Kuwonjezeka kowopsa kwa shuga m'magazi a shuga

Kuwonjezeka kowopsa kwa shuga m'magazi, zomwe zizindikiro zake ndizosiyanasiyana, zitha kuwonetsa kukula kwa matenda ashuga.

Matendawa ndi oopsa kwambiri: ndikayamba matenda amishuga 1, zizindikiro zoyambirira zimatha kuoneka miyezi yochepa atadwala matenda a virus.

Anthu opitilira zaka 40 mpaka 45 ali pachiwopsezo ndipo amtundu wa matenda ashuga a 2 sangathe kumva zizindikiro kwa nthawi yayitali. Monga mukuwonera, kuzindikira nthawi ndi chithandizo ndi njira ziwiri zazikulu zomwe zingathandize kukhazikika kwa magazi.

Zolinga za Misinkhu Sewu

Miyezi yachilengedwe ya shuga m'magulu a achinyamata ndi achikulire kuchokera pa 3.2 mpaka 5.5 mmol / L. Ngati mfundo za shuga zamagazi zimasiyana ndi chizolowezi, ndiye kuti izi zitha kuwonetsa kukula kwa matenda.

Zomwe zimasintha pakusintha kwa shuga mu mtundu 1 kapena 2 zimagwirizanitsidwa ndi kusowa kwa insulin, mahomoni akuluakulu omwe amatsitsa shuga, kuzindikira shuga. Nthawi zina munthu wathanzi labwino amatha kudya zotsekemera kuposa zomwe amafunikira. Kenako njira yowonjezera shuga m'magazi imachitika, koma thupi limagonjera lokha.

Komabe, matenda a shuga si chifukwa chokhacho chomwe chizindikiro ichi chikukulira. Zomwe zimapangitsa kuchuluka kwa glucose ndi:

1. Kupsinjika ndi kulimbitsa thupi kwambiri. Kusintha kwachilengedwe koteroko, thupi la munthu limafunikira shuga.
2. Zakudya zoyipa.
3. Kukhalapo kwa kupweteka kwanthawi yayitali.
4. Matenda a viral komanso opatsirana omwe amayambitsa malungo.
5. Kukhalapo kwa thupi la munthu kuwotcha komwe kumapweteka.
6. Mafuta ndi khunyu.
7. Kumwa mankhwala osiyanasiyana.
8. Kusokonezeka kwa ntchito ndi matenda am'mimba.
9. Kulephera kapena kukomoka kwa mahomoni m'thupi (kusintha kwa thupi, kusamba kwa akazi).
10. Matenda omwe amayamba chifukwa cha kuwonongeka kwa endocrine system, kapamba ndi chiwindi.

Ndi kuchuluka kwa glucose kwanthawi yayitali, muyenera kulimbikitsa alamu.

Zizindikiro Za Kuchulukirapo kwa shuga

Shuga wamagazi akakwera, zosintha zina zimachitika mthupi. Chifukwa chake, chizindikiro chachikulu cha kuchuluka kwa chizindikirocho kumatha kukhala kumverera kwa ludzu, pakamwa pouma komanso kufunikira pafupipafupi kuti muchepetse chosowa.

Zomwe zimawoneka ngati izi zimagwirizanitsidwa ndi kuchuluka kwa katundu pa impso, zomwe zimayenera kuchotsa shuga wambiri. Amayamba kutenga madzimadzi osowa m'thupi, kotero amakhala ngati akumwa chimbudzi.

Zizindikiro zina zimaphatikizapo:

• Kukula kwa khungu, chifukwa cha kusokonezeka kwa magazi. Zikatero, mabala amachiritsa nthawi yayitali kuposa momwe amakhala wathanzi, nthawi zina khungu limachepa, ndipo mkwiyo umawonekera.
• Kugona, kutopa, kusakwiya. Izi ndichifukwa choti maselo amthupi samalandira mphamvu yofunikira, gwero lake lomwe ndi glucose.
• Kuthetsa mseru komanso kusanza. Zizindikiro zoterezi zimakula pakati pa chakudya.
• Kuchepetsa thupi mwachangu komanso kufunitsitsa kudya. Vutoli limafotokozedwa ndikuti chifukwa chopanda mphamvu, thupi limayamba kulandira kuchokera ku maselo amafuta ndi minofu ya minofu.
• Kuwonongeka kowoneka kumalumikizidwa ndi kuphwanya kayendedwe ka mitsempha yamagazi mkati mwa mawonekedwe. Izi zimathandizira kukulitsa matendawa pakapita nthawi - matenda ashuga a retinopathy, omwe angayambitse kutaya kwamaso mu matenda a shuga.

Titha kunena kuti zizindikiro zonse zimagwirizanitsidwa ndi kusowa kwa mphamvu. Mwazi ukatha kukwera, magazi amayamba kunenepa. Chifukwa chake, sichingadutse mitsempha yamagazi. Ichi ndichifukwa chake minofu ya ziwalo zonse imasowa mphamvu.

Ndi malingaliro osasamala pa inu nokha, kusokonezeka pakugwira ntchito kwamanjenje ndi ubongo, kuchepa kwakukulu kwa thupi, kuchepa kwa kukumbukira ndi kuchepa kwa chidwi ndi zakunja zakunja ndizotheka.

Mawonekedwe akuwonetsa kwa matenda ashuga

Ngati mankhwalawa sanayambike kapena ngati matendawo ayamba kudwala, matenda a shuga 1 amachokera ku ketoacidotic chikomokere, komanso ndi matenda amtundu 2 shuga - hyperosmolar coma.

Kukwera msanga kwa shuga m'magazi a 1 matenda ashuga kumayambitsa zotsatirazi:

1. phindu la shuga litha kukula mpaka 16 mmol / l,
2. kupezeka kwa mkodzo wa acetone ndi fungo lake,
3. kufooka ndi kugona.
4. ludzu ndikutulutsa mkodzo wambiri,
5. kupweteka kwam'mimba komanso kusokonezeka kwam'mimba,
6. kupuma pang'ono, ngakhale kuchita zolimbitsa thupi pang'ono,
7. Khungu lumauma,
8. Pazowopsa kwambiri, kusowa kwa zifukwa, kenako kumangomangika.

Mu mtundu wa 2 odwala matenda ashuga, chikomokere chimatha pang'onopang'ono pakadutsa masabata awiri. Zizindikiro zazikulu zomwe shuga imatha kuchuluka komanso shuga yovuta imafikira ndi:

1. shuga wambiri ndizambiri - mpaka 50-55 mmol / l,
2. kusowa kwamadzi, wodwala sangathe kuthetsa ludzu lake, iye amapita kawiri kawiri,
3. matenda ammimba amachititsa mseru komanso kusanza,
4. kufooka, kukwiya, kugona,
5. khungu lowuma, maso owala,
6. woopsa milandu - kukula kwa aimpso kulephera, kusokonezeka kwa malingaliro ndi isanayambike chikomokere.

Ngati zovuta kwambiri zachitika, ndiye kuti, kukomoka kunachitika, wodwalayo amafunikira kuchipatala mwachangu ndikusintha.

Zochita zochepetsa shuga

Pambuyo pozindikira kuchuluka kwa shuga komwe sikupezeka pamlingo wabwinobwino, ndikofunikira kudziwa chifukwa chake chizindikirocho chikhoza kuchuluka ndikukhala ndi shuga.

Ngati palibe zifukwa zomveka, ndipo palibe chomwe mungadandaule, muyenera kungotsatira njira zopewa kupewa matenda ashuga. Choyamba, zakudya zapadera zimathandiza kuchepetsa shuga.

Malamulo ake akuluakulu ndi:

• chakudya chiyenera kukhala chofanana ndi zovuta zamafuta, mafuta ndi mapuloteni,
• ndikofunika kusiya zakudya zamagetsi zomwe zimapezeka mosavuta,
• Zakudya ziyenera kukhala 5-6 pa tsiku, koma m'malo ochepa
• kudya zipatso ndi ndiwo zamasamba zambiri
• kutaya bwino, tengani mafuta amkaka ochepa,
• Dziwani kuti mumamwa madzi ambiri,
• lekani zizolowezi zoyipa - kusuta fodya ndi kumwa mowa,
• idyani mkate wochepa, makeke ndi maswiti.

Kukhala ndi moyo wogwira ntchito kumathandizira kukhala ndi shuga. Ngakhale palibe nthawi yamakalasi ochita masewera olimbitsa thupi, muyenera kukonzekera kuyenda osachepera theka la ola patsiku. Simungathe kudzilemetsa ndi kugwira ntchito mopitirira muyeso, ndipo kuphatikiza koyenera pakupuma komanso kuchita masewera olimbitsa thupi kungakuthandizeni kupewa kukula kwa matenda ashuga.

Anthu onenepa kwambiri komanso onenepa kwambiri ayenera kuyesetsa kuchotsa mapaundi owonjezera, chifukwa ndi omwe ali pachiwopsezo cha matenda ashuga.

Matenda a shuga odwala matenda ashuga akuchepa

Matenda a shuga ndi matenda omwe amapita pang'onopang'ono, osatengera mtundu wake. Matendawa amadziwika makamaka chifukwa chakuti kuchuluka kwa shuga mumagazi kumakwezedwa. Mtundu woyamba wa shuga, kuchepa kwa shuga m'magazi kumatheka kokha mwa kubayidwa ndi insulin. Musanachite njirayi, ndikofunikira kuyeza glucose pogwiritsa ntchito chipangizo chapadera - glucometer.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri amakhala anthu azaka zopitilira 40, choncho m'badwo wachikulire umalangizidwa kuti ayesere magazi miyezi isanu ndi umodzi iliyonse ya shuga. Njira zoterezi zimachitika pofuna kudziwa matendawa munthawi yake, chifukwa kuwapeza osakonzekera kungayambitse zotsatira zoyipa. Odwala omwe amadziwa zovuta zawo ayenera kuyeza shuga m'magazi awo katatu patsiku - makamaka m'mawa, ola limodzi atatha kudya komanso madzulo.

Odwala omwe ali ndi matenda a shuga a mtundu wa 2 safunikira insulin, pankhaniyi thupi limatulutsa, koma osakwanira. Kuchita bwino kwa matendawa kumaphatikizapo chithandizo chamankhwala, zakudya zoyenera komanso maphunziro olimbitsa thupi.

Kuthamanga kwadzidzidzi m'magazi a shuga kumatha kuwonetsa kuchepa kwa zakudya kapena matenda ashuga. Ngati mutazindikira nthawi zomwe zikuchititsa izi, ndikuchita zoyenera, mupewe zovuta zina. Kanemayo munkhaniyi afotokoza kuopsa kwa kuchuluka kwa shuga.

Magazi a shuga

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

Matenda a shuga ndi amodzi mwa matenda oopsa, omwe amadziwika ndi kusowa kwa insulin mthupi la munthu ndipo chizolowezi cha shuga m'magazi chimaphwanyidwa. Monga mukudziwa, matendawa amatha kutsimikiza pogwiritsa ntchito kuyezetsa magazi, momwe shuga ndi shuga zimachulukira. Ndi matenda ashuga, shuga ndi magazi zimachuluka, izi zimatha kuyezedwa mosavuta pogwiritsa ntchito glucometer kapena kuwunika kofala. Chifukwa chake, odwala amafunika kupeleka magazi nthawi zonse chifukwa cha matenda ashuga.

• Matenda a shuga: Zizindikiro ndi chizindikiro
• Zoyambitsa matenda ashuga
• Tchati cha Mageti a Magazi
• Kodi kuyezetsa magazi ndikofunikira ndipo chifukwa chiyani kumafunikira?
• Miyezo ya shuga yamagazi
• Ndani angayesedwe?
• Kodi pali ngozi yotani ya shuga ndi shuga?
• Kupewa ndi Matenda a shuga

Ngati matenda ashuga akungopangika, ndiye kuti njira yozungulira magazi imasokonezeka pang'onopang'ono ndipo kuchuluka kwa shuga m'magazi kumachuluka kwambiri. Chifukwa chake, muyenera kulabadira kuyesedwa kwa magazi kwa matenda ashuga ndikupangitsa kuti kufulumira, chifukwa izi zikuthandizani kudziwa mtundu wa matenda ndi njira yopewa yomwe ingakhale yabwino.

