Matenda a shuga

Matenda a shuga - matenda amtundu wa endocrine wodziwika bwino chifukwa cha kuchuluka kwa shuga m'magazi chifukwa cha kufooka kwathunthu kapena wachibale

Nkhaniyi ikuwunikiranso za mabukuwo pakafukufuku wa madzi amchere pa thupi la munthu, komanso kupereka lingaliro pakugwiritsa ntchito kukulitsa mphamvu yake. Amadziwika kuti kugwiritsa ntchito madzi amchere kumatha kukhala antioxidant wowonjezera

World Health Organization's Global Diabetes Report ikugogomezera za matenda ashuga monga matenda osapatsirana. Zomwe zimayambitsa matenda a shuga 1 sizidziwika, koma ndizovomerezeka

Pofuna kudziwa ndikusokoneza kuperewera kwa impso kwa ana malinga ndi lingaliro la matenda a impso, odwala 125 a zaka 4-18 omwe ali ndi matenda a shuga 1 kuyambira 4 mpaka 18 adawunika. Magulu akuluakulu amafotokozedwa: albuminuria ndi

Pamodzi ndi zovuta zophunziridwa bwino za kunenepa kwambiri ndi metabolic syndrome, posachedwapa, chidwi chawonjezereka chaperekedwa ku njira zoyambira ndi zotsatira za kunenepa kwambiri kwa kunenepa kwambiri komanso kuwonongeka kwa magalimoto ndi kuwongolera bwino. Kuwongolera

Diabetesic nephropathy (DN) ndi chifukwa chachikulu cha kudwala kochepa kwa moyo wa odwala omwe ali ndi matenda ashuga ndipo amakula nthawi zambiri ndimitundu yosiyanasiyana ya shuga. Kufunika ndi kufunikira kwa vutoli kwabweretsa kafukufuku wachangu ndi asayansi a

Nkhaniyi imawunikiranso zolemba zosankha za myocardial revasasmization njira mwa odwala omwe ali ndi matenda opatsirana mwanjira inayake, komanso imapereka chidziwitso pazotsatira za mayesero osankhidwa mwapadera pakuvomerezeka kwamankhwala pazovuta izi.

Njira zochizira distal polyneuropathy (DPN) wodwala yemwe ali ndi matenda a shuga 2 amawaganizira. Kupezeka kwa pathogenetically yofunika matenda kunawululidwa - kuchepa kwa mavitamini D ndi B12. Poyerekeza ndi zomwe zakumana ndi mavitamini D ndi B12,

Nkhaniyi ikuwunikiranso mozama magulu osiyanasiyana a mankhwala omwe amagwiritsidwa ntchito pa matenda amtima, ndipo akuwona njira zomwe angagwiritsire ntchito popewa matenda amtima.

Ndalama zochepa zomwe zimakhala ndi inshuwaransi yaumoyo-waumoyo zimalimbikitsa kukhazikitsidwa kwa njira zapadera zothandizira odwala kuti azitha kulandira chithandizo chamankhwala. Kafukufuku adawonetsa zachuma

Nkhaniyi idaperekedwa pakuwongolera amayi omwe ali ndi pakati komanso kubereka mwana mu gestationalabetes mellitus (GDM), kusankha kwa njira ndi nthawi yakubereka kwa amayi apakati omwe ali ndi GDM kuti atukule zotsatira zoyipa za ntchito mwa odwala.

Choopseza chachikulu ndi kuchuluka kwakukulu kwamavuto, mpaka pakachitika zovuta zovuta ndi kufa, ma ARVI ndi chimfine ndi cha odwala matenda ashuga ndi mtima.

Pofuna kupereka chiwonetsero chazachipatala cha ana omwe ali ndi kuwonongeka kwa impso mu matenda a endocrine, kuwunika kwa zolemba zoyambirira zamankhwala ndikuwunika kwa ana ndi matenda a shuga 1,

Alfacalcidol ndi ntchito yopanga vitamini D, yodziwika ndi bioavailability yayikulu komanso yotakata mankhwala. Nkhaniyi ikuthandizira kuti kufala kwa ntchito kwa alfacalcidol mwa ana ndi achinyamata omwe ali ndi vuto la mafupa

Nkhaniyi ikuwunikanso mabukuwa pa kutsatira kwa odwala omwe ali ndi matenda a shuga a 2 komanso matenda oopsa ku antihypertensive therapy. Zoyipa zazikulu za regimen ya antihypertensive mankhwala osakanikirana ndizomwe zimaphatikizidwa. Za

