Kodi matenda ashuga ali bwanji mwa amuna ndi akazi - zizindikiro zoyambirira ndi kuwazindikira

Matenda a shuga ndi matenda omwe amayambitsidwa ndi vuto la shuga. Amadziwika ndi shuga yamagazi ambiri. Munkhaniyi, muphunzira zizindikiro 7 zomwe zikuthandizeni kuzindikira matenda ashuga.

Momwe mungazindikire matenda a shuga si funso chabe. Tonse tidamva za matenda owopsa, ambiri ali ndi anzawo omwe ali ndi matenda ashuga. Mwachilengedwe, tili ndi lingaliro lina mwazonse za matendawa, ndipo nthawi zina timayamba kudzikayikira patokha. Anthu omwe samatsata zakudya zopatsa thanzi, monga maswiti, makeke, ndi zina zambiri, amamva machenjezo oti moyo wotere ungayambitse matenda a shuga.

Kodi muyenera kudziwa chiyani kuti muzindikire shuga?

Kuti muthane bwino ndi matenda, muyenera kudziwa zomwe tikulimbana nazo. Tikadziwa zambiri za izi, timatha kulimbana nazo bwino.

Matenda a shuga nthawi zambiri amakhudza anthu azaka zapakati pa 40 ndi 60. Mu gawo loyambalo, matendawa nthawi zambiri samadzipangitsa kumva, ndipo kuti akudwala, munthu amaphunzira pokhapokha atakumana ndi zovuta zina kapena atamuyeza.

Matenda a shuga ndi matenda osachiritsika, ndizosatheka kuti achotse mokwanira mawonekedwe ake. Amadziwika ndi kuchuluka kwa shuga (shuga) m'magazi, omwe amapezeka chifukwa chosakwanira kupanga insulini kapena chifukwa chakuti maselo amthupi lathu amasiya kuyankha moyenera ku insulin.

Kuyesedwa kwa magazi ndikofunikira kuti mupeze matenda a shuga. Kuzindikira koteroko kumapangidwa pamene kuchuluka kwa glucose m'magazi kudutsa 125 mg / dl. Pali mitundu ingapo ya matenda ashuga:

• Mtundu woyamba wa shuga. Mwanjira imeneyi, kapamba amatulutsa insulin yochepa kwambiri kapena samatulutsa konse. Odwala otere amafunika jakisoni wa insulin mosalekeza. Muyeneranso kutsatira zakudya zabwino.
• Type 2 shuga. Mu mtundu uwu wa matenda ashuga, thupi silingagwiritse ntchito bwino insulin yomwe imapangidwa ndi kapamba. Matenda a shuga a Type 2 amapezeka kwambiri mwa anthu achikulire, komanso kwa anthu okhazikika komanso okhalamo.

Pazithandizo zake, insulin ndi mankhwala omwe amachepetsa shuga ya magazi amagwiritsidwa ntchito. Muyenera kuchitanso masewera olimbitsa thupi ndikudya moyenera.

• Matenda a shuga. Matenda amishuga amakula mwa azimayi omwe ali ndi pakati. Nthawi yomweyo, insulini "imalepheretsa" mahomoni oyembekezera. Matenda a shuga amtunduwu nthawi zambiri amapezeka mwa azimayi opitirira zaka 25, makamaka akakhala ndi kuthamanga kwa magazi komanso kulemera kwambiri.

Matenda a shuga omwe amatha kupatsirana amatha kugwirizanitsidwa ndi chibadwa komanso polycystic ovary syndrome. Mu 70% ya milandu, shuga ya gestational imakonzedwa ndi zakudya. Kuchita masewera olimbitsa thupi moyenera kumathandizanso.

3. ludzu losatha

Ngati khosi "likuuma" nthawi zonse, mumakhala ndi ludzu nthawi zonse - ichi ndi chizindikiro china chomwe chimakupatsani mwayi wodziwa matenda ashuga. Mfundo yoti thupi limafunikira madzi ochulukirapo ndi chizindikiro cha alamu chodziwikiratu, chosonyeza kuti sizinthu zonse zomwe zimayenderana ndi thupi.

Ludzu losatha limalumikizidwa ndikuti thupi limataya madzi ambiri mkodzo.

Pankhaniyi, tikulimbikitsidwa kuti muchepetse ludzu lanu ndi madzi, timadziti zachilengedwe ndi kulowetsedwa kwazitsamba. Ndipo mopanda pake - zakumwa zotsekemera, khofi, zakumwa zoledzeretsa ndi misuzi zomwe zimagulitsidwa m'mabotolo kapena m'matumba, popeza zakumwa izi zonse zimachulukitsa shuga wamagazi.

Zizindikiro zoyambirira za matenda ashuga

Poyamba, matendawa amatha kukhala asymptomatic, zizindikiro zoyambirira za matenda ashuga sizimawoneka nthawi yomweyo. Kuti apereke kuyamwa kwa kuyamwa kwa shuga m'thupi ndi kuwonjezereka kwa zinthu zake kumayambira monga kutaya chidwi - kugona nthawi zonse, ludzu, ludzu, kuchuluka kwamikodzo. Zizindikiro zoyambirira zomwe zimakhudza chikhodzodzo nthawi zambiri zimadziwika kuti ndi cystitis yayikulu. Kuzindikira kumaphatikizapo kuyezetsa magazi ndi mawonetsero otsatirawa:

• chiwonetsero cha glucose ndichipamwamba kuposa kusinthasintha kwa kuchuluka kwa magazi ndi matalikidwe kuchokera atatu mpaka atatu ndi theka mpaka kukwera kwa 5.5 mmol,
• kuchuluka kwamadzi ambiri,
• njala yayikulu, yomwe nthawi zambiri imaphatikizidwa ndi kuchepa thupi.
• kutopa.

Zizindikirozi ndizofala kwa matenda ashuga. Endocrinologist akuwunika matendawa, amamuwongolera ku maphunziro owonjezera a kusinthidwa kwa zamankhwala am'magazi m'maselo. Mkodzo, magazi amawunikira, khungu limayang'aniridwa mooneka - izi zimachitika kupatula matenda ena a endocrine. Mlingo wa hemoglobin umayezedwa. Dokotala amawunika momwe wodwalayo akuonekera, mbiri ya matenda ake onse.

Zizindikiro za matenda ashuga mwa akazi

Momwe mungadziwire matenda a shuga? Kodi matenda ashuga mwa akazi ndi ati? Amalumikizidwa ndi zofunikira za thupi, zimakhudza ntchito yobereka. Zizindikiro zoyenera - kusokonezeka kwa kagayidwe kachakudya, kusowa kwamadzi, mkamwa youma, kufooka m'manja, kulumikizana ndi thupi la mkazi. Atsikana, amaphatikizanso izi:

• Candidiasis ndi chotupa chifukwa cha shuga wambiri pakhungu.
• Mimba yovuta, kutenga pathupi kapena kusabereka kwathunthu.
• Polycystic ovary.
• Khungu limakulirakulira, acanthosis imatha kuonekera - kuchepa kwa malo amunthu.
• Matendawa
• Kukokoloka kwa uterine.

Mawonetseredwe azachipatala pawokha sindiwo chizindikiro cha matenda a prediabetes kapena matenda omwe alipo kale. Ayenera kuwonedwa mokwanira ndi zisonyezo zakudziyimira payokha. Kuwonetsedwa kwa matenda ashuga amasinthasintha, kutengera zaka, kuwunika kofananira.

Kodi matenda ashuga ali bwanji amuna

Zizindikiro za matenda abwinobwino mwa amuna zimakhala ndi zotupa za pathological - kuchuluka kwamkodzo, komanso mkamwa youma, kuchiritsidwa kwamabala, pomwe kufalikira kwa matenda opatsirana kumawonjezera kukula kwa mavuto. Pakamwa pakudzazidwa ndi zilonda za stomatitis, malovu amayamba kupindika, kupuma kumakhala ndi fungo linalake. Acetone pakupuma ndi chizindikiro cha kuphwanya kwakukulu ntchito za thupi, momwe ubongo umavutika, vuto la mtima lingachitike. Zapadera kwa amuna ndi:

• utachepa potency
• kugonana kumagona nthawi yochepa
• kuwonongeka kwa mucous nembanemba malo oyandikira,
• Zilonda mu groin zitha kuwoneka.

Kutengera momwe kapamba amawonongera chifukwa chopanga insulin ndi ndende ya plasma, matendawa azikhala ochulukirapo. Mafuta, mwachitsanzo, Levomekol ndi ena otengera maantibayotiki kapena mahomoni, amathandizanso kuchokera ku matenda amtundu wachiwiri komanso pakuchira. Kuwonetsera kwamkati ndi urogenital kumayimitsidwa ndi chithandizo cha matenda oyamba.

