Zizindikiro za matenda ashuga mwa akazi pambuyo pa 50

Momwe mavutowa amadziwonekera mwa akazi atakwanitsa zaka 50 ndi chifukwa cha zokhudzana ndi zaka. Mkazi amalowa nthawi ya kusamba, zomwe zikutanthauza kuti thumba losunga mazira limayamba kutaya ntchito. Kudumphadumpha kumene kumachitika chifukwa cha kuchuluka kwa mahomoni achikazi.

Kutsika kwa estrogen kumapangitsa kusintha m'matumbo, mwa iwo atherosulinosis imayamba kukula mwachangu. Mafupa nawonso amavutika, amakhala ofooka ndikutaya mawonekedwe awo, matendawa amatchedwa mafupa.

Chifukwa chake, zizindikiro za matendawa atatha zaka 50 zidzagwirizana ndi kuwonongeka kwa ziwiya:

kuthamanga kwa magazi
kuiwalika, kusamalira, kusinthasintha, kusakonda,
kupweteka m'matumbo a ng'ombe poyenda, kukakamiza kuyima ndikupuma,
mwa azimayi ena, chiwonetsero choyamba cha matenda ashuga ndi tsoka lamwadzidzidzi - kugunda kwamtima kapena kugunda kwa mtima,
Nthawi zina, mzimayi akamakhala kwa nthawi yayitali ali ndi shuga m'magazi osapita kwa dokotala, zilonda zimawoneka m'miyendo ndi kumapazi kwake.
kuwonongeka kwa impso - mapuloteni mumkodzo, kutupa m'maso m'mawa, kulephera kwa impso,
Zizindikiro zina zokhala ndi matenda a shuga 2 zimachitikanso.

Zofooka zonse

Chomwe chimapangitsa kuti kusokonezeka kwa magwiridwe antchito, malaise ndi kufooka ndikuti glucose simalowa m'maselo moyenera.

Thupi limasungidwa malo osungirako mphamvu zofunika kuti likhalebe labwinobwino machitidwe onse okhudzana ndi moyo.

Makulidwe amwaziwo amatsogolera kuti mpweya wa ziwalo ndi minyewa uzikula. Ubongo umakhudzidwa makamaka. Pokhapokha njira zochizira zokwanira, hypoxia imawonedwa. Muzochitika zosasangalatsa, izi ndizodzaza ndi mikwingwirima ya ischemic.

Kutaya pang'ono pang'ono kapena, kupweteka kwamiyendo, kumva kufooka kwa minyewa kumatha kukhala chizindikiro chovuta kwambiri cha matenda ashuga, monga neuropathy, zotupa zam'mimba, kapena phazi la matenda ashuga. Zonsezi, kuphatikiza kuchepa kwa magazi m'matupi, zimayambitsa kuoneka kwa zilonda zam'mimba zathupi ndi kufooka kwa miyendo.

Chifukwa chinanso chopewera kukhudzana ndi matenda a impso. Ndi imfa ya glomeruli, magazi amayeretsedwa kwambiri. Izi zimakwiyitsa njala m'maselo a cellular. Nthawi yomweyo, kayendedwe ka hematopoiesis palokha kamayamba.

Kugona mutatha kudya

Mzimayi amamva kutopa kwachilendo atatha kudya. Izi ndichifukwa choti glucose yemwe amalowa mthupi limodzi ndi chakudya samasweka ndi insulin.

Kuzunzidwa kwa shuga kukuchulukirachulukira. Izi zikufotokozera kumverera kwa kutopa.

Pakapita kanthawi pang'ono, izi zimayamba kudwala. Pambuyo pake, izi zimabweretsa kusokonezeka kwa kukumbukira ndi kubweza m'maganizo.

Ludzu lalikulu

Wotopa komanso wosasangalatsa pakamwandi imodzi mwazomwe zikuwonetsa mitundu yonse ya shuga.

Chifukwa chokoka pafupipafupi, thupi limataya madzimadzi ndipo nthawi zonse amakakamizidwa kulipilira zomwe zawonongeka. Mwa anthu athanzi, ludzu limayamba chifukwa cha zakudya zamchere zambiri kapena zolakwika zina zazifupi.

Mu diabetes, izi zimachitika mwadongosolo. Kuchuluka kwa zakumwa zakumwa masana kumafika mpaka malita 5.

Kuthamanga kwa magazi

Mndandanda wamagazi a shuga "umalumphira" pazifukwa zotsatirazi:

kuyamwa kosalamulira kwa zinthu zovulaza. Kuwonjezeka kwa kuchuluka kwa cholesterol yoyipa m'magazi kumathandizira kukulira pang'ono kwa lumen. Zotsatira zake ndi kuchuluka kwa kuthamanga kwa magazi,
ndi matenda ashuga, magazi ndi ochulukirapo kuposa abwinobwino. Ichi ndi chizindikiro kuti muyenera kusintha kadyedwe ndikuyesetsa kukonza momwe thupi lanu lakhalira.

Kulemera msanga

Amayi omwe amakonda kupeza mapaundi owonjezera mwina ndi omwe amakhala pachiwopsezo chachikulu cha matenda ashuga.

Chimodzi mwazinthu zomwe zimawonetsa kuti ali ndi matenda ashuga wazaka 50 kapena kuposerapo ndiye kusadya. Komanso, amakopeka kudya zokoma, koma nthawi yomweyo, zakudya zopanda pake ndi mchere wambiri, shuga ndi mafuta.

Izi zimachitika chifukwa cha kusagwira bwino ntchito mu chakudya. Ngakhale atadya chakudya chamadzulo, njala imamveketsa bwino. Ndizinthu izi zomwe zimapangitsa kuti munthu azikhala ndi chidwi komanso kusokoneza ntchito za kapamba. Chifukwa chakudya chopanda malire, pali kuchuluka kwa shuga m'magazi.

Zimakhala zovuta kuti thupi lizitaya. Chizindikiro choopsa kwambiri ndikuwoneka "kwamafuta" m'mimba. Ichi ndi chizindikiro chodziwika kuti chikuchepetsa mphamvu ya insulin.

Ndikofunika kumvetsetsa kuti kumva kuti kusowa kwa chakudya nthawi zonse ndi kusowa kwa chakudya si “chilolezo cha chakudya”, koma thupi.

Mawonetsero ena a shuga

Zizindikiro zina zomwe zikuwonetsa shuga:

kukoka pafupipafupi,
lakuthwa lakuthwa, ndipo nthawi zina kuchepa msanga thupi,
chilonda chachitali
mavuto amawonedwe
kukhumudwa kugona, chiwopsezo cha kupsinjika,
mutu
kukwiya, manjenje popanda chifukwa chodziwika bwino,
dzanzi la miyendo
kuwonongeka kwa kamwa (magazi amkamwa, kudzitsitsa kwameno),
matenda obwera ndi ukazi
mavuto ndi moyo wogonana,
kuyamwa

Pakukhumudwa pang'onopang'ono mu thanzi, muyenera kuwona dokotala, chifukwa cha kusintha kwa mahomoni, thupi ndi malo achonde popanga matenda osiyanasiyana, kuphatikizapo matenda ashuga.

Zizindikiro za matenda azimayi atatha makumi asanu, kutengera mtundu

Zizindikiro za shuga zamitundu mitundu ndizosiyana pang'ono.

Matenda a shuga 1 amachokera kuunyamata. Kusunga ndende yofananira ya glucose kumachitika pogwiritsa ntchito jakisoni wa insulin. Zikondwererozi sizipanga insulin kapena, monga njira, kubisala kwake sikokwanira.

Matendawa amawonetsedwa ndi zizindikiro zotsatirazi:

kuwonda msanga
kumverera kwa ludzu, kuwuma kwa khungu ndi mucous nembanemba,
mutu
kusanza, kusanza,
kusweka mtima
mwendo kukokana
chisokonezo cha kugona, kusokonezeka popanda chifukwa, kukhumudwa,
mavuto amawonedwe
khungu lopanda vuto.

Mosiyana ndi matenda amtundu 1 shuga, shuga yachiwiri imayamba mosiyanasiyana: katulutsidwe ka insulin kangakhale koyenera. Vuto lalikulu ndikuti chidwi cha thupi kwa icho chimachepa. Chifukwa chake, palibe insulin yokwanira, koma wachibale.

Matendawa amawonetsedwa ndi zizindikiro zotere:

chitetezo chokwanira, kuzizira kwambiri kuposa kale,
kunenepa kwambiri, "zabwino kwambiri" chikhumbo,
Zizindikiro zakunja za kusakhazikika kwa mahomoni (mawonekedwe a "masharubu" ndi "ndevu"),
zikamera pakhungu (xanthomas) pakhungu.
kuwodzera (makamaka mukatha kudya)
matenda oopsa
kuchiritsa bwino khungu,
kuwonongeka kwamawonekedwe
kuchepa kwakumverera kwamalo ndi miyendo.

Kuyesa kwa shuga ndi njira zina zodziwira matenda

Zakuti mayi akudwala matenda a shuga zimatsimikiziridwa ndi kuchuluka kwa glucose akusala, woyezedwa m'magazi a capillary, pamwamba pa 6.5 mmol / L. Mumkodzo wa anthu athanzi, glucose kulibe chifukwa amasungidwa ndi zosefera za impso.

Ndi kuwonjezeka kwa kuchuluka kwa shuga kopitilira 9-10 mmol / l, zotchinga za impso sizingatheke. Izi zikufotokozera kuzindikiritsa kwake mkodzo. Kuti mudziwe shuga mumkodzo, pali timizere tapadera.

Kuzindikira matenda a shuga kumaphatikizapo:

kusala kudya kwa shuga (kuyesa kwa magazi kwa capillary),
kusanthula shuga ndi ma ketoni mkodzo. Kupezeka kwawo kumawonetsa shuga wosawerengeka,
kusanthula kwa glycosylated hemoglobin. Ndi matenda ashuga, chizindikiro ichi chimawonjezeka kwambiri,
kusanthula kwa insulin ndi C-peptide. Ndi matenda 2 a shuga, amakhala osasinthika, mu mtundu wa 1 odwala matenda ashuga amachepetsa kwambiri,
mayeso opsinjika. Kuphatikiza pa kusala shuga, chizindikirochi chimatsimikiziridwa 2 patatha maola atatu mukumeza njira yodulira (1.5 g yamadzi, 75 g shuga). Kuchuluka koyipa ndi 6.6 ndi 11.1 mmol / L pamimba yopanda kanthu ndikatha kutsatsa shuga, motero.

Kuzindikira zotheka

gwiritsani ntchito mawonedwe otizindikira: EEG yaubongo, kuyesa kwa impso, kudziwa kwa miyendo.

