Shuga wamagazi kuyambira 14 mpaka 14
Mlingo wa glucose ukhoza kukhala chizindikiro cha kukhalapo kwa ma pathologies mwa akulu ndi ana. Kuti muchite cheke chake, ndikofunikira kunyamula zitsanzo kuchokera m'mitsempha kapena chala pamimba yopanda kanthu.
Miyezo yovomerezeka padziko lonse lapansi ndi motere:
- Mwa ana osakwana mwezi umodzi - kuyambira 2.8 mpaka 4.4,
- Osakwana zaka 14 - kuyambira 3.3 mpaka 5.5,
- Akuluakulu, kuyambira 3.5 mpaka 5.5.
Chizindikiro pansipa chokhazikitsidwa chimawonetsa kupezeka kwa hypoglycemia, pamwambapa - hyperglycemia. Kupatuka kotereku kumatha kuwoneka ngati kusokonezeka kosasunthika komanso kosasinthika m'thupi, zomwe ndizofunikira kuzichotsa munthawi yake.
Level 14 hyperglycemia ndichinthu chowopsa, chomwe chikuwonetsa kuti insulini yopangidwa ndi kapamba sangathe kuthana ndi shuga omwe amalowa m'magazi. Pakhoza kukhala zifukwa zambiri zomwe zimachitikira.
Physiology
Kutulutsa shuga kwakukulu m'magazi kumatha kuchitika motere:
- Pa maphunziro olimbitsa thupi komanso kugwira ntchito molimbika,
- Mukamadya zakudya zamafuta ochepa,
- Pazithunzithunzi zazitali,
- Chifukwa cha kuperewera kwa zakudya m'thupi,
- Ndi nkhawa yayikulu, mantha, mantha akulu.
Pankhaniyi, zodabwitsazi sizikuwopseza munthu, ndipo pomwe zimayambitsa zokha, kuchuluka kwa shuga kumakhalitsidwa popanda njira zothandizira.
Zoyambitsa matenda (kupatula shuga)
Kuchuluka kwa shuga kungachitike chifukwa cha zovuta m'mthupi zomwe zimafuna chithandizo. Mwa zina zomwe zimachitika kawirikawiri:
- Kugwedezeka kwapweteka, kupweteka kwambiri, prediabetes
Kukula kwa matenda ashuga nthawi zonse kumayamba ndi zomwe zimadziwika kuti prediabetesic state, yodziwika ndi hyperglycemia komanso kuphwanya kagayidwe kazakudya.
Matenda a shuga angatenge mitundu iwiri:
- Shuga wapamwamba pamimba yopanda kanthu
- Kusintha mu kulolera kwa shuga.
Vutoli limatha kuzindikira mayeso a shuga m'mawa asanadye chakudya cham'mawa. Pakapezeka, iyenera kuchotsedwa nthawi yomweyo kuti isakhale matenda odzaza.
Ndi matenda ashuga
Ngati munthu yemwe ali ndi matenda ashuga asayang'anira kuchuluka kwa shuga, samatsata chakudya, ndipo osalandira insulin yokwanira, amatha kudwala matenda a hyperglycemia.
Komabe, ngakhale boma litakhala lolemekeza kwathunthu, vuto loipa limawonekeranso pazifukwa zina zingapo:
- Kulephera kuchita zolimbitsa thupi,
- Kupezeka kwa ma pathologies ena ndi matenda,
- Matenda a kapamba
- Kukhumudwa ndi kupsinjika
- Kusala kudya komanso kudya kwambiri,
- Zizolowezi zoipa
- Kumwa mankhwala
- Kusokonezeka kwa chiwindi.
Thandizo loyamba
Kodi mungatani ngati magazi a shuga ndi 14 kapena apamwamba? Ndi chiwopsezo chowonjezeka, thanzi la wodwalayo limakulirakulira: pali ludzu lamphamvu, kutopa ndi kutopa, kulakalaka kudya, ndi nseru.
Ngati pa nthawi yomweyo mita ikuwonetsa kuchuluka kwa shuga m'magawo 14 kapena kuposerapo, muyenera kutsatira njira izi:
- Imbani ambulansi
- Tambitsani zovala kuti muthandize kupuma wodwala,
- Pamaso pa mseru ndi kusanza, wodwalayo ayikidwe kumbali yake,
- Tsatirani momwe wodwalayo alili (kupuma, kukoka) mpaka ambulansi itafika.
Kuti matendawa athetsedwe, kuyambitsidwa kwa insulin ndikofunikira. Mchitidwewo ukhoza kuchitika ndi dokotala wa ambulansi, adziwa kuchuluka kwa mankhwalawo.
Kutha kwa hyperglycemia wolimbikira
Nthawi zambiri mumakhala matenda a shuga pomwe shuga othamanga magazi amatha 14. Kodi ndingatani ngati izi zikuchitika?
Ndikofunikira kuchiza matenda ashuga kuyambira nthawi yomwe wapezeka, mwanjira imeneyi zovuta za hyperglycemia zidzakhala zosowa. Komabe, ngati zochulukirapo zachitika, choyambirira, ndikofunikira kutembenukira ku insulin ndi mankhwala. Ndipo kupewa kubwezeretsanso zakuphwanya kumathandiza kupewa zinthu zina.
Mankhwala
Chithandizo chachikulu chotsutsana ndi vuto limodzi kapena mwatsatanetsatane wa hyperglycemia mu matenda a shuga ndi insulin. Chifukwa chake, choyambirira, matenda atapezeka, jekeseni ndikofunikira. Kudumpha mankhwala a regimen ndikosavomerezeka.
Mankhwala otsatirawa athandizira kukonza shuga:
- Zothandiza kuchokera ku sulfonylureas. Mankhwala amathandizira kuchepa kosavuta kwa hyperglycemia ndikusunga chithandiziro kwa nthawi yayitali.
- Biguanides (Siofor, Metfogamma, Glucofage). Kukonzekera kwamtunduwu sikukhudza kugwira ntchito kwa kapamba ndipo kumakhala ndi mphamvu yayitali.
Mwa mtundu wowonekera, mankhwala othandizira amatha kugawidwa m'magulu atatu:
- Kupanga insulin (Diabeteson, Maninil, Amaryl),
- Kupititsa patsogolo kukhudzika kwa mahomoni (Actos, Glucophage),
- Kuletsa kuyamwa kwa shuga (Glucobai).
Ndi dokotala wokhazikika amene angasankhe mankhwala, chifukwa akamwedwa pamodzi ndikuphwanya milingo, amatha kuyambitsa hypoglycemia. Kuphatikiza apo, ali ndi zovuta zawo.
Ngati hyperglycemia ndi chifukwa cha chitukuko cha matenda ena ophatikizana ndi thupi, amafunikanso chithandizo.
Kuti muchepetse hyperglycemia ndikukhalabe ndi zotsatira zabwino kwa nthawi yayitali, ndikofunikira kubwezeretsa zakudya zoyenera.
Kuti muchite izi, muyenera kutsatira malamulo oyambira kupangira mndandanda watsiku ndi tsiku:
- Sankhani nyama ndi nsomba zokha,
- Idyani zakudya monga chimanga komanso zopatsa mphamvu tsiku lililonse. Ndikofunika kuti njere isakonzedwe,
- Osagwiritsa ntchito mitundu yonse ya mkaka,
- Chepetsa ufa,
- Sankhani zipatso zopanda tanthauzo.
Confectionery, kuphika, mankhwala oyipa, mowa uyenera kusiyidwa kwathunthu ndi zakudya.
Njira za anthu
Njira yothandizirana bwino imatha kukhala ndi maphikidwe a mankhwala ena. Komabe, ayenera kusankhidwa ndi chisamaliro chapadera. Ndikofunikanso kuti kugwiritsidwa ntchito kwawo kuvomerezedwa ndi adokotala.
Njira zotsatirazi ndizotetezedwa zimadziwika:
- Tsamba la Bay. Pa ma shiti khumi aliwonse, konzekerani ma millilita 250 amadzi otentha, tsekani osakaniza ndi chivindikiro kwa tsiku limodzi. Tengani mamililita 50 a kulowetsedwa kanayi patsiku musanadye.
- Kusakaniza kwa dzira. Menyani dzira losaphika, Finyani madzi onse a mandimu yonseyo. Tengani pamimba yopanda kanthu katatu patsiku supuni.
- Chi Turmeric Sakanizani ndi supuni ya zokometsera ndi kapu yamadzi ofunda. Imwani osakaniza kawiri pa tsiku: m'mawa ndi madzulo.
Kuthetsa hyperglycemia pakalibe matenda ashuga
Monga lamulo, ngati shuga akwera posakhalapo ndi matenda ashuga, amadzikhalanso okha. Ngati izi sizingachitike, muyenera kusintha kadyedwe, kupatula zakudya zapamwamba zamoto kwambiri.