Malinga ndi zotsatira za kafukufuku waposachedwa, kulephera kwamtima (HF) ndiye chinthu chofunikira kwambiri pakudziyimira msanga kwa odwala omwe ali ndi matenda a shuga 2. Pali ubale wapachibale wapakati pakati pa matenda ashuga ndi mtima

Mwayi wogwiritsa ntchito ma incretin mimetics kwa odwala omwe ali ndi mtundu wachiwiri wa matenda a shuga pofuna kupewa zovuta zimaganiziridwa. Zawonetsedwa kuti incretin mimetic therapy imayambitsa matenda a metabolism a metabolism ndi glycemia palimodzi ndi kuchepa

Malingaliro amakono okhudzana ndi diabetesic neuropathy (DN) ngati gawo limodzi pama syndromes a chipatala komanso ochepa, omwe aliwonse amadziwika ndi zotupa kapena zotumphukira za zotumphukira komanso

Nkhaniyi imapereka zidziwitso zamakono pa physiology ya metabolism yamphamvu ndi udindo wa matupi a ketone mmenemo. Zomwe zimapangitsa kupangika kwakukulu kwa ma ketones, njira zodziwira matenda, ndi njira zamankhwala zimaganiziridwa.

Ngakhale kugwiritsa ntchito zamankhwala akadali kutali, zotsatira zoyambirira zikuwonetsa: njira yochepa yokhala ndi ma antiocodonal angachedwetse kuchepa kwa matendawa. Izi ndizowona makamaka kwa ana ndi achinyamata, chifukwa kuyambika kwa matendawa kumayenderana ndi kudwala koyipa kwambiri.

Panthawi ya mgwirizano, mapulogalamu ophunzitsira adzapangidwa omwe apititsa patsogolo kuzindikira kwa madokotala oyang'anira chisamaliro chakufunika kwa prediabetes ndi njira zothandizira kupewa matenda ashuga amtundu wa 2.

Afi Musaelovich Mkrtumyan, MD, ndi wamkulu wa Dipatimenti ya Endocrinology and Diabetesology ku A. I. Evdokimov Medical and Dental University, adatiuza chifukwa chomwe zolinga sizinafikiridwe pafupipafupi monga tikufuna.

Kuphatikizidwa kwatsopano kwa insulin glargine ndi lixisenatide kumakupatsani mwayi wolamulira glycemia ndi jakisoni imodzi patsiku.

Matenda ogwirizana otupa amatsogolera ku kuchepa kwa zolimbitsa thupi. Kuphatikiza apo, kukula kwa nyamakazi nthawi zambiri kumayamba chifukwa cha kunenepa kwambiri, komwe kumathandizanso kuti matenda ashuga azitha.

Posachedwa, Moscow idachita nawo chiwonetsero cha Resource Diabetes Plus chosakanizira kuchokera ku Nestle. Amatha kukhutiritsa njala popanda kuda nkhawa ndi kuchuluka kwa shuga, ndipo ndi oyenera kuwachotsera zovuta komanso kudwala.

Malinga ndi kusanthula kwakukulu meta, chiwopsezo kwa odwala omwe ali ndi nthawi yakuyamba kusamba ndi 15% kuposa. Ovarian depletion syndrome inadzetsa chiwopsezo chowirikiza.

Malinga ndikuwunika kwakukulu kwa meta, kalasi iyi ya mankhwala imadziwika kuti ndiyo yothandiza kwambiri komanso yotetezeka kwa matenda ashuga amtundu wa 2.

Chingwe cha Resource® Diabetes Plus chimalowa mumsika waku Russia, womwe watchuka kale ku Europe. Wokhala ndi mapuloteni komanso mphamvu, mavitamini, michere yamafuta ndi makina azakudya zokhala ndi index yotsika ya glycemic, Resource® Diabetes Plus sikuti ndikungokhala ndi thanzi labwino, koma m'malo mwake mumadya chakudya chamasiku onse.

Kuphatikiza kwamagetsi ndi makina olimbitsa thupi kumathandizira minofu kwambiri ndikuthandizira kuthana ndi zovuta za shuga.

Kuchuluka kwa fructose kumayambitsa kusintha kwa metabolic komwe kumabweretsa kukula kwa matenda osayimira mafuta a chiwindi.

Monga kuwunika kwakukulu kwa meta, ana omwe ali pachiwopsezo cha amayi omwe ali ndi matenda amtundu woyamba 1 ndi omwe ali pachiwopsezo. Mosiyana ndi zoyembekezeredwa, shuga ya gestational sinasinthe kuopsa kwa matendawa.

