Kugona ndi Matenda A shuga: Chizindikiro Choyamba cha Matenda Oopsa

Matenda a shuga ndi njira yovuta kwambiri ya endocrine yomwe imalumikizidwa ndi kupanga kosakwanira kwa insulin ya mahomoni ndi kapamba.

Odwala ambiri amadandaula chifukwa cha vuto la kugona: ena amakhala otopa kwambiri masana, satha kugona usiku. Zoyenera kuchita ngati mwapezeka ndi matenda ashuga komanso kugona mokwanira, nkhaniyi ikufotokozerani.

Kugona utatha kudya ngati chizindikiro cha matenda a shuga a 2


Kugona ndi kufooka ndi mayanjano okhazikika a kusokonekera kwa endocrine.

Zizindikirozi ndizofala kwambiri mwa anthu omwe ali ndi matenda ashuga a 2. Zimachitika kuti munthu amayamba kugona masana. Odwala ena amagona mosalekeza. Amakhala otopa ngakhale atadya.

Kuphatikiza apo, ulesi, kukhumudwa, kusayang'ana, kukwiya, kuwonongeka kumatha kuonedwa. Nthawi zina zizindikiro zake zimakhala zofatsa. Koma popita nthawi, chithunzi cha chipatala chimamveka bwino.

Ngati kufooka ndi kugona kumayang'aniridwa nthawi zonse, tikulimbikitsidwa kuyang'ana kuchuluka kwa shuga m'magazi. Mwinanso munthu amakhala ndi shuga wambiri.

Kodi bwanji mukumva kugona ndi matenda ashuga?


Ngati munthu wawonjezera kukana insulini, nthawi zonse amagona atatha kudya.

Izi zikufotokozedwa ndikuti glucose, wolowa m'thupi ndi chakudya, sangalowe m'maselo ndipo salowa mu ubongo. Ndipo glucose wamaubongo ndiye gwero lalikulu la zakudya.

Nthawi zambiri kufunitsitsa kugona pambuyo chakudya chamadzulo ndi chizindikiro choyambirira cha matenda a shuga.

Ubwino ndi zopweteka za kugona kwa masana kwa odwala matenda ashuga

Madokotala amatsutsa za kufunikira kwa kugona kwa masana kwa odwala matenda ashuga. Ena amakhulupirira kuti kwa anthu azaka 25-55, kugona tulo masana kumachepetsa chiopsezo cha matenda amtima. Koma ukalamba, kupumula koteroko kumatha kubweretsa sitiroko.

Phindu logona masana ndikuti thupi limapezanso mphamvu pakanthawi kochepa:

  • kusintha kumakhala bwino
  • kuchuluka kwa ogwira ntchito kumawonjezeka
  • kamvekedwe kamabwekanso
  • kuzindikira kumatha.

Kupuma makamaka masana kumathandizanso kwa anthu odwala matenda ashuga nyengo yopanda nyengo, kumapeto kwa nthawi yophukira komanso yophukira.

Munthawi imeneyi, thupi limafooka chifukwa chosowa dzuwa, hypovitaminosis. Ndipo ngati simugona nthawi yayitali masana, chitetezo chadzachepa.

Zatsimikiziridwa komanso kuvulaza kugona kwa masana kwa odwala matenda ashuga. Kafukufuku wokhudza moyo wa anthu pafupifupi 20,000 omwe adazindikira izi adachitika. Chisamaliro chachikulu chinaperekedwa kwa anthu omwe amagona pafupifupi kanayi pa sabata masana.

Zinapezeka kuti kugona tulo masana, kusokonezeka kwa kagayidwe kachakudya komwe kumachitika mthupi komwe kamakhudza gawo loipa la maselo ku insulin ndikuwonjezera kuchuluka kwa shuga m'magazi a plasma.

Momwe mungathanirane ndi tulo ndikukomoka?

Kuti muthane ndi vuto la kugona komanso kugona, matenda ashuga amatha kuthandizira kuchita magalimoto, kudya moyenera komanso kupumula. Kuchita masewera olimbitsa thupi kumawonjezera chidwi cha maselo kuti apange insulini, kumveketsa thupi ndikusintha kusintha kwa thupi.

Kuphatikiza pa izi, masewera olimbitsa thupi amakulolani:

  • chotsani mapaundi owonjezera,
  • chepetsani katundu pama joo,
  • limbitsani minofu
  • Kusintha kwamitsempha yamagazi,
  • sinthani magazi,
  • pangani loto.

Kuyenda mumlengalenga kumathandizanso kuchotsa kugona. Zakudya ndizofunikanso: anthu omwe ali ndi vuto la endocrine amalimbikitsidwa kudya mavitamini ndi mapuloteni ambiri. Mwa kuphatikiza masamba, zipatso ndi mafuta azakudya zanu, mutha kuthana ndi kutopa kosalekeza.

