Shuga wamagazi 7 4
Mtundu wa matenda a shuga umatengera njira ya pathological ndi index ya glycemic. Munkhaniyi, tikambirana momwe zinthu ziliri ngati shuga m'magazi 7 - zomwe zikuyenera kuchitika nthawi yomweyo, chizindikirochi chimakhala chowopsa bwanji.
Pali mitundu iwiri ya matenda. Amasiyana m'magulu a chitukuko. Mtundu woyamba wa matenda ndi wofanana ndi achinyamata. Gulu lachiwopsezo limaphatikizapo achinyamata ndi ana mosasamala za jenda chifukwa cha kagayidwe kabwino ka chakudya.
Zinthu zotsatirazi zimadzetsa kukula kwa matenda:
- Matenda a ma virus
- Kuyamwitsa ndi mkaka wachilengedwe ndi mkaka wa mbuzi kumayambitsa matenda ashuga,
- Zochita zolimba zamaselo a T-wakupha, momwe mumakhala kuphwanya chitetezo cha mthupi.
Choyambitsa matenda a shuga a 2 ndi:
- Malo olowa
- Kulemera kwambiri
- Zosokoneza
- Matenda
- M'badwo
- Matenda oopsa
Zizindikiro za matenda ashuga
Kuti mudziwe matendawa kunyumba, muyenera kuyang'ana kusapeza bwino. Zowonetsa zazikulu za matendawa ndi:
- Pakamwa pakamwa
- Udzu wokhazikika
- Kutopa,
- Chizungulire
- Matenda opitirira
- Khungu loyera
- Mawonedwe otsika
- Kuvulala kwamabala ambiri
- Kukoka pafupipafupi
- Kuonjezera chithandizo cha matenda osiyanasiyana.
Kuti musiyanitse matenda ashuga, kuyesa kwa shuga kuyenera kuchitidwa. Pamaso mayeso, ayenera kukana kudya kwa maola 10. Sizoletsedwa kumwa caffeine ndi zinthu zopangidwa ndi mowa maola 24 isanachitike njirayi. Magazi amatengedwa pamimba yotsamira, m'mawa wokha.
Zotsatira za kuwunikiraku zikuthandizira kuzindikira momwe metabolic njira, komanso kukhalapo kwa zopatuka kuchokera pazomwe zimakhazikitsidwa glycemia. Kuunikiraku kumathandizira kuzindikira momwe matenda am'mbuyomu adalili: mwa anthu athanzi, kuthamanga kwa shuga ndi 3.3-5,5 mmol / L. Izi zikachulukitsidwa, wodwalayo amamulembera mobwerezabwereza, komanso maphunziro ena kuti adziwe matenda.
Chizindikiro 5.5-6.9 mmol / L chikuwonetsa mkhalidwe wodwala matenda ashuga. Pa 7 mmol / l, titha kunena kuti pali matenda omwe amayamba kale.
Mawu oti "shuga m'magazi" amatanthauza kuphatikiza shuga m'magazi akulu. Pali malire ofotokozedwa momveka bwino a chizindikirocho. Amakhudzidwa ndi msinkhu wa munthu, chakudya chake. Komabe, chizindikiritso chotere chiyenera kusungidwa mpaka mtengo wa 7 mmol / lita.
Masewera a shuga amasintha nthawi zonse. Mutatha kuwunika mukangomaliza kudya, mutha kupeza kuchuluka kwa shuga kusiyana ndi maola ochepa. Ndikofunikira kuyang'anira chidziwitsocho mosamala, chifukwa ngati simuganizira kuwonjezeka kwake munthawi yake, kusintha kosasintha kudzatsatira.
Mwa munthu wamkulu, mtengo wake udzakhala 3,7-5.3 mmol / L. Mutatenga magazi kuchokera m'mitsempha, mutha kupeza chizindikiro pamwamba - mpaka 6.2 mmol / L. Kuphatikiza apo, shuga mukatha kudya imatha kukwera mpaka 7.8. Komabe, pakatha maola awiri, adzachira.
Kuyesedwa kwa magazi akakuwonetsa glucose woposa 7, ndiye kuti munthuyo ali pachiwopsezo. Chodabwitsachi chimawerengedwa kale ngati matenda omwe timadzi timene timapangidwira timadzi timadzi timene timapangidwira ndi thupi Matenda a shuga a Type 2 amadziwika chifukwa chakuti kagayidwe kakang'ono ka glucose kamasokonekera m'thupi.
Mukamamwa magazi kuti mupeze chala, phindu lomwe limapeza lidzakhala lotsika kwambiri (20%) kuposa ndi data ngati magazi a venous atengedwa. Mwa anthu opuma pantchito komanso achikulire, mulingo wabwinobwino wama glucose amadziwika kuti ndi 4.7-6.6 mmol / l.
Chizindikiro chokhazikika kwa amayi apakati ndi 3.3-6.8 mmol / L. Mwa mwana, zonse zimatengera zaka;
- Mpaka zaka ziwiri - 2.7-4.4 mmol / l,
- Kufikira zaka 7 - 3.2-5.1 mmol / l,
- Kuyambira wazaka 14 - 3.2-5.5 mmol / L.
Ndi kuwonjezeka kwa shuga oposa 7 mmol / L, kuthandizidwa ndi dokotala komanso njira zochiritsira zomwe zayimitsidwa pakuletsa njira ya pathological ndikofunikira.
Kudziyesa nokha m'magazi
Kunyumba, ndikofunikira kuti wodwalayo azitha kuyeza izi tsiku lonse. Chifukwa chaichi, glucometer imagwiritsidwa ntchito. Chida chamagetsi chili ndi chophimba komanso singano yokhonya chala. Pamafunika timiyeso togulidwa padera. Chipangizocho ndichosavuta kugwiritsa ntchito.
Kuti muyeze, muyenera kuboola nsonga ya chala chanu, kufinya magazi pang'ono, komwe umathimula chingwe. Pambuyo masekondi angapo, mita ipereka zotsatira za phunziroli. Njirayi siyopweteka. Chipangizocho ndi chaching'ono - ndizosavuta kunyamula nanu.
Ndondomeko ziyenera kuchitidwa mukatha kudya, kuyang'anira nthawi yotsatirayi:
- Pambuyo pa mphindi 5-7
- Pambuyo pa mphindi 15-17,
- Pambuyo mphindi 30
- Patatha maola awiri.
Njira zochepetsera shuga
Ndi mtengo wa 7 mmol / L ndipo pamwambapa, ayenera kuchitapo kanthu mwachangu kuti chithandizochi chikwaniritsidwe. Onetsetsani kuti mwawunikanso menyu.
Zakudya zopatsa thanzi zokha ziyenera kuphatikizidwa ndi zakudya:
- Nthambi yochokera ku rye mkate
- Zakudya zam'nyanja
- Ziphuphu
- Bowa
- Nyama yotsika
- Zopangira mkaka,
- Mphatso zopanda chilengedwe - zipatso, ndiwo zamasamba,
- Chokoleti chakuda
- Mtedza.
Chakudya chamoto chocheperako chimathandizira kubwezeretsa msanga kuchuluka kwa shuga mkati mwa masiku ochepa.
Mfundo zomwe zimapangitsa kuti zakudya zamafuta ochepa azikhala ndi glucose index wa 7 mmol / l ndi apamwamba ndi:
- Ndikofunikira kuchotsa zakudya zokhala ndi shuga kapena zakudya zomwe zimatembenuka mwachangu kukhala glucose kuchokera pagome lazakudya. Izi ndi mitundu yamaswiti ndi maswiti, pasitala ndi wowuma, phala.
- Kuchuluka kwa chakudya chamagulu m'zakudya sikuyenera kupitilira 120 g patsiku.
- Muyenera kudya mpaka kasanu patsiku, m'magawo ang'onoang'ono.
Zinthu zomwe ziyenera kutayidwa ndi chizindikiro pamwamba pa 7 mmol / l:
- Shuga
- Kaloti
- Maswiti ndi maswiti,
- Porridge
- Mbatata
- Dzungu
- Beets
- Uta
- Curd
- Paprika
- Yofesedwa mkaka
- Chips,
- Ma ketchu
- Malumikizana
- Makina,
- Wokondedwa
- Msuzi
- M'malo mwa shuga.
Pambuyo pakutsatira malangizowa kwa sabata limodzi, mutha kuchepetsa kuchuluka kwa shuga kuzinthu zabwino.
Zochita zolimbitsa thupi zimathandizira kuchepetsa shuga. Zochitika zoterezi ndi imodzi mwamalamulo ofunika kwambiri poteteza matenda a shuga. Komabe, zolimbitsa thupi ziyenera kuchitidwa moyenera. Amasankhidwa ndi dokotala mosamalitsa, kutengera mawonekedwe a thupi la wodwalayo. Chifukwa chake chidwi chachikulu chimaperekedwa ku nkhaniyi - tsopano tiunikira mwatsatanetsatane.
Moyo wokangalika umapereka mphamvu zambiri. Mukatha kuchita masewera olimbitsa thupi, shuga amatha. Akatswiri ena amakhulupirira kuti pamene ntchito zolimbitsa thupi zisankhidwa bwino, simuyenera kugwiritsa ntchito insulin. Komabe, ndizovuta kwambiri kukwaniritsa izi zodzaza mokwanira mothandizidwa ndi maphunziro akuthupi. Koma izi zimatha kuchepetsa kudalira kwa iye.
Pali ndemanga zingapo zabwino zokhudzana ndi chithandizo cha matenda ammimba ndi mowa. Odwala ena kwa nthawi yayitali asanadye amamwa 100 g mowa ndipo amamva bwino. Vutoli limafotokozedwa ndikuti mowa umaletsa kutulutsa shuga mu chiwindi, komanso samalola mahomoni omwe amayambitsa kuchuluka kwa shuga kuti apangidwe.
Wodwala limodzi ndi insulin ya mankhwala atengeanso mowa - chomaliza chimangowonjezera mphamvu ya mankhwala omwe amachepetsa shuga. Ngati munthu amamwa mowa wocheperako, ndiye kuti ayenera kudya bwino.
Ngati chiwopsezo cha glucose chikukula motsutsana ndi maziko a matenda amkati, omwe amatenga nawo gawo limodzi pakupanga shuga, ndiye kuti shuga imakhala yachiwiri.
Pankhaniyi, zotere zimayenera kuthandizidwa nthawi imodzi ndi matenda akulu:
- Cirrhosis kapena chiwindi cha chiwindi,
- Matenda amadzimadzi a pituitary,
- Chotupa cha chiwindi.
- Matenda a kapamba.
Ndi kuwonjezeka pang'ono kwa hyperglycemia, katswiri amatha kukupatsani mankhwala otsatirawa:
Mankhwalawa amathandizira kutsika kwa shuga, ngakhale osapangitsa kuchuluka kwa insulin.
Ngati kuperewera kwa insulin kumatsimikiziridwa ndi matenda, wodwalayo amapatsidwa insulin. Endocrinologist payekha amawerengera kuchuluka kwa mankhwalawa.
Kupewa
Njira zopewera hypo- ndi hyperglycemia - zakudya zoyenera komanso masewera olimbitsa thupi. Zochita ndi njira zamtundu wanji zomwe zikuyenera kugwiritsidwa ntchito - dokotala wofotokozera afotokozere. Katswiri wokhazikika, pamaziko azovuta zamomwe amapangira matenda, msinkhu wa wodwalayo komanso machitidwe ake aumunthu, amatha kusankha chithandizo chokwanira.
Mwazi wamagazi 7.4 chochita - koposa zonse, popanda mantha!
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Zimakhala zovuta kwa munthu wokhala kutali ndi mankhwala kudziwa zomwe zimayambitsa kusokonezeka kwa glucose mu thupi ndi momwe ziyenera kukhalira zabwinobwino. Komabe, mutapereka magazi kuti muwoneke ndikuwona kuwonjezeka, muyenera kudziwa. Ndiye, shuga wamagazi 7.4, chochita ndi momwe mungakhalire?
