Chifukwa chiyani matenda a shuga amanjenjemera mosalekeza?
Matenda a shuga ndi matenda ovuta okhala ndi zizindikiro zambiri. Chizindikiro cha matendawa ndi kugwedeza kwamanja. Kugwedeza manja kumatanthawuza zovuta zovuta za psychosomatic zomwe zimayambitsa thanzi labwino, komanso zimakhudzanso chithandizo cha wodwala. Vutoli limapezekanso mwa anthu athanzi.
ZOFUNIKA KUDZIWA! Ngakhale odwala matenda ashuga kwambiri amatha kuchiritsidwa kunyumba, popanda opaleshoni kapena zipatala. Ingowerenga zomwe Marina Vladimirovna akunena. werengani zonena zake.
Chifukwa chiyani manja anga akugwedezeka ndi matenda ashuga?
Kugwedezeka mosasamala kwa manja kapena mapazi kumachitika chifukwa cha magulu awiri a zinthu - zokhudza thupi komanso zam'tsogolo. Zamoyo zimanjenjemera ndi kukulira kolimba miyendo, ndi kupsinjika kwa minofu, pakukula kwa ubongo ndi dongosolo lamanjenje lamkati (mwa makanda). Komanso, chinthu chovuta sichingathetsedwe.
Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.
Kutentha kumachitika chifukwa cha magulu awiri a zinthu - zokhudza thupi komanso zaumoyo.
Zomwe zimayambitsa maonekedwe a kupatuka zimachitika chifukwa cha kusintha kwa thupi:
- mavuto obwera chifukwa cha mankhwala - kapangidwe kake ka mankhwala kamaphatikizira zinthu zomwe zimakhudza kugwira ntchito kwa ubongo ndi mitsempha,
- Kusokonezeka kwa ntchito ya endocrine system - chithokomiro cha chithokomiro ndi kapamba (shuga mellitus) ndizomwe zimayambitsa kugwedezeka kwa malekezero.
Ndi matenda ashuga, manja agwirana pazifukwa zingapo:
- kupsinjika m'maganizo,
- kulephera khulupilira zakutsogolo
- kufuna kubisa kukhalapo kwa vuto la thanzi kuchokera kwa ena.
Ngati vutoli ndi chizindikiro cha matenda ashuga, ndiye kuti othandizira adzafunika thandizo kuti apeze zomwe zimayambitsa. Iyi ndi njira yokhayo yosinthira mtundu wa mankhwalawa popanda kuopa ndikuwongolera mkhalidwe wa wodwalayo. Dokotala wamkulu atumiza wodwala kwa akatswiri ena odziwa bwino ntchito yawo. Kuphatikiza pa matenda ashuga, zovuta zina mthupi zimadzetsa kugwedezeka, ndipo sizinganyalanyazidwe.
Zina zoyambitsa kugwedezeka
Kuphatikiza pa matenda ashuga, zinthu zotsatirazi zimayambitsa matenda: kumwa mowa, kusintha kwa ubongo (matenda a Parkinson). Komanso miyendo yanjenjemera mwa akhanda. Mtundu wa zakumwa zoledzeretsa zimadziwonetsera mu mawonekedwe a kunjenjemera kwa mutu, mikono, miyendo kapena thupi lonse. Izi ndi zotsatira za vuto la hangover ndipo amachotsa pakumwa kachakumwa kamodzi.
Kutalika kwa manja, mutu ndi miyendo, ndikothekanso ndi khoma.
Kusintha kwa ubongo mu ubongo, makamaka matenda a Parkinson, kumabweretsa kunjenjemera kwa miyendo, mutu. Vutoli limachitika pokhapokha ngati wodwalayo ayenda kapena agwira ntchito, ndiye kuti chizindikirocho chitha. Matendawa amawonekera ali okalamba, mwa okalamba. Madotolo awona kuti kusintha koteroko kungatengedwe.
Kuchulukitsa kwa akhanda ndi mtundu wina wamanjenjemera, koma samayambitsidwa ndi ma pathologies, koma chifukwa cha kakulidwe ka dongosolo lamkati lamkati la mwana ndi ubongo wake. Vutoli limatengedwa kuti limafanana ndi miyezi itatu. Kenako ubongo wa mwana umayamba kuyendetsa kayendedwe ka thupi ndi masamba ake. Makolo ayenera kufunafuna chithandizo chamankhwala ngati mwana wagwedezeka kuposa zaka zake.
Kodi mungachotse bwanji kunjenjemera mu shuga?
Madokotala amati odwala amayesedwa mozama ndikusankha njira yoyenera yamankhwala. Njira ya chithandizo sichingokhala chithandizo chamankhwala okha, komanso chakudya, masewera olimbitsa thupi ndipo ngati kuli kotheka, thandizo lamalingaliro. Ndi gawo la malingaliro lomwe limathandizira kupirira kuthanjika kwa dzanja. Kuthandizidwa ndi katswiri wama zamaganizo kumakupatsani mwayi wovomereza matendawa.