Matenda a shuga - chizindikiro mwa ana

Momwe mungadziwire matenda a shuga kwa mwana? Zizindikiro za matenda a shuga kwa ana zimawoneka bwino, zili ndi chiwopsezo cha moyo. Monga lamulo, anthu azaka zazing'ono komanso zazing'ono amadziwika ndi mtundu wa matenda omwe amadalira insulin. Kuperewera kwa insulin kumawonetsedwa ndi thukuta lomata, chinyezi cha manja, kukokana, kuchepa thupi mwadzidzidzi, kuchuluka kwam ludzu usiku komanso masana. Zizindikiro zotsalazo zimayenderana ndikuwonetsa matendawa akulu.

Zizindikiro za matenda a shuga 1

Izi ndizowopsa komanso zodziwika kwa ana, anthu azaka zosaposa zaka 16-18, matendawa. Zizindikiro za matenda amtundu 1 shuga - kuwonda, kuphatikizapo kuphatikiza chakudya chochuluka komanso madzimadzi. Kuwonongeka kwa kukomoka kumatha kuchitika. Mtundu woyamba umadziwika ndi mawonekedwe a matupi a ketone malinga ndi mayeso azachipatala, kuwonjezereka kwa triglycerides mu biochemistry, ndi kuwonongeka kwakuthwa mu mkhalidwe mpaka ketoacidosis, chikomokere. Mwanjira imeneyi, thandizo la insulin poyambitsa mahomoni ndi singano yamaimilimita pafupifupi 6,6 tikulimbikitsidwa.

Vutoli limawonedwa kukhala loopsa mbali inayo, ndi "moyo" mbali inayo. Mankhwala munthawi yake amathandiza kupewa zovuta - ma cell ndi minofu dystrophy, kusowa kwamadzi, kulephera kwa impso. Masamba oyamba amatengedwa ngati vuto la majini, kafukufuku akuchitika motsogozedwa ndi nanocorrection a matendawa. Asayansi akadali owopa kunena mawu okweza, koma mwina matendawa adzagonjetsedwa.

Zizindikiro za Matenda Awiri A shuga

Zizindikiro za matenda a shuga a 2 amaphatikizanso matchulidwe ochepa; mtundu uwu wamatenda amadziwika ndi anthu azaka zapakati komanso okalamba. Nthawi zambiri limodzi ndi onenepa kwambiri, cholesterol yambiri, zolengeza m'matumbo. Mtundu wachiwiri, jakisoni wa insulin sanatchulidwe, mankhwalawa amachepetsa mapiritsi ndi kukonzekera kwa folic acid. Zakudya zapadera zimaperekedwa ndi zoletsa zowonjezera zamafuta, kupatula shuga.

Njira ya matendawa osagwiritsika ntchito pakulamulira isadzaza ndi masinthidwe amaso, mpaka kutsiriza khungu, matenda ashuga - kupweteka, kuchiritsa kwamabala. Pali chiopsezo cha matenda ammiyendo, kuswa kamodzi ndikokwanira kuti microflora ya pathogenic ilowe ndikukula. Maselo amadwala necrobiosis chifukwa chosowa zakudya m'thupi. Zizindikiro za shuga zimasiyana, koma ndizoletsedwa kunyalanyaza zowonekera.

Zowopsa

Matendawa ndi osavuta kupewa kuposa kuchiritsa. Matenda a shuga amapezeka nthawi yomweyo osachiritsika, samatha kuchiritsidwa.
Pali zinthu zingapo zomwe zimakhudza chitukuko cha matenda a shuga.

1. Zotsatira zoyambira ma virus.
2. Heredity pamaso pa endocrine matenda achibale.
3. Kukhalapo kwa kunenepa kwambiri, makamaka pamapeto pake.
4. Matenda a mahomoni.
5. Atherosclerosis ya ziwiya, kuchepetsa ndi kufinya mu kapamba.
6. Kupsinjika.
7. Kuthamanga kwa magazi popanda kuchiritsa.
8. Kugwiritsa ntchito mankhwala pawokha.
9. Sinthani mafuta kagayidwe.
10. Kuchulukitsa shuga mukanyamula mwana, kubadwa kwa mwana woposa 4.5 kg.
11. Kusuta kwa mowa, mankhwala osokoneza bongo.
12. Kusintha kwa tebulo mukakhala mafuta ochulukirapo menyu, kovuta kugaya chakudya chamafuta omwe amakhala ndi ulusi ndi masoka achilengedwe.

Akazi ndi omwe amatenga matendawa kuposa abambo. Izi zimachitika chifukwa chakuti thupi laimuna limapatsidwa testosterone yambiri, yomwe imakhudza bwino shuga. Kuphatikiza apo, ziwerengero zikuwonetsa kuti theka laakazi limadya shuga wambiri, michere yomwe imachulukitsa glucose.

Chisamaliro chimaperekedwa pazifukwa izi, ndipo kuti matendawa asachitike, moyo, malingaliro aumoyo, zakudya zimayesedwa, zizolowezi zoyipa zimasiyidwa.

Momwe mungadziwire matenda a shuga? Kuti mupeze ngati pali matenda ashuga, muyenera kumvera thupi lanu, komanso kudziwa zomwe zimachitika ndi izi, kuti musaziphonye.

Mitundu ya matenda ashuga

Pali mitundu ingapo ya matenda ashuga:

Momwe mungadziwire mtundu wa matenda ashuga? Njira ya gestational yam'tsogolo imakhazikitsidwa mwana akabadwa. Pamene, ali ndi pakati, thupi la mkazi satulutsa insulin yokwanira chifukwa cha kusintha kwa mahomoni, izi zimapangitsa kukula kwa shuga. Nthawi zambiri mphindi izi zimalembedwa munthawi ya 2 ndipo zimasowa mwana atabadwa.

Ma neonatal mawonekedwe ndi osowa, chifukwa cha kusintha kwa majini, zomwe zakhudza njira yopangira shuga.

Mtundu woyamba umatengera insulin. Kusatetezeka kwa wodwala matenda ashuga kumawononga maselo a kapamba. Magazi onse amakoka madzi am'magazi kulowa m'magazi, ndipo madzi amadzimadzi. Popanda chithandizo, wodwalayo amakhala ndi chikomokere, chomwe nthawi zambiri chimamupha.

Mtundu wachiwiri wa matenda ndi osadalira insulini. Momwe mungadziwire mitundu ya matenda ashuga 2.

1. Wodwala ali ndi kuchepa kwa chidwi cha ma receptors ku shuga, ndikupanga kwake kwachilendo.
2. Pakapita kanthawi, magwiridwe antchito amthupi ndi chidziwitso cha mphamvu zimachepa.
3. Mapangidwe a mapuloteni akusintha, pali kuwonjezeka kwa makutidwe ndi mafutawa.
4. Matupi a Ketone amadziunjikira m'magazi.

Cholinga chakuchepa kwa ma perceptibility ndi a m'badwo kapena chikhalidwe cha pathological, kuchuluka kwa ma receptors kumachepetsedwa.

Kuwonetsedwa kwa matendawa mwa akulu ndi ana

Gawo loyambirira la matendawa limakula popanda zizindikiro. Kuzindikira kwa matenda ashuga kumachitika pochezera ndi phlebologist, ophthalmologist. Shuga akamatuluka, insulin yopanda phindu imakumana ndi anthu odwala matenda ashuga:

• ludzu kwambiri
• khungu louma,
• kutopa
• kukodza pafupipafupi
• kamwa yowuma
• kufooka kwa minofu
• Kununkhira kwa ma acetone kuchokera mkamwa,
• minofu kukokana
• kutayika kwamaso
• kusanza, kusanza pafupipafupi,
• mafuta ochulukirapo mu mawonekedwe a 2 komanso kuchepa kwa misa mu mtundu 1,
• kuyabwa
• kutayika kwa tsitsi
• chikasu chimamera pakhungu.

Chowonadi chakuti pali matenda ashuga chimawonetsedwa ndi mawonekedwe awa. Koma amagawidwa malinga ndi mtundu wa matenda, matenda owona (matenda a shuga kapena ayi), kutsimikiza kwa matendawa, kuperewera koyenera pofuna kupewa zovuta zowopsa. Ana omwe ali ndi endocrine pathologies ali ndi zofananira ndipo amafunikira kupita kwa asing'anga.

