Amuna anga ali ndi shuga, sikuwoneka pena pake
Ndakuyankhani kale apa: http://consmed.ru/gastroenterolog/view/304454/ ndi kwina.
Mwana wanu wamwamuna ali ndi matenda amtundu wa 1. Madandaulo onse a kunenepa, miyendo, ndi zina zonse ndi zizindikiro. Angabaye jakisoni kapena amwalira. Mwanjira ina, matenda a shuga a mtundu woyamba 1 samachiritsidwa ndipo samachira, koma mutha kukhala ndi matenda ashuga. Popeza matenda ashuga adayamba mochedwa, ndiwofatsa, apo ayi mwana wanu amatha kukhala osamalira kwambiri milungu ingapo popanda insulini. Komabe, sanatetezedwe ku izi ngakhale pano.
Inde, shuga kwa moyo. Adzabaya insulin - adzafa ndi ukalamba limodzi ndi anzawo athanzi, sadza - adzafa ndi matenda a shuga. Zikuwoneka kuti sukumvetsetsa zomwe zikuchitika. Pali chosankha: kaya insulini kapena imfa chifukwa cha zovuta za shuga mkati mwa zaka 3-4.
Zikondamoyo, zomwe mumazitcha kuti "kapamba", zimagwira ntchito mpaka kufa, kungokhala ndi insulini ya munthu wina kumathandizira pang'onopang'ono gwero lake, osati zaka 3-5, koma 50-60.
Mlingo wokwanira wa insulin sukhala woipa. Mlingo wokwanira amasankhidwa kuchipatala. Glucometer imangofunika posankha mtundu. Kugwiritsa ntchito pazinthu zina ndikosatheka komanso ndikuwononga.
Pazakudya zomwe mungadye 2. Mankhwala a insulin okhazikika ndi omwe amaperekedwa (kuchuluka kofanana ndi chakudya), kapena chakudya chilichonse ndipo odwala amawerengera okha insulin ya chakudya. Mwana wanu wamwamuna ayenera kuphunzira izi. Werengani za XE ndi mtundu wowonjezera wa insulin.
Ngati simukumvetsa yankho langa kapena muli ndi mafunso ena - lembani ndemanga kuti anu funso pamalopo ndipo ndiyesetsa kuthandiza (chonde musalembe m'makalata achinsinsi).
Ngati mukufuna kufotokoza china chake, koma inu ayiwolemba funso ili, kenako lembani funso lanu patsamba https://www.consmed.ru/add_question/, apo ayi funso lanu lingayankhidwe. Mafunso azachipatala mumauthenga achinsinsi sangayankhidwe.
Lipoti la mkangano womwe ungachitike:
Momwe mungapangire msanga komanso mwachangu magazi?
Mukakhala ndi shuga wambiri, sikuti ndimangokhala thanzi labwino, komanso owopsa thanzi. Ngati shuga wambiri atenga nthawi yayitali, izi zimatha kubweretsa zovuta zazifupi zam'mbuyo - matenda ashuga ketoacidosis ndi hypersmolar coma. Pakanthawi kochepa, koma kuwonjezeka pafupipafupi m'magazi a magazi kumavulazanso mitsempha yamagazi, impso, maso, miyendo. Ndi chifukwa cha izi kuti zovuta zimayamba pang'onopang'ono.
Ngati mwachulukitsa shuga wamagazi (chikhalidwe ichi chimatchedwa hyperglycemia) - muyenera kudziwa momwe mungazibweretsere pansi moyenera - mpaka 4,8 - 6.5 mmol / lita. Ngati mungachepetse osaganizira, mutha kutsika kwambiri ndiku "kugwa" kukhala malo owopsa kwambiri m'thupi - mu hypoglycemia.
Tiona zina mwazomwe mungachite kuti muchepetse shuga m'magazi posachedwa.
Zizindikiro ziti za shuga wamwazi?
Choyamba muyenera kuonetsetsa kuti muli ndi shuga wambiri. Zizindikiro zapamwamba za hyperglycemia ndi izi:
| Kanema (dinani kusewera). |
- Kumva ludzu kwambiri.
- Nthawi zambiri mumayamba kupita kuchimbudzi kukakodza.
- Pakamwa panga pakumva zowuma.
- Lethargy ndi kutopa kumakula (chizindikiro ichi chokha sichingadalire, chifukwa chitha kuchitika ndi hypoglycemia).
- Mumakhala wosakwiya, simusangalala.
Ngati muli ndi matenda ashuga ndipo mukumwa mankhwala omwe amachepetsa shuga ndipo amatha kuyambitsa hypoglycemia, ndikofunika kuti muyeza shuga mumagazi anu ndi glucometer musanayambe kumubweretsa ndikuwubweza. Izi zikuyenera kuchitika pofuna kupewa zina za shuga wochepa kuti asatengedwe chifukwa cha hyperglycemia. Izi ndizofunikira kwambiri ngati mukuthandizidwa ndi insulin.
Onetsetsani kuti mumayeza shuga kuti zitsimikizidwe kuti zimakwezedwa.
Ngati simunadziyese nokha shuga m'magazi - werengani nkhaniyi Momwe mungayesere shuga m'magazi: Zizindikiro, malangizo okuyeza ndi glucometer.
Kodi ndiyenera kupita liti kuchipatala?
Ndikofunika kudziwa kuti kuchuluka kwambiri kwa glucose m'magazi kungakhale koopsa ku thanzi, chifukwa chake simuyenera kubweretsa nokha, koma muyenera kuyitanitsa ambulansi. Ngati pakamwa panu mumanunkhira ngati acetone kapena zipatso, ndiye kuti mwayamba kudwala matenda ashuga ndipo mutha kuchiritsa moyang'aniridwa ndi dokotala. Ndikupezeka ndi shuga wambiri (oposa 20 mmol / lita), vuto lovuta kwambiri komanso loopsa la matenda ashuga limakulanso - hypersmolar coma. Β Panthawi izi, simukuyenera kugwetsa shuga nokha, koma muyenera kuyimbira foni dokotala.