Ngati hyperglycemia ikupitilira, izi zitha kuwonetsa kuwoneka kwa prediabetes kapena zina za thupi. Chifukwa chake, motere, kuyendera adokotala ndikofunikira.
Pomaliza
Kukweza glucose m'magazi ovuta kumatha kukhala chinthu chowopsa kwa munthu, zomwe zingayambitse zovuta zazikulu. Kuphatikiza apo, zitha kuwonetsa kukhalapo kwa malfunction a organ, komanso osagwirizana ndi matenda a shuga.
Pofuna kupewa izi, ndikofunikira kupangira bwino zakudya ndikudutsa prophylaxis.
Zoyenera kuchita ngati shuga m'magazi ndi magawo 14: thandizo loyamba, njira zoyambira zothandizira
Nthawi zambiri, malire a shuga a m'magazi sayenera kupitirira magawo 5.5. Kukula kwake kwakukulu kungawonetse kukhalapo kwa njira zilizonse zopanda pake mthupi. Kuphatikiza apo, chizindikirochi chizikhala chowopsa.
Chifukwa chake, chikakwera chizindikiro 14, tifunika kuchitapo kanthu kuti tichotse vutoli, komanso kuchitapo kanthu popewa kubwezera.
Shuga wamagazi 14 - zoyenera kuchita ndi zomwe zikutanthauza
Shuga wamagazi 14 ndi chisonyezo chapamwamba chomwe chikuwonetsa kukula kwa njira zoyipa mthupi. Nthawi yomwe kudumpha mu glycemia kumawonedwa, munthu amakhala ndi zovuta zosiyanasiyana, kuwonongeka muumoyo.
Woopsa milandu ikhoza kuchitika. Nthawi zambiri, kuwonjezeka kwa kuchuluka kwa shuga kumatha kudya zakudya zopanda zakudya, zomwe zimaphatikizapo chakudya chambiri.
Zakudya zotere ndizowopsa kwa anthu odwala matenda ashuga.
Zifukwa za shuga wambiri
Kodi ndizololedwa kunena za chitukuko cha matenda ashuga ngati shuga wambiri amapezeka m'magazi potengera zotsatira za kafukufukuyu? Nthawi zambiri, anthu omwe sanadwale matenda ashuga kale amakhala ndi hyperglycemia.
Zimachitika pazifukwa zingapo:
- kagayidwe kazinthu mu kapamba: ma neoplasms oyipa kapena kutupa,
- kukhala wopanikizika nthawi yayitali,
- mavuto a chiwindi: zilonda zam'mimba, matenda enaake, chiwindi,
- kulephera kwa mahomoni
- kukula kwa matenda ashuga amtundu wachiwiri kapena woyamba.
Kuti atsimikizire matendawa, katswiriyo nthawi zonse amayenera kuyesanso magazi ena. Iyenera kudutsa pamimba yopanda kanthu. Pankhaniyi, kupezeka kwa hemoglobin ya C-peptide glycated glycated. Kulekerera kwa shuga ndi glycemia ya postprandial imapezeka.
Chifukwa cha kusanthula, adotolo azitha kudziwa molondola momwe kuchuluka kwa shuga kumakhalira mutatha kudya, momwe kapamba amagwirira ntchito, ngakhale insulin ikamamwa.
Kuphatikiza apo, kuyesa kwa ultrasound kumachitika, munthu amadutsa kuwunika kwa mkodzo, kumayesedwa ndi neurologist, oncologist ndi endocrinologist. Akangolandira chidziwitso chokwanira cha thupi, katswiri amapereka lingaliro lokhudza kukhalapo kapena kusapezeka kwa matenda ashuga.
Zikakhala choncho, munthu akapeza mwayi kwa katswiri woyenera ndipo akangomaliza kulandira chithandizo, amachepetsa mwayi wokhala ndi zovuta zosasinthika.
Kwa anthu odwala matenda a shuga, hyperglycemia imachitika pazifukwa zotsatirazi:
- zolimbitsa thupi zochepa,
- kukhalabe nthawi yayitali pamavuto
- kumwa mosafunikira mankhwala okhala ndi insulin,
- kudya zakudya zamafuta ambiri,
- matenda a chiwindi,
- matenda a kapamba
- zizolowezi zoipa
- kugwiritsa ntchito mitundu ingapo ya mankhwala: mankhwala oletsa kubereka, okodzetsa, mahomoni,
- matenda oyamba, matenda,
- kuvutika kwamafuta,
- kudya kolakwika.
Zoyenera kuchita ngati shuga m'magazi ndi 14 kapena kuposerapo? Choyamba muyenera kuchotsa kwathunthu zinthu zonse zomwe zidapangitsa kuchuluka kwa shuga. Ngati munthu waiwala kupereka jakisoni kapena kumwa mankhwala, izi ziyenera kuchitika mwachangu.
Ngati mawonekedwe a shuga samadalira insulin, ndiye kuti munthu ayenera kuchita masewera. Kuchita zolimbitsa thupi kumatha kukulitsa kuchuluka kwa glucose omwe amatengedwa ndi minofu minofu.
Mwa kusintha zakudya, mutha kubweretsanso kuchuluka kwa shuga m'masiku ochepa.
Zomwe zimapangitsa insulin kusiya kugwira ntchito
Nthawi zina, anthu odwala matenda ashuga amakumana ndi vuto la kusakwanira kwa mankhwala.
Mankhwala a insulini amatha kukhala osathandiza pamilandu ingapo:
- Pambuyo pa jekeseni, singano imachotsedwa pakhungu mwachangu kwambiri.
- Pukutani khungu musanabayidwe ndi mowa.
- Jakisoni amaikidwa muzisindikizo.
- Njira yolakwika yoperekera mankhwala.
- Kuphatikiza mitundu yambiri ya insulini mu syringe imodzi.
- Kusunga kolakwika kwa mankhwala okhala ndi insulin.
- Kuperewera kwa chakudya ndi mankhwala.
- Mlingo wosankhidwa molakwika.
Dokotala nthawi zonse amafotokozera aliyense yemwe ali ndi matenda amtundu wa 1 wodwala matenda a insulin, momwe angaperekere jakisoni, lomwe ndi gawo liti la thupi lomwe lili loyenerera bwino. Kuphatikiza apo, zanzeru zonse za njirayi zimafotokozedwera munthu.
Mwachitsanzo, mowa, womwe umapukuta tsamba la jakisoni, umachepetsa kwambiri mphamvu ya mankhwalawa. Tiyeneranso kukumbukira kuti pambuyo pakupereka mankhwala, ndizosatheka kupeza singano yomweyo. Muyenera kudikirira pafupifupi masekondi khumi.
Kupanda kutero, mankhwalawa amatha kutayikira.
Ngati jakisoni nthawi zonse amapangidwanso kamodzi pamthupi, kenako pakapita nthawi, amasindikiza malo awa. Pankhaniyi, insulin, kamodzi m'derali, imalowa kwambiri.
Munthu ayenera kudziwa kuti kuchuluka kwa mankhwala oyenera kuyenera kusungidwa mufiriji yokha. Katswiriyu nthawi zonse amafotokozera mwatsatanetsatane momwe angaphatikizire mitundu yosiyanasiyana ya insulin.
Ndi mlingo wolakwika, nthawi zonse muyenera kuwongolera posachedwa. Dokotala wokha ndi amene angachite izi. Ndi zoletsedwa mwamphamvu kuchepetsa kapena kuwonjezera mlingo, chifukwa hypoglycemia imachitika chifukwa cha kuchuluka kwa insulini.
Chifukwa cha shuga wambiri, njira zoyipa zimayamba kukula mthupi. Ngati zizindikirozo kwa nthawi yayitali zikukhalabe kwambiri, ndiye kuti ketoacidosis imayamba.
- kugona
- kupezeka kwamavuto amaso,
- matupi a ketone amapezeka mkodzo ndi magazi,
- glucose ukufika 29 mmol / l,
- yambani kuzunza mutu
- kuchuluka kwa mkwiyo
- kulephera kupuma
- kusintha kwa tulo, peritoneum
- Pakupuma, kununkhira kwa acetone kumamveka,
- kufooka kowonjezereka.
Chithandizo cha ketoacidosis chimachitika kokha kuchipatala. Pankhaniyi, insulin mankhwala ndi mankhwala. Amabwezeretsanso acid-base usawa, amasinthasintha madzi, kuchuluka kwa kufunikira kwa zinthu.
Zizindikiro za matenda am'thupi:
- matupi a ketone amawonedwa m'magazi, shuga amafika 27,
- chikumbumtima chimasokonekera
- polyuria amapezeka koyamba, kenako anuria,
- Kutentha kumatsika
- arrhasmia kumachitika
- kukakamizidwa kumachepa
- pamakhala ululu pamimba, kusanza kumachitika,
- kamvekedwe ka minofu kachepetsedwa
- zimimba ziume,
- nkhope ikuphwa
- Pali fungo la acetone lochokera mkamwa.