Kutanthauzira kwa mtundu 1

Matenda a shuga omwe ali ndi fomu 1 ndiwotsika, thupi limazindikira kusowa kwa shuga pomwe pafupifupi 80% ya maselo a beta omwe amachititsa kuti shuga ayambike. Pambuyo pa izi, mawonetseredwe oyamba amakula.

1. Nthawi zonse ndimva ludzu.
2. Pafupipafupi kukodza kumachuluka.
3. Kutopa kwambiri.

Zizindikiro zazikulu zomwe zimapangitsa kuti amvetsetse momwe angadziwire matenda amtundu wa 1 kusinthasintha kwakuthwa mu index ya shuga m'magazi - kuchokera kutsika mpaka kumtunda komanso mosiyanasiyana.

Komanso, mtundu 1 umawonetsedwa ndi kuchepa kwamphamvu kwa misa. Kwa nthawi yoyamba m'miyezi, chizindikirochi chimafika mpaka 10-15 makilogalamu, zomwe zimapangitsa kuchepa kwambiri pantchito, kufooka, komanso kugona. Komanso, panthawi yoyamba, wodwalayo amadya bwino, kwambiri. Mawonetsedwe awa amathandizanso kudziwa ngati pali mtundu 1 wa matenda osokoneza bongo popanda mayeso odutsa. Pamene matenda akupita patsogolo, wodwalayo amayamba kuchepa thupi.

Nthawi zambiri mtunduwu umakhazikitsidwa mwa anthu adakali aang'ono.

Mtundu wachiwiri

Ndi mtundu wachiwiri, maselo amthupi amakhala osaganizira shuga. Poyamba, thupi limakwanira, ndikupanga glucose ochulukirapo, koma kupanga kwa insulin mu kapamba kumachepa ndipo kumayamba kukhala kochepa.

Momwe mungadziyese nokha mtundu wa shuga 2? Matenda amtunduwu a shuga amawonetsedwa ndi zizindikiro zosadziwika, zomwe zimapangitsa kukhala zowopsa. Zaka 5-10 zitha kudutsa nthawi isanakwane.

Anthu omwe ali ndi zaka zopitilira 40 amakhudzidwa ndi matendawa. Kuzindikira kumachitika mwangozi pomwe wodwalayo amayeza magazi. Chifukwa chachikulu chomwe matendawa amaganizidwira ndikuwotcha khungu kudera lachiberekero, miyendo. Chifukwa nthawi zambiri matendawa amapezeka ndi dermatologist.

Zizindikiro zoyambira matenda ashuga

Momwe mungadziwire matenda a shuga? Pali zizindikiro zowonekeratu zomwe zingakuuzeni momwe mungamvetsetsere kuti awa ndi matenda a shuga.

1. Kugwiritsa ntchito chimbudzi pafupipafupi.
2. Lakuthwa limakwera ndikuchepetsa thupi.
3. Imakhala yowuma pakamwa.
4. Kulakalaka kwambiri chakudya.
5. Kusintha kosasinthika.
6. Wodwala nthawi zambiri amagwira chimfine, matenda a virus amalembedwa.
7. Mankhwala.
8. Mabala ndi zipsera sizikhala motalika.
9. Thupi limayang'ana nthawi zonse.
10. Nthawi zambiri pamakhala zilonda, zolowa pakona pakamwa.

Pa mndandanda wazizindikirozi, chofunikira kwambiri ndikuwonjezeka kwamikodzo yomwe imatuluka tsiku lonse. Kuphatikiza apo, izi zimaphatikizapo kulumpha mu thupi.

Kwenikweni, umboni wa matenda a shuga umawonetsedwa ndi kufunitsitsa kosatha kudya chifukwa cha njala. Ichi ndichifukwa chakusowa kwa maselo, thupi limafuna chakudya. Ziribe kanthu kuchuluka kwa munthu wodwala matenda ashuga amene wadya, kulibe kuchuluka.

Kuyesedwa kwa Matenda A shuga

Mudziwa bwanji ngati pali matenda ashuga? Chifukwa cha kafukufuku wambiri, ndizotheka kuwerengetsa matenda omwe alipo, mtundu wake, womwe ndi wofunika kwambiri pakubwezeretsa mankhwala ndikusintha moyo.

Momwe mungayesedwe matenda a shuga.

1. Kuyesedwa kwa magazi kwa chizindikiro cha shuga - mtengo wa 3,3-3.5 mmol / L umadziwika kuti ndiwomwe umachitika. Koma, kungopereka magazi kokha m'mimba yopanda kanthu, izi sizokwanira.Chiyeso cha mayeso a shuga chimachitidwanso maola awiri mutatha kudya mwachizolowezi. Chiwerengero cha shuga sichingasinthe, koma pali kusintha kwa mayamwidwe ake. Ili ndiye gawo loyamba pamene thupi likhalabe ndi ndalama. Musanayambe kuphunzira, musamadye, osamwa ascorbic acid, mankhwala omwe angakhudze zotsatira. Ndikofunikira kupatula kupsinjika pamalingaliro ndi malingaliro.
2. Kusanthula mkodzo wa matupi a shuga ndi a ketone - kawirikawiri zinthu izi siziyenera kukhala mkodzo. Ngati shuga achulukitsa kupitirira 8, ndiye kuti kuchuluka kwa mkodzo kumawerengedwa. Impso sizigawa shuga wofunika, choncho zimalowa mkodzo. Kuchuluka kwa insulin sikumapulumutsa maselo omwe amayamba kuphwanya maselo amafuta kuti akhalebe ndi ntchito zofunika. Mafuta akawonongeka, poizoni amatuluka - matupi a ketone omwe amatulutsa impso kudzera mkodzo.

Kuyesedwa kwa shuga kumapangidwanso, phindu la hemoglobin, insulin, C-peptide m'magazi limatsimikizika.

Kuzindikira matenda ashuga kunyumba

Momwe mungadziwire matenda ashuga kunyumba? Kuti mupeze ngati pali shuga, kunyumba amagwiritsa ntchito zida zapadera zomwe zimagulitsidwa ku pharmacy.

Ngati zizindikiro zoyambirira za matendawa zikuwoneka, tikulimbikitsidwa kuyezetsa kuchuluka kwa shuga. Hyperglycemia ikakhalapo, kuyezetsa matenda a shuga ndikofunikira tsiku ndi tsiku.

Momwe mungadziwire shuga popanda mayeso kunyumba.

1. Glucometer - mu chipangizocho muli lancet, chala chopyoza. Chifukwa cha mikwingwirima yapadera yoyesa, mtengo wa glucose umayesedwa ndipo zotsatira zake zimawonetsedwa pa boardboard. Kuti mupeze shuga ndi glucometer kunyumba, sizitenga zoposa 5 min.
2. Comp1 A1C - iwonetsa kuchuluka kwa insulini kwa miyezi itatu.
3. Mzere woyeserera mkodzo - onetsani ngati muli mkodzo muli mkodzo. Ngati zikuwonetsa zotsatira zabwino, ndiye kuti ndikofunikira kukayezetsa magazi.

Ndikofunikira kumvetsetsa kuti phunziroli lomwe limachitika kunyumba silodalirika. Chifukwa chake, popeza talandira chidziwitso, kuzindikira sikunapangidwe, koma kuyesedwa mu labotale.

Momwe mungazindikire zoyamba za matenda ashuga

Zizindikiro zoyambira matenda ashuga zimatha kuchitika pa nthawi iliyonse. Ndikothekanso kuzindikira ndikuyamba kulandira chithandizo chanthawi pokhapokha podziwa matendawo. Ndikukhulupirira kuti mukudziwa zamitundu yosiyanasiyana ya matenda ashuga, mwachitsanzo, matenda ashuga a achinyamata komanso matenda a shuga kapena achikulire. Mankhwala, amagawika kawiri m'mitundu iwiri. Koma pali mitundu yambiri kuposa momwe mukuganizira.

Ndipo ngakhale zoyambitsa zamitundu iyi za shuga ndizosiyana, mawonetsedwe oyambilira ndi ofanana ndipo amagwirizanitsidwa ndi zochita za milingo yamagazi yokwera. Pali kusiyanasiyana kwakukulu komwe kumachitika mwa mtundu 1 kapena mtundu wa 2 matenda a shuga, kuopsa, koma zizindikiro zazikulu ndizofanana.

Mtundu woyamba wa shuga, yomwe imalumikizidwa ndi kuperewera kwathunthu kwa insulin ya mahomoni, nthawi zambiri imawoneka mwachangu, modzidzimutsa, imapita msanga mu ketoacidosis, yomwe ingayambitse kuphwanya kwa ketoacidotic. Ndinalemba kale izi zambiri mwatsatanetsatane m'nkhani yanga "Zomwe zimayambitsa matenda ashuga ana?".

