Matenda a shuga ndi chilichonse chokhudza izi

OWERENGA ATHANDIZA!

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

Matenda a shuga ndi njira yodwalitsa ya kapamba yomwe imakhudzana ndi kufooka kwa kagayidwe kazakudya. Pali mitundu iwiri ya matendawa: mtundu wa matenda omwe amadalira komanso odziimira okha a insulin. Kusiyana kwawo kumatengera njira ya kakulidwe ka matenda ndi njira yake.

Zolemba za shuga zosadalira insulini

Nthawi zambiri, chibadwa chamtsogolo komanso kusintha komwe kumachitika pakubadwa kumatenga gawo lalikulu pakukula kwa matendawa pazinthu zonse zamatenda. Matenda a shuga a Type 2 amadziwika chifukwa chakuti kapamba amapanga kuchuluka kokwanira kwa timadzi, koma maselo ndi minyewa yathupi lake limazindikira pang'ono zochita zake. Kunena mwachidule, "sawona," chifukwa choti shuga kuchokera m'magazi sangathenso kudya mphamvu zochuluka. Hyperglycemia imayamba.

Mluzitsi mumagawo osiyanasiyana

Magazi a capillary ali ndi shuga wotsika kuposa magazi a venous. Kusiyanaku kungafikire 10-12%. M'mawa chakudya chisanalowe m'thupi, zotsatila za matenda amtundu wa shuga 2 kuchokera pachala ziyenera kukhala zofanana ndi zaumoyo (pano, misempha ya glucose yonse imasonyezedwa mmol / l):

Zizindikiro za magazi amkazi sizosiyana ndi za amuna. Izi sizinganenedwe za thupi la ana. Makanda obadwa kumene ndi makanda amakhala ndi shuga wochepa kwambiri:

Kusanthula kwa magazi a capillary a ana asukulu zoyambirira pasukulu yasukulu yoyamba akuwonetsedwa kuchokera pa 3,3 mpaka 5.

Magazi magazi

Zitsanzo za mtsempha zimafunika mu labotale. Izi ndikuwonetsetsa kuti zitsimikiziro zamagazi a capillary zitha kuchitika kunyumba pogwiritsa ntchito glucometer. Zotsatira za kuchuluka kwa shuga zimadziwika tsiku limodzi mutatha kugwiritsa ntchito.

Akuluakulu ndi ana, kuyambira nthawi yamasukulu, amatha kulandira mayankho ndi 6 mmol / l, ndipo izi zimatengedwa ngati zomwe zimachitika.

Zizindikiro nthawi zina

Kukula kwakukulu kwa shuga mu mtundu 2 wa shuga sikuyembekezeredwa pokhapokha ngati matendawo atakula. Kukula kochepa ndikotheka, komwe kumakhala ndi malire ovomerezeka a shuga (m'mol / l):

m'mawa, chakudya chisanalowe m'thupi - mpaka 6,6.1,
mutatha ola limodzi mutatha kudya - mpaka 8.8-8.9,
patatha maola ochepa - mpaka 6.5-6.7,
musanapume madzulo - mpaka 6.7,
usiku - mpaka 5,
pakuwunika mkodzo - kulibe kapena mpaka 0,5%.

Shuga mutatha kudya ndi shuga yachiwiri

Chakudya chokhala ndi chakudya chambiri chikalowa mkamwa, michere ya munthu wathanzi, yomwe ndi mbali ya malovu, imayamba kugawika kukhala ma monosaccharides. Mchere womwe unalandiridwa umalowa mu mucosa ndipo umalowa m'magazi. Ichi ndi chizindikiro kwa kapamba kuti gawo la insulin likufunika. Zakonzedwa kale ndikuphatikizidwa pasadakhale kuti zilepheretse kuwonjezeka kwa shuga.

Insulin imatsitsa shuga, pomwe kapamba'yu akupitilizabe "kugwira ntchito" kuti apirire. Kubisala kwa mahomoni owonjezera kumatchedwa "gawo lachiwiri la kuyankha kwa insulin." Pamafunika kale pa gawo logaya chimbudzi. Gawo la shuga limakhala glycogen ndipo limapita kumalo osungirako ziwindi, ndi gawo lina la minofu ndi adipose.

Thupi la munthu wodwala matenda a shuga limachita mosiyanasiyana. Momwe kupopera kwa mafuta amkati ndikuwuka kwa shuga m'magazi kumachitika mchitidwe womwewo, koma kapamba alibe magawo okonzeka a mahomoni chifukwa chakuchepa kwa maselo, kotero kuchuluka komwe kumamasulidwa pamenepa ndi kochepa.

Ngati gawo lachiwiri la njirayi silinakhudzidwe, ndiye kuti mahomoni ena ofunikira amatha kuchoka maola angapo, koma nthawi yonseyi shuga amakhalabe okwera. Kuphatikizanso, insulini imayenera kutumiza shuga m'maselo ndi minyewa, koma chifukwa cha kukana kwake, "zipata" zam'm cell zimatsekedwa. Zimathandizanso kuchulukitsa kwa hyperglycemia. Izi zimatsogolera pakupanga njira zosasinthika pamtima ndi m'mitsempha yamagazi, impso, dongosolo lamanjenje, komanso wopenda mawonedwe.

Shuga wam'mawa

Matenda a shuga a Type 2 ali ndi gawo lotchedwa Morning Dawn Syndrome. Vutoli limatsatiridwa ndi kusintha kwakukulu kwa kuchuluka kwa shuga m'magazi m'mawa mutadzuka. Vutoli limawonedwa osati mwa odwala matenda a shuga, komanso mwa anthu athanzi lathunthu.