Pazizindikiro zoyambirira za chikomokere, muyenera kufunafuna thandizo mwachangu. Chithandizo chikuchitika kokha mwa odwala.
Matenda a shuga ndi matenda oopsa omwe amayambitsa zovuta zingapo: arthropathy ndi nephropathy, matenda oopsa ndi gangrene, zilonda zam'mimba ndi angiopathy, polyneuropathy yamiyendo, phazi la matenda ashuga. Mavuto omwewo nthawi zonse amapita patsogolo. Ndizosatheka kuwachotsa.
Mu shuga, ndikofunikira kuyang'anitsitsa kuchuluka kwa mafuta omwe amaperekedwa ndi chakudya, mlingo wa mankhwala. Chaka chilichonse muyenera kuchiritsa thupi pama sanatoriums. Kutsatira okhwima kwambiri pazomwe wapatsidwa ndi madokotala onse ndi komwe kungabwezeretse matendawa ndikulepheretsa kukula kwa zovuta.
Uzani mayi anga adapeza matenda ashuga. shuga msinga 14 zomwe zikutanthauza.
Tatyana Zowunikiridwa (48532) zaka 7 zapitazo
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Mutha kuchepa thupi pongotchingira soseji ndi nyama yophika kapena nkhuku, mayonesi ndi mafuta wowawasa wowawasa mu saladi wowawasa mkaka wowawasa kapena zonona wowawasa wowonda, ndipo m'malo mwa batala, ikani nkhaka kapena phwetekere mkate. Idyani nthawi 5-6 patsiku.
Ndikofunika kwambiri kufunsa katswiri wazakudya zakuchipatala ndi endocrinologist. Lumikizani zolimbitsa thupi tsiku ndi tsiku: kusambira, aerobics yamadzi, Pilates ...
Anthu omwe ali ndi chiopsezo chobadwa nawo, kuthamanga kwa magazi ndi cholesterol ngakhale pa nthawi ya prediabetes amayikidwa mankhwala ochepetsa shuga.
Natalya Pros (902) Zaka 7 zapitazo
Izi zikutanthauza kuti ndiwokwera kangapo kuposa nthawi zonse. Norm 5.8 monga momwe ine ndikudziwira. Insulin siipangidwa mokwanira ndi kapamba. Pamafunika zakudya zovomerezeka. Ndipo modzipereka.
tamara Sage (12513) Zaka 7 zapitazo
izi zikutanthauza kuti mayi anga sanatsatire zakudya moyo wawo wonse, ndi wonenepa komanso wamanjenje pazifukwa zilizonse - akuyenera kukayesedwa kwathunthu! kufotokozera zaumoyo, chifukwa sizikudziwika kuti ali kale ndi matenda angati.
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Ndiosavuta kuyendetsa shuga m'magazi - ndizofunikabe kugula glucometer
Anna Bykova Wophunzira (124) zaka 7 zapitazo
Uku ndikulipira kwa matenda ashuga. Chithandizo cha endocrinologist, mwachangu. Zakudya ndi mankhwala. Ku malire a shuga m'magazi kuchokera chala ndi 5.5. Mukakalamba, matenda ashuga amtundu wa 2 ndi pamene insulin imapangidwa ngakhale kwambiri, koma maselo samavomereza (kukana insulini). Ngati singasungidwe, malo osungirako insulin atha, ndikofunikira kuti azinena.
virchik Oganiza (8794) zaka 7 zapitazo
Zinali chonchi ndi mamuna wanga, ndipo ngakhale mabala sanachiritse, ndipo ndinasiya kumpatsa dandelion (mizu) ndi kulowetsedwa kwa burdock (mizu), ndipo tsopano padatha zaka 2 mpaka ndikadandaula ndikumva bwino, ndikuthokoza Mulungu!
vladimir ogarkov Pupil (140) Zaka 7 zapitazo, kodi msawawu uli kuti? (magazi, mkodzo?) ngati magazi, ndiye kuti kuchulukitsa ka 2.5 kuposa masiku onse !! ! ngati mkodzo ndi tsoka !! ! muzochitika zonsezi, chithandizo chachikulu chikuyang'aniridwa ndi dokotala.
Valentina Tsutsaeva Guru (4357) Zaka 7 zapitazo
Izi zikutanthauza kuti akufunika endocrinologist. Adziwa kuchuluka kwa matenda ashuga. Poyamba, amakhala pa insulin mpaka kumapeto kwa moyo wake. Ngati chachiwiri, moyo wanga wonse ndiyenera kutsatira zakudya zapadera komanso kumwa mapiritsi. Matendawa ndi oopsa, koma ngati mutsatira malamulowo mutha kukhala moyo wamba.
Anna Wophunzira (238) zaka 7 zapitazo
Ndine wodwala matenda ashuga. Tsopano kuchuluka kwa shuga ndi 3.5 - 7.8. Zambiri zomwe zalembedwa pano ndizowona, koma osati zokwanira. Choyamba muyenera kupeza glucometer - chipangizo chonyamula shuga. Mumagula ndikupanga mbiri - mumayeza shuga kangapo patsiku - pamimba yopanda kanthu m'mawa, ola limodzi mutatha kudya, maola awiri mutatha kudya.
Ndiye, pamimba yopanda kanthu masana, mu ola limodzi, mu 2, kenako pamimba yopanda kanthu musanadye, mu ola limodzi, awiri. Ndiye pogona ndi usiku kumapeto kwa atatu. Pamimba yopanda kanthu, kuchuluka kwa shuga kuyenera kukhala 3.5 - 5.5, patatha ola limodzi - mpaka 7.8, pambuyo pa 2 - mpaka 6.8. Kutengera ndi zomwe wawerengazi, onani mphamvu zake, muyenera kupanga mbiri yotereyi kwa masiku atatu motsatizana. Ndi izi kwa endocrinologist, amasankha mankhwalawo.
Kuphatikiza apo, kuti mumvetsetse ngati mayi wakhala akudwala kwa nthawi yayitali, pendani glycosurised hemoglobin. Zenizeni ndi 4.0-6.5. Ngati ndiwokwera, ndiye kuti wakhala akudwala kuposa miyezi itatu kale.
Tsopano zotsatirazi, ngati vutolo silili loipa kwambiri, musathamangire kubaya insulin, yesani kuthandizidwa ndi zitsamba kwakanthawi. Poyang'aniridwa ndi shuga ndi glucometer.
Zikachitika kuti mankhwalawa samapangitsa kuti shuga achepetse pakapita miyezi ingapo, ndipo shuga amakhazikika pamlingo wambiri ndipo satsika mpaka 8, kenako pitani jakisoni wa insulin pa mlingo womwe adauza adotolo. Ndipo, DIABETICS IN INULULIN ASAKHALA !! ! Amabowola zomwe sizipangidwa mokwanira m'thupi.
Popeza insulini ndi mahomoni omwe munthu aliyense amakhala nawo. Sindife osokoneza, tinene kwa aliyense. Ngati pali chilichonse, lembani, ndikukuuzani zonse pankhani yazakudya ndi ma glucometer okwera mtengo komanso insulin yabwino.
Kuchuluka kwa shuga m'magazi mpaka 7 mmol: momwe mungachitire
Kuchuluka kwa anthu mdziko lapansi kuli pachiwopsezo cha matenda ashuga. Monga lamulo, shuga wawo wamagazi amafika 6-7 mmol. Ndi zizindikiro zoterezi, kumayambiriro kwambiri kunena za matenda amtundu wa 2, koma chizindikiro ichi chikuti thupi lanu lili ndi vuto la metabolic, lotchedwa shuga. Matendawa ndi oopsa bwanji ndipo ngati chithandizo ndichofunika, tikambirananso.
Ndani ali pachiwopsezo
Madokotala amatsimikiza gulu la anthu omwe nthawi zambiri amalandila zotsatira za kuyezetsa magazi kwa 7 mmol pamigawo ya shuga. Matenda a matenda ashuga nthawi zambiri amapezeka mwa anthu:
- Kunenepa kwambiri komanso kukhala pansi. Pali zifukwa zambiri zomwe zimapangitsa kuti thupi lizikula. Zimatha kuyambitsa kapena kubweretsa kusokonezeka kwa metabolic. Kukhala wonenepa kwambiri nthawi zambiri kumayambitsa vuto lomwe shuga poyesa magazi amafika 7 mmol. Choyipa chachikulu ndiku kunenepa kwambiri mu ukalamba.
- Ndi chibadwa chakumaso kwa matenda ashuga. Gawo langozi nthawi zonse limaphatikizapo anthu omwe achibale awo ali ndi mavuto ndi kuperewera kwa pancreatic.