Matenda a shuga: Zizindikiro ndi chizindikiro

Monga matenda aliwonse, matenda ashuga ali ndi zomwe ali ndi zizindikilo zake zomwe zimapangitsa kuti azindikire mosavuta. Zizindikiro zazikulu za matenda ashuga ndi:

• Kuwonjezeka kwa shuga m'magazi achilendo ndikuphwanso kwa kuzungulira kwa magazi.
• Kulimbitsa kufooka, kugona, kusanza, komanso kusanza.
• Kulakalaka, kufunitsitsa kudya kapena kuchuluka kwambiri, kunenepa kwambiri, ndi zina zambiri.
• Kusabereka, kufooka kwamanzere ndi zolakwika zina zakuberekera mwa amuna.
• Ululu m'mikono, m'miyendo, kapena kuchiritsa kwa mabala nthawi yayitali (magazi amayenda m'mitsempha, kotero magazi amawonjezeka pang'onopang'ono).

Ndizizindikiro zomwe matenda a shuga amakhala nazo, amatha kuzindikiridwa onse ndi kuyezetsa magazi konse, komanso ndi glucometer. Mu shuga mellitus, pali kuchuluka kwa shuga ndi sucrose m'magazi, ndipo izi zimapangitsa kuti magwiridwe antchito amthupi komanso magazi azithamanga. Pankhaniyi, tikulimbikitsidwa kukaonana ndi endocrinologist yemwe akupatseni zakudya zoyenera ndikuwona chithandizo chomwe chingakhale chothandiza kwambiri.

Zoyambitsa matenda ashuga

Pali zifukwa zomwe matenda a shuga amayamba kukula mthupi la munthu ndikupita patsogolo moipa. Kwenikweni, matenda a shuga amakula pazifukwa zotsatirazi:

• Kuperewera kwa insulin ndi ayodini m'thupi la munthu.
• Kugwiritsa ntchito molakwika shuga, maswiti ndi zakudya zomwe zimakhala ndi mitundu ya nitrate.
• Zakudya zopanda pake, zizolowezi zoipa, mowa ndi mankhwala osokoneza bongo.
• Kukhala ndi moyo wopendekera, zizolowezi zoipa komanso kukula thupi.
• Zinthu zokhudzana ndi msambo kapena usinkhu (matenda a shuga amapezeka makamaka mwa achikulire ndi okalamba).

Matenda a shuga amakhala ndi zizindikiritso za shuga wamagazi, pakutsimikiza kwa momwe patebulo lapadera linapangidwira. Aliyense adzakhala ndi chiwonetsero chawo cha shuga ndi glucose, chifukwa chake amalimbikitsidwa kuyang'ana ku tebulo ndi kukaonana ndi endocrinologist yemwe amafotokoza zonse mwatsatanetsatane ndipo adzafunsira pazinthu zilizonse zosangalatsa. Mu shuga mellitus, magazi a glucose sayenera kukhala apamwamba kuposa 7.0 mmol / L, chifukwa izi zitha kusokoneza chida chonse.

Tchati cha Mageti a Magazi

Mphindi yofunikira pankhaniyi ndikudya koyenera komanso kutsatira shuga wamagazi, omwe sayenera kukhala apamwamba kuposa zokhazikitsidwa ndi endocrinologists. Pofuna kuti musachulukitse kuchuluka kwa shuga m'magazi, muyenera kusiya kugwiritsa ntchito maswiti, mowa ndikuwunika shuga, chifukwa zimatengera izi ngati matendawa apita patsogolo.

Ndikofunikira kuyendera endocrinologist ndi wazakudya pafupipafupi, yemwe angadziwitse matenda omwe ali oyenera ndikuwonetsetsa kuti ndi njira yanji ya zakudya ndi njira zopewera zomwe zingakhale zoyenera ngati pankhaniyi.

Matenda a shuga amakhala ndi zizindikiro, ndipo chimodzi mwazomwe zimachitika ndi shuga. Ndizofanana ndi chizolowezi cha shuga ndi glucose omwe akatswiri amawona mtundu wa shuga komanso chithandizo chomwe angagwiritse ntchito pamenepa.

Ngati matenda amtundu 1 a shuga kapena gawo loyambirira, ndikulimbikitsidwa kutsatira zakudya zomwe zimamwa ndikugwiritsa ntchito mankhwalawa omwe angathandizire kuti matendawo apitirize kukula komanso zovuta zake. Komanso, akatswiri amalimbikitsa kusiya zizolowezi zonse zoipa, mowa ndi kusuta fodya, iyi ndi njira yabwino yothanirana ndi matendawa.

Matenda a shuga angayambitse matenda amasamba, m'mimba ndi mtima, ndipo izi zikuwopseza kukula kwa matenda ena owopsa komanso owopsa. Matenda a shuga amakhalanso ndi miyezo yake ya shuga, monga zikuwonekeranso ndi tebulo lomwe ma endocrinologists amapereka pakuwunika ndi kufunsana.

Ngati mumamwa insulini nthawi zonse ndikuyang'ana zakudya zoyenera, ndiye kuti kuyimitsidwa kwamatenda ndikokwera. Chofunikira ndikumalandira chithandizo koyamba, chifukwa ngati matendawa ayamba kupita patsogolo ndikusokoneza kayendedwe ka magazi, ndiye kuti pali mwayi wokhala ndi vuto.

Kodi kuyezetsa magazi ndikofunikira ndipo chifukwa chiyani kumafunikira?

Pogwiritsa ntchito kuyezetsa magazi ambiri, mutha kudziwa mtundu wa matenda oopsa a shuga komanso ndi chithandizo chiti chomwe chikhala chofunikira kwambiri. Kuyesedwa kwa mitundu iwiri ya anthu odwala matenda ashuga ndikofunikira:

• Mvetsetsani momwe mulingo wotsegulira magazi ndi zomwe zili zofunikira (aliyense azikhala payekha, zimatengera mawonekedwe a thupi).
• Dziwani mtundu wa matenda ashuga komanso momwe ungathere mwachangu.
• Dziwani zomwe zimathandizira kuti matendawa athe kukula ndikuchotsa zomwe zimayambitsa (chotsani zizolowezi zoyipa, kukhazikitsa zakudya zoyenera ndi zina zotero).

Kwenikweni, pa izi, ndikofunikira kukayezetsa magazi, komwe kungathandize kudziwa momwe angachiritsire matenda ashuga komanso momwe angaletsere chitukuko chakecho. Kuwunikira koteroko kuyenera kuchitika kamodzi miyezi iwiri iliyonse, ndipo mwina nthawi zambiri, kutengera zaka komanso mtundu wa matenda amishuga eni.

Kusanthula kotereku kumagawidwa kwa okalamba 1 m'miyezi iwiri, koma achinyamata ndi ana amatha kuyesedwa kamodzi pachaka. Chifukwa chake, ndibwino kufunsa dokotala, amene afotokoze mwatsatanetsatane chifukwa chake kusanthula uku kukufunika komanso ngati kuli bwino kutero. Kuphatikiza kwa magazi m'magazi a shuga ndikofunikira kwambiri, makamaka ngati matendawa akupitilizabe kukula.

Miyezo ya shuga yamagazi

Mu shuga mellitus, pali miyezo ya shuga ndi shuga m'magazi, zomwe ndikofunikira kuti muzitsatira. Akatswiri azindikira kuti chizolowezi cha shuga m'magazi ndi:

• Mwa anthu omwe ali ndi matenda ashuga - zomwe zimadziwika kuti zimachokera ku 5.5-7.0 mol / lita.
• Mwa anthu athanzi, 3,8-5.5 mol / lita.

Ndikofunika kulabadira izi ndikulingalira kuti ngakhale mafuta owonjezera m'magazi amatha kusokoneza magwiridwe antchito amthupi ndikudzutsa kukula kwa matenda a shuga mellitus mowonjezereka, ndipo izi zikuwopseza zotsatira zoyipa.

Kuti muwone shuga m'magazi, muyenera kumayesa pafupipafupi ndikutsatira zakudya zamagulu, zomwe zimayikidwa ndi akatswiri ngati prophylaxis ndi chithandizo cha matenda ashuga. Matenda a shuga amaphwanya mulingo wa shuga m'magazi, ndizoyenera chifukwa cha izi kuti matendawa amakhala oopsa komanso oopsa, chifukwa anthu omwe ali ndi chitetezo chamthupi chovuta komanso odwala mtima ali ndi matenda ovutika kwambiri.

Kuphwanya shuga m'magazi kumatha kuwopseza ziwalo, kusakhazikika kwa magazi ndi mikwingwirima, komwe kumachitika chifukwa chotaya magazi ambiri m'mitsempha.

Kuti mudziwe matenda a shuga ndi mtundu wake, ndikofunikira kukayezetsa magazi onse. Chifukwa chake, kuyesa ndi njira yofunika komanso yosasinthika kwa iwo omwe ali ndi matenda a shuga komanso owonjezera shuga.

Ndani angayesedwe?

Magazi a shuga amatha kuperekedwa ndi aliyense amene ali ndi matenda ashuga kapena wokhathamira m'magazi. Biochemistry ndi kuwunika kwathunthu sizimadalira zaka, jenda kapena magawo a shuga, chifukwa chake amaloledwa kuyesa aliyense, kapena m'malo mwake:

• Ana kuyambira ali akhanda (ngati matenda ashuga akungoyamba kumene kukula m'thupi).
• Achinyamata, makamaka ngati njira ya kutha msinkhu ndi kusokonekera kwa mahomoni zomwe zingawonetse kuti matenda a shuga akupezeka.
• Akuluakulu ndi okalamba (mosaganizira jenda ndi gawo la matendawa).

Ana ali akhanda salangizidwa kuti azichita mayeso pafupipafupi kuposa nthawi ziwiri pachaka. Izi zimathandizira kuti thupi lisakule komanso kuti magazi azithamanga, omwe amathanso kukhala osakhazikika. Mukakhala ndi magazi okwanira, posakhalitsa akatswiri athe kudziwa mtundu ndi mtundu wa matenda ashuga, ndipo kupewa ndikuwathandizanso zimadalira izi.

Kodi pali ngozi yotani ya shuga ndi shuga?

Monga mukudziwa, matenda a shuga amatha kukhala owopsa paumoyo wathunthu ndikugwira ntchito kwa thupi, chifukwa chake amalimbikitsidwa kumwa chithandizo msanga ndikuwunika ndi endocrinologist. Matenda a shuga ndi shuga wambiri amatha kukhala owopsa pazifukwa izi:

• Shuga amaswa makoma amitsempha yamagazi kuchokera mkati, amawapangitsa kukhala olimba, osachepera komanso osayenda.
• Njira yozungulira imasokonekera ndipo zotengera zimayamba kuwala kwambiri, ndipo izi zimawopseza ndi kuchepa magazi komanso kupanga matenda ena owopsa.
• Matenda a shuga angayambitse kupweteka kwa impso, chiwindi ndi biliary, ndipo m'matumbo amathanso kusokonekera.
• Shuga wamagazi komanso magazi osakhazikika amasokoneza masinthidwe am'maso, omwe amachepa limodzi ndi zovuta za matenda ashuga.
• Mabala ndi kuvulala kwakuthupi kumachiritsa kwakanthawi komanso kovuta, chifukwa magazi amawonjezeka pang'onopang'ono komanso zowawa.
• Pangakhale zovuta za kukhala wonenepa kwambiri, kapena mosemphanitsa, kuchepa thupi mwadzidzidzi ndi matenda a anorexia chifukwa cha shuga wosagwirizana wamagazi ndi magazi osakhazikika.

Komanso matenda ashuga amatha kusokoneza dongosolo lamanjenje, lomwe pamapeto pake limayamba kugwa ndikusakwiya. Kusokonezeka kwamaganizidwe, kupsinjika kwa m'maganizo, komanso mutu wambiri ungachitike. Chifukwa chake, kupewa matenda ashuga ndikofunikira, muyenera kuganizira bwino nkhaniyi ndikuyamba kulandira chithandizo posachedwa.

Kupewa ndi Matenda a shuga

Sitikulimbikitsidwa kudzipangira nokha chithandizo popanda kuonana ndi dokotala, chifukwa izi zingayambitse chitukuko cha matenda ashuga. Monga njira zodzitetezera, akatswiri amalimbikitsa:

• Siyani zizolowezi zilizonse zoipa, kusiya kumwa mowa, kugwiritsa ntchito mankhwala osokoneza bongo komanso kusuta.
• Bwezeretsani zakudya zoyenera ndikutsatira zakudya zomwe dokotala wakupatsani (osapatula zakudya zotsekemera, zamafuta ndi zopanda pake).
• Khalani ndi moyo wokangalika, chezani nthawi yambiri kunja ndi kusewera masewera.
• Osagwiritsa ntchito mankhwala ena aliwonse osokoneza bongo popanda kugwiritsa ntchito endocrinologist.
• Kuyesani kwathunthu, pitani kuyezetsa magazi ndi kufunsa dokotala zokhudzana ndi kupewa.

