Zoyenera kuchita ngati shuga m'magazi adalumphira ku 17

Mwazi wa magazi 17 ndi vuto lalikulu la matenda ashuga. Kuwonjezeka kwakukulu kwa ndende ya glucose kumayambitsa kusokonezeka kwa dongosolo lamkati lamanjenje, zolakwika m'magazi a mtima, ndikulumpha kuthamanga kwa magazi.

Mukanyalanyaza mavutowo, osatenga mbali zilizonse zofunikira kuti muchepetse shuga m'thupi, zinthu zimangokulirakulira mpaka kukomoka, chikomokere, komanso kuphedwa kumene.

Matenda a shuga enieni samayambitsa chiwopsezo chamoyo wa munthu, ndipo pobwezera zokwanira za matenda, wodwala amatha kukhala moyo wathunthu. Komabe, madontho a shuga amabweretsa zovuta zambiri, kuphatikiza zina zosasinthika.

M'pofunika kuganizira chifukwa chake shuga 17 ndi gawo lovuta kwambiri la glucose mu thupi, ndipo muyenera kuchita chiyani pamenepa? Chifukwa chiyani jakisoni wa insulin sathandiza, ndipo chifukwa chiyani shuga amawuka pambuyo pawo?

Momwe mungabweretsere shuga wamagazi ambiri

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Kukhala ndi shuga wambiri m'magazi sikungakhale kosavutikira, ndipo ambiri omwe ali ndi matenda ashuga amafuna kudziwa zomwe angachite kuti achepetse magazi. Shuga wambiri amadziwika kuti hyperglycemia. Tiona zina mwazomwe mungachite kuti muchepetse shuga m'magazi munthawi yochepa.

Yang'anani shuga yanu yamagazi

Ngati mukumwa mankhwala omwe angayambitse shuga m'magazi (hypoglycemia), tikulimbikitsidwa kuti mufufuze shuga lanu la magazi musanayese kutsitsa shuga yanu. Izi zikuyenera kuonetsetsa kuti shuga wamagazi ndi okwera komanso osatsika, popeza zizindikirazo zimatha kufanana. Kuyesa shuga yanu m'magazi musanafike pofunika kwambiri ngati mukumwa mankhwala a insulin. Patsamba lino, werengani zomwe zimayambitsa kuchuluka kwa shuga m'magazi.

Kuchepetsa shuga

Ngati mukumwa insulin, njira imodzi yochepetsera shuga m'magazi ndikumabaya insulin.

Komabe, samalani chifukwa insulin imatha kutenga maola anayi kapena kupitilira kuti ikwaniritse thupi lonse, chifukwa chake muyenera kuonetsetsa ndikuzindikira kuchuluka kwa insulin yomwe ili kale mthupi, yomwe siyikumizidwa m'magazi. Insulin, yomwe sinalowetsedwe m'magazi, imatchedwa "insulin yogwira."

Ngati mungaganize zochepetsa shuga ndi insulini, onetsetsani kuti mwasankha mlingo woyenera, chifukwa izi zingayambitse hypoglycemia ndipo zimatha kukhala zowopsa, makamaka musanagone.

Kuchita masewera olimbitsa thupi kungathandize kuchepetsa shuga m'magazi anu ndipo kuyenda ndi njira yabwino yokwaniritsira izi. Izi zikusonyeza kuti kuchita masewera olimbitsa thupi kumathandizanso kuchepetsa shuga m'magazi, koma sizikhala choncho nthawi zonse, chifukwa zochitika zolimbitsa thupi zimatha kuyambitsa kupsinjika komwe kumapangitsa kuti thupi lizikula kwambiri misempha yamagazi.

Imwani madzi ambiri

Mwazi wa magazi ukakwera, thupi limayesa kupukusa shuga owonjezera kuchokera m'mwazi kudzera mkodzo. Zotsatira zake, thupi lifunika madzi ambiri. Kumwa madzi kungathandize kuti thupi lisungunuke ena mwa magazi.

Kanema: Momwe Mungachepetse shuga ya shuga

Miyezo ya shuga

Mlingo wabwinobwino mwa munthu wamkulu ndi mwana umasiyana misinkhu. Mwambiri, zomwe zimachitika ndi izi: munthu wamkulu, amene ayenera kukhala wamkulu ndi wamkulu. Mwa ana ochepera miyezi iwiri, ndi osakhazikika komanso osayezedwa. Mwa ana osakwana zaka 7, chizolowezi chimakhala mulitali wa 4 - 5 mmol pa lita. Mwa ana a zaka zapakati pa 12 mpaka 13, Zizindikiro zoyenera zimafanana ndi akulu.

1. Kuthamanga kwambiri kwa magazi pambuyo paphwando,
2. Muyeso wa ana ndi akulu uyenera kuchepera posakhalitsa,
3. Mchere wambiri mu thupi ukhoza kuchepa pambuyo pochita masewera olimbitsa thupi,
4. Kulowetsedwa m'mimba kumabweretsa kuti gawo litha kutsitsidwa nthawi zonse,
5. Ngati mulingo wakuwonjezeka panthawi yomwe muli ndi pakati, ndiye kuti muyenera kumuonana ndi dokotala, chifukwa ichi chingakhale chizindikiro choyamba cha matenda ashuga.