- Pa pakati pa akazi. Nthawi zambiri lachitatu trimester amapeza shuga, pamwamba pa 7 mmol, akafufuza magazi kapena mkodzo. Mimba ikamalizidwa, ndikofunikira kupitiliza kuwunika kagayidwe kazinthu kena mthupi.
- Ukalamba. Kwa anthu achikulire, shuga wokwera amapezeka nthawi zambiri. Izi zimachitika chifukwa cha kusokonezeka kwa kagayidwe kachakudya komanso kusintha kwa mathupi m'thupi.
- Kuvutika ndi matenda oopsa. Madokotala amawona momwe zinthu zilili pomwe tonometer imawonetsa pamwambapa 140/90 kukhala yoopsa. Mavuto ndi ziwiya zomwe zimayenda ndi matenda oopsa nthawi zambiri zimakhudza kapangidwe ka magazi.
Mwa akazi, nthawi zambiri shuga amakwera 6-7 mmol ndikayamba msambo. Matendawa sangatchulidwe kuti ndi matenda ashuga, koma amawatsogolera. Ndikofunikira pambuyo pa zaka 45 kuti muzicheza pafupipafupi ndi ochiritsira ndikupereka magazi kuti mupeze nthawi yowonjezera pamwamba pa 7 mmol.
Chimodzi mwazinthu zowopsa mwa amuna ndi kulephera kugonana. Monga lamulo, imayendera limodzi ndi boma loponderezedwa la dongosolo lonse lathunthu. Shuga pamenepa amakwera osati m'magazi okha, komanso mkodzo. Komabe, mu zomaliza zolengedwa sizimangokhala mtengo wa 7 mmol (pokhapokha ngati wodwalayo akudwala matenda ashuga).
Chochitika chofananachi ndikuwonjezereka kwa magazi a triglycerides, omwe amakhala pamakhoma amitsempha yamagazi. Ngati munthu ali m'magulu angapo owopsa nthawi imodzi, dokotala amamulimbikitsa kuti ayang'anenso moyo wake. Pankhaniyi, ngati simusintha moyo wanu, chizindikiro cha glucose posachedwa chidzakwera kuposa 7 mmol.
M'zaka zaposachedwa, vuto lomwe limakhala pafupi ndi mtundu wa 2 shuga limapezeka mwa ana obadwa ndi thupi lolemera (kuchokera magalamu 3700). Ana otere amakonda kunenepa kwambiri. Choonjezera chowonjezera pakukula kwa pancreatic dysfunctions chitha kukhala kugwiritsa ntchito zosakaniza osati molingana ndi malangizo.
Zizindikiro ndi Kafukufuku
Ndizosatheka kuzindikira palokha kuyambika kwa mkhalidwe wa prediabetesic (ichi ndi chomwe amachitcha kuti glucose choposa 7 mmol panthawi yoyesedwa magazi). Pali zizindikiro zingapo zomwe anthu samalabadira:
- ludzu lalikulu
- kukodza pafupipafupi
- kuthana ndi vuto popanda chifukwa (mwachitsanzo, theka la ola mutatha kudya),
- kuchepa kowoneka bwino.
Ngakhale katswiri sangathe nthawi zonse kuzindikira molondola popanda kuyezetsa magazi. Kuti adziwe zoyenera, amafunikanso kuphunzira zowonjezera - kuyezetsa kwa OGTT. Chifukwa chake muyenera kutsatira zinthu zingapo:
- musadye magazi asanakwane kwa maola 12,
- m'masiku atatu kuletsa onse okodzetsa ndi mahomoni onse,
- Maola 72 kuti chakudya chapadera chizikhala ndi chakudya chamagulu ambiri
- musanatenge sampuli yachiwiri ya magazi, imwani madzi otumizirawa osadya koma iwo.
- Nthawi zina, katswiri wa zasayansi kapena dokotala akhoza kukuthandizani kuti muchite masewera olimbitsa thupi osavuta.
Shuga wotsika magazi: zimayambitsa,
Masiku ano, kupatula, aliyense amadziwa kuti magazi ndiye madzi akulu mthupi, momwe amayenera kuyang'aniridwa nthawi zonse. Ngakhale kusintha kochepa mu kapangidwe kake kumatha kuwonetsa mavuto akulu. Chizindikiro chimodzi chachikulu cha momwe thupi limagwirira ntchito ndi shuga.
Mulinso zinthu zingapo zomwe zimapangidwa pamodzi.
Malinga ndi akatswiri, uwu ndi mtundu wokhazikika kuchokera pamalingaliro azachilengedwe, okhala ndi machitidwe a ziwalo zonse zamkati.
Chizindikirochi chikuwonetsa kusinthana kwa hydrogen ndipo nthawi yomweyo ndimafuta a chamoyo chonse. Shuga amabwera ndi chakudya, ndiye chimakonzedwa m'njira inayake, ndipo ndikangolowa m'magazi.
Munkhaniyi, tikambirana zomwe zikuwopseza kuchepa kwake komanso momwe mungathane nayo.
Zambiri
Mwazi wotsika magazi sikuti ndikupatuka pang'ono, koma matenda enieni, omwe mankhwalawa amatchedwa hypoglycemia. Ichi ndi matenda oopsa omwe sayenera kusiyidwa popanda chithandizo. Hypoglycemia imatha kukhala pazifukwa zosiyanasiyana. Imayendetsedwa ndi chizungulire, manja akunjenjemera, kuchepa kwa ntchito, kusakwiya.
Malinga ndi akatswiri, kuchuluka kwa shuga m'magazi kumadalira zakudya zamasiku onse. Ngati munthu adya kena kake, ndiye kuti chizindikirochi chikukula. Kasitomala amadziwika kuti amatulutsa timadzi tulo tambiri. Amasanduliza shuga kukhala mphamvu kapena amathandizira kuti isinthe kukhala mafuta kuti agwiritsenso ntchito pambuyo pake.
Pakadali pano pomwe Horona iyi imamaliza "ntchito" yake, Zizindikiro za shuga ziyenera kukhazikika, koma sizichitika nthawi zonse. Hypoglycemia imakonda kupezeka m'matenda a shuga, pamene munthu wodwala kuchuluka kwake kwa chakudya sikugwirizana ndi kuchuluka kwa insulin yomwe umatulutsa.
Ili ndi vuto lalikulu, lomwe lingathetsedwe pokhapokha ngati munthu adya zotsekemera.
Ngakhale mwa anthu athanzi labwino, hypoglycemia imatha kuchitika nthawi ndi nthawi komanso kukula kosiyanasiyana. Kuwonetsedwa kotere kwa matendawa munjira iliyonse payekhapayekha, zimatengera zakudya za anthu, momwe amakhalira komanso zinthu zina zokhudzana ndi izi.
Zizindikiro zowoneka bwino
Malinga ndi akatswiri, kuchuluka kwa shuga m'mawa pamimba yopanda 3.3 - 5.5 mmol / l. Kupatuka pang'ono pazizindikiro izi mkati mwa 5.6 - 6.6 mmol / L kumawonetsa kulolerana kwa glucose. Awa ndi malire pamalire pakati pa chizolowezi ndi matenda, ndipo oposa 6.7 mmol / l ndi matenda a shuga a mellitus.
Zifukwa zazikulu
Shuga wotsika sangachitike payekha. Nthawi zambiri, vutoli limawonekera chifukwa cha zifukwa zomveka, zomwe zimalimbikitsidwa kuti mudziwe posachedwa. Timalemba ochepa mwaiwo pansipa.
- Zakudya zopanda thanzi komanso yopuma yayitali pakati pa zakudya zazikulu. Nthawi zambiri, chifukwa cha ichi ndi chifukwa chakuti shuga yotsika magazi imapezeka mwa asungwana achichepere omwe amadya mosamalitsa.
- Masewera olimbitsa thupi omwe amakhala ndi zakudya zochepa zopatsa mphamvu.
- Kudya zakudya zopanda pake, ufa ndi zakudya zotsekemera, zamapichesi komanso chakudya chofulumira.
- Zizolowezi zoipa. Kumwa mowa ndi kusuta kumawononga magazi anu. Ngakhale kugwiritsa ntchito mankhwalawa sikuti kumathandizira kuti zizindikiritso ziziyenda bwino.
- Ma neoplasms oyipa. Malinga ndi akatswiri, zotupa mu kapamba nthawi zambiri zimayendera limodzi ndi kuchuluka kwa minofu, kuphatikiza ma cell a beta (amapanga insulin).
Choyamba, ziyenera kudziwika kuti zizindikilo za shuga wochepa wamagazi sizimawoneka mwadzidzidzi. Chowonadi ndi chakuti iyi ndi njira yayitali. Pangokhala shuga wochepa kwambiri pomwe thupi limalengeza vuto.