Malinga ndi kafukufuku woyembekezeredwa ndi asayansi aku America, kugwiritsa ntchito kwambiri kuchuluka kwa timadziti ndi zakumwa zozizilitsa shuga kumachulukitsa kufa. Mosiyana ndi zakudya zotsekemera, sizimayambitsa kukhuta, ndipo kudya calorie kumawonjezeka.

Mwa mankhwala 1,500 omwe adayesedwa, methyldopa adachita zabwino kwambiri zokhudzana ndi matenda ashuga.

Dongosolo la olemba ku Sweden limaganizira kuuma komanso matendawo za matendawa ndipo limakupatsani mwayi wolosera zam'tsogolo komanso momwe mungapangire chithandizo.

Kuchepa kwa njira yolumikizirana ndi munthu m'modzi kumakulitsa chiwopsezo chodziwika ndi 5-12%. Ndipo mwa amuna omwe amakhala yekha, matenda amtundu wa 2 amapezeka kawiri kawiri.

Asayansi aku United States awonetsa momwe kuwonjezeka kwa kuchuluka kwa shuga m'magazi kumalumikizirana ndi kukula kwa nthenda ya neurodegenerative, ndipo kodi mbali yofunika kwambiri yonyamula glucose m'misempha ya ubongo imagwira ntchito yanji.

Kafukufuku wochitika ndi asayansi aku Australia adasanthula kuchuluka kwa anthu opitilira zikwi zisanu ndi zitatu. Kuopsa kwa matendawa kumatengera mwachindunji muyezo wa mankhwalawa omwe amagwiritsidwa ntchito.

Mapeto ake adatsitsidwa ndi kafukufuku pomwe odwala pafupifupi 200,000 adatenga nawo gawo. Choyambitsa mwina chosakwanira fiber.

Asayansi ochokera ku Stanford adazindikira chifukwa chake mafupa amchere amachulukirachulukira odwala omwe ali ndi matenda osokoneza bongo, ndimapuloteni otani omwe amachititsa izi, ndi momwe angalimbane nawo.

Kansa ndi insulin

Kuti muthane ndi matenda a shuga, muyenera kudziwa momwe kapamba amagwirira ntchito ndikumvetsetsa momwe imagwirira ntchito. Zikondazo ndi za kukula kwake komanso kulemera kwake pafupifupi kwa kanjedza ya munthu wamkulu. Ili m'mimba kumbuyo kwamimba, moyandikana ndi duodenum. Kutulutsa magazi kumeneku kumatulutsa, kumasunga, ndi kutulutsanso insulin ya m'magazi. Amatulutsanso mahomoni ena angapo komanso michere yokugaya kuti mugaye chakudya, makamaka mafuta ndi mapuloteni. Insulin ndi yofunika kuti glucose ayambe. Ngati kupanga kwa mahomoniwa ndi kapamba kumaimiratu, ndipo osakulipiridwa ndi jakisoni wa insulin, ndiye kuti munthuyo adzafa msanga.

Insulin ndi timadzi tomwe timatulutsa ma cell a beta. Ntchito yake yayikulu ndikukhazikitsa milingo yamagazi. Insulin imagwira ntchito iyi polimbikitsa kulowerera kwa glucose m'maselo mabiliyoni amthupi la munthu. Izi zimachitika panthawi ya biphasic insulin secretion poyankha chakudya. Kupezeka kwa insulini kumalimbikitsa "othandizira shuga" kuti atuluke mkati mwa cell kupita ku membrane wake, kuti atenge glucose kuchokera m'magazi ndikuwapititsa ku cell kuti agwiritse ntchito. Zonyamula ma glucose ndi mapuloteni apadera omwe amanyamula glucose m'maselo.

Momwe insulin imayang'anira shuga

Mulingo wambiri wamagazi m'magazi ndi wocheperako. Komabe, nthawi zambiri insulin imangokhala ndi shuga m'magazi. Izi ndichifukwa chakuti imagwira pama cell a minofu ndi chiwindi, omwe amakhudzidwa kwambiri ndi insulin. Ma cell a minofu makamaka chiwindi akamachita insulin amatenga shuga m'magazi ndikusintha kukhala glycogen. Vutoli limafanana ndi mawonekedwe a wowuma, omwe amasungidwa m'maselo a chiwindi ndikusinthidwa ndikubwerera ku glucose ngati kuchuluka kwa shuga m'magazi kumatsika pansi.