Amayambitsa kusowa kwa shuga

Zomwe zimayambitsa kusowa tulo kwa anthu omwe apezeka ndi matenda a shuga ndi awa:

  • mavuto amanjenje. Matenda a shuga amabweretsa kuwonongeka kwa zotumphukira ma neuroni. Izi zimakhudza mkhalidwe wamiyendo. Zimakhala zovuta kuti wodwala ayambe kuyenda, ululu umapezeka m'malo otsika. Kuti muimitse chizindikiro chosasangalatsa, muyenera kutenga opweteka. Popanda mankhwala, wodwala sangathe kugona. Pakapita kanthawi, chizolowezi chimachitika: thupi limafuna mankhwala amphamvu,
  • ziphuphu Amayambitsa kugona tulo, tosagwirizana: wodwala matenda ashuga amadzuka usiku nthawi zonse,
  • kukhumudwa. Si onse odwala matenda ashuga omwe ali okonzeka kuvomereza ndikuzindikira. Izi zimabweretsa kukhumudwa komanso kugona.
  • plasma glucose kulumpha. Ndi hyperglycemia ndi hypoglycemia, kugona sikungokhala komanso nkhawa. Shuga akamakwezedwa, ludzu limawonekera, ndipo chilimbikitso chimbudzi chimakhala chambiri. Ndi glycemia wocheperako, njala imavutika. Zonsezi zimapangitsa kuti zikhale zovuta kugona
  • matenda oopsa. Ndi kupsinjika kwakukulu, mutu umawonekera, nkhawa mpaka kugwedezeka kwamantha. Izi zimakhudza kugona tulo.

Mavuto Akugona

Ndikothekanso kuchiritsa kusowa tulo kudzera mu njira yolumikizana ndi vutoli.

Malangizo a mankhwalawa ayenera kusankhidwa ndi adokotala. Kuti muzindikire chomwe chimayambitsa kuphwanya, odwala matenda ashuga ndi omwe amapatsidwa mayeso a magazi ndi mkodzo, kafukufuku wa biochemical plasma, kusanthula kwa mahomoni ndi hemoglobin, mayeso a Reberg. Kutengera ndi zotsatira za mayeso, mankhwala amasankhidwa.

Kuchepetsa kugona, dokotala amatha kukupatsani mankhwala osokoneza bongo ndi mapiritsi ogona a Melaxen, Donormil, Andante, Corvalol, Valocordin, mamawort kapena valerian. Ndalamazi zimatengedwa maola awiri asanagone.

Kuti muchepetse njira zochizira, timalimbikitsidwa kusiya zizolowezi zoyipa, kusinthana ndi zakudya ndikukhazikika. Madzulo, simukuyenera kuwonera mafilimu ndi mapulogalamu ndi chiwembu cholemera. Ndikwabwino kuyenda mumsewu kapena kumvetsera nyimbo zodekha.

Makanema okhudzana nawo

Zokhudza mavuto ogona mu mtundu 2 wa shuga mu video:

Chifukwa chake, odwala matenda ashuga nthawi zambiri amadandaula za kusowa tulo. Zomwe zimayambitsa ndizovuta za endocrine ndi zotsatira zawo. Chifukwa chake, kuti muthetse kugona, muyenera kupangana ndi endocrinologist ndikupita kukayesedwa.

Dokotala adzasankha mtengo wothandizira kupatuka. Ngati ndi kotheka, mapiritsi ogona ogwira ntchito amatha kukhazikitsidwa. Koma simungagwiritse ntchito molakwika mapiritsi otere: pali chiopsezo cha kusuta.

  • Imakhazikika pamisempha ya shuga kwa nthawi yayitali
  • Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Matenda ambiri

Matenda a shuga ndi matenda omwe sadziwa kusiyanitsa zaka. Zitha kuchitika mwa mayi wazaka 40 (kapena bambo)choncho mwana wazaka 5. Njira zothandiza zochiritsira izi sizinapezeke pano. Pali chithandizo chokha chothandizira wodwalayo momwe akukhalira komanso momwe akugwirira ntchito.

M'dziko lapansi muli 25 miliyoni odwala matenda ashuga. Oposa theka la iwo ali ndi matenda amtundu wa 2, omwe adayamba chifukwa cha kuperewera kwa zakudya, kunenepa kwambiri, kupsinjika ndi zina zoyipa. Madokotala amalosera kuti podzafika 2030 kuchuluka kwa odwala matenda ashuga kudzachulukanso.

Kodi shuga ndi chiyani ndipo zimakhudza bwanji kugona

Matenda a shuga - nthenda yakale kwambiri mwakuti adadziwa za iye ndipo amadziwa momwe angadziwire matendawo ku Greece wakale. Dzinalo limatanthauzanso kuchokera ku Chigriki kuti "kudutsa." Zidayamba chifukwa cha chimodzi mwazizindikiro zoyambirira za matenda ashuga: odwala omwe ali ndi izi amakhala ndi ludzu komanso akufuna kukodza. Madzi akuwoneka kuti akudutsa kudzera mwa iwo ndipo sakhazikika patsekemera.

