Shuga wama 26

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Kugwira bwino ntchito kwamthupi kumadalira shuga (glucose) wokhazikika. Gome la shuga la magazi lipangitsa kuti zitheke kuyerekezera izi ndi zotsatira za mayeso awo a labotale. Shuga, yemwe amalowa m'thupi lathu limodzi ndi chakudya, amasintha kukhala glucose ndipo amagwiritsidwa ntchito ngati mphamvu kwa moyo, kuyambira ndikugwira ntchito kwa maselo am'mitsempha muubongo kapena ma neurons ndikumatha ndikusunthika kosiyanasiyana mthupi m'thupi.

Mitengo ya glucose imayezedwa m'miligamu pa desilita imodzi kapena mamililita pa lita imodzi. Zomwe zimadziwika kuti ndizopezeka m'magazi a anthu kuchokera ku 3.6 mmol / L mpaka 5.8 mmol / L kapena kuchokera 65 mg / dl mpaka 105 mg / dl. Zachidziwikire, mtengo wake umakhala aliyense payekhapayekha. Pankhaniyi, miyambo ya venous ndi capillary magazi ndiosiyana: venous - 3.5-6.1 mmol / l, capillary (yotengedwa kuchokera chala) - 3.3-5.5 mmol / l.

Ngati mutapatuka pazikhalidwe izi, munthu nthawi yomweyo amayamba kumva kukhala osasangalala. Kungakhale mdima m'maso, kutopa nthawi zonse, kugona.

Mfundo za malamulo a shuga

Kuti akhalebe ndi shuga mokhazikika, kapamba amatulutsa mahomoni awiri osiyanasiyana - insulin ndi glucagon (polypeptide hormone).

Kodi kuchuluka kwa shuga kumachoka pati pazomwe zimachitika?

Hyperglycemia, kapena shuga m'magazi, amawonedwa motere:

• matenda ashuga
• endocrine pathologies - thyrotooticosis, gigantism, pheochromocytoma, Cushing's syndrome, somatostatinoma,
• Matenda a kapamba - chifuwa chachikulu cha pancreatitis, cystic fibrosis, zotupa za pakhungu, hemochromatosis,
• matenda aakulu a impso ndi chiwindi,
• myocardial infaration
• matenda am'mimba,
• ma antibodies kuma insulin receptors,
• kumwa khofi, thiazides, glucocorticoids, estrogens.

Magulu a shuga ochepetsedwa amawonekera motere:

• matenda a kapamba (hyperplasia, adenomas, carcinomas, insulinomas, kuperewera kwa glucagon),
• endocrine pathologies - matenda a Addison, hypopituitarism, adrenogenital syndrome, hypothyroidism,
• mu makanda obadwa masiku asanakwane obadwa ndi amayi omwe ali ndi matenda ashuga - ketotenic hypoglycemia,
• Ndi bongo wa hypoglycemic wothandizira kapena insulin,
• matenda oopsa a chiwindi - cirrhosis, carcinoma, hemochromatosis, hepatitis,
• Ndi zotupa zopweteka zosagwira pancreatic, khansa ya adrenal, fibrosarcoma, khansa yam'mimba,
• ndi Fermentopathy: Matenda a Girke, kulekerera kwapang'onopang'ono kwa fructose, galactosemia,
• ndi magwiridwe antchito: yogwira hypoglycemia, gastroenterostomy, postgastroectomy, zovuta zokhudzana ndi chitetezo cha m'mimba, kusokonezeka kwa kayendedwe ka m'mimba,
• Ndi zovuta kudya - kusala kudya kwanthawi yayitali, malabsorption syndrome,
• ndi poyizoni wa arsenic, salicylates, chloroform.

Kuphatikiza apo, kuchuluka kwa shuga m'magazi kumatha kuchepa chifukwa chogwiritsa ntchito ma antihistamines, kumwa mowa mwauchidakwa, kulimbitsa thupi kwambiri komanso kutentha thupi, kugwiritsa ntchito ma steroid, amphetamines, propranolol.

Kuzindikira matenda a shuga

Kuyesedwa kwa shuga m'magazi kumatha kuperekedwa kwa matenda monga matenda a chithokomiro, chiwindi kapena adrenal gland, chiwindi, kunenepa kwambiri, kulolerana kwa shuga. Kuphatikiza apo, kuyesa kwa glucose kumayesedwa kwa odwala omwe ali pachiwopsezo cha kukhala ndi matenda ashuga.

