yosiyanasiyana yamatenda a shuga, pathologies a chithokomiro, ma pituitary pathologies, etc. atha kukhala ndi chidwi kwambiri ndi kuchuluka kwa shuga.
2. Kusokonezeka kwa chiwindi. Amakhala m'gulu lina, chifukwa ndiye chiwindi chomwe chimapangitsa kwambiri shuga. Zovuta zilizonse pantchito yake zitha kuwonetsedwa powunikira.
3. Zifukwa zathupi. Kupsinjika, kuchuluka kwa zochitika zolimbitsa thupi, kuphwanya zakudya zokhazikika / zowonda, masewera owonjezera komanso zochitika zilizonse zomwe zimayambitsa kutulutsa kwakuthwa kwa adrenaline (wotsutsa wachilengedwe wa insulin). Payokha, ndikofunikira kudziwa zomwe zimapangitsa kuti munthu azikhala ndi nkhawa komanso azisuta.
4. Kugwiritsa ntchito mankhwala, kuperewera kwa mankhwala ndi njira zina. Imawunika mphamvu za kulera kwa mahomoni, ma steroid, ndi okodzetsa.
5. Mimba Matendawa amatchedwa matenda a shuga ndipo amafunika kuyang'aniridwa ndi achipatala.
6. Kuphwanya kawirikawiri zakudya, kugwiritsa ntchito zakudya zomwe zili ndi index yayikulu ya glycemic, kukulitsa thupi. Nthawi zambiri nthawi zotere zimatsatiridwa ndi gawo loyambirira la matenda a shuga, matenda am'mbuyomu kapena kulekerera kwa shuga. Palibe kuyang'anira, chitukuko cha matenda oona a shuga sichitha.
7. Zoopsa zamtima zamtima, kulowetsedwa kwa myocardial, kulowererapo kwakukulu.Pomaliza, kuwonjezeka kwa shuga, komabe, ndizosakhalitsa, kumalumikizidwa ndi kupsinjika kwakukulu kwa thupi.

Zambiri mwazomwezi sizimatsogolera pakukula kwa pathologies zazikulu, koma zimangokhala zosakhalitsa zomwe zimapangitsa kuti thupi lizikhala ndi vuto. Koma kupatuka kulikonse kuchokera pamlingo wabwinobwino wa shuga ndi chizindikiro choopsa chomwe chikufunika kukakamizidwa ndi katswiri.

Zotsatira zakupsinjika kwa shuga wamagazi

Kodi shuga wamitsempha imatha kukwera m'magazi? Inde, mwina chifukwa m'thupi la munthu chilichonse cholumikizidwa ndi kulumikizana. Ndipo ngati kuwonjezeka kwa shuga kumakhudza kugwira ntchito kwa mitsempha, ndiye, molingana, mkhalidwe wamanjenje, kukhalapo kwa nkhawa kumakhudzanso dongosolo la endocrine, makamaka, kupanga insulin.

Ndipo zimapereka mgwirizano wokhazikika pakati pa machitidwe amanjenje ndi endocrine a adrenaline - mahomoni opsinjika. Kupanga kwake kumawonjezeka munthu akakhala ndi mantha, kupweteka, komanso mantha. Mothandizidwa ndi adrenaline, magazi amayamba.

Kodi adrenaline amagwira bwanji m'thupi la munthu

Adrenaline amadziwika kuti ndi mahomoni a catabolic, ndiye kuti, mahomoni omwe amakhudza njira zonse za metabolic, kuphatikizapo kuchuluka kwa shuga m'magazi. Motani?

Amagwiritsa ntchito njira zina mthupi zomwe zimapangitsa shuga kutuluka, komanso, zida zomwe zimapangitsa shuga kukhala mphamvu.

Adrenaline poyamba amachedwa kaphatikizidwe ka glycogen, kuletsa kuchuluka kwa glucose kuthawira "kumalo osungirako". Izi zimachitika m'chiwindi.