Momwe shuga ya magazi imakhudzira thupi: kukonzekera mwachidule mu biology
Cholinga chachikulu cha kuwonekera kwa glucose m'thupi ndikupanga mphamvu kuti ipatse thupi mphamvu. Monga momwe chitofu sichitha kuyaka popanda nkhuni, momwemonso munthu sangathe kugwira ntchito popanda chakudya.
Palibe dongosolo m'thupi lomwe lingachite popanda shuga.
Kuwona mwachidule njira yamatenda a shuga:
- Pambuyo pakulowetsa, shuga kuchokera m'matumbo ndi chiwindi chimatengedwa kupita m'magazi.
- Mitsempha yamagazi imayenda ndi thupi lonse, kumalimbitsa khungu lililonse.
- Zikondamoyo zimathandiza kuyamwa glucose popanga insulin. Sizingatheke popanda iye.
- Pambuyo kudya, anthu onse achulukitsa shuga. Kusiyana kokhako ndikuti kwa munthu wathanzi chilengedwe chachilengedwe ichi sichimayambitsa zovuta komanso sichikhala nthawi yayitali, koma kwa wodwalayo - m'malo mwake.
Kodi ndi shuga wanji yemwe amayambitsa matenda ashuga?
Kuyambira chaka ndi chaka, miyezo ya shuga yamagazi imawunikiridwa, kusinthidwa. Mwa 2017-18, asayansi amafika pamalingaliro osavomerezeka.
Akuluakulu aliyense amadalira pa izi:
- Nthawi yabwinobwino imayesedwa kuyambira magawo 3,3 mpaka 5.5 (ngati ayesedwa pamimba yopanda kanthu),
- Komanso kuyerekezera kwapafupifupi ma 7.8 amayesedwa ngati abwinobwino (kupatula kuti maola awiri adatha kudya)
- Kulekerera kwa glucose komwe kumayambitsa kukhazikitsidwa kumakhazikitsidwa ku chisonyezo cha magawo a 5.5 mpaka 6.7 (m'mimba yopanda kanthu) kapena kuchokera ku 7.8 mpaka 11.1 (maola 2 atatha nkhomaliro),
- Matenda a shuga amapezeka ndi chizindikiro kuyambira mayunitsi 6.7 (m'mimba yopanda kanthu) ndi mayunitsi 11.1 (maola 2 atatha nkhomaliro).
Kuti mudziwe zam'tsogolo, muyenera kukayezetsa kuchipatala kapena kugwiritsa ntchito glucometer kunyumba. Kuti mupeze zotsatira zodalirika, ndibwino kuchititsa maphunziro nthawi yomweyo, kujambula zotsatira. Komabe, kwa muyezo wolondola wa 100%, mukuyenerabe kukaonana ndi dokotala.
Zoyenera kudziwa: Ngati kuwunika kwawonetsa kale kuti kuchuluka kwa shuga ndi 7.4, uwu ndi mwayi woperekanso magazi. Choyamba, ndikofunikira kutsimikizira zotsatirazi, ndipo chachiwiri, ngati njira yopewera nkhawa mukangoyang'ana manambala omwe alembedwa. Popeza titha kupulumuka ndi lingaliroli osachepera tsiku tikukonzekera kuwunikiranso, zidzakhala zosavuta kuvomereza kuti matendawa ayamba (ngati kusanthula kwatsimikiziridwa).
Zomwe zimachitika ngati shuga atakwera kufika pa 7: Zizindikiro ndikuwonetsa koyamba
Pali zifukwa zingapo zoyambitsa shuga m'magazi. Cholinga chachikulu ndikuti, ndizachidziwikire, kuyambika kwa matenda ashuga. Matendawa amatchedwa prediabetes. Kuphatikiza apo, milingo ya shuga nthawi zambiri imakwezedwa chifukwa cha kudya kwambiri kwa banal.Chifukwa chake, ngati m'mawa wa kusanthula wodwalayo amadzilola yekha ma servings owonjezera patsiku, nthawi zambiri miyesoyo siyingakhale yodalirika.
Zimachitikanso kuti nthawi yamavuto, kuchuluka kwa shuga m'magazi kumakwezedwa. Sikulimbikitsidwa kuti mukhulupirire kuyesedwa kwa shuga komwe kunachitika (kapena kale) matenda aliwonse.
Zizindikiro zoyambitsa matenda a shuga ndi awa:
- Pakamwa pakamwa, ludzu lalikulu komanso kukodza pafupipafupi,
- Chizungulire chizungulire, chomwe chimatha kuchitika ngakhale wodwalayo atakhala phee,
- Mutu ndi kupanikizika ndi abwenzi pafupipafupi a mtundu woyamba wa shuga,
- Khungu, kusenda
- Kuchepa pang'ono kwa mawonekedwe kungaoneke,
- Odwala amadwala pafupipafupi: Matenda opumira kwambiri komanso matenda opatsirana amawoneka kuti akumamatirira,
- Kumva kutopa kosalekeza, kuyang'ana zolimba kuposa masiku,
- Zilonda zazing'ono ndi mabala amachiritsidwa nthawi yayitali.
Nthawi zambiri, munthu amene ali ndi shuga yambiri m'magazi amamva pafupifupi zonse zolemba. Komabe, popeza mwazindikira osachepera atatu a iwo, ndikofunikira kupanga muyeso wa glucose.
Kodi ndi matenda angati a shuga
Pali madigiri 4 a shuga. Amasiyana mu kuchuluka kwa shuga m'magazi komanso zovuta zomwe zimagwirizana ndi zomwe wodwalayo ali nazo. Ngati kuchuluka kwa shuga kokwanira kufika pa 7.4 mmol / lita imodzi wapezeka, dokotala amayika mtundu wachiwiri.
- Digiri yoyamba. Mtundu wocheperako wa shuga, pomwe shuga amayamba kufikira zigawo za 6-7 (pamimba yopanda kanthu). Gawo ili nthawi zambiri limatchedwa prediabetes, popeza kusintha mthupi kumakhalabe kochepa, shuga sapezeka mkodzo. Matenda a shuga oyamba amatha kuthandizidwa pogwiritsa ntchito kadyedwe posinthira moyo.
- Digiri Yachiwiri. Mkulu wama glucose a mtundu wa 2 wodwala matenda ashuga kale kale - kuyambira magawo 7 mpaka 10 (pamimba yopanda kanthu). Impso zimagwira ntchito kwambiri, nthawi zambiri zimazindikira kudandaula mtima. Kuphatikiza apo, "kusayenda bwino" kwamasomphenya, mitsempha yamagazi, minofu minofu - awa onse ndi abwenzi amtundu wa 2 odwala matenda ashuga. Glycosylated hemoglobin imatha kuwonjezeka pang'ono.
- Digiri yachitatu. Kusintha mthupi kumakhala kwakukulu. Magawo a glucose amasiyanasiyana pakati pa 13 ndi 14 magawo. A urinalysis akuwulula kukhalapo kwa shuga ndi kuchuluka kwa mapuloteni. Zizindikiro zimanenedwa: kuwonongeka kwambiri kwa ziwalo zamkati, kuchepa pang'ono kapena kuwona kwathunthu, mavuto okhala ndi kupanikizika, kupweteka m'manja ndi miyendo. Mkulu wa glycosylated hemoglobin.
- Digiri yachinayi. Mavuto akulu ndi kukwera kwa shuga m'magazi mpaka pamavuto (14-25 kapena kuposerapo). Mtundu wachinayi wa matenda ashuga amasiya kutsitsimuka ndi insulin. Matendawa amayambitsa kulephera kwa impso, zilonda zam'mimba, zilonda zam'mimba, chikomokere.
Ngakhale kuwonjezeka pang'ono kwa shuga m'magazi ndi chifukwa chachikulu choganizira tsogolo lanu, ndipo digiri yoyamba ya matenda ashuga ikafika, phunziro la moyo lomwe liyenera kukumbukiridwa ndipo china chake chofunikira kusintha pa moyo wanu. Koma chiyani?
Momwe mungachepetse shuga popanda magazi
Cholinga chachikulu chochepetsera shuga ndikutchingira matenda a shuga kuti asatukuke kapena kukulira. Mu magawo oyamba a matendawa kapena nthawi ya prediabetes, izi ndizosavuta kwambiri kuchita. Nthawi zambiri, madigiri a 3-4 amakhala osasinthika ndipo wodwalayo amakakamizidwa kudzipulumutsa yekha pakudya kapena kukhala wodalira insulin mpaka kumapeto kwa moyo wake.
Zoyenera kuchita kuti athe kuyang'anira kuchuluka kwa shuga m'thupi?
- Chachikulu ndikuti muzimvetsetsa nokha ndikudzipatsa nokha mawu okhazikika kuti tsiku lililonse koloko, chokoleti ndi maswiti zidzatha. Mutha kulola maswiti ogulitsidwa ku mankhwala. Amapangidwa pa fructose ndipo amaloledwa odwala matenda ashuga. Mutha kulola kudya zipatso, zipatso zouma, zipatso zotsekemera.
- Ngati moyo suwokoma popanda lokoma, ndiye kuti uchi utha kukhalanso wogwirizira. Uchi wocheperako umakhala wathanzi nthawi zana kuposa shuga.
- Zakudyazo ziyenera kuwunikiridwa mosamala. Zakudya zokhala ndi shuga wambiri zimaphatikizapo kudya pang'ono, m'malo ochepa.Pofuna kuti zisakhale bwino, ambiri amalangizidwa kuti azichotsa mbale zawo ndi mbale za ana. Supuni yaying'ono ndi kapu amawoneka odzaza ndi chakudya chochepa.
- Thanzi liyenera kukhala lokwanira, lathanzi. Mafuta, zakudya zamchere ndizoletsedwa. Zonunkhira zokometsera ndi msuzi ndizoletsedwa. Ndikwabwino kugwiritsa ntchito uvuni, wowiritsa kawiri, wophika pang'onopang'ono ndi "kuzimitsa" pophika.
Ndi zakudya ziti zomwe zimachepetsa shuga m'magazi?
Pali zinthu zingapo zomwe zakhala zikuthandiza anthu kulimbana ndi shuga komanso matenda ashuga kwambiri. Osatenge izi ngati chizindikiro choti achitepo kanthu ndikusesa zinthuzi pamashelefu akuluakulu. Ayi, zonse ndizothandiza pakapangidwe kake.
- Malo obiriwira a m'nkhalango ndi chuma chenicheni kwa anthu omwe ali ndi shuga wambiri (sikuti zipatso zake zokha ndi zothandiza, komanso masamba osanja),
- Nkhaka wamba zimatha kukhudza kuchuluka kwa shuga: zinthu zomwe zimakhala nazo zimakhudzana ndi insulin ndipo zimathandizira kuyamwa kwa glucose mwachangu ndi thupi,
- Ndikwabwino kusinthitsa khofi wamba mwachangu: chicory imathandiza kwambiri kwa odwala matenda ashuga, omwe ali ndi inulin yachilengedwe ndipo amakhala ndi fungo labwino komanso kununkhira.
- Monga mbale yakumbuyo muyenera kutsamira pang'ono, koma ndibwino kuti musiyike, koma idyani yabwino.
- kabichi yoyera imakhala ndi ulusi wambiri ndipo imatha kuchotsa "zochuluka" mthupi, ndibwino kugwiritsa ntchito masamba mwatsopano kapena stewed,
- Kuyambira nthawi yakale, karoti ndi msuzi wa beetroot zakhala zikugwiritsidwa ntchito pochiza matenda aliwonse: tsopano, asayansi awulula kuti mwatsopano wokhathamira wa masamba awa amathandizira shuga m'magazi.
Mankhwala amakono ayenda patsogolo kwambiri, ndikupanga njira zatsopano zothandizira odwala matenda osiyanasiyana a shuga. Komabe, musanagule njira zodula, funsani akatswiri nthawi zonse, mumangofunika kudzilimbitsa ndikugonjera zizolowezi zoipa.
Kukana kudya mwachangu, shuga, mafuta osafunikira chakudya mu 90% ya milandu kumathandiza ndi magawo oyamba amakula a matenda oopsa kwambiri - matenda ashuga. Kuyenda musanagone, masewera olimbitsa thupi opepuka kapena kutentha pakatikati pa tsiku kumawonjezera nthawi yolimbana ndi shuga wambiri ndi 2 times.