Acute hypoglycemia imabweretsa mkhalidwe pamene wodwalayo amawonetsa zambiri, kuphatikizapo kugwirana chanza. Pankhaniyi, ndikofunikira kusiya kuukira. Kuwongolera vutoli, ndikokwanira kukhala ndi glucometer ndi zingwe zoyeserera. Kuzindikira vutoli, njira yoyenera yolandirira komanso kuchitapo kanthu kwa wodwalayo atha kukonza vutoli mwachangu ndi kumwa mankhwala omwe amafunikira. Nthawi zambiri, odwala amadzibaya ndi insulin. Ngati zizindikiro za matendawa zasintha kukhala zodwala, ndiye kuti wodwalayo amayenera kuyeza kuchuluka kwa shuga m'magazi pakukonzekera shuga wambiri. Ngati mita ikuwonetsa 3.5 mmol / L, muyenera kumwa kukonzekera kwa glucose kapena kufunafuna thandizo kuchipatala.
Kuchotsa manja akunjenjemera kudzakuthandizani kuyesa kwa shuga m'magazi komanso kumwa mankhwala.
Gawo lofunikira pothandiza kuti muchepetse kulanda ndi zakudya. Zakudya za wodwala yemwe ali ndi matenda ashuga zimaphatikizanso zovuta za chakudya chambiri - chimanga, nyemba, mkate wa Wholemeal. Chakudyacho chimaphatikizapo masamba, zipatso, nyama ndi nsomba, mazira ndi mkaka, kupatula zina. Chiwerengero cha zakudya zizikhala 6. Masana muyenera kudya pafupipafupi komanso pang'ono. Zakudya ndi zakudya zomwezo zimakuthandizani kuti musinthe.
Onani shuga
Ngati wodwala akugwedezeka ndi matenda ashuga, nthawi zambiri pamakhala harbinger wa hypoglycemia - kuchepa kwa shuga m'magazi mpaka mtengo wovuta. Pafupifupi, chizindikiro ichi chimayenera kukhala pafupifupi 3.3 mmol / L. Koma ngati wodwala amakhala ndi shuga wambiri pafupipafupi, kugwedezeka kumatha kuyamba pamakhalidwe wamba (5.6-6.6 mmol / l).
Hypoglycemia imachitika pazifukwa zotsatirazi:
- Kudumpha chakudya kwa maola opitilira 6.
- Kudya insulin kosakwana kapena kolakwika.
- Kuchita zolimbitsa thupi.
- Kumwa mowa.
- Kupsinjika kwamphamvu kwamalingaliro.
- Zotsatira zoyipa za kumwa zamankhwala zomwe zimapangitsa kuti insulin - aspirin, warfarin, allopurinol itheke.
Kuzizira ndi kugwedezeka pamenepa ndi njira yotchinjiriza yamachitidwe amchifundo kumatsika a shuga. Kumva zoopsa, thupi limayamba kupanga ma mahomoni opsinjika - makatekolamaini. Amayambitsa mitsempha yamagazi, kuyesera kuteteza ziwalo zofunika kwambiri - bongo ndi mtima.
Hypoglycemia imayendera limodzi ndi izi:
Nthawi zina hypoglycemia imachitika m'maloto - ndiye m'mawa munthu amakhala atatopa komanso kukwiya.
Mkhalidwe pamene wodwala agwedezeka ndi matenda a shuga amathanso kuchitika chifukwa cha kuchuluka kwambiri kwa shuga. Vutoli limatchedwa hyperglycemia, ndipo limayendera limodzi ndi izi:
Zochitika zonsezi ndizodziwika zamtundu uliwonse wamatenda, koma ndizofala kwambiri ndi matenda amtundu woyamba 1 shuga ndi gestational matenda a shuga m'mimba. Zimabweretsa chiwopsezo ku thanzi komanso moyo wa wodwala: hypoglycemia imatha kukhala ndi vuto la hypoglycemic, ndipo kuchuluka kwambiri kwa glucose kumatha kubweretsa ketoacidosis.
Kodi shuga ndi yabwinobwino liti?
Ngati wodwalayo agwirana chanza ndi matenda ashuga, zifukwa zake sizingakhale zokhudzana kwenikweni ndi matenda a endocrine. Matendawa amayamba chifukwa cha zovuta zina zama systemic:
- Matenda
- Pambuyo-zoopsa matenda.
- Matenda a chithokomiro.
- Mavuto Amisala.
- Chimake
- Kupsinjika kwa magazi kumatsika.
Pima kutentha kwa thupi - vuto lanu limatha chifukwa cha kuzizira. Izi zimathandizanso kuteteza thupi, koma kukhala ndi hypothermia. Pankhaniyi, thupi lathu limayesetsa "kutentha" mothandizidwa ndi minyewa. Mofananamo, kagayidwe kake ka kagayidwe kachakudya kamayatsidwa - kugwiritsa ntchito mafuta ndi kusweka kwa zinthu zamafuta m'magazi kuti zithetse kutentha kwa thupi, komwe kumayambitsa matenda ashuga.
Matenda a shuga ndi matenda ovuta kuzindikira. Nthawi zina zimadzetsa kuwonongeka m'maganizo mwa wodwalayo, komwe kumayambitsa matenda amisala. Zina mwazomwe zimayambitsa ndikutaya kukayikira mtsogolo, kufunitsitsa kubisira anthu ena matendawa. Ndi mavuto amanjenje amathanso kuyambitsa kugwedezeka kapena kuzizira.