Ndi njira zopewera kuchitira kuti akatswiri amalimbikitsa kuwonetsetsa kuti matenda ndi othandizira ndi othandizadi. Kwenikweni, ma endocrinologists amakupatsani njira zochizira:

• Kutsatira zakudya ndi zakudya zoyenera, komanso kuthetseratu zizolowezi zoipa, mowa ndi mankhwala osokoneza bongo.
• Kugwiritsa ntchito insulin ndi mankhwala ena omwe amatsutsana ndi endocrinologist.
• Yang'anirani shuga, ndiye kuti kuchuluka kwa magazi a shuga kuyenda bwino ndipo izi zikuthandizira kuchira.
• Osagwiritsa ntchito mankhwala aliwonse osokoneza bongo komanso othandizira masomphenya, ntchito yam'mimba ndi magazi, chifukwa izi zitha kupititsa patsogolo njira yowonjezera mawonekedwe ndi mtundu wa matenda ashuga.

Chonde dziwani kuti zimatengera magawo a kuyezetsa magazi kuti ndi shuga komanso momwe zingayendere. Kuletsa njirayi ndikuthandizira kuchira msanga, tikulimbikitsidwa kutsatira njira zonse zodzitetezera ndikutsatira mosamalitsa malangizo a endocrinologist, omwe, akuwunika ndi zotsatira za mayeso, amasankha njira zamankhwala othandizira komanso kupewa.

Komanso, chinthu chachikulu ndicho kukhala wodekha ndikutembenukira kwa endocrinologists mu nthawi, ndiye kuti matenda a shuga amatha kuchiritsidwa mwachangu popanda zovuta.

Zomwe zimakhudza shuga

Monga mukudziwa, shuga m'magazi odwala matenda ashuga makamaka amakhudzidwa ndi zakudya ndi jakisoni wa insulin. Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, palinso mapiritsi. Timalimbikitsa kwambiri kusinthira ku chakudya chochepa chamafuta a mtundu 1 ndi matenda a shuga a 2. Pokhapokha ngati zakudya zanu zili ndi zakudya zomwe zimadzaza ndi chakudya chamafuta, shuga wamba sizingatheke. Pankhani ya mankhwalawa a shuga ndi insulin, yambani kuwerengera kuchuluka kwa insulin musanadye komanso ndi cholembedwa chatsatanetsatane cha mitundu yambiri ya insulin: Lantus, Levemir ndi Protafan.

Zolinga zenizeni zochizira matenda amtundu wa 2 komanso mtundu wachiwiri wa shuga ndikugwira shuga wambiri wa 4.6 6 0,6 mmol / L musanadye komanso pambuyo chakudya. Komanso, ziyenera kukhala zosachepera 3.5-3.8 mmol / l, kuphatikiza usiku. Umu ndi momwe anthu ambiri amakhalira ndi shuga. Inapezekanso kwa inu! Zizindikiro zoterezi zimatheka ngati mumatsatira zakudya zamafuta ochepa, mumvetsetsa mankhwala a shuga ndikuphunzira momwe mungabayire insulin molondola. Pansipa tikuwona zinthu zachiwiri zomwe zimakhudza shuga. Ndizofunikanso. Amaganiziridwa kuti mumatsatira kale zakudya zamafuta ochepa, mwasankha mtundu wabwino kwambiri wa mankhwala a insulin komanso mankhwala.

Maphikidwe a chakudya chamafuta ochepa a mtundu 1 ndi matenda ashuga 2 amapezeka pano.

Khalidwe labwino

Ngati kuchuluka kwa zochita zanu zolimbitsa thupi kumachepera, ndiye kuti izi zingayambitse kuchuluka kwa shuga m'magazi. Kukhala moyo wongokhala kumabweretsa kuchepa kwa chidwi cha insulin, ndipo thupi limawotcha shuga wochepa. Ndikofunikira kuwonjezera mankhwala a insulin pang'ono pasadakhale ngati mupita usiku ndi buku kapena pamaso pa TV. Chimodzimodzi ngati mukufuna kukwera ndege, sitima, basi kapena galimoto, pomwe mukakhala nthawi yayitali.

Kuchepetsa thupi kapena kunenepa kwambiri

Maselo amafuta m'thupi la munthu amatulutsa mahomoni omwe amatsutsana ndi insulin. Chifukwa chake, kunenepa kwambiri kumawonjezera shuga wamagazi ndikuwonjezera kufunika kwa insulin. Ngati wodwalayo walemera, ndiye kuti kuchuluka kwa insulini kuyenera kuchulukitsidwa, ndipo ngati waonda, ndiye kuti aduleni. Zotsatira zake zimawonekera ngakhale kulemera kwa thupi kumasintha ndi 0,5 makilogalamu, ngati izi zichitika chifukwa cha kudzikundikira kapena kuchepa kwa mafuta m'thupi. Ngati kulemera kukuchuluka chifukwa minofu ikuwonjezeka, ndiye kuti nthawi zambiri mlingo wa insulin umayenera kuchepetsedwa kwambiri. Kupanga zolimbitsa thupi kwa matenda amtundu woyamba 1 komanso mtundu wachiwiri wa shuga kumabweretsa zabwino, ndikofunikira "kutembenuka" mu masewera olimbitsa thupi.

Kuchepetsa thupi komanso kulemera kwa odwala omwe ali ndi matenda ashuga amasintha zochita zawo - zomwe zimapangitsa chidwi cha insulini komanso chakudya cha thupi. Ngati simukudziwa, werengani nkhani ija “Kuwerengera mlingo wa insulin musanadye. Sintha shuga wambiri ndi jakisoni wa insulin. ” Kumbukirani kuti shuga m'magazi ndi 4.6 ± 0,6 mmol / l musanadye komanso pambuyo chakudya. Pankhaniyi, shuga sayenera kukhala otsika kuposa 3.5-3.8 mmol / l nthawi iliyonse, kuphatikiza usiku. Kutengera manambala awa, sankhani mlingo woyenera wa insulin. Awazindikire poyesa ndi glucometer. Ngati kulemera kwa thupi kusintha, muyenera kusintha kuchuluka kwa insulin komanso muyeso womwe mumalowetsa zakudya.

Odwala ena omwe ali ndi matenda a shuga amtundu woyamba, nthawi zambiri azimayi ocheperako, amachepetsa mlingo wawo wa insulin poyesa kuchepetsa thupi. Chifukwa cha kuchepa kwa insulin, shuga awo "amapitilira". Uwu ndi njira yoopsa, yodziwika ndi kupeza chisamaliro chambiri kapena nthawi yomweyo pansi pa mwala wabodza. Odwala oterowo amafunikira thandizo la psychotherapist, kapena ngakhale wamisala. Mutha kuchepa thupi ngati mutadya zakudya zamagulu ochepa. Chifukwa cha izi, mlingo wanu wa insulin udzachepa nthawi 2-7, ndipo izi zikhala njira zachilengedwe. Iyi ndi njira yochepetsera kunenepa komanso kusunga shuga wabwinobwino chifukwa cha matenda ashuga.

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

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

Zomwe simungathe kudya kwambiri

Chimachitika ndi chiyani mukamadya kwambiri mpaka mumva kuti muli ndi "m'mimba yathunthu"? Ndikunenedwa kuti zinthu zosangalatsa zikuchitika. Tiyeni tiwazindikire - ndikofunikira kuti muziwongolera matenda anu a shuga. Chakudya chochuluka chimatambasulira makhoma am'mimba. Pothana ndi izi, maselo am'mimba amatulutsa mahomoni apadera omwe amatchedwa "maretretins" (omwe "amawonjezera") kulowa m'magazi. Amatumiza mbendera kwa kapamba - kuti atulutse insulini m'magazi kuti tipewe kulumpha mu shuga mutatha kudya.

Insulin ndi mahomoni amphamvu. Zikondazo zikaibisa m'magazi, zimatha kupangitsa kuti shuga ndi hypoglycemia zibwere. Pofuna kupewa izi, kapamba nthawi yomweyo amabisa mahomoni ena opanda mphamvu - glucagon. Uwu ndi mtundu wa “wotsutsana naye” amene amathetsa mavuto a insulin. Zimayambitsa gluconeogeneis ndi glycogenolysis (kuphwanya kwa glycogen kupita ku glucose). Njira zonsezi zimatsogolera kuti magazi atuluke m'chiwindi kulowa m'magazi. Mu odwala matenda ashuga, kapamba sangatulutse insulin yokwanira, koma amatulutsa glucagon mwachizolowezi! Ichi ndichifukwa chake zakudya zabwino zimawonjezera shuga m'magazi, ngakhale munthu wodwala matenda ashuga akudya CHIKWANGWANI.

M'mayiko olankhula Chirasha, malo odyera achi China nthawi zambiri amapereka Zakudyazi ndi nyama. Kunja, malo odyera achi China ndi osiyana. Kumeneko, ophika amakonda kuphika nyama osati Zakudyazi, koma nyemba zobiriwira, bowa, mphukira za nsungwi, seaweed kapena kabichi yaku China (pak choi). Zonsezi ndi zakudya zam'mera zomwe zimakhala ndi fiber yambiri, zomwe mwa njira yake ndizoyenera kudya shuga wochepa wama shuga. Koma ngati mumadya kwambiri, ndiye kuti kuchuluka kwa ma protein ambiri kumatsatila. Kuwatsata, kapambayo amapangira glucagon, yemwe alibe malire ndi insulin, ndipo shuga m'magazi amadzuka. Dr. Bernstein akuti vutoli ndi "zotsatira za malo odyera achi China."

Mapeto ake ndikuti kudya kwambiri ndi matenda amtundu wa 2 komanso mtundu wa 2 sikungatheke. Kudya kwambiri kwamunthu aliyense kumawonjezera shuga m'magazi, ndipo ndikosayembekezereka kotero kuti ndizosatheka kuwerengera muyeso wa insulin. Vuto la gluttony ndi vuto lalikulu, makamaka kwa odwala omwe ali ndi matenda a shuga a 2. Patsamba lathu mupeza njira zambiri zochitira nawo osavulaza thanzi lanu ndi psyche. Werengani zambiri:

• Kunenepa kwambiri mu shuga. Momwe mungachepetse thupi komanso kukhala ndi thupi lolemera
• Momwe mungayendetsere kudya kwanu ndi mankhwala a shuga

Ntchito yamphamvu yamaganizidwe

Mitsempha yamkati ya m'magazi ndi imodzi mwazogula za shuga m'thupi la munthu. Ubongo ukamagwira ntchito molimbika, shuga ya magazi imatha kutsika. Kodi izi zingatheke bwanji:

• kuphunzira kwambiri
• kuyang'ana ntchito zingapo nthawi imodzi,
• malo atsopano (Kusintha kwa ntchito, malo okhalamo),
• kulumikizana kwakukulu (mwachitsanzo, kulumikizana kofunikira pamsonkhanowu),
• Malo osangalatsa omwe amalimbikitsa ntchito yayikulu ya ubongo - kugula, kasinon, ndi zina zambiri.

Yesetsani kukonzekereratu zochitika zomwe muyenera kuchita mwamphamvu. Kuchepetsa Mlingo wa zotupa insulin pa chakudya 10 10%. Tengani mapiritsi a glucose ndiinu ndipo muziwagwiritsa ntchito. Tikukumbukiranso kuti hypoglycemia (kutsika kwa shuga m'munsi) si chifukwa chodya zakudya zoletsedwa zomwe zimadzaza ndi chakudya. Mlingo wa glucose womwe umayesedwa ndendende ndi zomwe mukufuna.

Ndi zaka, thupi limachepetsa mphamvu ya mahomoni omwe amatsutsana ndi insulin. Chimodzi mwa izo ndi mahomoni okula. Pambuyo pa zaka 60, mwina mungafunikire kuchepetsa mlingo wanu watsiku ndi tsiku wa insulin.

