Mwazi wa shuga wokhala ndi katundu: momwe mungaperekere, wabwinobwino, kukonzekera

Ndi kuyamba kwa ma glucometer, zakhala zosavuta kwa anthu odwala matenda ashuga kuwunika shuga wawo wamagazi. Zipangizo zothandiza komanso zowoneka bwino zimachotsera kufunikira kopereka magazi nthawi zambiri, koma zimakhala ndi zolakwika pafupifupi 20%.

Kuti mupeze zotsatira zolondola komanso kumveketsa bwino matendawa, pakufunika kuwunika mayeso athunthu. Chimodzi mwazomwe amayezetsa za matenda ashuga ndi prediabetes ndi kuyesa kwa shuga wamagazi ndi katundu.

Kuyesedwa kwa magazi ndi shuga ndi katundu: tanthauzo ndi cholinga

Kuyesedwa kwa shuga m'magazi ndi masewera olimbitsa thupi ndi njira yabwino yodziwira matenda ashuga

Kuyesedwa kwa shuga m'magazi okhala ndi katundu kumatchedwanso kuyesedwa kwa shuga m'mlomo. Zikuwonetsa momwe glucose m'magazi amakhazikika ndikuphwanyidwa. Glucose ndiye gwero lofunikira kwambiri lamphamvu kwa thupi, chifukwa chake, popanda kunyengerera kwathunthu, ziwalo zonse ndi minofu yake zimavutika. Kuchuluka kwake mu seramu yamagazi kumaonetsa kuti glucose samamwa bwino, zomwe zimachitika kawirikawiri ndi matenda ashuga.

Kuyesedwa kwa shuga ndi katundu kumachitika kwa maola awiri. Chinsinsi cha njirayi ndikuti magazi amaperekedwa kangapo kawiri: isanachitike komanso atatha kugwiritsa ntchito shuga kuti adziwe kupasuka kwake.

Njira yofananira yodziwitsira matenda ndi yachiwiri ndipo imachitika ndikulingalira komwe kudalipo masiku ano. Kuyesedwa koyambirira kwa shuga ndi kuyezetsa magazi koyenera. Ngati zikuwonetsa zotsatira pamwambapa 6.1 mmol / L, kuyesedwa kwa glucose kokhala ndi katundu kumayikidwa. Uku ndikuwunikira kopindulitsa kwambiri, komwe kumakupatsani mwayi wotsimikiza mkhalidwe wa prediabetes wa thupi.

Dokotala wanu angakulimbikitseni kuyesedwa pankhani zotsatirazi:

• Matenda a shuga omwe akuwakayikira. Kuyesedwa kowonjezera kwa shuga ndi katundu kumachitika ndi zotsatira zoyipa za magazi. Nthawi zambiri amalembera chizindikiro cha 6.1 mpaka 7 mmol / L. Zotsatira zake zikuwonetsa kuti sipangakhalepo shuga, koma glucose samamwa bwino. Kusantaku kumakupatsani mwayi wodziwa kuchepetsedwa kwa shuga m'magazi.
• Matenda a shuga. Matenda a shuga amtunduwu amapezeka nthawi yapakati. Ngati mayi woyamba ali ndi pakati amadwala matenda amishuga, mimbayo yonse imayezetsa pakamwa kuti adziwe kutulutsa shuga.
• Polycystic ovary. Amayi omwe ali ndi polycystic, monga lamulo, amakhala ndi mavuto okhala ndi mahomoni, omwe amatha kutsagana ndi matenda a shuga a mellitus chifukwa cha kupindika kwa insulin.
• Kulemera kwambiri. Anthu onenepa kwambiri nthawi zambiri amachepetsa kuthamanga kwa shuga komanso chizolowezi cha matenda a shuga. Mayeso amayenera kutengedwa ndi azimayi omwe onenepa kwambiri panthawi yoyembekezera.

Kukonzekera ndi machitidwe

Kuyeserera kwa shuga yamagazi

Njira yoyeserera shuga yokhala ndi katundu imatenga nthawi yayitali kuposa njira yotsatsira magazi. Magazi amatengedwa kuchokera kwa wodwalayo kangapo, ndipo njira yonseyo imatenga pafupifupi maola awiri, pomwe wodwalayo akuwonetsetsa.

Dotolo kapena namwino ayenera kuchenjeza wodwalayo za kukonzekera ndikupereka nthawi ya njirayi. Ndikofunikira kumvetsera kwa ogwira ntchito zachipatala ndikutsatira malingaliro onse kuti zotsatira zoyesa zitheke.