Mwazi wamagazi kuyambira 7 mpaka 7.9: izi zikutanthauza chiyani, zikutanthauza chiyani, kodi mulingo wotere ungakhale wofala?
Anthu ambiri amafunsa ngati shuga m'magazi ndi 7, zikutanthauza chiyani? M'malo mwake, kuwerengera kwa glucose pamlingo woyenera kumawonetsa kuti thupi limagwira ntchito mokwanira, ziwalo zonse zamkati ndi kachitidwe zimagwira ntchito moyenera.
Pakadali pano, kuyezetsa magazi kwa shuga ndikofunikira kwa anthu azaka zopitilira 40. Kafukufuku amatipangitsa kuti tiziwunika momwe kagayidwe kazakudya m'thupi la munthu limagwirira ntchito.
Ngati shuga amawona magawo 7.1-7.3, dokotala atha kulimbikitsa njira zina zowonera. Izi ndizofunikira pofuna kutsimikizira kapena kutsutsa matenda ashuga.
Ndikofunikira kuganizira kuti kodi shuga yamagazi amatanthauza chiyani magawo 7, komanso glucose mpaka 7 mmol / l? Kodi ndi ziti zomwe zikuwonetsedwa ngati zofunikira malingana ndi zaka za munthu? Ndipo bwanji ngati shuga la magazi ndi 7?
Kodi chizolowezi ndi chiani?
Musanadziwe zomwe zotsatira za kusanthula shuga, zomwe zikuwonetsa kuchuluka kwa shuga m'magawo 7.2-7.8, zikutanthauza, muyenera kudziwa zomwe zikuwoneka muzochitika zachipatala zomwe zimadziwika kuti ndizabwinobwino.
Tiyenera kudziwa kuti chizolowezi sichiri mtengo umodzi womwe ungakhale woyenera kwa munthu wamkulu komanso mwana, ngakhale ali ndi zaka zingati. Zosiyanasiyana zimasiyana, ndipo kusiyanasiyana kwake kumatengera gulu la munthu, komanso, pang'ono, pa jenda.
Komabe, akukhulupirira kuti shuga m'magazi (pamimba yopanda kanthu) mwa amuna ndi akazi sayenera kupitirira malire, omwe amatsimikiziridwa pafupifupi mayunitsi 5.5. Malire otsika ndi mayunitsi 3.3.
Ngati munthu ali wathanzi lathunthu, ziwalo zonse zamkati ndi machitidwe zimagwira ntchito mokwanira, ndiye kuti, palibe zolephera mthupi ndi zina zokhudzana ndi matenda, ndiye pazambiri, kuchuluka kwa shuga kumatha kukhala magawo a 4.5-4.6.
Mukatha kudya, shuga amayamba kuchuluka, ndipo amatha kukhala magawo 8, mwa amuna ndi akazi, komanso mwa ana aang'ono. Ndipo izi ndizabwinobwino.
Ganizirani kuchuluka kwa shuga m'magazi malinga ndi zaka:
- Mwana kuyambira kubadwa mpaka miyezi itatu ali ndi mayunitsi 2.8-4,5.
- Mpaka zaka 14, shuga wamagazi amayenera kukhala magawo 3.3-5,5.
- Kuyambira zaka 60 mpaka 90, kusinthasintha kwa zizindikiro ndi zigawo za 4.6-6.4.
Kutengera ndi chidziwitso chotere, zitha kutsimikiziridwa kuti kuyambira chaka chimodzi mpaka zaka 12, mitengo yokhazikika mwa ana, mosaganizira jenda, ndi yotsika poyerekeza ndi mfundo za akuluakulu.
Ndipo ngati mwana ali ndi malire a shuga a mayunitsi a 5.3, izi ndizabwinobwino, zofanana ndi zaka. Kuphatikiza pa izi, mwachitsanzo, mwa munthu wazaka 62, kuchuluka kwa shuga kumapitilira pang'ono.
Ngati shuga kuchokera m'mitsempha amawonetsa mayunitsi 6.2 ali ndi zaka 40, uwu ndi mwayi woti muganizire, popeza nthenda yonga matenda ashuga siyitha. Koma, ngati zisonyezo zomwezo zimawonedwa atatha zaka 60, ndiye kuti zonse zili mkati mwa malire.
Pankhani imeneyi, titha kunena kuti ngati shuga akusala 7 - akhoza kukhala ndi matenda ashuga.
Potsutsa kapena kutsimikizira kuti matendawa ndi oyambukira, ndikofunikira kuyesedwa.
Shuga 7, zikutanthauza chiyani?
Momwe mungadziwire shuga yanu yamagazi? Pali zosankha zingapo. Mutha kugwiritsa ntchito chipangizo chapadera poyesa glucose kunyumba - glucometer. Chipangizochi chimakulolani kuti muzindikire zizindikiro zolondola, ndipo ngati ndizokwera, muyenera kuwona dokotala.
Kuphatikiza apo, mutha kulumikizana kuchipatala mwachangu ndikupereka magazi chifukwa cha shuga m'magazi. Phunzirolo lisanachitike, tikulimbikitsidwa kuti musadye osachepera maola khumi, pomwe tsiku limodzi lisanachitike kusanthula simungathe kumwa zakumwa zoledzeretsa komanso zakumwa zoziziritsa kukhosi.
Kafukufukuyu samangopereka zofunikira zenizeni za glucose m'thupi la munthu, komanso zimathandizira kudziwa za momwe metabolic amapangira, kuwona kuchuluka kwa kupatuka kuzisonyezo zodziwika bwino, kuzindikira prediabetes kapena matenda a shuga a mtundu woyamba kapena wachiwiri.
Monga tafotokozera pamwambapa, kusinthasintha kwa zinthu zabwinobwino kumayambira magawo 3,3 mpaka 5.5 pamimba yopanda kanthu. Ngati phunziroli likuwonetsa kuti wodwalayo wapatukira m'mwamba kapena pansi, ndiye kuti kuwunikira kowonjezera kumayikidwa.
Momwe kupanikizika kwa shuga kumasiyana kuchokera 5.5 mpaka 6.9 mayunitsi, boma la prediabetes limapezeka. Chifukwa chake, titha kunena kuti ngati shuga ndi apamwamba kuposa ma 5.5, koma osapitilira 7 mmol / l, ndiye kuti izi si matenda ashuga.
Ngati maphunziro angapo a kuchuluka kwa shuga m'magazi patsiku zosiyanasiyana adawonetsa kuti zizindikiro zake ndizoposa 7, ndiye kuti titha kukambirana bwinobwino za matenda ashuga.
Kenako, maphunziro ena adzalimbikitsidwa kuti adziwe mtundu wake.
Etiology ya shuga wamkulu
Tiyenera kudziwa nthawi yomweyo kuti mayeso amodzi a shuga sanena chilichonse. Popeza kuchuluka kwa shuga m'magazi kumatha kukhala kwachilengedwe kapena kwachilengedwe.
Zinthu zotsatirazi zimatha kukhathamiritsa kuchuluka kwa shuga mthupi: kupsinjika, mantha amthupi, masewera olimbitsa thupi, kumwa kwambiri zakudya zamagulu musanasanthule, ndi zina zambiri.
Kuphatikiza apo, zifukwa zingapo za pathological zimafotokozedwa zomwe zingayambitse kuchuluka kwa shuga m'magazi. Matenda a shuga Sikuti ndiokhawo komwe kungayambitse vuto la hyperglycemic.
Matenda ndi zochitika zotsatirazi zimayambitsa matenda a hyperglycemic:
- Kumwa mankhwala ena (mapiritsi oletsa kubereka, ma diuretics, corticosteroids).
- Khansa mu kapamba.
- Njira zotupa mthupi.
- Mkhalidwe pambuyo pa opareshoni.
- Matenda a chiwindi.
- Endocrine mavuto m'thupi.
Kukonzekera molakwika kwa wodwalayo phunziroli kungakhudze zotsatira za kusanthula. Mwachitsanzo, wodwalayo ananyalanyaza malangizo a dokotala, ndipo anadya asanakonze. Kapenanso usiku woti mungamupatse mowa.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Ngati wodwala amatenga mankhwala pafupipafupi zokhudzana ndi matenda opatsirana, ayenera kudziwitsa adokotala. Dotolo aziganizira izi pofotokoza zotsatira zake.
Dokotala akaganiza kuti wodwalayo ali ndi matenda ashuga, amalimbikitsa kuyesa kwa glucose komanso mayeso a hemoglobin a glycated.
Kutsimikiza kwa glucose sensitivity
Ngati wodwala ali ndi shuga pamimba yopanda kanthu kuchokera ku mayunitsi 6.2 mpaka 7.5, ndiye kuti kuyesedwa kwa glucose kumayikidwa. Kusanthula kumagwiritsa ntchito kuchuluka kwa shuga kutsimikizira kapena kutsimikizira mawu oyambirirawo.
Kusanthula kumeneku, ndiye kuti, kuyesa kwa glucose, kumapangitsa dokotala kuwona kuchuluka kwa shuga m'magazi atatha kudya ma carbohydrate, komanso momwe shuga imabweretsanso msanga moyenera.
Monga tafotokozera pamwambapa, shuga akatha kudya wina aliyense, ngakhale wathanzi labwino, izi ndizabwinobwino. Komabe, mwa munthu wathanzi, ndende ya glucose imayamba kuchepa mkati mwa maola 2, ndipo zitatha zimakhazikika pamlingo wofunikira.
Kenako, mapangidwe a pancreatic amakhala ndi vuto la matenda ashuga; motero, njira zomwe zafotokozedwazo zidzakhala zikuyenda bwino, ndipo glucose mukatha kudya idzachepa pang'ono, potero kumawona chikhalidwe cha hyperglycemic.
Kuyesa kwa glucose chiwopsezo ndi motere:
- Choyamba, wodwalayo amatenga madzi obwera (magazi) pamimba yopanda kanthu.
- Kenako amapatsidwa shuga wambiri (magalamu 75 a shuga amasungunuka mumadzi ofunda, amapatsa wodwala kuti amwe).
- Pambuyo magazi amatengedwa pambuyo theka la ola, ola limodzi ndi maola awiri.
Wodwalayo patatha maola awiri mutakhala ndi kuchuluka kwa shuga, kuchuluka kwa shuga m'magazi kumakhala kosakwana magawo 7.8, ndiye kuti izi zikuwonetsa kuti zonse zili bwino.
Zomwe glucose zili pambuyo kuchita masewera olimbitsa thupi zimasiyana kuchokera ku mayunitsi 7.8 mpaka 11.1, ndiye titha kunena za kuphwanya mphamvu ya shuga, ndipo izi zikuwonetsa dziko lamalire.
Ngati phunziroli lidawonetsa kuti kuchuluka kwa shuga kuli pamwamba pa mayunitsi 11.1, ndiye kuti matenda a shuga apezeka.
Magawo a shuga 6.1-7.0: Zizindikiro
Zambiri zomwe shuga akupanga m'thupi la munthu zimasiyana kuchokera ku 6.1 mpaka 7.0, ndiye titha kukambirana za prediabetesic state. Ayi, izi sizoyambitsa matenda ashuga, koma ndi mkhalidwe wakale womwe umafunikira kukonzedwa mwachangu.
Mukanyalanyaza vutoli ndipo osachitapo kanthu, ndiye kuti wodwala adzakhala ndi matenda ashuga omwe ali ndi zotsatirapo zonse zotsatirazi.
Anthu ambiri amafunsa kuti ngati pali matenda mu prediabetesic boma ndipo amatha kupezeka? M'malo mwake, munthu aliyense, makamaka thupi lake, limakumana ndi zochitika zosiyanasiyana.
Anthu omwe ali ndi chidwi kwambiri ndikusintha kwa pathological amatha kuwona kuwonjezeka kwa glucose m'thupi lawo, ngakhale atawonjezeka ndi mayunitsi angapo. Komabe, pali zochitika zina pomwe shuga wamwazi amakwezedwa nthawi yayitali, koma wodwalayo samamva kusintha, ndipo palibe chizindikiro.
