Mwazi wa Magazi 16-16

Matenda a shuga ndi njira yokhayo yomwe pali kuchuluka kwakukulu kwa shuga m'magazi. Zizindikiro zazikulu zonse za matendawa zimagwirizanitsidwa ndi hyperglycemia - zovuta mu shuga zimanenedweratu ndi momwe zimaperekedwera.

Ndi kuchuluka kwa glucose, kuwonongeka kwa khoma la mtima kumachitika komanso matenda a impso, mavuto ndi zotumphukira zamitsempha yamagazi, retina, ndi zina zimayambira. Ndi chithandizo chamankhwala osayenerera kapena chokwanira, munthu wodwala matenda ashuga amakula chifukwa cha kusinthasintha kwa shuga - panthawiyi, chithandizo chamankhwala chofunikira chimafunikira.

Kuti wodwalayo asakuwonjezere, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulini. Thupi panthawi yopereka chithandizo limafunikira zolimbitsa thupi zolimbitsa thupi. Ngati mukudya kwambiri komanso pakulimbitsa inulin, shuga imatha kudumphira 16 mpaka pamwamba.

Chifukwa chiyani shuga imayamba kukhala ndi hyperglycemia

Ngati magazi a shuga akwera, chomwe chimapangitsa ndi kusowa kwa insulin. Zosokoneza zotere zimatha kuchitika chifukwa cha mankhwala osokoneza bongo komanso kuchepa kwa kukana kwa thupi, kupsinjika, komanso ma virus. Nthawi zambiri matenda a mtundu woyamba amapezeka ngati wodwalayo ali ndi vuto lobadwa nalo.

Ngati matenda amtundu wa 2 apezeka, matenda a insulini atha kukhala ochepa, koma ma insulin omwe sakulabadira mahomoniwo.

Matendawa amtundu wachiwiri amapezeka chifukwa chosowa insulini pang'ono.

Glucose yokhala ndi insulin yolimba imalephera kulowa m'maselo am'kati, omwe samalola kuti magetsi atulidwe. Imakhalabe m'matumbo, pomwe madzi amatuluka kuchokera kumankhwala. Zotsatira zake ndikukula kwam'madzi, chifukwa timadzi tambiri timatulutsa timadzi tambiri ndi impso.

Ngati shuga wa magazi ali ndi zaka 16, muyenera kuchita chiyani ndikuchepetsa vutoli? Chizindikiro ichi chikuwonetsa kuvutikira kwakatundu. Ndi kuwonjezeka kowopsa kwa shuga m'magazi, mphamvu yamanjenje imakhudzidwa, kuthamanga kwa magazi kumawuka, ntchito yamtima ikuipiraipira. Muli mkhalidwe uno, kusokonezeka mu Reflex, Ketoacidosis, ndi chikomokoma kumachitika pafupipafupi.

Kukula kwa matenda a shuga nthawi zambiri kumayesedwa ndi kuchuluka kwa hyperglycemia:

1. Digiri yofatsa imadziwoneka ngati glycemia "pamimba yopanda kanthu" yoposa 8 mmol / l, palibe glucosuria, nthawi zina pamakhala kudziwa kwamkodzo mumkodzo. Monga chipukutiro, chakudya chimaperekedwa, njira zina - malinga ndi momwe zinthu zilili.
2. Yapakatikati - ngati shuga yosala ikutsimikiziridwa 14 mmol / l, glucosuria tsiku ndi tsiku sapitirira 40. Ketoacidosis imatha kuchitika. Chithandizo cha mankhwala chimaperekedwa ndi mapiritsi, insulin.
3. Muzovuta kwambiri, glycemia imaposa 14 mmol / L. Mulingo wambiri wa glucosuria umadziwika, makonzedwe a insulin amawonetsedwa pamtunda waukulu, sizachilendo ndi zotembenukira zotere.

Ngati magazi a shuga ali ndi 16 kapena kuposerapo - kwa odwala matenda ashuga awa ndiwowopsa. Pali chiwopsezo chakuti matendawa amatenga mawonekedwe ovuta ndikuyenda mu ketoacidosis.

The oopsa boma la shuga pamwamba 16

Kodi shuga wamagazi 16 amatanthauza chiyani ndipo tingayembekezere chiyani pamenepa? Mthupi, glucose amayenda mosalekeza - pamodzi ndi magazi, amawupatsa zakudya ndipo amathandizira kupangitsa minyewa yonse ya ziwalo zonse kukhala ndi zinthu zofunika. Umu ndi momwe amapezera mphamvu zofunikira kuti zizigwira ntchito.

Pofuna kuti musaphonye kuwonjezeka kwa shuga mpaka 16, muyenera kutsatira chidwi monga kuchuluka kukodza, ludzu, kumva kukamwa kouma, kugona ndi kuperewera, nseru ndi kusanza. Muyenera kuwachenjeza zovuta za khungu, mawanga achikaso pankhope.

