Shuga 13 ndi mtundu wanji wa shuga

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

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

Matenda a shuga amayendera limodzi ndi kuphwanya mitundu yonse ya kagayidwe kachakudya mthupi, koma makamaka kagayidwe kazakudya. Simungathe kuchiritsa, koma mothandizidwa ndi mankhwala komanso zakudya mumatha kuwongolera zomwe zili ndi shuga.

Akafunsidwa ngati shuga ndimagazi 13, kodi amawopseza chiyani? Madokotala amayankha mogwirizana - ndi zoterezi zimayamba. Amakhala pachimake, pomwe pali kulumpha lakuthwa pansi kapena pansi, kapena kupweteka.

Mavuto osakhalitsa amadziwika ngati wodwala matenda ashuga amangokhala ndi shuga wambiri. Mitsempha yamagazi ya ziwalo zonse zamkati, dongosolo lamanjenje, ziwalo zam'maso, impso, ndi ubongo zimakhudzidwa.

Malinga ndi ziwerengero, mwa kuwongolera moyenera, zotsatirazi ndizosavuta kupewa. Koma mukalola matenda kuyamba, ndiye kuti pakatha zaka 5 mpaka 10 mavuto amakula.

Matenda a shuga

Mu odwala matenda ashuga, shuga amalumpha chifukwa cha kuperewera kwa zakudya m'thupi, kuchepa kwa thupi, motsutsana ndi maziko a kusowa kwa chithandizo choyenera ndi zina. Ena ali ndi chisonyezero cha mayunitsi 13-17, omwe amatsogolera pakukula kwa hyperglycemic coma.

Odwala onse, hyperglycemia imayamba ndi magawo osiyanasiyana a glucometer. Mwa ena, kuwonjezeka kwa mayunitsi 13 mpaka 13 ndi asymptomatic, pomwe ena pa 13 mmol / l akumva kuwonongeka kwakukulu mu mkhalidwe wawo.

Kutengera ndi chidziwitso ichi, titha kunena kuti palibe chizindikiro chimodzi chomwe chingatsimikizidwe ndi gawo lovuta. Pali zosiyana zina muchipatala cha hyperglycemia, kutengera mtundu wa matenda.

Ndi mtundu woyamba wa matenda, kusowa kwamadzi kumachitika mwachangu, zomwe zimatsogolera pakukula kwa ketoacidosis. Ndi matenda 2 a shuga, odwala ali ndi mathupi okha. Koma zimathanso kukhala zowawa kwambiri; kuchotsedwa kwa dziko lino kumachitika nthawi zambiri.

Wodwala "wokoma" kwambiri, kumachitika ketoacidotic chikomokere. Zizindikiro zazikulu za izi:

• Maonekedwe a shuga mumkodzo (nthawi zambiri samapezeka mkodzo).
• Kukula kwakanthawi kwam'madzi.
• Kudzikundikira kwa matupi a ketone, pamene thupi limayamba kutenga mphamvu kuchokera ku minofu yamafuta.
• Kugona, kufooka ndi ulesi.
• Pakamwa pakamwa.
• Khungu lowuma.
• Fungo linalake la acetone limatuluka mkamwa.
• Mpweya wolira.

Ngati shuga akupitiliza kukwera, izi zimayambitsa kukomoka kwa hyperosmolar. Imakhala ndi shuga wambiri m'thupi. Mlingo wake ukhoza kukhala mayunitsi 50-55 ndipo pamwambapa. Zofunikira:

1. Kukodza pafupipafupi.
2. Udzu wokhazikika.
3. Kufooka, kugona.
4. Mawonekedwe amaso.
5. Pukuta pakamwa.
6. Kufupika, kupuma movutikira.

Panthawi imeneyi, wodwala amafunikira chithandizo chachipatala mwachangu, palibe njira zanyumba zomwe zingathandizire kukonza.

CNS kuwonongeka kwa matenda ashuga

Ngati shuga amachitika pafupipafupi pa 13.7 kapena kupitirira, ndiye kuti kuwonongeka kwa madera apakati ndi zotumphukira zamitsempha kumachitika. Mankhwala, matendawa amatchedwa diabetesic neuropathy.

Neuropathy ndi chimodzi mwazomwe zimayambitsa zovuta kwambiri - phazi la matenda ashuga, omwe nthawi zambiri limatha ndikadula miyendo.

The etiology ya diabetesic neuropathy sichimamveka bwino. Asayansi akadali pano sanganene zifukwa zopangira chitukuko cha zotsatira za matenda ashuga. Ena amati shuga wambiri mthupi limatupa kutupa ndi kuwononga mizu yamitsempha, pomwe ena amati pathogenesis imayamba chifukwa cha kusadya bwino kwamitsempha yamagazi.

Zizindikiro zamankhwala ndi chifukwa cha mawonekedwe:

• Mtundu wamalingaliro umadzetsa vuto lachiwopsezo, pamakhala zokhudzana ndi goosebumps komanso kuzizira kosalekeza, makamaka kumverera kumeneku kumachitika mwapansi malekezero a munthu. Chifukwa cha kufalikira kwa matendawa, chizindikirocho chimadutsa miyendo, chifuwa ndi m'mimba. Popeza chiwopsezo chimalephera, wodwalayo nthawi zambiri samawona kuvulala kwapakhungu, komwe kumabweretsa nthawi yayitali.
• Kuwonekera kwamtima kumayendera limodzi ndi kugunda kwamtima mofulumira motsutsana ndi maziko a kusowa kochita zolimbitsa thupi. Izi zimatsogolera ku mfundo yoti mtima sungazolowere kuchita zolimbitsa thupi.
• Maonekedwe am'mimba amadziwika ndi vuto lakumayenda kwa chakudya kudzera m'mero, pamakhala kuchepa kapena kuthamanga kwa m'mimba, komanso njira ya kugaya zakudya imakulirakulira. Odwala amadandaula posinthanitsa kudzimbidwa ndi kutsegula m'mimba.
• Maonekedwe a urogenital amachitika pamene mitsempha ya sacral plexus ikukhudzidwa. Ma ureters ndi chikhodzodzo amasiya kugwira ntchito kwawo. Amuna ali ndi mavuto ndi erection ndi potency. Amayi amawonetsa kuwuma kwambiri kumaliseche.
• Mtundu wa khungu umakhudza thukuta la thukuta, chifukwa chake, khungu limakhala louma kwambiri, limakonda kuvulala zamitundu mitundu, zovuta zamkati.

Neuropathy ndizovuta zowopsa za matenda ashuga, popeza, chifukwa chophwanya kuzindikirika kwa chizindikiritso cha thupi, wodwalayo amasiya kumva mkhalidwe wa hyperglycemic.

Zotsatira zomaliza za shuga

Zotsatira zoyipa zimayamba pang'onopang'ono. Zitha kugawidwa m'magulu awiri akuluakulu a pathologies - kuphwanya kapangidwe ka mitsempha yamagazi ndikuwonongeka kwa dongosolo lamanjenje.

Diabetes angiopathy imagawidwa m'mitundu iwiri: microangiopathy ndi macroangiopathy. Poyambirira, zombo zazing'ono kwambiri, capillaries, mitsempha zimakhudzidwa, kudzera momwe mpweya ndi michere imachitika. Pali matenda - retinopathy (kuphwanya ziwiya za diso) ndi nephropathy (kuwonongeka kwa aimpso).

Macroangiopathy imayamba ndi kuwonjezeka kwa shuga m'magazi. Mapangidwe a Atherosulinotic m'matumba. Chifukwa chake, kuwonongeka kwa mitsempha ya mtima kumachitika, komwe kumayambitsa matenda a angina pectoris ndi kugunda kwa mtima, magwiridwe antchito am'munsi (gangrene akufalikira), ubongo (sitiroko, encephalopathy) umasokonekera.

Encephalopathy imayendera limodzi ndi kufooka kwambiri, kulephera kwamunthu kumadziwonekera, kulumikizidwa kwa m'maganizo kumadziwonetsa, kuyang'anitsitsa chidwi kumayipa, kupweteka kwambiri pamutu kumakhalapo komwe sikungathandize pakumwa mankhwala.

Macroangiopathy ya miyendo imayendera limodzi ndi izi:

1. Zovuta m'mawa.
2. Kutuluka thukuta kwamiyendo.
3. Kutopa kwa minofu ya mwendo.

Kenako, njirayi ikayamba, miyendo imayamba kugundana kwambiri, khungu limasinthika, limatayika ngati lachilengedwe. Wodwala ayamba kuyenda, pali zopweteka zokhudzana ndi kayendedwe. Matenda a ululu amawonekera pakupuma.

Ngati palibe chithandizo, ndiye kuti gawo lotsiriza limabweretsa zotsatira - gangrene ya phazi, mwendo wapansi kapena phalanx ya zala. Ndi kuphwanya kochepa kwa magazi mu miyendo, zilonda zam'mimba zimatuluka.

Retinopathy imayambitsa kuphwanya kwamawonedwe owoneka. Nthawi zambiri kuphatikiza uku kumabweretsa kulumala chifukwa cha khungu lonse. Matendawa ndi bwino kudziwa kumayambiriro kwa chitukuko. Chifukwa chake, odwala matenda ashuga amafunika kuyendera katswiri wa ophthalmologist, kupita kukayang'ana kwa maso, ndikuyang'ana zotengera zamagetsi.

Nephropathy amakula mu 70% ya anthu odwala matenda ashuga. Amadziwika ndi chotupa cha impso, chomwe pamapeto pake chimapangitsa kulephera kwa impso. Malinga ndi ziwerengero, pamankhwala ambiriwa, a 1 matenda ashuga amafa.

Matenda a diabetes nephropathy amapita magawo atatu:

• MicroalbuminuriaMawonetseredwe ofunikira kulibe, zizindikiro za kuthamanga kwa magazi zimawonjezeka pang'ono.
• Proteinuria Ndi mkodzo, zinthu zambiri zomanga thupi zimatuluka. Kutupa kumayamba, makamaka kumaso. Kuthamanga kwa magazi kwa systolic ndi diastolic kumawonjezeka.
• Matenda aimpso kulephera. Mphamvu yamphamvu yamkodzo patsiku imachepa, khungu limakhala louma komanso louma, kuthamanga kwamphamvu kumadziwika. Pali magawo a matenda a mseru komanso kusanza, kukomoka.

Njira yayikulu yopewa zovuta za matenda "okoma" ndikusunga kuchuluka kwa shuga ndi glycated hemoglobin. Kuti muchite izi, perekani mapiritsi ochepetsa shuga, wodwalayo ayenera kutsatira zakudya zamafuta ochepa, azilimbitsa thupi, asiye zizolowezi zoipa.

Mkhalidwe wa hyperglycemia wafotokozedwa mu kanema munkhaniyi.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

Kufunika kwa shuga m'magazi mwa ana, amawona ngati abwinobwino

Masiku ano, pali chizolowezi “chobwezeretsanso” matenda ambiri, omwe amayambitsa nkhawa yayikulu pakati pa ana. Chifukwa chake, amalimbikitsa makolo kuti abweretse ana awo kuchipatala panthawi yoyesa ndi mayeso onse ofunikira. Ndipo osati malo omaliza pa mndandanda wa ntchito izi amakhala ndi kuwunika kuti mupeze kuchuluka kwa shuga m'mwazi wa mwana.

Malinga ndi zotsatira za kafukufukuyu, titha kumvetsetsa ngati pali chizolowezi chopanga matenda a shuga kapena ayi. Kodi ndichifukwa chiyani kuli kofunikira kudziwa phindu la chizindikiro ichi? Monga mukudziwa, gwero lalikulu lamphamvu mthupi ndi glucose. Amadyetsedwa ndi minyewa yaubongo, imatenga nawo mbali machitidwe a metabolism ndi kapangidwe ka polysaccharides, omwe ali gawo la tsitsi, ma ligaments ndi cartilage. Ngati kuchuluka kwa shuga m'magazi kumachepera kwambiri pazomwe zimachitika, matenda ashuga amatha - matenda owopsa omwe angayambitse kusagwira bwino kwa ziwalo zonse ndi machitidwe mthupi la mwana.

Ndani ali pachiwopsezo

Nthawi zambiri, matendawa amapezeka mwa ana omwe adwala ma virus. Potengera kuti glucose wamagazi mwa mwana ndi pafupifupi 10 mmol / l kapena kuposa, muyenera kufunsa katswiri mwachangu. Makolo a ana ayenera kudziwa kuti shuga ikhoza kubadwa.

Choyambitsa chibadwa nthawi zina chimawonetsedwa ndi zotupa zazikulu zamkati ndi zida zake zamkati. Ngati makolo onsewo adapezeka kuti ali ndi matenda a shuga, ndiye kuti mwina matendawa 30% amatenga mwana wawo, pomwe m'modzi mwa makolo ndi omwe amakhudzidwa, mwanayo adzapezidwanso chimodzimodzi.

Matenda akapezeka m'modzi mwa mapasa awiriwo, mwana wathanzi amakhalanso pachiwopsezo. Ndi matenda a mtundu woyamba 1, mwana wachiwiri amadwala mu 50% ya odwala, omwe ali ndi matenda a shuga a 2, mwayi wopewera matendawa ndi wofanana ndi 0, makamaka ngati mwana wonenepa kwambiri.

