Mwazi waukulu wamagazi mwa amuna
Nthawi zambiri, chakudya chamafuta omwe amaphatikizidwa ndi chakudya amawonongeka mpaka shuga. Mothandizidwa ndi insulin, glucose amatengeka ndi minofu ndikugwiritsira ntchito mphamvu.
Glucose ndiye gwero lamphamvu lamphamvu mthupi, ndipo ndilimodzi lokha la ubongo.
Ndi kusakwanira katulutsidwe wa insulini ndi kapamba kapena kuchepa kwa chidwi chake, ziwalo zimakumana ndi vuto la shuga, ndipo m'magazi mulingo wake umakwera. Hyperglycemia imayamba.
Zifukwa zazikulu zowonjezera shuga
Mwazi wamagazi mwa amuna umatsimikiziridwa mwa kupenda magazi a venous kapena capillary kuchokera pachala. Kuti kusanthula koteroko kukhale kodalirika, pamafunika kuti maola 8 atha chakudya chatha.
Ndikulimbikitsidwa kuti mupende m'mawa m'mimba yopanda kanthu, musanathe kusuta ndi kumwa khofi, kupatula kupsinjika kwamalingaliro, kuletsa masewera.
Mlingo wa shuga wambiri mwa amuna amadziwika kuti ali ndi zofunika kuposa 5.85 mmol / L ali ndi zaka 14 mpaka 60, atatha zaka 60 - 6.35 mmol / L.
Zomwe zimapangitsa kuchuluka kwa shuga kwa amuna zimatha kukhala motere:
- Matenda a shuga.
- Kukhudzika kwamphamvu.
- Mavuto.
- Kusuta.
- Adrenaline kuthamanga pa nthawi ya jakisoni.
- Matenda a endocrine dongosolo - chithokomiro England, pituitary England kapena adrenal gland.
- Kuwonongeka kwa kapamba - kapamba kapenanso matenda osapweteka, chotupa.
- Matenda a chiwindi - ma hepatitis, cirrhosis, mafuta a hepatosis.
- Matenda a impso: glomerulonephritis, pyelonephritis, zotupa za impso.
- Borr hemgehage, stroke ndi myocardial infaration.
Ochita masewera othamanga, zomwe zimayambitsa shuga wambiri zimatha kuyenderana ndi zochitika zolimbitsa thupi komanso kugwiritsa ntchito zakumwa zamphamvu zomwe zimakhala ndi tiyi kapena khofi yambiri. Glucose wamafuta kwambiri amawonekera atatenga diuretics ndi glucocorticoid mahomoni (prednisone, hydrocortisone).
Ndi zinthu zonsezi (kupatula matenda ashuga mellitus) mawonetsedwe a hyperglycemia ndi achiwiri. Akachotsedwa, zizindikiro za shuga m'magazi zimatha.
Mu shuga mellitus, kuchuluka kwa shuga kumangoyendetsedwa ndi zakudya ndi mankhwala.
Zizindikiro zakuchuluka kwa shuga kwa amuna
Kuyamba kwa zizindikiro zokhala ndi shuga wokwera mwa amuna zimatha kukhala zadzidzidzi mu mtundu 1 wa shuga. Zimachitika pa chiwonongeko cha maselo a pancreatic. Zomwe zimapangidwira zimatha kukhala autoimmune, matenda opatsirana, chibadwa chamtsogolo chimathandizanso.
Matenda a shuga amtunduwu amadziwika kuti amadalira insulin, chifukwa chifukwa cha kuperewera kwa matenda a shuga amayamba msanga. Zizindikiro za shuga wambiri zimayamba mwachangu. Kuchiza kumangokhala ndi insulin.
Mtundu wachiwiri wa shuga, kapamba amapanga insulin yokwanira, ndipo kuwonjezeka kwa shuga m'magazi kumalumikizidwa ndi kuchepa kwa chidwi chake. Zizindikiro zoyambirira za kuchuluka kwa shuga m'magazi sizingadziwike, chifukwa poyamba siziwonetsedwa.
Chimodzi mwazinthu zazikulu zomwe zimayambitsa matenda a shuga ndi kunenepa kwambiri. Amuna amakhala ndi chizolowezi choyika mafuta m'mimba. Izi ndichifukwa cha zochitika za mahomoni ogonana amuna.
Ngati pali vuto la kuthamanga kwa magazi, ndiye kuti izi ndi zizindikiro za metabolic syndrome. Zikatero, kulephera kwamphamvu kwa ziwalo zopanga insulin kumayamba, chifukwa choti shuga m'magazi amadzuka.
Kuchuluka kwa shuga wamagazi ndi zizindikiro zake mwa amuna zimatha kuwonetsedwa ndi zizindikiro zotere:
- Kufunika kowonjezereka kwa madzi, ludzu losalekeza. Izi ndichifukwa choti gawo lalikulu la glucose mukachotsa m'thupi limatenga madzi ambiri. Kuti mumalize pamafunikanso madzi otuluka mthupi.
- Pakamwa pakamwa, osadutsa madzi akumwa.
- Kukoka pafupipafupi, kuphatikiza usiku. Zimawonjezera kukakamiza kwa impso chifukwa cha kuchuluka kwakukulu kwa magazi.
- Mkodzo umatulutsidwa patsiku koposa masiku onse.
- Kutopa, kufooka, kugona, kutopa kungakhale ndi kulimbitsa thupi pang'ono, komwe kumalumikizidwa ndi kuperewera kwa michere, kuphatikiza minofu.
- Kuthamanga kwa magazi.
- Kulakalaka kumatha kuwonjezeka kapena kuchepa. Ngakhale kuti pali shuga wambiri, ziwalo zimafa ndi njala, zomwe zimalengeza ku ubongo.
- Kufunika kowonjezereka kwa zakudya za shuga ndi chizindikiro choyambirira cha matenda ashuga.
- Kuchepetsa kwambiri kapena kunenepa kwambiri komwe sikugwirizana ndi kusintha kwa zakudya komanso masewera olimbitsa thupi.
- Mawonekedwe ofooka, kumverera kwa madontho, mawanga patsogolo pa maso.
Kukhazikika kwa khungu, makamaka mu perineum komanso kumaliseche, pankhaniyi, kuyabwa ndi matenda ashuga mwa akazi sikosangalatsa kwambiri. Kuyabwa kumachitika chifukwa chakuti glucose amene amatuluka mkodzo amatha kusokoneza ma mucous membrane. Ndipo motsutsana ndi maziko a kuchuluka kwa shuga, matenda oyamba ndi fungus amakula, makamaka fungus ya Candida, yomwe glucose ndi gawo labwino kwambiri la michere.
Kutopa kofooka, kunachepetsa chilakolako chogonana. Kuchiritsa kwakutali kwa zilonda zapakhungu, komwe kumalumikizidwa ndi kuchepa kwa chitetezo chokwanira, magazi omwe amapezeka pamalo opweteka. Matenda opatsirana pafupipafupi kapena mafangasi omwe akupita patsogolo mwa chitetezo cha m'thupi.
Zovuta kugona tulo komanso kudzutsidwa pafupipafupi usiku. Mutu, kuda khungu ndi chizungulire. Kutukwana kumatha kuchuluka.
Ngati zizindikiro izi sizinyalanyazidwa, zizindikiro za kusokonezeka kwa metabolic zimachuluka, ndipo zovuta za matenda a shuga mu mawonekedwe a matenda am'mimba amayamba kuwonekera:
- Kuchuluka kwa manja ndi mapazi.
- Kubowola, kuyabwa ndi kukwawa.
- Kuphwanya ululu, tactile ndi kutentha kwamiyendo m'miyendo.
- Kukula kwa zilonda zam'mimba pamiyendo.
Mavuto osiyanasiyana ogonana amakula mwanjira yochepetsera erection, kumira, kutsika kwa testosterone m'magazi. Kuchuluka kwa umuna wothandiza kumachepetsedwa, zomwe zimapangitsa kuti asaberekane.
Kusokonekera kwa Erectile ndi chiwonetsero cha kuperewera kwa magazi kwa ziwalo zamkati ndi kuphwanya kwa malo osungika. Kusabala kumakhala vuto lamwamuna. Mankhwala osiyanasiyana amagwiritsidwa ntchito kwa iye, omwe mwa kuchuluka kwa matenda ashuga osawerengeka amangokulitsa vutoli.
Ndi kuwonongeka kwa mtima wamtima, kupweteka kwa mtima kumayambika, kupuma movutikira pakulimbitsa thupi, kugunda kwamtima kuthamanga, kusintha kwamphamvu magazi, kutupa m'miyendo kumapeto kwa tsiku.
Ngati kusungidwa kwam'mimba ndi matumbo kusokonekera, kuyenda kwa chakudya kumasokonezeka, komwe kumawonetsedwa ndikumverera kolemetsa mutatha kudya, malo osakhazikika, mseru, ndi ululu wam'mimba.
Ngati mafuta kagayidwe ali ndi vuto, ndiye kuti atherosulinosis ndi matenda osokoneza bongo amachulukitsa chiopsezo chokhala ndi myocardial infarction ndi matenda a sitiroko.
Kupewa shuga
Kuti mupewe kukula kwa matenda a shuga ndi zovuta zake, ndikofunikira kutsatira malangizo awa:
- Ngati chimodzi mwazidziwitso za kuchuluka kwa shuga m'magazi mwapezeka, pimani mayeso. Pankhaniyi, muyenera kuyang'ana magazi ndi mkodzo wa glucose, perekani magazi a hemoglobin wa glycated, pangani mayeso okhudzana ndi shuga. Potere, ndi adokotala okha omwe amatha kuwunika zotsatira za mayesowo.
- Pakalibe zizindikiro, koma cholowa cholowa, atakwanitsa zaka 45, ndikofunikira kuyesedwa kwa carbohydrate ndi metabolism yamafuta kamodzi pachaka.
- Ndi kuthamanga kwa magazi, komanso kunenepa kwambiri, kuunikira zakudya zanu, kuchepetsa kudya zamafuta ambiri, makamaka olemera mu cholesterol, kukana shuga, kuchepetsa mafuta. Onetsetsani kuti mwachepetsa kudya kwa calorie. Lowani mu menyu mwatsopano masamba osankhidwa ndi masamba a masamba, chinangwa, imwani madzi ambiri.