Kodi kuchitira?
Ngati matendawa amachitika pafupipafupi, funsani dokotala. Zitha kukhala zoyenera kusintha kuchuluka kwa insulin - ndi yayikulu kwambiri kapena yotsika. Chofunikanso ndikuwerengera koyenera kwa nthawi ya mankhwala. Nthawi zina matendawa amapezeka nthawi inayake masana - m'mawa kapena madzulo. Ngati mwazindikira izi, fotokozani zomwe wapeza ku endocrinologist.
Panthawi ya hypoglycemia, muyenera kudya zakudya zomwe zimakhala ndi chakudya chochepa - 250 ml ya zakumwa zoziziritsa kukhosi kapena madzi a zipatso, ma caramels angapo, magawo atatu a shuga kapena magome a shuga.
Kugwedezeka ndi kunjenjemera kutha kuchitika ngakhale simukugwiritsa ntchito insulin. Kuwonetsedwa uku kungakhale zotsatira zoyipa zamagetsi omwe amachepetsa shuga, omwe amaperekedwa kwa odwala omwe ali ndi matenda a shuga a 2. Chiwopsezo cha kupezeka kwake chikuwonjezeka ndimatenda aimpso komanso kunenepa kwambiri. Mpaka pomwe vuto la malaise lifotokozedwe, simungayesetse kuyimitsa ndi mankhwala othandizira kapena mankhwala ena - izi zimapangitsa kuti azindikire.
Kugwedezeka thupi lonse kumatha kuchitika mutatha kudya. Pankhaniyi, muyenera kusintha kadyedwe. Muyenera kudya pafupipafupi, koma pang'ono. Nthawi zonse zimakhala bwino kukhala ndi inu otchedwa mafuta osavuta omwe amavuta kutengera thupi - caramel, shuga woyengedwa, shuga m'magome.
Chifukwa chiyani shuga amagwa
Mukutanthauzira, liwu lakuti hypoglycemia limatanthawuza "magazi osakoma kwambiri", uku ndi kwakanthawi kochepa pamene kuchuluka kwa shuga m'magazi kumatsika 3.3 mmol / L. Ngati simutenga nthawi yake, musachulukitse kuchuluka kwa shuga, pamakhala mwayi wokhudzana ndi khunyu, kukhudzidwa, kukomoka. Munthu wodwala matenda ashuga amatha kudwala kwambiri ndipo amatha kufa.
Kukula kwa hypoglycemia nthawi zambiri kumakhala ndi zifukwa zina zomwe sizigwirizana ndi shuga wochepa wamagazi. Chifukwa chake, chiwonetsero cha mkhalidwewu chimalimbikitsidwa ndi kuperewera kwa vuto la kuperewera kwa m'thupi ndi kuperewera momveka bwino kwa mavitamini, mavitamini ndi michere, zolimbitsa thupi kwambiri, mitundu yonse yamatenda a endocrine system, kusokonezeka kwa mahomoni, zizolowezi zoipa, kumwa mowa kwambiri.
Thukuta limakhala chizindikiro cha hyperglycemia, manja akunjenjemera mwa munthu, amagwa popanda chifukwa. Potere, kufunikira kuchipatala mwachangu ndikofunikira, popeza mkhalidwewo ndiwopseza moyo.
Kuti mumvetse zomwe zimayambitsa hypoglycemia, mapangidwe a shuga wamagazi amayenera kuganiziridwanso. Mukangomaliza kudya chakudya chamagulu omwera, shuga wambiri amalowa m'thupi la munthu:
- iye amalowa m'magazi
- imafalikira m'maselo onse amthupi.
Kuyankha pamenepa ndikupanga ma cell a pancreatic ndi ma insulin. Zimalimbikitsa kuyamwa kwa glucose, zimathandiza maselo kugwiritsa ntchito ngati gwero lalikulu la mphamvu.
Ngati munthu ali wathanzi, kapamba amapanga insulin yochuluka monga momwe amafunikira pakalipano kuti apange shuga. Pankhani ya kusokonezeka kwa metabolic (mtundu 1 wa matenda ashuga), thupi limalephera kupereka kuchuluka kwa insulini, chifukwa chake, pali zofunika kupeza chinthucho kuchokera kunja.
Ntchito yayikulu yodwala matenda ashuga ndikuti mufunika kulowa ndi kuchuluka kwa insulini, monganso momwe mungafunikire kuti mupewe shuga yemwe walowa m'thupi.
Homoni wambiri akadzipaka jekeseni, kusayenerana nthawi yomweyo kumayamba:
- chiwindi chimamasula masitolo a glycogen kuti muchepetse shuga,
- hypoglycemia kumachitika.
Glycogen amafunika pokonza insulin yambiri. Ngati chiwindi chikwanira, hypoglycemia sichitha nthawi zonse kapena wodwalayo sakudziwa. Koma, monga lamulo, ndi matenda a shuga, m'masitolo a glycogen ndi ochepa, mwayi wochepetsedwa mofulumira wa ndende ya glucose ndiwambiri kwambiri kuposa momwe matendawa alibe.
