Miyezi yachilengedwe ya shuga yamagazi - zotsika komanso zotsika

M'mabotolo, amagwiritsa ntchito matebulo apadera omwe zizindikiro za plasma zimawerengeredwa kale m'magazi a shuga a capillary. Kuwerenganso zotsatira zomwe zimawonetsedwa ndi mita zitha kuchitidwa palokha.

Kuwona kwa kuyesa kwa glycemic level kumadalira chipangacho chokha, komanso zinthu zingapo zakunja ndikutsatira malamulo ogwiritsira ntchito. Opanga okha amati zida zonse zonyamula shuga za magazi zimakhala ndi zolakwika zazing'ono. Zotsirizazo zimakhala 10 mpaka 20%.

Odwala amatha kukwaniritsa kuti chizindikiro cha chipangizocho chinali ndi cholakwika chaching'ono. Pachifukwa ichi, malamulo otsatirawa akuyenera kusamalidwa:

  • Onetsetsani kuti mita ikuyenda kuchokera kwa akatswiri odziwa bwino zaumoyo nthawi ndi nthawi.
  • Chongani kulondola kwa kufanana kwa code ya mzere woyezera ndi manambala omwe akuwonetsedwa pazenera la chida chofufuzira ngati atatsegulidwa.
  • Ngati mumamwa mankhwala opha tizilombo toyambitsa matenda kapena misozi yonyowa kuti mugwire manja anu musanayesedwe, muyenera kuyembekezera mpaka khungu liume kwathunthu, kenako pokhapokha muzindikire.
  • Kukwirira dontho la magazi pamizere yoyeserera sikulimbikitsidwa. Zingwezo zimapangidwa kuti magazi alowe m'malo awo pogwiritsa ntchito mphamvu ya capillary. Ndikokwanira kuti wodwalayo abweretse chala m'mphepete mwa zone yothandizidwa ndi ma reagents.

Odwala amagwiritsa ntchito zolemba zawo kuti alembe - izi ndizosavuta kuti adziwe opezeka mu endocrinologist ndi zotsatira zawo

Kubwezera kwa shuga matenda a shuga kumatheka mwa kusunga glycemia m'njira yoyenera, osati pokhapokha, komanso pambuyo poti chakudya chatha. Onetsetsani kuti mwawunika mfundo zanu zamakomedwe anu, siyani kugwiritsa ntchito chakudya chamafuta ochepa kapena kuchepetsa kuchuluka kwake muzakudya.

Hypoglycemia imawonetsa kuti shuga ya magazi ndiyotsika. Kuchuluka kwa shuga kumeneku ndikowopsa ngati nkovuta.

Ngati zakudya zamagulu chifukwa cha shuga wochepa sizipezeka, ubongo wa munthu umavutika. Zotsatira zake, chikomokere ndichotheka.

Zotsatira zoyipa zimatha kuchitika ngati shuga agwera ku 1.9 kapena kuchepera - mpaka 1.6, 1.7, 1.8. Pankhaniyi, kukomoka, kugwidwa, chikomokere ndikotheka. Mkhalidwe wa munthu ndi woopsa kwambiri ngati mulingo ndi 1.1, 1.2, 1.3, 1.4,

1.5 mmol / L. Pankhaniyi, popanda kuchitapo kanthu, imfa ndiyotheka.

Ndikofunikira kudziwa osati chifukwa chomwe chizindikirochi chikukwera, komanso zifukwa zomwe glucose imatha kugwa kwambiri. Kodi zimachitika bwanji kuti mayesowo akuwonetsa kuti glucose ndi wotsika mwa munthu wathanzi?

Choyamba, izi zitha kukhala chifukwa cha kudya pang'ono. Ndikamadya kokhwima, zosungirako zamkati zimatha pang'onopang'ono m'thupi. Chifukwa chake, ngati kwa nthawi yayitali (kuchuluka kwake kutengera mawonekedwe a thupi) munthu akudya, shuga wa m'madzi amachepetsa.

Kuchita zolimbitsa thupi kumathandizanso kuchepetsa shuga. Chifukwa cha katundu wolemera kwambiri, shuga amatha kuchepa ngakhale ndi chakudya chamagulu.

Ndi kumwa kwambiri maswiti, kuchuluka kwa shuga kumachulukitsa kwambiri. Koma kwakanthawi kochepa, shuga akucheperachepera. Mowa ndi mowa zimathanso kuchuluka, kenako ndikuchepetsa kwambiri magazi.

