Zizindikiro za Hyperglycemia ndi Chithandizo

Hyperglycemia (kuchokera ku chi Greek china. ὑπερ - pamwambapa, pamwambapa, γλυκύς - lokoma, αἷμα - magazi) - chizindikiro cha matenda chosonyeza kuchuluka kwa shuga mu seramu yamagazi poyerekeza ndi 3.3-5.5 mmol / l. Mlingo wa gluu umayesedwa mamililita imodzi pa kilogalamu (mmol / l) m'maiko omwe kale anali USSR, komanso ma milligrams pa desilita (mg / dl), monga momwe zimakhalira ku USA, Germany, Japan, France, Israel, Egypt, Colombia, ndi 1 mmol. / l = 18 mg / dl.

Etiology

• Hyperglycemia wofatsa - 6.7-8.2 mmol / l,
• kusakhazikika kwapakati - 8.3-11.0 mmol / l,
• zolemera - zopitilira 11.1 mmol / l,
• ndi chisonyezero choposa 16,5 mmol / l, kutsika kwakutulutsa,
• ndi chisonyezero choposa 55,5, kukomoka kwa hyperosmolar kumachitika.

Kwa anthu omwe ali ndi vuto lalitali la carbohydrate metabolism, mfundozi zimatha kusiyana pang'ono.

Etiology

Amayambitsa, Zizindikiro, mankhwala ndi kuzindikira kwa hyperinsulinism mwa ana ndi akulu

• Kodi chiwopsezo cha hyperinsulinism ndi chiyani?
• Zizindikiro za matendawa
• Zomwe zimachitika
• Gulu la Hyperinsulinism
• Matenda a Pathology
• Chithandizo ndi Thanzi
• Kupewa komanso kudwala

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

Hyperinsulinism amatchedwa matenda a hypoglycemic. Mkhalidwe wamatumbo ungatengedwe kapena kubereka. Kachiwiri, matendawa ndi osowa kwambiri, makamaka amodzi mwa akhanda 50,000. Hyperinsulinism yopezeka yomwe imapangidwa nthawi zambiri imapangidwa zaka zapakati pa 35 ndi 50, ndipo nthawi zambiri zimakhudza azimayi.

Kodi chiwopsezo cha hyperinsulinism ndi chiyani?

Mkhalidwe womwe umaperekedwa koopsa ndi chifukwa cha zovuta zake, zomwe zitha kugawidwa koyambirira komanso mochedwa. Gulu loyambalo limaphatikizapo omwe amapangidwira maola angapo otsatira atawukira, awa:

• sitiroko
• myocardial infaration
• kukulira kwakukuru kwa kagayidwe kazigawo zam'mimba ndi ubongo,
• Pazovuta kwambiri, chikomokere chimapangidwa.

Mavuto omaliza omwe amadza chifukwa cha hyperinsulinemia amakula miyezi ingapo kapena zaka pambuyo pa matenda. Amadziwika ndi zovuta zingapo, monga: kusokonezeka kukumbukira ndi kuyankhula, parkinsonism, encephalopathy (kuwonongeka kwa ubongo ntchito).

Kuperewera kwa chidziwitso ndikuchizira matenda kumayambitsa chiwopsezo cha kapamba ndi mapangidwe a shuga, komanso matenda a metabolic komanso kunenepa kwambiri.

Congenital mawonekedwe a hyperinsulinism mu 30% yamilandu imakhumudwitsa mawonekedwe a ubongo hypoxia, komanso kukula kwachulukidwe kwamaganiza a ana. Chifukwa chake, hyperinsulinism ndi vuto lomwe limakhala ndi zovuta zambiri komanso zotsatira zoyipa.

Zizindikiro za matendawa

Kuukira kumayambira ndikusintha kudya, kuoneka thukuta ndi kufooka, komanso tachycardia, njala yayikulu. Kenako mayiko ena mwamantha amalumikizana: mantha, nkhawa, kusakwiya komanso kunjenjemera miyendo. Pomwe chiwopsezo cha hyperinsulinemia chikukula, zotsatirazi zadziwika:

• kusanja m'mlengalenga,
• diplopia (kuchuluka kwa zinthu zooneka),
• paresthesia (dzanzi, kumva kukoma) m'miyendo, mpaka mawonekedwe a kugwidwa.

Ngati chithandizo sichikupezeka, kutha kwa chikumbumtima ngakhalenso hypoglycemic coma kumatha kuchitika. Nthawi yolumikizidwa imakhudzana ndikukulira kukumbukira, kusakhazikika m'maganizo, kusaganizira, komanso zizindikiro zina zosasangalatsa. Poyerekeza zakumbuyo chakudya chambiri chomwe chimadzaza ndi chakudya cham'mimba mosavuta, kuwonjezeka kwa thupi komanso kunenepa kwambiri kumayamba.

Akatswiri azindikira madigiri atatu a hyperinsulinism, zomwe zimatengera kuopsa kwa maphunzirowa: ofatsa, odziletsa komanso okhwima. Zowunikira kwambiri zimagwirizanitsidwa ndi kusakhalapo kwa mawonetseredwe munthawi pakati pa kukomoka ndi kuwonongeka kwa organic ku colortex. Kuchulukitsa kwa matendawa kumawonekera kangapo kamodzi pamwezi. Imaletsedwa mwachangu ndi mankhwala kapena zakudya zotsekemera.

Ndi zovuta zolimbitsa thupi, kukomoka kumachitika kangapo pamwezi, kuchepa kwa mawonekedwe a ntchito ndi chikomokere ndikotheka. Nthawi pakati povutitsidwa imawonetsedwa ndikuphwanya malamulo, mwachitsanzo, kuyiwalako kapena kuchepa kwa malingaliro. Mulingo wadzaoneni umayamba chifukwa cha kusintha kosasintha kwa ubongo. Zovuta zimachitika kawiri kawiri ndipo zimapangitsa kuti anthu asamadziwe. Munthawi yakukhudzidwa, wodwala amataya malo, kukumbukira kumakulitsidwa, kugwedezeka kwamphamvu kumadziwika. Khalidwe ndikusintha kwa kusintha kwamkati komanso kusokonekera kwambiri. Popeza zonsezi, ndikofunikira kumvetsetsa mwatsatanetsatane zomwe zimayambitsa, chithandizo ndi kuzindikira kwa vutoli.

Zomwe zimachitika

Mawonekedwe obadwa nawo amapezeka chifukwa cha kukomoka kwa intrauterine mu chitukuko, chifukwa cha kuchedwa pakupanga mwana wosabadwayo. Matenda a m'mimba amathanso kukhala ndi masinthidwe amtundu. Zomwe zimayambitsa matendawa mwa anthu omwe amapezeka ndi matendawa amagawidwa m'magulu:

• kapamba, kamene kamayambitsa kupangitsa matenda a hyperinsulinemia,
• yopanda pancreatic, kupangitsa kuchuluka kwa insulin,
• mawonekedwe a pancreatic amapezeka mu zilonda zapakhosi kapena benign neoplasms, komanso pancreatic beta cell hyperplasia.

Njira yopanda pancreatic ya hyperinsulinism mwa ana ndi akulu imatha kukhala ndi vuto lakudya (kusala kudya nthawi yayitali, kutsegula m'mimba, ndi ena), kuwonongeka kwa chiwindi (oncology, cirrhosis, hepatosis yamafuta). Poyankha funso chifukwa chomwe matenda amapangira matenda, iwo amatenga chidwi ndi mayina osachepetsa a shuga, ma endocrine pathologies ena. Mwachitsanzo, myxedema, matenda a Addison, kapena pituitary dwarfism.

China chomwe chingakhale kuperewera kwa ma enzymes omwe amaphatikizidwa ndi glucose metabolism (hepatic phosphorylase, aimpso insulinase, glucose-6-phosphatase).

Kodi hyperglycemia: kufotokozera, Zizindikiro, Zakudya

Hyperglycemia ndi matenda omwe amalumikizana ndi matenda amtundu 1 komanso matenda ashuga a 2. Hyperglycemia imadziwika ndi kuchuluka kwakukulu kwa shuga m'magazi. Kuphatikiza pa matenda ashuga, amathanso kupezeka m'matenda ena a endocrine system.

Hyperglycemia imagawika pamlingo wina wowonekera:

1. Zosavuta. Ngati kuchuluka kwa shuga mthupi sikupitirira 10 mmol / l, tikulankhula za hyperglycemia yofatsa.
2. Wofatsa Ndi mawonekedwe apakati, chizindikirochi chimachokera ku 10 mpaka 16 mmol / L.
3. Zovuta. Hyperglycemia yayikulu imadziwika ndi kulumpha mu shuga wambiri kuposa 16 mmol / L.

Mkulu wa glucose akakwera pamwamba pa 16.5 mmol / L, pamakhala ngozi yayikulu yokhala ndi chikomokere komanso kukomoka.

