Prediabetes - kuchuluka kwa shuga m'magazi ndi chiyani? Kodi muyenera kuganizira chiyani mukamalandira chithandizo?

Ngati wodwala wapezeka ndi prediabetes, kuchuluka kwa shuga m'magazi kumakhala kuyambira magawo 5.5 mpaka 6.9. Izi matendawa zimawoneka ngati mzere wam'malire pomwe wodwalayo alibe matenda ashuga, koma njira ya pathological imawonedwa kale m'thupi.

Dongosolo la prediabetesic limawoneka kuti ndi matenda omwe amayenera kuvutitsa munthu aliyense. Ngati munthawi imeneyi simutenga mbali zofunikira kuti matenda asungidwe a shuga afike pamlingo wofunikira, ndiye kuti matendawa amakula pakapita nthawi.

Monga lamulo, zoyenera zazikulu za dotolo ndizosintha moyo wake: zakudya zabwino, kuchita zolimbitsa thupi komanso kuyang'anira shuga wamagazi nthawi zonse.

Chifukwa chake, tiyeni tilingalire za prediabetes, ndipo ndi ngozi yanji yomwe munthu akukumana nayo kuchokera kuzomwezi? Momwe mungayezere magazi ndi glucometer, ndipo ndizotheka kuchitira boma la prediabetesic ndi Metformin?

Zambiri Prediabetes

Kodi boma la prediabetes, odwala ali ndi chidwi ndi chiyani? Pankhani ya zamankhwala, izi ndizosautsa kulekerera shuga. Mwanjira ina, njira yogwirizira ndi kupanga shuga m'thupi la munthu imasokonekera.

Poyerekeza ndi chikhalidwe cha pathological ichi, kapamba amapangitsanso insulini, koma kuchuluka kwake sikukwanira kuchuluka kwa glucose ofunikira kuti afikire ma cell.

Odwala onse omwe amapezeka ndi prediabetes nthawi yomweyo amakhala m'gulu lachiwopsezo chodwala "chotsekemera" chachiwiri. Komabe, palibe chifukwa chochitira mantha. Mosiyana ndi matenda a shuga, prediabetes imatha kuchiritsidwa kwathunthu.

Kodi amadziwika bwanji? Dokotala nthawi zonse amadalira zotsatira za mayeso omwe amapezeka mu labotale. Monga lamulo, kuti mupeze matenda oyenera, maphunziro angapo amafunikira. Dokotala ali ndi matebulo owonetsa miyeso yovomerezeka:

• Ngati phindu la shuga limasiyana pamagawo 3.3 mpaka 5.4, ndiye kuti izi ndi zomwe zimachitika.
• Pamene mayeso a shuga awonetsa zotsatira kuchokera ku 5.5 mpaka 6.9, izi zikuwonetsa kuti wodwalayo ali ndi boma la prediabetes.
• Ngati shuga wamunthu woposa ma unit 7.0, titha kulankhula za matenda ashuga apamwamba kwambiri.

Ngati kafukufuku m'modzi adawonetsa kuchuluka kwa shuga, ndiye kuti dokotalayo amalimbikitsa kuyesedwa kwa shuga. Kafukufukuyu amakupatsani mwayi wodziwa kuchuluka kwa shuga womwe umayamwa ndi thupi la munthu.

Zotsatira zake zikakhala mpaka magawo 7.8, ndiye izi ndizomwezo. Ndi zizindikiro zomwe zikuyambira pa magawo 7.8 mpaka 11.1 - izi sizinso zachilendo, ndi prediabetes. Kupitilira magawo 11.1, mutha kulankhula za matenda "okoma".

Chofunika: kuchuluka kwa shuga sikudalira mtundu wa munthu, koma pali cholumikizira china. Kwa ana, malire apamwamba ndi gawo la mayunitsi a 5.3, kwa anthu azaka zopitilira 60 - bar yopamwamba ndi mayunitsi 6.4.

Kodi pali chilichonse chomwe chikuchitika mthupi la prediabetes?

Odwala ambiri ali ndi chidwi chofuna kudziwa ngati pali zizindikiro zilizonse zomwe zikuwonetsa chitukuko cha dziko la prediabetes, ndipo zamatsenga zimatha bwanji kuzindikira munthawi yake? Tsoka ilo, pazambiri zamatenda azachipatala, zizindikiro sizimawonedwa.

Munthu amakhala moyo wamba, amatha kumva bwino, samavutitsidwa ndi chilichonse, komabe, shuga imakwera pamwamba pazovomerezeka. Monga lamulo, izi zimawonedwa mu 99% ya milandu.

Kuphatikiza apo, odwala omwe ali ndi chidwi chokweza kukula kwa shuga amatha kukumana ndi zovuta zina. Chifukwa chake, choyambirira, tikulimbikitsidwa kulabadira izi:

1. Nthawi zonse ndimamva ludzu.
2. Kuchulukana mobwerezabwereza.
3. Pakamwa pakamwa.
4. Mavuto azikopa.
5. Zowonongeka.
6. Wofera ulesi ndi wopanda chidwi.

Nthawi zambiri, boma la prediabetes limapezeka mwamwayi, ndipo munthu samakayikira chilichonse. Izi zimatha kuchitika pakamayesedwe ka magazi (chizolowezi) kapena poyeserera.

Muzochita zachipatala, pali mndandanda wa anthu omwe ali pachiwopsezo chotenga matenda okoma. Kuthekera kwakukulu kokulitsa matenda a shuga m'magulu otsatirawa a anthu:

• Ngati mbiriyo ili ndi cholowa chamtsogolo cha matenda.
• Amayi omwe adapezeka ndi matenda a shuga pakatundu. Komanso atsikana aja omwe adabereka mwana wopitilira ma kilogalamu 4.
• Kunenepa kwambiri, mtundu uliwonse wa kunenepa kwambiri.
• Moyo woipa komanso wopanda ntchito.
• Oimira atsikana ofooka omwe amakhala ndi ovomerezeka ya polycystic m'mbiri ya matendawa.

Kuti adziwe matenda omwe amadwala matenda ashuga asanachitike, dokotalayo angakulimbikitseni kuyesedwa kwa magazi kuchokera chala kuchokera kumtundu wa shuga, kapena kupereka mayeso oti atha kukhala ndi shuga, kapena glycated hemoglobin.

Metformin mankhwalawa prediabetes

Ngati wodwala ali ndi matenda osokoneza bongo, ndiye kuti amalangizidwa nthawi yomweyo kusintha moyo wake. Makamaka, kuti ayang'anenso menyu ake ndi zakudya zomwe amadya, akulangizidwa kuti asinthe zakudya zamagulu omwe ali ndi shuga.

Mfundo yachiwiri yosagwiritsa ntchito mankhwalawa ndi zolimbitsa thupi zolondola kwa odwala. Amati ndizolimbitsa thupi zomwe zimathandizira kukulitsa chiwopsezo cha minofu kuti ikhale shuga.

Odwala ambiri, akamazindikira kuti ali ndi matenda a prediabetes, amakhala ndi nkhawa kuti angadwale matenda ashuga, choncho akufunafuna njira zopewera izi. Pankhaniyi, anthu ena ali ndi funso, kodi ndizotheka kutenga Metformin pochiza matenda a prediabetes, ndipo ndimwe mpaka liti?

Inde, muzochitika zingapo, Metformin itha kukhala yoyenera kuchiza matenda a prediabetes. Mankhwalawa amalembedwa kuti achepetse thupi, komanso kuti achepetse ukalamba.

Metformin sayenera kumwedwa pazotsatirazi:

1. Pamene mwana akubala, nthawi ya mkaka wa m`mawere.
2. Ndi zakudya zama calori ochepa.
3. Pambuyo pavulala ndi opareshoni.
4. Ndi chiwindi ntchito.
5. Potengera maziko a kulephera kwa impso.
6. Ana a zaka mpaka 10.

Odwala omwe akutenga Metformin amadziwa kuti pakapita nthawi, shuga amabwerera mwakale, palibe kulumpha kwa glucose atatha kudya.

Pa intaneti, funso limakhala kuti: kodi ndizotheka kutenga Metformin popewa matenda ashuga? Nkhani yake ndiyothandiza, pokhudzana ndi kuchuluka kwa matenda "okoma".

Komabe, izi sizofunikira. Metformin imathandizira pokhapokha ngati pali mlingo woyenera wowagwiritsa ntchito. Palibe chovuta kunena kuti kudzilimbitsa nokha ndi mankhwala sikubweretsa chilichonse chabwino.

Pali nthawi zina pamene anthu athanzi adalandira mankhwalawo kuti achepetse kulemera kwawo. Mapaundi owonjezera anapitadi, koma anasinthidwa ndi mavuto azaumoyo.

Momwe mungayesere shuga yanu nokha?

Chimodzi mwazinthu zothandizira kupewa kusintha kwa boma la matenda ashuga kukhala matenda ashuga ndiko kuyang'anira shuga nthawi zosiyanasiyana masana: m'mawa musanadye chakudya cham'mawa, mutatha kudya, masewera olimbitsa thupi, pogona, ndi zina zotero.

Kuti muchite izi, chipangizo chapadera chomwe chitha kugulidwa ku pharmacy chingathandize, ndipo chimatchedwa glucometer. Chipangizochi chimakupatsani mwayi wofufuza shuga kunyumba.

Pali mitundu yosiyanasiyana yamitengo yoyesera shuga m'thupi la munthu. Kwa glucometer, muyenera kugula timitengo yoyeserera momwe timadzi timene timayikidwa.

Njira yakuyeza ndiyosavuta:

• Sambani manja, pukuta.
• Pierce chala, kwezani magazi pang'ono kumanga.
• Ikani mkati mwake.
• Pakapita masekondi 15 mutha kudziwa zotsatira zake.

Njirayi imathandizira kuchepetsa shuga, ndipo munthawi yake poletsa kuchuluka kwake, motero, kupewa zovuta zomwe zingachitike chifukwa cha shuga wambiri.

Kodi mukuganiza bwanji pamenepa? Kodi mwakhala mukupezeka kuti muli ndi matenda a prediabetes, ndipo mumawongolera bwanji shuga?

Kodi shuga 7 ndi chiyani

Dziko la prediabetesic limadziwika ndi kusokonekera kwa shuga kulolera. Ndi prediabetes, pancreatic enzyme yopanga imachepa pang'ono, ndipo kuchuluka kwa shuga m'magazi kuli kale kwambri, koma sanafike pamlingo womwe matenda a 2 amadziwika. M'mbuyomu, matendawa amatchedwa zero-siteji ya shuga.

Choyambitsa chachikulu cha matenda a prediabetes (komanso matenda a shuga 2) ndikusintha kwa minofu kukana insulin. Chimodzi mwazinthu zomwe zimagwira ntchito imeneyi ndi kutsitsa glucose kumaselo a thupi.

Zakudya zam'magazi zikafika m'magazi, kapamba amapanga insulini, ndipo mwakuchulukirapo kwa kuchuluka kwa shuga, insulin kukana kumayamba pang'onopang'ono - kuchepa kwa mphamvu ya mahomoni, kuthekera kwa ma membrane am'm cell kuti azindikire ndikuthandizira pokonza shuga.

Zikhala za momwe shuga mumagazi amayenera kukhala m'magazi, momwe amayeza komanso momwe amachepetsa shuga. Potanthauza kuti "shuga m'magazi" amatanthauza kuyamwa kwa shuga. Pali miyambo yofotokozedwa bwino ya chizindikiro ichi.