Kumbukirani kuti hypoglycemia ukalamba ndi owopsa kwambiri chifukwa mayendedwe mahomoni achilengedwe amachepa. Adrenaline ndi mahomoni ena amakulitsa shuga. Komabe, mwa anthu okalamba omwe ali ndi hypoglycemia samapangidwa mokwanira. Chifukwa chake, chiwopsezo cha kutaya chikumbumtima ndi zizindikiro zina zazikulu chikukula. Hypoglycemia imatha kuyambitsanso matenda a mtima.

Reflex kuchuluka kwa shuga pambuyo hypoglycemia

Werengani nkhani yatsatanetsatane "Hypoglycemia mu matenda ashuga, zizindikiro zake, kupewa ndi kuchiza". Poyimitsa, muyenera kugwiritsa ntchito mapiritsi a glucose mu kipimo choyenera. Osamadya maswiti, ufa, zipatso. Osamamwa timadziti, etc.

Apa tiwona mwatsatanetsatane usiku wa hypoglycemia m'maloto, pambuyo pake shuga m'mimba yopanda kanthu imakwezedwa. Izi zimatchedwa chodabwitsa cha Somoji. Anthu ambiri odwala matenda ashuga ali ndi vutoli, ngakhale sakudziwa nkomwe. Amachulukitsa kuchuluka kwa insulin yayitali usiku, kenako ndikudabwa chifukwa chomwe amakhala ndi shuga m'mawa pamimba yopanda kanthu.

Zizindikiro za nocturnal hypoglycemia m'maloto:

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

• Mwamuna amasesa kwambiri usiku.
• Amachepetsa kutentha kwa thupi.
• Kugona kopanda tulo, zolota usiku.
• M'mawa mutu wanga ukupweteka.
• Mtima wam'mawa.
• Kugona usiku sikupuma.

Nthawi zambiri odwala matenda a shuga, akaona shuga amawonjezeka m'mawa m'mimba yopanda kanthu, amawonjezera mlingo wawo wamadzulo wa insulin. Ngati zomwe zikuchitika ndi nocturnal hypoglycemia mu maloto ndi chochitika cha Somogy, ndiye kuti izi sizingathandize, koma zimangokulitsa.

Pali njira ziwiri zabwino zothandizira vutoli:

1. Nthawi zina yang'anani shuga anu pakati pausiku. Chitani izi kamodzi pa sabata.
2. Tumizani gawo lamankhwala lamadzulo la insulin yowonjezera kuti muonjezere jekeseni, yomwe iyenera kuchitika pakati pausiku. Izi ndi zovuta, koma zothandiza kwambiri.

Werengani zambiri munkhaniyi pamitundu yowonjezera ya insulin Lantus, Levemir ndi protafan. Zomwe tafotokozanso pansipa ndi momwe mungayendetsere zovuta zam'mawa.

Zodabwitsa zam'mawa zam'mawa komanso momwe mungazilamulire

Kusunga shuga m'mawa m'magazi ndimatenda a shuga nthawi zambiri kumakhala kovuta kwambiri. Koma izi ndizowona, ngati mumvetsetsa zifukwa, jambulani dongosolo lazithandizo, ndikutsatira njira. Chodabwitsa cha mbandakucha chimawonekera chifukwa chakuti shuga m'magazi amadzuka m'mawa kwambiri. Amawonedwa nthawi zambiri kuyambira 4 mpaka 6 m'mawa, koma amatha kupitirira 9 m'mawa.Zotsatira zam'mawa zam'mawa zimachitika mu 80 - 100% ya achikulire omwe ali ndi matenda amtundu 1, komanso mwa odwala ambiri omwe ali ndi matenda a shuga a 2. Zimawonjezera kuchuluka kwa shuga m'magazi am'magazi nthawi zambiri ndi 1.5-2 mmol / l poyerekeza ndi ziwerengero pakati pausiku.

Amaganizira kuti zodabwitsika zam'bandakucha zimayamba chifukwa chakuti m'mawa kwambiri chiwindi chimatulutsa insulin m'magazi ndikuiwononga. Komanso, zomwe zimapangitsa kuti zikhale zochulukirapo m'matumbo a mahomoni omwe amatsutsana ndi insulin. Mwa anthu athanzi, maselo a pancreatic beta amangotulutsa insulin yambiri kuti athe kukwaniritsa zosowa zake. Koma mwa odwala matenda a shuga palibe zotheka. Zotsatira zake, shuga wamagazi amawuka.

Zodabwitsa zam'mawa zam'mawa zimawonjezera shuga m'njira yake mwa wodwala aliyense wa shuga. Mwa anthu ena kuchuluka kumeneku sikofunika, mwa ena - koopsa. Ichi ndi chimodzi mwazifukwa zambiri zomwe pulogalamu yothandizira odwala matenda ashuga imagwira ngati ingapangidwe komanso kusinthidwa payekhapayekha. Ndipo kugwiritsa ntchito "ma templates" sikugwiritsa ntchito kwenikweni.

Idyani zakudya zochepa zam'mawa kuposa zakudya zina. Chifukwa ndizovuta "kulipira" zakudya zomwe wodwala matenda ashuga amadya m'mawa kwambiri kuposa zakudya zomwe amadya pamasana ndi chakudya chamadzulo. Nthawi yomweyo, kudumpha chakudya cham'mawa kumakhala kukhumudwitsidwa, makamaka kwa odwala omwe ali ndi matenda amtundu wa 2 omwe onenepa kwambiri. Mudzakhala osangalala kudya zakudya zamapuloteni pakudya m'mawa, ngati mutadziphunzitsa kukhala ndi chakudya chamadzulo pasanafike 18.30. Ikani chikumbutso "Yakwana nthawi ya chakudya chamadzulo" pafoni pa 17.30.

Kwa matenda a shuga a 2, yesani kumwa mapiritsi a Glucofage Long 500 mg usiku. Uku ndi metformin yotulutsidwa. Amawonetsa ntchito yayikulu m'mawa, nthawi yomwe tikufunika. Onaninso zotsatira za ntchitoyi poyesa shuga m'magazi ndi glucometer m'mawa mutangodzuka. Ngati mlingo wochepa wa 500 mg suthandiza mokwanira, ndiye kuti amatha kuwonjezeka pang'onopang'ono. Onjezani 500 mg kamodzi pakatha masiku angapo ndikuwona omwe shuga azikhala m'mawa. Mlingo umodzi wambiri ndi 2000 mg, i.e. mapiritsi 4 a Glucofage Long usiku.

Njira yabwino yothandizira mbandakucha wa m'mawa ndikugawa muyeso wa "kulowezedwa" wa insulin m'magawo awiri ndikubaya imodzi usiku, kenako winayo pakati pausiku. Kuti muchite izi, muyenera kukonzekera jakisoni madzulo ndikuyika alamu kuti imagwira pambuyo maola 4. Kubayira usiku usiku kudzakhala chizolowezi, ndipo muwona kuti zimapereka zosokoneza zochepa. A glucometer akuwonetsa kuti mapindu ake amathandizanso.

Anawonjezera zaka 13,05,2015. Ndipo pali njira ina yomwe ingathandize kuti shuga asakhale bwino m'mimba popanda kanthu. Uku ndi kubayidwa jakisoni wa mlingo wochepa wa insulini yothamanga pa 3-5 m'mawa. Jekeseniyu ayamba kugwira ntchito mphindi 15-30, koma azitha kugwira ntchito atatha maola 1-1,5. Pomwe chodabwitsa cha m'bandakucha chikuyamba kuwonekera. Jakisoni wa insulin yothamanga m'mawa ndi njira yothandiza kwambiri kuposa jakisoni wa insulin yayitali pakati pa usiku. Mlingo uyenera kuwerengedwa mosamala kuti hypoglycemia isachitike. Tiyeni tiwone momwe angachitire.

Tiyerekeze kuti mumakonda kudzuka cha 7 koloko m'mawa. Zodabwitsa zam'mawa zam'mawa zimayamba kuwonekera pafupifupi 5 koloko m'mawa. Jakisoni wa prophylactic mlingo waifupi kapena wa ultrashort insulin uyenera kuchitika 3 koloko m'mawa. Chifukwa chake mudadzuka pa alamu panthawiyi, ndikuyesa shuga - ndipo mukuwona kuti ili pafupifupi 6 mmol / l. Mukudziwa kale kuchokera ku zomwe mumakumana nazo kuti ngati simupanga chilichonse, ndiye kuti m'mawa shuga adzauka ndi 2-3 mmol / l. Kuti mupewe izi, mumapaka jekeseni pang'onopang'ono insulin. Ziyenera kukhala magawo a 0,5-2, kutengera kulemera kwa thupi la odwala matenda ashuga komanso mtundu wa insulin yomwe imagwiritsidwa ntchito. Ndizokayikitsa kuti mungafunikire zoposa mayunitsi atatu.

Wodwala matenda ashuga amtundu wa 1, omwe nthawi zambiri amadzuka m'mamawa nthawi ya 6 koloko, anali ndi jakisoni wabwino wa prophylactic wa insulin mwachangu 3 koloko m'mawa. Ngati mungayambitse tsiku lanu nthawi ya 7 koloko, yesani kupaka insulin mwachangu 4 koloko, kenako 3 koloko m'mawa. Onani kuti nthawi yabwino ndi iti.

Ngati shuga m'ma 3-5 oveni m'mawa adadzakhala apamwamba kuposa 6.0-6.5 mmol / l - zikutanthauza kuti simukuyang'anira regimen. Kudya nthawi yayitali kuposa koyenera, kapena molakwika kutenga mlingo wa insulin yayitali usiku. Poterepa, mukulitsa kuchuluka kwa insulin yofulumira m'mawa pang'ono. Yang'anirani mosamalitsa chizolowezi madzulo. Khazikitsani chikumbutso cha tsiku ndi tsiku pafoni yanu nthawi ya 5.30 p.m. 6 k.m. kuti nthawi yakudya, ndipo dziko lonse lapansi lizidikirira.

• Insulin yowonjezera imayenera kuyilowetsedwa pakati pausiku, ndipo mwachangu - pambuyo pake, 3 koloko m'mawa.
• Mlingo wa insulin yofulumira ndi 0.5-2 IU, sizokayikitsa kuti oposa 3 IU amafunikira ngati shuga satukuka usiku.
• Ngati shuga ndi 3.5-5.0 mmol / l - insulin yofulumira siyofunikira kubayidwa, kuti mupewe hypoglycemia. Ngati shuga ndi otsika kuposa 3.5 mmol / L, tengani shuga pang'ono m'mapiritsi.
• Ngati shuga m'ma 3-5 oveni m'mawa adadzakhala apamwamba kuposa 6.0-6.5 mmol / l - zikutanthauza kuti simunayang'ane bwino boma madzulo. Chitani ndi izi.

Werengani momwe mungamwere jakisoni wa insulin mopweteka. Miyezo ya m'mawa imayenda bwino kwambiri. Komanso phunzirani kudya m'mawa kwambiri, maola 5 musanagone. Potere, chakudya chamadzulo chimakhala ndi nthawi yopukuta nthawi, ndipo usiku sudzaukitsa shuga wanu.

Wodwala matenda ashuga atakhala ndi chizolowezi chomabaya jakisoni, amatha kumadzuka ndikugona nthawi yomweyo. Mukasinthira motere, ndiye kuti mlingo wa mankhwalawo wathunthu wa "insulin" wowonjezera ungathe kuchepetsedwa ndi pafupifupi 10-15% ndi zotsatira zomwezo. Bwanji osangopaka jakisoni wa "nkhawa" yayikulu usiku kuti magazi anu azikhala abwinobwino m'mawa? Chifukwa chowonjezera choterechi chimatsitsa shuga pakati pausiku pansipa. Hypoglycemia yausiku yokhala ndi zowawa - kodi mumachifuna?

Kutentha kwambiri ndi chinyezi nthawi zambiri kumachepetsa shuga la magazi. M'mikhalidwe yotere, insulin imadziwika bwino. Posintha nyengo, mwina pangafunike kusintha kuchuluka kwa insulin ndi 10-20%. Mu kasupe ndi chilimwe - kuchepetsa, m'dzinja ndi chisanu - kuchuluka. Zilinso chimodzimodzi ngati mutayenda kwakanthawi kupita kumalo kumene kumakhala kotentha komanso konyirira kuposa kale, kapena ozizira.

