Kutayika kwa matenda a shuga mellitus, kapena matenda ashuga: mitundu, zoyambitsa ndi malamulo othandizira

Matenda a shuga ndi vuto lalikulu lomwe njira zake zonse za metabolic zimasokonekera m'thupi la munthu.

Itha kuchitika pazifukwa ziwiri zazikulu: hyperglycemia (kuchuluka kwambiri kwa shuga m'magazi), kapena hypoglycemia (kuchepa kwamphamvu kwa glucose wa plasma).

Vutoli limatha kukhala limodzi ndi matenda a shuga omwe amadalira insulin komanso osadalira insulin.

Hyperglycemia

Chizindikiro ichi ndi phindu lalikulu la glucose. Itha kuthandizidwa osati mu matenda a shuga; matenda a endocrine atha kukhala chifukwa cha hyperglycemia.

Hyperglycemia imatha kupezeka m'njira zosiyanasiyana:

kuwala (kuchuluka kwa shuga kumafikira 6 mpaka 10 mmol / l),
pafupifupi (kuyambira 10 mpaka 16 mmol / l),
zolemetsa (kuchokera 16 mmol / l kapena kuposa).

Ngati mwa munthu yemwe sapezeka ndi matenda ashuga, magazi am'magazi amafikira 10 mmol / L atatha kudya kwambiri, izi zikuwonetsa kukula kwa matenda amtunduwu 2.

Odwala matenda ashuga amayenera kuyang'anira kuchuluka kwa shuga nthawi zonse, chifukwa pakakhala nthawi yayitali hyperglycemia, pamakhala mwayi kuti ziwiya ndi mitsempha ziwonongeka, ndipo izi zimabweretsa ngozi yayikulu.

Hypoglycemia

Vutoli limapindika kwambiri shuga. Chizindikiro ichi chimatha kudziwonetsa wofatsa komanso wowopsa.

Hypoflycemia yofatsa imatha kupangitsa kuti pakhale zizindikiro zingapo zosasangalatsa, monga:

palpitations
kukopa kwa pakhungu
kunjenjemera
njala,
kulimbikira
nkhawa
nkhanza
zosokoneza
kutuluka thukuta kwambiri.

Muzovuta kwambiri, zizindikiro zotsatirazi zingachitike:

kusanja kwathunthu m'mlengalenga,
kufooka kosalekeza
kukokana
kuwonongeka kwamawonekedwe,
kupweteka kwambiri m'mutu
mantha osaletseka komanso nkhawa,
kusokonekera kwa mawu
chizungulire
chisokonezo,
miyendo yanjenjemera
kulephera kudziwa.

Hypoglycemia yowopsa ndiyowopsa kwambiri, ndikazindikira kuti pali zovuta zina zomwe zingachitike. Palinso chiopsezo cha kulumala chifukwa cha kuwonongeka kwa ubongo.

Hypoglycemia imatha kupezeka osati mwa anthu omwe amapezeka ndi matenda a shuga.

Gulu la anthu omwe ali pachiwopsezo limaphatikizapo anthu athanzi, koma pazinthu zina:

zolimbitsa thupi kwambiri,
kusala kudya kwanthawi yayitali.

Ketoacidotic

Vutoli ndi zovuta za matenda ashuga.

Njira zoyenera zopangira matenda ashuga a ketoacidosis ndi awa:

kuphwanya mankhwalawa matenda a shuga (kuyendetsa bwino insulin, kusakhazikika kwake, kudumpha, komanso kulephera kutsatira mlingo wofunikira),
kuphwanya zakudya zomwe zaperekedwa (zimachitika chifukwa cha kuchuluka kwa chakudya cham'mimba chambiri),
kusakwanitsa kuyang'anira magazi a shuga,
chiwonetsero cha matenda ashuga
osiyanasiyana endocrine pathologies, limodzi ndi kupanga zochuluka kwamafuta ochulukitsa mahomoni.