Ziwerengerozi zimatengera zaka za munthu, komanso zakudya, koma chizindikiro ichi sichikuyenera kukwera pamwamba pa 7 mmol / lita. Kuchuluka kwa shuga m'magazi kumasiyana tsiku lonse. Ngati mumapereka magazi kuti aunikidwe mukangomaliza kudya, mtengo wake umakhala wokwera kuposa maola ochepa pambuyo pake.

Ndikofunikira kuyang'anira chizindikirochi pafupipafupi. Izi ndizofunikira kwambiri, chifukwa ngati simuwona kuwonjezeka kwa nthawi yake, mutha kupeza zotsatira zosasintha.

Nthawi zonse kwa achikulire

Gawo la muyeso wa kuchuluka kwa shuga m'magazi ndi phindu la mmol / lita. Mwa munthu wathanzi labwino, chizindikiro ichi, monga lamulo, nthawi zonse chimachokera ku 3.7-5.3 mmol / lita. Mukangodya chakudya chamafuta othamanga, amatha kuchuluka mpaka 6.9 mmol / lita, koma osapitirira 7.

Pakapita kanthawi kochepa, mtengo umabweranso wamba. Mukatola magazi kuchokera ku chala, chiwerengerocho chimakhala chotsika 20% kuposa pamene mumtsempha. Mfundo zomwe zaperekedwa ndizothandiza kwa anthu azaka zilizonse kuyambira 14 mpaka 59.

Mwa anthu opitilira zaka 60, glucose wokhala ndi 4.7-6.6 mmol / lita amadziwika kuti ndi wabwinobwino. Pa nthawi yomwe mayi ali ndi pakati, azimayi amatha kukhala ndi shuga m'magazi osiyanasiyana. Muyeso wa kuchuluka kwa glucose mwa mayi woyembekezeredwa kumawerengedwa kuti ndi 3.3-6.8 mmol / lita.

Ndikofunikira kwambiri kuti mayi woyembekezera azisintha kusintha kwa shuga, chifukwa kuchuluka kwake kungasokoneze thanzi la mwana wamtsogolo. Mtengo wamagazi a 7mmol / lita kapena wapamwamba umatengedwa kuti ndi wokwezeka ndipo ndi mwayi wopezekera kuchipatala msanga.

Nthawi zonse kwa ana

Mlingo wa glucose umatengera zaka za mwana. Mwa ana osakwana zaka 2, chizolowezi chimadziwika ngati chizindikiro kuchokera ku 2.7 mpaka 4,4 mmol / lita. Kuyambira zaka ziwiri mpaka 7 - 3.2-5.1 mmol / lita. Mwa ana kuyambira zaka 7 mpaka 14, mulingo wofanana ndi 3.2-5.5 mmol / lita. Ngati kuchuluka kwa shuga kwa ana kukwera mpaka 7 mmol / lita ndi kukwera, ndikofunikira kukaonana ndi dokotala posachedwa ndikupita kuchipatala.

Momwe mungayesere magazi anu nokha

Pali njira yoyezera shuga kunyumba. Ichi ndi chipangizo chapadera chotchedwa glucometer.

Anthu omwe ali ndi matenda a shuga amagwiritsa ntchito mankhwalawa kuwongolera kusintha kwa misempha kangapo patsiku. Mita yamakono yamagazi a glucose ali ndi chiwonetsero ndi chida choboola khungu.

Payokha, muyenera kugula zingwe zapadera zoyeserera. Chipangizocho ndichosavuta kugwiritsa ntchito.

Pofuna kuyeza shuga wamagazi ndi glucometer, mumangofunika kuboola khungu kumapeto kwa chala chanu, kufinya dontho la magazi, ndikuyika chingwe choyesa. Zotsatira zake zidzadziwika masekondi ochepa. Njirayi ndiyopweteka kwambiri ndipo siyipangitsa vuto.

Pakadali pano, pali mitundu yayikulu kwambiri ya mitundu yosiyanasiyana ya glucometer, yonseyi ndi yaying'ono kwambiri ndipo siyani magalamu zana. Izi zimakuthandizani kuti mutengere mita ndi inu kulikonse komwe mungapite, zimagwera mosavuta mthumba lanu kapena chikwama.

Kuopsa kwa shuga wambiri

Kuwonjezeka kwa shuga m'magazi kumatchedwa hyperglycemia. Amawonedwa mu matenda a shuga, kuchepa kwa chithokomiro, kusokonekera kwa chithokomiro, matenda a chiwindi ndi ena.

Mafuta owonjezera amadzaza m'magazi, motero amasokoneza kagayidwe. Hyperglycemia yoopsa kwambiri imatha kuyambitsa nseru, kusanza, kugona, ndipo nthawi zina amathanso kuzindikira.

Momwe mungachepetse shuga

Ngati magazi a shuga aposa 7 mmol / lita, muyenera kuchitapo kanthu kuti muchepetse. Izi zimatheka kunyumba. Kuti muchite izi, choyambirira, muyenera kulabadira mwapadera chakudya chomwe mumadya.

Ndikofunika kudya nsomba ndi nsomba zam'nyanja, nyama, nkhuku, dzira, tchizi, batala, masamba obiriwira atsopano, bowa. Kutsatira zakudya zamafuta ochepa, mutha kubwezeretsa shuga m'masiku ochepa.

Pambuyo masiku 5-7 chakudya chotere, kuchuluka kwa ndende ya magazi kuyenera kukhalanso kotheka.

Komanso, masewera olimbitsa thupi amathandizira kuchepetsa shuga m'magazi pansi pa 7 mmol / lita. Ndi zofunikira pamlingo wa glucose wa 7 ndi mmol / lita imodzi. Zochita zolimbitsa thupi ziyenera kukhala zopepuka komanso zosankhidwa poganizira mawonekedwe a thupi. Musachulukitse thupi mwakuchita masewera olimbitsa thupi ndi shuga wokwanira pamwamba pa 7 mmol / lita, izi zitha kukhala zovulaza thanzi.

Kuti muwongolere shuga lanu, muyenera kugwiritsa ntchito mita kangapo patsiku. Onetsetsani kuti mwachita izi pambuyo pa mphindi 5-7, pambuyo pa mphindi 15-17, mutatha mphindi 30 ndi maola awiri mutadya. Zakudya zatsopano ziyenera kuyambitsidwa pang'onopang'ono m'zakudya zama carb ochepa, ndipo shuga yamagazi amayenera kuyang'aniridwa mukatha kumwa. Siyenera kukwera pamwamba pa 7 mmol / lita.

Chizindikiro chowopsa cha matenda a shuga ndikuwonjezereka kwa shuga m'magazi pamiyeso yokhazikitsidwa mutatha kudya.

Pankhaniyi, adokotala atha kuzindikira matenda a prediabetes. Panthawi imeneyi, odwala amatha kuwongolera matenda awo popanda mankhwala.

Koma akuyenera kudziwa zomwe zizindikiro za prediabetes zimadziwika komanso chithandizo chamankhwala chotchulidwa mogwirizana ndi chiwembu chanji.

Zokhudza boma

Kuzindikira kwa prediabetes kumakhazikitsidwa pokhapokha ngati thupi sililabadira moyenera kutuluka kwa glucose kulowa m'magazi. Izi ndi malire pamalire: endocrinologist alibe chifukwa chokhazikitsira matenda a shuga, koma mkhalidwe wa wodwalayo ukuda nkhawa.

Kuti muzindikire za matendawa, kuyezetsa angapo ma labotale ndikofunikira. Poyamba, wodwalayo amatenga magazi pamimba yopanda kanthu ndikuwunika kuchuluka kwa shuga. Gawo lotsatira ndikupangitsa kuyesa kwa glucose kulolerana (GTT).

Pa kafukufukuyu, magazi amatha kumwedwa katatu. Mpanda woyamba umachitika pamimba yopanda kanthu, wachiwiri ola limodzi munthu atamwa njira yothetsera shuga: 75 g, yovilitsidwa mu 300 ml yamadzi. Ana amapatsidwa 1.75 g pa kilogalamu yolemera.

Mukamasala kudya, magazi othamanga sayenera kupitirira 5.5 mmol / L. Mlingo wa shuga m'magazi umakwera mpaka 6 mmol / l wokhala ndi prediabetes.

Umu ndi momwe amafunikira kuyezetsa magazi.

Mu GTT, zizindikiro zimawunikira motere:

• shuga wambiri mpaka 7.8 amadziwika kuti ndiwopezeka,
• kuchuluka kwa shuga pakati pa 7.8 ndi 11.0 ndi matenda a prediabetes,
• shuga zomwe zili pamwamba pa 11.0 - shuga.

Madokotala samachotsa kuwoneka kwa zotsatira zabodza zabodza kapena zabodza, chifukwa chake, kuti mufotokozere bwino za matendawo, ndikofunika kuyesedwa kawiri.

Gulu lamavuto

Malinga ndi ziwerengero za boma, anthu aku Russia oposa 2 miliyoni ndi odwala matenda ashuga.

Koma malinga ndi zotsatira za mayeso owongolera ndi miliri, zinavumbulutsidwa kuti pafupifupi anthu 8 miliyoni ali ndi matendawa.

Izi zikutanthauza kuti 2/3 odwala samapita kuchipatala kukalandira chithandizo chokwanira. Ambiri aiwo sadziwa nkomwe kuzindikira kwawo.

Malinga ndi malingaliro a WHO patatha zaka 40, ndikofunikira kuyang'anitsitsa kuchuluka kwa glucose pakatha zaka zitatu zilizonse. Mukalowa gulu lamavuto, izi zikuyenera kuchitika chaka chilichonse.

Kuzindikira kwakanthawi kwa boma la prediabetes, kupereka mankhwala, kutsatira zakudya, kuchita masewera olimbitsa thupi kumakuthandizani kuti muziwongolera matendawa.

Gulu lamavuto limaphatikizapo anthu onenepa kwambiri. Monga momwe masewera amasonyezera, muyenera kutaya 10-15% kuti mukhale ndi thanzi labwino. Ngati wodwala ali ndi kulemera kwakukulu, BMI yake imaposa 30, ndiye kuti matendawa amakhala ndi shuga.

Zomwe zimayambitsa kukula kwa prediabetes

Amakhulupirira kuti anthu omwe ali ndi thupi lochulukirapo, komanso otsogola, ali m'gulu lomwe lili pachiwopsezo chotenga matenda monga prediabetes. Komabe, chifukwa chachikulu chomwe chikulepheretsa matendawa ndi momwe thupi limachitikira ndi insulin. Kukhalabe ndi shuga wathithithi pamenepa sikuchitika bwino.

Glucose ndi metabolites ya kagayidwe kazakudya zimagwira ntchito yofunika kwambiri popereka mphamvu ku minofu ya thupi komanso kupuma ma cell. Kukula kapena kuchepa kwa nthawi yayitali pazinthu zake kumabweretsa zotsatira zoyipa zomwe zimasokoneza thanzi la anthu komanso moyo. Chifukwa chake, madokotala amalimbikitsa kuti pakhale kuchuluka kwamphamvu yamagazi.

Kuyika kwake m'magazi kumayendetsedwa ndi mahomoni angapo nthawi imodzi - insulin, glucagon, somatotropin, thyrotropin, T3 ndi T4, cortisol ndi adrenaline, ndipo pakupanga glucose 4 njira zonse zam'magazi zimakhudzidwa - glycogeneis, glycogenolysis, gluconeogenesis ndi glycolysis.