Zochizira

Kuchiza kuyenera kuyambika pokhapokha ngati wapezeka ndi matenda. Matenda a shuga sangathe kuchiritsidwa, koma kutsatira malangizo onse a dokotala kumatha kusintha moyo. Njira zochizira mwachindunji zimayikidwa ndi katswiri.

Kwa ena, ndizokwanira kutsatira zakudya ndikuwonetsetsa kuchuluka kwa shuga m'magazi, ena amamuika mankhwala ochepetsa shuga, ndipo ena amafunika jakisoni wa insulin nthawi zonse.

Chofunikira kwa akazi pambuyo pa zaka 50-55 ndikuletsa "matenda a shuga":

mukamadya moyenera komanso mosamala, shuga
zakudya zopatsa chidwi, kuchuluka kwa zakudya patsiku - kuyambira 4 mpaka 5,
sindingathe kukhala wopanda mkate? Chitani zokonda zake rye ndi mitundu yamitundu. Yesetsani kuthetsa zopangidwa ndi zinthu zotsiriza ndi zinthu zina zowonjezera pazakudya,
khofi, mowa, ndudu - zoletsedwa,
kuchita masewera olimbitsa thupi pafupipafupi kumathandizanso munthu kukhala wathanzi. Makamaka, zolimbitsa thupi zolimbitsa thupi zimathandizira kuti magwiridwe amthupi azitha kusintha komanso kuchepa kwa thupi,
Kukhala ndi malingaliro abwino komanso chiyembekezo, monga momwe machitidwe amasonyezera, ndi njira yabwino kwambiri yopeweretsera mavuto ambiri azaumoyo, kuphatikizapo matenda a shuga.

Makanema okhudzana nawo

About zazikulu za matenda ashuga azimayi mu kanema:

Chithandizo choyenera, chokhazikika komanso choganiza chimathandiza kupewa kuwonongeka kwa matendawa komanso zovuta zake. Kuwonongeka kulikonse muumoyo kuyenera kukhala koopsa! Tsatirani malangizowo ndikukhala athanzi!

Kutengera mtundu wa shuga, kukula kwake kumachitika mwachangu (choyamba, kudalira insulini) kapena pang'onopang'ono (kwachiwiri). Sikuti nthawi zonse wodwala amakhala ndi zizindikiro zonse, nthawi zambiri pamakhala njira yobisika. Werengani za zizindikiro zoyambirira za matendawa, zizindikiro zazikulu, Zizindikiro pakusanthula ndi chithandizo, werengani mu nkhani yathu.

Kuzindikira ndi ludzu

Poyamba, azimayi ambiri amakhala ndi pakamwa pouma. Odwala amayamba kumwa kwambiri (nthawi zina mpaka malita 7-8), koma ludzu silitha. Izi zimachitika chifukwa cha kuchuluka kwa shuga m'magazi, kutseguka kwa malo akumwa a ubongo. Mkulu wambiri wamadzi akumwa umayenda limodzi ndi impso kudzera impso. Kukodzerera kochulukanso kumachitika chifukwa chakuti shuga, kudutsa mu mphutsi zaimpso, imakopa madzi.

Kusintha kwa kulemera ndi chidwi

Chimodzi mwa zoyambirira za matenda ashuga zimawonjezera chilakolako chofuna kudya. Izi ndichifukwa choti chifukwa chosakwanira kuchuluka kapena kusachita bwino m'thupi la insulini, shuga amakhala m'magazi, osalowa m'maselo. Njala yamphamvu yotere imayambitsa chidwi chofuna kudya, makamaka chokopa maswiti.

Shuga wangwiro, ufa umathandizira kuwonjezera shuga. Nthawi yomweyo, mu mtundu wa 1 odwala matenda ashuga, kulemera kumachepa kwambiri, ndipo ndi mtundu 2 wamatendawo umakhalabe wokwera.

Tikupangira kuwerenga nkhaniyo

kupewa matenda ashuga

. Kuchokera pamenepo muphunzira za zinthu zomwe zingayambitse matenda ashuga, njira zopewera, mitundu ya njira zopewera, komanso kadyedwe kupewa matenda a shuga.

Ndipo izi ndizambiri za insulin ya mahomoni.

Kutalikirana ndi kuyabwa

Kumverera kwa kuyabwa mu perineum, makutu akhungu, zotupa pakhungu kungakhale ndi mtundu 1, mtundu 2, njira yobisika. Izi zimachitika chifukwa cha kuyamwa kwamkodzo kokhala ndi glucose pakhungu ndi mucous, komanso matenda oyamba ndi fungus. Njira yopitilira yotupa ndiyo mwayi woyeserera magazi kuti mupeze shuga. Kuwala kwa bowa wa Candida ndi njira yabwino kwambiri yopangira michere. Ndi candidiasis, zizindikilo zomwe ali:

kuyamwa wosaletseka, kuyaka mu nyini, perineum,
redness ndi zilonda zam'mimba zimagwira,
yoyera kapena chikasu kumata kwa curd kusasinthika.

Zofooka komanso kuchepa mphamvu

Lethargy ndi kugona zimachepetsa kwambiri kugwira ntchito kwa mkazi. Chimodzi mwazifukwa za izi ndi kulumpha mu shuga. Zomwe mungalumikizane ndi endocrinologist ziyenera kukhala zotopa komanso kufunitsitsa kugona ola limodzi mutatha kudya. Ichi sikuti nthawi zonse chimakhala chizindikiro cha matendawa, koma ndi pafupipafupi zizindikiro zotere, kufooka kwazonse, muyenera kuyang'ana magazi m'magazi.

Matenda a shuga

Ndikosavuta kuzindikira zovuta zobisika za metabolic ndi zizindikiro, chifukwa nthawi zambiri sizimasiyana mwatsatanetsatane, zimawonekera pazaka zomwe zimatha kufotokozedwa ndi matenda ena. Njira ya asymptomatic kapena atypical imadziwika ndi matenda a shuga a 2. Amadziwika ndi:

kutopa kwambiri
kusowa tulo tofa nato tulo,
chizungulire, kupweteka mutu pafupipafupi,
kunenepa kwambiri chifukwa cha kuchuluka kwa mafuta m'mimba,
ludzu losalekeza, kukoka pafupipafupi,
kuthamanga kwa magazi
zotupa pakhungu, ziphuphu zakumaso, furunculosis,
kuyabwa kwa pakhungu ndi mucous;
khungu lowuma, kutsuka ndi kuchepa kwa tsitsi,
kugona, kukhumudwa,
chimfine pafupipafupi
kutupa, bakiteriya vaginosis,
kuchepa chilakolako chakugonana, kupweteka pogonana chifukwa chotsika mafuta am'mimbamo, kuyabwa ndi kutupa mkati mwa nyini.

Polycystic ovary, kusokonezeka kwapakati, kusabereka nthawi zambiri kumawonetsera njira yotsiriza ya matenda ashuga.

Kuchepetsa ziwerengero za odwala matenda ashuga

Zizindikiro za mtundu 1 mwa amayi ochepera zaka 30 mpaka 40

Matendawa ndi autoimmune, amapezeka ndi chibadwa chamtsogolo. Ma antibodies omwe amayambitsa ma cell awo omwe amapanga insulin, amatsogolera kuwonongeka kwawo. Kwa nthawi yayitali, minofu yotsalira imatha kuthira katundu. Ikakhala yocheperachepera 15%, insulin imayamba kuchepa. Chifukwa chake, mawonetseredwe a matendawa akukula mwachangu, mwa akazi muli:

ludzu lakuya, kuuma ndi kutsira kwazitsulo mkamwa,
kufooka osachepera pambuyo pakupuma,
nkhondo
kuwonda
kulephera kwa msambo.

Atsikana achichepere, matendawa amatha kuyamba ndi ketoacidosis. Pali ululu wam'mimba, nseru, kusanza, fungo la acetone limamveka m'mpweya wotuluka, kupuma kumachitika pafupipafupi komanso kwamkokomo. Popanda chithandizo chamankhwala, chikumbumtima chimalephera, odwala amagona.

Zizindikiro za mtundu 2 pambuyo pa zaka 50

Chomwe chimapangitsa kuti shuga azikhala ndi magazi ambiri ndi kukana kwa maselo ku insulin yawo. Makhalidwe amtunduwu wa shuga ndi awa:

kunenepa
ochepa matenda oopsa
kupitirira msanga kwa atherosulinosis ndi zotulukapo zake - kuphwanya magazi m'thupi (angina pectoris, kugunda kwa mtima), matenda am'mimba
utachepa chitetezo chokwanira - pafupipafupi tizilombo, toyambitsa matenda komanso fungus, chibayo, bronchitis,
kupoleka pang'onopang'ono
kuwona kwakachepera - kuyenda kwaukali, zopinga zazinthu zambiri, malo osungunuka,
mwendo kukokana, kuluma, kuyabwa,
kusowa tulo, kuphatikiza chifukwa chowonjezereka mkodzo wa usiku.

Nthawi zambiri, zizindikiro zoyambirira zimayamba ndi kusamba. Chifukwa chake, atatha msambo, azimayi amayenera kuyesedwa ndi endocrinologist kamodzi pachaka.

Mwazi wamagazi mwa amayi ndi zonyansa

Kuti mupeze matenda a shuga, kulimbikira kwamankhwala pamagazi a glucose kumafunika.Kwa ana ochepera zaka 14, chizolowezi cha mmol / l ndi nthawi kuchokera pa 3,3 mpaka 5.6, komanso osakwanitsa zaka 60 - 4.1-5.9. Izi ndizowona kwa plousma wa venous pogwiritsa ntchito njira ya glucose oxidase.

Ngakhale zofunikira zonse zopereka zamagazi zikwaniritsidwa, kuwunika pamimba yopanda kanthu sikungasonyeze kuphwanya koyenera matendawa. Chifukwa chake, kuyesedwa kwa shuga kumafunika. Amatchedwa kulolerana kwa glucose. Mutatenga njira ya 75 g ya glucose, shuga imapangidwanso pambuyo pa maola awiri. Nthawi zambiri, mulingo wake sapitilira 7.8 mmol / L. Ndi zopatuka, digiri yawo imadziwikiranso.

