Kodi prediabetes ndi chiyani ndipo imatha kuchiritsidwa?

Osati matenda ashuga - chimayambitsa kusinthaku nchiyani?

Matenda a shuga ndi chikhalidwe chapadera chofotokozedwa ngati malire a magwiridwe antchito amthupi ndi kukula kwa matenda ashuga. Pakamphindi ngati kameneka, kapamba amatulutsa insulin, koma ma voliyumu opanga amachepetsa pang'ono. Odwala omwe shuga ya magazi ake amakwezedwa atatha kudya, ali pachiwopsezo chokhala ndi matenda a shuga a 2.

Palibe vuto lililonse ku prediabetes, chifukwa matendawa amasintha, koma zotsatira zake zimatengera chikhumbo chake choti wodwalayo asakumane ndi matenda osachiritsika. Kuti mukhale ndi moyo wabwino, kukhazikika muzowonetsa za shuga, munthu ayenera kudzipangira yekha: moyo wathanzi, masewera ndi zakudya zoyenera - malamulowa athandiza kupeza zotsatira zabwino.

Posachedwa, zinthu zawonjezereka, kuphwanya kofananako kwapezeka mwa ana, ndipo makamaka mwa achikulire. Kodi chifukwa chake nchiyani? Kuphwanya lamulo kotere kumatha kukhala chifukwa cha opareshoni yayikulu kapena kusamutsa matenda opatsirana. Matenda a 2 a shuga amayamba pang'onopang'ono, zovuta za metabolic zimapita patsogolo kwazaka zambiri.

Kodi matenda a prediabetes angachiritsidwe?

Ndizotheka, koma pokhapokha ngati wodwala apirira, wolimba komanso akufuna kukhala ndi moyo wathanzi. Komabe, ziwerengero zikuwonetsa kuti mitengo ya prediabetes ndiyokhumudwitsa.

Chaka chilichonse, 10% ya odwala omwe adapezeka kuti ali ndi zero amadutsana ndi gulu la odwala matenda ashuga a 2. Chifukwa chiyani izi zimachitika ngati pali njira yothetsera, ndipo njira zoperekera kuchira ndizosavuta? Tsoka ilo, odwala nthawi zambiri samachepetsa zoopsa, ndipo samadziwa kuti shuga ndi momwe angakhalire nayo.

Mawonekedwe a chikhalidwe: kuda nkhawa?

Matenda okhumudwa - mukafuna kuwomba alamu.

Zizindikiro za prediabetes sizinafotokozedwe bwino - izi ndiye maziko azovuta. Ngati kuchuluka kwa anthu odwala matenda ashuga, panthawi yake, kungatchule kusintha pang'ono kwa thanzi, kufalikira kwa matendawa kukacheperachepera.

Zizindikiro za matenda a shuga zomwe zimatha kuchitika mosiyanasiyana zimatha kuzindikirika ndikusintha kwatsata:

  1. Kumva kowuma pamlomo wamkamwa, kuwonjezeka kwakukulu kwa kuchuluka kwa madzimadzi omwe amamwa. Zomwezi zimachitikanso chifukwa chakuwonjezera kuchuluka kwa glucose, magazi amayamba, ndipo thupi limayesa kuchepetsedwa ndi zomwezi. Ndizoyenera kutsindika kuti chizindikirocho chili ndi zovuta zina zokulitsa panthawi yovuta yamthupi komanso yamaganizidwe.
  2. Kuyamwa mwachangu. Kuwonetsera uku ndikogwirizana kwambiri ndi kuchuluka kwa madzi akumwa.
  3. Kumverera kwanjala, makamaka usiku ndi madzulo. Pali kuwonjezeka kwa kulemera (kojambulidwa ndi mayi wonenepa kwambiri).
  4. Kuchepa kwa ntchito, kuchepa kwa chidwi, kusintha kwa kukumbukira.
  5. Nthawi zambiri, mutatha kudya, wodwalayo amaponya chimfine, thukuta limachulukitsa, chizungulire chimakulirakulira. Zizindikiro zotere ndi chizindikiro cha kuchuluka kwa kuchuluka kwa shuga.
  6. Nthawi zambiri amawonetsa mutu womwe umachitika motsutsana ndi maziko amtsempha wamagazi.
  7. Kuwonetsedwa kwa kuyimitsidwa kofalikira ndi zotsatira za kuwonekera kwa zovuta ndi capillaries.
  8. Kuchepa kwa mawonekedwe, mawonekedwe a ntchentche patsogolo pa maso.
  9. Kuchepetsa kugona, anthu nthawi zambiri amakhala akusowa tulo.
  10. Kusokonezeka kwa mahormoni. Atsikana ndi amayi achichepere amatha kuwona kusintha pakusamba.