Pazifukwa zodziwitsa, ndikofunikira kudziwa zomwe akutanthauzira, komanso kupatuka mkati ndi kunja kwa chizolowezi, zomwe zimatengera nthawi yakudya komanso kupezeka kwa zizindikiro za matenda ashuga. Kuphatikiza pa shuga, palinso zolemba zina za shuga m'magazi: fructosamine, hemoglobin wa glycated, lactate, ndi ena. Koma muziyamba kuchita zinthu zofunika kwambiri.

Gluu m'magazi a anthu

Monga chakudya china chilichonse, shuga sangatengeke mwachindunji ndi thupi ndipo amafunika kuti khungu lisungunuke mothandizidwa ndi ma enzymes apadera okhala ndi mathero a "-ase" ndikupanga dzina logwirizanitsa glycosyl hydrolases (glycosidases), kapena sucrose.

Gulu lowopsa la prediabetes limaphatikizapo anthu omwe amakumana ndi magawo angapo.

Ngati muli ndi matenda osokoneza bongo, mutha kupewa kapena kuchedwetsa kukula kwa matendawa mwakutsatira malangizo osavuta ngati chakudya chapadera cha prediabetes:

Chepetsa kuchuluka kwa mafuta omwe amwedwa. Idyani zakudya zopanda mafuta ochepa komanso zamafuta ambiri osungunuka.

Idyani zopatsa mphamvu zochepa.

Chepetsa maswiti kuti muchepetse kukwera msanga wamagazi. Mwa zakudya zitatu zazikuluzikulu (chakudya, mapuloteni, ndi mafuta), zamafuta ambiri zimakhudza kuchuluka kwa shuga m'magazi.

Lankhulani ndi dotolo wanu za njira yodyera yomwe muyenera kudya.

Kafukufuku wina wamkulu adawonetsa kuti anthu omwe amatsata zakudya - amadya masamba, nsomba, nkhuku, ndi zakudya za tirigu - ali pachiwopsezo chochepa kwambiri cha matenda ashuga amtundu wa 2 poyerekeza ndi anthu omwe amadya nyama yayikulu, nyama yokonzedwa , mafuta amkaka amkaka, chimanga chotsekemera ndi maswiti.

Kukonzekera zakudya zanu za prediabetes nthawi zambiri kumakupangitsani kuwona zamitundu yatsopano. Pali njira zingapo zosavuta zosinthira zakudya zanu.

Katswiri wovomerezeka wazakudya atha kukuthandizani kupanga mapulani azakudya zomwe zikugwirizana ndi moyo wanu.

Zina mwa akazi ndi ana

Pangozi ya matenda a shuga ndi azimayi omwe ali ndi mbiri ya matenda ashuga - vuto lomwe limakonda kupezeka nthawi yapakati.

Monga lamulo, mwana akabadwa, kuwunika kwa matenda ashuga kumachotsedwa, koma amayi achichepere amafunika kuyang'anitsitsa kuchuluka kwa shuga, popeza pali chiopsezo chokhala ndi matenda a shuga a 2 msinkhu wokhwima.

Zofunika! Mu ana, matenda amtundu woyamba amadziwika kwambiri, maselo amthupi atasiya kupatula insulin. Matenda amtunduwu amatchedwa insulin-amadalira ndipo amafunika jakisoni wambiri wa insulin.

Nthawi yomaliza ya matenda ashuga a mtundu woyamba nthawi zambiri imakhala yochepa kwambiri, koma makolo amatha kuzindikira kuti mwana akuwonda kwambiri, akumadandaula kuti wasweka ndi kugona. Ana ena okhala ndi matenda a prediabetesic amakhala ndi enuresis, matenda a pakhungu amawonekera: eczema, zithupsa.

Kuwonetsedwa kwa matenda amtundu wa 1 akuwonetsedwa pakuwonongeka kwambiri mu thanzi, matenda ashuga a ketoacidosis amakula, pomwe mseru, kusanza kumawonekera, ndipo mwana amayamba kununkhira kwambiri kwa asetone. Matendawa ndi owopsa kwa mwana ndipo amafunika kuchipatala msanga.

Posachedwa, kuchuluka kwa odwala matenda amtundu wa 2 kwa ana ndi achinyamata kwawonjezeka. Izi zimabweretsa kusowa kwa zakudya m'thupi. Matenda a 2 a shuga amakula pang'onopang'ono; ana onenepa kwambiri ali pachiwopsezo.

Zizindikiro za prediabetes mwa amayi ndi abambo

Pali zisonyezo zambiri za matenda ashuga zomwe zimadziwika m'deralo. Pakati pawo, madandaulo a ludzu losatha, kuyabwa pakhungu, komanso kukodza pafupipafupi amadziwika kwambiri.

Prediabetes ndi nkhope imeneyo pomwe matendawa sanakhalepo, koma kuchuluka kwa shuga m'magazi pamimba yopanda kanthu kumadutsa pang'ono kuposa (5.5 mmol / l) ndipo ndi 5.6 - 6.5. Ndi chizindikiro cha 7 mmol / l pamimba yopanda kanthu, matenda a shuga amapezeka. Matenda a shuga amawonekeranso panthawi yoyesedwa ndi shuga. Ndi kulolera shuga wambiri, amalankhula za kukula kwa matenda ashuga a mtundu 2.

Zizindikiro zazikuluzakuti mukuyambitsa matenda a shuga.

Masiku ano, anthu ochulukirapo akuda nkhawa ndi shuga. Samadandaula pachabe, chifukwa zomwe zili ndi shuga (shuga) m'magazi zimangosonyeza kuti munthu akudwala matenda ashuga. Koma zomwe zili ndi shuga wochepa kwambiri zitha kulankhula za zinthu zoipa mthupi.

Shuga owonjezera amene amalowa mthupi la munthu (sucrose m'mimba yamagaya amawonongeka mu glucose ndi fructose) amayikidwa m'chiwindi ndipo, ngati kuli kotheka, amalowa m'magazi - ndi kuchepa kwa kuchuluka kwa shuga m'magazi.

Mukatha kudya m'magazi, kuchuluka kwa glucose kumachulukanso, motero kumatchedwa chakudya hyperglycemia. Izi sizowopsa mthupi ndipo sizimayambitsa kusokonezeka kulikonse, chifukwa shuga wowonjezera (glucose) amasungidwa m'chiwindi ndikufafaniza pang'ono ndi impso.

Mwa anthu athanzi, kuchuluka kwa shuga ndi pafupifupi 5.0 mmol / L. Mukatha kudya, chiwerengerochi chimakwera pafupifupi 7.0 mmol / L, koma chimabweranso kwazachilendo patangopita maola ochepa. Mwa munthu wathanzi, kuchuluka kwa shuga sikumatsika m'munsi mwa 3.5 mmol / L.

Zizindikiro za prediabetes

Choyamba, anthu omwe ali pachiwopsezo ndi omwe amakhala moyo wongokhala ndipo amakhala ndi mavuto onenepa kwambiri. Gulu lachiwiri la anthu ndi omwe ali ndi chikhalidwe chotengera matendawa.

Kuchepa kwa matenda a prediabetes kumachulukirachulukira mwa azimayi omwe adadwala matenda ashuga panthawi yoyembekezera.

Odwala ambiri nthawi zambiri samazindikira mawonetseredwe oyamba omwe amakhala ndi prediabetes, ndipo zizindikilo zina zimatha kupezeka kokha kudzera mu mayeso a labotale, ndikofunikira kuchita mayeso.

Munthu akaphwanya kagayidwe kazakudwala, ntchito za mahomoni zimalephera mthupi ndipo kupangika kwa insulin kumachepa. Izi zimatha kubweretsa kusowa tulo.

Khungu loyera komanso kuwonongeka kwa mawonekedwe.

Mwazi chifukwa cha kuchuluka kwa shuga umakhala wokulirapo, ndipo kudutsa kwake kudzera m'matumbo ndi ma capillaries ang'onoang'ono kumakhala kovuta. Zotsatira zake, khungu loyenda ndi maonekedwe limawonekera.

M ludzu, kukodza pafupipafupi.

Kuti muchepetse magazi akhungu, thupi limafunikira madzi ambiri. Chifukwa chake, wodwalayo amakhala akuzunzidwa nthawi zonse ndi ludzu. Mwachilengedwe, kumwa madzi ambiri kumapangitsa kuti muzikodza pafupipafupi. Ngati magazi a shuga atsika mpaka 5.6 - 6 mmol / L, vutoli limatha lokha.

Popeza kuchuluka kwa insulin komwe kumapangidwa kumachepetsedwa, shuga wa m'magazi samatengekeratu ndi minofu. Zotsatira zake, maselo alibe chakudya komanso mphamvu. Chifukwa chake, thupi la wodwalayo limatha msanga ndipo kuchepa kwa thupi kumachitika.

Kutentha ndi usiku kukokana.

Momwe mungadziwire matenda

Matenda a shuga ndi zizindikiro zake sangathe kuganiziridwanso koyambirira. Nthawi zambiri anthu samazizindikira, ndipo zina mwazizindikiro zake zimatha kupezeka pokhapokha ngati atangoyesedwa. Uku ndiye chiopsezo cha malire. Nanga, momwe mungadziwire matenda a shuga komanso momwe mungadziwire mkhalidwe wa prediabetes? Ndi boma la matenda a shuga, mutha kukhala ndi zisonyezo 10 zoyambira:

1. Nthawi zonse kugona
2. Kutaya kwamaso
3. Zipsera komanso kuyaka khungu kosatha,
4. Kumva ludzu kwambiri
5. Kulakalaka kwathunthu kupita kuchimbudzi,
6. Kuchepetsa thupi kwambiri,
7. Minofu kukokana, makamaka usiku,
8. Thupi kapena ngakhale malungo
9. Mutu wosalekeza
10. Mukamayeza glucose wamagazi, chipangizocho chimawonetsa mfundo zapamwamba.

Matenda a shuga amakhala ndi zizindikiro zazikulu.

Kodi nchiyani chomwe chingakhale zizindikiro ngati boma la matenda ashuga litakula, muyenera kuchita chiyani ngati zizindikiro za matendawo ziwoneka, ndi chithandizo chiti? Matendawa sangakhale ndi mawonekedwe omveka, koma nthawi zambiri, odwala amafotokoza zizindikiro zofanana ndi matenda a shuga:

• Kusenda kwa khungu, maliseche akunja.
• Kumva ludzu kwamphamvu.
• Kukodza pafupipafupi.
• Furunculosis.
• Mabala osachiritsika osachiritsa, abrasions.
• Mwa akazi, pali kuphwanya kwa msambo, mwa amuna - kusabereka.
• Matenda a mucous nembanemba wamkamwa: gingivitis, periodontitis, stomatitis.
• Zowonongeka.
• Migraine, chizungulire, kusokonezeka kwa tulo.
• Kuchuluka kwamanjenje, kusakhazikika.
• Usiku kukokana mu minofu minofu.

Ngati vuto lanu lonse likuipiraipira, ngati muli ndi zingapo mwazizindikirozi, muyenera kufunsa dokotala ndikuyezetsa mayeso a misempha yamagazi. Nthawi zambiri matenda oterewa amakhala asymptomatic ndipo amatha kuchitika mwapadera mukamayesedwa pafupipafupi.