Kodi shuga ayenera kukhala wabwinobwino motani?

Popeza glucose simalowa mthupi la munthu payekha, ndikofunikira kuti zitsimikizidwe kuti chilandiridwa kuchokera kunja. Zake zimapatsidwanso chakudya. Zimabwera ndi zipatso, maswiti, glucose wambiri amapatsa chakudya chama thupi kwambiri mu chakudya. Ngati mulingo wa shuga umakwezedwa, izi zimatchedwa hyperglycemia. Otsika kwambiri, amalankhula za hypoglycemia. M'magazi, kuchuluka kwa shuga sikuyenera kukhala kunja kwa 3, 9-5 mmol / L. Zizindikiro zotere mwa munthu wathanzi zimakhala pafupifupi 4,6 mmol / L kapena apo.

Mutatha kadzutsa, shuga amayamba kuwuka pang'ono. Kenako imabwereranso momwe idakhalira. Kuti mudziwe kuchuluka kwa shuga, kuyesa kwapadera kumachitika. Itha kukhala:

• Phunziro patatha maola awiri mutadya
• Kuyang'ana shuga "pamimba yopanda kanthu"
• Kulekerera kwa glucose
• Hemoglobin glycated.

Kufufuza kumathandizira kudziwa kuchuluka kwa shuga ndikutsatira matendawa munthawi yake. Pokonzekera matendawa, shuga samakula nthawi yayikulu - mavuto azaumoyo amadziunjikira pang'onopang'ono mpaka ziwiya zitayamba kutha. Poyamba, zizindikirazi zimakhalabe zabwinobwino, pomwe kusintha mu boma kwayamba kale. Kuchita kafukufuku kumathandiza kudziwa kuti ndendende zomwe sizikuyenda bwino mthupi.

Mutha kupereka magazi ku hemoglobin mu malo alionse ogwirira ntchito, ndipo glucometer ndi yoyenera kupeza zotsatira zabwino kunyumba. Kuyesedwa makamaka kumachitika maola awiri mutatha kudya.

Kodi ndi ziti zomwe zikuwonetsa kuchuluka kwa shuga kukhala 16

Mawonekedwe akunja akuti kuchuluka kwa glucose mthupi mopitilira muyeso, titha kulembetsa zotsatirazi:

• Kuyamwa mwachangu
• Nthawi zambiri pamakhala ludzu lamphamvu
• Kulemera kapena kuchepa thupi kwambiri zimadziwika,
• Arrhythmias, kutopa kwambiri, kukana thupi,
• Kuuma kwa mucous nembanemba,
• Kufupika, kupumira mphamvu
• Ngati matenda a hyperglycemia apezeka kuti ali ndi vuto lalikulu, kuchepa madzi m'thupi kungayambike, chikumbumtima chitha kuperewera, nthawi zina chimayamba kuphwanya.

Dziwani kuti zizindikilo zonse zazikulu zitha kuonetsa matenda ena, osatinso zowopsa. Ngati mukupeza mawonekedwe alionse olakwika, onetsetsani kuti mukumane ndi dokotala. Muyenera kupatsidwa mayeso, omwe zotsatira zake zimatsimikizira kuti matendawa ndi olondola kwambiri.

Zoyambitsa Hyperglycemia

Zomwe zimapangitsa kuti shuga achulukidwe nthawi zambiri zimakhala zotsatirazi:

• Matenda a shuga - nthawi zambiri, matenda oopsa a hyperglycemia amavomerezeka ngati amadziwika kwambiri ndi matendawa.
• Zakudya zopanda pake. Mavuto azakudya kapena zakudya zopatsa mphamvu zambiri zimatsogolera ku hypoglycemia yovuta kwambiri ndipo nthawi zina sizidalira chiwonetsero cha matenda ashuga.
• Kupsinjika - Kwa odwala omwe ali ndiofooka kukana matenda, hyperglycemia imachitika kawirikawiri. Nthawi zambiri zimayamba motsutsana ndi maziko akumatupa akumaloko.
• Mitundu yosiyanasiyana yamatenda opatsirana.
• Mankhwala, kutenga maphunziro.
• Kuperewera kwa vitamini B m'thupi.

Chifukwa chiyani shuga imatha kufikira 16 mwa akuluakulu

Malinga ndi zomwe madotolo adakumana nazo, hyperglycemia yokhazikika mwa akulu ndikuwonetsera mtundu wa 2 shuga. Zomwe zimathandizira kukulitsa vutoli ndizopumula zochepa, kupanikizika pafupipafupi, kusachita ntchito, komanso kunenepa kwambiri.