Monga lamulo, munthu amayamba kudandaula chifukwa cha kuwonongeka konse komanso ludzu losatha. Kusokonezeka kwa mitsempha ndi kuchepa kwa mitsempha zingathenso kuwonetsa kuti glucose ikulowerera m'magazi.
Ndizofunikira kudziwa kuti zizindikiro zosiyanasiyana zimatha kuchitika tsiku lonse. Komabe, odwala ambiri samadandaula konse za shuga wotsika magazi, kuzindikira kuwonongeka chifukwa cha kutopa pambuyo pantchito.
Ngati kumapeto kwa sabata mumapuma ndikugona bwino, koma pakadutsa maola 11 ndi 15 patsiku mumamvabe kugona komanso kuwuka, ndibwino kufunsa katswiri. Pansipa timalemba zazikulu za kuperewera kwa shuga.
- Kumangokhala wotopa ndi kufooka.
- Kupweteka pafupipafupi.
- Kutuluka thukuta kwambiri komanso kunjenjemera.
- Kumverera kosalekeza kaamba ka njala ndi kufunitsitsa kudya kena kokoma.
- Kuchepetsa kuwona pang'ono ndi kugunda kwamtima mwachangu.
Umu ndi momwe shuga yochepa imadziwonekera. Zizindikiro zimatha kusiyanasiyana pang'ono. Ngati zizindikiro zonse zomwe zili pamwambazi zikuyenda nanu tsiku ndi tsiku, ndikofunikira kufunafuna thandizo loyenerera nthawi yomweyo.
Dokotala adzalembera mayeso, malinga ndi zotsatira zake zomwe mungathe kuyankhula za kukhalapo kwa vutoli. Ngati njira za panthawi yake sizitengedwe, hypoglycemia imangopita patsogolo. Pankhaniyi, zotsatira zake sizingakhale zosangalatsa kwambiri.
Zizindikiro
Pakadali pano, shuga wochepa wamagazi, zomwe zimafotokozedwa pamwambapa, zimatha kutsimikiziridwa m'njira ziwiri (kuyesa kwam'mawa pamimba yopanda kanthu kapena mutatsitsa thupi ndi shuga).
Kusanthula kwaposachedwa ndikuti kuyesa kwa glucose kulolerana. Potere, wodwalayo ayenera kudya shuga wa magalamu 75, omwe kale amasungunuka 300 ml ya madzi wamba. Pakatha pafupifupi maola awiri, katswiri amatenga magazi.
Amakhulupilira kuti pafupifupi zotsatira 100% zolondola zitha kupezeka mwa kuphatikiza kusanthula kawiri nthawi imodzi. Pakupita masiku atatu, wodwalayo akulangizidwa kuti azitsatira zakudya zosavuta.
Zimatanthawuza kupatula ku zakudya zamafuta okazinga ndi mafuta, komanso zakumwa zoledzeretsa. Pakadali pano, ndibwino kudya nyama / nsomba ndi masamba. Kenako, m'mawa, magazi amatengedwa kuchokera kwa wodwala pamimba yopanda kanthu.
Mphindi zisanu pambuyo pake adapatsidwa madzi akumwa ndi shuga. Pambuyo maola awiri, dokotala amatenganso magazi kuyeza shuga.
Kodi ndizotheka kuchititsa mayeso kunyumba?
Mutha kuwona ngati shuga m'magazi ndi otsika kapena ayi kunyumba. Kuti muchite izi, muyenera kugula chida chapadera chotchedwa glucometer. Masiku ano, zida zoterezi zimagulitsidwa pafupifupi mankhwala onse.
Glucometer ndi chipangizo chokhala ndi mipanda yosabala komanso zingwe zapadera zoyeserera. Wodwala kunyumba pogwiritsa ntchito lancet amapangira chala pang'ono chala, ndiye kuti dontho la magazi lomwe likuwoneka likuwusamutsira mosamala kumalire. Zotsirizazo zimayikidwa mu chipangacho chokha kuti mudziwe zotsatira zake.
Chithandizo chofunikira
Choyamba, dziwani kuti shuga yotsika kwambiri sayenera kunyalanyazidwa. Pambuyo pofufuza mwatsatanetsatane, dokotalayo nthawi zambiri amakupatsani chithandizo choyenera ndikulimbikitsa kudya kwapadera. Popanda zakudya zoyenera, ndizosatheka kuthana ndi vuto ngati shuga wochepa wamagazi.
Chithandizo chimaphatikizapo kugwiritsa ntchito kukonzekera kwa glucose. Ndikupanga kukomoka kwa hypoglycemic, ndikofunikira kwambiri kuyambitsa mankhwala a Glucagon, kenako onetsetsani kuti mwapeza thandizo loyenerera. Odwala omwe ali ndi vutoli nthawi zambiri amatchulidwa "Acarbose". Zimalepheretsa kuchuluka kwambiri kwa insulin katulutsidwe.
Ngati shuga wotsika wamagazi amayambitsidwa ndi chotupa cham'mimba, opaleshoni imalimbikitsa. Pankhani ya benign adenoma, opareshoni imapereka zotsatira zabwino.
Dziwani kuti mankhwala aliwonse amaloledwa kumwa pokhapokha atakambilana ndi katswiri. Dokotala, adzalingaliranso gawo lokha la matendawa, komanso kupezeka kwa matenda obwera ndi zovuta zina.Kudzichitira nokha mankhwala ndikosayenera.
Kodi zakudya ziyenera kukhala chiyani?
Ngati shuga m'magazi ndi ochepa, muyenera kulabadira zakudya zanu za tsiku ndi tsiku. Monga tafotokozera pamwambapa, kudya zakudya zoyenera ndi chimodzi mwazinthu zothandizira. Pansipa tikulemba malingaliro osavuta pankhaniyi.
- Muyenera kudya pafupipafupi. Izi zikutanthauza kuti simuyenera kulumphira zakudya zazikulu (kadzutsa, nkhomaliro ndi chakudya chamadzulo) + mupange zokhwasula pang'ono.
- Ndikwabwino kusiyanitsa zakudya ndi zogulitsa zomwe zimadziwika kuti ndi glycemic index. Chomwe chikuchitika ndikuti amamwa pang'ono pang'onopang'ono, chifukwa chomwe insulin imapangidwa mosiyanasiyana komanso muyezo. Miyezi yochepa yam shuga imakhazikika tsiku lonse, kupewa kuyambika kwa zizindikiro zazikulu za hypoglycemia.
- Ndikwabwino kupewa caffeine yambiri, chifukwa imathandizira kupanga insulin yambiri.
- Mowa ndi kusuta ziyenera kutayidwa.
- Chakudyacho chikulimbikitsidwa kuti chisakanizidwe ndi zakudya zambiri zamkati mwa chromium. Izi sizimalola shuga kuti zitsike. Chromium imapezeka mu nkhono zam'madzi, ma brokoli, mtedza, tchizi, ndi tirigu wophukira.
- Muyenera kudya nsomba, flaxseed komanso zakudya zina zamafuta ambiri a omega-3. Malinga ndi zomwe zilipo, ndizinthu izi zomwe zimapangitsa kuti insulini ikhale yovuta ndikuwongolera magawo a magazi.
Malangizo omwe ali pamwambawa amakupatsani mwayi wokuiwalani za vuto monga shuga wochepa wamagazi. Zomwe zimayambitsa matenda amenewa, monga mukudziwa, nthawi zambiri zimagona mokwanira mu zakudya zopanda thanzi komanso zopanda thanzi. Malinga ndi akatswiri, kusintha kwa zakudya m'masiku 14 okha kungasinthe chithunzi chonse cha magazi.
Zovuta zotheka
Kodi ndichifukwa chiyani shuga wochepa ndimopsa? Funsoli likufunsidwa ndi odwala ambiri masiku ano. M'malo mwake, vutoli limasokoneza magwiridwe antchito a thupi lonse. Munthu amatopa msanga, amakhala wokwiya, zomwe zimakhudza mwachindunji ubale wake mgulu la antchito komanso kunyumba.
Kuphatikiza apo, shuga wochepa wa magazi amatha kuyambitsa ubongo kuti usagwire ntchito.
Hypoglycemia imasokoneza mwachindunji dongosolo lamanjenje lenilenilo, lomwe limaphwanya mayendedwe a munthu mdziko lazungulira, machitidwe ake amakhala osakwanira. Zonsezi zimatha kukhala ndi zotsatira zoyipa kwambiri (ngozi, kuvulala kwa nyumba, ndi zina).
Zambiri Zazitsulo
Mafuta a m'magazi sayenera kupitirira 5.5 mmol / L.
Kuchuluka kwa shuga m'magazi ndi chimodzi mwazizindikiro zazikulu zamitundu mitundu. Tikuyankhula za phindu linalake la glucose, popeza kusintha kwakukulu kuzowonetsa kukuwonetsa mkhalidwe wa pathological.