Kusinthasintha kwa shuga kumachitika pakati pa 4 a.m. ndi 8 a.m. Munthu wathanzi sazindikira kusintha kwake, koma wodwalayo samva bwino. Palibe zifukwa zosintha zoterezi: mankhwala ofunikira adatengedwa pa nthawi yake, kunalibe zovuta zakuchepetsa shuga m'mbuyomu. Onani chifukwa chake kulumpha lakuthwa.

Makina a chitukuko cha zodabwitsazi

Usiku nthawi yogona, dongosolo la chiwindi ndi minofu imalandira chisonyezo chakuti kuchuluka kwa glucagon mthupi ndikokwera ndipo munthu ayenera kuwonjezera mashopu a shuga, chifukwa chakudya sichiperekedwa. Mafuta ochulukirapo amawonekera chifukwa cha kuchepa kwa mahomoni kuchokera ku glucagon-peptide-1, insulin ndi amylin (enzyme yomwe imachepetsa kuyamwa kwa glucose mutatha kudya kuchokera m'matumbo am'mimba kulowa m'magazi).

Hyperglycemia yam'mawa imatha kukhazikikanso motsutsana ndi maziko a ntchito ya cortisol ndi timadzi timene timene timakula. Ndiye m'mawa momwe kubisika kwawo kwapamwamba kumachitika. Thupi labwinobwino limayankha ndikupanga mahomoni ena owonjezera omwe amalamulira shuga. Koma wodwala sangathe kuchita izi.

Momwe mungapezere chodabwitsa

Njira yabwino ikakhala kumwa mita ya glucose usiku. Akatswiri amakulangizani poyambira kuyeza pambuyo pa maola awiri ndikuwayendetsa pafupipafupi mpaka 7-00 pa ola limodzi. Kenako, zisonyezo za muyeso woyamba ndi wotsiriza zimayerekezedwa. Ndi kuchuluka kwawo komanso kusiyana kwakukulu, titha kuganiza kuti zodabwitsa zam'mawa zimapezeka.

Kukonza kwa m'mawa hyperglycemia

Pali malingaliro angapo, kutsatira komwe kumapangitsa kusintha m'mawa:

Yambani kugwiritsa ntchito mankhwala ochepetsa shuga, ndipo ngati omwe akuuzani sakugwiritsidwa ntchito, onaninso mankhwalawo kapena onjezerani atsopano. Zotsatira zabwino zidapezeka mwa odwala omwe ali ndi matenda a shuga a 2 atenga Metformin, Januvia, Onglizu, Victoza.
Ngati ndi kotheka gwiritsani ntchito mankhwala a insulin, omwe ali m'gulu la anthu omwe achita nthawi yayitali.
Kuchepetsa thupi. Izi zithandiza kuti chidwi cha maselo amthupi chikhale ndi insulin.
Tengani zokhwasula pang'ono musanagone. Izi zimachepetsa nthawi yomwe chiwindi chimayenera kupanga shuga.
Onjezerani ntchito zamagalimoto. Kuyenda kwamayendedwe kumawonjezera chiwopsezo cha zimakhala ndi zinthu zofunikira zamafuta.

Njira Yoyesera

Wodwala aliyense amene akudziwa kuchuluka kwa shuga m'magazi ayenera kukhala ndi buku lowonera payekha, pomwe zotsatira zakudziwitsa kunyumba mothandizidwa ndi glucometer zimalowetsedwa. Matenda a shuga osagwirizana ndi insulin amafuna kuchuluka kwa shuga ndi ma frequency otsatirawa:

tsiku lililonse mukulipira,
Ngati mankhwala a insulin ali ofunika, ndiye kuti mankhwala aliwonse osafunikira,
kumwa mankhwala ochepetsa shuga kumafuna miyezo ingapo - chakudya chisanafike,
Nthawi iliyonse munthu akamva njala, koma amalandila chakudya chokwanira,
usiku
pambuyo kulimbitsa thupi.

Kusungidwa kwa zidziwitso mkati moyenera

Wodwala wodwala matenda ashuga a 2 ayenera kudya pafupipafupi, kupewa kupuma kwakutali pakati pa chakudya. Chofunikira ndikukana kugwiritsa ntchito zonunkhira zambiri, chakudya mwachangu, nyama yokazinga ndi yosuta.

Magulu olimbitsa thupi ayenera kusinthana ndi kupumula kwabwino. Muyenera kukhala ndi chakudya chambiri nthawi zonse kuti muchepetse njala yanu yamkati. Osamaika malire pa kuchuluka kwa madzi omwe amwedwa, koma nthawi yomweyo muwone momwe impso zimayendera.

Pewani zomwe zimabweretsa nkhawa. Pitani kwa dokotala miyezi isanu ndi umodzi iliyonse kuti mupewe matendawa. Katswiriyu ayenera kukhala wodziwa bwino zomwe zikuwonetsa kudziletsa, zolembedwa muzolemba zanu.

Matenda a Mtundu Wachiwiri ayenera kuyang'aniridwa nthawi zonse, chifukwa amakhala ndi zovuta zambiri. Kutsatira upangiri wa madokotala kungathandize kupewa kutulutsa ma pathologies oterowo ndikusungira shuga wambiri pamilingo yoyenera.

Chifukwa cha chiyani, shuga m'mawa pamimba yopanda kanthu ndiwokwera kuposa chakudya

Kusinthasintha kwa shuga m'magazi masana ndi vuto lalikulu kwa odwala matenda ashuga. Kuti mupewe zotsatira zosasangalatsa, muyenera kumvetsetsa chifukwa chake shuga m'magazi amadzuka usiku. Mutha kumvetsetsa momwe thupi limakhalira usiku mutatha kuwongolera zingapo usiku komanso tsiku lonse.