Kuphatikiza apo, shuga wambiri m'thupi nthawi zina amawonetsa kukhalapo kwa matenda amitsempha, matenda ammimba komanso zovuta zina za somatic.

Ngati mulingo wa munthu wamkulu umasungidwa pazopanda izi, ndiye kuti, chilichonse chimakhala chathanzi ndi thanzi lake, monga momwe zimakhalira. Mukayezedwa pamimba yopanda kanthu, shuga wamagazi amayenera kukhala pafupifupi 5.0 - 5.1, omwe akuwonetsa zomwe zili bwino. Kuchulukitsa kufika pa 6. ndizotheka nthawi ndi nthawi. Komabe, ngati glucose mu sampuli yosala amasungidwa nthawi zonse pa 5.5-6, ndiye kuti nthawi zina izi zimatanthawuza kuti prediabetes imayamba.

Izi ndizowopsa chifukwa matenda ashuga amtundu wa 2 amakula nthawi zambiri. Pamene shuga 6 - 6.1 imakhala kwa nthawi yayitali, muyenera kufunsa dokotala. Chithandizo choyenera chikuyenera kuperekedwa, komanso zakudya. Izi zikuthandizira kupewa prediabetes kukhala shuga. Koma ndikofunikira kukumbukira kuti kuchuluka kwa glucose a 0,1 - 0,3 mmol pa lita imodzi ikhoza kuwuka chifukwa cha kupsinjika kapena kupweteka.

Ngati mulingo pamimba yopanda kanthu umakhala pafupifupi 6 4 mmol pa lita imodzi kapena kuchokera 6 mpaka 7, ndiye kuti chinthu choyamba chomwe chikuwoneka ndi kupezeka kwa prediabetes yokhazikika, yomwe imayenera kulandira chithandizo. Matendawa ndi vuto lalikulu la metabolic. Ndi iyo, kuchuluka kwa magazi pamimba yopanda kanthu kumasiyana kuchokera pa 5.5 mpaka 7 mwa munthu wamkulu, ndi mpaka 6 4 - 7 mwa mwana.

Pambuyo polumikizana ndi dokotala, kuyezetsa kwathunthu wamagazi ndi kuyeserera kwa glucose kumayikidwa. Kusantaku kumakupatsani mwayi wopezeka m'magazi a glycated hemoglobin, omwe amapangidwa pamene glucose imamangiriza ku hemoglobin. Momwemo, kupezeka kwake komanso kuchuluka kwake komwe kumatilola kuti tilingalire za kuchuluka kwa shuga. Kuyeserera kwa glucose kumakupatsani mwayi wotsatira mphamvu zamkati mwa digestibility.

Ndikofunikira kuganizira zaka za wodwalayo. Kwa okalamba, 6.5 ndiye chizolowezi. Nthawi zina (mwa anthu opitilira 90) shuga 7 ndiwabwinobwino, koma 5 amaonedwa kuti ndi wotsika.

Momwe shuga amasala kudya ndi 6.9 - 7.1, ndipo nthawi zina amatha kukhala 8.0 m'magazi a shuga, izi zimawonetsa kukhalapo kwa matenda ashuga. Munthawi imeneyi, umboni wa mwana kapena wamkulu ndi wosakhazikika ndipo nthawi zina amatha kufikira shuga 10 - 11.

Ngati zizindikiro zina sizikupezeka ndipo dokotala amakayikira ngati matenda a shuga angapezeke, ndiye kuti amayeza mayeso a glucose, omwe amaganizira zomwezo pambuyo poti adya (glucose panthawi yoyesedwa). Ngati shuga wa wodwalayo ali ndi zaka zopitilira 12 pamodzi mwa miyeso yoposa 11, ndiye kuti m'mbuyomu amapezeka ndi matenda a shuga.

Wodwalayo amayenera kuyeza shuga osala kudya, kutsatira zakudya zinazake ndikuonetsetsa kuti mulingo wamagazi sukudumpha. Pankhaniyi, powunikira, zomwe zili 5 8 sizowona ngati zopatuka.

Kusala shuga la magazi 8 - 9 mwa mwana kapena wamkulu mu thanzi lathanzi sikuchitika. Ngakhale odwala matenda ashuga, ngati kuwunika pamimba yopanda kanthu kukuwonetsa shuga wambiri, izi zikutanthauza kuti chakudya chidasweka, kuchuluka kwakukulu kwa chakudya kunachitika. Chinanso chomwe anthu otere angachitire umboni ndi chakuti munthu anali ndi njala tsiku lonse, pambuyo pake amamwa kwambiri.