Chizindikiro cha mmol / l

Matenda a shuga

Pewani matenda ashuga

Kuthamanga shuga

Norm kapena mpaka 6.1

Glucose 2 patatha maola olimbitsa thupi

Zotsatira za matenda ashuga

Mafuta akwezedwa amawononga makhoma amitsempha yamagazi. Chifukwa cha izi, kufalikira kwa magazi kumasokonezeka mu mitsempha yayikulu komanso ma arterioles ang'ono, capillaries. Dongosolo lonse loyenda magazi limakhudzidwa, koma kusintha kwa impso (diabetesic nephropathy), retina (retinopathy) ndi m'munsi malekezero (polyneuropathy, diabetesic phazi) ndizovuta kwambiri. Zotsatira zake ndi:

Kulephera kwa impso, kufunikira kwa hemodialysis pa zida zapamtima zopangira kuyeretsa magazi,
kutayika kwamaso
Kupangidwa kwa zilonda zosapola kwa nthawi yayitali m'miyendo, zilonda za miyendo, osteomyelitis (kutupa kwa mafupa ndi mafuta m'mafupa), nthawi zina kumafuna kudulidwa.

Anthu odwala matenda ashuga nthawi zambiri amakhala ndi vuto la mtima komanso stroko, maphunziro awo amadziwika ndi kuwonjezeredwa kwa zovuta, kuchira kovuta, ndi zotsatira zoyipa. Kutsika chitetezo chochepa kumayambitsa purosesa njira kukana maantibayotiki.

Ngati shuga m'magazi amatsika kwambiri, ndiye kuti chikomero cha hypoglycemic chimachitika. Ndi chithandizo chokwanira kapena kupezeka kwa matenda a concomitant, pakhoza kukhala ketoacidotic, lactic acidotic ndi hyperosmolar coma. Chilichonse mwa izi chitha kupha munthu wodwala matenda ashuga popanda chithandizo chamankhwala chodzidzimutsa.

Matenda a shuga, prediabetes

Matendawa amatha kusinthidwa ndikusintha kukhala matenda owona. Odwala amalangizidwa kuti:

zakudya kupatula shuga, ufa oyera, kuchepa kwamafuta a nyama,
Zitsamba zokhala ndi vuto la hypoglycemic - zipatso za masamba ndi masamba, masamba a nyemba, muzu wa dandelion, ofiira ndi zipatso za aronia,
zolimbitsa thupi tsiku ndi tsiku osachepera theka la ola - kuyenda, masewera olimbitsa thupi, kusambira, Pilates, kuvina, kuthamanga, yoga,
kuwonda kovomerezeka - masiku osala kudya, kuwerengetsa caloric kudya ndi mphamvu zamagetsi, ndikupanga kuchepa kwa calorie

Kumwa mankhwala kumawonetsedwa ngati ndizosatheka (kusafuna) kutsatira zakudya zofunika komanso kuchuluka kwa zochitika zolimbitsa thupi, zomwe zimafotokozedwa ngati kunenepa kwambiri. Fotokozerani metformin (Siofor, Glyurenorm), Glucobay.

Mtundu woyamba

Pamafunika insulin. Nthawi zambiri, amapatsidwa mphindi 30 asanadye (amagwira ntchito mwachidule). Zimathandizira kuyamwa michere yomwe imatengedwa ndi chakudya. Kuti apange maziko azithunzi, jakisoni wokhazikika wa mankhwala omwe amagwiritsidwa ntchito kwa nthawi yayitali (1 kapena 2 kawiri pa tsiku) ndizofunikira. Chakudya chopatsa thanzi chimafuna zoletsa zamafuta a nyama ndi shuga, kuwerengetsa kuchuluka kwa mkate.

Mtundu wachiwiri

Odwala amapatsidwa mapiritsi kuti achepetse shuga. Mankhwala ofala kwambiri ndi metformin. Ndi mphamvu yake yokwanira kapena contraindication, Pioglar, Diabeteson, Novonorm, Januvia amagwiritsidwa ntchito. Njira yofunikira ya chithandizo ndi chakudya chamagulu. Kuti mupange zakudya, muyenera kusankha zakudya zomwe zimapangitsa kuwonjezera magazi:

masamba osakhazikika - zukini, kolifulawa ndi kabichi yoyera, nkhaka, tomato, biringanya,
Mitundu yopanda zipatso ndi zipatso,
chimanga ndi buledi wonse, komanso tirigu,
nyama yokonda ndi nsomba, mkaka.

Mlingo wakuthupi ndikofunikira kukonza insulin sensitivity ndikusunganso thupi labwinobwino.

Ndi angati omwe amakhala ndi matenda ashuga?

Kukhala ndi moyo kumadalira kuchuluka kwa momwe mayi amatsatirira zakudya, kukhala ndi moyo wakhama komanso kumwa mankhwala. Poterepa, ndikofunikira kuyang'anira glucose wamagazi ndi kuthamanga kwa magazi tsiku ndi tsiku komanso mobwerezabwereza. Osachepera kamodzi pa miyezi itatu iliyonse, endocrinologist ayenera kufunsidwa, kupereka magazi a glycated hemoglobin, cholesterol (lipid mbiri), onetsetsani magazi.

Ngati matenda ashuga ali ndi maphunziro ake, ndiye kuti moyo wa munthu wodwala matenda ashuga ndi wofanana ndi anthu athanzi. Izi zikutanthauza kuti glucose wa wodwala, cholesterol ndi zizindikiro zowumirira zili pafupi ndi zabwinobwino, palibe madontho akuthwa mu zomwe ali. Ndi kuwonjezera kwamavuto am'mimba a shuga, kuchuluka kwa zaka zomwe munthu amakhala nazo kumachepetsedwa ndi zaka 5-15.

Kodi ndizotheka kupewa matenda ashuga mwa akazi

Kwa mtundu woyamba wa matenda, kupewa sikukonzekera mokwanira. Cholimbikitsa pakukula kwake chimatha kukhala kupsinjika, matenda a ma virus, kudyetsa ndi zosakaniza zosafunikira. Chifukwa chake, kwa atsikana omwe ali ndi abale am magazi omwe ali ndi matenda ashuga m'mabanja, ndikofunikira kupatula izi nthawi zonse ngati kuli kotheka, kuyesedwa pafupipafupi, ndikuyendera endocrinologist.

Ndi mtundu wachiwiri ndi prediabetes, gawo la zinthu zakunja ndilokwera kwambiri. Pofuna kuti vuto la carbohydrate metabolism liziwoneka mochedwa.ndipo matenda ashuga anali ndi njira yochepetsetsa, ndikofunikira:

muchepetse kuchepa thupi kunenepa
kuchita maphunziro amtundu uliwonse kwa mphindi zosakwana 150 pa sabata,
siyani shuga ndi mafuta oyera, nyama yamafuta, zakudya yokazinga,
phunzirani njira zopumira muzovutitsa - yoga, masewera olimbitsa thupi, masewera olimbitsa thupi, aromatherapy,
Zizindikiro zoyambirira za shuga kapena zina zikuwoneka, pitani kwa endocrinologist.

Onani vidiyo yokhudza matenda ashuga azimayi:

Malangizo omwewo amagwiranso ntchito kwa azimayi omwe alibe matendawa, koma ali pachiwopsezo:

ovumbulutsa polycystic ovary,
pa mimba panali matenda ashuga, mwana womwalira adabadwa, ndikusintha kapena wolemera makilogalamu anayi, mimba imadutsa ndi toxosis yoopsa, kuwopseza kulephera,
pali zotupa zapakati, dysbiosis, ziphuphu,
Ngakhale zakudya zoletsa, ndizovuta kuchepetsa thupi.

Katswiri wa Endocrinology

Zakhazikitsidwa kuti popewa matenda amtundu 2, zakudya komanso kuwonda zimathandiza kwambiri. Ngati mumadya shuga woposa 50 g tsiku lililonse (mwachitsanzo, mtsuko umodzi wa Coca-Cola), ndiye kuti chiwopsezo cha matenda ashuga chiwonjezereka nthawi zopitilira 9.

Matenda a shuga a azimayi amatha kukhala ndi kochita bwino kapena kusuntha pang'onopang'ono ndi matenda 2. Mitundu yodalira insulini (mtundu 1) imadziwoneka modzidzimutsa, kuyambira ndi ludzu, kukodza kwambiri, komanso kugwidwa ndi njala. Kuyambira kwake ndi ketoacidotic chikomokere.

Tikupangira kuwerenga nkhaniyo

amaganiza kuti ali ndi matenda ashuga

. Kuchokera pamenepo muphunzira zomwe zimayambitsa kukayikira kwa matenda ashuga, zoyenera kuchita kwa munthu wamkulu komanso mwana yemwe ali ndi matenda osokoneza bongo, komanso za zakudya zomwe anthu omwe akuganiza kuti ali ndi matenda osokoneza bongo.

Ndipo pali zambiri za matenda ashuga amtundu wa 2.

Kuyesedwa kwa magazi ndikofunikira kuti muzindikire matendawa. Kuchiza kumakhala ndi zakudya, mapiritsi, kapena insulin. Zakudya zoyenera, masewera olimbitsa thupi, mankhwala, komanso kuyezetsa magazi pafupipafupi zimathandiza kupewa matenda komanso kuchepetsa chiyembekezo chamoyo.

Matenda a shuga ndi njira yamatenda yomwe imayamba chifukwa cha kuchuluka kwa shuga m'magazi. Pathology imagawidwa m'mitundu iwiri - yoyamba ndi yachiwiri. Mtundu woyamba wa matenda ashuga nthawi zambiri umabadwa ndipo umachitika chifukwa chosowa insulin m'magazi. Mtundu wachiwiri ndiwofala kwambiri. Mu 99% ya milandu, siyobadwa mwatsopano ndipo imadziwika ndi insulin yowonjezera yomwe imapangidwa ndi kapamba.

Zowopsa zake zimaphatikizapo kuchita masewera olimbitsa thupi ochepa, kukhala wonenepa kwambiri, cholesterol yambiri, komanso kusachita bwino m'thupi. Chifukwa chake, zizindikiro zoyambirira za matenda ashuga mwa akazi pambuyo pa zaka 40 ndi kupitirira zimachitika kwambiri.

Zolemba za matendawa

Chofunikira kwambiri pakupanga shuga kwa akazi ndi matenda amtundu wa zaka 40 mpaka 60. Pambuyo pa zaka 60, izi zimachepetsedwa pang'onopang'ono ndipo ndizosowa mwa azimayi azaka 70. Kuwonetsedwa kwa matendawa muukalamba makamaka kumalumikizidwa ndi kukula kwa zotupa za ziwalo za pancreatic ndikuphwanya ntchito zake. Homoni yayikulu yomwe imakhudzidwa ndi michere - insulin - imasungidwa ndi kapamba. "Amasintha" mapuloteni ndi zakudya, amapanga glucose, potaziyamu, magnesium, ndi phosphates kumankhwala. Kuphwanya kapangidwe ka insulin - kusowa kwake kapena kuchuluka kwake - posakhalitsa kumayamba kudziwonetsa m'thupi la mkazi. Nthawi zambiri, zomwe zimayambitsa kukhathamiritsa ndi kusamba, kukhumudwa kapena kupsinjika.