Munthu wodwala matenda a shuga amakhala ndi mitundu iwiri ya hyperglycemia:

• pamene chakudya sichilowa mthupi kwa maola opitilira 8, kuchuluka kwa glucose mu seramu yamagazi kumakwera mpaka 7 mmol / L. Matendawa amatchedwa hyperglycemia,
• postprandial hyperglycemia ndi pamene, mutadya chakudya, shuga wamagazi amakwera mpaka 10 mmol / l kapena kuposa.

Ndikofunikira kudziwa kuti mumankhwala mumakhala zochitika pamene odwala omwe alibe matenda a shuga amawona kuwonjezeka kwa shuga (mpaka 10 mmol / l) atatha kudya chakudya chochuluka! Zochitika zoterezi zikuwonetsa mwayi wokhala ndi shuga wodalira insulin.

Zoyambitsa Hyperglycemia

Horm yotchedwa insulin imayambitsa shuga m'magazi. Maselo a pancreatic beta amatenga nawo mbali popanga. Ngati wodwala ali ndi matenda amtundu wa 1, ndiye kuti kupanga insulin mu gland kumachepetsedwa kwambiri. Izi zimachitika chifukwa cha apoptosis kapena necrosis yama cell omwe amapanga ma cell omwe amayamba chifukwa cha zotupa zopindulitsa.

Mutha kudziwa zambiri za zomwe insulin ili patsamba lamasamba athu, zambiri ndizosangalatsa.

Gawo lodzionetsera la hyperglycemia limachitika panthawi yomwe maselo opitilira 80% a beta amafa. Mtundu wachiwiri wa matenda ashuga, chiwopsezo cha minofu ya m'mimba chimalephera. Amasiya "kuzindikira" insulin ndi zizindikiro za hyperglycemia zimayamba.

Chifukwa chake, ngakhale kupanga mahomoni okwanira, sikugwirizana ndi ntchito yomwe apatsidwa. Zotsatira zake, kukana insulini kumayamba, ndiye hyperglycemia.

Hyperglycemia ingayambike pazifukwa zosiyanasiyana:

• kudya zakudya zambiri,
• kudya zakudya zamafuta ambiri kapena zopatsa mphamvu,
• zakudya zopatsa mphamvu kwambiri
• psycho-mtima kwambiri.

Ndikofunikira kukhala ndi moyo wabwino. Kupsinjika kwambiri kwamthupi kapena m'maganizo, komanso, kusowa kochita masewera olimbitsa thupi kumatha kuyambitsa hyperglycemia!

Hyperglycemic syndrome imatha kuyamba chifukwa cha bakiteriya, matenda oyambitsidwa ndi ma virus kapena njira yovuta yotopa. Osadumphira jakisoni wa insulin kapena kumwa mankhwala ochepetsa shuga. Osamadya zakudya zoletsedwa ndi dokotala kapena kuphwanya zakudya zanu.

Zizindikiro za Hyperglycemia

Ngati hyperglycemia yapezeka nthawi, izi zithandiza kupewa kukula kwa zotsatirapo zoyipa. Udzu wokhazikika, ichi ndi chizindikiro choyamba chomwe chimayenera kukopa chidwi. Miyezi ya shuga ikakwera, munthu amakhala ndi ludzu nthawi zonse. Nthawi yomweyo amatha kumwa madzi okwanira malita 6 patsiku.

Chifukwa cha izi, kuchuluka kwatsiku ndi tsiku kumachulukitsa kangapo. Kutukuka mpaka 10 mmol / L ndi kukwera, glucose amachotsedwa mu mkodzo, kotero wothandizira ma laboratori apeza pomwe iwo akuwunika.

Koma kuphatikiza madzi ambiri, ma ayoni amchere ambiri othandiza amachotsedwa m'thupi. Izi zikuwonekeranso ndi:

• kutopa kosalekeza, kosagwirizana,
• kamwa yowuma
• kupweteka kwa nthawi yayitali
• khungu loyipa
• kuwonda kwakukulu (mpaka ma kilogalamu angapo),
• kukomoka
• kuyera kwa manja ndi mapazi,
• khungu limachepa,
• kuwonongeka mu mawonekedwe acuity.

Kuphatikiza apo, zovuta zamatumbo zomwe zimachitika pang'onopang'ono zimatha kuchitika, monga kutsegula m'mimba komanso kudzimbidwa.

Ngati mkati mwa hyperglycemia pali kuchuluka kwakukulu m'matumbo a ketone, pali matenda a shuga a ketoacidosis ndi ketonuria. Zonsezi ziwiri zimatha kuyambitsa ketoacidotic chikomokere.

Mwanayo ali ndi shuga wambiri

Hyperglycemia mwa ana ilipo mitundu ingapo. Koma kusiyana kwakukulu ndi mtundu wa matenda ashuga. Kwenikweni, madokotala amazindikira mtundu wa 2 wodwala mellitus (osadalira insulin) mwa odwala achichepere.

M'zaka 20 zapitazi, vuto la matenda a shuga kwa ana lafika pofunika kwambiri. M'mayiko otukuka, kuchuluka kwa odwala omwe akungopezeka ndi matendawa kumakula kwambiri.

Akatswiri azindikira chizolowezi chowonjezereka cha milandu yopita kuchipatala kwa ana ndi achinyamata omwe ali ndi vuto lalikulu la hyperglycemia. Zinthu ngati izi nthawi zambiri zimawonekera chifukwa cha vuto la hyperglycemia.

Mikhalidwe yotere nthawi zambiri imawoneka mwadzidzidzi ndipo imakula mwachangu kwambiri. Kukhala bwino kwa mwana kumatha kuwonongeka nthawi zonse. Nthawi zambiri, matenda a ana amakula mwa ana omwe sanaphunzitsidwe ndi makolo awo munjira yoyenera komanso moyenera.

Mabanja oterewa samalabadira za kukula kwa khanda, kukula kwake, thupi, ntchito komanso kupuma, komanso kudya moyenera. Izi ndizomwe zimayambitsa kukula kwa hyperglycemia muunyamata ndi ubwana.

Asayansi, pamodzi ndi madotolo, adachita maphunziro ambiri asayansi, zomwe zidachitika kuti zotsatira za hyperglycemia nthawi zambiri zimayenda bwino kwambiri kwa ana akumatauni. Izi ndichifukwa choti nzika za megacities ndizachangu kwambiri.

Hyperglycemia mwa ophunzitsidwa ndi ana asukulu za pulayimale amathanso kukulira chifukwa cha kupsinjika kwakuthupi, m'maganizo komanso m'maganizo.

Udindo wina mwa kupezeka kwa hyperglycemia umayikidwa kuphwanya njira zogaya chakudya m'matumbo a mwana. Zakudya za hyperglycemia zingakuthandizeni kwambiri pano.

Pali zifukwa zambiri komanso zofunikira zoyambira pakukonzekera kwa ana. Mu malo oyamba pali zovuta za organic metabolic. Matenda a shuga akamakula, zizindikiro za hyperglycemia zimawonekera kwambiri pamawonekedwe ake.

Poyamba, matendawa amatha kuyimitsidwa popanda zofooka zathupi ndi mankhwala - paokha. Koma matenda a shuga akamakula, izi zimapangitsa kuti zikhale zovuta komanso, pamapeto pake, sizingatheke.

Hyperglycemia imatha kuchepetsedwa chifukwa cha kuchepa kwa insulin m'magazi, kuletsa kwa zochitika za mahomoni kapena kupanga makutu otsika kwambiri. Izi zitha kuchitika chifukwa cha:

• fungal kapena matenda opatsirana (makamaka ndi njira yayitali),
• kuvutika mtima kwambiri
• kutsegula kwa autoimmune njira zomwe zimayamba ndi mtundu wa matenda ashuga a mtundu woyamba.

Ana ambiri odwala matenda ashuga a mtundu 2 samadwala matenda alionse, chifukwa samapitirira mwankhanza, ndipo ana otere samalandira chithandizo cha insulin (chomwe chimasiyana kwambiri ndi matenda amtundu 1).

Gulu

Hyperglycemia ndi matenda omwe amatenga mitundu ingapo nthawi imodzi. Onsewa amasiyana mumapangidwe amapangidwe ndi njira yowonekera. Muyenera kudziwa mtundu wa hyperglycemia womwe muli nawo kuti mupewe kuukira. Madokotala amagwiritsa ntchito magulu awa:

• Matenda a m'mimba - amapezeka chifukwa cha matenda a kapamba,
• Emotional - zimachitika chifukwa champhamvu zamagetsi amisala,
• Alimentary - amapezeka mutatha kudya,
• Hormonal - imachitika chifukwa cha kusalinganika kwa mahomoni.

Matenda a hyperglycemia

Matenda a hyperglycemia amapezeka kokha mwa odwala matenda a shuga. Chomwe chimatithandizira kudziwa kuti matenda a pancreas ndi osakwanira chifukwa sangathe kupanga insulini yokwanira. Komanso, cholowa cham'tsogolo chimatha kubweretsa kukula kwa matenda awa. Matenda a hyperglycemia amakhala pambuyo, kapena ogwirizana ndi kudya, komanso kusala kudya komwe kumayamba chifukwa cha njala yayitali. Matenda oopsa a hyperglycemia amapezeka m'magawo otsatirawa:

• Zosavuta - glucose amaposa 6.7 mmol / l,
• Pakatikati - pamtunda wa 8.3 mmol / l,
• Kulemera - pamwambapa 11.1 mmol / l.