Machitidwe a shuga m'magazi mwa mwana

Thupi la ana aang'ono limakonda kuthana ndi shuga m'magazi. Nthawi zambiri, chizindikirochi mu makanda ndi ana oyambira masukulu amatha kukhala otsika kuposa akuluakulu. Chifukwa chake, kusanthula kumeneku kungathe kuwonetsa izi: mu makanda - 2.78-4.4 mmol / l, mwa ana a zaka 2-6 - 3.3-5 mmol / l, mu ana a sukulu - 3,3-5,5 mmol / l

Kuti mupeze zambiri zolondola, kuyezetsa kuyenera kuchitidwa pamimba yopanda kanthu. Ngati pamimba yopanda kanthu chizindikirocho chimadutsa 6.1 mmol / l, ndiye kuti titha kulankhula za hyperglycemia - kuwonjezeka kwa shuga m'magazi mwa mwana. Kuwerenga m'munsimu 2,5 mmol / L kungasonyeze hypoglycemia.

Ngati mwana wapereka magazi pamimba yopanda kanthu ndipo mayesowo akuwonetsa kuchuluka kwa shuga pamlingo wa 5.5-6.1 mmol / l, funso limakhala loyesa mayeso okhudzana ndi glucose pakamwa. Chizindikiro ichi mu ana ndichambiri kwambiri kuposa achikulire.Chifukwa chake, mwachizolowezi shuga m'magawo awiri pambuyo poti magalimoto a shuga atha kuchepetsedwa.

Nthawi yomwe mwana ali ndi m'mimba yopanda shuga yokhala ndi shuga wa 5.5 mmol / L kapena kuposa, ndipo maola 2 atatha kuthira shuga amaposa mtengo wa 7.7 mmol / L, mwanayo amapezeka ndi matenda a shuga.

Zindikirika bwanji?

Kupanga matenda otere kwa ana ndi akulu onse, kuyesa kamodzi kwa shuga sikokwanira. Kupatula apo, kupatuka kwa chizindikiro ichi kuchokera ku chizolowezi kumatha kuphatikizidwa ndi zifukwa zina, mwachitsanzo:

• shuga wambiri m'magazi amatha kuphatikizidwa ndi chakudya patatsala pang'ono kuyesedwa,
• kuchuluka kwambiri - mwamaganizidwe ndi thupi,
• matenda a endocrine ziwalo - adrenal tiziwalo timene timatulutsa, chithokomiro England,
• khunyu
• matenda a kapamba
• kumwa mankhwala ena
• kupatuka pa mtengo wabwinobwino ndikotheka chifukwa cha poyizoni wa carbon monoxide.

Pomwe pakufunika kufananizira zotsatira za maphunziro angapo, omwe amaperekedwa m'magulu osiyanasiyana, zimachitika motere: zotsatira za mg / 100 ml, mg / dl kapena mg% zimagawika ndi nambala 18. Zotsatira zake ndi mtengo wa mmol / l.

Kukonzekera koyenera ndi zotsatira zake.

Kuti mupeze zambiri, musanadutsa mayeso, malamulo ena ayenera kusungidwa:

1. Osamamwa mowa maola 24 maphunziro asanafike. Ngakhale pokhudzana ndi ana, lamuloli silothandiza.
2. Nthawi yomaliza mwana ayenera kudyetsedwa maola 8-12 asanaperekedwe magazi. Zamadzimadzi zimatha kumwa, koma madzi ochepa okha.
3. Musamawotseke mano musanapime mayeso, chifukwa mano onse ali ndi shuga, omwe amatha kulowetsa mkati mwa pakamwa ndiku kusintha mawonekedwe. Pazifukwa zomwezo, kuletsako kumakhudzanso chingamu.

Pa kafukufukuyu, zitsanzo zamagazi zimachitika kuchokera chala. Kuyesa kwa magazi kuchokera m'mitsempha kumachitika ndi chosanthula chokha. Phunziro lotere silikhala labwino nthawi zonse, chifukwa pamafunika magazi ambiri kuti azichita. Masiku ano ndizotheka kudziwa kuchuluka kwa shuga m'magazi kunyumba. Kuti muchite izi, mumafunika glucometer - chipangizo chonyamula bwino chomwe chitha kugulidwa ku pharmacy. Komabe, zotsatira zomaliza zitha kuperekedwa ndi zolakwika zina zomwe zimatuluka, monga lamulo, chifukwa chakuti chubu chokhala ndi zingwe zoyesera sichitseke zolimba kapena kusungidwa poyera.

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

Zingwe zoyeserera siziyenera kukhala kunja, chifukwa chamachitidwe amtundu omwe amachititsa kuti katundu awonongeke.

Kafukufuku wowonjezera

Kafukufuku wowonjezera akuchitika kuti azindikire mtundu wotsika wa matenda ashuga. Uku ndikuyesa kulolera kwa glucose. Choyamba, zindikirani kuchuluka kwa shuga m'magazi pamimba yopanda kanthu, ndiye kuti mumawunika pambuyo pa mphindi 60, 90 ndi 120 pamodzi ndi kuyamwa kwa madzi amadzimadzi a shuga.

Chiyeso china ndikutsimikiza kwa glycosylated hemoglobin m'magazi. Nthawi zambiri, amapanga 4.8-5.9% ya ndende yonse ya hemoglobin. Zotsatira zake, mutha kudziwa ngati shuga wa magazi adakwera miyezi 3 kusanachitike.

Osazengereza kuyeserera kwa mwana wanu! Matendawa akapezeka msanga, mankhwalawa amathandizidwa, mankhwalawa amasankhidwa ndipo mankhwalawo amalembedwa. Thanzi la mwana wanu lili m'manja mwanu.

Chikhalidwe cha shuga. Mkulu shuga - momwe mungachepetse.

Mwazi wamagazi ndi dzina lanyumba la shuga losungunuka m'magazi, lomwe limazungulira m'matumbo. Nkhaniyi ikufotokozera za miyezo ya shuga ya magazi kwa ana ndi akulu, abambo ndi amayi apakati. Muphunzira chifukwa chake kuchuluka kwa glucose kumachuluka, momwe kumakhala koopsa, komanso koposa momwe mungachepetsere moyenera komanso mosatetezeka. Kuyesedwa kwa shuga kwa shuga kumaperekedwa mu labotale pamimba yopanda kanthu kapena mutatha kudya.Anthu opitilira 40 amalangizidwa kuchita izi kamodzi pachaka zitatu. Ngati matenda a shuga a prediabetes kapena Type 2 apezeka, muyenera kugwiritsa ntchito zida zam'nyumba kuyeza shuga kangapo tsiku lililonse. Chida choterocho chimatchedwa glucometer.

Glucose amalowa m'magazi kuchokera pachiwindi ndi m'matumbo, kenako magazi amatenga thupi lonse, kuyambira pamwamba mpaka mutu mpaka chidendene. Mwanjira imeneyi, minofu imalandira mphamvu. Kuti maselo atenge glucose m'magazi, insulin yofunika. Amapangidwa ndi maselo apadera a kapamba - maselo a beta. Mulingo wa shuga ndi kuchuluka kwa shuga m'magazi. Nthawi zambiri, amasinthasintha mosiyanasiyana, osapitilira. Mwazi wochepera wamagazi uli pamimba yopanda kanthu. Mukatha kudya, imadzuka. Ngati zonse zili zabwinobwino ndi kagayidwe ka glucose, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo osati kwa nthawi yayitali.

• Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani
• Mwazi wamagazi
• Matenda a shuga ndi matenda ashuga
• Momwe thupi limayang'anira shuga
• Shuga wapamwamba - zizindikiro ndi zizindikiro
• Chifukwa chiyani shuga wambiri ndi woipa
• Zithandizo za anthu
• Glucometer - mita ya shuga kunyumba
• Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono
• Kangati patsiku muyenera kuyeza shuga
• Mafunso Ofunsidwa Kawirikawiri
• Mapeto

Thupi limapitiliza kuyang'anira kuchuluka kwa shuga kuti ukhale wathanzi. Shuga wokwera amatchedwa hyperglycemia, wotsika - hypoglycemia. Ngati mayeso angapo wamagazi pamasiku osiyanasiyana akuwonetsa kuti shuga akukwezedwa, mutha kukayikira prediabetes kapena "weniweni" shuga. Kusanthula kumodzi sikokwanira izi. Komabe, munthu ayenera kukhala atcheru kale zotsatira zoyipa zisanachitike. Yesaninso kangapo m'masiku akubwera.

M'mayiko olankhula Chirasha, shuga wamagazi amayezedwa m'mamilimita angapo pa lita imodzi (mmol / l). M'mayiko olankhula Chingerezi, ma milligrams pa desilita (mg / dl). Nthawi zina muyenera kutanthauzira zotsatira kuchokera ku gawo limodzi kupita lina. Sizovuta.

• 4.0 mmol / L = 72 mg / dl
• 6.0 mmol / L = 108 mg / dl
• 7.0 mmol / L = 126 mg / dl
• 8.0 mmol / L = 144 mg / dl

Mwazi wamagazi

Mitengo ya shuga m'magazi idadziwika kalekale. Adazindikirika mkati mwa zaka za makumi awiriwa malinga ndi kafukufuku wambiri wa anthu wathanzi ndi odwala matenda a shuga. Mitengo ya shuga ya odwala matenda ashuga ndiwokwera kwambiri kuposa wathanzi. Mankhwala samayesanso konse kuwongolera shuga m'matenda a shuga, kotero kuti amafika pamlingo wamba. Pansipa mupeza chifukwa chake izi zikuchitika komanso ndi njira zina zochizira.

Zakudya zoyenera zomwe madokotala amalimbikitsa zimadzaza ndi mafuta. Zakudya izi ndizabwino kwa anthu odwala matenda ashuga. Chifukwa chakudya amapangitsa kuti shuga azingokhala. Chifukwa cha izi, odwala matenda ashuga samva bwino ndipo amakula. Odwala omwe ali ndi matenda a shuga omwe amathandizidwa ndi njira zachikhalidwe, shuga amadumphira kuchokera kumtunda kwambiri mpaka kutsika. Zakudya zamafuta zimachulukitsa, kenako ndikubaya jakisoni wamkulu wa insulin. Nthawi yomweyo, palibe chifukwa chobweretsera shuga kukhala yabwinobwino. Madotolo ndi odwala ali ndiokhutitsidwa kale kuti angathe kupewa kukomoka kwa matenda ashuga.

Komabe, ngati mumatsatira zakudya zamafuta ochepa, ndiye kuti muli ndi matenda a shuga a 2 komanso ngakhale muli ndi matenda osokoneza bongo a 1, mutha kukhalabe ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Odwala omwe amachepetsa chakudya chawo amachilamulira matenda awo a shuga popanda kupatsidwa insulini kapena kuyang'anira ndi mankhwala ochepa. Chiwopsezo cha zovuta mu mtima, impso, miyendo, maso - amachepetsa kukhala zero. Webusayiti ya Diabetes-Med.Com imalimbikitsa kudya zakudya zamafuta ochepa kuti azilamulira odwala a shuga olankhula Chirasha. Kuti mumve zambiri, werengani "Chifukwa chiyani Mtundu 1 ndi Matenda A 2 A shuga Ayenera kudya Zoperewera Zochepa." Zotsatirazi zikufotokozera kuchuluka kwa shuga m'magazi mwa anthu athanzi komanso momwe amasiyana mosiyanasiyana malinga ndi boma.

Mwazi wamagazi

Kwa odwala matenda ashuga

Mwa anthu athanzi

Shuga m'mawa pamimba yopanda kanthu, mmol / l5,0-7,23,9-5,0 Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / lpansipa 10.0nthawi zambiri osapitirira 5.5 Glycated hemoglobin HbA1C,%pansipa 6.5-74,6-5,4

Mwa anthu athanzi, shuga wamwazi pafupifupi nthawi yonseyo amakhala m'mitundu 3.9-5.3 mmol / L. Nthawi zambiri, ndi 4.2-4.6 mmol / l, pamimba yopanda kanthu ndikatha kudya. Ngati munthu akudya kwambiri chakudya chamafuta, ndiye kuti shuga amatha kutuluka kwa mphindi zingapo mpaka 6.7-6.9 mmol / l. Komabe, ndizokayikitsa kuti ndizokwezeka kuposa 7.0 mmol / L. Kwa odwala matenda a shuga mellitus, kuchuluka kwa shuga m'magazi a 7-8 mmol / L mu maola 1-2 mutatha kudya kumawerengedwa kuti ndi kwabwino, mpaka 10 mmol / L - zovomerezeka. Dokotala sangapatseni mankhwala chithandizo chilichonse, koma amangopatsa wodwala chidziwitso chofunikira - kuwunika shuga.

Chifukwa chiyani ndizofunikira kuti odwala matenda ashuga azitsatira posonyeza shuga, monga mwa anthu athanzi? Chifukwa zovuta zambiri zimayamba ngakhale shuga m'magazi akakwera kufika pa 6.0 mmol / L. Ngakhale, zowonadi, sizimakula mwachangu monga pamwambamwamba. Ndikofunika kuti musunge hemoglobin yanu ya glycated pansipa 5.5%. Ngati cholinga ichi chikwaniritsidwa, ndiye kuti chiopsezo cha imfa kuchokera kuzomwe zimayambitsa ndizochepa kwambiri.