Kuzindikira matenda ashuga, kuyezetsa koyamba zingapo kumachitika.

1. GPN - kuyesa kwa shuga wa plasma. Kwa renti pamimba yopanda kanthu (munthu sayenera kudya chakudya kwa maola opitilira 8). Mothandizidwa ndi GPN, matenda ashuga ndi prediabetes (vuto lomwe lisanafike matendawa) amapezeka.
2. PTTG - kuyezetsa magazi a glucose kumathandizidwanso pamimba yopanda kanthu kuti adziwe matenda a shuga ndi prediabetes. Maola awiri asanafike mayeso, mutuwu uyenera kumwa chakumwa cha shuga.
3. Muyezo wabwinobwino wa shuga wa m'magazi (shuga) (shuga mwangozi) - phindu limawonetsedwa mosasamala nthawi yakudya yomaliza. Kuyeza kumeneku kumakupatsani mwayi wodziwa kukhalapo kwa matenda ashuga, koma osati prediabetes.

Nthawi zambiri, pakudziwika koyambirira kwa matenda ashuga, kafukufuku wachiwiri wotsimikizika amachitika tsiku lachiwiri.

Njira zamomwe mungagwiritsire ntchito miyezo ya shuga m'magazi: ndi muyezo wapadera (shuga) wa plasma - kuyambira 11.1 mmol / L ndi zina, pamimba yopanda kanthu - kuyambira 7 mmol / L ndi zina, PTTG - kuyambira 11.1 mmol / L ndi zina zambiri .

Njira zoyezera shuga zamagazi kunyumba

Magazi a shuga m'magazi ndi glucometer. Zida zosunthika zimatha kukhala zosiyanasiyana pamitundu yawo komanso kuwerenga kwa zotsatira zake. Pali zida zomwe zimafotokozera zomwe zimapangitsa kuti anthu azitha kuona mosavuta, ali ndi chinsalu chachikulu, ndipo pali kuthamanga kwambiri kuti muwone zotsatira (zosakwana masekondi 15). Ma glucometer amakono amatha kupulumutsa zotsatira za mayeso ogwiritsa ntchito pambuyo pake, kuwerengetsa kuchuluka kwa glucose kwakanthawi. Pali zida zatsopano zomwe zimatha kutulutsa zambiri ndikupanga matebulo ndi zithunzi za zotsatira. Ma glucometer ndi zingwe zoyesera zitha kugulidwa ku malo ogulitsa mankhwala.

Malangizo ogwiritsira ntchito:

• Sambani m'manja ndikukonzekera chida,
• tengani cholembera chapadera kuti muchotse, mowa, thonje, zingwe zoyesera,
• ikani chodzikongoletsera pachigawo chofunikira,
• kukoka masika
• tulutsani chingwe choyeserera ndikuchiyika mu mita, pomwe chidzatsegukira chokha,
• pukuta chala chako ndi swab thonje ndi mowa,
• kuboola chala chanu
• phatikiza gawo logwira ntchito la mzere wamagazi mpaka dontho la magazi,
• dikirani mpaka gawo lonse latha,
• tsinani malo opumira ndikudikirira zotsatira za kusanthula, kukonzekera masekondi angapo,
• chotsani mzere woyezera kuchokera ku chipangizocho.

Njira zodziwira shuga m'magazi am'magazi komanso m'magazi athunthu zimapereka zotsatira zosiyanasiyana, mosiyana ndi 12%, kotero odwala nthawi zina amatha kuzimasulira molakwika.

Kuyerekeza kuwerengera komwe kumapezeka mosiyanasiyana, ndikofunikira kuchulukitsa kuwerengera kwa shuga m'magazi athunthu ndi 1.12, ndikuwerengedwa kwa shuga mu plasma - motero, gawani ndi 1.12. Pali matebulo apadera omwe amalembedwa m'magazi a m'magazi komanso m'magazi athunthu.

Mitundu yatsopano ya shuga

Magawo a m'badwo watsopano amakulolani kutenga magazi osati chala chokha, komanso kuchokera kumalo ena: phewa, mkono, ntchafu, maziko a chala. Zotsatira zomwe zimapezeka mwanjira iyi zimatha kusiyana pang'ono ndi zomwe zimachitika kale, popeza kuchuluka kwa glucose pamanja kumatha kuyankha kusintha kwa thupi. Izi ndizofunikira kwambiri ngati msinkhu wa shuga umasintha mwachangu panthawiyi - mwachitsanzo, ndi zakudya kapena masewera olimbitsa thupi.

