Matenda oopsa komanso matenda ashuga

Pakadali pano, chikhalidwe cha kuthamanga kwa magazi ndi 138/92 mm RT. Art.

Koma ngati zizindikirazo zikuchulukitsidwa pang'ono, ndiye kuti izi zikuwonetsa kale kukhalapo kwa njira zazikulu za matenda. Poterepa, tikulankhula za matenda oopsa.

Ndikofunika kudziwa kuti ngati munthu mwazikhalidwe amakhala ndi chizolowezi chowonjezereka kapena kuchepetsedwa, ndiye kuti zizindikiro zimatha kusintha kwambiri nthawi ndi nthawi. Mpaka pano, zabwino za tonometer ndizotsatirazi: 121 / 11mm Hg. Art.

Chofunika kwambiri ndi muyeso wolondola wa kupanikizika. Ngakhale madokotala samakonda kuganizira za izi. Katswiri amabwera, amafulumira kuthamanga ndikuwonetsetsa kukakamiza. Izi ndi zolakwika mwamtheradi. Ndikofunikira kuti njirayi ichitike m'malo opumira.

Komabe, madokotala onse amadziwa za kukhalapo kwa matenda oyera ovala zovala. Zimakhala mu chakuti zotsatira za kuyeza kuthamanga kwa magazi muofesi ya adotolo zimakhala pafupifupi 35 mm RT. Art. apamwamba kuposa nthawi yodzipangira kunyumba.

Izi zimakhudzana mwachindunji ndi kupsinjika. Nthawi zambiri, mabungwe osiyanasiyana azachipatala amasokoneza munthu.

Koma kwa anthu omwe adazolowera kuchita masewera olimbitsa thupi mwachitsanzo, othamanga, kuthamangitsidwa kumatha kuchepetsedwa pang'ono. Mwachiwonekere, mfundo zake zimakhala pafupifupi 100/61 mm RT. Art.

Ponena za shuga la magazi, pakadali pano, si madokotala onse omwe angayankhe funsoli molondola, kuchokera momwe zimayambira zimayambitsa kuphwanya kwa kagayidwe kazakudya. Kwa nthawi yayitali, mpaka anthu 6 sanali abwinobwino.

Koma kusiyana pakati pa 6.1 ndi 7 kumawoneka ngati boma la prediabetes. Izi zinawonetsa kukhalapo kwa kuphwanya kwakukulu kwa kagayidwe kazakudya.

Koma mwa nzika zaku US, ziwerengerozi ndizosiyana pang'ono. Kwa iwo, malire a shuga m'magazi ndi 5.7.

Koma ziwerengero zina zonse zimawonetsa kukhalapo kwa prediabetes state. Ndi kuchuluka kwa shuga awa, munthu amangoika pachiwopsezo. Pambuyo pake, amatha kudwala matenda a shuga. Mwa zina, mavuto monga coronary atherosulinosis, komanso mavuto a kagayidwe kazakudya, amatha kumudikirira.

Izi zikusonyeza kuti wodwalayo ayenera kuchitapo kanthu nthawi yomweyo. Ngati kuchuluka kwa shuga m'magazi kukafika pa 7, ndiye kuti izi zikusonyeza kukhalapo kwa matenda ashuga. Pankhaniyi, kapamba sakuchita ntchito yake.

Ngati mudutsa mayeso achiwiri a shuga, omwe amayesedwa pamimba yopanda kanthu, kawiri ndi nthawi ya tsiku limodzi, zotsatira zake zikuwonetsa kuchuluka kwa zinthu zofanana ndi 7, ndiye kuti ndi njira yodziwira matenda a shuga.

Koma kupezeka kwa matendawa kwa wodwala kumakhala pachiwopsezo chachikulu chotenga matenda oopsa a mtima.

Ndikofunika kudziwa kuti mtundu wachiwiri wa matenda ashuga ndi matenda omwe amakhudza pafupifupi ziwalo zonse ndi machitidwe a thupi.

Mkulu kuchuluka kwa shuga m'magazi kumabweretsa vuto la mantha amunthu. Pambuyo pake, ubongo, mtima, mitsempha, mitsempha ndi ma capillaries nawonso amavutika. Kusintha kwina kwamthupi lamafuta owopsa mthupi kumadziwikanso.

Ngati muli ndi cholesterol yayikulu m'magazi komanso kunenepa kwambiri kwa thupi, muyenera kuganizira mozama za thanzi lanu. Panthawi imeneyi, mwayi wokhala ndi vuto la mtima komanso matenda opha ziwopsezo zimawonjezeka kangapo.

Monga lamulo, nthawi zambiri mtundu wachiwiri wa matenda a shuga umachitika nthawi yomweyo ndi kuthamanga kwa magazi.
Matendawa amangolimbikitsana, amachepetsa mphamvu ndikuwononga ziwalo ndi machitidwe a thupi.

Mwanjira ina, ngati mwakhala mukudwala kwa nthawi yayitali, ndiye kuti mutha kukhala ndi vuto la mtima kapena stroko.

Koma mothandizidwa ndi matenda a shuga a mtundu wachiwiri wokhala ndi matenda oopsa, mwayi wokhala ndi vuto la mtima uli pafupifupi 20%.

Chifukwa chiyani kuuka?

Kukhalapo kwa matenda ashuga kumawonjezera mwayi wamatenda am'mtima komanso mtima.

Matenda monga stroke, kulephera kwaimpso komanso matenda ena atha kuonekeranso.

Hypertension imangokulitsa izi.

Ngati matenda ashuga amapezeka munthawi yomweyo ndi matenda oopsa, ndiye izi zimangowonjezera zovuta zam'tsogolo zamtsogolo.

Chithandizo cha matenda oopsa

Asanachiritse matenda, ndikofunikira kumvetsetsa komwe adachokera.

Ndikofunika kufunsa dokotala yemwe adzayezetsa ndikuzindikira yemwe wayambitsa matendawa.

Monga lamulo, chithandizo chamankhwala chimakhala ndikumwa mankhwala apadera omwe ali ndi mphamvu yotsutsa antihypertensive.

Zotheka

Zomwe zimayambitsa kutsitsa magazi ndizotsatirazi:

• kusowa kwa vitamini
• zosokoneza tulo
• yotupa mu kapamba,
• michere-misempha dystonia,
• kobadwa nako matenda amanjenje,
• ntchito kwa nthawi yayitali mankhwala apadera,
• matenda a mtima ndi mtima,
• kufooka kwamatumbo, mitsempha ndi ma capillaries.

Hypotension Chithandizo

Njira yopanda vuto kwambiri yowonjezera kukakamiza ndi kapu ya tiyi wamphamvu. Pamaso pa matenda a shuga, sikulimbikitsidwa kumwa zakumwa za shuga.

Ndi kuchepetsedwa kuthamanga kwa maziko a kuchuluka kwa shuga m'magazi, tikulimbikitsidwa:

• kupumula kwabwino,
• Zakudya zoyenera komanso zopatsa thanzi,
• kutenga mavitamini apadera,
• kumwa madzi okwanira
• kusamba m'mawa, ndipo makamaka m'mawa,
• kutikita minofu ya manja ndi thupi lonse.

Zoyenera kuchita ndi vuto la kuthamanga kwa magazi kunyumba?

Zachidziwikire, madokotala omwe abwera ku ambulansi ayenera kuthana ndi zizindikiro za izi.

Koma choti tichite asanafike akatswiri?

Zili bwino ngati dokotala amakhala pafupi. Koma, pakalibe dokotala woyenera pafupi, muyenera kupereka chithandizo choyamba pazotheka. Ndikofunikira kupeza mankhwala monga Furosemide, Dibazol, Magnesia, komanso antispasmodics osiyanasiyana.

Mavuto obwera chifukwa cha matenda opha ziwonetserozi saphwanya chithandizo kunyumba. Koma, izi zimangogwiritsa ntchito pazochitika zokha pomwe izi sizipangitsa kuti mavuto azikhala zovuta.

Intraocular komanso intracranial kukakamiza odwala matenda ashuga

Mavuto omwe ali ndi kuchuluka kwa shuga pakapita nthawi angayambitse matenda athunthu, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso ngakhale zotupa za khansa!

Anthu amaphunzitsa zomwe zinawawa kuti azisintha shuga yawo kuti asangalale ...

Kupanikizika kwa mitsempha kumapangitsa kuchepa kwa shuga.

Palinso kuthekera kwa zinthu monga ketoacidosis ndi ketoacidotic chikomokere.

Koma zokhudzana ndi intracranial anzawo, imatha kuchuluka pamaso pa mitundu yayikulu ya matenda ashuga.

Mawonekedwe

Zizindikiro zakupsinjika kwa munthu wodwala matenda ashuga sizosiyana ndi zomwe zimapezeka mwa anthu ena. Mawonekedwe oyamba a mkhalidwe wamatumbo:

• kuchuluka kwakuthwa komanso kuthamanga kwa magazi kwazovuta kwambiri,
• kuyera m'maso, kusawona bwino,
• mantha opanda pake, mantha, nkhawa,
• kusanza, kusanza,
• kukomoka kwa mtima, tachycardia, bradycardia,
• minofu yolimba imanjenjemera m'thupi lonse.
• chida chododometsa, kusasamala kwambiri, ulesi,
• khungu kapena Hyperemia,
• kupuma movutikira
• chizungulire, migraine, mutu,
• kuzizira, thukuta.

Mavuto

Ngati vuto la matenda oopsa lachulukirachulukira, kuphatikiza pazovuta zazikulu, mawonekedwe owonjezera amawonekera:

• Cerebral edema, encephalopathy:
  • kukokana
  • kusokonezeka kwa chikumbumtima
  • chikomokere.
• Myocardial infarction, angina pectoris:
  • kupweteka kwa mtima.
• Stratization wa aortic aneurysm:
  • Ischemia wa miyendo, msana, ubongo,
  • kupweteka pachifuwa
  • kutalika kwa aortic
  • kugwedeza
  • matumbo kutsekeka.
• Kusintha kwachisokonezo pakufalikira kwa magazi muubongo, sitiroko:
  • zovuta zamitsempha zam'deralo.
• Kulephera kwamtima kwambiri:
  • kutsata kumverera
  • kusowa kwa mpweya
  • kupindika m'mapapu.