Mitsempha hyperglycemia

Alimentary hyperglycemia ndi gawo lakuthupi la thupi lomwe kuchuluka kwa glucose kumakwera munthu atatha kudya. Chizindikirochi chimafika poyerekeza ndi maola angapo pambuyo pokhazikitsa. Vutoli silifunika chithandizo chapadera, popeza kuti shuga ya glucose imadzimiririra yokha pakapita nthawi.

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

Emogional hyperglycemia

Emogional hyperglycemia imachitika pambuyo pokukweza kwamanjenje, yomwe imayambitsa kupanga mahomoni a chithokomiro.Pakakhala zochuluka kwambiri m'magazi, thupi limaleka kupanga glycogeneis, koma limayamba kutaya kuchuluka kwa gluconeogeneis ndi glycogenolysis m'magazi. Ndi chifukwa cha izi kuti pali kuwonjezeka kwa shuga m'magazi.

Hormonal hyperglycemia

Hormonal hyperglycemia imachitika motsutsana ndi maziko akumasulidwa kwa mahomoni ena m'magazi. Chizindikirochi chimakhudzidwa ndi mahomoni a chithokomiro, glucagon, glucocorticoids, catecholamines.

Hyperglycemia ndi matenda omwe amayamba chifukwa cha zingapo zomwe zimayambitsa. Komabe, nthawi zambiri, matenda ashuga angapangitse matenda. Uwu ndi matenda osachiritsika omwe amapezeka mwa anthu 10 aliwonse padziko lapansi. Cholinga chake ndimapangidwe osakwanira a insulin ndi kapamba. Ndiwo mahomoni omwe amapangidwa kuti asinthe kuchuluka kwa shuga m'magazi. Nthawi zambiri, insulin imapangidwa musanadye, koma odwala omwe ali ndi matenda ashuga, maselo sangathe kuthana ndi shuga lokwanira.

Matenda ngati amenewa samafuna kukhazikitsidwa kwa insulin, koma nayo muyenera kumwa mankhwala antidiabetes. Matenda a 2 a shuga amafunika insulin yovomerezeka. Palinso matenda a shuga a gestational omwe amatha kuchitika panthawi yomwe muli ndi pakati. Komanso, zomwe zimayambitsa hyperglycemia zitha kukhala:

• Khansa yapakansa
• Hyperthyroidism - Kupanga kwambiri kwa mahomoni ndi chithokomiro cha chithokomiro.
• Chithandizo cha mankhwala enaake
• Matenda a kapamba,
• Kusokonekera kwamalingaliro
• Pamaso pa zotupa mu chithokomiro
• Ma neoplasms woopsa m'thupi,
• Cushing's Syndrome.

Aliyense amene ali ndi matenda ashuga ayenera kudziwa zomwe zimachitika mu hyperglycemia. Matenda omwe apezeka munthawi yake amatha kuyang'aniridwa mosavuta komanso kupewa kuteteza zotsatira zoyipa. Mukachedwa, mumakhala pachiwopsezo cha ketoacidosis kapena hyperosmolar coma. Mikhalidwe yotere imatha kupha mosavuta, chifukwa chake, imafunikira thandizo loyambirira. Zizindikiro za hyperglycemia zitha kuzindikirika ndikuwonetsa izi:

• Kuchepetsa kwambiri thupi
• Mutu ndi chizungulire,
• Kuchulukitsa ludzu
• Kuzunzika Kwambiri,
• Kutopa, kugona.
• Mwazi wamagazi ambiri
• Kuwona koperewera.

Mukanyalanyaza mawonekedwe a hyperglycemia kwa nthawi yayitali, mutha kukumana ndi zovuta zazikulu. Akhozanso kudziwa momwe zilili. Mkulu shuga amapangitsa:

• Matenda a pakhungu ndi candidiasis
• Kutsitsa kwamaso owoneka bwino,
• Kuchiritsa kwakanthawi kwamabala aliwonse pakhungu,
• Kuwonongeka kwa ulusi wamanjenje, chifukwa cha momwe chidwi chimasokonekera.
• Mavuto am'mimba.

Zizindikiro

Kuzindikira hyperglycemia ndikosavuta. Kuti muchite izi, ndikofunikira kuyeserera magazi, momwe mungathere kudziwa kuchuluka kwa shuga m'magazi. Kuphatikiza apo, kuyezetsa magazi, kwamagazi am'magazi, kuyesa kwamkodzo, komanso kuyesa kwa glucose kumachitika. Kuzindikira kwakuthupi kumakupatsani mwayi wodziwa zovuta zonse mthupi, chifukwa chake ndizotheka kuchita chithandizo chokwanira.

Pambuyo pa kafukufuku wokhazikika, kuyezetsa kwa C-peptide, kuyesa kwa glucose pakamwa, ndikuzindikira ma antibodies kupita kwa kapamba kumachitika. Kuphatikiza apo, kafukufuku amachitika kwa gluogosylated hemoglobin.

Ngati hyperglycemia ikanyalanyazidwa kwa nthawi yayitali, ntchito ya ziwalo zonse ndi machitidwe imasokonekera. Mtima, impso ndi chiwindi zimavutika kwambiri ndi shuga wambiri. Ndikofunikira kwambiri kuti mupezane ndi madokotala ochepa opendekera: katswiri wamitsempha, gynecologist, urologist, cardiologist ndi endocrinologist. Katswiri wamaso angafunikire kuyang'aniridwa.

Thandizo loyamba

Ndi hyperglycemia, wodwalayo ayenera kuyeza kuchuluka kwake kwa shuga. Ngati izi zikuwonetsa kupitirira 14 mmol / l, ndikofunikira kuperekera Humalog kapena Humulin insulin. Zojambula zawo ndizifupi komanso za ultrashort. Pambuyo pa jekeseni, imwani malita 1-1,5 amadzi oyera. Pambuyo pakuwonekera, yang'anirani shuga wamagazi anu ola lililonse. Lowetsani insulin mpaka mlingo ubwerere mwakale. Ngati zotere sizikuthandizira kukula kwa shuga, muyenera kuyimba ambulansi.

Kuti muchepetse kuchuluka kwa shuga m'magazi, mutha kutsuka m'mimba ndi yankho la soda: tengani supuni za 1-2 pa lita imodzi ya madzi oyera. Njirayi imabweretsa kuchepa kwakukulu kwa acidity, kotero pambuyo pake muyenera kumwa madzi ambiri am mchere. Mukakulitsa kholo, pukutani thaulo ndikuvala pakhungu. Itanani dokotala nthawi yomweyo.

Kuti muchepetse chiopsezo chokhala ndi vuto la hyperglycemic, muyenera kutsatira malangizo onse a dokotala. Adzakulemberani mulingo woyenera komanso nthawi yomwe mumamwa mankhwala. Komanso, musaiwale kutsatira zakudya, kanizani mashuga ndi zakudya zoyipa. Pitani m'masewera, yendani momwe mungathere mu mpweya wabwino. Musaiwale kuti mumakayezetsa kuchipatala pafupipafupi komwe kungathandize magawo oyambilira kuti akhumudwitse kwambiri. Zochita zosavuta izi zikuthandizani kuti mulingo wa glucose ukhale bwino.

Chithandizo cha hyperglycemia ndicholinga chofuna kuthana ndi matenda omwe amayambitsa kudumpha kwa glucose mthupi. Chithandizo chokhacho chomwe chithandizira kuchotsera matenda amenewa kamodzi kokha. Pa chithandizo, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi: m'mawa, mutatha kudya, musanagone. Ngati masana muli ndi vuto lochulukirapo, muyenera kufunsa dokotala. Izi zitha kubweretsa kukula kwa zovuta zamagulu zomwe zimayambitsa kupatuka mu ntchito ya ziwalo zamkati.

Kuwongolera kuukira kwa hyperglycemia, mlingo wa insulin wokhazikika umaperekedwa. Pambuyo pake, muyenera kumasuka ndikutsatira mawonekedwe a thupi lanu. Mwachizolowezi, chithandizo chotere chimakuthandizani kuti mubwezeretse mofulumira kuchuluka kwa shuga. Ngati jakisoni imodzi sakutulutsa, zotsatira zake zimatha mphindi 20 insulin ikuperekedwanso. Atayimitsa kuukira, munthu amatha kubwerera kumoyo wawo.

Ndikofunikira kutsatira malingaliro onse a dotolo, komanso kuwerenganso zakudya zanu. Njira yokhayo yophatikizika yomwe ingathandize kugonjetseratu hyperglycemia.