- Tsiku lililonse osachepera theka la ola kuchita masewera olimbitsa thupi, kusambira kapena masewera olimbitsa thupi. Kuyenda kumafunika pafupifupi ola limodzi.
Ngati shuga wamwazi akwezedwa, ndiye dokotala yekha yemwe angasankhe momwe angachiritsire matendawa. Matenda a shuga akangopezedwa mosavuta, amatha kusinthidwa mosavuta ndi mankhwala komanso zakudya, kupewa kulikonse kwa shuga ndikofunikira.
Mu kanema munkhaniyi, adokotala awunika zomwe zimayambitsa matenda ashuga komanso zizindikiro za matendawa.
Msuzi wabwinobwino
Mlingo wa glycemia umatsimikiziridwa ndi kuyezetsa magazi (capillary - kuyambira chala kapena venous). Kusiyana mu deta ndi 12%. Muyeso womwe umagwiritsidwa ntchito paziwonetsero za zasayansi ndi milionle imodzi lita imodzi (mmol / l), kuchuluka kwa gluarose.
Pakakhala kusokonezeka kwa kagayidwe kazakudya ndi kagayidwe kake, kuchuluka kwa shuga m'magazi a capillary kuli ndi mtengo wokhazikika:
- kuyambira 3.3 mpaka 5.5 mmol / l ali munjala,
- osaposa 7.8 mmol / l - mukatha kudya.
Mfundo zomwe zimapezeka posanthula magazi ndi izi:
- kuyambira 3,7 mpaka 6.1 mmol / L - pamimba yopanda kanthu (mtengo wamagulu a glucose woyenera wa amuna azaka zachonde amaonedwa kuti ndi 4.2-4.6 mmol / L),
- osaposa 8.7 mmol - mutatha kudya.
Kuchulukitsa pambuyo pa kudya kumachitika chifukwa cha kulowerera kwachilengedwe kwa glucose mu kayendedwe ka kayendedwe kazinthu kuti thupi lonse liziyenda mthupi lonse. Kukhudzika mwatsatanetsatane kwa shuga m'magazi a capillary kwa amuna:
- anyamata mpaka kutha msinkhu - 3,3-55.4 mmol / l,
- anyamata ndi amuna - 3,3-5.6 mmol / l,
- achikulire - 4.6-6.4 mmol / l.
Kwa abambo omwe adutsa chopondapo pazaka 60, kuwonjezeka pang'ono kwa shuga ndikuloledwa (zosaposa 0.4-0.9 mmol / l). Izi zimachitika chifukwa cha kuchepa kwamunthu kwakukhudzana ndi kusamva kwa thupi kwa insulin.
Zoyambitsa kuchuluka kwa magazi
Kuwonjezeka kwa ndende ya magazi kumatha kukhala ndi pathological ndi zokhudza thupi. Poyambirira, zomwe zimayambitsa ndikuphwanya njira zamankhwala am'magazi komanso matenda osachiritsika. Kachiwiri, moyo ndi zizolowezi ndizinthu zofunikira kwambiri. Zoyambitsa zazikulu za shuga m'magazi zimagwirizana ndi chitukuko cha matenda ashuga komanso prediabetes.
Matenda a shuga
Matenda a shuga ndi mkhalidwe wamtundu wa glucose wosazindikira, wodziwika ndi kusala kudya kwa glycemia - 6.1 mmol / L. Kuzindikira kwa prediabetes kumachitika molingana ndi zotsatira za kuyesera koyambirira kwa magazi ndi GTT (kuyesa kwa glucose). Kuyesa ndi:
- poyeza msanga shuga woyamba,
- kuchita "glucose katundu" (wodwalayo amamwa madzi amchere a 75 g / 200 ml ya madzi),
- kubwereza magazi pambuyo 2 hours.
Kudya kumatsimikizira kuchuluka kwa mayamwidwe a shuga ndi maselo amthupi. Prediabetes, ndiye kuti, kulolerana kwa glucose, kumagwirizana ndi mfundo za glycemia kuyambira 7.8 mpaka 11.1 mmol / l (mphindi 120 pambuyo pochita masewera olimbitsa thupi).
Matenda a shuga
Pali mitundu iwiri yayikulu yamatenda. Mtundu woyamba umadziwika ndi kusiya kwathunthu kupanga insulini ndipo umatchedwa kuti insulin-wodwala matenda osokoneza bongo, popeza wodwalayo amapatsidwa chithandizo chautali ndi jakisoni wa insulin yachipatala. Kapangidwe ka matendawa kumachitika ubwana ndi unyamata chifukwa cha chibadwa chamunthu.
Kwa amuna akuluakulu, mtundu wachiwiri wa matenda osokoneza bongo ndi woopsa. Gawo la chiwopsezo limaphatikizapo anthu azaka 40 ndi kupitirira. Mtundu wachiwiri wa matenda ashuga, kukana insulini kumatenga gawo lalikulu - kusowa kwa chidwi cha ma cell ku insulin. Intracretory ntchito ya kapamba imasungidwa, insulin imapangidwa, koma osadyedwa.
Zotsatira zake, shuga amapezeka m'magazi. Matenda a shuga amtunduwu amapezeka motsutsana ndi maziko a kunenepa kwambiri, kuledzera, matenda a kapamba. Mankhwalawa amachitika ndi mapiritsi a hypoglycemic (hypoglycemic). Matenda amtundu wotchedwa mellitus omwe samatengera insulin.
Zina zoyambitsa matenda achilengedwe
Kuphatikiza pa kukulitsa shuga, kuchuluka kwa shuga kwa amuna kumatha kuyambitsidwa ndi zina:
- matenda a chiwindi (hepatitis, cirrhosis, mafuta a hepatosis) chifukwa cha kukomoka komanso kufa kwa hepatocytes (ma cell a chiwindi),
- Matenda a chithokomiro komanso adrenal gland omwe amaphatikizidwa ndi kusakhazikika kwa mahomoni (hyperthyroidism, Cushing's syndrome, matenda a Conn's),
- kapamba, kapamba, kupindika, cystic fibrosis (matenda a kapamba),
- chotupa cha pancreatic ndi zomwe zimachitika chifukwa cha kulowererapo kwa ziwalo (pancreatectomy - kuchotsa kwa tiziwalo tating'onoting'ono kapena gawo lina),
- matenda oopsa komanso kuwonongeka kwa mtima.
Nthawi zina, kuvulala kwam'mutu muubongo (TBI) kumatha kubweretsa vuto la hyperglycemia, makamaka, kuwonongeka kwa mawotchi ku hypothalamus (gawo la ubongo lomwe limayang'anira zochitika zam'kati ndi kukhalanso kwa mkati mwa thupi).
Zoyambitsa zathupi za hyperglycemia
Mphamvu ya glucose ndi insulin imachitika ndi moyo wa munthu. Zowongolera ndizikhalidwe zopanda kudya zomwe mumakonda komanso zomwe mumakonda:
- kukondweretsedwa kwakukulu pazinthu zomwe zimakhala ndi kuchuluka kwa chakudya chambiri zimasokoneza ma metabolic ndipo zimapangitsa kunenepa kwambiri,
- uchidakwa umawononga maselo a pancreatic opanga insulin,
- Zakudya zopanda mafuta zimapangitsa kuti polyavitaminosis ikhale ndi mavitamini a B ndi D, momwe kugwira ntchito kwathunthu kwa thupi sikungatheke.
Mwazi wamagazi nthawi zonse umangokhala wopanikizika, chifukwa kuphatikiza kwa insulin kumatsekedwa pomwe adrenaline ndi cortisol zimatulutsidwa m'magazi. Kuchulukana kwachulukidwe ka neuropsychological, kupatula apo kuvutika, kumatha kuyambitsa prediabetes ndi shuga mellitus pita yachiwiri. Kulephera kwa mahormone ndi hyperglycemia kwakanthawi kumatha kudzutsa chithandizo cholakwika ndi mankhwala okhala ndi mahomoni.
Zizindikiro za hyperglycemia mwa amuna
Kusintha kwachilengedwe mu kuchuluka kwa mahomoni ndi kagayidwe kazakudya poyamba sizidziwonetsa ngati zizindikiro zowopsa. Vutoli limakulirakulira chifukwa abambo ambiri samanyalanyaza zizindikilo zamthupi ndipo amapita kuchipatala akakula. Ichi ndiye chifukwa chachikulu chodziwitsira matendawa mochedwa.
Matenda omwe muyenera kulabadira akuphatikizapo:
- Chulukitsani m'thupi ndi m'maganizo. Kutopa, kuchepa kwa chidwi ndi ntchito zimawonedwa. Izi zimachitika chifukwa cha kuchuluka kwa shuga m'magazi ndikusowa kwake m'maselo aubongo ndi matupi athupi. Mwamuna woyambira alibe mphamvu yokwanira kuchita zolimbitsa thupi ndi zochitika zolimbitsa thupi.
- Vuto la kugona. Disya amawonetsedwa ndi kuwodzera atatha kudya, chifukwa glucose womasulidwa samadyedwa. Kusowa tulo usiku kumachitika chifukwa chosakwanira kudya michere ya m'mitsempha ndi ubongo.
- Kuwonjezeka kwa cephalgic syndrome (kupweteka kwa mutu). Kuthira magazi kosakwanira ku ubongo kumadzetsa matenda oopsa (kuthamanga kwa magazi), komwe kumayendetsedwa ndi kupweteka kwam'mutu (nthawi zina kusanza).
- Kulakalaka kwambiri, apo ayi polyphy. Kudzimva kwamtendere komanso kuchuluka kwa chilimbikitso kumayendetsedwa ndi kuyimitsidwa komanso kuchuluka kwa kuchuluka ndi kumwa kwa insulin. Kuwongolera kwa njirazi ndi udindo wa hypothalamus, womwe, wokhala ndi mavuto a insulin (kuchepa kapena kusakhuthulira), amasiya kuyang'ana mokwanira zosowa za thupi.
