Chizolowezi cha shuga m'magazi madzulo asanagone ndi chakudya chamadzulo: Zizindikiro zovomerezeka komanso zoyambitsa

Kuwona kuchuluka kwa shuga m'magazi ndichinthu chofunikira kwambiri chomwe chimakupatsani mwayi wina wodziwika bwino wa matenda athu a shuga masiku ano. Chowonadi ndichakuti anthu mamiliyoni ambiri padziko lapansi lathuli samakayikiranso kuti pali vutoli, chifukwa chake amanyalanyaza kupita kwa dotolo, amamwa zakudya zamagulu omwera ndipo amakana kusintha moyo wawo m'njira yoyenera.

Koma ndimakhalidwe oterewa omwe ndi omwe amapangitsa kuti chiwopsezo cha hyperglycemia chiwonekere komanso kuwonekera m'thupi la munthu pamatenda ambiri oyambitsidwa ndi izi. Chifukwa cha kuchuluka kwa shuga m'magazi, ziwalo zonse zamkati zimavutika.

Wodwala amayamba kumva kutopa kwambiri komanso kusweka ngakhale atagona tulo. Mwa odwalawa, ntchito yamtima imasokonezeka kwambiri, amadandaula za kusawona bwino, kukodza pafupipafupi komanso kumva ludzu kosalekeza.

Kwa kwambiri hypoglycemia yochepera 2.2 mmol / l, mawonekedwe aukali komanso osakwiya, kumverera kwa njala yayikulu komanso kumverera kwa palpitations pachifuwa ndizodziwika.

Nthawi zambiri mwa odwala otere, kukomoka komanso ngakhale kudwala kumene koopsa kumatha kuchitika. Poganizira zakuphwanya konse komwe kungayambike chifukwa cha kusintha kwamunthu m'magazi, tingathe kunena.

Glycemia control ndi njira yofunika kwambiri yodziwitsira matenda yomwe imakupatsani mwayi wokayikira kukula kwa zovuta m'magawo oyambirirawo, pomwe munthu sanakumanepo ndi zoopsa zomwe zimayambitsa matenda.

Chizolowezi cha shuga m'magazi mwa munthu wathanzi

Polankhula za kuchuluka kwa shuga mwa anthu wathanzi madzulo, munthu ayenera kuganizira kuti chizindikirocho si mtengo wokhazikika.

Kuchuluka kwa shuga m'magazi sikungasinthe kokha ndikusintha kwa zochitika za insulin ndi mahomoni ena. Zimatengera mtundu wa thanzi la munthu, momwe amakhalira komanso zochita zolimbitsa thupi.

Monga lamulo, madokotala amalimbikitsa kuyeza shuga m'magazi m'mawa komanso maola awiri mutatha kudya. Mwa anthu athanzi, kuchuluka kwa shuga kumawunikidwa pokhapokha ngati pali zizindikiro zomwe zikuwonetsa kukula kwa zizindikiro za matenda ashuga.

Nthawi zambiri m'magazi othandizira, shuga othamanga amayenera kukhala 3,3-5,5 mmol / L, ndipo pambuyo pofunkha chakudya ndi maola awiri mutadya - osaposa 7.8 mmol / L. Ngati kupatuka kwa ziwerengerozi kumapezeka, madokotala nthawi zambiri amalankhula za kulolerana kwa glucose mwa odwala kapena matenda a shuga.

Ngati tizingolankhula za amayi apakati, ndikofunikira kuganizira kuti shuga m'magazi awo amatha kukula chifukwa cha chidwi chambiri. Kuwongolera njira zotere, kapangidwe ka insulini, kamene kamayendetsa magazi moyenera, kumawonjezereka pang'ono mthupi la mkazi pofika nthawi yachiwiri ndi yachitatu ya kutenga pakati.

Nthawi zambiri, shuga mwa amayi apakati amayenera kukhala osiyanasiyana kuyambira 3,3 mpaka 6.6 mmol / L ndi kuwonjezeka pang'ono mpaka 7.8 mmol / L madzulo, atatha kudya.

Mlingo wabwinobwino wamagazi m'magazi a mwana wathanzi samatengera kwambiri patsiku, koma pazochita zake zolimbitsa thupi, kutsatira zakudya zoyenera, komanso zaka za mwana.

Zizindikiro zamtundu wa glycemia mwa ana amisinkhu yosiyanasiyana ndi:

• miyezi 12 yoyambirira ya moyo - 2.8-4.4 mmol / l,
• kuyambira chaka chimodzi mpaka zaka 5 - 3.3-5.0 mmol / l,
• ana opitirira zaka zisanu - 3,3-5.5 mmol / l.