Zotsatira zake

Hyperglycemia ndi matenda omwe amasiya zotsatirapo zake. Ndizowopsa makamaka kwa odwala matenda ashuga. Ndi kukula kwa matenda awa, machitidwe onse mthupi amachepa, chifukwa chomwe zotsatira zake zimakhala zazikulu. Kunyalanyaza kwa nthawi yayitali kwa hyperglycemia kumabweretsa kukula kwa mtima kulephera, stroke, thrombosis, vuto la mtima, ischemia ndi matenda ena akuluakulu. Mavuto a hyperglycemia ndi awa:

• Polyuria - kuwonongeka kwa impso, momwe mumatuluka mkodzo wamphamvu. Chifukwa cha izi, kuchuluka kwa ma electrolyte m'thupi kumachepa, komwe kumakhumudwitsa kuchuluka kwamchere wamchere.
• Glucosuria ndichinthu chodabwitsa chomwe kuchuluka kwa shuga kumalowa m'magazi. Izi zimakhudza impso.
• Ketoacidosis ndi chodabwitsa momwe matupi a ketone amawonekera m'thupi. Amalowa mkodzo ndi magazi.
• Ketonuria ndi vuto lomwe matupi a ketone amachotsedwa mkodzo.
• Ketoacidotic chikomachi ndi chodwala chamthupi chomwe chimayambitsidwa ndi kudumpha kwakukulu pamlingo wamatumbo a ketone m'thupi. Itha kuzindikirika ndikusanza, kupweteka m'mimba, kutentha thupi. Zitha kuthandizira kupuma, kukokana, kusazindikira, komanso kulephera mtima.

Kuti muchepetse chiopsezo cha zovuta zomwe zimayambitsidwa ndi hyperglycemia, muyenera kudya moyenera. Choyamba, muyenera kukana zinthu zovulaza ndi mafuta osavuta am'magazi, omwe amakulitsa msanga shuga. Yesani kutsatira malangizo awa:

• Idyani nthawi 5-6 patsiku, yopuma kuposa maola 4,
• Onjezani kuchuluka kwa mapuloteni muzakudya zanu,
• Imwani madzi oyera ambiri momwe mungathere,
• Idyani zamasamba ndi zipatso zatsopano monga momwe mungathere,
• Patsani zakudya zamafuta kwambiri
• Onani m'masiku ndi kupumula,
• Pewani yokazinga, mafuta komanso zonunkhira.

Zizindikiro ndi zifukwa za hypoglycemia, hyperglycemia yothamanga

Kuwonjezeka kwa shuga wamagazi ndi m'mimba yopanda kanthu kumatchedwa kudya kwa hyperglycemia. Ndipo kutsitsa kumatchedwa "kusala hypoglycemia."

Magazi ndi ofunika kwambiri pakugwira ntchito kwa thupi lonse, kuphatikizapo ubongo. Chifukwa chake, ndikuphwanya mtundu wake wabwinobwino, kulephera kumachitika mu kayendedwe ka thupi, kuphatikiza kagayidwe kazakudya, machitidwe ambiri amayamba kugwira ntchito molakwika.

Mkulu wama glucose mwa munthu wathanzi ayenera kukhala kuchokera 3.3 mmol / L mpaka 5.5 mmol / L pamimba yopanda kanthu. Mukamadya, msambo uwu nthawi zambiri umakwera kwakanthawi, kenako ndikugwa. Ngati shuga sangagwere, titha kulankhula za hyperglycemia.

Nthawi yomweyo, palibe glucose wokwanira yemwe amalowa mu ubongo, kotero zovuta zingapo zimachitika. Vutoli limathanso kuchitika chifukwa cha kupsinjika mosayembekezereka, pamene thupi limatulutsa kuchuluka kwa cortisol (mahomoni opsinjika) m'magazi.

Kodi hyperglycemia amawonetsedwa bwanji? Kodi ndizizindikiro ziti zomwe zingathe kuzindikirika? Chizindikiro chimodzi kapena zingapo zitha kuchitika. Chizindikiro chofunikira ndi glucosory hyperglycemia. Uwu ndi shuga mumkodzo.

Zizindikiro zinanso:

• nseru
• kufooka
• kusanza
• mutu
• kukodza pafupipafupi
• ludzu losalekeza
• kuwonda
• kamwa youma, makamaka m'mawa,
• kugona

Zokhudza hypoglycemia, Zizindikiro ndi izi:

• kumva kwamphamvu njala
• nkhawa
• kukakamizidwa
• tachycardia
• miyendo yanjenjemera
• nkhawa
• thukuta
• cholembera chazithunzi,
• kupepuka kowoneka bwino,
• chizungulire
• khunyu
• kukokana
• chisokonezo.

Mivuto yayikulu, munthu amagwa.

Chifukwa chiyani hypo- kapena hyperglycemia imachitika?
Zokhudza hypoglycemia, zifukwa zazikulu ndi:

• kuperewera kwa mahomoni ena,
• kuperewera kwa zakudya m'thupi
• kusowa kwa chakudya chamafuta,
• kudumpha chakudya
• mavuto a chiwindi
• kusala mowa
• kupsinjika kwakukulu.

Kuphatikiza apo, pakhoza kukhala zovuta ndi shuga wamagazi chifukwa chogwiritsa ntchito molakwika mankhwala ena ake.

Kusala kudya kwa hyperglycemia kumatha kukhalanso mwa munthu wathanzi. Vutoli limatha kuchitika mukakana kudya kwa maola khumi.

Chifukwa chake, ndikofunikira kudya chakudya nthawi zonse, kutsatira zakudya. Kupanda kutero, zovuta zazikulu zingabuke, ndipo muyenera kufunsa katswiri.

Nkhani ya hyperglycemia, zomwe zimayambitsa maonekedwe ake ndi:

1. Kuchulukitsa zolimbitsa thupi kapena kuchepa mphamvu.
2. Kupsinjika kwanthawi yayitali.
3. Zakudya zosakwaniritsidwa - chakudya chochuluka chamafuta, makamaka mafuta osavuta, mankhwala osayenera.
4. Chifukwa chachikulu ndikusowa kwa insulin, komwe kumayendetsa shuga m'magazi. Izi zimakwiyitsa matenda a shuga.

Ndi matendawa, odwala amakhala ndi kukokana kwa hyperglycemia komanso kusala kudya kwa hyperglycemia kumachitika. Ndiye kuti, posala kudya kwa maola opitilira 10, kuchuluka kwa chakudya m'magazi kumachuluka kwambiri.

Kodi amathandizidwa bwanji? Chinthu chachikulu ndikuti magawo a metabolic azisintha. Izi sizingangofunika kugwiritsa ntchito mankhwala ena, komanso kusintha kwa moyo. Kuchokera pakukonzanso zakudya kuti muchepetse zochita kapena zolimbitsa thupi.

Chithandizo cha mankhwala chimayikidwa malinga ndi kuopsa kwa matendawa ndi mawonekedwe ake pokhapokha atapezeka ndi matenda athunthu. Odwala ayenera kutsatira mosamalitsa zomwe dokotala wamupatsa.

Ndi hyperglycemia, ndikofunikira kuti muchepetse shuga. Kuti muchite izi, imwani madzi ambiri, sinthani zakudya.

Kuphatikiza apo, akatswiri amatha kutembenukira ku madzi am'madzi ndi chithokomiro. Ndipo nthawi zina simungathe kuchita popanda kuyambitsa insulin.

Ponena za hypoglycemia, kuchuluka kwa shuga kuyenera kukweza msanga. Zakudya zotsekemera kapena jakisoni wa insulin zingathandize ngati pakufunika.

Kupewa kwa hypoglycemia ndi hyperglycemia ndiyo njira yoyenera ya moyo. Kuchita masewera olimbitsa thupi moyenera, kudya moyenera, komanso kukana zosokoneza bongo - kusuta fodya ndi mowa ndizofunikira.

Thanzi ndilofunika kwambiri kuti thupi lizigwira ntchito bwino. Makamaka, kupewa zisokonezo mu kagayidwe kazakudya ndi kupezeka kwa zochitika monga hyper- ndi hypoglycemia.

Izi ndizowona makamaka kwa chakudya chamafuta. Gome lomwe limawonetsa kuchuluka kwa chakudya m'zinthu zina zingakuthandizeni kuzindikira.

Chakudya chopatsa thanzi cha hyperglycemia chimadziwika ndi kuletsa kokhazikika kwa chakudya. Muyenera kudya m'magawo ang'onoang'ono, koma nthawi zambiri - kangapo patsiku. Nyama ndi nsomba zimayenera kusankhidwa zamafuta ochepa ndikuwaphika moyenera.

Ndiye kuti, chophika, kuphika ndi kuphika, koma osatheka. Mutha kugwiritsa ntchito zinthu ngati izi 4 pa sabata. Zamasamba ziyenera kukhala muzakudya, ziyeneranso kuphikidwa bwino kapena kudyedwa zosaphika.

Hypercholesterolemia ndichofunikira kuti apangidwe a hyperglycemia. Imachitika chifukwa cha kufalikira kwamitsempha yamagazi. Popewa izi, ndikofunikira kugwiritsira ntchito mafuta athanzi okha.