Ngati pali shuga pang'ono m'mwazi, m'mawa, munthu amayamba kufooka, kugona, kukwiya kumamugwira. Mwakutero, muyeso wokhala ndi glucometer ukhoza kuwonetsa kuti phindu lovomerezeka limatsitsidwa - osakwana 3.3 mmol / L.

Koma ngati vuto la hypoglycemia likukula, pomwe glucometer ikuwonetsa kuti kuchuluka kwa shuga m'magazi kumatha munthu atadya, izi zitha kukhala umboni kuti wodwalayo akupanga matenda a shuga.

Kodi shuga wa plasma ndi mulingo wanji?

Anthu omwe amapezeka ndi matenda ashuga ayenera kusintha moyo wawo kotheratu. Kuphatikiza apo, ayenera kuthana ndi zisonyezo zambiri, kudziwa dongosolo la kusanthula, kusamutsa kwamagulu ena a shuga kwa ena.

Odwala matenda ashuga ayenera kudziwa zomwe zili m'magazi athunthu komanso m'magazi.

Anthu omwe amapezeka ndi matenda ashuga ayenera kusintha moyo wawo kotheratu. Kuphatikiza apo, ayenera kuthana ndi zisonyezo zambiri, kudziwa dongosolo la kusanthula, kusamutsa kwamagulu ena a shuga kwa ena. Odwala matenda ashuga ayenera kudziwa zomwe zili m'magazi athunthu komanso m'magazi.

Glucose ndi chakudya chopepuka, chifukwa chomwe khungu lililonse limalandira mphamvu yamoyo. Pambuyo polowa m'matumbo am'mimba, imayamwa ndikukutumiza kumagazi, kudzera mmalo mwake imatumizidwa kwa ziwalo zonse ndi minyewa.

Koma sikuti glucose onse yemwe amachokera ku chakudya amasinthidwa mphamvu. Gawo laling'ono la ilo limasungidwa mu ziwalo zambiri, koma zochulukazo zimasungidwa mu chiwindi monga glycogen. Ngati ndi kotheka, imatha kugawikanso shuga ndikupanga kusowa kwa mphamvu.

Monga chiwindi, zomerazi zimatha kupanganso nkhokwe za glucose momwe zimayambira. Ichi ndichifukwa chake mutadya zakudya zam'mera, glucose m'magazi a odwala matenda ashuga amawuka.

Glucose m'thupi imagwira ntchito zingapo. Zomwe zikuluzikulu ndi izi:

  • kukhala wathanzi lamthupi mokwanira,
  • gawo lama cell
  • kukhathamira mwachangu
  • kusunga kagayidwe kachakudya,
  • kusinthanso mphamvu zokhudzana ndi minofu,
  • detoxification ngati pali poyizoni.

Kupatuka kulikonse kwa shuga mumagazi kumatengera kuphwanya ntchito zomwe tatchulazi.

Kodi mungapewe bwanji kusintha kwadzidzidzi?

Njira zabwino zochizira matenda amwadzidzidzi ndikuletsa chitukuko chawo. Ngati mungazindikire kuwonjezeka kapena kuchepa kwa shuga m'magazi, ndiye kuti thupi lanu silingathe kulimbana ndi vutoli lokha, ndipo mphamvu zonse zosungira ndatha. Njira zosavuta kwambiri zopewera zovuta zimaphatikizapo izi:

  1. Yang'anirani shuga pogwiritsa ntchito shuga m'magazi. Kugula glucometer ndi zingwe zoyeserera sizikhala zovuta, koma kukupulumutsani ku zotsatira zosasangalatsa.
  2. Imwani mankhwala a hypoglycemic kapena insulin pafupipafupi. Ngati wodwalayo ali ndi kukumbukira koipa, amagwira ntchito kwambiri kapena samangokhala, dokotalayo angamulangize kuti azilemba bukuli, komwe amayang'ana mabokosi pafupi ndi nthawi yomwe adasankhidwa. Kapenanso mutha kuyika chidziwitso pafoni.
  3. Pewani kudumpha zakudya. M'banja lililonse, chakudya chambiri chodyedwa kapena chodyera chimakhala chizolowezi chabwino. Wodwala akakakamizidwa kudya kuntchito, ndikofunikira kukonzeratu chidebe ndi chakudya chopangidwa kale.
  4. Zakudya zabwino. Anthu omwe ali ndi matenda ashuga ayenera kulabadira zomwe amadya, makamaka zakudya zamafuta ambiri.
  5. Moyo wathanzi. Tikuyankhula zamasewera, kukana kumwa zakumwa zoledzeretsa zamphamvu ndi mankhwala osokoneza bongo. Zimaphatikizanso kugona mokwanira kwa maola asanu ndi atatu ndikuchepetsa zochitika zovuta.

