Shuga wa shuga wa shuga wosakaniza shuga wovomerezeka

Wolemba Alla pa Marichi 18, 2019. Yolembedwa mu shuga

Matenda a shuga anapezeka kuti kuwerenga kwa shuga kuchuluka kuposa momwe munthu wathanzi ayenera, koma mulingo uwu ndi wochepa kwambiri kuti adziwe matenda amtundu wa 2. Popanda chithandizo, mwayi wokhala ndi matenda a shuga a 2 kuchokera ku prediabetes ndiwokwera kwambiri. Titha kunena kuti kuzindikira izi ndikofunikira ndikofunikira chifukwa mwayi ukasinthika momwe moyo ungaletsere matenda ashuga komanso zovuta zake.

Shuga wa shuga wa shuga

Mkhalidwe wa odwala matenda ashuga amatanthauza kufooka kwa glucose (IFG) kapena kulekerera kwa glucose (IGT).

Kuyesedwa kwa glucose komanso kuyezetsa mkamwa (glucose amatengedwa pakamwa) kuti kulekerera kwa glucose (OGTT) ndikofunikira kuti matenda azitsimikizira.

Kuyesa kwa shuga m'magazi a prediabetes

Matenda a prediabetes
Ngati shuga osala kudya amafika 5.6-6.9 mmol / L (100-125 mg / dL)	kuyesedwa kwa m'magazi a shuga kumayikidwa.
Ngati zotsatira zake zitadutsa maola awiri zili pansi pa 140 mg / dl (7.8 mmol / L),	IGF (insulin-like grow factor) imapezeka, ndiye kuti, glycemia yachangu.
Zotsatira zake, pakati pa 140 mg / dL (7.8 mmol / L) ndi 199 mg / dL (11.0 mmol / L)	IGT imapezeka, ndiye kuti, mkhalidwe wololera wama glucose. Onse IGF ndi IGT amawonetsa prediabetes.
Ngati mayeso a glucose atatha maola awiri apitilira 200 mg / dl (11.1 mmol / L)	wapezeka ndi matenda a shuga a 2. Mayeso a kulolera a glucose Kupindika kwa shuga (mwanjira ina: glycemic pamapindikira, kuyesa kwa glucose pakamwa, kuyesa kwa OGTT) kumachitidwa mwa anthu omwe ali ndi matenda a shuga a 2 omwe akuganiziridwa. Chiyeso cha OGTT chimakhala ndi kuyeza shuga wamagazi osala kudya, kenako ndikumatenga njira yothetsera shuga ndikuyang'ananso kuchuluka kwa shuga - 60 ndi mphindi 120 pambuyo poyesedwa koyamba. Mapondedwe a shuga pa nthawi yapakati amayenera kupangidwa kawiri. Cholinga cha kuyesereraku ndikuyesa thupi kuti awonjezere mwadzidzidzi shuga. Matenda a shuga amatha kuwonetsa zotsatira za shuga pambuyo 2 maola. Msuzi wopondaponda pambuyo 2 hours Shupe yokhotakhota ndiyeso yomwe imachitika pansi pa mayina osiyanasiyana, monga: glycemic curve, test glucose, OGTT, glucose kulolerana mayeso, glucose kulolerana mayeso. Mayeso a OGTT ndi chidule cha mayeso okhudzana ndi glucose, zomwe zikutanthauza "mayeso a shuga a mkamwa". Kuwerenga momwe amapangira shuga kumathandizira kuti adziwe matenda a shuga ndipo amathandizanso kudziwa matenda ashuga amtundu wa 2. Chitani Zoyeserera za Glucose Kuyesedwa kwa glucose kumalimbikitsidwa kwa anthu omwe ali ndi shuga othamanga kwambiri a magazi. Mphepo ya shuga - Miyezo: Kuthamanga shuga m'magazi - osakwana 5.1 mmol / L, Mlingo wa shuga pambuyo pa mphindi 60 mayeso atachepera 9.99 mmol / l, Mlingo wa shuga