Sipinda yotsekemera - ndi chiyani? Kodi ndi ziti zomwe zikuwonetsa kuti khofi wapa shuga umagwirizana ndi chizolowezi?

Matenda a shuga ndi matenda obwera chifukwa cha kupundika kwa kapamba, chifukwa cha momwe insulini imapangidwira kapena pali kusowa kwenikweni kwa insulin. Izi zimayambitsa shuga wambiri. Mu matenda a shuga, kusokonezeka kwa metabolic kumachitika, komwe kumayambitsa zovuta zazikulu.

Chiwerengero cha odwala matenda ashuga chikukula tsiku lililonse. Ngati mwakumana ndi matendawa kapena wina wa abale anu akudwala, mutha kupeza zidziwitso zofunika patsamba lamasamba athu. M'magawo osiyana mupeza zambiri:

• za mitundu ya matenda ashuga ndi zizindikiro za matenda,
• za zovuta
• Zambiri za maphunzirowa amayi apakati, ana, nyama,
• za zakudya zoyenera komanso zakudya
• za mankhwala
• za wowerengeka azitsamba
• Zokhudza kugwiritsa ntchito insulin,
• About glucometer ndi zina zambiri.

Mutha kudzidziwitsa nokha mayendedwe amoyo. Mukaphunzira momwe mungasinthire shuga m'magazi ndi momwe mungapewere kulumpha mwadzidzidzi kuzisonyezo. Patsamba lathu mupezapo zambiri zokhudzana ndi matenda a shuga.

Kodi amafufuza kwa ndani ndipo ndi liti?

Kufunika kodziwa momwe thupi limagwirizanirana ndi kuchuluka kwa shuga, mwa amayi apakati mumakhala kuti mayesero a mkodzo siabwino, m'tsogolo mayi kulemera kumachulukanso msanga kapena kuthina kumakwera. Mphepo ya shuga pa nthawi yomwe ali ndi pakati, yomwe nthawi zambiri imatha kusinthidwa pang'ono, imamangidwa kangapo kuti athe kudziwa momwe thupi limachitikira. Komabe, tikulimbikitsidwa kuti kafukufukuyu achitikenso kwa iwo omwe akukayikira matenda a shuga kapena kudwala kumeneku kwatsimikiziridwa kale. Amanenanso kwa azimayi omwe ali ndi vuto losunga mazira a polycystic.

Kodi kusanthula bwanji?

Phunziroli silingatchulidwe kuti ndi losavuta, chifukwa limafunikira kukonzekera kwapadera ndipo limachitika m'magawo angapo - njira yokhayo yokhazikika yokhazikika popanga shuga. Zotsatira zakuwunika ziyenera kutanthauziridwa kokha ndi dokotala kapena katswiri wa zamankhwala polingalira zaumoyo wanu, kulemera, momwe mumakhalira, zaka komanso mavuto okhudzana nawo.

Kukonzekera kuwerenga

Dziwani kuti kuyezetsa magazi "popindika shuga" sikungakhale kodalirika ngati mayi atengedwa m'masiku ovuta. Kuphatikiza apo, zomwe wodwala amachita zimakhudzanso zotsatira za phunziroli. Chifukwa chake, pakukhazikitsa kusanthula kodabwitsa kumeneku, ndikofunikira kukhala mumkhalidwe wodekha, zolimbitsa thupi, kusuta, kupsinjika ndizoletsedwa.

Kutanthauzira kwa Zotsatira

Mukamayang'ana zizindikiro zomwe zapezedwa, ndikofunikira kulingalira zinthu zingapo zomwe zimakhudza kuchuluka kwa shuga m'magazi. Chifukwa chake, kuzindikira matenda ashuga ndi zotsatira za kuyesedwa uku ndikosatheka. Inde, kugona kukaumirizidwa pabedi isanachitike phunziroli, matenda osiyanasiyana opatsirana, mavuto am'mimba, omwe amadziwika ndi kulowetsedwa kwa shuga kapena zotupa zoyipa, zimatha kukhudzidwa ndi zomwe zikuwonetsa. Komanso, zotsatira za phunziroli zitha kusokoneza malamulo osagwirizana ndi malamulo okhazikitsidwa oyeserera magazi kapena kumwa mankhwala osaloledwa. Mukamagwiritsa ntchito tiyi wa khofi, adrenaline, morphine, okodzetsa okhudzana ndi mndandanda wa thiazide, "diphenin", psychotropic mankhwala kapena antidepressants, ma curve a shuga amakhala osadalirika.

Miyezo yokhazikitsidwa

Mukapambana mayeso, ndiye kuti glucose sayenera kupitirira 5.5 mmol / L kwa magazi a capillary ndi 6.1 a venous. Zizindikiro za zomwe zatengedwa kuchokera mu chala, m'magulu a 5.5-6 (ndipo, malinga ndi izi, 6.1-7 kuchokera kumitsempha) zimawonetsa mkhalidwe wa prediabetes, pomwe mukukambirana za kulekerera kwa shuga.