Imathandizira njira yogwiritsira ntchito glucose oxidation, chifukwa chomwe pyruvic acid imapangidwa ndikuwonjezera mphamvu. Ngati mphamvu imagwiritsidwa ntchito ndi thupi kuchita ntchito inayake, ndiye kuti shuga imabwerera mwachangu. Amatha. Ndiye kumasulidwa kwa mphamvu yomwe ndiyo ntchito yayikulu ya adrenaline. Mothandizidwa ndi izi, munthu, akakhala ndi mantha, kapena kusangalala, amachita zomwe sakanatha kuchita bwino.

Adrenaline ndi insulin ndi okana mahomoni. Mothandizidwa ndi insulin, shuga amasandulika kukhala glycogen, amene amadziunjikira m'chiwindi. Mothandizidwa ndi adrenaline, glycogen imasweka, ndikusintha shuga. Chifukwa chake, adrenaline imalepheretsa insulin.

Zotsatira za cortisol pakupanga shuga

Cortisol ndi mahomoni enanso omwe thupi limapanga ndi tiziwalo timene timatulutsa adrenal. Mothandizidwa ndi kupsinjika, chifukwa cha chisangalalo, kuchuluka kwa cortisol m'mwazi kumawonjezeka. Zotsatira zake m'thupi ndizotalikirapo, ndipo imodzi mwazinthu zake ndikupanga glucose kuchokera kuzosunga mkatikati mwa thupi. Cortisol imapanga shuga kuchokera ku zinthu zopanda mafuta omwe amapezeka m'thupi la munthu, amachepetsa kuchuluka kwa shuga ndi maselo, ndikuletsa kupasuka kwa shuga. Chifukwa chake, timadzi timeneti timapangitsa kuchuluka kwa shuga m'magazi.

Ngati kupsinjika, chisangalalo, nkhawa zimakhala zambiri komanso tsiku ndi tsiku, ndikusintha moyo, adrenaline ndi cortisol amapezeka mthupi mokwanira, amakakamiza "malo ogulitsa glucose" kugwira ntchito. Zikondamoyo zilibe nthawi yopanga insulin. Insulin imapangidwa, koma siyingakhudze glucose wopangidwa ndi cortisol. Vuto lakusokonekera limachitika, zomwe zimatsogolera kukula kwa magazi ndi shuga.

Kuyambika kwa matenda ashuga komanso chifukwa chakuchepa kwa magwiridwe antchito a chitetezo chamthupi, omwe amapangidwanso ndi cortisol.

Kodi ndifunika kuperekanso ufulu kwa omvera

Ndibwino pamene kupanga mahomoni opsinjika ndi cholinga chothana ndi zopinga. Koma chimachitika ndi chiyani munthu akakhala ndi nkhawa ya m'maganizo? Cortisol limodzi ndi adrenaline amakweza msanga wamagazi m'magazi, omwe amasinthidwa kukhala pyruvic acid, kumasula mphamvu. Kulimbana ndikuwanyansidwa ndikumenya mbale ndikukwapula - uku ndikotheka kugwiritsa ntchito mphamvu zopangidwa mthupi.

Koma ngati mphamvu sizikupeza njira, ngati munthu akumuchita opaleshoni ya psychoemotional amabweza mtima mwa iye, njira yosinthira mphamvu ya pyruvic acid kukhala glucose imachitika motsutsana, ndi mphamvu ya mphamvu. Chifukwa chake, pali kuwonjezeka kwa shuga wamagazi pamavuto. Ichi ndichifukwa chake madokotala ndi akatswiri odziwa zama bongo samalimbikitsa kuti azikhala otopetsa.

Ngakhale munthu ali mwana komanso wathanzi, izi sizikhala ndi vuto lalikulu mthupi. Koma zowononga zomwe zimachitika kawirikawiri m'maganizo zimachitika, ndipo ndi ukalamba zimayamba kuonekera. Pamapeto pake, pamaso pama prerequisites oyenera, matenda a shuga amapanga mwamantha.

Munthu amatha kudzutsa nthawi zonse kumasulidwa kwa mahomoni opsinjika, monga akunena tsopano, ndikudzipotoza, kutenga zonse kumtima. Tsiku ndi tsiku, cortisol imatulutsidwa m'magazi mukakhala

• kuda nkhawa za ana, nthawi zambiri pachabe,
• vutikirani chifukwa cha akufa
• khalani ndi malingaliro odabwitsa a nsanje komanso kudzikayikira.