Chithunzi pamatenda a prediabetesic state:
- Vuto la kugona: Kusowa tulo kapena kugona.Chizindikiro ichi chikuwonetsa kuti akulephera kugwira ntchito pakupanga insulin, chifukwa chomwe chitetezo cha thupi chimasokonekera.
- Zowonongeka. Zizindikiro zomwe zimawonetsa kuwonongeka kowonekera nthawi zambiri kumachitika chifukwa cha kupindika kwa magazi, chifukwa kumakhala kowoneka bwino.
- Kulakalaka kwamphamvu nthawi zonse, kumwa kwambiri komanso pafupipafupi.
- Kuchepetsa kosatheka kapena kuchuluka kwa thupi.
- Kuwonjezeka kwa kayendedwe ka kutentha kwa thupi kungakhale chifukwa cha kutsika kwakanthawi kwa shuga mthupi la munthu.
Zizindikiro zomwe zatchulidwa pamwambapa nthawi zambiri zimakhala mkhalidwe wa matenda ashuga. Komabe, zochitika zachipatala zimawonetsa kuti nthawi zambiri, odwala sakhala ndi vuto lililonse.
Nthawi zambiri zimachitika kuti kuwonjezeka kwa shuga m'magazi kumadziwika mwangozi, popimidwa matenda.
Zoyenera kuchita ngati shuga m'magazi ali pamwamba pa mayunitsi 7?
Ngati shuga wa magazi wayima pafupi ma unit 7, izi zikuwonetsa shuga mellitus. Ngati shuga amachokera ku magawo 6.5 mpaka 7.0, ndiye kuti titha kulankhula za prediabetesic state.
Ngakhale kuti mitundu iwiri yazachipatala idapangidwa, chithandizo chamankhwala kumayambiriro kwa chithandizo sichingasiyane kwambiri. Mulimonsemo, muyenera kuyamba kukonza moyo wanu.
Matenda a shuga ndi matenda osachiritsika omwe amadziwika chifukwa cha zovuta zomwe amapezeka m'thupi. Nthawi zambiri, mtundu woyamba komanso wachiwiri wa matenda ashuga umachitika, koma wodwalayo amatha kukhala ndi mitundu yakeyake (Modi, Lada).
Zokha, zamatsenga sizowopsa pamoyo wamunthu. Komabe, kuchuluka kwa shuga kwakanthawi kochulukirapo kumawononga magwiridwe antchito amkati ndi machitidwe, zomwe zimabweretsa zotsatira zoyipa, kuphatikiza zina zosasinthika.
Ngati shuga m'magazi ndi magawo 6.5-7.0, muyenera kuchita izi:
- Kuti muchepetse zizolowezi zoyipa, tikulimbikitsidwa kuti muchepetse kapena kusiya kotheratu kugwiritsa ntchito mowa, kusuta.
- Sinthani kadyedwe kanu, onjezerani zakudya zomwe zimakhala ndi chakudya pang'ono muzakudya zanu.
- Ngati wodwala wambiri, ndiye kuti muyenera kuchepetsa kunenepa. Choyamba, zakudya siziyenera kukhala zochepa-carb, komanso calorie otsika.
- Zochita zolimbitsa thupi zokwanira.
- Chithandizo cha concomitant pathologies.
Wodwala akangotsatira kwambiri izi, ndiye kuti mwina sangayang'ane ndi zotsatirapo zoyipa za matendawo.
Kuzunzidwa kwa shuga pamayendedwe 7 si sentensi, zimangotanthauza kuti muyenera "kudzikoka nokha" ndikukhala ndi moyo wabwino.
Kuchepetsa Shuga Kupeza Chakudya Chabwino
Chithandizo chachikulu cha matenda a shuga ndi zakudya, ndipo chakudya chizikhala ndi chakudya chambiri. Zochita zikuwonetsa kuti ngati simukuyika mankhwala oyipa, simungangoonjezera shuga m'magazi, komanso kuikhazikitsa pamlingo wofunikira.
Malangizo oyambira: Zakudya zonse zomwe zimakhala ndi zopatsa mphamvu za m'mimba ziyenera kusiyidwa muzakudya. Kuphatikiza apo, muyenera kusiya zakudya zomwe zili ndi wowuma.
Malangizo achiwiri: muyenera kudya nthawi zambiri m'magawo ang'onoang'ono. Kutumikirani pa nthawi kuyenera kuyikidwa m'manja mwanu. Ngati mukumva kukhuta, koma chakudya chili patere, ndibwino kukana kudya kwina.
Langizo lachitatu: zakudya ziyenera kukhala zosiyanasiyana, izi zimakupatsani mwayi woti muzidya moyenera kwa nthawi yayitali. Chowonadi, koma kufanana kwake kumabweretsa chisokonezo, motero, chilichonse chidzatsogolera kuchuluka kwa shuga m'magazi.
Ndikulimbikitsidwa kukana malonda ndi zakumwa izi:
- Zakumwa zoledzeretsa, khofi, tiyi wakuda wamphamvu, koloko.
- Shuga, wowuma.
- Kuphika makeke, confectionery.
- Mbatata, nyama yamafuta kapena nsomba.
- Wokondedwa, maswiti.
Pamodzi ndi zakudya zoyenera, zolimbitsa thupi ndizofunikanso. Madokotala amalimbikitsa kusewera masewera osachepera mphindi 30 patsiku. Kuchita masewera olimbitsa thupi ku shuga kumatha kukulitsa chidwi cha minofu ku mahomoni, komanso kumathandizira kuchepetsa thupi.
Mchere wapamwamba si chiganizo, ngati mutsatira malingaliro onse a dokotala, mutha kukhala moyo wonse osadandaula ndi zotsatira zoyipa. Kanemayo munkhaniyi ayankhula za zomwe zikuyenera kukhala mulingo wamagazi m'magazi.
Magazi A shuga & Hangover
Mwazi wambiri kapena wotsika wamagazi ungakhale gawo mwa hangover. Ngati mungathe kuyezetsa magazi a glucose (mita ya shuga m'magazi), ndikofunikira kuyang'ana shuga wanu wamagazi kuti chiwonjezere kapena chilichonse chichepetse kuthandizidwa mwachangu.
Mowa umatha kutsitsa shuga m'magazi mkati mwa usiku ndipo kutalika kwa shuga m'magazi kumatha kubweretsa mutu komanso kutopa m'mawa. Ngati shuga wanu wamagazi ndiwotsika mukadzuka, gwiritsani ntchito hypoglycemia yanu ndi mafuta ochepa kuti mukweze shuga yanu kukhala yabwinobwino.
Mwazi wamagazi ambiri umathandizanso kuti hangover. Mashuamu okweza amawonjezeranso chinthu china chomwe chingapangitse kuchepa thupi.
Ngati muli ndi matenda amtundu wa 1 shuga, glucose wambiri amatha kutsagana ndi kuwonjezeka kwa kuchuluka kwa ketone, komwe sikungayambitse mseru, komanso kungayambitse mkhalidwe wowopsa, ketoacidosis. M'mawa, ndikofunikira kuyesa kuchuluka kwa ketone. Mulingo wambiri wa ma ketones umatha kukula ngati jakisoni wa insulin ataphonya madzulo kapena m'mawa.
Kumwa madzi
Kuthetsa kwa mowa kumadziwika bwino kwambiri ndipo pali chifukwa chomveka chochitira izi. Mowa umalepheretsa zochita za anti-diuretic timadzi vasopressin. Zotsatira zake ndikuti madzi ochepa amamwetsedwa ndi impso zathu motero madzi ambiri amalowa mu chikhodzodzo, ndichifukwa chake timapita kuchimbudzi nthawi zambiri tikamamwa mowa.
Popeza madzi ochepera amasungidwa m'thupi, izi zimatha kubweretsa madzi m'thupi. Ngakhale timamwa madzi ambiri, timakumwa koposa. Kutopa kumatha kukhala chimodzi mwazomwe zimayambitsa mutu. Madzi akumwa ochuluka mu hangover angathandize kuthetsa izi zomwe zingayambike. Madzi amathanso kuthandiza kutulutsa poizoni wotsalira m'thupi.
Nthochi ndi kiwi
Chifukwa chiyani nthochi ndi kiwi? Tikakodza pafupipafupi kuposa masiku onse, monga momwe zimakhalira pakumwa usiku, timapezekanso mchere, kuphatikizapo potaziyamu, kuchokera mthupi ndi mkodzo. Mankhwala a potaziyamu akatsika kwambiri m'thupi, titha kuona zizindikiro monga kutopa, kufooka, komanso nseru.
Zipatso monga nthochi ndi kiwi zili ndi potaziyamu yambiri, zimathandizira kukulitsa thupi ndi michere yofunika iyi.
Chonde dziwani kuti zipatsozi ndizopamwamba zamafuta, motero onetsetsani kuti mumaganiza popanga kuchuluka.
Mazira amakhala ndi amino acid cysteine, omwe amathandiza kugwetsa chinthu chomwe chimatchedwa acetaldehyde. Acetaldehyde ndi pawiri wopangidwa ndi kagayidwe kachakumwa, kamene kamayambitsa matenda obisika a hangover, komanso amathanso kukhala ndi zotsatira zazitali ku thanzi lanu la chiwindi.
Cysteine imathandizira kusintha acetaldehyde kukhala acetic acid, omwe amatha kusinthidwa kukhala kaboni dayokisi ndi madzi.
Shuga wowopsa kuposa 7
Seramu glucose amawonekera atatha kudya zakudya zokhala ndi michere. Chifukwa cholimbikitsidwa ndi minofu m'thupi, mapuloteni amadzi a puloteni amapangidwa.
Pofuna kusokoneza zida za insulini m'magazi, kuchuluka kwa shuga kumawonjezeka.
Pathology ili ndi magawo angapo a zovuta zosiyanasiyana, kuti azindikire matenda, odwala amapatsidwa kuyesedwa kwa magazi kuti adziwe kuchuluka kwa glycemia.
Kuyesa kwa shuga
Musanayesedwe, odwala ayenera kupewa kudya kwa maola 10, tsiku loti musanamwe mowa ndi khofi. Magazi amatengedwa m'mawa pamimba yopanda kanthu.
Kafukufuku wotereyu amakupatsani mwayi kudziwa momwe metabolic amapangira zinthu mthupi, kuchuluka kwa kupatuka kwazomwe zimayambitsa matenda a glycemic, kuzindikira mkhalidwe wa prediabetesic ndi mtundu 1 kapena 2 mellitus wa shuga.
Kodi anthu athanzi labwino amakhala ndi shuga wambiri motani? Mlozera wamatenda a glycemic nthawi zambiri umakhala mulitali 3.3-5,5 mmol / L. Ndi kuwonjezeka kwa mfundo izi, kuwunikiranso mobwerezabwereza ndi maphunziro ena owerengeka kuti apatsidwe kuzindikira koyenera.
Ngati pamimba yopanda kanthu zotsatira zake zimachokera pa 5.5 mpaka 6.9 mmol / L, prediabetes imapezeka. Glycemia ikafika mtengo wopitilira 7 mmol / l - izi zimawonetsa kukhalapo kwa matenda ashuga.
Kodi shuga yaamu yambiri imatenga nthawi yayitali bwanji mutatha kudya maswiti? Kuwonjezeka kwa glycemia pambuyo pa chakudya chamafuta kumatenga maola 10 mpaka 14. Chifukwa chake, iyi ndi nthawi yeniyeni yomwe munthu ayenera kupewa kudya asanadziwe kaye.
Kuthamanga shuga wa seramu kumakwezedwa mpaka 5.6 - 7.8, ndiye kuti zochuluka, zimatanthawuza chiyani ndikuyenera kuchita? Hyperglycemia ikhoza kuyambitsa:
- matenda ashuga
- nkhawa wodwala
- kupsinjika kwakuthupi
- kutenga mahomoni, kulera, mankhwala okodzetsa, corticosteroids,
- yotupa, matenda oncological a kapamba,
- vuto pambuyo opaleshoni,
- matenda a chiwindi osachiritsika
- matenda a endocrine dongosolo,
- Kukonzekera molakwika kwa wodwala musanayesedwe.
Kupsinjika ndi kuchita zolimbitsa thupi kwambiri kumapangitsa kuti chithokomiro cha adrenal chithe, chomwe chimayamba kupanga mahomoni olimbana ndi mahomoni omwe amalimbikitsa kutulutsa shuga ndi chiwindi.