Ndikofunika kulingalira padera kuchuluka kwa shuga m'magazi apakati. Hyperglycemia yawo imatha kukhala yakanthawi - izi zimachitika chifukwa cha kukonzanso kwa thupi komanso kusintha kwa mahomoni. Koma nthawi zina, matenda ashuga amatha kukhala mtundu wapadera - matenda osokoneza bongo, omwe amapezeka nthawi ya gestation ndikusowa pambuyo pobereka.

Poyambirira, ndikokwanira kuwunika momwe wodwalayo alili pang'onopang'ono. Koma mukazindikira mtundu wina wamatenda, ayenera kukumbukira kuti akhoza kukhala ovulaza kwa mayi ndikupanga zovuta pakukula kwa mwana wosabadwayo. Dokotala pankhaniyi amapereka mankhwala othandizira, omwe amasankhidwa poganizira momwe wodwalayo alili.

Kutsitsa magazi

Pochiza hyperglycemia, zoyesayesa zazikulu zimapangidwa kuti muchepetse kuchuluka kwa glucose m'magazi, kuthetsa zomwe zidayambitsa matenda. Mankhwala otsatirawa amagwiritsidwa ntchito:

• Insulin mu mawonekedwe a jekeseni yachindunji ndi mlingo wowerengera,
• Kukonzekera kwa pakamwa komwe kumathandizira kuchepetsa shuga,
• Mitundu yayikulu - yankho la soda mu ndende yofooka, zakumwa zambiri,
• Chitani masewera olimbitsa thupi
• Zakudya zosankhidwa mwapadera.

Zakudya, zakudya za odwala matenda ashuga

Mankhwala amakono, zakudya zimawerengedwa kuti ndi chimodzi mwazinthu zazikulu, zomwe zimapangitsa kuti odwala omwe ali ndi hyperglycemia akhale nawo. Chakudya chopatsa thanzi chimagwira ntchito yofunika kwambiri pamankhwala ndikukulolani kuti mukwaniritse kagayidwe kazakudya kabwino. Ngati wodwala ali ndi matenda amtundu 1, muyenera kudya. Ndi mtundu wachiwiri, zakudya zoyenera ndizofunikira kuti thupi likhale lolemera pamlingo woyenera.

Mukamadya, zakudya zimawerengeredwa mogwirizana ndi magawo a buledi, omwe ofanana ndi 10 g a chakudya. Makamaka pazakudya za anthu omwe ali ndi hyperglycemia, matebulo adapangidwa omwe amawonetsa magawo omwe zakudya zambiri zomwe zimaphatikizidwa muzakudya zoyenera zimasonyezedwa.

Posankha magulu azinthu zomwe zizidya tsiku lililonse, zakudya zabwino ndi shuga siziyenera kuphatikizidwa. Pocheperako pang'ono muyenera kudya pasitala, semolina ndi mpunga. Kutsindikiza kuyenera kuyikidwa pama chakudya, zakudya zazitali kwambiri. Chakudya chimayenera kukhala chopindika, kudya tsiku lililonse kumagawika m'magulu atatu azakudya komanso zowonjezera zingapo.

Pamavuto, kupanga insulin kumalepheretsa, ndipo glycogen imamasulidwa ku chiwindi. Pamodzi, izi zimapangitsa kuchuluka kwa shuga m'magazi.

Ngati kuchuluka kwa shuga kukwera mpaka 16, ndibwino kuyimba mwadzidzidzi. Vutoli limatengedwa kuti ndi lalikulu, nthendayi kuwonongeka kotere ndiyowopsa kubweretsa. Kutsatira malingaliro a dokotala, nthawi zambiri ndizotheka kupewa zovuta zambiri.

Pofuna kupewa kukwera m'magazi a shuga, kupewa kuchulukitsa kufika pa 16, ndikofunikira kuyang'anitsitsa momwe thupi liliri. Onetsetsani kuti mwayang'anira kuchuluka kwa glycemia, onetsetsani kuti mumatsata zakudya zomwe zimatsimikizika pazoletsa zochepa za chakudya cham'mimba, ndikuyambitsa boma la kumwa kwambiri. Pangakhale kofunikira kusintha mtundu wa insulin kapena mankhwala ena ngati pali matenda ena, nkhawa, kupsinjika kwa m'maganizo.

Mwazi wa Magazi 16 - Zimatanthauzanji

Odwala ena omwe amakumana ndi hyperglycemia koyamba, pomwe shuga amatha kudumphira mpaka 16.1-16.8 mmol / l ndi kukwera, pali chikhumbo chothana ndi vutoli nthawi yomweyo ndikubweretsa zomwe zikuwonetsa. Koma kutsika kwakuthwa m'magazi m'magazi kungayambitse hypoglycemia.