Ngati musamutsa makalasi anu ophunzirira thupi kuchokera mkati mpaka kunja, ndiye kuti muyenera kuchepetsa kwambiri mululu wa insulin musanadye, makamaka ngati msewu ndi wotentha komanso / kapena yonyowa. Mukabayidwa insulin yotalikilapo, ndiye kuti muzibayeni m'ziwalo za thupi zomwe sizingavutike chifukwa cha maphunziro akuthupi. Komanso musayesetse kuthilira malo omwe jakisoni waposachedwa ndi madzi otentha osamba. Kupanda kutero, insulin yayitali ingagwiritsidwe ntchito mwachangu kwambiri.

Ulendo

Kuyenda ndi vuto linalake kwa anthu odwala matenda a shuga. Kusintha zakudya, kuchuluka kwa zolimbitsa thupi, ndandanda ya tsiku ndi tsiku. Chifukwa cha zonsezi, shuga wamagazi amatha kusintha kwambiri. Kusintha kwamagawo kumathandizanso. Mukamayenda, shuga amatha kudumpha kuposa momwe padzakhala hypoglycemia. Chifukwa kuyenda kumakhala kovutitsa, munthu wodwala matenda ashuga amakhala osakhalitsa maola ambiri m'mayendedwe ndipo mwina amadya chakudya chosakwanira.

Mukafika kutchuthi chanu, zinthu zimasintha. Kuopseza kwa hypoglycemia kumakulakulanso. Chifukwa chiyani? Chifukwa kuchuluka kwa kupsinjika kumatsika kwambiri, kutentha kwa mpweya kumakwera. Ubongo wanu umagwiranso ntchito kwambiri, kutulutsa zokumana nazo zatsopano, ndikuwotcha shuga nthawi yomweyo. Komanso kutchuthi anthu amayenda kwambiri kuposa masiku onse.

Zingakhale zomveka kuwonjezera kuchuluka kwa insulini yowonjezera pamasiku oyenda, kenako ndikuchepetsa mukayamba tchuthi chanu. Pomwe akukwera ndege, kuthamanga kwa mpweya kumatsika kuposa pansi. Ngati mukufuna kupaka insulin pa ndege, phulikirani mpweya wowirikiza kawiri mu botolo kuposa masiku onse. Ngati mwadzidzidzi kwina mukuyenera kugwiritsa ntchito insulini yodzaza ndi U-40 m'malo mwa U-100 wokhazikika, ndiye kuti muyenera kubaya jakisoni 2,5 kananso. Mwachitsanzo, ngati muyezo wanu uli ndi ma PIECES 8 a insulin yowonjezera usiku umodzi, ndiye U-40 imafunikira ma PIECES 20. Zonsezi zimayambitsa chisokonezo chachikulu komanso zimawonjezera chiopsezo cha hypoglycemia, ngati mwangozi mwalakwitsa ndi mlingo. Samalani.

Pa kutentha kwa firiji, insulin imasungabe katundu wake kwa mwezi umodzi. Sizofunikira kwenikweni kuziziritsa poyenda. Komabe, ngati mukupita kumalo otentha, ndibwino kukhala ndi chidebe chapadera chonyamula insulin, momwe kutentha kumayendetsedwa. Chotengera choterocho chimawononga $ 20-30, mutha kuyitanitsa kudzera m'masitolo akunja akunja. Ndizofunikira kwambiri ngati palibe mpweya kapena firiji m'malo mwanu.

Kutalika

Ngati mupita kumapiri, izi zingayambitse kutsika kwa shuga m'magazi. Chifukwa pamtunda woyerekeza pamwamba pa nyanja, kagayidwe kamphamvu kamakhudzidwa. Kuchulukitsa komanso kuthamanga kwa mtima kumawonjezera kotero kuti maselo amalandira mpweya wokwanira. Pakupita masiku ochepa, thupi limazolowera. Zitatha izi, kagayidwe kamene kamabwereranso mwakale komanso Mlingo wa insulin, nawonso.

Khalani okonzeka kuti muchepetse mulingo wa insulin (20) mu masiku ochepa. Izi zimakutetezani ku hypoglycemia masana pamimba yopanda kanthu komanso usiku mukamagona. Ngati mukufuna kusewera masewera pamalo okwera, muyenera kuchepetsa kwambiri kuchuluka kwa insulin yonse yomwe mumabayidwa. Izi zikutanthauza kuti kutsitsa kumakhala kolimba kuposa momwe mumachitira masewera olimbitsa thupi nthawi zonse.

Matenda opatsirana

Matenda opatsirana nthawi zambiri amakhala vuto lalikulu, ndipo kwa odwala matenda ashuga amakhala owopsa kangapo kuposa anthu athanzi. Ngati thupi likuvutika ndi matendawa, ndiye kuti sipangapangitse kuyesa konse kosungabe shuga m'magazi. Matenda opatsirana amawonjezera shuga ndikuwonjezera kufunika kwa insulin. Ngati shuga anali wabwinobwino kwa milungu ingapo, kenako ndikulumpha mwadzidzidzi, ndiye kuti choyambitsa chachikulu ndi matenda. Odwala matenda a shuga azindikira kuti shuga amayamba kukula maola 24 asanafike zizindikiro za chimfine. Ndipo ngati matendawa ali impso, ndiye kuti izi zitha kuwonjezera kufunika kwa insulini katatu.

Matenda amachititsa kuti thupi lipange mahomoni opsinjika omwe amachepetsa mphamvu ya insulin komanso kuwonjezera shuga. Ngati shuga ndiwokwera, ndiye kuti maselo oyera amatha kuthana ndi matendawa, ndipo amamugwirira ntchito yoyipa m'thupi losatetezeka. Awa ndi njira yoyipa yozungulira yomwe imakhalapo nthawi zambiri ngati wodwala wa matendawa sasamala mokwanira chithandizo cha matenda opatsirana. Onaninso kuti odwala matenda ashuga amapezeka pafupipafupi kuposa anthu athanzi. Chifukwa shuga wambiri amachititsa kuti mabakiteriya, ma virus ndi mafangasi akhale abwino.

Nthawi zambiri, matenda amayambitsa mphuno, chifuwa, zilonda zapakhosi. Zosankha zowopsa ndi matenda amkodzo thirakiti. Pa matenda opatsirana, ma ketoni amatha kupezeka mu mkodzo chifukwa insulin imatha mphamvu. Muyenera kuyang'ana shuga wanu wamagazi, komanso ma ketoni mumkodzo pogwiritsa ntchito zingwe zoyeserera. Yang'anirani gulu lanu la zamankhwala kukhala tcheru. Khalani omasuka kuyimba ambulansi ngati mudziwa kuti vuto lanu layamba kuvuta.

Ngakhale mutamadya zochepa kuposa nthawi zonse mukadwala, pitilizani kupaka jekeseni wowonjezera. Kupanda kutero, shuga yanu "imatha kukula" ndipo matenda ashuga a ketoacidosis amakula - zovuta kwambiri, zakupha. Zizindikiro zake zazikulu ndi mseru, kufooka, ndi fungo la acetone mukapuma. Chithandizo cha Ketoacidosis chimachitika kokha kuchipatala. Mutha kuphunzira momwe angagwiritsidwe ntchito ka matenda ashuga a ketoacidosis. Chitanani mwachangu ambulansi. Apanso: izi ndizovuta zakupha.

Monga lamulo, pa matenda opatsirana, mlingo wa insulin wowonjezera uyenera kuchuluka. Ngati mulibe ma ketoni mumkodzo, yesetsani kuwonjezera ndi 25-50%. Ngati zingwe zowunikira zikuwonetsa ma ketoni mumkodzo, onjezani mlingo wanu wa Lathnus, Levemir, kapena Protafan ndi 50-100%. Mutha kubayanso insulin mwachangu kuti muchepetse shuga yambiri. Powonjezera kuchuluka kwa insulin, muyezo shuga ndi glucometer maola awiri aliwonse.

Insulin sichingamwe kapena kugwira ntchito ngati thupi lawonongedwa. Imwani zamadzi zambiri mukamachira matenda opatsirana. Izi ndizofunikira. Chowerengeredwa choyimira kwa akulu chikho chimodzi chamadzi pa ola limodzi pamene wodwalayo ali maso. Kwa ana - 0,5 makapu amadzimadzi pa ola limodzi. Madzi omwe mumamwa sayenera kukhala ndi caffeine. Izi zikutanthauza kuti tiyi wakuda ndi wobiriwira sayenera.

Kuti mumve zambiri, onani "Momwe mungachiritsire malungo, chimfine, kusanza, ndi matenda am'mimba m'mimba."

Mano a mano amaphatikizira chithandizo cha matenda ashuga

Anthu samalabadira mano awo kuposa momwe amayenera kuchitira. Izi ndizowona makamaka kwa odwala matenda ashuga. Choyamba, shuga wokwera kwambiri amayamba ndi matenda opatsirana pamlomo, chifukwa amapangitsa kuti mabakiteriya akhale abwino. Kenako, kachilomboka kamene kamalowa mkati mwa mkamwa, kumasokoneza kutsitsa shuga kwa magazi. Ozungulira mabwalo moipa.

Ndizachilendo kuona wodwala matenda ashuga "wodziwa" yemwe sangakhale ndi vuto ndi mano ake. Matenda opatsirana am'mkamwa, omwe ndi oopsa, amatha kukhala chizindikiro cha odwala omwe sanawunikidwebe koma sanazindikire. Madokotala a mano nthawi zambiri amatumiza odwala awo kukayezetsa shuga, ndipo, monga lamulo, kukayikira kwawo kuli koyenera.

Ngati insulini itasiya kugwira ntchito mwadzidzidzi, ndiye kuti inshuwaransi yanu siyimachepetsa shuga monga momwe zimakhalira - choyamba, onetsetsani kuti insulini yomwe ili mu vial sinataye. Kenako onetsetsani kuti tsiku lake latha. Ngati izi zili bwino, ndiye chifukwa chachitatu chifukwa chofalikira ndikuti mumatenga matenda opatsirana pakamwa panu. Choyamba, werengetsani mano anu kuti muone ngati muli ndi matenda. Mndandanda wazizindikiro izi umaphatikizanso kufiyira, kutupa, kutuluka magazi, kudekha mtima kukhudza. Ikani madzi oundana pakamwa panu ndikusunga kwa masekondi 30. Ngati dzino lirilonse likuluma - ichi ndi matenda, funsani dotolo wamano.

Matenda opatsirana a mano ndi mano m'kamwa mwa odwala matenda ashuga ndiofala kwambiri. Amayenera kuthandizidwa mwachangu, chifukwa zimasokoneza kukhalabe ndi shuga wamba. Pazidziwitso zanu, mano m'mayiko a CIS amadziwika kuti ndi abwino kwambiri pamitengo yamitengo / yabwino kuposa ku Europe konse. Chifukwa sichimalamulidwa kwambiri ndi boma. Tili ndi chiyembekezo kuti mkhalidwewu upitirirabe. "Tourism yamano" ikuyamba kukhala kwa ife kuchokera ku Britain ndi USA. Muzochitika zoterezi, ife - eni mudziwo - timachita manyazi kwambiri kuyenda ndi mano oyipa.

Kutupa kochepa komanso momwe mungathetsere

Matenda a 2 a shuga amakhala ndi zovuta za 2 metabolic:

• Kukana kwa insulini - kuchepetsetsa chidwi cha insulin
• Kupanga kwa insulin kwa kuchuluka kosakwanira kuthana ndi insulin.

Timalemba zifukwa 5 zomwe zimayambitsa kukana kwa insulin. Uku ndikubadwa (zoyambitsa majini), kusowa kwam'madzi, matenda opatsirana, kunenepa kwambiri, komanso shuga wamagazi ambiri. Tsopano tiyeni timvetse. Matenda opatsirana komanso kunenepa kwambiri amachititsa kuti insulini isakane mwachindunji, koma chifukwa zimayambitsa kutupa. Kutupa kapena kupindika kwambiri, kumakulitsa kukana insulini.

Kutupa ndi kuyankha kwa chitetezo chamthupi pakuwonjezeka kwa mapuloteni akunja, makamaka ma tizilombo. Tiyerekeze kuti munthu wavulala ndipo kachilomboka kachilonda. Chitetezo cha mthupi chimayesa kupha tiziromboti, kuwongolera "omenyera" nawo.Zotsatira zoyipa za nkhondoyi ndikuti chilonda chimatupa, chimapweteka, chimakhala chofunda, chimatentha kukhudza, mafinya amasulidwa. Zonsezi ndi kutupa.

