Ngati magazi a shuga ndi 19 mpaka 19

Mlingo wa shuga wamagazi 19 - kodi izi ndiye zikhalidwe kapena ayi, ndipo ndichite chiyani? Kodi shuga wosala kudya uyu amatanthauza chiyani mukatha kudya?

Mulingo wa shuga wamagazi kuchokera pachala chala chopanda kanthu m'mimba mwa akulu ndi achinyamata akuyamba kuyambira 3,3 mpaka 5.5 mmol / l.

Ngati shuga ali ndi zaka 19, ndiye kuti shuga atakula kwambiri. Mwazi wamagazi kuchokera pachala pachala chopanda 6.7 - pafupifupi nthawi zonse amalankhula za matenda ashuga. Mwachangu kwa dokotala.

Magawo a shuga 19, izi zikutanthauza chiyani?

Ngati shuga akwera mpaka 19 mmol / l, izi zikuwonetsa kuthekera kwakukulu kokhala ndi zovuta zapakhosi monga ketoacidotic kapena lactacidic coma, pomwepo imatha kuyambitsa mavuto osasintha mu thupi, chifukwa, kulumala kapena kufa sikungathetsedwe.

Zinthu zokhala ndi shuga mthupi la munthu zikachuluka, zimalimbikitsidwa nthawi yomweyo kukaonana ndi dokotala, komanso kusintha menyu. Ndi mwayi waukulu kwambiri, titha kuganiza kuti vuto la kuchuluka kwa shuga ndi kudya kosayenera.

Zakudya zamafuta ochepa, zomwe zimaphatikizapo zakudya zamafuta ochepa othamanga, mafuta owuma, opangidwa ndi mavitamini, mchere ndi fiber, zimathandizira kuchepetsa magazi.

Shuga yamayunitsi 19 ikuwonetsa kuti wodwalayo ali pachiwopsezo chachikulu ngati vutolo silinyalanyazidwa ndipo chithandizo choyenera sichiyamba munthawi. Pakhoza kukhala zotsatirazi zowopsa:

• Lactacidotic chikomokere. Pakakhudzidwa kwambiri lactic acid mthupi la munthu, izi zimapangitsa kuti munthu asokonezeke maganizo, zimavuta kupuma, ndipo kuthamanga kwa magazi kumatsika kwambiri.
• Ketoacidosis ndi mkhalidwe wamavuto chifukwa cha momwe matupi a ketone amadziunjikira m'thupi la munthu. Nthawi zambiri matendawa amapezeka ndi mtundu woyamba wa matenda a shuga, pamakhala chiopsezo cha kusowa kwa ziwalo zambiri zamkati.
• Hyperosmolar coma imachitika chifukwa cha kuchuluka kwa glucose, motsutsana ndi izi, kuchuluka kwa sodium m'magazi. Mwambiri, imawonedwa ndi matenda a shuga 2 mwa anthu atatha zaka 50.

Mafuta owopsa amakhala oopsa, chifukwa amadzala ndi zovuta kwambiri zomwe zimatha kupezeka patangopita maola ochepa. Kuphatikiza apo, kuthamanga kwa shuga m'magazi kumabweretsa chifukwa chakuti zovuta zovuta zimayamba msanga. Ndizovuta kwambiri ndipo ndizosatheka kuti muchepetse kuwerenga kwa glucose.

Ndipo zoyesayesa pawokha sizitulutsa zotsatira, zinthu zidzaipiraipira, zomwe zingayambitse kudwala kwa wodwalayo.

Shuga amadzuka: zoyambitsa ndi zina

Zachidziwikire, shuga m'thupi la munthu siwokhazikika, nthawi zambiri zimasiyanasiyana masana. Mwachitsanzo, mukatha kudya, mutatha kuchita masewera olimbitsa thupi, panthawi yovuta komanso yamanjenje.

Ngati mwa munthu wathanzi kuchuluka kwake sikumayambitsa zovuta, pomwe shuga amawonjezeka ndimayunitsi ochepa, kenako amachepetsa mwachangu, ndiye kuti wodwala matenda ashuga ali chimodzimodzi.

Mwa anthu omwe akudwala matenda a shuga a 2, kuwonjezeka kwa shuga kumayambitsa kuwoneka kwa zinthu zoipa, zomwe zikuipiraipira thanzi lonse. Kuphatikiza apo, kutsitsa shuga sikuvuta konse.

Tikuwonetsa zina mwazomwe zimatsogolera kudumpha kwa glucose:

1. Zakudya zambiri zamafuta. Pambuyo podya, shuga amatuluka kwambiri, monga chakudya chimakonzedwa ndipo glucose, yemwe amabwera ndi chakudya, amalowa m'magazi.
2. Khalidwe labwino. Kuchita kumawonetsa kuti zolimbitsa thupi zilizonse zimapereka kuwonjezeka kwa shuga m'mimba.
3. Kutengeka mtima. Pakupsinjika kwambiri kapena kuda nkhawa, kudumpha kuzizindikiro za glucose kumapezeka.
4. Kumwa mowa, kusuta.
5. Kusintha kwa mahomoni azimayi pa nthawi yoyembekezera, kusintha kwa thupi kapena mtundu wina wa matenda.

Zomwe zalembedwa pamwambapa ndi zinthu zakunja zomwe zingakhudze shuga la magazi. Komabe, shuga amatha kuwonjezera mpaka magawo 19 ngati pali "mavuto azaumoyo".

Ganizirani za pathological zomwe zikuwonjezera kuchuluka kwa shuga:

• Matenda a Endocrine amatha kubweretsa kusowa kwa mahomoni, zomwe zimayambitsa matenda a shuga 2, matenda a Cushing. Mu chithunzi ichi cha chipatala, pakhala kuwonjezeka kwa shuga poyerekeza ndi kuchuluka kwa mahomoni m'magazi.
• Matenda a pancreatic. Mwachitsanzo, kapamba kapena mitundu ina ya chotupa yomwe imathandizira kuchepa kwa kuchuluka kwa insulin m'magazi, yomwe imawonetsedwa ndi zolephera mu njira ya metabolic.
• Mankhwala ena amasokoneza kuyamwa kwa glucose, chifukwa, shuga wamagazi amawonjezeka kwambiri. Mwachitsanzo, mankhwala a steroid, mapiritsi a mahomoni, mapiritsi oteteza kubala.
• Pathologies omwe amagwirizana ndi vuto la chiwindi, lomwe limasungira glycogen. Mwachitsanzo, matenda amitsempha, matenda a chiwindi ndi matenda ena.

Ngati matenda omwe ali pamwambawa atha kukhala omwe amachititsa kuti shuga azikula, ndiye kuti mpaka muzuwo utachotsedwa, shuga sangakhale wofanana.

Kenako, ngati kudumpha kotereku kumawonedwa mwa munthu wathanzi - ichi ndi chizindikiro chochokera m'thupi kuti ndi nthawi yoganizira za moyo wanu, kadyedwe, ntchito zolimbitsa thupi ndi zina zina.

Chakudya chopatsa thanzi shuga

M'mazithunzi ambiri azachipatala, matenda ashuga amtundu wa 2 amapezeka motsutsana ndi maziko onenepa kwambiri kapena kunenepa kwambiri pa gawo lililonse. Chifukwa chake, gawo loyamba la kusintha magazi m'magazi ndi kukonza menyu.

Zosankha ziyenera kuphatikiza zakudya zama carb zochepa zokha, poganizira zomwe zili m'mbale zopatsa mphamvu. Madokotala amati muyenera kuchepetsa thupi ndi ma kilogalamu 6, ndi njira yabwino - mwa 10% ya kulemera koyambirira. Nthawi yomweyo, chitani chilichonse chotheka kuti musanenenso kulemera kwambiri.

Momwe thupi la wodwalayo lili mkati moyenera, kuchuluka kwa mphamvu yazakudya zomwe zimadyedwa ziyenera kulumikizidwa ndi miyezo yolimbitsa thupi yomwe imaganizira zaka za munthu, kulemera kwake, zolimbitsa thupi.

Zakudya zotsatirazi siziyenera kuphatikizidwa kuchokera kumenyu ya odwala matenda ashuga:

1. Zinthu zomwe zimaphatikizapo mafuta ambiri: soseji, mayonesi, kirimu wowawasa, tchizi chamafuta, mkaka wapamwamba wa kalori.
2. Zakudya zomwe zimaphatikizapo mafuta a trans: margarine, mafuta a confectionery, kufalitsa (cholowa m'malo mwa batala), chakudya chofulumira.
3. Zinthu zomwe zimakhala ndi shuga wonenepa: koloko, kupanikizana, maswiti, caramel, makeke, makeke.