Jakisoni wa insulini athandizira kutsitsa shuga wamagazi ambiri (koma izi sizoyambira)
Ngati akukupatsani insulin, njira imodzi yochepetsera shuga yanu ndiyo kubaya insulini.
Jakisoni wa Insulin - Njira Yofunika Kwambiri Yothira Magazi A shuga
Komabe, samalani, chifukwa insulin imatha kuyamba kugwira ntchito pambuyo pa maola 4 kapena kupitirira apo, ndipo panthawiyi mkhalidwe wa wodwalayo ungakulire kwambiri.
Ngati mungaganize zokhala ndi shuga wambiri ndi insulini, gwiritsani ntchito insulin yochepa kapena yochepa kwambiri. Mitundu ya insulin iyi imayamba kuchita zinthu mwachangu kwambiri. Koma samalani, monga Kugwiritsa ntchito bongo mopitirira muyeso kumatha kuyambitsa hypoglycemia, ndipo kumatha kukhala koopsa, makamaka musanakagone.
Kuchepetsa shuga m'magazi kuyenera kukhala pang'onopang'ono. Pangani jakisoni ang'onoang'ono a insulin m'magawo atatu, kuyeza shuga m'magazi aliwonse theka la ola ndikuyika mulingo wochepa wa insulin mpaka shuga ibwerere mwakale.
Ndi ketoacidosis, mudzafunika kuthandizidwa
Ngati simunadziwe shuga woletsa, sikuletsedwa kudzipatula popanda magazi. Kumbukirani kuti insulin si chidole ndipo chingaike moyo pachiswe!
Kuchita masewera olimbitsa thupi Sizothandiza Nthawi Zonse Kuchepetsa shuga
Kuchita masewera olimbitsa thupi kumatha kuthandizira kuchepetsa shuga m'magazi anu, koma pokhapokha magazi anu akachulukitsidwa pang'ono ndipo mulibe hyperglycemia kapena ketoacidosis. Chowonadi ndi chakuti ngati muli ndi shuga wambiri musanayambe kuchita masewera olimbitsa thupi, zimawonjezereka kwambiri kuchokera pakuchita masewera olimbitsa thupi. Chifukwa chake, njirayi siili yofunikira poteteza matenda a glucose.
Mu kanema uyu, Elena Malysheva amafotokoza njira zochepetsera shuga.
Momwe mungabweretsere msanga shuga wapamwamba ndi wowerengeka?
Kumbukirani kuti wowerengeka azitsamba amachepetsa shuga pang'onopang'ono, ndimangogwiritsa ntchito ngati othandizira komanso othandizira. Zithandizo zina zachikhalidwe simudzatha kubweretsanso shuga munthawi yochepa.
Mwachitsanzo, amalemba kuti bay tsamba limatsitsa shuga. Mwina zili choncho, koma mankhwalawa sachepetsa msanga magazi anu, makamaka ngati muli nawo pamwamba pa 10 mmol / lita.
Zithandizo za anthu ozizwitsa zimakhulupirira, monga lamulo, kwa iwo omwe adayamba kudwala matenda ashuga ndipo sakudziwa zenizeni. Ngati mukutsutsana ndi mankhwalawa ndi mapiritsi a insulini kapena kutsitsa shuga, ndiye kuti yesetsani kumwa wowerengeka, kenako kuyeza shuga. Ngati izi sizikuthandizani, itanani madokotala.
Ngati shuga wanu wamagazi ndiwokwera kwambiri, thupi lanu limayesetsa kuchotsa shuga owonjezera m'magazi kudzera mkodzo. Zotsatira zake, mufunika madzi ambiri kuti mudzinyonthoze ndikuyamba kudziyeretsa nokha. Imwani madzi abwino bwino, imwani ambiri, koma osapitilira, chifukwa Mutha kumwa zakumwa zam'madzi ngati mumamwa malita angapo a madzi kwakanthawi kochepa.
Madzi ndikofunikira, koma dziwani kuti simungathe kutsitsa shuga wambiri ndi madzi nokha. Madzi ndi gawo lofunikira polimbana ndi shuga ambiri mthupi.
Kulumpha mwadzidzidzi m'magazi a magazi: bwanji glucose amadumphira mu shuga ya mtundu 2?
Mwa munthu wathanzi, kuthamanga kwa shuga kumakhala kuyambira 3,3 mpaka 5.5 mmol / L. Komabe, zizindikirozi sizikhala zokhazikika, chifukwa chake, kulumpha mumagazi a magazi kumatha kuchitika masana.
Mchere wotsika kwambiri umawonedwa usiku komanso m'mawa kwambiri. Pambuyo pa kadzutsa, ndendeyo imadzuka, ndipo madzulo kumazungulira kwakukulu kumafika. Kenako mulingo umatsikira pang'ono. Koma nthawi zina glycemia imaposa yachilengedwe pambuyo pakudya chakudya chopatsa mphamvu, ndipo patatha maola awiri awiri mkhalidwewo umakhazikika.
Kudumpha kwa shuga m'magazi kumachitika pazifukwa zosiyanasiyana. Ngati izi zimawonedwa mosalekeza, ndiye kuti izi zitha kuwonetsa kukhalapo kwa matenda osokoneza bongo komanso mavuto ena azaumoyo. Chifukwa chake, ndikofunikira kuyesedwa bwino ndikupereka magazi a shuga.
Zifukwa zomwe shuga imakhalira zimachulukana. Izi zitha kuchitika mukamamwa zakumwa zoziziritsa kukhosi (tiyi, khofi, mphamvu). Komabe, thupi limakhudzidwa mosiyanasiyana, ngakhale nthawi zina, khofi imalepheretsa kukula kwa matenda ashuga amtundu wa 2.