Chikomokere chisanachitike, zizindikiro zimayamba kupangika m'masiku ochepa, nthawi zina zimatha kuchitika tsiku limodzi. Izi ndi izi:

ludzu lalikulu
kumverera kokhazikika kwa mseru
kufooka wamba
kupweteka kwam'mimba
kusanza
kutsegula m'mimba
mutu
Kununkhira kwa acetone kuchokera mkamwa,
kusakhazikika
khungu lowuma,
kusazindikira, nthawi zambiri kumatsatiridwa ndi kukomoka,
pokodza kawirikawiri.

Hyperosmolar (non-ketoacidotic)

Mtundu wamtunduwu, monga lamulo, umangokhala kokha ndi odwala omwe samadalira insulini omwe amadalira odwala omwe zaka zawo zimakhala zaka zopitilira 50, kapena ali ana.

Zomwe zimayambitsa kukula kwa hyperosmolar coma:

chifukwa chogwiritsa ntchito diuretics ndi glucocorticoids nthawi yayitali,
hemodialysis
chifukwa chosaperekera chindapusa cha matenda ashuga,
matenda oyamba omwe amapezeka ndi madzi am'mimba.

Hyperlactacidemic chikomokere ndi zotsatira zake

Mtundu wamtunduwu umawonekera kwambiri ndipo ungayambike chifukwa chodzikundikira kwambiri lactic acid m'thupi. Ndi chizindikiro chachikulu cha matenda ashuga, amapezeka makamaka mwa okalamba omwe ali ndi matenda oopsa omwe amapezeka ndi minofu hypoxia. Amapezekanso ndi matenda amtima, mapapu, chiwindi, ndi matenda a impso.

Pa precoma, matenda osiyanasiyana a dyspeptic amatha kuonedwa, omwe ndi:

pafupipafupi kusanza
kusanza
kukomoka
kupweteka pachifuwa
matenda osiyanasiyana a chapakati mantha dongosolo (chidwi, kupweteka minofu ndi osiyanasiyana zolimbitsa thupi, kugona, kusangalala boma, kugona.

Kuphatikiza pa zizindikiro zonse, matenda a Niskawa amayamba, omwe amaphatikizidwa ndi zovuta izi:

oliguria
kusowa kwamadzi
anuria
kufuna kusanza
Mpweya wa Kussmaul
Hypothermia,
fukuchiyama,
hypotension
ketonemia
ketonuria.

Nthawi zambiri, chikomokere chimatha maola ochepa ndipo chimadziwika kuti chimakhala chovuta.

Kodi chimayambitsa matenda a shuga ndi chiyani?

Hyperosmolar imayamba chifukwa cha kupanikizika kwa mtundu II shuga mellitus, komwe kunayambitsidwa ndi shuga wambiri m'magazi a munthu motsutsana ndi vuto lakumatha thupi.

Ketoacidotic nthawi zambiri imapezeka mu mtundu I wa shuga chifukwa cha kuchuluka kwa ma ketones, omwe ndi asidi ovulaza. Amapangidwa chifukwa cha kusowa kwambiri kwa insulin.

Lactic acidemia ndi vuto lalikulu la matenda ashuga, omwe amayamba chifukwa cha matenda a chiwindi, mapapu, impso, mtima.

Hypoglycemic ndi chikhalidwe chomwe chimayamba kukula chifukwa cha kutsika kwakuthwa kwa shuga m'magazi. Chifukwa chodziwika bwino chachitukuko chake ndi chakudya chosayembekezeka, kapena insulin yayikulu kwambiri.

Hyperosmolar

Zizindikiro zotsatirazi ndizomwe zimakhala ndi hyperosmolar coma:

ludzu losalekeza
kufooka wamba
polyuria
kubweza
kugona
kutulutsa madzi,
ntchito yolakwika
kuyerekezera
osangalatsa,
kukokana
kuchuluka kwa kamvekedwe ka minofu.