Chizindikiro chachiwiri cha matenda ashuga chimachitika nthawi zonse masana. kugona. Palibe kuwonjezeka kwa maola ogona usiku, kapena kugula matiresi atsopano, kapena kumwa kwambiri zam'mawa zaphokoso m'mawa sizithandiza kuthana ndi vutoli. Mkulu wodwala matenda ashuga atadya chakudya chamadzulo, thupi limagwidwa ndi kufooka kwambiri ndipo maso ake amayamba kutsatana.

Izi ndichifukwa choti mwa wodwala yemwe ali ndi matenda ashuga, njira yama glucose omwe amatengedwa ndi maselo imalephera. Insulin imathandizira kuyamwa. Ngati mahomoniwa sanapangidwe okwanira (mtundu 1 wa matenda ashuga) kapena maselo ataya chidwi chake (mtundu wachiwiri wa matenda ashuga), shuga sayenera kuzamwa ndipo chifukwa cha izi thupi silipeza mphamvu zomwe zimafunikira.

Chifukwa chake kugona kugona kwamasana, komwe nthawi zambiri kumakhazikika pakudya. Nthawi yomweyo, pamakhala kuchuluka kwa glucose m'magazi (iwo amati shuga ya magazi imakwezedwa), ndipo maselo amisempha, mafupa ndi ziwalo zamkati "zimafa ndi njala".

Zoyenera kuchita ndi kugona masana

Choyambirira kuchita ngati nthawi zambiri mumayamba kudzikonzera nokha kugona nthawi yayitali ndikupangana ndi endocrinologist ndikupereka magazi a shuga. Komanso, musaiwale kuti mtundu II wa shuga nthawi zambiri umakhala wonenepa kwambiri. Izi zikutanthauza kuti muyenera kudya zakudya mwachangu. Simungathenso kusiya! Pali matenda ashuga agogoda pakhomo.

Anadutsa kuyesedwa kwa magazi, ndipo zidapezeka kuti zonse zinali bwino ndi shuga? Kenako pitani kwa akatswiri othandizira odwala ndi matenda amisala. Kugona masana kumatha kuzunza osati ndi matenda a 2 okha, komanso pazifukwa zina zingapo: ndi kuchepa magazi, kukhumudwa, etc. Onetsetsani kuti mwayezedwa!

Ngati madotolo sanapeze ma pathologies aliwonse, ndizotheka kuti mumangogona usiku molakwika. Kenako yang'anani kugulitsa matiresi ndikusankha chatsopano cha mafupa! Kuyambira usiku woyamba, zidzakulitsa kwambiri kugona kwanu ndikukuthandizani kuiwalako za kugona kwa nthawi yonse.

Chifukwa chiyani shuga imakupangitsani kugona?

Matenda a shuga ndi njira yovuta ya endocrine, chomwe chimayambitsa kusowa kwa insulin. Matendawa amadziwika ndi zovuta za metabolic m'thupi, makamaka, metabolism ya carbohydrate imatha kusintha.

Ndi chitukuko cha matenda am'mimba, kapamba amataya ntchito yake kuti apange kuchuluka kwa insulin, chifukwa, kuchuluka kwa glucose m'magazi kumawonjezeka.

Zizindikiro zoyambirira za matendawo zitha kuzindikirika pawokha. Pakati pazizindikiro zomwe zimakhala ndi chidwi nthawi zonse kumakhala kumatha kutopa ndi kusweka. Ngati izi zikuwonekera pafupipafupi, muyenera kufunsa dokotala.

Mawonekedwe a shuga

Kutsimikizira kapena kupatula matenda a shuga, mayeso angapo amayenera kuchitika ngati kugona, kutopa, komanso ludzu lalikulu zikuwoneka.

Nthawi zina matenda a shuga amawoneka chifukwa cha kupsinjika. Chiwopsezo chokhala ndi matenda chimakula molingana ndi kukula. Nthawi zambiri, mavuto a mahomoni, komanso kumwa mankhwala enaake komanso kumwa mowa kwambiri, amakhala chifukwa chake.

Chifukwa cha kuperewera kwa matendawa, matenda ashuga nthawi zambiri amapezeka atachedwa.

Maonekedwe a matenda amenewa amaphatikizidwa ndi zinthu monga izi:

  • onenepa kwambiri
  • cholowa
  • mbiri, yotopetsa ndi kugonjetsedwa kwa maselo a beta omwe amachititsa kuti insulini ipangidwe: matenda am'mimba a endocrine, khansa ya kapamba, kapamba.

Matendawa amathanso kuchitika chifukwa cha:

  1. chimfine
  2. rubella
  3. miliri hepatitis
  4. nkhuku.

Kutengera zomwe zimayambitsa kuchuluka kwa shuga m'magazi a anthu, matendawa amagawidwa m'mitundu iwiri. Matenda a shuga a Type 1 amadziwika ndi kudalira insulin. Munthawi yamatendawa, kapamba amakhudzidwa, amasiya kutulutsa insulini. Ndikofunikira kumulowetsa mthupi mwakapangidwe.