Mitundu ndi maphunziro

Kukhazikika kwa vuto la matenda oopsa kwa anthu odwala matenda a shuga kumatengera mtundu wa matenda.

Kusiyana kwakukulu ndi mawonekedwe a vuto la matenda oopsa zawonetsedwa pagome:

Thandizo loyamba

Ngati zizindikiro zoyambirira za vuto la matenda oopsa zikupezeka, anthu odwala matenda ashuga ayenera kupereka chithandizo choyambirira posachedwa. Pankhaniyi, ndikwabwino kuti amayi apakati ayembekezere madotolo, popeza kudziyang'anira pawokha kungakhudze mkhalidwe wa mwana wosabadwayo. Wodwala amafunikira:

• kutenga malo abodza,
• kumwa zakumwa zoziziritsa kukhosi, ngati sizinathandize, bwerezerani pambuyo mphindi 30,
• kuyeza kuthamanga kwa magazi ndikubwereza njirayi theka lililonse la ola,
• pezani mapazi anu kutentha, kukulunga bulangeti kapena kuyika tentheto yotenthetsera,
• viyikani chopukutira kapena chopukutira pamphumi panu.
• kumwa mapiritsi kuti muthe kusinthasintha kwa mtima, kuyambira kupweteka mumtima, mutu, mutatha kukambirana ndi dokotala pafoni.

Njira Zodziwitsira

Kuti mutsimikizire molondola zovuta zamatenda omwe akudwala odwala matenda ashuga, ndikofunikira kuchita kafukufuku osiyanasiyana, monga:

• mbiri yazachipatala
• microalbuminuria,
• mayeso a labotale magazi ndi mkodzo (konsekonse, zamankhwala am'mwazi),
• shuga kutsimikiza,
• kuyang'anira kuthamanga kwa magazi tsiku ndi tsiku,
• makina ophatikizira kapena maginito oyesa,
• electrocardiogram
• kutsimikiza kwa creatinine chilolezo,
• Ulalofu wa impso, matenda am'mimba, ma impso komanso brachiocephalic.
• kutsimikiza kwa kalozera wamchifuwa,
• ophthalmoscopy
• kuyeserera kwa shuga
• kutsimikizira mwatsatanetsatane kwa ziwalo zomwe mukufuna
• echocardiography
• chifuwa x-ray
• chekeni cham'mitsempha yayikulu,
• kuwunika kwa proteinuria
• aborinal aortography.

Mankhwala

Ndikofunika kukumbukira kuti ngati vuto la matenda okhudzana ndi mtundu wa 1 limaletsedwa kumwa mankhwala a antihypertensive mwachangu, popeza njira zoterezi ndizopsinjika kwa thupi ndipo nthawi zambiri zimayambitsa zovuta zina, kuphatikizapo stroke. Nthawi yomweyo, ndi mtundu wachiwiri wamavuto nthawi zina zimakhala zovuta kuchita popanda iwo.

Mankhwala omwe amathandizira kuthana ndi matenda ndi zizindikiro zake zazikulu zalembedwa pagome:

Kodi zikuwonekabe zosatheka kuchiritsa matenda ashuga?

Poona kuti mukuwerenga izi tsopano, kupambana polimbana ndi shuga wambiri sikuli kumbali yanu.

Ndipo mudaganizapo kale za chithandizo kuchipatala? Ndizomveka, chifukwa shuga ndi matenda oopsa, omwe, ngati sanapatsidwe, amatha kufa. Udzu wokhazikika, kukodza mwachangu, masomphenya osalala. Zizindikiro zonsezi mumazidziwa nokha.

Koma kodi ndizotheka kuchitira zomwe zimayambitsa m'malo mothandizira? Timalimbikitsa kuwerenga nkhani yokhudza matenda aposachedwa a shuga. Werengani nkhani >>

Pakhoza kukhala kupanikizika ndi shuga, ndi chiyani chomwe chimawonetsa?

Zakudya zopatsa thanzi m thupi la munthu zimachitika kudzera mu shuga komanso zotumphukira za metabolism. Kupatuka kwa glucose amtundu kuchokera ku chizolowezi kumayambitsa zovuta zina pakugwira ntchito kwa thupi.

Kuchuluka kwa shuga kumakhudzanso dongosolo lamanjenje laumunthu, ubongo, komanso mtima ndi mitsempha yamagazi

• fructosamine
• glycated hemoglobin,
• mkaka.

Mu thupi la munthu, kuchuluka kwa maselo okhala ndi glucose (dextrose) kumachitika chifukwa cha kuwonongeka kwa mankhwala osakanikirana ndi zina zomwe zimapangidwa ndi ma pancreas, matumbo ochepa. Pambuyo pakusweka, dextrose imalowa m'magazi. Chifukwa cha kufalikira kwa magazi pa cellular, minofu imakhala yodzaza ndi zofunika. Gwero lalikulu la glucose m'thupi ndi chakudya chokwanira ndi mankhwala.

Kuchuluka kwa shuga m'thupi kumayenera kukhala koyenera:

• makanda kuyambira 2,9 mpaka 4.4 mmol / l,
• ana ochepera zaka 15 3.4-5.4 mmol / l,
• Akuluakulu ochokera ku 4.2-5.6 mmol / l,
• anthu okalamba kuyambira zaka 65, amayi oyembekezera 4,5-6,5 mmol / l.

Kodi kuthamanga kwa magazi kwa diastolic ndi systolic ndi chiyani?

Kupatuka kwa chizindikiro cha glucose kumayambitsa kusokonezeka pama cellular:

• kuchepa kumayambitsa kusayenda bwino kwamanjenje, ubongo,
• kuwonjezeka kumabweretsa kudzikundikira kowonjezera mu minofu, pali kuwonongeka kwa mitsempha yamagazi, kuwonongeka kwa minofu ya mtima ndi impso.

Kuchuluka kwa shuga m'magazi kumakhudza kuthamanga kwa magazi, ndipo nthawi zambiri kumka m'mwamba

Mwazi wamagazi amawerengedwa ngati mamililita pa lita imodzi. Zimatengera chakudyacho, ntchito zamagalimoto a anthu, kuthekera kwa thupi kupanga mahomoni omwe amachepetsa shuga.

Ndikusowa kwa dextrose kuchokera kwina, thupi limapanga kuchokera mkati:

Magwero amkati amagwiritsidwa ntchito pochita masewera olimbitsa thupi, pogwiritsa ntchito mphamvu yayikulu. Njira iyi ndiyowopsa ku thanzi la anthu, imakhudza minofu yake, mafupa am'magazi.

Zomwe zimayambitsa shuga m'magazi:

• kusokonekera kwa dongosolo la endocrine,
• kulakwitsa kwa kapamba, impso, chiwindi,
• matenda ashuga
• zotupa zoyipa
• kulephera kwa mtima
• atherosulinosis.

Kodi shuga ndimagazi bwanji?

Matenda a shuga ndi matenda oopsa ndi matenda awiri omwe amalumikizana. Kukhalapo kwa matenda oopsa kumabweretsa chiopsezo cha matenda ashuga komanso mosemphanitsa. Ndi shuga ochulukirapo m'magazi, atherosulinosis imayamba, yomwe imakwiyitsa kuthamanga kwa magazi.

Ngakhale kuchuluka kwakuchepa kwa magazi (kuthamanga kwa magazi), komwe sikuopseza munthu wathanzi, kumaphetsa munthu wodwala matenda ashuga

Zovuta za atherosulinosis yamitsempha yamagazi:

• sitiroko
• vuto la mtima pamiyendo yakulephera kwamtima,
• matenda a mtima
• Kuumitsa kwamitsempha yam'munsi,
• zotsatira zakupha.

Arrhasmia ndi kuthamanga kwa magazi - choti achite?

Ndi kuyambika kwa matenda ashuga, kuthamanga kwa magazi sikuyenera kupitirira 130 mpaka 80 mm RT. Art. Chizindikiro choyamba chimatchedwa systolic Press. Imazindikira kuchuluka kwa kuthamanga kwa magazi pazitseko zamitsempha yamagazi, ndikakokedwa ndi mtima. Chizindikiro chachiwiri chimatchedwa kukhudzana kwa diastolic, kuyamba kwa magazi pamitsempha yodekha pakati pamitsempha yamtima. Kufunika kwa kuthamanga kwa magazi ndi chisonyezo chachikulu pakupereka mankhwala a hyperglycemia. Zimatha kubweretsa zovuta zazikulu, ngakhale imfa. Hypertension imayamba nthawi zambiri chifukwa cha matenda ashuga, kuposa izi. Zimaphatikizidwa ndi kuwonongeka kwa ziwiya zazing'ono, ma capillaries, mitsempha yayikulu yomwe imapereka magazi mu thupi pakati pa ziwalo zofunika. Zotsatira zake, kufa ndi mpweya. Kupanikizika kwa shuga kumakwera. Zombo zimataya kusokonekera, kuthekera kwakukhalitsa kwa magazi ndi kuwonjezereka kwa pafupipafupi komanso mphamvu yamphamvu yamtima.

Magazi amayika kupanikizika pazenera za mitsempha, chifukwa zimatha kutulutsa magazi.Odwala amafunsa, kodi shuga amawonjezera kukakamizidwa kapena kutsika? Malinga ndi zotsatira za maphunziro azachipatala, kuchuluka kwa shuga kumabweretsa kukula kwa matenda oopsa.

Mavuto a m'maganizo kapena kupsinjika kwanthawi yayitali kumatha kudzetsa kusokonekera kwa metabolic ndipo, chifukwa chake, kumawonjezera kuthamanga kwa magazi ndikupangitsa matenda a shuga.

Zizindikiro zazikulu za kuthamanga kwa magazi:

• chizungulire
• kumverera kwa kuphipha kwa magazi mu khosi,
• mutu wakuthwa
• kuzizira
• chisokonezo.

Pazizindikiro zoyambirira za kuchuluka kwa magazi, muyenera kufunsa dokotala. Adziwitsanso matenda, kudziwa chomwe chimayambitsa kupangika kwa mapangidwe a pathological, kupereka mayeso angapo. Shuga wamagazi ndi kuthamanga kwa magazi kulumikizidwa kudzera m'magazi, mitsempha, ma capillaries. Kukhalapo kwa kuthekera kuchepetsedwa ndikukula kutengera kutuluka kwa magazi komwe mtima umayamba.