Ndikulimbikitsidwa kuti muphatikize mitundu yamafuta ochepa a nsomba ndi nyama, mazira a nkhuku (zosaposa zidutswa ziwiri patsiku), phwetekere, kabichi yamtundu uliwonse, sipinachi, nkhaka, letesi, masamba, nkhaka, maapulo, zipatso zosaphatikizidwa, nyemba zobiriwira, kaloti mumenyu yanu.

Njira yophika imachita mbali yofunika kwambiri. Makonda ayenera kuperekedwa kuwira m'madzi, kuwotcha, kutsatsa ndi kuwonjezera kwa madzi osati mafuta, kuphika mu uvuni.

Pofuna kupewa shuga wambiri m'magazi, wodwala matenda ashuga ayenera kudya zakudya zowafunikira tsiku lililonse, kugawa chakudya, kuwerengera chakudya, komanso kuganizira mndandanda wazakudya.

Ubwino wakuchita zolimbitsa thupi mu shuga

Zochita zolimbitsa thupi zimawoneka ngati gawo lofunika la mankhwala pochiza matenda amtundu wa 2. Chifukwa cha katundu wachilengedwe, zimatha kuwonjezera chiwopsezo cha maselo kupita ku insulin ya mahomoni, motero, kukana kwa insulin kumachepa.

Zachidziwikire, pali mankhwala omwe angakuthandizeni kuthana ndi ntchitoyi, mwachitsanzo, Glucofage. Komabe, zakhala zikutsimikiziridwa kale kuti ngati wodwala matenda ashuga akwaniritsa malingaliro onse omwe adokotala amakhudzana ndi zolimbitsa thupi, mutha kukana kumwa.

Kukana kwa insulin kumalumikizana pakati pa chiŵerengero cha minofu ndi mafuta omwe amakhala m'chiuno ndi pamimba. Ngati thupi lili ndi mafuta ochulukirapo motsutsana ndi kumbuyo kwa minofu yaying'ono, chidwi champhamvu chomwe chimapangitsa maselo kupita ku hormone chimawonedwa.

Zochita zotsatirazi ndizothandiza kwa odwala matenda ashuga:

• Cardio kulimbitsa thupi kumathandizira kuchepetsa shuga, kuchepetsa magazi, kuchepetsa chiopsezo cha kugunda kwa mtima, komanso kulimbitsa mtima. Izi ndi monga kupalasa njinga, kuthamanga pang'onopang'ono, kusambira.
• Kulimbitsa mphamvu: Kukweza thupi, kulimbitsa thupi.
• Yoga odwala matenda ashuga.

Tiyenera kukumbukira kuti ngati maphunziro a Cardio ali oyenera pafupifupi aliyense, ndiye kuti katundu wolemera kwambiri akhoza kukhala ndi zotsutsana. Chifukwa chake, masewerawa amakambidwa pazachithunzithunzi chilichonse payekhapayekha.

Zadziwika kuti kwenikweni miyezi iwiri yokhazikika pamasewera olimbitsa thupi amapereka zotsatira zodabwitsa: shuga imachepetsedwa, thanzi limasinthidwa, maziko am'maganizo amakhala osinthika, wodwala amakhala ndi mphamvu komanso nyonga.

Njira zotchuka zolimbana ndi shuga

Omwe ali ndi chithandizo chamankhwala amalimbikitsa kugwiritsa ntchito maphikidwe potengera mankhwala azitsamba ndi zosakaniza zachilengedwe zomwe zimachepetsa shuga ndikubwezeretsa zinthu polimbana ndi shuga.

Chiuno cha Rose mwachangu komanso moyenera matenda a shuga. Kukonzekera mankhwala opangidwa ndi Homemade, muyenera kutenga magalamu asanu a phokoso losweka mu ufa, kutsanulira theka la lita imodzi ya madzi otentha.

Ikani madzi osamba, kuwira kwa mphindi 20. Mukathira madzi onse mu thermos, onjezerani tsiku lina. Muyenera kumwa 100 ml kawiri patsiku mphindi makumi atatu musanadye.

Mkulu wamagazi akakhala magawo 19 kapena kuposerapo, maphikidwe otsatirawa angakuthandizeni:

1. Sakanizani muzu wa horseradish ndi mkaka wowawasa muyezo wa 1 mpaka 10. Tengani supuni imodzi katatu patsiku.
2. Decoction kutengera bay tsamba. Thirani mapepala 10 a 500 ml a madzi otentha, onjezerani kwa maola asanu, tengani 50 ml katatu patsiku.

Kuchita bwino kwa wowerengeka azitsamba sikukayika, koma nthawi zina amatha kutsutsana ndi chithandizo chomwe adokotala adalandira. Chifukwa chake, musanachite zithandizo zothandizira nokha, muyenera kufunsa dokotala.

Zithandizo za Folk zimachita bwino komanso pang'onopang'ono, kotero chithandizo chimatenga nthawi.

Koma chophatikizacho ndikuti sizivulaza thupi, musakhale ndi zotsatira zoyipa.

Momwe mungachepetse shuga msanga?

Monga tafotokozera pamwambapa, wowerengeka azitsamba amadziwika chifukwa chochepa pang'onopang'ono mafuta a shuga, chifukwa chake, ngakhale zimatha zomaliza, amagwira ntchito pang'onopang'ono.

Komabe, pali mankhwala wowerengeka omwe angathandize msanga kutulutsa shuga m'thupi la odwala matenda ashuga. Mwachitsanzo, anaphika anyezi. Mwina iyi ndi njira yachangu kwambiri komanso yothandiza kwambiri pokonza malo a hyperglycemic.

Anyezi ayenera kuphika mu uvuni ndi mankhusu. "Mlingo" woyamba umalimbikitsidwa kudya m'mawa musanadye, pambuyo pake nthawi iliyonse yamadzulo. Kuchuluka kwa zinthu zomwe zimagwiritsidwa ntchito patsiku sikokwanira.

Ndemanga ya odwala matenda ashuga akuwonetsa kuti chithandizo cha masiku 10 chimapereka zotsatira zabwino, zothandiza kuti osati kuchepetsa shuga mwachangu, komanso zimakhazikika pamlingo wofunikira.

Mitundu ina yothandiza:

• Amenya mazira atatu a zinziri, onjezerani mandimu amodzi. Imwani pamimba yopanda kanthu kwa masiku atatu. Pakatha sabata ndi theka, mankhwalawa amabwerezedwanso. Poyerekeza ndi maziko a chithandizo chotere, kutsika msanga kumawonedwa.
• Thirani supuni ya masamba owuma a mabulosi kuti akhale 250 ml, ofunda mumadzi osamba ola limodzi. Kulisefa, phwando limachitika mpaka kanayi pa tsiku mu 50 ml.

Shuga wofika mpaka mayunitsi 19, ndiwowopsa panjira yovuta kwambiri yomwe ingayambitse kuwonongeka kwa thanzi, imayambitsa matenda osiyanasiyana, olumala ngakhale kufa.

Lamulo lalikulu la odwala matenda ashuga ndikuwunika shuga wamagazi pafupipafupi, komanso kukhazikitsa zochitika zonse zofunika kuzikhazikitsa.

Zambiri pa hyperglycemia ndi njira zothetsera izi zidzafotokozedwa mu kanema munkhaniyi.

Mwazi wa Magazi 19 - Zimatanthauzanji

Odwala ambiri amakhulupirira kuti shuga ochulukirapo m'magazi, mwachitsanzo, 19.1-19.2 ndi apamwamba amalumikizidwa ndi kumwa kwambiri maswiti. Koma ichi ndi chimodzi mwazinthu zoyipa zomwe zimapangitsa kuchitika kwa hyperglycemia.

Makhalidwe azikula chifukwa cha:

• chakudya chopanda malire
• kusachita zolimbitsa thupi kapena kusapezeka kwathunthu,
• kuchuluka kwa zamaganizidwe,
• zizolowezi zoipa
• matenda okhudza kapamba,
• kumwa mankhwala, mwachitsanzo, njira zakulera za mahomoni, ma steroid, okodzetsa,
• matenda a chiwindi. Chifukwa cha kutulutsidwa kwambiri kwa glycogen, zomwe zimapangidwa ndi shuga zitha kuchuluka, chifukwa mwaulere zimagawika shuga ndi acetone,
• kusasamala kwa mahomoni,
• matenda endocrine.

Mitundu ya Hyperglycemic imakumana ndi azimayi nthawi ya kusintha thupi komanso amayi oyembekezera. Izi ndichifukwa chakusintha kowopsa m'maganizo a mahomoni. Kutulutsa mahomoni pakapita nthawi, kubereka kumachitika kapena kusamba kumatha, chizindikiritso cha kuchuluka kwa shuga m'magazi chidzafika pakuchulukanso.