Titha kunena kuti zomwe zimayambitsa hypoglycemia ndi zina:
- Mlingo wolakwika wa insulin
- kudumpha chakudya
- kuchita masewera olimbitsa thupi mopitirira malire
- kumwa mowa.
Komanso, zifukwa zake zimakhudzana ndi kugwiritsa ntchito mankhwala ena, omwe pamodzi ndi insulin ngakhale amakhudza glycemia.
Pali mankhwala omwe amawonjezera kuchuluka kwa mahomoni m'magazi a wodwala: Januvia, Starlix, Diabines, Prandin ndi mankhwala ena.
Zoyambitsa matenda a shuga
Thupi limathandizira thermoregulation m'njira ziwiri:
- chifukwa cha kufalikira kwamisempha minofu,
- chifukwa cha kusweka kwambiri kwa minofu ya adipose subcutaneous komanso kuwonongeka kwa glycogen.
Ndi matenda amtundu wa endocrine, kusweka kwamafuta kumayipa. Milingo ya insulin imachepa, zomwe zimapangitsa kusowa kwa glucose. Zotsatira zake, ziwalo ndi minyewa (minofu, minyewa ya adipose, chiwindi) zomwe zimayambitsa kuchepa mphamvu. Chifukwa cha izi, wodwalayo amakhazikika m'chipinda chofunda. Kutentha kwa thupi kumatha kuchepa.
Mawonetsedwe ena a shuga:
- kufooka ndi chizungulire,
- kusokonezeka m'maganizo,
- njala
- nseru
- kutuluka thukuta kwambiri.
Matendawa samawonetsedwa nthawi zonse pamaso pa okhazikika a shuga. Matenda ophatikizika ndi zovuta zomwe zimakulitsa vutoli:
- Ndi kachilombo koyambitsa matenda, zomwe zimateteza thupi mthupi mwathupi zimaphatikizidwa.
- Ndi hypothermia, ziwiya zopapatiza kuti tisunge kutentha mkati mwa thupi. Zimayambitsa kupindika komanso kunjenjemera.
- Kuthamanga kapena kuthamanga kwa magazi kumayambitsa kudwala.
- Kusokonezeka kwamanjenje kumayambitsa zochitika mwanjira yozizira.
- Matenda a chithokomiro.
- Ziwengo
- Masiku ovuta komanso kusamba kwa akazi.
- Zochitika pambuyo povulala.
Mwazi wamagazi m'magayidwe ashuga amafunika kuwunika pafupipafupi. Kuukira kwambiri kwa hypoglycemia kungayambitse chakudya chamafuta:
- zipatso ndi timadziti
- maswiti ndi makeke,
- uchi ndi kupanikizana
- chakudya chofulumira
- mankhwala omalizidwa
- msuzi wokoma.
Zakudya zomanga thupi zosavuta zimapangitsa kutulutsa kwa insulin m'mitsempha ndi kukonzanso shuga. Pali kuchepa kwa shuga m'thupi, hypoglycemia imachitika.
Kuzindikira kwa shuga - ingomwani tsiku lililonse.
Tremor ndi chisonyezo cha shuga wochepa wamagazi (hypoglycemia)!
Kugwa kwakuthwa kwa shuga m'thupi kumayambitsa kunjenjemera, chizungulire komanso mseru. Hypoglycemia ndiowopsa kwa munthu, imayambitsa chikomokere ndi kufa. Ndi kuchepa kwambiri kwa shuga m'magazi, ndikofunikira kuwonjezera msanga shuga.
Chifukwa chiyani shuga amachepetsa
Matenda a shuga sikuti nthawi zonse amathandizira kuchepetsa shuga. Zakudya zopanda thanzi, kuchita masewera olimbitsa thupi mopitirira muyeso, kusasamala kwa mahomoni ndi zizolowezi zoyipa zimathandizira kutsitsa zizindikiro. Ndi zizindikiro zazikulu zakuchepa kwa shuga (kutuluka thukuta, kusinthasintha kwa miyendo, kunjenjemera kwa miyendo), chithandizo chamankhwala chofunikira chikufunika. Matendawa ndi oopsa pamoyo wa wodwala.
Pakudya michere, thupi limalandira shuga. Zikondazo zimatulutsa insulini kuti igwetse glucose ndikuisintha kukhala mphamvu. Insulin imapangidwa mu kuchuluka koyenera kwa kufalikira kwa shuga. Mwa odwala matenda ashuga, njira imeneyi imalephera. Homoni wopangidwa samakwanira mphamvu. Insulin yowonjezera ndiyofunikira. Ndikofunikira kusankha mlingo wofanana. Kuchuluka kwa mahomoni kumapangitsa kuti glycogen amasulidwe kwambiri, zomwe zimayambitsa hypoglycemia.
Pakumayambika kwa matenda ashuga, thupi limalimbana ndi insulin yokwanira popanda zizindikiro za khungu.
M'magawo owopsa a matendawa, masitolo a glycogen sanakwanitse kukonza mahomoni. Izi zidzatsogolera kutsika kwakukulu kwa shuga m'magazi.