Chifukwa chake, mwachizolowezi, kuchuluka kwa shuga m'magazi kumasiyana kuyambira 3.5 mpaka 5.5 mmol / l. Mukatha kudya, mulingo ungathe kuwonjezeka pang'ono, koma pang'onopang'ono mkhalidwe wamagazi umayamba kukhala wabwinobwino. Kusungabe kuchuluka kwa mamolekyulu am'magazi m'magazi ndikofunikira pamoyo wa thupi lonse.
Kuperewera kwa shuga kumalumikizidwa ndi kuchepa kwa mphamvu yamagawo mu minofu, pomwe kuchuluka kwa shuga kumatha kuwononga ziwalo.
Glucose ndi gawo lapansi lamphamvu mthupi la munthu. Pafupifupi, michere yosavuta yosavuta komanso yopanga minyewa yambiri imatha kulowa m'matumbo ndi chakudya, koma pamapeto pake mamolekyulu a glucose okha ndi omwe amapangidwa kuti apange mphamvu ndikuchita zina.
M'matumbo ang'onoang'ono, chakudya chimasweka ndikupanga mashupi osavuta omwe amalowetsedwa m'magazi kuti aperekedwe ku maselo onse. Mu chiwindi, glucose amasungidwanso mu mawonekedwe a glycogen ndipo mankhwala ena amasinthidwa kukhala chakudya ichi.
Madzi a pancreatic amatenga gawo lalikulu mu metabolism ya glucose m'thupi. Chiwalochi, chomwe chili m'mimba, chimagwirizana ndi kugaya chakudya, komabe, magawo ang'onoang'ono a minyewa amaphatikizanso mankhwala ena apadera m'magazi omwe angakhudze kagayidwe.
Insulin, yomwe imatulutsidwa makamaka ndikudya, imapangitsa kuti maselo azitenga shuga m'magazi, potero amachepetsa shuga la magazi. Ma mahomoni ena amaphwanya glycogen ya chiwindi kuti amasule shuga ngati vuto lochepa la chakudya limabwera chifukwa cha chakudya.
Kuchepa kwa mahomoni amtundu wa kapamba kumatha kuyambitsa matenda.
Mkulu shuga wambiri (pamwamba pa 6 mmol / L) amatchedwa hyperglycemia. Vutoli limayambitsidwa ndi matenda a metabolic, kupsinjika, komanso mankhwala ena.
Zotsatira zoyipa za matenda ndi kugonjetsedwa kwamitundu yosiyanasiyana ya thupi. Minofu ya ubongo ndiyo yoyamba kuvutika, komanso imakhudzanso ma genitourinary system, mtima ndi mitsempha yamagazi. Ndi kuchuluka kwambiri kwa shuga, kupereka chithandizo chamankhwala mwadzidzidzi kumafunikira, popeza wodwalayo angadwale mpaka kufa.
Zomwe Zimayambitsa shuga Wopatsa Magazi
Mkulu wamagazi amatha kuwonetsa matenda ashuga
Machitidwe a mahomoni amthupi amakonzedwa pamalingaliro oyankhira ndi zizindikiro zosiyanasiyana. Chifukwa chake, gawo la kupanikizika kwa kapamba limakhudzidwa ndi kuchuluka kwa shuga m'magazi, chifukwa chake, kuwonjezeka kwa glucose mutatha kudya kuyenera kulimbikitsa kupanga insulin.
Hormoni imapangitsa kuti maselo amwe shuga ndipo mwanjira imeneyi imapangitsa kuti kuwerenga kwa glucose kuzikhala koyenera. Kuphwanya kwamphamvu kwa kagwiritsidwe kameneka kumatha kuphatikizidwa ndi systemic pathologies, kuwonongeka kwa kapamba, ndi zina.
Cholinga chachikulu cha kuchuluka kwa shuga m'magazi ndi matenda a shuga. Ichi ndi matenda a metabolic omwe amalumikizidwa ndi matenda a insulini m'thupi. Chovuta chachikulu cha matenda a shuga ndi kusowa kwa malamulo a shuga ndi zovuta zoyipa zamagetsi zomwe zimayang'ana mkati mwa ziwalo zamkati.
Njira yotalikira ya matendawa imatha kubweretsa zovuta zina, monga khungu, kuwononga mitsempha yamagazi komanso kuwonongeka kumadera akumunsi.
- Type 1 shuga mellitus amapangidwa chifukwa chosakwanira katemera wa insulin kuchokera ku kapamba. Gawo lachiberekero la endocrine limatha kukhudzidwa chifukwa cha matenda a autoimmune (chitetezo chokwanira chimakhudza minofu yathupi), njira ya oncological kapena zinthu zobadwa nazo. Matenda amtunduwu amapezeka kawirikawiri ali aang'ono.
- Type 2 shuga mellitus ogwirizana ndi vuto la maselo a cell. Insulin imapangidwa mokwanira, koma maselo sangathe kuyenderana ndi mahomoni ndipo samatenga glucose. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakhalabe popanda matenda a kapamba. Mtundu wamatendawa umadziwika kwambiri odwala akamakula, akuvutika ndi kunenepa kwambiri.
Matenda a shuga amayamba chifukwa cha chibadwa chathu, chifukwa chake kupezeka kwa matenda oterewa kumawonjezera chiopsezo cha munthu wodwala matenda a shuga. Koma zinthu zina zowopsa ziyeneranso kuganiziridwa, monga kuperewera kwa zakudya m'thupi komanso matenda oyamba a kapamba.
Zomwe zimayambitsa hyperglycemia:
- Kumwa mankhwala ena monga corticosteroids, beta-blockers, adrenaline, okodzeya, ma statins, niacin, proteinase inhibitors ndi antipsychotic. Kugwiritsa ntchito kamodzi kokha zopatsa mphamvu kumatha kuyambitsa matenda a hyperglycemia, komabe, kugwiritsa ntchito mankhwalawa nthawi zambiri kumadzetsa kutsika kwa shuga.
- Zambiri zovuta zam'magazi, monga kulowerera m'matumbo. Kafukufuku akuwonetsa kuti kupsinjika kwakuthupi pakuwonongeka kwa ziwalo kumatha kubweretsanso ku hyperglycemia ngakhale popanda matenda a shuga wodwala.
- Zoyendetsa zama cell zomwe zimapanga ma hormonal zinthu. Awa ndi somatostatinomas ndi aldosterone. Kuchotsa chotupacho kumathandiza kuchotsa vuto.
- Chithokomiro, chithokomiro, komanso vuto lonyansa la adrenal.
- Ma neoplasms owopsa, kuvulala ndi ma pathologies ena a kapamba.
- Matenda akulu ndi sepsis.
- Encephalitis, meningitis, zotupa muubongo.
- Zochita kuchitikira opaleshoni yayikulu.
Kafukufuku wopanga zida ndi ma labotale amathandizira kumvetsetsa momwe matendawa amayendera shuga.
Njira Zodziwitsira
Kuti mupeze matenda olondola, ndikofunikira kupereka magazi kuti muchepetse shuga
Odwala nthawi zambiri samadziyimira pawokha kuchuluka kwambiri kwa shuga m'magazi, chifukwa chake, ndikofunikira kulabadira zizindikiro za matenda. Mokulirapo shuga m'magazi, matchulidwe amtunduwu amatha kuchitika.
- Kukodza pafupipafupi.
- Ludzu lalikulu.
- Kutopa ndi mutu.
- Zowonongeka.
- Kutsekemera.
- Kusanza ndi kusanza.
- Kulephera kopindulitsa.
- Pakamwa pakamwa.
- Kupweteka kwam'mimba.
- Coma.
Ngati zizindikiro zotere zikuwoneka, pitani kwa dokotala kapena endocrinologist. Dokotala adzafunsa za madandaulo, ayang'anire zamnzeru kuti adziwe zomwe zingayambitse ngozi ndikumuyesa. Pazotsatira zomaliza, zofunikira zowunikira zasayansi zofunikira.
- Kuyesedwa kwa glucose kosavuta kutsimikiza mtima kwa shuga.
- Kuyesedwa kwa magazi kwa hemoglobin ya glycated kudziwa kuchuluka kwa shuga kwa mwezi umodzi.
- Kuzindikira ziwalo molingana ndi madandaulo, kuphatikiza masomphenya, ubongo, impso.
- Kupeza chida chokhudzana ndi ziphuphu.
Mutha kupeleka magazi a shuga pachipatala chilichonse. Nthawi zambiri, kuyeserera kumachitika kuchokera pamakedzedwe a chala cham'manja pogwiritsa ntchito chida china chapadera ndi chubu, koma magazi a venous amathanso kutulutsidwa kuchokera m'chiwuno.