Zokhudzika sizipeza njira yotuluka, zimapuma mkati, chifukwa, cortisol imakhalapo mthupi mowonjezereka.

Muyenera kuphunzira kuthana ndi kupsinjika ndi mphamvu ya malingaliro anu.

Choyipa chachikulu, pamene zinthu zoipa sizidalira munthu. Kusamvetsetsa m'banjamo, mowa wa amuna, mantha a ana, kusamvera kwawo kwaumoyo sikuwonjezera, ndipo pamapeto pake kungayambitse matenda a shuga.

Momwe angamenyere

Tsopano popeza mumadziwa kuti kuthana ndi nkhawa m'magazi a shuga mu shuga kumakhala kwamphamvu kuposa kwa munthu wathanzi, mukazindikira kuti kupsinjika kungakhale chifukwa cha matenda anu, sinthani moyo wanu. Mwina m'moyo wanu mudakumana ndi vuto linalake ndipo likupitirirabe kukhalapo lomwe likuwononga moyo wanu?

Mutha, ndithudi, kumeza mankhwala ndi manja, kugona m'chipatala pansi pa miyezi ingapo, kapena mutha kukhala opanda nzeru. Pepani, ndikupepesa, koma mawu akuti kusakonda sikukutanthauza zomwe zidanenedwa. Mthunzi wina ukusowa.

Ndikofunikira kuti mumvetsetse kuti ngati okondedwa anu alibe chidwi ndi boma limodzi, ngati samvetsetsa kuti zochita zawo zosaganizira zimakupangitsani kukhala ndi nkhawa komanso kuda nkhawa, ndiye kuti mudzakhala osayanjana nawo pang'ono.

Aloleni achite zomwe akufuna. Akuluakulu simumayambiranso.

Nzeru yakale imati: ngati sungathe kusintha momwe zinthu ziliri, sinthani malingaliro anu kwa iwo. Kulingalira bwino kungakuthandizeni kuthana ndi kupsinjika. Chitsanzo chosavuta. Kutsika pamagalimoto. Nayi zitsanzo ziwiri:

1. Mutha kukhala amantha, poganiza momwe mudzagonjetsedwera chifukwa cha kuchedwa, kusuta ndudu imodzi ndi inzake,
2. Kapenanso mutha kuyimba ndikukudziwitsani kuti muli mumsewu wapamsewu, ndipo mutakhala mgalimoto, chitani zinthu zosangalatsa komanso zothandiza: onani nkhani kapena nkhani zina pa intaneti, kucheza ndi anthu abwino, phunzirani chilankhulo chakunja. Kusunthika koteroko kumakupatsani mwayi wopumira, komanso osakhala ndi malingaliro osafunikira oyipa.

Nthawi zambiri mukamayang'ana motere, mumanganso machitidwe molingana ndi momwe simungasinthe, pang'onopang'ono mumakalamba, ndikupanga cortisol yosafunikira, yomwe imatchedwanso mahomoni a kufa.

Musaiwale kupuma. Pumulani osati m'manja kapena m'mapazi, koma kwa moyo. Nyimbo zabwino zodekha, mapulogalamu oseketsa, mabuku osangalatsa amathandizira kusokoneza malingaliro amdima. Siyani kuonera nkhani, makamaka zaupandu, kuchokera kumafilimu ankhanza. Gwiritsani ntchito mwayi uliwonse kuti mupite kumidzi.

Mitundu ya shuga yamagazi mwa akazi: tebulo la zaka

Kuyesedwa kwa shuga kumachitika pamimba yopanda kanthu, motero, musanatenge kuwunika, kwa maola khumi simuyenera kudya, kukana kumwa tiyi ndi madzi.M'pofunikanso kuti usiku mukhale ndi moyo wathanzi, kusiya zochita zolimbitsa thupi ndi kugona nthawi yabwino kuti mugone mokwanira komanso kuti thupi likhale labwino.