Chifukwa chake, odwala omwe ali pachiwopsezo amalimbikitsidwa kuwunikira glycemia ndikuwunika kwa katswiri kuti adziwe matenda ndi chithandizo cha nthawi yake.

Kusanthula shuga

Zizindikiro za prediabetes, kumene, zimawonekera motsutsana ndi maziko a shuga okwanira. Kuti muwone ngati muli ndi prediabetes ndipo muli pachiwopsezo chokhala ndi matenda a shuga a 2, kuyezetsa shuga kwa magazi nthawi zambiri kumachitika mukatha kudya maola 8 usiku.

Nthawi zina, kuyesedwa kwa glucose pakamwa kungachitike. Kuti muchite izi, kuchuluka kwa shuga mumagazi anu kudzayezedwa pamimba yopanda kanthu kenako maola 2 mutamwa njira yapadera ya shuga.

Kuthamanga kwa glucose ndizoposa ma milligram 110 pa decilita (mg / dl) kapena wamkulu kuposa 6, 1 mmol / L. Mukamayesa mayeso okhudzana ndi glucose, osachepera / ofanana ndi 140 ndi oposa 200 mg / dl (ochepera / ofanana ndi 7.8 ndi oposa 11.1 mmol / l) - maola awiri atatha kuyesedwa.

Mawu monga "shuga wofatsa", "shuga wa m'mphepete," kapena "shuga wokwezeka pang'ono" siolondola. Ngati mukumva mawu awa, afunseni ngati kuchuluka kwa shuga mumagazi momwe mungakhazikitsire matenda a prediabetes kapena matenda ashuga.

Pali zisonyezo zambiri za matenda ashuga zomwe zimadziwika m'deralo. Pakati pawo, madandaulo a ludzu losatha, kuyabwa pakhungu, komanso kukodza pafupipafupi amadziwika kwambiri. Zizindikiro zochepa ndizoyambira monga:

• kusowa tulo
• kusawona bwino,
• kusokonezeka kwa mtima ndi mitsempha yamagazi,
• kuwonda
• kukokana, kutentha thupi,
• kupweteka m'mutu ndi miyendo.

Chizindikiro chofunikira kwambiri komanso chachindunji ndi shuga wamwazi. M'mikhalidwe yapita mtundu wachiwiri wa matenda ashuga, zotsatira za mayeso a labotale zimayambira pa 5.5 mpaka 6.9 mmol / L.

Chovuta chachikulu pakupezeka kwa matenda a prediabetesic state ndi zizindikiro zofatsa. Kusintha kocheperako pakukhala bwino, kosonyeza kukula kwa matendawa, nthawi zambiri amadziwika ndi odwala chifukwa chogwira ntchito kwambiri kapena zizindikilo za matenda ena. Izi zikuphatikiza:

• ludzu lamphamvu, losazimitsa bwino, limodzi ndi kumva mkamwa youma (chizindikirocho chimakulirakulira mkati kapena pambuyo poti musokonezeke kwambiri mwakuthupi kapena m'maganizo),
• kusowa kwamadzi
• kukodza kwambiri pafupipafupi (komwe kumalumikizidwa ndikuwonjezereka kwa kuchuluka kwamadzi am'madzi)
• njala yambiri, kuphatikiza usiku kapena usiku,
• kunenepa kapena kuchepa,
• ziphuphu kapena zilonda pakhungu,
• kugona, mavuto ena ogona,
• Zizindikiro zamagazi ochulukirapo (mukatha kudya, mumatha kumva kutentha (kutentha kwamkati), chizungulire, thukuta)
• kusokonezeka kwa kukumbukira
• kuchepa kwa chidwi,
• dontho lowoneka bwino pantchito,
• chizungulire, kupweteka mutu (chizindikiro cha vasoconstriction),
• khungu loyang'anira (zotsatira za kusintha kwamankhwala),
• kuwonongeka kwamawonekedwe
• kusokonezeka kwa mahomoni (zizindikiro za prediabetes mwa amayi achichepere nthawi zambiri zimayendetsedwa ndi kusokonezeka kwa msambo).

Matenda a shuga asanafike alibe matendawa, zomwe zimafotokozedwazo zimawonetsa kukula kwa matenda ashuga amtundu wa 2. Motere, odwala omwe ali m'magulu omwe ali pachiwopsezo (kuphatikiza chibadwa cham'mimbamo), makamaka atakwanitsa zaka 45, amafunika kukayezetsa magazi kawiri konse pachaka, makamaka ndi kuwonjezeka kwa thupi.

Mkhalidwe wa prediabetes ungakhale asymptomatic kwa nthawi yayitali. Pangozi ndi anthu azaka zopitilira 40, anthu onenepa kwambiri, komanso amayi oyembekezera. Matendawa akamakula, zizindikiro zotsatirazi zimawonekera:

1. Kulemera msanga kapena, m'malo mwake, kuwonda kwambiri. Nthawi zambiri mwa odwala onenepa kwambiri, kukhudzana ndi insulin kumawonedwa - kuchepa kwa chidwi cha maselo kuchitira kanthu kwa ma insulin, chifukwa, insulin yochulukirapo imawonekera mthupi, yomwe imapangitsa kuti munthu azikhala ndi nkhawa komanso azikhala wonenepa m'mimba.
2. Kumachitika ludzu lalikulu ndi kukodza pafupipafupi. Ndi kuchuluka kosalekeza kwa shuga, magazi amakhala amanenepa, ludzu lamphamvu limawonekera, lomwe silidutsa ngakhale atamwa kwambiri. Kukodza pafupipafupi kumachitika chifukwa cha ludzu lochulukirapo.
3. Maonekedwe a kuyabwa pakhungu, adachepetsa maonedwe, mawonekedwe a khunyu. Pakuwonjezeka kwa shuga, pali kuphwanya kwamtundu wamagazi kumitsempha yamagazi ndi ma capillaries ang'onoang'ono, chifukwa chake, mawonekedwe amawonongeka ndikuyamba kuyamwa kwambiri pakhungu. Chifukwa cha kuwonongeka kwa magazi mu minofu, kukokana kwa minofu kumatha kuchitika.

Pansipa patebulopo mungapeze zikhalidwe za shuga.

Matenda a shuga ndi chizindikiro cha kuperewera kwa glucose, komwe munthuyu si wodwaladwala, koma siwathanzi.Kuchokera pamawonedwe olimbitsa thupi, kukanika kwa pancreatic kumayamba pakali pano. Insulin imapangidwa, kokha pang'ono kwambiri kuposa momwe amafunikira.

Prediabetes ndi chiyani?

Matenda a shuga ndi vuto lomwe kulekerera shuga kumapangitsa. Ndiye kuti, shuga yemwe amabwera ndi chakudya sangathe kugaya bwino. Zotsatira zake, timadzi totsitsa thukuta silipangidwa ndi kapamba mu kuchuluka kofunikira.

Wodwala akapezeka kuti ali ndi matenda osokoneza bongo, mwayi wake wopanga matenda a shuga 2 umakulitsidwa. Komabe, musachite mantha. Matendawa amathandizika ngati wodwala wayesetsa kutero. Kuti muchite izi, muyenera kukhala ndi moyo wokangalika, kutsatira zakudya zapadera ndikumwa mankhwala a hypoglycemic.

Wodwala akamadutsa mayeso a shuga, omwe ali ndi prediabetes, zotsatira za phunziroli zimakhala zamitengo kuyambira 5.5 mpaka 6.9 mmol / L. Mwanjira imeneyi, chizolowezi mwa munthu wathanzi chimafika pa 5.5 mmol / L, ndipo chizolowezi cha matenda ashuga chimaposa 7 mmol / L.

Kuphatikiza apo, kuwunika kamodzi sikungakhale umboni wolondola wa kukula kwa prediabetes kapena matenda ashuga. Kuti muzindikire matenda opatsirana oterewa, maphunziro pazokhudza glucose ayenera kuchitika kangapo.

Mukamatenga magazi kuchokera pachala kuti mupeze shuga, pali zinthu zingapo zofunika kwambiri zofunika kuchita. Izi zitha kukhala chisangalalo, chakudya chodyedwa kapena khofi woledzera m'mawa, kupsinjika kwamphamvu thupi, kumwa mankhwala ndi ena.

Pansipa mutha kuzolowera zomwe zalembedwa patebulopo, zomwe zikuwonetsa zazikulu za kuchuluka kwa shuga komanso mtundu wazikhalidwe zamkati komanso matenda a shuga:

Ngati kangapo kuwunika kwa m'mimba yopanda kanthu kamawonetsa kuchuluka kwa mankhwalawa, ndiye kuti dokotalayo amalamula kuti ayesere mayeso ena a hemoglobin wa glycated.

Kuwerenga uku ndikutalika (pafupifupi miyezi itatu), koma kumawonetsa kuchuluka kwa shuga komanso kumathandizira kuzindikira koyenera.

Kanema: Kodi prediabetes ndi njira yochitira motani?

Matenda a shuga sangakhale matenda athunthu, ndichifukwa chake zizindikiro za prediabetes nthawi zambiri sizimawoneka m'magawo oyambira. Ngati zizindikiro zina zikuwoneka, ndiye kuti izi zitha kuwonetsa matenda osokoneza bongo a latent.

Zizindikiro zazikulu zomwe zingasonyeze prediabetes ndi:

• ludzu losalekeza, komanso pakamwa lowuma. Nthawi zambiri zimawonetsedwa ndi nkhawa kapena malingaliro. Izi ndichifukwa chakuti thupi limafunikira madzi ambiri kuti athetse magazi okhathamira,
• Kukodza pafupipafupi chifukwa chogwiritsa ntchito madzi ochuluka,
• Kuchulukitsa njala, ngakhale usiku. Nthawi zambiri, chakudya chotere chimapangitsa kuti munthu azidya kwambiri komanso azichita kunenepa kwambiri. Mukakhala ndi kulemera, kupanga insulin kumawonjezeka, ndipo kumathandizanso kuchepetsa misempha ya magazi,
• Kutopa, kutopa kosalekeza ndi kugona,
• Kutentha ndi chizungulire komwe kumachitika mutatha kudya. Izi ndichifukwa choti kuchuluka kwa shuga kumasintha kwambiri.
• Mutu wapafupipafupi. Zomwe zimachitika ndi zotengera zaubongo, zomwe zimachepetsedwa chifukwa cha mapangidwe ake.
• Mavuto ogona, kuphatikizapo kugona. Zimachitika chifukwa cha kusokonekera kwa mahomoni, chifukwa kuchuluka kwa insulin kumachepa,
• Kupezeka kwa khungu kuyabwa ndi vuto lamavuto. Amawonekera chifukwa magazi, chifukwa cha kupyapyala kwake, sangadutse momasuka pamipanda yonse,
• Kuchepetsa kwambiri thupi. Nthawi zambiri chifukwa chakuti thupi lilibe chakudya chokwanira kuti lizipezanso mphamvu,
• Zingwe. Kuwoneka chifukwa cha kuwonongeka kwa chikhalidwe cham'mimba komanso chamoyo chonse.

Kukana kwa insulini komanso matenda ashuga. Zonse m'nkhani imodzi

Matenda a shuga amakhala ndi zizindikiro zosamveka bwino. Ndi chifukwa ichi kuti muyenera kupereka magazi kuti muwone shuga yanu pafupipafupi. Chizindikiro chimodzi ngati chikuchitika, muyenera kulumikizana ndi a chipatala kuti mudziwe bwinobwino.