Matenda a shuga amayambitsa mavuto m'thupi. Zotsatira zake, kupanga kwa mahomoni a timadzi tambiri ta endocrine kumatsitsidwa. Zizindikiro za matenda ashuga mwa akazi azaka 50 zimawonetsedwa ndi kumwa kwambiri maswiti ndi zinthu zina za ufa, komanso ndi njala - makamaka chifukwa chosowa vitamini E ndi chromium. Matendawa ali ndi chitukuko chovuta kwambiri ndipo ndizosatheka kulosera. Zizindikiro za matenda a pathology zitha kuwonekera kwa zaka 10 kapena kupitirira. Asayansi azindikira kuti matenda ashuga ndi achilendo kwa anthu omwe anakulira m'mabanja osagwirizana. Kuyambira ndili mwana, ana m'mabanja oterewa amadya zakudya zotsika mtengo komanso zakudya zosavuta zamafuta zomwe sizothandiza thupi.

Chimodzi mwazizindikiro zoyambirira za matenda ashuga mwa azimayi atatha 50 ndi kutopa kosalekeza.

Zizindikiro zoyambira

Zizindikiro zoyambirira za matenda ashuga mwa amayi pambuyo pa 60 ndizobisika, komabe zimatha kupezeka ngati kuli tcheru pang'ono. Chifukwa chake, ngati mkazi azindikira kuti nthawi zonse amakhala wotsika poyerekeza ndi zomwe akuwonetsa - uwu ndi mwayi wokapeza katswiri.

Zizindikiro zazikulu zitha kuoneka motere:

Kudzimva koperewera, ngakhale kugona tulo komanso kupumula kwakanthawi.
Pali kugona komweko ndikumamva kuwawa pambuyo pa chakudya chilichonse, ngakhale kocheperako
Udzu wokhazikika - madzi ambiri amaledzera masana, ndipo kuchuluka kwa kwamikono kumawonjezeka.
Hypertension - kuthamanga kwa magazi.

Kuthamanga kwa magazi sikuti ndi chizindikiro cha matenda ashuga, koma kuphatikiza kufooka ndi kugona, ludzu, zimangotsimikizira kuti matendawa ayamba kale.

Ngati zaka 60 kapena 65 zizindikirazi zikuzindikirika, dokotala adzazindikira matendawa poyambira, zomwe zikutanthauza kuti mankhwalawa azikhala odekha. Ndikofunika kumvetsetsa kuti azimayi akapezeka ndi matenda ashuga, izi sizitanthauza kuti amadalira insulin. Poyambirira, chithandizo chitha kukhala chosavuta.

Zizindikiro zakuchedwa

Matenda a shuga m'mayi mwa akazi pambuyo pake amatha kuwonekeranso m'zisonyezo zina. Popeza mwazindikira zomwe zili kunyumba, muyenera kupita kwa dokotala mwachangu. Chifukwa chake, zizindikiro zotsatirazi zikuwonetsa mwachindunji kupezeka kwa mavuto ndi shuga mthupi:

Maonekedwe pakamwa pazitsulo,
Mantha nthawi zonse, osakwiya,
Mutu wapafupipafupi
Milomo youma ndi pakamwa - kuchuluka kwa malovu
Kuchepa kwa misomali ndi tsitsi,
Kuchulukitsa chilimbikitso kapena kusakhalapo kwathunthu,
Kulemera kapena kuchepa thupi mwadzidzidzi,
Kukhumudwa
Kusokonezeka tulo, kugona,
Maonekedwe a furunculosis ndi matenda oyamba ndi fungus,
Masomphenya otsika
The zimachitika khungu ndi ukazi kuyabwa.

Ngati zizindikirozi zikugwirizana limodzi, simuyenera kukhala aulesi kupita kwa adotolo, ndikumadzikhululukitsa ndi matenda anu akale, kapena kusintha kwokhudzana ndi zaka. Ngakhale matenda a shuga atapezeka, dzipangeni nokha pazokomera mwamunayo. Kupatula apo, kulandira chithandizo munthawi yake kudzakulitsa moyo ndi kulepheretsa matendawa kupita patsogolo mwachangu, kotero kuti pa zaka 65 zisathere mphamvu yotsiriza komanso chisangalalo cha moyo.

Zomwe matenda a shuga amawonekera

Matendawa pawokha amayamba chifukwa chakuti kapamba amasiya kutulutsa insulini ya mahomoni ochuluka. Ndiye timadzi timene timaloledwa kuti glucose alowe mu khungu lililonse ndikugawidwa m'thupi. Komabe, popanda insulin yokwanira, shuga samasweka konse. Zotsatira zake, samatengekedwa ndi thupi, kuyikidwa momwe amapangira mapaundi owonjezera, ndipo thupi lokha sililandira mlingo wofunikira wa glucose wa metabolism.

Madokotala ndi asayansi padziko lonse lapansi akhala akuphunzira za matenda kwa zaka zambiri, pofufuza zomwe zimayambitsa chitukuko chake komanso chithandizo chamankhwala. Ngati simunapeze chithandizo choyenera, chomwe chimapangitsa kuti muchiritsidwe, mwatha kukhazikitsa zifukwa zake.

Chifukwa chake, mwa azimayi akuluakulu, matenda ashuga amatha kuchitika chifukwa cha zifukwa monga:

Khalidwe labwino
Kunenepa kwambiri, kunenepa kwambiri,
Kukonda chakudya chamasala, kuperewera kwa zakudya m'thupi,
Zovuta zapafupipafupi, kusokonekera kwamanjenje,
Kupezeka kwa matenda oyamba ndi tizilombo,
Kukhalapo kwa matenda a autoimmune, makamaka kutupa kwa chithokomiro kapena kusakwanira kwa adrenal,

Nthawi zina, matenda ashuga amatha kuchitika chifukwa chogwiritsa ntchito mankhwala pochiza matenda ena. Makamaka mankhwalawa okhala ndi antitumor, diuretic, antihypertensive zotsatira, komanso mahomoni a steroid.

Chithandizo ndi zotsatira zake

Mutha kudziwa kulondola kwa matendawa pogwiritsa ntchito kuyezetsa magazi mosavuta. Pambuyo povomereza matendawa, dokotala yemwe akupezekapo ayenera kukupatsani chithandizo choyenera. Kwambiri, matenda a mtundu wachiwiri amakula atakula - osadalira insulin. Pofuna kuti shuga azikhala ndi matenda osokoneza bongo 60 kuti asadutse, ndikokwanira kungosintha zakudya zanu ndi moyo wanu.

Chifukwa chake, zakudya ziyenera kumangidwa potengera malingaliro awa:

Zakudya zopatsa thanzi kwambiri, zamafuta, zotsekemera zimaphatikizidwa ndi zakudya,
Soseji, zakudya zam'chitini, nyama zosuta, nsomba zamafuta ndi msuzi wake, chakudya mwachangu,
Nyama yophika kapena yophika imakonda.
Zakudya zoyambirira ziyenera kutsamira,
Ndi bwino kudya phala kuchokera ku mbewu, chimanga, chimanga,
Zogulitsa mkaka wowonda ndi mafuta ochepa,
Zamasamba zilizonse zimatha kukhala, koma kuchokera ku zipatso mumatha kupatsa nthochi, mphesa, nkhuyu, madeti,
Kofi ndiwotheka mkaka, komanso komwe ndikulimbikitsidwa ndi tiyi wobiriwira, decoctions a rose m'chiuno ndi zitsamba, madzi.

Ndipo koposa zonse - muyenera kutsogolera moyo wokangalika, kusunthira patsogolo, kuyenda mu mpweya watsopano, kuwunika kunenepa.

Zizindikiro ndi zovuta zake

Nthawi zambiri, matenda ashuga amakhala ochepa komanso osadziwika bwino. Mzimayi sangayikire ngakhale pang'ono kuti akudwala, chifukwa chake zamatsenga zimapezeka mwangozi. Zizindikiro zoyambirira za matenda ashuga mwa akazi zimayamba kuwoneka mwa kutopa kapena kutopa. Izi zimathandizidwa ndi kuperewera kwa zakudya zamagulu m'thupi za glucose, komwe kumakhala mphamvu. Odwala samvera chidwi ndi mawonetseredwe awa, chifukwa cha zaka zawo. Zingatenge zaka kuyambira kumayambiriro kwa matenda kupita kwa matenda, pomwe mkaziyo ali ndi zovuta zomwe zimapezeka, koma osatembenukira kwa akatswiri. Ndipo matenda ashuga amapitiliza "ntchito yake yakuda" ndipo amatha kuwonekera ndi zotsatirazi:

Kunenepa kwambiri - chifukwa cha kapangidwe ka mafuta amino acid, otembenuka kuchokera ku chakudya chochuluka.
Kupangidwe kwa zilonda zakunja ndi zamkati - glucose owonjezera amawononga makoma amitsempha yamagazi omwe amasiya kutanuka.
Kukula kwa atherosclerosis - chifukwa nthenda kukula kwamisempha ya kuzungulira kwa dongosolo. Zotsatira zake, mitsempha yamagazi imakhala yopapatiza, mawonekedwe a magazi, ndipo magazi amayenda.
Kuchulukitsa kwa magazi - chifukwa cha kuchepa kwa mitsempha yamagazi, kukondoweza kwamitsempha yamagazi, mtima ndi impso.
Kukula kwa zotupa za khansa - chifukwa cha mphamvu ya glucose pama minofu.
Kupangidwe kwa thumba losunga mazira la polycystic, dysmenorrhea, kusabereka - mahomoni amathandizira pakupanga testosterone, yomwe ndiyomwe imayambitsa matendawa.

Zizindikiro zazikulu za matenda ashuga mwa akazi pambuyo pa 50 ndi kutopa, kupweteka mutu pafupipafupi, chizungulire, komanso kuwona kwamaso. Chomwe chimasiyanitsa ndikulakalaka kwa maswiti, kumverera kwa ludzu, kukoka pafupipafupi ndi kuyabwa kwa khungu, makamaka m'chigawo cha inguinal. Pakuchulukitsa, odwala amasokonezedwa, nthawi zambiri amasiya kukumbukira. Pakudula pang'ono, mabala amachiritsidwa kwakanthawi, amadzuka, ndipo zimakhala zovuta kuchira. Kutseka kwa ziwiya ndi kuwonjezereka kumabweretsa zilonda zam'mimba zosapindulitsa, ndipo madokotala amayenera kutengera - kudula miyendo. Ndi zovuta zapamwamba, munthu amatha kugwa.