Type 2 shuga, omwe nthawi zambiri amayamba chifukwa cha insulin, amatha kukhala asymptomatic kwa nthawi yayitali. Kuperewera kwa mtunduwu wa insulin kumayamba chifukwa cha kufooka kwa ziphuphu, chiwonetsero cha matenda ashuga chimayamba kutchulidwa, chomwe chimakakamiza munthu kuti afunefune kuchipatala.

Koma pofika pano, mwatsoka, zovuta zazikulu zam'mimba, nthawi zina zosasinthika, zayamba kale. Dziwani zizindikiro za mtundu wa matenda ashuga a 2 mwa amuna pofuna kupewa zovuta munthawi yake.

Mumva ludzu komanso kukodza pafupipafupi

Anthu amayamba kudandaula zauma komanso kukoma kwazitsulo mkamwa mwawo, komanso ludzu. Amatha kumwa malita atatu amadzimadzi patsiku. Chimodzi mwazizindikiro zoyambirira za matenda a shuga zimadziwika kuti ndi kukodza pafupipafupi, komwe kumatha kukula usiku.

Kodi zizindikiro za matenda ashuga zikugwirizana ndi chiyani? Chowonadi ndi chakuti pamene misempha ya magazi imapitilira pafupifupi mamililita 10, ndiye (shuga) imayamba kulowa mkodzo, ndikumatenga madzi nawo. Chifukwa chake, wodwalayo akodza mkodzo pafupipafupi, thupi limakhala wopanda madzi, ndipo zimafuma ndi ziwalo za m'mimba ndi ludzu zimawonekera. Nkhani yapadera "Zizindikiro za matenda amtundu wa 1" - Ndikupangira kuwerenga.

Kulakalaka maswiti ngati chizindikiro

Anthu ena ali ndi chidwi chambiri ndipo nthawi zambiri amafuna chakudya yambiri. Pali zifukwa ziwiri.

• Chifukwa choyamba ndi kuchuluka kwa insulini (mtundu wachiwiri wa matenda ashuga), womwe umakhudza mwachindunji chakudya, umakulitsa.
• Chifukwa chachiwiri ndi "njala" ya maselo. Popeza glucose wa thupi ndiye gwero lalikulu lamphamvu, pomwe sililowa mu khungu, lomwe limatheka zonse ndi kuchepa komanso osazindikira insulini, njala imapangidwa pang'onopang'ono.

Zizindikiro za matenda a shuga pakhungu (chithunzi)

Chizindikiro chotsatira kuchokera ku matenda ashuga, omwe amawoneka ngati oyamba, ndikuyamba kuyamwa pakhungu, makamaka perineum. Munthu wodwala matenda a shuga nthawi zambiri amatha kutenga matenda opatsirana khungu: furunculosis, fungal matenda.

Madokotala afotokoza mitundu yopitilira 30 ya ma dermatoses omwe amatha kuchitika ndi matenda a shuga. Zitha kugawidwa m'magulu atatu:

• Poyamba - chifukwa cha zovuta za metabolic (xanthomatosis, necrobiosis, matuza a matenda ashuga komanso ma dermatopathies, ndi zina zambiri).
• Chachiwiri - ndi kuwonjezera kwa kachilombo ka bacteria kapena fungal
• Zovuta za pakhungu pakumwa mankhwala, i.e.

Dermatopathy ya matenda ashuga - mawonekedwe owoneka pakhungu kwambiri m'matumbo a shuga, omwe amawonetsedwa ndi ma papulo kutsogolo kwa mwendo wakumbuyo, amakhala ndi bulauni komanso 5-12 mm kukula kwake. Popita nthawi, amasintha kukhala mawanga atrophic omwe amatha kuzimiririka popanda kutsatira. Mankhwalawa sikuchitika. Chithunzichi pansipa chikuwonetsa zizindikiro za matenda osokoneza bongo pakhungu la dermopathy.

Chikhodzodzo cha matenda ashuga kapena pemphigus imachitika kawirikawiri, monga mawonekedwe a shuga pakhungu. Zimachitika mosawerengeka komanso popanda kufiyanso red pa zala, manja ndi mapazi. Mibulu imabwera mosiyanasiyana, madziwo ndi omveka bwino, osati omwe ali ndi kachilomboka. Nthawi zambiri mumachiritsa osavulala pakatha masabata awiri. Chithunzichi chikuwonetsa chitsanzo cha chikhodzodzo cha matenda ashuga.

Xanthoma kumachitika ndikuphwanya matenda a lipid metabolism, omwe nthawi zambiri amakhala ndi matenda ashuga. Mwa njira, gawo lalikulu limaseweredwa ndi okwera triglycerides, osati cholesterol, monga ena amakhulupirira. Pamalo opindika a miyendo, zikwangwani zachikaso zimapezekanso, kuwonjezera pamenepo, malembawo amatha kupanga pankhope, khosi ndi khungu la chifuwa.

Lipoid necrobiosis sizipezeka ngati chizindikiro cha matenda osokoneza bongo pakhungu. Amadziwika ndi cholimba lipid kuwonongeka kwa collagen. Nthawi zambiri kumachitika ndi matenda amtundu 1 shuga nthawi isanayambike. Matendawa amatha kuchitika zaka zilizonse, koma nthawi zambiri amakhala wazaka 15 mpaka 40, ndipo makamaka mwa akazi.

Zilonda zazikulu pakhungu la miyendo zimawonedwa. Imayamba ndi ma pinki amtundu wa pinki, omwe kenako amakula kukhala ozungulira, otanthauzira momveka bwino malo opangira ma atrophic. gawo lapakati limatenthedwa pang'ono, ndipo m'mphepete limakwera pamwamba khungu labwino. Pamwamba pake pali posalala, titha kupindika. Nthawi zina zilonda zimapezeka pakati, zomwe zimatha kupweteka.

Palibe kuchira pakadali pano. Zodzola mafuta zomwe zimapangitsa kuti ma cellcirculation ndi lipid agwiritsidwe ntchito. Nthawi zambiri, kuyambitsidwa kwa corticosteroids, insulin kapena heparin m'malo omwe akhudzidwa kumathandiza. Nthawi zina mankhwala a laser amagwiritsidwa ntchito.

Khungu loyera, komanso neurodermatitis imatha kuchitika isanayambike matenda ashuga. Kafukufuku akuwonetsa kuti zimatha kutenga miyezi iwiri mpaka zaka 7. Anthu ambiri amakhulupirira kuti ndi matenda ashuga owoneka bwino, kuyabwa pakhungu kumakhala kofala, koma kunakhala kovutirapo kwambiri komanso kosalekeza ndi mtundu wamtundu wa shuga.

Nthawi zambiri, amapinda m'mimba, inguinal madera, ulnar fossa ndi intergluteal patsekeke. Kuyabwa nthawi zambiri kumodzi.

Zilonda za pakhungu la shuga

Candidiasis, thrush wamba, ndi vuto lodziwika bwino mu matenda ashuga, chizindikiro chowopseza chikhoza kunenedwa. Nthawi zambiri khungu limakhudzidwa ndi bowa wamtunduwu Candidama albicans. Amapezeka kwambiri mwa okalamba komanso odwala kwambiri. Amayikidwira pakhungu lalikulu, pakati pa zala ndi zala zakumaso, pakamwa ndi pakamwa.

Choyamba, chingwe choyera cha chopanda chopindika chikuwonekera m'mimba, kenako kuwoneka ngati ming'alu ndi kukokoloka kumawonjezeredwa. Kukokoloka kumakhala kosalala pakatikati pa mtundu wofiirira, ndi mkombero woyera kuzungulira mzere. Posachedwa, pafupi ndi cholinga chachikulu, zomwe zimatchedwa "zojambula" zimawoneka ngati mapangidwe ndi mabulosi. Amasinthana ndikusandukira kukokoloka, omwe amakonda kuphatikizika.

Kutsimikizira kwa matendawa ndikosavuta - kuyikira kwa candidiasis, komanso kutsimikiza kowoneka kwa bowa panthawi ya mayeso a microcopic. Chithandizo chimakhala pochiza madera omwe akhudzidwa ndi zakumwa zoledzeretsa kapena madzi amadzimadzi a methylene buluu, wobiriwira wanzeru, Castellani madzi ndi mafuta okhala ndi boric acid.

Mankhwala onunkhira a antimycotic komanso kukonzekera kwa pakamwa amalembanso. Chithandizo chimapitirirabe mpaka malo osinthidwawo atazimiririka komanso kwa sabata lina kuphatikiza zotsatirazo.