Kukula kwa hyperglycemia kungatanthauzidwe ndi izi:

• ludzu lochulukirapo
• kuchuluka kwakanenepa kapena kuchepa thupi kwambiri,
• kukodza pafupipafupi,
• kuyanika, khungu
• mawonekedwe osaneneka
• arrhasmia,
• machiritso osavomerezeka, kuvulala, mabala,
• kuperewera kwa chitetezo chamthupi komanso kutengeka mosavuta ndi matenda opatsirana, mavairasi,
• kupuma kwambiri
• dzanzi la miyendo
• kuyabwa

Acute hyperglycemia imabweretsa kusowa kwam'madzi, ketoacidosis, kusokonezeka kwa chikumbumtima, komanso ovuta, kudwala matenda ashuga. Odwala omwe sanadwalidwepo kale ndi matenda ashuga, zomwe zimayambitsa kuchuluka kwa shuga komwe kumafika magawo 16.2 ndi:

• chiyambi cha matenda ashuga. Mkhalidwe wolimbikira wa hyperglycemic ndi chizindikiro chake;
• Zakudya zopatsa thanzi kuchokera ku chakudya chamagulu ochulukirapo,
• mavuto. Kupezeka kwa vuto la post-stress hyperglycemia nthawi zambiri kumawonedwa mwa anthu ofooka chitetezo chamthupi,
• uchidakwa, kusuta,
• kugunda kwa mtima kapena sitiroko
• kutupa kapena khansa ya kapamba.

Shuga amatha kukwera mpaka 16.3 mwa amayi oyembekezera. Koma izi ndizosakhalitsa. Amalumikizidwa ndi kusintha kwa mahomoni m'thupi kapena matenda a shuga. Kwenikweni, imazimiririka pambuyo pobereka. Mulimonsemo, mkazi ayenera kuyang'aniridwa ndi akatswiri nthawi zonse, chifukwa izi sizingachitike monga momwe zimakhalira ndipo zimatha kuvulaza mayi woyembekezera komanso mwana wosabadwayo. Chosangalatsa - matenda a shuga a mwana wosabadwayo.

Nambala ya shuga ya mayunitsi 16.4 imatha kupezeka mwa akhanda. Zomwe zimachitika izi ndizambiri, mwachitsanzo, kusakwanira kwa kutulutsa kwa mahomoni ena kapena kukhazikika kwa shuga kwa mwana wonenepa. Hyperglycemia wosakhalitsa umakwiyitsa kukhazikitsa kwa glucocorticosteroids, kuperewera kwa mpweya, mpweya wambiri, ndi zina zambiri.

Pa anthu odwala matenda ashuga, shuga wambiri m'magazi, ofikira m'migawo ya 16.9 ndi kupitilira, amawonedwa chifukwa cha:

• matenda opatsirana ndi mavairasi,
• kumwa mankhwala ena - corticosteroids, okodzetsa, oletsa beta,
• kuperewera kwa mavitamini,
• kusowa zolimbitsa thupi,
• kuphwanya zakudya zamafuta ochepa omwe adapangidwa ndi endocrinologist,
• kuthamangitsa mankhwala ochepetsa shuga,
• matenda okhudza chiwindi
• kusasamala kwa mahomoni,
• psycho-mtima kwambiri.

Kuti muthane ndi vutoli munthawi yake komanso kupewa mavuto, muyenera kulumikizana ndi katswiri. Adziwitsani zoyenera kuchita kwa wodwala, komanso njira zamankhwala zomwe angasankhe. Munjira zambiri, chithandizo chamankhwala chimatengera zomwe zimayambitsa kukonzekera kwa matenda. Kuti muzindikire, muyenera kudutsanso pamayeso angapo ndikupezanso mayeso.

Kuopsa kotani?

Ngati glycemia singalandire chithandizo ndipo zizindikiro zowopsa zikunyalanyazidwa mosalekeza, matendawa apita patsogolo, ndikuwononga ziwalo zonse zofunika ndi machitidwe. Coma imawonedwa kukhala yowopsa kwambiri. Zizindikiro zake zimayamba pang'onopang'ono. Ndi matenda a shuga omwe amadalira insulin, chikomicho cha ketoacidosis chimachitika, m'njira yopanda insulin yomwe imadalira matenda a chifuwa chachikulu.

Chiwopsezo cha ketoacidosis chimawonjezeka ndi misempha yamagazi ofika mpaka 16,5 mmol / L. Choyamba, thupi limayesetsa kulimbana ndi shuga wambiri pakokha, koma kenako zizindikiro zoyambirira za matendawo zimawonekera:

• dyspepsia
• kupweteka kwam'mimba
• fungo la acetone kuchokera mkamwa - onani nkhani acetone syndrome,
• khungu lowuma
• kufewa kwa nsidze.

Wodwalayo amakhala ndi nkhawa, kenako amagwa. Chithandizo choyambirira chimalimbana ndikuchepetsa kuchuluka kwa shuga komanso kubwezeretsa thupi.

