Matenda a shuga omwe sanalipidwe: Zizindikiro, mankhwala

Pochiza matenda ashuga, mumagwiritsidwa ntchito zakudya zapadera, komanso mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi. Pali nthawi zina pamene zochitika izi sizikupereka zotsatira zomwe mukufuna. Pankhaniyi, matenda opatsirana a shuga amadziwika. Njira yamatendawa ndiyowopsa ndipo imabweretsa zosokoneza pakugwira ntchito kwamkati mwa thupi. Ndi chithandizo chamwadzidzidzi, pamakhala chiopsezo cha kufa. Kodi kuzindikira ndi kuchiza matendawa munthawi yake?

Matenda a matenda ashuga nthawi zambiri amayamba chifukwa cha kuperewera kwa zakudya m'thupi komanso kudya kwambiri. Mankhwala ovuta akaphatikizidwa, insulini imalephera kukhazikitsa shuga m'magazi.

Komanso pathogenesis ya pathology imachitika chifukwa cha zinthu zomwe zasonyezedwa pansipa.

Kusintha mankhwala opanga mankhwala ndi mankhwala achikhalidwe.
Njira zolakwika zolondola: kumwa mankhwala ochepa kwambiri, kukana insulini, kusokoneza njira yochiritsira.
Njira zopatsirana pachimake. Matendawa amatha kuchitika chifukwa cha matenda ena, limodzi ndi kuchepa kwa madzi m'thupi komanso kuchepa kwa chitetezo chathupi.
Kugwiritsa ntchito zakudya zamagulu owonjezera. Zinthu zomwe zimapanga zakudya zamagetsi zimakhudza pang'ono gawo la shuga m'magazi. Zimagwiritsidwa ntchito pazothandiza zokha.

Nthawi zina kuwonongeka kumayamba chifukwa cha kupsinjika kwakanthawi kapena kuchuluka kwa malingaliro.

Kuzindikira matenda am'mimba ndikosavuta: mu 90% ya milandu, munthu amakhala ndi nkhawa pakamwa lowuma ndi ludzu. Masana, wodwalayo amatha kumwa mpaka malita atatu a madzi, koma kufunika kwa madzimadzi sikutha. Popita nthawi, chizindikirochi chikukula kapena, mosiyana, chimodzichitira chokha.

Mu shuga mellitus, zizindikiro zotsatirazi zimawonedwa mu gawo lowonongeka.

Kusenda khungu. Ndi kuchuluka kwa shuga m'magazi, kumawonjezeka.

Kuchita dzanzi kapena kuuma kwa zala. Izi ndichifukwa cha kuwonongeka kwa zombo zazing'ono.

Kuchulukana komanso kuthamanga. Komanso, wodwalayo amavutika ndi kukakamiza kofunikira - mwadzidzidzi kukakamira kukodza. Chizindikiro ichi chimachitika chifukwa cha kuchuluka kwa magazi.

Matumbo am'mimba: kupweteka kwam'mimba, matenda ashuga a pseudoperitonitis, kutulutsa, kupweteka ndi kukomoka kwa khoma lam'mimba.

CCC kuvutika maganizo - kuchepa kwa kuthamanga kwa magazi, kugwedezeka kwapafupipafupi kwa kudzaza kofooka, tachycardia.

Kuwonetsedwa kwa ketoacidosis: kuukira kwa mseru, kusanza, kununkhira kwa acetone kuchokera pamlomo wamkati, kupuma kwambiri.

CNS kuwonongeka syndrome: ulesi, kusasangalala, ulesi ndi kuchepa mphamvu, mutu, kugona, kusokonezeka. Zizindikirozi zimaloŵedwa m'malo ndi chikomokere.

Ndi mtundu wowerengeka wa matenda ashuga 2, zizindikiro zakumwambazi sizitchulidwa kwenikweni kapena kulibe.

Zizindikiro

Njira zitatu zazikuluzikulu za matenda zimadziwika: glycated hemoglobin, kuchuluka kwa shuga m'magazi (mutatha kudya komanso pamimba yopanda kanthu), komanso kuchuluka kwa shuga mumkodzo. Triglycerides, body mass index (BMI), cholesterol yamagazi ndi mfundo zamagazi zimatengedwanso.

Matenda a shuga omwe sanakulipiridwe ali ndi izi:

msuzi wa mkodzo - oposa 0,5%,
kusala magazi m'magazi - opitilira 7.8 mmol / l,
shuga wamafuta mutatha kudya - oposa 10 mmol / l,
glycated hemoglobin - wopitilira 7.5% (wokhala ndi 6%),
mulingo wa triglycerides woposa 2.2 mmol / l,
cholesterol yathunthu - oposa 6.5-6.6 mmol / l,
kuthamanga kwa magazi - oposa 160/95 mm. Hg. Art. (pamlingo wa 120/80 mm Hg).

Mutha kuwunika njirazi kunyumba pogwiritsa ntchito glucometer. Chida chonyamula chimakulolani kudziwa zizindikiro ziwiri - kuchuluka kwa shuga pamimba yopanda kanthu komanso maola awiri mutatha kudya. Lachiwiri limawunikidwa mpaka kasanu patsiku, ndipo loyamba m'mawa. Miyeso imalimbikitsa pambuyo chakudya chilichonse (pambuyo pa maola 1.5-2).

Komanso, kuchuluka kwa miyeso kumadalira malangizo a dokotala. Ngati atapereka mankhwala atsopano, kuwunikirako kuyenera kuchitika pafupipafupi. Njira zamankhwala zokhazikika, kuchuluka kwa maphunziro kumatha kuchepetsedwa. Ndikofunika kutengera umboni wotsiriza ku labotale.

Njira ina yothanirana ndi glucose ndi acetone mumkodzo ndi kudzera pamizere yapadera. Mutha kuzigula popanda kutsatira mankhwala aliwonse azamankhwala. Kusanthula kumatenga mphindi zingapo. Ngati matupi a ketone alipo mkodzo, chingwe choyesera chimasintha mtundu.

Choyambirira choyamba, chithandizo cha matenda ophatikizika amitundu yoyamba imaphatikizanso kubwezeretsa shuga. Nthawi yomweyo, acidity yamagazi imakhala yokhazikika komanso kuchepa kwa madzi kumatha. Wodwala amayenera kuwona kuchuluka kwa insulin, kupumula kwathunthu ndikuyang'aniridwa ndi endocrinologist. Mankhwala opangidwa ndi dokotala anu ayenera kumwedwa nthawi yake osasinthidwa ndi zakudya zowonjezera.

Gawo lofunika la chithandizo ndikuphika chakudya kwa odwala omwe ali ndi matenda ashuga 1. Iyenera kuphatikiza masamba, zitsamba, mkaka wopanda mafuta ambiri, nyama yophika ndi chimanga (oatmeal, buckwheat). Ndikulimbikitsidwa kuti musiye kugwiritsa ntchito zakudya zotsekemera, ufa, yokazinga, mafuta komanso zosuta, zakumwa zoziziritsa kukhosi.

Popewa kuwonongeka kwa matenda amtundu wa 2, zakudya zotsatirazi ziyenera kuchitika. M'mawa, ndikofunikira kudya chimanga kuchokera ku chimanga, tchizi chokhala ndi mafuta ochepa komanso mchere wamasamba atsopano. Pambuyo maola 2, mumatha kudya zucchini, apulo, ndi kumwa compote wosagwiritsidwa ntchito. Chakudya chamadzulo, konzekerani nsomba kapena supu yamasamba, saladi yamasamba opepuka ndi mbatata zosapsa ndi nkhuku. Pazakudya masana - dzira, casserole, mazira osenda ndi tiyi wopanda mafuta. Madzulo amaloledwa kumwa kapu ya kefir kapena mkaka.

Kupewa

Pofuna kupewa kuwonongeka, njira zina zodzitetezera ziyenera kutsatiridwa. Mwachitsanzo, kumanani pafupipafupi ndi endocrinologist ndikuwunikiridwa ndi dokotala wamaso.

Njira yotsatira yopewera ndi kuyesa kwa magazi ndi kuthamanga kwa shuga. Kuyesedwa kwakanthawi kantchito kumafunikiranso - kawirikawiri urinalysis, biochemistry ndi ECG.

Tisaiwale za kutsatira malamulo azakudya zamankhwala.

Zovuta zotheka

Pakakhala chithandizo chokwanira, matenda osokoneza bongo omwe amakhala ndi matendawa amakhala ndi zovuta zambiri. Makamaka, imatha kuyambitsa hypoglycemia - kuchepa kwambiri kwa shuga m'magazi. Kuphwanya kotereku kumadziwika ndi zizindikiro zina: wodwala amamva njala komanso kusweka. Zotsatira zake, kugwedezeka kwa hypoglycemic kumachitika, kudutsa chikomokere.

Chifukwa cha matenda, ketoacidosis imatha kukhazikika. Izi zimachitika chifukwa chakupha mthupi ndi matupi a ketone kapena poizoni wopangidwa ndi kuphulika kwa mafuta. Vutoli limatha kudwala ketoacidotic chikomokere. Nthawi zambiri imapha.

Kubwezeredwa kwa matenda amtundu wa 1 komanso 2 kungayambitse zovuta zina. Choyamba, masomphenya, dongosolo lamanjenje ndimitsempha yamagazi imavutika. Wodwalayo amatha kudwala matenda a impso, kugunda kwa mtima, kuzonda komanso khungu.

Glucosuria ndi vuto linanso lalikulu lomwe layamba chifukwa cha matendawa. Shuga amadziwika mumkodzo wa wodwala. Izi zikuwonetsa kuti mulingo wake m'mwazi umaposa zovomerezeka.