Pali njira zaposachedwa kwambiri zodziwira kuchuluka kwa shuga kunyumba.

1. Kutenga magazi kwa laser ndi kachipangizo kamene kamalowa mkati mwa khungu pogwiritsa ntchito mtengo wapamwamba kwambiri popanda kubaya, popanda kuyambitsa kupweteka komanso kusapeza bwino. Ikugwiritsidwa ntchito kuyambira 1998.
2. Makina a Mini Med omwe nthawi zonse amayang'anira shuga. Lili ndi catheter ya pulasitiki, yomwe imayikidwa pansi pa khungu, imatulutsa magazi ochepa komanso imayesa kuchuluka kwa glucose maola opitilira 72.
3. GlucoWatch ndi chida chofanana ndi wotchi chomwe chimayeza mulingo wa shuga pogwiritsa ntchito magetsi. Yoyambika mu 2001. Chipangizochi chimatenga magazi ndipo chimayezera kuchuluka kwa shuga mkati mwake katatu pakadutsa maola 12.

Chipangizochi chimawerengedwa ngati gawo loyamba lowunikira osawerengeka a misempha ya magazi, omwe odwala amatha kudzinyamula okha kunyumba.

Momwe mungakonzekerere zopereka zamagazi a shuga?

• Kodi shuga wamagazi amachokera kuti?
• Mitundu ya kafukufuku. Kodi magazi a shuga amachokera kuti?
• Momwe mungayesere magazi kuti mupeze shuga?
• Momwe mungaperekere magazi a shuga ndi katundu (PTTG)?
• Momwe mungatenge magazi kuchokera kwa ana ndi amayi apakati?
• Phunziro kunyumba

Musanapereke magazi chifukwa cha shuga, muyenera kudziwa zomwe zimachitika munjira imeneyi ndikupeza cholinga chake chachikulu. Kuwona kwa zotsatirazi kumatengera kukonzekera koyenera kusanthula, kotero kuyenera kuonedwa mozama.

Kodi shuga wamagazi amachokera kuti?

Mwazi wa magazi umakhalapo pafupipafupi, koma umawonekera m'njira ziwiri: zakunja ndi zamkati. Poyambirira, kuchuluka kwa glucose kumakwera pambuyo ponyamula m'matumbo a chakudya chamafuta omwe amapezeka mosavuta ndi chakudya, kapena kuwonongeka kwa poyambira ndi ma polysaccharides osiyanasiyana omwe amapezekanso mu chakudya. Njira yachiwiri imakhudzana ndi kuphatika kwa mamolekyulu a glucose m'chiwindi, pang'ono, mawonekedwe a impso, komanso kusintha kwa glycogen (kuchokera ku chiwindi ndi minofu) kukhala shuga mwa metabolism. Njira yosinthira (kutsitsa shuga wamagazi) ndizotsatira zomwe zimamwa ndi maselo amthupi, ambiri omwe sangakhalepo popanda shuga.

Mayendedwe akulu ogwiritsira ntchito: kuchuluka kwa kutentha kwa thupi, kuchita zolimbitsa thupi kapena kupsinjika. Mitsempha yamagazi ndi maselo ofiira a m'magazi ndimadalira shuga okhazikika m'magazi, motero hypoglycemia kapena hyperglycemia imatha kuyambitsa kukomoka komanso ngakhale kukomoka. Zikuyenera kuwonjezeredwa kuti kuchuluka kwa shuga kumayendetsedwa ndi mahomoni angapo omwe amayang'anira kagayidwe kake:

Nthawi zambiri, magazi amunthu amakhala ndi pakati pa 600 ndi 1,080 mg wa shuga, kapena, ngati afotokozedwa bwino, kuyambira 3,3 mpaka 6.0 mmol pa lita imodzi.

Matenda a endocrine monga shuga mellitus amasintha molakwika mpaka kufika pakumamwa shuga, zomwe zimachitika chifukwa chopanga insulin ndi kapamba. Kwa zaka zambiri, matendawa amatha kukhala ngati asymptomatic, ndipo kupezeka kwake nthawi zambiri kumachitika mwangozi panthawi ya prophylactic muyeso wa magazi. Pazifukwa izi, kuyezetsa shuga ndi njira yofunika kwambiri yodziwira matenda ashuga kumayambiriro, ndichifukwa chake amalimbikitsidwa kuti muzimwa nthawi zonse.