Kunenepa kwambiri monga chinthu chomwe chikuwonongera matenda ashuga.

Zizindikiro zolembedwa za prediabetes sizodziwika mwapadera. Chizindikiro chowonetsera kwambiri ndi ludzu lalikulu. Odwala nthawi zambiri amafotokozera za zotsalira za kugwira ntchito mopitirira muyeso, kutopa kwambiri kapena mavuto ena azaumoyo omwe sagwirizana ndi matenda a shuga.

Popeza ndizovuta kwambiri kufotokoza zomwe zimadziwika kuti ndizowopsa, ndikofunikira kufotokozera kufunikira kwa kuwunika kwa anthu omwe ali pachiwopsezo.

Ndani ali pachiwopsezo?

Mitundu monga chimodzi mwazinthu.

Lingaliro la prediabetes limatanthawuza mkhalidwe wa thupi la munthu momwe kusokonezeka kwa metabolic kumawonekera, shuga ndi magawo angapo kuchokera pazomwezo, komabe, kudumphira kwakukulu kuzidziwitso sikupezeka - kutanthauza kuti 2 mtundu wa shuga sukupezeka.

Yang'anani! Nthawi ina kale, kusintha koteroko kunatchulidwa kuti gawo la matenda ashuga, koma patapita zaka adadzipatsa dzina.

Ndizovuta kwambiri kuzindikira kuwonekera kwa matenda omwe ali pachiwonetsero choyambirira, nthawi zina ndizosatheka, komabe, pali njira zomwe zingathandize kutsimikizira kuyambika kwa kuphwanya malamulo.

Njira zosavuta kwambiri komanso zofala kwambiri zowerengetsera labotale zimakambidwa pagome:

Ndi mayeso ati omwe angathandizire kudziwa ngati ali ndi matendawa?
Mtundu wa kafukufukuKufotokozera
Mayeso a kulolera a glucoseNjira yosavuta komanso yolondola kwambiri yodziwira matenda a shuga. Njirayi idakhazikika podziwa kuchuluka kwa kulowa kwa glucose m'misempha. M'magazi a munthu wathanzi, zomwe zili ndi shuga ziyenera kukhala zofanana pakatha maola awiri mutatha kudya. Wodwala yemwe ali ndi prediabetes, chizindikiro ichi chikhoza kukhala chofanana ndi 7.8 mmol / L.
Kuthamanga GlycemiaKuzindikirika kwa matenda ashuga kumatsimikiziridwa ngati kuthamanga kwa magazi kuposa shuga 7 mmol / l, chizolowezi chake ndi 6 mmol / l. Dongosolo la shuga limapezeka ngati chizindikiro chimasinthasintha pakati pa 6-7 mmol / L. Dziwani kuti matanthauzowa ndi oyenera kuphunzira magazi a venous.
Kusala insulinChiwopsezo cha matenda a prediabetes ndi chachikulu pakuzindikira kwa insulin m'magazi pochita zopitilira 13 μMU / ml.
Glycosylated hemoglobinNdi prediabetes, chizindikirocho ndi 5.7-6.4%.

Laborator diagnostics.

Muyeneranso kudziwa kuti odwala azaka zopitilira 45 omwe ali ndi chiyembekezo chakukula kwa matenda ashuga ayenera kumayesedwa kamodzi pachaka.

Anthu omwe ali ndi kulemera kwakanthawi kokwanira zaka zopitilira 45 ayenera kumawunikidwa nthawi imodzi mchaka zitatu. Anthu omwe ali ndi chiopsezo chotenga matenda ashuga osakwana zaka 45 - chaka chilichonse.

Kuopsa kwa matenda ashuga mwa azimayi kumakulirakulira pang'ono.