Kusintha kwa thupi

Mwa zina mwa matenda a shuga mungakhale kuchepa thupi, kapena, mutero, kuwonda. Kuchepetsa thupi kwambiri komanso kosasinthika kumachitika ngati pali insulin yokwanira, yomwe imachitika ndi matenda a shuga 1.

Ndi matenda 2 a shuga, insulini yake imakhala yokwanira ndipo munthu amangowonda m'thupi nthawi yayitali, chifukwa insulin imachita mbali ya anabolic mahomoni, omwe amachititsa kuti mafuta asungidwe kwambiri.

Matenda Aakulu Odwala Matenda a shuga

Pokhudzana ndi kuphwanya kagayidwe kazakudya, munthu amakhala ndi kutopa kosalekeza. Kuchepetsa magwiridwe kumalumikizidwa ndi kufa kwa maselo, komanso kupha mphamvu kwa shuga wambiri m'thupi.

Izi ndi zizindikiro zoyambirira za shuga zomwe zilipo, ndipo nthawi zina zilibe kanthu kuti ndi mtundu wanji wa matenda ashuga. Kusiyanaku kudzangokhala kuwonjezeka kwa zizindikirozi ndi kuuma. Momwe mungachiritsire ndi kuchiza matenda a shuga, werengani m'nkhani zotsatirazi.

Ngati simulota, ndiye kuti ndikulimbikitsani Lembetsani ku zosintha zamabulogu kulandira chidziwitso chothandiza komanso chosangalatsa mwachindunji ku makalata. Zonsezi ndi zanga. Tikuwona posachedwa!

Ndi chisangalalo ndi chisamaliro, endocrinologist Lebedeva Dilyara Ilgizovna

Mwana wanga wamkazi adayamba kuzindikira zonse mofulumira kotero kuti sindinamvetse chilichonse, ndidangochira kuchipatala. Lipoti la matenda ashuga linali losasangalatsa. Poyamba nthawi zambiri ankadzuka usiku, kenako ndikadwala chimfine, samatha kutuluka kuchipatala.

Tatyana, zidakugwirizana ndi iwe kotero kuti matenda a shuga anali atangoyamba kumene, ndipo ndikuphatikiza kwa SARS, zidakula ndikuwonetsa. Nthawi zambiri zimachitika. Chachikulu ndikuti adapezeka mu nthawi ndikuyamba kulandira chithandizo.

ndiuzeni ngati msungwana wamng'ono ali ndi zonse zomwe zikuwonetsa, kuyabwa kwa perineum, kukoka pafupipafupi, pakamwa kowuma, kutsekula m'mimba, chilakolako chambiri, koma shuga ndi wabwinobwino, 4.6-4.7, kusala kudya, kodi matenda ashuga sangathe kupatula?

Ndingapangitse kuyesedwa kwa shuga ndi glycated hemoglobin kuti nditha kudziwa shuga

Ndikuwona kuti vuto lachitatu lachitatu likuyamba kuoneka)))
Ngakhale sindinabwere patsamba lino mwangozi, zikutanthauza kuti, tili ndi chidziwitso chatsopano, tikuyenera kudziwa zoyenera kuchita kuti tikatsimikizire kapena kukana zokayikira zanga.

Moni Ponena za kuwonongeka kwa masomphenya ndi kuchuluka kwa shuga m'magazi, ndikuvomereza, komanso akatswiri ena a matenda ashuga popanda kupenda pamaziko awa amaweruza magazi. Nkhani zanga zakuti glucose zimawonekera mumadzi azinthu zam'maso, ndipo ndimaganiza kuti zimayikidwa pamakoma a zotengera za maso ... Zikomo.

Khalani ndi moyo ndipo phunzirani. Ndipo shuga palokha siziikika, imapangitsa njira zamatumbo m'matumbo ndi mitsempha.

Ngakhale mankhwala a insulin ndi hypoglycemic, kapena zakudya zomwe zimatsimikizira kuti matenda ashuga a m'mimba sangayambike ...
Ndikofunikira kwambiri kuyendera pafupipafupi luso la ophthalmologist ndikuwonetsetsa kuti magazi akuyang'aniridwa.

Pafupifupi chaka chapitacho, ndidayamba kuwona zoipa nthawi zina. Ngati mutayang'anitsitsa, ndinawona bwino, izi zimangochitika nthawi yozizira. Ndipo ndinazindikira izi miyezi iwiri yapitayo. Ndipo kuyambira dzulo ndidayamba kufa ndi njala kwambiri, m'mimba mwanga mumapweteka. Ndipo mkodzo umathiridwa osati pang'ono, koma unkakhala nthawi zonse koma osowa. Yankho, chonde, kodi sizoyambitsa matenda a shuga? (matenda ashuga)

Mwinanso. Muyenera kuyesedwa komanso kwa dokotala

Dilyara! Tikuthokozanso chifukwa cha kuwunikiridwa pakati pa anthu! Koma, ndikufuna kunena chinthu chimodzi: Anthu! uli bwanji kuyitanitsa odwala matenda ashuga? muzofalitsa, ndemanga, kulikonse. Sikuti ndi odwala matenda ashuga (makina amfuti). Tiyeni tiziwalemekeza ndi kulemba ndikuwayimbira foni moyenera

Moni Dilyara. Posachedwa ndidalandira mayeso a amayi anga, venous shuga 6.1 mmol / L. Zowona ndi cholesterol 7.12 mmol / L. Pazonse, ananena kuti cholesterol imakwezedwa, ndipo shuga ali mkati mochita bwino ndipo palibe chifukwa chodandaulira. Ndili ndi malingaliro osiyana. popeza shuga adakwera, zikutanthauza kuti mtundu wina wa matenda ashuga wayamba kale kupanga. Chifukwa chake ndidadzifunsa, ndipo ndimtundu wanji wa shuga womwe ukupezeka. Dokotala m'modzi adalangiza kuti ayang'anire kulolera kwa glucose. Koma kodi amafotokoza china chake. Ndipo mwambiri, ndimakhulupirira kuti ziwonetsero zomwe amayi anga anachita. samalankhula chilichonse. Kapena ndalakwitsa. Inde, mtundu wa matenda ashuga omwe umayamba umatengera insulin.

Ayi, osati mtundu wa shuga umatengera insulin. Werengani nkhani zakale pankhaniyi. Ndipo ndingapangire kuyeseza kulolerako kuti mudzindikire bwino matenda anu onse.

Sindikondana ndi madotolo athu .. kuthamanga kwa magazi kudakwera, ndinadikirira ola limodzi mpaka nditafika, ndinachita magnesia ndikunyamuka ... Patsamba lomwe ndinawerenga kuti ndinali ndi chitsimikizo cha hemoglobin. Kupanikizika kumagwira 170/100. Pambuyo kudya makamaka. kumverera kwodzaza m'mimba. Ndine 44 kutalika 178 kulemera 88.

Pepani, koma sindinamvetsetse tanthauzo lanu.

Kodi matenda ashuga angapitirize kukakamizidwa?

M'malo mwake, awa ndi matenda osiyanasiyana, koma amathandizana wina ndi mzake ndipo amathandizira maphunziro ake.

Masana abwino, wokondedwa Dilara! Ndikukupemphani kuti muthandizire pakuzindikira ndikuyang'ana machitidwe ena. Mwamuna wanga ndi wazaka 35, kutalika 174 cm, kulemera pakali pano 74-76 kg. Pazaka ziwiri zapitazi, pakhala kulumpha mwamphamvu, kuyambira pa 84 kg kufika pa 100 ndipo kwenikweni m'miyezi ingapo atayika 25 kg! Kungoyambira nthawi yocheperako kunayamba kutopa kwambiri, manjenje, kufooka kwakuthupi, kusokonezeka kwa tulo, maso kutopa kwambiri, kusowa kudya, pakamwa pouma mosalekeza, ludzu, ndidawonanso kuti khungu louma kwambiri pakhungu, zikanda pamiyendo sizinachiritsike kwakanthawi.
Posachedwa, kuyesedwa kunachitika motsogozedwa ndi endocrinologist.