Mu 2001, nkhani yokhudza mtima idasindikizidwa ku Britain Medical Journal yokhudza ubale wa glycated hemoglobin ndi kufa. Amatchedwa "Glycated hemoglobin, shuga, ndi kufa kwa amuna ku Norfolk cohort of European Prospective Investigation of Cancer and Nutrition (EPIC-Norfolk)." Olemba - Kay-Tee Khaw, Nicholas Wareham ndi ena. HbA1C inayesedwa mwa amuna 462 wazaka 45-79, kenako zaka 4 zinawonedwa. Mwa omwe adachita nawo kafukufukuyu, ambiri anali anthu athanzi omwe sanali kudwala matenda ashuga.

Zinapezeka kuti kufera pazifukwa zonse, kuphatikizapo kugunda kwa mtima komanso matenda opha ziwalo, sikochepa pakati pa anthu omwe hemoglobin ya glycated siapamwamba kuposa 5.0%. Kukula kulikonse kwa 1% ku HbA1C kumatanthauza chiopsezo cha kufa ndi 28%. Chifukwa chake, mwa munthu yemwe ali ndi HbA1C ya 7%, chiopsezo cha imfa ndichipamwamba ndi 63% kuposa munthu wathanzi. Koma glycated hemoglobin 7% - amakhulupirira kuti uku ndi kuwongolera kwabwino kwa matenda ashuga.

Miyezo yatsopano ya shuga imasefedwa chifukwa kudya “moyenera” sikuloleza kupatsidwa shuga. Madokotala amayesetsa kuti achepetse ntchito yawo popanda kuwononga zotsatira za wodwala. Palibe phindu boma kuti lichiritse odwala matenda ashuga. Chifukwa anthu oyipa amawongolera matenda awo a shuga, omwe amawonjezera ndalama pakubweza ndalama ndi mapindu osiyanasiyana. Khalani ndi udindo pazamankhwala anu. Yesani zakudya zamafuta ochepa - ndipo onetsetsani kuti zimapereka pambuyo pa masiku awiri ndi atatu. Mwazi wa magazi umatsikira kukhala wabwinobwino, Mlingo wa insulin umachepetsedwa ndi 2-7 nthawi, thanzi limasintha.

Shuga pamimba yopanda kanthu ndikatha kudya - kusiyana kwake ndi chiyani

Mchere wochepera mwa anthu uli pamimba yopanda kanthu, pamimba yopanda kanthu. Chakudya chakudyacho chikamamwa, michere imalowa m'magazi. Chifukwa chake, kuchuluka kwa shuga atatha kudya kumatuluka. Ngati kagayidwe kazakudya sikasokonekera, ndiye kuti kuwonjezeka kumeneku sikuli kokwanira ndipo sikokhalitsa. Chifukwa chakuti zikondamoyo zimabisa insulin yowonjezera kuti itsitse shuga pambuyo pudya.

Ngati palibe insulin yokwanira (mtundu 1 wa matenda ashuga) kapena yofooka (mtundu 2 wa shuga), ndiye kuti shuga mutatha kudya imatuluka maola ochepa aliwonse. Izi ndizovulaza chifukwa zovuta zimayamba pa impso, masomphenyawo amagwa, ndipo mapangidwe ake amanjenje amakhala opuwala. Choyipa chachikulu ndikuti mikhalidwe imapangidwira kugunda kwadzidzidzi kwa mtima kapena stroke. Mavuto azaumoyo omwe amayamba chifukwa cha kuchuluka kwa shuga mutatha kudya nthawi zambiri amawonedwa ngati kusintha kwachilengedwe. Komabe, amafunika kuthandizidwa, mwinanso wodwalayo sangakhale ndi moyo wapakati komanso wokalamba.

Glucose Assays:

Kuyesa kwa shuga m'magazi ndi njira yabwino yopezera matenda ashuga. Tiyeni tiwone chifukwa. Matenda a shuga akayamba, shuga wa m'magazi amayamba kudya. Zikondamoyo, pazifukwa zosiyanasiyana, sizingathe kupirira kuti zichepetse mwachangu kuti zizolowereka. Kuonjezera shuga mutatha kudya pang'onopang'ono kumawononga mitsempha yamagazi ndikuyambitsa zovuta. M'zaka zochepa za matenda ashuga, kuthamanga kwa glucose kumatha kukhala kwabwinobwino. Komabe, pakadali pano, zovuta zikupezeka kale. Ngati wodwala sayeza shuga atatha kudya, ndiye kuti samakayikira kudwala kwake mpaka zizindikirazo zikuwonekera.

Kuti mupeze matenda a shuga, tengani magazi a glycated hemoglobin mu labotale. Ngati muli ndi mita ya shuga m'magazi - yeretsani shuga 1 ndi maola awiri mutatha kudya. Musapusitsidwe ngati kuchuluka kwanu kwa shuga kusala kudya. Amayi omwe ali mu II ndi III ma trimesters am'mimba amayenera kuchitadi kuyesa kwa maola awiri pamagetsi. Chifukwa ngati matenda a shuga apezeka, kusanthula kwa hemoglobin ya glycated sikungathandize kuti muzindikire munthawi yake.

• Mayeso a matenda a shuga: mndandanda watsatanetsatane
• Glycated hemoglobin
• Kuyesedwa kwa shuga kwa maola awiri

Matenda a shuga ndi matenda ashuga

Monga mukudziwa, 90% ya omwe amachititsa kuti shuga asamayende bwino ndi mtundu wa 2 shuga. Simamera nthawi yomweyo, koma kawirikawiri prediabetes imayamba. Matendawa amatha zaka zingapo. Ngati wodwala sanalandire chithandizo, ndiye kuti gawo lotsatira limachitika - "zonse" shuga mellitus.

Momwe mungadziwire matenda oyamba ndi matenda a prediabetes:

• Kuthamanga shuga m'magazi 5.5-7.0 mmol / L.
• Glycated hemoglobin 5.7-6.4%.
• Shuga pambuyo pa maola 1 kapena 2 mutatha kudya 7.8-11.0 mmol / L.

Ndikokwanira kukwaniritsa chimodzi mwazomwe zafotokozeredwa pamwambapa kuti mupeze matenda.

Matenda a shuga ndi vuto lalikulu la metabolic. Muli pachiwopsezo chachikulu cha matenda ashuga amtundu wa 2. Mavuto owopsa pa impso, miyendo, mawonekedwe amaso akupanga tsopano. Ngati simusintha ndikukhala ndi moyo wathanzi, ndiye kuti prediabetes isandulika mtundu 2 shuga. Kapenanso mudzakhala ndi nthawi yakufa kale chifukwa cha vuto la mtima kapena sitiroko. Sindikufuna kukuwopani, koma izi ndi zotheka, osanyengerera. Kodi amathandizidwa bwanji? Werengani zolemba Metabolic Syndrome ndi Insulin Resistance, kenako kutsatira malangizowo. Matenda a shuga amatha kuyendetsedwa mosavuta popanda jakisoni wa insulin. Palibenso chifukwa chodzakhala ndi njala kapena kugwira ntchito molimbika.

Njira zoyenera kudziwa mtundu wachiwiri wa matenda ashuga:

• Kufulumira kwa shuga kumakhala kwakukulu kuposa 7.0 mmol / L malinga ndi zotsatira za kusanthula kawiri mzere pamasiku osiyanasiyana.
• Nthawi inayake, shuga wamagazi anali okwera kuposa 11.1 mmol / L, mosasamala kanthu za kudya.
• Glycated hemoglobin 6.5% kapena kuposa.
• Panthawi yovomerezeka ya glucose ya maola awiri, shuga anali 11.1 mmol / L kapena kuposa.

Monga matenda am'mbuyomu, chimodzi mwazomwe zatchulidwa pamwambapa ndizokwanira kuzindikira. Zizindikiro zodziwika bwino ndi kutopa, ludzu, komanso kukodza pafupipafupi. Pangakhale kuchepetsa osafotokoza. Werengani nkhani "Zizindikiro za matenda a shuga" mwatsatanetsatane. Nthawi yomweyo, odwala ambiri sazindikira chilichonse. Kwa iwo, zotsatira zoyipa za shuga m'magazi ndizosadabwitsa.

Gawo lapitalo limafotokoza chifukwa chake kuchuluka kwa shuga m'magazi kumakhala kwambiri. Muyenera kuwomba alamu kale shuga atatha kudya ndi 7.0 mmol / l ndipo makamaka ngati apamwamba. Kusala shuga kumatha kukhala kwabwinobwino kwa zaka zochepa pomwe matenda ashuwarawa amawononga thupi. Kusanthula uku sikuli kwanzeru kupitilira kuzindikira matenda. Gwiritsani ntchito njira zina - glycated hemoglobin kapena shuga wamagazi mukatha kudya.

Type 2 shuga

Kuthamanga magazi a m'magazi, mmol / L5,5-7,0Pamwambapa 7.0 Shuga pambuyo pa 1 ndi 2 maola mutatha kudya, mmol / l7,8-11,0pamwambapa 11.0 Glycated hemoglobin,%5,7-6,4pamwambapa 6.4

Zowopsa zomwe zimayambitsa matenda a prediabetes ndi matenda a shuga a 2:

• Kunenepa kwambiri - index of body 25 kg / m2 and above.
• Kupsinjika kwa magazi 140/90 mm RT. Art. ndi mmwamba.
• Zotsatira zoyesa zamagazi cholesterol.
• Amayi omwe amakhala ndi mwana wolemera makilogalamu 4.5 kapena kuposerapo kapena wapezeka ndi matenda ashuga akakhala ndi pakati.
• Polycystic ovary.
• Milandu ya matenda amtundu 1 kapena matenda ashuga 2 m'banja.

Ngati muli ndi chimodzi mwazomwe zalembedwera, ndiye kuti muyenera kuyang'ana magazi aliwonse azaka zitatu, kuyambira zaka 45. Kuyang'anira ana ndi achinyamata omwe ali onenepa kwambiri komanso omwe ali ndi vuto lina lowonjezera kumalimbikitsidwanso. Afunika kuwunika shuga pafupipafupi, kuyambira ali ndi zaka 10. Chifukwa kuyambira 1980s, matenda ashuga amtundu wa 2 adakula. M'mayiko a Azungu, zimawonekera ngakhale mwa achinyamata.

Momwe thupi limayang'anira shuga

Thupi limayang'anira mosalekeza kuchuluka kwa shuga m'magazi, kuyesera kuti lisasungidwe mkati mwa 3.9-5.3 mmol / L. Izi ndiye zolondola pamoyo wabwino. Anthu odwala matenda ashuga amadziwa bwino kuti mutha kukhala ndi moyo wambiri ndi shuga. Komabe, ngakhale ngati palibe zizindikiro zosasangalatsa, shuga wowonjezereka amalimbikitsa kukula kwamavuto a shuga.

Shuga wotsika amatchedwa hypoglycemia. Uku ndi tsoka lenileni kwa thupi. Ubongo sulekerera pakakhala kuti palibe magazi okwanira m'magazi. Chifukwa chake, hypoglycemia imangodziwonetsera ngati zizindikiro - kusakwiya, mantha, palpitations, njala yayikulu. Ngati shuga agwera mpaka 2.2 mmol / L, ndiye kuti kusokonekera kwa chikumbumtima ndi kufa kumatha kuchitika. Werengani zambiri mulemba "Hypoglycemia - Kupewa ndi Kupulumutsidwa kwa Attack."

Ma hormone a Catabolic ndi insulin ndi okondana wina ndi mnzake, i.e., amakhala ndi zotsutsana. Kuti mumve zambiri, werengani nkhani "Momwe Insulini Imalamulira Magazi a shuga mwa Matenda Achimodzimodzi ndi Matenda A shuga".

Nthawi iliyonse, shuga wambiri amayenda m'magazi a munthu. Mwachitsanzo, mwa bambo wamkulu wolemera makilogalamu 75, kuchuluka kwa magazi m'thupi ndi malita asanu. Kuti tikwaniritse shuga m'magazi a 5.5 mmol / L, ndikokwanira kupukusa mkati mwake magalamu asanu okha a glucose. Izi ndi pafupifupi supuni 1 ya shuga ndi slide. Pa sekondi iliyonse, ma microscopic Mlingo wama glucose ndi mahomoni owongolera amalowa m'magazi kuti akhale bwino. Izi zimachitika maola 24 tsiku lililonse osasokoneza.

Shuga wapamwamba - zizindikiro ndi zizindikiro

Nthawi zambiri, munthu amakhala ndi shuga wambiri chifukwa cha matenda ashuga. Koma pakhoza kukhala zifukwa zina - mankhwala, kupsinjika kwamphamvu, kusokonezeka m'matumbo a adrenal kapena pituitary, matenda opatsirana. Mankhwala ambiri amalimbikitsa shuga. Awa ndi ma corticosteroids, beta-blockers, thiazide diuretics (okodzetsa), antidepressants. Kuti mupeze mndandanda wathunthu munkhaniyi sizotheka. Dokotala wanu asanakupatseni mankhwala ena, kambiranani momwe zakhudzira shuga wanu wamagazi.

Nthawi zambiri hyperglycemia siziwonetsa chilichonse, ngakhale shuga atakhala wamkulu kwambiri kuposa wabwinoko. Woopsa akayamba kudwala, wodwalayo amatha kuzindikira. Hyperglycemic coma ndi ketoacidosis ndizovuta zowopsa zomwe zimabweretsa shuga.