- Ludzu losaganizira ndi polydipsia.Amayamba chifukwa chofunikira kuti glucose azitha kulumikizana ndi madzi. Ndi hyperglycemia, madzi ochulukirapo amafunikira, kotero thupi limayesetsa kupewa kuchepa kwa madzi m'thupi.
- Kuchotsa mwachangu chikhodzodzo - polakiuria. Mavuto obwera chifukwa cha shuga wambiri pantchito yaimpso amawonekera ndikuphwanya ntchito ya kutembenuza kwam'madzi kwaulere. Popeza chizindikiro cha polydipsia, kukodza kumakulanso.
- Kukula kwakukulu (keratinization) kumapazi, mwinanso - hyperkeratosis. Imachitika chifukwa cha kutuluka kwa thukuta la minyewa yomwe imayamba chifukwa cha hyperglycemia. Ndi kuwonjezera kwachiwiri kachilombo, fangayi imayamba (mycosis kumapazi).
- Kukula kwakanthawi kwa kuwonongeka kwamakina pakhungu. Potsutsana ndi njira za metabolic, kuthekera kwa khungu kumachepa kwambiri.
- Matenda amtundu wa pafupipafupi komanso chimfine. Amayamba chifukwa cha kufooka kwakukulu kwa chitetezo chathupi chifukwa cha kusowa kwa mavitamini ndi michere.
- Kuphwanya kakhazikika kwa mtima. Kuchulukitsa kwamtundu (tachycardia) kumayamba chifukwa cha kuperewera kwa myocardium yokhala ndi zakudya komanso mpweya wabwino.
- Kutuluka thukuta kwambiri (hyperhidrosis). Mphamvu ya hyperglycemic pa endocrine ndi autonomic mantha system imalepheretsa thupi kuwongolera thukuta.
Zizindikiro zakuchulukitsidwa kwa shuga m'magazi, mawonekedwe a amuna, amawonetsedwa ndi kuletsa chilakolako chogonana (libido) ndi kuchepa kwa mphamvu ya erectile. Panthawi ya kusokonezeka kwa magazi komwe kumachitika chifukwa cha hyperglycemia ndi blockage ya capillaries ndi ma microscopic makhiristo a shuga, kuchuluka kwa mtima ndi kuchepa kwa masisitimu.
Zotsatira zakusakwanira kwa magazi komanso kuchepa kwamphamvu kwa ziwalo zoberekera, mwamunayo sangakwanitse kudzipanga kwathunthu. Chifukwa chakuchepa kwa mphamvu ya mahomoni m'thupi, kupanga mahomoni achimuna omwe amachititsa libido ndi potency (testosterone) kumachepa.
Popita nthawi, Zizindikiro zimachuluka. Kusokonezeka kwamanjenje kumalumikizana ndi izi:
- kusokonezeka m'maganizo,
- asthenic syndrome (neuropsychiatric Impotence),
- Kuchepetsa kulingalira, kuchepa kwa kukumbukira, kuchepa kwamphamvu kwa kuwona,
- kusakhazikika kwa usiku kwam'mimba mwa ng'ombe yamkaka (kukokana) ndi paresthesia (dzanzi la miyendo).
Kusintha kwakunja kumawonjezeredwa pazizindikiro zama psychosomatic: alopecia (dazi), kusayenda kwa msomali, kuwoneka kwa misempha ya kangaude kumaso ndi miyendo (telangiectasia).
Momwe mungadziwire matenda a hyperglycemia?
Kuyesedwa kwa magazi kwa akulu mwa akulu kumachitika ngati gawo limodzi lotsatira zaka zitatu zilizonse. Kuphatikiza apo, cheke kuchuluka kwa shuga kumaphatikizidwanso kukayezetsa kwamwazi wamagazi, omwe angayikidwe mukakumana ndi dokotala ndi madandaulo omwe sagwirizana ndi kuchuluka kwa shuga. Mwanjira imeneyi, nthawi zambiri bambo amaphunzira za kuphwanya kwa glycemic level.
Ngati zotsatira zake sizili bwino, phunziroli liyenera kubwerezedwanso, chifukwa kuwunika kumodzi sikutanthauza kuzindikira. Hyperglycemia yokhazikika imafunikira kuyesedwa. Kwa matenda a prediabetes ndi matenda ashuga, aikidwa:
- glucose kulolerana kuyezetsa (GT-test or GTT),
- kuwunika koyambiranso kwa shuga m'magazi - kusanthula kwa glycosylated hemoglobin (HbA1C),
- urinalysis
- kuyezetsa magazi konse
- ultrasound yam'mimba.
Glycosylated (glycated) hemoglobin ndi kaphatikizidwe kazinthu kakang'ono kamaproteni m'maselo ofiira a m'magazi ndi glucose. Thupi limasungidwa m'magazi nthawi yonse ya maselo ofiira (maselo ofiira a magazi), ndiye kuti, masiku 120. Mukamaphunzira, mulingo wa glycemia kwakanthawi kotsimikizika umatsimikizika.
HbA1C yachilendo imakhala yochepera 6.5% kwa anyamata achichepere, ochepera 7.0 kwa anthu azaka 40+ ndi ochepera 7.5 kwa amuna achikulire kuposa zaka 60. Kuchuluka kovomerezeka ndi 0,5% (7%, 7.5%, 8%, motsatana).
Mu zotsatira za urinalysis, chidwi chimaperekedwa pamaso pa glucose ndi matupi a ketone. Kuyesedwa kwa magazi kumapereka lingaliro la kupezeka kwa njira yotupa. Ultrasound yam'mimba imayang'aniridwa kuti iwonenso mkhalidwe wa kapamba ndi chiwindi.
Zosankha
Mutha kuyang'ana pawokha kuchuluka kwa shuga m'magazi pogwiritsa ntchito glucometer yosunthika yokhala ndi zingwe (mizere yoyesera). Komabe, kuphunzira koteroko sikuyenera chifukwa cha matenda ashuga. Ngati zofunikira zimapitilira, wodwalayo amafunika kumuyesa nthawi yayitali.
Kukwera kwa magazi mwa amuna ndi chizindikiro cha matenda obwera chifukwa cha kupatsa mphamvu kwa kagayidwe kazakudya ndi kuperewera kwa mahomoni. Choyambitsa chachikulu cha hyperglycemia ndi mtundu wachiwiri wa insellinus osadalira insulini kapena prediabetes.
Zomwe zimapangitsa kukula kwa matendawa ndi kumwa mowa kwambiri, kusuta kwa zakudya zotsekemera ndi zakumwa, kunenepa kwambiri, matenda a kapamba ndi chiwindi. Kuunikanso kowonjezereka kumafunikira kuti mutsimikizire matendawo. Kusokonekera nthawi imodzi pakati pa zomwe zikuwonetsa shuga ndi chizolowezi chake ndi mwayi wosintha zizolowezi zanu zokhala ndi moyo.
Matenda a shuga ndi matenda osachiritsika a endocrine dongosolo, limodzi ndi mavuto ambiri a mtima. Ndi matenda osazindikira komanso osalabadira chithandizo, matendawa amatha kuchepetsa moyo wamunthu ndi theka.
Shuga wamagazi ovomerezeka
Mlingo wabwinobwino wamagazi m'magazi amatengedwa ngati chizindikiro kuyambira 3,3 mpaka 5.5 mmol / L. Kuphatikiza apo, mulingo womwewo ndi womwewo kwa akulu ndi ana ndipo sizitengera jenda. Choyimira sichimakhala chokhazikika, chimatha kusintha masana kutengera momwe akumvera, zolimbitsa thupi kapena mutatha kudya.
Kupenda kwa shuga kumachitika pamimba yopanda kanthu. Mutha kupeleka magazi kuti ayesedwe mu labotale kapena mutha kugwiritsa ntchito mita ya shuga yamagazi. Ngati zotsatira za kusanthula zikuwonetsa kuchuluka kwa glucose wololedwa, koma palibe zizindikiritso za matenda ashuga, muyenera kuwunika kangapo. Izi zikuthandizani kuti mupeze matendawa kumayambiriro kwa chitukuko, pomwe njira zonse zimasinthidwabe, ndikuletsa kutulutsa matenda oopsa.
Kuti mutsimikizire mkhalidwe wa prediabetes kapena kupatula ichi, ndikulimbikitsidwa kuyesedwa. Kuphunzira kwamtunduwu ndikofunikira makamaka kwa odwala atatha zaka 45. Ithandizanso kudziwa kuthamanga kwa glucose komwe kumachitika ndi maselo amthupi ndikusintha monga kuwonjezereka kwa shuga m'magazi. Kuyesedwa kumachitika motere:
- Choyamba, wodwalayo ayenera kupereka magazi m'mawa m'mawa (pamimba yopanda kanthu).
- Ndipo imwani 200 ml ya madzi momwe glucose yoyera (75 g) amasungunuka.
- Kuwunikiranso mobwerezabwereza kuyenera kuchitika pambuyo pa maola awiri.
Kuti zotsatira za phunzirolo zizikhala zolondola, wodwalayo amalimbikitsidwa kuti akwaniritse zofunika zingapo:
- Chakudya chotsirizira sichikhala pasadakhale maola 10 magazi asanachitike.
- Madzulo a phunziroli, ndikofunikira kupatula masewera olimbitsa thupi komanso masewera.
- Ndikofunikira kupewa zinthu zopsinjika, kuti musakhale wamanjenje komanso musakhale ndi nkhawa.
- Musanapereke magazi, simuyenera kusintha zakudya zomwe mumadya.
- Mutatha kugwiritsa ntchito njirayi ndi shuga, ndibwino kuti muzikhala kunyumba pamalo opanda phokoso kwa maola 2 osawerengera zolimbitsa thupi.
Ngati shuga othamanga amasintha kukhala osakwana 7 mmol / L, ndipo mutatha kumwa njira ya glucose ikukwera mpaka 7.8 - 11.1 mol / L, izi zikuwonetsa kuphwanya kulekerera kwa glucose.
Muzochitika pamene kusanthula kwam'mimba yopanda kanthu kukuwonetsa kuchokera ku 6.1 mpaka 7.0 mmol / L, ndipo atatenga yankho lokoma - osachepera 7.8 mmol / L, amalankhula za zizindikiro za kuthamanga kwa shuga. Pofuna kufotokozera bwino za matendawa, wodwalayo adzafunsidwa kuti apereke magazi kuti pakhale ma enzyme ndikupanga ultrasound ya kapamba.