Komanso zakudya zamaguluwa zimatha kuwonjezeka mukatha kudya zosowa zakunja. Mwachitsanzo, nkhuku mu msuzi wokoma ndi wowawasa wokhala ndi mpunga wokometsera kapena ng'ombe yokhala ndi zonunkhira zotentha.
Kuphatikiza apo, hypoglycemia imachitika anthu akamadya zakudya zochuluka zamafuta. Zinthu zomwe zimayambitsa izi zimaphatikizapo:
- ma frie achi french
- pitsa
- maswiti osiyanasiyana
- olanda, tchipisi.
Ndizofunikira kudziwa kuti kuchuluka kwa shuga kumatha kuwonjezera osati kuchokera pazinthu zokhala ndi shuga. Mu diabetes, imakhalanso itatha kudya zakudya zomwe zimakhala ndi wowuma komanso chakudya.
Koma chifukwa chiyani shuga amalumpha munthu akatsatira zakudya? Ana ndi akulu omwe ali ndi chitetezo chofooka nthawi zambiri amakhala ndi chimfine, pomwe chitetezo chamthupi chimacheperanso. Nthawi yomweyo, maantibayotiki ndi ma prongestants, omwe amayambanso kusintha kwa glucose, amatha kuperekedwa kwa odwala.
Komanso, shuga wamagazi amatha kuchulukitsa atatha kutenga mankhwala oletsa kuponderezana ndi corticosteroids, mwachitsanzo, prednisone. Mankhwala omalizawa ndi owopsa kwa odwala matenda ashuga, makamaka chifukwa amatha kuyambitsa matenda a hypoglycemia mwa mwana.
Kupsinjika kumapangitsanso hyperglycemia, yomwe imakonda kuchitika ndi matenda ashuga a 2. Chifukwa chake, ndikofunikira kuti muzitha kuwongolera thanzi lanu lam'maganizo mothandizidwa ndi masewera apadera, yoga, kapena maluso osiyanasiyana, monga masewera olimbitsa thupi a shuga.
Masiku ano, anthu ambiri odwala matenda ashuga omwe amachita masewera amakonda kumwa zakumwa kuti zithandizenso kuti madzi akhale athanzi. Komabe, ndi ochepa omwe amadziwa kuti zina mwa izo zimakhala ndi shuga komanso zinthu zina zomwe zimakhala zowopsa ku thanzi la wodwala.
Magazi a shuga m'magazi amatha kukwera chifukwa cha zomwe zikuchitika padziko lonse lapansi. Izi zikuphatikiza:
- kusokonezeka kwa mahomoni
- mavuto ndi kapamba (chotupa, kapamba),
- zovuta za endocrine
- matenda a chiwindi (chiwindi, zotupa, cirrhosis).
Zinthu zomwe zimapangitsa kuti shuga azidumphadumpha ndi kugona, kutentha, ndi mowa. Mowa umayambitsa hypoglycemia, chifukwa umakhala ndi chakudya chamagulu ambiri, koma nthawi zambiri pambuyo pa maola 2-4 pambuyo poti wagwiritse ntchito, kutsekemera kwa glucose, m'malo mwake, kumachepa kwambiri.
Koma kodi zomwe zimapezeka mu shuga zingachepe? Maonekedwe a hyperglycemia amalimbikitsidwa ndi kuchita zolimbitsa thupi kwambiri. Izi zikuwonetsedwa ndi kufooka, kutopa ndi kumverera kuti akulefulidwa.
Komanso, kulumpha mu shuga kumatha kuchitika posala kudya komanso mosasamba. Chifukwa chake, pofuna kupewa hypoglycemia, ndikofunikira kudya kasanu patsiku komanso magawo ang'onoang'ono. Kupanda kutero, posachedwa wodwala amakhala ndi mavuto am'matumbo ndi kapamba.
Ma diuretics amachititsanso kuti shuga adumphe. Kupatula apo, mukamamwa iwo pafupipafupi, shuga amatsukidwa kunja kwa thupi, osakhala ndi nthawi yokhala ndi ma cell.
Kuphatikiza apo, hypoglycemia imatha kupezeka nthawi ngati izi:
- kusokonezeka kwa mahomoni
- kugwedezeka ndi kugwidwa,
- kupsinjika
- matenda opatsirana ndi ma virus omwe kutentha kumakwera.
Shuga akamayamba kulumpha, munthu amakhala ndi ludzu kwambiri, amangokhalira kukodza, makamaka usiku. Pankhaniyi, kuchepa madzi m'thupi kumabweretsa vuto la impso. Ndi matenda am'matumbo, zomwe zimachitika ndi matenda amtundu woyamba, sizingatheke kuthetsa ludzu mpaka kuchuluka kwa glucose kuphatikizire.
Komanso, khungu la wodwalayo limasinthasintha, lomwe limachitika motsutsana ndi maziko a zovuta zamagazi. Ndipo dermis yake imakhala yovutirapo komanso kuwonongeka kulikonse kumachiritsa kwa nthawi yayitali.
Kuphatikiza apo, ndikuwonjezereka kwa kuchuluka kwa shuga m'magazi, Zizindikiro zimatha kuphatikizira kutopa, kukwiya, komanso kuchepa kwa ntchito. Izi ndichifukwa choti glucose salowa m'maselo ndipo thupi salandira mphamvu zokwanira. Nthawi zambiri izi zimachitika ndi matenda ashuga amtundu wa 2.
Poyerekeza ndi matenda oopsa a hyperglycemia, munthu amatha kuchepa thupi kwambiri ndi chidwi chofuna kudya. Kupatula apo, thupi limayamba kugwiritsa ntchito minofu yamafuta ndi minofu ngati gwero lamphamvu.
Komanso, chizindikiritso chachikulu cha shuga chimatsatiridwa ndi zizindikiro monga:
- mutu
- mseru kukulira pakati pa chakudya,
- kuwonongeka kwamawonekedwe
- chizungulire
- kusanza mwadzidzidzi.