Vuto lalikulu kwambiri ndi kuperewera kwa matenda ashuga. Imawopseza thanzi lathu komanso moyo wa wodwala. Vutolo limayamba ngati kuwonongeka sikunalandiridwe bwino. Komanso kudwala matenda ashuga kumatha chifukwa cha kutenga pakati, kufunikira kwakukulu kwa insulin panthawi ya matenda, kuwawa kapena kupsinjika kwakukulu.

Hyperglycemia ilinso yoopsa. Magazi a shuga m'magazi akuchulukirachulukira. Wodwalayo amachepetsa msanga komanso kufooka. Vuto lofananalo limayendera limodzi ndi kuwonongeka kwakanthawi kwamachitidwe ndi ziwalo.

Thanzi la munthu yemwe ali ndi matenda osokoneza bongo opatsirana zimadalira luso lotha kuwongolera matenda awo. Ziyeso zina zofunika zitha kuchitika kunyumba. Izi zikuthandizira mayeso apadera, zida ndi zida. Ngati vutolo litatha, anthu azifunikira kuchipatala mwachangu.

Kodi kubwezera shuga ndi chiyani?

Muzochita zamankhwala, ndichizolowezi kusiyanitsa magawo angapo a "kuyankha" kwa matenda oyambitsidwa ndi chithandizo:

Kubwezera
Kubweza
Kubwezera.

Yoyamba imakhalabe yabwino kwambiri kwa wodwala. Zimaphatikizidwa ndi kukhazikika kwathunthu kwa glycemia. Malinga ndi malingaliro a dokotala, kuchuluka kwa glucose sikupitilira muyeso.

Gawo la subcomproll limadziwika ndi episodic surges mu shuga, koma posintha mtundu wa mankhwala, ndizotheka kubwezeretsa magawo a labotale kukhala abwinobwino.

Poganizira za zomwe zimapangidwira shuga wambiri, zomwe zimachitika komanso momwe mungathane nayo, muyenera kumvetsetsa kuti matenda a psychology ndi osavomerezeka mothandizidwa ndi mankhwala.

Hyperglycemia yomwe imakhalapo nthawi yayitali imapangitsa kukhumudwa kwambiri pakudwala. Kutengera ndi zomwe zimayimira shuga m'magazi, chithunzi cha chipatala chimatha kusiyana. Pukhazikitsa bata la wodwala, jakisoni wa insulin amagwiritsidwa ntchito nthawi zambiri.

Tiyenera kudziwa kuti gawo la kubwezeretsa limakhala lodziwika bwino kwa odwala omwe ali ndi mtundu woyamba wamatendawa. Komabe, ngati kukana chithandizo kumachitika kwa odwala omwe ali ndi matenda a shuga a 2, ndiye kuti zovuta ndizovuta kupewa chifukwa chakufooka kwa thupi kwa jakisoni wa insulin.

Chofunika cha matenda

Anthu ambiri ali ndi chidwi ndi funso lake: shuga wowonongeka - ndi chiyani? Ndi matenda amtunduwu, kuchuluka kwa shuga sikumachepetsedwa ndi mankhwala, omwe amayambitsa zovuta zowopsa.

Kuwongolera kuthandizira kwa mankhwala a shuga, endocrinologists amasiyanitsa magawo angapo a matenda:

Kubwezera - zisonyezo zonse zili pafupi ndi zabwinobwino. Munthu samva ludzu, kukodzanso kukoka, kapena kuwuma pamkamwa.
Kulipira - pakadali pano magawo a shuga amawonjezeka pang'ono.
Kubwezera - kumadziwika ndi kuwonjezeka kwa shuga m'magazi. Pakadali pano, kuopseza kukulitsa zotsatira zoopsa ndikwabwino. Amaphatikizidwa ndi chithandizo chosayenera. Nthawi zambiri, gawo la kuwonongeka limawonedwa mu mtundu woyamba wa shuga. Komabe, mtundu wa 2 wa matenda amatsenga ndi owopsa.

Kuti mumvetsetse zomwe shuga ophatikizika ali, ndikofunikira kupenda zomwe zimayambitsa. Nthawi zambiri, izi zimachitika chifukwa chodya kwambiri.

Kuphatikiza apo, kuwonongeka kwa matenda ashuga ndi zotsatira za zinthu izi:

Chithandizo cholakwika. Zomwe zimayambitsa mavutowa ndi kugwiritsa ntchito mankhwala ochepa kwambiri. Komanso, matenda a pathology nthawi zambiri amakhala chifukwa chosokoneza mankhwalawa.
Kudzifufuza

Kuti mupeze matenda osawerengeka omwe ali ndi shuga, njira zingapo zothandizira ndizofunikira.

Pali magawo angapo ofunikira omwe amakupatsani mwayi wowunika gawo la malipiro:

Kuchuluka kwa shuga mu mkodzo
Glycated hemoglobin,
Kuchuluka kwa shuga m'magazi kumayesedwa mutatha kudya komanso pamimba yopanda kanthu.

Matenda a shuga mu gawo la kuwonongeka amadziwika ndi zigawo zotsatirazi:

Magawo ofunikira amatha kuwongoleredwa kunyumba. Kuti tichite izi, ndikofunikira kukhala ndi glucometer. Chipangizochi chimathandizira kudziwa kuchuluka kwa shuga m'magazi. Kudzimbidwa kumachitika pamimba yopanda kanthu ndipo maola angapo mutatha kudya.

Zotsatira zoyipa

Ngati matenda a shuga sawalandiridwa, kuwonongeka kumabweretsa zotsatira zoyipa. Acute pathologies amapita patsogolo mwachangu.

Zikakhala zotere, chithandizo chamankhwala chofunikira chimafunikira. Zotsatira zoyipa kwambiri ndikuphatikizapo:

Hyperglycemia,
Hypoglycemia,
Matenda a shuga.

Ndi hyperglycemia, pali kuwonjezeka kwamphamvu kwa shuga. Ndi chitukuko chake, kufooka, ludzu, njala zimawonedwa. Kuti muthane ndi kuphwanya kumeneku, muyenera kutenga jakisoni wa insulin mwachangu.

Hypoglycemia - kuchepa kwadzidzidzi m'magazi a magazi. Zikaoneka, kufooka ndi njala yayikulu imamveka. Mukapanda kuthandiza munthu, amatha kugwa. Kuti mukwaniritse kuchuluka kwa shuga, muyenera kumwa tiyi ndi shuga kapena kudya mtundu wina wa kutsekemera.

Matenda a shuga amatha kukhala osiyanasiyana. Mitundu ya Ketoacidotic, hyperosmolar, lactic acid imasiyanitsidwa. Iliyonse ya izo imadziwika ndi zizindikiro zapadera komanso kusiyana kwa zizindikiro zamankhwala.

Zikakhala choncho, wodwalayo ayenera kugonekedwa m'chipatala nthawi yomweyo.

Zimayambitsa Kubwezera Matenda A shuga

Matenda obwera chifukwa cha matenda ashuga ndi vuto lalikulu kwa wodwala komanso kwa dokotala. Poyamba, munthu amamva bwino kwambiri ndipo sangakhale moyo wabwinobwino. Kachiwiri, nkovuta kusankha mitundu yoyenera ya mankhwalawa kuti muzikhala wodekha.

Pali zifukwa zambiri zosinthira kwa matenda a shuga kuti asinthe. Zonse zimatengera mawonekedwe amunthu aliyense wamankhwala. Zodziwika bwino ndi izi:

Kunyalanyaza malangizo a dokotala okhudza malamulo azakudya. Zakudya ndi imodzi mwanjira zofunika kwambiri yolimbikitsira kagayidwe kazakudya mu mtundu wachiwiri wa matenda ashuga. Kudya kwambiri pafupipafupi kapena kudya zakudya zosaloledwa kumatha kubwezera,
Kugwiritsa ntchito mankhwala osakwanira okwanira kapena kuthetseratu kwathunthu. Nthawi zina odwala, atatha kusintha pang'ono kwakanthawi, amasankha pawokha kusiya kugwiritsa ntchito mapiritsi kapena insulin. Izi zikuwonongeka ndikuwonongeka kwaumoyo,
Kusankha zolakwika zamankhwala othandizira. Izi ndi zotheka ngati dotolo sangapende mokwanira zaumoyo wodwala wina.
Chithandizo chosalamulirika ndi wowerengeka azitsamba. Kubwezeretsa matenda a shuga kukuyenda bwino chifukwa chakuchepa kwa mankhwalawa.
Kupsinjika kwakuthupi ndi kwamaganizidwe,
Intoxication. Kulimbana ndi bakiteriya kumabweretsa kuchuluka kwa shuga m'magazi. Zimaphatikizidwa ndi kutayika kochuluka kwamadzi ambiri ndi thupi.

Kuti muwongolere bwino wodwalayo, ndikofunikira kukhazikitsa msanga chifukwa chomwe shuga yopanda shuga ikupita patsogolo. Nthawi zina, moyo wa munthu umadalira izi.