Kuyesaku sikutanthauza kukonzekera kovuta komanso kadyedwe. Osatengera izi, wodwalayo akulimbikitsidwa masiku atatu asanafike mayeso kuti adye bwino komanso kudya chakudya chokwanira. Komabe, musanapite ku labotale, simuyenera kudya kwa maola 12-14. Mutha kumwa madzi opanda, opanda kaboni. Zolimbitsa thupi patsiku ladzala la njirazo ziyenera kukhala zodziwika kwa wodwalayo. Simungalole kuchepa kwambiri kapena kuwonjezeka mwazolimbitsa thupi, chifukwa izi zimakhudza zotsatira.

Ndikofunikira kudziwitsa adotolo za mankhwala onse omwe amamwa, chifukwa zina mwazomwe zimakhudza kuchuluka kwa shuga m'magazi.

Wodwalayo amabwera ku labotale panthawi yoikika, pomwe amatenga magazi pamimba yopanda kanthu. Kenako wodwalayo ayenera kumwa njira yothetsera shuga. Kwa munthu wamkulu, yankho la 1.75 g pa kilogalamu ya kulemera lakonzedwa. Njira yothetsera vutoli iyenera kukhala yoledzera pasanathe mphindi 5. Ndiwotsekemera kwambiri ndipo umadyedwa pamimba yopanda kanthu imayambitsa nseru, nthawi zina kusanza. Ndi kusanza kwakukuru, kusanthula kuyenera kuyikidwanso tsiku lina.

Mukatha kugwiritsa ntchito yankho, ola limayenera kudutsa. Panthawi imeneyi, shuga amamugaya ndipo glucose amafikira pazokwanira zake. Pakatha ola limodzi, magazi amatengedwanso kuti aunikidwe. Kujambula kwotsatira kumatenga ola lina. Pambuyo pa maola awiri, kuchuluka kwa shuga kuyenera kuchepa. Ngati kutsika kukuchepa kapena kulibe, ndiye kuti titha kulankhula za prediabetes. Mukamayesedwa, wodwalayo sayenera kudya kapena kusuta. Ndikofunikanso kupewa kusuta ola limodzi musanapite ku labotale.

Kusintha: zizolowereka ndi kupatuka pa icho, choti uchitike

Kupatuka kwina kulikonse kumafunikira kuwunikira kowonjezera kuti muwone chomwe chikuyambitsa.

Dokotala amayenera kuthana ndi kutanthauzira kwa zotsatirazi, popeza kuti kupezako ndi kwapakatikati. Zotsatira zowonjezereka, kuwunikirako sikumapangidwa mwachangu, koma kuyesedwa kwina kumayikidwa.

Zotsatira za 7.8 mmol / L zimadziwika kuti ndizabwinobwino. Ichi ndiye kuchuluka kwa glucose m'magazi, omwe ayenera kuchepa pambuyo maola 2. Ngati zotsatira zake ndizochulukirapo kuposa chizindikiro ichi ndipo zimachepera pang'onopang'ono, titha kulankhula za kukayikira kwa matenda ashuga komanso kufunikira kwa zakudya zamafuta ochepa.

Zotsatira zotsika zingakhalenso, koma pakuyesa uku zilibe kanthu, popeza kuthekera kwa thupi kugwetsa glucose ndikotsimikiza.

Zotsatira zake zitha kuchuluka osati shuga, komanso pazifukwa zina zofunika kuziganizira:

• Kupsinjika Munthawi ya kupsinjika kwakukulu, mphamvu ya thupi yokhoza kuyamwa glucose imachepetsedwa kwambiri, chifukwa chake, patsiku lachiwonetsero, ndikulimbikitsidwa kupewa kutaya mtima kwambiri.
• Mankhwala a Hormonal. Corticosteroids imachulukitsa shuga wamagazi, chifukwa chake amalimbikitsidwa kuti athetse mankhwalawo kapena anene kwa dokotala ngati kusiya sizingatheke.
• Pancreatitis Matenda oopsa a pancreatitis komanso oopsa nthawi zambiri amachititsa kuti thupi lizipatsidwa shuga.
• Polycystic ovary. Amayi omwe ali ndi polycystic ovary amakhala ndi vuto la mahomoni lomwe limagwirizanitsidwa ndi insulin. Matenda a shuga pankhaniyi atha kukhala zomwe zimayambitsa komanso zotsatirazi.
• Cystic fibrosis. Ichi ndi matenda oopsa a systemic, omwe amaphatikizidwa ndi kuchulukana kwa zinsinsi zonse za thupi, zomwe zimasokoneza kagayidwe ndipo zimayambitsa matenda osiyanasiyana osachiritsika.

Zambiri pazama mayeso a glucose zitha kupezeka mu kanema:

Matenda aliwonse amafunikira chithandizo chake. Ngati matenda a prediabetes apezeka, tikulimbikitsidwa kuwunika momwe mumadyera: muchepetse zakumwa zokhala ndi shuga komanso zotsekemera, perekani zakumwa zoziziritsa kukhosi ndi zakumwa zoziziritsa kukhosi, zamafuta kwambiri komanso zakudya zamafuta, muchepetse thupi, ngati zilipo, koma popanda zakudya zoperewera ndi njala. Ngati malingaliro awa sakutsatiridwa, mkhalidwe wa wodwalayo ungakulire, ndipo prediabetes isanduke shuga.

Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl + Lowanikutiuza.

Momwe mungasinthire: njira za kafukufuku

Kuyesedwa kwa shuga kokhala ndi katundu kumapangitsa kuti azitha kuwongolera kuchuluka kwa shuga m'magazi ndikuwunika kuzipenda. Phunziroli limachitika m'magawo. Kusanthula kumayamba ndi kuyesa shuga pamimba yopanda kanthu, ndipo magazi amatuluka kuchokera m'mitsempha. Kenako wodwalayo amagwiritsa ntchito njira yothetsera shuga (kwa akulu ndi ana, 75 g ya shuga pa kapu imodzi yamadzi, kwa amayi apakati - 100 g). Mukayika, sampuli imachitika theka lililonse la ola. Pambuyo maola 2, magazi amatengedwa komaliza. Popeza njira yothetsera vutoli ndi shuga kwambiri, imatha kuyambitsa nseru komanso kusanza kwa wodwala. Muzochitika izi, kusanthula kumusamutsira tsiku lotsatira. Pa kuyesa kwa shuga, masewera olimbitsa thupi, chakudya, ndi kusuta ndizoletsedwa.

Mukayesedwa shuga ndi katundu, miyezo iyi ndi yofanana kwa onse: abambo, amayi ndi ana, zimangodalira zaka zawo. Kuchulukitsa kwa shuga kumafuna kuyesedwanso. Wodwala akapezeka ndi matenda ashuga kapena prediabetes, amatengedwa mwachangu. Matenda omwe atapezeka amafunika kuwongolera shuga. Kuphatikiza pa mankhwala, zakudya zamagulu ena zimagwiritsidwa ntchito pochizira, momwe amawerengedwa ndi zopatsa mphamvu.

Kuti apereke kwathunthu ziwalo za anthu ndi machitidwe ake ndi glucose, mulingo wake uyenera kukhala wogwirizana kuyambira 3.5 mpaka 5.5 mmol / L. Kuphatikiza apo, ngati kuyezetsa magazi ndi katundu sikusonyeza kupitirira 7.8 mmol / l, ndiye kuti izi ndizofananso. Zoyesazo zimakhala ndi katundu pomwe mungayang'anire kuchuluka kwa shuga zimaperekedwa pagome.

Kusala Mukatha kuchita masewera olimbitsa thupi ndi glucose, mmol / L Kudziwa magazi a capillary, mmol / L magazi a Venous, mmol / L mpaka 3.5 Kufikira 3.5 Up. 3.5 Hypoglycemia 3.5-5.5 3.5-6.1 Up 7.8 Kusowa kwa matenda

Matenda a shuga ndiye chachikulu, koma osati chokha chomwe chimayambitsa matenda. Shuga wamagazi amatha kukhala ndi zovuta zakanthawi pazifukwa zina:

• kupsinjika m'maganizo ndi m'thupi,
• kudya pamaso pa mtanda
• poizoni wa monoxide
• opareshoni, kuvulala ndi kuwundana,
• kuwotcha matenda
• kumwa mankhwala (mahomoni, okodzetsa),
• kusamba
• chimfine, kupweteka kwamankhwala oyamba ndi ma virus kapena kuchulukitsa kwa matenda osachiritsika,
• onenepa kwambiri.

Bweretsani ku zomwe zalembedwa

Nkhani ya m'modzi wa owerenga athu, Inga Eremina:

Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.

Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.

Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowo amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.

Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.

Pakulephera koyamba kwa kagayidwe kazachilengedwe, kusintha zingapo kuyenera kuchitika. Poyamba, muyenera kuthana ndi kulemera kwambiri ndikuwasamalira kuti muchepetse kuchuluka kwa shuga m'magazi. Izi zimatheka podziletsa pakudya mothandizidwa ndi zakudya zapadera. Nthawi yomweyo siyani ufa, kusuta, wokazinga ndipo makamaka wokoma. Sinthani njira zophikira: kuwira, kuwiritsa, kuphika. Kuphatikiza apo, zochitika zolimbitsa thupi za tsiku ndi tsiku ndizofunikira: kusambira, kulimbitsa thupi, kuyendetsa ndege, Pilates, kuthamanga ndi kukwera miyendo.

Zosiyanasiyana za GTT

Kuyeserera masewera olimbitsa thupi nthawi zambiri kumatchedwa kuyesa kwa glucose. Phunziroli limathandizira kuwunika momwe shuga m'magazi amamwiridwira komanso kuti imasweka nthawi yayitali bwanji. Kutengera ndi zotsatira za kafukufukuyu, adotolo azitha kuzindikira kuti kuchuluka kwa shuga kumabweranso mwakale atalandira shuga wambiri. Njira nthawi zonse zimachitika mutatenga magazi pamimba yopanda kanthu.