Shuga wabwinobwino nthawi yogona asanagone mtundu 1 ndi matenda ashuga 2

Kwa anthu otere, miyambo yazakudya zomanga thupi m'thupi imakhala yokwezeka, ndipo ndi kuchuluka kwa shuga mu seramu yamagazi ngati mwa anthu athanzi, m'malo mwake, kumatha kukhala koipa.

Monga mukudziwa, kuzindikira kwa matenda ashuga kumapangidwa kwa anthu omwe, akamayang'ana shuga othamanga, amatsimikizika pamlingo wopitilira 7.0 mmol / L, ndipo pambuyo poyesedwa ndi katundu mumaola awiri sikuchepera pansi pa 11.1 mmol / L.

Nthawi zambiri, madzulo, mwa anthu omwe ali ndi matenda a shuga a mtundu woyamba 1, shuga wa m'magazi amatsimikizika pamlingo wa 5.0-7.2 mmol / L. Zizindikiro izi zalembedwa mogwirizana ndi malingaliro onse okhudzana ndi zakudya, kumwa mankhwala kuti muchepetse shuga wokwanira ndikuchita zolimbitsa thupi zolimbitsa thupi.

Zifukwa zopatukira kuzizindikiro kuzizolozereka

Madokotala amachenjeza kuti shuga omwe amadutsa shuga amatha kumalumikizidwa ndi zolakwika pakudya kwa munthu wodwala matenda ashuga kapena munthu wokonda kukula kwa hyperglycemia.

Zina mwazomwe zimayambitsa kuchuluka kwa shuga wa seramu mwa anthu otere ndi:

• kudya zakudya zamagulu ochulukirapo pambuyo chakudya chamadzulo komanso madzulo,
• zolimbitsa thupi zolimbitsa thupi kwa tsiku lonse,
• kuvutitsidwa kwa sodas ndi zotsekemera nthawi yogona,
• kudya zakudya zoletsedwa, ngakhale zochepa.

Spikes yamadzulo m'magazi a shuga samakhudzidwa ndi insulin komanso nkhawa yama hormone, komanso mankhwala ochepetsa shuga. Chizindikirochi chimangotengera mtundu wa zakudya za anthu komanso kuchuluka kwa chakudya chambiri chomwe amamwa ndi chakudya masana.

Kodi ndiyenera kuchita chiyani ngati glucose wanga watuluka chakudya chamadzulo?

Kuti zakudya za shuga zisachulukire madzulo ndipo sizikuthandizira pakukula kwamavuto akulu m'thupi la wodwalayo, madokotala amalimbikitsa kuti atsatire malangizo osavuta, kuphatikiza:

• kudya zakudya zovuta zomwe zimakhala ndi nthawi yayitali yopuma,
• kukanidwa kwa mikate yoyera ndi makeke othamangitsira mbewu zamphesa ndi utsi,
• kudya zipatso ndi ndiwo zamasamba ambiri chakudya chamadzulo ndi chakudya chamadzulo, komanso mafuta amkaka ndi chimanga chokhala ndi index yotsika ya glycemic,
• kusintha zakudya zopatsa mphamvu zomanga thupi zomwe zimakwaniritsa njala ndikukwaniritsa thupi ndi mphamvu,
• kuphatikiza kwa zakudya ndi acidic zakudya, chifukwa amaletsa kuchuluka kwa shuga mutatha kudya.

Makanema okhudzana nawo

About shuga wamagazi mukatha kudya mu kanema:

Odwala omwe ali ndi hyperglycemia ayenera kulabadira moyo wawo, kuupangitsa kuti ukhale wolimba komanso wokhutira. Chifukwa chake, madzulo, akatswiri amalimbikitsa kuti odwala matenda ashuga azitha ola limodzi kapena awiri ali ndi mpweya wabwino, akuyenda paki.

Anthu onenepa amafunika kusamalira kulemera kwawo komanso kusamalira kuti achepetse. Mutha kukwanitsa zotsatira zabwino pakuchepetsa thupi kudzera munthawi yapadera yochita masewera olimbitsa thupi.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

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.

Kwa anthu otere, miyambo yazakudya zomanga thupi m'thupi imakhala yokwezeka, ndipo ndi kuchuluka kwa shuga mu seramu yamagazi ngati mwa anthu athanzi, m'malo mwake, kumatha kukhala koipa.

Monga mukudziwa, kuzindikira kwa matenda ashuga kumapangidwa kwa anthu omwe, akamayang'ana shuga othamanga, amatsimikizika pamlingo wopitilira 7.0 mmol / L, ndipo pambuyo poyesedwa ndi katundu mumaola awiri sikuchepera pansi pa 11.1 mmol / L.

