Kodi kupindika shuga ndi chiyani ndipo mungatsimikizire chiyani?

Pafupifupi aliyense wodwala yemwe wakumana ndi vuto la matenda osokoneza bongo amadziwa kuti kusanthula shuga kumapindulira kumathandizira kudziwa bwino zomwe zili munthawi ya matendawa.

Choyamba, phunziroli limalimbikitsidwa kwa amayi panthawi yomwe ali ndi pakati. Koma nthawi zina amalembedwanso kwa amuna omwe amakayikira kuti angayambitse matenda ashuga.

Cholinga chachikulu cha phunziroli ndikuwonetsa chizindikiro cha glucose wamagazi atatha kudya, komanso pamimba yopanda kanthu komanso pambuyo poyesererapo thupi.

Magazi a m'magazi amayesedwa pogwiritsa ntchito chipangizo china chotchedwa glucometer. Koma musanayambe kugwiritsa ntchito chipangizochi, muyenera kudziwa momwe mungachigwiritsire ntchito, komanso kudziwa zomwe muyenera kudziwa kuti mudziwe momwe zilili. Mbali yabwino ya chipangizocho ndikuti ingagwiritsidwe ntchito kunyumba.

Mwa njira, kuwonjezera pamachitidwe oyesa shuga wamagazi, pali njira zina zomwe zingathandize kumvetsetsa kuti wodwalayo ali ndi vuto la shuga. Mwachitsanzo, mutha kulabadira zizindikiro monga:

• ludzu pafupipafupi
• kamwa yowuma
• onenepa kwambiri
• njala yosalekeza
• Kusintha kwadzidzidzi kwakakamizidwe, nthawi zambiri kumakwera pamwamba pa chizolowezi.

Ngati munthu azindikira yekha zoterezi, ndiye kuti ayenera kupereka magazi posachedwa ndikuwonetsetsa kuchuluka kwa shuga mthupi. Muyenera kudziwa momwe mungaperekire kusanthula koyenera komanso momwe mungakonzekerere.

Monga tafotokozera pamwambapa, maphunziro ngati awa amachitika kunyumba. Pokhapokha muyenera kupaka magazi kangapo patsiku komanso patapita nthawi.

Momwe mungapangitsire koyenera?

Muyezo glucose malinga ndi chiwembu. Mwachidziwikire, ma curve amamangidwa kangapo, ndipo malinga ndi zotsatira za kusanthula, adotolo kapena wodwalayo payekha amamaliza pamalingaliro amtunduwu wa thupi lake.

Nthawi zambiri, kuwunika koteroko kumayikidwa kwa amayi apakati, komanso anthu omwe amangopezeka ndi matenda a shuga, kapena omwe akukayikira matenda. Komanso, muyezo wa glucose m'magazi momwemonso amalembera azimayi omwe ali ndi vuto la ovary. Izi ndizofunikira kuti muzindikire momwe thupi limazindikirira shuga.

Madokotala nthawi zonse amalangizidwa kugwiritsa ntchito mita nthawi zonse komanso omwe ali ndi abale a magazi omwe ali ndi matenda ashuga. Komanso, izi zikuyenera kuchitika kamodzi pamwezi uliwonse wa miyezi isanu ndi umodzi.

Tiyenera kumvetsetsa kuti ngati munthu sakudziwa bwinobwino zomwe zingachitike kuti apange matenda a "shuga", ndiye kuti kuwonongedwa kuyenera kuchitidwa ndi dokotala wodziwa ntchito. Pali nthawi zina zomwe kupindika kumangosiyana pang'ono ndi zokhazokha, izi zikusonyeza kuti chizindikirocho chimawoneka ngati chabwinobwino. Pankhaniyi, ndikokwanira kusamala monga:

1. Nthawi zonse muziwongolera kulemera kwanu komanso kupewa kudya kwambiri.
2. Chitani masewera olimbitsa thupi pafupipafupi.
3. Nthawi zonse muzingodya zakudya zabwino komanso muzitsatira zakudya zoyenera.
4. Pimayezeni pafupipafupi.