Masiku ano, kuyesa kwa glucose kumachitika m'njira ziwiri:

Mu 95% ya milandu, kusanthula kwa GTT kumachitika pogwiritsa ntchito kapu ya glucose, ndiko kuti, pakamwa. Njira yachiwiri siigwiritsidwa ntchito kawirikawiri, chifukwa kukamwa kwakamadzi ndi glucose kuyerekezera ndi jakisoni sikumabweretsa kupweteka. Kusanthula kwa GTT kudzera m'magazi kumachitika kokha kwa odwala omwe ali ndi tsankho la glucose:

• azimayi omwe ali ndi udindo (chifukwa cha toxicosis),
• ndi matenda am'mimba thirakiti.

Dokotala yemwe analamula kuti phunziroli afotokozere wodwalayo njira iti yomwe ili yofunika kwambiri pankhani inayake.

Zizindikiro za

Dokotala angalimbikitse wodwalayo kuti apereke magazi a shuga ndi katundu pazinthu zotsatirazi:

• lembani 1 kapena matenda 2 a shuga. Kuyesedwa kumachitika kuti muwone ngati mankhwalawo amathandizadi, komanso kuti mudziwe ngati matendawo afalikira,
• insulin kukana syndrome. Vutoli limayamba pamene maselo sazindikira mahomoni opangidwa ndi kapamba,
• pakubala kwa mwana (ngati mayi akuwakayikira mtundu wa matenda ashuga),
• kupezeka kwa kuchuluka kwa thupi ndi chidwi chamagulu,
• dongosolo logaya chakudya,
• kusokoneza kwa pituitary gland,
• kusokonezeka kwa endocrine,
• kukanika kwa chiwindi
• kukhalapo kwa matenda oopsa a mtima.

Ubwino wakuyesa mayeso a glucose ndikuti ndi thandizo lake ndikotheka kuzindikira mkhalidwe wa prediabetes mwa anthu omwe ali pachiwopsezo (mwayi wokhala nawo mwa iwo ukuwonjezeka nthawi 15). Mukazindikira matendawa ndi kuyamba kulandira chithandizo, mutha kupewa zovuta komanso zovuta zina.

Contraindication

Mosiyana ndi maphunziro ena ambiri a hematological, kuyezetsa magazi omwe ali ndi katundu kuli ndi malire ake pakuchita. Ndikofunikira kuchedwetsa kuyesedwa motere:

• ndi chimfine, SARS, chimfine,
• kuchuluka kwa matenda osachiritsika,
• matenda opatsirana
• matenda otupa
• njira zam'magazi m'mimba,
• toxicosis
• chithandizo cha opaleshoni chaposachedwa (kuwunikira kungatengedwe osapitirira miyezi 3).

Komanso contraindication pakuwunika ndikumamwa mankhwala omwe amakhudza kuchuluka kwa shuga.

Momwe mungakonzekerere kusanthula

Kuyesa kunawonetsa kuchuluka kwodalirika kwa shuga, magazi amayenera kuperekedwa moyenera. Lamulo loyamba lomwe wodwalayo ayenera kukumbukira ndilakuti magazi amatengedwa pamimba yopanda kanthu, chifukwa chake simungadye pasanathe maola 10 njira isanachitike.

Ndipo ndikofunikanso kulingalira kuti kupotoza kwa chizindikirocho ndikotheka pazifukwa zina, kotero masiku atatu musanayesedwe, muyenera kutsatira malingaliro awa: kuchepetsa kumwa zakumwa zilizonse zomwe zimakhala ndi mowa, kupatula kuwonjezera zochitika zolimbitsa thupi. Masiku awiri musanalandire magazi, tikulimbikitsidwa kukana kukaona masewera olimbitsa thupi ndi dziwe.

Ndikofunika kusiya kugwiritsa ntchito mankhwalawa, kuchepetsa kumwa kwa msuzi ndi shuga, ma muffin ndi confectionery, kupewa kupsinjika ndi nkhawa. Ndipo m'mawa patsiku la mchitidwe waletsedwa kusuta, kutafuna chingamu. Wodwala akalandira mankhwala mosalekeza, adokotala ayenera kudziwitsidwa za izi.

Kodi mchitidwe umachitika bwanji?

Kuyesa kwa GTT ndikosavuta. Choipa chokha cha njirayi ndi nthawi yake (nthawi zambiri imakhala pafupifupi maola awiri). Pambuyo pa nthawi iyi, wothandizira ma labotour amatha kunena ngati wodwala akulephera kudya kagayidwe kazakudya. Kutengera ndi zotsatira za kusanthula, adotolo aziganizira momwe maselo a mthupi amayankhira insulin, ndipo adzatha kudziwa.