Kukula kwa chikomokere kwa hypoglycemic kumachitika mwadzidzidzi. Koma zizindikiritso zakutsogolo zimanditsogolera. Pakachepa pang'ono kuchuluka kwa shuga m'magazi am'magazi, wodwalayo amatha kumva kupweteka mutu, kumva njala, kutentha kwambiri. Izi zimachitika motsutsana ndi kufooka wamba. Komanso, pamakhala kuthamanga kwamtima, kuwonjezeka kwa thukuta, kunjenjemera kwa miyendo kapena thupi lonse.

Pakadali pano, kuthana ndi vutoli ndikosavuta ngati mumwa mafuta. Odwala omwe amadziwa matenda awo nthawi zonse amakhala ndi zokonzekera izi kapena zakudya zotsekemera (zidutswa za shuga woyesedwa, tiyi wokoma kapena madzi, maswiti, ndi zina). Zizindikiro zoyambirira zikachitika, ndikokwanira kuzigwiritsa ntchito kuti thupi lizikhala ndi shuga.

Ngati mankhwalawa amachitika ndi insulin yokhala ndi nthawi yayitali, ndiye kuti kuchepa kwakukulu kwa shuga m'magazi kumachitika masana ndi usiku. Ndi panthawiyi pomwe insulin ingayambitse. Pazinthu zomwe izi zimachitika wodwalayo atagona, kwa nthawi yayitali sizimadziwika.

Pankhaniyi, vuto la kugona limakhalapo, limakhala lokhazikika, lopumula, nthawi zambiri zolota. Ngati mwana akudwala matenda, amatha kufuula kapena kulira kugona kwake. Pambuyo podzuka, kuyambiranso amnesia ndi chisokonezo zimawonedwa.

M'mawa, odwala amakhala osasangalala chifukwa chogona osagona. M'mawola awa, shuga wa magazi amakula kwambiri, wotchedwa "glycemia wothandizira." Usiku wonse pambuyo povutitsidwa ndi insulin usiku, wodwalayo amakhalabe wokwiyitsa, wowopsa, wamanjenje, wowoneka ngati wopanda chidwi, kumva kufooka thupi lonse.

Mwachindunji panthawi ya chikomokere cha hypoglycemic, zizindikiro zotsatirazi zamankhwala zimadziwika:

• khungu ndi chinyezi pakhungu,
• tachycardia
• minofu hypertonicity.

Nthawi yomweyo, wogwirizira wamaso amakhalabe wabwinobwino, lilime limakhala lonyowa, kupuma kumakhalabe kotsekemera, koma pakakhala kuti palibe chithandizo chamankhwala chapanthawi yake, pang'onopang'ono chimakhala chapamwamba.

Kudziwikitsa kwa nthawi yayitali mkhalidwe wamavuto a shuga, kuchepa kwa magazi, kuchepa kwa minofu, bradycardia, ndi kutentha kwa thupi kumatsika kuposa masiku onse. Reflexes imathanso kufooka kapena kusowa kwathunthu. Anawo asiya kuyankha kukuwala.

Ngati matenda omwe adapezeka mu gawo loyambirira la insulin adafotokozedwa samafotokozeredwa ndipo mulibe chithandizo chamankhwala, kuwonongeka kwakanthawi kwamunthu kumawonekera. Trismus, kukhumudwa, kunyansidwa komanso kusanza kumatha kuyamba, wodwalayo amakwiya, ndipo pakapita kanthawi amayamba kuzindikira.

Mukamayesa mayeso mu labotale mu mkodzo, shuga sawonekera. Pankhaniyi, momwe angapangire acetone imatha kukhala yolakwika komanso yolimbikitsa. Zotsatira zimatengera kuchuluka kwa kubwezeretsa kwa chakudya cha carbohydrate.

Zizindikiro za hypoglycemia zimatha kuvutitsa odwala omwe ali ndi matenda ashuga kwa nthawi yayitali, ngakhale atakhala ndi glucose wabwinobwino kapena kuchuluka kwake. Izi zikufotokozedwa ndi kusintha kwakuthwa mu glycemia, mwachitsanzo, kuyambira 18 mmol / l mpaka 7 mmol / l ndi mosemphanitsa.

Kugwedezeka kwa insulini kumachitika kwambiri kwa odwala omwe ali ndi mitundu yayikulu ya insulin yodalira matenda a shuga. Kuphatikiza apo, zinthu zotsatirazi zimatha kupangitsa kuti izi zitheke:

• Kukhazikitsidwa kwa mlingo woyipa wa insulin.
• Kukhazikitsa kwa mahomoni siwosinjirira, koma modekha. Izi zitha kuchitika ngati singano yayitali ili mu syringe kapena wodwalayo akuyesera kuti achete mphamvu ya mankhwalawo.
• Kuchita zolimbitsa thupi mozama, pambuyo pake kudya zakudya zokhala ndi chakudya chamafuta sikunatsatire.
• Ngati wodwala sanadye pambuyo pa insulin.
• Kugwiritsa ntchito zakumwa zoledzeretsa.
• Yesani malo komwe jekeseni adapangidwira.
• Trimester yoyamba ya mimba.
• Kulephera kwina.
• Kuwonongeka kwamafuta kwa chiwindi.

Matenda a insulin nthawi zambiri amakhala ndi nkhawa anthu omwe shuga imayamba chifukwa cha matenda a impso, matumbo, chiwindi, endocrine.

Nthawi zambiri, vuto la shuga limachitika mutamwa salicylates kapena munthawi yomweyo kugwiritsa ntchito mankhwalawa limodzi ndi sulfonamides.

Chithandizo cha chikomokere cha hypoglycemic chimayamba ndikuwonetsa shuga m'mitsempha. 40% yankho mu kuchuluka kwa 20-100 ml amagwiritsidwa ntchito. Mlingo umatengera momwe wodwalayo amadzidwiranso.

Woopsa, glucagon amagwiritsidwa ntchito, glucocorticoids amathandizira kudzera m'mitsempha kapena intramuscularly. Njira ya 0.1% ya epinephrine hydrochloride ingagwiritsidwenso ntchito. 1 ml jekeseni wang'onopang'ono.

Ndikusunga wodwala akumeza Reflex, ndikofunikira kumwa ndi zakumwa zotsekemera kapena shuga.

Pofuna kutaya chikumbumtima, kusakhalapo kwa zomwe ophunzira amapita pakuwala ndikumeza Reflex, wodwalayo amkodwa ndi madontho ang'onoang'ono a shuga pansi pa lilime. Ngakhale mu chikomokere, chinthu ichi chimatha kumizidwa mwachindunji kuchokera kumkamwa wamkamwa. Chitani izi mosamala kwambiri kuti wodwalayo asakodwe. Pali ma fanizo amtundu wa gels. Muthanso kugwiritsa ntchito uchi.

Palibe chifukwa chomwe insulin iyenera kuperekedwa ndi hypoglycemic chikomokere, chifukwa zimangokulitsa mkhalidwe wa wodwalayo ndikuchepetsa kwambiri mwayi wowachira. Kugwiritsa ntchito mankhwalawa muzochitika zotere kumatha kupha.

Kuti apewe insulin yoyendetsera, opanga ena amapangira syringe ndi loko yokhoma.

Kodi mavuto ndi chiyani ndi zomwe zimayambitsa

Mavuto a Hyperglycemic amapezeka pamene kuchuluka kwa glucose m'thupi kumakwera kwambiri. Mosiyana, vuto la hypoglycemic limadziwulula chifukwa cha shuga wochepa wamagazi.
Vuto la matenda ashuga limatha kukhala ndi vuto lalikulu. Mitundu ya com:

Wodwala yemwe ali ndi mitundu iwiri yonse ya matenda a shuga amatha kugwa, ngakhale ali ndi matenda amtundu wa 2 samakonda. Kuopseza kwa hyperglycemic coma kumadalira odwala omwe amadalira insulin.
Zomwe zimayambitsa zovuta za matenda ashuga:

• Matenda a shuga, omwe sanapezeka m'mbuyomu,
• Chithandizo chosakwanira shuga
• Kukhazikitsidwa kwa insulin panthawi yolakwika, kudumpha jakisoni, kuchuluka kwa mahomoni osinthika, kusintha mtundu wina wa insulini kupita kwina, jakisoni wa insulin yomwe yatha kapena kusakhala bwino, kugwiritsa ntchito mahomoni achisanu
• Kunyalanyaza chakudya
• Kugwiritsa ntchito mankhwala ena, monga okodzetsa,
• Matenda a shuga
• Opaleshoni
• Mavuto azamisala, kupsinjika.

Hyperglycemic coma imawopsezedwa ndi amayi apakati. Ngati mayi ali ndi mtundu wina wa matenda obadwa nawo a shuga, omwe sanawonekere koyambirira ndipo adawululidwa nthawi yapakati, kulumpha mwamphamvu mu shuga kungayambitse imfa ya mayi ndi mwana wosabadwayo. Mkazi akadziwa za kupezeka kwake, ndikofunikira kuti azilamulira kuchuluka kwa shuga m'miyezi isanu ndi inayi komanso panthawi yopuma.
Coma mu matenda a shuga amatha kupezeka mwa wodwala yemwe ali ndi matenda a kapamba. Chifukwa chake, pancreatic necrosis imabweretsa kuti kuchuluka kwa insulini m'thupi kumachepa, ndipo motsutsana ndi maziko akuti akusowa kale matenda ashuga, izi zimakhala zowala ndi kukula kwa vuto la hyperglycemic.

Kupsinjika kulikonse, kuwonjezeka kwa kupsinjika kwa malingaliro kumabweretsa kuwonjezeka kwa kudya kwa thupi kwa insulin diabetesic.

Ngati izi sizikumbukiridwa pakuwerengera kuchuluka kwa mahomoni a jekeseni, insulin mantha imatha.
Kutengera zifukwa zomwe zakhudzira vutoli, titha kunena kuti gulu lowopsa limaphatikizapo: azimayi oyembekezera, omwe akudwala matenda osachiritsika, opaleshoni yochitira opaleshoni, amamwa mowa kwambiri. Kusavomerezeka ndi mliri wa odwala matenda ashuga. Nthawi zambiri odwala amakana kutsatira zakudya zamafuta ochepa, osapatsa chidwi mlingo wa insulin wolemba ndi endocrinologist. Makamaka zimakhudza kwambiri ana. Makolo amaiwala kuyang'anira mwana akamadyetsa mwana wake, yesetsani kumuthandiza ndi wowerengeka azitsamba.