Njira zonsezi zimathandiza pokhapokha pasanayambike kusintha kwamthupi, apo ayi muyenera kusankha mankhwala, omwe ndi, kumwa mankhwala omwe amathandizira kuchepetsa shuga kapena jakisoni wa jakisoni wa insulin ya anthu.

Kodi muyenera kudziwa chiyani musanayambe kuphunzira?

Choyamba, ndikofunikira kusankha mita yoyenera, yomwe idzagwiritsidwe ntchito kuyeza shuga m'magazi.

Ndikofunikira kumvetsetsa kuti phunziroli silingatengeke ngati losavuta, pamafunika kukonzekera mwapadera ndipo kumachitika m'magawo angapo. Pokhapokha pamenepa ndi pomwe zingatheke kukwaniritsa zoyenera.

Ngati mutha kuchititsa phunzirolo nokha, ndiye kuti wokha ndi amene amamuwerengera.

Kuphatikiza pa zisonyezo zokha, zinthu monga:

• kukhalapo kwa pathologies m'thupi la wodwala kapena matenda ena aliwonse,
• Dziwani kulemera kwenikweni kwa wodwala
• mvetsetsa momwe amakhalira (ngakhale atamwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo),
• dziwa m'badwo weniweni.

Zambiri izi ziyenera kufotokozedweratu musanawunikire, komanso kudziwa nthawi yomwe phunziroli lidzatenge nthawi. Zikuwonekeratu kuti detayo ndiyenera kukhala yatsopano. Ndikofunikanso kuchenjeza wodwala kuti asanapereke chithandizo mwachindunji sayenera kumwa mankhwala aliwonse omwe amachepetsa shuga, komanso mankhwala ena omwe angakhudze kudalirika kwa deta yomwe yapezeka. Makamaka ngati munthu akudalira insulin. Kupanda kutero, kuphunzira koteroko kungakhale kosadalirika.

Zachidziwikire, muyenera kumvetsetsa pazovuta zopanga shuga. Ngati kusanthula kumachitika mu labotale, ndiye kuti magazi amatha kutengedwa osati chala, komanso kuchokera mu mtsempha.

Ndipo kale, kutengera mtundu wa wodwala aliyense, lingaliro lidzakhala la wodwalayo.

Ichi ndi chiyani

Kuyesedwa kwa glucose, mwakulankhula kwina kupindika shuga, ndi njira yowonjezera yowerengera poyesa shuga. Njirayi imagwira magawo angapo ndikukonzekera koyambirira. Magazi amatengedwa mobwerezabwereza kuchokera ku chala kapena kuchokera mu mtsempha kuti apimidwe. Kutengera mpanda uliwonse, dongosolo limamangidwa.

Kodi kusanthulaaku kukuwonetsa chiyani? Amawonetsa madotolo momwe thupi limakhalira ndi kuchuluka kwa shuga ndikuwonetsa mawonekedwe a matendawa. Mothandizidwa ndi GTT, mphamvu, mayamwidwe ndi kayendedwe ka glucose kupita m'maselo zimayang'aniridwa.

Ijika ndi graph yomwe yakonzekereratu ndi mfundo. Ili ndi nkhwangwa ziwiri. Pamzere wopingasa, nthawi zophatikizidwa zimawonetsedwa, pamtondo - shuga. Kwenikweni, mapindikira amamangidwa pamawu 4-5 ndi gawo la theka la ora.

Chizindikiro choyamba (pamimba yopanda kanthu) ndicotsika kuposa ena onse, chachiwiri (mutatsitsa) ndichipamwamba, ndipo chachitatu (katundu mu ola limodzi) ndicho chimake cha chithunzi. Chizindikiro chachinayi chikuwonetsa kuchepa kwa shuga. Sayenera kukhala wotsika kuposa woyamba. Nthawi zambiri, mfundo zokhotakhota zimakhala zopanda kulumpha ndi mipata pakati pawo.