Zofunikira zoyambitsa kutupa kwaposachedwa kupatula matenda:

• Kunenepa kwam'mimba (pamimba komanso m'chiuno) - maselo amafuta amabisa zinthu m'magazi zomwe zimapangitsa kutulutsa kwakubisika.
• Matenda a Autoimmune, mwachitsanzo, lupus erythematosus, nyamakazi ya ana ndi ena.
• Kusalolerana kwa Gluten. Ndi mapuloteni omwe amapezeka mumbewu monga chimanga, rye, oats ndi barele. Kusagwirizana mwamphamvu kwa majini ndi vuto lalikulu lotchedwa celiac matenda. Nthawi yomweyo, 70-80% ya anthu amakhala osalolera pang'ono. Amayambitsa kutupa kwaposatha komanso kudzera mu insulin kukana.

Kutupa kosalekeza ndi vuto lalikulu lomwe madokotala apakhomo sakulabadira. Komabe, kusinthasintha komwe kumachitika pakapita nthawi kumatha "kusuntha" thupi kwazaka. Amapangitsanso kukana insulini, komanso kuvulaza mitsempha yamkati kuchokera mkati, kuyambitsa atherosulinosis, kenako kugunda kwamtima ndi sitiroko.

• Kupewa matenda amtima ndi sitiroko. Zoyipa komanso momwe mungazithetsere.
• Atherosulinosis: kupewa ndi kuchiza. Atherosulinosis ya ziwiya zamtima, bongo, m'munsi.

Samalani kwambiri polimbana ndi zotupa! Osati zowopsa monga kukhalabe ndi khansa yotsika magazi, koma komabe. Zoyenera kuchita:

Kupsinjika, mkwiyo, mkwiyo

Zochitika zomwe zimayambitsa kupsinjika kapena kukwiya nthawi zina zimachitika kwa tonsefe. Zina mwa zitsanzo ndi izi:

• kuyankhula pagulu
• mayeso odutsa
• Itanani pa carti kwa abwana,
• Pitani kuchipatala
• kupita kukaonana ndi dotolo yemwe mumamuyembekezera zoipa.

Kutulutsa kofulumira kwa mahomoni opsinjika kumayambitsa, mwa zina, kuwonjezeka kwa shuga wamagazi. Komabe, momwe anthu onse amakhalira ndi osiyana. Zochitika zomwezi zimatha kukhumudwitsa inu, ndipo simudzapeza wodwala wina aliyense wa matenda ashuga. Chifukwa chake, shuga ake sadzatuluka konse. Kutsiliza: muyenera kuyang'anira zochitika zomwe zimabwerezedwa pafupipafupi, ndipo mwa iwo shuga yanu imachoka chifukwa cha kupsinjika. Kodi chimayambitsa kupuma shuga kwanu ndi chiyani? Ngati mutawafotokozera, mutha kulosera ndikukonzekera zochita zanu pasadakhale. Mavuto omwe amatha kunenedweratu ali m'manja mwanu ndi kupewa.

Zovuta zambiri zimangochitika mwangozi. Koma zina mwa izo mwina zimakuchitikirani pafupipafupi. Zikatero, mumadziwiratu kuti chochitikachi chidzachitika komanso nthawi yomwe chidzachitike. Ikani jekeseni wochepa wa insulini wofulumira masiku 1-2 musanachitike chochitika. Izi zimakwaniritsa zovuta za mahomoni opsinjika. Pankhaniyi, muyenera kuyeza shuga ndi glucometer mphindi 30-60 zilizonse kuti muwonetsetse kuti mulibe kuchuluka kwa insulin. Tinene kuti mukufunikira insulini yothamangira 1-2 ya insulin yothamanga musanapange zovuta. Ngati simukupangira jakisoni wololera pasadakhale, ndiye kuti muyenera kuwaza mayunitsi 4-6 kuti muchotse shugayo pamene idalumpha kale. Ndipo moyenera, simudzatha ndi jakisoni imodzi, koma muyenera kuchita jakisoni awiri pakapita maola 4-5. Kupewa kumakhala kosavuta komanso koyenera kuposa kugwetsa shuga pamene yatuluka kale.

Anthu ambiri odwala matenda ashuga ali ndi chizolowezi chodzudzula chifukwa chosalephera kuyendetsa magazi awo moyenera. Awa ndi malingaliro abodza komanso owopsa. Zimakuthandizani kuti muchotse udindo wakutsata boma kuchokera kwa wodwala waulesi, ndikusintha kuti mukhale "wosagonjetseka". Tsoka ilo, pamenepa, zovuta za matenda ashuga zimayamba msanga, ndipo palibe chifukwa chilichonse chomwe zingawakondweretsere.

Dr. Bernstein wakhala akuwunika odwala ake komanso matenda ake a shuga kwa zaka zambiri. Munthawi imeneyi, adazindikira kuti kupanikizika kosakhudzana sikukhudza mwachindunji shuga. Pokhapokha ngati wodwala akuigwiritsa ntchito ngati chowiringula kuti asamuke ku regimen. Nthawi zambiri izi zimadziwika chifukwa chakuti wodwala matenda ashuga amalolera kudya kwambiri kapena kudya "zoletsedwa" zokhala ndi chakudya chamagulu ambiri.

Nthawi ndi nthawi, tonse timadutsa mu nthawi zolephera ndi zachisoni. Mndandanda wawo wambiri umaphatikizapo: maukwati okhala ndi mavuto, chisudzulo, kuchotsedwa ntchito kapena kuwonongeka kwa bizinesi, kuchepa pang'onopang'ono kwa wokondedwa chifukwa cha matenda osachiritsika, zina. Nthawi zotere zimatha kukhala nthawi yayitali, ndipo zikuwoneka kuti walephera kwathunthu moyo wanu. M'malo mwake, nthawi zonse pamakhala chinthu chimodzi chomwe mutha kuwongolera. Awa ndi magazi anu.

Ambiri odwala matenda ashuga adawona kuti shuga yawo yamwazi imakwera chifukwa cha zovuta zazifupi za kupsinjika. Zitsanzo zakale zoterezi ndiz mayeso ovuta kusukulu yophunzitsa, komanso polankhula pagulu. Dr. Bernstein akuti shuga yake yamwazi imalumphira ndi 4,5-5,5 mmol / L nthawi iliyonse akamayenera kufunsa atolankhani. Chifukwa chake, muzochitika zotere, ndikofunikira kuyambitsa insulin "yayifupi".

Lamulo lalikulu ndi ili. Ngati vutoli limakhala lathanzi lokwanira chifukwa cha epinephrine (adrenaline), ndiye kuti lingayambitse kulumpha m'magazi. Epinephrine ndi amodzi mwa mahomoni opsinjika omwe amayambitsa chiwindi kuti asinthe glycogen yake m'masitolo kukhala glucose. Ichi ndi gawo limodzi lankhondo laumunthu kapena chikhalidwe cha ndege. Thupi limayesetsa kupereka mphamvu zowonjezereka kuthana ndi vuto lakukalamba. Miyezo yambiri ya epinephrine nthawi zambiri imawonekera pamlingo wowonjezeka wamtima ndi manja akunjenjemera. Odwala omwe ali ndi matenda a shuga a 2 koyamba, omwe amapanga insulin yokwanira kapena yambiri, kupsinjika kwakukulu sikungayambitse kudumpha kwa shuga m'magazi.

Ngati magazi a shuga amakhalabe okwera masiku angapo motsatana, komanso makamaka kwa milungu ingapo, ndiye kuti izi siziyenera kutchulidwa chifukwa cha kupsinjika kwakanthawi kapena chinthu chovuta kwambiri. Pezani chifukwa chomveka chochitira.

Caffeine ndi chowonjezera chomwe chimadzutsa shuga m'magazi pafupifupi ola limodzi pakulowetsa. Zimapangitsa chiwindi kuti igwetse glycogen yambiri ndikutulutsa shuga m'magazi. Caffeine ndi wamphamvu kwa anthu ena kuposa ena. Mwina ndi chimodzi mwazifukwa zosafunikira zomwe mumapanga mu shuga.

Zakudya zomwe zimakhala ndi mitundu yayikulu ya khofi

Zakumwa zakumwa Khofi wowoka Khofi wa Instant Espresso Latte Tiyi (kuphatikizapo wobiriwira) Zakudya za Coke

Akuti mutsatire zakudya zamagulu a shuga a shuga ochepa, kotero osamamwa cola wokhazikika, osadya chokoleti, etc.

Ndikulimbikitsidwa kuti kuyesa pamasiku osiyanasiyana kudziwa momwe caffeine imakhudzira shuga wanu wamagazi. Ngati zikuwoneka kuti zimakhudza kwambiri, ndiye kuti muyenera kuzigwiritsa ntchito pang'ono kapena pang'ono kuchuluka kwa insulin. Kudya zakudya zophatikizidwa ndi khofi wina kumapangitsa kuti kusakhale kovuta kutsatira zakudya zamafuta ochepa. Chifukwa chake, nkwanzeru kupewa. Ndikulimbikitsidwa kusiya tiyi wobiriwira yekha makapu atatu patsiku muzakudya zanu. Chonde dziwani kuti kwa matenda ashuga amtundu wa 2, ndikosayenera kudya zilizonse zotsekemera ndi zinthu zomwe zimakhala nazo. Uwu ndi lingaliro la chakudya chaola.

Testosterone mwa amuna ndi akazi

Mwa amuna, kuchepa kwa seramu testosterone kotsika kungayambitse kukana kwa insulini - kuchepa kwa chidwi cha minyewa pakuchitikira insulin. Mwa akazi, zomwe zimachitika mosiyana ndi izi zimapereka kuchuluka kwa testosterone m'magazi. Kwa amayi, vutoli limafotokozedwa mwatsatanetsatane munkhani yokhudza matenda a ovary ya polycystic (idzawonekeranso patsamba lino). Ndipo pansipa tiona momwe testosterone imakhudzira chidwi cha maselo ndi insulin mwa amuna.

Zizindikiro zotsatirazi zimatipangitsa kukayikira mulingo wochepa wa seramu testosterone:

• kukula kwa bere - gynecomastia,
• kunenepa kwam'mimba (pamimba komanso m'chiuno) popanda kudya kwambiri,
• kufunika kwa jekeseni wamkulu wa insulin (nthawi zambiri 65 magawo patsiku kapena kupitilira) kuti muchepetse shuga la magazi kukhala labwinobwino.

Sizofunikira kuti mukhale ndi malingaliro onse atatu nthawi imodzi. Osachepera amodzi aiwo ngokwanira kutumiza wodwalayo kukayezetsa magazi koyenera. Ngati mulingo wa testosterone m'magazi uli pafupi ndi malire amodzimodzi, ndipo makamaka ngati uli pansipansi, ndiye kuti ndi bwino kuti mukalandire chithandizo. Cholinga ndikukulitsa milingo ya testosterone mpaka pakati pazosavuta. Chifukwa cha izi, ndizotheka kuchepetsa mlingo wa insulin, ndipo mwa odwala omwe ali ndi matenda a shuga a 2, kuchepa thupi kumathamanga mwachangu.

Funsani katswiri wabwino kuti akupatseni mankhwala oyenera. Dr. Bernstein amalembera jakisoni wa testosterone kwa odwala ake kawiri pa sabata. Zochita zake zawonetsa kuti kwa amuna, ma jakisoni oterewa ndiwosavuta kuposa mawonekedwe amanjenje kapena pakhungu. Pambuyo pa chithandizo, odwala nthawi ndi nthawi amatenga mayeso a magazi a testosterone. Funsani dokotala kuti akupatseni mankhwala enaake. Izi siziri choncho kuti mudzilingalire nokha. Musagwiritse ntchito zogulitsa zogulitsa zogonana kapena charlatans.

Mahomoni a Steroid

Mankhwala omwe ali ndi mahomoni a steroid - cortisone ndi prednisone - amapatsidwa mankhwala ochizira mphumu, nyamakazi, kutupa pamodzi ndi matenda ena. Mankhwalawa amachepetsa chidwi cha maselo kuti apange insulin ndikuwonjezera shuga. Nthawi zina odwala omwe ali ndi matenda ashuga, chifukwa cha kudya kwawo, shuga amayamba "kuchoka". Izi zimathandizira osati kokha ndi mapiritsi, komanso ndi asthma inhalers, komanso ma steroid momwe mumapangidwira mafuta ndi mafuta.