Kuyesa kwa GTT kumachitika molingana ndi ma algorithm otsatirawa:

• m'mawa kwambiri, wodwalayo ayenera kupita kuchipatala komwe kuwunika kumachitika. Ndondomeko isanachitike, ndikofunikira kutsatira malamulo onse omwe dokotala yemwe adayambitsa kafukufuku adanenapo.
• gawo lotsatira - wodwalayo ayenera kumwa njira yapadera. Nthawi zambiri imakonzedwa ndikusakaniza shuga wapadera (75 g.) Ndi madzi (250 ml.). Ngati njirayi ikuchitidwa kwa amayi apakati, kuchuluka kwa gawo lalikulu kumatha kuwonjezeka pang'ono (pofika 15-20 g.).Kwa ana, kuchuluka kwa glucose kumasintha ndipo amawerengedwa motere - 1.75 g. shuga pa kilogalamu imodzi ya kulemera kwa mwana,
• Pakatha mphindi 60, katswiri wothandizira ntchitoyo amatenga zotsalira kuti azindikire kuchuluka kwa shuga m'magazi. Pambuyo pa ola limodzi, kuyesedwa kwachiwiri kwa biomaterial kumachitika, pambuyo pakupenda komwe kumakhala kotheka kuwunika ngati munthu ali ndi matenda amisempha kapena chilichonse chiri chochepa.

Kulingalira zotsatira

Kuunikira zomwe zachitika ndikuwonetsa kuyenera kuchitika kokha ndi katswiri wodziwa ntchito. Kuzindikiritsa kumapangidwira kutengera zomwe zidzakhale zowerenga glucose mutachita masewera olimbitsa thupi. Kuyesedwa pamimba yopanda kanthu:

• zosakwana 5.6 mmol / l - mtengo uli mkati mwazonse,
• kuchokera 5.6 mpaka 6 mmol / l - boma la prediabetes. Ndi zotsatirazi, zoyesa zowonjezera zimayikidwa,
• Pamwamba pa 6.1 mmol / l - wodwalayo amapezeka ndi matenda a shuga.

Kusanthula kumachitika patatha maola 2 atatha kugwiritsa ntchito njira yothetsera shuga:

• osakwana 6.8 mmol / l - kusowa kwa matenda,
• kuchokera 6.8 mpaka 9.9 mmol / l - boma la prediabetes,
• zopitilira 10 mmol / l - shuga.

Ngati kapamba sangatulutse insulin yokwanira kapena maselo samazindikira bwino, kuchuluka kwa shuga kudzapitilira muyeso panthawi yonse ya mayeso. Izi zikuwonetsa kuti munthu ali ndi matenda ashuga, chifukwa mwa anthu athanzi, ndikadumpha koyamba, kutsekemera kwa glucose kumabwereranso kwina.

Ngakhale kuyesedwa kwawonetsa kuti gawo lazopangidwazo ndi lokwanira, simuyenera kukhumudwa pasadakhale. Mayeso a TGG nthawi zonse amatengedwa kawiri kuwonetsetsa zotsatira zomaliza. Nthawi zambiri kuyesedwanso kumachitika pambuyo pa masiku 3-5. Pambuyo pokhapokha izi, adokotala azitha kunena zomaliza.

GTT panthawi yapakati

Oimira onse ogonana omwe ali pachiwonetsero, kuwunikira kwa GTT kumayikidwa popanda kulephera ndipo nthawi zambiri amaziwonjezera panthawi yachitatu. Kuyesedwa kumachitika chifukwa chakuti pakubala, azimayi amakhala ndi matenda a shuga.

Nthawi zambiri matendawa amadutsa palokha pakubadwa kwa mwana ndikukhazikika kwakumaso kwa mahomoni. Kuti muchepetse kuchira, mayi ayenera kukhala ndi moyo wabwino, kuwunika zakudya komanso kuchita masewera olimbitsa thupi.

Nthawi zambiri, mwa amayi apakati, kuyezetsa kuyenera kupereka zotsatirazi:

• pamimba yopanda kanthu - kuyambira 4.0 mpaka 6.1 mmol / l.,
• Maola 2 mutatenga yankho - mpaka 7.8 mmol / L.

Zizindikiro za chinthuchi panthawi yomwe mayi ali ndi pakati ndi chosiyana pang'ono, chomwe chimalumikizidwa ndi kusintha kwa mahomoni azinthu ndikuwonjezereka kwa thupi. Koma mulimonsemo, kuzunzika kwa chinthu pamimba yopanda kanthu sikuyenera kupitirira kuposa 5.1 mmol / L. Kupanda kutero, adotolo adzazindikira matenda a shuga.