Matenda a shuga angayambitse zovuta zambiri, mwachitsanzo, phazi la matenda ashuga komanso kuchepetsa moyo. Ichi ndichifukwa chake ndikofunikira kuti wodwala aliyense awone momwe alili, kupita njira zodzitetezera kwa asing'anga wake komanso munthawi kuti agwirizane ndi zonse zomwe akulangizidwa.

  • Vildagliptin - malangizo, ntchito, analogs, mtengo, ndemanga za anthu odwala matenda ashuga
  • Sibutramine - mankhwala oopsa pakuchepetsa thupi: malangizo, mayendedwe, ndemanga
  • Metformin - mankhwala ochepetsa thupi mu mtundu 2 wa shuga: malangizo ndi kuwunika
  • Glucometer Contour Plus: kuwunika, malangizo, mtengo, ndemanga
  • Glucometer Satellite Express: kuwunika kwa chipangizo, cheke cholondola, ndemanga

Kugwiritsa ntchito glucometer

Sikuti munthu aliyense wathanzi amadziwa za kukhalapo kwa chipangizo choyezera ngati glucometer. Koma aliyense wodwala matenda ashuga amafunikira. Ndi matenda a shuga, ndikofunikira kwambiri kukhala ndi chida chotere.

Chipangizochi chimathandizira pochita njira yodziwira mulingo wa shuga kunyumba palokha. Kenako zimatha kuwongolera glucose ngakhale kangapo masana.

Mulingo woyenera kwambiri wa shuga, womwe umatha kuwonetsedwa pamtunda, sayenera kupitirira 5.5 mmol / l.

Koma kutengera zaka, zizindikiro zingasinthe:

  • kwa ana akhanda ndi ana aang'ono, chizolowezi chimatengedwa kuti ndi kuyambira pa 2.7 mpaka 4.4 mmol / l,
  • Ana azaka 1-5, mwanjirazo kuyambira pa 3.2 mpaka 5.0 mmol / l,
  • Zapakati pa zaka 5 mpaka 14 zikuwonetsa kuti kuyambira 3.3 mpaka 5.6 mmol / l,
  • Chizindikiro chovomerezeka cha zaka 14-60 chimawonedwa kuti ndi 4.3-6.0 mmol / l,
  • kwa anthu azaka zopitilira 60 - 4.6-6.4 mmol / l.

Zizindikiro izi pa glucometer ndizothandizanso kwa odwala omwe ali ndi matenda ashuga, koma nthawi zonse pamakhala zosankha ndi zolakwika zovomerezeka. Chamoyo chilichonse ndi chapadera ndipo chimatha "kugogoda" kuchokera pazikhalidwe zomwe zimaloledwa, koma adokotala okha omwe anganene za izi mwatsatanetsatane.

Kodi madzi amwazi ndi chiani

Ili ndiye gawo lalikulu kwambiri lamwazi, lomwe limakhala pafupifupi 55% yonse. Cholinga chachikulu ndikuyendetsa michere, mahomoni ndi mapuloteni. Plasma imathandizira kuchotsa zinyalala mthupi. Imalimbikitsa kuyenda kwa zinthu zonse zamagazi kudzera m'magazi.

Gawo lamadzi ndi njira yovuta yokhala ndi madzi opitilira 90%. Madera ofunikira ndi ma electrolyte (sodium, potaziyamu, chloride, bicarbonate, magnesium ndi calcium). Kuphatikiza apo, pali ma amino acid, mavitamini, ma organic acid, ma pigment ndi ma enzyme. Ma mahormone monga insulin, corticosteroids ndi thyroxine amasungidwa m'magazi a endocrine system.

Plasma ili ndi 6-8% ya mapuloteni. Mkulu kapena shuga wotsika amathandiza kutsimikizira zovuta zazikulu. Mukayerekezera magazi a capillary komanso arterial, mudzazindikira kuti azikhala ochepa mu dextrose yoyamba. Izi zikufotokozedwa ndi kumwa kwa zotumphukira zake (minofu ndi minyewa ya adipose).