Glucose ndi gawo lofunikira lomwe limapangitsa kuti thupi lizigwira ntchito bwino. Kukula pang'ono sikumabweretsa chiopsezo chachikulu, koma ngati maulalo apitilira zovomerezeka za 3.3-5,5 mmol / l ndipo ali magawo a 19.3-19.9 - iyi ndi alarm.

Zizindikiro zake zingasonyeze kulephera pama metabolic metabol:

• kumva ludzu losatha
• kukodza pafupipafupi (ngakhale usiku),
• mawonekedwe a khungu pakhungu,
• kuperewera kwa chizungulire, mseru, kusanza,
• kutsika kwamawonedwe owoneka,
• manjenje, kusakwiya, kugwetsa, kutaya mtima,
• kugona, kusowa mphamvu, ulesi,
• kamwa yowuma
• kutupa, kunenepa kwa miyendo,
• kuchiritsa kwamabala, mabala, kuvulala,
• lakuthwa lakuthwa kapena kuchepa kwa thupi.

Mutazindikira nokha mwa izi, muyenera kupimitsa magazi kuti mupeze kuchuluka kwa shuga kapena kugwiritsa ntchito glucometer yosunthika yomwe imakupatsani mwayi wofufuza popanda kuchoka kunyumba. Kukula kwa matenda ashuga, omwe nthawi zambiri amayambitsa hyperglycemia, amakhudza anthu:

• onenepa
• kumakhala moyo wongokhala.
• kumwa mowa wambiri ndi fodya,
• okalamba - okhudza matenda a shuga okalamba.

Ndiyenera kuchita mantha

Hyperglycemia yokhazikika yokhala ndi mayunitsi a 19.4 mpaka 19,8 ndipo pamwambapa imawoneka ngati njira yovuta kwambiri yomwe imapangitsa kuti pakhale zovuta zambiri. Owopsa kwambiri mwa iwo ndi ketoacidotic coma, yomwe nthawi zambiri imapha.

Popeza tazindikira chizindikiro cha kuledzera mu matenda ashuga, fungo la mkamwa ndi mkodzo, timafunikira kuyimbira ambulansi.

Nthawi zambiri zomwe zimayambitsa kuwonongeka kwa matenda ashuga, zomwe zimabweretsa kuchuluka kwa shuga m'magazi, mpaka malire a 19.5 ndi pamwamba, ndi:

• mochedwa kufunsa chithandizo chamankhwala ndikuzindikiritsa matendawa.
• mlingo wosankhidwa wa insulin ndi zolakwika zinagwiritsira ntchito mankhwalawa.
• ntchito pafupipafupi ndi odwala omwe ali ndi index yayikulu ya glycemic,
• uchidakwa
• matenda otupa
• opaleshoni kuchitapo kanthu.

Wodwala yemwe ali ndi shuga yofunikira m'magazi amafunika chithandizo cha odwala komanso kuyang'aniridwa ndi akatswiri. Panthawi imeneyi, akuwopsezedwa ndi kuchepa thupi kwakuthupi, komwe maselo aubongo amavutika kwambiri. Chifukwa chake, thandizo loyamba la ketoacidosis ndi kulowetsedwa kwa njira zamchere.

Mavuto ena a shuga ndi monga:

• odwala matenda ashuga, omwe magawo akumalo otsika amafa. M'madipatimenti awa, zomverera zimatayika, magazi amawasokoneza, khungu limapeza buluu, burgundy, mtundu wakuda,
• nephropathy, yodziwika ndi kuwonongeka kwa impso,
• retinopathy, momwe ziwiya za retina zimakhudzidwira.
• Zilonda zam'mimba zam'mimba ndizovuta zam'mimba zomwe sizichiritsa kwa nthawi yayitali, zimapatsa wodwala ululu komanso kusasangalala,
• hypoglycemia ndi matenda omwe amadziwika ndi shuga ochepa. Itha kukhala ndi mlingo olakwika wa insulin.

Matenda a shuga ndi omwe amachititsa matenda a oncological, atherosulinosis, matenda oopsa, stroke, ischemia.

Zoyenera kuchita ngati shuga ali pamwamba 19

Ngati mutazindikira kuti shuga ali ndi magawo 19, muyenera kudziwa zoyenera kuchita komanso momwe mungapewere zotsatira zowopsa. Zochita zina zimathandizira kukhazikika mtima kwa wodwalayo:

1. Choyamba, jakisoni wa insulin. Izi zimathandiza kuti pakhale zovuta komanso zovuta za hyperglycemia. Kenako, insulin yotalikilapo imayambitsidwa kuti muchepetse kuchuluka kwa shuga.
2. Kudumpha mumagazi a glucose nthawi zambiri kumachitika ndi mtundu wachiwiri wa matenda. Amalipidwa ndi chakudya chokhwima komanso mankhwala ochepetsa shuga.
3. Ngati matenda atapezeka kwa nthawi yoyamba, wodwalayo amalimbikitsidwa kuti adye komanso amupatse mankhwala omwe amasintha kapamba.
4. Ndi nkhawa yayikulu, shuga imatha kukwera mpaka malire. Pankhaniyi, othandizira amathandizira.
5. Anthu omwe sanamverepo insulin kale sayenera kudzipereka okha. Choyamba muyenera kufunsa dokotala ndikuwerengera.

M'tsogolomu, wodwalayo amayenera kupitiliza kulandira chithandizo. Mulinso mfundo izi:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

1. Mwapadera kupatula mafuta ndi chakudya chamagulu owonjezera m'zakudya. Amapezeka kwambiri m'maswiti, shuga woyengedwa, makeke, makeke, makeke, zinthu zophika, zinthu zophika, zakumwa zoziziritsa kukhosi, msuzi wokhazikika, chokoleti, komanso zakumwa zoledzeretsa.
2. Ngati simungathe kukana maswiti nthawi yomweyo, mutha kugwiritsa ntchito m'malo mwa shuga mutakambirana ndi dokotala wanu woyamba.
3. Zakudyazo zimayikidwa pang'onopang'ono, nthawi 5-6 patsiku m'magawo ang'onoang'ono.
4. Phatikizani zakudya zopatsa thanzi ku menyu.
5. Chepetsa mchere wambiri.
6. Chisamaliro chachikulu chimalipidwa kuzakudya zomwe zimachepetsa shuga mumagazi: parsley (ndi masamba ena), zukini, kabichi yamtundu uliwonse, Yerusalemu artichoke, anyezi, msuzi wa rosehip, ginger, sinamoni, mabulosi abwinoko - shuga wotsika magazi.
7. Ndi zizindikiro zapamwamba pang'ono kuposa zabwinobwino, mapiritsi ochepetsa shuga amasonyezedwa.

Ndi mtundu wodwala wa shuga omwe amadalira insulin, mankhwala a insulin amagwiritsidwa ntchito. Wodwalayo amauzidwa mwatsatanetsatane momwe angawerengere kuchuluka kwake, zomwe angachite ngati chiwopsezo cha shuga, momwe mungagwiritsire ntchito mankhwalawa.

Maphikidwe a anthu

Ndi chizindikiro cha magawo a 19.6-19.7, njira zamakadinala ziyenera kumwedwa. Akatswiri amathandizira kukhazikika pamkhalidwe wa wozunzidwayo ndikuwongolera thanzi lake. M'tsogolomu, chithandizo chamankhwala chitha kuphatikizidwa ndi njira zina. Koma mankhwala aliwonse omwe munthu angagwiritse ntchito ayenera kukambirana ndi dokotala.

Odziwika kwambiri awa ndi mankhwala otsitsa shuga:

• anyezi wosankhidwa ndi kutsanulira kapu yamadzi opanda kanthu. Kuumirira, popanda Kutentha, maola 2,5. Tengani katatu patsiku gawo limodzi mwa magawo atatu a magalasi musanadye chakudya chachikulu,
• Anyezi wophika wophikidwa pamimba yopanda kanthu umathandizira kutsika kwa glycemia.
• Supuni ziwiri zazikulu zamasamba ang'onoang'ono achikale zimayatsidwa chikho cha madzi otentha kwa theka la ola. Tengani katatu patsiku gawo limodzi mwa magawo atatu a magalasi musanadye,
• 1 makilogalamu a mandimu osasambulidwa amadutsa ndi chopukusira nyama. Pogaya 300 g wa parsley ndi 350 g wa adyo. Zosakaniza zonse zimasakanizidwa ndikuloledwa kuyimirira kwa tsiku limodzi. Tengani supuni yayikulu 3-4 nthawi / tsiku,
• Makapu 0,5 a mizu yophwanyika ya dandelion amalimbikira mu kapu yamadzi ofunda kwa maola osachepera 24. Tengani supuni yayikulu 3-4 nthawi / tsiku.