Tiyenera kudziwa kuti kuyesedwa kumachitika kwa amayi apakati mosiyana. Magazi adzafunika kuti aperekedwe osati kawiri, koma 4. Kutulutsa magazi konseko kumachitika patatha maola 4 pambuyo pa woyamba. Kutengera manambala omwe adalandilidwa, dokotalayo amadziwitsa za matenda ake omaliza. Matendawa amatha ku chipatala chilichonse ku Moscow ndi m'mizinda ina ya Russian Federation.

Pomaliza

Kuyesedwa kwa shuga ndi katundu ndi kofunika osati kwa anthu omwe ali pachiwopsezo, komanso kwa nzika zomwe sizidandaula chifukwa cha zovuta zaumoyo. Njira yophweka ngati imeneyi ingathandizire kudziwa matenda a munthawi yake komanso kupewa kupitilirabe. Kuyesa sikovuta ndipo sikumayendera limodzi ndi zovuta. Zokha zoyipa za kusanthula uku ndi kutalika kwa nthawi.

Kuti zomwe zikuwunikirazi zikuwonetsetse momwe zinthu ziliri

Amadziwika kuti munthu akayamba kunyalanyaza matendawa, zimakhala zovuta kwambiri kuti achire. Chifukwa chake, ndikofunikira kudziwa matendawa kumayambiriro. Sizingatheke kuchita izi popanda kuyezetsa magazi. Chimodzi mwazomwezo ndi kuyesa kwa shuga. Zimapangitsa kudziwa matenda a shuga ndi matenda ena a endocrine, komanso matenda a kapamba, chiwindi, impso komanso ma adrenal gland.

Koma kuti mayesowo awonetse momwe zinthu ziliri m'thupi, ziyenera kuchitika molondola. Kudziwunikira kumeneku kudzasiyidwa ndi chikumbumtima cha madokotala, ndipo tidzakambirana zomwe wodwalayo ayenera kuchita kuti kuwunikirako kubweretse zotsatira zoyenera.

Choyamba, pazomwe zingasokere kuyesa kwa magazi. Izi zitha kuchitidwa ndi kupanikizika kwambiri kwa thupi, ndi matenda a kapamba kapena matenda a endocrine, komanso mawonekedwe a khunyu, komanso poyizoni wa khofi wa monoxide, komanso kugwiritsa ntchito mankhwala ena. Ndipo ngakhale dzino la mano, komanso chingamu.

Chifukwa chake, zonse zomwe zingatheke, musanatenge mayeso, siziyenera kulembedwa kuti zizigwiritsidwa ntchito dzulo la mayesowo, ndipo madokotala adzadziwitsidwa za matenda.

Iwo pazonsezi, mwina, adokotala sangakuchenjezeni. Koma adzanenanso kuti kuwunika kuyenera kungotengedwa pamimba yopanda kanthu. Komabe, sikuti aliyense amadziwa kuti ndi chiyani. Ambiri mu lingaliro ili amaphatikiza chakudya chokhacho ndipo amakhulupirira kuti zakumwa zitha kumumwa. Uku ndikulakwitsa kwakukulu. Monga msuzi wa zipatso, msuzi wokoma, kissel, compote, mkaka, tiyi komanso khofi yemwe ali ndi shuga, uli ndi zakudya zamagulu ndipo umatha kusintha shuga. Chifukwa chake, nawonso sayenera kupatula magazi asanaperekedwe. Monga mowa uliwonse, popeza mowa ulinso wopatsa mphamvu ndipo umatha nawonso.

Alibe mphamvu

Mwa zakumwa zonse, mutha kumwa madzi okha. Popeza momwe zimakhudzira kapangidwe ka magazi sizimatengera mbali iliyonse. Koma muyenera kusamala ndi madzi. Iyenera kukhala yoyera kotheratu komanso yopanda zowonjezera zilizonse, ngakhale zowoneka ngati zovulaza konse. Imayenera kuledzera posachedwa mayeso. Ndipo palibe chifukwa choti musagwiritse ntchito molakwika, popeza kuchuluka kwake kungapangitse kukwiya, komwe kumakhudza zotsatira za kusanthula. Pankhaniyi, ndikofunikira kudziletsa kuti musakhale ndi madzi ambiri. Ndipo sipadzakhala chifukwa chothamangira kuchipatala kukafunafuna chimbudzi. Simuyenera kumwa madzi ndi mpweya. Imathanso kukhudza zotsatira za kusanthula.

Ndipo chomaliza: ngati simumva ludzu musanapange kusanthula, simuyenera kutero. Izi sizingakuyipa kwambiri ndipo sizingakhudze zotsatira zake. Ndipo pazonse, simuyenera kumwa madzi ambiri kuposa momwe mukufuna. Aliyense wonena zolakwika alibe.