Muyenera kudziwa kuti kuyezetsa magazi kwa milingo ya shuga sikumachitika ngati munthu akudwala matenda owopsa a chilengedwe chopatsirana, popeza matendawa amatha kusintha kwambiri zomwe zikuwonetsa shuga mwa amayi ndi abambo. Monga tanenera kale, kuchuluka kwa shuga m'magazi sikukutengera jenda, chifukwa chake, mwa akazi, komanso amuna, zizindikiro za shuga zingakhale zofanana.

M'magazi a capillary omwe amatengedwa pamimba yopanda kanthu, zomwe zimakhala ndi shuga mwa munthu wathanzi ndi 3,3-5,5 mmol / L. Ngati kuwunika kutengedwa kuchokera mu mtsempha, mawonekedwewo adzakhala osiyana ndi kuchuluka kwa 4.0-6.1 mmol / l. Kuchuluka kwa shuga m'magulu azimayi ndi abambo akamaliza kudya amasintha ndipo sakhala apamwamba kuposa 7.7 mmol / l. Pamene kusanthula kukuwonetsa kuchuluka kwa shuga m'munsimu 4, muyenera kuwona dokotala kuti apitirize kafukufuku kuti mudziwe zomwe zimapangitsa kuti shuga azichepa kwambiri.

Mlanduwo pamene kuchuluka kwa shuga kwa akazi kapena amuna pamimba yopanda kanthu kukwera mpaka 5.6-6.6 mmol / l, madokotala amazindikira prediabetes yoyambitsidwa ndi kuphwanya kwa insulin. Pofuna kupewa kukula kwa matenda a shuga, wodwala pamenepa amafunsidwa kuti apatsidwe mankhwala azithandizo. Kuti mutsimikizire matendawa, kuyezetsa magazi kumachitika chifukwa cha kulolera kwa glucose.

atsikana azaka 14kuyambira 2.8 mpaka 5.6 mmol / lita atsikana ndi akazi 14-60kuyambira 4.1 mpaka 5.9 mmol / lita akazi 60 - 90kuyambira 4.6 mpaka 6.4 mmol / lita kuyambira 90 ndi kupitirirakuyambira 4.2 mpaka 6.7 mmol / lita

Ngati kuchuluka kwa shuga m'magazi ndi 6.7 mmol / l, izi zikuwonetsa kukula kwa shuga. Kupitiliza chithandizo, kuyezetsa magazi koyerekeza kwa msinkhu wa shuga kumaperekedwa, kuchuluka kwa kulekerera kwa shuga kumawerengeredwa, kuchuluka kwa hemoglobin ya glycosylated kutsimikizika. Pambuyo poti kusanthula kukonzekere, dokotalayo amazindikira matenda a shuga ndikupereka chithandizo choyenera.

Pakadali pano, ziyenera kumvedwa kuti kuwunika kumodzi kungakhale kolakwika ngati zinthu zina sizinachitike. Nthawi zina, zotsatira za phunziroli zitha kukhala chifukwa cha thanzi la wodwalayo, kumwa zakumwa zomwe zimakhala ndi mawa kwambiri. Muyenera kuganiziranso zaka za akazi. Mutha kudziwa bwino za matenda anu ndikuwatsimikizira kuti mukufuna chithandizo chamankhwala polumikizana ndi katswiri wazodziwa.

Pofuna kuti musayendeko kuchipatala nthawi iliyonse kuti mukayezetse magazi, mutha kugula glucometer m'masitolo apadera, omwe amakupatsani mwayi woyeserera magazi kunyumba.

Kugwiritsa ntchito mita ya shuga magazi kuyeza shuga

• Musanagwiritse ntchito mita, muyenera kuphunzira malangizo.
• Kuti kuchuluka kwa shuga kukhala kolondola, kuwunika kuyenera kuchitika pamimba yopanda kanthu.
• Tisanayesedwe, muyenera kusamba m'manja ndi sopo ndikuwotha chala padzanja kuti muchepetse magazi, kenako ndikupukuta khungu ndi njira yothira mowa.
• Choboola chaching'ono chimapangidwa mbali ya chala ndi cholembera, chomwe chimaphatikizidwa ndi chidutswa cha chipangizo choyeza.
• Dontho loyamba la magazi limapukutidwa ndi chikopa, kenako dontho lachiwiri limakungika ndikuthira gawo loyeserera la mita. Pambuyo masekondi angapo, zotsatira zowunikira zikuwonekera pazenera la chipangizocho.

