Matenda a shuga

Matenda a shuga ndi vuto loopsa lomwe limayambitsa matenda ashuga omwe amachititsa munthu kuti asamvese. Ngati muli ndi matenda ashuga, shuga wowopsa (hyperglycemia) kapena shuga wotsika kwambiri wamagazi (hypoglycemia) angayambitse kudwala matenda ashuga.

Ngati mungathe kudwala matenda ashuga, ndinu amoyo - koma simungathe kudzutsa mwadala kapena kuyankha maonekedwe, mawu, kapena mitundu ina yokondweretsa. Akasiyidwa, wodwala matenda ashuga amatha kupha.

Lingaliro la kudwala matenda ashuga ndiwowopsa, koma mungathe kuchitapo kanthu kuti mupewe. Yambani ndi njira yanu yothandizira odwala matenda ashuga.

Musanayambe kudwala matenda ashuga, mumakumana ndi zizindikiro za shuga kapena magazi ochepa.

Shuga wambiri (hyperglycemia)

Ngati shuga wanu wamagazi ndiwokwera kwambiri, mutha kupeza:

• Kuchulukitsa ludzu
• Kukodza pafupipafupi
• Kutopa
• Kusanza ndi kusanza
• Kupuma kosagwirizana
• Kupweteka kwam'mimba
• Fungo lakupuma
• Pakamwa kwambiri
• Kuthamanga kwamtima

Shuga wamagazi ochepa (hypoglycemia)

Zizindikiro zake za shuga m'magazi zingathe kukhala ndi:

• Manjenjemera kapena mantha
• nkhawa
• Kutopa
• Malo ofooka
• thukuta
• Njala
• Kuchepetsa mseru
• Chizungulire kapena chizungulire
• Zovuta
• chisokonezo

Anthu ena, makamaka omwe akhala ndi matenda ashuga kwa nthawi yayitali, amakhala ndi vuto lotchedwa hypoglycemia mbuli ndipo sadzakhala ndi zizindikiro zakuwonetsa kuchepa kwa shuga m'magazi.

Ngati muli ndi vuto lililonse la shuga kapena magazi ochepa, onetsetsani kuti muli ndi shuga ndikutsatira njira yanu yochizira matenda a shuga malinga ndi zotsatira zanu zoyesedwa. Ngati simukuyamba kumva bwino, kapena mukuyamba kumva kuwawa kwambiri, pezani thandizo mwadzidzidzi.

Mukaonana ndi dokotala

Matenda a matenda ashuga - chithandizo chamankhwala chodzidzimutsa. Ngati mukumva kuyamwa kwambiri kapena kutsika kwambiri kapena zizindikiro za shuga m'magazi, ndipo mukuganiza kuti mungakane, itanani 911 kapena nambala yodzidzimutsa yakwanuko. Ngati muli ndi wina wodwala matenda ashuga amene wamwalira, pezani thandizo mwadzidzidzi kuti mupeze chithandizo ndipo onetsetsani kuti mwawawuza achitetezo kuti omwe ali ndi vuto la matenda ashuga.

Kuchita shuga wambiri kapena wotsika kwambiri kumatha kuyambitsa zovuta zina zomwe zimayambitsa kudwala matenda ashuga.

• Matenda a shuga ketoacidosis. Ngati maselo anu am'mimba atha mphamvu, thupi lanu limatha kuthana ndikuphwanya malo ogulitsa mafuta. Njirayi imapanga ma sumu omwe amadziwika kuti ma ketones. Ngati muli ndi ma ketones (oyesedwa m'magazi kapena mkodzo) komanso shuga wambiri, matendawa amatchedwa diabetesic ketoacidosis. Akasiyidwa, izi zimatha kudzetsa matenda ashuga. Matenda a shuga a ketoacidosis nthawi zambiri amapezeka matenda a shuga 1, koma nthawi zina amapezeka mtundu wa matenda a shuga kapena matenda ashuga.
• Diabetesic hyperosmolar syndrome. Ngati shuga wanu wamagazi afika mamiligalamu 600 pa desilita (mg / dl) kapena mamilimita 33.3 pa lita imodzi (mmol / l), matendawa amatchedwa matenda a shuga a shuga. Mchere wambiri umachoka m'magazi anu kupita mkodzo wanu, womwe umayambitsa kupukuta komwe kumachotsa madzi ambiri mthupi. Akasiyidwa, izi zimatha kupangitsa kuti munthu asowe magazi komanso akhale ndi vuto la matenda ashuga. Pafupifupi 25-50% ya anthu odwala matenda ashuga hyperosmolar amakhala ndi vuto laukoma.
• Hypoglycemia. Ubongo wanu umafunika glucose kugwira ntchito. Muzovuta kwambiri, shuga ochepa amachepetsa. Hypoglycemia imatha kuchitika chifukwa cha insulin yambiri kapena chakudya chokwanira. Kuchita masewera olimbitsa thupi mopitirira muyeso kapena kumwa kwambiri kumatha kukhala ndi zotsatira zofananazo.