Tiyenera kukumbukira kuti kuchuluka kwa glucose m'magazi kumatha kuwonjezeka chifukwa cha kupsinjika kwakukulu, matenda opatsirana kwambiri kapena zikhalidwe zina (mwachitsanzo, kutenga pakati) kenako posakhalitsa amabwerera pazomwe amachita, zomwe zimakhazikika. Inde, matendawa sangatchulidwe kuti ndi abwinobwino, m'malo mwake ndi matenda osokoneza bongo, koma wodwalayo sayenera kuchita mantha. Ngati kuphwanya kwapezeka koyambirira, ndiye kuti, kutsatira malingaliro onse a adotolo ndikusintha momwe mungakhalire ndi zakudya, shuga ya magazi imakhazikika.
Zomwe Zimayambitsa Madzi Akuluakulu a shuga
Zifukwa zazikulu zomwe zimapangitsa kukula kwa hyperglycemia ndi izi:
Type 1 and Type 2 shuga
Ndi matenda a shuga, pali kuwonjezereka kwa shuga m'magazi, komwe kumakhala nthawi yayitali komanso kumapangitsa vuto la ziwalo zamkati ndi machitidwe. Koma kupatula matendawa, pali zinthu zambiri zam'magazi zomwe zimatsogolera ku hyperglycemia. Nayi mitundu wamba:
- Kugwiritsa ntchito kwakanthawi mankhwala ena (mahomoni ndi mawonekedwe awo, ma beta-blockers, etc.),
- kapamba (njira yotupa mu kapamba),
- ntchito yoyipa m'mapapo (khansa),
- Hyperteriosis (kuchuluka kwa chithokomiro),
- zotupa mu pituitary gland,
- kuvulala kwambiri mwakuthupi komanso m'maganizo.
Monga mukudziwira, chikhalidwe cha shuga m'magazi ndi chimodzimodzi kwa amuna ndi akazi. Koma zifukwa zomwe izi zimakhalira zimatha kukhala zosiyana kwa oyimira amuna kapena akazi anzawo.
Mwazi wamagazi ambiri mwa akazi
Amayi amakhala owoneka bwino, nthawi zambiri amakhala osakhazikika komanso opsinjika. Kuphatikiza apo, azimayi amakonda maswiti ndi ma confectionery, omwe ndi gwero la chakudya "chopepuka". Kamodzi mthupi, zimawonjezera shuga m'magazi, ndipo kumwa kwambiri mafuta osinthika kumayambitsa zovuta za metabolic.
Amayi ndiwowonjezereka kuposa abambo kuti achepetse kunenepa kwambiri, makamaka pa nthawi yomwe amasamba. Kuphatikiza apo, mahomoni ambiri, omwe amasintha kwambiri panthawi yapakati, kapena chifukwa cha endocrine matenda, ndizofunikira kwambiri. Magazi a shuga m'magazi amatha kukhudzidwa ndi premenstrual syndrome (PMS), pathologies am'mimba, matenda a chithokomiro, matenda a chiwindi, matenda opatsirana a kapamba, gren adrenal gland ndi gland. Kutembenuka kuyambira masiku kupita m'mwamba kumawonedwa nthawi zambiri mwa akazi pambuyo pa zaka 40. Chifukwa chake, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi kuti mupewe kukula kwa matenda akulu ndi zovuta zina.
Mwazi waukulu wamagazi mwa amuna
Mwazi wambiri mumagazi olimba umalumikizidwa ndi vuto la kapamba ndipo sizimadalira kusinthasintha kwa mahomoni, monga momwe zimakhalira ndi akazi. Udindo wofunikira umaseweredwa ndi moyo komanso kupezeka kwa zizolowezi zoipa. Hyperglycemia nthawi zambiri imakhazikika motsutsana ndi maziko a moyo wopanda thanzi, kusuta, kumwa mowa kwambiri, kuchuluka kwa mafuta ndi zonunkhira zazakudya.
Nthawi zambiri, kupsinjika kwakanthawi, kulimbitsa thupi kwambiri, kudya mosasamala kwa mankhwala ena kumakhala zinthu zomwe zimapangitsa kuchuluka kwa shuga kwa amuna. Zomwe zimayambitsa hyperglycemia zimaphatikizira acromegaly (yomwe imadziwika ndi kukula kwamahomoni), matenda opatsirana komanso opatsirana.
Kukula kwa matenda am'mimba kungayambitse matenda a Cushing's (kuchuluka kwa grening gland ndi pituitary gland), matenda a chiwindi, kapamba, kapena matenda oopsa a m'mimba. Kuchuluka kwa shuga kwa amuna kumatha kubweretsa potency, chifukwa mu mkhalidwe uwu magazi amayamba kuzungulira ndikuyenda mozungulira mthupi. Amakhulupirira kuti kunenepa kwambiri kwa amuna ndi chinthu chinanso chodzetsa vuto la hyperglycemia, popeza kuti mafuta ochulukirapo amayikidwa m'mimba ndipo amaika zowonjezera zamkati, kapamba ndi chiwindi.
Ndi shuga wambiri, odwala amawona izi:
chizindikiro choyambirira ndi ludzu lamphamvu munthu akamamwa madzi ambiri, koma osatha kuledzera.
Zomwe zimayambitsa kuchepa kwakanthawi kwa shuga m'magazi zimatha kukhala kugwidwa, khunyu, kuvulala kwamtundu wamatumbo, kuwotcha, kupweteka kwambiri, kapena zikhalidwe mu infarction yovuta komanso yam'mnyewa.
Komabe, chitukuko cha matenda ashuga sichimayenda nthawi zonse ndi mawonekedwe awonetsedwe. Zikatero, wodwalayo amatha kukhala wathanzi kwa nthawi yayitali, pomwe mtundu wina wa matenda ashuga umayamba m'thupi lake.
Matenda a shuga a latent (latent) nthawi zambiri amadziwika mukamayesedwa. Odwala angadandaule chifukwa cha kuchepa kwa kuwona, chidwi ndi kutopa, njira zotupa ndi kuchira pang'onopang'ono kwa kuvulala, komwe kumalumikizidwa ndi kuwonongeka kwa ziwiya zazing'ono komanso kusowa bwino kwa minofu. Fomu lomalirali litha kudziwika ndi kuyeserera kwakanthawi kokhala ndi chakudya kofotokozedwera pamwambapa.
Ngati mungazindikire zochepa mwazomwe zili pamwambapa, muyenera kupatsa magazi anu kuti awunikire posachedwa, popeza izi zimawonetsa kuchuluka kwa shuga m'magazi. Pambuyo pa kuyezetsa kwawoko, adotolo azitha kuzindikira moyenera ndikufotokozera wodwalayo zoyenera kuchita ngati shuga yayikulu ikuphatikizidwa ndi kuwonongeka m'moyo wonse.
Zizindikiro za Hyperglycemia
Kuti mumvetsetse izi kapena kuti chizindikirochi chikugwirizana ndi chiyani, ndikofunikira kudziwa kachitidwe ka chitukuko chawo.
Chifukwa chake, ludzu lolimba ndi kamwa youma ndiy chifukwa cha kuthekera kwa glucose kukopa madzi pakokha. Mafuta ochulukirapo amachititsa kukodza kwambiri, thukuta komanso kusowa kwamadzi. Kuti apange kutaya kwamadzi, munthu amakakamizidwa kumwa madzi ambiri. Kuphatikiza apo, glucose imamanga mamolekyulu amadzi, zomwe zimapangitsa kuti magazi azitha. Chifukwa chake, matenda oopsa amathanso kuoneka ngati chizindikiro cha hyperglycemia.
Kuchepetsa thupi kumawonedwa mu mtundu woyamba wa matenda ashuga, thupi likalephera kudzipangira pawokha kapena kuliphatikiza mosakwanira. Zotsatira zake, glucose sangathe kulowa m'maselo, motero amakhala ndi vuto la mphamvu. Izi zimadzetsa kusowa kudya komanso kuwonda.
Matenda a shuga a Mtundu Wachiwiri amadziwika ndi zomwe zimachitika, komanso mapaundi ochulukirapo. Mwanjira imeneyi, kapamba amapanga insulini yokwanira, koma zotengera zomwe zimayambitsa kuthira sizigwira ntchito moyenera. Glucose amalowa m'maselo, koma pang'ono, omwe samatha kupereka mafuta ochuluka. Izi zimayambitsa matenda a lipid metabolism komanso kunenepa kwambiri.
Mutu, kutopa, kufooka ndizotsatira zachindunji za kufa ndi njala, komwe glucose ndiye gwero lalikulu lamphamvu. Thupi liyenera kusintha njira ina yopangira mphamvu, yomwe ndi makutidwe ndi ma lipids (mafuta). Koma izi zimabweretsa kuwonjezeka kwa mulingo wa matupi a ketone m'magazi ndikuwoneka ngati fungo la acetone mumlengalenga wotulutsa.
Kutsika kwa kuthekera kwa minofu kuchiritsa komanso kusinthika kumalumikizidwanso ndi mphamvu zamagetsi komanso kufooka chitetezo chokwanira. Ndipo kuchuluka kwa glucose m'magazi kumakhala njira yabwino yopangira michere ya pathogenic ndipo amathandizira pakukula kwa matenda ndi njira zoyipa.
Chochita ndi momwe mungathane ndi hyperglycemia?
Ngati maphunzirowa atapezeka kuti kuwonjezeka kwa shuga m'magazi kumawopseza kukhala ndi matenda ashuga, dokotalayo ayamba kulandira chithandizo chokhazikitsidwa ndi njira zochepetsera kuchuluka kwa shuga ndikusunga phindu motere. Chithandizo choyambitsidwa panthawiyi chithandiza kupewa matenda ashuga. Wodwalayo ayenera kutsatira malangizo a dokotala ndikukwaniritsa nthawi zonse. Hyperglycemia mankhwala amachepetsa kusintha kwamachitidwe, omwe akuphatikizapo:
- kutsatira zakudya zina,
- kusiya zizolowezi zoipa,
- zochita zolimbitsa thupi,
- kuchuluka kwa kunenepa kwambiri,
- kuyang'anira pafupipafupi shuga ndi magazi a nyumba.