Mtundu wa matenda amtunduwu umapezeka kwambiri ali mwana. Ndi mtundu wachiwiri wa matenda, palibe kudalira insulin. Matenda amtunduwu amapangidwa chifukwa chosakwanira insulin. Monga lamulo, matenda amtunduwu amadziwika ndi okalamba komanso achikulire.

Mtundu wachiwiri wa matenda ashuga, insulini ikupitilizidwa, ndipo ngati mumatsatira zakudya zoyenera ndikuchita masewera olimbitsa thupi, ndiye kuti mutha kupewa zovuta zingapo.

Kukhazikitsidwa kwa insulin mumtunduwu wa matenda amowonekera kokha. Ndikofunika kukumbukira kuti nthawi zambiri mtundu uwu wa shuga umakhala ndi matenda amtima.

Matenda a Type 1 ndi 2 amadziwika ndi zizindikiro izi:

  • ludzu lalikulu
  • kuchuluka kwamkodzo komanso kukodza pafupipafupi,
  • kuwonda mwadzidzidzi
  • kuchepa kwa masomphenya
  • kufooka, kutopa, kugona.
  • dzanzi ndi kubinya kwa miyendo,
  • matenda opatsirana omwe amakhala nthawi yayitali
  • ng'ombe zamkaka,
  • yafupika libido
  • kupoleka pang'onopang'ono
  • kuchepa kwa kutentha kwa thupi
  • zilonda pakhungu.
  • khungu louma ndi kuyabwa.

Kutopa ndi kugona mu shuga ndi othandizira nawo pafupipafupi. Chifukwa cha kayendedwe ka pathological, thupi la munthu limasowa mphamvu zomwe limalandira kuchokera ku glucose. Chifukwa chake, kutopa ndi kufooka kumachitika. Munthu nthawi zonse amafuna kugona, popanda chifukwa. Izi nthawi zambiri zimatha kudya.

Kuphatikiza apo, mkhalidwe wamaganizidwe ukusintha. Nthawi zambiri munthu amamva:

  1. kubweza
  2. zachisoni ndi kukhumudwa
  3. miliri yamkwiyo,
  4. mphwayi.

Ngati kuwonetsa koteroko kumawonedwa mosalekeza, muyenera kuganizira za kukhalapo kwa matenda ashuga. Nthawi zina, Zizindikiro zimayamba kuwonjezeka pang'onopang'ono, kotero munthu samazindikira nthawi yomweyo kuti thanzi lake lasintha.

Ndi matenda a shuga a mtundu woyamba, zizindikirizo zimatchulidwa kwambiri, thanzi la munthu limakulirakulira msanga komanso kuperewera kwa madzi nthawi zambiri kumachitika.

Ngati anthu otere samalandira chithandizo chamankhwala munthawi yake, akhoza kukhala ndi vuto la matenda ashuga lomwe limawopseza moyo. Ndi matenda a shuga a mtundu wachiwiri, kupititsa patsogolo matendawa kumatha kupewedwa ngati mungakulitse zolimbitsa thupi ndikuchepa thupi.

Mutha kulankhula za matenda a shuga pamaziko a kutsimikiza kwa glucose m'magazi.

Ngati zakudya ndi zakudya zopatsa thanzi sizingathandize kuti matenda ashuga amtundu wa 2 akhalepo, pamafunika mankhwala. Pazifukwa izi, mankhwala osiyanasiyana amagwiritsidwa ntchito.

Metformin nthawi zambiri amakhala mankhwala oyamba a matenda a shuga a 2. Mankhwalawa amagwira ntchito pochepetsa kuchuluka kwa glucose omwe amalowa m'magazi kuchokera pachiwindi. Kuphatikiza apo, Metformin imapangitsa kuti maselo amthupi azikhala ndi chidwi ndi insulin.

Mukakhala onenepa kwambiri, Metformin nthawi zambiri imasankhidwa. Mosiyana ndi mankhwalawa, samayambitsa kulemera. Nthawi zina, kutsegula m'mimba kapena mseru kumachitika. A contraindication ndi matenda a impso.

Kukonzekera kwa Sulfonylurea kumachulukitsa kuchuluka kwa insulini yopangidwa ndi kapamba. Zodziwika kwambiri ndi:

Anthu odwala matenda ashuga amatha kupatsidwa imodzi mwa mankhwalawa ngati sangathe kugwiritsa ntchito Metformin kapena ngati palibe kulemera kwambiri. Mwinanso, kukonzekera kwa Metformin kapena sulfonylurea kungathe kulembedwa ngati zochita za Metformin sizokwanira.

Kukonzekera kwa Sulfonylurea nthawi zina kumawonjezera chiopsezo cha hypoglycemia, chifukwa amachulukitsa kuchuluka kwa insulin mthupi. Mankhwalawa amathanso kutsegula m'mimba, kunenepa kwambiri, komanso nseru.

Thiazolidonides amachititsa chidwi cha maselo kuti apange insulini, kotero glucose ochulukirapo amalowa m'maselo kuchokera m'magazi. Njira zimagwiritsidwa ntchito limodzi ndi metformin kapena sulfonylurea.