Zotsatira za kusanthula 11/07/2013
Magazi:
Glucose, magazi mmol / L - 14.04 (mtengo wamtengo 3.9-6.4)
C-peptide (Motorola) ng / ml - 1.44 (mtengo wotsogolera 1.1-5.0)
Glycosylated hemoglobin (HbA1c) magazi% - 11.64
(buku mtengo 4.0-6.0)

Mkodzo:
Mtundu - Wachikasu Opepuka
(Ref.value - chopanda kanthu)
Transformation - Kwambiri
(Ref.value - chopanda kanthu)
Magazi: - (neg) / (Ref.value - (neg))
Bilirubin: - (neg) / (Ref.zn - (neg)
Urobilinogen: + - (zachilendo)
(Ref.value - chopanda kanthu)
Ketones: + -5 mg / 100mL
(Ref.value - (neg))
Mapuloteni g / l: - (neg)
(Ref.value zosakwana 0,094 g / l)
Nitrites: - (neg) / (Ref.zn - (neg))
Glucose: + 250mg / 100mL
(Ref.value - (neg))
pH: 6.0 / (Ref.value - chopanda kanthu)
Kachulukidwe: 1,020 / (Ref.zn - chopanda)
Maselo oyera: - (neg) / (Ref.sc - - neg

Microscopy of sediment: Epithelium - lathyathyathya, laling'ono, Maselo oyera am'magazi 1000 mu 1 ml (wabwinobwino mpaka 2000), Mucus - olimbitsa, Bacteria - yaying'ono, Mchere - oxalates, kwambiri.

Chithandizo cha mankhwala: shuga 60, mapiritsi 2 m'mawa mphindi 15 musanadye.
Kwa sabata tsopano, wakhala akumwa matenda a shuga ndikusunga chakudya, koma mkhalidwe wake sukuyenda bwino, timayeza shuga ndi glucometer, m'mawa pamimba yopanda 16, ngakhale kuti chithandizo chisanachitike 14.
Mwina mukufunikanso kukayezetsa zina? Kodi ndizotheka kwa ife kusintha thanzi ndikusamalira zotsatira popanda kugwiritsa ntchito insulin?
Chonde ndiuzeni choti ndichite? Tsambali lili ndi zambiri, zolimbikitsa komanso zowopsa, mutu wanu umangoyenda mozungulira! Timangophwanyika ndi kusokonezedwa!

Moni, Natalya. Sipereka upangiri wotere, makamaka pamawu. Mukumvetsetsa, izi ndizachidziwitso chaumwini, komanso zimatenga nthawi, zomwe ndizokwera mtengo komanso zomwe ndilibe. Nditha kungotengera kuyambiranso kwa c-peptide ndi katundu, i.e. pambuyo 75 g shuga kapena pambuyo chakudya cham'mawa pambuyo 2 hours. Zimachitika kuti pamimba yopanda kanthu c-peptide ndiyachilendo, koma pamtolo sikokwanira. Sabata ndi nthawi yochepa, kuti muwone zotsatira zake, makamaka masabata awiri. Kuchita bwino kwa matenda a shuga kumawerengeredwa ndi postprandial glycemia, i.e. Maola awiri mutatha kudya. Ndipo pamimba yopanda kanthu, uku ndi kubisala koyambira, komwe Metformin amachepetsa. Osayiwala za kadyedwe, ndipo pamene thupi lokhazikika limakhala lokhazikika. katundu. Lankhulani kwambiri ndi dokotala, amadziwa bwino mavuto anu. Ndipo chiritsani matenda a mkodzo, adzakuletsani kulipira matenda ashuga.

Moni Zikomo chifukwa cha tsamba lanu! Ndili ndi zaka 30. Ndakhala ndikumangokhala ndi mavuto azachipatala tsopano, koma tsopano zikufika poipa, mtima wanga ulibe T (posachedwa IHD udzakhala), steatosis wosamwa kwambiri. Nditha kulemera mofulumira kwambiri, ndimathanso kuchepa msanga popanda chifukwa china, kulemera kumasiyana 85-95kg ndikuwonjezeka kwa 185, ndimaperesenti ochepa amafuta, mafupa olemera komanso nthawi zina. Ndikapita kukachita masewera m'mwezi wachiwiri, zonse zikuwoneka ngati zabwerera, koma sindingathe kupita nthawi yayitali, kukana nkhawa (Ndimafunikira kuwonjezera masewera). Ndimadya molondola, pafupifupi wopanda mafuta kapena chakudya. Mwambiri, ndimakayikira zokhudzana ndi insulin kukhudzidwa ndi malo osapindulitsa kapena shuga, koma sindikudziwa momwe ndingawagwiritsire. Kwa mtheradi wamafuta khungu limakhala pafupi ndi mulingo woyenera kwambiri. Chonde ndiuzeni momwe ndingadziwire matenda ashuga koyambirira. Zikomo!

Muyenera kuchita kuyesa kwa glucose komanso glycated hemoglobin. Kenako ndizotheka kunena china chake.

Moni Ndili ndi shuga m'mawa mpaka 7,8. Dotolo adandiuza kuti ndizikumbukira 500 kwa 1 toni usiku uliwonse .. Ndimayeza shuga masana kuyambira 5.1 mpaka 6.7. Ndili ndi mavuto a chithokomiro komanso matenda oopsa. Ndikumwa mankhwala oopsa. Kodi metamorphine imathetsedwa ndi chiphuphu chabwino cha matenda ashuga? GG-6.8

Ndizotheka, koma nthawi yomweyo muyenera kudziwa kuti zonse zimatha kubwerera, ngakhale mutakhala osamala kwambiri komanso kuchita masewera olimbitsa thupi pafupipafupi. katundu. Chifukwa cha kuyesaku, mutha kuyesa, koma ndi kuyang'anira kokhazikika kwa kuchuluka kwa shuga komanso 2 maola mutatha kudya, komanso hemoglobin ya kotala.

Januware 18, 2014 14.00 Ivan. Zaka 63. Moni, Chaka Chatsopano ndidadya nkhumba yokazinga, yamafuta komanso ya vodka ndipo madzulo ndidazindikira kuti gawo lina m'mimba mwanga layima, adotolo anga ali ku tchuthi cha Chaka Chatsopano kwa masiku 10 ndipo ndidayamba kuuma mkamwa mwanga, ndimamwa madzi malita 5 patsiku pakatha mphindi 5. Ndipo pakadutsa masiku 10, adotolo adalemba mapiritsi a Metformin Lich 500 mg-- Mmawa wina, tsiku lina, sabata lomwe ndidamwa iwo pafupipafupi, ndasiya kumwa, ndadya, sindimwanso mapiritsi ena, ndimamva bwino. Ndiuzeni moyenera, ndapanga chimodzi.

Sindingayankhe kalikonse chifukwa simunalembe matenda kapena mashuga. Kodi, bwanji, ndipo zonse zimachokera kuti?

Moni: Mwana wanga ali ndi zaka 5. Dzulo ndidayamba kudandaula za chizungulire. Kenako ndinadya pizza ndipo kununkhira kwa acetone, lero ndikumutu komweko komanso kununkhira. Ndidayesa mayeso a acetone, zonse zili bwino. Palibe amene akudwala ndi matenda ashuga m'banja. Zizindikiro pamwambapa zikuwonetsa kuchuluka kwa shuga?

Mu ana, acetone imatha kupangika popanda matenda a shuga, chifukwa cha kuchepa kwa kukhwima kwa mapangidwe a chiwindi. Chizungulire sichizindikiro cha matenda ashuga. Sipangakhale wina wodwala matenda ashuga m'banjamo, ndipo mwanayo adwala. Chifukwa chake, ngati muli ndi nkhawa, perekani magazi a shuga pamimba yopanda kanthu ndikatha kudya chakudya cham'mawa. Ichi ndichizindikiro cha kukhalapo kapena kusowa kwa matenda ashuga.

Moni. Ndimamwa madzi ambiri ndimasewera olimbitsa thupi, koma ambiri ndimawerenga kuti NDIKUFUNA kumwa madzi okwanira malita awiri patsiku, ndilibe ludzu, ndikungofuna kumva kamwa yanga kukhala yoyera, ndipo ndikufuna madzi. Ine sindimamwa madzi aliwonse, kapena cola, kapena sopo wokha wosakhala kaboni. Ndimamwa malita 2-3 patsiku. Mabala amachiritsa mwachizolowezi, kufooka nthawi zina kumachitika, koma kuchuluka kwa nthawi komwe aliyense anali nako. Mukuti chiyani?

Vuto ndi chiyani?

Moni Ndili ndi shuga 5.5 komanso maola awiri nditatha kudya 5.1. Kodi izi zikutanthauza chiyani? Ndine woyembekezera kwa masabata 16.

Ichi ndiye chifukwa choganiza. Mwina muyenera kubwezeretsa magaziwo m'mimba yopanda kanthu. Zonse zomwe zikuposa 5.5 pamimba yopanda kanthu - matenda a shuga, pomwe muyenera kuyang'anitsitsa ndikutsatira zakudya.