Njira zopewera

Pofuna kupewa kuchuluka kwa shuga m'magazi, akatswiri amalimbikitsa kuti malamulo atsatirawa:

• mumakayezetsa magazi pafupipafupi komanso kukayezetsa magazi,
• yang'anirani zakudya zanu,
• kusewera masewera, koma osati kugwira ntchito mopitirira muyeso,
• kukhala nthawi yokwanira panja.

Ngati mumvera malangizo osavuta awa, mutha kupewa hyperglycemia, ngakhale munthu atakhala pachiwopsezo chotenga matenda a shuga. Ngati zizindikiro za vuto la endocrine zadziwika kale, musachite mantha. Chachikulu ndikuyambitsa chithandizo munthawi yake ndikutsatira malangizo onse a endocrinologist.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Kuwonjezeka kwakukulu kwa ndende ya magazi kwa 19 mmol / l - zizindikiro, zotsatira, chithandizo

Odwala omwe ali ndi matenda osiyanasiyana a endocrine ali ndi chidwi ndi zoyenera kuchita ngati shuga ali ndi 19 mmol / l. Kuchuluka kwa glucose kwamtunduwu ndi umboni wa kusagwira bwino ntchito kwa ziwalo zambiri ndi machitidwe. Chofunika kwambiri ndikuti ngati munthu akudwala matenda a shuga, kapena alibe matendawa.

Ngati shuga akwera kamodzi, njira zina zitachepa ndipo mkhalidwe wa wodwalayo wabwerera mwakale, sizoyenera kunena za dziko la odwala. Muyenera kukhala atcheru kudwala.

Ndikofunika kuyang'anira kuchuluka kwa glucose kwa miyezi ingapo, koma chithandizo chokwanira sichofunikira.

Ngati kuchuluka kwa shuga kukwera, ndiye kuchepa, kumachitika pafupipafupi, muyenera kuyendera endocrinologist.

Ngati wodwala wapezeka kale ndi matenda a shuga, ndipo kuchuluka kwa glucose kukwera mpaka 19 mmol / l ngakhale motsutsana ndi maziko a zovuta zovuta zamankhwala komanso kusintha kwa zakudya, muyenera kufunsa dokotala wanu kapena kupita kuchipatala kuti mukamuwonjezere.

Mkhalidwe uwu ndiwowopsa ku thanzi, chifukwa ziwalo zamkati ndi kachitidwe zimavutika ndi zowonjezera zamafuta zomwe sizikonzedwa kapena kuwonongeka.

Mwazi wamagazi

Munthu aliyense ndi payekhapayekha, koma kuchuluka kwa shuga m'magazi kumayikidwa pamlingo wofanana kwa onse achikulire athanzi. Chizindikiro ichi sichayenera kupitilira 6 mmol / l. Mfundo ngati izi zimaganiziridwa kale. Miyeziyo ikafika pafupifupi 3, wodwalayo amakula ndi hypoglycemia, ndiko kuti, kuperewera kwa shuga. Panthawi imeneyi, matendawa amatha.

Kuwonjezeka kowopsa kwa kuchuluka kwa shuga m'magazi ndikuchepa kwambiri kwa chizindikirochi kumadzaza ndi zotsatirapo zoyipa.

Ambiri amati matenda ashuga ndi matenda obadwa nawo kapena amtundu womwe umayamba mwa ana ndi achinyamata mpaka zaka 25-30. Izi zikugwira ntchito pa matenda a shuga oyamba, koma pali mtundu wina womwe wapezeka.

Pangozi ndi:

• Anthu onse opitilira 50
• Achinyamata onenepa kwambiri
• Anthu omwe amakhala ndi moyo wopanda thanzi, samayang'anira kudya kwawo, amamwa mowa mopanda malire.

Nthawi zambiri, mtundu wachiwiri wa matenda ashuga umayamba chifukwa cha matenda ena akuluakulu. Zovuta zamapapozi zimakhala ndi zotsatirapo zake. Muyenera kuwunika zakudya kuti zitha kupewa matenda osachiritsika.

Mkulu aliyense amayenera kuwunika kuchuluka kwa shuga mu magazi kawiri pachaka podutsa mayeso osavuta mu labotale. Osanyalanyaza lamuloli.

Zimayambitsa spikes mu shuga

Pali zifukwa zingapo zomwe zimapangitsa kuti shuga azikhala pafupifupi 19:

• Kuphwanya zakudya zomwe mumadya - kugwiritsa ntchito "chakudya chambiri", mafuta, zonunkhira komanso zakudya zosuta.
• Kusokonezeka kwa chiwindi, komwe amasungidwa glycogen - chinthu chomwe, mwaulere, chimagawika mu glucose ndi acetone,
• Kulephera kwa kapamba - Chiwalochi chimatulutsa insulini, chomwe chimaphwanya shuga. Ngati insulin sikokwanira, shuga spikes amapezeka,
• Matenda enanso a endocrine,
• Moyo wopanda ntchito - mukamasewera masewera, zakudya zamafuta zimaphwanyidwa ndi mafuta chifukwa chakuchepa mphamvu kwakukulu. Ngati munthu ali ndi chizolowezi chomangokhala, mwayi wokhala ndi shuga ndiwokwera.

Kuyamwa magazi kumachitika pamimba yopanda kanthu. Ndikofunika kuti mukane maswiti, mkate Woyera, masikono, masikono, mbatata ndi nthochi usiku woti mukonzekere. Ngati mumatsatira malamulo onsewa, kuwunikira ndikulondola. Kupatula zolakwika zasayansi, kafukufukuyu amachitidwanso.

Zizindikiro zazikulu

Shuga wapamwamba chotere samapezeka mwangozi. Nthawi zambiri, odwala amatembenukira kwa akatswiri owerengeka omwe ali ndi mndandanda wambiri wamadandaulo. Dokotala amachita mayeso, amasankha maphunziro owonjezera.

Mawonetsero otsatirawa ayenera kukuchenjezani:

1. Pakamwa pokhazikika pouma
2. Kuchepetsa chidwi
3. Ludzu lalikulu,
4. Kuchepetsa thupi mwadzidzidzi kapena phindu lake lalikulu,
5. Kufooka nthawi zonse, kugona,
6. Kusinthasintha kwakukuru, kupanda chidwi, kuyamwa.

Pitani ku endocrinologist wabwino yemwe amagwira ntchito pochiza matenda ashuga. Katswiri wokhazikika yemwe ali ndi mbiri yopapatiza ndi yomwe angapangitse kuzindikira koyenera. Afunsira mwatsatanetsatane za zonse zomwe akuwonetsa, momwe akuwonekera, ngakhale wodwalayo samva bwino.

Kutengera ndi zomwe zalandira ndi zotsatira za mayeso oyamba, malingaliro atha kufotokozedwa pokhudzana ndi chitukuko cha matenda osokoneza bongo komanso boma la odwala matenda ashuga.

Mankhwala othandizira

Pofuna kuchepetsa kuchuluka kwa shuga kuchokera ku 19 mmol / L kukhala kwabwinobwino mwa odwala omwe ali ndi matenda a 1 shuga, jakisoni wa insulin amaperekedwa. Hormone iyi imapanga shuga, imaphwanya, koma mwa odwala siipangidwa mwachilengedwe.

Choyamba, jakisoni wa ultrashort insulin umaperekedwa. Njira zoterezi zimathandiza wodwala kukhazikika mkati mwa mphindi zochepa. Kenako, insulin yokhala ndi nthawi yayitali imabayidwa, chifukwa shuga amasiya kutuluka.

Ngati kulumikizana kowopsa mu kuchuluka kwa shuga m'thupi kumachitika mwa anthu omwe ali ndi matenda a shuga a 2 omwe samamwa insulin, kuwongolera vutoli kumachitika pogwiritsa ntchito zakudya zopatsa thanzi.

Zakudya zamafuta ochepa zimabwezeretsa momwe wodwalayo alili. Muyenera kutsatira zakudya zabwino moyo wanu wonse, koma ndi njira yoyenera, glucose sadzakula.

Ngati kudumpha kwa shuga kumachitika mwa munthu yemwe samadwala matenda a endocrine konse, amamuyika pakudya chamagulu, kupereka mankhwala omwe amabwezeretsa pancreatic ntchito.

Kupsinjika mwamphamvu kumatha kupangitsa kuchuluka kwa shuga. Ngati mwakumana ndi zovuta zaposachedwa, izi zakhudza thanzi lanu. Kutenga zinthu zofunikira m'tsogolo muno kumathandiza kuposa njira zina.