Zizindikiro

Ngati zizindikiro zoyambirira zikuwoneka, nthawi yomweyo funso "Chochita?" Arises. Panthawi imeneyi, simuyenera kuchita mantha, chifukwa izi zitha kutanthauza kuti munthu ali ndi vuto la matendawa, koma nthawi yomweyo sizinakhazikike ndipo sanadutse gawo lina. Matenda a shuga, omwe amapita popanda chizindikiro, amakhala ndi zoopsa zambiri. Izi ndichifukwa choti zitha kulowa matenda ashuga. Nthawi zambiri, kusintha kotereku kumachitika pakapita zaka zochepa.

Kuti muzindikire za matendawa, ndikofunikira kudutsa mayeso angapo, kuphatikizapo magazi. Gawo loyamba la magazi limatengedwa pamimba yopanda kanthu, pambuyo pake limazindikira kuchuluka kwa shuga. Pambuyo pake, munthu amapatsidwa madzi akumwa omwe amakhala ndi shuga m'magazi. Kafukufuku wobwereza amachitika maola angapo. Mu shuga mellitus, mseru wa glucose uyenera kukhala 7 mm / l ndikukwera. Ngati zizindikirazo zikuchulukitsidwa pang'ono, ndiye kuti izi zikutanthauza kuti munthu ali ndi vuto logaya shuga, ndiye kuti.

Komanso, kuti muzindikire, muyenera kudutsa mkodzo kuti muunikidwe, zomwe zingathandize kukhazikitsa mulingo wa uric acid ndi cholesterol.

Nthawi zambiri, limodzi ndi zopereka zamagazi, amafunsidwa kuti azichita kafukufuku pa hemoglobin ya glycated. Kuyeza kumeneku kumatha kuwonetsa kuchuluka kwa shuga m'magazi omwe adawoneka m'miyezi iwiri yapitayi. Tiyenera kukumbukira kuti zotsatira zoyeserera zimatengera momwe munthu analiri mwezi umodzi maphunziro asanachitike. Ngati zizindikiro zake ndizokwera kwambiri, ndiye kuti izi zikutanthauza kuti ndikotheka kupanga matenda ashuga amtundu 1.

Ngati matendawa atsimikizira pambuyo poti wapeza, ndiye kuti chithandizo chiyenera kuyambika nthawi yomweyo. Tiyenera kukumbukira kuti liyenera kukhala lokwanira. Cholinga chake chimakhala kupangitsa kuti shuga asamangidwe. Nthawi zambiri, pamenepa ndikokwanira kutsatira malamulo angapo omwe angathandize kusintha moyo wawo. Kuphatikiza apo, panthawi yonse ya chithandizo ndikofunikira kutsatira zakudya. Madokotala nthawi zambiri amalimbikitsa odwala awo:

• Kanani kwathunthu kapena kuchepetsa kugwiritsa ntchito zakudya zamagulu, zomwe zimapakidwa mosavuta, mwachitsanzo, zinthu zosiyanasiyana zophika mkate, maswiti kapena mbatata,
• Chepetsani kuchuluka kwa chakudya chamafuta omwe samapezeka bwino. Amapezeka m'miyala yosiyanasiyana, mkate wa imvi komanso rye. Zakudya zoterezi zimayenera kuchitika tsiku lonse, pomwe magawo ake ndi ochepa,
• Kuchepetsa kudya nyama. Amapezeka mu nyama yamafuta, mafuta, komanso masoseji, mayonesi, mafuta ndi msuzi wokhazikitsidwa ndi nyama,
• Tsiku lililonse, idyani masamba ndi zipatso zomwe zimakhala ndi shuga pang'ono. Kuphatikiza ndikofunikira kupatsa chidwi ndi zipatso zomwe zimakhala ndi fiber yambiri, muyenera kusankha kaya wowawasa kapena wokoma komanso wowawasa. Pakukonzekera mwachangu, nyemba ndi nyemba ziyenera kuphatikizidwa muzakudya.
• Kusiya kotheratu kumwa mowa ndi fodya, ngati izi nzosatheka, ndiye kuti kuchuluka kwawo kuyenera kuchepetsedwa osati panthawi ya chithandizo, komanso pambuyo pake,
• Idyani nthawi 5-6 patsiku. Zigawo ziyenera kukhala zazing'ono. Izi sizithandizira kuchulukitsa thupi, komanso zingololeze kupeza chakudya chofunikira kupangira mphamvu,
• Chitani masewera olimbitsa thupi pafupipafupi. Pankhaniyi, maphunziro oyamba sayenera kupitirira mphindi 15 ndipo sayenera kukhala achangu kwambiri. Pang'onopang'ono, mutha kuwonjezera zovuta zawo. Tiyenera kukumbukira kuti ziyenera kuchitika motsogozedwa ndi katswiri, makamaka masabata oyamba.
• Ngati ntchitoyo ili yongokhala, ndiye kuti ndikofunikira kupumula pang'ono pomwe kutentha kwatsala pang'ono kuchitikira,
• Perekani magazi kuyezetsa shuga mwezi umodzi atatha chithandizo. Atha kuthandizanso kudziwa zabwino za chithandizo chamankhwala. Mukapambana mayeso pambuyo pa miyezi isanu ndi umodzi, zikuthandizani kudziwa ngati matendawo adachiritsidwadi komanso ngati abwerera.

Kukana kwa insulini komanso matenda ashuga. Zonse m'nkhani imodzi

Ndikofunikira kudziwa kuti nthawi zina odwala amapatsidwa mankhwala omwe amathandiza kuchepetsa shuga. Mapiritsi omwe amagwiritsidwa ntchito kwambiri ndi Metformin kapena Glucofage. Nthawi zambiri, limodzi ndi kuchepetsa shuga, mankhwalawa amagwiritsidwa ntchito kuti mitundu yonse ya ziwalo zam'mimba ndi zam'mimba zigwiritsidwe ntchito.

Kafukufuku waposachedwa akuwonetsa kuti kusintha kwathunthu pamakhalidwe kumakhala kothandiza kwambiri polimbana ndi matenda osokoneza bongo a prediabetes kuposa mankhwala. Nthawi zambiri, malinga ndi zofunikira zonse, madokotala amapereka chidziwitso chokwanira.

Chakudya cha Matenda A shuga

Ngati matenda a prediabetes adapezeka panthawi yodziwitsa, ndiye kuti ndi chithandizo chake muyenera kutsatira zakudya zina:

• Ndikofunikira kuti muchepetse kuchuluka kwa zakudya zamafuta ndikupatsa chidwi chomwe chili ndi fiber yambiri
• Zakudya za wodwala aliyense ziyenera kukhala zochepa.
• Kuchokera pachakudya, ndikofunikira kuchotseratu kapena kuchepetsa kuchuluka kwa zotsekemera, chifukwa zimatha kuyambitsa kwambiri shuga.
• Ndikofunikira kudya masamba ndi zipatso zosiyanasiyana, kuphatikizapo kabichi, nkhaka, kaloti, biringanya,
• Ndikofunikanso kuwonjezera kuchuluka kwa nsomba zam'nyanja,
• Chosangalatsa m'zakudya chizikhala mitundu yambiri ya mbewu monga chimanga,
• Kuchokera nyama iyenera kukhala nkhuku yokha, chifukwa ndi mafuta ochepa komanso otsika kalori.

Mukamalankhula, adokotala amathandizira kujambula mndandanda watsatanetsatane, ndikukuwuzani zomwe simuyenera kudya ndi zomwe muyenera kudya malinga ndi momwe mukufunira. Potere, chakudyacho chimapangidwa poganizira zomwe zimachitika mthupi.

Kupewa

Matenda a shuga nthawi zambiri amayamba chifukwa cha zinthu zakunja. Pofuna kupewa mawonekedwe ake, muyenera kutsatira malamulo angapo:

• Muyenera kuyang'anira kuwonda kwanu. Ngati pali kulemera kwambiri, ndiye kuti amatha kuchotsedwa pokhapokha atakambilana ndi dokotala, komanso moyang'aniridwa ndi katswiri woyenera. Kupanda kutero, kufooka kwa thupi kungachitike,
• Muyenera kutsatira mfundo za zakudya zoyenera, ndikuonetsetsa kuti ndizoyenera,
• Muyenera kusiya zizolowezi zoipa, monga kusuta fodya komanso kumwa mowa,
• Kuchita masewera olimbitsa thupi sikungaphatikizidwe ndi moyo, koma osagwiritsa ntchito kwambiri, kumatha kubweretsa mavuto.
• Pomwe zingatheke, mavuto ndi kupsinjika kwamalingaliro kuyenera kupewedwa.
• Ngati mayi ali ndi matenda a shuga kapena matenda a m'mimba, muyenera kuyang'anitsitsa shuga,
• Monga prophylaxis, muyenera kuyesa mayeso a glucose osachepera 1 pachaka. Ngati pali matenda a mtima, ziwalo zomwe zimayambitsa chimbudzi, kapena dongosolo la endocrine, ndiye kuti mayeserowo amayenera kuchitika mosalephera kawiri pachaka,
• Ngati zizindikiro zoyambirira zikuwoneka, ndiye kuti muyenera kufunsa dokotala yemwe akupatseni matenda ndipo ngati kuli koyenera, apange chithandizo choyenera.

Kanema: Zoyenera kuchita kuti shuga asakhale shuga?

Zakudya zoyenera komanso kukhala ndi moyo wogwira ntchito zithandiza kupewa prediabetes. Ngati, munthawi ya matendawa, anali atapezeka, ndiye kuti ndikofunikira kuyambiranso chithandizo ndikusinthiratu moyo wanu wonse. Njira zoyendetsera panthawi yake zimathandizira kupewa zovuta monga matenda osiyanasiyana a mtima, impso, chiwindi ndi maso. Ndikofunika kukumbukira kuti chithandizo chikuyenera kuchitika kokha malinga ndi zofunikira zonse za katswiri woyenerera.

Njira Zodziwitsira

Matenda a shuga amadziwika ndi shuga okwera pang'ono atatha kudya.

Kuchulukitsa kwa glucose kumafuna kuwonjezeka kwa insulin, ndipo kuphwanya kwa kapamba sikumakulolani kuti mupange kuchuluka koyenera kwa mahomoni.

Pali njira ziwiri zomwe zingapangitse chitukuko cha prediabetes pogwiritsa ntchito mayeso a labotale.

Loyamba limatengera wodwala kutenga njira yapadera yomwe ili ndi 75 g ya shuga. Pambuyo maola ochepa, shuga yamagazi sayenera kupitirira 7.8 mmol / L. Ngati mulingo watsimikiza mkati mwa 7.

8-11 mmol / L; prediabetes imachitika. Njira yachiwiri yopezera matendawa ndi kuyeza hemoglobin m'miyezi ingapo. Mlingo wambiri udzachokera pa 5.5-6.

1%, yomwe ndi zotsatira zapakati pa anthu athanzi komanso odwala matenda ashuga.

Dongosolo la shuga, kapena dziko la prediabetes, ndi malire pamalire pakati pa thanzi labwino ndi matenda ashuga.

Mwanjira imeneyi, kapamba amapanga insulini yofunikira pamoyo, koma pang'ono. Malinga ndi akatswiri, matenda a prediabetes nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga a 2.