Zisonyezero zosintha shuga mu plasma

Kutulutsa kwanyanjayi kumatengedwa kuchokera ku capillaries kapena venous shipping. Kutsimikiza kwa shuga ndikofunikira kutsimikizira matenda osokoneza bongo, komanso kuwunika momwe matendawa akuwonekera.

Phunziro limafotokozedwanso mu milandu ili:

Zizindikiro za phunziroli ndizophatikiza Zizindikiro, zomwe zomwe adotolo sanazipeze. Mwachitsanzo, ludzu lalikulu, kuchepa msanga kapena kunenepa kwambiri, kununkhira kwa acetone kuchokera mkamwa, tachycardia, mavuto amawonedwe, hyperhidrosis.

Kodi kusanthula bwanji?

Pali njira ziwiri zodziwira shuga. Uku ndikuwerengera magazi kuchokera kumitsempha kapena chala ndi kuyesa kwa glucose (pamtolo).

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Kukonzekera koyenera kungathandize kuti musapeze zotsatira zabodza. Ndikofunikira kudziwa momwe phunziroli limachitikira kuti mutayendera mudzapeze yankho lodalirika.

Kukonzekera gawo

Kuyesedwa kwa m'magazi a plasma kumachitika m'mawa mutatha kudya kwa maola 12. Osamamwa madzi kapena kudya. Ndiosavuta kupirira nthawi yogona, kotero kuyesedwa kumachitika m'mawa.

Njala ndiyofunikira kuti zotsatira zake zisapotozedwe, ndipo siziyenera kubwerezedwanso. Pakatha usiku wopanda madzi ndi chakudya, kuchuluka kwa shuga mwa wodwala kumakhalabe okwera, pomwe mwaumoyo kumakhala kwabwinobwino.

Kwa mayeso ololera wa glucose sangadye kwa maola 16. Usiku mutha kumwa madzi oyera okha opanda mpweya. Ngati munthu amamwa mankhwala enaake, ayenera kudziwitsa adokotala.

Njira yowunikira

Sonyezani namwino malangizo ochokera kwa adokotala kuti akakuyeseni. Pomwe akukhazikitsa bukhuli, wodwalayo azitha kuyimba. Onetsetsani kuti mukukamba za kuwopa jakisoni, magazi.

Mwazi umatengedwa kuchokera mu mtsempha kapena chala. Amasonkhanitsidwa mu chubu choyesera, pambuyo pake kuwunikirako kumatumizidwa ku labotale, ndipo wodwalayo amatha kupita kwawo.

Mukamayesa mayeso okhudzana ndi shuga, namwino amavala magolovu, amatenga khungu ndi antiseptic, ndipo amatenga magazi pang'ono kuti awone kuchuluka kwa shuga shuga asanalowe. Iwo amatenga magazi kuchokera mu mtsempha.

Kenako perekani njira ya shuga (madzi okoma). Muyenera kukhala kanthawi. Kulimbitsa thupi kwachilengedwe kumachitika mobwerezabwereza katatu.

Kuchulukana kochulukirapo kwamadzi kwachilengedwe kumathandizira adokotala kuti amvetsetse momwe thupi limapopera shuga. Ngati chizungulire chitawoneka mukamwa yankho, kupuma movutikira, thukuta limatuluka, kapena zizindikiro zina zikukuvutitsani, onetsetsani kuti mwadziwitsa ogwira ntchito kuchipatala.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Kufotokozera kwa zizindikiro

Pambuyo pa kufufuza, kuyesedwa kwa glucose koyenera kumapangidwa. Mphepo ya shuga imawonetsa magwiridwe antchito a endocrine.

Endocrinologist ikuchita decryption, koma zidzachitika palokha kuti mudziwe ngati mulingo wa shuga ukukweza kapena kutsitsidwa. Zotsatira zake zikuwonetsa zoyenera komanso zotsatirapo za wodwalayo.

Shuga pansipa yokhazikika amatanthauza hypoglycemia, pamwambapa - hyperglycemia. Izi ndi zopatuka kuzizolowereka, zomwe zimayambitsa kutsimikiza pochita mayeso owonjezera ndikupeza anamnesis.

Makhalidwe wamba

Kuti mumvetsetse ngati wodwalayo ali ndi vuto la metabolism ya carbohydrate, muyenera kudziwa zikhalidwe zake. Mukamayesa pogwiritsa ntchito glucometer, ndikofunikira kuti muphunzire zomwe zikuwonetsedwa mu malangizo.