Maziko othandizira pakudya ndi chakudya chamafuta ochepa, chomwe chimakhala ndi mapuloteni, chimanga ndi ndiwo zamasamba, komanso kupatula zakudya zomwe zimachulukitsa shuga m'magazi.
Zakudya zoyenera kwambiri za hyperglycemia zidzapangidwa payekhapayekha woganizira zakudya zomwe zimawerengera zaka komanso kulemera kwa wodwalayo, kukhalapo kwa matenda opatsirana komanso chikhalidwe cha ntchito zamtunduwu zomwe zimakhudza kugwiritsa ntchito mphamvu kwa thupi.
Zakudya zochepa zimalimbikitsidwa, ndiye kuti, zakudya ziyenera kumwedwa m'magawo ang'onoang'ono, makamaka panthawi yomweyo. Muyenera kudya pafupipafupi, kangapo ka 5-6 patsiku, koma pang'onopang'ono, kupewa kudya kwambiri.
Ndi zinthu ziti zomwe siziyenera kuphatikizidwa kuchokera kuzosankha?
Choyamba, zakudya zomwe zimawonjezera shuga m'magazi ndipo zimakhala ndi zopezeka m'thupi zomwe zimaphatikizidwa ndi zakudya sizimaperekedwa muzakudya. Izi zikuphatikiza:
Zakudya zomanga thupi “zopepuka” zimatengedwa nthawi yomweyo m'thupi ndipo zimakulitsa shuga. Akatswiri amasankha zakudya zomwe zili ndi zopatsa mphamvu zopatsa mphamvu ndikuthandizira kupanga menyu tsiku lililonse, zomwe ziyenera kukhala maziko azakudya zoyenera.
Timalimbikitsanso mankhwala atsopano a proway komanso othandiza kwambiri a matenda ashuga, a Diabenot.
Ndi zakudya ziti zomwe zingaphatikizidwe muzakudya?
Pafupifupi popanda zoletsa, mungathe kudya zamasamba, masamba (kabichi, biringanya, zukini, nkhaka zatsopano, tomato). Muli michere yothandiza, ndipo ma carbohydrate ochokera m'masamba amalowetsedwa pang'onopang'ono ndipo sangathe kuwonjezera shuga. Kugwiritsa ntchito masamba monga mbatata, beets ndi kaloti kuyenera kuvomerezedwa ndi dokotala. Ma saladi ofunikira okonzedwa ndi mafuta a masamba.
Zakudyazi ziyenera kuphatikizapo zakudya zamkaka zopaka, nyama yopatsa thanzi (nkhuku, nyama ya kalulu) ndi nsomba, batala, mazira, mitundu ya zipatso ndi zipatso. Mutha kumwa zitsamba zatsopano zofinya zomwe zaphikidwa ndi xylitol.
Pazinthu zophika mkate, zokonda ziyenera kuperekedwa kwa tirigu wathunthu kapena mkate wa protein. Mutha kugwiritsa ntchito pang'ono ponsepo zoyera (zouma pang'ono) ndi mkate wa rye. Maphala amphongo ndi chimanga kuchokera kwa iwo zimabweretsa zina zowonjezera: tirigu, oat, buckwheat, barele la ngale. Koma ndikosayenera kuphatikiza semolina ndi phala la mpunga mumenyu.
Ndikofunikira kuchepetsa kumwa kwa maswiti ndi confectionery, koma akatswiri a uchi wachilengedwe amalola zochuluka (zosaposa 1 tsp. Kawiri patsiku). Chakudya ndibwino kuti chisamire, koma kuti chikhale chinyezi, chithupsa kapena kuphika.
Ngati ndi kotheka, dokotala adzafotokozera zovuta za multivitamin. Kuphatikiza apo, mankhwala azitsamba komanso kugwiritsa ntchito tiyi azitsamba kungathandize kuchepetsa shuga. Tiyi yothandiza kwambiri masamba a lilac, sage, blueberry, hibiscus.
Masewera olimbitsa thupi
Kuchita masewera olimbitsa thupi tsiku ndi tsiku sikuthandizira pamaonekedwe abwino, komanso kuthandizira kulimbana ndi hyperglycemia. Chochita cholimbitsa thupi chomwe chimapangidwa mwapadera ndi kupewa bwino matenda a shuga a 2, chifukwa amathandizira kukonza kagayidwe kazakudya komanso kupezeka kwa shuga. Kuchita masewera olimbitsa thupi pafupipafupi, kuyenda maulendo ataliatali, kusambira, kuyendetsa njinga, kuyendetsa ndege, ndi masewera olimbitsa thupi, komanso kukonda masewera a tennis, gofu, volleyball ndi masewera ena.
Njira yothandiza kwambiri komanso yotsika mtengo ndiyakuti m'mawa mumathamanga kwambiri komanso kuyenda. Pewani kuyenda pa mayendedwe apagalimoto kapena pagalimoto yapayekha, yesani kupita kokayenda, ndikuyenda pansi osakakweza, koma masitepe. Izi sizingotaya mapaundi owonjezera, komanso zimateteza kupewa matenda amtima. Tsiku lililonse osachepera mphindi 40-60 ayenera kupatsidwa masewera olimbitsa thupi, izi zimabweretsa phindu mosakayikira ku thupi lanu ndikuthandizira kukhala ndi shuga pamlingo woyenera.
Makhalidwe wamba
Mulingo wa glucose wamagazi siofanana tsiku lonse. Shuga wapamwamba kwambiri — masanawa, maola 1-2 atatha kudya. Ngati mulingo wake udutsa chizindikiro cha 3.5-5,5 mmol / l pamimba yopanda kanthu kapena 7.5 mmol / l atatha kudya, munthu wawonjezera shuga wamagazi. Zomwe izi zikutanthauza komanso kuopsa kwake kungachitike ndi adokotala okha.
Zifukwa zakukula
Kuwonjezeka kwa pathological mu glucose nthawi zambiri kumayenderana ndi kuphwanya kwa insulin. Ndiye amene ali ndi udindo wopanga shuga ndikuwanyamula kupita ku maselo kuti atembenuke mphamvu.
Pali zinthu zomwe zimapangitsa munthu kudziwikiratu.
- matenda a kapamba (kapamba, oncology),
- chotupa
- hyperthyroidism
- kupsinjika pafupipafupi,
- kumwa mankhwala
- kugwiritsa ntchito moledzera pafupipafupi zakumwa zoledzeretsa,
- kudya kwambiri, makamaka maswiti ndi zinthu zophika mkate, chakudya chofulumira,
- kusuta
- kuvulala kwambiri
- matenda am'mimba,
- pafupipafupi matenda opatsirana,
- cholowa.
Zofunikira: zifukwa zomwe chiwopsezo cha shuga m'magazi chimatha kugwirizanitsidwa ndi kugwiritsa ntchito mankhwala a mahomoni, kuphatikizapo mapiritsi a kulera. Kusamba ndi msambo kumathandizanso.
Anthu ena amadabwa chifukwa chake kuchuluka kwa glucose kumadzuka usiku ndi m'mawa. Izi ndichifukwa chopanga mahomoni omwe amachititsa kuti zikhale zovuta kupanga insulin. Kwa odwala matenda ashuga, izi ndizowopsa.
Zizindikiro
Ndikokwanira kungodziwa vutoli, ngati mukudziwa zomwe zimawonetsa shuga wambiri. Zizindikiro mwa amuna ndi akazi ndi ofanana:
- Pakamwa pakamwa ndi ludzu losatha,
- mutu
- kutaya mphamvu
- polyuria
- zamkati
- Khungu loyera ndi kupindika,
- phokoso losakhazikika,
- nseru
- acetone wolowa kuchokera mkamwa,
- kuwonongeka kwamawonekedwe
- dzanzi la miyendo
- kuwonongeka kwa kubwezeretsanso mphamvu ya thupi.
Ngati mukuwona zizindikiro zosachepera 3-4, muyenera kupita ku chipatala kuti muone kuchuluka kwa shuga m'thupi.
Kusintha kwa ziwalo za thupi
Popeza zovuta zina zimayambitsa shuga m'magazi, zizindikiritso zake mwa munthu wamkulu zimatha kufotokoza. Glucose amakopa madzi, chifukwa chake, pakuchulukitsa, thupi limakumana ndi madzi osowa madzi, omwe amasonyezedwa pakuluma, ziwalo zopukutira khungu ndi ludzu losalekeza. Madzi ambiri sakulipirira, koma amangopita ku polyuria.
Popeza insulini yomwe ilipo ilibe nthawi yogwiritsira ntchito glucose, pali zizindikiro zowonjezera shuga wamagazi monga kutopa ndi mutu. Kuti athe kulipira kuchepa kwa mphamvu, mafinya ndi minyewa ya minofu imakonzedwa, motero wodwalayo amatha kuyamba kuchepa thupi, ndipo zinthu za ketone metabolic zimapangitsa kununkhira kwa acetone.
Zingakuthandizeninso kuti mudziwe zakudya zomwe zimachepetsa shuga m'magazi patsamba lathu.
Chifukwa cha kusowa kwa mphamvu, maselo amalephera kukonza mofulumira minofu yowonongeka, kuchokera komwe zilonda zopanda machiritso zimawonekera pakhungu. Komanso, shuga wambiri amatha kusokoneza thupi la munthu, zomwe zimayambitsa mavuto mu akazi komanso mavuto ndi abambo.
Zotsatira zina za hyperglycemia zimafotokozedwa pakupanga matenda a shuga 1 kapena 2. Ngati shuga wambiri waposa 11.5 mmol / L, chikomokere cha hyperglycemic chikukula, chomwe chimatha kusinthika ndikupangitsa kuti wodwalayo afe.
Chithandizo ndi kupewa
Ngati pali chizolowezi chodumpha m'magazi a shuga, zimakhala zomveka kugula mita ya shuga m'magazi. Kwa odwala matenda ashuga, izi ndizofunikira.