Kuti mumvetsetse mwatsatanetsatane kuti prediabetes ndiyotani, muyenera kudziwa zonse zomwe zimayambitsa, zizindikiritso zake, komanso mawonekedwe ake.

Nthawi zambiri, anthu ambiri sazindikira zizindikiro za prediabetes, kapena samawalabadira. Zizindikiro zina za matendawa zimatha kutsimikiziridwa kokha ndi mayeso a labotale.

Prediabetes - ndi chiyani komanso momwe muyenera kuchitira

Matenda a shuga amatchedwa kuphwanya kwamoto kwa kagayidwe kakang'ono ka 2 shuga.

Matenda a shuga ndi matenda olekanirana, ndipo kwa zaka zambiri amatha kuonekera. Mawonekedwe ake oyamba nthawi zambiri amadziwika ndi odwala chifukwa cha kufooka kwa banal komanso kugwira ntchito mopitirira muyeso. Mukanyalanyaza zizindikirocho ndipo ngati mulibe chithandizo, chiopsezo chotenga matenda a shuga, komanso kuwonongeka kwa mitsempha yamagazi, ziwalo zam'maso, impso ndi mtima zimachuluka.

Zimayambitsa komanso zowopsa

Zomwe zimayambitsa matenda a prediabetes sizikudziwika mpaka pano. Zakhazikitsidwa kuti nthawi zambiri prediabetes imalumikizidwa ndi kunenepa kwambiri chifukwa cha kuphwanya kwachilengedwe kwa kagayidwe kazakudya.

Zowopsa za prediabetes:

• Kuonjezera thupi, kuchuluka kwa minofu yolimbitsa thupi yoposa 30 kumapangitsa kuti matenda a shuga ayambe kudwala,
• Shuga wodukidwa wapezeka pamayeso
• Zaka zopitilira 40,
• Matenda a shuga pamimba
• Thumba lamavalo ovomerezeka a azimayi,
• Misonkho yambiri ya triglycerides ndi cholesterol m'magazi,
• Matenda oopsa
• Kudziletsa.

Mkhalidwe wa prediabetes, ngati simupanga kanthu ndi iwo, umatsogolera kudwala lachiwiri la matenda ashuga. Matenda akuluwa amafunika chithandizo chanthawi zonse ndipo amatha kukhala ndi zotsatirapo zoopsa.

Zizindikiro zazikulu

Poyamba, matenda a prediabetes amakhala asymptomatic. Chomwe chimapezeka kuti ali ndi shuga wambiri m'magazi:

1) Kuyesa kapena kusinthanso magazi a venousamatengedwa pamimba yopanda shuga.

Mchitidwe wamagulu a shuga sapitirira 5.5 mmol / L (6.1 wamagazi a venous), chizindikiritso cha 6 mmol / L (6.1-7.0 wamagazi a venous) umawonetsa mkhalidwe wa prediabetes.

2) Kuleza mtima kwa Glucose (GTT). Kuyeza kwa kuchuluka kwa shuga m'magazi kumachitika koyamba pamimba yopanda kanthu, kenako wodwalayo amapemphedwa kuti amwe njira yotsekemera (glucose kuchepetsedwa m'madzi mu chiyerekezo cha 1: 4). Pambuyo pake, msinkhu wa shuga umayesedwa theka lililonse la ola kuti muwone boma mwamphamvu.

Pomaliza, kuchuluka kwa shuga kumachitika patadutsa maola 2 mutadya yankho:

• Norm - osakwana 7.8 mmol / l,
• Matenda a shuga - 7.8-11.0 mmol / l,
• Matenda a shuga - zopitilira 11.0 mmol / l.

Kuyesedwa kumatha kupereka zotsatira zabodza ngati zikuchitika:

1. Mukamakumana ndi mavuto,
2. Pa nthawi ya matenda akulu, yotupa kapena pakangotha ​​kuchira.
3. Atangobereka mwana, opaleshoni yayikulu,
4. Ndi chiwindi, matenda a chiwindi,
5. Pa nthawi ya msambo.

Pamaso mayeso, ndikofunikira kupatula njira zamankhwala ndi chithandizo.

Kuphatikiza pa chizindikiro cha labotale, zotsatirazi zam'magazi Zizindikiro:

• Kumva ludzu pafupipafupi ndi chilimbikitso chowonjezereka chokodza,
• Kusokonezeka tulo, kugona,
• Zowonongeka
• Khungu loyera
• Minofu kukokana
• Kuchepetsa zolemetsa zopanda pake
• Migraines, mutu.

Shuga wowukitsidwa amachititsa kuti muchepetse ndi kuwononga mitsempha yamagazi.

Mwazi wa m'magazi suyamwa kwathunthu chifukwa cha kukana insulini - izi zimapangitsa kuti ziwalo ndi machitidwe zizigwira bwino. Kuwonetsera kwa izi ndi zizindikiro zomwe zalembedwa.

Chithandizo cha matenda a shuga

Ntchito yayikulu Chithandizo cha prediabetes - kukwaniritsa kuchepa kwamphamvu kwa shuga m'magazi. Izi ndizotheka ndi kusintha kwa zakudya ndi moyo. Ngati mukukwaniritsa zomwe, zomwe zikufotokozedwa pansipa, ndiye kuti mutha kukwaniritsa kusowa kwathunthu kwa prediabetes.

Nthawi zina madokotala amakupatsani mankhwala kuti matenda asungidwe a glucose ndi minofu. Monga lamulo, atatha kukonza kwa nthawi yayitali, kudya kwawo kumatha.

Chakudya chopatsa thanzi -Chimodzi mwazinthu zofunika kwambiri pakukonzanso matenda a prediabetes. Kutengera malamulo a zakudya zopatsa thanzi komanso maphunziro olimbitsa thupi nthawi zonse, chiopsezo chodwala matenda a shuga chimachepetsedwa ndi 58%.

Chofunikira chachikulu ndikuchepetsa kudya kwa calorie. Izi ndizofunikira kwambiri pakakhala kuti kunenepa kwambiri - kuchepa thupi ngakhale ndi 10-15% kungayambitse matenda.

Malangizo a Prediabetes

• Sankhani maswiti ndi zinthu zopangidwa ndi ufa: chokoleti cha mkaka, makeke, makeke, ndi zina zambiri.
• Chotsani zakudya zamafuta,
• Muzidya zakudya zamafuta ambiri nthawi zonse: masamba, zipatso, nyemba,
• Zogulitsa ziyenera kuphikidwa, kuwiritsa, kuwotcha, koma osakongoletsedwa,
• Pewani kumwa zakumwa zotsekemera za kaboni ngati mukufuna madzi akumwa oyera.

Sitikulimbikitsidwa kudya zipatso zotsekemera ndi timadziti m'mawa m'mimba yopanda kanthu: izi zimapangitsa kulumpha lakuthwa mu glucose wamagazi.

Ndikwabwino kudya china chosakonzedwa, ndikuyamba kudya zipatso ndi misuzi musanadutse ola limodzi mutatha kadzutsa.

Malangizo awa ndiwachilengedwe mokwanira, ndipo katswiri wazakudya angakuthandizeni payekha kusankha zakudya.
Kuphatikiza pa zakudya zoyenera, muyenera kusiya kusuta komanso kumwa mowa. Zizolowezi zoyipazi zimafooketsa thupi ndikupangitsa kuledzera, chifukwa chomwe njira zoyendetsera zachilengedwe zimaphwanyidwa. Zotsatira zake, njira zoyipa zamatenda ambiri komanso matenda am'mimba, kuphatikizapo prediabetes, sizabwino.

Zochita zolimbitsa thupi

Kuchita masewera olimbitsa thupi ndikofunikira monga chakudya chamagulu. Ndi kuphatikiza zakudya ndi maphunziro akuthupi omwe amapereka zotsatira zabwino kwambiri. Panthawi yochita masewera olimbitsa thupi, glucose imapereka mphamvu ku minofu ndi muubongo, kupatsirana kwa magazi ndi minyewa yamtundu wa glucose imayamba kuyenda bwino.

Malangizo pa maphunziro akuthupi a prediabetes:

Kuchita masewera olimbitsa thupi kumatha kukhala kosiyana kwambiri: kuphunzitsa kunyumba, kusambira padziwe, kulimbitsa thupi, volleyball, kuthamanga, kuyenda, kuvina ... Ndipo ngati mulumikiza okondedwa ndi izi, ndiye kuti kusangalala komanso kuchita masewera olimbitsa thupi kumatsimikiziridwa!

Njira zina

Matenda a shuga ndi vuto lalikulu, chifukwa chake njira zachikhalidwe zamankhwala zitha kugwiritsidwa ntchito pokhapokha kukaonana ndi dokotala ndikuthandizira povomerezedwa kuti mudye bwino.

Njira zodziwika bwino zamankhwala azikhalidwe zothetsera matenda a prediabetes ndi izi:

• Imwani makapu awiri a madzi otentha owiritsa m'mawa uliwonse musanadye. Izi "zimayambitsa" kagayidwe akagona.
• Kwa milungu itatu kapena itatu, imwani 50 ml ya decoction wamasamba a blackcurrant, Blueberry ndi rhizome of elecampane musanadye chilichonse.
• Mphindi 30 musanadye chakudya cham'mawa, imwani chithunzithunzi cha njere za fulakesi (wiritsani supuni ziwiri za nyemba za grated mu 500 ml ya madzi kwa mphindi 5),
• 2 tbsp sokosera wopera kutsanulira kapu ya kefir ndikutuluka usiku, tengani mphindi 30 musanadye chakudya cham'mawa komanso chakudya chamadzulo.

Mkhalidwe wa prediabetes ungapezeke muubwana. Zizindikiro za matendawa mu ana zimafanana ndi akulu.

Zomwe zikuluzikulu zakukula kwa prediabetes mwa ana ndi:

• Kukhazikika kwa vuto (makamaka amayi)
• Kunenepa kwambiri, kuperewera kwa zakudya m'thupi,
• Matenda opatsirana ndi ma virus (fuluwenza, rubella, ndi zina): kumatha kuyambitsa kusokonezeka kwa chitetezo cha mthupi cha mwana, chifukwa chomwe kupezeka kwa glucose kumavutikiranso.

Mu thupi la mwana, kuchuluka kwa katemera pakadali pano kumatha kuchita gawo lalikulu la matenda a prediabetes. kukula kwa mahomoni a pituitary gland (kukula kwa mahomoni).

Kuzindikira matenda a prediabetes kumachitika pogwiritsa ntchito mayeso omwewo ngati achikulire (1.75 g glucose pa 1 kg ya kulemera kwa thupi la mwana ndikokwanira kwa GTT).

Kuzindikira koyenera komanso chithandizo cha prediabetes mwa ana ndikofunikira kwambiri. Kuphwanya komwe kumakonzedwa muubwana ndi mwayi wokhala mpaka 90% kudzapereka kuchiritsa kwathunthu komanso kusayambiranso kukhalanso munthu wamkulu.

Zizindikiro ndi prediabetes

Chizindikiro chachikulu, kuchuluka kwa shuga, chitha kupezeka ndikuphunzira. Njira zazikulu zodziwitsira ndi kusanthula magazi kwa capillary, kuyesa kwa glucose pakamwa komanso kuyesa magazi kwa venous kwa glycosylated hemoglobin.

M'malo mwake, palibe zizindikiro zosonyeza kuti boma limayambitsa matenda ashuga.