Ngati pali chiopsezo chokhala ndi kukomoka kwa Hyperosmolar, zotsatirazi ziyenera kuonedwa:

sinthani shuga,
yikani wodwala.

Woopsa milandu:

jekeseni mamiliyoni 10 mpaka 20 a shuga (40% solution) kudzera m'mitsempha
ngati kumwa kwambiri, ndikofunikira kuyimba ambulansi nthawi yomweyo.

Hypoglycemic

Zizindikiro zotsatirazi ndizomwe zimayambitsa kukomoka kwa hypoglycemic:

kutuluka thukuta kwambiri
mantha komanso nkhawa zopanda pake,
kumva kwamphamvu njala
kunjenjemera
kufooka kwathunthu ndi kutopa.

Chithandizo cha zilonda zofatsa za hypoglycemic coma chimachitika motere: wodwala amafunika kupatsidwa shuga zingapo, magalamu 100 a ma cookie, kapena supuni zitatu za jamu, ndizoyeneranso.

Ngati zizindikiro zazikulu zikuwoneka, zotsatirazi ziyenera kuonedwa:

ngati nkosatheka kumeza, ndikofunikira kuthira kapu ya tiyi ofunda ndi supuni 3-4 za shuga kwa wodwalayo,
dyetsani wodwalayo chakudya, chomwe chili ndi chakudya chambiri (pamenepa, zipatso, zakudya zosiyanasiyana za ufa ndizoyenera),
kupewa kupweteketsa kwachiwiri, m'mawa wotsatira ndikofunikira kuti muchepetse mulingo wa insulin ndi magawo anayi.

Ngati chikomokere chikukula ndikusazindikira konse, ndiye kuti zotsatirazi zikulimbikitsidwa:

40 mpaka 80 mamilimita a shuga
itanani ambulansi nthawi yomweyo.

Makanema okhudzana nawo

Pazomwe zili hyperosmolar coma za shuga, mu kanema:

Matenda a shuga ndi imodzi mwazowopsa zomwe zimayambitsa matenda ashuga, omwe nthawi yayitali kwambiri amatha kufa. Chifukwa chake, ndikofunikira kwambiri kwa odwala omwe ali ndi vutoli kuti athe kuwunika momwe alili, makamaka shuga wamagazi, ndikutsatira malangizo onse a dotolo kuti izi komanso zovuta zina zisachitike.

Chifukwa chiyani wodwala matenda ashuga samatha kudziwa

Matenda a shuga ndi matenda omwe glucose ochokera m'magazi samatengekedwa ndi minofu kapena zovuta kugaya. Nthawi yomweyo, kuti zitsimikizire kagayidwe kabwinobwino, munthu amakakamizidwa kumwa mapiritsi ochepetsa shuga kapena jakisoni wa insulin.

Kulephera kuzindikira za matenda ashuga kungayambike pazifukwa ziwiri:

Mtheradi kapena wachibale wowonjezera wa insulin. Poyamba, wodwalayo amatha kudzipaka ndi jakisoni wambiri, ndipo chachiwiri, musadye chakudya chokwanira pambuyo pobayira jekeseni. M'magawo onse awiriwa, pali kuchepa kwakukulu kwa shuga m'magazi. Ubongo sungagwire ntchito popanda kupezeka kwa glucose nthawi zonse, kotero munthu amasiya kuzindikira - amakhala ndi vuto la hypoglycemic.
Coma yokhala ndi ketoacidosis ndi hyperosmolar coma - izi zimachitika pamene wodwala akukana kubaya insulin komanso kumwa mankhwala ochepetsa shuga. Kusokonezeka kwakukulu kwa metabolic komwe kumayenderana ndi izi kumayambitsa zoopsa za poizoni (poyizoni wa thupi ndi poizoni wopangidwa ndi iyemwini), yomwe imakhala chifukwa cha kusazindikira.