Zinthu zomwe zimakhudza kukula kwa hypoglycemia:
- kudya kolakwika
- zakumwa zoledzeretsa
- Mlingo wolakwika wa insulin,
- kuchita zolimbitsa thupi kwambiri
- timadzi timene timalimbitsa mankhwala.
Dontho la shuga limatha kuchitika mwadzidzidzi. Kulandila kwa zinthu zokhala ndi shuga mkati mwa mphindi 10 kumalimbikitsa mkhalidwe wa wodwalayo. Ngati shuga sanamwe mkati mwa mphindi 30, zizindikiro zotsatirazi zimachitika:
- kugwedeza kwamphamvu
- kufooka ndi kupweteka m'thupi,
- njala yayikulu
- kusanza ndi kusanza
- kukomoka:
- zokonda mtima.
Hypoglycemia imatha kudwala komanso kugona. Zimayendera limodzi ndi kuda nkhawa kwambiri, zolota usiku, thukuta.
Izi ndi zoopsa kwa anthu. Atadzuka, wodwalayo amakhalabe wosweka ndi wokwiyitsidwa.
Chill chithandizo
Mavuto siudwala wodziyimira pawokha, koma chizindikiro chomwe chimayambitsa chifukwa. Matendawa amachotsedwa kutengera zomwe zidawapangitsa:
Timapereka kuchotsera kwa owerenga tsamba lathu!
- ndikumasamba madzi osamba ndi mafuta kumathandiza,
- ndimatenda opatsirana apakhungu omwe amapezeka, tiyi wotentha wokhala ndi mandimu komanso bulangeti lotentha lithandiza, kumwa kwambiri kumachotsa poizoni m'thupi,
- kupsinjika m'maganizo, zodzola matimu ndi zitsamba zingathandize,
- matenda a chithokomiro, kuyeserera ndi kutumiza mayeso kungathandize. Dokotala amasankha chithandizo choyenera.
Popewa kubwerezanso kumatenda, chakudya chimapangidwa. Chakudya chizikhala chopatsa thanzi, chopatsa mavitamini ndi michere. Kuphwanya pakati pa chakudya sikuyenera kukhala lalitali. Izi zikuthandizira kupewa chiwonetsero chakuthwa cha njala ndi chidwi chofuna kudya zakudya zamafuta othamanga. Pakulumpha zakudya, zakudya zovuta zimatengedwa ngati chakudya.
Ngati chiwopsezo chachikulu cha hyperglycemia, zizindikiro zosavuta zamthupi zimachotsedwa mwachangu:
- shuga m'mapiritsi
- tiyi wokoma
- supuni ya uchi
- mkaka
- maswiti okoma
- madzi kapena madzi.
Ngati mavutowo sanabwerenso pakapita mphindi 15, chakudya chambiri chimatengedwa.
Palibe zinthu zabwino m'boma, ambulansi imayitanidwa.
Kuti muchepetse chiopsezo cha hypoglycemia mwadzidzidzi, ndikofunikira kusankha kuchuluka kwa insulin ndi dokotala wokhala ndi matenda a shuga 1. Ndi kuwonjezeka kwa zochitika zolimbitsa thupi, kuchuluka kwa mahomoni omwe amayambitsidwa kumawonjezera kapena kusinthidwa ndi kudya kwa ma carbohydrate. Zida zapadera zoyezera shuga zimagulidwa. Kuyeza kuyenera kumwedwa mpaka ka 5 patsiku, musanadye. Zizindikiro zowunikira zimachepetsa chiopsezo cha kuwonongeka kwakuthwa.
Ndi hypoglycemia, kumwa zakumwa zoledzeretsa pamimba yopanda kanthu ndizoletsedwa. Mutha kumwa mowa mwa apo ndi apo pokhapokha mutatha kudya kwambiri. Kusuta ndi matenda ashuga kumatha.
Odwala omwe ali ndi matenda ashuga amalangizidwa kuti azikhala ndi maswiti okoma nawo nthawi zonse. Zakudya zomanga thupi mwachangu zimapangitsa kuti shuga azikhala ndi magazi ambiri. Ndi kuwonjezeka kwa vuto la hypoglycemia, owonjezera amayesedwa kuti akonze zomwe zimafunikira insulin.
Kuwerengera mokwanira malangizo omwe amaperekedwa ndi mankhwalawa kumalimbikitsidwa. Mankhwala mosiyanasiyana amakhudza zochita za insulin ndipo amatha kukulitsa mphamvu. Izi zimabweretsa kuwonongeka kwa shuga.
Kuti muchepetse chiopsezo cha hypoglycemia mwadzidzidzi, ndikofunikira kusankha kuchuluka kwa insulin ndi dokotala wokhala ndi matenda a shuga 1. Ndi kuwonjezeka kwa zochitika zolimbitsa thupi, kuchuluka kwa mahomoni omwe amayambitsidwa kumawonjezera kapena kusinthidwa chifukwa cha kudya mafuta. Zida zapadera zoyezera shuga zimagulidwa. Kuyeza kuyenera kumwedwa mpaka ka 5 patsiku, musanadye. Zizindikiro zowunikira zimachepetsa chiopsezo cha kuwonongeka kwakuthwa.