Khungu komanso mucous nembanemba

Pali zovuta zingapo zomwe zimakhudza dermis ndi mucous epithelium:

Dermopathy ya matenda ashuga - njira zosafunikira pakhungu zimapangitsa kuti madzi asungunuke. Ndi kukhalapo kwa vutoli, dermatitis imachitika. Mwa anthu, malo okhala ndi utoto wamphamvu amawonekera pakhungu. Kapangidwe ka zilonda zam'mimba pamapewa am'munsi ndizothekanso.
Xanthomatosis - mawuwa amatanthauza zonyansa zamkati, zomwe ndimatumbo a pinki. Amakhala ndi zazikulu zosiyanasiyana ndipo amakhudzidwa ndi zovuta mu lipid metabolism. Mapangidwe oterowo amapezeka pamatako ndi matako a miyendo.
Lipoid necrobiosis - amapezeka mu zovuta zovuta za matenda ashuga. Pathology imayendera limodzi ndi kupanga mapampu pakhungu, omwe amatchedwa papules. Pamene njirayi ikupita, ma dermis omwe ali m'malo omwe akhudzidwa amamwalira ndikupeza tint yofiira. Pambuyo pake, zotupa zam'mimba zimapangika m'malo awa.
Lipodystrophy - ndi chitukuko chake, wosanjikiza mafuta amazimiririka pakhungu. Njirayi imawonedwa mukamagwiritsa ntchito insulin yotsika mtengo. Pali chiopsezo cha mawonekedwe oopsa omwe, m'malo mwake, mafuta ochulukirapo amapangika. Izi zimachitika chifukwa cha kusokonekera kwamafuta kagayidwe.
Kunenepa kwambiri - motsogozedwa ndi insulin, shuga amayamba ndi minofu yamafuta. Izi zimapangitsa kuti ma depis awonekere kumtunda kwa thupi, pomwe miyendo imacheperachepera.

Zizindikiro za kubwezerera

Matenda a shuga ndi njira ya endocrine yomwe nthawi zambiri imayendera limodzi ndi hyperglycemia. Matendawa amakhala achilengedwe mwachilengedwe ndipo amakoka pafupifupi ziwalo zonse ndi machitidwe. Zizindikiro zokhazikika za zovuta za metabolism.

Ludzu losatha (polydipsia),
Kukhumba kudya zambiri (polyphagy)
Kukodza mwachangu (polyuria),
Zofooka zambiri
Kutopa,
Kugona tulo chisokonezo
Kusintha kwa chikumbumtima (mwa mitundu yayikulu ya matenda).

Chomwe chimapangitsa kuti shuga azikhala wolipidwa ndi momwe glycemia wodwalayo amakhalira. Zizindikiro zonse pamwambazi zitha kuzimiririka. Wodwalayo akumva bwino.

Matenda a shuga ophatikizika amathandizidwa ndi kukokoloka kwa chithunzi cha chipatala. Ndikulimbikira kwa matenda nthawi yayitali motere, zizindikilo zatsopano zitha kuwoneka:

Kununkhira kwa acetone kuchokera mkamwa
Kutaya chikumbumtima
Thukuta lozizira.

Kukhazikika kwakanthawi kwa glycemia ndiye njira yokhayo yodalitsira thanzi la wodwalayo. Pankhaniyi, amakonda kupatsidwa jakisoni wa insulin, m'malo mwa mitundu ya mapiritsi.

Kudziwitsa wodwala pang'ono zaumoyo wawo komanso mtundu wa zovuta za carbohydrate metabolism zomwe zimapitilira zimapangitsa kuti matenda azitha.

Ngozi yayikulu yodwala matenda a shuga ndi kuwonjezeka kowopsa mlengalenga. Mavuto owopsa a mtundu 1 ndi shuga 2 ndi awa:

Hypoglycemic chikomokere,
Ketoacidosis
Hyperosmolar kapena lactic acidosis chikomokere.

Mikhalidwe yotsatirayi ikugwirizana ndi zovuta zovuta, zomwe pamlingo wina kapena wodwala wina aliyense amene ali ndi matenda ashuga:

Nephropathy Kuchulukitsa kwa matenda a matenda a m'matumbo ndiko kulephera kwa impso,
Retinopathy Zowonongeka zam'mbuyo zimachitika. Wodwala amayang'anizana ndi khungu lonse
Polyneuropathy. Kuwonongeka kwa dongosolo lamanjenje kumakhala kukuwonekeranso ndi kuwonongeka kwamaso amtopola komanso kupweteka m'malo osiyanasiyana a thupi,
Micro ndi macroangiopathy. Mawonetsedwe azachipatala a zovuta zake ndi zilonda zam'mimba pakhungu la miyendo (nthawi zambiri) kapena gangore. Imfa ya minofu yofewa imafuna chithandizo cha opaleshoni (kudulidwa).

Potengera komwe kudwala matenda ashuga, kuperewera kwa thupi kumachitika. Thupi limayamba kugwiritsidwa ntchito kwambiri chifukwa cha ma virus okhala ndi vuto. Osteoporosis ikupita patsogolo, yomwe imakhala yodzala ndi kuwonjezeka kwa mafupa owundana.

Kuti muchepetse zochitika zoterezi, ndikofunikira kukhazikika kwa glycemia wodwala posachedwa.

Kubwezera Kwa shuga

Ndalama ndi kubwezeredwa ndi mayiko osiyana. Ndi kuwonongeka kwa matenda a shuga, kuchuluka kwa glucose m'magazi a anthu odwala matenda ashuga sikukonzanso kapena kusinthidwa mokwanira kuti thupi lizigwira ntchito bwino. Izi zimawopseza zowonongeka ziwalo za wodwalayo ndipo zimafunikira chithandizo chamankhwala chofunikira mwachangu. Pankhaniyi, madotolo amayang'aniranso chithandizo chamankhwala omwe apatsidwa ndikuthandizira mwachangu kukonzanso chithandizo.

Mafupa ndi mafupa

Kuwola kwa shuga kumayambitsa zotupa zosiyanasiyana za mafupa ndi minofu yamafupa. Nthawi zambiri, izi zimachitika:

Matenda a diabetesic osteoarthropathy - amaphatikizidwa ndi kuphatikizika kwa ziwalo ndi chitukuko cha matenda, omwe amayenda limodzi ndi mapangidwe azilonda. Ndi chitukuko cha njirayi, nthawi zambiri pamakhala mavuto m'mitsempha, kagayidwe kazigawo, komanso mawonekedwe a mtima. Nthawi zambiri, zamatsenga zimakhudza miyendo, koma nthawi zina manja nawonso amavutika.
Systemic osteoporosis - matenda amapita patsogolo pang'onopang'ono, zomwe zimapangitsa kufupika kwa minofu ya mafupa. Zotsatira zake, ma fractures amakhala pafupipafupi. Vertebrae ndi m'chiuno molumikizana nthawi zambiri zimakhudzidwa.

Matenda a shuga omwe sanapatsidwe - ndi chiyani? Zizindikiro ndi zovuta zake

Anthu ambiri akukumana ndi matendawa.

Ichi ndi chiyani Kodi nthendayi imakhala yowopsa bwanji? Kodi pali chithandizo chothandiza?

Kodi ndikotheka kuletsa kubwezera? Mayankho a mafunso awa ndiofunika kwa ambiri.

Kodi mungapewe bwanji kuwabwezera?

Kupewa matenda kapena matenda aliwonse kumakhala kosavuta komanso kotetezeka kuposa mankhwala ake. Izi zimathandizanso pakulipira matenda a shuga. Kuletsa kupezeka kwa vuto lalikulu ndi lenileni.

Zinthu zofunika zomwe wodwala matenda ashuga ayenera kukumbukira ndi:

Kudziyang'anitsitsa pafupipafupi kwa glycemia. Kugwiritsa ntchito glucometer yamthumba kumakuthandizani kuti muzindikire kuchuluka kwa shuga m'magazi nthawi iliyonse. Izi zimathandiza kuzindikira vutoli poyambira kukula kwake,
Kupititsa mayeso pafupipafupi ndi dokotala. Ngati kunali kotheka kukonza glycemia kamodzi, ndiye kuti izi sizikutsimikizira kufunikira kobwereza. Nthawi zonse muyenera kusintha pulogalamu yamankhwala kukhala yofanana ndi matendawa.
Kuperewera kwa kusintha kwakanthawi kwamankhwala. Kugwiritsidwa ntchito mosasamala kwa mankhwala wowerengeka kungachititse kubwezera,
Kudya
Kukwaniritsidwa kwa malangizo a dotolo.

Mitundu yowonongeka ya matenda ashuga ndi vuto lalikulu lomwe limasokoneza thanzi komanso nthawi zina wodwalayo. Simungathe kuzinyalanyaza. Muyenera nthawi zonse kuyesetsa kusintha matenda a glycemia munthawi yochepa kwambiri.

Matenda a shuga

Gawo la kubwezeretsedwako, kupatsirana ndi kuwonongeka kwa matenda ashuga limasiyanitsidwa. Kulipira kumawonetsedwa ndi kusintha kwa magazi a glucose pazotsatira zamankhwala. Mkhalidwe wa odwala oterowo ndiwokhutiritsa. Pathology kuchokera ku ziwalo kulibe. Pa gawo la kulipidwa, glucose samapezeka mkodzo. Mukamawunika momwe munthu akudwala, zizindikiro zotsatirazi zimagwiritsidwa ntchito:

glycosylated hemoglobin level,
kuchuluka kwa shuga m'magazi (pamimba yopanda kanthu ndikatha kudya),
mkodzo shuga
kupanikizika
cholesterol ndi triglycerides
chisonyezo cha kunenepa (thupi index).

Mellitus wothandizidwa ndi shuga amadziwika kuti kuchuluka kwa glucose kosala mwa odwala kumakhala kosakwana 14 mmol / l. Kwa tsiku limodzi ndi mkodzo, osaposa 50 g ya shuga amamasulidwa. Masana, kusinthasintha m'magawo a shuga ndikotheka. Kutsatira gawo logawidwa, gawo la kubwezerera limayamba. Zimachitika kwambiri.

Ziwalo zogaya

Matenda a shuga m'magawo owumbidwa nthawi zambiri amasokoneza ntchito yogaya chakudya. Choyamba, milomo yamkamwa imavutika. Izi zimaphatikizidwa ndi chitukuko cha kuwonongeka kwa dzino la mano, matenda amkati, gingivitis.