Dziwani vuto

Kuti mudziwe zomwe zimayambitsa kusintha kwa shuga usiku ndi m'maola, miyezo imayenera kutengedwa usiku uliwonse maola atatu. Ena amalimbikitsa kutenga miyeso pafupipafupi - izi zikuthandizani kuti mupeze nthawi yeniyeni yokweza komanso kutsitsa kuchuluka kwa shuga.

Ngati palibe chikhumbo chodzuka ola lililonse usiku, ndiye kuti mutha kuyeza zizindikiro 3 koloko m'mawa, 6 ndi 8 m'mawa. Kutengera ndi mfundo zomwe tapeza, titha kukambirana za kuzindikira komwe kungachitike.

Kudumpha kumatha chifukwa cha zifukwa izi:

kukhazikitsidwa kwa mlingo wochepa wa insulini madzulo: 3 ndi 6 maola shuga adzachulukitsidwa kwambiri,
Matenda a Somogy kapena posthypoglycemic hyperglycemia: shuga amatsika mausiku atatu ndikuwuka 6 m'mawa,
m'bandakucha zodabwitsazi: usiku Zizindikiro ndizabwinobwino, ndipo m'mawa asadadzuke zidachuluka.

Shuga amadzuka usiku nawonso akamadya chakudya chambiri usiku. Usiku, amayamba kutsika ndikuwonjezereka kwa glucose. Zizindikiro zowonjezereka zimachitika pamene wodwala matenda ashuga amadya pang'ono masana, ndipo amadya usiku. Katundu wopamwamba amagwera pa maola ausiku okha.

Odwala matenda ashuga ayenera kudziwa kuti ndi zovuta zam'mawa komanso matenda a Somoji, zimachitika ngati m'mawa m'mimba yopanda kanthu mulingo wotsekemera wa shuga ndi kuposa pambuyo chakudya. Chifukwa chake, muyenera kuyeza zizindikiro za shuga usiku kuti mudziwe zomwe zimayambitsa izi.

Kuphatikiza pa zifukwa izi, kusakhalako kwa chakudya chamadzulo kumatha kubweretsa kukula kwa hyperglycemia m'mawa. Ngati chakudya chamafuta sichinamwe, hypoglycemia ikhoza kuyamba. Poyankha, chiwindi chimachotsa glycogen yomwe imakhalamo. Kuchuluka kwake kumayambitsa hyperglycemia.

Zimayambitsa hypoglycemia usiku

Ambiri amadabwa chifukwa chake glucose amatsika usiku. Kupatula apo, panthawiyi palibe katundu. Hypoglycemia imatha kukhazikika chifukwa cha chakudya chokwanira chakudya chamadzulo. Komanso, zotsika mtengo usiku zimatsogolera ku:

ulesi kwambiri insulin makonzedwe (pasanathe maola 23),
shuga wotsika madzulo
kusowa kwa chakudya chamadzulo.

Muyenera kudziwa izi kuti mupewe kuukira kwa hypoglycemia usiku. Odwala omwe amadalira insulin sakulangizidwa kuti agone pamimba yopanda kanthu.

Ricochet hyperglycemia

Kuchuluka kwa shuga m'magazi usiku kumatha kukhala chifukwa cha matenda a Somoji. Izi zimachitika pamene wodwala amakhala ndi kuchuluka kwambiri kwa shuga m'magazi. Poyankha izi, thupi limayamba kumasula glycogen ku chiwindi ndipo odwala matenda ashuga amayamba hyperglycemia.

Monga lamulo, shuga amachepetsa pakati pausiku - miyeso 3 koloko ikuwonetsa kuti munthu wodwala matenda ashuga wayamba hypoglycemia. Pofika m'mawa, zizindikiro ziziwonjezeka. Kulumpha usiku kumachitika chifukwa chakuti thupi limakumana ndi hypoglycemia ngati limapanikizika kwambiri. Zotsatira zake ndi kutulutsidwa kwa mahomoni a contra-mahormone: kuchuluka kwa cortisol, adrenaline, norepinephrine, glucagon, somatropin. Mwakutero, ndi omwe amayambitsa kuchotsedwa kwa glycogen ku chiwindi.

Somoji matenda amayamba ndi bongo wa insulin. Munthu wodwala matenda ashuga amayambitsa kuchuluka kwa mahomoni m'thupi, ndipo hypoglycemia imayamba kutsatira kayendetsedwe kake. Kuti matenda asinthe, chiwindi chimatulutsa glycogen. Koma thupi silingathe kupirira nawo, motero hyperglycemia imayamba.

Likukhalira mozungulira mozungulira: kuwona shuga wambiri, wodwala matenda ashuga amawonjezera mlingo wa insulin. Kuyambitsa kwake kumayambitsa hypoglycemia ndi kukula kwa rebound hyperglycemia. Mutha kusintha matenda ngati mukuchepetsa pang'onopang'ono mlingo wa insulin yomwe mumalandira. Koma izi ziyenera kuchitika motsogozedwa ndi endocrinologist.

Kuchuluka kwa mahomoni omwe amathandizira amachepetsedwa ndi 10, kuchuluka kwake 20%. Koma kuyembekeza zotsatira zamtsogolo sikofunika. Nthawi yomweyo, zakudya zimasinthidwa, zolimbitsa thupi zimawonjezeredwa. Ndi njira yolumikizidwa yokha yomwe munthu angachotse zodabwitsa za Somoji.