Pakadali pano, matenda a shuga samayambika (komabe, chithandizo chikuyenera kuchitika). Njira yayikulu yothetsera matenda osachiritsika ndi chakudya chamagulu. Ndikofunikanso kudya zakudya zamagulu tsiku lonse. Ndizomwe zimapangidwa kuti zikhale shuga. Chinthu chachikulu chomwe chikuwopseza izi ndikusintha kwa matendawo kukhala mawonekedwe akulu ndikukula kwa zovuta zomwe zimadziwika ndi matenda ashuga.

Pamene mulingo ndi 9.2 - 10 mmol pa lita imodzi, izi zikuwonetsa kuti munthu wodwala matenda ashuga (wamkulu kapena mwana) wawonjezera shuga mthupi ndipo miyeso iyenera kutengedwa kuti ikhale yofanana. Ngati glucometer adawonetsa kuti shuga ya m'magazi idakwera pamlingo wotere, ndiye kuti chinthu choyamba ndi matenda a shuga mellitus amakhala mwana kapena wamkulu.

Vutoli limakhala lowopsa chifukwa zovuta zimayamba kukhala nawo. Mulingo wapamwamba umakhala ndi katundu wambiri pa impso. Satha kuchotsa shuga wambiri m'magazi a mwana kapena wamkulu, chifukwa chake glucose amadziwika mkodzo. Glucosuria amakula.

1. Ngati mulingo wa mwana kapena wachikulire ndiwokwera kwambiri, izi zikuwonetsa kuti kusowa kwa insulini ndipo, motero, shuga m'magazi ndi magazi a mwana zimatsogolera kuti ma amana amomwe amawotcha kuti ayambe kupatsidwa mphamvu zofunika,
2. Zotsatira zake, zomwe zili m'matumbo a ketone zimawonjezeka (si odwala onse omwe amadziwa kuti izi ndizovunda zamafuta amthupi),
3. Mu mkodzo, kuchuluka kwa acetone kuyenera,
4. Dotoloyo akuwonetsa kuyesanso magazi ena, komanso mkodzo.

Koma osati kawiri kokha mwa ana ndi akulu omwe amawonetsa kudzikundikira kwa matupi a ketone. Chizindikiro cha izi nthawi zina chimawonongeka kwambiri, thanzi, kutentha thupi komanso kusanza. Ndikofunikira kudziwa kuti uwu ndi umboni wa kuledzera kwa ketone. Matendawa akuwopseza chikomokere, chifukwa choyambirira kuchita ndi kufunsa dokotala. Poterepa, mavuto obwera chifukwa cha shuga wambiri mwa ana kapena akulu azilandira nthawi yake.

Mwazi wamagazi umachepa ndikamaikidwa mankhwala ochepetsa shuga ndi zochitika zolimbitsa thupi (ngakhale shuga itakhala 12 kapena kuposa). Kuchepa kwake kumabweretsa kusintha kwakukulu.

1. Zosavuta kapena zoyambirira (mwa achikulire 8 - 10,1),
2. Yapakatikati (12 pa average, koma imasiyana pa 10.1 mpaka 16),
3. Zambiri (pamimba yopanda kanthu mwa munthu wamkulu kuyambira 16.1 ndi pamwamba).

Matenda a shuga m'magawo olimbitsa komanso ovuta samalipidwa, ndipo kuchuluka kwa shuga mthupi kumabweretsa zovuta komanso zotsatira zosasangalatsa.

Nthawi zambiri shuga 13 kapena kuposerapo amayambitsa zingapo mwatsatanetsatane matendawa (ngakhale amatha kuyamba kale shuga 6, koma pamenepa amapezeka nthawi zonse). Izi ndi zizindikiro monga kukodza mwachangu, ludzu lochulukirapo, kuchuluka kwa thupi, kapena kuchepa thupi (nthawi zambiri zimayamba ngakhale zitakula pang'ono). Kuchuluka kwa shuga wamagazi kumayambitsa pakamwa pouma, ludzu losalekeza usiku. Shuga akamakhala ndi 17 kapena kupitirira, zizindikiro za ketone kuledzera zimawonjezeredwa - kusanza, kutentha thupi, mutu.

Popeza kuchuluka kowonjezereka kumabweretsa kukodza kwamphamvu, zinthu zofunikira (calcium ndi zina) zimatsukidwa ndi mkodzo. Pazifukwa izi, kuwonongeka konse kumachitika pamene shuga wa magazi akwezedwa. Kupitilira muyeso mu ana ndi akulu kumabweretsa kutopa, kufooka, kugona. Zimakhala zovuta kuti odwala matenda ashuga azisungabe chizindikiro monga ziyenera kukhalira mwa mwana kapena wamkulu.

Zomwe zimachitika mwa odwala matenda ashuga ndizosiyana ndi zomwe zimachitika mwa munthu wathanzi. Poyambirira, dokotala adzakuwuzani chomwe chizowonetsa chizikhala cha wodwala matenda ashuga momwe aliri pano. Shuga 8 uyenera kukhala wabwinobwino kwa odala ena. Zoyenera kuchita, osamwa ndi kudya kuti azikukonzekereranso azidziwitsidwa kuchipatala.