Ndi hypoglycemia, kumwa zakumwa zoledzeretsa pamimba yopanda kanthu ndizoletsedwa. Mutha kumwa mowa mwa apo ndi apo pokhapokha mutatha kudya kwambiri. Kusuta ndi matenda ashuga kumatha.
Odwala omwe ali ndi matenda ashuga amalangizidwa kuti azikhala ndi maswiti okoma nawo nthawi zonse. Zakudya zomanga thupi mwachangu zimapangitsa kuti shuga azikhala ndi magazi ambiri. Ndi kuwonjezeka kwa vuto la hypoglycemia, owonjezera amayesedwa kuti akonze zomwe zimafunikira insulin.
Kuwerengera mokwanira malangizo omwe amaperekedwa ndi mankhwalawa kumalimbikitsidwa. Mankhwala mosiyanasiyana amakhudza zochita za insulin ndipo amatha kukulitsa mphamvu. Izi zimabweretsa kuwonongeka kwa shuga.
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
Chifukwa chiyani chikhalidwe cha hypoglycemia chimatha kukhazikika?
Ngati m'magazi muli insulin yochulukirapo kuposa momwe imafunikira kuti munthu ayambe kuyamwa shuga, hypoglycemia imayamba. Chifukwa chake, makina a matendawa amakhala ofanana nthawi zonse: pali insulin yambiri kuposa glucose. Izi ndizotheka mukamamwa mankhwala omwe amalimbikitsa ntchito ya maselo a beta omwe amapanga insulin.
Izi zimaphatikizapo sulfonylureas ndi quinides, omwe amadziwika kwambiri pakati pa odwala matenda ashuga. Amakhala otetezeka mokwanira, koma kukondoweza kosalekeza kwa maselo amenewa kumawadzetsa kutsika ndi kuwonongeka kwawo. Kenako chithandizo cha insulin chimakhala chofunikira. Chifukwa chake, mankhwala amakono akuyesera kugwiritsa ntchito magulu awa pafupipafupi.
Zizindikiro za Mapangidwe A Zizindikiro
Madokotala nthawi zambiri amagwirizanitsa kuwoneka kufupika kwa mpweya ndi kutsekeka kwa mpweya ndi mtima. Chifukwa chake, wodwalayo amapezeka kuti ali molakwika ndipo amamuthandizira chithandizo. Koma zenizeni, pathogenis wazinthu izi zimatha kukhala zovuta kwambiri.
Chotsimikizika kwambiri ndi lingaliro lozikidwa pa lingaliro la kuzindikira ndi kusanthula pambuyo pake ndi ubongo wamalingaliro omwe amalowa mu thupi pamene minofu yopuma siyidatambasulidwa ndikuvutitsidwa molondola. Nthawi yomweyo, mulingo wakukwiyitsa kwamitsempha yamitsempha yomwe imawongolera kusokonezeka kwa minofu ndikutumiza chizindikiro kuubongo sikugwirizana ndi kutalika kwa minofu.
Izi zimatsogolera ku mfundo yoti mpweya, poyerekeza ndi minofu yam'mimba yopumira, ndi yochepa kwambiri. Nthawi yomweyo, zikhumbo zochokera kumapeto am'mapapo kapena minyewa ya kupuma yolumikizana ndi mitsempha ya vagus imalowa mkati mwa dongosolo lamanjenje, ndikupanga kuzindikira kapena kuzindikira kwa kupuma kosakhazikika, mwa kuyankhula kwina, kufupika.
Ili ndi lingaliro lambiri la momwe dyspnea imapangidwira mu shuga ndi zovuta zina mthupi. Monga lamulo, makina amtunduwu wa kupuma movutikira amadziwika ndi kuchita masewera olimbitsa thupi, chifukwa pankhaniyi, kuchuluka kwa mpweya woipa m'magazi ndikofunikira.
Koma kwenikweni mfundo ndi njira za maonekedwe a zovuta kupuma pansi osiyanasiyana zimakhala zofanana.
Nthawi yomweyo, zomwe zimapangitsa kuti pakhale kupuma komanso kusunthika kwamphamvu kwambiri, zimapumira kwambiri kupumira.
Zoyambitsa Insulin
Kwenikweni, zizindikiro za dyspnea, mosasamala kanthu za mawonekedwe awo, ndizofanana. Koma kusiyana kwake kungakhale mu magawo a kupuma, chifukwa chake pali mitundu itatu ya dyspnea: kudzoza (kumawonekera pakamapuma), kutulutsa mpweya (kumayamba pakupuma) ndikusakanikirana (kovuta kupumira mkati ndi kunja).
Kukula kwa dyspnea mu matenda ashuga amathanso kusintha. Pa zero, kupuma sikovuta, kupatula kumangowonjezera zolimbitsa thupi. Ndi digiri yofatsa, dyspnea imawoneka poyenda kapena kukwera mmwamba.