Matenda a shuga

Njira Zomwe Mungatengere Kukulitsa Mkulu Wazopanga Magazi - White Clinic

Magazi a shuga pakati pa 200 mg / dL ndi 350 mg / dL (11.1-19.4 mmol / L)

Ngati muli ndi matenda ashuga komanso kuchuluka kwa shuga m'magazi anu ndi 200-350 mg / dl (milligram pa desilita) kapena 11.1-19.4 mmol / l, tsatirani malangizowo.

• Ngati mwaphonya mtundu wa insulin kapena mapiritsi anu odwala matenda a shuga, imwani mankhwalawo.
• Ngati inu ndi dokotala mwasankha mtundu wa insulin yolimbikira mwachangu malinga ndi kuchuluka kwa shuga, mulowe nokha. Mukalandira insulini ndipo inu ndi dokotala simunatengeko kachilombo kakang'ono ka insulin, itanani dokotala wanu kuti mumupatse upangiri.
• Imwani madzi owonjezera kuti mupange kutayika kwake ndi mkodzo. Pewani zakumwa zokhala ndi khofi kapena mowa. Komanso muzipewa koloko, zakumwa za zipatso, ndi zakumwa zina za shuga.
• Ngati dokotala wakukulangizani, yesani mkodzo wanu kuti mupeze matupi a ketone mmenemo. Ngati zotsatira za kusanthula zikuwonetsa kuti mkodzo wanu uli ndi matupi apakati kapena ambiri a ketone, itanani dokotala wanu ndikupempha malangizo.
• Yembekezerani mphindi 30 mutatha kupereka insulin yowonjezera kapena kumwa mankhwala omwe mwasowa.
• Onaninso shuga yanu yamagazi.
• Ngati mukukhala ndi shuga wambiri kapena ngati shuga wanu wamagazi akupitilira kukwera, pitani kwa dokotala.

Magazi a shuga kuposa 350mg / dl (19.4mmol / L)

Tsatirani malangizowa ngati shuga lanu lamwazi likukwera moyenerera (pamwambapa 350mg / dl kapena 19.4mmol / l).

• Ngati mwaphonya mtundu wa insulin kapena mapiritsi anu odwala matenda a shuga, imwani mankhwalawo.
• Ngati inu ndi dokotala mwasankha mtundu wa insulin yolimbikira mwachangu malinga ndi kuchuluka kwa shuga, mulowe nokha. Mukalandira insulini ndipo inu ndi dokotala simunatengeko kachilombo kakang'ono ka insulin, itanani dokotala wanu kuti mumupatse upangiri.
• Imwani madzi owonjezera kuti mupange kutayika kwake ndi mkodzo. Ndikofunika kumwa madzi opanda zakumwa za shuga ndi zakumwa zina. Pewani zakumwa zokhala ndi khofi kapena mowa. Komanso muzipewa koloko, zakumwa za zipatso, ndi zakumwa zina za shuga.
• Ngati dokotala wakukulangizani, yesani mkodzo wanu kuti mupeze matupi a ketone mmenemo. Ngati zotsatira za kusanthula zikuwonetsa kuti mkodzo wanu uli ndi matupi apakati kapena ambiri a ketone, itanani dokotala wanu ndikupempha malangizo.
• Yembekezerani mphindi 30 mutatha kupereka insulin yowonjezera kapena kumwa mankhwala omwe mwasowa.
• Onaninso shuga yanu yamagazi.
• Mukayamba kugona, kusokonezeka, kapena magazi anu akupitilizabe, Imbani 103 kapena dipatimenti ina yodzidzimutsa nthawi yomweyo. Ngati kuchuluka kwa shuga m'magazi anu ndikokwezeka, ndibwino kuti wina wina akhale pafupi kuti munthu uyu, ngati kuli kotheka, angayimbe m'malo mwanu.

Mwazi wamagazi wopitilira 600mg / dl (33.3mmol / L)

Tsatirani malangizowa ngati magazi anu ali okwera kwambiri (pamwamba pa 600mg / dl kapena 33.3mmol / l).

• Yang'anani shuga yanu yamagazi.
• Ngati mita yanu ndi yokwera, yang'anani kulondola kwa chipangizocho ndikuyang'ana shuga wanu m'magazi awiri.
• Ngati magazi anu m'magazi akukulanso, Imbani 103 kapena dipatimenti ina yodzidzimutsa nthawi yomweyo. Ngati kuchuluka kwa shuga m'magazi anu ndikokwezeka, ndibwino kuti wina wina akhale pafupi kuti munthu uyu, ngati kuli kotheka, angayimbe m'malo mwanu.

Chianikuchitapambuyomagawokuchulukamulingoshugamagazi

Magazi anu akayamba kuchuluka kwa shuga abwinobwino, pitilizani kumwa mankhwala anu monga adalangizidwa ndi dokotala, onani kuchuluka kwa shuga mumagazi anuwo ndikuwuzani dokotala za zomwe zimachitika ndi shuga wambiri.

Imwani madzi owonjezera kuti mupange kutayika kwake ndi mkodzo. Ndikofunika kumwa madzi opanda zakumwa za shuga ndi zakumwa zina. Pewani zakumwa zokhala ndi khofi kapena mowa.

Nkhani yoyambirira.

Alangizi anga okondedwa, ndili ndi SHOCK, amayi anga ali ndi shuga m'magazi - 25, choti achite, mas

Amayi adayitana, onse atadzidzimuka, adayezetsa magazi, adawonetsa shuga - 25, pamlingo wa 5.

Ndidathamangira kuwerenga intaneti, koma pali zambiri, ndidamva china chake chokhudza insulin ndi zonsezo, koma ndikumvetsetsa kuti chilichonse ndichofunika, choti ndichite, komwe ndingayende, kupumula, sinditha kugona.

Ndimakonda Sovetchitsa, pali china chake nthawi zonse choti muwerenge, ndipo nonse mumayankha kwambiri, pali yankho la funso lililonse, ndipo lero ndili ndi funso kwa inu, ndikudziwa kuti simudzasiya mayankho. Tithokoze chifukwa cha malangizowo. Ndi thanzi lonse. Ndimakukondani.

Okutobala 24 ku 00:35

Olemba okha olembetsa angayankhe pamitu pa Mwini. Lowetsani tsopano. ndipo ngati mwalembetsedwa kale - lowani

Malingaliro omwe afotokozedwa pamutuwu amapereka malingaliro a olemba ndipo samawonetsa udindo wa oyang'anira.

Zoyenera kuchita ngati shuga m'magazi ndi magawo 20?

Pakadali pano, anthu ambiri amadwala matenda ashuga. Kuphatikiza apo, pali anthu omwe ali ndi kuthamanga kwa magazi chifukwa cha kunenepa kwambiri m'thupi kapena kunenepa kwambiri. Mwamwayi, anthu amadziwa njira ndi njira zothetsera matendawo.

Monga lamulo, mankhwala achikhalidwe amagwiritsidwa ntchito pochiza matenda omwe ali pamwambapa, monga: chithandizo cha mankhwala, mitundu yonse ya njira. Tsoka ilo, njira iyi yothandizira matendawa imangoyambitsa matenda kapena kufooketsa matendawa.

Mwachilengedwe, aliyense amafuna kuchiritsidwa kwathunthu ndikukhala ndi moyo wathanzi, wokwaniritsa.

Ichi ndichifukwa chake muyenera kupatsa zakudya zabwino komanso zopatsa thanzi, chifukwa nthawi zambiri, zovuta zomwe zimafunidwa zimayambika chifukwa cha kusowa kwa chakudya, kunyalanyaza kwathunthu kwa zomwe zikuwonetsa kukakamizidwa, shuga.

Momwe amasinthira shuga magazi?

Ndiye muyenera kuchita chiyani ngati shuga ndimagawo 20? Funso ili ndi losavuta kuyankha, chifukwa choyambirira komanso chofunikira kwambiri # 8212 ndi kuperewera kwa zakudya m'thupi.

Ngati mukugonjetsedwa ndi matenda a shuga, kapena ngati miyeso yawonetsa kuti shuga ya magazi yafika pamlingo wovuta, muyenera kuiwongoletsa ngati yokhazikika. Kodi angachite bwanji? Yankho ndilosasiyana: sinthani ku chakudya chamafuta ochepa.

Kupanda kutero, palibe zakudya zopatsa thanzi, mwatsoka, zingathandize, koma zimatenga nthawi.

Ngati shuga wamwazi ndi wamkulu kuposa kapena wolingana ndi magulu makumi awiri ndi amodzi # 8212, iyi ndi belu loyamba ponena za ngozi yomwe ikubwera. Pankhaniyi, muyenera kungoonana ndi dokotala ndikuyamba kulandira chithandizo mwachangu.