Kwa okalamba omwe ali ndi matenda oopsa, chizindikiro 12 nthawi zina chimatha kukhala chachilendo, koma kwa munthu wathanzi ndichambiri, kwa odwala matenda ashuga sizachilendo.

• Ma ambulansi amayenera kutchedwa ngati shuga pamlingo uwu ali ndi vuto lalikulu pazovuta zonse (zomwe sizifotokozedwa kawirikawiri sizipangitsa kuti matenda awonongeke kwambiri)
• Ndikofunikira kuyesa kuchepetsa shuga m'magazi mwa mwana kapena wamkulu pawokha pogwiritsa ntchito mankhwala omwe adokotala adalembera, kapena kuyambitsa jakisoni wa insulini (kudziyambitsa nokha mankhwala osokoneza shuga ndikosavomerezeka).

Kuphatikiza pa kuwonongeka kwakukulu pamlingo wofala, ngakhale wodwalayo sangapereke magazi, shuga amawonjezeranso kuchuluka kwa shuga m'magazi. Fungo lotere liziwoneka, ndikofunikira kungowunikanso ndikusankha njira zoyenera (momwe ndingapangire zomwe zikufotokozedwa pamwambapa).

1. Kutopa koyamba kumatha kukhala chizindikiritso chakuti magazi a munthu akula (chizindikiritso chomwechi chimapezekanso ngati shuga itagwa mwadzidzidzi),
2. Magazi a shuga m'thupi ayenera kuperekedwa ngati mutu wachitika pafupipafupi.
3. Kudana kwambiri ndi chakudya kumaonetsa kuti shuga iyi ikubwera.
4. Nthawi zambiri ululu wam'mimba wa wodwalayo umawonetsa kuchuluka kwa shuga mwa wodwalayo,
5. Kupumira msanga, mwakuya kapena kwamphamvu, hypoxia ikuwonetsa kuti shuga mumagazi a munthu wodwala matenda ashuga wakula kwambiri ndipo ndikofunikira kufunsa dokotala,
6. Chizindikiro china chakuti wodwalayo ali ndi shuga wambiri m'magazi ndi kupezeka kwa m'mimba, nseru ndi kusanza.

Popeza tazindikira kuchuluka kwa glucose m'magazi a wodwalayo pakadali pano, ndikofunikira kumuthandiza (kuyimbira ambulansi ngati kuli kofunikira) ndikuchotseratu zochitika zilizonse zolimbitsa thupi. Ziribe kanthu kuchuluka kwa zolemetsa, ngati shuga ili pagawo loti awonongeke, ikhoza kukhala yovulaza. Nthawi yayitali atathandizidwa koyamba, magazi amatengedwanso. Ngati kuchuluka kwa shuga kwa wodwala kulinso kwakukulu, ambulansi imayitanidwa.

Ndikofunika kukumbukira kuti chizindikiro 5 ndichomwe chimachitika ngati shuga akusala kudya. Mlingo wa shuga wa 5.5 - 5.8 ndikuthekera kwovomerezeka kwakanthawi. Ngati shuga amadzuka panthawi popanda chifukwa chotsimikizika kapena ngati shuga ali pamwamba kwambiri, muyenera kufunsa dokotala. Adzifotokozera zomwe achite pamkhalidwe wotere, momwe angakhazikitsire zowerengera komanso kupewa matenda ashuga.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Nthawi yomweyo, ngati magazi a m'magazi anayezedwa atatha kudya ndipo kuchuluka kwake kumakhala kwakukulu, izi ndizabwinobwino. Kukula kwa momwe chisonyezo chilichonse chingakulireni mutatha kudya, adokotala adzanena (poganizira zaumoyo ndi zaka za wodwalayo). Komabe, pafupifupi, itha kutchedwa kuti chizolowezi ngati kusanthula kunawonetsa zochulukirapo monga zinali 0,1 - 0,3 mmol pa lita. Kuti mupeze zotsatira zodalirika, muyenera kuyeza chizindikiro pamimba yopanda kanthu m'mawa uliwonse.

Kodi "shuga" yovuta kwambiri ndi chiyani?

Nthawi zambiri, kwa thupi lamunthu wathanzi, kupatuka kulikonse mu msasa wa shuga ndi kopanda tanthauzo. Mwachidule, polankhula manambala, owonjezera opitilira 7.8 mayeso ndiowopsa komwe kumawopseza zovuta zambiri.

Pambuyo pamunsi yovuta kwambiri, yomwe imatenga masiku angapo, njira zosasinthika zimayambitsidwa m'thupi la munthu, zomwe zimayambitsa kusokonezeka pafupifupi ziwalo zonse zamkati ndi machitidwe.

Komabe, motsutsana ndi maziko a matenda a shuga, kuchuluka kwa shuga kumatha kusiyanasiyana osati mwezi umodzi wokha, komanso tsiku lonse. Muzochitika zingapo, amafikira mpaka kuchuluka kwa 50.