Moni, ndili ndi thovu chifukwa chamkamwa, kodi ndi momwe ziyenera kukhalira kapena zaka?

Sindingazindikire ndi chizindikiro chimodzi

Moni Dilyara. Posachedwa, ndimamva bwino, malingaliro anga akuipiraipira, akumva kupweteka mkati mwa dzuwa, ndimamva ngati ndikufuna kudya, koma ndiyamba kudya, sindingathe, kukoma mkamwa mwanga sikumveka masana, ndimagona, koma sindimatha kugona usiku, kugunda kwamtima kwanga komanso kumanjenjemera nthawi zambiri Amawoneka m'manja, koma kulibe ludzu lalikulu ndipo kuuma sikokulira, komwe tsogolo la shuga ndilabwino, ndiuzeni ngati lingakhale matenda ashuga? Zikomo

Ndayiwala kundiwonjezera zaka 36. Panali zopumira za glucose kale, atapanga opaleshoni panali 14, zimatsika patsiku lachitatu, nthawi zambiri zimakhala zochepa, 2.9 3.1. Sindimva ludzu popeza sindimamwa madzi. Koma tsopano ndidayamba kufuna kwambiri tiyi. .Ndinabereka mwana chaka chatha, ndipo ndikatha kuwona kuwonongeka muumoyo, nthawi zambiri ndimayamba kupita kuchimbudzi masana. Sindimapita usiku, koma ndimagona mochedwa.

Ndizotheka. Bwino kuposa pepani

Moni Dilyara, ndili ndi mtundu woyamba wa zaka 5, ndili ndi zaka 43. Ndikadwala matenda a shuga mungakhale ndi moyo nthawi zambiri.Chinthu chachikulu sikungodziona ngati wopanda chiyembekezo ndikudzimvera chisoni, koma tsatirani zakudya ndikusuntha kwambiri, zaka 5,5 m'mawa uliwonse mukudya oatmeal pamadzi, omwe ndipo ndikukufunirani nonse. Ndipo ndikufuna ndikuthokozeni kwambiri chifukwa cha zonse zomwe mumachita, chifukwa cha blog, kuti mumasamalira anthu.

Zikomo Ndikuchirikiza kwathunthu.

Tsiku labwino. Zaka 11 zapitazo ndinali ndi chimfine, kenako zaka ndi zaka, nthawi zina ndimakhala ndi ululu wosakwiya (ndinasiya kumva kuwawa chifukwa cha kuwawa), kapamba wanga anali kudwala (sindinapite kwa madotolo), zaka 5 zapitazo panali zizindikiro za matenda ashuga, koma shuga anali 5-6.7 mmol / l, koma zidadutsa, kenako zidagudubuzika popanda kukweza shuga msanga malinga ndi kusanthula (popanda kuwunika), ndidaganiza zoyeza ndi glycometer, m'mawa pamimba yopanda kanthu m'mawa 7-7.8 mmol / l, mutatha kudya mu ola limodzi ndi 11-12 mmol / l, nditatha maola awiri pafupi 9.5-10 mmol / l, koma 6.1-6.8 mmol / l amachitika masana. Kuyesedwa kwa glucose pambuyo pa maola 16 mol / l, patatha maola awiri kale 11 mol / l, patatha maola atatu kumatsika kwambiri pansi pa 7 mmol / l ndikukhalabe pamalo apamwamba. Mbatata yophika 300gr imayambitsa kuchuluka kwa 9,5-10mmol / l ndipo sikugwa pambuyo pa maola 5-6, akuganiza kuti sindiyenera kudya. Sindimadya mafuta ndi nyama, maswiti, tiyi wa khofi wopanda shuga, sindidya kwambiri. Ndili ndi zaka 31, maso anga akuwongoka (pamene shuga akutuluka), ndimadwala matenda amtima, koma kupsinjika kwake ndikwabwino 120/60. Msinkhu 167cm kulemera kwa 67kg. Kodi ndi nthawi yothamangira kwa madokotala kuti apange insulin? Kapena, kachiwiri, adasokonekera mwadala ndi kutumiza? Ndinagula glycometer chifukwa choti m'zaka zaposachedwa, ogwira ntchito azindikira kuti ndimamwa madzi ambiri ndipo nthawi zambiri ndimathamangira kuchimbudzi. Zopweteka za mwendo wazaka 5 ndi kukokana zimalepheretsa kugona. Zikuwoneka momwe kuchuluka kwa shuga pamtunda wa 8 mmol / l kumayambira kumverera kwa kupweteka kwa kapamba (colic, kukakamiza, kupweteka), ludzu ndikuthamangira kuchimbudzi. Sindinathe kuyeza shuga mumkodzo, chipangizocho chinawonetsa cholakwika (mulingo wake ndi 2.2-33 mmol / l).

Mwina muli ndi matenda ashuga omwe amayamba chifukwa cha kapamba. Dokotala wanthawi zonse adzakuthandizani kudziwa njira yochizira.

Ndinawerenga zambiri zondipangitsa kuti ndidziwe ngati ndili ndi matenda ashuga kapena ayi:
Palibe ludzu
Palibe kukodza mwachangu,
Palibe pakamwa pouma
Palibe ofooka wamba kapena minofu,
Palibe chidwi chochulukirapo,
Palibe khungu loyenda
Pali kugona, koma pokhapokha chifukwa ndimagona pang'ono.
Palibe kutopa,
Mabala amangochira bwino
Koma kuchepa thupi kwambiri kunachitika, mwina, kumene, chifukwa ndinayamba kudya zochepa, koma izi sizingatheke.

Chifukwa chake, ndimafuna kufunsa. Kwa sabata tsopano ndadwala maswiti (pang'ono), magazi anga akuwoneka ngati ma gouache oyera ofiira. Kodi izi zingakhale zizindikiro za matenda ashuga? Kapena zingakhale chiyani?
Nthawi zonse ndimakhala ndi kulemera, chaka chapitacho adalembedwanso. Kutalika kwanga ndi 171 cm, kulemera - 74 kg. Zaka zonse 13, mwezi uno uzikhala 14.

Ndingakhale wokondwa ngati mungayankhe.

Pangakhale palibe zizindikiro pachiyambi. Zizindikirozi sizikusonyeza matenda ashuga. Kodi ndi shuga wamtundu wanji?

Ndipo inde, ndayiwala kutchulapo: shuga idakwezedwa nthawi zonse.

Masana abwino, Dilyara. Ndili ndi zaka 25. Sindinayesedwe mayeso panobe ... koma matendawa ndi ofanana ndi matenda a shuga.
- M ludzu ndi loopsa, koma nthawi yomweyo kulibe kudya, m'malo mwake ndimatha kumwa tsiku lonse. Ndipo osadya chilichonse.
-Kutopa, kugona.
-nthawi zambiri panali kuyimba m'malo oyandikira.
Kodi pali mwayi wa matenda ashuga?
Zikomo

Mwamuna wanga ndi 44, kulemera 90 kutalika 173, shuga 15, kawiri kudutsa. Dotolo adazindikira mtundu wa 2 sd, kokha shuga uyu. Amamwa gligomed kwa masabata anayi, shuga nthawi zonse sakhala wamkulu kuposa 6, amayeza maola osiyanasiyana, mwina adokotala amalakwitsa? Kodi pali chiyembekezo chilichonse pakuwunika kwina? Sinditembenukira kwina kulikonse. Palibe mayeso owonjezera omwe anaperekedwa

Tsoka ilo, pamlingo uwu, iyi ndi SD kale. Ndikukayika kuti mumafunikira mankhwalawa mwachangu.

Kodi mungandiuzeko mankhwala omwe ali bwino?

Nditha, koma pongofunsidwa pandekha. Si kuti mupereke mavitamini, izi ndi zinthu zazikulu. Inde, ndikugwiritsa ntchito bwino mankhwala sikukutanthauza kusintha, mukufunikirabe kugwira ntchito ndi chakudya, kunenepa kwambiri, etc. ndikulankhula izi pazofunsidwa.

Timakhala ku Tver.
Kodi mungayanjane bwanji?
Chakudya chopatsa thanzi chinasinthanso masewera olimbitsa thupi.

Ndimakhala ku Tatarstan. Zikhala zovuta kubwera kwa inu. Nthawi zina ndimakambirana ndi anthu pa intaneti, koma tsopano, tchuthi cha tchuthi, ndamaliza nthawi yanga. Ndiyamba pambuyo pa Januware 14th. Ngati funsoli likadakukhudzani, ndiye kuti mutha kulemba pafupi ndi nthawi ino kupita ku [email protected] Merry Christmas ndi Chaka Chatsopano chosangalatsa!