Ma steroid ena ndi amphamvu kwambiri kuposa ena. Kutalika kwa zochita zawo zimasiyanasiyana. Kuchuluka kwake kapena mankhwalawa amadzutsa shuga m'magazi - funsani dokotala yemwe wakupatsirani mankhwala. Nthawi zambiri, gawo lililonse la ma steroid limawonjezera shuga kwa nthawi ya maola 6 mpaka 48. Mwinanso, zidzakhala zofunikira kuwonjezera kuchuluka kwa insulin ndi 50-300%.

Mankhwala ena

Mankhwala otsatirawa amalimbikitsa shuga:

• okodzetsa
• estrogen
• testosterone
• epinephrine ndi zopondera chifuwa zomwe zili nazo,
• maantibayotiki ena
• lifiyamu
• beta-blockers, makamaka zakale - atenolol, propranolol ndi ena,
• ma mapiritsi a mahomoni a chithokomiro.

Mukayamba kumwa mankhwala aliwonse omwe atchulidwa pamwambapa, muyenera kuwonjezera kuchuluka kwa insulin. Timalongosola kuti mapiritsi a mahomoni a chithokomiro amafunikira kuchuluka kwa insulin.

Zomwe amachepetsa shuga:

• Mao zoletsa
• chikonga chaminga cha kusuta,
• maantibayotiki ena ndi antidepressants (tchulani!),
• mapiritsi a shuga (werengani zambiri zamankhwala a shuga mwatsatanetsatane),
• jakisoni wa matenda a shuga a 2 - Baeta ndi Victoza.

Lumikizanani ndi dokotala yemwe wakupatseni mankhwala omwe amakupatsani shuga. Nthawi zina muyenera kuchepetsa mlingo wa insulin pasadakhale. Koma nthawi zambiri, ndikofunikira kudikirira ndikuwona momwe mankhwalawo atengera.

Kuti musankhe momwe mungasinthire kuchuluka kwa insulin pamene mukumwa mankhwala atsopano, muyenera kuyeza shuga ndi glucometer mara 10-12 patsiku ndi kusunga mbiri. Muyeneranso kumvetsetsa bwino momwe jakisoni wotalikilirana ndi insulin yothamanga imathandizira pa chakudya. Kuti mumve zambiri, werengani nkhani zakuti "Insulin Lantus yowonjezera, Levemir ndi Protafan" ndi "Jekeseni wa insulini musanadye. Sintha shuga wambiri ndi jakisoni wa insulin. ”

Khansa ya m'mimba, mavuto am'mimba

Mulingo uliwonse wa mseru umakhala pachiwopsezo cha hypoglycemia kwa iwo omwe amapweteka insulin asanadye. Chifukwa insulini iyi imayenera kuphimba chakudya chomwe sichizigaya kapena kulowetsedwa. Khansa ya m'mimba imachitika pafupipafupi m'magawo oyamba a mimba komanso pa chemotherapy. Zikatero, kuyesa jakisoni nthawi ya insulin. Mwina ndibwino kuti musazichite musanadye, koma pambuyo pa maola awiri ndi theka, mukadziwa kale kuti chakudya chomwe mumadya chimagayidwa.

Gastroparesis ndimtundu wa diabetesic neuropathy (kuwonongeka kwa dongosolo lamanjenje) momwe chakudya chochokera m'mimba chimalowa m'matumbo ndikuchedwa. Zakudya zadyedwa zimayikiridwa pang'onopang'ono kuposa masiku onse. Chifukwa chake, shuga mutatha kudya sikuwuka nthawi yomweyo, koma pambuyo maola ochepa. Ngati mutaba jakisoni waifupi kapena wa ultrashort mu zakudya, mutha kuzindikira kuti shuga amachepetsa mukatha kudya, kenako amadzuka kwambiri patatha maola ochepa. Chifukwa chiyani izi zikuchitika? Pamene insulini yothamanga ikayamba kugwira ntchito, chakudya sichimamumizidwa. Ndipo pamene chakudyacho chidayakidwa kale ndikuyamba kukweza shuga, magazi a insulin anali atasiya kale.

Mu thupi laumunthu mumakhala minofu yomwe imapereka gawo loyendetsa chakudya kudzera m'matumbo, makamaka, kutulutsa kwam'mimba. Minofu iyi imayendetsedwa ndi dongosolo lamanjenje. Kuphatikiza apo, izi zimachitika palokha, ndiye kuti, popanda malingaliro. Tsoka ilo, mwa anthu ambiri, matenda ashuga pazaka zambiri amawononga mitsempha yomwe imayendetsa njira ya m'mimba. Chimodzi mwa zinthu izi ndi matenda a shuga - gastroparesis - ikuchedwa kusiya.

Cholinga chamankhwala othandizira odwala matenda ashuga ndi kukhala ndi shuga wabwinobwino, monga momwe zimakhalira ndi anthu athanzi. Tsoka ilo, ngati matenda ashuga a gastroparesis adayamba kale, ndiye kuti ndizovuta kwambiri kukwaniritsa cholinga chotere. Wodwala matenda ashuga omwe ali ndi vuto la gastroparesis amatha kukhala ndi vuto la kuthana ndi shuga, ngakhale atasinthira kudya zakudya zamagulu ochepa, amatsatira mosamala boma la kudziwunikira komanso kubaya jakisoni.

Monga matenda ashuga, gastroparesis imatha kudziwonekera mosiyanasiyana, kuchokera kofatsa mpaka kowopsa. Woopsa milandu, odwala mosalekeza kuvutika kudzimbidwa, belching, kutentha pa chifuwa, nseru, kutulutsa. Chodziwika kwambiri ndi matenda a shuga a shuga omwe amayamba kudwala matenda ashuga, omwe wodwalayo samva zomwe ali pamwambapa, koma shuga amasintha mosayembekezereka. Choyipa chachikulu kuposa zonse, ngati wodwala yemwe ali ndi gastroparesis amachitira shuga ndi insulin. Tiyerekeze kuti mwabayira insulini yochepa musanadye chakudya kuti mupewe kulumpha m'magazi. Koma chifukwa cha gastroparesis, chakudya chimakhalabe m'mimba, ndipo glucose simalowa m'magazi momwe amakonzera. Zikakhala choncho, insulini imatha kuchepetsa shuga m'magazi, ndikupangitsa kuti hypoglycemia itayike kwambiri.

Gastroparesis ndi vuto lomwe liyenera kusamalidwa kwambiri ngati muli ndi matenda ashuga odziwa zambiri, mwakhala mukudya zakudya zabwino “kwazaka zambiri,” ndipo chifukwa cha izi, shuga wanu wamagazi wakhala akwezedwa nthawi zonse. Komabe, pali njira zomwe zimathandizira kwambiri kuwongolera shuga kwa odwala omwe ali ndi matenda ashuga a gastroparesis. Tsamba lathu lili ndi chidziwitso chapadera pothana ndi vutoli. Werengani nkhani yatsatanetsatane, Diabetesic Gastroparesis.

Kusowa tulo

Kugona ndi gawo labwino lamphamvu pakudya, mphamvu ndi thupi. Kusowa tulo kumachulukitsa mahomoni opsinjika, ndipo izi zimaphatikizira kuwongolera kwa shuga m'magazi a shuga. Kusagona mokwanira kumathandizanso kuti azidyetsa kwambiri, kumabweretsa kunenepa kwambiri komanso kumapangitsa kuti insulin ikane. Choyipa koposa, ngati m'malo kugona, mumakhala pansi ndikukhalapo - onetsetsani TV, etc. Komabe, ngati mumagwira ntchito molimbika kapena kusewera masewera nthawi yopumula, ndiye kuti shuga imatha kutsikira pansi.

Ngati mukuvutikira kugona, khalani okonzeka kuwonjezera kuchuluka kwa insulin yanu. Muyenera kuti muchite izi ngati mumagona maola ochepera 6 patsiku. Komabe, ngati mungaganize zogwira ntchito usiku, ndiye kuti mwina kuchuluka kwa insulin yayitali kuyenera kuchepetsedwa ndi 20-40%. Sungani mapiritsi a shuga m'manja kuti mupewe ndi kusiya hypoglycemia.

Munthu aliyense amapeza mapindu ngati amakhala ndi nthawi yokwanira yogona komanso kudzuka. Ngati zikukuvutani kugona usiku wokwanira, ndiye kuti perekani khofi, osagona masana, osachita masewera olimbitsa thupi usiku. Ngakhale kuchita masewera olimbitsa thupi masana kudzakuthandizani kugona bwino usiku.Nthawi zambiri, mavuto ogona amayamba chifukwa cha matenda ena amthupi kapena kusokonezeka kwamaganizidwe. Pankhaniyi, musazengereze kupeza thandizo kuchokera kwa akatswiri.

Tidasanthula mwatsatanetsatane zinthu zachiwiri zomwe zimakhudza shuga wamagazi mwa odwala omwe ali ndi mtundu woyamba wa 2 ndi matenda a shuga. Chithandizo chachikulu ndichakudya choyenera, mapiritsi ndi jakisoni wa insulin. Zomwe zili munkhaniyi zikuthandizaninso kubweretsanso shuga ku nthawi yayitali, yoletsa matenda ashuga.

Talemba zomwe zimakhudza shuga:

• kupsinjika ndi mkwiyo
• khofi
• matenda opatsirana
• matenda ashuga gastroparesis, nseru ndi kusanza,
• Kukula msanga kwa unyamata,
• Kuchepetsa thupi komanso kunenepa kwambiri
• zolimbitsa thupi
• kuchuluka kwa Reflex pambuyo pa hypoglycemia,
• mankhwala a steroid
• Opaleshoni
• kulimbikira ntchito
• nyengo, kutentha ndi chinyezi,
• kutalika
• kumwa mowa
• Ulendo
• kugona mosagwirizana, kugona.

Zowonjezera zazimayi:

• kusamba
• kusintha kwa thupi
• mimba

Werengani nkhani yoti “Matenda a Akazi mu Amayi” kuti mumve zambiri.

Mutha kufunsa mafunso mu ndemanga, oyang'anira tsamba samayankha mwachangu.

Kodi ndichifukwa chiyani shuga amatha magazi kupatula shuga?

Glucose ndiye gwero lalikulu lamphamvu mthupi. Amapangidwa ndi ma enzymes omwe amapezeka kuchokera kuzakudya. Magazi amawanyamula pama cell onse amthupi.

Kuphwanya kutembenuka kwa chakudya, komanso njira yolekerera shuga, kungapangitse kuchuluka kwa shuga m'magazi.

Kutembenuka kwa chakudya chamagulu m'thupi la glucose kumachitika mwa njira zingapo zachilengedwe, insulin ndi mahomoni ena amathandizira pazomwe zili m'thupi. Kuphatikiza pa matenda ashuga, zifukwa zomwe chiwopsezo cha shuga m'magazi zingakhale zina.

Mitengo yamagazi

Mulingo wa shuga wamagazi sakhala wokhazikika, zinthu zosiyanasiyana zimakhudza kufunika kwake. Zomwe zimadziwika ndizizindikiro za 3.5-5,5 mmol / lita. Magazi otengedwa kuchokera kumunwe amakhala ndi otsika kwambiri kuposa a venous.

Chizindikiro chokhazikika mwa ana ndi 2.8-4.4 mmol / lita.

Pamwamba pa malire ovomerezeka mwa okalamba, komanso azimayi oyembekezera. Magazi a shuga amasintha tsiku lonse komanso chakudya. Mikhalidwe ina ya thupi imatha kubweretsa kuwonjezeka kwa shuga (hyperglycemia), pali matenda ena osati matenda a shuga, omwe amadziwika nawo.

Kukula kwachilengedwe

Zambiri zimatha kuyambitsa kuchuluka kwa shuga.

Izi zitha kuchitika mwa munthu wathanzi labwino pazochitika zotsatirazi:

1. Ndi chakudya chopatsa thanzi chokwanira chamafuta. Mu thupi lathanzi, kuwonjezereka kwa chisonyezo kudzakhala kwakanthawi, insulini ibweza zonse kukhala zabwinobwino. Ndi kukonda kwambiri maswiti, nkoyenera kuganizira za kusatha kwa kunenepa kwambiri, kuwonongeka kwa mitsempha yamagazi.
2. Mukamamwa mankhwala ena ake. Izi ziyenera kuphatikizapo osagwiritsa ntchito beta-blockers, ma diuretics, glucocorticoids.
3. Kupsinjika, kupsinjika kwamthupi komanso m'maganizo kumapangitsa kuti magazi asamayende bwino, kusokonekera kwa mahomoni ndi kuchepa kwa kagayidwe kazinthu. Amadziwika kuti mwachisangalalo ndi kupsinjika, kupanga kwa glucagon, wotsutsana ndi insulin, kumakulanso.
4. Kuchita masewera olimbitsa thupi mosakwanira (kusachita masewera olimbitsa thupi) kumayambitsa kusokonezeka kwa metabolic.
5. Ndi ululu waukulu, makamaka, ndikuwotcha.