Kupereka izi momveka bwino, ndikumveketsa bwino chiwerengerochi, titha kunena kuti mkhalidwewu umadziwika chifukwa chakuti mu lita imodzi yamwazi wamunthu muli masupuni awiri a shuga.

Kusintha kwa shuga kuchokera pamagulu 13 ndi ena, kuphatikiza 17 mmol / l, kumaimira chiopsezo ku zochitika zonse za moyo.Poyerekeza ndi kuwonjezeka kwa shuga mu mkodzo, pali matupi a ketone.

Ngati shuga m'thupi ukakwera zoposa magawo 10, ndiye kuti nthawi zambiri mumapezeka mkodzo wa munthu. Munjira iyi, ndikofunikira kuti muchepetse, ndipo njira yabwino ndikuyambitsa insulini.

Ngati vutolo lanyalanyazidwa, ndiye kuti pali mwayi waukulu wokhala ndi vuto la hypoglycemic.

Shuga wakufa

Odwala omwe ali ndi matenda ashuga, okhala ndi shuga wamagulu pafupifupi magawo 17, chiopsezo chokhala ndi vuto la matenda ashuga chikukula kwambiri. Komabe, si wodwala aliyense amene amakhala ndi zisonyezo zofanana.

Muzochita zachipatala, pali nthawi zina pomwe wodwala anali ndi kuchuluka kwamagulu a 20, koma palibe chizindikiro chomwe chimawonetsa kuwonjezeka kwa shuga. Pankhaniyi, titha kunena kuti chizindikiro cha "kufa" kwa glucose chidzakhala chosiyana kwa aliyense.

Pali zovuta zina pakubala kwa matenda a shuga, ndipo zimadalira mtundu wa matenda. Ndi mtundu woyamba wa matenda, kuchepa kwa thupi, komanso ketoacidosis, kamakula msanga.

Koma ndi mtundu wachiwiri wamatenda, kuchepa kwamadzi kumayamba kumene mwa odwala. Koma sichimawonetsedwa nthawi zonse, chifukwa chake nthawi zambiri zimakhala zovuta kuti munthu atuluke.

Pa matenda akulu a shuga, wodwalayo amakhala ndi vuto la ketoacidotic. Monga lamulo, zimawonedwa ndi mtundu woyamba wa matenda oletsa maziko a matenda opatsirana. Zizindikiro zazikulu za matenda:

• Shuga mumkodzo, kuwonjezeka kwamphamvu kwamikodzo patsiku.
• Kuchulukirachulukira kwa madzi m'thupi.
• Matupi a Ketone amadziunjikira m'magazi, chifukwa maselo amatenga mphamvu kuchokera pakukhuta kwamafuta.
• Kusokonezeka kwa kugona, makamaka, kufunitsitsa kugona.
• Pakamwa pakamwa.
• Khungu lowuma.
• Fungo lochokera kumkati wamkamwa limawonekera.
• Phokoso komanso kupumira mwamphamvu.

Ngati shuga ikupitilira kukwera patsogolo, chitukuko cha chikomokere (hyperosmolar coma), chomwe chimadziwika ndi kuchuluka kwambiri kwa shuga mthupi, chimachitika, mulingo wake ukhoza kukhala mpaka magawo 55.

Zizindikiro zazikulu za chikomokere:

1. Kuchulukana mobwerezabwereza.
2. Mafuta ambiri amadzimadzi. Kulephera kuthetsa ludzu lanu.
3. Kukula kwa kusowa kwamadzi, kuchepa kwa mchere wambiri.
4. Kugona, kusasangalala, ulesi, kufooka kwakatundu.
5. Mawonekedwe amaso.
6. Maonekedwe ofupika.

Ndi zizindikiro zotere, chithandizo chamankhwala chokha chomwe chingathandize kuti musafe.

Dziwani kuti chinthu chachikulu ndikuthandizira wodwala madokotala asanafike, ndipo palibe njira zodzichepetsera shuga kunyumba zomwe zingathandize kuti vutoli lithe.

Chifukwa chiyani insulini “siyigwira ntchito”?

Odwala ambiri akudandaula kuti, chifukwa chokhazikitsidwa ndi insulin, kodi kuchuluka kwa shuga m'magazi kunayamba ngati kuyenera kuchepa? Zowonadi, zitha kuwoneka kuti mutangoyambitsa mahomoni, shuga ayenera kutsika, koma izi sizichitika.

Muzochita zachipatala, zotere sizachilendo, ndipo zimachitika kangapo. Ndipo zifukwa zomwe izi zimakhalira zimatha kukhala zochuluka.

Wodwala aliyense yemwe ali ndi mbiri yodwala matenda a shuga 1 amdziwa momwe amaperekera jakisoni, m'dera lomwe thupi limafunikira kupangira mahomoni, ndi zina zotero. Komabe, ambiri amanyalanyaza malamulo ndi malingaliro, omwe amachititsa kuti insulin isagwire bwino ntchito.