Zotsatira zimatengera zinthu zambiri: kulemera, zaka, jenda, thanzi. Kutanthauzira kwa deta ya GTT kumachitika ndi adokotala. Kuzindikiritsa munthawi yake kupatuka kumathandiza kupewa matendawa pogwiritsa ntchito njira zopewera. Zikatero, kulemera, zakudya komanso masewera olimbitsa thupi ndi omwe amapatsidwa.

Kodi kusanthula kumalembedwa ndi ndani?

Chidacho chimakupatsani mwayi kuti muwonetse mayendedwe azomwe akuchitika komanso momwe thupi limagwirira ntchito panthawi yonyamula katundu.

GTT imayikidwa pamilandu yotsatirayi:

• ovary polycystic,
• kudziwa matenda ashuga,
• kutsimikiza kwa mphamvu ya shuga mu shuga,
• kuzindikira shuga mumkodzo,
• pamaso pa abale omwe ali ndi matenda a shuga,
• pa mimba
• kulemera mwachangu.

Imachitika nthawi ya pakati ndikutalikirana kuchokera ku magwiridwe a mkodzo kuti mupeze matenda a shuga. Munthawi yabwinobwino, insulini m'thupi la mkazi imapangidwa modabwitsa. Kuti muwone momwe kapamba amachitira ndi ntchitoyi, GTT imalola.

Choyamba, kuyezetsa kumayesedwa kwa azimayi omwe adapatuka kuchokera pachiwonetsero cham'mbuyomu, wokhala ndi index ya thupi> 30 ndi amayi omwe abale awo ali ndi matenda ashuga. Kusanthula kumachitika nthawi zambiri pa sabata la 24-28. Pakatha miyezi iwiri chibadwire, phunzirolo limachitidwanso.

Kanema pa matenda ashuga:

Contraindators chifukwa chodutsa mayeso:

• nthawi yobereka
• yotupa njira
• nthawi yantchito
• kugunda kwa mtima
• matenda a chiwindi
• malabsorption wa shuga,
• kupsinjika ndi kukhumudwa
• chiwindi
• masiku ovuta
• kukanika kwa chiwindi.

Kukonzekera ndi kuyeserera kwa mayesowo

Kuyeserera kwa shuga pamafunika zotsatirazi:

• kutsatira zakudya zabwino ndipo osachisintha,
• pewani kupsinjika kwa mitsempha ndi kupsinjika musanayambe kuphunzira
• kutsatira zolimbitsa thupi ndi nkhawa,
• musasute fodya kapena nthawi ya GTT,
• kupatula mowa patsiku,
• kupatula mankhwala
• musamachite njira zamankhwala ndi zolimbitsa thupi,
• chakudya chotsiriza - maola 12 isanafike njirayi,
• osakhudzidwa ndi ma x-ray ndi ma ultrasound,
• panthawi yonseyi (maola 2) simungathe kudya ndi kumwa.

Mankhwala omwe amachotsedwa musanayesedwe ndi monga: antidepressants, adrenaline, mahomoni, glucocorticoids, Metformin ndi zina za hypoglycemic, diuretics, anti-kutupa.

Pakufufuza, njira yapadera ya shuga ndiyofunikira. Amakonzekereratu musanayesedwe. Glucose amasungunuka m'madzi amchere. Amaloledwa kuwonjezera mandimu pang'ono. Kuzindikira kumadalira kutalikirana kwa nthawi ndi mfundo za graph.

Kudziyesa nokha kumatenga pafupifupi maola awiri, kuchitidwa m'mawa. Wodwala amatengedwa koyamba kukafufuza pamimba yopanda kanthu. Ndipo pakatha mphindi 5, njira ya shuga imaperekedwa. Pambuyo pa theka la ola, kuwunikiranso kumadziwikanso. Kusintha kwotsatira kwa magazi kumachitika pakadutsa mphindi 30.