Zovuta pachimake, koma zofala zambiri:

• ludzu lalikulu
• kamwa yowuma
• kukodza pafupipafupi,
• Khungu lumauma,
• mawonekedwe osaneneka
• kutopa, kugona,
• Kuchepetsa thupi
• mabala, zipsera sizichiritsa,
• zomverera zosasangalatsa m'miyendo - kumeza, tsekwe,
• pafupipafupi matenda opatsirana komanso fungus omwe ndizovuta kuchiza.

Zizindikiro zowonjezera za ketoacidosis:

• kupumira pafupipafupi komanso kwanthawi yayitali
• Fungo la acetone popuma,
• chikhalidwe chosakhazikika.

• Hyperglycemic chikomokere - mwa okalamba
• Matenda ashuga ketoacidosis - odwala ndi matenda ashuga 1, achikulire ndi ana

Chifukwa chiyani shuga wambiri ndi woipa

Ngati simumalandira shuga wamagazi ambiri, zimayambitsa zovuta komanso zovuta za matenda ashuga. Mavuto owopsa adatchulidwa pamwambapa. Ichi ndi hyperglycemic chikomokere ndi matenda ashuga ketoacidosis. Amawonetsedwa ndi kusazindikira bwino, kukomoka ndipo amafuna chithandizo chamankhwala mwadzidzidzi. Komabe, zovuta zazovuta zimayambitsa kuphedwa kwa 5-10% ya odwala matenda ashuga. Ena onse amafa ndi zovuta mu impso, kupenya, miyendo, mantha am'mimba, ndipo koposa zonse - kuchokera ku vuto la mtima ndi sitiroko.

Shuga wokwera kwambiri amawononga makoma amitsempha yamagazi kuchokera mkati. Amakhala olimba mopanda kunenepa. Pazaka zambiri, calcium amawayika pa iwo, ndipo zombozo zimafanana ndi mapaipi akale amiyala. Izi zimatchedwa angiopathy - kuwonongeka kwa mtima. Komanso imayambitsa zovuta za matenda ashuga. Zowopsa zake ndikulephera kwa impso, khungu, kudula mwendo kapena phazi, ndi matenda amtima. Mukakhala ndi shuga m'mwazi, zovuta zake zimayamba kukhazikika ndikuwonekera kwambiri. Yang'anirani chithandizo ndi chisamaliro cha matenda anu a shuga!

• Momwe mungalandiridwire matenda a shuga a mtundu wachiwiri: njira imodzi ndi imodzi
• Mankhwala 2 a shuga: nkhani yatsatanetsatane
• Mapiritsi a Siofor ndi Glucofage
• Momwe mungaphunzirire kusangalala ndi maphunziro akuthupi

• Mtundu woyamba wa chithandizo cha matenda a shuga kwa akulu ndi ana
• Nthawi ya tchuthi ndi momwe mungakulitsire
• Njira ya jakisoni wopweteka wa insulin
• Mtundu woyamba wa shuga 1 mwa mwana amathandizidwa popanda insulin pogwiritsa ntchito zakudya zoyenera. Mafunso ndi banja.
• Momwe mungachepetse kuwonongeka kwa impso

Zithandizo za anthu

Chithandizo cha anthu omwe amachepetsa shuga m'magazi a ku Yerusalemu ndi artichoke, sinamoni, komanso mitundu ingapo ya mankhwala azitsamba, mankhwala, zotupa, mapemphero, chiwembu, zina. kuti simunalandire phindu lililonse. Zithandizo za anthu zimapangidwira kwa odwala matenda ashuga omwe amadzinyenga, m'malo mothandizidwa bwino. Anthu oterewa amafa msanga chifukwa cha zovuta.

Mafanizi azitsamba za anthu odwala matenda ashuga ndiwo "makasitomala" akuluakulu a madokotala omwe amalimbana ndi kulephera kwa impso, kucheka kwa malekezero ena am'munsi, komanso ophthalmologists. Mavuto okhudzana ndi matenda a shuga m'm impso, m'miyendo, ndi m'maso. Opanga ambiri ogulitsa mankhwalawa amagwira ntchito mosamala kuti asatsutsidwe ndi mlandu. Komabe, ntchito zawo zimaphwanya malamulo amakhalidwe abwino.

Pangani shuga ndi magazi anu kangapo patsiku. Ngati mukuwona kuti zotsatira zake sizikuyenda bwino kapena zikuipiraipira, siyani kugwiritsa ntchito mankhwala opanda pake.

Funsani dokotala musanamwe mankhwala ena alionse a shuga. Makamaka ngati mwayamba kale zovuta za impso kapena muli ndi matenda a chiwindi. Zakudya zowonjezera zomwe zili pamwambazi sizilowa m'malo mwa zakudya, jakisoni wa insulin, komanso zolimbitsa thupi.Mukayamba kumwa alpha lipoic acid, mungafunike kuchepetsa mlingo wa insulin yanu kuti pasakhale hypoglycemia.

• Chithandizo cha Folk cha matenda a shuga - Mankhwala azitsamba
• Mavitamini a shuga - Magnesium-B6 ndi Chromium Supplements
• Alpha lipoic acid

Glucometer - mita ya shuga kunyumba

Ngati mwazindikira kuti ndi prediabetes kapena matenda ashuga, ndiye kuti muyenera kugula mwachangu chida chamayeso a shuga a kunyumba. Chipangizochi chimatchedwa glucometer. Popanda icho, matenda a shuga sangathe kuyendetsedwa bwino. Muyenera kuyeza shuga osachepera 2-3 patsiku, makamaka nthawi zambiri. Mitsempha yamagazi a kunyumba inatuluka m'ma 1970. Mpaka pomwe amagwiritsidwa ntchito kwambiri, odwala matenda ashuga amayenera kupita ku labotale nthawi iliyonse, kapena ngakhale kukhala kuchipatala kwa milungu ingapo.

Mamita amakono a glucose amakono ndi opepuka komanso osalala. Amayeza shuga m'magazi pafupifupi osapweteka ndipo amawonetsa zotsatira zake. Vuto lokhalo ndiloti zingwe zoyeserera sizotsika mtengo. Muyezo uliwonse wa shuga mumakhala pafupifupi $ 0,5. Ndalama zonse zimapitilira mwezi umodzi. Komabe, izi ndi ndalama zosapeweka. Pulumutsani pamiyeso yoyeserera - pitani mukamachiritsa odwala matenda ashuga.

Panthawi ina, madokotala anakana kulowa nawo msika wa glucometer. Chifukwa adawopsezedwa ndi kutayika kwa magwero akuluakulu achuma kuchokera kuyezetsa magazi a labotale kwa shuga. Mabungwe azachipatala adatha kuchedwetsa kukwezedwa kwa shuga wamagazi kunyumba kwa zaka 3-5. Komabe, zida izi zikagulitsidwa, adayamba kutchuka. Mutha kudziwa zambiri pa nkhaniyi pa Dr. Bernstein. Tsopano, mankhwala ovomerezeka akuchepetsa kupititsanso kwa zakudya zamafuta ochepa - chakudya chokhacho choyenera kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba 1.

Kuyeza shuga ndi glucometer: Malangizo a pang'onopang'ono

Odwala a shuga ayenera kuyeza shuga ndi glucometer osachepera 2-3 patsiku, makamaka makamaka. Iyi ndi njira yosavuta komanso yopweteka. M'miyendo yoloza zala, singano ndizowonda kwambiri. Zomverera sizimapwetekanso kwambiri monga momwe kulumidwa ndi udzudzu. Kungakhale kovuta kuyeza shuga lanu lamwazi koyamba, kenako mudzayamba kusuta. Ndikofunika kuti wina ayambe kuwonetsa momwe angagwiritsire ntchito mita. Koma ngati palibe munthu wodziwa zambiri pafupi, mutha kuthana nawo nokha. Gwiritsani ntchito malangizo omwe ali pansipa.

1. Sambani manja anu ndi youma bwino.
2. Kusamba ndi sopo ndikofunikira, koma osafunikira ngati palibe zikhalidwe za izi. Osapukuta ndi mowa!
3. Mutha kugwedeza dzanja lanu kuti magazi ayambe kupita ku zala zanu. Komanso, gwiritsani pansi pamtsinje wamadzi ofunda.
4. Zofunika! Tsambalo liponya louma. Musalole madzi kuti atulutsire dontho la magazi.
5. Ikani gawo loyeserera mu mita. Onetsetsani kuti uthenga wabwino ukuonekera pazenera, mutha kuyeza.
6. Pierce chala chokhala ndi lancet.
7. Kuchepetsa chala chanu kufinya dontho la magazi.
8. Ndikofunika kuti musagwiritse ntchito dontho loyamba, koma kuchotsa ndi ubweya wowuma wa thonje kapena chopukutira. Uku si malingaliro ovomerezeka. Koma yesani kutero - ndipo onetsetsani kuti kuwongolera kwakeko kwatsimikizika.
9. Finyani dontho lachiwiri la magazi ndikuwapaka pamiyeso.
10. Zotsatira zake ziziwoneka pazenera la mita - zilembeni ku diary yanu yowunika za shuga limodzi ndi zambiri.

Ndikofunika kusunga diary control diabetes mosalekeza. Lembani izi:

• tsiku ndi nthawi ya muyeso wa shuga,
• Zotsatira zake
• zomwe adadya
• omwe adamwa mapiritsiwo
• kuchuluka ndi insulin yamtundu wanji,
• zomwe zinali zolimbitsa thupi, kupsinjika ndi zina.

M'masiku ochepa muwona kuti ichi ndi chidziwitso chofunikira. Dzifufuzeni nokha kapena ndi dokotala. Mvetsetsani momwe zakudya zosiyanasiyana, mankhwala osokoneza bongo, jakisoni wa insulin, ndi zinthu zina zimakhudzira shuga wanu. Kuti mumve zambiri, werengani nkhani yakuti “Zomwe zimakhudza shuga. Mungapewe bwanji kuthana ndi kuyenda osazolowereka. "

Momwe mungapezere zotsatira zolondola poyesa shuga ndi glucometer:

• Werengani mosamala malangizo a chipangizo chanu.
• Onani mita kuti muone ngati ili pamwambapa. Ikapezeka kuti chipangizochi chagona, musachigwiritse ntchito, chotsani china.
• Monga lamulo, glucometer yomwe imakhala ndi zotsika mtengo zoyesera siyolondola. Amayendetsa odwala matenda ashuga kumanda.
• Pansi pa malangizo, werengani momwe mungagwiritsire dontho la magazi pachifuwa.
• Tsatirani mosamalitsa malamulo osunga mizere. Tsekani botolo mosamala kuti mpweya wambiri usalowe. Kupanda kutero, zingwe zoyeserera ziwonongeka.
• Osagwiritsa ntchito zingwe zoyeserera zomwe zatha.
• Mukapita kwa dokotala, tengani glucometer nanu. Sonyezani adokotala momwe mumayeza shuga. Mwina dokotala wodziwa zambiri angakuwonetseni zomwe mukuchita zolakwika.

Glucose wovuta

Mwa "shuga wamagazi" amatanthauza glucose weniweni, kapena, makamaka, kuphatikiza kwake pa lita imodzi ya magazi.

Akatswiri azindikira zinthu zitatu zomwe zingachitike:

• hypoglycemia - shuga amakhala ndi osakwana 3.3 mmol pa lita,
• wabwinobwino - kuyambira 3,3 mpaka 5.5 mmol pa lita imodzi pamimba yopanda kanthu, ndi mpaka .8 mmol pa lita - pambuyo chakudya,
• hyperglycemia (shuga wambiri) - Zizindikiro zomwe zimaposa zomwe zili pamwambapa pamimba yopanda kanthu ndikatha kudya, motero.

Odwala omwe ali ndi matenda a shuga, njira zama metabolism zomwe zimapangidwira ndikugwiritsa ntchito shuga zimachepa, chifukwa chomwe glucose chinthu m'magazi chimatha kufika pazowonjezera, mpaka 55 mmol, ndipo zimasiyana pamitundu yambiri kwakanthawi kochepa. Chithunzi pamwambapa "55 mmol" pafupifupi chimafanana ndi kupezeka kwa lita imodzi yamafuta awiri a shuga.

Kwa anthu, makamaka odwala matenda ashuga, ndichizolowezi kutenga chizindikiro cha 13-17 mmol cha glucose pa lita imodzi yamwazi kwa bala "yovuta". Mkhalidwe wamtunduwu umayendera limodzi ndi kutulutsidwa kwa acetone mu mkodzo, kuti vutoli likhoza kupezeka ndi zingwe zapadera zoyeserera.

Ngati shuga ali ocheperako, koma akupitilira 10 mmol, mtengo wake, ngakhale osakhala wotsutsa, uyenera kukhala chifukwa chamakonzedwe a insulin. Wodwalayo akanyalanyaza chizindikiro chake, ali ndi mwayi waukulu wakugwa.

Hypoglycemia ilinso yoopsa kuposa shuga wambiri. Kutsika kwamwadzidzidzi kwa glucose kumapangitsa zosiyana mu anthu: ena amalolera modekha pafupifupi 2.5 mmol, pomwe mwa ena hypoglycemia imafotokozedwa (mpaka chikomokere) kale ndi kuchepa mpaka 3.22 mmol. Zomwe zimachitika zimatengera mawonekedwe a thupi, koma kuchepa kulikonse kwa shuga zomwe sizikuyembekezereka kuyenera kukhala chifukwa chotenga njira zoyenera. Kwa odwala matenda ashuga, ngakhale kuphatikiza glucose pamlingo wabwinobwino kungakhale koopsa ngati zingachitike mwadzidzidzi: Kuchita kotereku kumatha kuyambitsa matenda a shuga. Zikachitika kuti ayambe kuwonekera, munthu ayenera kupatsidwa mankhwala oyenera nthawi yomweyo, kapena chakudya chochepa chomanga cha m'mimba.