Ngati shuga amakwezedwa kwa nthawi yayitali, ndiye kuti wodwalayo amakhala wamanjenje, wosazindikira komanso kukumbukira kwake kumakulirakulira. Amathenso kwambiri, ndipo kusokonezeka kosasinthika kumachitika mu ubongo wake. Pankhani ya kuwonjezera pazovuta (kupsinjika, matenda), wodwalayo atha kudwala matenda ashuga a ketoacidosis.
Zizindikiro za hypoglycemia zimachitika shuga atakhala pansi 3 mmol / L. Zizindikiro monga kuzizira, kugunda kwamtima, chizungulire, kufooka kwa khungu, komanso njala kumachitika. Amawonekeranso mantha, kupweteka mutu, kusokonezeka mu ndende ndikugwirizanitsa kayendedwe.
Kudumphadumpha mu shuga m'magazi mumayendedwe a shuga kungapangitse kuti musamale. Nthawi zina munthu amayamba kudwala matenda ashuga.
Pali magawo atatu a kuopsa kwa hypoglycemia, omwe amakhala ndi zizindikiro:
- Kufatsa - kuda nkhawa, nseru, kusokonekera, tachycardia, njala, dzanzi la milomo kapena chala, kuzizira.
- Yapakatikati - mantha, kusowa kwa chidwi, kusawona bwino, chizungulire.
- Zambiri - kupsinjika, khunyu, kusiya kuzindikira komanso kuchepa kwa kutentha kwa thupi.
Zizindikiro monga kugona kwambiri, kulakalaka maswiti, kupweteka mutu komanso kulekerera nthawi yayitali pakati pa chakudya kungathandize kukayikira kulumpha mu shuga mwa mwana.
Kuphatikiza apo, mwa ana omwe ali ndi matenda ashuga am'mawere, masinthidwe amawonjezereka, matenda amkati ndi khungu (pyoderma, ichthyosis, furunculosis ndi ena) amakula.
Gawo loyamba ndikuzindikira kuchuluka kwa shuga mumagazi. Mwa izi, glucometer imagwiritsidwa ntchito kunyumba. Mutha kuthandizanso kwa dokotala ndikuyesa mayeso a labotale, makamaka ngati kusintha kwa glucose kumachitika mwa mwana.
Ngati hyperglycemia kapena hypoglycemia ikachitika mwadzidzidzi, mungafunike kumwa mankhwala apadera. Komabe, vuto la mankhwalawa ndikuti mkhalidwe wa wodwalayo umakhala wokhazikika pazomwe akuchita. Chifukwa chake, ndikwabwino kupewa kusintha kwa glucose pogwiritsira ntchito njira zomwe zimapangitsa wodwala, monga Metformin.
Hypoglycemia yofatsa ndiyosavuta kuchotsa. Kuti muchite izi, idyani mankhwala okoma. Kuphatikiza apo, thupi lokha limafotokoza kuti limafunikira chakudya chokwera kwambiri.Komabe, njirayi ndi yoyenera kwa anthu athanzi, chifukwa chake odwala matenda ashuga sayenera kutembenukiranso.
Kuti Zizindikiro za shuga zikhale zabwinobwino, munthu ayenera kuganizira mozama za moyo wake. Chifukwa chake, zinthu zotsatirazi zikuthandizira kupewa hyperglycemia:
- kulemera masanjidwewo
- kugwiritsa ntchito chakudya chopatsa mphamvu pang'onopang'ono,
- kukana ufa, zotsekemera, fodya ndi mowa,
- kutsatira lamulo lamadzi,
- Zakudya zopatsa thanzi (mapuloteni, chakudya, mafuta am masamba),
- kudya zakudya zazing'ono 5-6 patsiku,
- kuwerengetsa zopatsa mphamvu.
Kupewera kwa hypoglycemia kumakhalanso ndi kudya mokwanira, zomwe zimatanthawuza kukana zakudya zama calorie otsika. Ndipo anthu omwe amachita nawo zamasewera sayenera kutopetsa thupi pogwiritsa ntchito nthawi yayitali komanso kuchita masewera olimbitsa thupi kwambiri.
Zosafunikanso kwambiri ndikkhazikika kwamakhalidwe.
Ngati shuga la magazi alumphira kwambiri, wodwalayo amatha kudwala matenda ashuga. Mtundu woyamba wa matenda ashuga, umatchedwa ketoacidosis. Ndipo mtundu wachiwiri wa matenda umayenda ndi hyperosmolar coma.
Ketoacidosis imawoneka pang'onopang'ono, imadziwika ndi kuchuluka kwa acetone mu mkodzo. Poyamba, thupi limagwirizana ndi katunduyo, koma chikomokere, zimayamba kuoneka, kuledzera, kugona, malaise, ndi polydepsia. Zotsatira zake, munthu amataya chikumbumtima, chomwe nthawi zina chimatha kukhala chikomokere.
Hyperosmolar syndrome imayamba kwa milungu iwiri. Zizindikiro zake zimakhala zofanana ndi zizindikiro za ketoacidosis, koma zimawonekera pang'onopang'ono. Zotsatira zake, munthu amataya malingaliro ake ndikugwa.
Milandu iwiriyi imafunikira chithandizo chamankhwala mwachangu. Atagonekedwa kuchipatala ndikuwazindikira msanga, wodwalayo adawonetsa shuga. Pankhani ya kukomoka kwa hyperglycemic, insulin imaperekedwa kwa wodwala, ndipo vuto la hypoglycemic chikomokere, shuga.
Pamodzi ndi izi, kukhazikitsa kulowetsedwa, komwe kumayambitsa kuyambitsa thupi la mankhwala apadera ogwiritsa ntchito ma dontho ndi jakisoni, akuwonetsedwa. Nthawi zambiri, oyeretsa magazi ndi mankhwala omwe amabwezeretsa ma electrolyte ndi mulingo wamadzi m'thupi amagwiritsidwa ntchito.