Hyperosmolar coma imadziwika ndi kukula kwanthawi yayitali. Mlingo wa shuga, womwe umapangidwanso ndi mkodzo, umatha kufika 40-50 mayunitsi.

Zizindikiro zake:

• kugona
• kusabala
• ziume zopaka ndi khungu,
• kugwa kwamaso,
• kupuma pafupipafupi
• kusowa kwa fungo la acetone.

Ngati simupereka chithandizo kwa wokhudzidwayo, kukulitsa kulephera kwaimpso ndikotheka. Kuphatikiza apo, kuchuluka kwa glucose komwe kumakhalapo kwa nthawi yayitali kumatha kuyambitsa matenda ena, osatsika kwambiri: gangrene, matenda a shuga, khungu, matenda oopsa, polyneuropathy, nephropathy. Ambiri aiwo amatha olumala.

Zoyenera kuchita ngati shuga ali pamwamba 16

Pambuyo pakupeza zotsatira za kuzindikira, wodwalayo amapatsidwa chithandizo choyenera. Mutha kulipirira matenda a shuga posintha zakudya zanu ndi moyo wanu. Poyamba, mtundu wodwala wa insulin, matenda a insulin ndi mankhwala. Mankhwalawa amaperekedwa kangapo patsiku musanadye. Dokotala amafotokoza momwe angawerengere mankhwalawa, ndipo ndi malamulo ati omwe angagwiritsidwe ntchito popereka mankhwalawo ayenera kutsatira.

Mu mtundu wachiwiri, wosadalira insulini, insulin ingathenso kuikidwa ngati shuga ya magazi ili 16.Amatembenukira ku izi ngati zili choncho ngati njira zochiritsira sizipereka chithandizo chofunikira. Zoyenera kuchita ndi hyperglycemia yomwe wafika pamlingo wovuta kwambiri wa 16.7 ndikukwera?

Chithandizo cha mankhwalawa ndi awa:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russia Academy of Medical Science idatha kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

1. Kukhazikitsidwa kwa insulin. Mlingo umatsimikiziridwa payekhapayekha. Nthawi zambiri ali ndi zizindikiro zosonyeza kuti ali ndi vuto, amagwiritsa ntchito mtundu wa mankhwalawo mwachangu momwe angatulutsire.
2. Kugwiritsa ntchito mapiritsi okhala ndi shuga osakhalitsa, mankhwala akuluakulu kapena zotumphukira za sulfonylurea.
3. Kutsatira ndi boma lakumwa.
4. Kuchita masewera olimbitsa thupi moyenera.
5. Mankhwala othandizira.
6. Kugwiritsa ntchito maphikidwe a anthu wowerengeka. Njira zochiritsira zosagwiritsidwa ntchito masiku onse zitha kuthandizidwa ngati chithandizo chokwanira. Muyenera kukambirana za chithandizo chotere ndi dokotala kuti muchepetse vutoli - maphikidwe odziwika a shuga.

Pazinthu zonse zomwe zilipo, odwala omwe ali ndi shuga a 16.6 mmol / l okhazikika, muyenera kusankha chakudya chochepa cha glycemic:

• bulwheat
• bowa
• mtedza
• kabichi, kuphatikizapo broccoli,
• Yerusalemu artichoke
• Zipatso za malalanje
• sipinachi
• dzungu
• mpendadzuwa
• parsley
• anyezi wobiriwira
• nkhaka
• zukini
• mafuta opindika kapena opindika,
• nyemba
• mbewu zonse.

Zosankha: Apa mutha kupeza mndandanda wathunthu wa glycemic product indices - diabetiya.ru/produkty/glikemicheskij-indeks-produktov.html

Chiletso chikuphatikiza:

• chakudya chofulumira
• zakumwa zozizilitsa kukhosi, zakumwa zozizilitsa kukhosi,
• Zosakaniza zozungulira zogulitsa
• khofi wa chokoleti
• Kuphika batala
• mikate yoyera
• Caramel
• zipatso zokoma
• nyama zamafuta ndi nsomba.

Kugwirizana ndi chakudyacho ndichinthu chofunikira kwambiri pothandizira matenda a shuga komanso polimbana ndi hyperglycemia. Muyenera kudya m'magawo ang'onoang'ono 5-6 patsiku. Ndikofunika kwambiri kumwa madzi ochulukirapo, chifukwa chifukwa cha glucose owonjezera, thupi limayesera kuti lichotse mwachilengedwe, kudzera mu genitourinary system. Zotsatira zake, kusowa kwamadzi kumatha.