Mavuto a shuga
Shuga akamakwezedwa kwa nthawi yayitali, mitsempha yamagazi ndi minofu ya mtima zimavutika
Mavuto a shuga amawagawa poyambira komanso mochedwa. Kutalika kwambiri kwa shuga m'magazi kumatsalira, zotsatira zoyipazo zingachitike. Chofunika kwambiri ndikugawika kwa zovuta za nthawi yayitali komanso matenda omwe amafunikira chisamaliro chadzidzidzi.
- Matenda amtima ogwirizana ndi kuwonongeka kwa makoma amitsempha yamagazi pamitsempha yambiri ya shuga m'magazi.
- Kuwonongeka kwa minyewa yamitsempha (mitsempha).
- Kuwonongeka kwa minofu ya impso ndi kukula kwa matenda a shuga a nephropathy kapena kulephera kwa aimpso.
- Kuwonongeka kwa mitsempha ya magazi ya retina (diabetesic retinopathy), yomwe imatsogolera khungu.
- Kusintha kwa mawonekedwe a mandala (ma mandala) amaso am'maso (ng ombe).
- Kuwonongeka kwa minyewa yamanjenje ndi minyewa yam'munsi, yomwe imatsogolera pakupanga matenda. Woopsa milandu, wodwalayo amafuna kudula dzanja.
- Matenda amafupa ndi mafupa.
- Kuwonongeka kwa khungu: mabakiteriya ndi matenda a fungus, mabala osachiritsika.
- Matenda a mano ndi mano.
Zoyenera kufuna chithandizo chadzidzidzi:
- Matenda a shuga a ketoacidosis ndimapangidwe ochulukirapo a ma ketoni m'thupi chifukwa cha kuchepa kwa shuga kagayidwe kachakudya. Izi zimapangitsa kuwonongeka kwa dongosolo lamkati lamanjenje ndi zina zofunika. Odwala amagwa.
- Hyperglycemic hyperosmolar syndrome - kuphatikizika kwa shuga m'magazi, zomwe zimabweretsa zotsatirapo zoyipa.
Kuthandiza panthawi yake kumathandiza kupewa zovuta.
Njira zotsitsa za glucose
Magazi a m'magazi amathandizira kuti shuga asungike m'magazi
Mafuta ambiri amakhala ndi chithandizo chambiri kwa wodwala. Dokotala amafunika kuti azisinthasintha magazi ndi kupewa kukula kwa zovuta. Kutengera momwe wodwalayo alili, mankhwalawa atha kutumikiridwa:
- Mitsempha yama elekitirositi yomwe ilowetsa magazi kuti itulutse magazi komanso kupewa kuchepa madzi m'thupi. Kuthandizira kotereku kumathetsa vuto lomwe limakhudzana ndi kukodza kwambiri motsutsana ndi maziko a hyperglycemia.
- Kukhazikitsidwa kwa insulin. Kutengera ndi momwe wodwalayo alili, adotolo atha kukulemberani mankhwala mwachangu kapena pang'onopang'ono.
- Kupanga mankhwala omwe amasintha mogwirizana ndi insulin ndi maselo.
Wodwala akangoperekedwa kwa dokotala, ndiye kuti matendawo amamuthandiza. Ndikofunika kumvetsetsa kuti kuchuluka kwa glucose pamtunda wa 10-12 mmol / L kumawonetsa kwambiri hyperglycemia, yomwe imafunikira thandizo mwachangu.
Dziwani zambiri zokhudzana ndi shuga wambiri m'mavidiyo.
Kodi mwazindikira kulakwitsa? Sankhani ndikusindikiza Ctrl + Lowanikutiuza.
Chithandizo cha matenda amtundu 1 shuga
Pali mitundu ingapo ya matenda ashuga osawoneka bwino, koma njira zomwe zimafala kwambiri ndi mtundu 1 ndi mtundu 2 wodwala. Matenda amtundu wachiwiri amapezeka mu 90% ya milandu yazithunzi, ndiye, 1 amadziwika ndi odwala pafupifupi 5-10%.
Chithandizo cha matenda a shuga chimayambira pakubweretsa timadzi mu thupi la munthu, kudya moyenera komanso kuchita zolimbitsa thupi. Ngati wodwala ali ndi mapaundi owonjezera, ndiye kuti adokotala angalimbikitsenso mapiritsi. Mwachitsanzo, Siofor.
Komabe, pakulankhula kawirikawiri, zachipatala zimawonetsa kuti mapiritsi satenga gawo lofunikira kwambiri, pazambiri, pakuchitira chithandizo, mutha kuchita popanda kupangana.
Chifukwa chake, magawo akuluakulu azithandizo ndi:
Odwala ali ndi chidwi ndi njira zatsopano komanso zoyesera zomwe zimawapulumutsa ku insulin tsiku lililonse. Kafukufuku akuchitikadi, koma palibe zomwe zikuchitika mpaka pano.
Chifukwa chake, njira yokhayo yomwe imakupatsani mwayi wokhala ndi moyo wonse ndikugwira ntchito moyenera ndi jakisoni wa mahomoni "abwino akale".
Ngati shuga akwera mpaka magawo 14-15, ayenera kuchitanji? Tsoka ilo, insulini yokha ndi yomwe ingathandize kuchepetsa zisonyezo, koma zotsatirazi zikuthandizira kupewa kuwonjezeka kwa glucose obwera mthupi:
- Tiyenera kukhala ndi udindo wonse pakubwera ndi thanzi lathu komanso kutalika kwa moyo wathu, chifukwa matenda a shuga ndi osatha. Ndikofunikira kuphunzira zambiri za matenda osachiritsika, kutsatira malangizo onse a dokotala.
- Kubayidwa insulin yayitali usiku komanso m'mawa. Ndikofunikira kupatsa mahomoni othamangira kudya musanadye. Mlingo wake umaperekedwa ndi adokotala okha.
- Pewani shuga m'magazi kangapo patsiku. Kuwerengera kuchuluka kwa chakudya chamagulu muzakudya.
- Muyenera kupanga zakudya zanu kuti glucose asachulukire kwambiri mutatha kudya. Izi zimafuna kusiya zakudya zonse zomwe zimapangitsa kuti shuga awonjezeke.
- Chinsinsi chokhala ndi thanzi lanu ndizolimbitsa thupi mokhazikika, zomwe zimathandizira chidwi cha maselo kupita ku mahomoni. Kuphatikiza apo, masewera amachepetsa mwayi wa matenda a mtima, zomwe zimapangitsa kukhala ndi moyo wabwino.
- Kanani mowa, kusuta.
Tiyenera kudziwa kuti pochiza matenda ashuga, odwala ambiri amatembenukira ku mankhwala ena kuti akathandizidwe. Tsoka ilo, machitidwe akuwonetsa kuti ndi mtundu wamtunduwu, zamankhwala azamankhwala ochepetsa shuga zamagazi sizothandiza kwambiri.
Cholinga chachikulu cha munthu wodwala matenda ashuga ndi kukwaniritsa kuchuluka kwa shuga mkati mwa mayunitsi 5.5, onse pamimba yopanda kanthu ndikatha kudya.
Ndi ziwerengero izi zomwe zimawoneka ngati chizolowezi kwa munthu wathanzi, ndikuletsa zovuta za matenda.
Kupewa
Monga mukudziwa, ndikosavuta kupewa vutolo, m'malo mongolimbana ndi vutolo.Pankhaniyi, akatswiri amalimbikitsa mwamphamvu kuti muwunikire thanzi lanu, mudye moyenera, masewera olimbitsa thupi moyenera.
Ndikofunika kuchitira matenda osiyanasiyana munthawi yake, kuphatikizapo shuga yochepa yamagazi. Zizindikiro zavutoli sizikulimbikitsidwa kuti zinganyalanyazidwe.
Ndikofunikira kwambiri kufunsa thandizo kwa katswiri woyenera, ndipo musatchuleko ngati mungayerekeze kuchezerana ndi bokosi lamakalata lakutali.
Mwazi wa 14 - Kodi Zimatanthauzanji?
Mwa munthu yemwe sanakumanepo ndi matenda ashuga, phindu la shuga limatha kupitilira zovomerezeka ndikukhazikika pamayunitsi a 14.1-14.9, ngati pali:
- matenda otupa kapena khansa okhudza kapamba,
- matenda omwe amaphatikizidwa ndi endocrine system,
- matenda a chiwindi: matenda enaake, chiwindi, khansa,
- kusokonezeka kwa mahomoni.
Komanso, shuga wokwanira amaphatikizidwa ndi kupsinjika, kudya kwamphamvu kwamadzulo ambiri patsiku lopereka magazi, kuchita masewera olimbitsa thupi kwambiri.