Dokotala wopezekapo amakonda kupereka mankhwala komanso zakudya zowonjezera, zomwe, zimapangitsanso shuga wamagazi pamlingo wa 5.3-6.0 mmol / L.

Zizindikiro zotere za kuchuluka kwa shuga ndizabwinobwino mwa anthu athanzi labwino, zomwe zikutanthauza kuti mutha kukhala m'gulu lino.

Chifukwa cha zakudya zama carb ochepa, mtundu uliwonse wa matenda ashuga umatha kuchiritsidwa, zivute zitani. Tiyeneranso kudziwa kuti zotsatira za zakudya zoterezi zikuwoneka kale patsiku lachiwiri kapena lachitatu. Chifukwa chake, simungamangotukuka thupi lonse, komanso kupewa zovuta zilizonse zomwe zimayambitsa matenda ashuga.

Ambiri amalangiza kuti asamakhulupirire zambiri zamitundu iliyonse zokhudzana ndi zakudya zamagulu a shuga. Pankhaniyi, muyenera kugula glucometer ndikupanga kusankha payekha pazakudya zinazake. Tiyenera kukumbukira kuti simudzaphwanya zabwino zamtundu uliwonse, chifukwa chakudya chamagulu chimatha kukhala osiyanasiyana, chopatsa thanzi, chokoma komanso chopatsa thanzi.

Endocrinologist Vladimir Pankiv: "Kuchuluka kwa shuga m'magazi kumawononga thupi, kuwononga ..

Dokotala anati: “Muli ndi shuga yayikulu magazi. Mawu a katswiri kwa anthu ambiri amamveka mosayembekezereka. Munthuyo amapatsanso kusanthulako, ndipo zotsatira zake zimatsimikiziridwa. Matenda a shuga akapezeka, moyo umasintha. Tiyenera kuganizira za momwe tisamadye kwambiri, osayiwala kumwa mapiritsi omwe amachepetsa shuga, kapena kubayirira insulin.

Chifukwa chiyani matenda ashuga amapezeka? Kodi ndingasinthe mapiritsi ndi zitsamba? Chifukwa chiyani kunenepa kwambiri kuli koopsa? Kodi wodwala matenda ashuga amasamalira bwanji miyendo yake? Mayankho a mafunso awa ndi enanso a owerenga athu pamzere wodziwika wa ZINTHU ZOLondola Mutu wa Dipatimenti Yoteteza Matenda, Chiyukireniya cha Sayansi Yothandiza ndi Chiwonetsero cha Endocrine Opaleshoni, Kuthana kwa Endocrine Organs ndi Matipi a Ministry of Health of Ukraine Doctor of Medical Science, Pulofesa Vladimir Pankiv.

- Moni, Vladimir Ivanovich! Dzina langa ndine Nina, ndili ndi zaka 38. Amayi anga ali ndi matenda ashuga. Kodi ndingadwale?

-Ndizosatheka kupatula mwayi wotere. Munthu aliyense wachisanu ali ndi jini ya matenda ashuga, omwe amayambitsa chitukuko cha matendawa. Koma ngakhale matendawa amawonekera zimatengera zifukwa zina.

Matenda a shuga amawopseza omwe ali onenepa kwambiri komanso kuthamanga kwa magazi, matenda a kapamba, chikhodzodzo, ndipo nthawi zambiri amakhala opsinjika. Mtundu wa shuga wa makolo ulinso ndi vuto.

Ngati mayi ndi bambo ali ndi matenda a shuga a mtundu woyamba, omwe amafunika insulin, mwana ali ndi mwayi 50 wodwala. Pankhani ya kudwala kwa m'modzi wa makolo, ngozi zake zimakhala pafupifupi zisanu.

Matenda a 2 a shuga, pomwe thupi limataya chidwi ndi insulin, timabadwa kawirikawiri. Kuphatikiza apo, madotolo tsopano akuwona chizolowezi chobwezeretsanso shuga. Mwachitsanzo, agogo adadwala ali ndi zaka 70, mwana wawo wamkazi ali ndi zaka 40, ndipo mdzukulu wake ali ndi zaka 14-18 kudwala matenda ashuga akulu amtundu woyamba. Milandu ngati imeneyi siili yapadera.

- Mzere wowongoka? Awa ndi Anna Alexandrovna, mzinda wa Zhytomyr. Ndiuzeni, kodi mukudwala matenda a shuga?

- M'zaka zoyambirira, matendawa amatuluka osadziwika. Muyenera kuyang'anira kusintha kulikonse paumoyo wanu. Mwa anthu ena, masomphenya amakhala ndi vuto, ena amakhala ndi mafinya pakhungu, ena amakhala ndi ululu m'miyendo (popuma kapena usiku).

Wina wavutitsa stomatitis, wina amadandaula mavuto ndi impso kapena chikhodzodzo. Anthu samakayikira kuti zovutazi zimachitika chifukwa cha matenda ashuga. Chifukwa chake, kuyambira zaka 35, muyenera kuyang'ana shuga wamagazi anu chaka chilichonse.

Ngati chizindikiro ichi chikuwonjezereka, ndikofunikira kuyang'ana zotsatira ndikudutsa kuyezetsa magazi. Muyenera kuti mupitirize maphunziro ena. Choyamba, kuti azindikire kuchuluka kwa insulin yawo (kuchuluka kwake kumawonetsa kuchepa kwamphamvu kwa thupi ku mahomoni - kukana kwa insulin).

Kachiwiri, onani hemoglobin wa glycosylated, amene amawonetsa kuchuluka kwa shuga m'miyezi itatu yapitayo. Nthawi zambiri, kufufuza kumawonetsa kuti munthu amakhala ndi shuga wambiri kwa nthawi yayitali. Imavulaza mitsempha yamagazi, chiwindi, impso, mawonekedwe amaso. Mtundu wa poizoni wakuthupi umachitika.

Glucose sasinthika kukhala mphamvu yaubongo, chiwindi, minofu, koma imadutsa thupi kupita kokayenda ndipo imatsitsidwa ndi impso.

- "ZOONA"? Irina Igorevna wochokera ku Kiev ali ndi nkhawa. Ndi shuga uti yemwe amawonongera mitsempha yambiri?

- Mtundu uliwonse wa matenda ashuga ndi owopsa. Palibenso kuvomereza pazomwe matenda amitsempha yamagazi ali. Madokotala ena amawaona ngati vuto la matenda ashuga, ena - amodzi mwa mawonetseredwe a matenda ashuga. Mulimonsemo, ndi matenda amtundu wa 1 shuga, zotengera zazing'ono - capillaries - zimakhudzidwa kwambiri.

Chifukwa cha shuga wambiri, zowonongeka m'mitsempha ya m'maso zimachitika, zomwe zimapangitsa khungu, komanso mitsempha yamagazi ya impso, yomwe imakhala yodzala ndi kukula kwa impso.

Miyendo imakhudzanso nthawi zambiri, chifukwa cha kuwonongeka kwa ziwiya zazing'ono komanso zazikulu, mitsempha, matenda ammimba am'mimba amayamba. Mtundu wachiwiri wa matenda ashuga, ziwiya zazikulu zimavutikanso.

Magazi okoma amayambitsa matenda a mtima, omwe angayambitse matenda a mtima kapena sitiroko akadali aang'ono. Matendawa ndiofala kwambiri m'matenda a shuga kuposa anzawo athanzi.

- Valentina Vasilievna akuyimba kuchokera ku mzinda wa Kirovograd. Ndili ndi kuwonjezeka pang'ono kwa shuga - mpaka mamiliyoni asanu ndi awiri mpaka asanu ndi atatu pa lita imodzi. Kodi ingathe kuchepetsedwa ndi kupanga zitsamba?

- Ndikuganiza kuti mankhwala azitsamba azitha kukhala othandiza. Kapangidwe ka mabuliberi ndi tiyi kuchokera ku zitsamba zomwe zimasonkhanitsidwa kumapiri a Carpathians zimathandiza bwino. Koma sayenera kumwedwa kwa miyezi yambiri. Pali ovomerezeka a mankhwala azitsamba: amamwa kusonkha kwake kwa masiku 20, ndipo maphunziro enawo amabwerezedwa pambuyo pa miyezi itatu kapena inayi. Komabe, kugwiritsa ntchito mankhwala azitsamba si vuto.

Zitsamba sizingathe kuchiritsa matenda ashuga omwe ayamba kale. Inde, pamakhala kuwonjezeka kwakanthaŵi kwa shuga m'magazi chifukwa cha kupsinjika kapena kunenepa kwambiri, koma zizindikirazo zimabwereranso mwakale munthu akachepetsa, kuchepetsa thupi. Komabe, matenda ashuga samatha.