Zikomo kwambiri! Upangiri uliwonse ndiwofunika.
Onetsetsani kuti mwalemba

Moni, Dilyara! Ndili ndi zaka 51. Posachedwa ndidangowunikira pa GG kungogulitsa kampani ndi mnzake. GG - 6.9. Izi zisanachitike, nthawi ndi nthawi ankapereka magazi a shuga. Nthawi zonse zakhala zili paliponse. Kodi pali chiyembekezo chilichonse kuti awa si matenda ashuga? Panthawi yoyesedwa, kunalibe zisonyezo. Zikomo

Ndikuyembekeza kufa komaliza! Chifukwa chake, pitani kwa dokotala kuti mumupatse matenda.

Moni
Ndiuzeni kuchuluka kwa shuga mwa munthu wathanzi ola 1 mutatha kudya ndi maola awiri mutatha kudya?
Kodi ndizowona kuti ola limodzi mutadya shuga limatha kupitilira maola awiri mutatha kudya ndipo izi zimawoneka ngati zabwinobwino?
Ndipo ngati mitayo ili ndi plasma, kodi ndikufunika kugawa zowerengera ndi 1.12 kuti ndipeze mtengo woyenera?

1. Andrew, patatha ola limodzi tsopano palibe dzenje. Zonse zimatengera mtundu wa chakudya chamafuta omwe amaperekedwa. Koma patatha maola awiri mpaka 7.8
2. Zowona
3. ikuyenera kuchepetsedwa ndi 11%, yomwe ili yofanana

Usiku wabwino Ndidawona kuwonongeka pang'ono m'masomphenya, pakamwa pokhazikika, kuwuma nthawi ndi nthawi m'miyendo, pomwe amayamba kunjenjemera popanda chifukwa. Kuphatikiza apo, adadwalanso tracheobronchitis ina, m'mbuyomu pomwe panali astheno-neurotic reaction (edincke's edema, izi sizinawoneke kale). Kuchepa pang'ono pang'onopang'ono, chidwi chake chikuwoneka kapena palibe. Ndili ndi zaka 17, kutalika 165, kulemera 55,5 (anali). Kodi ndizotheka kuti izi ndi zizindikiro za matenda ashuga?

Tisataye nthawi yathu ndikuganiza pamabwalo a khofi. Ndi chiyani chomwe chimakulepheretsani kungoyesa mayeso?

Kumayambiriro kwa pakati, shuga yanga yamagazi idakwera pang'ono .. Ndidathamangira kwa adotolo ndipo adandiwuza kuti ndigule glucometer kuti ndizitha kuyang'anira. Ndidatenga Contour TS yokwera mtengo, ndinasintha maulendo 5 patsiku m'masiku angapo oyambirirawo, koma kenako ndinachepetsa. Dotoloyo anati musamadandaule kwambiri. koma ndinayezabe mpaka kumapeto kwa pakati.

Moni, Dilyara! Zikomo chifukwa cha ntchito yanu yabwino!
Ndili ndi zaka 39 (pafupifupi 40), kutalika 162 cm, kulemera 58 kg. Ndimakhala moyo wongokhala (ntchito yokhazikika yamanjenje, kupita ndi kuchokera pagalimoto). Kwa zaka 4 adakumana ndi zovuta zambiri. Munthawi imeneyi, adayamba kutaya 8 kg, kenako adalandira 10 (kuchokera pa 44 mpaka 42 mpaka kukula 46). Mafuta ambiri amaikidwa m'chiuno, papa ndi m'chiuno. Ndimakonda maswiti, makamaka makeke, sindinadzipatse malire pachilichonse; kumapeto kwa sabata ndi tchuthi - phwando lokhala ndi mowa.
Pa Meyi 16, ndidapezeka ndi prediabetes, kapena m'malo mwake, "Kupatuka pazotsatira za kuyesedwa kwa mayeso a glucose, ndidapeza koyamba."
Izi ndizomwe ndizomwe ndikuwunikira: glyc. hemoglobin 5.88%, c-peptide 2.38 ng / ml (wabwinobwino 0.900-7.10), insulini 16 ulU / ml (wabwinobwino 6.00-27.0), kuyesa ndi kuchuluka kwa glucose 75 g: shuga 6.3 mmol / L (masiku 3.90-6.40), patatha maola 2 - 9.18 (Norm 3.90 - 6.40), triglycerides 0,76 mmol / L, HDL 2.21 mmol / L LDL 2.89 mmol / L, index ya atherogenic. 1.5, cholesterol yonse. 5.45 mmol / l, cholest. zokwanira 2,5, body mass index 22.5, VLDL 0.35 mmol / L., TSH 3.95 μIU / ml (yachilendo 0.4-4.0), antibodies to TPO 0.64 IU / ml (yachilendo kwa 30 IU / ml), T4 yaulere kwa 17.1 pmol / L (chizolowezi 10.0-23.2), molingana ndi ultrasound, chithokomiro cha chithokomiro sichachilendo, popanda kusintha kwamapangidwe, kapamba nawonso. Nthawi yomweyo ndikumwa KOK Zoely (diagnostosis: endometriosis, angapo uterine fibroids, panali opareshoni ya izi). Amayi amapezeka ndi matenda a shuga a 2 pakukalamba, amamwa mapiritsi ochepetsa shuga. Mwana wamkazi (wazaka 13) amakhala ndi hypothyroidism, amatenga eutirox.
Dokotala adamuuza kudya No. 9, kuchepetsa shuga, glucophage kutalika kwa 750 mg 1 t.Kudya kwamadzulo kwa miyezi 4-6.
Ndinkakhala pakudya chamafuta pang'ono: Ndimadyera nyama, tchizi chokoleti ndi zonona wowawasa, mazira, tchizi, masamba, saladi zamasamba zokonzedwa ndi apulosi cider viniga ndi mafuta, nthawi zina oatmeal kwa 1/2 tbsp. mkaka, buwheat mkate, kachikwama kakang'ono. Ndinkamwa glucophage kutalika kwa masiku atatu, kutsekula m'mimba kunayamba. Pomwe sindivomera ndikukayika ngati ndikofunikira. Ndinagula Accu-Chek Performa Nano glucometer. Tsopano, kusala kudya kwa magazi (oyesedwa ndi glucometer): 5.4 - 5.1. Ola limodzi mutatha kudya: 5.1 - 6.7 (ngati chakudya chamagulu, inenso ndimanjenjemera), nditatha maola awiri: 5.2 - 6.4 (Nditakhala ndi bagel wolemera ndi walnuts ndi shuga ndisanadye). Popita sabata, adatsitsa 1 kg (kuchokera pa 59 mpaka 58).
Ndilumikiza thupi. zolimbitsa thupi.
Ndine munthu wokayikira kwambiri, ndili ndi nkhawa kwambiri, ndimadzilimbitsa.
Ndikufuna ndidziwe malingaliro anu pankhani yofunsira matendawa. Ndikuthokoza kwambiri chifukwa cha izi!

4. Kuona kumverera kwa zala, dzanzi la miyendo, kuyabwa

Chizindikiro china chomwe chimayankhula za shuga omwe angakhalepo, koma osagwirizana mwachindunji ndi kuchuluka kwa shuga m'magazi, ndikung'ung'uza zala, kupindika kwa miyendo, ndi kuyabwa. Ichi ndi chiwonetsero cha kusintha komwe kumatchedwa "neuropathy" - kusinthika-kwa dystrophic m'mitsempha yamtsipa. Zizindikiro zimatha kukulira usiku.

6. Mavuto akuwona

Ndi matenda ashuga, kuonera kumakulirakulira. Matenda a maso monga amphaka, glaucoma, retinopathy amakula.

Chifukwa chake, ndi matenda awa, chidwi chapadera chimayenera kulipidwa ndi maso. Izi zikuthandizira kupewa kapena kuchedwetsa kukula kwa matenda omwe tatchulawa. Ndi owopsa kwambiri chifukwa cha maso. Mwachitsanzo, retinopathy popanda chithandizo chofunikira chitha kubweretsa khungu.

Anthu odwala matenda ashuga nthawi zambiri amakhala ndimavuto amanjenje.

7. Mabala amachiritsa bwino

Ngati mabala mwangozi ndi mabala achiritsa bwino, izi zimasonyezanso vuto m'thupi. Ichi nthawi zambiri chimakhala chimodzi mwazizindikiro za matenda ashuga.

Ndi matendawa, zomwe zimadziwika kuti "vascularization" zimasokonekera. Zotsatira zake, mabala amachiritsa bwino komanso pang'onopang'ono. lofalitsidwa ndi econet.ru.

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