Momwe hyperglycemia imakhalira

Odwala odwala matenda ashuga amatha kukhala ndi glucose ya 13 mpaka 17 mmol. Kuchuluka kwa shuga, ngati sikukonzedwa, nthawi zambiri kumapangitsa wodwala kuti ayambe kukomoka. Ngakhale muyenera kudziwa kuti manambala siwachilengedwe, pali zochitika zambiri pomwe kuchuluka kwakanthawi kokwanira kupitirira 17 mmol ndi kupitirira apo sikunachititse kuti musakhale ndi nkhawa. Chifukwa chake, masiku ano madokotala akulephera kuyankha kuti ndi chiyani chomwe chimapangitsa kuti munthu akhale ndi hyperglycemia.

Koma mwa odwala omwe ali ndi matenda ashuga, kukula kwa glucose kumatha kuyambitsa matenda, zomwe zimasiyanasiyana malinga ndi mtundu wa shuga wodwala.

Mwachitsanzo, ngati matenda ashuga amadalira insulin, wodwala amayamba kutaya madzi mthupi mwachangu, kuphatikiza ketoacidosis.Ngati munthu sakudalira insulini, amangowonetsa kuchepa mphamvu kwam'madzi, komwe kumakhala kovuta kwambiri kulipirira.

Munthu wodwala matenda ashuga kwambiri amatha kugwa mu ketoacidotic coma. Zoterezi zimachitika pafupipafupi pakati pa odwala omwe ali ndi matenda amtundu woyamba 1, wovuta ndi matenda aliwonse. Komanso, munthu amatha kugwa ndi vuto lalikulu kwambiri la insulin.

• kukodza pafupipafupi ndi kuperewera chifukwa cha shuga kulowa mkodzo ndikuchotsa m'thupi,
• kuthamanga kwamadzi pang'onopang'ono,
• kusanza, mseru,
• kuwonjezeka kwa kuchuluka kwa matupi a ketone m'magazi, momwe thupi limayesera kubwezeretsanso mphamvu pogwiritsa ntchito mafuta,
• kamwa yowuma
• kufooka wamba
• khungu lowuma
• mpweya umanunkhiza ngati acetone
• kupuma pakokha sikovuta, koma kuya kwake kumakula, ndipo njirayo imakhala yopanda phokoso, popeza pali mpweya wambiri m'magazi, ndipo mapapu amayesetsa kulipirira izi ndi mpweya waukulu wakubwera.

Ngati simukugwiritsa ntchito njira zina zamankhwala ndikulephera kupaka insulin, shuga akupitiliza kukula. Izi zimatha kudzetsa vuto lina lotchedwa hyperosmolar coma. Glucose imatha kudzikundikira mpaka ma milimita 55 pa lita imodzi, mpaka kufikira malire a thupi.

Zizindikiro zomwe zimapita ndi chikomokere ndipo zimayambitsa izi:

1. Ludzu lomwe silingathetse ngakhale munthu amamwa zochuluka motani.
2. Kuchulukana mobwerezabwereza.
3. Zotsatira za ndime yapitayi - kutsekemera kwa zinthu zina za mchere.
4. Madzi akayamba kuchepa, munthu amayamba kufooka, kuyamba kugona komanso kufooka.
5. Nkhope yake yakuloza.
6. Zilonda zamkamwa ndi pakhungu zimaphwa.
7. Munthu amayamba kupuma movutikira.

Izi zimafuna chithandizo chamankhwala mwadzidzidzi komanso kuchipatala, chifukwa thupi la wodwalayo limagwira ntchito mopitilira muyeso, ndipo sizingatheke kuzikhazikitsa ndi zithandizo zapakhomo.

Mafuta ochulukirapo m'thupi

Dera la hyperglycemic, ndiko kuti, kuwonjezeka kwa shuga m'magazi ovomerezeka, osagwirizanitsidwa ndi ntchito yazakudya, amatha kuonedwa ndi mitundu yambiri ya matenda.

Kuchuluka kwa shuga kumatha kuchitika chifukwa cha matenda a shuga, kuperewera kwa kapamba. Kuphatikiza apo, vutoli limadziwika ndi kuphatikiza kwama mahomoni ambiri okukula, omwe ali ndi matenda amtundu wa chiwindi ndi zovuta zina.

Matenda a shuga ndi matenda opatsirana, monga chifukwa chake pali kuphwanya kugwiritsidwa ntchito kwa shuga pama cellular. Nthawi zambiri, matenda ashuga amtundu woyamba ndi wachiwiri amapezeka, ndipo amakhala ndi mawonekedwe awo pazizindikiro, motero, ndipo mankhwalawo amakhala osiyana.

Ngati shuga m'magazi atakwera mpaka magawo 10, ndiye kuti amawoneka mkodzo. Nthawi zambiri, mayeso a labotale samawona glucose mkodzo. Masewera a glucose amawonekera mmenemo, ndiye kuti shuga wambiri amadziwika kuti ndiwo gawo lachipatala.

Ndipo izi zitha kudziwika ndi izi:

• Ndi shuga, 10 mmol / L, gramu iliyonse ya shuga yomwe imatuluka m'thupi mothandizidwa ndi mkodzo, amachotsa mamililita 15 amadzi limodzi nawo, chifukwa chomwe wodwalayo amakhala ndi ludzu nthawi zonse.
• Mukapanda kuchepa madzi, ndiye kuti madzi am'mimba amachitika, zomwe zimabweretsa zovuta zosasinthika.

Polankhula za shuga pang'onopang'ono, ziyenera kudziwika kuti munthu aliyense adzakhala ndi ziwerengero zawo. Wodwala wamkulu wazaka pafupifupi 30-45, malo ake adzakweza pang'ono kuposa mwana wakhanda, mayi woyembekezera kapena munthu wokalamba.

Anthu odwala matenda ashuga, mosasamala mtundu wa matenda awo, ayenera kudziwa mulingo wawo, ndikuyesetsa kuti asadutse. Ngati izi ziloledwa, ndiye kuti mkodzo umapezekanso m'thupi.

Kutayika kumeneku sikubwezeretsedwanso ndi chakudya, maselo amthupi la munthu adzakhala "ndi njala" kale.

Njira yokhayo yathandizire kutukuka kwanu ndikuchepetsa shuga.

Mulingo wapamwamba

Monga tafotokozera pamwambapa, shuga 10 ndi gawo lofunikira, ndipo kupitirira izi zikuwopseza zovuta zazikulu zaumoyo. Ichi ndichifukwa chake aliyense wodwala matenda ashuga ayenera kudziwa manambala awo kuti athe kupewa zovuta zina. Mungamasulire bwanji?

Kutsimikiza kuli motere: vula chikhodzodzo, kuyeza shuga mthupi. Pambuyo pa theka la ola, mulingo wa shuga mumkodzo umayesedwa. Lembani zonse zomwe zalembedwa patebulopo, pangani maphunziro angapo mkati mwa masiku 3-5.

Mukamaliza izi, kuwunika zotsatira zawo kumachitika. Tiyeni titenge chitsanzo. Ngati shuga ndi magawo 10-11, ndiye kuti kuchuluka kwake mu mkodzo ndi 1%. Ziwerengero zoterezi zikuwonetsa kuti mulawo wawonjezereka.

Ngati shuga m'thupi ndi magawo 10,5, ndipo osawonedwa mkodzo, ndiye kuti mtengo wake umakhala pang'onopang'ono. Mkulu wamagazi akakhala magawo 10,8, matendawa amapezeka mu mkodzo, zomwe zikutanthauza kuti mulingo wapakati ndi magawo 10,5-10.8.

Kusanthula mwachitsanzo kumawonetsa kuti pafupifupi, nthawi zambiri, zithunzi zamatenda a matenda ashuga, ngakhale mtundu wake, mulingo wazotsekedwa wa odwala onse ndi magawo pafupifupi 10.

Chifukwa chake, ndikofunikira kuchita zinthu zingapo zomwe zimapangitsa kuti shuga asungunuke m'thupi pofuna kupewa zisasinthike.

Shuga 10: Zizindikiro

Odwala ambiri akufunsa momwe angadziwire kuchuluka kwa shuga, ndizizindikiro ziti zomwe zikuwonetsa mkhalidwe wamtunduwu? M'malo mwake, muyezo wa shuga ndi njira yolimba yokuthandizira kuti zinthu zichitike.

Kunyumba, izi zikuthandizira kukhazikitsa chipangizo chapadera (glucometer), chomwe chidzapereke zotsatira zoyenera zamagetsi, ngakhale kukhalapo kapena kulibe chizindikiro cha kuchuluka kwa shuga.

Kuchita kumawonetsa kuti si odwala onse omwe ali ndi chidwi chofuna kuwonjezera shuga mthupi lawo. Ambiri sazindikira ngakhale chiwonetsero cha glucose chikukula mpaka chikafika pamavuto.

Kukula kwa zizindikiro za matenda amtundu wa 1 kapena mtundu wa 2 sikungatheke kulosera. Komabe, zizindikiro za kuchuluka kumeneku ziyenera kuganiziridwa:

1. Kufuna kumwa nthawi zonse, komanso kusasokoneza ndikosatheka. Wodwalayo amangodya zamadzimadzi zambiri, pomwe chizindikiro cha ludzu sichitha.
2. Pakamwa pakamwa, khungu lowuma.
3. Kuchulukana mobwerezabwereza. Impso zimathandiza thupi kuthana ndi katundu, ndikuchotsa shuga owonjezera mothandizidwa ndi mkodzo.
4. General malaise, kufooka, ulesi ndi mphwayi, kutopa kwambiri, kulephera kwa ntchito, kugona.
5. Kuchepetsa kapena kuchuluka kwa thupi.

Poyerekeza ndi shuga, pali kuchepa kwa chitetezo chathupi, komwe kumayambitsa matenda opatsirana ndi fungus.

Shuga wapamwamba, kuphatikiza pa magawo khumi, amasokoneza kwambiri kugwira ntchito kwa thupi lonse lathunthu.

Ziwalo zomwe zikuyembekezeredwa zimakhudzidwa makamaka: ubongo, impso, maso, miyendo yotsika.

Zoyenera kuchita kuti muchepetse shuga: mfundo zazikulu

Chithandizo cha matenda ashuga chimadalira mtundu wa matenda omwe wodwala ali nawo. Ndipo mtundu woyamba wa matenda umakhudza kuphatikiza kwa mahomoni ambiri, omwe amathandiza kuti glucose azingidwe pamaselo a cellular.

Tiyenera kudziwa kuti chithandizo choterechi chimachitika ngati chachitika kwa moyo wonse. Tsoka ilo, ngakhale pali chitukuko cha sayansi ya zamankhwala, mdziko lamakono, shuga, mosasamala mtundu wake, ndi matenda osachiritsika.

Pamodzi ndi kuyambitsa kwa timadzi, wodwalayo amalimbikitsidwa kudya zakudya zopatsa thanzi, zolimbitsa thupi zolondola. Ndi moyo wokangalika womwe umathandiza kuti glucose amidwe, maselo amalandila zakudya zofunikira.

Zokhudza insulin, chithandizo chamankhwala chimalimbikitsidwa payekhapayekha. Dokotala amamuwonetsa mahomoni ofunikira kuchitapo kanthu, nanena za kuchuluka kwa makonzedwe.

Mtundu wachiwiri wa matenda a shuga sudalira insulini, chifukwa chake, mfundo zotsatirazi zamankhwala ndizomwe zimakhala:

• Zakudya zopatsa thanzi, makamaka, kugwiritsa ntchito zakudya zomwe sizipangitsa kuchuluka kwa shuga m'magazi.
• Monga lamulo, odwala matenda ashuga a 2 amakhala onenepa kapena onenepa kwambiri, motero mfundo yachiwiri ya chithandizo chokwanira ndi zolimbitsa thupi.
• Njira zina zamankhwala (decoctions ndi infusions zochokera mankhwala azitsamba), zakudya zowonjezera ndi zina zotero.

Zokhudza kumwa mankhwalawa, zimaperekedwa ngati njira zonse zomwe zingalimbikitsidwe poyambirira sizinapereke chithandizo chamankhwala chofunikira. Kulembera iwo eni kukhumudwitsidwa, izi ziyenera kuchitidwa ndi adokotala.

Ngakhale kuti insulin ndi prerogative ya matenda 1 a shuga, itha kutumikiridwa pochizira mtundu wachiwiri wa matenda. Nthawi zambiri amalimbikitsidwa ngati palibe njira zina zomwe zidakwaniritse chiphunzitsochi.

Cholinga chachikulu chothandizira matendawa ndikupeza chipukutiro chabwino cha matenda a shuga, omwe amatithandizanso kuchepetsa mwayi wokhala zovuta.

Kuchepetsa shuga

Kuti muchepetse shuga m'magazi, muyenera kugwiritsa ntchito ma buliberries, omwe amaphatikiza ma tannins ndi glycosides ambiri. Itha kudyedwa mwatsopano, koma osapitirira 200 magalamu patsiku.