Mwa odwala matenda ashuga omwe ayenera kuyang'ana kuchuluka kwa shuga ndi glucometer, hyperglycemia ikhoza kuyamba chifukwa:
- kusayang'anira kudya komwe kumadya zakudya zochepa,
- kudumpha mankhwala ochepetsa shuga kapena jakisoni,
- kuchuluka kwa zamaganizidwe,
- kusachita zolimbitsa thupi, kusachita masewera olimbitsa thupi,
- zizolowezi zoipa
- kumwa mankhwala ena, monga mahomoni, okodzetsa, njira zakulera pakamwa,
- matenda kapena matenda a catarrhal,
- hepatic pathologies,
- kusokonezeka kwa mahomoni.
Wodwala, popeza wapeza shuga m'magawo 14, ayenera kudziwa zoyenera kuchita komanso momwe angathanirane ndi vuto lofananalo. Ndikofunikira kudziwa chifukwa chomwe chiwonjezerochi chikuwonjezeka ndipo ngati kuli kotheka ndichotse zinthu zoipa. Chochulukitsa chomwe chimayambitsa matenda a hyperglycemia ndikuphwanya zakudya, kudya kwambiri, kusowa ntchito zolimbitsa thupi, kusagwirizana ndi kupuma komanso kugona. Mwa kusintha kadyedwe kanu, mutha kubwezeretsanso kuchuluka kwa shuga munthawi yabwino.
Kodi nkoyenera kuopa
Hyperglycemia yokhala ndi zizindikiro zomwe zikufika pa gawo la 14.2-14.8 imadziwika kuti ndi vuto lalikulu, makamaka ngati ndizovuta. Thupi limayesetsa kwambiri kuthana ndi shuga ochulukirapo pophwanya lipids. Zotsatira zake, ma ketone amaphatikizana, zomwe zimayambitsa kuledzera kwathunthu komanso ketoacidosis.
Wodwalayo amadandaula za:
- kumva kufooka, ulesi, kusowa mphamvu,
- kukodza pafupipafupi
- kununkhira kwa acetone pa zotupa,
- kusanza, mseru, kusokonezeka kwa chopondapo,
- chizungulire ndi mutu
- wamanjenje
- kusawona bwino,
- kuvutika kupuma.
Ndi kuwonjezeka kwakukulu kwa glycemia ndi zizindikiro za 14.3-14.7 mmol / l kapena kuposerapo, munthu wodwala matenda ashuga amatha.
Wodwalayo ali:
- khungu
- kuthamanga kwa magazi
- kumverera musanayambe kusanza ndi kupweteka pamimba,
- kuyanika nembanemba ndi khungu,
- chikumbumtima.
Odwala oterewa amathandizidwa pokhazikika, popeza izi ndizowopsa.
Hyperglycemia wolimba yemwe ali ndi shuga mpaka magawo a 14.4 amasokoneza ntchito ya pafupifupi ziwalo zonse zofunika komanso magwiridwe antchito, omwe amatsogolera kuphazi la matenda ashuga, gangrene, kuthamanga kwa magazi, arthropathy, trophic zilonda, ndi zina - - zovuta za matenda a shuga.
Zoyenera kuchita ngati shuga ali pamwamba 14
Ndi kuchuluka kwa hyperglycemia ya 14.5-14.6 mmol / l, munthu ayenera kusintha kwambiri moyo ndi zakudya. Odwala amalangizidwa kuti achepetse kudya ndi mafuta, zomwe ziyenera kukambirana ndi a zakudya kapena endocrinologist. Ndi matenda ashuga chakudya tebulo 9Cholinga chake chachikulu ndikuletsa kudya zakudya zopatsa mphamvu za m'mimba zomwe zimapanga chimbudzi mosavuta:
- maswiti ndi shuga
- makeke ndi mkate Woyera,
- pasitala
- khofi wa chokoleti
- zotsekemera zotsekemera ndi sodas,
- mbatata
- zipatso zokoma
- zakumwa zoledzeretsa.
Zakudya ziyenera kuphatikizapo:
- nyama yakudya ndi nsomba zamafuta ochepa, yophika kuphika kapena kuphika,
- chimanga (kupatula mpunga oyera ndi semolina) wokhala ndi mavitamini, ma mineral complexes, mapuloteni. Amakhala ndi thanzi labwino komanso amasintha shuga m'magazi,
- zipatso zokhala ndi shuga pang'ono. Amavomerezedwa kuti azidya pambuyo chakudya chachikulu,
- zopaka zamkaka zothandiza pakukonza chakudya,
- masamba abwino, owiritsa, owotcha, masamba ophika ayenera kukhala pamndandanda wa zakudya zomwe anthu odwala matenda ashuga amachita. Ndi zoletsedwa kuti ziwaphwanyidwe.
Mankhwala
Ngati mfundo za glycemia zafika pazovuta zovuta za mayunitsi 14, zomwe mungachite ndikutsimikiza ndi katswiri yemwe ayenera kulumikizidwa nthawi yomweyo. Adzipereka mankhwala omwe amathandiza kuwongolera shuga:
Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva
Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.
Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.
Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!
- zochokera sulfonylureas ndi kutchulidwa hypoglycemic kwenikweni,
- biguanides - mankhwala okhala nthawi yayitali.
Kusankha mankhwala oyenera, katswiriyo amaganizira momwe zimawakhudzira thupi. Pali mitundu itatu yamankhwala ochepetsa shuga:
- zolimbikitsa kuchotsedwa kwa insulin kuchokera ku England, mwachitsanzo, Amaryl, Maninil. Amatengedwa mosamala kwambiri osagwirizana ndi antimicrobial, antipyretic mankhwala, insulin, popeza pali kuthekera kwakukulu kokulitsa hypoglycemia,
- kukulitsa chidwi cha maselo ku insulin, mwachitsanzo, Actos, Siofor. Samachulukitsa kapangidwe ka timadzi ta pancreatic, koma timathandizira kuti maselo azitenga shuga wambiri. Mankhwalawa samachulukitsa chilimbikitso, amaphatikizidwa ndi mankhwala ena, osatsogolera ku hypoglycemia,
- kusokoneza mayamwidwe am'madzi mwa makoma a matumbo, mwachitsanzo, Glucobay.
Mwa contraindication kumwa mankhwala amenewa, munthu amatha kusiyanitsa matenda a chiwindi, kutupa kwa impso, sitiroko, pakati ndi kuyamwitsa.
Zithandizo za anthu
Njira zina zophikira zingathandize kubwezeretsa shuga m'magazi abwinobwino. Koma amagwiritsidwa ntchito pokhapokha pakuthandizira mankhwala ndipo atakambirana ndi adokotala. Mukuyembekeza kuti mutatenga mitundu yambiri ndi kulowetsedwa, kupatula kugwiritsa ntchito mankhwala osatsata kudya, mutha kuchepetsa shuga - simungathe. Izi ndizowopsa, ndipo zingayambitse kuchuluka kwa magawo 14, 15, 20.
Zabwino kwambiri komanso zothandiza kwambiri ndi:
- Tsamba la Bay. Masamba 5-10 amalimbikira mu kapu yamadzi otentha kwa tsiku. Tengani 50 ml ya kulowetsedwa kanayi / tsiku musanadye.
- Mazira okhala ndi mandimu. Dzira lotsekemera limaphatikizidwa ndi msuzi wa ndimu imodzi. Tengani pamimba yopanda kanthu katatu patsiku kwa supuni yayikulu.
- Chi Turmeric. Supuni ya zonunkhira zonunkhira imasungunuka mu kapu yamadzi ofunda ndikuledzera kawiri pa tsiku.
- Nyemba Pods. Ma supuni akuluakulu anayi a nyemba zosakanizika ndi nyemba zosakanizidwa ndi supuni imodzi yayikulu ya nthomba ndipo amathiridwa ndi madzi. Wiritsani kwa mphindi 20 pamalawi pang'onopang'ono. Pambuyo pozizira komanso kupsinjika, tengani theka kapu 4-5 / tsiku theka la ola musanadye - chithandizo cha matenda osokoneza bongo a nyemba zosaneneka.
- Yogurt kapena kefir. Bokosi lalikulu la supuni yolumikizidwa pansi imaphatikizidwa ndi kapu yamkaka yamkaka yopaka, yosakanizidwa ndikusiyidwa usiku. Idyani m'mawa, pamimba yopanda kanthu. Chinsinsi ichi chitha kugwiritsidwa ntchito kuchuluka kwa nthawi. Zimathandiza odwala ambiri kusunga shuga wamwazi m'malo oyenera kwa zaka zambiri.
Hyperglycemia imafuna kuwongolera kwambiri zakudya, kuchuluka kwa mankhwala omwe adakhazikitsidwa, moyo wa wodwalayo amene akufuna kukonza thanzi lawo. Ndikofunikira kuyang'anira maulamuliro a tsikulo, kusiya zosokoneza bongo, yesetsani kupewa zinthu zovuta. Iyi ndiye njira yokhayo yolipirira matenda ashuga komanso kupewa kutulutsa zovuta zazikulu.
Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>