Muyenera kufunsa dokotala mukangowona kuchuluka kwa shuga m'magazi. Zizindikiro ndi chithandizo chamankhwala zimafotokozedwa ndi katswiri. Kuphatikiza apo, kusanthula kotero kumachitika:
- magazi kapena mayeso a shuga a plasma,
- kuyeserera kwa shuga,
- glycated hemoglobin magazi.
Njira zina zochepetsera zizindikiro zimasankhidwa payekha.
Thandizo loyamba ndi chithandizo
Anthu omwe ali ndi matenda ashuga ndizovuta kwambiri pamoyo watsiku ndi tsiku. Nthawi iliyonse, kuchuluka kwa shuga kumatha kukhala kovuta. Pankhaniyi, thandizo loyambirira liyenera kukhala loti lizichepetsa 11.5 mmol / l.
Jakisoni wapadera wa insulin imathandiza msanga magazi. Kuphatikiza apo, wodwalayo ayenera kupatsidwa zakumwa zambiri. Ndikofunika kugwiritsa ntchito madzi amchere popanda mpweya ndi kuwonjezera kwa koloko. Izi zingathandize kuti madzi azikhala mwamphamvu komanso kuti muchepetse poizoni m'thupi.
Anthu omwe ali ndi hyperglycemia amapatsidwa mankhwala kuti achepetse shuga. Mu matenda a shuga, jakisoni wa insulini ndiyofunika. Popanda kumwa mankhwala a insulin, thupi limatha kusenda bwino shuga, ndipo munthu amatha kugwa. Mavitamini amathandizidwanso kuti akhale ndi thupi lopanda mphamvu.
Choyambirira ndichakudya. Menyu iyenera kukhala ya zakudya zokhala ndi index yotsika ya glycemic.
Zofunika: ndikofunikira kulingalira kuti njira yakukonzekera ndi kuphatikiza kwa zinthu zosiyanasiyana zimatha kusintha index ya glycemic.
Kuchokera muzakudya muyenera kupatula zakudya zomwe zimachulukitsa shuga wamagazi. Zomwe zimapangitsa shuga:
- shuga ndi zotsekemera,
- maswiti
- mankhwala, makamaka ma bun,
- tchizi
- ma pickles ndi ma pickles,
- nyama yamafuta ndi mafuta,
- ndinasuta nyama ndi masoseji,
- mpunga
- mbatata
- supu wambiri
- mankhwala omalizidwa
- chakudya chofulumira
- msuzi wokoma ndi timadziti totsekemera.
Pangani mndandanda watsiku ndi tsiku ndi zinthu zotsatirazi:
- tiyi wobiriwira
- mkaka wopanda mafuta
- mazira pang'ono
- nkhuku
- chiwindi
- nsomba ndi nsomba zam'nyanja,
- nyemba
- mphodza
- bulwheat
- saladi ndi sipinachi,
- bowa
- masamba
- Zipatso za malalanje
- zipatso zochepa, kupatula nthochi ndi mphesa.
Popeza ndizovuta kuthamangitsa shuga wamagazi popanda mankhwala, zakudya zoterezi zimayenera kukhalapo kwa mwezi umodzi. M'tsogolomu, muyenera kudziteteza ku zinthu zovulaza ndikuwongolera shuga.
Zithandizo za anthu
M'mankhwala azikhalidwe, palinso njira zambiri zochepetsera shuga. Makamaka maphikidwe amatengera kugwiritsa ntchito mankhwala azitsamba. Zomera zina zimatha kulimbikitsa kupanga insulin ndikuchotsa shuga wambiri, komanso kukhala ndi chisonyezo m'thupi. Mutha kugulanso chindapusa chofananachi ku pharmacy iliyonse kapena kukonzekera.
Zomwe zimachepetsa shuga:
- mabuluni
- dandelion muzu
- oats
- nsapato
- mtedza
- mandimu
- udzu wa mpunga
- tirigu
- fulakesi
- nyemba nyemba
- lilac.
Decoctions aledzera mu masabata 2-4 mobwerezabwereza kapena ntchito yaying'ono Mlingo, monga prophylactic kwa hyperglycemia. Popeza sizothandiza kuthira shuga wamagazi ambiri ndi njira zapakhomo, muyenera kuziphatikiza ndi chithandizo chamankhwala chokhazikitsidwa ndi dokotala.
Udindo wochita zolimbitsa thupi
Imathandizira bwino kagayidwe kazakudya mthupi ndipo imathandizira kukonza kwa shuga mokulira. Kuti muchepetse shuga wambiri, tikulimbikitsidwa kuchita masewera olimbitsa thupi m'mawa tsiku lililonse. Kuyenda, kuthamanga, yoga, kugwedezeka, kuyenda kwa Nordic, ndi zina zotere kumathandizanso kuchepetsa shuga.
SOURCE SUGAR | DALITSANI TYPE | RESULT |
5.1 mmol / l | Kuthamanga kwa mphindi 30 | Hypoglycemia |
6.2 mmol / l | Kusambira kwa mphindi 40 | Hypoglycemia kapena shuga amatsika pafupifupi 4,2 mmol / L, koma hypoglycemia sichidzachitika |
8.0 mmol / L | Yendani mwachangu kwaulesi | Shuga 5.6 mmol / L. i.e. zabwinobwino |
14.0 mmol / L | Maola awiri ogwira ntchito mdziko | Shuga 7-8 mmol / L. i.e. amagwa |
17,5 mmol / L | Maola atatu akuyenda pansi | Shuga adzagwera mpaka 12-13 mmol / L, kapena kukwera mpaka 20 mmal / L, pamapeto pake, acetone imatha kuoneka |
Gome: Zowonjezera zolimbitsa thupi pamisempha
Masewera ndi zakudya zoyenera sikuti ndi njira zochizira hyperglycemia zokha, komanso kupewa bwino, osati kokha vutoli, komanso matenda ena ambiri.
• Zoyambitsa ndi zizindikilo • Zakudya za shuga wambiri
• Kudzifufuza • Zithandizo zaumunthu
• Momwe mungachepetse shuga • Zovuta za shuga wambiri
Mkhalidwe womwe shuga ya magazi imakwera umatchedwa hyperglycemia. Zinthu zamtundu wa glucose zimayenera kukhala 3.3-5,5 mmol / L, kutengera njira yotsimikiza.
Mlingo wa shuga ndiwofunikira kwachilengedwe nthawi zonse (Zizindikiro zamkati mwathupi a thupi, zimapangika mwanjira yachilengedwe yachilengedwe yomwe imachitika m'makina, ziwalo), zomwe zimatha kusintha pazifukwa zambiri, zomwe zimayambitsa kuwoneka kwa shuga.
Zomwe Zimayambitsa Madzi Akuluakulu a shuga
Zofunikira pakukula kwa glucose | Zomwe zimapangitsa kuti shuga awonjezeke |
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Njira yopanga zizindikiro
Kuti mumvetsetse chifukwa chomwe chisonyezo china chake chikuwonekera, muyenera kudziwa njira zake
- Polydipsia (ludzu losalekeza) limapangidwa chifukwa chakuti shuga imakopa madzi, pomwe pali kutulutsa kowonjezera kwamadzimadzi kuchokera m'thupi. Kupanga zotayika, thupi "limapempha" zochulukirapo zamadzi kuchokera kunja,
- Kuyankha mwachangu kumalumikizidwa ndikuti molekyu yamadzi imamangilira ku molekyulu ya glucose, yomwe imatsogolera kutulutsa kowonjezereka kwamadzimadzi kuchokera mthupi pogwiritsa ntchito zida zosefera.
- Kuchepetsa thupi kumawonedwa nthawi zambiri mu mtundu woyamba wa shuga chifukwa chakuti kapamba sangapangitse insulini yake, pomwe glucose sangathe kulowa m'maselo ndi minyewa. Thupi limakhala ndi mphamvu nthawi zonse. Ndi mtundu 2, kuwonjezeka kwa kulemera kwa thupi kumawonedwa, pomwe kutsutsana ndi maziko a kunenepa kwambiri, glucose sangathe kulumikizana ndi minofu, chifukwa ma receptor omwe amawamanga samagwira ntchito bwino,
- Ululu m'mutu, kugona, kufooka kumalumikizidwa ndi kufa ndi ludzu laubongo, chifukwa glucose ndiye gwero lalikulu lamphamvu kwa chapakati mantha dongosolo (CNS),
- Kuchiritsa mabala osavomerezeka kumalumikizidwanso ndi milingo yambiri ya shuga, chifukwa shuga ndi malo abwino oswana pofuna kufalitsa microflora ya mabakiteriya (mabakiteriya, mavairasi). Pogwira maselo oyera am'magazi, glucose amafunikiranso, yomwe siyokwanira. Chifukwa chake, maselo oteteza magazi sangathe kuwononga tizilombo toyambitsa matenda,
- Fungo la acetone limawonekera chifukwa cha makutidwe ndi okosijeni a lipids (mafuta), kuchuluka kwa matupi a ketone m'magazi.
Zizindikiro
Mu hyperglycemia, wodwalayo amayenera kukayezetsa magazi kuti apeze mayeso olondola. Kuyesaku kumachitika ndi kutenga nawo gawo la shuga mu mawonekedwe ake oyera (75 g.). M'mawa, pamimba yopanda kanthu, munthu amapereka magazi kwa shuga, ndiye kuti amamwa yankho la glucose, pambuyo pa maola 2 magazi amaperekedwanso.
Kuti zotsatira zake zikhale zodalirika, malamulo otsatirawa ayenera kusamalidwa:
- Madzulo a kusanthula, masewera olimbitsa thupi, masewera olimbitsa thupi,
- Chakudya chotsiriza sichikhala chopitilira maola 10 phunzirolo lisanachitike,
- Musanayambe kusanthula, muyenera kutsatira zakudya zabwino,
- Musanapime mayeso muyenera kugona mokwanira usiku,
- Ndikofunika kupewa kupsinjika, kukhumudwa kwambiri,
- Osadandaula ndi kusanthula, muyenera kudekha,
- Mukamwa njira ya shuga, ndikofunika kuti musayende.
Matenda a shuga amapezeka ngati shuga ali pamwamba pa 7.0 mmol / L pamimba yopanda kanthu, ndipo atatha kuthana ndi vutoli atatha maola 2 - 11.1 mmol / L ndi pamwambapa.