Zizindikiro zake za chikomokere

Pali malingaliro akuti chikomokere ndimwadzidzidzi. Nthawi zambiri sizili choncho. Hyperlactacidemic yokha imachitika mwadzidzidzi. Kukomoka kumayamba ndipo kumatha kukhala maola angapo, kapena mwina masiku angapo. Zizindikiro za kukomoka. Kukhazikika kwa matumbo kumadziwika ndi zizindikiro zoyambira:

• Kufooka kwakukulu ndi kutopa, mphwayi,
• Ludzu lamphamvu, ngakhale likukula, kumverera kwa kamwa yowuma
• Polyuria (kukodza kochulukitsa)
• Kusanza, kusanza,
• Khungu loyera.

Pakadali pano kuti muwoneke chikomokere, ndikofunikira kuti musasokoneze zizindikiro zake ndi zovuta zina za momwe thupi limagwirira ntchito. Mwachitsanzo, nseru ndi kusanza zimatha kudziwika chifukwa cha poizoni. Wodwalayo amathandizidwa molingana ndi chiwembu china, ndipo nthawi yofunikira itayika. Ngati chizindikiro chimodzi chawonedwa, kuyezetsa magazi ndikofunikira. Nthawi zambiri, odwala matenda ashuga amagwiritsa ntchito glucometer kuyeza magazi kunyumba. Mitengo ya glucose ili pamwamba pa 30 mmol / L. wodwala akuwopsezedwa kuti akomoka.

Milandu yomwe zizindikiro zoyambirira zimanyalanyazidwa, wodwalayo amakula kwambiri: kusanza kumakulirakulira, kununkhira kwa acetone kuchokera mkamwa kumawonekera, kupweteka kwambiri pamimba, munthu amadwala kudzimbidwa kapena kutsegula m'mimba, anuria.

Ngati matenda ashuga sawayikidwa ndipo chithandizo sichikuchitika, gawo lotsiriza limachitika. Ndiye chizolowezi: kusokonezeka kwa chikumbumtima, kuzizira ndi kusenda kwa khungu, kutsika kutentha, kugwa kwamtundu wamaso, kuthamanga kwa magazi, tachycardia.
Pambuyo pake, kukomoka kwenikweni kumachitika pamene wodwalayo atha kuzindikira ndipo sanayankhe kuzinthu zakunja.
Glycemic coma imayamba pa liwiro losiyanasiyana. Chifukwa chake, pakatha masiku awiri wodwalayo ali ndi vuto linalake, ndipo ngati simukugonekera kuchipatala, kufa kumachitika pasanathe tsiku limodzi chichitike chipwirikiti.
Thandizani wodwala matenda ashuga:

• Kuvomerezedwa kwa insulin yayifupi maola 2 aliwonse,
• Kuyang'anira shuga wopitilira muyeso
• Kutenga potaziyamu ndi magnesium, mchere wamchere wamchere.

Thandizo loyamba la hyperglycemic coma asanafike ambulansi:

• Wodwalayo amayenera kutembenukira kumbali yake kuti asatsamwitse osanza komanso osasokoneza lilime,
• Sonyezani kutentha kwa thupi lonse,
• Yang'anirani kugunda kwanu ndi kupuma kwanu
• Mukapuma, siyani mtima.

Mtima ukugunda m'makachisi

Ndikuuzani za vuto limodzi. Nditatha miyezi itatu wopanda shuga (ndinadya theka kapu ya zipatso kapena theka la mphesa kangapo pa sabata, ndipo pokhapokha zinali m'ndondomeko yanga ya chakudya, sindimadya zipatso) ndinadya makeke, ndimamva kuwawa - magazi adathamangira kumutu kwanga , nkhope idasanduka yofiyira, mtima udapinda m'makachisi - ndizowopsa kulingalira zomwe shuga imapanga m'thupi lathu! Sindikulankhula zakuti mphamvu zamagetsi izi zimatsitsa mantha athu, kuwononga kwambiri ntchito ndi kusokonezeka kwa manjenje - ndipo izi ndi zizindikilo zomwe tiyenera kuzisiya. Koma m'malo mwake, timadya shuga, timamwa shuga, timavala masaladi ...

Kukana shuga sikowopsa monga kumawonekera

Chaka chopanda shuga

Posachedwa, ndidakumana ndi nkhani zingapo zosintha momwe anthu adasinthira moyo wawo kusiya shuga. Ena adatha kupulumutsa moyo.

Ndiyamba ndi nkhani ya momwe banja limodzi lokhala ndi ana awiri azaka 6 ndi 11 adakana shuga kwa chaka chimodzi - amadya shuga mwa mawonekedwe ake achilengedwe - zipatso ndi ndiwo zamasamba (gwero) - Nditangoganiza momwe m'bale wanga amaperekera ana ake ( 11 ndi 13) Amakana shuga - inde iwonso azidya, koma izi ndi zambiri))
Ndiye? Adasiya shuga ngati kuyesa kuti awone momwe zingakhudzire thanzi lawo (komanso, ndikulemba buku). Wolemba adanenanso kuti anali ndi mphamvu zambiri - izi ndizomveka. Zowona, adavomereza kuti kamodzi pamwezi amadzilola kudya - mwachitsanzo, patsiku lawo lobadwa. Ndipo polephera ngakhale kudya keke wokondedwa wa nthochi, pomwe mano ake adadwala, wolemba adagwa ndikusungunula - zonse monga momwe ndimakhalira: kugunda kwanga kumakulirakulira, mutu wanga udawomba. Ndipo, zowona, atazindikira momwe utsi wa shuga umapezekera, mtolankhani amafunsa funso lovomerezeka: "Koma kale ndinali woipa kwambiri, sindinazindikire." Zinapezeka kuti banja lonse limadwala chimfine chochepa.

Kupereka shuga kunapulumutsa moyo wanga

Ndipo iyi pali nkhani ina yokhudza momwe mkonzi wakale wa cosmpolitan a Sarah Wilson adapulumutsira moyo wake pokana shuga - munkhaniyi, zikuwoneka kwa ine, ambiri aife tidzivomereza tokha (gwero).

“Ndidasintha magazini, ndimathamanga makilomita 50 pa sabata, ndimangothamangitsa liwiro la maola 24. Kugona? Ndinkakhala ndi maola okwanira 4-5 patsiku ndipo ndimakhala khofi wakuda m'mawa ndi vinyo wofiira madzulo. Ndinkadzitentha ngati kandulo kumbali zonse ziwiri ndipo zimandichitira, ”akulemba Sarah.
Koma tsopano tsitsi lake litayamba kutuluka, misomali yake inali kuterera. "Ndinayamba kukhala ndi nkhawa, mafupa anga anali onunkhira, nthawi zambiri ndimagwada ndikukutidwa ndi mabala. Kenako nyengo zanga zinaleka ndipo kenako ndinapita kwa dokotala. Mayeserowa adawonetsa kuti ndili ndi matenda a Hashimoto ”- matenda a chithokomiro cha autoimmune pomwe vuto lotupa limagwira mthupi, pomwe izi sizitumizidwa ku maselo a anthu ena, koma kwa iwo eni, ndiye kuti ku ma cell a chithokomiro. Sarah anali wopanda maselo oyera oyera, m'mimba mwake adatsala pang'ono kutaya mapuloteni, panali zovuta ndi impso komanso chikhodzodzo.

Zowopsa? Dokotalayo adauza Sarah wazaka 34 kuti ngati sanapemphe thandizo, mtima wake ukana posachedwa. Kuphatikiza apo, kuwunika kunawonetsa kuti alibe mathupi achikazi komanso osabala. Adachira ndi 10 kg ... Sarah adasiya ntchito (ndi ntchito yanji?) ...
Inde, adalandira mankhwala a mahomoni, omwe amalimbikitsidwa kwa iwo omwe ali ndi matenda oterewa moyo wonse. Koma chinthu chofunikira kwambiri ndikusintha moyo ndikuchotsa mavuto omwe adayambitsa matendawa.
Sarah akuti kukana shuga ndikofunikira kwa aliyense yemwe ali ndi mavuto pakulimbana ndi chitetezo cha mthupi komanso makamaka ndi matenda a autoimmune - shuga imakhudza dongosolo la endocrine lomwe limayambitsa kutulutsa kwa insulin, ndipo chithokomiro chopanda thanzi chimachedwetsa kuchotsa kwa insulini m'magazi.

Kuyambira pamenepo, a Sarah Wilson adayamba kumva bwino kwambiri ndipo adalemba bukhu loti athetse bwanji shuga ndipo adakambirana za momwe kusiya shuga kumakhudzira moyo wake.

• Khungu lakhala likuyenda bwino (kumbukirani, ndidalemba za momwe kukana shuga kumakhudzira maonekedwe?).
• Ndidayamba kudya - "M'mbuyomu, nthawi zonse ndimaganizira za chakudya - ola limodzi ndikudya m'mawa ndidalota kale chinthu china chokoma, kudya chomwe ndimadziimba mlandu. Masabata 5 atakana shuga, chilakolako chofuna kudya maswiti chadutsa, ndinadya katatu patsiku, sindimva njala komanso kudziimba mlandu.
• Kukana shuga kunayambitsa kuti Sarah adataya ma kilogalamu 15, omwe adapeza chifukwa cha matenda ake ndipo adasiya kutupa. Amatha kusunga kulemera kumeneku, ndipo imawoneka ngati yovuta kwambiri kwa anthu omwe ali ndi matenda ofanana a chithokomiro.
• Zowawa m'malumikizidwe ndi kumbuyo zidapita. Atakana shuga, zotupa zake zinaleka.
• Kusweka mtima.Kusowa tulo, kuda nkhawa komanso kukhumudwa kudutsa ndipo zonsezi popanda mankhwala. Sarah akutsimikiza kuti izi zidachitika chifukwa choti ankakonda kudya “zakudya zabwino” nthawi zonse komanso kuti atasintha "mafuta abwino", mapuloteni osachepera mafuta komanso masamba, adakhala ndi mphamvu zambiri ndipo sanalume mphuno yake pambuyo pa nkhomaliro. monga kale.