Yang'anani! Kuwonetsedwa kwa chizindikiritso cha mawonekedwe ammimba osakwanira ndi chifukwa chochezera mwadzidzidzi kwa katswiri ndikutenga kusanthula kwa labotale m'njira yosakonzekera.

Mndandanda wazinthu zomwe zimakweza chiopsezo chophwanya malamulo zimaphatikizapo:

  • kuthamanga kwa magazi, komwe zizindikiro zimakonda kupitilira 140/90, ndiye kuti, matenda oopsa a gawo lachiwiri,
  • kuchuluka kwa mafuta m'thupi,
  • achibale apafupi a mzere woyamba, wodwala matenda ashuga,
  • kukhalapo kwa matenda ashuga okakamiza mwa mkazi nthawi iliyonse yapakati,
  • kulemera kwakukulu
  • kusowa zolimbitsa thupi,
  • hypoglycemia ndi njala,
  • kumwa mankhwala kwanthawi yayitali,
  • kumwa khofi ndi tiyi wowonjezera pamiyeso yoposa 600 ml patsiku,
  • mawonekedwe a zotupa pakhungu.

Matenda oopsa amathira chiwopsezo cha matenda a shuga.

Mawonekedwe Ozindikira

Posankha Zizindikiro zomwe zimayambitsa matenda a prediabetes, kapena poyerekeza ndi gulu lowopsa, wodwalayo ayenera kufunsa dokotala. Dokotalayo adzapatsa wodwalayo mwayi woti amutulutsire mayeso kuti atsimikizire kapena kukana zokayikira.

Yang'anani! Wodwala ayenera ayambe ayesedwa kuti asalole shuga. Njirayi imafunikira magazi akusala kudya.

Kufunika kotsatira malamulo opereka magazi.

Ndikofunika kuyang'anira kuti wodwalayo asamaperekedwe pasanathe maola 10 chakudya chatha. Wodwala atatha kugwiritsa ntchito njira ya glucose, miyeso ina 2 imatengedwa - ola limodzi pambuyo pa utsogoleri ndi maola awiri pambuyo pake.

Ndi mwayi wambiri, zinthu zotsatirazi zimatha kupotoza zotsatira zoyesa:

  1. Malangizowo akutsimikizira kuti wodwalayo asiye chilichonse chokhudza thupi tsiku lisanafike mayeso.
  2. Ndikofunikanso kuchepetsa kuchepa kwa zinthu zama psychoemotional.
  3. Panthawi yoyesedwa, wodwalayo ayenera kukhala wathanzi: kuthamanga kwa magazi ndi kutentha kwa thupi kuyenera kukhala kupyola malire.
  4. Osasuta patsiku loyesedwa.

Kanema yemwe ali munkhaniyi azithandiza owerenga kudziwa zomwe azindikire. Mtengo wowunika kwathunthu ungasiyane pang'ono kutengera kuchipatala komwe wodwala wakupatsani.

Zifukwa zoyambitsa milandu

Anthu ambiri amavomereza kuti anthu onenepa kwambiri amene amakhala ndi moyo wopanda chikondi amakhala pachiwopsezo cha matenda ashuga. Komabe, kuweruza koteroko sikolakwika, chifukwa chachikulu ndikuyankha kwa thupi ku insulin.

Poterepa, ndizosatheka kukwaniritsa mulingo woyenera wa glucose m'thupi. Zakudya zomanga thupi zopakidwa ndi chakudya zimasinthidwa kukhala shuga, ndipo glucose amalowa m'maselo monga mphamvu. Ngati maselo a thupi samalabadira kutengera kwa insulin, sangathe kulandira shuga.

Gulu lamavuto limaphatikizapo:

  • odwala omwe shuga ya magazi amasinthasintha,
  • anthu onenepa
  • odwala azaka zopitilira 45-50,
  • azimayi omwe ali ndi ovary ya polycystic,
  • odwala omwe amakhala ndi cholesterol yambiri pamagazi.

Kodi matenda a prediabetes angachiritsidwe?

Momwe mungamenyere zovuta.

Chithandizo cha prediabetes chimakhala makamaka mu kudziletsa kwa wodwalayo komanso kuthekera kwake kusankha bwino.