Mwa akazi, kuchuluka kwa shuga m'magazi kungaphatikizidwenso ndi premenstrual syndrome. Kuledzera kumadzetsa vuto la hyperglycemia.

Kanema pazomwe zimayambitsa kuchuluka kwa glycemia:

Zoyambitsa zazomwe zimapangitsa kuchuluka kwa shuga m'magazi

Glucose wopezedwa mu ziwalo zogaya samangolowa mu ma cell, komanso amadziunjikira m'chiwindi ndi mbali ya impso. Ngati ndi kotheka, amachotsedwa ziwalo ndipo amalowa m'magazi.

Kuwongolera kuchuluka kwa glucose kumachitika ndi manjenje, endocrine, maselo a adrenal, kapamba ndi gawo la ubongo - dongosolo la hypothalamic-pituitary. Chifukwa chake, nkovuta kuyankha funso lomwe ndi chiwalo chiti chomwe chimayang'anira index ya shuga wamkulu.

Kulephera kwa njira zovuta zonsezi kungayambitse matenda.

• Matumbo am'mimbamo omwe ma carbohydrate samasweka m'thupi, makamaka, zovuta za postoperative,
• zotupa zamagulu osiyanasiyana zomwe zimaphwanya kagayidwe,
• kuwonongeka kwa chiwindi (hepatitis ndi ena), posungira glycogen,
• kuyamwa kwa shuga m'magazi a m'magazi,
• zotupa ndi matenda ena a kapamba, tiziwalo timene timatulutsa muubongo, ubongo,
• kuvulala kwa hypothalamus, kuphatikizapo komwe kumapezeka pakunyenga kwachipatala,
• kusokonezeka kwa mahomoni.

Kukula kwakanthawi kochepa kwa chizindikirochi kumachitika ndi kugwidwa khunyu, kugunda kwa mtima komanso kuukira kwa angina pectoris. Ngati kuchuluka kwa shuga m'magazi kukwera kwambiri kuposa izi, sizitanthauza kuti matenda ashuga nthawi zonse.

Anthu ena ali ndi kuchuluka kwamphamvu kwa glucose. Komabe, mtengowu sufika pamawonekedwe omwe matenda a shuga amapezeka. Vutoli limatchedwa kuchepa kwa kulolera kwa shuga (kuyambira 5.5 mpaka 6.1 mmol / l).

Vutoli lidasankhidwa kale ngati prediabetes. Mu 5% ya milandu, zimatha ndi mtundu 2 shuga. Pangozi amakhala anthu onenepa kwambiri.

Zizindikiro za Hyperglycemia

Kodi ndingamvetse bwanji ngati munthu ali ndi shuga wambiri?

1. Kuchulukitsa pokodza ndi mkodzo.
2. Masomphenya otsika.
3. Kulakalaka kumamwa nthawi zonse, kamwa yowuma. Kufunika kumwa ngakhale usiku.
4. Kholingo ndi mutu.
5. Kuwonjezeka kwakukulu kwa kulakalaka ndi kuchuluka kwa chakudya chomwe mumadya. Potere, kulemera kwa thupi kumachepa, nthawi zina kwambiri.
6. Lethargy ndi kugona, kufooka kosalekeza komanso kusinthasintha kwa malingaliro.
7. Khungu lowuma komanso kusenda, kuchiritsa pang'onopang'ono mabala ndi kuvulala, ngakhale kocheperako. Mabala nthawi zambiri amakula, furunculosis imayamba.

Amayi omwe ali ndi shuga ochulukirapo nthawi zambiri amakhala ndi zotupa za kumaliseche, zomwe ndizovuta kuchiza. Nthawi zina pamakhala kuyamwa kosabisalira kumaliseche ndi mucous nembanemba. Amuna amakhala opanda mphamvu.

Kuwonjezeka kwakuthwa kwa chizindikirocho (mpaka 30 mmol / L) kumabweretsa kuwonongeka msanga. Kutembenuka, kutayika kwa mawonekedwe ndi mawonekedwe amawonedwa. Ntchito yamtima ikuipiraipira, kupuma kwabwinobwino nkosatheka. Kukomoka kumabwera.

Odwala nthawi zambiri samamvetsetsa, chifukwa cha zomwe zimakhala zowonongeka mu thanzi. Tsekani nthawi zina kusintha kooneka bwino komwe kumachitika mwa munthu.

Momwe mungasiyanitsire matendawa?

Zomwe zimayambitsa ndi zizindikiro zamagazi am'magazi zimatsimikiziridwa ndi kuyesedwa kwa labotale kotchedwa kuyeserera kwa glucose test (TSH). M'mawa pamimba yopanda kanthu amatenga magazi kuti adziwe chizindikiro. Pambuyo pake, njira ya shuga imaperekedwa kwa munthuyo, pambuyo pa maola awiri kuyesedwa kwachiwiri kwa magazi kwachitika.

Nthawi zambiri amangopatsa madzi otsekemera. Nthawi zina shuga amaperekedwa kudzera m'mitsempha. Kuyesa kumachitika mu biochemical Laboratories. Palinso mwayi wophunzitsira ndi glucometer wanyumba.

Pamaso pa njirayi, kukonzekera kwapadera ndikofunikira, chifukwa zinthu zambiri zaumoyo ndi zakudya zitha kupotoza chithunzi cholondola.

Kuti mupeze zotsatira zophunzitsira, muyenera:

• yang'anani pamimba yopanda kanthu, simungathe kudya kwa maola 8-12, osapitirira 14,
• osamwa mowa masiku angapo, osasuta musanayambe kuphunzira,
• tsatirani zakudya zomwe mwalimbikitsa kwakanthawi,
• pewani kupsinjika ndi kupsinjika,
• kukana kumwa mankhwala - mahomoni, kuwotcha shuga ndi ena.

Mutatha kumwa shuga, muyenera kuthera maola awiri musanatenge sampuli yotsatira yopuma. Phunziro silimachitika ngati kuyesa kosavuta kwa magazi kukuwonetsa kuchuluka kwa shuga oposa 7.0 mmol / L. Kulemba kwakukulu kumawonetsa kale shuga.

Phunziroli silimapangidwira matenda owopsa a somatic ndipo ngati kuli koyenera, kudya kosalekeza kwa mankhwala ena, makamaka, okodzetsa, glucocorticosteroids.

Norm11>11.1

Mavuto mu kagayidwe ka glucose amathanso kudziwa zomwe zimapangidwira ena omwe angathandize kumvetsetsa chifukwa chake panali kuwonjezeka kwa shuga:

• amylin - amawongolera kuchuluka kwa glucose pamodzi ndi insulin,
• incretin - imayang'anira kupanga insulin,
• glycogemoglobin - akuwonetsa kupanga kwa glucose kwa miyezi itatu,
• glucagon ndi mahomoni, wotsutsana ndi insulin.

Chiyeso chololerako ndichopindulitsa, koma chikufunika kutsatira mosamalitsa malamulo onse amakhalidwe asanafike pakupereka magazi.

Njira zochepetsera mtengo

Ngati matenda a shuga sapezeka, ndikofunikira kuzindikira zomwe zikuwonjezera kuchuluka kwa shuga. Ngati mavuto amayamba chifukwa chmwa kumwa mankhwala, dokotala ayenera kusankha njira zina zochizira.

Pa matenda am'mimba, chiwindi kapena vuto la m'mimba, njira zamankhwala zimapangidwa kuti, pamodzi ndi chithandizo cha matenda oyambitsidwa, khazikitsani shuga ndikuyipangitsa kukhala yabwinobwino. Ngati ndizosatheka kutsika mtengo, insulin kapena mankhwala omwe amawotcha shuga amapatsidwa.

Njira zochepetsera shuga ndizakudya zosankhidwa mwapadera, zolimbitsa thupi ndi mankhwala.

Kukula kwa zakudya kumathandizira kuti magazi akhale ophatikizika, ndipo nthawi zina kuthetseratu vutoli. Kuti muthe kukhazikika kwa glucose, zakudya No. 9 zimafotokozedwa. Simuyenera kufa ndi njala. Zogulitsazo zikuyenera kuwongolera index ya glycemic ndi calorie.

Mutha kudya nyama zamafuta ochepa, nkhuku ndi nsomba. Zakudya zokhala ndi CHIKWANGWANI ndizothandiza. Ndikofunikira kupatula mowa.

Pali magulu a zinthu zomwe siziyenera kuphatikizidwa pamenyu, zina - kugwiritsa ntchito moyenera komanso mosamala.

• soseji (zonse, kuphatikizapo soseji wophika ndi masoseji),
• Magulu, masikono,
• maswiti, shuga, zoteteza,
• nyama zamafuta, nsomba,
• batala, tchizi, mafuta ophikira kanyumba.

Mutha kugwiritsa ntchito moyenera, kuchepetsa gawo ndi nthawi 2:

• buledi, buledi
• zipatso, zomwe zimakonda kukoma kwa wowawasa,
• pasitala
• mbatata
• phala.

Madokotala amalimbikitsa kudya ndiwo zamasamba zambiri mwatsopano, zophika komanso zotentha. Za chimanga, ndibwino kusiya semolina ndi mpunga. Chofunika kwambiri ndi phala la barele. Pafupifupi tirigu onse angagwiritsidwe ntchito. Komabe, simungathe kudya njere za pompopompo, granola, muyenera kugwiritsa ntchito mbewu zokhazokha.

Msuzi wolemera umaphatikizidwa, ndibwino kudya masamba. Nyama zamafuta ochepa ndi nsomba zimatha kuwiritsa padera ndikuwonjezera msuzi. Ngakhale zili zoletsa zambiri, mutha kudya zosiyanasiyana.

Kanema wokhudza mfundo za zakudya:

Maphunziro akuthupi

Kuchita masewera olimbitsa thupi moyenera pamasewera osangalatsa kumathandizira kukonza machitidwe a metabolic m'thupi. Izi siziyenera kupititsa patsogolo maphunziro.

Muyenera kusankha njira yosangalatsa komanso yovuta:

• Kuyenda
• kusambira - M'chilimwe m'madzi otseguka, nthawi zina padziwe,
• kukwera paulendo, njinga, mabwato - malinga ndi nyengo ndi chidwi,
• Kuyenda kapena ku Sweden
• Yoga

Makalasi sayenera kukhala achangu kwambiri, koma okhazikika nthawi zonse. Kutalika - kuchokera theka la ola mpaka theka.

Kusankhidwa kwa mankhwala ochepetsa glucose kumachitika ngati kuli kofunikira ndi dokotala.

Mankhwala azitsamba

Zomera zina, zipatso ndi mizu zimathandizira kutsitsa shuga:

1. Mapepala a laurel (zidutswa 10) amathira mu thermos ndikutsanulira 200 ml ya madzi otentha. Siyani kwa maola 24. Imwani kapu ya по ofunda 4 pa tsiku.
2. 1 tbsp. supuni ya horseradish wosankhidwa imathiridwa ndi 200 ml ya yogati kapena kefir. Tengani supuni katatu patsiku musanadye.
3. 20 magalamu a walnut kugawa makoma amawiritsa mu kapu yamadzi kwa ola limodzi pamoto wochepa. Phwando - supuni katatu patsiku musanadye. Mutha kusunga msuzi kwa masiku angapo mufiriji.
4. Zipatso ndi ma buliberries zimapereka zotsatira zabwino. 2 tbsp. supuni ya zopangira kutsanulira kapu ya madzi otentha, kunena ola limodzi. Tengani kapu ya ½ musanadye.

Tiyenera kukumbukira kuti pambuyo pazochitika zoyambirira za mawonekedwe a matenda, muyenera kuyang'anitsitsa kuchuluka kwa shuga. Kuyendera kwa dokotala komanso ku labotale kuyenera kukhala kokhazikika. Chizindikirochi ndichofunika kudziwa kukhazikika ndi kulondola kwa njira za metabolic m'thupi. Kuchulukitsa kwakukulu kapena kutsika kwa shuga kumabweretsa zotsatirapo zoyipa kwa wodwalayo.