Amapezeka mu nsomba, mafuta a nsomba, mtedza ndi mafuta a masamba. Mukuyeneranso kudya zinthu izi pang'ono.

Muthanso kudya chimanga chosiyanasiyana. Koma phala la mpunga limaloledwa kudya kamodzi pa sabata (voliyumu ndi yaying'ono). Spaghetti ndi pasitala zimatha kudyedwa kawirikawiri kapena ndibwino kuzisiyiratu.

Momwemonso pamakhala mkate woyera. Zakudya izi zimakhala ndi chakudya chamafuta ambiri, kotero zimatha kukhala zovulaza thanzi lanu (mwachitsanzo, zimapangitsa kunenepa kwambiri). Zipatso zimaloledwa kupatula nthochi ndi mphesa, chifukwa ndizokoma kwambiri.

Zakudya za hyperglycemia amaletsa kudya maswiti wamba. Ngati mukufunadi, muyenera kusankha maswiti omwe sucrose imasinthidwa ndi chakudya chamafuta.

Popeza pali okoma, mutha kusankha ma cookie osavulaza, ma waffle, kapena china chokoma. Ndikulakalaka kwambiri maswiti, ngati pakadali pano palibe zakudya zotetezeka, mungathe kudya uchi wonunkhira. Koma kuchita izi ndikosowa kwambiri.

Zakudya zopatsa thanzi kwa hypoglycemia zimaphatikizapo kuphatikiza mafuta ochulukirapo m'zakudya. Izi ziyenera kuchitika kumayambiriro kwa chakudyacho. Ndiye kuti, ndikofunikira kusiya muffin, maswiti, pasitala.

Zogulitsa zoterezi zimakhala ndi mafuta osavuta, omwe amawonongeka msanga, ndipo zikafika m'magazi, zimapangitsa kuti insulini itulutsidwe kwambiri. Mlingo wa shuga ndiye umatsikanso msanga, chifukwa chake kuli kumverera kwanjala.

Zakudya za hypoglycemia zimakuthandizani kuti muzidya zinthu zotsatirazi:

The nuance of the hypoglycemic zakudya: chakudya chizikhala cholocha kapena kuwiritsa. Pambuyo pa sabata la chakudya chotere, amaloledwa kuyambitsa chipatso chimodzi patsiku, kupewa chokoma kwambiri.
Kuchokera pamasamba mungathe kuwonjezera:

Pakatha sabata ina, mutha kuyambitsa chimanga ndi buledi wa tirigu, koma zonsezi modekha. Ndipo ndikofunika kutsatira mndandanda woterewu pafupipafupi.

Ndiko kuti, zakudya ziyenera kukhala zokwanira komanso zopatsa thanzi, koma zopatsa mphamvu zam'mimba ziyenera kupewedwa, ndikupatsa chidwi ndi zovuta za chakudya, zomwe zimapezeka mumbewu, masamba ndi mkate wonse wa tirigu.

Ngati mukufunikira kuchotsa matenda a hypoglycemia, muyenera kudya kapena kumwa chinthu chabwino kapena chakumwa china chilichonse. Izi ndi zakudya zomanga thupi.
Nayi njira zabwino:

• mapiritsi ena a shuga
• magawo angapo achokoleti
• supuni ya uchi - kuchuluka kwake ndi zigawo zitatu,
• ma saponi angapo a kupanikizana kapena kupanikizana,
• kapu yamkaka (iyenera kukhala 1%),
• theka la kapu ya madzi otsekemera a zipatso,
• supuni ya shuga
• marmalade.

Ngati, pambuyo pa mphindi makumi awiri, shuga atatsikanso, muyenera kudya kenanso kotsekemera. Koma simungathe kuzikwanitsa, chifukwa ngati shuga wambiri ndi wokwera kwambiri, mutha kumvanso bwino.

Zizindikiro za hypoglycemia zikatha, muyenera kusiya. Ndikwabwino kusankha zakudya zamadzimadzi kapena mutamwa kapu ya tiyi. Izi zikuthandizira mafuta ochulukitsa kukweza shuga m'magazi mwachangu.

Hyperglycemia ndi hypoglycemia ndizovuta zazikulu za kagayidwe kazakudya. Amakhala ndi ngozi yayikulu yathanzi.

Ndipo kudya zakudya zoyenera kumathandizanso kukhala ndi shuga wabwinobwino, kupewa mavuto osasangalatsa komanso owopsa, komanso kuthetsa mavuto. Kupatula apo, hypo- ndi hyperglycemia zimatha kubweretsa zovuta zambiri kuchokera kunenepa kupita pamavuto a impso, chiwindi ndi mtima.

Mwazi wamagazi ukakwera mwa munthu, ndiye kuti matendawa amatchedwa hyperglycemia malinga ndi terminology yachipatala. Nthawi zambiri amakula ndikuchepa kwa kupanga kwa insulin ndipo nthawi zambiri ndi chizindikiro cha matenda ashuga. Koma kupatula izi, zinthu zina zimatha kupangitsa boma kukhala la hyperglycemic.

Kuwonjezeka kwa shuga m'magazi kumatha kuchitika pazifukwa zosiyanasiyana. Koma mulimonsemo, ziyenera kumvedwa kuti mkhalidwewu ndiowopsa kwambiri ndipo umafunika kusintha posachedwa. Izi matenda amodziwika ndi etiological mu zotsatirazi mitundu ya hyperglycemia:

Hyperglycemic syndrome imagawidwa ndi mavuto:

• Fomu yofatsa imayamba pamene shuga m'magazi sakhala apamwamba kuposa 10 mmol / L.
• Fomu yapakati imapezeka ndi shuga wamagazi a 10 - 16 mmol / l.
• Fomu yolimba imadziwika ndi kukwera kowopsa m'magazi a glucose pamtunda wa 16 mmol / L.
• Chizindikiro cha glucose chikuposa mtengo wa 16.5 mmol / l, ndiye kuti izi zikuwopseza kukula kwa precoma komanso ngakhale munthu atha kukhala wovuta.

Kwa anthu omwe ali ndi matenda ashuga, matenda a hyperglycemic amalembedwa m'mitundu iwiri:

• Kuthamanga kwa hyperglycemia. Mwakutero, kuchuluka kwa shuga m'magazi kumakwera mpaka 7 mmol / l, pomwe nthawi yayitali pakati pa chakudya ndi maola opitilira 8. Fomuyi imadziwikanso kuti kusala kudya kwa hyperglycemia.
• Postprandial hyperglycemia. Potere, kuchuluka kwa glucose m'magazi kumapitilira 10 mmol / l nthawi yomweyo mutangodya.

Hyperglycemia ndi vuto lalikulu la matenda. Koma ngati atapezeka munthawi yake, ndiye kuti zovuta zaumoyo zingapewe. Chifukwa chake, muyenera kudziwa zizindikiro za hyperglycemia. Ndiwodziwikiratu, motero nkovuta kuzizindikira.

Hyperglycemia syndrome nthawi zonse imagwirizanitsidwa ndi ludzu losatha komanso pakamwa lowuma. Potere, munthu amatha kumwa mpaka malita 6 amadzi patsiku. Zotsatira zake, kuchuluka kwa ma urination kumachulukanso kwambiri. Zizindikiro ziwiri izi zitha kuwonetsa kuti hyperglycemia imagwirizanitsidwa ndi kukula kwa matenda ashuga.

Zizindikiro zina za hyperglycemia:

• Kutopa nthawi zonse kapena kufooka, kopanda tanthauzo,
• Kuchuluka thukuta,
• Mutu ndikuchepetsa chidwi,
• Kuchepetsa thupi kwakanthawi kochepa ndikamadya wamba,
• Zovuta
• Kupumira kwambiri komanso kupweteka kwamisempha
• Kulimbana kwamkati ndi mseru
• Khungu lowuma, kuchepa kwa chidwi chawo komanso kumachitika pakuluma,
• Zowonongeka,
• Kuchiritsa konse
• Kuzindikira koperewera ndi kukomoka
• Mawonekedwe akununkhira kwa acetone kuchokera mkamwa.

Chinthu chachikulu chomwe chimayambitsa matenda a shuga m'magazi ndi insulin yopangidwa ndi kapamba. Zomwe zimayambitsa hyperglycemia mu shuga zimayenderana ndi izi:

• Poyambirira, ndi matenda amtundu wa 1 shuga, chifukwa cha kuwonongeka kwa maselo kapamba kapena kutupa, kupanga insulini kumachepetsedwa kwambiri. Mphamvu ya hyperglycemic imachitika pamene maselo opitilira 80% omwe amapanga insulin afa.
• Kachiwiri, ndimatenda a shuga a 2, insulin chiwopsezo chimachepa. Hormon iyi imaleka kukhala chinyama chodziwika, ndipo, monga chotulukapo chake, kuchuluka kwa glucose m'magazi kumakwera ngakhale ndikupanga kokwanira kwa insulin ndi kapamba.