Atazindikira kumene shuga amachokera ku matenda ashuga, komanso chifukwa chake mulibe wabwinobwino, endocrinologist amatha kupereka chithandizo chofunikira mwachangu. Zimangowonjezeranso kuti, mosiyana ndi malingaliro olakwika, matenda a shuga amatha kupezeka osati mwa okalamba, komanso mwa ana ndi achinyamata, chifukwa chake phindu la kuwunikira limangokulira.

Mitundu ya kafukufuku. Kodi magazi a shuga amachokera kuti?

Kuti muyeze magazi a glucose, akatswiri amachita mayeso apadera, omwe angakhale amitundu iwiri yayikulu. Poyambirira, glycemia imayeza pamimba yopanda kanthu, ndiye kuti, wodwalayo amafunikira kuti azisala kudya kwa maola eyiti, pambuyo pake amatenga magazi kuchokera m'mitsempha ndikuwonetsetsa kuti ali ndi shuga. Mlandu wachiwiri, kutsimikizika ndikukulola kwa thupi ku chinthu ichi: ndikofunikira kuyesedwa kwa magazi katatu konse pakadutsa theka la ola mutalandira chakudya cham'mimba (kudya chakudya cham'mimba). Ngati angafune, wodwalayo amatha kuyeza shuga pawokha pogwiritsa ntchito glucometer yonyamula, komabe, njira zogwiritsira ntchito zasayansi ndizodalirika komanso zofunikira. Magawo ofufuza wamagazi ndi kuzindikira zovuta mu kagayidwe kazakudya:

• kusanthula kwamachitidwe am'magazi ndi njira yodziwikiratu yomwe imakupatsani mwayi wowunika mawonekedwe osiyanasiyana a thupi, kuphatikiza kuchuluka kwa shuga,
• kusanthula katundu - magazi amatengedwa pamimba yopanda kanthu, pambuyo pake munthu amatenga shuga ndikupereka magazi mphindi 30 zilizonse kwa maola awiri otsatira,
• Chiyeso cha C-peptide - kuchuluka kwa maselo a beta omwe amayambitsa kapangidwe ka insulin amawerengedwa kuti ayese mtundu wa shuga: wodalira insulin kapena osadalira insulini.
• glycated hemoglobin kusanthula - gulu la glucose lokhala ndi hemoglobin imayesedwa, yomwe imachulukana ndikuwonjezeka kwa kuchuluka kwa shuga. Njirayi imapangitsa kuti athe kuganizira zosintha zakusintha kwa wodwalayo, komwe kudayamba miyezi ingapo magazi asanachitike,
• kuyeza mulingo wa fructosamine - mapuloteni omwe ali ndi shuga, omwe amakupatsani mwayi wowunika kusintha kwamomwe amapangira magazi sabata limodzi mpaka atatu asanasanthule. Phunziroli ndi lothandiza makamaka kwa amayi apakati komanso odwala omwe ali ndi vuto la kuchepa magazi,
• kusanthula kwa lactate - lactic acid wopangidwa chifukwa cha anaerobic shuga kagayidwe. Kuchulukana kwa asidi (lactocytosis) kukuwonetsa zonyansa.

Njira zonsezi zimafunikira wodwalayo njira yodalirika, choncho wodwalayo ayenera kudziwa momwe angakonzekerere komanso momwe angaperekere magazi kuti athe kuyesa kuchuluka kwa shuga omwe ali m'malowo. Tikuwonjezeranso kuti kuwunikirako kumatha kutengedwa kuchokera kumunwe komanso kuchokera kumtsempha - kusiyana sikofunikira.

Momwe mungayesere magazi kuti mupeze shuga?

Kukonzekera kuyesedwa kwa magazi kumayambira ndi zochitika zingapo zomwe zimayenera kuchitika tsiku lotsatira laulendo wopita kwa dokotala. Malamulo operekera magazi kwa shuga amaphatikiza, choyambirira, kukana chakudya kuyambira tsiku lisanafike tsiku loyesedwa kuti apewe kuthekera kulikonse kosokoneza chithunzi chomwe chili ndi zakudya zomwe zimaphatikizidwa ndi chakudya. Njira yabwino yothetsera vutoli ndi kukhala kuti mudya chakudya chanu chomaliza pasanathe 6 koloko, pambuyo pake chidzakhala chokwanira kudzimana madzi mpaka mutawunika. Pachifukwa ichi, muyenera kukananso tiyi, makamaka kuchokera ku zakumwa zilizonse zoledzeretsa kapena zakumwa zoledzeretsa.