Glycogen imagwiritsidwa ntchito, mwachitsanzo, pakulimbitsa thupi kapena kusala pang'ono. Zikatero, kapamba amatulutsanso mahomoni ena apadera kulowa m'magazi - glucagon. Hormone iyi imapereka chisonyezo ku minofu ndi maselo a chiwindi kuti ndi nthawi yoti atembenuzire glycogen akhale glucose ndipo motero amakweza shuga m'magazi (njira yotchedwa glycogenolysis). M'malo mwake, glucagon ali ndi vuto lina la insulin. Masitolo a glucose ndi glycogen atatha, maselo a chiwindi (ndipo, pang'ono, impso ndi matumbo) amayamba kupanga glucose ofunikira kuchokera kumapuloteni. Kuti mukhale ndi moyo m'nthawi yanjala, thupi limaphwanya minyewa, ndipo ikatha, ndiye kuti ziwalo zamkati, kuyambira ndizofunikira kwambiri.

Insulin ilinso ndi ntchito ina yofunika, kuwonjezera pakupanga maselo kuti akoke glucose. Amapereka lamulo loti asinthe glucose ndi mafuta achilengedwe kuchokera m'magazi kupita ku minofu ya adipose, yomwe imasungidwa kuti zitsimikizike kupulumuka kwa thupi ngati kuli ndi njala. Mothandizidwa ndi insulin, shuga amasandulika mafuta, omwe amayikidwa. Insulin imalepheretsanso kuwonongeka kwa minofu ya adipose.

Zakudya zopatsa thanzi zambiri zimasokoneza insulin yambiri m'magazi. Ichi ndi chifukwa chake ndizovuta kwambiri kuchepetsa thupi pazakudya zopatsa mphamvu zochepa. Insulin ndi mahomoni a anabolic. Izi zikutanthauza kuti ndikofunikira pakukula kwa minofu yambiri ndi ziwalo. Ngati ikuzungulira m'magazi kwambiri, ndiye kuti imayambitsa kukula kwama cell komwe kumakwirira mitsempha yamagazi kuchokera mkati. Chifukwa cha izi, kuunikira kwa ziwiya kumachepa, atherosclerosis imayamba.

Kukhazikitsa zolinga za matenda ashuga

Kodi cholinga chothana ndi matenda amtundu wa 2 ndikuti? Kodi ndi mulingo wanji wa shuga womwe timawona kuti ndi wabwino komanso timayesetsa? Yankho: shuga wotere womwe umawonedwa mwa anthu athanzi popanda shuga. Kafukufuku wamkulu adawonetsa kuti mwa anthu athanzi, shuga wamagazi amasinthasintha m'malo ocheperako a 4.2 - 5.0 mmol / L. Amakwera m'mwamba pokhapokha ngati mwadya zakudya zamafuta ambiri othamanga. Ngati pali maswiti, mbatata, zophika buledi, ndiye kuti shuga m'magazi amakwera ngakhale mwa anthu athanzi, ndipo mwa odwala omwe ali ndi matenda ashuga "amapitilira".

Monga lamulo, pamene wodwala matenda ashuga akungoyamba chithandizo, ndiye kuti shuga yake ndi yayikulu kwambiri. Chifukwa chake, muyenera choyamba kutsitsa shuga wamwazi kuchokera kumtunda wa "cosmic" kupita kumitundu yambiri kapena yabwino. Izi zikachitika, ndiye kuti tikufunikira kukhazikitsa cholinga chamankhwala kuti shuga m'magazi akhale 4.6 6 0.6 mmol / l maola onse 24 patsiku. Apanso, chifukwa ndikofunikira. Timayesetsa kukhala ndi shuga wamagazi pafupifupi 4,6 mmol / L. mosalekeza. Izi zikutanthauza - kuwonetsetsa kuti kupatuka pa chiwerengerochi ndikochepa momwe kungathekere.

Werengani komanso nkhani yapadera, "Zolinga zochizira matenda amtundu 1 komanso matenda ashuga a 2. Muli ndi shuga wambiri bwanji? ” Makamaka, ikufotokozera magulu amtundu wa odwala omwe ali ndi matenda ashuga omwe amayenera makamaka kukhala ndi shuga yayikulu yamagazi kuposa anthu athanzi. Mupezanso kusintha komwe mungakhale nako pambuyo pa kubwezeretsa shuga m'magazi anu.