Kuzindikira matendawa

Ngati mayi atatha zaka 50 wazindikira zizindikiro za matenda ashuga, ndiye kuti ichi ndi chizindikiro chofufuza zonse zathunthu. Kutembenukira kwa katswiri wa komweko, mzimayi amalandila kwa akatswiri angapo, monga: endocrinologist, cardiologist, psychotherapist, gastroenterologist. Kuti adziwike moyenera, madokotala amayenera kudziwa mtundu wa matendawa, kuwunika momwe thupi liliri komanso kudziwa zovuta zomwe zimayenderana. Chifukwa cha izi, maphunziro otsatirawa adasinthidwa mu:

Kudziwa kuchuluka kwa mahomoni m'magazi (insulin, renin, aldosterone, cortisol, prolactin) - kudziwa kugwira ntchito kwa chithokomiro cha chithokomiro.
Kuwunika kuthamanga kwa magazi masana (zizindikiro za matenda oopsa ndi chizindikiro choyamba cha matenda ashuga mwa akazi pambuyo pa zaka 50).
Kuwona kulemera kwa wodwala komanso kuchuluka kwa kukula kwa chiuno ndi m'chiuno.
Tanthauzo la microalbunaria - mapuloteni amkodzo (Zizindikiro za kuwonongeka kwa impso ndi matenda oopsa mwa odwala omwe ali ndi matenda osokoneza bongo).
Kupenda kwa Ultrasound kwamatumbo amkati (kapamba, impso, chiwindi) kuti muwone kuchuluka kwa zowonongeka.
MRI, CT ya adrenal gland ndi pituitary gland kupatula matenda a Itzingo-Cushing (kuchuluka kwa ntchito, komwe kumakhala ndi zofanana ndi matenda ashuga).
Kuyesa kwa magazi a biochemical - kutsimikiza kwa shuga, cholesterol yathunthu, triglycerides (lipids, glycerol zotumphukira), lipoproteins (mapuloteni ovuta), okwera komanso otsika.

Musanadutse mayeso, muyenera kutsatira malamulo onse - osamadya chakudya kwa maola 8, kumwa madzi okha, osapatula zakumwa zina zilizonse. Pakusanthula, magazi amatengedwa kuchokera pachala, ndipo ngati kuchuluka kwa glucose kumaposa 6.5 mmol pa millilita, ndiye kuti amapezeka ndi matenda osokoneza bongo a shuga. Pambuyo pake, kukonzanso kwachiwiri kumachitika kuti muwone momwe thupi limayankhira shuga. Wodwalayo amamwa chakumwa chokoma, patadutsa maola awiri dokotala amayang'ana kuchuluka kwa shuga m'magazi, ndipo ngati aposa 7 mmol, ndiye kuti pamapeto pake amatsimikizira kuti adziwe.

Njira zakuchizira ndi kupewa

Chofunikira kwambiri pa mankhwalawa ndi zakudya zomwe zimachepetsa thupi. Mosasamala mtundu wa ntchito yomwe wodwala amagwira, zopatsa mphamvu za caloric zomwe amagwiritsa ntchito zimachepetsedwa kangapo. Muchepetse michere m'zakudya. Chakudya chimakhazikitsidwa ndi zipatso ndi ndiwo zamasamba - m'magawo ang'onoang'ono, 4-5 patsiku. Kuchita masewera olimbitsa thupi kukukulira pang'onopang'ono - kuchokera pamitolo yopepuka kupita kulimbitsa thupi kwakutali. Masewera olimbitsa thupi azikhala ndi masewera okhaokha, monga: kuyenda, kusambira, aerobics, yoga. Zochita zolimbitsa thupi zolimbitsa thupi zimakulitsa vutoli ndipo zimawonjezera chiopsezo cha matenda oopsa.

Pachipatala, mankhwala amagwiritsidwanso ntchito:

kutsitsa kuchuluka kwa shuga m'magazi (Amaryl, Siofor, Maninil) - biguanides, thiazolidines,
kukonza kuthamanga kwa magazi komanso kuchepetsa ngozi ya mtima (Octadin, Rezeprin, Pentamine) - antihypertensives,
kutsitsa kuchuluka kwa cholesterol m'magazi (Holetar, Tulip, Simvastol) - ma statins ndi ma fibrate,
kuchepetsa kulakalaka (Ankir-B, Reduxin, MCC) - zoletsa zomwe zimapangitsa kuti matumbo azigwira bwino, kuphwanya mafuta,
kuchuluka kagayidwe, kuchotsa cholesterol owonjezera, kugwiritsa ntchito shuga (Lipoic acid).

Malinga ndi akatswiri, ndizosatheka kuti tichotsetu matenda a shuga. Chithandizo chake ndikuchotsa matenda amodzimodzi komanso kupewa mavuto omwe ngoziyo ili.

Chifukwa chake, kuti mupewe zizindikiro zoyambirira za matenda ashuga mwa akazi pambuyo pa zaka 50, ndikofunikira kumvera thupi lanu ndikutsatira malamulo onse oletsa matendawa. Pewani kwathunthu chakudya chofulumira ndi zakudya zopangidwa kuchokera kuzakudya. Idyani zakudya zochepa zopatsa mphamvu. Phindu lalikulu ndi kupuma kolimbitsa thupi mu mpweya wabwino - limachepetsa mitsempha ndipo imagwiranso ntchito njira ya metabolic. Ngati mutsatira malingaliro onse a akatswiri, chotsani zizolowezi zoyipa ndikukhalitsa pansi, ndiye kuti zonse zomwe sizingakusangalatseni komanso zowopsa za matenda a shuga zitha kupewedwa.

Zaka makumi angapo zapitazi, madotolo awona kuchuluka kwa anthu odwala matenda ashuga. Izi ndizowopsa chifukwa zimatha kukhala asymptomatic kwa nthawi yayitali.

Nthawi zina, kupezeka kwa matenda ashuga amtundu wa 2 azimayi kumatenga zaka makumi ambiri. Matenda a shuga mwa akazi ndi osiyanasiyana.

Mawonekedwe ena amadziwika omwe amawonetsa kukana insulinent. Zizindikiro za matenda ashuga mwa akazi zizindikirika, muyenera kumuwona dokotala kuti azikuwunika kuchuluka kwa shuga m'magazi, kenako ayambe kulandira chithandizo.

Mitengo ya Shuga

Sewu la shuga mwa akazi limasiyana ndi laimuna. Chizindikiro sichikuyenera kupitirira mamililita 5.5 pa lita imodzi. Manambalawa ndi othandizira magazi a capillary, omwe amachotsedwa chala. Mitsempha yamagazi yomwe imatengedwa kuchokera m'mitsempha ikukwera pang'ono, yomwe ndi mamilimita 6.1 pa lita.

Popita nthawi, kuchuluka kwa shuga kumakwera pang'ono. Kwa zaka 55-90, chizolowezi ndi 4.6 - 6.4 mmol. Ngati mayi ali ndi zaka zopitilira 90, ndiye kuti mankhwalawa adzakhala 4.2 - 6.7 mmol pa lita imodzi yamagazi.

Zizindikiro zoyambirira za matendawa

Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitse

Amayi amakhala ndi nkhawa komanso nkhawa zambiri, zomwe sizichepetsa mphamvu zawo. Monga lamulo, azimayi amakhala ndi nkhawa zambiri, ambiri amakhala ndi vuto la mavitamini ndi michere, zomwe zimapangitsa kuti azikhala ndi ntchito yambiri.

Zizindikiro zotsatirazi za matenda ashuga mwa akazi ndi izi:

kugona kosalekeza komanso kuwuma pambuyo podya,
kulemera m'mutu
kumverera kwa ludzu
kuthekera kozunzika.

Ngati zizindikiro zomwe zalembedwazo zikuwoneka modwala, ndiye kuti, mkazi amamva ludzu pafupipafupi ndikumwa madzi ambiri, ndiye kuti ndikofunikira kutsimikizira kapena kukana kukhalapo kwa matenda.

Makamaka, ludzu lalikulu liyenera kukhala chifukwa chazindikiritso, ngati mkazi ali ndi zaka 51.

Kulemera kwambiri kwa thupi komanso kunenepa kwambiri ndizoopsa kwambiri za matenda ashuga. Kunenepa kwambiri kumayambitsa kuchepa kwa chidwi cha maselo kupita ku insulin, komwe ndikofunikira pakuwongolera kagayidwe kachakudya, chifukwa imakhudzidwa ndi kulowa kwa glucose kuchokera m'magazi a machitidwe ndi ziwalo.

Mapaundi owonjezera amawalepheretsa kuchita izi. Glucose samayamwa muyezo woyenerera ndi maselo, amachedwa m'magazi. Chifukwa chake, mtima wamtima umakhudzidwa.

Kumayambiriro kwa matenda ashuga, kuchuluka kwambiri kwa thupi ndikofunikira, chifukwa ndi malo okwanira mafuta m'thupi. Ngati mapaundi owonjezereka akukumana m'chiuno, izi ndizofunikira kuti apangidwe:

chakudya kagayidwe kachakudya matenda,
matenda a mtima
chitukuko cha matenda oopsa.

Madotolo amakhulupirira kuti ndendende chifukwa cha kuchuluka kwa mafuta, amuna amakonda kudwala matenda ashuga. Amadzola mafuta m'mimba, pomwe azimayi - m'chiuno ndi matako.

Kulakalaka kwambiri, makamaka kufunika kudya zakudya zambiri zotsekemera kumawonekeranso ngati chizindikiro cha matenda ashuga. Mzimayi amawona kuti nthawi zonse amafunitsitsa kudya zakudya zopatsa mphamvu. Pankhaniyi, shuga samalowa m'malo ofunikira monga:

Zizindikiro zoyambirira za matenda ashuga mwa akazi zimadziwikanso ndi kuthamanga kwa magazi. Pamodzi ndi kudya kwambiri komanso ludzu losatha, matenda oopsa amatha kukhala chizindikiro.

Nthawi zambiri chizindikiro cha matendawa ndikuwotcha khungu, nthawi zambiri mumalo opaka. Ichi sichizindikiro chofala kwambiri cha matenda ashuga, chifukwa kuyabwa kumatha chifukwa cha thrush, chifuwa, kapena matenda opatsirana pogonana. Komabe, ngati kuphatikiza ndizowonetsera zina kuli kuyimitsidwa mu groin, izi zitha kutanthauza kukhalapo kwa matenda osokoneza bongo.

Zilonda zapakhosi zotupa ndi mutu zimakonda kupezeka chifukwa cha matenda osokoneza bongo, makamaka ngati mayi wadutsa zaka 58, 59.

Ngati pali zotupa zochepa pakhungu, simungaganize za matenda ashuga.

Kodi matenda ashuga ndi chiyani?