Kukonzanso kumatenga masiku awiri ndi atatu. Pambuyo pake wodwalayo amusamutsa ku dipatimenti ya endocrinology, komwe amayesedwa kuti akhazikitse mkhalidwe wake.
Nthawi zambiri anthu omwe ali ndi mtundu woyamba kapena wachiwiri wa matenda ashuga, pazokha, amalola kuchuluka kwa shuga m'magazi awo kukwera kapena kugwa. Izi zimachitika ngati odwala satsatira chithandizo chamankhwala chomwe dokotala amatsata, samatsata malamulo a zakudya kapena kugwiritsa ntchito zizolowezi zoipa. Odwala oterowo ayenera kuganizira za moyo wawo, komanso kumvera zonse zomwe dokotala anganene, zomwe zingalepheretse chitukuko kapena kuzindikira kupitirira kwa zovuta.
Nthawi zambiri, pofuna kupewa kukula kwa hyperglycemia kapena hypoglycemia, madokotala ambiri amapereka Metformin. Awa ndi mankhwala osokoneza bongo a gulu la Biguanides.
Ndimatenga Metformin ngati njira yowonjezera yowonjezera mankhwala a insulin kapena ndimayamwa ndi mankhwala ena a antiglycemic. Itha kugwiritsidwanso ntchito ngati mankhwala oyenera a matenda a shuga 1, koma ndi insulin yokha. Nthawi zambiri, mapiritsi amatchulidwa ngati vuto la kunenepa kwambiri, ndikuyang'anira kuchuluka kwa shuga.
Metformin imakhala yoledzera kawiri pa tsiku mukatha kudya pafupifupi kuchuluka kwa 1000 mg patsiku. Kugawa mlingo kumachepetsa chiopsezo chokhudzana ndi kugaya chakudya.
Patsiku la 10-15, mankhwalawa amatha kuwonjezeka mpaka 2000 mg patsiku. Mlingo wovomerezeka wa Biguanides patsiku ndi 3000 mg.
Chiwopsezo cha ntchito zochizira chimatheka pambuyo masiku 14 kuyambira chiyambi cha chithandizo. Koma ngati Metformin imalembera okalamba, ndiye kuti kuwunika kwa ntchito ya impso kwa odwala otere ndikofunikira.
Komanso mapiritsi amayenera kuphatikizidwa mosamala ndi insulin ndi sulfonylureas. Kupanda kutero, hypoglycemia ikhoza kukhala.
Kuti shuga ya magazi isapitirire malire oyenera, ndikofunikira kuwongolera kadyedwe kanu, kuwunika bwino ndikuwathandiza. Ndikofunikanso kukhala ndi moyo wathanzi, kuti musaiwale za masewera olimbitsa thupi komanso kufunsa dokotala munthawi yake. Kanemayo munkhaniyi akufotokozerani za zomwe shuga ayenera kukhala.
Bulogu yokhayo ku Russia yokhudza matenda a shuga kwa ana amasungidwa ndi Muscovite Maria Korchevskaya. Ndizosangalatsa kuiwerengera ngakhale kwa anthu omwe samachita mwachindunji ndi matendawa
Kodi ndi nthano ziti zomwe zimagwirizanitsidwa ndi matenda ashuga? Kodi kudya? Kodi zimakhala bwanji kukhala kholo la mwana wodwala matenda ashuga? Momwe mungapezere zabwino matenda osachiritsika? Pazinthu izi ndi zina zambiri, Maria amalemba mosangalatsa kwambiri.
Chaka chatha, madotolo adapeza matenda amtundu wa 1 mwana wake wamwamuna wazaka zitatu, Masha (ana, achinyamata, ndi achinyamata omwe ali ndi vuto lalikulu). Izi zikutanthauza kuti Vanya tsopano azilamulira shuga m'magazi ake moyo wake wonse, kutsatira zakudya, ndikupeza jakisoni wa insulin mpaka nthawi 5-6 patsiku.
Pamene kugwedezeka koyamba m'mabanja a Korchevsky kudatha, "kasamalidwe ka matenda ashuga" adayamba ndipo diary ya pa intaneti idawonekera.
Maria anati: "Ndidaganizapo za blog kale," anatero. - Mwa maphunziro ndine mtolankhani, katswiri pa maubale. Pamene ndimagwira, ndimachita ntchito zamankhwala. Mutu waumoyo wathanzi unabadwa. ”
Vanya atabadwa, amayi ake amaiwala za ntchito kwa nthawi yayitali. "Mwanayo adandivutitsa. Poyamba panali kulimbana ndi ziwopsezo zoyipa, kenako ndimiyendo ndi mkono, kenako matenda ashuga oyamba. Ndipo ali pofika zaka ziwiri ndi theka. Panalibe nthawi yopuma. "
Pokukhazika mtima pansi, Masha adayamba kulemba zoseketsa pang'ono pa Facebook - ndipo abwenzi ake adakondadi momwe amafotokozera moyo watsiku ndi tsiku polimbana ndi "usurper" wawung'ono komanso pomenya nkhondo kuti akhale bwino. Mayi a Vani anati: “Ndidalangizidwanso kuti ndikhale blog. "Inde, ndikadakonda kulemba za mafashoni kapena maulendo, koma moyo udasankhidwa mwanjira ina."
Moyo unasintha pomwe Masha ndi Vanya anali kuchipatala chaka chatha. Mwanayo ali ndi shuga wambiri - komanso wadi, madotolo, kuwopsa kwa makolo.