Gulu lapadera la odwala matenda ashuga amtundu woyamba ndi omwe adwala kwambiri gastroparesis - akuchedwa kuchotsa m'mimba atatha kudya. Uku ndi kupuwala pang'ono pamimba - kuphatikizika kwa matenda ashuga omwe amachitika chifukwa cha kulowetsedwa kwa mitsempha. Odwala oterewa, chiopsezo cha hypoglycemia chikuwonjezeka. Chifukwa chake, pofuna chitetezo, Dr. Bernstein akweza shuga yawo yamagazi kukhala 5.0 ± 0,6 mmol / L. Matenda a shuga a shuga ndi vuto lomwe limalepheretsa kwambiri matenda ashuga. Komabe, ndipo itha kuthetsedwa. Posachedwa tili ndi nkhani yatsatanetsatane pankhaniyi.

Momwe mungayang'anire mphamvu ya mankhwalawa

Mu sabata yoyamba ya pulogalamu ya matenda ashuga, magazi athunthu amathandizidwa. Zidazo zikaphatikizidwa, zimatha kusanthula ndikutsimikiza momwe shuga yanu imakhalira motsogozedwa ndi zakudya zosiyanasiyana, insulin ndi zina. Ngati munayamba kuchiza matenda ashuga ndi insulin, onetsetsani kuti shuga sanatsike pansi pa 3.8 mmol / l kwa sabata lathunthu. Izi zikachitika - mlingo wa insulin uyenera kuchepetsedwa nthawi yomweyo.

Chifukwa chiyani kusinthasintha kwa shuga m'magazi kuli koopsa?

Tiyerekeze kuti wodwala amatha kusunga shuga wake wamagazi pafupifupi 4,6 mmol / L, ndipo amakhulupirira kuti amatha kuwongolera matenda ake a shuga. Koma izi ndizowopsa.Ngati shuga "alumpha" kuchokera 3.3 mmol / l mpaka 8 mmol / l, ndiye kusinthasintha kwamphamvu kotere kumapangitsa munthu kukhala bwino. Amayambitsa kutopa nthawi zonse, kukwiya pafupipafupi komanso mavuto ena ambiri. Ndipo koposa zonse, mu nthawi zomwe shuga zimakwezedwa, zovuta za shuga zimayamba, ndipo posachedwa amadzimva.

Cholinga choyenera cha matenda ashuga ndikuwonetsetsa kuti shuga yanu isawonongeke. Izi zikutanthauza - kuthetseratu kudumphira m'magazi a shuga. Cholinga cha tsamba la Diabetes-Med.Com ndikuti tizipereka njira ndi njira zochizira matenda ashuga amtundu wa 2, omwe amatilola kuti tikwaniritse cholinga choterechi. Momwe mungachitire izi akufotokozedwa mwatsatanetsatane m'nkhani zotsatirazi:

Njira zathu zochizira "zopusitsa" zimatha kusintha kusinthasintha kwa shuga m'magazi a 1 komanso a 2 matenda a shuga. Uku ndiye kusiyana kwakukulu kuchokera ku njira zachikhalidwe “zachikhalidwe”, momwe shuga yamagazi mwa odwala omwe ali ndi matenda ashuga amasiyanasiyana mosiyanasiyana, ndipo izi zimawonedwa ngati zabwinobwino.

Chithandizo chamankhwala odwala matenda ashuga apamwamba

Tiyerekeze kuti mwakhala ndi shuga wambiri kwa zaka zambiri. Pankhaniyi, shuga sangathe kuchepetsedwa mwachangu, chifukwa mudzakumana ndi zizindikiro za hypoglycemia. Ganizirani chitsanzo ichi. Kwa zaka zambiri, wodwala matenda ashuga amamugwirira pambuyo pamanja, ndipo thupi lake limazolowera shuga 16-16 mmol / l. Mwanjira imeneyi, zizindikiro za hypoglycemia zimatha kuyamba shuga atatsitsidwa ku 7 mmol / L. Izi zikuchitika ngakhale kuti zikhalidwe za anthu wathanzi sizoposa 5.3 mmol / L. Zikatero, ndikofunikira kukhazikitsa chandamale choyambirira cha 8-9 mmol / L masabata angapo oyamba. Ndipo ngakhale pamenepo pakhala kofunikira kuti muchepetse shuga kukhala bwino pang'onopang'ono, kupitilira miyezi ina 1-2.