Pa gawo loyambirira la matendawa, mukuyenera kubwereza mzere wamoyo wanu wachizolowezi:

  • siyiranipo chisangalalo cha chikonga,
  • kupatula kumwa zakumwa zoledzeretsa,
  • sinthani mndandanda wamasiku onse
  • samalani zolimbitsa thupi.

Yang'anani! Wodwala ayenera kupanga chisankho chomwe chimakonzekeratu tsogolo lake - moyo wabwinobwino kutsatira malamulo a moyo wathanzi komanso moyo wautali, kapena kutsatira motsatira malamulo opulumuka ndi matenda ashuga.

Kuwongolera kwambiri komanso kupewa matenda ashuga.

Ndikofunika kulabadira kuti kuchepa thupi kwa 6-7% ya thupi lonse kunenepa kwambiri kumachepetsa mwayi wokhala ndi shuga ndi 50%.

Momwe mungapewere kukula kwa matenda ashuga

Ngati pakuwunika, wodwalayo anawulula zakusokonekera kwa glucose, muyenera kufunsa thandizo la endocrinologist. Katswiriyu athandizira kuzindikira njira zabwino zoyeserera, kulola kukhazikitsa kuthekera kwa kuwonekera kwa shuga posachedwa.

Mankhwala amagwiritsidwa ntchito panokha.

Yang'anani! Kufufuza kwathunthu kwa momwe Horona imayambira kungalimbikitsidwe kwa azimayi.

Kutengera ndi zomwe zapezedwa, mtundu wa mankhwala ukhazikitsidwa, womwe umaphatikizapo njira zingapo:

  • zolimbitsa thupi
  • kudya
  • mankhwala a prediabetes.

Masewera ndi zakudya ndiye maziko a zamankhwala, koma ndizotheka kuchita popanda kugwiritsa ntchito mankhwala ngati zizindikiro sizoyipa.

Matenda Odwala

Kukana kwathunthu kwa chizolowezi cha chikonga kumafunika.

Kudya kwa prediabetes kumatanthauza kutsatira malamulo otsatirawa:

  1. Kukana chakudya, komwe kumakhala chakudya cham'mimba. Izi zimaphatikizapo zinthu zophika buledi, maswiti osiyanasiyana komanso mchere.
  2. Ndikofunikira kuchepetsa kumwa kwa mbewu zonse, mbatata, kaloti.
  3. Mafuta a nyama zoyambira sayenera kuperekedwa kuchakudya.
  4. Nyemba, mphodza ndi nyemba zina ziyenera kuphatikizidwa muzakudya.
  5. Kukana mowa kwathunthu panthawi yobwezeretsa ndikutsatira malamulo okhwima m'miyoyo yotsatira ndikusonyezedwa.
  6. Kuchuluka kwa zopatsa mphamvu zomwe zimagwiritsidwa ntchito patsiku sikuyenera kupitirira 1500.
  7. Amawonetsa chakudya chamagulu. Voliyumu yonse iyenera kugawidwa m'njira zisanu ndi imodzi.

Pazakudya wodwala ayenera kukhala:

  • Masamba atsopano ndi zipatso
  • nsomba zam'madzi zamafuta ochepa ndi nsomba zam'madzi,
  • chimanga
  • zonunkhira zokonda kwambiri, sinamoni, nutmeg,
  • ng'ombe ndi nkhuku (kupatula bakha),
  • mafuta amkaka ambiri,
  • zoyera.

Odwala ayenera kulabadira kuti zakudya zoterezi sizingathandize kukhazikitsa shuga, komanso kuonetsetsa kuti mitsempha yoyenga ndi magazi.

Maziko azakudya ayenera kukhala zakudya zamasamba.

Kuyang'aniridwanso kuyenera kuthandizidwa kuti zakudya zokhala ndi prediabetes ziyenera kupangidwa ndi katswiri - malangizo oyambira okha ndi omwe alembedwa. Tisaiwale kuti anthu omwe akudwala matenda oopsa, zilonda zam'mimba, chiwindi ndi matenda a impso ayenera kusamala kwambiri ndi zakudya. Kutembenukira kuchipatala kudzakuthandizani kupewa ngozi yamavuto.

Ubwino wakuyenda kwa Nordic.

Kuchita zinthu zolimbitsa thupi pafupipafupi kumathandizira kuchepetsa kunenepa komanso kusintha ntchito yofunika kwambiri yokhudza thupi.