Nthawi zambiri, madzulo, mwa anthu omwe ali ndi matenda a shuga a mtundu woyamba 1, shuga wa m'magazi amatsimikizika pamlingo wa 5.0-7.2 mmol / L. Zizindikiro izi zalembedwa mogwirizana ndi malingaliro onse okhudzana ndi zakudya, kumwa mankhwala kuti muchepetse shuga wokwanira ndikuchita zolimbitsa thupi zolimbitsa thupi.

Dziwani vuto

Kuti mudziwe zomwe zimayambitsa kusintha kwa shuga usiku komanso nthawi yoyambirira, miyezo imayenera kutengedwa pafupipafupi kwa maola atatu pakati pausiku. Ndizotheka komanso nthawi zambiri - izi zipangitsa kuti zitheke kudziwa nthawi ya oscillation molondola. Kutengera ndi mfundo zomwe tapeza, titha kukambirana za kuzindikira komwe kungachitike.

Kudumpha kumatha kuchitika pazifukwa izi:

• kukhazikitsidwa kwa mlingo wochepa wa insulini madzulo (3 ndi 6 koloko m'mawa shuga lidzakulitsidwa kwambiri),
• Somoji syndrome kapena posthypoglycemic hyperglycemia (pofika atatu usiku shuga adzagwa, ndipo ndi zisanu ndi chimodzi udzuka),
• chodabwitsa cha m'bandakucha m'mawa (usiku, Zizindikiro ndizachilendo, asanadzuke).

Mitundu ya usiku ndizothekanso pakudya mafuta ochulukirapo nthawi yogona. Amayamba kusweka, kuchuluka kwa glucose kumakulanso. Zoterezi zimachitika ngati wodwala matenda ashuga amadya pang'ono masana, ndipo amadya usiku. Kapena, m'malo mwake, alibe chakudya chamadzulo. Kuwongolera kwa insulin mochedwa kwambiri (pasanathe maola 23) ndizomwe zimayambitsa izi.

Ricochet hyperglycemia

Kuchuluka kwa shuga m'magazi usiku kumatha kukhala chifukwa cha matenda a Somoji. Wodwala seramu shuga ndende amachepetsa kwambiri. Poyankha izi, thupi limayamba kumasula glycogen ku chiwindi, ndipo odwala matenda ashuga amayamba hyperglycemia.

Nthawi zambiri, shuga amatsikira pakati pausiku. Pofika m'mawa, zizindikiro zikukula. Kulumpha usiku kumachitika chifukwa chakuti thupi limakumana ndi hypoglycemia ngati nkhawa yayikulu. Zotsatira zake ndi kutulutsidwa kwa mahomoni a contra-mahormoni: cortisol, adrenaline, norepinephrine, glucagon, somatropin. Ndizomwe zimayambitsa kuchotsedwa kwa glycogen ku chiwindi.

Somoji matenda amayamba ndi bongo wa insulin. Poyankha pakubweretsa kuchuluka kwa mahomoni, hypoglycemia imayamba. Kuti matenda asinthe, chiwindi chimatulutsa glycogen, koma thupi silingathe kupirira lokha.

Likukhalira mozungulira mozungulira: kuwona shuga wambiri, wodwala matenda ashuga amawonjezera mlingo wa insulin. Kuyambitsa kwake kumayambitsa hypoglycemia ndi kukula kwa rebound hyperglycemia. Mutha kusintha matendawa pang'onopang'ono ngati muchepetsa mphamvu ya mahomoni. Koma izi ziyenera kuchitika motsogozedwa ndi endocrinologist. Mlingo umachepetsedwa ndi 10-20%. Nthawi yomweyo kusintha zakudya, kuwonjezera zolimbitsa thupi. Ndi njira yolumikizidwa yokha yomwe munthu angachotse zodabwitsa za Somoji.

Mawa m'mawa matenda

Ambiri odwala matenda ashuga amadziwa bwino momwe, akawerengera shuga, hyperglycemia imayamba popanda chifukwa, usiku, m'mawa.

Izi sizodwala: anthu onse m'mawa kwambiri pali kuwonjezeka kwa glucose. Koma nthawi zambiri odwala matenda ashuga okha amadziwa za izi.

Pokhala ndi shuga woperewera, shuga ndimabwinobwino madzulo, ndipo palibe kusinthasintha kwakukulu usiku. Koma pafupifupi 4 m'mawa pali kulumpha. Usiku, mahomoni okula amapangidwa m'thupi. Imaletsa insulin ntchito. Glycogen amayamba kumasulidwa ku chiwindi. Izi movutikira zimayambitsa kuphuka kwa shuga. Mu achinyamata, kusinthasintha kotero kumatchulidwa makamaka chifukwa cha kuchuluka kwa mahomoni okula.