Izi ndizofunika kwa ine. Ndimapeza zambiri zakuti kukana shuga kumakhudzanso mtima wamunthu komanso kumandithandiza kuthana ndi vuto la kusowa tulo, koma kwa ineyi ndivuto lalikulu - sindinagone kwa maola opitilira 5 ndipo mankhwala samandithandiza. Pomwe ndidakana kwa miyezi ingapo, sindinawone momwe zimasinthira - bwino, mwina mphindi zabwino zimaphatikizapo kusowa chikhumbo chofuna kusiya zina ndi zina koma kuchepa thupi, koma apa chilimbikitso chidachita gawo lalikulu. Koma pazonse, ndizodziwikiratu kuti shuga iyenera kutayidwa. Izi ndizowona bwanji, sindikudziwa panobe.

Kusweka kwa mitsempha. Kupirira? Strawberry tart ndi custard

Kuthamanga kwa magazi kwa odwala matenda ashuga # 8212, ndichitenji?

Anthu omwe ali ndi matenda ashuga amakumana ndi zovuta zosiyanasiyana tsiku lililonse chifukwa chodwala.

Chimodzi mwazinthu zovuta kwambiri ndi kupanikizika kosalekeza. Magazi amachita pamitsempha yamagazi chifukwa champhamvu, yomwe imamveka ngati kuthamanga kwa magazi.

Chifukwa cha kusowa kwa glucose, odwala matenda ashuga ali ndi mawonekedwe amtundu wamwazi, chifukwa cha izi, kukakamizidwa "kudumpha". Zotsatira zake - matenda a mtima ndi zonyansa, nthawi zina pamakhala ngakhale stroko (zomwe izi zikuwopseza kuwerenga m'nkhaniyi). Chifukwa chake, odwala ayenera kuwunika mosamala kukakamiza kwawo kuti apewe matenda a mtima osachiritsika.

Zifukwa Zokakamira Kupumira

Pali zifukwa zambiri zakuchepera kwa kupanikizika (hypotension) mu odwala matenda ashuga, omwe samadalira njira ya moyo ndi machitidwe a anthu, chifukwa chake ndibwino kutchula aliyense wa iwo.

Kuphwanya dongosolo la ziwonetsero zamagetsi. Monga lamulo, ndizobadwa nazo. Ili ndi vuto lalikulu kwa odwala matenda ashuga, chifukwa popanda kuwunika ma ANS, ali pachiwopsezo chachikulu cha thanzi osati kwambiri chifukwa cha matenda ashuga, koma chifukwa cha kusayenda bwino kwa ntchito za ANS zomwe zimakhudzana ndi izi. Kwa anthu otere, kuthamanga kwa magazi ndizomwe zimachitika, zomwe zikutanthauza kuti kupweteka kwamtima kosalekeza chifukwa cha matenda ashuga kumakhala chizolowezi.

Kuphwanya ntchito zamtima (chizindikiro cha kulephera kwa mtima). Ili ndiye vuto limodzi - matenda ashuga pawokha amatha kusokoneza mtima, ndipo ngati pali zovuta zakumapeto, bwalo loipa limawonekera: mtima wodwala umachepetsa kuthamanga kwa magazi - kuthamanga kwa magazi kumapangitsa kuti matenda ashuga - matenda a shuga achulukane.

Anthu odwala matenda ashuga omwe amayenda ndi vuto la mtima ayenera kuyang'anitsitsa ntchito ya mtima kuti asawononge ziwalo zamkati.

Hypotonic vegetative-vascular dystonia. Apa muyenera kulabadira kale ntchito za impso - amapanga mahomoni opsinjika omwe amayambitsa "kudumpha" mokakamiza.

Zomwe zimapangitsa hypotension kukhala:

Ngati odwala matenda ashuga alibe mavutowa pamwambapa, ndipo kupanikizika kumachepetsedwa nthawi zonse, muyenera kulabadira zamankhwala omwe mukumwa.

N`zotheka kuti wodwalayo amakhala ndi tsankho lomwe limapangitsa kuti pakhale mankhwala ena. Muyenera kufunsa dokotala kuti muwone kuti ndi iti yomwe ili ndi matenda ashuga omwe samayambitsa matenda.

Kodi kuwonjezera kukakamizidwa?

Muyenera kulimbana ndi kuthamanga kwa magazi, chifukwa kumatsitsanso kuthamanga kwa magazi, ndipo chifukwa chake, zimakhala.

Njira zowonjezerera kupsinjika:

• M'mawa, imwani tiyi pamimba yopanda kanthu, yabwino kwambiri ya tiyi wobiriwira aliyense - samalimbitsa kuposa khofi ndipo sasokoneza ntchito ya mtima.
• Tengani theka la piritsi la ascorbic acid + mapiritsi awiri a tiyi wowonjezera wobiriwira.
• Mu kapu yamadzimadzi (makamaka mphesa) kapena madzi, onjezani ginseng zochuluka kuposa madontho 30-35.
• Yerekezerani kusamba m'mawa.
• Mutha kudya kachidutswa kakang'ono ka tchizi.
• Kulandila kwa tonic wachilengedwe: Eleutherococcus, Leuzea, Schisandra, Ginseng. Mphindi 20 musanadye katatu pa tsiku, madontho 20-30 amatengedwa. Ndikofunika kuwapukuta mu theka la kapu yamadzi.
• Imwani madzi ambiri (makamaka pamoto) tsiku lonse.
• Kusisita, kupukuta mwamphamvu minofu ya miyendo. kutsikira kumbuyo ndi pamimba.

Zitha kuonjezeredwa kuti kuti musunge zovuta zomwe mukupanikizika muyenera kugona mokwanira komanso osagona ntchito kwambiri. Ndikulimbikitsidwanso kuchita phytotherapy, i.e. onjezerani nkhawa ndi zitsamba.

Chachikulu ndikuti musayesere kudya chakudya, kumatha kuwononga kuyesetsa konse kuti mukhale ndi thanzi ndikukwaniritsa zoyesayesa zokhazikika.

Swazi yamagazi: akunena chiyani?

Kuwonjezeka kwa kuchuluka kwa shuga m'magazi kumayendera ndi matenda ambiri, komabe, titha kuonanso mwa munthu wathanzi omwe ali ndi vuto lakuthupi, wamalingaliro kapena kuperewera kwa zakudya m'thupi, etc. Mukayezedwa ndi glucometer, shuga wabwinobwino wa ana ndi akulu azaka zilizonse amachokera pa 3,3 mpaka 5.5 mmol / L. Kuchulukitsa izi zikuwonetsa kuti ndikuphwanya kukonza kwa chakudya chamagulu. Kuwunikira kusintha kwa kuchuluka kwa shuga pakapita nthawi ndikofunikira, kotero kuyezetsa magazi kuyenera kuchitidwa kangapo. Ngati mwapezeka kuti pali anthu ena ochulukirapo a shuga, dokotala angakulimbikitseni kuti muwonenso zakudya zanu komanso moyo wanu. Kuwonjezeka kwokhazikika kwa shuga m'magazi ndi chisonyezo cha kuyesa kwapadera, komwe kumathandiza kuzindikira mitundu ya prediabetes.

Kusagwirizana kwa shuga m'magazi kumabweretsa chifukwa chakuti magaziwo amapeza mawonekedwe amtundu wamaso, omwe amakhudza ntchito ya mtima ndi mitsempha yamagazi. Kupanikizika kumapita m'mwamba kapena pansi kumasonyezanso kufunikira kwa mayeso ololera. Kuwunikanso kowonjezereka kumaperekedwa kwa:

• kukodza pafupipafupi,
• kutopa, kufooka, ulesi,
• kuchepa thupi mwadzidzidzi, kapena, kupindulitsa kwake msanga,
• Maonekedwe akuchiritsa mabala osayenda bwino m'thupi,
• kupweteka mutu pafupipafupi
• mavuto amawonedwe
• maonekedwe a kuyabwa kwa pakhungu ndi mucous nembanemba.

Chiyeso chololera

Kuyesedwa kumachitika pamimba yopanda kanthu (maola 10 kapena kupitilira mutatha chakudya chomaliza). Mu labotale, kuyezetsa magazi kumatenga shuga, pambuyo pake wodwalayo ayenera kumwa magalamu 75 a shuga, ndipo atatha maola awiri pambuyo pake, abwereze kuyesanso kwa magazi.

Kuti mupeze zotsatira zoyenera patsiku loyesa, simungathe kuchita nawo zamasewera, kugonana, kukweza miyeso, kusintha zakudya. Ndikofunikira kuti muchepetse kupsinjika ndikugona bwino. Mukatha kudya shuga, muyenera kukhala maola 2 otsatira pamalo opanda phokoso, mutakhala kapena kugona.

Kuphwanya kwa kulolerana kwa glucose kumapezeka ngati shuga yothamanga isachepera 7 mmol / L, ndipo patatha maola awiri mutatenga shuga wowona, msinkhu wa shuga umachokera ku 7.8 - 11.1 mmol / L. Ngati kuwunika koyamba kukuwonetsa 6.1 - 7.0 mmol / L, ndipo pambuyo pa glucose - ochepera 7.8 mmol / L, ndiye ichi sichizindikiro chabwino kwambiri. Komabe, mantha Pankhaniyi sikuyenera. Ngati zakuphwanya zikupezeka, ndikofunikira kuyesedwa ndi kupimidwa kwa maphunzirowa ndikuyesa mayeso a biochemical mpaka mulingo wa ma enzyme. Dokotala wamkulu kapena endocrinologist amafunsidwa nthawi yomweyo kuti akupatseni malangizo okondweretsa osadikirira zotsatira. Pakakhala palibe zizindikiro zosonyeza kukula kwa matenda ashuga, mungafunike kupatula matenda am'mimba, kulephera kwa impso (komwe kumalumikizidwanso ndi kutsika magazi), matenda otupa a adrenal gland, pituitary, ndi hypothalamus.

Zambiri, Ksenia.

Kuchepetsa Kupanikizika kwa Matenda a shuga

Kupsinjika kwa magazi # 8212 ndi mphamvu yomwe madzi akulu amthupi amagwirira ntchito m'mitsempha yamagazi. Ndi matenda ashuga, magazi amayamba kukula, chifukwa kuchuluka kwa shuga kumakwezedwa m'thupi. Chifukwa cha thrombosis, odwala matenda ashuga ali ndi kuthekera kwambiri kwakutheka kwa magwiridwe antchito a mtima.