Chinsinsi cha njirayi ndikuwonetsa chizindikiro popanda katundu, ndiye kuti mphamvu zomwe zili ndi katunduyo komanso kukula kwa kuchepa kwa ndende. Kutengera ndi izi, graph imapangidwa.

GTT kunyumba

GGT nthawi zambiri imachitidwa pamtunda wokha kapena m'malo owerengera pawokha kuti adziwe matenda. Wopezeka ndi matenda a shuga, wodwalayo amatha kuchititsa maphunziro kunyumba ndikupanga yekha kupindika shuga. Miyezo yoyesedwa mwachangu imakhala yofanana ndi kusanthula kwa zasayansi.

Kwa njira ngati imeneyi, glucometer wamba amagwiritsidwa ntchito. Phunziroli limachitidwanso koyamba pamimba yopanda kanthu, kenako ndi katundu. Zoyeserera pakati pa maphunziro - mphindi 30. Pamaso pa punction iliyonse, amagwiritsa ntchito mzere watsopano.

Ndi mayeso apakhomo, zotsatira zake zingakhale zosiyana ndi ma labotor. Izi ndichifukwa cholakwika chaching'ono cha chipangizo choyeza. Kusavomerezeka kwake kuli pafupifupi 11%. Pamaso kusanthula, malamulo omwewo amatsatiridwa ngati amayesedwa mu labotale.

Kanema wochokera kwa Dr. Malysheva pamayeso atatu a shuga:

Kutanthauzira kwa Zotsatira

Mukamasulira tsatanetsatane, zinthu zingapo zimawerengedwa. Pamaziko a kusanthula kokha, kuzindikira kwa matenda ashuga sikunakhazikike.

Mitsempha yamagazi ya capillary ndiyocheperako kuposa venous:

1. Mtengo wa Curve wa shuga. Makhalidwe abwinobwino amawonedwa kuti akukwera pamtunda wa 5.5 mmol / l (capillary) ndi 6.0 mmol / l (venous), pambuyo pa theka la ola - mpaka 9 mmol. Mlingo wa shuga m'masiku awiri mutatsitsa ku 7.81 mmol / l umawonedwa ngati mtengo wovomerezeka.
2. Kuleza mtima. Zotsatira zamtundu wa 7.81-11 mmol / L pambuyo pochita masewera olimbitsa thupi zimawonedwa ngati prediabetes kapena kulekerera kwapakati.
3. Matenda a shuga. Ngati zizindikiro zosanthula zikupitilira chizindikiro cha 11 mmol / l, ndiye izi zikuwonetsa kukhalapo kwa matenda ashuga.
4. Nthawi zambiri panthawi yoyembekezera. Pamimba yopanda kanthu, malingaliro abwinobwino amatengedwa kuti afika mpaka 5.5 mmol / l, atangolayisha - mpaka 10 mmol / l, atatha maola 2 - pafupifupi 8.5 mmol / l.

Zotheka kupatuka

Ndi kupatuka komwe kungachitike, kuyesedwa kwachiwiri kumayikidwa, zotsatira zake zimatsimikizira kapena kutsimikizira kuti dzinalo latsimikizika. Zikatsimikiziridwa, chingwe chamankhwala chimasankhidwa.

Kupatuka kuzinthu zomwe zimachitika nthawi zambiri kumatha kuwonetsa zikhalidwe za thupi.

Izi zikuphatikiza:

• magwiridwe antchito amanjenje,
• kutupa kwa kapamba,
• zotupa zina
• kuchepa kwa magazi
• shuga mayamwidwe,
• kupezeka kwa njira zotupa,
• Mavuto am'mimba.