Ngati wodwala amamwa mankhwala, muyenera kuchenjeza dokotala wanu za izi. Kuti adziwitse matenda, kafukufukuyu amachitika kawiri.
Pofuna kupatula kapena kutsimikizira matenda amtundu wa endocrine wodwala, kuyesedwa kwa glucose komanso kufufuza kwa hemoglobin ya glycated kumachitika.
Chiyeso cha glucose chiwopsezo
Ngati shuga la seramu limafulumira kukwera mpaka 6.0 - 7.6, muyenera kuchitanji, kuchuluka kwake komanso kowopsa, momwe angachitire matenda? Odwala amapatsidwa mayeso ololera a glucose okhala ndi shuga ngati zotsatira za zoyesa zam'mbuyomu zikukayikira. Kafukufukuyu amakupatsani mwayi wowona kuchuluka kwa glycemia pambuyo pakukula kwamafuta m'matumbo am'mimba komanso momwe msanga umakhalira.
Choyamba, wodwalayo amatenga magazi pamimba yopanda kanthu, pambuyo pake amapereka njira yothetsera shuga ndi madzi. Zitsanzozi zimabwerezedwa pambuyo pa mphindi 30, 60, 90 ndi 120.
Maola 2 mutatha kugwiritsa ntchito njira yotsekemera, kuchuluka kwa glycemia kuyenera kutsika kuposa 7.8 mmol / L.
Kuwonjezeka kwa magawo 7,8 - 11.1 mmol / l amapezeka ngati kulekerera kwa glucose, metabolic syndrome kapena prediabetes.
Awa ndi malire pamalire a 2 matenda ashuga.
Matenda a katemera amachiritsidwa. Odwala amapatsidwa zakudya zochepa zama carb, zolimbitsa thupi, komanso kuchepa thupi.
Nthawi zambiri, njira zoterezi ndizokwanira kubwezeretsa kagayidwe kachakudya mthupi ndikuchedwa kapena kuletsa kukula kwa matenda ashuga kwa nthawi yayitali.
Nthawi zina, kugwiritsa ntchito mankhwala osokoneza bongo kumachitika.
Ndi zotsatira zopitilira chizindikiro cha 11.1 mmol / l, matendawa ndi a shuga mellitus.
Glycated hemoglobin
Matenda a shuga amatha kukhala ndi njira yobisika, ndipo panthawi yopereka mayeso, sizimawonetsa kuchuluka kwa glycemia.
Kuti muwone kuchuluka kwa shuga m'thupi omwe adakwera m'miyezi itatu yapitayo, kuwunika kumachitika pokhudzana ndi hemoglobin ya glycated.
Kuyankha kwa phunziroli kumakuthandizani kudziwa kuchuluka kwa hemoglobin yomwe yachita ndi shuga.
Kukonzekera kwapadera musanapereke kusanthula sikumafunikira, amaloledwa kudya, kumwa, kusewera masewera, kutsata njira yodziwika. Osakhudza zotsatira zake komanso zovuta zina kapena matenda aliwonse.
Kodi munthu wathanzi amakhala ndi hemoglobin yochuluka bwanji mu seramu? Nthawi zambiri, mankhwalawa amakhala mgulu la 4.5 - 5.9%.
Kuwonjezeka kwa chiwerengerochi kukuwonetsa kuti pali mwayi wambiri wodwala matenda a shuga.
Matendawa amadziwika ngati zomwe zili m'magazi a glyceated hemoglobin ndizoposa 6.5%, zomwe zikutanthauza kuti magazi amakhala ndi hemoglobin yambiri yolumikizidwa ndi shuga.
Ndi dokotala uti yemwe ndiyenera kulumikizana naye
Kodi kuwunikaku kumati chiyani ngati magazi a shuga akwezedwa kufika pa 6.4 - 7.5 mmol / L pamimba yopanda kanthu, ndizambiri, amatanthauza chiyani ndipo akuyenera kuchita chiyani? Awa ndi ma glycemia okwera, omwe amafunika kafukufuku wowonjezera. Pambuyo pakuwoneka ngati kukaikira kwa shuga, muyenera kufunafuna thandizo la endocrinologist.
Ngati dotolo adazindikira kuti ali ndi matenda a prediabetes chifukwa cha mayeso ake, muyenera kutsatira zakudya zamafuta ochepa, osapatula maswiti ndi zakudya zomwe zimakhala ndi shuga m'matumbo.
Menyuyi muyenera kukhala masamba, zipatso, zakudya zabwino. Kuchita masewera olimbitsa thupi kumathandizira kuyamwa kwa insulin ndi minofu ya thupi, izi zimathandiza kuchepetsa glycemia ndikubwezeretsa njira za metabolic.
Ngati mankhwala othandizira pakudya ndi kuchita zolimbitsa thupi sizipereka zotsatira, mankhwala ena othandizira omwe amachepetsa shuga ndi omwe amapatsidwa. Chithandizo chikuyenera kuyang'aniridwa ndi achipatala.
Ngati magazi othamanga a shuga adakwera kufika pa 6.3 - 7.8, izi ndizofunikira kuchita, kodi izi zikutanthauza kuti matenda ashuga adayamba? Ngati kuyesedwa kwa glucose koyeserera komanso kuyesa kwa hemoglobin ya glycated kumatsimikizira kwambiri glycemia, matenda a shuga amapezeka. Odwala amayenera kuwonedwa ndi endocrinologist, kumwa mankhwala, kutsatira zakudya zotchulidwa.
Zizindikiro za matenda ashuga:
- kukodza kwambiri,
- polyuria - kuchuluka kwa mkodzo,
- kumangokhala ndi ludzu, kuyanika kuchokera kumkamwa wamkamwa,
- njala yayikulu, kudya kwambiri, chifukwa chakuwonjezeka kwamphamvu kwa thupi,
- kufooka wamba, malaise,
- furunculosis,
- kukonzanso kwanthawi yayitali kwa abrasions, mabala, mabala,
- chizungulire, migraine,
- kusanza, kusanza.
Odwala ambiri, Zizindikiro zoyambirira zimawoneka zopanda pake kapena ayi. Pambuyo pake, madandaulo ena amadzuka, oyipa kwambiri atatha kudya.
Nthawi zina, pamatha kuchepa mphamvu za ziwalo zina za thupi, nthawi zambiri awa ndi miyendo yakumunsi. Mabala samachiritsa kwa nthawi yayitali, kutupa, supplement amapangidwa.
Ndizowopsa, gangrene akhoza kukhala.
Kuwonjezeka kwa kusala kudya kwa seramu ndi chizindikiro cha kusokonezeka kwa metabolic m'thupi. Kuti mutsimikizire zotsatira, zowonjezera zimachitika.
Kuzindikira kwakanthawi kwamatenda Kuphwanya kagayidwe kachakudya kagayidwe kachakudya kamayambitsa matenda olakwika m'mimba, manjenje, mtima ndipo kungayambitse kugunda kwa mtima, matenda a m'matumbo, matenda a m'mitsempha, mitsempha, mtima. Ngati glycemia achuluka kwambiri, wodwalayo amalowetsedwa mu chikomokere, zomwe zingayambitse kulemala kwambiri kapena kufa. Ngati shuga la magazi afika pa 7.7, kodi izi zikutanthauza chiyani? Kodi ndizowopsa kwa munthu wodwala matenda ashuga? Kupatula apo, ndi matenda a shuga ndikofunikira kuyang'anitsitsa maweresi a shuga m'magazi. Odwala nthawi ndi nthawi amayesa magazi mosamala mu labotale kapena kudziyimira pawokha kangapo patsiku pogwiritsa ntchito glucometer. Itha kugwiritsidwa ntchito kunyumba. Chifukwa chake, aliyense wodwala matenda ashuga ayenera kudziwa chizindikiro chomwe chimawerengedwa ndipo ndi chifukwa chomukhalira dokotala. Matenda a shuga amakhala ngati matenda oopsa omwe odwala amafunikira kuwunika kuchuluka kwa shuga m'magazi. Mwakutero ndiye kuti shuga. Pali malamulo apadera omwe wodwala matenda ashuga ayenera kudalira. Izi zimakhudzidwa ndi ukalamba komanso zakudya, koma shuga wamagazi sayenera kukwera pamwamba pa 7 mmol / lita. Mapangidwe ake amasintha mosalekeza tsiku lonse. Ngati mutenga kusanthula mukangodya, ndiye kuti mlingo wake udzakhala wokwera. Chifukwa chake, magazi amayenera kuperekedwa m'mawa m'mimba yopanda kanthu. Kuchuluka kwa shuga m'magazi mwa akulu kumawerengedwa monga momwe zimakhalira 3.6-5.2 mmol / lita. Ngati wodwalayo adya chakudya, ndiye kuti kuchuluka kwake kumatha kukwera mpaka 6.8 mmol / lita. Monga lamulo, patatha maola ochepa, chizindikirocho chibwerera mwakale. Ndondomekozi zimagwira ntchito kwa munthu wazaka 14 mpaka 59. Mwa anthu opitilira makumi asanu ndi limodzi, gawo la shuga la magazi limasiyana kuchokera pa 4.6-6.5 mmol / lita.Mwazi wamagazi 7.7 - ndi chiyani
Makhalidwe wamba
Poyembekezera mwana, muyenera kuwunika kuchuluka kwa shuga m'magazi, chifukwa kuchuluka kwake kungakhudze kukula kwa mwana wosabadwayo. Chifukwa chake, mkazi ayenera kupereka magazi nthawi ndi nthawi, kotero madokotala amayang'anira thanzi lake.
Ngati kuchuluka kwa shuga m'magazi kukuwonetsa 7 mmol / lita imodzi kapena kuposerapo, muyenera kufunsa dokotala nthawi yomweyo ndikupita kuchipatala.
Amadziwika kuti kuwonjezeka kwa shuga m'magazi odwala matenda ashuga, thanzi lake limakulirakulira, ndipo zovuta zimatha kuchitika. Ndipo ngati simutenga miyambo yonse, ndiye kuti kufa kungachitike.
Pali zizindikiro zomwe mutha kuwona zomwe zikuwonetsa:
- Pakamwa pakamwa ndi ludzu losatha,
- chizungulire
- kuyaka khungu,
- kukodza mwachangu, makamaka usiku,
- kuchepa mawonekedwe
- amakonda matenda opatsirana pafupipafupi,
- machiritso olakwika pakhungu,
- kumwa mapiritsi alibe mphamvu.
Muzochitika izi, muyenera kuwona dokotala ndikuyezetsa magazi. Mukatsimikizira kuchuluka kwa shuga, ndikofunikira kuyambitsa mankhwala omwe angathandize kuchepetsa magazi. Muyenera kutsatanso zakudya za anthu odwala matenda ashuga, kuphatikiza mafuta ochulukirapo m'zakudya.
Kupatuka kwa shuga wamagazi kumatchedwa hyperglycemia. Pakati pa nthawi yake, shuga amadziunjikira, zomwe zimapangitsa kuti metabolic alephere. Munthu amayamba kugona, kutopa, nseru, ndipo nthawi zina, amakomoka.
Ngati, popereka kusanthula, shuga wamagazi ali ndi mtengo kuchokera pa 5.8 mpaka 7.8 mmol / lita, ndiye zomwe zimayambitsa izi zimayenera kufotokozedwa. Zinthu zosiyanasiyana zimatha kuyambitsa hyperglycemia.
- matenda ashuga
- kudya kwambiri, kuphatikiza chakudya chochuluka mwa chakudya,
- kupsinjika kwakukulu
- matenda osiyanasiyana opatsirana
- kumwa mankhwala ndi mahomoni,
- Kukonzekera bwino magazi.
Ngati shuga m'magazi ndi 7.7 mmol / L, izi zikutanthauza chiyani? Nthawi zambiri, ataganizira izi, amalimbikitsa kuti ayese mayeso pazomwe zimachitika ndi glucose ndi hemoglobin wa glycated.
Pambuyo pokhapokha izi zimapezeka ndi matenda a shuga. Odwala ayenera kuyendera endocrinologist pafupipafupi, kumwa mankhwala ndikutsatira zakudya zoyenera.