Nthawi zambiri odwala amakhala ndi mavuto opanikizika, amakhala ndi nthenda ya mtima, mitsempha ya ziwalo, kuphatikizapo zina zowopsa monga kugunda, kugunda kwa mtima. Ndiye chifukwa chake ndi matenda ashuga, magazi amayenera kuyang'aniridwa mosalekeza, kumayeza pafupipafupi ndi kuwonetsa madokotala omwe akupezekapo.

Kodi kuthamanga kwa magazi kumamupweteka bwanji wodwala matenda ashuga?

Kuthamanga kwa magazi, komwe kumawonedwa osati kokha ndi nkhawa kapena zinthu zina, koma pafupipafupi, kumatchedwa arterial hypertension (matenda oopsa). Izi ndi # 8212, complication ya matenda ashuga, kapena matenda odziyimira omwe amayamba chifukwa chofanana ndi matenda a shuga 2 (kunenepa kwambiri, kuperewera kwa zakudya m'thupi, adynamia). Mu 50% ya odwala matenda ashuga, matenda oopsa amapezeka, motsutsana ndi komwe matenda oopsa # 8212, mtima atherosulinosis amayamba.

Ndi atherosclerosis, mapangidwe amapanga khoma lamkati la ziwiya, chifukwa momwe mtsempha umalimbana, titero, umataya kulimba kwake ndikutha kutambasuka. Kuchepa kwa lumen kwa chotengera kumasokoneza kuyenderera kwa magazi kupita kumtima komanso kuchokera mu mtima, chifukwa cha izi, kuthamanga kwa magazi m'mitsempha kumawonjezeka, ndipo mu minyewa yamtima mumakhala zochitika za hypoxia # 8212, njala yokhala ndi mpweya. Pang'onopang'ono, wodwalayo amawonetsa matenda a mtima wodwala, kulephera kwa mtima. Nawo, motsutsana ndi maziko a IHD, myocardial infaration ingachitike. Vascular atherosulinosis imayambitsanso matenda am'mimba # 8212, kukha magazi kwa ubongo, mu 85% ya milandu. Osati mwanjira yabwino, matenda oopsa komanso atherosclerosis imakhudzanso impso, retina, dongosolo lamitsempha, zomwe zimayambitsa matenda a shuga a nephropathy, retinopathy, neuropathy.

Ndikofunika kuyambitsa ndewu ndi matenda oopsa ngati kupsinjika kumakweza pamlingo wa 130/80 mm Hg. Nthawi zambiri kuwonjezeka koteroko kumakhala kwa asymptomatic, momwe miyezo yake yanthawi zonse imagwirira ntchito.

Zochizira matenda oopsa, adotolo amasankha zovuta zamankhwala zomwe zimaperekedwa mosiyanasiyana payekhapayekha. Kuphatikiza apo, wodwalayo amayenera kutsatira malangizo monga:

• Kusuta kusiya, kumwa mowa
• Kulemera kwachulukidwe
• Kudya
• Kuchepa kwa mchere, mafuta m'zakudya
• Maphunziro akuthupi
• Kumwa zakumwa zabwino monga tiyi wobiriwira

Kodi matenda ashuga ndi otsika?

Nthawi zina odwala matenda ashuga amakhala ndi kuchepa kwa kuthamanga kwa magazi kapena hypotension. Nthawi zambiri, matenda am'mimba amayamba mwa atsikana ang'onoang'ono, ndipo, monga lamulo, m'magawo oyamba samawonetsedwa ndi zizindikiro zilizonse. Hypotension imakhalanso yoopsa kwa odwala matenda ashuga. Amayambitsa kuperewera kwa michere, chifukwa pomwe pamakhala chiopsezo cha thrombosis, minofu necrosis ndi gangrene, phazi la matenda ashuga, zilonda zam'mimba.

Mosiyana ndi zikhulupiriro zofala, ndi hypotension mu odwala matenda ashuga, palinso chizolowezi chomenya ndi matenda a mtima. Pankhaniyi, ngakhale kukakamira kocheperako kuyenera kumayendetsedwa mosamalitsa pakuwayeza. Dotolo adzalembera mankhwala kuti achulukitse kukakamizika, koma simungathe kuwamwa mosagwirizana. Mankhwala amatha kuonjezera shuga m'magazi a odwala matenda ashuga, choncho akatswiri okhawo omwe amawasankha.

Kuti muwonjezere zovuta, mutha kugwiritsa ntchito njira zachikale povomereza:

1. 30 madontho mowa tincture wa ginseng kusungunuka mu kapu ya mchere madzi.
2. Piritsi la Ascorbic acid.
3. Mapiritsi awiri a tiyi wobiriwira.

Njira zotsatirazi zingakuthandizeni kusintha kukakamiza:

1. Mugone bwino.
2. Muzidya zakudya zochuluka komanso zabwino, zopatsa thanzi.
3. Kusamba kosiyana ndi m'mawa.
4. Kugwedeza mutu, akachisi, miyendo, nkhope.

Pali mankhwala azitsamba omwe amathanso kukometsa kupsinjika kwa hypotension. Mwachitsanzo, mutha kutenga supuni yamasamba a kabichi ya kalulu, kutsanulira kapu ya madzi otentha, kunena 4 maola. Imwani 100 ml musanadye katatu patsiku.

Mphindi 30 asanadye, muyenera kumwa 50 ml ya madzi kuchokera ku hawthorn. Mutha kulowetsamo zipatso zopangidwa ndi kapu ya madzi otentha mu supuni ziwiri. Mutha kuwonjezera kukondera powonjezera madontho 20 a tincture waku China lemongrass ku tiyi. Amaloledwa kumwa katatu patsiku, ola limodzi asanadye, 30 madontho a tincture wa hawthorn.

Zimakhazikitsidwa kuti aromatherapy imawongolera kupanikizika bwino. Malitrus, bergamot, basil, sinamoni, sage, mafuta a bulugamu amayenera kutsanulidwa mu nyali. Ndondomeko ikuchitika kuchokera theka la ola. Muthanso kuwonjezera mafuta pakusamba, omwe amayenera kutengedwa mphindi 15-30.

Chifukwa chiyani shuga m'magazi limatuluka

Pathology imatchedwa hyperglycemia, yomwe imadziwika ndi mpweya wambiri m'thupi la munthu. Matenda amakula pamene kuchuluka kwa kupanga kwa zinthuzi kumapitilira kuchuluka kwa kukondoweza. Izi zimabweretsa zovuta pama metabolic metabolism a thupi, kumasulidwa kwa zinthu zapoizoni, poyizoni wa chamoyo chonse.

Thupi laumunthu limagwira ntchito moyenera ngati makina onse amagwira ntchito yomwe adapatsidwa. Zomwe zimapangitsa kuchuluka kwa shuga m'magazi nthawi zambiri zimagwirizanitsidwa ndi kusagwira bwino ntchito pakupanga mahomoni kapena kukonza kwa zinthu. Mwachitsanzo, mwa abambo, kukula kwa glucose amadziwika pazifukwa zotsatirazi:

• mukumwa mankhwala ambiri, ngakhale mukudwala pang'ono.
• ndi kuchuluka kwa mahomoni omwe amachititsa kuti anthu akule,
• ndi chitukuko cha matenda a Cushing's syndrome (kuchuluka kwa pituitary, grenal gren, kusagwira bwino ntchito kwa ubongo),
• ndi chizolowezi chosuta, zakumwa zoledzeretsa,
• pambuyo pa vuto la mtima, sitiroko.
• kulimbikira
• matenda ashuga
• Kugwera ntchito kwa chiwindi,
• matenda akulu a m'matumbo kapena m'mimba.

Kuchuluka kwa shuga m'magazi sikusiyana ndi kwamphongo, koma zifukwa zomwe zimayambitsa kukula kwa shuga zimatha kusiyana. Kuphatikiza pazifukwa zazikulu zokomera akazi, zotsatirazi zomwe zimapangitsa kukula kwa hyperglycemia ndi:

• mavuto osaneneka komanso kupanikizika kwanthawi yayitali,
• kusuta kwa zinthu zophika, maswiti,
• PMS (premenstrual syndrome),
• zolakwika za chithokomiro
• matenda ashuga
• kugwiritsa ntchito njira zakulera kwa nthawi yayitali,
• Mimba (shuga ikukula posiyananso ndi tsogolo la mayi wamtsogolo),
• matenda a m'matumbo, m'mimba.

Zomwe zimachitika mwa ana, makamaka mwa akhanda, zimasiyana ndi akulu. Ana ali ndi chizolowezi chotsika mtengo ndipo izi sizopatuka pakuchita zamankhwala. Ngati chizolowezi chidapitilira, dokotalayo amamuwunikira mayeso ena omwe amatsimikiza kuloleza kwa glucose ndi chizindikiro cha glycosylated hemoglobin.

• chimfine, rubella,
• chibadwire
• kuyambitsa mkaka wa ng'ombe pamenyu kwambiri
• zovuta zam'mimba (zoperekedwa kwa makanda kuchokera kwa mayi),
• koyambirira kwa zakudya zamasamba,
• madzi akulu a nitrate.

Ndi zinthu zoyambitsa, chizindikiritso cha glucose chimakwera mwachangu kwambiri. Cholinga chachikulu cha izi ndikulephera kwa insulin kuti iperekenso kwa maselo kuti ipangitse kuti ipitirire mphamvu. Kuchuluka kwa shuga m'magazi kungayambitse zinthu izi:

1. Posachedwa kuyaka ndi ululu waukulu.
2. Kulephera kwamkati, ma pathologies ena a impso.
3. Matenda opweteka a nthawi yayitali, omwe amayamba chifukwa cha matenda ena.
4. Kutupa njira motsutsana maziko a matenda a endocrine dongosolo.
5. Matumbo a m'mimba thirakiti, kuperewera kwa kapamba.

Kuchuluka kwa glucose mkati mwa zotengera kumayendetsedwa ndi ma pituitary gland, hypothalamus, system yacifundo yamanjenje, kapamba ndi gren adrenal. Kuchuluka kwa mahomoni opsinjika panthawi yachisangalalo kumadalira kuchuluka kwa zovuta. Cortisol, norepinephrine, adrenaline amachokera ku ma adrenal gland, amapanga sequentially metabolic, immune, mtima komanso mtima wosiyanasiyana kuti apangitse chitetezo chamthupi.