Ganizirani zomwe zimayambitsa zomwe zingayambitse insulin.

• Mlingo wolakwika wa mahomoni.
• Wodwala samasamala pakati pazakudya zamagulu ndi zakudya zamafuta.
• Mankhwalawa sasungidwa bwino.
• Mitundu ingapo ya insulin imasakanikirana mu syringe imodzi.
• Kuphwanya njira yoperekera mahomoni.
• Makulidwe olakwika a insulini, jakisoni wamphesa wolakwika.
• Zisindikizo patsamba la jekeseni.
• Ndi mankhwala oyambitsa, wodwalayo amapukuta malowa ndi mowa.

Dziwani kuti ngati muthandizira jakisoni wam'tsogolo jakisoni wa chinthucho, ndiye kuti jakisoniyo amachepetsa ndi 10%.

Nthawi zambiri zimachitika kuti jekeseni, wodwalayo akangotulutsa singano, ngakhale molingana ndi malamulo, ndikofunikira kuti kudikirira masekondi 10 kuti mankhwalawa asatayike.

Ngati jakisoni amakankhidwa pafupipafupi m'dera lomweli, ndiye kuti zimasindikizidwa m'malo ano, motere, mankhwalawo amalowetsedwa kudzera mthupi la munthu pang'onopang'ono kuposa momwe amafunikira.

Mankhwala otseguka amalimbikitsidwa kuti asungidwe mufiriji. Ngati wodwala akufunika kusakaniza mitundu iwiri ya mahomoni a jekeseni, ndiye muyenera kudziwa omwe ma insulin akhoza kusakanikirana komanso omwe sangathe.

Ngati zifukwa zili mu mulingo, ndipo wodwala akutsimikiza kuti akutsatira malingaliro onse, ndiye muyenera kukaonana ndi dokotala kuti awonenso kuchuluka kwa mankhwalawo.

Simungathe kusintha mankhwalawa nokha, popeza izi zimakhala ndi shuga m'magazi.

Ngati pali shuga 17 wamagazi, ndiyenera kuchita chiyani ndipo ndiyenera kuwonana ndi dokotala nthawi yomweyo?

Zomwe zingatanthauze shuga 17, ndizothandiza kudziwa osati odwala matenda ashuga okha, komanso anthu athanzi lathunthu. Mwinanso chidziwitsochi chimakhala chothandiza ngati kuli koyenera kuthandizira.

Ndi matenda a shuga, kuchepa kwa zinthu zofunika kwambiri m'thupi kumadziwika. Kuti athe kulipirira, amayamba kupeza mphamvu kuchokera ku mafuta omwe ali mthupi.

Kuchita koteroko kumatha kuganiziridwa kuti ndi kwanthawi zonse, koma pakuphatikiza kwa zinthu zakupha za m'matumbo - acetone - zimaponyedwa m'magazi. Njirayi pang'onopang'ono imagwira thupi ngati poyizoni, chifukwa pomwe zimakhala ndi ziwalo zonse zimakhudzidwa.

Nthawi zambiri shuga

Ndi anthu ochepa okha omwe ali ndi vuto loyambirira la thupi omwe amathamanga kupita kuchipatala. Sizachilendo pamikhalidwe ngati, ndikatembenukira kwa katswiri, zimapezeka kuti mulingo wa shuga wambiri ndiwokwera kwambiri.

Izi nthawi zambiri zimayenderana ndi matenda a shuga a 2 - amatha kwambiri kukhala ndi thanzi labwino komanso amawopseza moyo.

Matenda a shuga agawidwa m'magulu otsatirawa:

1. Lembani chimodzi - ntchito zosakwanira za kapamba,
2. Lembani chachiwiri - zomwe zimapangitsa kuti maonekedwe anu azikhala ndi thanzi labwino, kukhala pansi.

Ngati munthu ali ndi matenda ashuga, mtsogolomo adzafunika kuwunika kuchuluka kwa shuga m'magazi ake. Kuti muwone, muyenera kufunsa kuchipatala kapena kugula zida zapadera (glucometer) ku pharmacy.

Nthawi zambiri shuga ochulukirapo, odwala matenda ashuga amatha kumvetsetsa izi - ndikusintha kwa kapangidwe ka magazi, kuwonongeka kumadziwika.

Mwazi wofufuza za matenda amaperekedwa pamimba yopanda kanthu. Kuti mudziwe zenizeni, mungafunike kuchititsa maphunziro mobwerezabwereza. Chifukwa chake n`kotheka kudziwa momwe magazi amakhalira musanadye komanso kudya, kuti muone ngati thupi limatha kuyamwa insulini.

Kuti mumvetse bwino za matendawa, ndikofunikira kulandira upangiri kuchokera kwa oncologist, endocrinologist, ndi upangiri kuchokera kwa katswiri wamitsempha.