Zambiri

Ngati mfundo zapamwamba kapena za m'malire zapezeka, kuyezetsa mozama kwa endocrinological kumachitika - kuyezetsa magazi ndi shuga ndi katundu (mayeso a kulolera shuga). Kafukufukuyu amakupatsani mwayi wofufuzira matenda am'mimba a shuga kapena vuto lomwe lidayambitsidwa (kulekerera kwa shuga). Komanso, zomwe zikuwonetsa mayesowo ndi zolemba za glycemia kamodzi.

Magazi a shuga okhala ndi katundu atha kuperekedwa ku chipatala kapena m'malo achinsinsi.

Mwa njira yobweretsera shuga m'thupi, njira yofufuzira (mkamwa) ndi njira zina zowerengera zimayesedwa, iliyonse yomwe imakhala ndi njira yake komanso njira zake zowunikira.

Kukonzekera kuwerenga

Dokotalayo ayenera kudziwitsa wodwalayo zomwe zikuwoneka phunziroli komanso cholinga chake. Kuti mupeze zotsatira zodalirika, shuga yamagazi yomwe ili ndi katundu uyenera kuperekedwa ndikakonzedwe kena kofanana ndi kamilomo ndi njira yolowerera:

• Pakupita masiku atatu phunzirolo lisanachitike, wodwalayo sayenera kudya yekha ndipo ngati kuli kotheka, azidya zakudya zopatsa mphamvu (buledi, maswiti, mbatata, semolina ndi phala la mpunga).
• Mukakonzekera, masewera olimbitsa thupi amalimbikitsidwa. Kuchulukirapo kuyenera kupewedwa: kugwira ntchito molimbika komanso kugona pakama.
• Madzulo a chakudya chomaliza saloledwa pasanathe maola 8 mayeso asanakwane (maola 12).
• Nthawi yonseyi, kudya zopanda malire zamadzi kumaloledwa.
• Ndikofunikira kupatula kumwa mowa ndi kusuta.

Phunziro lili bwanji

M'mawa pamimba yopanda kanthu, oyambirira magazi amatengedwa. Kenako, yankho lokhala ndi glucose ufa wambiri 75 g ndi 300 ml ya madzi nthawi yomweyo amamwa kwa mphindi zingapo. Muyenera kukonzekereratu kunyumba pasadakhale ndi kubwera nazo. Mapiritsi a glucose angagulidwe ku pharmacy. Ndikofunikira kwambiri kupangira ndende yoyenera, apo ayi kuchuluka kwa kuyamwa kwa glucose kumasinthira, zomwe zimakhudza zotsatira zake. Komanso ndizosatheka kugwiritsa ntchito shuga m'malo mwa glucose yankho. Palibe kusuta komwe kumaloledwa panthawi yoyesedwa. Pambuyo pa maola 2, kusanthula kumabwerezedwa.

Njira zoyesera zotsatira (mmol / l)

Kuti mutsimikizire kapena kupatula matenda ashuga, kuyezetsa magazi awiri omwe ali ndi shuga ndikofunikira. Pa mankhwala a dokotala, kutsimikizika kwapakatikati pa zotsatira kumathanso kuchitika: theka la ora ndi mphindi 60 mutamwa njira yothetsera shuga, ndikutsatira kuwerengera kwa hypoglycemic ndi hyperglycemic coefficients. Ngati izi zikuwonetsa kusiyana ndi zomwe zimachitika pazotsatira zina zokhutiritsa, wodwalayo akulimbikitsidwa kuti achepetse kuchuluka kwa chakudya chamagetsi chamagetsi m'zakudya ndikuyambiranso mayeso patatha chaka chimodzi.

Zoyambitsa Zosalakwika

• Wodwalayo sanayang'anire kulamulidwa kwa zolimbitsa thupi (zokhala ndi zochulukirapo, zisonyezo zidzayendetsedwa bwino, ndipo pakalibe katundu, m'malo mwake, overestimated).
• Wodwala panthawi yokonzekera amadya zakudya zamafuta ochepa.
• Odwala akamamwa mankhwala omwe amayambitsa kusintha poyesa magazi
• (thiazide diuretics, L-thyroxine, kulera, beta-blockers, antiepileptic ndi anticonvulsants). Mankhwala onse omwe atengedwa ayenera kuuzidwa kwa dokotala.

Pankhaniyi, zotsatira za kafukufuku sizothandiza, ndipo zimachitika mobwerezabwereza pasanathe sabata.

Momwe mungachite mukatha kusanthula

Pamapeto pa kafukufukuyu, odwala angapo amatha kuzindikira kufooka kwambiri, thukuta, manja akunjenjemera. Izi zimachitika chifukwa cha kumasulidwa kwa maselo a pancreatic poyankha glucose wambiri wa insulin komanso kuchepa kwakukulu pamlingo wake m'magazi. Chifukwa chake, pofuna kupewa hypoglycemia, mutayezetsa magazi, ndikulimbikitsidwa kuti mudye zakudya zomwe zili ndi zakudya zambiri ndikukhala mwakachetechete kapena, ngati kuli kotheka, mugone.