Ngati zonse zili zabwinobwino ndikupanga insulin, ndiye kuti ana ndi achikulire amatha kuphatikizidwa ndi zinthu zina, monga:

• Kudya kwambiri nthawi zonse komanso kudya zakudya zopatsa mphamvu zambiri za calorie
• Nthawi zambiri zopsinjika pamutu zomwe hyperglycemia imayamba,
• Zolimbitsa thupi komanso zosasankhidwa molakwika. Komanso, glycemia imatha kudzutsa ntchito kwambiri komanso kusayenda,
• Matenda opatsirana
• Kumwa mankhwala ena ake.

Hyperglycemia mu akhanda, nthawi zambiri amakula, ndi kulemera pang'ono, mpaka 1.5 makilogalamu. Awa ndi, monga lamulo, makanda osabadwa. Pankhaniyi, zomwe zimayambitsa glycemia zimagwirizana ndi infusions wa glucose wambiri. Nthawi zambiri mwana akangobadwa kumene, kuchuluka kwa shuga m'magazi kumatha kuchuluka chifukwa cha matenda.

Nthawi zina hyperglycemia imapezeka mwa amayi omwe ali ndi mwana. Izi zitha kukhala chifukwa chowonjezera kupsinjika kwa thupi komanso kuchepa kwa chakudya m'thupi.

Zotsatira za hyperglycemia, ngati zitasiyidwa, zimakhala zovuta kwambiri. Tiyenera kumvetsetsa kuti ngakhale simukuwona kuwonongeka m'moyo wanu, koma mukudziwa kuti shuga yanu ndimakhala yayitali kuposa dzenje, kusintha kosasinthika kudzawoneka m'zaka zochepa.

Zotheka kwambiri kuti kusintha kwamatenda am'magazi komanso mitsempha kumachitika mtsogolo. Zowonanso:

• Matenda a impso,
• Matendawa
• Matenda a maso: a cataract kapena glaucoma.

Chifukwa chake, ngakhale ngati chifukwa cha hyperglycemia chinali choletsa kudya kwambiri, ndiye kuti kuyenera kuchitika. Ngakhale kuwonjezeka kamodzi kwa shuga m'magazi kungathe kuzindikira kukula kwa matenda ashuga.

Hyperglycemia posakhalitsa chithandizo chimayambitsa matenda a metabolic. Ndi shuga wambiri m'magazi, munthu amakula ketoacidosis. Zimatha kudzetsa nkhawa, kukomoka komanso ngakhale kufa.

Kuzindikira matendawa kumatengera kupenda kwamankhwala amwaziwidwe kuti azindikire kuchuluka kwa shuga m'magazi. Magazi amatengedwa m'mawa pamimba yopanda kanthu. Ngati chizindikirochi chili m'dera la 126 mg / dl, ndiye kuti titha kunena za chitukuko cha matenda ashuga.

Kuti mumvetse bwino za matendawa, kuyesedwa kwa pathomorphological kumachitika komwe kumatsimikizira ngati kukanika kwa pancreatic kumagwirizana ndi oncology. Ndi kuchuluka pang'ono kwa shuga m'magazi, kuwunikiranso kwachiwiri kumachitika mutatha kudya pafupifupi maola angapo pambuyo pa woyamba. Kupatula chinthu chopsinjika, kuyezetsa kwachiwiri kwa magazi kumayikidwa pakatha sabata.

Ngati hyperglycemia ndi yofatsa, ndiye kuti sikofunikira kugwiritsa ntchito mankhwala pochizira. Sinthani shuga lanu lamagazi posintha moyo wanu. Chofunika kwambiri kwa tsogolo labwino ndi zakudya za hyperglycemia. Kuchokera muzakudya, muyenera kupatula zakudya zamagulu owonjezera komanso zakudya zamafuta ambiri, komanso zakudya zamkati ndi zosuta. Zogwiritsira ntchito pazakudya za tsiku ndi tsiku ziyenera kukhala masamba ndi zipatso. Kuphatikiza apo, muyenera kutsatira zakudya. Tiyenera kumvetsetsa kuti chakudyacho chikuyenera kuvomerezana ndi adokotala. Kuchita zolimbitsa thupi pafupipafupi molingana ndi zaka komanso momwe thupi lanu limathandizira kumathandizira kuti shuga asakhale magazi.

Ngati munthu wapezeka ndi matenda a shuga, ndiye kuti jakisoni wa insulin amagwiritsidwa ntchito pochiza. Malangizo awo amathandizidwa ndi dokotala. Kumbukirani kuti kulumikizana kowopsya mu shuga mwa anthu omwe ali ndi matenda ashuga nthawi zambiri kumalumikizidwa ndi kumwa kwadzidzidzi kwa mankhwala ochepetsa shuga. Chifukwa chake, muyenera kutsatira mosamalitsa zomwe adotolo adachita.

Ndi zovuta za hyperglycemic zosadalira insulini, ndikofunikira kuti kuchepa kwa acidity yowonjezereka. Kuti muchite izi, muyenera kumwa madzi amchere ambiri komanso kudya masamba ndi zipatso zambiri. Mutha kuchepetsa acidity mwachangu ndi supuni zingapo za koloko yophika itasungunuka m'madzi. Khungu la munthu yemwe ali ndi vuto la hyperglycemic ayenera kupukutidwa ndi nsalu yonyowa nthawi zonse. Izi zipangitsa kuti kuchepa kwamadzi kwakuthupi. Kumwa kwambiri kumalimbikitsidwanso.

Mankhwala achikhalidwe amapereka njira zambiri zolimbana ndi hyperglycemia. Mafuta ofunikira omwe ali m'magulu osiyanasiyana azachipatala amachepetsa kuchuluka kwa shuga m'magazi ndikuthandizira kukhazikika kwa vutoli. Hyperglycemia mu shuga mellitus nthawi zambiri amathandizidwa ndi bulugamu, juniper ndi geranium. Kuphatikiza apo, tiyi wochokera ku mabulosi amtundu wa bulosi ndi masamba a birch, mizu ya masamba ndi masamba a nyemba amawonedwa kuti ndi othandiza pamiyeso ya shuga yambiri. Koma panthawi imodzimodzi, ndikofunikira kukumbukira kuti mitundu ina iliyonse yopangira mawonekedwe iyenera kuvomerezedwa kale ndi dokotala.

Kuthandiza ndi hyperglycemia

Matenda a shuga, ndipo, monga chotulukapo chake, hyperglycemia, ikufalikira modabwitsa padziko lonse lapansi, imatchulidwanso kuti mliri wazaka zam'ma 2000. Ichi ndichifukwa chake ndikofunikira kudziwa momwe mungathandizire bwino komanso moyenera ma hyperglycemia. Chifukwa chake, ngati pakuukira:

1. Kuti muchepetse kuchuluka kwa acidity m'mimba, muyenera kudya zipatso zambiri ndi ndiwo zamasamba, kumwa madzi amchere amchere ambiri ndi sodium, calcium, koma osapereka madzi amchere a chlorine. Njira yothira supuni za supuni 1-2 za kapu ya madzi pakamwa kapena enema ingathandize
2. Pofuna kuchotsa acetone kuchokera mthupi, yankho la sopo liyenera kutsuka m'mimba,
3. Popitilirani kupukuta khungu ndi chopukutira chonyansa, makamaka mmanja, pansi pa mawondo, khosi ndi pamphumi. Thupi limakhala ndi madzi osafunikira ndipo limafunikira kuti madzi aziziriranso,
4. Odwala omwe amadalira insulin ayenera kuyezedwa shuga, ndipo ngati chizindikiro ichi chili pamwamba pa 14 mmol / l, jakisoni wa insulini uyenera kutengedwa mwachangu ndipo chakumwa chochuluka chimayenera kuperekedwa. Kenako muzichita izi kwa maola awiri aliwonse ndikupanga jakisoni wa insulini mpaka magazi atasintha.

Popeza adalandira chithandizo choyamba cha hyperglycemia, wodwala yemwe ali ndi vuto lililonse ayenera kulumikizana ndi kuchipatala, kupanga mayeso angapo ndikulandila chithandizo chamankhwala.

Mavuto ndi Zotheka

Hyperglycemia ndi matenda omwe amasiya zotsatirapo zake. Ndizowopsa makamaka kwa odwala matenda ashuga. Ndi kukula kwa matenda awa, machitidwe onse mthupi amachepa, chifukwa chomwe zotsatira zake zimakhala zazikulu. Kunyalanyaza kwa nthawi yayitali kwa hyperglycemia kumabweretsa kukula kwa mtima kulephera, stroke, thrombosis, vuto la mtima, ischemia ndi matenda ena akuluakulu.