Sizichitika kawirikawiri kuti pulogalamu yothandizira odwala matenda ashuga imakupatsani mwayi kuti shuga yanu ikhale yokhazikika. Nthawi zambiri, anthu amapatuka, ndipo nthawi zonse muyenera kusintha zinthu zina. Kusintha kumeneku kumadalira zotsatira za kuwongolera kwathunthu kwa shuga m'masiku oyambirira, komanso pazokonda za wodwala. Nkhani yabwino ndiyakuti mapulogalamu athu othandizira odwala matenda ashuga akuwonetsa zotsatira mwachangu. Shuga wamagazi amayamba kutsika m'masiku oyamba. Izi zimalimbikitsanso odwala kuti atsatire regimen, osalolera "kusokoneza".

Chifukwa chiyani odwala matenda ashuga amathandizidwa ndi njira zathu?

Zakuti shuga m'magazi zimachepa komanso thanzi limayenda bwino zitha kuonedwa mwachangu, pakatha masiku angapo. Ili ndiye chitsimikizo chabwino kwambiri kuti mupitiliza kudzipereka ku pulogalamu yathu yosamalira matenda ashuga. M'mabuku azachipatala, zambiri zalembedwa zakufunika kwa "odzipereka" kwa odwala kuti athandize odwala matenda ashuga. Amakonda kunena zotsatira zolephera zamankhwala chifukwa chakuti odwala sanawamvere mokwanira, ndiye kuti, anali aulesi kwambiri kutsatira malingaliro a dokotala.

Koma bwanji odwala ayenera kukhala odzipereka ku njira zachikhalidwe zothandizira odwala matenda ashuga ngati sizothandiza? Amalephera kuchotsa ma surges m'magazi a shuga komanso zowawa zawo. Jekeseni wa Mlingo waukulu wa insulin imayambitsa pafupipafupi hypoglycemia. Odwala omwe ali ndi matenda a shuga a mtundu wa 2 safuna kudya "anthu omwe ali ndi njala", ngakhale atawopsezedwa kuti amwalira. Werengani mtundu wa 1 wa njira yothandizira odwala matenda ashuga ndi njira zochizira matenda amtundu wa 2 - ndipo onetsetsani kuti malingaliro athu alipo, atha kutsatiridwa ngakhale mutaphatikiza chithandizo ndi zovuta, komanso maudindo a mabanja ndi / kapena ammudzi.

Momwe mungayambire chithandizo cha matenda ashuga

Lero, ndiye kuti simungakhale ndi mwayi wopeza endocrinologist wolankhula Chirasha yemwe angachiritse matenda ashuga omwe amakhala ndi zakudya zamagulu ochepa. Chifukwa chake, mudzayenera kupanga dongosolo lochita nokha, pogwiritsa ntchito zomwe zili patsamba lathu. Mutha kufunsanso mafunso mu ndemanga, oyang'anira tsamba amawayankha mwachangu komanso mwatsatanetsatane.

Momwe mungayambire chithandizo cha matenda ashuga:

Patsani mayeso a labotale omwe adalembedwa m'nkhaniyi.
Zofunika! Werengani momwe mungawonetsetse kuti muli ndi mita yolondola ya shuga ndikuchita.
Yambitsani kuwongolera kwathunthu shuga.
Pitani pa chakudya chamafuta ochepa, bwino ndi banja lanu lonse.
Pitilizani kuthana ndi shuga. Onani momwe kusintha kwa zakudya kumakhudzira matenda anu ashuga.
Sindikizani mndandanda wazakudya zovomerezeka zamagulu ochepa a zakudya. Ingani wina kukhitchini ndikusunga linalo.
Werengani nkhani "Zomwe muyenera kukhala ndi matenda ashuga kunyumba ndiinu" ndikugula zonse zomwe mukufuna.
Ngati mukukhala ndi mavuto ndi chithokomiro cha chithokomiro, funsani endocrinologist wanu. Nthawi yomweyo, kunyalanyaza upangiri wake wokhala ndi zakudya zoyenera za shuga.
Zofunika! Phunzirani kumwa insulin mwachisawawa, ngakhale mutakhala kuti simukugwiritsa ntchito inshuwaransi. Ngati muli ndi shuga wambiri m'matenda opatsirana kapena chifukwa chomwa mankhwala aliwonse, muyenera kubayirira insulin kwakanthawi. Konzekerani izi pasadakhale.
Phunzirani ndikutsatira malamulo oyang'anira matenda ashuga.
Kwa odwala matenda a shuga omwe amadalira insulin - dziwani momwe gawo limodzi la insulini limatsitsira shuga, ndipo kuchuluka kwa gramu imodzi ya chakudya kumachulukitsa.