Mwazi wamagazi 26 units, chithandizo ndi kupewa

Pochiza matenda a shuga, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga m'magazi. Kupatula apo, kukulitsa kuchuluka kwambiri kumatha kutha kwa wodwala yemwe ali ndi matenda ashuga.

Ngati shuga akuwonjezeka pafupipafupi ndipo satha kuchepetsedwa, izi zikutanthauza kuti wodwalayo samatsatira malangizo onse ochizira matenda a shuga, amamulembera chithandizo cholakwika, kapena samamwa konse.

Pansipa pali zifukwa zomwe shuga ya magazi imakhazikitsidwa nthawi zambiri m'magazi, zomwe zimayenera kuchitidwa komanso momwe mungapewere kuwonetsa kuwonongeka kwakukulu, kukomoka komanso ngakhale kufa.

Zifukwa zakuchuluka kwa shuga

Kuwonjezeka kwakukulu kwa kuchuluka kwa shuga m'magazi a anthu odwala matenda ashuga kumawonedwa pazifukwa zotsatirazi:

1. Mankhwala osayenera - mwina wodwalayo amasintha menyu kapena akapatsidwa zakudya zosayenera. Nthawi zambiri zimachitika kuti odwala akudziwa za vuto lawo mwadala samatsatira chithandizo chamadyedwe, amakhala osadandaula paumoyo wawo,
2. Ntchito yochepetsedwa - ngakhale mutakhala ndi chakudya choyenera komanso kumwa mankhwala onse, muyenera kuchita nawo masewera, chifukwa chakudya amapezeka pakudya kwa wodwala yemwe ali ndi matenda ashuga, ndipo chiwindi chimaphatikizanso shuga kwa iwo. Chifukwa cha izi, shuga wina amakhala nthawi zonse kuzungulira mthupi, koma ndi ntchito yochepetsedwa, kufunikira kwake kumachepa ndipo izi zimadziunjikira m'magazi, mafuta, maselo athanzi m'thupi amasinthidwa ndi mafuta, omwe amachititsa kuchuluka kwa shuga kwakukulu,
3. Kupsinjika - izi zimapangidwa motsutsana, chifukwa si aliyense amene angawonetse zotsatira zake. Kuwonjezeka kwa shuga wamagazi panthawi yamavuto kumadalira dongosolo la adrenal. Vutoli limaperekedwa monga choteteza, ndipo kuchuluka kwa shuga m'magazi kumalola kugwira ntchito kwamunthu kwamkati pakachitika izi,
4. Mimba - azimayi omwe ali ndi matenda osokoneza bongo osawerengera momwe amasangalalira, amakonda kuwonjezera kuchuluka kwa shuga pamlingo waukulu. Matenda a shuga, omwe amapezeka pa nthawi ya pakati, amakhala owopsa pakubadwa kwa mwana wosabadwa, pamenepa, thupi limatulutsa zinthu zapoizoni zomwe zimapweteka mwana wosabadwayo. Ngati misempha ya glucose siyingayendetsedwe, kukomoka kwa hyperglycemic komwe kumatha kumachitika, komwe kumatha nthawi yobadwa isanakwane komanso kutayika kwa mwana wosabadwa.

Zizindikiro za Mafuta Aakulu

Kuchokera pazizindikiro zoyambirira za kuchuluka kwa glucose, ludzu lalikulu ndi kukodza pafupipafupi kumatha kusiyanitsidwa. Zochitika zotere zimachitika pokhudzana ndi chitetezo chakuthupi cha thupi, chomwe, pochotsa glucose kudzera mkodzo, amayesera kutsika shuga. Pali kutayika kwakukulu kwa zinthu zofunika kuzifufuza ndi mchere womwe umathandizira thupi.

Ndi mkodzo, timatulutsa timadzi tambiri, timene timatulutsa timadzi tambiri. Izi zimasintha kuchuluka kwa magazi, mkhalidwe wama buffer, zomwe zimapangitsa kuti pakhale ludzu lalikulu.

Zosayeneranso kuchepa kwambiri kwa kuchuluka kwa shuga m'magazi ndi:

• Mutu
• Kumva pakamwa lowuma
• Khungu loyera
• Zowonongeka
• Kuzizira kwamiyendo
• Zofooka ndi kukwiya
• Kusintha kwa momwe mukumvera.

Njira zochizira

Chochita ndi shuga wamagazi a 26 mmol / l kapena kuposa? Chizindikiro ichi chiri pafupi kumalire ndi chitukuko cha chikomero cha hyperglycemic. Pakadali pano, kuchepa kwa magazi pH kumawonedwa, zomwe zimatsogolera kukuwonjezeka kwa acidity ndikumasulidwa kwa matupi a ketone kuzinthu zonse.