Chiwonetsero chowonjezeka cha shuga chamagazi chimayenera kuchepetsedwa.Ngati izi sizichitika, ndiye kuti matenda ashuga amayamba.
Amawonetsedwa ndi kusazindikira, kukomoka, kuwonongeka kwa mitsempha ndi ziwalo zamkati. Chifukwa chake, chisamaliro chamankhwala chofunikira.
Nthawi zambiri kusowa kwa chithandizo choyenera kumatha kudwalitsa wodwala yemwe ali ndi matenda ashuga.
Zotsatira zakuyesa
Kuti mupeze zotsatira zodalirika, odwala matenda ashuga amalimbikitsidwa kupereka magazi m'mawa komanso nthawi zonse pamimba yopanda kanthu.
Chakudya chamadzulo chikuyenera kukhala maola 10 asanafike ku ma laboratori.
Madzulo, tikulimbikitsidwa kuti musamamwe zakudya zopanda mafuta ambiri, simungamwe mowa komanso zakumwa zomwe zimakhala ndi caffeine.
Kuyesedwa kwamtunduwu kumathandiza kuzindikira mkhalidwe wa kagayidwe m'thupi, kupatuka pamakhalidwe abwinobwino, kuzindikira prediabetesic syndrome ndi mtundu 1 kapena mtundu wa 2 shuga.
Mwa anthu wamba, mndandanda wamtundu wa glycemic wopereka magazi m'mawa uli pafupifupi 3.2-5,5 mmol / L. Ngati chizindikirochi chikuwonjezereka, ndiye kuti mumapezeka wodalirika, kuwunika kwachiwiri ndikuwunikanso. Kuyesedwa kwa glucose kumakupatsani mwayi wodziwa kukula kwa glycemia.
Kuyesedwa kumachitika motere:
- Amachita mwachangu zitsanzo za magazi.
- Pambuyo pa izi, wodwalayo ayenera kumwa osakaniza a shuga.
- Ndiye kutenga magazi theka lililonse la ola, mpaka maola awiri (maulendo 4).
Kutengera zotsatira za mayeso, kufufuza kumachitika. Mlingo wa shuga m'magazi umafika mpaka 7.5 mmol / L - izi zikutanthauza mtengo wabwinobwino, ngati mtengo wake umachokera ku 7.6 mpaka 11.0 mmol / L - ichi ndi prediabetes, mitengo yomwe ili pamwambapa 11.1 imawerengedwa ngati chizindikiro cha matenda.
Komabe, kuyesaku sikokwanira - ndikofunikira kudziwa mulingo wa hemoglobin wa glycated, popeza matenda osokoneza bongo amatha kuwoneka mwanjira yaposachedwa ndipo samawonetsa zikwangwani popereka magazi.
Kuti muwone ngati shuga m'magazi anali kukulira, kuwunika kumachitika potsatira kuchuluka kwa hemoglobin ya glycated.
Zotsatira zake zikuwonetsa kuchuluka kwa hemoglobin yomwe imakhudzidwa ndimomwe mankhwala amapanga ndi glucose.
Maphunziro owonjezera pakuwunikira sofunikira, munthu amatha kudya, kumwa, kuchita masewera olimbitsa thupi. Kumwa mankhwala ndi zokumana nazo zamavuto sizimakhudzanso zizindikiro.
Mwa munthu wabwinobwino, mulingo wa chinthu ichi uyenera kukhala m'magulu a 4.5-5.8%. Mtengo wowonjezereka ukuwonetsa kukula kwa matenda ashuga.
Ngati gawo ili litafika pachizindikiro pamwamba pa 6.5%, ndiye kuti izi zikutanthauza chinthu chimodzi - pali hemoglobin yambiri m'magazi yophatikizidwa ndi shuga.
Ngati kuwerengera kwa shuga kumangowonjezereka (kupitirira 7.8-11.1 mmol / L), ndiye kuti matenda a shuga amanenedweratu. Kupatula apo, zopezeka m'magazi zimasokonekera, njira ya metabolic. Ndi deta yotere, matenda a shuga a 2 amapezeka nthawi zambiri.
Njira Zochepetsera Glucose
Pachiwopsezo cha matendawa, shuga m'magazi akafika pamtengo wa 8-11 mmol / l, ndikofunikira kupita kwa endocrinologist kuti mukalandire malangizo potsatira.
Izi magawo akusonyeza zovuta kagayidwe kachakudya. Ngati simutenga mbali zonse, ndiye kuti munthu amatha kudwala matenda oopsa ngati matenda a shuga.
Zikatero, ndikofunikira kuti muchepetse thupi pang'ono. Wopatsa thanzi azithandiza kukhazikitsa zakudya.
Ndi prediabetes, tikulimbikitsidwa kuti tichotse zinthu zamkaka kuchokera ku chakudya, chifukwa zimakhudza kutuluka kwa insulin kulowa m'magazi.
Ndikofunikanso kusiya zinthu zina zomwe zimathandizira kuti pakhale shuga m'magulu akulu.
- dzungu, mbatata, zukini,
- mavwende, zinanazi, zoumba, zipatso,
- wokondedwa, shuga, maswiti,
- chimanga: oatmeal, mpunga,
- pasitala, muffin,
- chiwindi
- batala
- mayonesi.
Pakakhala chiwopsezo cha matenda a shuga, zakudya zimayenera kukhala: nyama ndi nsomba zamitundu yamafuta ochepa, buledi wochokera ku ulusi wopaka bwino, wololedwa masamba ndi zipatso, chimanga, mazira ndi amadyera. Ngati mutsatira zakudya, monga lamulo, patapita nthawi, kulemera kwa wodwalayo kumachepa, ndipo index ya glycemic imabwereranso mwakale.
Ngati palibe contraindication, ndiye bwino kuti odwala matenda ashuga azichita masewera olimbitsa thupi mopepuka tsiku ndi tsiku. Mwanjira imeneyi, kagayidwe kachakudya kamayenda bwino ndipo kunenepa kwambiri kumachepetsedwa.
Anthu omwe ali ndi matenda ashuga m'banjamo, omwe ali ndi shuga wambiri m'magazi, amalamula kuti achepetse mankhwala ochepetsa shuga kuti athetse chiwopsezo chotenga matenda. Kupatula apo, matendawa amatha kubadwa nawo.
Kutsatira malingaliro onse a dotolo, kudya ndi kukhalabe ndi moyo wabwino kumathandiza kupewa matenda akulu. Kulephera kuyendetsa shuga m'magazi kumatha kuvulaza thupi ndikuyambitsa zovuta zazikulu.
Kodi ndi liti pamene munthu angakulitse shuga?
Nthawi zambiri, kuwonjezeka kwa shuga glucose (hyperglycemia) kumachitika chifukwa cha matenda ashuga. Odwala omwe ali ndi matendawa, kukhazikika kwa shuga m'magazi kumachitika pogwiritsa ntchito magawo atatu:
- Mankhwala akutengedwa.
- Zakudya.
- Kuchuluka kwa zolimbitsa thupi.
Odwala omwe ali ndi matenda a shuga, pamankhwala, kuwonjezereka kwa glycemia kumatha kuchitika motere:
- Kugwiritsa ntchito zakudya zomwe zili ndi chakudya chamagulu ambiri. Munthu yemwe ali ndi matenda ashuga samatha kudya michere yambiri, amasanduliza mphamvu.
- Kuperewera kwa mankhwala ochepetsa shuga.
- Zochita zolimbitsa thupi zochepa kuposa masiku onse.
- Kuvulala kapena opaleshoni.
- Kudzimva kuwawa.
- Kuthetsa madzi m'thupi.
- Kumwa mowa.
- Mavuto.
- Zosintha zina zatsiku ndi tsiku.
- Kumwa mankhwala ena ake.
- Kulowetsedwa bwino kwa insulin pamalo a jakisoni.
- Insulin yosauka (mwachitsanzo, kutha kapena kutenthedwa ndi kutentha kwambiri).
Hyperglycemia imatha kupezeka mwa anthu opanda matenda a shuga. Monga lamulo, mawonekedwe ake amagwirizanitsidwa ndi:
- Kumwa mankhwala ena (monga corticosteroids, beta blockers).
- Matenda owopsa (kugunda kwa mtima, sitiroko).
- Kuchepa kwa pituitary, chithokomiro komanso adrenal gland.
- Matenda osiyanasiyana a kapamba.
- Matenda opweteka kwambiri (mwachitsanzo, sepsis).
- Zilonda za chapakati mantha dongosolo (encephalitis, zotupa mu ubongo, intracerebral hemorrhage, meningitis).
- Opaleshoni yayitali.
Kodi zizindikiro za hyperglycemia ndi ziti?
Ngati munthu ali ndi kuchuluka kwa shuga m'magazi, nthawi zambiri amakhala ndi zizindikiro zotsatirazi:
- Ludzu lalikulu ndi njala.
- Kukodza mwachangu ndi polyuria.
- Kutopa
- Zowonongeka.
Pambuyo pake imayamba:
- Zipatso zimanunkhiza mpweya.
- Kupweteka kwam'mimba.
- Kupumira mwachangu.
- Zofooka zambiri.
- Kusanza ndi kusanza.
- Chisokonezo.
- Kutha kwa chikumbumtima (chikomokere).
Hyperglycemia yomwe imatenga nthawi yayitali imatha kuchepetsa kuchepa kwa thupi komanso matenda opatsirana (mwachitsanzo, cystitis pafupipafupi, zotupa pakhungu).
Zoyenera kuchita ngati shuga m'magazi ndi 7.0 mmol / L?
Mukamasulira zotsatira za kuyezetsa magazi kwa glycemia, ndikofunikira, makamaka, kuganizira za kukhalapo kwa matenda ashuga mwa munthu amene wapimidwa. Mtengo wabwinobwino wama glucose pakalibe shuga ndi 3.3 - 5.5 mmol / L.
Magulu a glycemia amatha kusiyanasiyana tsiku lonse, ngakhale mwa anthu athanzi. Pochita izi, izi zikutanthauza kuti munthu amene akuwona zotsatira za kusanthula kwa 7.0 mmol / l sayenera kuchita mantha nthawi yomweyo.
Kuti mutsimikizire kuti mukudwala matenda ashuga, mukufunikabe kuyesa mayeso angapo.
Choyamba muyenera kuganizira pamene kusanthula uku kunachitika - pamimba yopanda kanthu kapena mutatha kudya. Chowonadi ndi chakuti mutatha kudya glycemia imachuluka, mpaka kufika pazokwanira pafupifupi ola limodzi.
Zina, monga mantha kapena kupsinjika, zitha kukhala ndi zotsatirapo zina pazotsatira zake. Komabe, simunganyalanyaze shuga uyu, makamaka ngati akuphatikizidwa ndi zizindikiro za matenda ashuga.
Munthu amene ali ndi shuga 7.7 mmol / l ayenera kuyesedwanso, kuwona kusala kudya kwa maola 8.
Mungafunikenso kuyesedwa kwa glucose, pomwe wodwalayo amamwa yankho la shuga, ndipo kuwunikirako kumachitika 1 ndi 2 pambuyo pake. Ngati zotsatira zake zikuwonetsa pambuyo pa ola limodzi
Mukamaunika zotsatira za kuyezetsa magazi mwa anthu omwe ali ndi matenda ashuga, amaganizira kuti kuchuluka kwa shuga, ngakhale ndi chithandizo chokwanira, nthawi zambiri kumachulukitsidwa.
Pochita izi, zikutanthauza kuti kuchuluka kwa shuga m'magazi osakwana 7.2 mmol / L kumawonetsa kuwongolera bwino matendawa.
Ngati mulingo woposa 7.2 mmol / l, ndiye kuti wodwalayo ayenera kufunsa dokotala kuti akonze zakudya zopatsa thanzi, zolimbitsa thupi, kapena zamankhwala.