Mawa m'mawa matenda

Ambiri odwala matenda ashuga amadziwa bwino vutoli pomwe, ndi shuga wamba usiku, hyperglycemia imayamba m'mawa popanda chifukwa chodziwika. Izi zimakhudza kwambiri achichepere, chifukwa ndi omwe amatha kudumphadumpha.

Izi sizodwala: anthu onse m'mawa kwambiri pali kuwonjezeka kwa glucose. Koma nthawi zambiri odwala matenda ashuga okha amadziwa za izi.

Pokhala ndi shuga wambiri, shuga amakhala wabwinobwino madzulo, ndipo palibe kusinthasintha kwapadera usiku. Koma mu nthawi kuyambira 4 mmawa pali kuwonjezeka kwa shuga. Izi ndichifukwa choti usiku, thupi limapanga mahomoni okula - limalepheretsa ntchito ya insulin. Kuphatikiza apo, glycogen imayamba kumasulidwa ku chiwindi kuti idzutse thupi. Kuphatikizika kumeneku kumabweretsa kuwonjezeka kwa glucose.

Ngati zizindikirozo ndizokwera kwambiri m'mawa, ndiye muyenera kufunsa ndi endocrinologist. Pangakhale kofunikira kuti muchepetse kuchuluka kwa chakudya chamadzulo kapena kupereka mankhwala owonjezera a insulin kuzungulira 4 a.m. Jakisoni wotere amawonjezeredwa kwa achinyamata - pambuyo pake, kuchuluka kwawo kwa mahomoni amtunduwu kumatha, kotero kukula kwa shuga kumadziwika kwambiri.

Zina zoyambitsa mavuto

Anthu odwala matenda a shuga omwe amadalira insulin amayenera kuwunika kangapo patsiku shuga awo kangapo patsiku. Mu matenda a shuga ophatikizidwa, kulumpha sikudutsa 5.5 mmol / l tsiku lonse. Ngati kukhazikika sikumatha, ndiye kuti usiku kapena m'mawa shuga amawonjezeka kwambiri.

Vutoli limasonyezedwanso kuti shuga itatha kudya itakhala yotsika kuposa pamimba yopanda kanthu. Kutsitsa kumatha kuchitika ngati matenda ashuga a gastroparesis apita patsogolo. Matendawa amadziwika ndi zovuta zam'mimba, kupuwala kwake pang'ono.

Odwala omwe amadalira insulin ayenera kuperekera insulin musanadye chilichonse. Ngati adayamba gastroparesis motsutsana ndi shuga wosapupuluma komanso kuwonongeka kwa mitsempha ya vagus, ndiye kuti njira yabwino yotsegulira imasokonekera. Chakudya sichidutsa mwachindunji m'matumbo pambuyo pakugaya - chimatha kukhala m'mimba kwa maola angapo.

Izi zimabweretsa ku hypoglycemia mutatha kudya komanso ku hyperglycemia panthawi yomwe chakudya chimadutsa kuchokera m'mimba kupita m'matumbo. Gastroparesis imatha kukhala yovuta. Ngati shuga agwera m'munsi mwa 3.2, ndiye kuti matendawa amatha kukhala.

Miyezi yabwinobwino itatha kudya imatengedwa ngati zisonyezo pamtunda wa mpaka 7.8 pakalibe matenda komanso mpaka 11.1 mmol / l mu shuga.Miyezo yokhala pansi pa 5.5 ya odwala matenda ashuga amaonedwa kuti ndi otsika - ndi zizindikiro zotere zimasonyeza hypoglycemia. Izi zimafunanso kuwunika moyenera monga hyperglycemia.

Njira zoyeserera

Popeza mwazindikira kuti shuga amadzuka usiku, muyenera kufunsa ndi endocrinologist. Ngati pali zovuta zina zachilendo zomwe zapezeka, pitani kuchipatala msanga. Izi zikuyenera kuchitika ngati kutsata kwa glucose kuli:

OWERENGA ATHANDIZA!

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

adatsitsidwa atatha kudya
kukwezedwa pamimba yopanda kanthu
yolimbikitsidwa usiku,
adatsitsidwa usiku
limatuluka m'maola
m'mawa kutadzuka.

Zonsezi zimafuna kusintha mkhalidwe. Pathology imatha kupezeka ngati mumatenga magazi pafupipafupi kuti muunikidwe. Njira zamankhwala zochizira zimatsimikiziridwa pambuyo podziwika bwino. Nthawi zina, mankhwala othandizira amafunikira.

M'mawa m'mawa matenda, kuwunika zakudya ndi kusintha kwa chakudya kungafunike. Ngati shuga yam'mawa siyikonzedwa motere, ndiye kuti insulin yowonjezera imafunikira m'maora.

Kukwera kwa usiku kwa shuga, monga lamulo, kumachitika chifukwa cha kusawerengeka kolakwika kwa mlingo wa insulin, womwe uyenera kulowa madzulo. Komanso, kudumpha kumayambitsidwa chifukwa chodya chakudya chamafuta ambiri. Ngati vuto ndi ili, mutha kuwongolera vutolo.

Zinthu zimakhala zovuta kwambiri pamene chodabwitsa cha Somoji chizitsogolera. Izi ndi zovuta kudziwa komanso zovuta kuzimvetsa. Wodwala amayenera kuwunika zowerengera zomwe zimachitika usiku: kuti mudziwe zolondola, ndibwino kufufuza mausiku angapo. Chithandizo chimakhala ndikusintha zakudya, zolimbitsa thupi komanso kuchepetsa kuchuluka kwa insulini yoyendetsedwa. Momwe mavutowo atakhazikika, nocurnal hyperglycemia goes away.