Kuphatikiza apo, kuyesa kwa hemoglobin ya glycated kumachitika, matenda amawonedwa ngati chisonyezo chiri pamwamba 6%. Kuphatikiza apo, kuyesedwa kumachitika pamlingo wa amylin, womwe umalepheretsa kutulutsidwa kwa insulin m'magazi atatha kudya chakudya (kwa anthu omwe ali ndi matenda ashuga, chizindikiro chizikhala chotsika), ma insretins (zolimbikitsa kupanga insulin), glucagon (imalimbikitsa kupanga shuga).
Momwe mungachepetse shuga
Kuti muchepetse shuga osasunthika, muyenera kudziwa chifukwa chomwe chinawonjezera kuchuluka kwake. Ndi shuga yachiwiri, imodzi mwanjira zitatu zomwe zingagwiritsidwe ntchito:
- Chotsani vuto
- Lekani kumwa mankhwala omwe amachulukitsa shuga,
- Chiritsani thyrotoxicosis ndi matenda ena.
Ngati ndizosatheka kuthetsa chomwe chinayambitsa kuchuluka kwa shuga, kapena mtundu wa 1 kapena matenda a shuga a 2 omwe amapangidwa koyambirira, chithandizo chamankhwala chimalamula. Pazifukwa izi gwiritsani ntchito kuyambitsa kwa insulin (mtundu 1 wa shuga) kapena mapiritsi ochepetsa shuga (mtundu 2 shuga). Ngati munthu ali ndi matenda a shuga, ndiye kuti hyperglycemia imatha kuchepetsedwa ndi chakudya chimodzi chokha.
Kwa wodwala aliyense, njira yochepetsera shuga imasankhidwa payekhapayekha komanso kokha ndi katswiri, koma pali zinthu zomwe ndizoyenera kuchitira mitundu yonse ya matenda ashuga:
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Zakudya za shuga zambiri
Ndi hyperglycemia, chisamaliro chapadera chiyenera kulipidwa pazakudya zanu, zakudya zopangidwa mwapadera, cholinga chake chachikulu ndikuchepetsa kumwa kosavuta kwa chakudya chambiri (chofulumira).
Ngati munthu wonenepa kwambiri, zakudya zopatsa thanzi ziyenera kukhala zochepa-zopatsa mphamvu, kuphatikizapo zonse zofunikira, mavitamini. Tsiku lililonse, munthu ayenera kudya mafuta, chakudya, mapuloteni. Pankhaniyi, chakudya chamafuta chimayenera kudulidwa pang'onopang'ono ndikupeza zabwino. Chizindikiro cha mtundu wopatsa mphamvu wamafuta ndi malo ake otsika pagome la glycemic index (GI).
Muyenera kudya m'magawo ang'onoang'ono mpaka 6 pa tsiku, nthawi yopuma isanathe maola atatu. Kuchuluka kwa zopatsa mphamvu zimadalira magawo a thupi (kulemera, jenda) komanso zochitika zolimbitsa thupi za munthu.
Zakudya zamagazi zochepetsa shuga:
- Buckwheat - ili ndi mchere wambiri (chitsulo, rutin), mavitamini (B6), mapuloteni azomera. Phala ya Buckwheat imakhala ndi chakudya chamagulu ochulukirapo, chifukwa cha izi, osati shuga wokha, komanso kulemera kwa wodwalayo sikungofanana. Mapuloteni azamasamba amalowetsedwa mwachangu ndipo kwa nthawi yayitali amasiya kumva kukomoka. Zinthu za Buckwheat zimachotsa poizoni, zimachepetsa cholesterol "yoyipa", yeretsani mitsempha yamagazi, chiwindi,
- Buckwheat ufa ndi yogati ndi njira yodalirika yochepetsera shuga kukhala manambala wamba. Pophika, muyenera 1 tbsp. spoonful ya buckwheat ufa (akupera grits mu chopukusira khofi) kutsanulira 200 ml ya yogurt kapena kefir. Siyani kusakaniza usiku, muyenera kudya pamimba yopanda ola limodzi musanadye masiku 7,
- Zipatso ndi zipatso zowawasa (ndimu, lalanje, mphesa) zimapangitsa shuga m'magazi,
- Masamba (Yerusalemu artichoke), zitsamba, zonunkhira (anyezi, adyo, sipinachi). Zipatso (aronia, blueberries, lingonberries). Ma Leamu (mphodza, nyemba).
Chifukwa chiyani hyperglycemia imayamba?
Zomwe zimayambitsa shuga ochulukirapo mwa amuna ndi akazi sizimasiyana. Ambiri a iwo amakhudzidwa ndi zovuta za endocrine system. Matenda a shuga ndi chifukwa chachikulu chomwe shuga ya magazi imakhalira. Munthu amadumpha kuchuluka kwa glucose mwina chifukwa cha kuperewera kwa insulin, kapena chifukwa choti sangathe kugwira ntchito yake.
Pafupifupi 5 peresenti ya odwala omwe ali ndi matenda ashuga ali ndi matenda amtundu woyamba 1, omwe amayamba chifukwa chopanga insulin. Mwa odwala ena, insulini imapangidwa mokwanira, koma sagwiritsidwa ntchito "pacholinga chake" ndipo samayendetsa glucose m'maselo, chifukwa chake amakhala akusowa mphamvu.
Komabe, shuga wambiri amayamba chifukwa cha zifukwa zina. Nayi mitundu wamba:
- Pancreatitis (kutupa kwa kapamba).
- Khansa yapakansa.
- Kuchulukitsa kwa chithokomiro, kapena hyperthyroidism.
- Kuchuluka kwa cortisol m'mwazi.
- Zotupa.
- Nthawi zonse pamavuto.
- Kuvulala kwambiri nthawi zina kumatha kuyambitsa kuchuluka kwa shuga m'magazi.
- Kugwiritsa ntchito mankhwala ena (mwachitsanzo, Prednisolone ndi analogues, kukonzekera kwa estrogen, beta-blockers, etc.).
- Kutenga njira zakulera zamkamwa mwa akazi.
Zotsatira za hyperglycemia
Shuga wokwera m'magazi ndi owopsa kwa thupi chifukwa cha zovuta zake. Zotsatira za hyperglycemia zitha kusinthika.
Chimodzi mwamavuto azovuta za shuga wambiri ndi kuperewera kwa magazi. Kuopsa kwake kumawonjezeka ngati shuga wamagazi aposa 11.5 mmol pa lita. Chifukwa chosowa mphamvu m'maselo, kukonza mafuta ndi mapuloteni kumayamba. Zinthu zapoizoni zomwe zimapangidwa nthawi ya poizoni m'thupi, zimayambitsa zizindikiro zowopsa.
Hyperglycemia imayamba ndi chikhalidwe chotchedwa precoma. Zizindikiro zake ndi:
- kamwa yowuma, ludzu,
- kuchuluka kukodza
- kuyabwa, makamaka kumaliseche mwa amuna ndi akazi,
- mutu.
Poyerekeza ndi kuwonjezeka kwa thupi la ma ketones, nseru, kusanza kumachitika (sikubweretsa mpumulo). Chikumbumtima chayamba kuzunzika ndipo kenako chimatha. Kuphatikiza apo, zizindikiro zina zimawonedwa:
- khungu lowuma
- kumakhala kuzizira mpaka kukhudza
- kupuma kwamkati
- fungo lamphamvu la acetone mu mpweya wotuluka.
Ngati matendawa sanalandiridwe, kufa kumachitika chifukwa cha kusintha kosasintha.
Udindo wa shuga m'thupi
Glucose, kapena shuga, ndiye gwero lalikulu lamphamvu lomwe limagwiritsidwa ntchito ndi ziwalo zonse ndi machitidwe a thupi. Selo lililonse limafunikira kukhala ndi glucose wokwanira kuti akhale ndi moyo wabwino.
Ngakhale mawonekedwe ake ndi osavuta, chinthu ichi ndi chofunikira kwambiri mu kagayidwe. Kwa maselo ena, shuga ndiye gwero lokha lamphamvu. Izi zikuphatikiza:
- Maselo amanjenje,
- Cardiomyocyte (zigawo za minofu yamtima),
- Maselo ofiira, kapena maselo ofiira a m'magazi.
Ndi shuga wambiri kuchokera ku kapamba, timadzi timene timatulutsidwa - insulin. Amayang'anira ndikusintha kwa glucose kuchokera m'magazi kupita m'matangadza. Ndi kuperewera kwake, kuchuluka kwa shuga kumayamba - hyperglycemia.
Kusanthula chikhalidwe
Shuga wamagazi amayesedwa pogwiritsa ntchito kusanthula kwapadera kwawoko. Wodwala ayenera kukonzekera bwino phunzirolo. Ndikofunikira kuti mupereke magazi pamimba yopanda kanthu, ndiye kuti, osadya chilichonse m'mawa. Ngati mumadya musanayesedwe, makamaka zakudya zomwe zimakhala ndi mafuta ochulukirapo, shuga ya magazi yanu imatha kukwera.
Iyi ndi njira yachilengedwe yolimbitsa thupi, yomwe imawoneka chifukwa chakuti glucose sanakhalepo ndi nthawi yogawa kudzera mu minofu ya thupi ndikuzungulira m'magazi. Komabe, mkati mwa njirayi, kuchuluka kwa glucose kudzawoneka kuti kukwezedwa, komwe kumatanthauziridwa ndi madokotala ngati zotsatira zabodza. Chifukwa chake, ndikofunikira kutsatira malamulo okonzekera mayeso.
Kwa kusanthula, magazi amatengedwa kuchokera pachala. Mlingo wabwinobwino wamagazi amphongo wamwamuna nthawi zambiri amachokera ku 3,3 mmol pa lita imodzi mpaka 5.5 mmol pa lita. Zabwino zam'magaziwo ndizomwe zimakhalira kwa azimayi, chifukwa chizindikiro ichi, mosiyana ndi ena ambiri, sichimasiyana pakakhala kuti ndi amuna kapena akazi.