Kuphatikiza apo, potengera masamba a mabulosi abulu, mutha kukonzekera decoction yomwe imathandizira kukula kwamisempha. Kuti mukonzekere, muyenera kutenga supuni imodzi yamasamba odulidwa, amwa mu 250 ml amadzimadzi. Kuumirira kwa theka la ora. Tengani katatu pa tsiku gawo limodzi mwa magawo atatu a galasi.

Matenda a shuga amakhala ndi vuto la metabolic m'thupi. Nkhaka zatsopano zimathandizira kubwezeretsa magwiridwe akenthu, popeza zimakhala ndi chinthu chokhala ndi insulini. Kuphatikiza apo, masamba awa amachepetsa chilimbikitso.

Zakudya zotsatirazi zingathandize kuchepetsa shuga:

1. Buckwheat amathandiza kutsika shuga. Kuti muchite izi, sambani tirigu, wowuma, mwachangu mu poto wouma (wopanda mafuta), kupera kukhala wosakaniza fumbi pogwiritsa ntchito chopukusira khofi. Chinsinsi: supuni ziwiri pa 250 ml ya kefir, kunena maola 10, kumwa kamodzi patsiku musanadye.
2. Yerusalemu artichoke amathandizira kusintha magwiridwe am'mimba, amachepetsa shuga m'thupi. Mapeyala angapo (pre-peeled) amathanso kudyedwa patsiku.
3. Kabichi imalemekezedwa ndi fiber, mavitamini ndi michere, komanso zinthu zina zomwe zimathandizira kukweza kwa tizilombo toyambitsa matenda. Kuyambira kabichi, mutha kufinya msuzi ndi kumwa 2 pa tsiku, 100 ml.
4. Komanso, msuzi wa mbatata mu mtundu wachiwiri wa shuga umatsimikizira magwiridwe antchito am'mimba, umapangitsa shuga m'magazi. Muyenera kumwa madzi okwanira 120 ml kawiri pa tsiku kwa mphindi 30 musanadye.
5. Mtsitsi wakuda umathandizira kuchepetsa shuga ndikukhazikika pamlingo wofunikira (imwani 50 ml mpaka 5 pa tsiku, tikulimbikitsidwa kumwa mphindi 15-20 musanadye).
6. Mothandizidwa bwino ndi karoti wamkulu wa shuga, phwetekere, madzi a dzungu (osaposa magalasi awiri patsiku).

Kuti muchepetse shuga, thupi limafunikira nthaka, yomwe imathandizira pochita zinthu zambiri zamankhwala am'thupi mthupi. Pali zambiri zamtunduwu mu nsomba zam'madzi (oyster), tirigu wophukira.

Njira yothandiza yochepetsera shuga ndi madzi a beet, omwe amatengedwa mu 125 ml mpaka 4 pa tsiku.

Zambiri

Mu thupi, njira zonse za metabolic zimachitika mogwirizana. Ndi kuphwanya kwawo, matenda osiyanasiyana ndi matenda am'matumbo amayamba, pakati pake pomwe pali kuwonjezeka shugamu magazi.

Tsopano anthu amamwa shuga wambiri, komanso chakudya chamafuta ambiri.Palinso umboni kuti kumwa kwawo kwachulukitsa ka 20 m'zaka zapitazi. Kuphatikiza apo, zachilengedwe ndi kukhalapo kwa kuchuluka kwa zakudya zopanda chilengedwe m'zakudya zakhudza thanzi la anthu posachedwa. Zotsatira zake, njira za metabolic zimasokonekera mwa ana ndi akulu omwe. Kusokonezeka kwa lipid metabolism, kuchuluka kochulukirapo pa kapamba, kamene kamatulutsa mahomoniinsulin.

Pabwana, mikhalidwe yolakwika ya kudya imapangidwa - ana amadya sopo wokoma, chakudya mwachangu, tchipisi, maswiti, ndi zina zotere. Zotsatira zake - zizindikiro za matenda ashuga zimatha kuchitika ngakhale mwa mwana, pomwe kale matenda ashuga Amawaganizira kuti ndi matenda a okalamba. Pakadali pano, zizindikiro zakuwonjezeka kwa shuga m'magazi zimawonedwa kawiri kawiri, ndipo kuchuluka kwa odwala matenda ashuga kumayiko otukuka kukukulira chaka chilichonse.

Glycemia Izi ndizomwe zili ndi shuga m'magazi a anthu. Kuti mumvetsetse tanthauzo la lingaliro ili, ndikofunikira kudziwa kuti glucose ndi ziti ndikuwonetsa zomwe glucose ayenera kukhala.

Glucose - chomwe ndi thupi, zimatengera kuchuluka kwa zomwe munthu amadya. Glucose ndiye monosaccharide, chinthu chomwe ndi mtundu wamafuta m'thupi la munthu, michere yofunika kwambiri kumachitidwe amanjenje apakati. Komabe, zochulukirapo zake zimadzetsa kuvulaza thupi.

Mwazi wamagazi

Kuti mumvetsetse ngati matenda akulu akupezeka, muyenera kudziwa bwino lomwe mulingo wabwinobwino wa shuga mwa akulu ndi ana. Mulingo wothira magazi, womwe ndi wofunikira kuti thupi lizigwira ntchito, umakhala ndi insulin. Koma ngati kuchuluka kwa mahomoni awa sikupangidwa, kapena matupi awo samayankha mokwanira ku insulin, ndiye kuti shuga yamagazi imakwera. Kuwonjezeka kwa chizindikiro ichi kumakhudzidwa ndi kusuta, zakudya zopanda thanzi, komanso zovuta zina.

Yankho la funsoli, kodi shuga ndimagazi a munthu wamkulu bwanji, limapereka World Health Organisation. Pali miyeso yovomerezeka ya shuga. Kuchuluka kwa shuga okwanira m'mimba yopanda kanthu kuchokera m'mitsempha yamagazi (magazi amathanso kukhala kuchokera mu mtsempha kapena chala) akuonetsedwa patebulo pansipa. Zizindikiro zikuwonetsedwa mu mmol / L.

Chifukwa chake, ngati zizindikirozo zili pansipa, ndiye kuti munthu hypoglycemiangati apamwamba - hyperglycemia. Muyenera kumvetsetsa kuti zosankha zilizonse ndizowopsa mthupi, chifukwa izi zikutanthauza kuti kuphwanyidwa kumachitika mthupi, ndipo nthawi zina kumasintha.

Munthu akamakula, mphamvu yake ya insulin imayamba kuchepa chifukwa chakuti ena mwa ma cell amafa, komanso kulemera kwa thupi kumakulanso.

Amavomerezedwa kuti ngati magazi a capillary ndi venous ayesedwa, zotsatira zake zimatha kusinthasintha pang'ono. Chifukwa chake, pozindikira zomwe zili bwinobwino shuga, zotsatira zake zimakhala zochulukirapo. Mulingo wamba wamadzimadzi magazi ndi 3.5-6.1, magazi a capillary ndi 3.5-5.5. Mchitidwe wa shuga mutatha kudya, ngati munthu ali wathanzi, amasiyana pang'ono ndi izi, akukwera mpaka 6.6. Pamwamba pa chizindikiro ichi mwa anthu athanzi, shuga samachuluka. Koma musakhale ndi mantha kuti shuga ya magazi ndi 6,6, chochita - muyenera kufunsa dokotala. Ndizotheka kuti kafukufuku wotsatira akhale ndi zotsikirapo. Komanso, ngati mungapange kusanthula kamodzi, shuga wamagazi, mwachitsanzo, 2.2, muyenera kubwereza kusanthula kwanu.

Chifukwa chake, sikokwanira kungoyesa shuga kamodzi kokha kuti mudziwe matenda a shuga. Ndikofunikira maulendo angapo kuti muwone kuchuluka kwa shuga m'magazi, momwe nthawi iliyonse imatha kupitilira muyeso wosiyanasiyana. Mapindikira apakati akuyenera kuwunikiridwa. Ndikofunikanso kuyerekezera zotsatirazo ndi zizindikiro ndi deta yoyeserera.Chifukwa chake, mukalandira zotsatira za mayeso a shuga, ngati 12, choti muchite, katswiri adzakuuzani. Zotheka kuti ndi shuga 9, 13, 14, 16, matenda a shuga atha kukayikiridwa.

Koma ngati chizolowezi cha shuga m'magazi chitha kupitirira apo, ndipo zizindikiritsozo kuyambira chala ndi 5.6-6.1, ndipo kuchokera m'mitsempha ndikuyambira 6.1 mpaka 7, izi zimadziwika kuti prediabetes(kulolerana kwa shuga).

Ndi zotsatira kuchokera mu mtsempha wa oposa 7 mmol / l (7.4, etc.), ndipo kuchokera chala - pamwamba pa 6.1, tikulankhula kale za matenda ashuga. Pa mayeso odalirika a matenda a shuga, mayeso amagwiritsidwa ntchito - glycated hemoglobin.

Komabe, popanga mayeso, zotsatira zake nthawi zina zimatsimikiziridwa kuti zimakhala zochepa poyerekeza ndi shuga wamagazi mwa ana ndi akulu omwe amapereka. Kodi shuga ndi chiyani mwa ana amapezeka pagome pamwambapa. Ndiye ngati shuga ndi ochepa, amatanthauza chiyani? Ngati mulingo wachepera 3.5, izi zikutanthauza kuti wodwalayo wapanga hypoglycemia. Zomwe zimapangitsa kuti shuga achepetse amatha kukhala othandizira, ndipo amatha kukhala ogwirizana ndi pathologies. Mwazi wamagazi umagwiritsidwa ntchito pofufuza matendawa ndikuwunika momwe chithandizo cha matenda a shuga chikugwirira ntchito komanso chiphuphu cha shuga. Ngati glucose musanadye, ola limodzi kapena maola awiri mutatha kudya, osapitilira 10 mmol / l, ndiye kuti mtundu wa 1 shuga umalipidwa.

Mtundu wachiwiri wa matenda ashuga, njira zowunikira zimagwira. Pamimba yopanda kanthu, mulingo sayenera kukhala wapamwamba kuposa 6 mmol / l, masana chovomerezeka sichiri kuposa 8,25.

Anthu odwala matenda ashuga ayenera kuyeza magazi awo pogwiritsa ntchito mankhwala magazi shuga mita. Kuunikira moyenera zotsatirazi zikuthandizira tebulo loyeza ndi glucometer.

Kodi shuga amapezeka motani tsiku lililonse kwa munthu? Anthu athanzi ayenera kupanga mokwanira zakudya zawo popanda maswiti ogwiritsa ntchito molakwika, odwala omwe ali ndi matenda ashuga - amatsatira malangizo a dokotala mosamala.

Chizindikiro ichi chikuyenera kuyang'anira akazi. Popeza azimayi ali ndi mawonekedwe ena a kuthupi, kuchuluka kwa shuga mumagazi kumatha kusiyanasiyana. Kuchuluka kwa glucose sikuti nthawi zonse kumakhala matenda. Chifukwa chake, popanga kuchuluka kwa shuga m'magazi mwa akazi, ndikofunikira kuti kuchuluka kwa shuga m'magazi sikumadziwika pakapita msambo. Munthawi imeneyi, kuwunikaku kungakhale kosadalirika.

Mwa azimayi patatha zaka 50, nthawi ya kusintha kwa thupi, kusintha kwakukulu kwa mahomoni kumachitika m'thupi. Pakadali pano, zosintha zimachitika mu kayendedwe ka chakudya. Chifukwa chake, amayi opitirira 60 ayenera kumvetsetsa kuti shuga amayenera kuwunika pafupipafupi, kwinaku akumvetsetsa kuchuluka kwa shuga m'magazi.

Kuchuluka kwa glucose wamagazi mwa amayi apakati amathanso kusintha. At mimba Chizindikirochi chimawerengedwa kuti ndi chosiyana ndi chizolowezi mpaka 6.3. Ngati kuchuluka kwa shuga mwa amayi oyembekezera kukupitilira 7, uwu ndi mwayi wowunikira pafupipafupi komanso kusankhidwa kwa maphunziro owonjezera.

Mulingo wa shuga wamagazi mwa amuna ndi wokhazikika: 3.3-5.6 mmol / l. Ngati munthu ali wathanzi, kuchuluka kwa glucose mwa amuna sikuyenera kukhala okwera kapena otsika kuposa izi. Chizindikiro chokhazikika ndi 4,5, 4.6, ndi zina. Kwa iwo amene ali ndi chidwi ndi mndandanda wazikhalidwe za abambo malinga ndi zaka, ziyenera kukumbukiridwa kuti mwa amuna pambuyo pa zaka 60 ndizokwera.

Zizindikiro za High shuga

Shuga wowonjezera amatha kutsimikiziridwa ngati munthu ali ndi zizindikilo zina. Zizindikiro zotsatirazi zomwe zikuwonetsedwa mwa munthu wamkulu komanso mwana ziyenera kumuchenjeza:

• kufooka, kutopa kwambiri,
• cholimbikitsidwa kulakalaka Kuchepetsa thupi,
• ludzu ndi kumverera kosalekeza kukamwa kowuma
• kukoka kambiri komanso pafupipafupi, maulendo a usiku kupita kuchimbudzi ndi chikhalidwe,
• mafinya, zilonda ndi zotupa zina pakhungu, zotupa zotere sizichira,
• kuwonetsedwa pafupipafupi kwa kuyabwa m'misempha, kumaliseche,
• kukulira chitetezo chokwanirakuchepa kwa magwiridwe antchito, kuzizidwa pafupipafupi, ziwengomwa akulu
• kuwonongeka kowoneka, makamaka mwa anthu omwe ali ndi zaka zopitilira 50.