Kugonana ndi matenda a shuga

Nthawi zina muofesi ya endocrinologists funso lina limafunsidwa: "Kodi kugonana sikuphatikizidwa mu shuga?" Yankho sikuti ayi! Muyenera kulabadira nthawi yomweyo kuti ngati muli ndi "matenda okoma" simukufunika kuti mukhale ndi moyo wogonana wokhazikika komanso yesetsani kukondana pafupipafupi.

Matenda a shuga ndi kugonana: zomwe mungayembekezere?
Ubwino wakugonana ndi matenda ashuga
Kodi pali vuto lotani pakugonana ndi matenda ashuga?
Momwe mungapewerere kukula kwa hypoglycemia pambuyo pakugonana?

Komabe, mwa odwala omwe ali ndi hyperglycemia, sikuti nthawi zonse zimayenda bwino. Matendawa amadzimva okha. Nthawi zambiri odwala amakumana ndi zovuta zazikulu mu ubale wapamtima. Ntchito ya madotolo ndikupangitsa matenda onse ashuga kukhala osiyana.

Matenda a shuga ndi kugonana: zomwe mungayembekezere?

Kuchuluka kwa shuga m'magazi kumayambitsa zovuta zambiri kuchokera ku ziwalo zonse ndi machitidwe. Sanapitenso patsogolo zogonana. Popeza odwala amakhala ndi angiopathy ndi neuropathy, izi zimakhudza mwachindunji kuchuluka kwa moyo wapamtima.

Kugonana ndi matenda ashuga kumatha kusiya kusangalatsa kapena ngakhale kukhala kosatheka chifukwa cha izi:

Kuwonongeka kwa ulusi wamanjenje ndi mamolekyulu a glucose kumachepetsa chidwi ndi kusungidwa kwa mbolo. Zotsatira zake, poyamba mwamunayo amalephera kuchita chinthu china chofunikira, kenako sangathe kumaliza.
Ma psychology a ziwiya zazing'onoting'ono amatsogolera ku kusatheka kwa magazi okwanira "ulemu wa amuna." Kusabala kumapangidwa.
Mwa akazi, chifukwa cha acidosis yomwe imapanga nyini, kuuma ndi kuchepa kwa kumasulidwa kwa mafuta achilengedwe kumawonedwa. Kugonana kumapangitsa azimayi kusasangalala kapena ngakhale kupweteka kuposa kusangalatsa.
Kuwonongeka kwa mitsempha yaying'ono kumachepetsa chilakolako chogonana, frigidity imayamba.
Kuphatikiza kwa matenda achikazi (cystitis, candidiasis, herpes, chlamydia) kumakhalabe kumachitika pafupipafupi. Amatuluka chifukwa cha kugwirira ntchito kwa thupi.
Choyimira pamalingaliro. Kudzikayikira kwamitundu iwiri yonse kumachepetsa kuchuluka kwa kugonana. Zapezeka kuti odwala matenda ashuga omwe amakhala mbanja amapanga chikondi ndi pafupifupi 43% chocheperako kuposa okwatirana wamba.

Zonsezi zimapangitsa kugonana ndi matenda ashuga kukhala vuto, koma siziyenera kutero.

Ubwino wakugonana ndi matenda ashuga

Kugonana pafupipafupi kumatha kubweretsa zabwino zambiri kwa munthu yemwe ali ndi "matenda okoma". Chifukwa chake, odwala matenda a shuga ayenera kukhala ndi moyo wogonana wokwanira.

Izi zikuphatikiza:

Kupititsa patsogolo kukazungulira kwa ziwalo za m'chiberekero. Hyperglycemia imayendetsa matenda a atherosclerosis, zomwe zimapangitsa kuti mitsempha yaying'ono ichepetse, ndipo magazi amayenda pang'onopang'ono. Kusangalatsa kosangalatsa minofu yonse ya thupi ndikulimbitsa magazi othamanga, kukonza kagayidwe kazinthu zamkati mwa ziwalo zonse ziwiri.
Kugonana ndi matenda amtundu wa 2 kapena matenda ashuga 1 ndi masewera olimbitsa thupi. Zovuta zambiri zamatendawa zimagwiritsidwa ntchito ngati mankhwala. Cholinga chachikulu ndikuwonjezera chidwi cha zotumphukira kuti insulini ikakamize glucose owonjezera kuti amwe. Nanga bwanji osaphatikiza phindu ndi chisangalalo?
Hypoglycemic zotsatira. Paubwenzi wapamtima, zopatsa mphamvu zambiri komanso shuga wa amzungu amawotchedwa.

Zonsezi zikuwonetsa kufunikira kogonana pafupipafupi kwa odwala omwe ali ndi "matenda okoma". Inde, kuchiza matenda ashuga pogonana ngati momwe mungapangire monotherapy sikungapereke zotsatira zomwe zikufunikira, koma kuonjezera phindu la mankhwala ambiri.

Kodi pali vuto lotani pakugonana ndi matenda ashuga?

Komabe, pali nthawi zina zomwe zingawonjezere zovuta zamatenda oyamba.

Zovuta zomwe zimakhalapo nthawi yayitali:

Hypoglycemia pambuyo pogonana. Pali zofalitsa zomwe zimatchula matenda obwera mwadzidzidzi kwa odwala omwe ali ndi hyperglycemia kapena kukula kwa chikomokere. Popeza mphamvu zambiri zimagwiritsidwa ntchito, thupi silingabwezeretse zomwe zatayika ndipo "zodzaza" m'chiwopsezo.
Kusakhumudwitsidwa Chifukwa cha kuuma kowonjezereka kapena kusamva bwino, kugonana kumaleka kusangalatsa okondana. Amayesetsa kupewa kukondana.