Nthawi iliyonse ndikamalemba za shuga, ndimatanthawuza kuchuluka kwa shuga m'magazi a m'magazi a capillary omwe amachokera ku chala. Ndiye kuti, mita yanu imayeza. Makhalidwe abwinobwino a shuga ndimagulu omwe amawonedwa mwa anthu athanzi, oonda popanda matenda ashuga, mosasamala, mosasamala kanthu za zakudya. Ngati mita ndi yolondola, ndiye kuti magwiridwe akewo sangakhale osiyana ndi zotsatira za kuyezetsa magazi kwa odwala.

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

Kodi shuga wamagazi amatha bwanji

Dr. Bernstein adakhala nthawi yambiri ndikuyesayesa kuti adziwe zomwe shuga amawona mwa anthu athanzi, owonda opanda matenda a shuga. Kuti achite izi, adakakamiza kuyeza kuchuluka kwa magazi a okwatirana ndi achibale a odwala matenda ashuga omwe amabwera kudzamuika. Komanso, amalonda oyendayenda nthawi zambiri amamuchezera, kuti awathandize kugwiritsira ntchito glucometer ya mtundu wina kapena wina. Zikatero, nthawi zonse amalimbikitsa kuti awayeze shuga pogwiritsa ntchito glucometer yomwe amalengeza, ndipo amatenga magazi nthawi yomweyo m'mitsempha yawo kuti apange mawunikidwe a Laborator ndikuwonetsetsa kuti glucometer ndi yolondola.

Pazochitika zonsezi, shuga ndi 4.6 mmol / L ± 0.17 mmol / L. Chifukwa chake, cholinga chamankhwala othandizira matenda a shuga ndikukhazikitsa shuga wokhazikika wa 4.6 ± 0,6 mmol / l, pamsana uliwonse, musanadye komanso mutadya, kuyimitsa "kudumpha" kwake. Onani mtundu wathu wamankhwala othandizira odwala matenda ashuga a mtundu woyamba ndi pulogalamu yachiwiri ya matenda ashuga. Ngati mungazikwaniritse, ndiye kuti mukwaniritsa cholinga ichi ndichowoneka, ndipo mwachangu. Chithandizo cha anthu odwala matenda ashuga - chakudya "chopatsa thanzi" komanso kuchuluka kwa insulin - sangadzitame chifukwa cha zotsatira zake. Chifukwa chake, miyezo ya shuga yamagazi ndiwambiri kwambiri. Amalola zovuta za matenda ashuga kukula.

Ponena za hemoglobin ya glycated, mwa anthu athanzi labwino, nthawi zambiri amakhala 4.2-4.6%. Chifukwa chake, tiyenera kuyesetsa kuchita. Yerekezerani ndi mtundu wa hemoglobin wa glycated - mpaka 6.5%. Izi ndizokwera pafupifupi 1.5 kuposa momwe zimakhalira ndi anthu athanzi! Komanso, matenda ashuga amayamba kuthandizidwa pokhapokha chizindikiro ichi chikufika pa 7.0% kapena kuposa.

The American Diabetes Association malangizo akuti "kuwongolera odwala matenda ashuga" kumatanthauza:

shuga m'magazi musanadye - kuyambira 5.0 mpaka 7.2 mmol / l,
shuga m'magazi 2 atatha kudya - osapitirira 10.0 mmol / l,
glycated hemoglobin - 7.0% ndi m'munsimu.

Tili ndi izi monga "kusowa kwathunthu pakulamulira matenda a shuga." Kodi kusiyana kumeneku m'malingaliro a akatswiri kumachokera kuti? Chowonadi ndi chakuti Mlingo wambiri wa insulin umabweretsa chiwopsezo cha hypoglycemia. Chifukwa chake, American Diabetes Association imachulukitsa kuchuluka kwa shuga m'magazi poyesa kuchepetsa ngozi. Koma ngati matenda a shuga amathandizidwa ndi zakudya zamagulu ochepa, ndiye kuti Mlingo wa insulin umafunikira kangapo. Kuopsa kwa hypoglycemia kumachepetsedwa popanda kufunika kokhala ndi shuga wambiri komanso kukhala ndi zovuta za matenda ashuga.

Kujambulitsa Zolinga Zoyang'anira Matenda Atsopano Ati

Tiyerekeze kuti mwaphunzira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga ndipo mukukonzekera kuyambitsa. Pakadali pano, ndizothandiza kwambiri kulemba mndandanda wazolinga za matenda ashuga.