Njira yamatendawa imatha kutha, koma ndikofunikira kuti mukhale wamanjenje kapena kuswa chakudya, momwe shuga amatulukiranso.

- Uyu ndi Larisa Nikolaevna waku Shostka, dera la Sumy. Mwamuna wanga wakhala akudwala matenda ashuga a 2 kwa zaka zingapo. Amamwa mapiritsi ochepetsa shuga. Tinagula glucometer, ndipo shuga amwamuna wanga ndi mamilimita 11-12 pa lita. Sindingamupange kuti apite kwa dokotala kuti akasinthe mankhwala ...

- Shuga sayenera kupitirira magawo asanu ndi awiri m'mawa. Ndikofunikira kukaonana ndi endocrinologist kuti muyesedwe. Ndikuganiza kuti mwamuna wanu ayenera kudziwa kuchuluka kwa insulini (yogwiritsira ntchito). Kutengera zotsatira zake, adotolo amasankha chithandizo champhamvu.

- Kodi ndingapite kukapumira?

- Inde, bwino ku Truskavets kapena ma sanatoriums a Transcarpathia. Mutha kupita ku Mirgorod, dera la Poltava. Mwa njira, pali Sukulu ya Matenda a shuga mu Birch Guy sanatorium omwe amathandizira pa matenda a endocrine. Chithandizo cha anthu odwala matenda ashuga chidzakhala chothandiza m'guluv (dera la Khmelnitsky), Nemirov (dera la Vinnytsia).

"Shuga yanga imandivutitsanso - milion eyiti pa lita."

- Ngati shuga adakwera kamodzi, si shuga. Mwina ndinu wamanjenje kapena mudadya china chake. Koma pomwe kuchuluka kwa shuga kudali kawiri mpaka katatu, mukuyenera kudziwa dokotala kuti akupatseni mankhwala.

- Moni! Mukuda nkhawa ndi Inna Leonidovna, waku Kiev. Ndimakondwera ndi funso ngati ili. Munthu amamwa mapiritsi, koma matendawo amapita patsogolo. Mwina ndi nthawi yoti mupeze insulin?

- Kufunika kwa insulin mu mtundu 2 wa matenda ashuga kumachitika ngati zomwe zachitika ndi matendawa ndi zaka 15 kapena kuposerapo. Mpaka 40% ya odwala awa ku US ali pa insulin. Ku Ukraine, khumi peresenti amatenga mahomoni. Ndipo odwala matenda ashuga okha kapena asanu ndi mmodzi aliyense amakwaniritsa madokotala onse ndipo amawongolera matendawa.

Ena onse amakhala m'malo obwera chifukwa cha matenda ashuga. Munthu amagwiritsa ntchito mankhwala omwe adamulembera zaka ziwiri kapena zitatu zapitazo. Koma matenda ashuga akupita patsogolo chaka chilichonse, ndipo ndikofunikira kuwonjezera kuchuluka kwa mankhwalawa kapena kusankha othandiza kwambiri. Ndikofunikanso kuchiza matenda oopsa, kuwongolera kuchuluka kwa cholesterol, triglycerides m'magazi.

Inde, poyerekeza ndi kuthamanga kwa magazi kapena cholesterol yowonjezera, chithandizo cha matenda a shuga sichitha.

- Tamara Vasilievna, mzinda wa Malaya Viska, dera la Kirovograd. Ndakhala ndikumwa mapiritsi pafupifupi zaka ziwiri tsopano. Mu mkodzo, shuga amachokera ku mamiliyoni 40 mpaka 20, m'magazi kwambiri anali 11.5 ...

- Mumalemera zochuluka motani?

- Kupitilira ma kilogalamu zana, kupatula apo, ndimadwala matenda oopsa.

- Choyamba, muyenera kuchepa thupi. Mwa munthu wathunthu, kapamba amagwira ntchito ndi katundu wowonjezereka. Minofu ya Adipose (makamaka mafuta am'mimba m'chiuno) imatulutsa mahomoni olimba kwambiri omwe amasokoneza zochitika za insulin, monga leptin.

Chepetsa zakudya zanu za tsiku ndi tsiku osachepera 1600 kilocalories patsiku. Chakudya cham'mawa chizikhala 30 peresenti ya chakudya. Ndikofunika kuti mudye koyambirira - 13 koloko. Kudya kwamkati kumafunika pa 15:30. Chakudya chamadzulo chikuyenera kukhala chochepa. Pamsonkano la akatswiri a matenda ashuga ku Europe, lomwe lidachitika mu Seputembu ku Barcelona, ​​adatsimikiza kuti ndizakudya zomwe zimakhazikitsa shuga.

Muyeneranso kusunthira zina. Mwachitsanzo, patsiku, ndikofunikira kuyenda mpaka makilomita asanu. Kuphatikiza apo, muyenera kuyesa kupewa kupsinjika ndikugona kwa maola osachepera asanu ndi atatu, chifukwa kusowa tulo kumathandizira kukulitsa komanso kupititsa patsogolo kwa matenda a shuga a 2.

Pankhani ya chithandizo, mungafunikire kuwonjezera kuchuluka kwa mapiritsi kapena kunyamula atsopano.

Tsopano pali mankhwala pafupifupi 200 a matenda ashuga, ndipo katswiri amawalemba, atapatsidwa mphamvu ya shuga, komanso cholesterol.

Ngati mukufuna, mutha kubwera ku zokambirana zathu ku Kiev, ku endocrinology Center (Klovsky fuko, 13a). Telefoni Foni - 0 (44) 253−66−28. Ndimalola Lachiwiri, kuyambira 9,00 mpaka 15.00.

- Irina Evgenievna akuimba kuchokera ku Kiev. Mwanjira ina, pamaso panga, wogwira ntchito sanathe kuzindikira. Zidapezeka kuti adayamba kudwala matendawa. Kodi mutha kudziwa kuti uku ndikusokosera ndikuthandizira munthu, mwachitsanzo, kumupatsa maswiti?

- Palibe amene angatetezedwe ku matenda othamanga kwambiri a shuga (hypoglycemia) mu mtundu 1 wa shuga.

Hypoglycemia imachitika ngati wodwala yemwe akumamwa insulin amamwa mowa, adya chakudya chosakwanira, ndipo akuchita masewera olimbitsa thupi molimbika.

Khalidwe la munthu amene wagundika m'thupi limafanana ndi kuledzera.Zinkachitika kuti odwala otere adatengedwa kupita nawo kumalo ogulitsira matenda, ndipo anthu kumeneko adamwalira ndi hypoglycemia.

Kuti muchepetse chiwopsezo, wodwala matenda ashuga ayenera kudyetsedwa pafupipafupi ndipo nthawi zonse azisunga china chake chokoma. Chovuta ndikuti pakapita nthawi, wodwalayo amatha kuzimitsa nthawi yomweyo. Thandizo loyamba - perekani china chake chokoma: maswiti, makeke, uchi, chakumwa.

- Igor akuyitanitsa, mzinda wa Kiev. Kodi odwala matenda ashuga amatha kuchita masewera?

- Zachidziwikire. Tsopano, Ministry of Health of Ukraine ikukonza mapulani othandizira odwala omwe ali ndi matenda ashuga a mtundu woyamba. Imagogomezera kufunika kwamasewera.

Koma ngati shuga wamagazi aposa mamililita 15 pa lita, masewera olimbitsa thupi ndi osavomerezeka. Choyamba muyenera kukhazikika pamlingo wake.

Mutu wachiwiri: kalasi isanayambe, muyenera kudya china chake, chifukwa shuga amadyedwa panthawi yolimbitsa thupi.

Mtundu wachiwiri wa matenda ashuga, ndikofunikira kumwa mankhwala olimbitsa thupi. Anthu ambiri amakhala ndi matenda oopsa, matenda a lipid metabolism, kunenepa kwambiri, kulephera kwa mtima, komanso kuchita masewera olimbitsa thupi mopitirira muyeso kumatha kukhala ndi thanzi labwino, kumayambitsa zovuta. Chifukwa chake, ndikwabwino kuyambitsa makalasi ndikuyenda: pa liwiro loyenera, kusuntha ola limodzi m'mawa ndi madzulo.

- Ndi masewera amtundu wanji omwe ali oyenera kwambiri kwa odwala matenda ashuga?