Ntchito ya madotolo ndikufotokozera molondola kwa odwala awo momwe angakhalire kuti apewe zoterezi. Mankhwala osankhidwa mosamala kwambiri nthawi zambiri amatha kutulutsa magazi m'magazi. China chilichonse chimadalira chikhumbo cha odwala omwe.

Momwe mungapewerere kukula kwa hypoglycemia pambuyo pakugonana?

Ndikofunika kwambiri kuchenjeza mnzanu za kukhalapo kwa shuga ambiri. Nthawi zina zimatha kupulumutsa moyo wa munthu ndi kutsika kwakuthwa kwa glucose. Kutha kuyankha molondola pazochitika zovuta kumapewetsa mavuto.

Kuti chilichonse chonga izi chisachitike, tikulimbikitsidwa kuti mutsatire njira zotsatirazi zosavuta:

Pimani glycemia wanu musanayambe kugonana.
Idyani maswiti awiri awiri kapena magawo angapo a chokoleti ".
Mukapanga chikondi, fufuzaninso shuga wamagazi.
Ngati pali chosoweka - khalani ndi kusintha kosintha.

Popeza thupi limagwiritsidwa ntchito kugona usiku m'malo momadya, zolimbitsa thupi zowonjezera zimayambitsa kutsika kwakukulu kwa glucose.

Matenda a shuga si sentensi. Muyenera kutenga zochuluka kuchokera ku moyo ndipo musadziikire malire chifukwa chophwanya kagayidwe kazachilengedwe. Ndi chithandizo choyenera cha mankhwala, kupanga chikondi kuyenera kukhala gawo la moyo watsiku ndi tsiku.

Khalidwe La Syndrome

Zodabwitsazi m'mawa zam'mawa ndizowonjezereka pang'onopang'ono kwa kuchuluka kwa shuga m'magazi a munthu m'mawa kwambiri. Vutoli limatha kukhala maola angapo, pomwe shuga amakhala bwino, kenako limayamba kutsikira palokha ngati likukula bwino. Ndi kuwonjezeka pang'ono kwa shuga m'magazi, ma psychology ali ngati asymptomatic. Ndipo papita nthawi yayitali pazachilengedwe, shuga wamagazi amakhala pambuyo podyera.

Kupezeka kwa zinthu zotere monga matenda a m'mawa kutacha sikudalira pa kutengedwa kwa insulin usiku komanso nthawi yake.

Mwa ana ndi achinyamata omwe ali ndi matenda amtundu woyamba 1, matenda a m'mawa a m'mawa nthawi zambiri amagwiritsidwa ntchito ndi kuphatikizika kwa mahomoni a kukula, mahomoni okula. Mu gulu la odwala, kuwonjezeka kwa glucose m'magazi kumakhala ngati mawonekedwe osagwirizana komanso nthawi yomwe matenda amayamba kuonekera.

Si odwala onse omwe ali ndi matenda amtundu wa 2 omwe ali ndi matenda otsegula m'mawa. Komabe, odwala omwe matenda awo amapezekapo amatha kuwona izi zowopsa pafupifupi tsiku lililonse.

Kodi kuwala kwam'mawa kumatanthauza chiyani?

Wachiwiri aliyense wodwala matenda ashuga amtundu 1 ndi mtundu 2, omwe wakhala akudwala koposa chaka chimodzi, amakhala ndi vutoli. Achinyamata odwala matenda ashuga amatha kutha kwa m'mawa nthawi zambiri. Ana mothandizidwa ndi makolo awo ayenera kudziwa momwe angawerengere shuga m'mawa kuti adziwe zifukwa zowonjezera shuga.

Kuti mudziwe kupezeka kapena kusapezeka kwa matenda, muyenera:

kuyeza shuga usiku (kuyambira maola 0.00 ola lililonse),
pitilizani kuwunika kuyambira 3 koloko mpaka maola 6 mpaka 7,
pakalibe kukwera kwa glucose m'mawa - palibe matenda,
kuwonjezeka pang'onopang'ono kwa zizindikiro kukuwonetsa izi.

Kuwonetsedwa kwa mphamvu yakukula kwa shuga sikudalira kuchuluka kwa insulin yolandiridwa ndi thupi nthawi yogona. Zoonjezera zowongolera zimasokoneza usiku ndi m'mawa kugona kwa achinyamata ndi achikulire.

Matendawa amaphatikizidwa ndi zizindikiro:

nseru ndi kugwedezeka
kutaya mphamvu
kutaya luso
ludzu losalekeza
Mavuto am'maso, ntchentche zomwe zimasweka.

Kodi chizindikiro cham'mawa chimakhala chowopsa kwa odwala matenda ashuga? Kusinthasintha kwa chizindikiro cha shuga kuchokera ku hyper- mpaka hypoglycemia kumatha kupereka chiwonetsero ku zovuta zamatenda a shuga:

kupasuka kwa makoma amitsempha yamagazi
kuphwanya magwiridwe antchito a ziwalo zam'mimba,
ketoacidosis (zinthu zambiri za acetone),
chitukuko cha ng'ala
chiwonongeko cha zotumphukira zamitsempha.

Vuto lalikulu ndikubwerezanso kwa tsiku ndi tsiku kwa zomwe zimapangitsa kuti wodwalayo akhale ndi moyo wabwino.

