Shuga wamagazi masiku atatu atatha kudya munthu wathanzi
Kuzindikira matenda a shuga ndikovuta kungoyang'ana chabe pazamankhwala azachipatala, chifukwa palibe amodzi mwa iwo omwe samadziwika chifukwa cha matendawa. Chifukwa chake, njira yayikulu yodziwira ndi shuga wambiri.
Njira yachikhalidwe yoonera (matenda owunika) ya shuga ndi kuyesa magazi, komwe kumalimbikitsidwa pamimba yopanda kanthu.
Ambiri odwala matenda ashuga sangawonetse zodetsa nkhawa nthawi yoyamba ya matenda atatenga magazi musanadye, koma atatha kudya, hyperglycemia yapezeka. Chifukwa chake, muyenera kudziwa tanthauzo la shuga 2 komanso maola atatu mutatha kudya kuchokera kwa munthu wathanzi kuti muzindikire shuga pakapita nthawi.
Kodi chimapangitsa kukhudzana kwa shuga m'magazi ndi chiyani?
Thupi limasunga kuchuluka kwa shuga m'magazi mothandizidwa ndi malamulo a mahomoni. Kutalika kwake ndikofunikira kuti ziwalo zonse zizigwira ntchito, koma ubongo umazindikira kwambiri kusinthasintha kwa glycemia. Ntchito yake idalira kwathunthu pazakudya ndi shuga, chifukwa maselo ake amalephera kudziunjikira nkhokwe zomwe amapanga.
Chikhalidwe kwa munthu ndichoti shuga ya m'magazi izipezeka mwa kuchuluka kwa 3.3 mpaka 5.5 mmol / L. Kutsika pang'ono kwa shuga kumawonetsedwa ndi kufooka wamba, koma ngati mumachepetsa shuga kwa 2.2 mmol / l, ndiye kuti kuphwanya kwa chikumbumtima, delirium, kukopeka kumayamba ndikuchitika moopsa kwambiri kwa hypoglycemic.
Kukula kwa glucose nthawi zambiri sikuti kumayambitsa lakuthwa, chifukwa zizindikiro zimayamba kukula pang'onopang'ono. Ngati shuga m'magazi ndi apamwamba kuposa 11 mmol / l, ndiye kuti shuga amayamba kuthiridwa mkodzo, ndikuwonetsa kupita patsogolo kwa thupi m'thupi. Izi ndichifukwa choti, malinga ndi malamulo a osmosis, kuthamanga kwa shuga kumakopa madzi kuchokera ku zimakhala.
Izi zimaphatikizidwa ndi ludzu lochulukirapo, mkodzo wowonjezera, ziwalo zowuma za mucous, ndi khungu. Ndi hyperglycemia yayikulu, nseru, m'mimba, kufooka, kununkhira kwa acetone mu mpweya wotuluka, womwe umatha kukhala matenda a matenda ashuga.
Mlingo wa glucose umasungidwa chifukwa cha malire pakati pakulowa kwake mthupi ndi mayamwidwe am'mimba. Glucose imatha kulowa m'magazi m'njira zingapo:
- Glucose mu zakudya - mphesa, uchi, nthochi, madeti.
- Kuchokera pazakudya zomwe zimakhala ndi galactose (mkaka), fructose (uchi, zipatso), chifukwa shuga amapangidwa kuchokera kwa iwo.
- Kuchokera m'malo ogulitsa chiwindi glycogen, omwe amaphulika mpaka glucose akatsika shuga.
- Mwa zovuta za chakudya m'zakudya - wowuma, zomwe zimaphwanya shuga.
- Kuchokera ku amino acid, mafuta ndi lactate, shuga amapangidwa m'chiwindi.
Kuchepa kwa glucose kumachitika pambuyo poti insulini yatulutsidwa kuchokera ku kapamba. Izi zimathandizira kuti mamolekyu a glucose alowe mkati mwa selo momwe limagwiritsidwira ntchito kuti apange mphamvu. Ubongo umadya shuga wambiri (12%), pamalo achiwiri ndi matumbo ndi minofu.
Magazi ena onse omwe thupi silifunikira pakadali pano amasungidwa m'chiwindi mu glycogen. Masheya a glycogen mwa akulu amatha kupitirira 200. Amapangidwa mwachangu komanso pang'onopang'ono kudya zakudya zamafuta, kuwonjezeka kwa shuga m'magazi sikuchitika.
Ngati chakudyacho chili ndi chakudya chambiri cham'mimba chambiri, ndiye kuti kuchuluka kwa shuga kumawonjezera ndikupanga kutulutsidwa kwa insulin.
Hyperglycemia yomwe imachitika mutatha kudya imatchedwa chakudya chamagulu kapena postprandial. Imafika pamlingo wambiri pasanathe ola limodzi, kenako imayamba kuchepa ndipo pakatha maola awiri kapena atatu mchilimbikitso cha insulin, zomwe zili m'magaziwo zimabwereranso kuzisonyezo zomwe zidalipo asanadye.
Mwazi wa magazi ndi wabwinobwino ngati, pambuyo pa ola limodzi mutatha kudya, mulingo wake ndi 8.85 -9.05, pambuyo pa maola 2 chizindikirocho chimayenera kukhala chochepa kuposa 6.7 mmol / l.
Kuchita kwa insulin kumabweretsa kuchepa kwa shuga m'magazi, ndipo mahomoni oterewa amatha kuyambitsa:
- Kuchokera pamisempha ya kapamba (maselo a alpha),
- Adrenal glands - adrenaline ndi glucocorticoids.
- Gland ya chithokomiro ndi triiodothyronine ndi thyroxine.
- Kukula kwa mahomoni a pituitary gland.
Zotsatira za mahomoni ndi kuchuluka kwa glucose kosasintha mwazinthu zosiyanasiyana.