A Maria anati: "Poyamba, tinangochita zomwe tinalankhulazo, kuwerenga za matenda ashuga komanso tinaphunzira kuzipirira. - Kenako sichinali nthabwala, ndinali wamanjenje ndipo sindimatha kuganiza china chilichonse. Pang'onopang'ono, kuvutikaku kudatha, tinakhala kosavuta kuti tizigwirizana ndi chilichonse, kenako ... lingaliroli lidabadwa kuti liyambe blog. Makamaka, mwamuna wanga anati: "Iwe walemba bwino, umaganizira zofunikira kwambiri, bwanji osazichita?"
Poyamba, Masha ankakayikira. Koma pang'onopang'ono chikhumbo chogawana zinachitikira ndi makolo ena, omwe ana awo ali ndi vuto lofanana ndi la Vanya, opambana.
“Kodi ukudziwa zabwino komanso zabwino za achinyamata odwala matenda ashuga ku United States ndi Britain? Ndi masewera, ndi nthabwala, ndi maphikidwe ochokera ku Chip ndi Dale - zonse zomwe mukufuna. Chachikulu ndichakuti imawonetsedwa bwino, ndi nthabwala komanso mawu omveka. Pamene Vanya ndi ine tidakali m'chipatala, ndinayang'ana pa intaneti yonse ya chilankhulo cha Russia, ndipo sindinakumane ndi zoterezi, "akutero Maria. - Zambiri zongoganiza chabe - osati lingaliro lachiyembekezo! Komanso mafilimu owopsa, zithunzi za phazi la matenda ashuga zilonda zam'mimba ... Kunali, zofunikira zakuchipatala zokhala ndi zolemba zazikulu komanso mawu apamwamba - koma zidangopangitsa kuti zikhale zovuta.
Ndidafuna yankho labwino, chiyembekezo komanso kutenga nawo mbali. Ndidafuna wina kuti alembe momwe amakhalira ndi izi, momwe amazigwirira ntchito, mpaka zazidziwitso zazing'ono kwambiri - amafunikira koyamba. ”
Palibe olembetsa ambiri ku blog ya Maria Korchevskaya - kwenikweni, awa ndi abale, abwenzi, abwenzi a abwenzi. Koma pali ena omwe ali pafupi ndi mutuwu ndipo amafunikiranso kusinthana kwa luso ndi thandizo. Kutsatsa mabulogu ndi nthano yapadera, njira yovutitsa, koma zonse zili patsogolo.
“Komabe, ndikufuna kuti anthu ambiri aphunzire za vuto la matenda a shuga a ana. Kuti ndichite izi, ndimalemba mosavutikira komanso zosavuta kotero kuti ndizosangalatsa kuwerengera iwo omwe samalumikizana ndi matenda ashuga, "atero Masha. "Opanda matenda ashuga akuti amapeza zinthu zambiri zatsopano."
Palibe ana ambiri omwe ali ndi matenda ashuga ku Russia, ndi anthu ochepa omwe amadziwa za matendawa: anthu ambiri amakhulupirira kuti wodwalayo ndi wokalamba komanso wonenepa yemwe adadya kwambiri mbatata ndi maswiti. Ndipo pafupifupi mtundu 1 wa shuga wambiri amadziwika kokha kwa endocrinologists.
Chifukwa chake, odwala matenda ashuga ochepa amakhala ndi nthawi yovuta. Nthawi zambiri samapita ku kindergarten - palibe amene angawasamalire. Ndipo kusukulu, ana amakumana ndi mavuto enanso: amafunika kufotokozera aphunzitsi ndi anzawo zomwe amachita
"Posachedwa, nkhani yonena za mwana wasukulu yemwe sanaloledwe kubayidwa jakisoni wa insulin mkalasi itagwa m'dziko lonselo," akukumbukira Masha. - Kuti izi zisachitike, anthu ayenera kuphunzitsidwa. Mu Chingerezi pali zinthu ngati izi - kudziwitsa matenda, kudziwitsa matenda. Mavuto ambiri amatha kupewedwa ngati anthu ali ndi chidziwitso. Ku United States, maphunziro apadera amachitika m'masukulu: antchito amauzidwa za matenda ashuga komanso momwe angathandizire mwana. Ndipo pano tilibe namwino pasukulu iliyonse - kaya ena akhale bwanji. ”
Osachepera kuchita kanthu ndikwabwino kuposa kusangochita chilichonse
Blog ya Maria imathandizidwa ndi amuna awo, omwe amapanga masamu ndi maphunziro. Amachita gawo laukadaulo, Masha - pazomwe zili. Tsopano amalemba pafupifupi kawiri pamlungu.
“Zimatenga nthawi yambiri, chifukwa ndimangokhala ndi maola awiri kapena atatu aulere patsiku. Moona mtima, sindikudziwa komwe zonsezi zidzatsogolera, komanso ngati pali chiyembekezo. Koma ndimakonda kuchita zomwe ndimachita. Ndikukhulupirira kuti chidwi ndichokwanira kwa nthawi yayitali. Mulimonsemo, ndikuganiza kuti ichi ndichabwino. Ndipo ndibwino kuyesa kuchita china koma kusachita kanthu. ”
Wolemba ali ndi mitu yambiri pa diary ya pa intaneti. Maria akufuna kuti adzifufuze yekha mafunso, zimachitika kuti mitu imatuluka mukufufuza ndikuwerenga zambiri pamasamba odwala matenda ashuga.
Mwambiri, gawo lathunthu la blog lokhudzana ndi matenda ashuga a ana limapitilirabe - ndipo apa owerenga amalandilidwa.
Ganizirani za mtundu wanji womwe mumakhala nawo ndi mawu akuti shuga.
Ndikuganiza kuti ambiri angaganize za Robin-Bobin, yemwe sakudziwa kuchuluka kwake pachakudya chake chosagwiritsika ntchito bwino ndipo amagwiritsa ntchito zinthu mwachangu pakudya ndi confectionery. Mukuyandikira kwambiri ku chowonadi, koma sichoncho.