Anthu ambiri amakhulupirira kuti abambo ayenera kukhala ndi shuga wambiri, koma izi ndi zowonongeka. Mwinanso kulingalira koteroko kumayenderana ndi chifukwa chakuti abambo amanyalanyaza thanzi lawo komanso amakonda zizolowezi zoyipa, chifukwa chomwe pakati pawo pamakhala shuga wambiri. Komabe, izi sizingatchulidwe zodziwika.
Chofunika kwambiri ndi kuphunzira, kuwonetsa mphamvu za shuga zomwe zimakhudzana ndi zakudya. Nthawi zambiri, mukatha kudya, shuga wa magazi amawonjezeka pang'ono. Chizindikiro chimatsika pena pake patatha maola awiri. Ngati ndi ochepera 7.8 mmol pa lita, ndiye kuti kagayidwe kakang'ono ka wodwala kakhoza kuonedwa ngati koyenera. Ngati zomwe zili mu shuga zikukhalabe zazitali kwa nthawi yayitali, ndiye ichi chikhoza kukhala chizindikiro choyamba cha chitukuko cha matenda - matenda ashuga.
Kodi ndimwazi wamagazi amakula bwanji?
Kuwonjezeka kwa seramu glucose mwa bambo nthawi zambiri kumayenderana ndi matenda monga matenda a shuga. Matendawa amapezeka chifukwa chakuti kupangika kwa mahomoni omwe amayendetsa kagayidwe kazakudya m'thupi amasemphana ndi ziphuphu. Izi zimaphatikizapo glucagon ndi insulin.
Matenda a shuga amapezeka pamene kupanga insulin kusokonezeka m'thupi la munthu. Timadzi timeneti timayendetsa glucose kuchokera m'magazi kupita mu minofu. Ngati sikokwanira, ndiye kuti shuga amakhala m'magazi, omwe amatsimikiziridwa pakuwunikira.
Matenda a shuga ndi matenda oopsa. Glucose wamkulu ndiowonongeka kwa ziwiya zomwe zimakhala ziwalo zonse. Kuopsa kwa matendawa kungayambitse kukula kwa matenda osokoneza bongo odwala - kukhumudwa kwambiri. Mkhalidwe uwu umawopseza moyo wa wodwalayo. Chifukwa chake, kuzindikira kwa matenda ashuga kwakanthawi komanso kutsatira mosamalitsa malangizo a dotolo pakuthandizira ndikofunikira kwambiri.
Komabe, sikuti matenda a shuga okha omwe angayambitse kuwonjezeka kwa seramu yamagazi mwa amuna. Chizindikirochi chimadziwika ndi matenda ena, monga:
- Acromegaly ndimatenda a pituitary gland, momwe timadzi tambiri tambiri timene timatulutsidwa, timene timakhudza thupi la munthu wamkulu.
- Cushing's syndrome ndi matenda omwe amapezeka chifukwa cha matenda omwe amapezeka m'matumbo a adrenal, chifukwa chomwe minyewa yamtunduwu imayamba kupanga mahomoni a glucocorticosteroid.
- Matenda a mtima ndi matenda oopsa monga vuto la mtima kapena stroko.
Kuphatikiza apo, shuga wambiri amatha kuyanjana ndi kugwiritsa ntchito mankhwala ena. Ngati wodwala agwiritsa ntchito mankhwala mosasamala popanda kutsatira malangizowo, izi zitha kuchititsa kuti aziphwanya malamulo ambiri, zomwe zimaphatikizapo kuwonjezeka kwa shuga m'magazi.
Kufunika kosanthula abambo
Matenda onsewa ndi abambo ndi amayi. Komabe, kuchuluka kwa glucose kowopsa ndi kowopsa kwa abambo, chifukwa chizindikiro ichi chingakhudze moyo wawo wogonana. Kuwonjezeka kwa shuga komwe kumalumikizidwa ndi shuga kumakhala ndi vuto pa potency. Mitsempha yaying'ono ya m'magazi imawonongeka, chifukwa chomwe kusokonezeka kwa kugonana kumachitika.
Kuphatikiza apo, kuchuluka kwa glucose komweku kumakhudza kwambiri kupanga kwa "mwamuna" wamkulu mahomoni - testosterone. Ndi matenda ashuga, amapangidwa mosakwanira, zomwe zimayambitsanso kuphwanya kwa moyo wakugonana.
Chifukwa chake, kwa abambo, kuchuluka kwa shuga m'magazi ndi njira yofunika kwambiri yodziwira matenda osiyanasiyana, makamaka matenda ashuga. Matendawa, popanda kulandira chithandizo choyenera, amatha kubweretsa zovuta zovuta zomwe zingayambitse matenda a shuga - vuto lalikulu lomwe limapweteketsa ziwalo zonse ndi machitidwe a thupi. Chifukwa chake, ngati kuchuluka kwa shuga m'magazi kwapezeka, bambo akulimbikitsidwa kuti apangana ndi dokotala kuti apimidwe kokwanira.
Kodi pali kusiyana kotani pakati pa miyezo ya shuga ya magazi mwa abambo?
Kuyesedwa kwa shuga ndikofunikira kwambiri kutenga m'mawa pamimba yopanda kanthu. Zinthu zamtundu wanthawi zonse zimaganiziridwa kuti zimachokera 3, 3 mpaka 5, 5 mmol / l. Ndi pamene muyeza magazi pamimba yopanda kanthu kuti izi ndizofanana kwa aliyense, zimatengedwa kuchokera pachala. Mu milandu yomwe madzi am'magazi amagwiritsidwa ntchito kupenda, kuchuluka kwa amuna kumatha kuyambira 4, 22 mpaka 6, 11 mmol / L.
Mlingo wa shuga umatha kusintha ngati bambo adya chakudya chopatsa thanzi komanso amakhala ndi moyo wopanda thanzi - amakhala ndi zakudya zonunkhira komanso zonona, amasuta, amamwa mowa, amakhala opanikizika kwambiri chifukwa chokhala ndi nkhawa. Pali chikhulupiriro chabodza chakuti abambo ayenera kukhala ndi shuga wambiri. Izi sizowona. Thupi lathanzi limatha kuthana ndi zizolowezi zonse zoyipa ndi kupsinjika, chifukwa chake, ngati zonse zili bwino, kuwunikirako kuyenera kuwonetsa zofunikira, osati zapamwamba. Nthawi yomweyo, jenda sikhala ndi gawo.
Pokhapokha ngati magazi a amuna sanatengeredwe pamimba yopanda kanthu, titha kulankhula za kuwonjezeka kwa shuga m'magazi. Amuna amakhala ndi chizolowezi choopsa ndipo amakhala osiyanasiyana pamavuto, azimayi amakonda kudya maswiti, chifukwa thupi liyenera kupirira pazinthu zonsezi, kusiyana kwa mahomoni sikugwira nawo gawo pazinthu izi.
Ndikofunika kwambiri kulabadira kuti mutatha kudya glucose amatha kudumpha pamtunda wina, pambuyo maola 2 amatsika mpaka 7.8 mmol / L. Ngati manambala akukwera, muyenera kukayezetsanso magazi tsiku lotsatira. Muzochitika zapakati, titha kulankhula za chitukuko cha matenda ashuga.
Kodi chingapangitse kuti magazi abwere kumwamuna ndi chiyani?
Ngati kuchuluka kwa shuga m'magazi kumadutsa, izi zikuwonetsa kuti kapamba samatulutsa kwathunthu insulin ndi glucagon. Thupi siligwiritsa ntchito shuga. Kenako kagayidwe kachakudya kamasokonekera, komwe kumayambitsa kulephera kwa mahomoni, ziwalo zonse zamkati zimatha kukhudzidwa, chifukwa zimadalira mwachindunji mitsempha yamagazi, yomwe ikhoza kukhala yoyamba kuwonongeka.
Chifukwa cha izi, matenda a shuga amatha. Ngati kapamba satulutsa insulin, ndiye kuti mwamunayo ali ndi matenda ashuga 1. Milandu pomwe kapamba amapitiliza kupanga, koma maselo sangathe kuyankha kupezeka kwake, matenda a shuga a insulin angayime chifukwa cha izi.
Kodi chingayambitse kuchepa kwa shuga m'magazi ndi chiyani?
Sikuti ndikofunikira kuwunika kuchuluka kwa shuga mumagazi, komanso kuti muchepetse, zizindikiro zochepa siziyenera kupatuka panjira yokhazikika. Panthawi zopatuka kuchoka ku chizoloŵezi cha komwe kuchepa, titha kulankhula za hypoglycemia, pomwe ubongo suwaperekedwa mokwanira ndi shuga, izi zingakhudze moyo wa mwamunayo.
Ndi ziti zomwe zikuwonetsa kuchepa kwa shuga m'magazi?
1. Mutu wovuta kwambiri umachitika.
2. Kuchuluka kwa mtima kumakwera.
3. Munthu amatopa msanga.
4. Malingaliro ake asokonezeka.
5. Pali thukuta lomwe likuwonjezeka.
6. Munthu akhoza kukhala woledzera.
7. Kupezeka kwa kulanda.
Kodi nchifukwa ninji mkhalidwe uwu uli wowopsa? Izi zimatha kukupweteketsani. Nthawi zambiri, matendawa amatha kukhudzidwa ndi omwe akudwala matenda a shuga. Chifukwa chachikulu ndi bongo wa insulin kapena mankhwala okhala ndi shuga. Komanso, hypoglycemia imatha kuyambitsa chidakwa. Kodi njira zoteteza ku hypoglycemia ndi ziti? Chakudya chokwanira komanso chopatsa thanzi, kupatula tiyi, mowa, khofi, zonunkhira komanso mafuta kuchokera kuzakudya zanu. Pewani chizolowezi choyipa - kusuta.
Zomwe zimayambitsa shuga wambiri mwa amuna
1. Chifukwa cha acromegaly, pomwe pali mahomoni ambiri okula.
2.Ndi kudya kosalamulirika kwa mankhwala ena.
3. Ndi matenda a Cushing.
4. Pa vuto la mtima kapena sitiroko.
5. Ngati magazi a munthu akatsika magazi mpaka 2, 9 mmol / L, ndipo pali zizindikiro za hypoglycemia, izi zikutanthauza kuti bambo amakhala ndi insulin - chotupa chomwe chimapanga insulin yambiri.