Chifukwa chotenga mankhwalawa, kunenepa pang'ono ndi kutupa kwa ankolo kumatha. Osagwiritsa ntchito Pioglitazone chifukwa cholephera mtima kapena kutanthauzira kuti atulutsidwe mafupa ndi mafupa.

Mtundu wina wa thiazolidonide, rosiglitazone, unachotsedwa mu malonda zaka zingapo zapitazo chifukwa chakuti unadzetsa matenda amtima. Makamaka, mankhwalawa adathandizira kuti pakhale kulephera kwa mtima komanso kulowerera kwa mtima.

Glyptins amalepheretsa glucagon-monga polypeptide 1 (GLP-1) kuipitsidwa. Chidacho chimalola kuti thupi lipange insulini pamisempha yayikulu yamagazi, koma imawonongeka mwachangu.

Gliptins imapangitsa kuti magazi asakhale ndi shuga wambiri, pomwe palibe chiwopsezo cha hypoglycemia. Tikulankhula za zida zotere:

  1. Linagliptin.
  2. Saxagliptin.
  3. Itagliptin.
  4. Ildagliptin.

Magalasi amatha kutumizidwa ngati akupangika kuti munthu agwiritse ntchito glitazones kapena sulfonylureas. Magalasi sachititsa kunenepa kwambiri.

Exenatide ndichosangalatsa (agonist) cha glucagon-ngati polypeptide 1 (GLP-1). Mankhwalawa amatha kupakidwa jakisoni, imagwira ntchito mofanananso ndi mahomoni achilengedwe GLP-1. Mankhwalawa amaperekedwa kawiri pa tsiku, amathandizira kupanga insulin ndikuchepetsa shuga ya magazi popanda chiopsezo cha hypoglycemia.

Anthu ambiri amafotokoza kuchepa thupi pang'ono chifukwa chogwiritsa ntchito mankhwalawa. Monga lamulo, imagwiritsidwa ntchito limodzi ndi Metformin, komanso kukonzekera kwa sulfonylurea kwa odwala matenda ashuga onenepa kwambiri.

Agonist wina wa GLP-1 amatchedwa liraglutide. Jakisoni wa mankhwalawa amachitika kamodzi patsiku. Liraglutide, monga Exenatide, nthawi zambiri amagwiritsidwa ntchito limodzi ndi sulfonylurea ndi Metformin kwa odwala matenda ashuga onenepa kwambiri. Kutengera ndi maphunziro azachipatala, zatsimikiziridwa kuti mankhwalawa amachititsa kuchepa thupi pang'ono.

Acarbose imapangitsa kuti pakhale mwayi wolepheretsa kuwonjezeka kwa shuga m'magazi mutadya. Chipangizocho chimachepetsa kuchuluka kwa kusintha kwa chakudya chamaguluufi kukhala glucose. Mankhwalawa ali ndi zotsatira zoyipa, monga kutsekula m'mimba ndi kumatulutsa. Mankhwala amathandizidwanso ngati pali tsankho la mankhwala ena.

Repaglinide ndi Nateglinide amathandizira kupanga insulin ndi kapamba. Mankhwala osokoneza bongo sagwiritsidwa ntchito pafupipafupi, amatha kumwedwa ngati pali kuphwanya zakudya. Zotsatira zake zimakhala zazifupi, motero, ndalama ziyenera kumwedwa musanadye.

Mankhwalawa ali ndi mavuto - hypoglycemia ndi kuwonda.

Zakudya zamagulu

Ngati ndi kotheka, ndikofunikira kuchitapo kanthu kuti mubwezeretse kagayidwe kazakudya, kubwezeretsa kwake kumachitika ndi kuchuluka kwa maselo ndi kuchuluka kwa insulin, kutengera mtundu wa matenda. M'pofunika kuyesa kuti mupeze insulin yofanana m'thupi, chifukwa chakudya chofunikira kwambiri chimafunika.

Popanda zakudya zopanda pake, mankhwalawa samabweretsa zotsatira zomwe zikuyembekezeka. Muyenera kudziwa kuti nthawi zina, m'mayambiriro a 2 matenda a shuga, chithandizo chimangoperekedwa pakudya.

Anthu omwe ali ndi vuto lalikulu lotere ayenera kudzipatula pakumwa zakudya zokhala ndi chakudya komanso shuga. Sitikulimbikitsidwa kugwiritsa ntchito:

  1. ma cookie, ayisikilimu, maswiti ndi shuga,
  2. zipatso zokoma
  3. zukini, mbatata,
  4. Zakudya zokazinga zomwe zimakulitsa cholesterol,
  5. zipatso zamasamba.

Kutsatira zakudya komanso kudya zakudya zopatsa thanzi kumathandizanso kuti shuga achepetse magazi komanso kupewa kugona ndi kusasangalala.

Wodwala matenda ashuga amayamba kudalira matenda ake, zomwe zimamupangitsa kuti abwerere ku moyo wake.