Asanabwererenso GTT, machitidwe akukonzekera amayang'aniridwa mosamalitsa. Ngati kulekerera kumalephera mu 30% ya anthu, Zizindikiro zimatha kusungidwa kwakanthawi, kenako ndikubwerera mwachizolowezi osalandira chithandizo kuchipatala. 70% yazotsatira sizinasinthe.

Zizindikiro zowonjezera ziwiri za matenda am'mbuyomu zimatha kukhala kuchuluka kwa shuga mu mkodzo pamlingo wovomerezeka m'magazi ndikuwonetsa zochulukirapo pazowunikira zomwe sizipitilira zomwe zimachitika.

Ndemanga za akatswiri. Yaroshenko I.T., Mutu wa Laborator:

Chinsinsi cha koloko yodalirika yopangira shuga ndikakonzekera bwino. Chofunikira ndi chikhalidwe cha wodwalayo pochita izi. Kupatula pachisangalalo, kusuta, kumwa, kusuntha mwadzidzidzi. Amaloledwa kugwiritsa ntchito madzi ochepa - sizikhudza zotsatira zomaliza. Kukonzekera koyenera ndi chinsinsi cha zotsatira zabwino.

Shupe yokhotakhota - kuwunika kofunikira komwe kumagwiritsidwa ntchito pofuna kudziwa momwe thupi limayankhira kupsinjika. Kuzindikira kwakanthawi zamatenda olekerera kumakuthandizani kuti muchite ndi njira zodzitetezera.

Momwe mungakonzekererere phunziroli?

Mosasamala kuti ndi ndani amene adzatenge magazi, kaya ndi a mwana kapena wamkulu, ndikofunikira kutsatira malamulo onse okonzekera kupititsa mayeso a koloko ya shuga. Pokhapokha ngati izi, zomwe zimapangitsa kuti aziponderezedwa ndi zomwe zimapatsa shuga. Kupanda kutero, kufufuza kwa matenda a shuga sikungapereke chithunzi chonse chachipatala.

Tiyenera kukumbukira kuti ngati phunzirolo likuchitika mu labotore, ndiye, molingana ndi izi, lidzachitika. Komanso, mosasamala kanthu za momwe zimachitikira, ziyenera kuchitika m'magawo awiri.

Phunziro loyamba limachitika lokha chakudya musanadye. Kuphatikiza apo, muyenera kudzipatula pakudya zakudya zosachepera khumi ndi ziwiri chakudya chisanachitike. Koma mukuyeneranso kumvetsetsa kuti nthawi imeneyi siyiyenera kupitirira maola khumi ndi zisanu ndi chimodzi.

Kenako wodwalayo amatenga magalamu makumi asanu ndi awiri mphambu asanu a glucose ndipo patapita nthawi, omwe amawerengera kuchokera theka la ola mpaka ola ndi theka, amapatsanso kuwunika kwachiwiri. Ndikofunikira kwambiri kuti musaphonye nthawi ino. Ndipokhapo pokhapokha data yodalirika ikhoza kupezeka pang'onopang'ono.

Kuti mkhalidwe wa glycemic ukhale wowona, muyenera kukonzekera bwino phunzirolo.

Momwe mungaperekere magazi popondera shuga, komanso momwe mungakonzekerere bwino kusanthula kumene ndi mafunso omwe wodwalayo ayenera kuphunzira pasadakhale.

Malangizo a akatswiri azachipatala

Kuti njirayi isapereke zotsatira zoyenera, monga, popondera shuga anawonetsa zomwe zimachitika, aliyense ayenera kukonzekera phunzirolo molondola. Mwachitsanzo, ndikofunikira kwambiri kuti kapangidwe ka ma curves a shuga amaperekanso zotsatira zoyenera, kupatula masiku angapo zisanachitike izi zonse zomwe zimakhala ndi shuga. Kupatula apo, zinthu izi zimapangitsa kuti zotsatirapo zake zithe.