Ngati zizindikiro zam'mawa ndizambiri, muyenera kufunsira kwa endocrinologist. Zitha kukhala zofunikira kuchepetsa kuchuluka kwa chakudya chamadzulo kapena kuwonjezera pa insulin.

Anthu odwala matenda a shuga omwe amadalira insulin amayenera kuwunika kangapo patsiku. Mu matenda a shuga ophatikizidwa, kulumpha sikudutsa 5.5 mmol / l tsiku lonse. Ngati kukhazikika sikumatha, ndiye kuti usiku kapena m'mawa shuga amawonjezeka kwambiri.

Ngati shuga mutatha kudya ndi yotsika kuposa pamimba yopanda kanthu, mwina ndi funso lokhala ndi matenda a shuga. Matendawa amadziwika ndi mavuto am'mimba, kupuwala kwake pang'ono. Chakudya sichimangolowa m'matumbo atatha kugaya, koma chimakhala m'mimba kwa maola angapo. Gastroparesis imatha kukhala yovuta. Ngati shuga agwera m'munsi mwa 3.2, akhoza kukhala ndi vuto la hypoglycemic.

Zomwe zimachitika pokhapokha chakudya zimatha 11.1 mmol / L. Miyezo yokhala pansi pa 5.5 ya odwala matenda ashuga amaonedwa kuti ndi otsika - ndi zizindikiro zotere zimasonyeza hypoglycemia. Matendawa alibe oopsa kuposa hyperglycemia.

Njira zoyeserera

Ngati magazi a m'magazi ndi:

• adatsitsidwa atatha kudya
• kukwezedwa pamimba yopanda kanthu
• yolimbikitsidwa usiku,
• adatsitsidwa usiku
• limatuluka m'maola
• kukwera m'mawa kutacha - ichi ndi chifukwa chachikulu chofunsira kwa dokotala.

Njira zamankhwala zochizira zimatsimikiziridwa pambuyo podziwika bwino. Nthawi zina, mankhwala othandizira amafunikira.

M'mawa m'mawa matenda, amatha kudya chakudya chamadzulo. Nthawi zina - makonzedwe owonjezera a insulin m'masiku ochepa.

Ndikosavuta kusintha matendawa ndi matenda a Somoji. Izi ndizovuta kudziwa. Kuti mupeze matenda olondola, ndibwino kuyang'ana mausiku angapo motsatana. Chithandizo chovuta: kusintha kwa zakudya, zolimbitsa thupi, kuchepa kwa insulini yoyendetsedwa. Momwe mavutowo atakhazikika, nocurnal hyperglycemia goes away.

Kodi chizolowezi chokhala ndi shuga masana ndi chiyani?

Masiku ano, chiopsezo chotenga matenda ashuga ndichokwera kwambiri, kotero, chizolowezi cha shuga masana ndichinthu chofunikira kwa aliyense. Popewa kukula kwa matendawa, madokotala amalimbikitsa kuti abweretse mayeso okonzedwa panthawi yake. Nthawi zina, shuga amayang'aniridwa tsiku lonse kuti atsimikizire kapena kutsimikizira chomwe wapeza.

Momwe shuga limakhalira masana

Kupatuka pang'ono pazomwezo ndizotheka.

Chamoyo chilichonse chimakhala chamunthu payekha, ngati pali kusiyana pang'ono, musachite mantha:

• m'mawa musanadye - mayunitsi 3.5-5,5,
• musanadye nkhomaliro komanso musanadye chakudya chamadzulo - mayunitsi 3.8-6.1,
• ola limodzi mutatha kudya - Kwa odwala matenda ashuga, malire awo a shuga amakhazikitsidwanso:

• kuyambira m'mawa mpaka chakudya - mayunitsi 5-7,2,
• mutatha kudya kwa maola awiri - Ndani ayenera kuyendetsa shuga kawiri kuposa ena:

• odwala onenepa kwambiri
• anthu omwe ali ndi kuthamanga kwa magazi
• odwala kwambiri cholesterol
• azimayi omwe adabereka ana onenepa, monga awa:

• mavuto ndi m'mimba thirakiti
• kuchepa thupi kwambiri
• kuchiritsa kwapang'onopang'ono kwa mabala ndi mabala,
• kamwa yowuma, kufunitsitsa kosamwa,
• chizungulire pafupipafupi
• Kutupa kwa malekezero,

• kulira kwa ziwalo zosiyanasiyana za thupi,
• kufooka, kugona,
• kutayika kwa zithunzi.