Yang'anani! Tiyenera kudziwa kuti pakuchita masewera olimbitsa thupi kumachepa msanga shuga - amamwetsa. Komabe, masewera ayenera chizolowezi.

Ndikofunika kulabadira masewera otsatirawa:

  • kuthamanga
  • kuyendetsa njinga
  • kuvina
  • tennis
  • kusambira
  • Kuyenda kwa Nordic
  • amayenda.

Umboni! Zochita zilizonse zolimbitsa thupi ndizothandiza, ndiye kuti, usiku womwe umakhala pamaso pa TV umaletsedwa. Ndikwabwino kutaya nthawi ndi phindu, pitani ku malo ogulitsira omwe amakhala kutali ndi nyumba kuti mugule zinthu zathanzi.

Aqua aerobics amalimbikitsa kuchepa thupi.

Ndizosangalatsa kudziwa kuti odwala ambiri omwe ali ndi prediabetes amadandaula za kusowa tulo - vutoli limazimiririka atatha kuchita masewera olimbitsa thupi. Zotsatira zake sizitali.

Kuyang'anira malamulo osamala ndi ntchito yayikulu ya wodwala. Katundu azinyamula pang'onopang'ono. Thupi sayenera kutopa kwambiri. Ngati ndi kotheka, dongosolo la phunziroli liyenera kukambirana ndi adotolo, ndipo endocrinologist yemwe akudziwa mwatsatanetsatane matendawa athe kufunsa za nkhaniyi.

Nthawi zambiri, kusintha moyo wanu ndikokwanira kuti muthe kuchira matenda ashuga. Nthawi zambiri, akatswiri amayesera kuti asagwiritsenso ntchito mankhwalawa, chifukwa cha kupezeka kwa zotsutsana zambiri.

Funso kwa adotolo

Tatyana, wazaka 39, Tver

Masana abwino Ndikufuna kufunsa funso ngati ili, kodi kusala kudya magazi 6,8 mmol / L prediabetes? Zowopsa zanga zili bwanji? Ndimanenepa kwambiri (ndi kutalika kwa 174, kulemera -83 kg), koma nthawi zonse ndinali odzaza. Sindikumva zilizonse zomwe zikufotokozedwa, ndikumva bwino.

Masana abwino, Tatyana. Ngati simukumva chilichonse, ndikukupemphani kuti mubwereze kusantaku, mwina kulakwitsa kunachitika? Zachidziwikire, izi sizichitika kawirikawiri m'mabara. Ndikukulangizani kuti mugwiritse ntchito panokha kuti musamakayikire zotsatira zake. Sindingachitire mwina koma kuzindikira kukhalapo kwa kuchuluka kwambiri kwa inu. Chonde funsani za akatswiri azakudya ndikuwona zomwe zingakhale zolimbitsa thupi. Choyamba, ndikofunikira kuti mukhale ndi thanzi.

Lyudmila, wazaka 24, Saratov

Moni. Agogo anga aakazi ndi odwala matenda ashuga, amayi anga ali ndi matenda ashuga, ndipo tsopano ndili ndi prediabetes. Kuthamanga shuga m'magazi - 6.5. Kodi pali mwayi uliwonse wounika?

Moni, Lyudmila. Ponya cholowa - ndi amene amakutchinjiriza kuti ukhale bwino. Kodi chizindikirochi chimagwira nthawi yayitali bwanji? Tsatirani malamulo a moyo wathanzi, sankhani chiwembu chochita zolimbitsa thupi, kulimbikira mulimonsemo kumabweretsa zotsatira zabwino.

Natalia, wazaka 33, Krasnodar.

Moni. Kodi ndizotheka kuchotsa prediabetes popanda zakudya?

Masana abwinoKugwiritsa ntchito mankhwalawa kumadzetsa zotsatirapo zabwino, koma kugwiritsa ntchito mankhwala osagwiritsa ntchito zakudya kumachepetsedwa kwambiri. Kuphatikiza apo, ngati milandu ingagwiritsidwe ntchito ndi mankhwalawa, makonda ayenera kupatsidwa njirayi. Mankhwala ali ndi zotsutsana zosiyanasiyana; motsutsana ndi komwe pakubwera mankhwala, shuga amathanso kudumpha.

Kusiya Ndemanga Yanu