Kodi tikufuna tikwaniritse chiyani, mu nthawi yanji komanso tikonzekera bwanji kuchita izi? Nayi mndandanda wamba wazolinga za matenda ashuga:

Matenda a shuga. Makamaka, momwe zimakhazikitsidwa ndi zotsatira za kuwongolera kwathunthu shuga.
Kusintha kapena kusintha kwachulukidwe ka zotsatira za mayeso a labotale. Chofunika kwambiri mwa izo ndi glycated hemoglobin, "good" and "bad" cholesterol, triglycerides, protein-C-reactive, fibrinogen, and test fig fig. Kuti mumve zambiri, onani nkhani "Kuyesa kwa Matenda a shuga".
Kukwaniritsa kulemera koyenera - kuwonda kapena kulemera, chilichonse chofunikira. Kuti mumve zambiri pa cholembedwachi, Kudzala ndi Matenda A shuga. Momwe mungachepetse thupi ndi matenda a shuga a mtundu woyamba 1. "
Wathunthu kuletsa chitukuko cha matenda ashuga.
Kuchotsa kwathunthu kapena pang'ono kwa zovuta za shuga zomwe zayamba kale. Izi ndi zovuta pamiyendo, impso, kupenya kwamaso, mavuto a potency, matenda amkazi mwa akazi, mavuto ndi mano, komanso mitundu yonse ya matenda a shuga. Tili ndi chidwi chachikulu ndi matenda a matenda a shuga a gastroparesis.
Kuchepetsa pafupipafupi komanso kuopsa kwa ma epicode a hypoglycemia (ngati kale).
Kutha kwa kutopa kwakanthawi, komanso mavuto apanthawi yochepa chifukwa cha shuga wambiri.
Matenda a kuthamanga kwa magazi, ngati anali okwera kapena otsika. Kupitilizabe kupanikizika popanda kugwiritsa ntchito mankhwala “osakanikirana” kwa matenda oopsa.
Ngati maselo a beta amakhalabe mu kapamba, ndiye kuti azikhala amoyo. Imafufuza pogwiritsa ntchito kuyezetsa magazi kwa C-peptide. Cholinga ichi ndi chofunikira kwambiri kwa matenda ashuga amtundu wa 2 ngati wodwala akufuna kupewa jakisoni wa insulin ndikukhala moyo wabwinobwino.
Mphamvu zowonjezera, mphamvu, kupirira, kugwira ntchito.
Matenda a mtundu wa mahomoni a chithokomiro m'magazi, ngati kuwunika kwawonetsa kuti sikokwanira. Cholinga ichi chikakwaniritsidwa, tiyenera kuyembekezera kufooka kwa zizindikiro zosasangalatsa: kutopa kosalekeza, kuzizira kwamphamvu, kusintha mbiri ya cholesterol.

Ngati muli ndi zolinga zina, kuwonjezera pa mindandanda.

Ubwino wa kutsatira mosamala

Ku Diabetes-Med.Com, tikuyesera kupereka njira yothandizira matenda a shuga 1 ndi mtundu 2 omwe angakwanitsedi. Apa simupeza zambiri zokhudzana ndi mankhwalawa ndi zakudya zamagulu ochepa zopatsa mphamvu. Chifukwa odwala onse posachedwa amayamba "kuwonongeka", ndipo mkhalidwe wawo umakulirakulira. Werengani momwe mungabayere insulin popanda kupweteka, momwe mungadzire shuga komanso momwe mungachepetse kuti ikhale yachilendo ndi zakudya zamagulu ochepa.

Ngakhale maboma ateteza bwanji, amafunikabe kulemekezedwa, komanso mosasamala. Lolani kukhudzidwa pang'ono - ndipo magazi a magazi awuluka. Tiyeni tilembe maubwino omwe mungapeze ngati mugwiritse ntchito mosamalitsa pulogalamu yothandizira matenda a shuga:

shuga m'magazi abwerera mwakale, manambala omwe ali pamalowo akondweretsa,
kukulira kwa zovuta za matenda ashuga kutha
Mavuto ambiri omwe apangidwa kale atha, makamaka patatha zaka zochepa,
thanzi ndi malingaliro zidzakhazikika, mphamvu zidzakulira,
ngati mukunenepa kwambiri, ndiye kuti mwina mukanenepa kwambiri.

Wonaninso gawo la "Zomwe mungayembekezere shuga wanu wamagazi atayamba kukhala wabwinobwino" munkhani yakuti "Zolinga zochizira matenda amtundu 1 komanso matenda a shuga a 2.” Mu ndemanga, mutha kufunsa mafunso omwe oyang'anira tsamba amayankha mwachangu.