Zizindikiro za kudwala matenda ashuga

Komabe njira yodziwika bwino ya matenda ashuga ndi hypoglycemic coma. Ganizirani mosamala zizindikiro zake - kutayika kwa chikumbumtima ndi hypoglycemia kumayambitsidwa ndi:

njala
minofu ikunjenjemera
kuzizira
thukuta kwambiri
kufooka koopsa
kukokana ndikotheka.

Poyerekeza ndi kutsika kwakuthwa kwa shuga m'magazi, kutuluka kwamphamvu kumayamba msanga - mkati mwa mphindi 1-5. Munthu amapunduka ndikugwera pansi, ngati zisanachitike analibe nthawi yokhala pansi. Pambuyo pakuzindikira, kupuma kwa munthuyo kumakhala kopepuka, minofu imatsitsimuka kwathunthu, pamakhala kufooka kwamphamvu kwa mawonekedwe onse.

Ndi kukomoka kwa hyperglycemic, Zizindikiro zimachulukanso kwa maola angapo ngakhale masiku. Nthawi yomweyo, wodwalayo amamwa kwambiri, amadandaula za kupweteka kwam'mimba, chidwi chake chikukula. Kuponderezedwa kwa chikumbumtima kumawonjezeka pang'onopang'ono - poyamba kulibe chidwi ndi chilengedwe, kenako munthuyo amasiya kuyankha mwamphamvu, mosachedwa amakhudzidwa ndi zomwe amayankhula. Zotsatira zake ndi kutaya mtima kwathunthu - maola angapo pambuyo pazizindikiro zoyambirira za kukhumudwa.

Zofunika! Chimodzi mwazosiyana pakati pa chikomero cha hyperglycemic coma (ketoacidotic) ndi hypoglycemic coma - wodwala amakhala ndi fungo lotchulidwa kuchokera pakamwa.

Thandizo Loyamba la odwala matenda ashuga Coma

Mosasamala mtundu wa kuperewera kwa matenda ashuga, mfundo za chithandizo chadzidzidzi ndizofanana. Iyenera kuperekedwa malinga ndi algorithm yotsatira:

Ngati munthu sanataye chikumbumtima, yesani kum'patsa china chokoma - chokoleti, maswiti, chidutswa cha mkate, tiyi wokoma kapena msuzi.
Pofuna kutaya chikumbumtima, igonekeni wodwalayo pansi kumbuyo kwake ndi mutu wake kutembenukira kumbali kapena kumbali yake kuletsa lilime kuti lisagwe kapena kufuna kusanza. Zofunika! Osayesa kudyetsa munthu ndi chikomokero chosakomoka - chakudya kapena madzi akhoza kulowa mu trachea, ndikupangitsa kupsinjika.
Imbani ambulansi.
Onani mkhalidwe wamunthuyo mpaka madokotala atafika kapena mpaka chizindikiritso chokwanira chikhale bwino.
Ngati munthu waganiza bwino, akhoza kumachita zinthu mosayenera kapena mwaukali. Yesetsani kumugwetsa ndikumunyengerera kuti adikire ambulansi kuti ifike.

Wodwala akachira pambuyo poti atha kulandira chithandizo mwadzidzidzi, yesani kudziwa zomwe zidamupangitsa kukhala wodwala. Ngati uwu ndi chakudya chosakwanira jakisoni wa insulin, ndiye kuti sikofunikira kuti mupite naye kuchipatala - odwala matenda ashuga ambiri amadziwa momwe angayendetsere shuga. Ngati hypoglycemia imayamba chifukwa cha kuchuluka kwa insulin, kuchipatala ndiye njira yabwino kwambiri, chifukwa kungafunike kulowetsedwa kwa shuga.

Hyperglycemic coma ndi chizindikiritso chokwanira kuchipatala, popeza ndizotheka kuthana ndi zovuta za metabolic kokha kuchipatala.