Kuwonetsedwa kwa zisonyezo zotere kungasonyeze kuti pali kuchuluka kwa glucose m'magazi. Ndikofunikira kulingalira kuti zizindikiritso za shuga wambiri zimatha kuwonetsedwa kokha mwa zina mwazowonetsa. Chifukwa chake, ngakhale pokhapokha ngati zizindikiro za kuchuluka kwa shuga zikuwoneka mwa munthu wamkulu kapena mwana, muyenera kuyesedwa ndi kudziwa shuga. Kodi ndi shuga wanji, ngati wokwera, chochita, - zonsezi zimatha kupezedwa mwa kufunsira katswiri.

Gulu lomwe lili pachiwopsezo cha matenda ashuga limaphatikizapo omwe ali ndi mbiri ya banja la matenda ashuga, kunenepa, matenda a kapamba, etc. Ngati munthu ali mgululi, ndiye kuti phindu limodzi silitanthauza kuti matendawo kulibe. Kupatula apo, matenda ashuga nthawi zambiri amapezeka popanda zizindikiro ndi mawonekedwe, osatsimikizira. Chifukwa chake, ndikofunikira kuyesa mayeso angapo nthawi zosiyanasiyana, chifukwa mwina pakakhala kuti pali zomwe zikuwonetsedwazo, zomwe zikuwonjezereka zimachitika.

Ngati pali zizindikiro zoterezi, shuga wamagazi amakhalanso wapamwamba kwambiri panthawi yoyembekezera. Pankhaniyi, ndikofunikira kudziwa zomwe zimayambitsa shuga wambiri. Ngati glucose panthawi yapakati imakwezedwa, kodi izi zikutanthauza chiyani komanso zoyenera kukhazikitsa podzikhazikitsa, dokotala ayenera kufotokozera.

Tiyeneranso kukumbukira kuti kuwunikira kolimbikitsa kwabwino ndikothekanso. Chifukwa chake, ngati chizindikiro, mwachitsanzo, 6 kapena shuga wamagazi, izi zikutanthauza chiyani, zitha kutsimikizika pokhapokha maphunziro obwereza kangapo. Zoyenera kuchita ngati mukukayika, ndizomwe zimawonetsa dokotala. Pozindikira, atha kukuwonetsani mayeso owonjezera, mwachitsanzo, mayeso ololera a glucose, mayeso okhudza shuga.

Kodi mayeso ololera a glucose amachitika bwanji?

Adatchulidwa kuyeserera kwa shugae ikuchitika kuti adziwe zobisika za matenda a shuga, komanso ndi thandizo zimatsimikiziridwa ndi matenda a kusokonezeka mayamwidwe, hypoglycemia.

NTG (kulolerana kwa shuga) - ndi chiyani, adokotala amafotokozera mwatsatanetsatane. Koma ngati chikhalidwe chololera chikuphwanyidwa, ndiye kuti theka la anthu odwala matenda ashuga amatenga zaka zopitilira 10, 25% izi sizisintha, ndipo 25% imazimiririka.

Kusintha kwa kulolerako kumathandizira kutsimikiza kwa zovuta za carbohydrate metabolism, zobisika komanso zowonekera. Ziyenera kukumbukiridwa mukamayesa mayeso omwe phunziroli limakupatsani mwayi wofotokozera za vutoli, ngati mukukayika.

Kuzindikira koteroko ndikofunikira makamaka pazinthu ngati izi:

• ngati palibe chizindikiro cha kuchuluka kwa shuga m'magazi, ndipo mkodzo, cheke chimavumbulutsa shuga nthawi ndi nthawi.
• makamaka ngati palibe zizindikiro za matenda ashuga, zimadziwoneka zokha polyuria- kuchuluka kwa mkodzo patsiku kumachulukana, pomwe kuchuluka kwa glucose kumakhala koyenera,
• kuchuluka kwa shuga mkodzo wa mayi woyembekezera panthawi yotseka mwana, komanso mwa anthu omwe ali ndi matenda a impso komanso chithokomiro,
• ngati pali zizindikiro za matenda ashuga, koma shuga kulibe mkodzo, ndipo zomwe zili m'magazi ndizabwinobwino (mwachitsanzo, ngati shuga ndi 5.5, mukamayang'anidwanso ndi 4,4 kapena kutsika, ngati 5.5 nthawi yapakati, koma zizindikiro za matenda ashuga zimachitika) ,
• ngati munthu ali ndi masanjidwe amtundu wa matenda ashuga, koma palibe zizindikiro za shuga,
• mwa amayi ndi ana awo, ngati kulemera kwa kubadwa kwa amenewo kunali koposa 4 makilogalamu, pambuyo pake kulemera kwa mwana wazaka chimodzi kulinso kwakukulu,
• mwa anthu ndi mitsempha, retinopathy.

Kuyesedwa, komwe kumayesa NTG (kulolera shuga), kumachitika motere: poyamba, munthu yemwe akuyesedwa amakhala ndi m'mimba yopanda magazi kuti atenge magazi kuchokera ku capillaries. Pambuyo pake, munthu ayenera kudya magalamu 75 a shuga. Kwa ana, mlingo mu magalamu amawerengedwa mosiyanasiyana: 1 makilogalamu kulemera 1.75 g shuga.

Kwa iwo omwe ali ndi chidwi, magalamu 75 a shuga ndi kuchuluka kwa shuga, ndipo ngakhale ndi koyenera kudya kuchuluka kotere, mwachitsanzo, kwa mayi woyembekezera, muyenera kudziwa kuti pafupifupi shuga wofanana amapezeka, mwachitsanzo, chidutswa cha mkate.

Kulekerera kwa glucose kumatsimikiziridwa ola 1 ndi 2 zitatha izi. Zotsatira zodalirika kwambiri zimapezeka pambuyo pa ola limodzi pambuyo pake.

Kuyesa kulolera kwa glucose kumatha kukhala pa tebulo la zizindikiro, mayunitsi - mmol / l.

Kenako, tsimikizani mkhalidwe wa kagayidwe kazakudya. Mwa izi, ma coefficients amawerengedwa:

• Hyperglycemic- akuwonetsa momwe glucose amakhudzana ndi ola limodzi pambuyo pothira shuga kusala magazi. Chizindikiro ichi sichiyenera kupitirira 1.7.
• Hypoglycemic- akuwonetsa momwe glucose amakhudzira patatha maola awiri pambuyo poti shuga ayambitse magazi. Chizindikiro ichi sichiyenera kupitirira 1.3.

Ndikofunikira kuwerengera ma coefficients awa, chifukwa nthawi zina, pambuyo poyeserera kulekerera kwa glucose, munthu samatsimikiziridwa ndi zowonetsera zowonetsera zakusokonekera, ndipo imodzi mwazomwezi ndizochulukirapo.

Pankhaniyi, tanthauzo lazotsatira zokayikitsa limakhazikika, ndiye kuti pa matenda a shuga ndiye munthu amene ali pachiwopsezo.

Glycated hemoglobin - ndi chiyani?

Zomwe zimayenera kukhala shuga wamagazi, zotsimikizika ndi magome omwe adasungidwira pamwambapa. Komabe, pali kuyesanso kwina komwe kumalimbikitsa kuti anthu azindikire matenda ashuga. Amayitanidwa glycated hemoglobin mayeso - omwe glucose amalumikizidwa m'magazi.

Wikipedia ikuwonetsa kuti kusanthula kumatchedwa mulingo hemoglobin HbA1C, yereketsani izi. Palibe kusiyana kwa zaka: zofananira ndizofanana kwa akulu ndi ana.

Phunziroli ndi labwino kwambiri kwa onse adotolo komanso odwala. Kupatula apo, zopereka zamagazi ndizovomerezeka nthawi iliyonse masana kapena ngakhale madzulo, osati pamimba yopanda kanthu. Patsi

Nthawi kapena kupatuka

Kuwona kuchuluka kwa shuga m'magazi ndi imodzi mwazoyeserera zovomerezeka za gulu lililonse lazachipatala. Komanso kuyang'anira kuchuluka kwa shuga ndizofunikira kwambiri kwa anthu omwe ali ndi matenda ashuga. Kukwaniritsa zizindikiritso zovuta za shuga kumakhala ndi zotsutsana ndi machitidwe onse a thupi.

Pali zizindikiro zingapo zosonyeza kulolera kwa shuga. Potere, kuti mupeze boma la prediabetesic ndi chikhalidwe cha munthu aliyense, kuwunika kumachitika pamimba yopanda kanthu m'mawa ndipo patatha maola ochepa mutatha kudya. Pali zizindikiro zingapo zomwe zimawoneka ngati zabwinobwino:

Tiyenera kukumbukira kuti zizindikirozi zitha kukhala ndi tanthauzo lililonse. Kukhalapo kwa vuto kumawonetsedwa ndi kuchuluka kwakanthawi imodzi kwamagulu abwinobwino. Izi zikutanthauza kuti thupi limaphwanya ntchito za kapamba, zomwe zimapangitsa kuti mafuta abwinobwino.

State prediabetesic ayenera kuthandizidwa, chifukwa, izi zimapangidwira, zomwe zimatchedwa kuti curve ya shuga.

Zotheka

Aliyense amadziwa kuwonjezeka kwa shuga m'njira zosiyanasiyana. Ena omwe ali ndi shuga wamagulu 13 amamva kuchepa kwamphamvu muumoyo wawo, kwa ena zimatha kukhala zopanda chizindikiro.

Odwala omwe alibe matenda a shuga, koma kuyezetsa magazi kumawonetsa kuchuluka kwa glucose kuposa 13 mmol / l, hyperglycemia mwina ndi chifukwa:

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

• kutupa kapena kupangika kwa ma pancreas,
• kutopa kwambiri,
• zolakwika za endocrine dongosolo,
• vuto la impso ndi chiwindi,
• kusintha kwa mahomoni m'thupi chifukwa cha pakati, kusintha kwa kusintha kwa thupi,
• kukula kwa matenda ashuga.

Kuwonjezeka koteroko kwa shuga kwa wodwala yemwe ali ndi matenda osokoneza bongo kungachitike chifukwa cha:

• zakudya zosokoneza
• mankhwala osaneneka komanso majakisoni,
• kusokonezeka kwa mahomoni
• kukhalapo kwa zizolowezi zoipa: kusuta fodya komanso kumwa mowa,
• Mankhwala osankhidwa bwino
• mavuto ndi impso, chiwindi ndi kapamba,
• mavuto ndi mafupa am'mimba,
• matenda oyambitsidwa ndi tizilombo komanso matenda opatsirana.

Mtengo wa 13.2 ndi wapamwamba ndiwowopsa kwa odwala matenda a shuga ndipo amafunika kukhazikika. Mulimonsemo, musanafufuze za vutoli, cholakwika chodziwikiratu sichiyenera kuphatikizidwa. Kuti muchite izi, kuwunikanso njira zina zowonjezera zowunika ndizomwe zimayikidwa. Ngati kudwala kwa shuga kwa wodwala sikuchepetsedwa nthawi, zotsatirazi ziyenera kuyembekezeredwa:

• chitukuko cha matenda ashuga
• mawonekedwe a eczema, zilonda zam'mimba,
• zigawenga
• mavuto
• kutayika kwamaso, kuwonongeka kwa retina.

Kuzindikira matenda ashuga

Odwala asanapezeke ndi matenda a shuga, amawatumizira kuti akathandizenso magazi. Kuphatikiza apo, kuyezetsa kumachitika pakukula kwa glycemia ndi kulekerera kwa shuga, magazi amatengedwa chifukwa cha glycated hemoglobin ndi c-peptides.

Zonsezi zimatilola kuti tilingalire za momwe chizindikirocho chimakulira musanadye komanso pambuyo, momwe kapamba amagwirira ntchito pakadali pano komanso momwe thupi limazindikirira bwino insulin. Mayeso onsewa amathandizira kudziwa molondola kupezeka kwa matenda ashuga kapena kutsutsa lingaliro ili.

Njira yodziwikiratu yoyesera ndi kuyesa kwa ultrasound ndi kutumiza mkodzo kuti muunikidwe. Kuvomerezedwa ndikuchezera kwa oncologist, neurologist ndi endocrinologist. Ndikofunikira kuzindikira vutoli ndikuchotsa posachedwa, nthawi ina likuwopseza kuyamba kwa njira zosasintha zomwe zimayambitsa kulumala ngakhale kufa.

Kuzindikira kwa matenda otsatirawa kumatithandizanso kuzindikira matenda ashuga:

• kukodza pafupipafupi
• kamwa yowuma
• ludzu lalikulu
• kusanza ndi kusanza kwakanthawi
• kutopa, kusweka, ulesi,
• kulephera kupuma kwathunthu.

Kutengera ndi chidziwitso ichi, titha kunena kuti ndizosatheka kuzindikira bwino chizindikiro chofunikira cha shuga, chomwe chimasankha mtundu wa matenda. Pali zosiyana pakawonetsedwe ka hyperglycemia, kutengera mtundu wa matenda ashuga. Chifukwa chake mtundu woyamba wa shuga umadziwika ndi kufinya kwamphamvu thupi, komwe kumayambitsa ketoacidosis. Mtundu wachiwiri umatsatiridwa ndi kusowa kwamadzi, ngakhale kuti mkhalidwe wa odwala ndi wosowa, koma umafunikira chithandizo chamankhwala.