Mavuto a hyperglycemia ndi awa:

1. Polyuria - kuwonongeka kwa impso, momwe mumatuluka mkodzo wamphamvu. Chifukwa cha izi, kuchuluka kwa ma electrolyte m'thupi kumachepa, komwe kumakhumudwitsa kuchuluka kwamchere wamchere.
2. Glucosuria ndichinthu chodabwitsa chomwe kuchuluka kwa shuga kumalowa m'magazi. Izi zimakhudza impso.
3. Ketoacidosis ndi chodabwitsa momwe matupi a ketone amawonekera m'thupi. Amalowa mkodzo ndi magazi.
4. Ketonuria ndi vuto lomwe matupi a ketone amachotsedwa mkodzo.
5. Ketoacidotic chikomachi ndi chodwala chamthupi chomwe chimayambitsidwa ndi kudumpha kwakukulu pamlingo wamatumbo a ketone m'thupi. Itha kuzindikirika ndikusanza, kupweteka m'mimba, kutentha thupi. Zitha kuthandizira kupuma, kukokana, kusazindikira, komanso kulephera mtima.

Kodi ndizofunikira kudya ziti?

Zakudya ndi imodzi mwazinthu zothandizira pa matenda a hyperglucoseemia. Zomwe zimakhazikitsidwa ndi zakudya ndizoti muchepetse chakudya chamagulu ochulukirapo komanso zakudya zama calorie ambiri, tsiku lililonse kuwerengetsa kuchuluka kwake. Chakudyacho sichimaphatikizapo mbatata, spaghetti, mikate yoyera, buns, phala la mpunga sayenera kuzunzidwa. Sizoletsedwa kugwiritsa ntchito shuga, uchi, kupanikizana, confectionery. Maswiti amaloledwa pokhapokha ngati achite masewera olimbitsa thupi. Thupi likamafuna maswiti, shuga amalimbikitsidwa ngati kutsekemera.

Zakudyazi ziyenera kuphatikizapo nyama yazakudya, nsomba. Kukhazikitsidwa kwa chakudya chamagulu mu masamba ndikofunikira. Zakudya za tsiku ndi tsiku zimakhala ndi izi:

• buledi wakuda - 240 g,
• masamba kapena batala - 15 g,
• maapulo kapena kaloti - 200 g,
• ma groats - 100 g
• mkaka - 300 g
• dzira - 2 ma PC.,
• tchizi - 20 g
• nyama kapena nsomba mu mawonekedwe ophika kapena yophika.

Zithandizo za anthu

Kukwaniritsa malingaliro onse a dotolo, mwina mutha kutembenukira ku mankhwala azikhalidwe. Zomera zina zamankhwala zimakhala ndi ma alkaloids monga insulin ndipo zimatha kuchepetsa kuchuluka kwa shuga:

1. Supuni ndi wosweka dandelion muzu kunena mphindi 30 mu 1 tbsp. madzi otentha ndi kumwa 50 ml 4 pa tsiku. Yothandiza kwambiri saladi wa dandelion masamba ndi amadyera. Muziviika masamba m'madzi. Nyengani saladi ndi kirimu wowawasa kapena batala.
2. Wiritsani Yerusalemu artichoke kwa mphindi 15 ndikumwa msuzi wofunda.
3. Wiritsani kapu ya oat mbewu kwa mphindi 60 mu lita imodzi ya madzi otentha, ozizira komanso kumwa osaletsedwa.
4. Sakani masamba 10 a laurel masana mu 250 ml ya madzi owiritsa. Imwani ofunda 50 ml musanadye masiku 7.
5. Mothandizidwa bwino amachepetsa shuga. Mutha kugwiritsa ntchito masamba ake. Amata masamba ndi madzi otentha, onjezerani kwa maola awiri ndi kumwa 250 ml katatu patsiku kwa miyezi isanu ndi umodzi.

Njira zogwira mtima zimatha kukhala decoctions wa mizu ya burdock, nyemba nyemba, mlombwa ndi buluzi. Koma musanagwiritse ntchito mankhwala aliwonse, muyenera kufunsa dokotala.

Zoyenera kuchita kupewa?

Popewa hyperglycemia, odwala matenda ashuga ayenera kutsatira mosamalitsa malangizo othandizira - musaiwale kumwa mankhwala, kuwonjezera zolimbitsa thupi koma zolimbitsa thupi m'moyo wanu, kumanganso zakudya zanu kuti chakudya chamagulu azilowa mthupi mokwanira komanso pafupipafupi.

Ngati izi zachitika kangapo motsatira mzere wa hyperglycemia, muyenera kupita kwa dokotala kuti musinthe mankhwalawo. Kufunsira kwa endocrinologist ndikofunikanso pakachitika njira yopangira opaleshoni, matenda oopsa, kutupa kwambiri, komanso pakati.

Kupewa kwamphamvu kwa hyperglycemia kwa anthu athanzi kumakhala ndi zochitika zolimbitsa thupi popanda kupanikizika kwambiri, kupewa kupsinjika, kukhalabe ndi thanzi labwino, kudya wathanzi. Sichikhala chopanda pake kupatula kukwera msanga m'magazi, chifukwa izi, maswiti amafunika kudya pang'ono masana, osati gawo limodzi lalikulu.

Kusamalira mwadzidzidzi kwa hyperglycemia

Ndi zinthu ziti zomwe zimayenera kuchitidwa ngati munthu ali ndi vuto la hyperglycemia: kufooka, kutopa, tinnitus, kununkhira kwa acetone kuchokera mkamwa? M'malo okondweretsa, kupuma wodwalayo kumafooketsa, masomphenyawo amachepa, ndipo amatha kuzindikira. Popewa kupezeka kwa chikomokere, ndikofunikira kupatsa odwala chithandizo choyamba munthawi yake:

• pangani kuchuluka kwa shuga. Ngati mtengo wake uli pamwamba pa 14 mmol / l, odwala omwe amadalira insulin ayenera kupatsidwa mlingo wa insulin ndikupereka madzi ambiri,
• odwala osadalira insulini ayenera kuchepetsa acidity ya thupi: idyani masamba ambiri ndi zipatso, imwani madzi ambiri amchere. Kuchepetsa mphamvu ya kuphika koloko ngati kusungunuka m'madzi (supuni imodzi yagalasi imodzi yamadzi),
• kuchotsa acetone m'thupi, munthu ayenera kutsuka m'mimba ndi sopo wowonjezera,
• m'malo okongola, ndikofunikira kupukuta pamphumi, mikono, khosi, malo omwe ali pansi pa mawondo ndi thaulo lonyowa,
• ngati shuga sangachepe, wodwalayo ayenera kuchipatala - chifukwa cha kupuma, angafunike mpweya wa oxygen.

Kugwiritsa ntchito mankhwala osokoneza bongo

Chithandizo chokhacho chodalirika cha matenda a shuga omwe amadalira insulin ndikukhazikitsa mlingo wa insulin pansi pa khungu. Pankhani ya matenda a shuga a mtundu wachiwiri, kugwiritsa ntchito mankhwala opha tizilombo toyambitsa matenda a sulfonylurea, zotumphukira, ma meglitinides, ndi alpha-glucosidase inhibitors. Mankhwala othandiza pano:

• Metformin - amatanthauza ma biguanides, amachititsa chidwi cha maselo pazomwe zimachitika mu insulin ya mahomoni, amasintha kayendedwe ka magazi m'matumbo, amachepetsa kubwereza ndi kusayenda kwa capillaries. Kutulutsa mawonekedwe - mapiritsi a 500, 850 ndi 1000 mg. Odwala odwala matenda ashuga komanso chikomokere, matenda a chiwindi, impso, mtima, matenda a ubongo
• Glimepiride ndi mankhwala a gulu la sulfonylurea omwe amalimbikitsa maselo a pancreatic kupanga insulin. Kutulutsa mawonekedwe - mapiritsi a 1, 2, 3 ndi 4 mg. Odwala matenda a chiwindi, impso, pakati. Ndikulimbikitsidwa kuti muyambe kumwa ndi 1 mg kamodzi patsiku, ndikuwonjezera mpaka zotsatira zake zithe.

Zakudya za hyperglycemia

Zakudya ndi imodzi mwazinthu zothandizira pa matenda a hyperglucoseemia. Zomwe zimakhazikitsidwa ndi zakudya ndizoti muchepetse chakudya chamagulu ochulukirapo komanso zakudya zama calorie ambiri, tsiku lililonse kuwerengetsa kuchuluka kwake. Chakudyacho sichimaphatikizapo mbatata, spaghetti, mikate yoyera, buns, phala la mpunga sayenera kuzunzidwa. Sizoletsedwa kugwiritsa ntchito shuga, uchi, kupanikizana, confectionery. Maswiti amaloledwa pokhapokha ngati achite masewera olimbitsa thupi. Thupi likamafuna maswiti, shuga amalimbikitsidwa ngati kutsekemera.

Zakudyazi ziyenera kuphatikizapo nyama yazakudya, nsomba. Kukhazikitsidwa kwa chakudya chamagulu mu masamba ndikofunikira. Zakudya za tsiku ndi tsiku zimakhala ndi izi:

• buledi wakuda - 240 g,
• masamba kapena batala - 15 g,
• maapulo kapena kaloti - 200 g,
• ma groats - 100 g
• mkaka - 300 g
• dzira - 2 ma PC.,
• tchizi - 20 g
• nyama kapena nsomba mu mawonekedwe ophika kapena yophika.