Pamene matenda akuchulukirachulukira, amakumana ndi mavuto ena:

Kuchepetsa mseru
Kupweteka kwam'mimba
Mawonekedwe a anorexia,
Kupuma.

Pathology imayambitsa mavuto ndi mayamwidwe a michere komanso opuwala galimoto. Izi zimayambitsa kutha kwa kaphatikizidwe ka michere ndi asidi.

Nthawi zambiri pamakhala mavuto:

Matenda a matenda ashuga - chizindikiro chosiyanitsa ndi kutsekula m'mimba. Panthawi yovuta, fecal incinuence imawonedwa.
Diabetesic hepatopathy - yodziwika ndi kuchepa kwa masitolo a glycogen komanso kuchuluka kwa lipid kuchuluka m'chiwindi. Izi zimakwiyitsa hepatosis yamafuta. Njira izi zimayambitsa kuphatikizana ndikukulitsidwa kwa chiwindi. Khungu limakhala lachikasu.

Kubweza magawo a gawo ndi zina zake

Kubwezera kumawerengeredwa ndi data yachibale. Zizindikiro zotsatirazi zikuwonetsa kuti matendawa ndi ovuta:

shuga pamimba yopanda 14 mmol / l,
kutulutsa shuga tsiku lililonse woposa 50 g,
kukhalapo kwa ketoacidosis.

Mtundu wa shuga wowonjezera 1 kapena mtundu wa 2 ungayambitse vuto lowopsa monga hyperglycemic coma. Pakukhazikitsa matendawa, kudziwikiratu ma genetic, kusintha kwokhudzana ndi zaka, kusowa kwa chakudya, kunenepa kwambiri, matenda a kapamba, kupsinjika nthawi zonse ndizofunikira kwambiri. Kukula kwa matenda opatsirana a shuga kumatheka chifukwa chosagwirizana ndi zakudya zomwe dokotala amafotokozera, kuyambitsa matenda ochepa a insulin, kuphwanya malamulo a mankhwalawa, kupsinjika. Wodwala aliyense amayenera kuwunika kuchuluka kwa shuga m'magazi atatha kudya komanso pamimba yopanda kanthu. Mwa izi, ndikosavuta kugwiritsa ntchito mita ya glucose mamasamba.

Zotsatira za matendawa

Ngati matenda opatsirana a shuga sangawonekere mwanjira iliyonse, ndiye kuti ndi matenda opatsirana a shuga zizindikirazo zizitchulidwa. Mavuto onse amayamba chifukwa chotsatira:

kuchuluka kwa shuga m'magazi,
kuwonongeka kwa lipids ndi mapuloteni,
kuchuluka kwa osmotic m'magazi,
kutayika kwa madzi ndi ma electrolyte,
kuchepa chitetezo chokwanira.

Type 1 kapena 2 matenda ashuga kwambiri atha kubweretsa zovuta zotsatirazi:

retinopathy (retinal pathology),
nephropathy (kuwonongeka kwa impso),
kuchepa kwa zotupa pakhungu ndi kukula kwa dermatosis,
mawonekedwe achikasu pamatumbo (xanthomatosis),
kuwonongeka kwa mafupa ndi mafupa,
matenda a mafupa
kuphwanya ntchito yam'mimba,
mafuta a hepatosis,
kutsekula m'mimba ndi matenda am'mimba,
mphira
glaucoma
mitsempha.

Mtundu woyamba wa shuga umadziwika ndi ludzu, kuchepa thupi, kuwonjezereka tsiku ndi tsiku, kumangokhala ndi njala. Mu matenda 2 amtunduwu, zizindikirozi sizitha kukhalapo. Matenda a shuga atalipidwa, odwala amadandaula chifukwa cha kuchepa kwa khungu, kuyamwa khungu, zotupa za pakhungu, mutu wokhazikika, komanso pakamwa pouma. Mavuto akulu kwambiri akuphatikizapo kufinya kwam'mimba, chitukuko cha matenda amkati, kuchepa kwa mitsempha ya hyperglycemic, nephropathy.

Njira Yothandizira Odwala

Chithandizo cha odwala chotere chiyenera kukhala chokwanira. Zimaphatikizapo mankhwala okhwima, kudya, kuchepetsa nkhawa, kuyang'anira shuga kamodzi kapena kawiri pa tsiku. Pankhani ya zovuta zopweteka kwambiri (ketoacidosis, hypoglycemia, hyperosmolar kapena hyperglycemic coma), kugonekedwa kuchipatala ndikofunikira. Pankhani ya hypoglycemia, ndikofunikira kupatsa wodwalayo tiyi wokoma, chidutswa cha shuga kapena supuni ya uchi. Kuchuluka kwa chakudya cham'mimba chomwe chimatengedwa kuyenera kukhala kochepa.

Muzovuta kwambiri, muyenera kuyimba ambulansi. Atafika, kungakhale kofunikira kuyendetsa njira ya Glucagon. Ndi kukula kwa chikomero cha hyperglycemic, mankhwala ogwiritsira ntchito insulin amagwiritsidwa ntchito, ndipo kulowetsedwa kwamankhwala kumachitidwanso. Pankhani ya retinopathy, chithandizo chimaphatikizapo kugwiritsa ntchito ma microcirculation zowonjezera, angioprotectors. Muzovuta kwambiri, chithandizo cha laser kapena chithandizo chowonjezera chofunikira chimafunikira. Kubwezera shuga ndikofunikira kwambiri pakuchita bwino kwa thupi lonse. Chifukwa chake, matendawa pamlingo wakubwezeretsa amawopseza moyo wa munthu. Popewa zovuta, muyenera kutsatira malangizo onse a dokotala.

Matenda a shuga ndi opukusidwa: kusiyana kwake ndi chiyani?

Poyamba, ndikofunikira kumvetsetsa zofunikira. Masiku ano, anthu ambiri akukumana ndi vuto longa matenda ashuga. Ichi ndi chiyani

Ngati tikulankhula za mtundu wina wodwaladwala, ndiye kuti izi zikutanthauza kuti kuchuluka kwa glucose m'mwazi wa wodwalayo ndikwabwinobwino. Chizindikirochi chimatha kusungidwa mothandizidwa ndi mankhwala (kuphatikiza insulin), kudya moyenera, kupumula ndi kugona.

Kanema (dinani kusewera).

Koma pazifukwa zingapo, matendawa amatha kukhala ovuta. Nthawi zambiri, mtundu wowonjezera wa matenda ashuga 2 umalembetsedwa, ngakhale njira yofananira imatha kukhala ndi mtundu wodwala wa insulin (mtundu 1).

Kodi ndi ziti zomwe zikufunika kuti mudziwe kuchuluka kwa chiphuphu?

Pokonzekera matendawa, zinthu zingapo zimatengedwa.

Mukudziwa kale zomwe zimayang'ana mukamazindikira kuperewera kwa shuga ndi zomwe zili. Koma nchiyani chomwe chingapangitse kuti kubwezera kubwezeretsedwe?

Malinga ndi ndemanga, zifukwa zake ndi za aliyense payekha. Madokotala amazindikira izi:

Zakudya zopanda pake, kudya kwambiri, kudya zakudya zoletsedwa
Jambulani molakwika njira yolandirira, kugwiritsa ntchito mosavomerezeka mankhwala omwe akudwala m'malo mwa mankhwala
kusankha zolakwika za insulin,
kukana chithandizo cha insulin,
matenda opatsirana omwe amayenda ndi kusowa kwamadzi,
kupsinjika mosalekeza, kukhumudwa kwambiri.

Tsoka ilo, anthu ambiri amakumananso ndi vuto lomweli. Kodi shuga wowongoleredwa amatanthauza chiyani? Kodi ndimatenda ati omwe amaphatikizidwa ndi njirayi? Chithunzi cha chipatala chili ndi zinthu zingapo:

pamakhala kuwonda kwambiri,
odwala amadandaula za kutopa, kufooka kosalekeza ndi kugona.
kondani kukodza
chizindikiro cha matenda ashuga ndi pakamwa pouma ndi ludzu lalikulu,
Nthawi zina kuphwanya ntchito za owonetsa bwino ndikotheka.

Ngati zoterezi zikuchitika, musazengereze - muyenera kufunsa endocrinologist. Chofunikira kwambiri munthawiyi ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

Zotsatira za matenda opatsirana a shuga osachiritsika

Matenda opatsirana a shuga oopsa amakhala oopsa kwambiri. Kuwonjezeka kosalekeza kwa shuga m'magazi kumakhudza mitsempha ya magazi, mathero a mitsempha ndi ziwalo zam'maso. Pali zovuta zingapo zomwe zimapangitsa kuti kubowoleza mosalekeza kubweretsere.

Nephropathy - kuwonongeka kwa impso, komwe kumalumikizidwa ndi kukwiya mkati mwa ziwalo komanso nthawi zonse hyperglycemia. Malinga ndi ndemanga, nthawi zambiri matenda amatengera kulumala.
Microangiopathy - limodzi ndi kuwonongeka kwa mitsempha yaying'ono ya magazi.
Matenda a shuga a retinopathy ndi mtundu waukulu wa microangiopathy. Matendawa amagwirizanitsidwa ndi kuwonongeka kwa ziwiya zazing'ono za retina, zomwe nthawi zambiri zimayambitsa kuwonongeka kwathunthu kwamawonedwe.
Kuphwanya kwa mtima ndi mitsempha yamagazikuphatikizapo atherosclerosis, myocardial infarction, ndi matenda a mtima.

Mitundu yovomerezeka ya shuga ndiyowopsa. Milingo ya insulin ndi kuchuluka kwa glucose m'magazi kuli kovuta kuiwongolera ndi mankhwala. Chifukwa chake, chithandizo chamankhwala pamenepa chimachepetsedwa ndikuchotsa zizindikiro ndi zovuta. Wodwala amafunikira kuwunikira nthawi zonse. Ndikofunikira kuyang'anira ntchito ya mtima, kuchuluka kwa shuga mthupi, kugwira ntchito kwa impso, ndi zina zambiri.