Panthawi yamavuto obwera chifukwa cha kupweteka kwa ketoacidotic, zizindikiro zotsatirazi zimatha kuchitika:

Timapereka kuchotsera kwa owerenga tsamba lathu!

• urinalasis ikuwonetsa shuga,
• chinyezi chonse chimachotsedwa m'thupi mwachangu.
• matupi a ketone amadziunjikira m'thupi chifukwa cha kuchuluka kwa mafuta minofu,
• kutopa, kufooka,
• khungu liuma kwambiri
• mpweya woipa kuchokera mkamwa mwa wodwala,
• kupukusa pamene akupumira.

Momwe mungachepetse shuga

Milandu yomwe shuga yotsika mtengo imakhala yokwezeka kwambiri, yopitilira 13.3 mmol / l ndipo nthawi zambiri imachulukirapo, chithandizo chimatsimikiziridwa ndi endocrinologist wokhazikika. Njira yamankhwala imatsimikiziridwa potengera zomwe zimayambitsa kuwonjezeka kotere.

Njira zazikulu zakuchiritsira ndi izi:

• zakudya zoyenera
• thanzi,
• kugwiritsa ntchito mankhwala azikhalidwe - decoctions, tinctures.

Kuti mukhale ndi thanzi labwinobwino, ndi shuga wambiri m'magazi, mutha kudya mabulosi osaposa 200 g patsiku. Zipatso ndi masamba zimakhala ndi ma tannins ndi glycosides.Zodzikongoletsa zamasamba, zomwe zimatenga 1/3 kapu katatu pa tsiku, ndizothandiza.

Kumbukirani kuti matenda ashuga amakhudza ziwalo zonse za mthupi ndi machitidwe a thupi. Kubwezeretsa magwiridwe antchito amthupi, odwala matenda a shuga ayenera kudya moyenera. Mankhwala ayenera kukhala ochepa, koma pali zakudya zosachepera zisanu patsiku.

Ndikofunikira pakakhala njala. Anthu odwala matenda ashuga amalangizidwa kuti apange mndandanda wa sabata, kuwerengetsa zopezeka mu calorie, chakudya chamagulu ndi mndandanda wazakudya ndi mbale.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Kangati patsiku muyenera kuyeza shuga

Kuti muchepetse matenda a shuga, muyenera kudziwa momwe shuga yanu imakhalira tsiku lonse. Kwa odwala matenda ashuga ambiri, vuto lalikulu limachulukitsidwa m'mawa m'mimba yopanda kanthu, kenako ndikudya cham'mawa. Mwa odwala ambiri, shuga amawonjezereka kwambiri pambuyo pa nkhomaliro kapena madzulo. Mkhalidwe wanu ndiwopadera, wosafanana ndi wina aliyense. Chifukwa chake, timafunikira mapulani pawokha - zakudya, jakisoni wa insulin, kumwa mapiritsi ndi zochitika zina. Njira yokhayo yopezera chidziwitso chofunikira pakuwongolera matenda a shuga ndikuwunika shuga wanu pafupipafupi ndi glucometer. Zotsatirazi zikufotokoza kangati patsiku muyenera kuyeza.

Kuyang'anira magazi konse ndikamayesa:

• m'mawa - titangodzuka,
• kenako - musanayambe kudya chakudya cham'mawa,
• Maola 5 mutatha jakisoni aliyense wa insulin,
• pamaso chakudya chilichonse kapena chakudya.
• mukatha kudya chilichonse kapena zakudya zina - patatha maola awiri,
• musanagone
• musanakhale ndi maphunziro akuthupi, zochitika zovuta, zoyeserera zamphamvu kuntchito,
• mukangomva njala kapena kukayikira kuti shuga yanu ndiyapansi kapena kuposa apo,
• musanayendetse galimoto kapena kuyamba kugwira ntchito zoopsa, ndipo kenako ola lililonse mpaka mutamaliza,
• pakati pausiku - kupewa mankhwalawa hypoglycemia.

Nthawi iliyonse mukatha kuyeza shuga, zotsatira zake ziyenera kulembedwa mu diary. Sonyezani nthawi ndi zochitika zina:

• Zomwe adadya - zakudya, magalamu angati,
• insulin yomwe idalowetsedwa komanso mlingo uti
• mapiritsi a shuga omwe adamwa
• watani
• zolimbitsa thupi
• wokometsedwa
• matenda opatsirana.

Lemberani zonsezo, bweretsani. Ma cell amakumbukidwe a mita samalola kujambula zochitika zotsatana. Chifukwa chake, kuti musunge zolemba, muyenera kugwiritsa ntchito cholembera pepala, kapena bwino, pulogalamu yapadera mufoni yanu. Zotsatira za kuwunika kwathunthu kwa glucose zimatha kusanthula palokha kapena palimodzi ndi dokotala. Cholinga ndikuti mupeze nthawi yanji masana komanso chifukwa chake shuga wanu sakhala wabwinobwino. Ndipo, mogwirizana ndi izi, chitani ndondomeko - yambirani dongosolo la chithandizo cha matenda ashuga.

Kudziletsa kwathunthu kwa shuga kumakupatsani mwayi wowunika momwe zakudya zanu, mankhwala, maphunziro akuthupi ndi jakisoni wa insulin alili. Popanda kuwunikira mosamala, ma charlatans okha ndi omwe "amathandizira" matenda a shuga, pomwe pamakhala njira yolunjika kwa dotolo kuti akadule phazi ndi / kapena kwa nephrologist kuti adayetse matenda. Ochepa odwala matenda ashuga omwe ali okonzekera kukhala tsiku ndi tsiku mu njira zomwe tafotokozazi. Chifukwa mtengo wamiyeso yoyesa kwa glucometer ukhoza kukhala wokwera kwambiri. Komabe, yang'anirani kwathunthu magazi osachepera tsiku limodzi sabata lililonse.

Ngati mukuwona kuti shuga wanu wayamba kusinthasintha mwanjira ina, ndiye kuti ingokhalani masiku angapo mumachitidwe owongolera mpaka mutapeza ndikuchotsa zomwe zimayambitsa. Ndikofunika kuphunzirira nkhani ya "Zomwe zimakhudza shuga. Momwe mungathetsere kudumpha ndi kukhalabe kwabwinobwino. ” Ndalama zochulukirapo zomwe mumagwiritsa ntchito poyesa mita ya glucose, mumasunga ndalama zambiri pochiza zovuta za shuga.Cholinga chachikulu ndikukhala ndi thanzi labwino, kupulumuka anzanu ambiri osakhala okalamba. Kusunga magazi nthawi zonse osapitilira 5.2-6.0 mmol / L ndi zenizeni.

Mafunso Ofunsidwa Kawirikawiri

Ngati mwakhala zaka zingapo ndi shuga wambiri, 12 mmol / L ndi kupitilirapo, ndiye kuti sibwino kuti muchepetse mwachangu mpaka 4-6 mmol / L, monga mwa anthu athanzi. Chifukwa zizindikiro zosasangalatsa komanso zowopsa za hypoglycemia zitha kuwoneka. Makamaka, zovuta za shuga m'masomphenya zimatha kukula. Ndikulimbikitsidwa kuti anthu oterowo ayambe kutsitsa shuga mpaka 7-8 mmol / L ndikulola kuti thupi lizolowere mkati mwa miyezi 1-2. Ndipo kenako pitirirani kwa anthu athanzi. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Ndi shuga uti amene muyenera kulimbana naye. ” Ili ndi gawo "Mukafunikira makamaka shuga."

Nthawi zambiri simumayesa shuga ndi glucometer. Kupanda kutero, akadazindikira kuti buledi, chimanga ndi mbatata zimachulukitsa chimodzimodzi ndi maswiti. Mutha kukhala ndi matenda osokoneza bongo kapena matenda oyamba a shuga 2. Kuti mumvetse bwino za matendawa, muyenera kupereka zambiri. Momwe angapangidwire - afotokozedwa mwatsatanetsatane m'nkhaniyi. Njira yayikulu yochepetsera ndi zakudya zamafuta ochepa.

Shuga m'mawa pamimba yopanda kanthu amadzuka chifukwa m'maola angapo m'mawa, chiwindi chimachotsa insulini m'magazi. Izi zimatchedwa chodabwitsa cha m'bandakucha. Amapezeka mwa odwala ambiri omwe ali ndi matenda amtundu wa 2 komanso a 2. Werengani zambiri kuti mudziwe bwanji shuga m'mimba popanda kanthu. Ili si ntchito yosavuta, koma yotheka. Muyenera kulangidwa. Pakatha milungu itatu, chizolowezi chokhazikika chimakhazikika, ndipo kutsatira njirazo kudzakhala kosavuta.

Ndikofunikira kuyeza shuga m'mawa uliwonse pamimba yopanda kanthu. Ngati mungabaye insulin musanadye, muyenera kuyeza shuga musanadye jekeseni iliyonse, ndipo kenanso maola awiri mutatha kudya. Izi zimapezeka 7 pa tsiku - m'mawa mopanda kanthu m'mimba komanso zina kawiri pachakudya chilichonse. Ngati muli ndi matenda ashuga amtundu wa 2 ndipo mumawongolera ndi zakudya zamafuta ochepa osabaya jakisoni wothamanga, ndiye kuyeza shuga maola awiri mutatha kudya.

Pali zida zomwe zimatchedwa pitilizani kuunika magazi. Komabe, ali ndi cholakwika chachikulu kwambiri poyerekeza ndi glucometer wamba. Mpaka pano, Dr. Bernstein sanalangizebe kuzigwiritsa ntchito. Komanso, mtengo wawo umakhala wokwera.

Yesani nthawi zina kuboola ndi chala chanu osati zala zanu, koma mbali zina za khungu - kumbuyo kwa dzanja lanu, mkono wamanja, ndi zina. Nkhani ili pamwambapa ikufotokoza momwe mungachitire izi. Mulimonsemo, sinthani zala za manja onse awiri. Osamamenyetsa chala chomwecho nthawi zonse.

Njira yokhayo yochepetsera shuga mwachangu ndikumabaya insulin yochepa kapena yochepa kwambiri. Zakudya zamafuta ochepa zimatsika shuga, koma osati nthawi yomweyo, koma mkati mwa masiku atatu. Mitundu yina ya 2 ya matenda ashuga mwachangu. Koma ngati mutawatenga pa Mlingo wolakwika, ndiye kuti shuga akhoza kutsika mopitirira muyeso, ndipo munthu amatha kuzindikira. Zithandizo zachikhalidwe ndi zachinyengo, sizithandiza konse. Matenda a shuga ndi matenda omwe amafunikira chithandizo chamankhwala, kulondola, kulondola. Mukamayesetsa kuchita zinthu mwachangu, mwachangu, mutha kungovulaza.

Muyenera kuti muli ndi matenda ashuga amtundu woyamba. Yankho lenileni la funsoli linaperekedwa m'nkhani yakuti: “Maphunziro azachilengedwe a matenda ashuga.” Mulimonsemo, zabwino zolimbitsa thupi mumapeza kuposa zovuta. Osasiya maphunziro akuthupi. Pambuyo poyesera kangapo, mupeza momwe mungakhalire shuga wabwinobwino musanayambe kuchita masewera olimbitsa thupi komanso pambuyo pake.

M'malo mwake, mapuloteni amawonjezera shuga, koma pang'onopang'ono komanso osatinso michere. Cholinga chake ndikuti gawo la mapuloteni adyidwa m'thupi limasandulika kukhala glucose. Werengani nkhani yakuti "Mapuloteni, Mafuta, Zakudya Zam'madzi, ndi CHIKWANGWANI CHA CHAKUDYA CHOKHALITSA" Ngati mutsatira zakudya zamafuta ochepa kuti muchepetse matenda ashuga, muyenera kuganizira kuchuluka kwa mapuloteni omwe mumadya kuti muwerenge kuchuluka kwa insulin.Anthu odwala matenda ashuga omwe amadya chakudya chamagulu omwe amakhala ndi chakudya chambiri sazindikira mapuloteni. Koma ali ndi mavuto enanso ...

• Momwe mungayesere shuga ndi glucometer, kangati patsiku muyenera kuchita izi.
• Momwe mungasungire zolemba za matenda a shuga komanso motani
• Mitengo ya shuga m'magazi - chifukwa chake amasiyana ndi anthu athanzi.
• Zoyenera kuchita ngati shuga ndiwambiri. Momwe mungachepetse ndikuisunga bwino.
• Zida zamankhwala othandizira odwala matenda ashuga okalamba komanso otsogola.

Zomwe zili m'nkhaniyi ndiye maziko a pulogalamu yanu yolimbana ndi matenda a shuga. Kukhala ndi shuga wokhazikika, wathanzi, monga mwa anthu athanzi, ndizotheka kukwaniritsa ngakhale matenda a shuga 1, komanso makamaka ndi matenda a shuga 2. Mavuto ambiri sangathe kuchepetsedwa, komanso kuchiritsidwa kwathunthu. Kuti muchite izi, simuyenera kufa ndi njala, kuvutika m'makalasi ophunzitsa zolimbitsa thupi kapena kubaya Mlingo waukulu wa insulin. Komabe, muyenera kukulitsa kulanga kuti muzitsatira boma.