Ndikofunikanso kutsogoza moyo wokhala kwinakwake masiku atatu lisanafike tsiku lomwe mukufuna. Madokotala odziwa ntchito nthawi zonse amalimbikitsa anthu omwe amayenera kutsatira njira yofananayo kuti asamwe mankhwala omwe angakhudze zotsatira zake. Zowona, ngati izi zokha sizikhudza thanzi la munthu.

Ndikofunikira kudziwa pasadakhale dongosolo la chipatala, momwe phunziroli lidzachitike, kuti musachedwe pa nthawi yoikika.

Tiyeneranso kukumbukira kuti kusintha kulikonse kwamalingaliro kumathanso kukhudza zotsatira za phunziroli. Chifukwa chake, ndibwino kupewa kupsinjika ndi zina.

Chofunikira chikatsalira kuti mulingo wa shuga m'magazi, womwe umawonetsedwa ndi biochemistry kapena glucometer, umayerekezeredwa ndi mawonekedwe ena amunthu.

Ndipo pokhapokha pakuwunika zambiri, titha kunena kuti wodwala wina ali ndi matenda ashuga.

Zotsatira zake ziyenera kukhala chiyani

Chifukwa chake, ngati kukonzekera kuwunikirako kunali mulingo woyenera, zotsatirazi zikuwonetsa zambiri. Kuti muone bwinobwino zomwe zingachitike, muyenera kudziwa komwe mpanda unachitikira.

Mwa njira, ziyenera kudziwika kuti nthawi zambiri, kafukufuku wotereyu amachitika ndi matenda a shuga a 2 kapena pomwe wodwala akukayikira kuti ali ndi matendawa. Mtundu woyamba wa matenda ashuga, kusanthula kotereku kulibe ntchito. Zowonadi, pamenepa, kuchuluka kwa shuga mthupi la munthu kumayendetsedwa ndi jakisoni.

Ngati tirikunena za ziwerengero zapadera, ziyenera kudziwika kuti zotsatira zake siziyenera kupitirira 5.5 kapena 6 mmol pa lita imodzi ngati mpanda udapangidwa kuchokera pachala, komanso 6.1 kapena 7 ngati magazi adatengedwa kuchokera mu mtsempha. Izi, inde, ngati wodwalayo adatha kukonzekera bwino izi.

Ngati kuyezetsa magazi kwachitika chifukwa cha shuga ndi katundu, ndiye kuti zizindikirazo ziyenera kukhala mkati mwa 7.8 mmol pa lita imodzi kuchokera pachala ndipo osapitirira 11 mmol pa lita imodzi kuchokera mu mtsempha.

Akatswiri odziwa ntchito yake amamvetsetsa kuti machitidwe omwe zotsatira za kusanthula pamimba yopanda kanthu adawonetsa kupitirira 7.8 mmol kuchokera pachala ndi 11.1 mmol kuchokera kumtsempha akuwonetsa kuti ngati mutapanga kuyesa kwa kuthamanga kwa glucose, ndiye kuti munthu akhoza kukhala ndi vuto la glycemic.

Inde, njira zonsezi zimafunika kukonzekereratu. Ndikwabwino koyamba kukaonana ndi endocrinologist ndikumuwuza za mantha ake ndikufunanso mayeso ofananawo. Muyenera kuyeneranso kufotokozera matenda aliwonse omwe ali ndi vuto lanu kapena ngati ali ndi pakati ngati mayiyo ndiwosangalatsa musanapange njira iyi.

Ndikofunika kuti muwunikenso kangapo kangapo kwakanthawi kochepa. Ndipo pali kuthekera kwakukulu kwakuti zotsatira zake zidzakhala zolondola molingana ndi izi, mutha kupatsanso njira zamankhwala zomwe zilipo. Ndipo monga tafotokozera pamwambapa, muyenera kuyesetsa kupewa kupsinjika ndikuyenda bwino.

Zambiri zokhudzana ndi njira zodziwira matenda a shuga zimaperekedwa mu kanema munkhaniyi.