Matendawa akufotokozedwa mu kusakhazikika kwa kagayidwe kazakudya, komanso madzi. Zotsatira zake, ntchito za kapamba zimasokonekera ndipo kupangika kwa insulin kumayimitsidwa. Ndiwo mahomoni omwe amatha kutsimikiza kusintha kwa shuga kukhala glucose. Ngati kuchuluka kwa insulini m'thupi sikokwanira, ndiye kuti shuga amadzaza mokwanira m'magazi ndikupatsidwa mkodzo.

Pamodzi ndi izi, kusokonekera mumayendedwe amadzi kumakhalanso. Ziwalo zonse zamthupi zimasiya kudzilimbitsa, chifukwa nthawi yomweyo zimayamba kuchotsedwa m'thupi la munthu kudzera mu impso. Ndikofunikira kudziwa kuti matenda ngati awa atha kubadwa kapena kukhazikitsidwa pawokha.

Zosiyanasiyana zamatenda

Amayi amatha kukhala ndi mitundu yonse ya shuga. Mtundu woyamba wa shuga wodwala matenda a insulin nthawi zambiri umayamba unyamata kapena ubwana. Mulingo woyenera wa insulin m'magazi umathandizidwa ndi jakisoni wa insulin.

Matenda a shuga amtundu woyamba mwa akazi okulirapo zaka 58 ndi oyipa kwambiri kuposa azimayi achichepere. Matenda a shuga omwe samadalira insulin tsopano amadziwika kuti ndiwoofala kwambiri. Anthu opitilira 90% omwe ali ndi matenda amenewa amadwala.

Monga lamulo, mwa akazi, matendawa amawonekera ali ndi zaka makumi asanu. Koma posachedwa, milandu idalembedwa pomwe matendawo amapezeka ali aang'ono. Matenda a shuga oterowo amayankha bwino pa zamankhwala, makamaka ngati zakudya zapadera zimagwiritsidwa ntchito.

Matenda a gestational amaonekera panthawi yomwe ali ndi pakati. Shuga wamagazi amawonjezeka chifukwa cha kusalinganika kwa mahomoni. Kuopsa kwamatenda amtunduwu ndi pafupifupi 5% mwa azimayi omwe akudwala.

Monga lamulo, mwana akabadwa, kuwerengera kwa glucose kumabwereranso. Koma, pamene mayi ali ndi zaka zopitilira 53, mwayi wokhala ndi matenda osakhudzana ndi insulin umakulira. Nthawi zambiri, zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 50 sizimawoneka.

Malangizo

Popewa zizindikiro za matenda ashuga mwa amayi azaka 50, muyenera kuwunika momwe mukukhalira. Kuchita masewera olimbitsa thupi ndiye chinsinsi cha thanzi labwino.

Kugwira ntchito ndi masewera olimbitsa thupi osakwanira ayenera kulipidwa ndi ntchito mlengalenga, poyenda kapena kuchezera malo ochitira masewera. Ndikofunikira kuchita masewera olimbitsa thupi mwadongosolo, Pilates ndi njira zina zomwe zimapangitsa kuti thupi likhale labwino.

Chakudya chopatsa thanzi ndichofunikira kwambiri kupewa chomwe chingachepetse chiwopsezo cha matenda a shuga, ndi mtundu wa kupewa matenda ashuga.

Ndikofunikira kuchepetsa kugwiritsa ntchito ufa ndi zakudya zotsekemera. Ndikulimbikitsidwa kudya zakudya za chimanga ndi nyemba. Ndizowopsa nthawi zambiri kudya zakudya zosavuta zomwe zimakhala ndi mankhwala ambiri komanso mafuta am nyama.

Shuga wamagazi amatsika mukapatula:

Ndikofunikira kukhalabe ndi malingaliro abwino, kupewa kutaya mtima komanso kutopa kwambiri. Kanemayo munkhaniyi akukamba za zizindikiro zazikulu za matenda ashuga.

Sonyezani shuga lanu kapena sankhani jenda kuti mulimbikitse

Mitundu ya matenda ashuga

Dongosolo la matenda omwe amapita patsogolo poyerekeza ndi kuwonjezeka kwa shuga m'magazi nthawi zambiri amagawidwa m'mitundu itatu (yoyamba, yachiwiri, matenda ashuga a amayi apakati) + otchedwa prediabetes. Ichi ndi gawo lomwe mulingo wa glucose umakhala wokwera kangapo kuposa wa anthu wamba, koma akadali wotsika kuposa wa odwala matenda ashuga.

Matenda a Autoimmune, omwe amatengera zambiri. Odwala nthawi zambiri amakhala osakwanitsa zaka 20, nthawi zambiri amakhala ana. Kuzindikiritsa mtundu wa matenda a shuga a Type I kumapangidwa pamene kuchuluka kwa insulin m'magazi sikokwanira, kapena sikupangika konse ndi kapamba. Amathandizidwa m'njira yokhayo - jekeseni wosalekeza wa insulin.

Matenda a Type 2 amatenga pafupifupi 90% ya anthu onse odwala matenda ashuga. Nthawi zambiri, siobadwa mwatsopano, koma amakula ndi zaka. Imaphatikizidwa ndi kupanga kwa insulin kokhazikika kapena kuchulukitsa. Komabe, mahomoni a peptide samalowa m'magazi munthawi yake, kapena munthu amakhala ndi kuchepa kwamphamvu kwa maselo amthupi kupita ku chinthu ichi ("insulin kukana"), kotero thupi silingathe kuligwiritsa ntchito moyenera. Kuchiza sikuchitika ndikumayambitsa insulin yokha, koma mwa kumwa mankhwala omwe amachititsa chidwi cha maselo kwa icho.

Zomwe zimatha kuyambitsa chitukuko cha matenda

Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 50 ndizosiyanasiyana. Koma musanalankhule izi, muyenera kudziwa zomwe zimayambitsa zomwe zingakhudze mawonekedwe osasangalatsa komanso owopsa.

Monga tafotokozera pamwambapa, matenda ashuga amayamba kukula pamene kapamba amasiya kupanga insulin yofunikira, yomwe imakhudza kusintha kwa shuga kukhala glucose. Akatswiri amalimbikitsa kuti amayi atatha zaka makumi asanu asunthi mosamala zisonyezo zonse zaumoyo wawo ndikupempha thandizo kwa akatswiri munthawi yake. Ichi ndichifukwa chake ndikwabwino kudziwa pasadakhale kuti ndi matenda ati a shuga omwe alipo mwa akazi pambuyo pa zaka 50.

Ndipo tsopano taganizirani zinthu zomwe zingayambitse matenda ovuta kwambiri motere:

- kukhala pafupipafupi pamavuto,

- kuchuluka kwa magalimoto,

- kunenepa kwambiri

- kugwiritsa ntchito mankhwala kwakanthawi.

Matenda a shuga amatha kupita patsogolo mothandizidwa ndi zinthu zingapo, komanso motsogozedwa ndi amodzi mwa iwo. Nthawi zina zizindikiro za matenda ashuga mwa amayi pambuyo pa zaka 50 ndizovuta kwambiri kuzizindikira, ena samangokhala ndi chidwi nawo kapena amaganiza kuti ndi tsiku logwira ntchito molimbika. Apanso, ndikofunikira kubwereza kuti amayi pazaka izi azikhala osamala kwambiri za iwo eni ndi zizindikiro zawo zaumoyo.

Zizindikiro zoyambirira za matendawa

Tsoka ilo, mkazi pambuyo pa 50 amatha kunyalanyaza zizindikiro za matenda ashuga kwa nthawi yayitali, kuwauza kuti akuwonjezera nkhawa, kupsinjika, kusamba, ndi mitundu yonse ya matenda osachiritsika. Chotsatira, mabelu asanu oyamba, omwe ayenera kuchenjeza ndikukhala chifukwa chofufuzira kwambiri thupi kuti pakhale shuga.

Kugona mutatha kudya

Kukhalitsa kwa thanzi pambuyo poti wadwala kumachitika chifukwa chakuti glucose yemwe amalowa mthupi limodzi ndi chakudya samasweka mothandizidwa ndi insulin. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakula mwachangu, komwe kumapangitsa mkwiyo, womwe pakapita nthawi umakhala wopweteka. Mwachiwonekere, mothandizidwa ndi njirazi, ntchito zamaganizidwe zimatsekedwa, kukumbukira kumachepa, ndipo mkhalidwe uwu thupi limakumana ndi chidwi chosagonana.

Kuchuluka pakamwa pouma ndi ludzu lalikulu ndizizindikiro za matenda ashuga.Popeza kukodza kumayamba pafupipafupi chifukwa cha matenda omwe amapita patsogolo, thupi limataya madzimadzi ambiri ndipo amakakamizidwa kufunafuna njira zowalipirira.

Ngati mwa anthu athanzi pambuyo pa zaka 50, chikhumbo chofuna kumwa nthawi zonse chimakhala chifukwa chodya zakudya zamchere, kapena zimatha kuyambitsidwa ndi vuto limodzi kwakanthawi kochepa pogwira ntchito machitidwe a thupi, ndiye kuti odwala matenda ashuga amakhala mwadongosolo. Mavuto akulu azakumwa patsiku (amatha kufikira malita 5.) - Chizindikiro cha alamu chomwe chimafuna chithandizo chamankhwala.

Kuchepetsa thupi

Kufulumira, kuchepa kwamphamvu kwa thupi kumachitika chifukwa cha kusokonezeka kwa metabolic. Zifukwa zazikulu ziwiri:

Thupi limaleka kuzindikira maselo omwe amachititsa insulini kupanga. Popeza glucose samamwa, koma amangotuluka limodzi ndi mkodzo, mayiyo amakhala wamanjenje komanso wosakwiya, amakhala ndi mutu wambiri, kugona tulo, komwe kumakhudza kulakalaka.
Kuperewera kwa insulin kumalepheretsa glucose kukhala gwero lamphamvu kwa thupi. Minofu ndi minyewa yamafuta imatenga malo ake, ndipo ndi chifukwa chawo kuti peresenti yofunikira ya shuga yamagazi imabwezeretseka.

Zizindikiro zachiwiri

Zizindikiro zachiwiri mwa azimayi am'mgulu la "50+" ndizosiyanasiyana, zimatha kukhala ndi zofunikira ziwiri kapena zingapo. Pakati pawo:

mantha opanda pake komanso kusokonekera,
dzanzi la miyendo
kusowa tulo
gamu magazi
kusintha kwamphamvu kwa kulemera kwa thupi (zonse zimachepera komanso kuwonjezeka),
mutu
chilonda chachitali.

Nthawi zambiri mawonetseredwe achikazi a matenda ashuga amaphatikizira matenda amkazi, kuyabwa mu nyini, kutsika kwa libido, kukakamiza pafupipafupi kutulutsa chikhodzodzo, matenda oyamba ndi mkamwa ndi miyendo. Nokha, sizomwe zikuwonetsa kutukuka kwa matendawa, koma molumikizana ndi zikwangwani zoyambirira ziyenera kukhala nthawi yolimbikitsidwa kuchipatala.