Lingaliro la hyperglycemia ndi mitundu yake

Hyperglycemia ndi chizindikiro cha matenda chomwe chimawonetsa shuga wambiri m'magazi a wodwala. Monga lamulo, imakhala ndi chitukuko cha matenda a shuga, komanso zimawonetsa kupezeka kwa zovuta zina mu endocrine system.

Hyperglycemia imapezeka ngati shuga m'magazi ndi ochepera 3.3 mmol / L.

Pakadali pano, akatswiri ali ndi magawo atatu azovuta zakuthwa kwa hyperglycemia:

• mawonekedwe ofatsa, pamene shuga ya m'magazi imapitilira pang'ono komanso momwe ilili 6-10 mmol / l,
• glycemia wocheperako, pakakhala kusintha kwakukulu pakuwonekera kwa shuga ndipo chisonyezo chake chili mu mzere wa 10-16 mmol / l,
• mawonekedwe owopsa, pamene shuga m'magazi akukwera kwambiri ndipo chizindikiro chimaposa 16 mmol / l.

Nthawi zambiri mumawonekedwe owopsa, shuga akajambulidwa pamlingo wopitilira 16.5 mmol / l, pamakhala chiwopsezo chokhala mkhalidwe wokoma kapena chikomokere.

Zoyambitsa ndi Zoopsa

Milingo ya shuga ya Serum imayendetsedwa ndi insulin, mahomoni omwe amapangidwa ndi maselo a pancreatic. Kuperewera kwa insulini kapena kuchepa kwake pakati pa kayendedwe ka minofu ya thupi (insulin kukana) kumayambitsa kuchepa kwa shuga m'magazi ndikuwonjezera kuchuluka kwake. Pali zifukwa zambiri za hyperglycemia. Zina mwa izo ndi:

matenda a shuga - kupsinjika kwa shuga kumadzuka chifukwa cha kudya kosafunikira kapena kudya.

Kudya msanga kwa mankhwala ochepetsa shuga kapena jakisoni wa insulin kumathandizanso kuti shuga awonjezeke.

Tiyenera kudziwa kuti odwala matenda ashuga amatha kudwala mitundu iwiri yamatenda awa:

• kudya glycemia, chakudya sichilowa mthupi kwa maola opitilira 8,
• postprandial glycemia yomwe imachitika mutangotha ​​kudya.

Pali anthu ambiri omwe samadwala matenda ashuga, koma onani kuchuluka kwa shuga m'magawo atatha kudya kwambiri. Ali ndi chiopsezo chachikulu chotenga matendawa.

Zizindikiro za matenda ashuga - kanema

Popewa kukula kwamavuto akulu, ndikofunikira osati kungodziwa zizindikiro za matendawo, komanso kuzindikiritsa munthawi yake. Akatswiri amasiyanitsa pakati pazizindikiro za hyperglycemia zoyambilira komanso mochedwa. Zoyambirira zikuphatikiza:

• ludzu lochulukirapo
• kamwa yowuma
• kupweteka mutu pafupipafupi
• kuwonongeka kwamawonekedwe
• kutopa,
• kukodza pafupipafupi
• kuwonda
• kuyabwa kwa khungu.

Hyperglycemia imadziwonetsera ngati ili tulo, nseru, ludzu lalikulu, njala

Hyperglycemia wokhalitsa kwa nthawi yayitali nthawi zambiri imayambitsa zovuta zazikulu:

• khungu ndi ukazi,
• kukulira mabala ndi mabala,
• kuwonongeka kwa mitsempha
• kuphwanya zamkati pamiyendo,
• mavuto am'mimba - m'mimba komanso kudzimbidwa.

Kulimbikira kwa hyperglycemia kumatha kupangitsa kukhazikika kwa ketonuria (mawonekedwe a matupi a acetone mu mkodzo), komanso ketoacidosis (kuphwanya kwa kagayidwe kazachilengedwe). Zotsatirazi nthawi zambiri zimayambitsa kudwala matenda ashuga.

Zolemba za maphunzirowa panthawi yapakati

Pa nthawi yomwe mayi ali ndi pakati, azimayi ena amapezeka ndi matenda a shuga, chomwe ndi chimodzi mwa zinthu zomwe ndi hyperglycemia. Kupezeka kwake kumachitika chifukwa cha kuchepa kwa mankhwala a insulini, zomwe zimapangitsa kuti magazi azikhala ndi shuga ambiri. Monga lamulo, ndizakanthawi ndipo pambuyo pobadwa kwa mwana mwana amwalira popanda kuwatsata.

Ana ndi hyperglycemia

Mu makanda, makamaka akhanda, hyperglycemia imathanso kukhala. Ali aang'ono, izi zimatha kukhala chifukwa cha kuchepa thupi (osachepera 1.5 makilogalamu) kapena kusokonezedwa ndi matenda monga sepsis, meningitis, encephalitis, etc. Ana okulirapo, kuperewera kwa zakudya m'thupi komanso kugona mokwanira kumathandizira kuti zikhalepo. Kuzindikira koyambirira matendawa kumathandiza kupewa kukulitsa zovuta zazikulu, makamaka ubongo wa edema, zotupa za m'mimba, ndi matenda a endocrine system.

Njira Zodziwitsira

Pakukayikira koyamba kwa hyperglycemia, muyenera kufunsa dokotala yemwe adzakupatseni njira zodziwira ngati mukudwala. Monga lamulo, njira zonse zimapangidwira pakupenda ndi kuzindikira kuchuluka kwa shuga m'magazi. Njira zodziwika bwino ndi izi:

• kusala magazi mayeso - anachita m'mawa asanadye ndi kumwa,
• kusanthula kwamkodzo wam'mawa kuti muwone glucosuria,
• kusanthula kwadzidzidzi - komwe kumachitika panthawi inayake posankha dokotala,
• kuyesa kwamlomo - kumakuthandizani kuti muzindikire kulolera kwa glucose ndikuwona kukhalapo kwa matenda osokoneza bongo,
• kusanthula kwa glycosylated hemoglobin - kumakupatsani mwayi wodziwa kuchuluka kwa shuga m'miyezi iwiri yapitayo.

Kuyesedwa kwa magazi ndi njira yayikulu yopezera matenda a hyperglycemia.

Hyperglycemia ndi vuto lalikulu, motero, imafunikira njira yapadera yoperekera chithandizo. Choyamba, ndikofunikira kuyeza kuchuluka kwa glucose m'magazi ndipo pamaso pa zopatuka zazing'ono, funsani dokotala.

1. Ndi hyperglycemia yofatsa, njira zosagwiritsa ntchito mankhwalawa zingathandize kuchepetsa matenda a shuga:
   • zakudya zamankhwala
   • kumwa kwambiri
   • zolimbitsa thupi zolimbitsa thupi
   • mankhwala achikhalidwe.
2. Ndi zovuta zoopsa kwambiri, chithandizo chamankhwala chingakuthandizeni.

Maphikidwe a mankhwala achikhalidwe

Pamodzi ndi mankhwala, wowerengeka azitsamba amawonedwa kuti ndi othandiza.

1. Muzu wa Dandelion. Supuni yodzaza ndalama zowerengeka ziyenera kukanikizidwa mu kapu yamadzi otentha kwa theka la ola. Muyenera kumwa mankhwala ¼ chikho.
2. Nyemba Pods. A decoction okonzedwa mumadzi osambira a 2 malita a madzi ndi nyemba zosankhwima 50, tikulimbikitsidwa kumwa chikho cha ½ katatu patsiku.

Chithandizo cha matenda am'mimba komanso zovuta zomwe zingachitike

Ndi chithandizo chanthawi yake ndikutsatira malingaliro onse a dokotala, chithandizo cha hyperglycemia chimapereka zotsatira zabwino. Komabe, kusowa kolowera kumatha kubweretsa zovuta zazikulu:

• matenda ashuga
• matenda ashuga ketoacidosis,
• hyperosmolar coma.

Popita nthawi yayitali, hyperglycemia yosagwedezeka imatha kuwonongeka m'maso, kuwonongeka kwa impso, mitsempha, matenda amtima, kuperewera kwa erectile (mwa amuna).

Kupewa

Kupatula kupezeka kwa hyperglycemia, ndikofunikira:

• khalani ndi moyo wathanzi komanso mwina wotakataka,
• Chitani masewera olimbitsa thupi pafupipafupi
• gwiritsitsani zakudya zabwino.

Ndi kuwonjezeka pang'ono kwa shuga m'magazi, muyenera kusintha kadyedwe ndikuyeserera koyenera nthawi kuti muchiritse matenda.

Hyperglycemia ndi gawo lowopsa lomwe limayamba chifukwa cha zovuta zazikulu, makamaka matenda a shuga. Chifukwa chake, ngati zizindikiro zina zikuchitika, pitani kuchipatala msanga.