Kupewa

Mutha kupewa kuwonjezeka kwambiri kwa glucose pochita zinthu zingapo izi:

• khalani ndi insulin nthawi zonse
• Osamadya zakudya zomwe zili ndi mafuta ochulukirapo, ngakhale okhala ndi thanzi labwino kwambiri,
• kuwunika mlingo wa insulin yoyendetsedwa,
• yikani shuga mwadongosolo. Kuti muchite izi, simuyenera kupita kuchipatala, kudzuka m'mawa kwambiri. Ndikokwanira kupeza glucometer - mita ya shuga yamagazi,
• lekani zolaula zoipa,
• chita masewera olimbitsa thupi pafupipafupi.
• ngati zingatheke, pewani nkhawa komanso nkhawa zosafunikira.

Ndi kuchuluka kwa shuga m'magazi a magawo 16, ndikofunikira kuchita zonse zotheka kukhazikitsa wodwalayo mkhalidwe wake. Nthawi zambiri, mwa anthu odwala matenda ashuga, mphamvu ya ndende imabwezeretsa masiku angapo pambuyo pa insulin.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Zoyambitsa ketoacidosis mu shuga

Kukula kwa ketoacidosis kumachitika ndi glycemia wambiri komanso kuwonjezeka kwa matupi a ketone m'magazi. Choyambitsa chake ndikusowa kwa insulin. Mtundu woyamba wa matenda ashuga umatha kuyamba ndi ketoacidosis pomazindikiritsa mochedwa, ndipo mu mtundu 2 wa matenda a shuga umachitika kumapeto kwa matendawa, pomwe nkhokwe zotsalira zimatopa.

Kukana insulini kapena matenda mwadzidzidzi, kuvulala komanso kuvulala, kugwira ntchito, kutenga ma mahomoni ndi ma okosijeni, ndikuchotsa kapamba kumayambitsa matenda oopsa a hyperglycemia ndi ketoacidosis.

Kuperewera kwa insulin kumapangitsa kukulira kuchuluka kwa glucagon, kukula kwa mahomoni, cortisol ndi adrenaline m'magazi, zomwe zimapangitsa kutsekeka kwa glycogen mu chiwindi ndikupanga shuga m'magazi. Izi zimapangitsa kuti glycemia iwonjezeke. Kuphatikiza apo, popanda insulin, kuwonongeka kwa mapuloteni ndi mafuta kumayamba ndi kuwonjezeka kwa milingo yama amino acid ndi mafuta acids.

Popeza glucose kulibe m'maselo, thupi limayamba kulandira mphamvu kuchokera ku mafuta. mkati mwanjira zotere matupi a ketone amapangidwa - acetone ndi ma organic acid. Mulingo wawo ukakhala wokwezeka kuposa impso zomwe ungayambitse, ketoacidosis imayamba m'magazi. Mafuta ochokera kuzakudya zomwe amadya samatengako ketogeneis.

Vutoli limaphatikizidwa ndi kuperewera madzi m'thupi kwambiri. Ngati wodwalayo sangathe kumwa madzi okwanira, ndiye kuti kutaya kwake kumatha kukhala mpaka 10% ya kulemera kwa thupi, komwe kumapangitsa kutsekeka kwamphamvu m'thupi.

Mtundu wachiwiri wa shuga wokhala ndi kuwonongeka umakonda kuyenda ndi hyperosmolar state. Popeza insulin yomwe ilipo imalepheretsa kupangika kwa matupi a ketone, koma popeza palibe zomwe zimachitika, hyperglycemia imakulanso. Zizindikiro za hyperosmolar decompensation:

• Kutulutsa kwambiri mkodzo.
• Ludzu losatha.
• Kuchepetsa mseru
• Kuchepetsa thupi.
• Kuthamanga kwa magazi.
• Zokwera milingo ya sodium m'magazi.

Zomwe zimayambitsa Hyperosmolar state zimatha kukhala madzi am'mimba ndi gawo lalikulu la mankhwala okodzetsa, kusanza, kapena kutsegula m'mimba.

Palinso kuphatikiza kwa ketoacidosis ndi kuwononga kwa hyperosmolar.

Zizindikiro za ketoacidosis

Matenda a shuga amadziwika ndi kuwonjezeka kwapang'onopang'ono kwa zizindikiro za hyperglycemia. Ketoacidosis imakula mkati mwa tsiku kapena kuposerapo, pomwe pakamwa kowuma kumawonjezeka, ngakhale wodwala akamwa madzi ambiri. Nthawi yomweyo, malaise, kupweteka mutu, kusokonezeka m'matumbo mu mawonekedwe a matenda am'mimba kapena kudzimbidwa, kupweteka kwam'mimba komanso nthawi zina kusanza kumawonjezera odwala.

Kuwonjezeka kwa hyperglycemia kumapangitsa kuti mukhale ndi vuto la kusokonezeka kwa thupi, kuwoneka kwa phokoso komanso kupuma pafupipafupi, khungu limamveka louma komanso lotentha, kununkhira kwa acetone mkamwa, ndipo ndikakanikizidwa motsutsana ndi mawonekedwe amaso, kufewa kwawo kumawululidwa.