Mankhwala a insulin

Kugona, kutopa ndi kutopa kumabuka chifukwa thupi la munthu silingathe kupirira ndi zomwe zikuwoneka ndi matendawa. Nthawi zambiri usiku wodwala amakakamizidwa kuti nthawi zambiri azidzuka kuchimbudzi ndi kumwa madzi, zomwe sizimathandizira kugona mokwanira komanso kupuma. Chifukwa chake, masana pali kusweka kwamphamvu.

Chifukwa chake mankhwala a insulin ndi njira imodzi yabwino kwambiri yothanirana ndi kugona komwe kumadziwika ndi munthu wodwala matenda a shuga. Chithandizo pobweretsa insulin m'thupi ndichofunika kwa anthu omwe ali ndi matenda ashuga 1.

Pakadali pano, mankhwala ali ndi kuchuluka kwa mankhwalawa omwe amasiyana pakapita nthawi, amawagawa:

Mankhwala okhala ndi insulin ayenera kufotokozedwa ndi adokotala pambuyo poti azindikire ndi kuzindikira kokwanira.

Zochita zolimbitsa thupi

Kuchita masewera olimbitsa thupi a shuga ndi imodzi mwazinthu zomwe zingapangitse kuti matendawa athe kulipira bwino. Ndi katundu pa minofu ndi machitidwe onse a thupi, glucose owonjezera amayamba kudyedwa, omwe amaperekedwa ndipo osatsekedwa ndi insulin. Chifukwa chake mawonekedwe owonetsa matendawa amachoka: kutopa ndi kugona.

Kuti mukwaniritse zomwe mukuyembekeza, simungathe overexert, chifukwa thupi limafooka ndi matendawa. Katundu wokwanira tsiku lililonse, zomwe zingapangitse kuti mafuta asungunuke, ndizokwanira.

Simungathe kuphatikiza maphunziro olimbitsa thupi ndi zakumwa zoledzeretsa. Monga lamulo, anthu odwala matenda a shuga amalangizidwa kuti azichita zolimbitsa thupi. Ku mulingo wina, chithandizo chotere chimalowa m'malo mwa insulin, komabe, sichingalipirire.

Munthu wodwala matenda ashuga atakumana ndi mavuto, amatha kukhala moyo wodziwika. Madotolo amalangizira kuti mudzayesetse kuchita masewera olimbitsa thupi kangapo pa sabata, kumayendayenda panja, panjinga, ndipo ngati mukufuna, kuthamangitsana.

Ndikofunika kuti odwala matenda ashuga azichita zinthu ngati izi:

Kuti mukhale ndi moyo wabwino kwambiri wa matenda ashuga, muyenera kuyandikira izi m'njira zoyenera komanso moyenera, nthawi zambiri kugwiritsa ntchito chidwi.

Chithandizo cha matendawa chimaphatikizapo njira yochitira masewera olimbitsa thupi tsiku lililonse ndi matenda a shuga komanso kudya mokwanira, kuwunika dokotala pafupipafupi komanso kugwiritsa ntchito mankhwala a insulin. Ngati mungachite zonse pamwambazi, munthu sangamve kusasangalala, kutaya mphamvu komanso kugona.

Kanemayo munkhaniyi akupereka malingaliro amomwe angathane ndi kugona.

Kodi odwala matenda ashuga amatha kumwa vinyo

  • Kuopsa kwa mowa
  • Kodi ndingamwe vinyo wotani ndi matenda ashuga?
  • Chuma chachikulu cha vinyo
  • Momwe mungamwe mowa?

Kwa zaka zambiri osalimbana ndi ma DIABETES?

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

Kuti muthane ndi matenda a shuga, ndikofunikira kuti munthu wodwala matendawa azisintha shuga. Izi zimatsimikiziridwa osati ndi kugwiritsa ntchito mankhwala ena, komanso chifukwa cha zakudya. Maziko a chakudya chamtundu uliwonse wa shuga ndi kukana zakumwa zoledzeretsa. Nthawi yomweyo, pali zosankha zina, mwachitsanzo, odwala matenda ashuga amaloledwa kusangalala ndi vinyo.

Kuopsa kwa mowa

Kumwa zakumwa zoledzeretsa ndipo, makamaka, vinyo ndi woopsa. Izi ndichifukwa cha kutsika pang'ono pakupanga kwa shuga. Njirayi, imakhala yofupika, koma imakhudza kwambiri momwe anthu odwala matenda ashuga amaperewera, nthawi zina zimayambitsa kupweteka komanso kusintha kwina kovuta. Popeza kutsika pang'onopang'ono pakupanga shuga, mphamvu ya mankhwala imakhala yolimba. Zotsatira zake, pamaso pa odwala matenda a shuga, Zizindikiro za shuga zimachuluka kwambiri, ndipo patatha maola anayi kapena asanu zimachepa.

Ngozi ina yomwe ikukhudzana ndi izi iyenera kuganiziridwa ngati kufunika kodya chakudya chokwanira kwambiri. Monga mukudziwa, kususuka sikulinso njira yabwino yomwe imakhudzira kuchuluka kwa shuga m'magazi. Chifukwa chake, kugwiritsa ntchito mtundu uliwonse wa mowa kumatha kuonedwa ngati kosafunikira pasadakhale. Nthawi yomweyo, ndikulankhula za vinyo, ndikufuna ndikhale ndi chidwi ndikugwiritsa ntchito mayina ofiira ndi oyera, owuma komanso okoma.