Mwambiri, ndi matenda a shuga timatanthawuza momwe thupi limakhalira ndi kuchuluka kwa shuga m'magazi. Koma mitundu ya shuga ndi yosiyana kwambiri mwakuti imatha kumatchedwa matenda osiyana. Matenda a Type 2 amapezeka makamaka atakula ndipo amagwirizanitsidwa ndendende ndi mavuto onenepa kwambiri, kudya maswiti kwambiri komanso kusachita masewera olimbitsa thupi. Izi ndi za Robin-Bobbin yekha, yemwe anadziyang'anira yekha ndi kubzala kapamba.
Matenda a shuga 1 amtunduwu ndi osiyana. Ndiwopanda pake komanso wopanda chisoni, chifukwa chomwe chimapezeka kuti sichimadziwika, ndipo amadana ndi ana athanzi komanso osalakwa, achinyamata ndi achinyamata (nthawi zambiri mpaka azaka 30). Motere, anthu ambiri ali ndi chisokonezo, zomwe zimapereka malingaliro olakwika. Ndinaganiza zopeza nthano zofala kwambiri zokhudzana ndi matenda a shuga a mwana.
Mwana akamadya maswiti ambiri, zimayambitsa matenda ashuga.
Mwambiri, kumwa kwambiri shuga sikungapindulitse aliyense. Koma zakudya za mwana sizikhudza kukula kwa matenda ashuga a mtundu woyamba. Palibenso zoyambitsa zina, kuphatikiza chibadwa cha chibadwa. Izi ndiye nkhani yabwino. Ngakhale, mwa lingaliro langa, mulibe chilungamo chochepa mu izi. Nthawi zambiri mumamva kuchokera kwa makolo omwe ali ndi matenda ashuga ochepa kuti ana awo analibe nthawi yoyesa maswiti, pomwe anzawo amadya zakudya zowonjezera patsiku kuposa munthu wodwala matenda ashuga sabata.
Ndikukumbukira poyamba ndikudziimba mlandu kuti ndampatsa mwana wanga wowuma. Anangowakonda, ndipo sindingathe kudzikana chisangalalo chamtulo wamtendere, pomwe mwana adatsogolera mphamvu yake pachiteshi chamtendere ndikuwongoletsa mano ake, ndipo sanawononge ma cell amitsempha yanga.
Koma chithandizo chamankhwala chimandilungamitsa. Kuyanika ndi matenda a shuga 1 sikugwirizana. Koma pali mbiri yoyipa. Ngati muubwana mano okoma pang'ono amachotsedwa ndi zonse (ngakhale zilembo sizinathe), ndiye kuti atakula, kupsa kwamaswiti kungayambitse chiyembekezo chodwala matenda a shuga. Koma iyi ndi nkhani ina.
Ichi ndi chinthu choyamba chomwe madokotala atiuza ku sukulu ya matenda ashuga kuchipatala. Ndipo pomwe mutu wa dipatimenti ya endocrinology panthawi ya omvera amandiyankha kuti: "Chinthu chabwino chomwe mungamuchitire mwana wanu ndikusam'patsa chilichonse chokoma," ndinali wokhumudwa kwambiri. Ana ovutika, sadzadziwa kukoma kwa siginecha ya Starbucks cheesecake kapena ayisikilimu weniweni waku Italiya!
Koma palinso nkhani yabwino. Kumayambiriro kwa matendawa, matenda ashuga akamakuwongolera, osati inu, ndibwino kuiwalako zamaswiti.
Malipiro amafunika kuti aphunzire kuyambira pang'onopang'ono kupita kwa ma carbohydrate kuti adziwe kuchuluka kwa insulin kwa chakudya. Zakudya zotsekemera ndizophatikiza chakudya zomwe zimachulukitsa shuga m'magazi, ndipo poyamba zimangosokoneza makhadi.
Chinthu china ndikuti njira yoyendetsa shuga ikakhazikitsidwa, zizindikiro za shuga ndizabwino, palibe mavuto ndi kuwerengera kwa insulin, ndiye kuti mutha kuyesa kuyambitsa maswiti ena.
Chofunikira ndikuti mufunika kuwerengera moyenera ma carbohydrate (m'ndondomeko yomalizidwa izi zimapezeka mosavuta mu gawo la Mtengo Wopatsa Thanzi, ndipo mudzayenera kuwerengera ndikupima luso lanu lolondola). Ndipo chinthu chabwino ndikufunsira kwa endocrinologist wanu: adzakuwuzani nthawi komanso mtundu wa mankhwala omwe muyenera kuchitira.
Koma ngakhale mwaluso kugwiritsa ntchito insulin komanso kuwerengera molondola magawo a mkate, musaiwale kuti muchilichonse chomwe muyenera kudziwa muyeso. Ngakhale sizokayikitsa kuti wodwala matenda ashuga angaiwale za izi.
Maswiti amatha kusinthidwa ndi zakudya zapadera za anthu odwala matenda ashuga.
Ichi ndi chimodzi mwamabodza osokoneza bongo kwambiri. Zachidziwikire, zidachokera ku malonda.
M'dipatimenti iliyonse ya supermarket mutha kupeza dipatimenti yapadera yokhala ndi zakudya za shuga. Poyamba, "matenda ashuga" ambiri amangotanthauza "Zakudya," kutanthauza kuti, ochepa shuga ndipo amalimbikitsidwa kwa aliyense amene akufuna kuchepa thupi kapena kungoyambira kudya caloric. Kwenikweni, ambiri maswiti amagulitsidwa kumeneko: kuyambira maswiti ndi ma cookie kupita ku marshmallows ndi jams. Kodi zimasiyana bwanji ndi zinthu wamba?