"Mtima" wamavuto ndi kapamba palokha, kapena makamaka magwiridwe ake a beta cell. Zimachitika kuti munthu amatenga chiwalo chofooka kuyambira pakubadwa, kapena kuti chindacho chimavulala pakakhala moyo. Matenda, matenda amatithandizanso kupha maselo achinsinsi omwe amatha kupatsa insulin.
Pankhaniyi, ntchito ya gland imasungidwa (pali insulin yokwanira), gland imagwira ntchito moyenera, koma khungu silingazindikire.
Chiwalocho, chikakhudzidwa ndi chakudya, chimatulutsa insulin yokwanira. Kenako, kupangika kwa insulin-glucose kumapangidwa ndipo "awiriwo" amaperekedwa ku cell. Kulephera kotsatiraku nkotheka pano:
- Kuchepetsa shuga m'magazi
- Kumangiriza kwa insulin-glucose zovuta kwa ma cell cell, etc.
Heredity imathandizanso pamenepa. Njira zonsezi zimatha kulandira cholowa.
Chifukwa cha kafukufuku wautali komanso wovuta wokhala ndi magulu osiyanasiyana a anthu, asayansi akupitiliza kuphunzira za mtundu wa matenda ashuga a mtundu 2. Mtundu wa TCFL 2 wapezeka posachedwa pa chromosome 10, womwe umawonjezera chiwopsezo cha matenda ashuga amtundu wa 2.
Mitundu ingapo yatsopano - pamagulu a madokotala. Zambiri zosangalatsa zidapezeka zokhudzana ndi majini omwe amayambitsa matenda a shuga a 2.
Popeza tikuwona zosankha zambiri zobadwa nazo, ndikofunikira kuti tisawapatse mwayi.
Pazifukwa izi, ndi zolakwika pakumanga kwa insulin kwa cellular receptor (insulin kukana) komwe kumachitika nthawi zambiri. Kupezeka kwa chilema chake cha kubadwa kwatsimikiziridwa kale - izi ndi (IRS 1 glycogen synthase).
Chosangalatsa: Malinga ndi kafukufuku waposachedwa, 40% ya anthu aku Russia ali ndi "geni" yoyipa "TCF7L2, yomwe imawonjezera chiopsezo cha matenda ashuga. Koma izi sizitanthauza kuti adzadwala matenda ashuga.
Kunenepa kwambiri ndilo vuto lenileni ndi ma receptors. Kulemera kwakukulu kumawonjezera kusintha kwawo kuchokera ku insulin kupita ku catecholamines. Njira yopezera mphamvu imatsogozedwa mwanjira ina. Pa gawo lake lomaliza, mafuta acids amadziunjikira, ndipo insulin yamafuta imakhalabe osagwiritsidwa ntchito. Kutulutsa kwake m'magazi kumakwera. Hyperinsulinemia ndi ma free acid zimasokoneza pafupifupi mitundu yonse ya kagayidwe.
Mwa mitundu yonse ya kunenepa kwambiri, ndimimba (m'mimba) yomwe imakhala yoopsa kwambiri. Atasandulika kukhala chiwalo chokhazokha, chimayamba kupereka mafuta aulere acids mopitirira muyeso. Amachepetsa chidwi cha maselo kuti apange insulini. Ndipo mbali inayo imayambitsa kuphedwa kwa ma pancreatic b-cell. Ikukhalira kuti kunenepa kwambiri ndi njira iwiri yopita ku matenda ashuga.
Chofunikira: chiwopsezo cha matenda a shuga a 2 chikuchepera ndi 50% ndikuchepetsa makilogalamu 5!
Matenda a shuga ndi njira yokhazikika pamoyo. Kulephera kugwira ntchito, kudya kwambiri, kupsinjika, kumayambitsa kunenepa kwambiri, chidwi cha zolandila ku insulin chimatayika. Kugwiritsa ntchito shuga wambiri kumadzaza ndi zida za kapamba. Popita nthawi, maselo "amatopa" ndikuchepetsa kapangidwe ka insulin.
Chosangalatsa: matendawa sanalembedwe mwa anthu akumpoto, South America komanso kum'mawa kwa Africa.
Pomaliza, ndikufuna kuwonjezera kuti matenda ashuga si oncology, zomwe zimayambitsa padziko. Matendawa amayendetsedwa bwino. Zing'onozing'ono ndizofunikira kwa ife: kusamalira thanzi lathu, kukhala ndi moyo wabwino komanso kupenda magazi nthawi ndi nthawi.
Kukopa kwa chodabwitsachi
Zimayambitsa hypoglycemia mu matenda a shuga:
- adokotala atha kuwerengera cholakwika cha kuchuluka kwa mankhwalawo,
- Mlingo waukulu wa insulini ukhoza kuperekedwa - mwangozi kapena mwanjira ya kukhumudwa,
- cholembera cha insulin yolandila sichili bwino,
- kuwerenga kolakwika kwa mita (molakwika) pamene ikuwonetsa kuchuluka kwa shuga m'magazi omwe sagwirizana ndi zenizeni,
- m'malo mwa jakisoni wa p / dermal, mankhwalawa adalowetsedwa molakwika /
- mukamaba jakisoni m'manja kapena m'miyendo, pomwe zolimbitsa thupi zimakhala zapamwamba, kapena kutikita minofu ndi ubweya wa thonje pambuyo pa makonzedwe - izi zimatsogolera kuti pali kuyamwa kwothamanga kwa mankhwala ndipo insulin imatha kudumpha.