Matenda a shuga - omwe amayambitsa, mitundu ya odwala matenda ashuga

Mwa zovuta zonse za matenda ashuga, kupweteka kwambiri monga kudwala matenda ashuga nthawi zambiri kumatha kusintha. Malinga ndi zomwe ambiri amakhulupirira, chikomokere cha matenda ashuga ndi mtundu wa hyperglycemia. Ndiye kuti, shuga wambiri. M'malo mwake, matenda a shuga atha kukhala osiyanasiyana:

Hypoglycemic
Hyperosmolar kapena hyperglycemic chikomokere
Ketoacidotic

Zomwe zimayambitsa matenda a shuga zimatha kuchuluka kwambiri m'magazi, chithandizo chosayenera cha matenda ashuga komanso ngakhale mankhwala osokoneza bongo kwambiri, omwe shuga amatsika pansi.

Zizindikiro za hypoglycemic chikomokere, thandizo loyamba la hypoglycemic chikomokere

Mikhalidwe ya Hypoglycemic ndi yodziwika bwino, makamaka zamtundu 1 shuga, ngakhale amapezeka mwa odwala omwe amamwa mankhwala osokoneza bongo mapiritsi. Monga lamulo, chitukuko cha boma chimayendetsedwa ndi kuchuluka kwakukulu kwa insulin m'magazi. Kuopsa kwa hypoglycemic coma kuli mu kugonjetsedwa (kosasinthika) kwamanjenje ndi ubongo.

Choyamba thandizo la hypoglycemic chikomokere

Ndi zizindikiro zofatsa wodwala ayenera kupereka ochepa shuga, pafupifupi 100 g ma cookie kapena supuni 2-3 za kupanikizana (uchi). Ndikofunika kukumbukira kuti ndi shuga yodalira insulini nthawi zonse muyenera kukhala ndi maswiti "pachifuwa".
Ndi zizindikiro zazikulu:

Thirani tiyi ofunda mkamwa mwa wodwala (galasi / masamba atatu a shuga) ngati angathe kumeza.
Asanalowetse tiyi, ndikofunikira kuyika chosungira pakati pa mano - izi zithandiza kupewa kupindika kwambiri nsagwada.
Potsatira, kuchuluka kwa kusintha, kudyetsa wodwalayo chakudya chochuluka (chakudya, mbale za ufa ndi chimanga).
Kuti mupewe kuchitika kachiwiri, chepetsani insulini ndi ma 4-8 mamawa.
Mukamaliza kuthana ndi vuto la hypoglycemic, pitani kuchipatala.

Ngati chikomokere chikukula Kutaya mtimandiye kutsatira:

Yambitsani 40-80 ml ya shuga m'magazi.
Chitanani mwachangu ambulansi.

Thandizo loyamba la hyperosmolar coma

Yikani wodwala moyenera.
Fotokozerani mawu oyendetsa ndikulanda lilime.
Pangani zosintha zakakamizo.
Lowetsani mkati mwa 10-20 ml ya glucose (40% yankho).
Kuledzera pachimake - nthawi yomweyo imbani ambulansi.

Chisamaliro chodzidzimutsa cha ketoacidotic chikomokere, zizindikiro ndi zimayambitsa ketoacidotic chikomokere mu shuga

Zinthuomwe amalimbikitsa kufunikira kwa insulin ndikuthandizira kukulitsa ketoacidotic chikoma nthawi zambiri:

Kuzindikira mochedwa matenda a shuga.
Osaphunzitsidwa mankhwala mankhwala (Mlingo wa mankhwala, m'malo, zina).
Kusazindikira malamulo a kudziletsa (mowa, mavuto azakudya ndi zizolowezi zolimbitsa thupi, ndi zina).
Matenda owonda.
Kuvulala mwakuthupi / kwam'mutu.
Vuto la mtima mu pachimake mawonekedwe.
Ntchito.
Kubala / kutenga pakati.
Kupsinjika.