Anthu ambiri omwe ali ndi shuga wambiri m'magazi sangakhale akudziwa za prediabetes kwa nthawi yayitali.

Komabe, zomwe muyenera kulabadira mwachangu ndizowuma pamlomo wamkati, ludzu losalekeza komanso kukakamiza pafupipafupi kuchimbudzi "pang'ono".

Zizindikiro zochepa:

• kuchepa kwa masomphenya
• njala
• maloto oyipa
• kutopa
• kusakhazikika
• mutu
• kukokana
• kuchepa thupi pang'ono.

Anthu ena ali ndi mwayi wokhala ndi matenda osokoneza bongo a 2diabetes komanso amalemba matenda ashuga 2 kuposa ena. Gulu lamavuto limaphatikizapo:

1. Anthu omwe ali ndi chibadwa chamtsogolo.
2. Anthu onenepa kwambiri.
3. Anthu ochokera wazaka 40-45 wazaka komanso ukalamba.
4. Amayi omwe adabereka mwana wolemera makilogalamu opitilira 4 ndipo amadziwika ndi matenda a shuga.
5. Amayi omwe ali ndi ovary ya polycystic.
6. Anthu omwe amakhala moyo wongokhala.

Zokhudza chithandizo cha prediabetes

Chigamulo chakuti prediabetes siyowopsa ndipo ingasiyidwe osachiritsidwa ndi cholakwa. Kunyalanyaza thanzi lanu kumatha kukhala ndi zotsatirapo zoyipa kwambiri.

Koma anthu omwe amatsatira malangizo onse a dokotala wawo ali ndi ziwonetsero zabwino.

Katswiriyo amakonzera njira yodwala yodwala, poganizira momwe thanzi lake lakhalira.

Malamulo oyambira omwe amafunikira kuti azitsatira prediabetes, komanso kupewa, ndi awa:

• zakudya zapadera
• moyo wokangalika
• shuga wamagazi ndi glucometer,
• kumwa mankhwala.

Tiyenera kudziwa kuti pokhazikitsa lamulo lililonse kuphatikiza ndi ena, munthu akhoza kukwaniritsa zotsatira zenizeni zomwe zimapangitsa kuti shuga m'magazi azikhala 5.5 mmol / l. Odwala omwe amamwa mankhwala a hypoglycemic okha sangathe kukwaniritsa kuchepa kwa shuga ndikuwonetsa zizindikiro za prediabetes. Kudya maswiti, zakudya zamafuta, makeke, zakumwa za shuga, odwala amalakwitsa kwambiri ndikuwonjezera glycemia wawo wokwezeka kale.

Ndikofunikira kwambiri pochiza matenda a prediabetesic kuti achepetse thupi. Chifukwa chake, wodwalayo amatha kudalira kuchepa kwa glucose komanso kusintha kwathunthu kwa thupi.

Ngati munthu ali pachiwopsezo chotenga matenda a prediabetes ndi mtundu 2, zingamuthandizenso kutsatira malamulowa.

Zakudya za thanzi mankhwalawa prediabetes

Zakudya ndizimodzi mwazinthu zazikulu zomwe zimapangitsa kuti odwala azitha kuchira osati matenda a prediabetes, komanso matenda ena akuluakulu.

Ndikofunika kwambiri kudya zakudya zazing'ono, koma nthawi zambiri - mpaka 6 pa tsiku. Wodwala yemwe ali ndi matenda a prediabetes amayenera kukaonana ndi katswiri wazakudya zomwe zingapangitse munthu kukhala ndi thanzi labwino. Chifukwa chake, wodwalayo sangangokhala wochepetsa shuga, kuyiwalako zazoyipa, komanso kuthana ndi mapaundi owonjezera.

Kudya ndi matenda oterewa kumaphatikizapo kukana kwathunthu mafuta (zakudya zamzitini, soseji, tchizi), zakudya yokazinga, zinthu zomwe zili ndi chakudya chamafuta (zophika mkate, maswiti, chokoleti, makeke, uchi, kupanikizana, shuga).

Koma m'zakudya za odwala mulinso zotsatirazi:

1. Mkate (wonse kapena rye).
2. Zopanda mafuta opanda lactic acid (tchizi tchizi, wowawasa wowawasa, mkaka wowotchera, kefir).
3. Zakudya za nyama ndi nsomba (nyama ya kalulu, nkhuku, nkhuku, hake ndi ena).
4. Zipatso zopanda tanthauzo (ndimu, lalanje, pomelo, maula, chitumbuwa wowawasa, mphesa, pichesi).
5. Masamba (kabichi, kaloti, phwetekere, dzungu, nkhaka, amadyera).
6. Oat, barele wa peyala ndi burwashi.
7. Zogulitsa mchere.

Mankhwala osokoneza bongo a prediabetes

Pakadali pano, endocrinologists ochulukirachulukira amapereka mankhwala a Metformin 850 kapena 1000. Awa ndi othandizira ku hypoglycemic omwe amatha kuchepetsa kuchuluka kwa shuga wopangidwa m'chiwindi ndikuchotsa kulolera kwa glucose. Kuphatikiza apo, odwala matenda ashuga komanso odwala omwe ali ndi vuto lapakati anganene kuti kutenga Metformin kumathandizira kuchepetsa kunenepa kwambiri kwa thupi. Zachidziwikire, izi zimatha kuchitika pokhapokha powona kadyedwe komanso moyo wokangalika.

Mu 2006, Metformin idayesedwa ndi International Diabetes Federation. Mankhwalawa adapezeka kuti amagwira ntchito ndipo adalimbikitsidwa pakalandira chithandizo choyambirira cha matenda a prediabetes ndi matenda a shuga 2. Kafukufuku akuti Metformin inachepetsa mwayi wokhala ndi matenda ashuga, zovuta zake komanso kuchuluka kwaimfa ndi 30%. Zotsatira zabwino motere sizingatheke chifukwa cha insulin mankhwala ndi kukonzekera kwa sulfonylurea.

Padziko lapansi, wothandizira hypoglycemic uyu ndiodziwika kwambiri. Chifukwa chake, sizosadabwitsa kuti mumsika wogulitsa mankhwala ku Russia mumapezeka mankhwala ambiri okhala ndi mankhwala ophatikizika a metformin, mwachitsanzo, Glucofage, Glycomet, Metformin-BMS, Metfogamma ndi ena.

Kugwiritsa ntchito bwino komanso kutsatira mankhwalawa, mankhwalawa samayambitsa zovuta zina. Komabe, metformin ili ndi zotsutsana:

• mimba ndi kuyamwitsa,
• kusalolera payekhapayekha,
• lactic acidosis ndi boma la precomatose,
• othandizira opaleshoni
• uchidakwa wambiri,
• hepatic / aimpso / adrenal kuchepa,
• matenda opatsirana
• matenda ashuga
• kusowa kwamadzi ndi hypoxia.

Kumayambiriro kwa chithandizo, odwala amatenga 1000 mg ya mankhwalawa patsiku, kumwa madzi ambiri. Kodi ndingatenge metformin mpaka liti? Mankhwala okhala ndi Mlingo wa 1000 mg amagwiritsidwa ntchito kwa masabata 1 mpaka 2. Kenako mlingo uzikula. Komabe, mfundo zonsezi ziyenera kukambirana ndi katswiri. Kudzichitira nokha mankhwala nkoletsedwa.

Mlingo woyenera wa mankhwalawa ndi 3000 mg patsiku. Madokotala ambiri amalimbikitsa kumayambiriro kwa mankhwalawa kugawa Mlingo mu 2-3 Mlingo, kuti thupi lithe kusintha mogwirizana ndi momwe mankhwalawo amathandizira.

Thupi limazolowera Metformin, wodwalayo amatha kudandaula za kukhumudwa, koma izi ndizomwe zimachitika pakapita milungu iwiri kapena itatu.

Mankhwala achikhalidwe polimbana ndi matenda a prediabetes

Njira zina zochiritsira sizingathandize kuchiritsa matenda osokoneza bongo omwe adalipo kale, koma, chidziwitso, amathandizira kuchepetsa kuchuluka kwa shuga ndikulimbitsa chitetezo chamthupi.

Ubwino wamankhwala achilengedwe kuposa mankhwala ndikuti samayambitsa mavuto. Mfundo yokhayo ndi Hypersensitivity wa wodwala ku chilichonse chomera.

Kuphatikiza pa chithandizo chamankhwala, mankhwala wowerengeka azithandiza kuthana ndi matendawa mwachangu.

Zomeretsa zotsika ndi shuga zimakhala ndi zinthu zotere:

1. Goatberry officinalis.
2. Masamba a Walnut
3. Nyemba Pods.
4. Blueberries ndi blueberries mu shuga mellitus amtundu uliwonse.
5. Lingonberry.
6. Zipatso za Rowan.
7. Cuff
8. Adyo.
9. Mizu ya dandelion.

Zomera zamankhwala zotere zimagwiritsidwa ntchito ngati mitundu ya decoctions, infusions, teti kapena tinctures. Malangizo a mankhwala achilengedwe atha kupezeka pa intaneti. Kuphatikiza apo, zophatikiza zopangidwa ndi phyto zimatha kugulidwa ku pharmacy. Odziwika kwambiri ndi Arfazetin, Vitaflor, Stevia ndi ena.

Zitsamba zamankhwala ndi mbewu zimakhala ndi mavitamini ofunikira kwambiri kwa wodwala wofooka yemwe ali ndi matenda a prediabetes. Zochizira matenda oyenera:

• zipatso za viburnum,
• zipatso za rosehip
• yarrow
• Wort wa St.
• masamba a currant.

Pogwiritsa ntchito mankhwala osakaniza ndi wowerengeka, mutha kudzipatsa nokha shuga. Powona zakudya zoyenera komanso kusewera masewera, wodwalayo amachotsa zizindikiro za prediabetes. Chifukwa chake, munthu sangakane matenda ashuga ndikusangalala ndi moyo nthawi yayitali osaganizira zovuta zake.

Mu kanema munkhaniyi, ndi njira ziti zomwe zingagwiritsidwe ntchito kuthana ndi matenda a prediabetes.

Zochita zolimbitsa thupi

Kuwonjezeka kwa zolimbitsa thupi ku prediabetes ndikofunikira, chifukwa masewera olimbitsa thupi amathandizira kuchepetsa kuchuluka kwa shuga, kuchepetsa thupi, komanso kuthetsa kusokonezeka kwa kugona. Kuphatikiza pa kadyedwe, moyo wokangalika umathandiza kupewa kumwa mankhwala. Ndikofunika kusamala ndikutsatira upangiri wa zamankhwala. Choyambirira chimaperekedwa kwa mitundu yamtundu monga:

• Kuyenda
• Kuyenda kwa Nordic
• akusambira
• kuthamanga
• kuvina
• kuyendetsa njinga.

Matenda a shuga amathandizika, kuwonjezera apo, amachiritsidwa kwathunthu. Mutha kuyimitsa kupitirirabe kwa matenda a shuga, koma pokhapokha ngati matendawo adapezeka ndi nthawi yoyenera ndipo njira zoyenera zinatengedwa.

Zomwe zimayambitsa ndi zizindikiro za prediabetes

Zomwe zimayambitsa matendawa ndikupezeka pang'onopang'ono chifukwa cha insulin. Ndiye kuti, insulini yopangidwa ndi kapamba imayamba kugwira ntchito, shuga ya m'magazi imakulitsa kufunikira kwa thupi kofunikira. Mwazi umakhala wonenepa, kuyenda kwake kudzera m'matumbo ndikovuta. Maselo alibe mphamvu, kufooka kumayamba, m'thupi komanso m'maganizo.