Momwe Zimayambira Kugonana ndi Kukalamba kwa Amayi Zimakhudza

Pa maphunziro a carbohydrate ndi mafuta metabolism mu thupi la mkazi, mahomoni a estrogen amadziwika kuti ali ndi udindo. Pakusiya kwa msambo, kuchuluka kwawo kumatsika kwambiri, mphamvu zamagetsi zimatha, ndipo zolandilira zomwe zimakonda insulini zimasiya kugwira ntchito moyenera. Kukhazikika chifukwa cha kusokonekera kwa mahomoni, kukana kwa insulin kumasokoneza kuyamwa kwa shuga ndi magazi, zomwe mwachilengedwe zimatsogolera kuwonjezeka kwa shuga.

Kusokonezeka kwa lipid metabolism, mawonekedwe a kusintha kwa thupi, kusintha kuchuluka kwa minofu ndi minofu yamafuta. Nthawi zambiri, izi zimatha, ndipo kunenepa kwambiri, monga momwe achipatala amasonyezera, ndi imodzi mwazomwe zimayambitsa matendawa.

M'moyo wa mayi aliyense, nthawi imayamba pamene kukonzanso kwakukulu kumachitika mthupi. Izi zikutanthauza kuti ...

Njira Zodziwitsira

Zakuti mayi ali ndi matenda a shuga zimawonetsedwa ndi kuchuluka kwa shuga m'magazi a capillary, kupitirira chizindikiro cha 6.5 mmol / L. Zizindikiro zikafika pa 10 mmol / l, zotchinga za impso sizigwirizana ndi ntchito zawo, ndipo shuga imatha kupezekanso mu mkodzo (kuyerekezera, mwa anthu athanzi kulibe mkodzo kwathunthu).

Chifukwa chake, kupezeka kwa matenda a "shuga" kumaphatikizapo maphunziro awa:

Kuyesedwa kwa magazi kuchokera ku chala kumatengedwa m'mawa pamimba yopanda kanthu.
Kuyeza kolemetsa (2 mawola mutatha kumwa madzi - 75 g a shuga granated pa 375 ml ya madzi). Mulingo woyipa ndi 11.1 mmol / L.
Mlingo wa glycosylated hemoglobin (HbA1c), wowonetsa kuchuluka kwa shuga m'magazi kwa nthawi yayitali mpaka masiku 90.
Urinalysis kwa shuga ndi ma ketoni.
Maphunziro a insulin ndi C-peptide.

Mankhwala othandizira

Njira zochiritsira zodziwika bwino zimatha kusintha m'njira iliyonse, zomwe zimatsimikiziridwa ndi adokotala okha ndipo zimatengera zizindikiritso zambiri za momwe wodwalayo alili, kupezeka kwa matenda opatsirana, komanso zotsatira za maphunziro mu mphamvu.

Cholinga chake ndikuchepetsa thupi ndikuchisunga m'malo omwe amafunikira. Chakudya chopatsa thanzi ndichofunikira kwambiri mwa njira zopewera kupatula kuwonjezeka kwa ndende yamagazi. Mfundo zoyambirira za zakudya:

yafupika calorie kudya;
zakudya zabwino - mpaka kasanu patsiku,
kuchepetsa zakudya zomwe zimamwa, kutsimikizika kwakukulu pakupanga menyu yazipatso ndi masamba, chimanga, nyemba,
kupatula pa zakudya zamafulumira, zakudya zosavuta, zopangidwa ndi zowonjezera zamkati, mkate woyera, khofi, mowa, zonunkhira, zakudya zamchere,
kuletsa kumwa zotsekemera, ufa.

Chithandizo chokwanira chimaphatikizapo kugwiritsa ntchito mankhwala ena omwe amachititsa kuti matendawa azigwira bwino ntchito, kupewa zovuta, komanso kuthana ndi matenda a concomitant. Pakati pawo:

Mankhwala a Hypoglycemic kuti achepetse shuga (Maninil, Aktos, Baeta, Siofor).
Mankhwala a antihypertensive kuti athetse matenda oopsa ndipo achepetse kukula kwa boma la infarction.
Ma Statin ndi ma fiber kuti muchepetse cholesterol.
Zoletsa kuti tilepheretse njala, kuthana ndi mafuta ndikuwongolera magayidwe antchito.
Zimatanthawuza kuwonjezera kagayidwe, kugwiritsa ntchito shuga ndikuchotsa cholesterol yochulukirapo pambuyo pa zaka 50.

Jakisoni wa insulin akuwonetsedwa kwa odwala omwe ali ndi matenda a shuga 1. Chifukwa cha kusakhazikika kwa mapiritsi kapena munthawi ya opaleshoni, jakisoni amalembera anthu omwe ali ndi mtundu wodziyimira pawokha wa insulin.

Zovuta zowopsa

Zotsatira zoyipa kwambiri za matenda ashuga ndizosintha maselo ndi minyewa.

angiopathy imakhudza mitsempha yaying'ono ya magazi,
nephropathy - njira yomwe imasintha mitsempha ya magazi a impso, yomwe imayamba kukhala kulephera kwa impso,
polyneuropathy - zolakwika za zotumphukira mantha dongosolo,
retinopathy - matenda a m'mitsempha ya retina omwe angayambitse mavuto am'maso komanso khungu lathunthu,
matenda ashuga a m'matumbo - kutaya mtima,
Hyper- ndi hypoglycemic chikomokere - kuwonjezeka kwambiri / kutsika kwa shuga, kodziwika ndi kuwuma kwa mkhalidwe: kusefukira, mawonekedwe a kununkhira kwa acetone, phokoso la kupuma,
ketoacidosis ndi vuto pamene zinthu zotayidwa sizichotsedwapo mwachilengedwe, koma kudziunjikira m'maselo, ndikuyambitsa kuledzera kwa thupi.

Njira zopewera

Kusungabe moyo wathanzi pambuyo pa zaka 50, kuphatikiza pakudya zokha, komanso pafupipafupi (zolimbitsa thupi!) Zochita zolimbitsa thupi (kusambira, yoga, masewera olimbitsa thupi, kuyenda.), Ndiye njira yothandiza kwambiri yolimbana ndi matenda ashuga. Malinga ndi ndemanga ya anthu omwe ali ndi matenda ashuga okha, masewera olimbitsa thupi apadera (chithokomiro chamthupi) ndi chida chabwino kwambiri chothandiza kuti matenda azitha kugwiritsidwa ntchito mozama, kuchepa thupi komanso kukhalabe ndi thupi lokwanira. Ndipo mfundo ina yofunika ndi chiyembekezo. Monga momwe masewera amasonyezera, ndi omwe amathandizira kwambiri pakulimbana kwamatenda owopsa ndikuthandizira kusangalala tsiku lililonse lomwe latha.

Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 50

Ganizirani zofunikira kwambiri za kukhalapo kwa matendawa:

Nthawi zambiri akamaliza kudya, anthu odwala matenda ashuga amayamba kuona kutopa. Izi ndichifukwa choti glucose yemwe amalowa mthupi mokulira salinso kukonzedwa ndikuchita kwa insulin. Ngati mafuta osavuta am'mimba, omwe ali mbali ya kuphika ndi confectionery, alowa m'thupi, ndiye kuti ma cell a insulin amasiya kugwira ntchito. Nthawi yomweyo, kuchuluka kwa shuga m'magazi kumayamba kukula kwambiri, chifukwa chake munthu amakhala ndi nkhawa.

Zizindikiro za matenda ashuga mwa akazi pambuyo pa 50 sizovuta kudziwa. Nthawi zambiri, azimayi amawona chidwi chambiri. Makamaka pazakudya zazikulu, mukufuna kudya zakudya zopanda thanzi, zomwe zimakhala ndi mafuta ambiri, shuga ndi mchere. Zakudya zoterezi zimapangitsa kuti mukhale ndi njala yosatha. Ngati simuyang'anira zakudya zanu, izi zimapangitsa kuti insulini izitulutsidwa nthawi zambiri, kotero magaziwo alibe mafuta okwanira.
Amayi onenepa kwambiri amatha kutenga matenda ashuga.
Matenda a shuga (Zizindikiro zake mwa azimayi atatha zaka 50, kukhala olondola kwambiri) zimatha kumveka mafuta atayamba kudziunjikira komweko, pamimba. Chifukwa chake, thupi limayamba kupereka chidziwitso mwadzidzidzi pa kutayika kwa chidwi cha insulin. Zotsatira zake, kuchuluka kwa cholesterol m'thupi kumachuluka, motero kuthamanga kwa magazi kumakwera, ndipo mtima wamtima umayamba kugwira ntchito molakwika.

Ngati onse omwe ali ndi matenda ashuga mwa amayi azaka 50 alipo, ndiye kuti izi zikuwonetsa kuti magazi a odwala omwe ali ndi vutoli azikhala ndi mamasukidwe owonjezeka. Ndipo izi zikusonyeza kuti kuthamanga kwa magazi kukwera. Chifukwa chake, mulimonsemo, muyenera kuyamba kudya zakudya zoyenera ndikusamalira moyo wanu.

Zizindikiro zowonjezera za matenda ashuga mwa akazi azaka 50

Ganizirani zizindikiro zomwe sizachilendo kwenikweni, komabe muli ndi malo oti mukhale:

- kuwonda msanga,

- Kuwonongeka kowoneka mwachangu,

- nthawi zambiri kumachitika zokhumudwitsa, komanso kusowa tulo,

- migraine ndi kusokonekera,

- malekezero apamwamba ndi otsika nthawi zina amayamba kuzimiririka,

- kuyabwa mkati mwa maliseche, komanso kukula kwa matenda opatsirana mwa ukazi,

- Mabala akhungu amachiritsa pang'onopang'ono.

Kumbukirani kuti, chizindikiritso cha matenda ashuga mwa amayi omwe ali ndi zaka 50 (chithandizo chidzafotokozeredwa pansipa) ndi chofala kwambiri, chifukwa chake, pazaka izi, muyenera kuyang'anitsitsa thanzi lanu komanso momwe muli. Ngakhale ndi chimodzi mwazizindikiro zomwe zalembedwa pamwambapa, ndibwino kupita kuchipatala. Zowonadi, pakadali pano, thupi lachikazi limakhala lotchuka kwambiri kuposa kale lonse lapansi pakukula kwa ma pathologies angapo.