Kuyesedwa kwa kulolera kwa glucose

Kuyesedwa kwa magazi kumachitika pamimba yopanda kanthu maola khumi mutatha kudya. Zitachitika izi, wodwalayo amapatsidwa madzi akumwa omwe madzi amasungunuka. Kusintha kukoma, mandimu amawonjezeredwa ndi madzi.

Pambuyo podikirira kwa maola awiri, pomwe wodwala sangathe kudya, kusuta ndikuyenda mwachangu, kuyezetsa magazi kowonjezera kumachitika pazowonetsa shuga. Ngati zotsatira zake zikuwonetsa kuchuluka kwa glucose wa 7.8-11.1 mmol / L, kulolerana kwa shuga kumapezeka.Pankhani ya mitengo yokwera, akuti azimayi kapena amuna ali ndi matenda monga matenda a shuga.

Mwazi wamagazi mwa amayi apakati

Nthawi zambiri, azimayi panthawi yoyembekezera amakhala ndi kuchuluka kwa shuga m'magazi. Izi zimachitika chifukwa cha kusintha mthupi la amayi oyembekezera komanso kufunikira kowonjezereka koperekera mphamvu kwa mwana wosabadwayo.

Pakadali pano, shuga m'magazi a 3.8-5.8 mmol / L amadziwika kuti ndi wabwinobwino. Momwe mulingo ukukwera pamwamba 6.1 mmol / L, kuyesa kwa glucose kumachitika mwa akazi. Poterepa, ndibwino kudziwa kuti insulin ndi chiyani mu magazi a azimayi pamimba yopanda kanthu.

Komanso mitengo yowonjezereka imatha kukhala chifukwa cha matenda ashuga, omwe amatchedwa shuga mellitus pa nthawi yomwe ali ndi pakati, omwe amapezeka mwa amayi ena oyembekezera ndipo, monga lamulo, amasowa mwana akabadwa. Zofanana ndi izi zitha kuonedwa mwa iwo omwe ali ndi vuto la matenda ashuga kumapeto kwa mimba. Kuti mupewe matenda kukhala matenda ashuga mtsogolomo, muyenera kutsatira zakudya zapadera, kuyang'anira zolemetsa zanu ndikukhala ndi moyo wathanzi.

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

Zimayambitsa kusintha kwa shuga m'magazi

Mafuta a glucose amatha kuchuluka kapena kuchepa pazifukwa zingapo. Chimodzi mwazosinthidwa ndizomwe zimasinthana ndi zaka, ndichifukwa chake thupi limatopa kwa zaka. Zizindikiro zimakhudzidwanso ndi zakudya. Ngati mayi amadya chakudya chopatsa thanzi komanso kutsatira zakudya zabwino, shuga amakhala wabwinobwino.

Kusintha kwakanthawi kumatha kuwonedwa panthawi yomwe kusintha kwa mahomoni kumachitika. Izi ndi unyamata, kutenga pakati komanso kusamba. Amayi ogonana achikazi amalimbikitsa vutoli.

Ntchito yodzaza ndi ziwalo zamkati mwa amuna ndi akazi imayendera limodzi ndi thanzi la wodwalayo. Milandu imawonedwa ndikuyenda bwino kwa chiwindi, shuga akadziunjikira, kenako kulowa m'magazi.

Ndi kuwonjezeka kwa shuga m'thupi, shuga amathandizidwa kudzera mu impso, zomwe zimayambitsa kubwezeretsa kwa zomwe zimakhazikika. Ngati kapamba wasokonezeka, chiwindi sichitha kuthana ndi kusungidwa kwa shuga, kuchuluka kwa glucose kumatha nthawi yayitali, komwe kumayambitsa kukula kwa matenda ashuga.