Mukudziwa kale chifukwa chake matenda osokoneza bongo amayamba, zomwe zimachitika komanso zovuta zomwe zingayambitse. Inde, zoterezi ndizowopsa ndipo sizotheka kuchiritsira kuchipatala. Ichi ndichifukwa chake ndizosavuta kuletsa kukhazikika kwa gawo labwinolo. Muyenera kutsatira malamulo ochepa osavuta.

Odwala odwala matenda ashuga amalangizidwa kuti akane zakudya zonunkhira, ufa ndi mchere, komanso zakudya zomwe zimakhala ndi shuga.
Osalowetsa zakudya yokazinga muzakudya. Madokotala amalangiza kuphika chakudya cha banja kapena uvuni - kotero ndizothandiza kwambiri.
Ndikofunika kulabadira zakudya - ndibwino kudya nthawi zambiri, koma m'magawo ang'onoang'ono.
Muyenera kuyang'anira kuchuluka kwa zopatsa mphamvu zopakidwa ndi zamafuta.
Gawo lofunikira m'moyo wa wodwala wodwala matenda ashuga ndi zolimbitsa thupi. Zachidziwikire, tikulankhula za zinthu zotheka, kaya ndi m'mawa kuthamanga, kusambira kapena kungoyenda paki.
Akatswiri amalimbikitsa kuti azigwira ntchito moyenera komanso kupumula, chifukwa kugwira ntchito mopitirira muyeso kumakhudzanso kuchuluka kwa mahomoni ndi shuga m'magazi.
Muyenera kuganizira za yoga ndi kusinkhasinkha, chifukwa zimathandiza kuthana ndi nkhawa mosavuta.

Inde, odwala matenda ashuga ayenera kuyang'anira magazi awo moyenera. Kusintha kulikonse komanso kuwoneka bwino, muyenera kufunsa dokotala. Momwe gawo layamba kuwonongeka lizindikiridwa, mipata yambiri imakhala yolepheretsa zovuta zina.

Pachimake komanso matenda obwera chifukwa cha matenda a shuga

Matenda a shuga osaperekedwa ndi gawo loopsa lomwe lingayambitse mavuto. Nthawi zambiri, mtundu uwu wa matenda am'mimba umayambitsidwa ndi kuphwanya malamulo aumoyo, zolakwika pakudya, kapena kusowa kwa mankhwala othandizira.

Chifukwa chake, ndikofunikira kulumikizana ndi katswiri posachedwa ndikutsata bwino nthawi yomwe akusankhidwa.

Anthu ambiri ali ndi chidwi ndi funso lake: shuga wowonongeka - ndi chiyani? Ndi matenda amtunduwu, kuchuluka kwa shuga sikumachepetsedwa ndi mankhwala, omwe amayambitsa zovuta zowopsa.

Kuwongolera kuthandizira kwa mankhwala a shuga, endocrinologists amasiyanitsa magawo angapo a matenda:

Kubwezera - zisonyezo zonse zili pafupi ndi zabwinobwino. Munthu samva ludzu, kukodzanso kukoka, kapena kuwuma pamkamwa.
Kulipira - pakadali pano magawo a shuga amawonjezeka pang'ono.
Kubwezera - kumadziwika ndi kuwonjezeka kwa shuga m'magazi. Pakadali pano, kuopseza kukulitsa zotsatira zoopsa ndikwabwino. Amaphatikizidwa ndi chithandizo chosayenera. Nthawi zambiri, gawo la kuwonongeka limawonedwa mu mtundu woyamba wa shuga. Komabe, mtundu wa 2 wa matenda amatsenga ndi owopsa.

Kuti mumvetsetse zomwe shuga ophatikizika ali, ndikofunikira kupenda zomwe zimayambitsa. Nthawi zambiri, izi zimachitika chifukwa chodya kwambiri.

Kuphatikiza apo, kuwonongeka kwa matenda ashuga ndi zotsatira za zinthu izi:

Chithandizo cholakwika. Zomwe zimayambitsa mavutowa ndi kugwiritsa ntchito mankhwala ochepa kwambiri. Komanso, matenda a pathology nthawi zambiri amakhala chifukwa chosokoneza mankhwalawa.

Kuti mupeze matenda osawerengeka omwe ali ndi shuga, njira zingapo zothandizira ndizofunikira.

Pali magawo angapo ofunikira omwe amakupatsani mwayi wowunika gawo la malipiro:

Kuchuluka kwa shuga mu mkodzo
Glycated hemoglobin,
Kuchuluka kwa shuga m'magazi kumayesedwa mutatha kudya komanso pamimba yopanda kanthu.

Matenda a shuga mu gawo la kuwonongeka amadziwika ndi zigawo zotsatirazi:

Ngati matenda a shuga sawalandiridwa, kuwonongeka kumabweretsa zotsatira zoyipa. Acute pathologies amapita patsogolo mwachangu.

Zikakhala zotere, chithandizo chamankhwala chofunikira chimafunikira. Zotsatira zoyipa kwambiri ndikuphatikizapo:

Hyperglycemia,
Hypoglycemia,
Matenda a shuga.

Ndi hyperglycemia, pali kuwonjezeka kwamphamvu kwa shuga. Ndi chitukuko chake, kufooka, ludzu, njala zimawonedwa. Kuti muthane ndi kuphwanya kumeneku, muyenera kutenga jakisoni wa insulin mwachangu.

Zikakhala choncho, wodwalayo ayenera kugonekedwa m'chipatala nthawi yomweyo.

Matenda a shuga ophatikizika nthawi zambiri amakhala ndi zotsatira zoyipa. Matenda a m'matumbo amakhudza mitsempha ya magazi, masomphenya, khungu ndi ziwalo zina.

Pali zovuta zingapo zomwe zimakhudza dermis ndi mucous epithelium:

Kuwola kwa shuga kumayambitsa zotupa zosiyanasiyana za mafupa ndi minofu yamafupa. Nthawi zambiri, izi zimachitika:

Matenda a diabetesic osteoarthropathy - amaphatikizidwa ndi kuphatikizika kwa ziwalo ndi chitukuko cha matenda, omwe amayenda limodzi ndi mapangidwe azilonda. Ndi chitukuko cha njirayi, nthawi zambiri pamakhala mavuto m'mitsempha, kagayidwe kazigawo, komanso mawonekedwe a mtima. Nthawi zambiri, zamatsenga zimakhudza miyendo, koma nthawi zina manja nawonso amavutika.
Systemic osteoporosis - matenda amapita patsogolo pang'onopang'ono, zomwe zimapangitsa kufupika kwa minofu ya mafupa. Zotsatira zake, ma fractures amakhala pafupipafupi. Vertebrae ndi m'chiuno molumikizana nthawi zambiri zimakhudzidwa.

Pamene matenda akuchulukirachulukira, amakumana ndi mavuto ena:

Kuchepetsa mseru
Kupweteka kwam'mimba
Mawonekedwe a anorexia,
Kupuma.

Pathology imayambitsa mavuto ndi mayamwidwe a michere komanso opuwala galimoto. Izi zimayambitsa kutha kwa kaphatikizidwe ka michere ndi asidi.

Nthawi zambiri pamakhala mavuto:

Matenda a matenda ashuga - chizindikiro chosiyanitsa ndi kutsekula m'mimba. Panthawi yovuta, fecal incinuence imawonedwa.
Diabetesic hepatopathy - yodziwika ndi kuchepa kwa masitolo a glycogen komanso kuchuluka kwa lipid kuchuluka m'chiwindi. Izi zimakwiyitsa hepatosis yamafuta. Njira izi zimayambitsa kuphatikizana ndikukulitsidwa kwa chiwindi. Khungu limakhala lachikasu.

Izi zikuphatikiza ndi izi:

Matenda a shuga a retinopathy - amadziwika ndi capillaries ochulukirapo mu retina. Zinthu zakunja zikasowa, aneurysms ndi zotupa zimatuluka. Pa magawo oyambilira, izi zimasokoneza, komabe, matendawa akamakula, pamakhala chiwopsezo cha kuchepa kwakukulu kwa masomphenya.
Matenda a matenda ashuga - ndikusintha kwamphamvu mu kuchuluka kwa shuga, mandimuwo amakhala amitambo. Pathology imakhala ndi chitukuko chofulumira, chifukwa njira zochiritsira wamba sizithandiza.

Matenda a shuga osaphatikizidwa nthawi zambiri amayambitsa kukula kwa neuropathy. Mwa izi zosagwirizana, kusintha kwa zam'matumbo m'matumbo ndizikhalidwe, zomwe zimakhudza kugwira ntchito kwa minyewa ya mitsempha. Zotsatira zake, maukadaulo, ntchito zamagalimoto ndi zamagalimoto zimakhudzidwa.

Popewa kukula kwa shuga wodwala, muyenera kutsatira izi:

Tsatirani kwambiri zakudya zomwe dokotala wamulembera,
Imwani mankhwala mwanjira yofanana ndi shuga,
Nthawi zonse muziwongolera kuchuluka kwa shuga
Kuyesani koyesa,
Chitani zolimbitsa thupi.

Tsopano mukudziwa kupweteka kwa shuga ndi chiyani. Mawuwa amatanthauza mkhalidwe woipa kwambiri womwe umayambitsa zovuta zowopsa. Kuti mupewe mavuto, Ndikofunikira kutsatira bwino madokotala. Pakukhumudwitsidwa pang'ono, muyenera kufunsa katswiri.