Kodi ndingamwe vinyo wotani ndi matenda ashuga?

Choyimira chomwe chimapangitsa kuvomerezedwa kwa kugwiritsidwa ntchito kwa chinthu china, komanso chakumwa cha shuga, ndiko kupezeka kwa shuga mkati mwake. Izi zimagwiranso ntchito kwa vinyo yemwe ali ndi matenda ashuga. Mutha kumwa, koma muyenera kukumbukira kuti chakumwa ichi chagawidwa m'magulu angapo. Chifukwa chake, kuyamba kumwa vinyo, ndikofunikira kulingalira kuti:

  • Mitundu youma ya vinyo imatha kuonedwa kuti ndiyo yabwino kwambiri. Izi zili choncho chifukwa chakumwa chilibe shuga, choncho munthu wodwala matenda ashuga amatha kugwiritsa ntchito vinyo wofiyira komanso yoyera.
  • Maina owuma amakhala ndi gawo lalikulu la shuga. Izi zitha kufikira 5%,
  • mavinyo otsekemera, osadabwitsa, ali ndi shuga wambiri. Nthawi zambiri timalankhula za 6-8%, chifukwa chake akazi amakonda kumwa,
  • Mayina okhala ndi mipanda yolimba ndi gulu lopatula, lomwe limadziwika ndi kuchuluka kwa mowa. Mukakumana ndi matenda a shuga, zimakhala zowopsa kumwa chakumwa ichi ndi zizindikiro za shuga kuyambira 10 mpaka 15%.

Ndipo pamapeto pake, mavinyo opaka mchere ndi ophatikizira amaphatikiza kuchuluka kwakukulu kwambiri kwa gawo loletsedwa. Chifukwa chake, kupezeka kwa 30% shuga mwa iwo kumapangitsa zakumwa za odwala matenda ashuga kukhala zotsutsana kwathunthu, ngakhale pang'ono.

Kutengera izi, lingaliro limodzi lokha lomwe lingatengeredwe: Vinyo wouma wokhala ndi matenda ashuga ndi amodzi mwa mitundu ingapo ya zakumwa zomwe ndizovomerezeka kuti anthu azimwa.

Matenda a shuga

Chizindikiro chachikulu chomwe chimakupatsani mwayi kuti mupeze matenda osokoneza bongo a metabolism ndi glucose, ndi matenda ashuga chifukwa chodumpha, zotsatira zoyipa zosiyanasiyana ndizotheka. Zizindikiro zochulukirapo zimapweteketsa maselo am'mimba. Zotsatira zake, madzi amatsukira mkodzo ndi mkodzo.

Zotsatira za Kukweza Magwiridwe

  1. Nthawi zina, enuresis imatheka chifukwa chowerenga shuga wambiri.
  2. Kuzindikira kumasokonekera.
  3. Mafuta ochulukirapo amavulaza m'mitsempha yamagazi.
  4. Magwiridwe antchito ndi kukhulupirika kwa minofu yam'maselo ndizovuta.
  5. Mavuto ozungulira - magazi osawuka amayenda m'maselo aubongo. Zomwezo zimapita kwa minofu.

Kwa odwala matenda ashuga, ndikofunikira kuyang'anira kuchuluka kwa glucose tsiku lililonse. Kuti muchite izi, gwiritsani ntchito mizere yoyesera kapena glucometer. Kuti musankhe njira yoyenera yowunikira, muyenera kufunsa endocrinologist.

Hypo ndi hyperglycemia

Glucose imatha kuchuluka kwa matenda ashuga, ndipo kutsika kwa magwiridwe ake ndikothekanso. Zonsezi, ndi mkhalidwe wina zikuyimira ngozi. Ndi shuga wambiri, hyperglycemia imawonedwa. Wodwala amakhala wokondwa kwambiri, kumva mantha.

Ndi kudumphadumpha kwambiri m'magazi a magazi, kusokonezeka kwa metabolic kumawonedwa. Kuphatikiza apo, poizoni amatulutsidwa, zomwe zimabweretsa poizoni m'thupi. Hypoflycemia yofatsa sikuvulaza thanzi, koma zizindikiro zoyipa zimawonedwa:

  • ludzu losalekeza
  • khungu limakhala louma, ma microcracks amatha chifukwa,
  • kukodza pafupipafupi.

Woopsa, hyperglycemia imatsatiridwa ndi izi:

  • kusanza, kusanza,
  • ndikufuna kugona nthawi zonse,
  • odwala matenda ashuga ndi oletsedwa.

Ndikuthekanso kutayika kwa chikumbumtima, komanso zowopsa zina - hyperglycemic coma ngakhale kufa.