Zomwe zimachitika

Chodabwitsachi ndikumasulidwa kwa kuchuluka kwa ma glucocorticoids m'mawa, atatsala pang'ono kudzuka. Izi zimathandizira chiwindi kuti chitulutsa glucose mwachangu, chomwe pochulukirapo chimalowa m'magazi. Wodwala yemwe ali ndi matenda ashuga, shugayu sawalipiridwa ndi insulin, chifukwa cha hyperglycemia.

Zinthu zoyipa zoterezi zimatha kupangitsanso munthu wodwala matenda ashuga:

Chakudya chamadzulo komanso chosangalatsa
Kulephera kwa zakudya
Mlingo wosakwanira wa insulin woperekedwa kwa wodwala usiku,
Kugwira ntchito mwamphamvu kapena kwamaganizidwe, komwe kungakhale nthawi imodzi komanso kwamuyaya.

Zizindikiro

Chizindikiro chachikulu cha phokoso lam'mawa chakumadzulo ndichowonjezereka wa msanga wamagazi a wodwala panthawi ya pafupifupi mamawa m'mawa. Nthawi zina, kuchuluka kwa glucose kumatha kuchitika mpaka 9am. Komabe, kuchuluka kwa shuga mothandizidwa ndi m'bandakucha kumachitika bwino. Kusintha kwadzidzidzi kwa zizindikiro nthawi zambiri kumawonetsa kudya kosayenera, komanso kuchuluka kwa insulin yotengedwa.

Zizindikiro zakuwala kwam'mawa m'matenda a shuga ndi:

Akuyenda
Kumva nseru
Kutopa komanso kufooka kugona tulo,
Nthawi ndi nthawi zanyengo,
Mumva ludzu kwambiri komanso kumva pakamwa pouma
Maonekedwe akuwala m'maso,
Kusintha kwamawonedwe.

Kumva kutopa pambuyo pogona ndi chimodzi mwazizindikiro za m'bandakucha.

Nthawi zambiri, wodwalayo amatha kukopeka ndi chimbudzi komanso kupweteka kwa minofu.

Zowopsa

Ngakhale kuti zodabwitsazi, nthawi zambiri, zimangodzimiririra zokha, matendawa m'mawa ndi ngozi kwambiri kwa wodwala matenda ashuga. Kutsika kwamphamvu komanso pafupipafupi m'magazi a shuga kumapangitsa kuti chiwopsezo chachikulu chikhale bwino. Nthawi zambiri, machitidwe a anthu odwala matenda ashuga amathandizira kuti ziwonetsero zamtunduwu zithandizike:

Nephropathy,
Matenda a shuga
Polyneuropathy.

Kuphatikiza apo, zodabwitsa zam'mawa zam'mawa zimatha kutsagana ndi hyperglycemia, yomwe imatha kuthetsedwa pokhazikitsa jakisoni wowonjezera wa insulin. Ngati mumanyalanyaza kuchuluka kwamphamvu kwama glucose, izi zimatheka:

Zowonongeka pamapeto amitsempha,
Khalani mumkhalidwe wachisoni kwambiri kapena wopsinjika,
Kuuma kwambiri pakhungu, chifukwa pomwe ming'alu ndi mabala zimawoneka m'thupi. Zowonongeka zilizonse pamenepa sizichiritsa nthawi yayitali,
Kukula kwa matenda opatsirana ndi fungus a khungu ndi maliseche,
Zosokoneza mwadongosolo m'matumbo am'mimba, limodzi ndi matenda am'mimba kapena kudzimbidwa,
Phokoso ndi kulemera popumira,
Maonekedwe a fungo la asitone kuchokera mkamwa ndi thupi,
Kuchuluka thukuta,
Maonekedwe a ululu wam'mimba usiku,
Kufooka minofu
Njala yayikulu
Maonekedwe a puffuff, nthawi zambiri m'malo a miyendo,
Kuchuluka kwa miyendo
Matenda oopsa
Tachycardia.

Morning Dawn Syndrome Kungayambitse Kupsinjika ndi Kukhumudwa

Pakakhala chithandizo chapanthawi yake komanso moyenera, kuwonetseredwa kwam'mawa kukachitika kungayambitse kusokonezeka kwa chikumbumtima ndi vuto la hyperglycemic. Zikatere, khungu la wodwalayo limasanduka lofiira, thupi limatupa, ndipo kuyanika kwamtundu wa bulauni kumawonekera pakulankhula. Zinthu ngatizi zimafuna chithandizo chamankhwala mwadzidzidzi.

Chithandizo cha zodzuka zam'mawa zimaphatikizapo kuchotsa zizindikiro za matenda ndi njira zazikulu zochizira matenda ashuga. Komabe, pofuna kupewa hyperglycemia, regimen ndi mlingo wa mankhwala ofunikira ziyenera kusintha.

Chithandizo cha matenda, komanso kupewa kumakhala pogwiritsa ntchito mankhwala okhala ndi insulin komanso kuchepetsa magazi a shuga. Komanso, kutengera mtundu wa glucose komanso nthawi yomwe zimachitika, mankhwalawa, apakati, kapena a nthawi yayitali amatha kugwiritsidwa ntchito. Koma ndikofunikira kumvetsetsa kuti sizingathekebe kuti tichotse kwathunthu zochitika zam'bandakucha.

Pa chithandizo, muyenera kukumbukira kuti si onse mankhwalawa, pokonza dongosolo la kudya, amatha kupirira zomwe zimachitika m'mawa. Chifukwa chake mankhwala a Levemir ndi Lantus samapereka kuchepa kwa glucose m'magazi a wodwalayo, chifukwa zomwe amachita zimangokhala kuti asunge insulin mthupi.