Madotolo amazindikira kuti anthu ambiri ali ndi matenda ashuga. Sikuti aliyense amadziwa kuti kuwonongeka kwa shuga kwamtundu wanji, ndi mtundu wanji wazovuta zomwe zimapangitsa kuti mtundu wa 2 usadwale komanso ngati ungathe kuchiritsidwa. Ndipo funso lina lofunikira - kodi ndizotheka kuletsa kukula kwa matenda monga kuwonongeka kwa matenda ashuga?

Kodi pali kusiyana kotani pakati pa matenda a shuga osawerengeka ndi kuwola?

Ili ndi funso lodziwika, kuti muyankhe, muyenera kumvetsetsa zomwe zimapangitsa kuti azindikire shuga. Ngati tikufanizira ndi mawonekedwe opweteka opweteketsa, ndiye kuti muyezo wama gluu m'magazi a munthu ndi wabwinobwino. Kuti izi zitheke, mankhwalawa amagwiritsidwa ntchito (nthawi zambiri insulin ndi yofunika), chakudya choyenera, kutsatira regimen ya tsiku ndi tsiku komanso zolimbitsa thupi zolimbitsa thupi.

Koma zimachitika kuti pali zifukwa zosokoneza mtundu wa matendawa munthu akakula matenda a shuga m'magawo owonongera. Ndiye kuti, matenda osawerengeka a shuga amawerengetsa kuti ndi chiyani - uwu ndi mtundu wofatsa wa matendawa, ndipo mukafunsa funso, matenda opatsirana a shuga amakhala chiyani - ichi ndi matenda omwe ali ndi zovuta zina.

Funso limabuka - ndizomwe zimayambitsa zomwe zingayambitse kuwonongeka kwa thanzi la munthu. Kuchulukana kwa matendawa kumachitika chifukwa chakuti zifukwa zomwe munthu aliyense amakhala payekhapayekha, koma zinthu zomwe zimachitika pachiwopsezo zimachitika ndipo ayenera kulipira chidwi ku:

Munthu amadya mosayenera, amadya kwambiri, amadya zakudya zoletsedwa ndi matenda "okoma",
Malangizo a odwala matenda ashuga samakhazikitsidwa moyenera, ndipo ndiwowopsa ngati munthu wopanda chithandizo chamankhwala akudya zopatsa thanzi, m'malo mwa mankhwala achikhalidwe,
Mukamapereka mankhwala a insulin,
munthu amakana kulandira chithandizo cha insulin, ngakhale pazifukwa zamankhwala ndizofunikira,
thupi la munthu limakhudzidwa ndimatenda a matenda opatsirana omwe amathandizira kuti madzi ake asokonekere,
munthu amakhala wopsinjika nthawi zonse, amakhala atapanikizika kwambiri.

Gawo la kubwezerera limatha kwakanthawi kochepa, ndipo mwina sipangakhale chifukwa chomveka chochitira izi. Izi ndizowopsa komanso kuwonongeka kwa matenda ashuga, komanso kuwonongeka kwakukalipira kwamatenda a shuga ndikwabwino kuti musamamve mukuchita.

Zikuwonekeratu kuti mtundu wina wa matenda "okoma" ndiwovuta, ndipo matendawa amadziwika ndi kuwuma kwambiri. Chifukwa chake, ndikofunikira kudziwa zomwe zimawonetsa matendawa, zomwe ziyenera kuyang'aniridwa pakapita nthawi. Pankhaniyi, ndikwabwino kukaonana ndi dokotala kamodzi kuposa kuvutika ndi zovuta zazikulu. Matenda a decompression amadziwika ndi kuchulukitsitsa ndipo zizindikiro zake nthawi zambiri zimakhala zofanana ndi matenda ena, omwe amapangitsa kuti azindikire kwambiri.

Ngati tikunena za chithunzi cha matenda, ndiye kuti zimasiyana pazinthu zotsatirazi:

munthu amayamba kuchepa thupi msanga
munthu amatopa msanga, magwiridwe ake amagwa mofulumira, amafuna kugona nthawi zonse,
kukodza kumachitika pafupipafupi,
Munthu amakhala ndi ludzu nthawi zonse, koma woledzera amakhutitsa ludzu kwa kanthawi kochepa chabe,
kuyanika kumamveka pamkamwa, kumapereka chisangalalo,
Nthawi zambiri ankaphwanya owerenga.

Ngati munthu ali ndi zizindikiro zotere, kuyimbira kwa endocrinologist kuyenera kukhala kwakanthawi. Zachidziwikire, sizitanthauza kuti anthu onse omwe ali ndi zizindikiro zotere amadwala ndi nthenda ya "zotsekemera", koma azitha kutsimikizira thanzi lawo, ndipo ngati matendawa apezeka munthawi yake, mwayi wochira bwino umachulukirachulukira. Anthu omwe ali ndi izi ayenera kuyang'anitsitsa kuchuluka kwa shuga pamtsinje wamagazi.

Funso limabuka nthawi yomweyo za kuchuluka kwa zoopsa zokhudzana ndi matenda amtunduwu. Mavuto ndi osiyanasiyana, ambiri mwaiwo ndi amodzi. Fomu yovunda yolimbitsa thupi imakhala yangozi kwambiri ngati njira yowopsa ikayamba maola ochepa, ndipo zimachitika kuti mphindi zochepa ndizokwanira.

munthu amakhala ndi hypoglycemia, pamene kuchuluka kwa shuga mumtsinje wamagazi kumachepera msanga. Nthawi yomweyo, munthu amachepetsa mphamvu ndipo amafuna kudya mosalekeza, chakudya chomwe chimadyedwa chimakwaniritsa kumverera kwanjala kwakanthawi kochepa chabe,
mulingo wa glucose wa munthu umakwera kwambiri, zomwe zimapangitsa kuti hyperglycemia itukuke, ndipo izi ndi zomwe zingayambitse chikomokere,
ketoacidosis imatha kukhazikika pomwe kuchuluka kwa shuga m'thupi kumachulukirachulukira. Metabolism yachilengedwe imasokonekera, matupi a ketone amapangidwa, omwe amayambitsa poizoni m'thupi la munthu,
kupezeka kwa glycosoria, kutuluka kwa glucose kudutsa mkodzo,
munthu amakhala ndi vuto la matenda ashuga. Munthu akakhala ndi matenda ashuga, kuchuluka kwa insulini kumachepa, ndipo kuchuluka kwa shuga pambali yake kumakwera. Koma mawonekedwe amtundu sangathe kugwiritsa ntchito shuga owonjezera. Zotsatira zake, munthu amagwa chikomokere, zomwe zimabweretsa zotsatira zosasinthika.

Mtundu wamatendawa umadziwika ndi chiwopsezo chowonjezereka, ngati kuchuluka kwa glucose mumtsinje wamagazi kumangokulirakulirabe, ndiye kuti mkhalidwe wamatsenga ukuwonongeka msanga, zomwe zimayambitsa kusokonekera mu mkhalidwe wamapeto amitsempha ndi ziwalo zoonekera. Ngati kuwonongeka kwa magwiridwe kunayamba kukhazikika, ndiye kuti zovuta zotsatirazi:

impso zimakhudzidwa ndi matenda, zomwe zimatsogolera pakupanga nephropathy, kuthamanga mkati mwa ziwalo kukukula mwachangu, ndipo zonsezi zimachulukirachulukira ndi hyperglycemia yosalekeza. Vutoli limadziwika ndi chiwopsezo chowonjezeka, nthawi zambiri munthu amakhala wopunduka pambuyo pake,
mitsempha yamagazi yaying'ono imakhudzidwa, zomwe zimatsogolera pakukula kwa microangiopathy,
microangiopathy imatha kulowa muulidwe wowopsa ndipo mtundu wa matenda a shuga umapangidwanso. Potere, zotengera zazing'ono zam'maso zimawonongeka, zomwe zimapangitsa kuti ntchito zonse zowonongeka zitheke.
zotupa ndi mtima zimakhudzidwa, chitukuko cha atherosulinosis, matenda a mtima ndi zina zomwe zimabweretsa zotsatira zosasintha sizotheka.

Kuopsa kwa matendawa kumatanthauza kuti kuwunika kuchuluka kwa shuga m'magazi, komanso kuchuluka kwa insulini ndi mankhwala achikhalidwe, sizotheka. Njira zochizira ndizofunikira kuti muchotse zizindikiro zowopsa, chifukwa chake zovuta siziloledwa. Wodwala amayenera kuyang'aniridwa ndi achipatala pafupipafupi. Ndikofunikira kuyang'anira momwe mtima ulili, kuwunika kuchuluka kwa shuga mumtsinje wamagazi, momwe impso imagwirira ntchito.

Zakudya zapadera za matenda ashuga ndizofunikira, zomwe zingathandize kuthana ndi zotsatirapo za matenda ashuga awili.

Ndizodziwikiratu pazifukwa zamtunduwu zomwe matendawa amakuka, zomwe zimachitika komanso zotsatirapo zake. Kuwongolera kuchipatala sikuti kumabweretsa zotsatira zabwino. Mkhalidwe wamtunduwu, monga ena ambiri, ndiwosavuta kupewa, kupewa kubwezeretsa gawo ndikotheka, chifukwa ndikokwanira kutsatira malamulo ena, omwe samasiyana m'njira zovuta:

Mwachidule, ziyenera kudziwidwa kuti kuwunikira pawokha kwa odwala matenda ashuga omwe ali mumtsinje wamagazi ndikofunikira ndipo izi zikuyenera kuchitika pafupipafupi. Ngati munthu akuwona kusintha kulikonse pamatenda awo, ndiye kuti kulumikizana ndi dokotala kuyenera kukhala kwakanthawi, ngakhale ngati zosinthazi sizimasiyana pakukhumudwa. Tiyenera kumvetsetsa kuti kuzindikira koyambirira kwa gawo la kubwezeretsa kumapereka maziko othandizira ambiri pazovuta zosiyanasiyana, zomwe zambiri sizingasinthe.