- Ndikupangira kusambira: imakwaniritsa bwino magulu onse a minofu. Kuphatikiza pa kuyenda kwamasewera, mutha kuchita masewera olimbitsa thupi, kulimbitsa thupi, tenisi, gofu ... Katundu wa masewera azikhala osangalatsa. Musanayambe masewera olimbitsa thupi pafupipafupi, muyenera kupanga mtima, chifukwa kulowetsedwa kwa shuga m'mimba kumatha kukhala asymptomatic.

- Awa ndi Ekaterina Andreevna waku mzinda wa Khmelnitsky. Mwamuna wanga ali ndi matenda ashuga a 2. Nthawi zambiri owonda miyendo, ngakhale pakupuma, chidwi cha zala chimachepa. Amadziwika ndi matenda a shuga. Kusamalira mapazi anu?

- Kuwonongeka kwa mitsempha, kotchedwa diabetesic neuropathy, kumachitika m'mitundu yambiri ya odwala matenda ashuga. Ndikwabwino kwa wodwalayo kuti asayende opanda nsapato, chifukwa samva kuti waika chotsekera kapena cholocha msana.

Chifukwa chakuchulukirachulukira kwa matendawa, chilondacho chikuthandizira, kuchira bwino, ndipo khungu limayamba. Panali milandu pomwe wodwala ankakonza denga ndikumayenda wopanda nsapato pamalo otentha.

Zotsatira zake, adawotcha miyendo, omwe amayenera kulandira chithandizo kwa miyezi ingapo. Odwala ngati amenewo samva kuzizira.

Misomali ya Ingrown imapereka zovuta zambiri kwa odwala matenda ashuga. Duleni bwino kuti asayambitse matenda. Mavuto onse ayenera kuyendetsedwa ku maofesi apadera a phazi la matenda ashuga. Ali m'malo onse azigawo, zipatala zamakampani ofufuza ku Kiev, Kharkov.

- Kodi mumatha kusamba maphazi kunyumba?

- Inde, m'mawa komanso madzulo phazi losamba ndi turpentine, mankhwala opangira zitsamba ndi othandiza. Mapazi sayenera kutikiridwa ndi thaulo, koma modekha. Nsapato ziyenera kusankhidwa mosamala. Iyenera kukhala yabwino kuti pasakhale ma scuffs, chimanga, calluses.

Yakonzedwa ndi Natalia SANDROVICH, "ZOONA"

Hyperglycemia mu shuga. Zoyenera kuchita ngati shuga atachoka pamulingo?

Home Endocrinology Hyperglycemia mu shuga. Zoyenera kuchita ngati shuga atachoka pamulingo?

Anthu omwe ali ndi matenda ashuga amayenera kugwira ntchito molimbika kuti asakhale ndi shuga. Mkulu kwambiri shuga amatsogolera ku hyperglycemia, yomwe imatha kubweretsa zovuta m'moyo. Momwe mungadziwire zizindikiro zoyambirira za hyperglycemia ndi momwe mungayankhire?

Matenda A shuga

Mwa anthu athanzi, misempha ya shuga m'magazi nthawi zambiri imakhala yamagulu a 3.5-6.1 mmol / L. Amatha "kupuma" ndikatha kudya mpaka 8 mmol / L. Koma zikondamoyo zimayankha munthawi yake ndi gawo lowonjezera la insulin, ndipo shuga yabwinobwino yamwazi imabwezeretseka.

Koma mwa anthu omwe ali ndi matenda ashuga, kapamba mwina sangatulutse insulini (ya mtundu 1 wa matenda ashuga), kapenanso kuti sanapangidwe mokwanira (mtundu 2 wa shuga). Chifukwa chake, shuga m'magazi a shuga ndiwabwinobwino.

Ndi matendawa, mitundu iwiri ya hyperglycemia imatha kukhala:

• Kuthamanga kwa hyperglycemia - mulingo wa shuga m'magazi umaposa 7.2 mmol / L. Zimayamba ngati wodwalayo sanadye chilichonse kwa maola 8 kapena kuposerapo.
• Postprandial hyperglycemia - shuga msanga kuposa 10 mmol / l. Amayamba kudya.

Zotsatira za hyperglycemia pafupipafupi kapena kwanthawi yayitali zimawononga mitsempha, mitsempha yamagazi, komanso ziwalo zamkati. Koma izi sizoyipa kwambiri. Mafuta ochulukirapo a magazi amatha kutsogolera ku ketoacidosis (ngati munthu ali ndi matenda a shuga 1 kapena hyperosomolar coma (a matenda a shuga a 2). Izi zimafuna chithandizo chamankhwala mwachangu.

Zizindikiro zoyambirira za hyperglycemia

Zizindikiro zoyambirira za hyperglycemia mwa anthu omwe ali ndi matenda ashuga ndi:

• Udzu wokhazikika. Munthu akhoza kumwa malita asanu ndi limodzi amadzi pa tsiku
• Kuyamwa mwachangu chifukwa chomwa kwambiri
• Zofooka zonse
• Mutu wosakhalitsa
• Khungu loyera
• Pakamwa pakamwa
• Kuchepetsa maonedwe owoneka
• Kukhumudwitsa
• Kuphwanya kwam'mimba chakudya (kudzimbidwa, kutsegula m'mimba)
• Kuzizira komanso kuchepa kumverera kwa manja ndi mapazi

Zizindikiro izi za hyperglycemia zimayamba chifukwa cha kuchotsedwa kwa mchere wama ayoni m'thupi limodzi ndi mkodzo.

Thandizo loyamba la hyperglycemia

Ngati zizindikilo zonse zikusonyeza kuti shuga m'magazi a shuga amakwezedwa, choyamba muyenera kuyeza mulingo wake. Ngati chizindikiro cha glucose chafika kapena kupitirira 14 mmol / l, wodwala wodwala yemwe ali ndi insulin amafunika kubaya insulini yochepa kwambiri kapena yofupikitsa mwachidule muyezo.

Pambuyo pa jekeseni, wodwala matenda ashuga ayenera kumwa malita 1-1,5 amadzi kwa ola limodzi ndi kuyeza shuga maola 1.5-2 aliwonse. Insulin imayendetsedwa kufikira mulingo wabwinobwino wa shuga utakhazikika. Ngati kuwerengera kwa glucose sikusintha, munthuyo ayenera kuchipatala.

Ndi hyperglycemia, kuchuluka kwa acetone m'thupi kumachuluka kwambiri. Kuti muchepetse, ndikofunikira kutsuka m'mimba ndi yofooka yophika ndi soda (supuni 1-2 pa 1 lita imodzi ya madzi owiritsa).

Kuchepetsa acidity, wodwalayo ayenera kumwa madzi amchere amchere ambiri. Yothetsera koloko ithandizanso kuteteza acidity. Supuni 1 yamasamba imasungunuka mu kapu ya madzi owiritsa ndikuledzera. Ngati chikumbumtima cha munthu chikuponderezedwa, sizingatheke kumuthira madzi kuti asakodwe. Munthawi imeneyi, amafunikira mtendere wathunthu komanso mwamalingaliro.

Mu mtundu wa precoma, khungu la munthu limakhala louma. Chifukwa chake, muyenera kupukuta manja, miyendo, pamphumi ndi khosi ndi thaulo lopukutira m'madzi.

Popewa kuyambika kwa zizindikiro za hypoglycemia, anthu omwe ali ndi matenda ashuga ayenera kutsatira zakudya zomwe adotolo adya, kumwa mankhwalawa nthawi, kupewa kupsinjika ndi kuchita masewera olimbitsa thupi.

Zotsatira za zovuta za pachimake

Ngati simuyankha kuwonjezeka kwa shuga mpaka 19 mmol / l, ndiye kuti wodwalayo amakhala ndi zotsatirapo zoipa pazamoyo zonse. Zochita zamkati pamitsempha yamagetsi, kupanikizika kwamitsempha yamagetsi imasokonekera, imakhudza ubongo.

Munthu amatha kufa chifukwa cha kukwera kwa glucose, ndichifukwa chake ndikofunikira kwambiri kuulamulira.

19 mmol / L - msuzi wovuta wa shuga. Zizindikiro zotere ndizosowa kwambiri. Mosasamala ndi anamnesis, matenda oyanjana, matenda kapena kusakhalapo kwawo, kuchipatala mwachangu ndikofunikira.

Njira zopewera

Kupewa matenda a shuga ndikosavuta:

• Nthawi zonse pitani mayeso othandizira akatswiri.
• Yang'anirani zakudya
• Pitani zamasewera, koma osagwiranso ntchito,
• Khalani ndi nthawi yambiri kunja.

Mukamatsatira malangizo osavuta, ndiye kuti vuto ngati kudumphadumpha wama glucose mpaka magawo 19 sikudzakukhudzani. Ngati chizindikiro cha matenda akulu a endocrine aonekera kale, simuyenera kuchita mantha.