Ndi chiwopsezo cha chithokomiro chotulutsa, shuga m'magazi amachulukana kwambiri. Nthawi zina matenda okoma amayamba chifukwa cha matenda a chiwindi. Ngati hyperglycemia imatenga nthawi yayitali, odwala matenda ashuga amayamba kufooka, chitetezo chake chimayamba kugwa, ndipo njira zotupa zimawonekera ndikupita patsogolo. Kuphatikiza apo, magwiridwe antchito amchiberekero amasokonekera. Zomwezi zimafunsanso kufalikira kwa magazi kwa zimakhala. Zizindikiro za hyperglycemia ndizoposa zisanu ndi theka mmol / l. Kusanthula kuyenera kutengedwa pamimba yopanda kanthu.

Hypoglycemia imatheka pokhapokha ngati chida cha insulin chizigwira ntchito yofunika kwambiri monga kapamba. Kutsika kowopsa kwa shuga m'magazi kumatha chifukwa cha kuchuluka kwa insulin. Izi zimapangitsa kuti chifukwa, insulin ikulowera kuchuluka kwakukulu, minofu imayamwa glucose ndipo hypoglycemia imayamba.

Zizindikiro za hypoglycemia zili pansi 3.3 mmol / L. Matenda ofanana ndi omwe amatha chifukwa cha kupezeka kwa matenda am'mimba mu kapamba. Kutsika kwa shuga m'magazi kungaoneke motsutsana ndi maziko a kukhalapo kwa matenda a impso, matenda oopsa a hypothalamus ndi gren adrenal.

Matenda a shuga amadziwika ndi kuwonjezeka kwa thukuta lokhala ndi shuga wamagazi ochepa. Kuphatikiza apo, odwala matenda ashuga afooka kwambiri, kunjenjemera kwa miyendo ndipo thupi lonse limawonekera. Coma ndizotheka. Ndikofunikira kuti odwala matenda ashuga nthawi zonse azikhala ndi kena kake kokoma. Ikakhala yoyipa, muyenera kudya phukusi kapena chokoleti.

Kulimbana ndi Matenda a Magazi a shuga

Ndi kuchepa kwa shuga m'magazi, magalamu 120 a msuzi wa zipatso wosaphatikizika amathandiza kusintha mapangidwe ake ndi mawonekedwe ofatsa a hypoglycemia. Ponena za zizindikiro zowopsa, pankhaniyi ndikofunikira kutenga mofulumira magalamu khumi ndi awiri mpaka makumi awiri a zosavuta zam'mimba ndipo pambuyo pake - zovuta kwambiri, mwachitsanzo, ikhoza kukhala chidutswa cha mkate kapena makeke owonda.

Mawa m'mawa matenda

Dzuwa likatuluka, mbandakucha wa matenda ashuga ndi kotheka - mkhalidwe momwe milingo ya glucose imakwera pamtunda kuyambira anayi m'mawa mpaka sikisi. Nthawi zina kuwonjezeka kwa shuga kumawonedwa mpaka naini m'mawa. Mkhalidwe wofananawu nthawi zambiri umapezeka ndi matenda okoma a mtundu wodalira insulin.

Pa zifukwa zomwe zimapangitsa kuti mbandakucha udalitsike, zotsatirazi ziyenera kufotokozeredwa:

  • Loweruka la matenda ashuga apulumuka,
  • zakudya zonenepa musanagone,
  • madzulo, asanagone, insulin idaperekedwa molakwika, osakwanira.

Ngati mukufuna kulandira chithandizo, malangizo ofunika akuyenera kusamalidwa

  • mtundu 1 odwala matenda ashuga ayenera kuonjezera Mlingo wa insulin usiku makonzedwe,
  • gwiritsani insulin kwa nthawi yayitali kuposa masiku onse,
  • kuperekera insulin yochepa m'mawa kuti muchepetse hyperglycemia.

Ndikofunika kwambiri kuthana ndi mankhwalawa, dokotala, ngati kuli kotheka, amasintha njira zochizira matendawa.

Somoji syndrome

Zofananazo zimachitika pamene wodwala matenda ashuga wadzipaka insulin mosiyanasiyana. Vutoli limatheka ndi matenda amtundu wa 1 wokoma. Ricochet hyperglycemia ali ndi izi:

  • kudumpha kwa glucose kumawonedwa
  • achina,
  • matupi a ketone amawoneka - m'mwazi ndi mkodzo,
  • wanjala nthawi zonse
  • Kulemera kwa thupi kukuchulukirachulukira.

Pofuna kuthana ndi zodabwitsa za Somoji, ndikofunikira kuyeza miyezo ya shuga pafupipafupi - mosalekeza. Izi ziyenera kuchitidwa ngakhale usiku. Dokotala amasankha kuchuluka kwa insulin mu vuto lililonse, mosasamala. Kukhazikitsidwa kwa insulini, kuwongolera shuga - zonse pamodzi zimathandiza kukwaniritsa zotsatira zabwino polimbana ndi matendawa. Matenda a shuga si sentensi. Mutha kukhala naye nthawi yayitali. Chachikulu ndikuwongolera shuga ndikutsatira malangizo a dokotala.

Kusiya Ndemanga Yanu