Pansi pa kupsinjika, chifukwa chachikulu cha hyperglycemia imakhala njira yofulumira ya kuphwanya glycogen komanso kupanga mamolekyulu atsopano a chiwindi ndi chiwindi, kuwonjezeka kwa kuchuluka kwa insulin ya mahomoni ndi kukana kwa minofu yake. Njira izi zimayambitsa kupsinjika kwa glycemia, komwe kumasokoneza kagayidwe kazakudya zam'mimba mu shuga.

Zizindikiro za shuga wambiri

1. Chizindikiro chachikulu ndicho ludzu losatha.

Chifukwa cha shuga wambiri, munthu amafuna kumwa pafupipafupi. Glucose amatunga madzi kuchokera ku ziwalo ndi zotumphukira. Ndi kuwonjezeka kwa shuga m'magazi pamwamba pa 10 mmol / l (cholumikizira impso), amayamba kupukusidwa mkodzo, potenga ndi mamolekyulu amadzi. Zotsatira zake, kukodza pafupipafupi, kusowa kwamadzi. Inde, thupi limayesetsa kulipirira kutayika kwa madzi ndi kumwa kwambiri.

2. Pakamwa pakamwa.

Chizindikiro ichi chimalumikizidwa ndi kuchepa kwamadzi kwambiri.

3. Mutu.

Zimachitika chifukwa cha kusowa kwamadzi komanso kutayika kwa ma electrolyte ofunika mumkodzo.

4. Kuyenda khungu, kumalumikizana zala ndi zala zakumaso, dzanzi la zala.

Zizindikirozi zimagwirizanitsidwa ndi chodabwitsa cha neuropathy, pamene kuchuluka kwa glucose kumakhudza mkhalidwe wamitsempha yamitsempha. Kuphwanya malo osungirako zinthu zomwe zimayambitsa malingaliro.

5. Kupweteka m'miyendo mukamasuntha, miyendo yozizira kuti ikhudze.

Zomverera zofananira zimayamba chifukwa chophwanya magazi, zovuta zam'magazi m'miyendo. Amalumikizidwa ndi kuwonongeka kwa mtima khoma la mtima ndi hyperglycemia, mwanjira ina, angiopathy imachitika.

6. Zowonongeka.

Ntchito yowonera yojambula imasokonekera chifukwa cha zochitika zofotokozedwa kale za angiopathy ndi neuropathy. Retinopathy kumachitika (retinal matenda).

7. Nthawi zambiri ntchito yam'mimba imachepa (kudzimbidwa kapena kutsegula m'mimba). Kuwonongeka kwa chidwi.

8. Kulemera.

Chifukwa chosakwanira insulin.

9. Kukula kwa matenda a impso (nephropathy).

Zizindikiro za shuga wambiri ndimawonekedwe awo kutengera jenda ndi zaka. Timakambirana za izi, zomwe ziyenera choyamba kukonzedwa.

• mogwirizana ndi chitukuko cha angiopathy ndi neuropathy, potency imalephera,
• kuyabwa kwambiri pakhungu kumachitika pang'onopang'ono.
• Chifukwa cha kukokana pafupipafupi, khungu la khungu limatha kuyatsidwa.
• kuchiritsa kwamabala ndi mabala,
• kutopa, ntchito yochepa,
• kulemera kosalekeza
• ochepa matenda oopsa.

• Khungu lanu pamalo oyandikira,
• Khungu louma, khungu limakhala loyipa komanso loyipa,
• kuuma, misomali yothina ndi tsitsi, kuchepa kwa tsitsi,
• machiritso olakwika a mabala, kuwonjezera kwa matenda oyamba ndi fungus, kukula kwa matenda a pakoderma (purifera yotupa yoyipa), mawonekedwe a matuza pamiyendo,
• kukula kwa neurodermatitis,
• zotupa pakhungu,
• nephropathy imachitika nthawi zambiri.

Makolo ayenera kulabadira mawonekedwe a zotsatirazi:

• kumva ludzu, mwana amayesera kumwa madzi aliwonse m'njira iliyonse yomwe angapezeke,
• kukodza pafupipafupi, mwana amathamangira kuchimbudzi, mwana angafotokoze usiku, ngakhale izi sizinadziwike kale,
• kuchepa thupi msanga, chifukwa thupi la mwana silingagwiritse ntchito gwero lamphamvu ngati mafuta, mafuta ochokera kumankhwala am'mimba amawonongeka kuti amalize kulipira mphamvu,
• njala yosalekeza
• kumangokhala wotopa
• kuwonongeka kwa mawonekedwe kumachitika chifukwa cha kufooka kwa ndolo ya diso,
• maonekedwe a matenda oyamba ndi fungus

Kukula msanga kwa glucose, komwe kumakhala ndi zosiyana siyana, nthawi zambiri pamakhala chizindikiritso chokwanira cha matenda ashuga.

Matendawa ndi odabwitsa.

Mwachitsanzo, zizindikiro zoyambirira za matenda a shuga a mtundu I zimatha kuoneka miyezi yochepa nditachiritsa matenda a virus. Anthu azaka zapakati pa 40 mpaka 48 amakhala gulu lalikulu lomwe ali pachiwopsezo, ndipo ndi matenda amtundu II, sangathe kumva zizindikilo zoyamba kwa nthawi yayitali.

Koma kuti mupewe bwino matenda, muyenera kuwona mfundo zazikuluzikulu ziwiri, monga kupezeka koyenera ndi njira yoyenera yamankhwala. Komabe, gawo loyambirira loti muchite bwino lalingaliro lanu ndikuyesa kutsitsa milingo ya lactin pogwiritsa ntchito njira imodzi zotsatirazi .ads-mob-1

Mukazindikira matenda a hyperglycemia, mavuto akulu mthupi amatha kupewedwa. Munthu ayenera kupenda mokwanira matenda ake ndikuwunika mawonetseredwe aliwonse a matendawa. Zizindikiro zazikulu za shuga wambiri zimaphatikizapo izi:

• arrhythmias,
• Ndimakhala ndi ludzu nthawi zonse, ndipo kumva ludzu kotheratu sikubwera,
• Khungu
• kamwa yowuma
• kukodza pafupipafupi, kupweteka pokodza,
• kutopa,
• Nthawi zambiri miyendo yam'manja, mikono,
• Ndikumva fungo la mkamwa mwanga
• kupuma movutikira, komanso kovuta
• Zilonda pakhungu sizichiritsa kwanthawi yayitali.

Zizindikiro

Kuti muzindikire hyperglycemia, kukambirana ndi othandizira ndi endocrinologist ndikofunikira. Kuti mudziwe molondola kupezeka kwa matenda, kuyezetsa magazi kumachitika chifukwa cha shuga, womwe umaperekedwa pamimba yopanda kanthu. Tsiku lisanafike ndondomeko, muyenera kusiya kulimbitsa thupi, kudya kwambiri komanso kumwa. Muyeneranso kusiya kumwa mankhwalawa, popeza mwakambirana kale ndi dokotala izi. M'mawa musanalandire magazi, simuyenera kudya kapena kumwa chilichonse, apo ayi zotsatira zake zimakhala zosadalirika.

Nthawi zina, zowunikira zowonjezera zimayikidwa. Izi zitha kukhala kuyesa kwa magazi ndi shuga ndi katundu, kuphunzira mkodzo ndi kuchuluka kwa mahomoni, ma ultrasound a ziwalo zamkati, CT kapena MRI kuti mupeze zomwe zimayambitsa chitukuko cha matenda. Kuyesedwa kwa magazi kuchokera m'mitsempha ya glucose kumatha kuchitidwanso. Phunziro lotere silifuna kukonzekera kwapadera ndipo limachitika pamimba yopanda kanthu kapena maola awiri mutatha kudya.

Kupatuka kwazomwe zimachitika pakuwunikira zotsatira kumatha kuwonetsa kukula kwa matenda a shuga, chifuwa chachikulu, matenda a endocrine kapena chiwindi. Mukalandira zotsatira zosakhutiritsa, kuyezetsa kwathunthu kwachipatala kuyenera kuchitidwa.

Zigawo zingapo zoyesera zodziwira kuchuluka kwa shuga m'magazi zimaphatikizapo zolemba ndi kuyesa. Ngati muli ndi vuto locheperachepera, zimavuta kudziwa nokha mothandizidwa ndi glucometer yabwino. Pankhaniyi, ndibwino kufunsa dokotala yemwe akupatseni mayeso oyenera.

pamimba yopanda kanthu. Njira yodziwika bwino ya orthotoluidine, yomwe imasankha kuchuluka kwa shuga m'magazi popanda kuganizira zina zomwe zimachepetsa. Imaperekedwa m'mawa pamimba yopanda kanthu (maola 12 asanafike pofufuza ndikofunikira kukana kudya, mankhwala ndi zochita zolimbitsa thupi). Ngati matenda oyambirirawo akuwonetsa kupatuka panjira, katswiriyo amamuwuza kuti awonjezere maphunziro.

Mayeso oyambira, mayeso komanso njira zodzitetezera

Pakakhala kuti mkazi ali ndi zizindikiro za shuga wambiri, ayenera kudutsa mayeso ochedwa kulolerana. Ndiye amene amatha kuchenjeza za chitukuko cha matenda ashuga.

Zizindikiro zoyambirira za matendawa zitawoneka, chithandizo cha matendawa chiyenera kuyamba nthawi yomweyo. Tiyenera kukumbukira kuti kuyesa kwamtunduwu sikumangotchulidwa kwa azimayi omwe ali ndi zizindikiro za shuga, komanso kwa anthu omwe ali ndi thupi lozama, komanso odwala omwe ali ndi zaka 45.

Atangoyesedwa, wodwala amayenera kugula magalamu 75 a shuga. Ndondomeko ndi motere:

1. Magazi othamanga amaperekedwa.
2. Wodwalayo amamwa kapu yamadzi ndi shuga.
3. Pakatha pafupifupi maola awiri, magazi amaperekanso.

Kuti zotsatira zake zisamadye kwambiri, wodwalayo amaletsedwa kudya asanayesedwe. Poyenera, ndibwino kudikirira pafupifupi maola 12 mutatha chakudya chatha. Simungalole kuthamanga kwa magazi kuchuluka, chifukwa ndikofunikira kupatula zochitika zonse zamasewera patsiku la kusanthula, chotsani zolimbitsa thupi ndikuyesera kuti muchepetse kupsinjika.