Kuti mumvetse bwino kuchuluka kwa shuga m'magazi 2 mpaka 3 am'mbuyomu, chizindikiritso cha glycosylated hemoglobin chimagwiritsidwa ntchito. Nthawi zambiri, mwa anthu athanzi labwino sayenera kukhala apamwamba kuposa 5.7%, ndipo odwala omwe ali ndi matenda ashuga ayenera kukhala
Chithandizo cha Hyperglycemia
Mulimonsemo, kukhalapo kwa hyperglycemia kuyenera kukambirana ndi dokotala yemwe akuwonetsa zomwe zimayambitsa, akufotokozera chithandizo chofunikira ndikuwonetsa kusintha kwatsatiridwe m'moyo:
- Kusintha kwa zakudya, komwe kumalangizidwa kuti musamadye zakudya zomwe zimayambitsa glycemia.
- Kumwa madzi okwanira.
- Zochita zolimbitsa thupi pafupipafupi.
Mulingo wa shuga wamagazi 7: tanthauzo ndi zomwe muyenera kuchita, momwe mungakhazikitsire kuwerenga kwa shuga
Kuti thupi la munthu lizigwira ntchito moyenera, liyenera kulandira zinthu zokwanira, kuphatikizapo shuga. Ichi ndi chinthu chomwe chimapatsa maselo mphamvu 50%. Koma ngati kuchuluka kwa glucose kuchulukirapo, kumakhala ndi zotsatirapo zosasangalatsa zaumoyo.
Kuti muwone kuchuluka kwa shuga m'thupi, muyenera kupereka magazi kuti muunike. Chizindikiro chotsatira cha 7 mmol / L ndi chizindikiro cha alamu chomwe chingawonetse mavuto omwe angakhale ndi carbohydrate metabolism.
Kuti mudziwe ngati kupatuka kotereku kumakhala kwakanthawi kochepa kapena kwakanthawi, chifukwa cha zolimbitsa thupi, ndikofunikira kuyesanso. Shuga akamakulitsidwa kukhala 7 mmol / L ndipo pamwambapa, ayenera kuchitapo kanthu kuti zithandizenso.
Izi zikuthandizira kupewa kupitilira kwa hyperglycemia komanso kupewa matenda ashuga.
Zomwe zimachitika mwa akulu ndi ana
Pali zinthu zosiyanasiyana zomwe zimapangitsa kuti magazi azikhala ndi shuga: Chizindikirochi chimayeza mu mmol / L. Munthu wathanzi labwino ayenera kukhala ndi glucose pamimba yopanda kanthu - 3.3-5.5.
Miwerengero yamagazi ya capillary ndiyotsika 20% poyerekeza ndi omwe amachokera mu mtsempha. Mukatha kudya chakudya (makamaka chakudya champhamvu kwambiri), kuchuluka kwa zinthu m'magazi kumatha kukwera mpaka 6.9-7. Koma chizindikirocho sichikuyenera kukwera pamwamba.
Okalamba (atatha zaka 60) amatha kukhala ndi shuga ya 4.7-6.6. Mwa amayi apakati, kuwonjezeka pang'ono kwa zinthu m'magazi kumatha kukhala kosinthasintha kwakuthupi. Koma kuchuluka kwa shuga kwa 7.0 kapena kuposa pamenepo ndi chifukwa chofunsa dokotala posachedwa.
Momwe shuga limakhalira mwa ana:
Kuyesa kwa shuga m'magazi
Pofuna kuti musasemphane ndi kuchuluka kwa matenda omwe amachitika ndi hyperglycemia, ndikofunikira kuwunika nthawi zonse. Zambiri zodalirika zitha kupezeka ndikupereka magazi kuti ayesedwe ma labotale.
Choyamba muyenera kukonzekera kuyesedwa kwa magazi:
- Tengani chakudya osapitirira maola 8 musanatengere magazi.
- Tsikulo, musasambe mano, musagwiritse chingamu.
- Nthawi yovomerezeka kwambiri yopanga kafukufuku ndi maola 8-11 m'mawa.
- Pewani kudya zakudya zamafuta masiku ochepa musanayesedwe.
- Tsiku lisanafike kusanthula, musayendere bafa, bafa, musamayendetse kutentha.
- Chepetsani zolimbitsa thupi.
- Lekani kumwa mankhwala pasadakhale, ngati izi sizingatheke, ndiye kuti muuzeni adotolo.
Onani kuwunikira kwa ma glucose amakono popanda kudulira chala chanu, komanso phunzirani malamulo ogwiritsira ntchito chipangizocho.
Werengani za kukula kwa chithokomiro cha chithokomiro mwa akazi komanso zifukwa zomwe kukulitsa ziwalo adilesi iyi.
Poyesa kulolera kwa glucose, kuyezetsa magazi "kolemetsa" kumachitika. Kuti muchite izi, choyamba tengani magazi pamimba yopanda kanthu. Kenako wodwalayo amamwa yankho la shuga (75 g pa kapu imodzi yamadzi).
Pambuyo maola 2, magazi amatengedwanso. Panthawi imeneyi, muyenera kupuma, osadya, osamwa mowa. Mukayika, shuga amatha kudumpha mpaka 7.8.
Ngati ili m'magawo a 7.8-11, izi ndi chiwonetsero cha kulolerana kwa glucose (NTG).
Pambuyo pa zaka 40, muyenera kuyang'ana shuga wanu wamagazi kamodzi kawiri pachaka chifukwa cha chiwopsezo chachikulu chotenga matenda ashuga pambuyo pakutha kwa zaka.
Kuti mupenyetsetse shuga wamagazi, ndikofunikira kuti mugule glucometer. Izi zipangitsa kuti athe kuyeza kuchuluka kwa zinthuzo kangapo patsiku, ngati pakufunika kutero.
Chipangizocho chili ndi chiwonetsero, komanso chocheperako pakupyoza khungu. Dontho loyamba la magazi mutatha kukwapula liyenera kuchotsedwa, ndipo lachiwiri limayikidwa pa mzere woyeserera. Asanabbole, chala cham'manja chimafunika kuyeretsa.
Pambuyo masekondi angapo, zotsatira zoyeserera zimawonekera pazowonetsedwa.
Tcherani khutu! Shuga pafupifupi 7.0 mwa ana ndi chizindikiro chodziwika bwino cha hyperglycemia, chomwe chimafunikira kukonzedwa mwachangu.
Mwazi wa Magazi 7: Kodi Zikutanthauza Chiyani
Pa chakudya, chakudya chamagulu m'thupi chimalowa m'thupi. Ngati munthu alandira chakudya champhamvu mwachangu, ndiye kuti glycemia imakwera mwachangu mokwanira.
Pofuna kuti mafuta obwera asinthe akhale glucose ndikulowa m'maselo, ndikawakwaniritsa ndi mphamvu, kapamba ayenera kupanga insulin mokwanira.
Amatenga shuga m'magazi, ndikusunga kuchuluka kwake m'matumbo am'mimba ndi chiwindi.
Ngati kusanthula kungavumbulutse kuchuluka kwa shuga wa 7 mmol / L, izi zikuwonetsa kuchepa kwamphamvu kwa maselo ndi kulimba kwa mphamvu yawo. Zotsatira zoterezi ndi chifukwa chofufuzira mobwerezabwereza kuti mutsimikizire kuti si matendawo, koma chakanthawi.
Ngati mayeso achiwiri akuwonetsa zotsatira zabwinoko, ndiye kuti palibe chifukwa chosangalalira. Ngati kusala kudya kwamwazi ndi 7, ndiye kuti ndi alarm. Ikhoza kukhala chozungulira cha matenda ashuga omwe angayambike. Ndiye kuti pali kuphwanya kale chakudya chamafuta.
Zifukwa zakuchulukirako kwakanthawi kwa shuga
- kuchita zolimbitsa thupi kwambiri tsiku loyambirira la mayeso,
- kusokonezeka kwa malingaliro
- kumwa mankhwala ena
- kudya kwambiri
- mimba
Pezani malangizo ogwiritsira ntchito mapiritsi a Clamin phytolone pochiza matenda a m'mimba.
Werengani za momwe mungakonzekerere poyeserera mahomoni ogonana ku gynecology adilesi iyi.
Pa tsamba http://vse-o-gormonah.com/lechenie/narodnye/koritsa-pri-diabete.html werengani zomwe zanenedwa pamalamulo ogwiritsira ntchito sinamoni pochiza matenda a shuga a 2.
Zizindikiro za shuga wambiri:
- ludzu lochulukirapo
- Khungu
- polyuria
- chizungulire
- kufooka
- kutopa,
- kusinthika khungu kusawonongeka,
- kupezeka kwa ma pustule ndi zithupsa,
- kuwonongeka kwamawonekedwe.
Kukonza kwa zizindikiro
Momwe mungachepetse shuga? Chizindikiro pa 7 ndi cholozera chamalire chomwe chingasinthidwe popanda kugwiritsa ntchito mankhwala. Choyamba, muyenera kusintha zakudya.
Ndi hyperglycemia, zakudya zamafuta ochepa zili bwino. Mfundo zake:
- osamadya chakudya choposa 120 g patsiku,
- chotsani zakudya zakudya zomwe zimasinthidwa mwachangu kukhala shuga m'thupi (maswiti, makeke, pasitala, mbale zokhala ndi wowuma),
- Idyani mpaka katatu patsiku, makondedwe azikhala ochepa,
- nthawi yomweyo
- yambitsani zatsopano pang'onopang'ono, mutatha kuzigwiritsa ntchito yang'anani kuchuluka kwa shuga ndi glucometer.
Mukamalemba menyu, muyenera kuganizira mndandanda wazinthu zamtundu wa glycemic (GI).Ndi shuga wambiri, ndibwino kupatsa chakudya ndi GI yotsika.
Kuchita masewera olimbitsa thupi moyenera kumathandizira kuchepetsa shuga. Zolimbitsa thupi zimayenera kusankhidwa poganizira zomwe zimachitika mthupi.
Mlingo wa shuga pa 7, womwe umagwira kwa nthawi yayitali - mkangano wachitsulo wolumikizana ndi endocrinologist.
Nthawi zina, ikhoza kukhala chizindikiro cha matenda obwera ndi matenda a shuga kapena mavuto ena ndi endocrine system, komanso matenda am'mimba.
Ngati simuzindikira panthawi yake ndikukhazikika kwa hyperglycemia, ndiye kuti mtsogolo mutha kudutsanso mavuto ena akulu azaumoyo.
Kuchokera kanema wotsatira, mutha kuphunzira za momwe mungakhazikitsire shuga m'magazi:
Momwe mungafotokozere shuga 7: momwe zimatanthauzira, thandizo loyamba
Zolimbitsa thupi, thupi la munthu liyenera kulandira zinthu zambiri, kuphatikizapo shuga. Ndikofunikira chifukwa zimapereka mphamvu 50%.
Komabe, ngati pali shuga wambiri m'magazi, izi zitha kukhala ndi zotsutsana, kuvulaza thanzi lathu.
Chifukwa chake, aliyense amene wakumana ndi vuto la shuga wambiri ayenera kudziwa momwe angachitire izi.
Munthu asanadziwe kuti kuchuluka kwake kwa glucose ndikokwezeka kapena ayi, ayenera kuchita mayeso apadera - perekani magazi a capillary kuchokera pachala kuti muwoneke.
Kuti mayeso a shuga awonetse zotsatira zodalirika, musanapite kuchipatala, simuyenera kudya kapena kumwa kwa maola angapo. Ndikulimbikitsidwanso kuti musamadye zakudya zotsekemera ndi zochuluka patsiku.
Kupenda kungawonetse anthu ena kukhala ndi shuga wambiri ngati ali ndi matenda opatsirana. Chifukwa cha izi, odwala oterewa sanatchulidwe kuti aperekedwe.
Mwa munthu wamkulu, shuga wa 3.3-5,5 mmol / l kapena 60-100 mg / dl amadziwika kuti ndi wabwinobwino. Ngati zotsatira zikusonyeza glucose woposa 5.5, ndiye kuti titha kunena kuti shuga wambiri.
Ichi ndi chifukwa chabwino chakuonera dokotala yemwe angakupatseni malangizo. Zizindikiro izi zimayenera kuyang'aniridwa pazovuta zonse, chifukwa zimawonetsa kukhalapo kwa matenda ena ake.