Malamulo onse othandizira odwala matenda a shuga, ngati mtundu wake sunafotokozedwe

Choyambirira chomwe achibale a wodwalayo ayenera kuchita poyambira ndipo, makamaka, zizindikiro zazikuluzikulu za kukomoka itanani ambulansi nthawi yomweyo . Odwala omwe ali ndi matenda ashuga komanso mabanja awo nthawi zambiri amadziwa bwino izi. Ngati palibe mwayi wopita kwa dokotala, ndiye kuti pa woyamba zizindikiro muyenera:

Mu mnofu insulin - 6-12 mayunitsi. (osasankha).
Kuchulukitsa mlingo m'mawa wotsatira - mayunitsi 4-12 / panthawi, jakisoni 2-3 masana.
Zakudya zopatsa mphamvu zamagalimoto zimayenera kusinthidwa., mafuta - kupatula.
Onjezani zipatso / masamba.
Imwani mchere wamchere wamchere. Popeza kwawo kulibe - madzi okhala ndi supuni yosungunuka ya kumwa koloko.
Enema ndi yankho la koloko - ndi chisokonezo chikumbumtima.

Achibale a wodwalayo ayenera kuphunzira mosamala za matendawo, chithandizo chamakono cha matenda ashuga, matenda ashuga ndi thandizo loyambira panthawi yake - pokhapokha thandizo ladzidzidzi lidzakhala lothandiza.

Zomwe Zimayambitsa Matenda A shuga

Mtundu uliwonse wamtundu umayamba chifukwa cha kuchuluka kwa insulin. Izi zimatengera kuwononga mwachangu kwamafuta acid ndi kapangidwe kazinthu zomwe sizinadutse gawo la oxidation. Acidosis imachitika, womwe ndi wowopsa makutidwe ndi okosijeni a magazi.

Mulingo wovuta kwambiri wazowonjezera zamagazi ndi 2.8 mmol / l, ngati muyeso umachitika pamimba yopanda kanthu. Maola 3-4 atatha kudya, kuphatikiza shuga m'munsi mwa 2.2 mmol / L kumawonedwa ngati kovuta.

Ngati wodwala matenda ashuga apezeka ndi mitengo yokwera nthawi zonse, ndiye kuti mkhalidwe wovuta ungachitike ndi kuchuluka kwambiri.

Zomwe zimayambitsa matenda osakhazikika kwa magazi zomwe zimayamba chifukwa cha kuchuluka kwama glucose osakhazikika:

mankhwala osokoneza bongo a insulin ambiri amadziwika kuti ndi chifukwa chachikulu cha chikomokere,
kuledzera, zakumwa za odwala odwala matenda ashuga,
kukonzekera kowonjezera komwe kumakhala ndi shuga ndi shuga,
kuchuluka kwa matenda osachiritsika, komanso kupezeka kwamatenda atsopano okhudza boma la mtima
lakuthwa kwambiri kusintha kwa moyo, kuphatikiza zolimbitsa thupi, kuletsa kudya osagwirizana ndi insulin.

Choyambitsa chachikulu cha chikomokere mu shuga sichikukwera kowonjezereka kwa zotuluka za shuga, ndiko kudziunjikira kwamafuta komwe kumawonetsa kuyankha kwa acidic mthupi.

Gulu la odwala matenda ashuga Coma

Mankhwala, pali mitundu ina ya chikomokere, chifukwa cha machitidwe a thupi chifukwa chophwanya malamulo.

Zotsirizazo zimachitika chifukwa cha zovuta zoyipa zomwe zimabwera chifukwa cha shuga komanso kuthamanga kwa ziwalo. Chopuma chilichonse chimasiyanitsidwa ndi zizindikiro zake, mphamvu zake zachitukuko ndi njira zopitira patsogolo.