Zowopsa

Aliyense amene ali ndi matenda a shuga ali ndi chiopsezo chokhala ndi vuto la matenda ashuga, koma zinthu zotsatirazi zingakulitse chiwopsezo chake:

• Mavuto a kuperekera kwa insulin. Ngati mumagwiritsa ntchito pampu ya insulin, muyenera kuyang'ana magazi anu pafupipafupi. Kutulutsa kwa insulini kumatha kuima ngati pampu italephera, kapena kuti timachubu (catheter) tapotoza kapena tagwa. Kuperewera kwa insulin kungayambitse matenda ashuga a ketoacidosis.
• Matenda, kuvulala, kapena opaleshoni. Mukadwala kapena kuvulala, kuchuluka kwa shuga m'magazi kumatha kukwera, ndipo nthawi zina modabwitsa. Izi zimapangitsa kuti mukhale ndi matenda ashuga a ketoacidosis ngati muli ndi matenda amtundu wa 1 ndipo musakuwonjezere kuchuluka kwa insulini kuti mupeze malipiro.
• Matenda a shuga operewera bwino. Ngati simuyang'anira shuga wanu wamagazi kapena kumwa mankhwalawo monga momwe adanenera, mungakhale pachiwopsezo chokhala ndi vuto lalitali komanso matenda a shuga.
• Kudumpha mwachangu zakudya kapena insulini. Nthawi zina anthu odwala matenda ashuga, amenenso ali ndi vuto lakudya, amakonda kusagwiritsira ntchito insulin yawo molingana ndi kufuna kuchepetsa thupi. Ichi ndichizolowezi choopsa, chomwe chingawononge moyo.
• Kumwa mowa. Mowa umatha kukhala ndi zotsatira zosayembekezereka pa shuga lanu lamagazi. Zoletsa zakumwa zoledzeretsa zimakupangitsani kuti musavutike kudziwa mutakhala ndi matenda ochepa a shuga. Izi zitha kukulitsa chiwopsezo chokhala ndi matenda osokoneza bongo omwe amayamba chifukwa cha hypoglycemia.
• Kugwiritsa ntchito mankhwala osokoneza bongo. Mankhwala osokoneza bongo, monga cocaine ndi ecstasy, amatha kukulitsa kuchuluka kwa shuga m'magazi komanso mikhalidwe yokhudzana ndi matenda a shuga.

Kupewa

Kuwongolera matenda anu a shuga tsiku ndi tsiku kumatha kukuthandizani kuti muchepetse matenda a shuga. Kumbukirani malangizo awa:

• Tsatirani dongosolo lanu la chakudya. Zakudya zamagetsi zomwe zimapezeka komanso kudya zingakuthandizeni kuthana ndi shuga.
• Penyani shuga yanu yamagazi. Kuyesedwa kwa shuga m'magazi pafupipafupi kumatha kukuwuzani ngati mutayika shuga m'magazi anuwo - ndikukuchenjezani za kutentha kapena kuwonda kwambiri. Yang'anani pafupipafupi ngati mukuchita masewera olimbitsa thupi, chifukwa masewera olimbitsa thupi angayambitse kuchepa kwa shuga m'magazi, ngakhale mutatha maola ochepa, makamaka ngati simuchita masewera olimbitsa thupi pafupipafupi.
• Imwani mankhwalawo monga momwe mwawalembera. Ngati mumakhala ndi magawo ambiri a shuga kapena magazi ochepa, uzani dokotala. Angafunike kusintha mlingo kapena nthawi ya mankhwalawa.
• Khalani ndi mapulani a tsiku la odwala. Matenda amatha kubweretsa kusintha kosayembekezeka kwa shuga m'magazi. Ngati mukudwala ndipo simatha kudya, shuga m'magazi anu amatha. Musanayambe kudwala, lankhulanani ndi dokotala za momwe mungasamalire shuga yanu yamagazi. Ganizirani kusunga masiku atatu a shuga ndi njira yowonjezera ya glucagon pakagwa mwadzidzidzi.
• Yang'anani ma ketones pamene shuga m'magazi anu ndi okwera. Yesani mkodzo wanu ma ketones pamene shuga m'magazi anu aposa 250 mg / dl (14 mmol / L) pamaulendo oposa awiri motsatizana, makamaka ngati mukudwala. Ngati muli ndi ma ketoni ambiri, funsani dokotala wanu kuti akuthandizeni. Itanani dokotala nthawi yomweyo ngati muli ndi matenda a ketone ndipo mukusanza. Mitundu yambiri ya ma ketones imatha kubweretsa matenda a shuga a ketoacidosis, omwe angayambitse kukomoka.
• Glucagon komanso magwero a shuga othamangira omwe amapezeka mosavuta amapezeka. Ngati mukumwa mankhwala a shuga
• Ganizirani zowunika za glucose zomwe zikupitilira, makamaka ngati mukuvutikira kukhala ndi shuga wokhazikika m'magazi kapena simukumva zizindikiro za shuga wochepa wamagazi (kuzindikira pang'ono kwa hypoglycemia) .CGM ndi zida zomwe zimagwiritsa ntchito kachipangizo kenakake kamene kamayikidwa pansi pa khungu kuti kazitsatira momwe magawo a shuga aliri. magazi ndi kufalitsa chidziwitso ku chipangizo chopanda waya.

Zipangizozi zimatha kukuchenjezani ngati shuga lanu la m'magazi likuchepa kwambiri kapena ngati lingachepe msanga kwambiri. Komabe, mukuyenerabe kuyang'ana shuga wamagazi anu ndi mita ya shuga wamagazi, ngakhale mutakhala kuti mukugwiritsa ntchito CGM. KGM ndiokwera mtengo kuposa njira zachilengedwe zowongolera shuga, koma zimatha kukuthandizani kuti mulamulire shuga.