Ogwira ntchito yachipatala ayenera kudziwa kuti ngati zotsatira za kusanthula pamimba yopanda kanthu zikuposa 7.8 kwa capillary ndi 11.1 yamagazi a venous, ndiye kuti kuyesa kwa glucose kumaletsedwa. Pankhaniyi, zimayambitsa kukomoka kwa hyperglycemic. Ngati zizindikirazo poyambilira ndizopitilira zomwe sizingachitike, ndiye kuti sizikupanga nzeru kudziwa kuti popondera shuga ndi chiyani. Zotsatira zake zidzakhala zomveka bwino.

Zotheka kupatuka

Ngati phunziroli mudalandira zisonyezo zomwe zikuwonetsa mavuto, ndibwino kubwezeretsanso magazi. Pankhaniyi, ndikofunikira kuyang'anitsitsa mosamalitsa mikhalidwe yonse: kupewa nkhawa ndi kuvutikira thupi patsiku lokhala ndi magazi, kupatula mowa ndi mankhwala osokoneza bongo tsiku lisanafike kusanthula. Chithandizo chitha kuperekedwa pokhapokha ngati kuwunika konse sikunawonetse zotsatira zabwino.

Mwa njira, ngati mkazi ali ndi mwayi wosangalatsa, ndiye kuti ndikofunikira kutanthauzira ndi dokotala wazamankhwala, ndi katswiriyu yekha yemwe angayesere ngati kupindika kwanu kwa shuga ndikwabwino panthawi yapakati. Zizolowezi zomwe azimayi amakhala pamalo osangalatsa amatha kukhala osiyana pang'ono. Komabe, izi sizinenedwe mu labotale. Katswiri wokha yemwe amadziwa mawonekedwe onse a thupi la mayi wamtsogolo omwe angadziwe ngati pali zovuta zilizonse.

Tiyenera kudziwa kuti matenda a shuga si vuto lokhalo lomwe lingatsimikizidwe pogwiritsa ntchito mayeso okhudzana ndi shuga. Kupatuka kwina kwazinthu zonse ndi kuchepa kwa shuga m'magazi oyeserera pambuyo pochita masewera olimbitsa thupi. Matendawa amatchedwa hypoglycemia, amafunika chithandizo. Kupatula apo, imayendetsedwa ndi mavuto angapo monga kufooka kosalekeza, kutopa kochulukirapo, kusakwiya.

Lingaliro la "shuga lopotana"

Mwa munthu wathanzi, atatha kudya shuga wambiri, kuwonjezeka kwa glucose m'magazi kumachitika pang'onopang'ono, komwe kumakhala kofunika kwambiri pambuyo pa mphindi 60. Poyankha kuwonjezeka kwa shuga m'magazi, insulin imasungidwa ndi maselo a ziphuphu za kapamba a Langerhans, zomwe zimapangitsa kuchepa kwa kuchuluka kwa shuga mthupi. Pakadutsa mphindi 120 kuchokera poyambitsa kuchuluka kwa shuga, kuchuluka kwa glucose m'magazi sikupitilira mtengo wamba. Ichi ndiye maziko a mayeso a glucose kulolerana ("shuga curve", GTT) - njira yofufuzira ya labotale yomwe imagwiritsidwa ntchito ku endocrinology pakupezeka kwa kulolerana kwa glucose (prediabetes) ndi matenda a shuga. Chomwe chimayesedwa ndikuwunika momwe magazi akuwonjezera magazi a wodwala, kutenga shuga ndikuyesanso shuga pambuyo pama maola awiri.

Zisonyezero za kusanthula "shuga pamapindikira"

Zizindikiro pakuwunika kwa "curve ya shuga" ndi mbiri ya wodwalayo yokhudzana ndi zinthu zomwe zimayambitsa kukula kwa matenda ashuga: kubadwa kwa mwana wamkulu, kunenepa kwambiri, matenda oopsa. Pamaso pa matenda a shuga abale anu apamtima, zomwe zimapangitsa kuti matendawa athe kukula, kotero muyenera kuwongolera shuga lanu lamagazi. Pamene shuga othamanga ali pakati pa 5.7-6.9 mmol / L, kuyesa kwa glucose kuyenera kuchitidwa.

Malamulo a Kusanthula Kwamasamba

Kusanthula kwa "curve" kumachitika pokhapokha ngati dokotala akuwunika. Magazi amaperekedwa m'mawa pamimba yopanda kanthu kuchokera pachala. Musanayesere kulekerera kwa glucose, muyenera kutsatira zakudya zomwe sizimaphatikizapo kumwa zamafuta, zakudya yokazinga, zakumwa zoledzeretsa. Maola 12-14 asanafike mayeso, simuyenera kudya chilichonse. Patsiku lamaphunziro a magazi, kugwiritsa ntchito zakumwa zilizonse zotsekemera, kusuta ndizoletsedwa. Chololedwa kumwa kapu yamadzi. Ndikofunikira kupatula zochitika zolimbitsa thupi, zokondweretsa mtima, chifukwa izi zingapangitse kuti shuga azithamanga. Pomwe kusanthula kusanakhale, kupumula, kupumula.