Hyperglycemic

Zimatenga pafupifupi milungu iwiri kupanga njira yamtunduwu, yomwe imatipangitsa kuti tizilankhula pang'onopang'ono. Kuchuluka kwa insulini kumachepetsedwa, pali malire a shuga wa maselo.

Zophatikizira ndi hyperglycemic chikomokoma:

kuphwanya madziwa,
kusowa mphamvu ndi mphamvu,
kuwonongeka kwa mafuta, zomwe zimapangitsa kuchuluka kwa ketone,
kutaya mtima,
kuchuluka kwa magazi kumachuluka
mapangidwe a mahmeli-blocker opanga insulin zinthu.

Cholinga chachikulu cha mawonekedwe ake ndi mulingo woyipa wa insulin chifukwa cha kupezeka kwa matendawa molakwika. Zodabwitsazi ndizothekanso ngati zakudya zamafuta ochepa sizitsatiridwa.

Ndikotheka kudziwa kufinya kwamankhwala pakhungu lanu, kupezeka kwa fungo la acetone, kupuma kwamiseche kwa wodwala, limodzi ndi kukoka mosasamala komanso ana opukusidwa.

Hyperlactocidemic chikomokere

Mtundu wamtunduwu umapezeka chifukwa cha kudzikundikira kwa lactic acid. Amadziunjikira chifukwa cha kuchuluka kwa glucose chifukwa cha kuchuluka kwa insulini.

Mthupi lathanzi, chiwindi chimapanga asidi amtunduwu, komabe, mu shuga mellitus, kusazindikira bwino kwa chiwalochi.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Zomwe zimayambitsa kukhumudwa:

kumwa mowa
myocardial infaration
kupezeka kwa magazi
zotupa zopatsirana
matenda a impso ndi chiwindi.

Fungo la acetone lokhala ndi chikomachi silikupezeka, chifukwa kupanga matupi a ketone sikuchitika. Komabe, zizindikiro zotsatirazi zimawonedwa:

wodwala akukwera
kupanikizika kumachepa, kupweteka kwa minofu kumamveka,
kutsitsa kutentha kwa thupi ndi ulesi,
chimbudzi ndi mavuto a minofu ya mtima.

Mtundu wamtunduwu umafunikiranso kuchitapo kanthu kuchipatala mwachangu, apo ayi pali ngozi ya kufa.

Kutsiliza kuchokera ku chikomokere kuchipatala

Thandizo la anthu odwala matenda ashuga omwe agwa. Pogwiritsa ntchito mapangidwe a mkodzo ndi kapangidwe ka magazi, mtundu wa chikomokere ndi mshuga wa shuga ndi wotsimikiza. Kutengera ndi kupezeka kwake, dokotalayo apanga njira yothandizira.

Nthawi zambiri, njira yakuchotsera wodwala matenda ashuga kuphatikizira zotsatirazi:

kubweranso koyenera kwama acid ndi alkali,
dongosolo la ntchito yoyenera minofu ya mtima,
kuimitsa chiwopsezo cha kuwundana magazi chifukwa chotsekeka magazi,
kubwezeretsanso mlingo wa insulin yomwe akuti imawerengedwa
siyani madzi am'madzi owopsa,
kubwezeretsanso potaziyamu, womwe unasowa panthawi yopuma.
Malipiro a misempha yayikulu glucose.

Nthawi zambiri pamachitika zinthu zosiyanasiyana zomwe zimakupatsani mwayi woti muchotse matenda osokoneza bongo pang'onopang'ono.

Kukhazikika kwa matenda okhudzana ndi matenda ashuga nthawi zambiri kumayamba chifukwa cha kusatsatira kwa wodwala zomwe wapatsidwa. Ndikofunika kuonetsetsa kuti mulingo woyenera wa mankhwalawa, zakudya zamakhalidwe azakudya ndi kukhala ndi moyo wathanzi.