pambuyo pa mphindi 120 pambuyo poyesedwa ndi ochepera 7.8 mmol / L. Momwe mungakonzekerere mayeso a shuga Kuyesedwa kwa glucose kuyenera kuchitidwa pamimba yopanda kanthu - osati kale kuposa maola 8 mutatha chakudya chomaliza. Tsiku loti ayesere kupanikizana kwa shuga liyenera kukhala lochepetsera kugwiritsa ntchito maswiti ndi zakudya zamafuta. Komabe, simuyenera kuchepetsa kuchuluka kwa chakudya chamagulu muzakudya zanu - ndibwino kudya zakudya zomwe mumadya tsiku lililonse, popanda zoletsa zilizonse. Ndikulimbikitsidwa kuti musagwiritse ntchito mphamvu zina zowonjezera, kusuta kapena kumwa mowa maola 24 musanayesedwe. Matenda a shuga omwe amayambitsa shuga m'magazi Matenda (ngakhale chimfine) atha kuyesa zotsatira za mayeso a shuga. Kugwiritsira ntchito mankhwala ena kungakhudzirenso zotsatira za mayeso a OGTT - tikulimbikitsidwa kuti musiye kumwa mankhwala okakamira, mankhwala opangira mankhwala otsegulira pakamwa masiku atatu asanafike mayeso a OGTT (atakumana ndi adokotala anu). Kupsinjika kwambiri kumatha kuyambitsa zotsatira (chifukwa cha kupsinjika, thupi lingatulutsenso shuga m'magazi). Zotsatira za matenda a shuga Zowopsa zomwe zimayambitsa matenda ashuga okalamba zimaphatikizapo: matenda a shuga m'mimba wapitayi, zaka zopitilira 35 lembani matenda ashuga 2 m'mabanja, kunenepa kwambiri komanso kunenepa kwambiri, matenda oopsa asanatenge pakati, polycystic ovary syndrome. Matenda a shuga m'mayeso a curve yoyesedwa amadziwika kuti shuga yapitilira: 100 mg / dl (5.5 mmol / L) pamimba yopanda kanthu kapena 180 mg / dl (10 mmol / L) 1 ora atatha kugwiritsa ntchito yankho la 75 g shuga kapena 140 mg . / dl (7.8 mmol / L) patatha maola awiri mutadya shuga ya 75 g. Zizindikiro za matenda a shuga Chizindikiro chimodzi chomwe chikuwonetsa kuti ndi matenda a matenda a shuga ndi khungu lakuda mbali zina za thupi, monga mkondo, khosi, mawondo, ndi mapewa. Vutoli limatchedwa keratosis yakuda (acanthosis nigricans). Zizindikiro zina ndizofala kwa prediabetes komanso matenda a shuga ndipo ndi: ludzu lochulukirapo kulakalaka kukodza pafupipafupi kugona kutopa kuwonongeka kwamawonekedwe. Palibe zizindikiro zomwe ziyenera kunyalanyazidwa. Ngati muli ndi nkhawa kuti mwina muli ndi matenda ashuga, funsani GP wanu ndikuwapempha kuti ayang'ane shuga wawo wamagazi. Dokotala amayeneranso kumuyesa wodwalayo, kuti athe kuwunika momwe angapangire zovuta zamatenda a carbohydrate. Zinthu Zowopsa za Pabetabetic Zomwe zimayambitsa matenda a shuga. Kuwonongera kuyenera kuchitika zaka zitatu zilizonse, zaka zopitilira 45, chaka chilichonse kapena chaka chilichonse ngati zinthu zina zowopsa zilipo, monga: matenda ashuga okhudza wachibale - makolo, abale, kunenepa kwambiri kapena kunenepa kwambiri - BMI yoposa 25 kg / m2, m'chiuno kupitirira 80 cm mwa akazi kapena 94 cm mwa amuna, dyslipidemia - ndiko kuti, zodabwitsa za lipid mbiri - HDL ndende ya 150 mg / dl 1,7 mmol / l, matenda oopsa (≥140 / 90 mmHg) zovuta za gonana ndi matenda a m'mayi mwa amayi, monga: kutenga pakati ndi matenda ashuga, kubadwa kwa mwana wolemera makilogalamu 4, polycystic ovary syndrome (POCS), zolimbitsa thupi kugona tulo. Zomwe zimayambitsa matenda ashuga Maziko enieni a chitukuko cha prediabetes sakudziwika. Komabe, katundu wabanja ndi chibadwa uwu akuwonetsedwa kuti ndiye chinthu chachikulu chotsogolera kukula kwa matenda ashuga. Kunenepa kwambiri, makamaka kunenepa kwambiri, komanso kukhalanso ndi moyo, kumathandiza kwambiri kukulitsa vutoli. Chithandizo cha matenda a shuga Chovuta chowopsa cha prediabetes yonyalanyazidwa ndikupanga mtundu wa 2 shuga. Kusintha moyo wathanzi nthawi zambiri kumathandizira kubwezeretsanso kuchuluka kwa shuga m'magazi kukhala kosakhazikika kapena kuwalepheretsa kukula mpaka msinkhu wowonera shuga. Komabe, mwa anthu ena, ngakhale kusintha kwa moyo wawo, matendawa 2 amayamba. Malangizo kwa anthu omwe adapezeka ndi prediabetes ndi awa: Zakudya zopatsa thanzi - tikulimbikitsidwa kuchepetsa zakudya zopatsa mphamvu kwambiri komanso zopatsa mphamvu. Monga chakudya chomwe chimakhala chosavuta kutsatira pamoyo wawo watsiku ndi tsiku, chimagwiritsa ntchito zakudya za ku Mediterranean, kuchuluka kwa zolimbitsa thupi - cholinga ndi mphindi 30-60 zolimbitsa thupi tsiku lililonse. Muyenera kuwonetsetsa kuti zopuma zochitachita zolimbitsa thupi sizidutsa masiku awiri. Mutha kuyamba ndi kuyenda kosachepera tsiku lililonse, kuyenda njinga kapena kusambira padziwe, kutaya mapaundi owonjezera - kuwonda kwambiri mwina 10% kumachepetsa kwambiri vuto la matenda ashuga a 2. Ngati muchepa thupi ngakhale ma kilogalamu ochepa, mudzakhala ndi mtima wathanzi, mphamvu zambiri komanso chidwi chokhala ndi moyo wabwino. Mankhwala azachipatala - pokhapokha ngati kusintha kwa moyo wanu kukulephera. Chisankho choyambirira ndi metformin, yomwe, pakati pa zinthu zina, imawonjezera chidwi cha thupi ndikupanga ma insulin omwe amayenda m'magazi, omwe amachepetsa kuchuluka kwa shuga m'magazi. Pankhani ya matenda a shuga 1, monga lamulo, palibe zizindikiro zakuchenjeza za matenda oyamba ndi matenda ashuga. Komabe, mu mtundu 2 wa matenda ashuga, prediabetes ndiye nthawi yomwe zizindikiro za nkhawa zimawonekera. Ngati mukukayikira matenda am'mbuyomu, shuga m'magazi anu amatha kukuthandizani kuti mupange matenda oyambitsa matenda ndipo, chofunikira, ndikuthandizani kuti musinthe moyo wanu mwachangu komanso mosachedwa ndikuletsa kapena kuletsa kwathunthu chitukuko cha matenda ashuga okhwima. Iwo amene sanyalanyaza chenjezoli akuyenera kudalira chithandizo cha insulin posachedwa. Akulimbikitsidwa Kodi ndingadye zamtundu wanji ndi shuga? 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