Kuyesedwa kwa matenda otsimikizira ketoacidosis kuyenera kuchitika poyambirira kwa hyperglycemia. Pakuyesedwa kwa magazi, kuchuluka kwa shuga kopitilira 16-17 mmol / l kutsimikizika, matupi a ketone amapezeka m'magazi ndi mkodzo. Ku chipatala, kuyesedwa koteroko kumachitika:

1. Glycemia - ola limodzi.
2. Matupi a Ketone m'magazi ndi mkodzo - maola 4 aliwonse.
3. Ma elekitironi pamagazi.
4. Kuyesedwa kwa magazi konse.
5. Magazi a creatinine.
6. Kutsimikiza kwa magazi pH.

Chithandizo cha hyperglycemia ndi ketoacidosis

Wodwala yemwe ali ndi zizindikiro za ketoacidosis nthawi yomweyo amapatsidwa dontho lokhala ndi saline yokhudza thupi ndipo magawo 20 a insulin yochepa amathandizidwa mwachindunji.

Kenako, insulini imapitilirabe kulowetsedwa kudzera m'mitsempha kapena m'matumbo pamiyeso ya magawo 4-10 pa ola limodzi, zomwe zimalepheretsa kuthyoka kwa glycogen ndi chiwindi ndikulepheretsa ketogenesis. Popewa kukhazikika kwa insulini, Albin amatumizidwa mu botolo lomwelo.

Hyperglycemia iyenera kuchepetsedwa pang'onopang'ono, chifukwa kutsika mofulumira kwa shuga kungayambitse osmotic edema, makamaka ku edema ya ubongo. Kwa tsiku muyenera kufikira mulingo wa 13-14 mmol / l. Ngati wodwala sangathe kudya yekha, ndiye kuti amapatsidwa shuga wambiri 5% ngati mphamvu.

Wodwalayo akayambanso kudziwa, ndipo glycemia wakhazikika pamtunda wa 11-12 mmol / l, amalimbikitsidwa: kumwa madzi ambiri, mutha kudya mbewu zamadzimadzi, mbatata zosenda, masamba kapena msuzi wosenda. Ndi glycemia yotere, insulin imayikidwa pang'onopang'ono pang'ono, kenako malinga ndi chizolowezi.

Pochotsa wodwala ku matenda a diabetes ketoacidosis, mankhwala otsatirawa amagwiritsidwa ntchito:

• Sodium chloride 0,9% mu kuchuluka kwa kulemera kwa 7-10% mu maola 12 oyamba.
• Plasma mmalo ndi systolic kuthira pansi 80 mm Hg. Art.
• Potaziyamu mankhwala enaake amawongolera ndi magazi. Choyamba, wodwalayo amalandira kulowetsedwa kwa potaziyamu, kenako kukonzekera kwa potaziyamu kwa sabata limodzi.
• Kulowetsedwa kwa soda sikugwiritsidwa ntchito kawirikawiri kukonza acidosis.

Njira ya 0,45% ya sodium chloride imagwiritsidwa ntchito pochiza matenda a hyperosmolar, ndipo insulin sikugwiritsidwa ntchito kapena kutumikiridwa pa Mlingo wochepa kwambiri. Malangizo kwa odwala omwe akudziwa: kumwa madzi ambiri, zakudya zimatsitsidwa, zakudya zosavuta zimaphatikizidwa. Popewa thrombosis, odwala okalamba amapatsidwa heparin.

Popewa kuwonjezeka kwa shuga wamagazi ndi kukula kwa ketoacidosis mu matenda a shuga, kumatheka pokhapokha kuwunika glycemia, kutsatira zakudya zomwe zimaletsedwa mosavuta kugaya chakudya, kumwa madzi okwanira, kusintha mlingo wa insulin kapena mapiritsi a matenda ophatikizika, kupsinjika kwakuthupi, kwamalingaliro.

Zambiri pa hyperglycemia zikuwonetsedwa mu kanema munkhaniyi.

Zizindikiro za shuga mwa amuna ndi akazi

Zizindikiro zazikulu mwa amayi omwe ali ndi shuga wambiri:

• Ludzu losasunthika
• Kukodza pafupipafupi
• Emaciation
• Zofooka. Kutopa kwambiri,
• Kuwona koperewera
• Amanunkhira moyipa kuchokera mkamwa mwanga
• Kulemera kwamiyendo
• Mutu wapafupipafupi
• Chizungulire

Zizindikiro zosonyeza matendawa:

• Ofooka chitetezo chokwanira. Kutalika kwa mankhwala a matenda opatsirana,
• Kutentha kwa thupi
• Zilonda zamkhungu sizichiritsa kwanthawi yayitali,
• Chilala
• Kutulutsa magazi mkati mwa msambo,
• Maonekedwe owoneka bwino a nkhope ndi manja,
• Khungu loyera
• Misomali ikuphwanya. Tsitsi limakhala lophwanyika
• Pali spasms ya minofu ya ng'ombe.