Ngati magazi ochokera m'mitsempha aperekedwa kuti aunikiridwe, ndiye kuti shuga wabwinobwino amasiyana chifukwa chake amakhala 4.0-6.1 mmol / l.
Vutoli limakhala lovuta kwambiri ndi amayi apakati, omwe thupi lawo limakonda kwambiri shuga. Kupatula apo, amafunikira mphamvu osati zanu zokha komanso kwa mwana. Chifukwa cha izi, panthawi yoyembekezera, kuchuluka kwa shuga kokwanira kukwera ndipo kudzakhala 3.8 - 5.8 mmol / L.
Amayi oyembekezera pakatha masabata 24 mpaka 28 ayenera kukhala atcheru makamaka ndi thanzi lawo.
Uli pakali pano pali mwayi wokhala ndi matenda ashuga mwa amayi apakati kapena matenda ashuga. Nthawi zina zimadutsa zokha, ndipo nthawi zina matenda a shuga amatha kumana ndi komwe adayambira.
Pachifukwa ichi, ndikofunikira kuwunika pafupipafupi kuchuluka kwa shuga kwa amayi apakati.
Kwa ana ochepera zaka chimodzi, kuchuluka kwa shuga m'magazi a 2.8-4.4 mmol / L kumawerengedwa monga abwinobwino, mpaka zaka 5 - 3.3-5.0 mmol / L. Mwa ana okulirapo, zizindikiro zomwe zimagwiritsidwa ntchito kwa akuluakulu zimatengedwa pamlingo wabwinobwino wamagazi.
Chifukwa chiyani shuga imatha kukwera?
Mu thupi laumunthu, mumaperekedwa njira zina zapadera zomwe zimakupatsani mwayi wambiri wamagazi m'magazi.
Nthawi zambiri mutatha kudya kuchuluka kwake kumayamba kuchuluka kwambiriKomabe, thupi limasintha zinthu mwachangu ndikusintha kukhala wowuma wanyama - glycogen.
Izi zimasungidwa ngati malo osungirako chiwindi ndi minofu ndipo zimagwiritsidwa ntchito ngati pakufunika.
Ngozi yazaumoyo imachitika pamene njira izi zimasiya kugwira ntchito moyenera.
Pankhaniyi, kusintha kwa shuga m'magazi kumachitika: ndi kuchepa, hypoglycemia imayamba, ndi kuchuluka - hyperglycemia.
Magulu awiri azomwe zimayambitsa zingayambitse kuchuluka kwa shuga m'magazi: zokhudza thupi komanso za m'magazi.
Zokhudza thupi
- kuperewera kwa zakudya m'thupi
- mavuto
- mimba
- zolimbitsa thupi.
Kuwonjezeka kwa shuga m'magazi kungakhale chifukwa cha kukhalapo kwa matenda ena:
- matenda ashuga
- matenda ena amkati wamanjenje,
- thyrotoxicosis,
- acromegaly
- matenda a impso
- myocardial infarction, etc.
Zomwe zimapatsa thanzi za hyperglycemia
Ngati munthu wapezeka ndi hyperglycemia, ndiye kuti ayenera kusinthana ndi zakudya zapadera posachedwa, zomwe zimatengera kugwiritsidwa ntchito kwa zinthu zomwe zimakhala ndi shuga komanso michere ina, makamaka mosavuta kugaya.
Lamulo linanso lokhudza chakudyachi limaphatikizapo kuchepetsa kudya kwa calorie.
Choyamba, lamulo ili ndilofunika kwa iwo vuto la kunenepa kwambiri limatchulidwa.
Mukamasankha zakudya zama calorie ochepa, muyenera kuganizira kuti nawo thupi liyenera kulandira mavitamini ndi michere yokwanira.
Atazindikira kuchuluka kwa shuga m'magazi, odwala ayenera kutsatira mosamalitsa chakudyacho.
Sizofunikira kungosunga nthawi yakudya, komanso kuwonjezera kuchuluka kwawo mpaka 5-6 patsiku.
Muyenera kuyang'anira kukula kwa ma seva, omwe ayenera kukhala ochepa, izi zikuthandizani kuti musamadye kwambiri.
Zimakhala zovuta kuti munthu wamba azitha kupeza yekha zakudya zoyenera. Chifukwa chake, muyenera kufunafuna thandizo kuchokera kwa katswiri. Ndikulakwitsa kuganiza kuti muyenera kungosankha zogulitsa izi, Zogwirizana ndi kuchuluka kwa zopatsa mphamvu komanso zomwe zimakhala ndizakudya.
Mukamalemba menyu, zinthu zinanso ziyenera kukumbukiridwa: kulemera, kukula kwa kapangidwe ka mafuta, kukhalapo kwa matenda owonjezera, momwe thupi limachitikira pazinthu zina.
Mukamawerengera kuchuluka kwa zakudya, chidwi chimaperekedwa ku chikhalidwe cha ntchitoyo komanso kuchuluka kwa zochita zolimbitsa thupi.
Katundu Woletsedwa
Anthu omwe ali ndi shuga wambiri ayenera kusiya kudya zakudya zina. Komabe, sikuti aliyense angangochita. Chifukwa chake, mutha kukambirana nkhaniyi ndi dokotala.
Ndikotheka kuti atha kupereka njira kuti atuluke. Ndi shuga wowonjezereka, muyenera kupatula malondayokhala ndi chakudya chambiri.
Mndandandawu mwachikhalidwe umaphatikizapo shuga, kusunga, confectionery, mphesa, mphesa, nkhuyu, ndi zina.
Kuti kukana kwathunthu maswiti sikumabweretsa vuto, iwo akhoza m'malo ndi uchi. Komabe, apa ndikofunikanso kuti mupeze muyeso, osatha kupitiliranso katatu patsiku, supuni imodzi iliyonse.
Zinthu Zowonetsedwa
Kukhazikika kokha kosinthira pachakudya sikutanthauza kuti muyenera kuchepetsa kuchuluka kwa zinthu zonse popanda zina. Mitundu yambiri yamasamba ndi othandiza, chifukwa chake imatha kudyedwa mulimonse. Koma ndi kaloti ndi beets muyenera kusamala.
Chifukwa cha zovuta zapadera, ndikofunikira kuti muziphatikize muzakudya atakambirana ndi adokotala. Mitundu yambiri yamafuta imakhala yolandidwa pamenyu, pomwe thupi limalandira mavitamini ambiri athanzi.
Mutha kuphatikiza zosankha zosiyanasiyana, gwiritsani anyezi, parsley, katsabola, saladi ndi cilantro kukonzekera mbale zingapo.
Pofuna kusiyiratu zogulitsa zophika mkate, muyenera kulabadira zamitundu mitundu ya buledi wokhala ndi chakudya chochepa kwambiri. Awa ndi rye, protein-chinangwa ndi protein-tirigu-tirigu.
Monga gawo la mkate wa mapuloteni ulipo chinthu chapadera - gluten, kapena gluten. Komabe, nthawi zina tsankho la gluten nthawi zambiri limawonedwa mwa odwala omwe ali ndi matenda a shuga a 2.
Chifukwa chake, muyenera kuyang'ana mkhalidwe wanu mutatha kudya mkate wotere.
Ngati sizikukuyenderani bwino, zomwe zimabweretsa zosasangalatsa m'matumbo am'mimba, ndiye kulumikizana ndi dokotala kuti akusankhire njira inanso.
Thupi lanu liyenera kulandira 40% ya chakudya tsiku lililonse. Mwanjira ina, ngati mukamacheza ndi katswiri mwaphunzira kuti ndi magalamu 300, ndiye kuti muyenera kudya 130 g mkate tsiku lililonse.
Zipatso zina zimatha kuwonongeka. Izi makamaka zimanena nthochi chifukwa cha shuga wambiri.
Maapulo amadziwika kuti ndi otetezeka kwa shuga ambiri, mapeyala, plums, mapichesi ndi ma apricots, komanso zipatso zosiyanasiyana.
Kuchokera pa timadziti, tikulimbikitsidwa kuti tisankhe mwatsopano wofinya, kapena omwe adakonzedwa pogwiritsa ntchito zotsekemera.
Mukamakonza menyu, musaiwale kuti iyenera kukhala ndi zinthu zochepa zamafuta komanso zomanga thupi. Malinga ndi izi, patebulo panu nthawi zonse pazikhala nyama zosapsa, nkhuku, nsomba, masamba amafuta, zakudya zamkaka, tchizi ndi tchizi cha kanyumba.
Mukamasankha zakumwa zoledzera tsiku lililonse, ndikofunikira kuti muzitha kumwa zakumwa zosaphika ndi decoction yamtchire yamtchire.
Zomakoma
Masiku ano, m'masitolo akuluakulu mumapezeka zinthu zambiri, zomwe mungapeze zina zomwe, ngakhale ndizokoma, sizikhala ndi glucose.
Itha kugwiritsidwanso ntchito kuphika, komwe shuga akuwonetsedwa mu kuchuluka kwa zosakaniza. Musamale kwambiri mukamagula zinthu zomalizidwa., onetsetsani kuti mumazolowera mawonekedwe awo.
Muyenera kugwiritsa ntchito okhawo omwe amatsekemera.
Nthawi zambiri, xylitol imagwiritsidwa ntchito kugulitsa zakudya. Izi zotsekemera ndi chipatso cha kukonza mbewu za thonje ndi zipatso za chimanga.
Ndizotsekemera ngati shuga wokhazikika, koma mosiyana ndi iwonso, sikukula magazi. Ndibwino kuti muzidya chifukwa chokhala ndi zopatsa mphamvu zochepa: 100 magalamu a chinthu ichi ali ndi makilogalamu 400.
Koma ziyenera kukumbukiridwa kuti anthu ena akhoza kukhala osalolera wa xylitol, omwe amatha kuwonetsedwa mu mawonekedwe a choleretic komanso mankhwala ofewetsa tuvi tolimba.
Wolemera gwero la fructose ndi zipatso, zipatso ndi uchi. Ili ndi njira yabwino kwambiri yotsekemera, koma muyenera kuidya pang'ono. Kenako, ngakhale zingapangitse kuchuluka kwa glucose, alibe mphamvu.
Shuga ya magazi 11: chochita
Chizindikiro chazovuta za shuga ndikukwera kowopsa m'magazi a magazi.
Mavuto akulu kwambiri otere angayambire anthuwaamene sakudziwa zavutoli.
Chifukwa chake, mverani zomwe zasintha mu thanzi lanu, makamaka makamaka zotsatirazi:
- kukodza pafupipafupi
- njala yosalekeza ndi nseru,
- kamwa yowuma
- wowoneka bwino komanso wowoneka bwino
- kupweteka mutu ndi m'mimba,
- kufooka ndi kusakwiya
- akumva kutopa kwa acetone.
Ngati mukumana ndi zomwezi mwa omwe ali pafupi, muyenera kudziwa zoyenera kuchita ngati muli ndi vuto ili - muyenera kuyitanira ambulansi nthawi yomweyo. Kuyembekezera kubwera kwa madotolo, musataye nthawi pachabe: munthu ayenera kuyikidwa m'malo opumira.
Pomaliza
Kuchuluka kwa shuga m'magazi ndi chizindikiro chachikulu chomwe chikuyenera kukupangitsani kuganiza kuti china chake sichili bwino ndi thanzi lanu.
Wina angaganize kuti palibe cholakwika ndi izi ndipo zonse zitha, Komabe, machitidwe oterewa alibe zotsatira.
Nthawi zina, izi zitha kukhala poyambira kukulitsa matenda a shuga, ndipo ngati simupita nawo mwachangu, mutha kukumana ndi zizindikiro zazikulu kwambiri.
Kuchuluka kwa shuga kwa magazi kumawonetsa kuti muyenera kuonetsetsa zakudya zanu mwachangu. Ndizomveka kuganiza kuti chidwi chiyenera kulipidwa pazinthu zokhala ndi shuga.
Choyamba, ndikofunikira kusiya shuga, ndikupeza zofunikira m'malo mwake.
Koma, poti tonsefe sitimadziwa komwe ngozi ingachokere, simuyenera kungoganiza mwachangu ndikudzilemba menyu nokha, koma ndibwino kulankhulana ndi katswiri nthawi yomweyo.