Kuyesedwa kwa shuga ndi katundu kumakhala ndi gawo lalikulu pama cell a endocrine a kapamba, chifukwa chake ngati matenda a shuga akuwonekeratu, sizingatheke kutero. Pangana ayenera dokotala yekha amene aziganizira onse nuances, zotheka contraindication. Mayeso odziyimira pawokha a glucose ndi osavomerezeka, ngakhale atakhala otchuka komanso okwera mtengo m'makliniki olipira.

Intravenous katundu mayeso

Yoperekedwa pafupipafupi. Magazi a shuga omwe ali ndi katundu wa njirayi amayesedwa pokhapokha ngati pali kuphwanya chimbudzi ndi mayamwidwe m'mimba. Pambuyo pakukonzekera kwamasiku atatu, shuga amayamba kutumikiridwa mu mawonekedwe a 25% yankho, zomwe zimapezeka m'magazi zimatsimikiziridwa nthawi 8 nthawi imodzi.

Kenako chisonyezo chapadera chimawerengeredwa mu labotale - kuchuluka kwa kukhathamiritsa kwa glucose, mulingo womwe umawonetsa kukhalapo kapena kusowa kwa matenda a shuga. Zowonjezera zake ndizoposa 1.3.

Chiyeso chololera cha glucose mwa amayi apakati

Nthawi ya kubereka imayesa mphamvu kwa thupi la mkazi, machitidwe onse omwe amagwira ntchito ndi katundu wambiri. Chifukwa chake, pakadali pano, kuchuluka kwa matenda omwe alipo komanso kuwonetsa koyamba kwa zatsopano sizachilendo. Placenta mokulira imatulutsa mahomoni omwe amawonjezera glucose wamagazi. Kuphatikiza apo, chidwi cha minofu kupita ku insulin chimachepa, chifukwa chomwe matenda a gestational nthawi zina amakula. Pofuna kuti musaphonye kuyambika kwa matendawa, azimayi omwe ali pachiwopsezo amayenera kuwonedwa ndi endocrinologist, ndikuyezetsa magazi kwa anthu omwe ali ndi masabata 24-28 pomwe kuthekera kopanga matenda opatsirana pogwiritsa ntchito matenda kumakhala kwakukulu.

Zowopsa za Matenda Aseka:

• magazi akulu mtima
• kuchuluka kwa kuthamanga kwa magazi,
• zaka zopitilira 35
• kunenepa
• glycemia wapakati wam'mbuyomu,
• glucosuria (shuga mu urinalysis) panthawi yapakati kapena pakadali pano,
• kulemera kwa ana omwe abadwa kuchokera ku pakati, zaka 4,
• kukula kwakukulu kwa fetal, kotsimikizika ndi ultrasound,
• kupezeka kwa matenda ashuga kwa abale ake,
• mbiri yolepheretsa ma patuliki: ma polyhydramnios, kutaya pamimba, kusokonezeka kwa fetal.

Magazi a shuga okhala ndi katundu mwa amayi apakati amaperekedwa malinga ndi malamulo otsatirawa:

• Kukonzekera koyenera kumachitika masiku atatu njirayi isanachitike,
• magazi okha ochokera kumtsempha wa ulnar ndi omwe amagwiritsidwa ntchito pakufufuza,
• magazi amawunikidwa katatu: pamimba yopanda kanthu, ndiye ola limodzi ndi maola awiri atayesedwa.

Kusintha kosiyanasiyana kwa kuyesa kwa shuga ndi katundu mwa amayi apakati kunafunsidwa: kuyesa kwa ola limodzi ndi maola atatu. Komabe, mtundu wokhazikika umagwiritsidwa ntchito nthawi zambiri.

Njira zoyesera zotsatira (mmol / l)

Amayi oyembekezera amakhala ndi shuga wolimba wamagazi kuposa omwe samakhala ndi pakati komanso amuna. Kuti mudziwe ngati muli ndi pakati, ndikokwanira kuchita izi kamodzi.

Mzimayi yemwe ali ndi matenda osokoneza bongo omwe wapezeka mkati mwa miyezi isanu ndi umodzi atabereka, akulimbikitsidwa kubwereza shuga wamagazi ndi katundu kuti athe kufunanso kutsatira kwina.

Nthawi zambiri, mawonekedwe a shuga samachitika nthawi yomweyo. Munthu sangaganize kuti vuto lilipo. Kuzindikira matendawa panthawi yake ndikofunikira kwa wodwalayo. Chithandizo choyambirira chimachepetsa zovuta, chimapangitsa kuti moyo ukhale wabwino.