Matenda a shuga omwe sanakulipiridwe: Zizindikiro, mankhwala ndi zomwe zili zoopsa

Cholinga cha chithandizo cha matenda ashuga ndikusunga kuchuluka kwa shuga pafupi ndi nthawi yayitali. Izi zikakanika, iwo amati wodwalayo wawononga shuga. Kuti mukwaniritse kubwezeretsedwa kwanthawi yayitali ndizotheka kokha mothandizidwa ndi chilango chokhwima. Malangizo a mankhwalawa amaphatikizapo: kutsatira dongosolo la zakudya ndi kapangidwe, wogwira ntchito, koma osachita masewera olimbitsa thupi, kudya mankhwala ochepetsa shuga, kuwerengera koyenera ndi kutsata insulin.

Zotsatira zamankhwala zimayang'aniridwa tsiku ndi tsiku ndi glucometer. Ngati wodwala matenda ashuga azichita bwino pakubwezeredwa kwanthawi yayitali, ngozi yake yovuta kwambiri komanso yovuta imachepa kwambiri, ndipo kuchuluka kwa moyo kumakulitsidwa.

Malinga ndi miyezo ya ku Russia, matenda ashuga amagawika magawo atatu:

Kubwezera - Zizindikiro za shuga mu wodwala zili pafupi kwambiri. Mtundu wachiwiri wa shuga, mawonekedwe a magazi a lipid ndi kuthamanga kwa magazi amawunikiranso. Pakuperekera chiphuphu, chiwopsezo cha zovuta ndizochepa.
Kubwezera - shuga amawonjezereka pafupipafupi, kapena mulingo wake umasintha kwambiri masana. Umoyo wa wodwalayo ukuwonongeka kwambiri, kufooka kumamveka nthawi zonse, kugona kumasokonezedwa. Kubwezera kumakhala kowopsa ndi chiopsezo chachikulu cha zovuta zapakhungu, kukula msanga kwa angiopathy ndi neuropathy. Wodwala amafunika kuwongolera chithandizo, zowonjezera mayeso.
Kubweza - imakhala pakati pakubwezeredwa ndi kuwonongeka kwa matenda ashuga. Mlingo wa shuga ndiwokwera pang'ono kuposa wabwinobwino, kotero kuti chiopsezo cha zovuta ndizapamwamba. Ngati subcompfund sichitha mu nthawi, kuphwanya kwa chakudya cha metabolism kumatha kupita pakubweza.

Kugawikaku kumagwiritsidwa ntchito kuwunika momwe mankhwalawa amathandizira. Mwachitsanzo, atalandiridwa kuchipatala, kuwonjezera pa mtundu wa matenda a shuga, kupezeka kwa matendawa kumawonetsa kuti "pakuwongolera". Ngati wodwala watulutsidwa ndi subcomproll, izi zikuwonetsa kuti ndi chithandizo choyenera.

Kusintha msanga kuchoka kwa shuga kupita ku nthawi yayitali ndikosayenera, chifukwa kumabweretsa kwakanthawi kwamitsempha, kuwonongeka kwa mawonekedwe ndi kutupa.

Muzochita zapadziko lonse lapansi, kuchuluka kwa kubwezeretsa sikugwiritsidwa ntchito. Matenda a shuga amayesedwa kuchokera ku chiopsezo cha zovuta (zotsika, zotheka za angiopathy ndi microangiopathy).

Chifukwa cha chitukuko cha mankhwala, pazaka khumi zilizonse, anthu odwala matenda ashuga akupeza mwayi wowonjezera kuchuluka kwa magazi awo kwa nthawi yayitali, zomwe zawonjezera kwambiri moyo wawo komanso kuchepetsa kuchuluka kwa zovuta. Pamodzi ndi kubwera kwa mankhwala atsopano ndi kudzidziwitsa nokha, zofunika za matenda a shuga zikukhazikika.

WHO ndi Federation of Diabetes akhazikitsa njira zotsatirazi zamatenda amtundu woyamba:

Matenda a shuga a Type 2 nthawi zonse amakhala limodzi ndi kuwonongeka kwa metabolism yamafuta, motero, lipid mbiri yamagazi imaphatikizidwa pazomwe zimabwezeledwa:

Njira zina zothandizira kulipira matenda a shuga a 2:

Njira zowabwezera sizili zofanana kwa magulu onse a odwala. Akuluakulu azaka zogwira ntchito amayenera kuyesetsa kukhala ndi "yabwinobwino" ngati kuchuluka kwa hypoglycemia sikukwera. Kwa ana, a senile diabetes, odwala omwe amachepetsa kudziwa kwa hypoglycemia, kuchuluka kwa shuga kungakhale okwera pang'ono.

Zinthu zofunika kuzikhulupirira zimatsimikiziridwa ndi adotolo. Mulimonse momwe zingakhalire, iwo ali mkati mopanda kubwezera kapena kulipirira. Kubwezera sikuyenera kwa wodwala aliyense.

Kuti mupewe kuwonongeka kwa matenda ashuga, kuyesa kwa labotale sikokwanira musanapite kwa dokotala. Amafunikira kuwunika tsiku lililonse magazi ndi kukakamizidwa. Chofunikira chofunikira kwambiri kwa munthu wodwala matenda ashuga: glucometer, tonometer, mizere yoyeserera mkodzo ndikutha kudziwa kuchuluka kwa ma ketones. Odwala onenepa afunikanso mamba pansi. Madeti, nthawi ndi zotsatira za miyeso yonse ya nyumba ziyenera kulembedwa mu kope lapadera - zolemba za odwala matenda ashuga. Zomwe mwapeza zidzatithandizanso kupenda matendawa ndikusintha chithandizo munthawi yake kupewa kuwonongeka.

Kuwongolera shuga, gluceter wosavuta kwambiri, malamba ndi zingwe zoyeserera ndizokwanira. Kugula zida zamtengo wapatali ndi zina zambiri zowonjezera sizofunikira, ingosankha wopanga wodalirika ndikuwonetsetsa kuti zowonjezera zamitengo zimagulitsidwa nthawi zonse.

Shuga ayenera kuyezedwa m'mawa m'mimba yopanda chakudya, mutatha kudya chilichonse, musanagone. Matenda a shuga ophatikizika amafunikira magawo ochulukirapo: usiku komanso kuwonongeka kulikonse muumoyo. Anthu okhawo omwe ali ndi matenda ashuga omwe ali ndi mtundu wofatsa wa 2 ndi omwe amatha kuyesa shuga kawirikawiri.

Shuga mumkodzo amapezeka nthawi zambiri ndi kuwonongeka kwa matenda ashuga, pomwe mulingo wake mumagazi ndi wokulirapo kuposa cholumikizira cha impso (pafupifupi 9 mmol / l). Zingathenso kuwonetsa mavuto a impso, kuphatikizapo matenda ashuga a nephropathy. Shuga wa mkodzo amayeza kamodzi pamwezi.

Pa kuwonongeka kwa matenda ashuga, chiopsezo cha ketoacidosis ndi chikomokere ndi chambiri. Pakapita nthawi, mavutowa amatha kuwonekera posanthula mkodzo wa ma ketoni. Iyenera kuchitika nthawi iliyonse shuga ikafika pafupi ndi 13 mmol / L.

Pakuyesa kwanu ma ketones ndi shuga mumkodzo, muyenera kugula mzere, mwachitsanzo, Ketogluk kapena Bioscan. Kuwunikaku ndikosavuta kwambiri ndipo kumangotenga mphindi zochepa. Onetsetsani kuti mwawerenga nkhani yathu ya ma acetone mu mkodzo.

Kodi mumazunzidwa ndi kuthamanga kwa magazi? Kodi mukudziwa kuti matenda oopsa amathanso kukopeka ndi mtima ndi kumenyedwa? Sinthani nkhawa zanu. Maganizo ndi mayankho okhudza njira zomwe mwawerenga apa >>

Chizindikirochi chimawonetsa bwino kuchuluka kwa kubwezerera kwa matenda ashuga ndipo amakupatsani mwayi kuti muwadziwe shuga waposachedwa m'zaka zaposachedwa. Kusanthula kumawonetsa kuchuluka kwa hemoglobin yomwe imadziwika ndi glucose kwa miyezi itatu. Mokulira, shuga imayandikira kuwonongeka. Glycated (glycosylated version imagwiritsidwanso ntchito) hemoglobin kunyumba imatha kuyezedwa pogwiritsa ntchito zida zapadera zamagetsi kapena zojambula zosunthika. Zipangizozi ndizokwera mtengo ndipo zimakhala ndi cholakwika chachikulu, chifukwa chake ndikwanzeru kuti kotala lotsatira mule.

Matenda a shuga ophatikizika amathandizirana ndi kusintha kwa m'mitsempha ndi kuchuluka kwa magazi. Hypertension imabweretsa kupitilira msanga kwa angiopathy ndi neuropathy, motero, kwa odwala matenda ashuga, njira zowapanikiza ndizovuta kwambiri kuposa kwa anthu athanzi - mpaka 130/85. Kubwerezeredwa kowonjezereka kwa mulingo uno kumafuna kuikidwa kwa chithandizo. Ndikofunikira kuyeza kupanikizika tsiku ndi tsiku, komanso ndi chizungulire komanso mutu.