Ndikofunika kugona mokwanira musanayesedwe ndikudya musanadye, zakudya zokha siziyenera kusinthidwa. Ngati izi sizichitika, zotsatira zoyesazi zitha kupotozedwa kwambiri. Njira yabwino ndiyokuchipatala kuchipatala. Apa sikuti pali magawo onse a kupumula okha, komanso zida zofunika zowunikira.

Zotsatira za kuyesedwa kotere, ngati chizindikirocho chimakhala chosakwana 7 mmol pa lita imodzi pamimba yopanda 7.8-11.1 mmol pa 1 lita, atatha kugwiritsa ntchito yankho la glucose, wodwalayo amatha kupezeka ndi kuphwanya kulekerera . Muzochitika pamene zisonyezo zonse pamwambapa sizidutsa 6.1-7.0 mmol / L, ndipo mutatenga yankho lapadera - osachepera 7.8 mmol / L, kuzindikira kwanu kudzamveka ngati "kusala kudya shuga".

Mulimonsemo, mayesowo ndi oyambiriratu, ngakhale mkazi atawululira bwino, simuyenera kuda nkhawa. Wodwalayo adzafunika kudikirira zotsatira za kupukutidwa kwa kapamba, komanso kuyezetsa magazi ndi kusanthula kukhalapo kwa ma enzyme mkati mwake.

Chithandizo cha anthu

Zophika zopanga tokha zimagwira bwino ntchito ndi shuga. Ndikofunikira kuwonjezera kuchuluka kwa mavitamini, kuchepetsa kudya zamafuta osavuta. Malangizo owonjezereka a chithandizo adzakhala mankhwala azitsamba. Pansipa pali maphikidwe angapo othandiza kuchepetsa shuga m'magazi anu:

1. Mudzafunika nyemba ziwiri za nyemba zouma, 50 g zouma zouma zouma, 20 g za nthomba. Tengani zosakaniza zonse ndikutsanulira lita imodzi ya madzi otentha. Pukuthirani chidebe ndi thaulo la taye ndikuchoka kwa maola asanu. Thirani kulowetsedwa mu mtsuko wagalasi kapena botolo ndikumwa makapu 05 musanadye. Njira ya chithandizo ndi masiku 14, ndiye muyenera kupuma mochuluka ndipo mutha kubwereza maphunzirowo.
2. Idzatenga 50 g ya oat ndi mbewu za tirigu, 20 g la udzu wa mpunga. Thirani zigawozo ndi 1 lita imodzi ya madzi otentha, simmer kwa mphindi 15 pa kutentha pang'ono. Apatseni maola awiri kuti adzaze sing'anga ndi kukhetsa msuzi womalizidwa. Siyani mankhwalawo pamalo ozizira. Muyenera kumwa mankhwalawa mu makapu 0,5 mphindi 15 musanadye sabata limodzi. Chotsatira, muyenera kupumula kwa masiku 14 ndipo mutha kumwanso mankhwalawo.
3. Zitenga 20 g zouma mizu ya dandelion, 50 g wa masamba owuma. Thirani madzi otentha pamwamba pa zosakaniza ndi kukulunga mu thaulo kwa maola atatu. Chotsatira, muyenera kufinya katunduyo ndikuisunga pamalo abwino. Muyenera kutenga 1 tbsp. l 6 pa tsiku mutadya. Mutha kumwa mosalekeza kufikira wodwala atachira.

Zizindikiro za zovuta za glycemia wosakhazikika

Mulingo wofunikira kwambiri wa shuga ndi 2.8 mmol / L pamimba yopanda kanthu. Ndi zizindikirozi, wodwala ali ndi zizindikiro zotsatirazi:

• kunjenjemera, kapena kunjenjemera.
• machitidwe osayenera (kuda nkhawa, kusakwiya, kusunthika, kusintha kwa zinthu zakunja),
• ataxia
• kutsika kwamawonedwe owoneka,
• kusowa kwa zida zamau (mawu osinkhidwa),
• hyperhidrosis
• chilonda chamimba ndi khungu (cyanosis) cha pakhungu,
• kuchuluka kwa kuthamanga kwa magazi ndi kuthamanga kwa mtima (kugunda kwa mtima),
• kutaya chikumbumtima (kufupika kapena kutalika kwakali).

Ili ndi mitundu itatu yayikulu (hyperosmolar, lactic acidotic, ketoacidotic). Zizindikiro za vuto la hyperosmolar: kuchepa mphamvu kwa thupi motsutsana ndi polydipsia ndi polacuria, kuyabwa kwa khungu, chizungulire, kuchepa mphamvu (kufooka kwa thupi). Vuto la lactic acidotic limadziwika ndi zizindikiro zotsatirazi: zimbudzi zam'mimba zothamanga (kutsegula m'mimba), kuopsa kwa dera la epigastric (epigastric), Reflex ejection yam'mimba (kusanza), phokoso komanso kupuma kwakukulu (Kussmaul kupuma), kutsika kwakukulu kwa kuthamanga kwa magazi, kusazindikira.

Njira ya ketoacidotic yamavuto imawonetsedwa ndi zizindikiro: polydipsia ndi polakiuria, asthenia, kuchepa kwa kamvekedwe ka thupi ndi kuthekera kwakuthupi (kufooka), kufooka ndi kusokonezeka kwa kugona (kugona), kununkhira kwa ammonia kuchokera pamlomo wamkamwa, mseru ndi kusanza, kupuma kwa Kussmaul.

Zofunika! M'nthawi yakusintha kowopsa kwa kuchuluka kwa shuga m'magazi, wodwalayo amafunika kuthandizidwa mwachangu. Vutoli limakhala ndi chiopsezo chotenga matenda a shuga komanso imfa.

Matenda a shuga ndi matenda osachiritsika. Gawo loyambirira la matendawa limatha kukhala la asymptomatic, chifukwa chake muyenera kusamala ndi thanzi lanu, kumvetsera zosintha pang'ono. Kuwunikira pafupipafupi zizindikiro za shuga ndi mwayi wodziwa kukula kwa matendawa munthawi yake.

Hyperglycemia ndi chizindikiro chokhacho chomwe chimawonetsa kusayenda bwino kwamthupi kapena matenda ashuga. Komabe, izi sizitanthauza kuti ndi shuga wamagazi ambiri palibe zovuta. Zotsatira zoyipa kwambiri za matenda amtunduwu ndi ketoacidosis. Kuphwanya kumene kwa kagayidwe kazakudya kumachulukitsa kuchuluka kwa matupi a ketone m'madzi am'magazi, nthawi zambiri kumatsutsana ndi maziko a matenda amtundu uliwonse wa gawo la kubowola, komwe kumakwiyitsa ketonuria, arrhythmia, kulephera kupuma, kupita patsogolo kwamatenda oyamba omwe amapezeka m'thupi, kusowa kwamadzi.

Mankhwala amakono amawona kuti chakudya ndi chimodzi mwazinthu zazikulu zomwe zimapangitsa kuti odwala azikhala ndi thanzi labwino komanso kuti azikhala ndi thanzi labwino.

Kwa odwala omwe amadziwika kuti ali ndi mtundu woyamba wa shuga, zakudya ndizovomerezeka komanso zofunikira. Mtundu wachiwiri wa odwala matenda ashuga, zakudya zoyenera nthawi zambiri zimathandizira kukonza thupi.

Lingaliro lofunikira la chakudya ndi gawo la mkate, lofanana ndi magalamu 10 a chakudya. Kwa anthu omwe ali ndi hyperglycemia, matebulo atsatanetsatane adapangidwa omwe amawonetsa gawo ili la zakudya zamakono kwambiri zomwe zilipo muzakudya.

Mukafuna kudziwa kuchuluka kwa zinthu zotere masiku ano, ndikofunikira kupatula zakudya zilizonse, maswiti, shuga komanso kuchepetsa zakudya zambiri monga mkate, mkate woyera, mpunga / semolina, komanso zakudya zamafuta omwe amayamba chifukwa cha zakudya zamafuta ambiri osayiwalanso kuchuluka kwamafuta a polyunsaturated / acid.

Ndikofunikira kudya pang'ono Zomwe zimapangidwira tsiku lililonse kwa anthu osachepera 2,000 zopatsa mphamvu kwa munthu amene ali ndi vuto la hyperglycemia popanda zovuta komanso mndandanda wazowonjezera ukuphatikizapo:

• Chakudya cham'mawa 1 - 50 magalamu a mkate wakuda, dzira limodzi, magalamu 5 a batala, kapu ya mkaka, 40 magalamu a mbewu zololedwa.
• Chakudya cham'mawa 2 - 25 magalamu a mkate wakuda, 100 magalamu a zipatso ndi tchizi chochepa cha mafuta.
• Chakudya chamasana - magalamu 50 a mkate wololedwa, magalamu 100 a nyama yopuntha ndi mbatata, magalamu 20 a zipatso zouma, magalamu 200 a masamba ndi magalamu 10 a mafuta a masamba.
• Zakudya zazing'ono - 25 magalamu a mkate wakuda ndi magalamu 100 a zipatso / mkaka.
• Chakudya chamadzulo - 25 magalamu a mkate, magalamu 80 a nsomba zamitundu yochepa kapena nsomba zam'madzi, 100 magalamu a mbatata, masamba ndi zipatso, magalamu 10 a mafuta a masamba.
• Musanagone - 25 magalamu a mkate ndi kapu ya kefir yochepa.

Kusintha kwina kulikonse kwamalonda kungachitike ndi ma calorie ofanana m'magulu anayi oyambira:

1. Masamba, zipatso / zipatso, buledi, njere.
2. Tchizi tchizi, nsomba / mafuta ochepa.
3. Kirimu wowawasa, kirimu, batala.
4. Mkaka / mazira ndi zinthu zina zomwe zimakhala ndi zakudya zosiyanasiyana.

Kugwiritsa ntchito zotsekemera, kotchuka kwambiri kuchiyambiyambi kwa zaka zatsopano, pakali pano kumatsutsidwa ndi magulu akulu azakudya chifukwa chazambiri zama calorie, kotero sitipangira izi kuti muziwazunza, pazowonjezera, kugwiritsa ntchito mosamalitsa muzakudya zanu za tsiku ndi tsiku.