Gome 1. Kusunthidwa kwa shuga m'madzi a m'magazi komanso magazi athunthu ndikwabwino.

Mlingo wa glucose, mmol / l
PlasmaZonse
venouscapillaryvenouscapillary
Pamimba yopanda kanthu4,0–6,13,3–5,5
Maola 2 pambuyo PGTTzopitilira 6.7pamwambapa 7.8pamwambapa 7.8pamwambapa 7.8

Zomwe zimakhazikika mu akhanda ndi 2.1-3.2 mmol / l, mwa ana osakwana zaka 5 - 2.6-4.3 mmol / l, mpaka zaka 14 - 3.2-5.5 mmol / l, mpaka zaka 60 - 4.0-5.8 mmol / L.

Tebulo 2. Kulembedwa kwa shuga m'magazi athunthu (CK) ndi madzi a m'magazi (P).

Hemoglobin ndiye mpweya m'magazi ofiira a m'magazi. Kuwunika kwa HbA1C kumathandizira kuzindikira matenda ashuga kumayambiriro.

Akuyerekeza kuchuluka kwa chiphuphu cha matenda ashuga ndikuzindikira zovuta za metabolic.

  • 6.5% ndipo pamwambapa - pali matenda a shuga,
  • 5.7% - 6.4% - gawo la prediabetes,
  • Pansi pa 5.7% - palibe shuga.

Zizindikiro izi zimangokhala malangizo. Kutengera mtundu wa shuga, kuchuluka kwake kungasiyane pang'ono. Zina, monga kuchepa kwa vitamini C kapena uchidakwa, zingakhudze zotsatira za hemoglobin ya glycated.

Maola ochepa phunzirolo lisanachitike, simungathe kudya, mumatha kumamwa madzi oyera. Theka la ola lisanachitike kusanthula, musasute.

Kuyesedwa kumalimbikitsidwa kubwerezedwa miyezi itatu iliyonse kuti kuwunikire kukula kwa matenda ashuga. Zotsatira zake zimakhudzidwa ndi kupezeka kwa magazi m'thupi, magazi. HbA1C yokwera imachitika ndikusowa kwa chitsulo kapena kuthiridwa magazi kwaposachedwa.

Glycated hemoglobin siziwonetsa kusintha kwadzidzidzi kwa glucose. Kusinthasintha kwa odwala omwe ali ndi matenda abwinobwino sikuwonekanso phunziroli.

Zoyambitsa zomwe zingayambike

Ma spikes a shuga am'magazi samachitika kokha mwa odwala omwe ali ndi matenda a shuga. Amatha kuwonetsa matenda oopsa.

Ngati shuga ndi ochepa, izi zitha kuwonetsa izi:

  • zosokoneza pakugwira ntchito kwa chiwindi,
  • chakudya cham'mimba,
  • Hyperinsulemia,
  • Hyperglycemic hormone kusowa:
  • kumwa mowa waukulu,
  • kusala kudya kwanthawi yayitali,
  • insulinoma
  • mankhwala osokoneza bongo kapena insulin,
  • kusintha kwakuthwa mu mankhwala osiyanasiyana.

Hypoglycemia imatha kuchitika mwa makanda osabadwa ndi ana obadwa kwa amayi omwe ali ndi matenda ashuga.

Palinso zifukwa zambiri zopatuka kwa glucose mmwamba.Matendawa amatchedwa hyperglycemia ndipo amawonetsedwa ndi polydipsia, polyuria, kuchepa thupi, ludzu, mabala osachiritsika komanso kuwona bwino.

Zomwe zimayambitsa shuga wambiri m'magazi ndi izi:

  • kulimbikira ululu matenda
  • motsutsana ndi maziko amakula khunyu,
  • matenda am'mimba,
  • matenda a chiwindi
  • zotupa zotupa za endocrine glands,
  • kusasamala kwa mahomoni,
  • Lembani 1 kapena 2 shuga
  • khansa ya kapamba
  • kumwa mankhwala ena.

Kuchuluka kwa glucose kumakhudzidwa ndi kusuta komanso kugwira ntchito molimbika. Chinanso chomwe chimayambitsa ngozi ndi mahomoni omwe amayambitsa kukula kwaumunthu.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Kusiya Ndemanga Yanu