Kuyesera kupanga mphamvu yofunikira, thupi limayamba kuthamanga kwa mapuloteni, omwe amachititsa kutsika kwa mphamvu yoteteza.

Munthu amamva zosinthika ndi zizindikiro zotsatirazi, zizindikiro zoyambirira za prediabetes:

1. pang'ono kapena kugona kwenikweni,
2. kuyabwa kwa khungu komanso malo apamtima,
3. khungu louma ndi nembanemba
4. kukodza pafupipafupi, makamaka usiku. Chizindikiro ichi chimayambitsidwa ndi ludzu lochulukirapo, lomwe silimatha ngakhale mutamwa,
5. kufooka, kutopa pambuyo pakuchita masewera olimbitsa thupi osavuta,
6. kuchepa mwadzidzidzi kapena kunenepa kwambiri osasintha zakudya,
7. kumangokhalira kumva njala, kusiya pang'ono pang'onopang'ono mukatha kudya. Izi ndichifukwa chakusatheka kwama cell am'magazi kuti azitha kudya shuga m'magazi,
8. yachangu komanso yosakhalitsa yowonjezera mabala. Furunculosis ndiyotheka,
9. m`kamwa kusiya, kutulutsa magazi,
10. mano otayirira
11. zovuta kuvuta
12. kuchepa kwa mphamvu,
13. Kusokonezeka kwa msambo,
14. kukula ndi kuda kwa khungu lalikulu,
15. mwendo kukokana usiku
16. masomphenya osalala, nthawi ndi nthawi owonekera pamaso,
17. kupweteka mutu, migraine
18. akulira ndi mikono ndi miyendo, kukokana,
19. kukomoka kwakanthawi
20. Kuchulukana ndipo nthawi zambiri kusayanjana,
21. kupezeka kwa ziphuphu zakumaso ngakhale pakhungu louma.

Zomwe zimapangitsa kuti pakhale matenda a prediabetes cholowa cham'tsogolo, kupsinjika kwakukulu, moyo wokhazikika, kunenepa kwambiri, kugwiritsa ntchito mankhwala osokoneza bongo, matenda oopsa, kusagwira bwino kwa dongosolo la endocrine, kumwa kwambiri maswiti, zovuta pambuyo pa matenda oyambitsidwa ndi ubwana.

Ndikofunika kulingalira za chitukuko cha matendawa ngati matenda ashuga apezeka ndi pakati, mwana wosabadwa kapena wamkulu kwambiri wabadwa, woposa makilogalamu 4.5.

Matenda a shuga nthawi zambiri samawonetsedwa ndikuwonetsedwa koyambirira. Koma popita nthawi, munthu samamvanso bwino ndipo amatembenukira kwa a endocrinologist kuti amuthandize.

Ishuga wa Magazi Asanakwane

Akatswiri amalimbikitsa kuti ayesedwe magazi pafupipafupi kuti adziwe shuga. Anthu onenepa kwambiri ayenera kuchita izi chaka chilichonse, makamaka zaka 45, komanso kulemera kwa thupi komanso msinkhu wocheperako - kamodzi pazaka 3-4.

Zambiri kuchokera kuma labotale osiyanasiyana zimasiyana, chifukwa chake tikulimbikitsidwa kuti mutenge malo omwewo.

Matenda a prediabetes khazikani ngati:

• Pamimba yopanda kanthu, shuga wamagazi kuyambira 5.5 mpaka 6.9 mmol / L,
• Pambuyo maola angapo mutatha kudya, kuyambira 7.8 mpaka 11 mmol / l,
• Mulingo wa glycogemoglobin (hemoglobin wophatikizidwa ndi glucose) m'magawo a 5.8 - 6.5 mmol / L.

Mukazindikira matendawa, ndikofunikira kupenda magazi okha, komanso mkodzo wowunikira ntchito ya impso kamodzi pa miyezi itatu iliyonse.

Zakudya za Matendawa

Zakudya, ziletso zopatsa thanzi - iyi ndiye mfundo yovuta kwambiri pochiza matenda a prediabetes. Miyezi ingapo yoyambirira, munthu amakhala ndi vuto la kusowa zakudya zomwe amadziwa bwino komanso "zinthu zoletsedwa" zamashelefu. Pakadali pano, mukufunika kusonkhanitsa chikwanje, kuthawa zokhwasula-khwasula kunyumba ndikupeza anthu amisomo.

Kwa kanthawi, chakudyacho chikuwoneka ngati chosakhutiritsa komanso chosasangalatsa. Koma m'nthawi yathu ino kuli masamba ndi mabuku ambiri komwe mungapeze maphikidwe osavuta ophika ophika zakudya zabwino.

Kutengera chikhalidwe chake, dokotala yemwe akupezekapo amasankha zakudya zoyenera. Mndandanda woyenerera wazakudya zomwe ziloledwa kwa prediabetes:

1. Mphesa, mpunga, burwheat, oatmeal, barele. Ndikwabwino kuphika phala popanda shuga.
2. Zakudya zamkate, zigawo, ma cookie a shuga, osokoneza, mkate wakuda kapena chinangwa.
3. Maapulo ophika.
4. Tchizi tchizi, tchizi.
5. Mbatata, tsabola belu, zukini, amadyera, biringanya, dzungu, beets, kolifulawa, udzu winawake, kaloti, kabichi yoyera, phwetekere, nyemba.
6. Nkhuku, ng'ombe, nyama ya nkhuku, nyama ya kalulu, nsomba zonenepa kwambiri.
7. Msuzi wa Kirimu, msuzi wamasamba.
8. Zinthu zamkaka zazing'ono - zonona wowawasa, kefir, ayran, yogati.
9. Pasitala, Zakudyazi zopangidwa tokha.
10. Omele.
11. Mtedza.
12. Madzi ochepa, tiyi wobiriwira, chakumwa cha chicory. Madzi - 1, 5-2 malita patsiku.
13. Ma compotes osasinthika omwe amapangidwa ndi timadziti tothira kumene, odzola.
14. Mwana puree.

Wowotchera, wowiritsa, wowotchera, osaphika ndiwowakonda. CHIKWANGWANI chimathandiza, chimachepetsa kuyamwa kwa chakudya, osapatsa shuga m'magazi mutatha kudya.

Zakudya zamafuta, zophika, confectionery, mowa, soda, nyama yamafuta ndi nsomba, caviar, soseji, kuchuluka kwa zokometsera, chakudya mwachangu zimayipa chiwindi ndi kapamba, zomwe zimapangitsa kwambiri ziwalo.

Mwachidule, ndikofunikira kuchepetsa kuchuluka kwa chakudya chamagulu m'zakudya, makamaka "chofulumira", chomwe chimapereka kuthamanga kwamagazi a shuga.

Makina oyendetsa ndege

Kuwonjezeka kwa zolimbitsa thupi ndikofunikira kwa wodwala aliyense yemwe ali ndi prediabetes, makamaka iwo onenepa kwambiri. Pambuyo pokambirana ndi dokotala, muyenera kusankha mtundu wabwino kwambiri wa masewera olimbitsa thupi. Izi zitha kukhala kuvina, aerobics yamadzi, masewera olimbitsa thupi, kuthamanga.

Ngati izi sizingatheke, wodwalayo amalimbikitsidwa kuti ayende mtunda wautali, akuyenda masitepe. Koma kupitilira muyeso sikuyeneranso. Kupumula ndikofunikira pambuyo pakuphunzitsidwa kwa mphindi 30 kapena pa zosowa zanu.

Mankhwala

Mankhwala osokoneza bongo amaperekedwa ndi endocrinologist pokhapokha pakutha kwa njira zomwe tafotokozazi patatha miyezi yochepa. Mankhwala ofala kwambiri komanso ogwira mtima amaganiziridwa metformin.

Cholinga chake chachikulu ndikuwonjezera mphamvu ya insulini, shuga wopanda nkhawa amakhala m'magazi, ndipo glucose m'matumbo amachotsedwa nthawi yayitali ndikutenda kwamatumbo. Mlingo wa mankhwalawa ukhoza kulembedwa ndi dokotala, kutengera ndikuwunika kumeneku.

Kudziyendetsa nokha kwa metformin kungayambitse zotsatira zosafunikira. Izi hypovitaminosis, ndi kupweteka pamimba, ndi mawonekedwe osiyanasiyana a chifuwa, komanso mavuto amanjenje.

Milandu imakhalanso yotheka pamene wodwalayo sangathe kudzipulumutsa pawokha. Pankhaniyi, opatsidwa shuga yotsitsa mankhwala mannil, glycidone.

Prediabetes - chithandizo ndi wowerengeka azitsamba

Palibe kukayikira kuti zotsatira zabwino za mankhwala osagwiritsidwira ntchito mankhwalawa prediabetes. Ntchito yake yayikulu ndikusunga kapamba ndi kusintha kagayidwe kabwino. Gwiritsani ntchito njira izi pochiritsa sizoyenera. Kufunsira kwa endocrinologist, zakudya ndi regimen yamagalimoto ndizofunikira.

1. Sungunulani madzi. Ubwino wake ndi kukonza khungu, kuwonjezera chitetezo chokwanira, kukhazikika kwamanjenje. Kuti muchite izi, lowetsani 250-300 ml ya madzi oyera kufikira pomwe pakati pa madzi oundana amasanduka oyera. Madziwo amachepetsedwa kutentha kwa firiji (osasunthira pakati oyera).
2. Saladi yamafuta azitona 10 gr, anyezi 50 gr, parsley ndi katsabola 15 gr.
3. Mbale zingapo za flaxseed zopangira 500 ml ya madzi otentha ndikuyaka moto kwa mphindi 5-7. Decoction wotere amayenera kudyedwa m'mawa uliwonse asanadye. Njira ya mankhwala ndi miyezi 6.
4. Beetroot ndi kabichi brine chakumwa. Sakanizani zosakaniza 1: 1 kuti mupeze 100-140 ml yamadzi kumapeto. Zakumwa zimamwetsedwa kwa mwezi umodzi chakudya chisanachitike. Kupuma pakati Mlingo wa masiku 5-10.
5. Buckwheat "phala" pa kefir. Kuti muchite izi, kutsanulira supuni zingapo za chimanga chamtundu ndi kapu ya kefir. Kuumirira kuyenera kukhala pafupifupi maola 12, ndipo idyani wina wopatsa mphindi 30 chakudya cham'mawa komanso musanadye.
6. Cook oats, masamba a currant, nyemba zobiriwira, masamba a lilac mwofanana. Sungani. Supuni ziwiri zimatsanulira 200-250 ml ya madzi otentha ndikulola kuti brew kwa maola angapo. Unikani ndi kugwiritsa ntchito kulowetsedwa kasanu patsiku, imodzi yodzaza ndi supuni masiku 21.
7. Muthanso kuphika zakudya zingapo kuchokera ku mbewu monga yarrow, elecampane, blueberries, m'chiuno, ma currants, masamba apamwamba a mtedza, dioecious nettle, ndi maapulo wowawasa mumagwiritsidwa ntchito.

Samalani

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, shuga imabweretsa zovuta zosiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya ku Russia Academy of Medical Sayansi idachita bwino