- chifukwa chake chitha kukhala kugwiritsa ntchito mankhwala atsopano omwe samadziwika bwino m'thupi,
- kutuluka pang'onopang'ono kwa insulini kuchokera mthupi chifukwa cha impso kapena hepatic matenda, m'malo mwa insulin "yayitali", mwanjira yochepa "yochepa" mumtengowu womwewo udayambitsidwa.
Kuzindikira kwa insulini kwamthupi kumawonjezeka mukamamwa mapiritsi ogona, aspirin, anticoagulants, ndi matenda oopsa.
Chithandizo cha kuchuluka kwa njala
Kuti muchepetse zovuta zomwe zimayambitsa matenda osokoneza bongo a shuga, muyenera kusintha kalembedwe ndi zakudya. Nthawi zambiri, mumadya zakudya zosachepera 5-6 patsiku. Pankhaniyi, muyenera kugwiritsa ntchito zinthu zomwe sizimayambitsa kusintha kwadzidzidzi m'magazi a shuga, ndiko kuti, ndi index yotsika ya glycemic.
Izi zimaphatikizapo masamba onse obiriwira - zukini, broccoli, kabichi wamasamba, nkhaka, katsabola, parsley, tsabola wobiriwira wobiriwira. Chofunikanso kwambiri ndikugwiritsa ntchito kwawo mwatsopano kapena nthawi yayifupi.
Chithandizo choyamba chokhala ndi kukomoka
Ndi isanayambike zizindikiro za utachepa glycemia, i.e. hypoglycemia, ndikofunikira nthawi yomweyo kuyeza kuchuluka kwa shuga. Ngati mulingo wochepera 4 mmol / l, muyenera kudya zakudya zamafuta osavuta (ofulumira) okhala ndi index yayikulu ya GI (glycemic index). Mwachitsanzo, kapu yamadzi (200 ml) ndi 2 XE. Ngati palibe msuzi, idyani shuga 4-5 ndikumwa ndi madzi ofunda, ndiye kuti thupi lidzawamwa mwachangu.
Nthawi zoterezi, msuzi wokoma umalandiridwa, amasunthidwa msanga chifukwa cha mpweya. Ngati munthu ali wofooka ndipo samatha kumeza, mafuta pakamwa kapena lilime lake ndi kupanikizana kapena kupanikizana.
Pakapita mphindi zochepa, mkhalidwe wa munthu umakhala bwino. Kenako mutha kufunsa chomwe chinayambitsa hypoglycemia komanso kuchuluka kwa shuga asanakhaleko. Mphindi 15 mutatha kudya, yeretsaninso shuga.
Yalimbikitsidwa: ikani spatula kapena supuni pakati pa mano kuti pakuluma pakamwa musamakhumudwitseni, tembenuzani mutu wa wodwalayo mbali imodzi, kuti musakodze pakusanza kapena malovu. Simungayesere kumwa kapena kudyetsa wodwalayo osakhudzika, amafunika kubaya shuga ndikuyimbira gulu la ambulansi.
Zotsatira za hypoglycemia
Hypoglycemia imadziwika kuti ndi vuto ladzidzidzi chifukwa cha zotsatira zake. Zosavulaza kwambiri ndi mutu, womwe mutatha kudya udzadutsa wokha. Cephalgia imagwirizana mwachindunji mpaka muyeso wa hypoglycemia. Ndi ululu waukulu, analgesic ingafunike.
Ndi kuchepa kwa shuga, komwe ndi chakudya muubongo, maselo ake ndi necrotic. Ngati hypoglycemia imakulirakulira, izi zimayambitsa kuphwanya kwa hypoglycemic. Simungathe kuzikonza ndi chakudya. Kuthandizidwa kuchipatala mwachangu ndikofunikira.
Kukomoka kumatha kukhala kwa mphindi zingapo kapenanso masiku - zonse zimatsimikiziridwa ndi zosungidwa ndi thupi. Ngati chikomokere ndi choyambirira, thupi limabwezeretseka mwachangu, ngati sichoncho, thupi limatayidwa nthawi iliyonse, kuwonongeka kwa ziwalo zofunika ndikukulirapo ndipo thupi limabwezeretsedwa nthawi yayitali.
Njira yayikulu komanso, mwina, yokhayo yopewa zovuta ndikuyesa kuchuluka kwa shuga m'magazi. Kumayambiriro kwenikweni kwa hypoglycemia, mumatha kumwa glucose piritsi, mutha kungoiyika pakamwa panu, palokha imakumwa pakamwa.
Ilowa m'magazi m'mphindi zochepa ndikuwerengera kuti mlingo wake ndiwosavuta: ziyenera kudziwika momwe piritsi limodzi limakwezera shuga lanu. Mukatha kumwa, muyezo shuga pambuyo mphindi 40-45.
Ngati palibe mapiritsi a glucose, amasinthidwa ndi zidutswa 2-3 za shuga woyengedwa.