Zizindikiro za matenda ashuga mwa amuna sizosiyana kwambiri ndi akazi. Chiwerewere champhamvu sichimalabadira thanzi labwino ndipo sichimafunsira nkhawa madokotala.

Zizindikiro zazikulu za shuga wambiri ziyenera kuganiziridwa:

• Nocturnal urethra,
• W ludzu
• Kutupa kwa prepa,
• Pakamwa pakamwa
• Kutopa kwambiri
• Dazi
• Kunenepa kwambiri
• Zowoneka bwino
• Kuyenda mu buluzi, phula, pakhungu,
• Zapanikizika,
• Kulephera.

Zomwe zimayambitsa kukula kwa shuga m'magazi ndi mtundu woyamba wa matenda a shuga a mtundu woyamba. Kuphatikiza pa iwo pali:

• Kupsinjika
• Kukhalapo kwa chakudya chamafuta chamagetsi m'makoma,
• Mitundu ikuluikulu ya matenda opatsirana.

Ngati munthu ali ndi kuchuluka kwa shuga m'magazi, ayenera kuchita chiyani? Matenda a shuga a Type 1 amadziwika kuti sangachiritsike. Kulephera kwa pancreatic gland kuti ipange mahomoni owongolera a shuga kagayidwe amamangirira wodwala kuti apange insulin. Chithandizo cha matenda amtundu wa II ayenera kupewa kutulutsa shuga wambiri m'magazi. Palibe mankhwala ochizira matenda ashuga.

Mankhwala ambiri odwala matenda ashuga amatha kuthandizira kwakanthawi zizindikiro za hyperglycemia. Njira zochiritsira zosagwiritsidwa ntchito masiku onse komanso zakudya zoyenera zimatha kupereka zofanana.

Chakudya chamaguluchuchutchu ambiri chimatsimikizira mfundo zotsatirazi zochizira:

• Kudya kawiri konse kwa magawo ang'onoang'ono nthawi yodziwika,
• Zakumwa zodziwika bwino - mpaka malita awiri tsiku lililonse,
• Kusamalira chakudya ndi michere ndi zopatsa mphamvu,
• Kukwaniritsa kufunika kwa zakudya zamafuta
• Kuletsa mchere
• Kukana mowa.

Zakudya zotsatirazi ndizofunikira mu zakudya:

Zakudya zam'nyanja zimatsitsa shuga

• Nyama yotsika
• Nsomba yamafuta ochepa,
• Mafuta ochepera kefir
• Mpunga, nsapato zazitali,
• Nthambi ya mkate
• Ziphuphu,
• Zamasamba
• Zipatso.

Kukana mafuta kwathunthu ndizowopsa ku thanzi, chifukwa chake, mafuta amasamba azambiri amafunika. Wodwala matenda ashuga ayenera kuiwala za zakudya yokazinga ndi kudya yophika, stewed ndi kuphika. Maswiti ayenera kukhala okhutira ndi zotsekemera.

Malonda Oletsedwa:

• Keke, makeke, pasitala, shuga,
• Soseji, mafuta anyama, nyama zosuta, zakudya zam'chitini, nkhumba, mafuta a nutria, nsomba zamafuta,
• Wowawasa zonona. Tchizi chamafuta ndi mkaka,
• Mayonesi, ketchup zonunkhira, zokometsera,
• Chipatso chokoma
• Zipatso zouma zouma.

Chithandizo cha anthu

Zomera zambiri zamankhwala zimatulutsa zinthu zofunikira zomwe zimapangidwanso ndi insulin. Mankhwala achikhalidwe ali ndi zida zake akutanthauza kuti sayenera kunyalanyazidwa, komanso osatetezeka kuti muchite nawo. Mulimonsemo, chithandizo china chamankhwala chiyenera kuyang'aniridwa ndi katswiri wazachipatala.

Nayi mbewu zina zomwe zingachepetse zizindikiro za hyperglycemia:

• Mistletoe. Chomera parasitizing pa nthambi za mtengo. Tiyi wochokera masamba ndi nthambi za mistletoe, wopezedwa kumayambiriro kwa kasupe ndi kumapeto kwa nthawi yophukira, amachiritsa. Zipatso zake ndi zakupha
• Rhizome wa chicory,
• Nkhaka msuzi
• Asparagus
• Zonenepa
• Adyo.

Matenda a shuga ndi osachiritsika, koma sayenera kuonedwa ngati sentensi. Kuzindikira koyambirira kwa hyperglycemia kumakupatsani mwayi wokhala ndi moyo zaka zambiri komanso osakhala ndi vuto ndi masomphenya, impso, komanso zigawenga zam'mphepete mwa kusintha momwe mukukhalira.