Glucometer adapangidwa kuti nthawi iliyonse mutha kudziwa shuga, komanso osachoka kunyumba kwanu. Kugwiritsa ntchito ndikosavuta. Mzere wapadera woyeserera umayikidwa mu chipangizocho, dontho la magazi a wodwala amayikiratu. Pambuyo masekondi ochepa, chinsalu chikuwonetsa mtengo womwe umakhala chizindikiro cha shuga.

Kukankha chala kumakhalanso kosavuta. Pazinthu izi, opanga apereka m'malo mwapadera. Chinthu chachikulu ndikutsuka manja anu ndi zotetemera isanachitike.

Kuti muwone kusintha kwa shuga ponseponse, miyeso inayi ndi yokwanira. Choyamba, musanadye chakudya cham'mawa, kenako maola awiri mutadya, kachitatu mutatha kudya chakudya, komanso kachitatu musanagone. Izi ndizokwanira kuthana ndi zosintha.

Mulingo wa shuga m'mawa umayambira magawo 3,6 mpaka 5.8 mwa munthu wathanzi.Kwa ana, zizindikiro zosiyana kwathunthu. Chifukwa chake mwana wochepera zaka khumi ndi ziwiri amatengedwa ngati chinthu chimodzi kuyambira 5 mpaka 10, komanso pamimba yopanda kanthu.

Ngati mwa munthu wamkulu, poyeza shuga, chizindikirocho chili pamwamba pa zisanu ndi ziwiri, ndiye koyenera kukaonana ndi dokotala kuti mumupime mokwanira komanso kuti mudziwe ngati ali ndi matenda.

Mukatha kudya, mutatha maola awiri, kukula kwachilengedwe kwa glucose kumachitika. Kuchuluka kwake komwe kumatengera kumatengera zomwe munthu amadya, kuchuluka kwa zakudya zopatsa mphamvu zochuluka motani. Muyezo umakhala malire, omwe ndi mayunitsi 8.1.

Ngati mumayeza muyeso wa shuga mukangodya, ndiye kuti mtengo wake suyenera kutsika kuposa 3,9 ndipo osapitirira mayunitsi 6.2. Ngati chizindikirocho chili pagawo lino, ndiye kuti wodwalayo angadziyese wathanzi kwathunthu.

Mtengo wa mayunitsi 8 mpaka 11 ndi chizindikiro cha matenda obwera chifukwa cha matenda ashuga. Zoposa 11 - mwayi wopempha thandizo kwa akatswiri. Mtengo uwu umawonetsera kuphwanya kwakukulu mthupi. Koma ndiyambiriro kwambiri. Dokotala amamuwunikiratu munthuyo, ndipo zitatha izi atha kuzindikira. Shuga mwina adalumpha chifukwa cha kupsinjika kapena kupsinjika.

Musanafufuze ku chipatala, muyenera kutsatira malamulo ena:

• osamadya maswiti tsiku lololera kupereka magazi,
• lekani mowa
• Chakudya chomaliza sichikhala pasanathe 6,
• Pamaso kusanthula, madzi akumwa okha ndi omwe angagwiritsidwe ntchito.

Koma shuga wamagazi sangangobuka. Kuchepa kwake kumawonetsa kukhalapo kwa zonyansa zazikulu mthupi. Mwachitsanzo, izi zimaphatikizapo mavuto ndi chithokomiro cha chithokomiro, cirrhosis ya chiwindi, mavuto ndi zida zam'mimba ndi zina zambiri.

Zambiri zimayambitsa kuchuluka kwa shuga. Zoyipa kwambiri ndikugwiritsa ntchito mowa ndi fodya, kupsinjika kwamanjenje ndi nkhawa, mankhwala a mahomoni. Nthawi zina, ndikokwanira kulingaliranso za moyo wanu: kupita kukachita masewera, kusintha ntchito, ndi zina zambiri.

Kafukufuku wa Laborator

Aliyense angayang'anire magazi. Kusanthula uku kumachitika ku chipatala chilichonse. Njira zofufuzira ndizosiyana, koma zotsatira zake ndi zolondola kwambiri. Maziko ndi kutengera kwa mankhwala, chifukwa chomwe msinkhu wa shuga umatsimikiziridwa ndi chizindikiro cha mtundu.

Magawo a kusanthula:

1. Mwazi umachotsedwa kuchokera ku chala cha wodwala kapena kuchokera mu mtsempha.
2. Kupereka magazi kumachitika mpaka 11 koloko, pamimba yopanda kanthu.

Zizindikiro za venous ndi capillary magazi ndizosiyana.