Kuti muchepetse kusintha kwa matenda ashuga kukhala mtundu wophatikizika:

kuchuluka kwa mapiritsi ndi insulin,
osagwirizana ndi chakudyacho, kuwerengera kolakwika kwa chakudya chamagulu mu chakudya, kugwiritsa ntchito mankhwala osokoneza bongo othamanga,
kusowa kwa chithandizo chamankhwala kapena kudzichiritsa nokha ndi wowerengeka azitsamba,
njira yolakwika yoperekera insulin - zambiri pa izi,
kusintha kosayembekezereka kuchokera pamapiritsi kupita ku insulin chithandizo cha matenda a shuga a 2,
kupsinjika kwakukulu
kuvulala kwambiri, kuchitapo kanthu opaleshoni,
chimfine, matenda osachiritsika,
kuchuluka kwa kunenepa.

Matenda a shuga osafupikitsidwa amabweretsa zovuta za mitundu iwiri: yovuta komanso yopweteka. Pachimake amakula msanga, maora angapo kapena masiku, popanda chithandizo kumayambitsa kukomoka ndi kufa. Izi zimaphatikizapo hypoglycemia, ketoacidosis, lactic acidosis ndi hyperosmolarity.

Hypoglycemia ndiowopsa kuposa zovuta zina, chifukwa zimabweretsa kusintha kosasintha munthawi yochepa kwambiri. Zizindikiro zoyambirira ndi njala, kunjenjemera, kufooka, nkhawa. Pa gawo loyamba, amayimitsidwa ndi chakudya chamafuta othamanga. Odwala omwe ali ndi precoma ndi chikomokoma amafunika kugonekedwa kuchipatala mwachangu ndi glucose wamkati.

Shuga wambiri amachititsa kuti magazi azisiyanasiyana. Kutengera ndi zomwe zasintha, chikomero cha hyperglycemic chimagawidwa mu ketoacidotic, lactic acidotic ndi hyperosmolar. Odwala amafunikira chithandizo chamankhwala mwachangu, mankhwala a insulin kwenikweni ndi gawo la mankhwalawo.

Mavuto osokonezeka amatha kupezeka pakapita zaka zambiri, chifukwa chachikulu ndikuwonjezeranso kwa shuga. Zombo zazikulu za shuga (angiopathy) ndi zing'onozing'ono (microangiopathy) zimawonongeka chifukwa cha shuga kwambiri, ndichifukwa chake ziwalo sizikuyenda bwino. Omwe ali pachiwopsezo chachikulu kwambiri ndi retina (diabetesic retinopathy), impso (nephropathy), ndi ubongo (encephalopathy). Komanso, matenda ashuga amtundu amachititsa kuti mitsempha iwonongeke (neuropathy). Kusintha kwakukulu m'matumbo ndi m'mitsempha ndizomwe zimayambitsa kupangika kwa phazi la matenda ashuga, kufa kwa minofu, osteoarthropathy, ndi zilonda zam'mimba.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti mapiritsi ndi insulin ndi njira yokhayo yoyeserera shuga kuwongolera? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>

Astamirova X., Akhmanov M. Handbook of Diabetes. Moscow-St. Petersburg. Nyumba Yofalitsa "Neva Publishing House", "OLMA-Press", 383 mas.
Russell, Jesse Diabetes Diet Therapy / Jesse Russell. - M: VSD, 2012 .-- 948 p.
Type 2 shuga. Mavuto ndi zothetsera. Zolemba, GEOTAR-Media - M., 2014. - 1084 c.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Zowongolera masomphenya

Izi zikuphatikiza ndi izi:

Matenda a shuga a retinopathy - amadziwika ndi capillaries ochulukirapo mu retina. Zinthu zakunja zikasowa, aneurysms ndi zotupa zimatuluka. Pa magawo oyambilira, izi zimasokoneza, komabe, matendawa akamakula, pamakhala chiwopsezo cha kuchepa kwakukulu kwa masomphenya.
Matenda a matenda ashuga - ndikusintha kwamphamvu mu kuchuluka kwa shuga, mandimuwo amakhala amitambo. Pathology imakhala ndi chitukuko chofulumira, chifukwa njira zochiritsira wamba sizithandiza.

Kukula kwa kubwezeredwa kwa matenda ashuga

Pofuna kuwongolera chithandizo cha matenda ashuga, madigiri otsatira a chiphuphu chake amadziwika.

Ngati matendawa adalipira, wodwalayo samva ludzu, samasungidwa ndi kukakamiza pafupipafupi kukodza ndi zina zowonetsa kuchepa kwamphamvu kwa glucose.
Subdecomproll ndi mkhalidwe womwe shuga amachulukitsidwa pang'ono m'magazi a odwala matenda ashuga.
Kubwezera ndi gawo lomwe glucose m'magazi a wodwala limakwera pafupipafupi. Chiwopsezo cha zovuta ndi izi chitukuko cha matendawa ndichokwera kwambiri. Izi zimachitika chifukwa chamankhwala osayenera. Mwa odwala omwe ali ndi matenda amtundu woyamba, gawo la kuwonongeka limachitika nthawi zambiri.

Mavuto obwezerera

Vuto lalikulu kwambiri la kuwonongeka kwa matenda ashuga ndi kuperewera kwa matenda ashuga, komwe kukula komweku kungachitike ndipo kungayambitse kudwala. Kuphatikiza pa hypoglycemia yomwe yatchulidwa pamwambapa, hyperglycemia, glucosuria ndi ketoacidosis, matenda a shuga ndi owopsa komanso zovuta zovuta, kuphatikizapo kuwonongeka kwa mitsempha yamagazi, ziwalo zam'maso ndi mitsempha.

Pa nthawi yowola, matendawa amakhala ndi zovuta zowopsa - nephropathy (kuwonongeka kwa impso), microangiopathy (kuwonongeka kwa ziwiya zazing'onoting'ono zaubongo) komanso matenda a shuga a retinopathy (kuwonongeka kwa retina). Khungu, kulowerera m'mitsempha, kulowetsedwa kwa mtima, matenda amtima, aimpso kulephera kwa chiwindi, gangrene - zonsezi zimatha kukhala zovuta pamkhalidwewu.

Malangizo pobweza

Ngati wodwala ali ndi matenda a shuga a mtundu wachiwiri, mankhwalawa amatha kukhazikika, monga momwe amachitira ndi matenda amtundu 1, ngakhale izi zimachitika pafupipafupi. Kumayambiriro kwa gawo ili, pakhoza kukhala malingaliro amodzi okha - chithandizo chamankhwala mwachangu pazowonekera zake zoyambirira: kuchuluka kwa ludzu, kuchepa thupi, kuchepa pokodza, kuwonjezeka shuga wamagazi ndi ena. Thandizo loyenera lachipatala lokha kulipiritsa matendawa pobweretsa kuchuluka kwa glucose kukhala labwinobwino ndikusintha mkhalidwe wa wodwalayo.

Malangizo a shuga

Chithandizo cha matenda ashuga ndichimodzi mwa ntchito zovuta zamankhwala. Chithandizo cha zakudya ndidakali chithandizo chachikulu cha matenda ashuga amtundu wa 2. Vutoli silothandiza mwachilengedwe zokha, komanso ndi anthu. Popewa matenda ashuga kuti asayambire ndi kudutsa gawo logulitsira, ndikofunikira kudziwa bwino gulu la anthu omwe ali pachiwopsezo. Choyamba, amaphatikiza anthu olemera kwambiri komanso okhala ndi vuto lotengera kwa makolo.

Mankhwala a insulin a matenda a diabetes 1 amatenganso gawo lina lofunikira, koma zakudya ndizofunikanso kwa iwo. Kwa iwo omwe amadziwika kuti ali ndi matenda a shuga a 2, maziko ndi chakudya, kutsatira kwambiri mankhwala omwe adokotala amupatsa ndi kuchita zolimbitsa thupi kwambiri. Chizindikiro cha chipukutira bwino ndipopanda shuga m'mimba yopanda 5.5 mmol / lita. Pambuyo maola awiri mutatha kudya m'magazi, chizindikiro ichi sichikhala choposa 8 mmol / lita. Kwa iwo omwe ali ndi matenda amtundu woyamba, gawo la kuwonongeka limachitika nthawi zambiri.

Zakudya za shuga

Malangizo akulu a shuga ndi zakudya zapadera za carb. Zakudya zochepa zomwe wodwala amadya, zimakhala zosavuta kuti iye azitha kusintha shuga m'thupi. Zakudyazo zimakhala ndi zakudya zopatsa chidwi, kuphatikiza shuga ndi maswiti aliwonse, mankhwala a ufa, mphesa, nthochi, madeti, masimu, njere ndi mtedza. Simungathe kukhala ndi mkaka wonse, mafuta a mkaka, mafuta anyama, marashi, mayonesi, soseji, nyama yamafuta, zakudya zosanjidwa, marinade, nyama zosuta, zakudya zam'chitini ndi mowa. Ndikofunikira kupatula zomwe zimatchedwa matenda a shuga pa fructose, dextrose, lactose, etc.

Zinthu zomwe zimatha kudyedwa mu shuga: tomato, nkhaka, kabichi, zukini, biringanya, tsabola, sore, sipinachi, nyemba zobiriwira, bowa, madzi amchere, zipatso zochepa komanso nandolo zobiriwira. Tiyi ndi khofi ziyenera kumamwa popanda shuga wowonjezera.

Zogulitsa zomwe muyenera kusamala, ndikugwiritsa ntchito zomwe ziyenera kukhala zochepa kwa 2: nsomba zamafuta ochepa, nyama yotsika mafuta, mafuta amkaka otsika, mbatata, mkate, nyemba, phala, pasitala, zipatso, mazira ndi zipatso.

Zakudya zama carb otsika ndizotsimikizira kuti shuga ya magazi imakhalabe moyenera, ndipo wodwalayo amakhala ndi moyo nthawi yayitali popanda zovuta za matenda a shuga ndikumverera ngati munthu wadzaza thupi.