Kuti mupewe izi, choyambirira, ndikofunikira kukonzekera zida zonse popanda mantha kuti muwonjezere kuchuluka kwa shuga ndi acetone m'magazi. Kuyeza kwa shuga m'magazi pakuwonjezeka kwambiri kumachitika aliyense ndi theka mpaka maola awiri.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Gawo lotsatira ndikukhazikitsa mankhwala ofunikira.

Njira zoyambirira

Ndi kuwonjezeka kwa shuga kwa 26 mmol / l, wodwalayo akulimbikitsidwa:

• Idyani zipatso zochepa - zimaloledwa kudya zipatso zosapatsa asidi (mapeyala, vwende, chivwende, mphesa, pichesi, mango, Persimmon),
• Muyenera kudya masamba ambiri - pankhaniyi, ndibwino kupewa kudya tomato ndi masamba ena omwe amachulukitsa acidity. Amaloledwa kudya nkhaka, zukini, dzungu, kaloti, udzu winawake, kabichi. Muli michere yambiri, madzi ndi mchere, ndizofunikira pamenepa,
• Kumwa madzi ambiri - ndikofunikira kutenga madzi amchere omwe ali ndi potaziyamu, Sodium, calcium. Madzi oterowo abwezeretsa mchere wamchere mwachangu,
• Kuti muchepetse acidity, muyenera kutenga yankho la koloko mkati, chifukwa, onjezani supuni imodzi kapena theka ndi supuni yamadzi otentha (300-350 ml). Muyenera kumwa pang'onopang'ono, kuwunjika kangapo kwa mphindi 10,
• Kuti muchepetse mkhalidwe wa wodwalayo, mutha kupukuta pamphumi panu ndi chopukutira, ndikuyika compress yabwino.

Mankhwala

Ngati mupeza shuga wambiri, muyenera kufunsa wodwala kuti ndi mankhwala ati omwe amachepetsa shuga. Kupatula apo, wodwalayo adzafunika kubaya insulin kuti achepetse shuga. Kuti tichite izi, timapeza mtundu wake wa jekeseni komanso jekeseni wofinyira m'thaka kapena phewa.

Kuti muthane ndi shuga, ndikofunikira kusintha m'malo mwake maola awiri aliwonse. Ngati kukhazikika kwa manambala kumawonedwa, ndikofunikira kuti mutembenukire kwa akatswiri odziwa zamankhwala.

Pambuyo pakugonekedwa kuchipatala, wodwalayo amatha kubayidwa nthawi ndi insulini mpaka atafika pabwino. Kukhalitsa kwa hyperglycemic kwa nthawi yayitali kumabweretsa kuledzera kwambiri kwa thupi.

Mu chipatala, wodwalayo amalandira chithandizo cha kulowetsedwa choyenera kutsitsa kuchuluka kwa matupi a ketone m'magazi, kuimitsa mkhalidwe wa acidosis. Komanso, ndi milingo yamagetsi yokhazikika ya magazi, kulowetsedwa kwa insulin kudzachitika. Izi zimachepetsa kuchuluka kwa shuga, kumasulidwa kwa poizoni ndikupangitsa matenda a homeostasis kukhala ofanana.

Pankhani ya vuto lalikulu, wodwalayo amasokonezeka ndipo amakhala ndi vuto lofunikira. Kuti akhale wathanzi, amamuthamangitsira kumalo osamalira odwala. Amalumikiza zida zapumidwe zakunja ndikupitiliza kulowetsedwa kwa mayankho a mankhwala.

Kupewa

Popewa kukula kwa zinthu ngati izi, odwala ayenera kuyang'anira thanzi lawo. Chinthu choyamba chomwe mukufuna ndi kudya kosalekeza. Kuti mupewe zosavuta, mutha kupanga menyu kwa sabata ndikugwiritsitsa.

Kusamala kwa shuga kumafunikira, chifukwa mayeso ofotokozera awa ndi zida zimagulidwa kuti muwone zomwe zili. Kuchita masewera olimbitsa thupi ndi ntchito zakunja ndizofunikira, makamaka nthawi yochepa yochepera kunyumba.

Muyeneranso kuiwala zamakhalidwe oyipa. Kenako mutha kukhalabe ndi shuga wokhazikika osadandaula ndi zotsatirapo zoyipa.