Pogwiritsa ntchito kukonzekera kwa insulin kuthandiza thupi, jakisoni amachitika bwino kwambiri potsatira malamulo osavuta:

1. Osasakanikirana ndi mankhwala kuti mupange jakisoni ndimankhwala awiri,
2. Osalowetsa malo osindikiza,
3. Osapukuta khungu musanabayidwe ndi zotupa zakumwa,
4. Mankhwala akaperekedwa, musachotsere singano nthawi yomweyo. Izi zimatha kusokoneza njira zogwirira ntchito.

Kumwa mankhwala okhazikitsidwa ndi dokotala mu Mlingo womwe akuwonetsa mutha kupeza zotsatira zabwino.

Zomwe zimayambitsa shuga wambiri

Ngati munthu asanakhale ndi matenda ashuga, koma ali ndi shuga wambiri, zomwe zimayambitsa matendawa:

• Mavuto a oncological ndi kapamba,
• Kutupa kwa kapamba
• Kusokonezeka kwa mahormoni
• Matenda a chiwindi
• Zovuta mu endocrine dongosolo.

Kuwonjezeka kwa shuga kumatha kudziwikanso pambuyo pa kupsinjika kwambiri. Nthawi zambiri, zotsatira zake zimakhala mtundu 1 kapena matenda ashuga 2.

Ngati wodwala yemwe wapezeka ndi matenda a shuga sawona kuti ndikofunikira kutsatira zakudya zochepa zomwe zimapangidwa ndi dokotala kwa iye, shuga amakhalabe okwera. Ngati mukusowa insulini, kuchuluka kwa shuga kumakulanso.

Koma ngakhale mutagwiritsidwa ntchito ndi insulini, zotsatirapo zake zimakhala zochepa kapena mwina palibe. Zomwe zimachitika mthupi ndi izi:

1. Mlingo wa mankhwalawo siwolondola,
2. Mankhwalawa adasungidwa pansi pazinthu zomwe sizigwirizana ndi malamulo,
3. Mitundu ya mankhwalawa sinapangidwe bwino kapena kulibe,
4. Wodwalayo amaphatikiza mankhwala awiri mu syringe,
5. Njira yothandizira mankhwalawa imagwiritsidwa ntchito molakwika.

Zomwe tafotokozazi zimakhudza kwambiri kuwonjezeka kwa shuga m'magazi. Poika dokotala, wodwalayo amalangizidwa kuti afotokozere mwatsatanetsatane zisonyezo za nthendayo kwa dokotala wolandila kuti adziwe chomwe chikuyambitsa matendawa.

Thandizo la ogwira ntchito zachipatala siliyenera kunyalanyazidwa ngati mavuto atapezeka kwambiri. Sizachilendo ngati izi zikachitika, mantha am'kati amayamba kugwa, kukomoka, ngati njira - wodwalayo amachoka.

Wodwala atagwa, amatha kukhala lactic acid, kuchepa thupi. Mavuto oterewa amadziwika kwa odwala omwe ali ndi matenda a shuga 1. Ngati pali zifukwa zingapo zowonjezera shuga, zovuta zimatha kukhala mwa odwala omwe ali ndi matenda amtundu uliwonse.

Kodi ketoacidosis ndi chiyani?

Ngati zomwe zili mumtsinjewo zikukhalabe zazitali kwanthawi yayitali - mwachitsanzo, kuyambira 17, pali ngozi yopezeka ndi matenda otchedwa ketoacidosis. Ali ndi zizindikiro zina:

1. Kuwonongeka kwa thanzi komanso kusokonekera pafupipafupi,
2. Kuchepetsa ndikwabodza kwambiri,
3. Mpweya wa wodwala umanunkha za acetone,
4. Vuto lamafumbi pafupipafupi,
5. Mutu
6. Kusilira ndi mseru
7. Masomphenya otsika.

Chithandizo cha matenda a matenda amachitika mu chipatala.

Kuti mukwaniritse izi, njira monga kubwezeretsanso thupi ndi ma microelements pamlingo woyenera, kubwezeretsanso kwamadzi, mankhwala a insulini, ndi kubwezeretsanso malire a acid-base akhoza kuikidwa.

Kodi magazi owopsa a 17 ndi otani: zotsatira zake ndi zoyenera kuchita

Kodi shuga wa magazi amatanthauza chiyani? Pakati pa matenda ashuga, pamakhala kuchepa kwamphamvu kwa zinthu zofunika, chifukwa chotsatira thupi limayamba kulipira mphamvu kuchokera ku mafuta.

Koma zonsezi zitha kukhala zachilendo ngati, pakupanga kwawo, sipanatulutsidwe matupi ankhwawa a ketone m'magazi, ndiye kuti, acetone.

Mchitidwe woterewu umadzetsa acidity yayikulu, kukhudza ziwalo zonse ndi minyewa, ndiye kuti kuledzera kumachitika.

Nthawi zambiri, anthu amatembenukira kwa katswiri pomwe magazi a shuga amawonjezereka kale, pankhani iyi ndi matenda amtundu wa 2, omwe amakhudza thanzi ndipo, makamaka, amawopseza moyo.