Amayi omwe ali pachiwopsezo

Zizindikiro za matenda ashuga mwa akazi azaka 50 ndizosavuta kuzindikira. Choyamba, ndikofunikira kuyamba kuda nkhawa ngati omwe akuyimira amuna kapena akazi okhaokha:

- azimayi omwe abale awo ali ndi izi,

- nawonso azimayi akuyenera kuphatikizidwa pano omwe amakonda kunenepa kwambiri, komanso amayesetsa kuchepetsa kunenepa kwawo,

- Nthawi zambiri matendawa amayambika mwa azimayi omwe ali ndi vuto la mtima komanso mitsempha yamagazi.

- nthawi zina odwala omwe mwana panthawi yoyembekezera anali ndi matenda opatsirana ndipo adamwalira nthawi yobereka amakhalanso ndi matendawa. Komanso omwe ali pachiwopsezo ndi odwala omwe adabereka mwana yemwe akulemera kuposa kilogalamu zinayi.

Mtundu woyamba wa shuga

Pali mitundu iwiri ya matenda ashuga. Mtundu woyamba wa matendawa umatchedwa kuti insulin- amadalira. Pankhaniyi, kapamba samatulutsanso mahomoni ofunika kwambiri kwa thupi - insulin. Matenda a shuga a Mtundu Wachiwiri sayenera kupanga insulini. Pankhaniyi, timadzi timeneti timapangidwa mokwanira, koma simalowa kwathunthu ndi thupi.

Chifukwa chake, lingalirani zizindikiro zazikulu za matenda ashuga mwa akazi pambuyo pa zaka 50 (mtundu 1):

- Pakhungu, izi zitha kuwoneka koyamba. Imakhala yowuma kwambiri. Ngakhale kuti thupi limalandira madzi okwanira, samakhudzidwa. Chifukwa chake, dermis imakhala yowuma kwambiri ndipo mabala ndi ming'alu imapangidwapo.

- Wodwala amamva ludzu lamphamvu. Popeza momwe ma Horona amasokonezekera, madzi samalowanso, nkovuta kuti mzimayi athetse ludzu lake. Potere, munthu akamamwa kwambiri, zimamuvuta kuthetsa ludzu lake.

- Kukodza kwambiri. Pakugwiritsa ntchito madzi ambiri, mkazi amayamba kupita kuchimbudzi nthawi zambiri. Inde, izi zitha kukhalanso chizindikiro cha cystitis, koma pankhaniyi, muyenera kuyang'anira kuchuluka kwa madzi omwe amatulutsidwa.

-Mkazi amayamba kuchepa thupi msanga. Izi zimachitika chifukwa cha kagayidwe kolakwika. Komanso, kutaya kotere kwa ma kilogalamu sikusangalatsa, chifukwa kumayendera limodzi ndi thanzi labwino.

- Ngakhale atachepetsa thupi kwambiri, azimayi amadya chakudya chochuluka ndipo nthawi yomweyo sangathe kudya kwambiri. Zonse chifukwa choti michere samangolengedwa ndi thupi.

- Mutha kununkhira acetone kuchokera mkamwa mwanu. Zikuwoneka chifukwa chakuti thupi limaleka kukonza michere.

-Mkazi amayamba kugwira ntchito mopitilira msanga ndikukhala wopsinjika. Komabe, chizindikirochi chikuyenera kuganiziridwa pokhapokha ndi zomwe zidachitika kale.

- Kuchuluka kwa malekezero amawonedwa. Zizindikiro zoterezi zimangokhala gawo lomaliza la matenda ashuga, omwe sitha kuchiritsidwa.

- Onetsetsani kuti mwawona kuchuluka kwa shuga m'magazi. Kusanthula koteroko kutha kufalikira kokha, popanda kupita kwa dokotala. Ngati mulingo wa shuga umasiyana pakati pa 3,2-5.6 mmol, ndiye kuti mkaziyo ndi wathanzi. Ndipo ngati kuchuluka kwa shuga kudakwera mpaka 6.2 mmol pa lita, ndiye chifukwa chachikulu chopita kuchipatala mwachangu.

Type 2 shuga

Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 50 (mtundu 2) nthawi zambiri zimasiyana ndi mtundu woyamba wa matenda. Izi ziyenera kukumbukiridwa kuti mudziwe bwino za matendawo. Chofunikira kwambiri chodziwika bwino cha matenda amtundu wachiwiriwo ndi kuchepa kwa matendawo, komwe ndi kowopsa. Tchera khutu ku mawonekedwe ake a mawonekedwe:

- Kuwonjezeka kowonda kwambiri kwa thupi. Ichi ndi chizindikiro chosiyana ndi matenda amtundu 1. Kwa nthawi yochepa kwambiri, mkazi amatha kulemera kwambiri.

-Misempha imakhala yofooka. Izi nthawi zambiri zimagwirizanitsidwa ndi moyo wongokhala, komanso kusagwira bwino ntchito kwamitsempha yamagetsi.

- Osteoporosis. Zachidziwikire, matenda ngati awa amatha kuchitika mwa munthu aliyense wokalamba, koma ndi matenda a shuga amapezeka nthawi zambiri. Izi ndichifukwa choti pali shuga wambiri wosagonjetseka m'magazi, zomwe zimapangitsa kuti mafupa awonongeke.

Kudya

Matenda a shuga ndi njira yomwe singathe kuchiritsidwa kwathunthu. Komabe, kukhalabe ndi thupi lanu bwino kwazaka zambiri ndizotheka kwambiri. Choyambirira chomwe anthu omwe akudwala matendawa ayenera kuchita ndikulinganiza zakudya zawo moyenera. Ndikofunika kwambiri kuzindikira bwino momwe zizindikiro za matenda ashuga zimakhalira ndi zaka 50. Chakudya chomwe chimasankhidwa moyenera ndi katswiri wodziwa ntchito ndiye chinsinsi cha kuchita bwino. Zakudya ziyenera kutengera mtundu wamatenda omwewo, komanso mtundu wa wodwalayo.

Chifukwa chake, odwala matenda ashuga a mtundu woyamba, odwala ayenera kudya masamba ambiri osiyanasiyana momwe angathere, kupatula zakudya zabwino ndi ufa. Mapulogalamu ambiri ndi mafuta pang'ono ayenera kupezeka m'zakudya. Shuga sayenera kuphatikizidwa kuchokera kuzakudya zanu kapena kusinthidwa ndi zotsekemera zingapo. Ndikulimbikitsidwanso kuti muzimwa pafupifupi magalasi asanu ndi limodzi amadzi oyeretsedwa tsiku lililonse.

Koma zinthu monga chokoleti, zipatso zokoma, makeke, mphesa zamphesa, mphesa, mchere ndi zonunkhira, siziyenera kulekedweratu ndi zakudyazo.

Ngati wodwala ali ndi matenda amtundu wachiwiri, ndiye pankhaniyi, ndikofunikira kuti muchepetse kuchuluka kwa chakudya chomwe mumadya. 1300-1700 kcal patsiku idzakhala yokwanira. Chakudya chiyenera kukhala chosakanizika. Idyani mpaka kasanu ndi kamodzi patsiku, m'magawo ochepa okha. Odwala sayenera kudya zakudya zamafuta, komanso zakudya zomwe zimapangitsa kuti shuga azingowonjezereka. Odwala sayenera kupatula mowa, nyama zosuta, mafuta amchere, zonona, kirimu wowawasa, uchi, zipatso zouma, koloko, confectionery ndi margarine.Koma masamba aanthu omwe ali ndi vutoli amathanso kudyedwa mulimonse.

Mfundo zachithandizo

Matenda a shuga ayamba kudwala. Amadwala lero ndi achinyamata, ndipo ngakhale ana. Zizindikiro za matenda ashuga mwa akazi ochepera 30 sizimasiyana kwambiri ndi zizindikiro zomwe zimatha kupezeka mwa akazi achikulire. Osatengera zaka, chithandizo chiyenera kuyambitsidwa nthawi yomweyo. Akatswiri amapereka mankhwala omwe amatha kukhazikitsa metabolism. Nthawi zambiri, mankhwala a insulin ndi hypoglycemic amagwiritsidwa ntchito. Komanso, mkhalidwe wokhazikika wa mankhwala ndi zakudya, zomwe zimayikidwa payekha ndi dokotala wopita. Ndi mitundu yofatsa kwambiri yamatenda, sikofunikira kugwiritsa ntchito mankhwala osokoneza bongo. Chachikulu ndikutsatira mfundo zachakudya zoyenera.

Zizindikiro za matenda ashuga mwa akazi pambuyo pa zaka 50 zimakupatsani mwayi wodziwa matendawa munthawi yake, komanso mtundu wake. Ndi mitundu yayikulu kwambiri yamatenda, madokotala amaletsa kugwiritsa ntchito mankhwala okhala ndi insulin.

Malangizo ofunikira kwa odwala matenda ashuga

Asayansi atsimikizira kuti kuseka kumatha kutsitsa shuga wamagazi, chifukwa chake matenda ashuga amawonetsedwa kuti amaseka pafupipafupi. Musaganize kuti mutatha kuzindikira izi, moyo umatha. Ayi! Chifukwa chake, konzekerani nokha ndikupitiliza kusangalala mphindi iliyonse. Muyang'anenso momwe shuga ali mumkodzo ndi magazi, ndikuyesa koyenera kwa izi. Onetsetsani kuti muchepa thupi, chifukwa kunenepa kumangokulitsa vutolo.

Madokotala amalimbikitsa kuti odwala awo apange pulogalamu yapadera yochita masewera olimbitsa thupi. Zizindikiro zoyambirira za matenda ashuga mwa amayi pambuyo pa 50 ndizosavuta kuzindikira. Chifukwa chake, tengani chida chonse chathanzi lanu. Sitikulimbikitsidwa kuchita mayendedwe akuthwa kwambiri, koma masewera olimbitsa thupi opepuka adzapindula. Akatswiri amalimbikitsa kuti odwala onse omwe akufuna kuthana ndi matendawa achite yoga.

Yesetsani kudziteteza momwe mungathere kuchokera pamavuto. Zatsimikiziridwa kuti nthawi yovutidwa, thupi limatulutsa mahomoni m'magazi, omwe amachititsa kuchuluka kwa shuga m'magazi. Ngati mumakonda kukhumudwa, onetsetsani kuti mukuwuzani zaumoyo wanu zaumoyo. Adzakusankhirani zoyeserera, motsogozedwa ndi umunthu wanu.

Idyani moyenera, chitani masewera olimbitsa thupi, thanani ndi zizolowezi zoyipa, pitani pamaulendo anu ambiri ndikuyendera dokotala munthawi yake. Ndipo simudzaopa matenda aliwonse. Ndipo musaiwale kuti shuga si chiganizo. Mwa kusintha moyo wanu pang'ono, muthanso kusangalala. Khalani athanzi ndikudzisamalira.