Yankho, mosamvetseka mokwanira, lili kanthu. Ndizoti sagwiritsidwa ntchito shuga wathu wachizolowezi, koma ma fanizo ake: fructose, xylitol ndi sorbitol. Muli michere yambiri ndi zopatsa mphamvu monga shuga wamba. Chifukwa chake, ayenera kuganiziridwa mofananamo pakusankha Mlingo wa insulin. Chifukwa chake, mwatsoka, maswiti a matenda ashuga sangapangitse moyo wathu kukhala wosavuta. Ndipo nthawi zina, ingosocheretsani.
Tinagula chogulitsa chapadera ichi chotchedwa "mafuta achilengedwe opanda plum lozenges." Malinga ndi zolembedazi, lozenges zozizwitsa izi zinali ndi ma microdoses a chakudya, china cha 0,5 mkate mkate pa 100 g ya mankhwala. Tidalemera ndi kupatsa mwana, yemwe adakondwera kwambiri ndi kuwolowa manja kopitilira muyeso.
Koma kenako tidachita mantha: shuga atatha kumwa, idakwera, ngati mwana akudya mkate. Kuyambira pamenepo, tadutsa dipatimentiyi.
Ana omwe ali ndi matenda amtundu woyamba sangathe kuchita masewera olimbitsa thupi
Ngakhale kuti mwana akamadwala matenda amishuga amayamba kulumala, kuchita masewera olimbitsa thupi ndikofunikira kwa iye komanso insulini komanso zakudya zoyenera. Nayi chododometsa: Munthu wolumala yemwe akuwonetsedwa masewera.
Kuchita masewera olimbitsa thupi kumachepetsa shuga m'magazi komanso kufunika kwa insulin. Chachikulu ndikuwonetsetsa kuti kuchuluka kwa glucose sikumatsika kwambiri (hypoglycemia) komanso munthawi yake kuti thupi lipereke mafuta ngati chakudya chamafuta.
Vanya tsiku loyamba kunyumba atapita kuchipatala. Chithunzi chochokera mydiababy.com
Mwana yemwe akupita kukaphunzitsidwa ayenera kukhala ndi zosowa nthawi zonse. Monga momwe ndikudziwira, chipatso chonga apulo kapena nthochi chimakhala choyenera kwambiri pazolinga izi. Mwa njira, pali odwala matenda ashuga pakati pa akatswiri othamanga. Mwachitsanzo, wosambira wotchuka wa ku America Gary Hall Jr. ndiye mwini wa mtundu woyamba wa shuga ndi mendulo khumi za Olimpiki. Chifukwa chake ngati mwana wanu akufuna kukhala mpikisano osati mu masamu Olympiad, komanso mu masewera a masewerawa, matenda a shuga si chifukwa chomukhumudwitsa.
Inde, musaseke - anthu ena amaganiza motero. Chifukwa chake, chinthuchi chimaphatikizidwa mu magulu onse azabodza a matenda ashuga omwe amafalitsidwa ndi mabungwe apadziko lonse a shuga.
Zachidziwikire, matenda ashuga siopatsirana. Koma ngati banja lanu lili ndi matenda ashuga, izi zimawonjezera mwayi wokhala ndi matendawa ana.
Funso limadzuka nthawi yomweyo: ndikudziwa kuti pali vuto lililonse pamatenda azachilengedwe, ndingatani kuti nditeteze mwana? Palibe njira zazikulu zodzitetezera. Kuti mumvetsetse bwino chithunzichi, mutha kudutsa kuwunika komwe kumayambitsa mwayi wa matenda ashuga. Malangizo ambiri, monga: kutsatira zakudya, osagwiritsa ntchito shuga ndi masewera olimbitsa thupi, angopindulitsa.
Pozindikira vutoli, makolo ayenera kukhala okonzekera kuti asaphonye zizindikiro zoyambirira za matenda ashuga (ludzu, kukodza pafupipafupi ndi kuchepa thupi), ndipo pokayikira pang'ono, funsani dokotala ndipo ayesetse.
Tsarenko S.V., Tsisaruk E.S. Kusamalira kwambiri matenda ashuga: monograph. , Mankhwala, Shiko - M., 2012. - 96 p.
Akhmanov, Matenda a Mikhail. Moyo umapitirira! Zonse zokhudza matenda anu a shuga (+ DVD-ROM) / Mikhail Akhmanov. - M: Vector, 2010 .-- 384 p.
Nikolaeva Lyudmila Diabetesic Foot Syndrome, LAP Lambert Academic Publishing - M., 2012. - 160 p.
Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka patsamba lino kuti athetse zovuta koma osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.
Kulumpha shuga
No. 21 719 Endocrinologist 07/17/2015
Ndine bambo, wazaka 49, wodwala matenda ashuga, pa insulin kwa zaka 27. Posachedwa panali vuto la mtima ndi zovuta za impso. Koma funso ndi losiyana. M'masiku aposachedwa, shuga amafika pamtunda wamagulu 20 komanso pamwamba. Nthawi yomweyo, sindimva zizindikilo za shuga wambiri, izi: pakamwa youma, manja owuma, kukodza pafupipafupi. Lero, shuga akusala anali 22.9. Pambuyo pake adapanga zigawo 14 za insulin ndikudya cham'mawa. Atayenda pang'ono, adayesanso shuga. Maola 6 adutsa. Amayeza mobwerezabwereza: magawo 26.8. Palibe chizindikiro cha shuga. Sindikumva. Sindikumvetsa chilichonse. Lero, impso zikuvutikanso. Koma osati zochuluka
Yankho: 07.29.2015 Dombrovskaya Natalia Kiev 0.0 endocrinologist
Moni. Nthawi zambiri zimachitika ngati wodwala yemwe ali ndi matenda ashuga samva shuga wambiri, chifukwa chake ma glucometer amapangidwira kuwunika. Mwalipira matenda a shuga, ndipo mwapatsidwapo vuto la mtima posachedwapa MANDATORY posachedwa muyenera kulipilira shuga yayikulu. Khalani athanzi!
| Tsiku | Funso | Mkhalidwe |
|---|---|---|
| 21.02.2017 |