Matenda a shuga amapezeka m'magulu otsatirawa:

• mtundu woyamba, womwe umachitika chifukwa cha kusakwanira kwa kapamba,
• Mtundu wachiwiri, womwe umachitika chifukwa cha kusadya bwino komanso kusayenda bwino.

Koma kuti amvetsetse kuti shuga ayamba kukwera, odwala matenda ashuga nawonso amatha, monga momwe thanzi limakulirakulira.

Kuti muzindikire izi, ndikofunikira kupereka magazi pamimba yopanda kanthu. Mwa njira, kuti mutsimikizire matendawa, wodwalayo ayenera kubwereza phunzirolo ndikuwonjezera zina.

Zotsatira zomwe zapezedwa zimathandizira kukhazikitsa shuga musanayambe kudya, komanso ngati minofu ya thupi imatha kupangira insulin. Kuti mupeze matenda odalirika, muyenera kufunsa katswiri wa zamitsempha, endocrinologist ndi oncologist.

Pankhani yogwiritsira ntchito kukonzekera kwa insulin, pali malingaliro angapo osavuta omwe angakuthandizeni jakisoni molondola:

1. Osakaniza mankhwala.
2. Osalowerera mu zisindikizo zomwe zilipo.
3. Osapaka khungu ndi mowa musanabaye jekeseni.

Simungatulutse singano ya syringe mwachangu kwambiri jakisoni itatha, chifukwa mwanjira ina mankhwalawo atha kutuluka.

Pazonse, mankhwala omwe adayikidwa ndi katswiri muyezo woyenera ayenera kupereka zotsatira zochepetsa shuga.

Ngati munthu sanakhalepo ndi matenda ashuga, koma mulingo wa chinthu ichi umakwezedwa, matenda otsatirawa atha kukhalapo:

1. Pancreatic oncology.
2. Njira zotupa mu gland iyi.
3. Njira zokhudzana ndi matenda zimayenderana ndi chiwindi.
4. Kusokonezeka kwa mahormoni.
5. Mavuto ndi endocrine system.

Ngakhale kupsinjika kwambiri komwe kumachitika kungayambitse kuchuluka kwa zinthu zotere, koma nthawi zambiri izi zikuwonetsa kukhalapo kwa matenda amtundu wa II komanso matenda amtundu II.

Wodwala yemwe ali ndi matenda ashuga osatsata zakudya zamafuta ochepa woperekedwa ndi wothandizira zaumoyo, shuga amathanso. Ngati mwaphonya insulini, ndiye kuti izi zimakhudzanso.

Koma pali zochitika zina pamene kumwa mankhwala a insulin sikugwira, zifukwa zomwe izi zimachitikira thupi:

• Mlingo wolakwika wa mankhwala
• kusapezeka kapena kusatsatira malamulo omwe akhazikitsidwa a mankhwalawo,
• kusungidwa mosayenera kwa mankhwalawa,
• Wodwala akasakaniza mankhwala osiyanasiyana mu syringe imodzi,
• njira yolakwika yoyambira.

Zina zonsezi pamwambapa zimawonjezera shuga m'magazi, choncho wodwalayo afotokozere mwatsatanetsatane zomwe zimawonetsa kwa adokotala, omwe amatha kudziwa zomwe zimayambitsa khansa iyi.

Koma pamene shuga la magazi 17, omwe si onse amadziwa zomwe angachite zoterezi - muyenera kulumikizana ndi katswiri yemwe adzazindikire zomwe zingayambitse komanso kupereka chithandizo choyenera.

Ketoacidosis

Ngati shuga amasungidwa kwambiri kwanthawi yayitali, pamakhala ngozi yotenga ketoacidosis, yomwe imakhala ndi zizindikiro zake:

• kusakhazikika
• kuwonongeka kwaumoyo
• kukodza pafupipafupi, komwe kumadziwoneka bwino,
• Pakupuma kumakhala kulawa kapena kununkhira kwa acetone,
• kuphwanya chopondapo
• kusanza ndi kusanza
• mutu
• kusowa kwamaso.

Izi zimathandizira pokhapokha pokhapokha, ndipo nthawi yomweyo, njira monga kubwezeretsanso madzi ndi kutsata zinthu mpaka zofunikira zimayikidwa, chithandizo cha insulin chimayikidwa ndipo mulingo wa asidi woyambira ubwezeretsedwa.

Sikuti anthu onse amamvetsetsa kuopsa kwa shuga m'magazi, koma zimatha kudwala matenda a shuga, omwe amapezeka mwachangu tsiku limodzi.

Ili ndi zizindikiro zake, zomwe nthawi zina zimakhala ndi dzina lotchulidwa:

1. Fungo la acetone mkamwa mwa wodwalayo.
2. Nthawi zonse pakamwa pouma.
3. Nkhope yofiira.
4. Lilime lili ndi zolembera zolimba.