Kupewa

Kupewa matenda a m'mawa kutengera ndi mtundu wa matenda ashuga, komanso mfundo zake zamankhwala:

Kwa odwala omwe amadalira insulin, mankhwalawa omwe amachitika ndi kugwiritsa ntchito mankhwala a insulin ya anthu a nthawi yayitali, Protafan ndi Humulin NPH, ndikwanira kubaya jakisanayambe kugona maola 1-2 patatha pakati pausiku.
Kukhazikitsidwa kwa insulin yokonzekera yochepa pakadutsa maola awiri nthawi isanakwane. Komabe, kugwiritsa ntchito njira iyi ya prophylaxis, ndikofunikira kutenga miyezo ya shuga m'magazi ola lililonse musanadye mausiku atatu otsatizana. Ndikofunikanso kudziwa kuchuluka kwa magawo a glucose omwe amakhala abwinobwino. Izi ndizofunikira kudziwa nthawi yomwe matendawa akuwonekera komanso kuti mupeze kuchuluka kwa mankhwalawo.
Kugwiritsa ntchito pampu ya insulin Omnipod. Ndi chipangizo chaching'ono chomwe chili ndi masensa ndi ma tub.Pampu ili ndi makina oyendetsera zamagetsi kutali. Imakhazikitsa mlingo wa mankhwalawa, womwe umayenera kufikiridwa m'thupi la wodwalayo. Chipangizacho chimangotenga miyezo ya shuga wamagazi ndikupanga jakisoni wa mankhwalawa panthawi yomwe anakonzeratu. Pampu imakhazikitsidwa kamodzi. Pampu ndiyo njira yabwino kwambiri yothandizira mankhwalawa komanso kupewa matenda a shuga. Komabe, chida ichi chili ndi mtengo wokwera.

Popewa matenda am'mawa, odwala osadalira insulin amatha kubaya Protafan asanagone.

Mlingo wa mankhwala omwe amagwiritsidwa ntchito ayenera kusiyanasiyana malinga ndi njira yomwe mwasankha popewa, komanso zisonyezo za shuga wamagazi a wodwala. Ichi ndichifukwa chake njira zopewera zovuta zam'mawa, ngati mankhwala, kwa odwala matenda ashuga ayenera kusankha kokha ndi dokotala.

Zizindikiro

Kuwonetsedwa kwa zizindikiro zotsatirazi ndizodziwika kwa zochitika zam'mawa zam'mawa ku shuga:

kusweka, kufooka,
nseru
kutopa kosalekeza
kusanja m'mlengalenga,
kamwa yowuma, ludzu,
Mavuto amaso, kutulutsa m'maso,
kukwiya popanda chifukwa
kukwiya mwadzidzidzi
kusinthasintha.

Nthawi zambiri, matendawa amakhala ndi mutu wam'mawa. Kuti musakayike kwambiri za kukhalapo kwa zinthuzi, muyenera kuyeza kuchuluka kwa shuga. Wodwalayo akulimbikitsidwa kuti adzuke 2 koloko kuti ayambe kuzindikira zomwe amatsatira. Kenako amayeza pa 3 usiku ndipo nthawi iliyonse ola limodzi, osayiwala kuti alembe mfundozo.

Nthawi zina endocrinologists amalangizidwa payekhapayekha kuyeza kuyambira 23 koloko mpaka 7 a.m. Ngati kuchuluka kwawonjezereka ndi 5 m'mawa, ngakhale pang'ono pokha, matendawa amapezeka.

Kugwiritsa ntchito pampu ya insulin

Pampu ndi chida chamakono chamagetsi. Ichi ndi chipangizo chonyamulika chokhala ndi Mlingo wa insulin yoyendetsera wodwala. Pampu imangoyendetsa kuchuluka kwa shuga ndikuvulaza insulin pakapita nthawi. Muyenera kukhazikitsa chipangizochi kamodzi.

Kunja kumafanana ndi pager kapena wosewera mpira. Ili ndi thupi lalikulu lokhala ndi chowonetsera pakompyuta, mabatani azoyang'anira, chipinda chokhala ndi ma insulin cartridge. Pambuyo kukhazikitsa pampu, singano imachotsedwa, ndiye catheter yekha yemwe amangotsala pansi pa khungu la odwala matenda ashuga.

Kwa wodwala, vuto la kuyang'anira pafupipafupi kuchuluka kwa shuga limatha, simungaganize za jakisoni wodziimira pawokha. Pansi pa chipangizocho ndi mtengo wake wokwera.

Mfundo za pampu ya insulin

Kupereka kwa insulin kumachitika nthawi zonse, maola onse a 24. Chipangizocho sichiiwala ndipo saphonya jakisoni nthawi. Mankhwalawa amaperekedwa pafupipafupi. Pogwira ntchito, insulin yomwe imagwira ntchito mwachangu imagwiritsidwa ntchito, chakudya chimapita m'mphindi zochepa, mumadontho a mini. Kuchita bwino kwatsopano kumeneku kumapangitsa kuti kusintha kwa insulin yoperekedwa mkati mwa tsiku limodzi.

Ndi matenda a m'mawa oyamba chifukwa cha kuchuluka kwa shuga m'bandakucha, mlingo wa mankhwala omwe umayendetsedwa umawonjezeka.

Kupititsa patsogolo moyo wabwino ndikuchepetsa vutoli, mankhwala onse akuyenera kutsatiridwa. Kupewa zovuta ndi zenizeni. Kuwunika kusintha kwa shuga masana, kutsatira chakudya masana, kuthetsa nkhawa - kungapangitse kukula kwa matendawa.