Magazi a shuga 8 mmol L chithandizo ndi zakudya
Pali shuga m'magazi a munthu aliyense, kapena chinthu ichi chimatchedwa "glucose". Ndikofunikira kuti minofu ndi maselo adyetse ndikulandila mphamvu. Popanda izi, thupi la munthu silingathe kugwira ntchito, kuganiza, kusuntha.
Glucose imalowa m'thupi kudzera mu chakudya, kenako imapangidwa ndi machitidwe ake onse. Ndikofunikira kwambiri kukhala ndi shuga wamagulu abwinobwino, chifukwa kukhathamiritsa kwake kungapangitse mawonekedwe a kupatuka ndi ma pathologies.
Hemuloni ya mahomoni imangoyendetsa zinthu. Ndiye amene amathandiza maselo kuyamwa chinthu ichi, koma nthawi yomweyo salola kuchuluka kwake kupitilira muyeso. Omwe ali ndi mavuto opanga insulin, motero, amakhala ndi mavuto akulu ndi kuchuluka kwa shuga.
Matenda a shuga kunyumba. Patha mwezi kuchokera pamene ndayiwala za kudumphira shuga komanso kumwa insulin. O, momwe ine ndimavutikira, kukomoka kosalekeza, kuyimba mwadzidzidzi. Kodi ndapita kangati kwa endocrinologists, koma amangonena chinthu chimodzi - "Tengani insulin." Ndipo tsopano masabata 5 apita, popeza kuchuluka kwa shuga m'magazi ndikwabwinobwino, osati jakisoni imodzi ya insulini ndipo chifukwa chonse cha nkhaniyi. Aliyense amene ali ndi matenda ashuga ayenera kuwerenga!
Chizindikiro 8 sichachilendo kwa shuga. Komanso, ngati chizindikiro ichi chikukula, munthu ayenera kuchitapo kanthu mwachangu. Koma, choyambirira, ndikofunikira kudziwa bwino gwero ndi chifukwa chake kuchuluka kwazinthu izi m'thupi.
Kodi kuchuluka kwa shuga m'magazi 8 mmol kumatanthauza chiyani?
Hyperglycemia ndi mkhalidwe womwe kuchuluka kwa shuga m'thupi kumapitilira muyeso. Kupatuka uku sikuti nthawi zonse kumakhala kwachilengedwe. Nthawi zina, munthu amafunika mphamvu zambiri, motero, thupi lake limafunanso shuga. Nthawi zina, chifukwa cha kuchuluka kwa shuga ndi:
- zolimbitsa thupi kwambiri, zomwe zimayambitsa kuchuluka kwa minofu,
- mukukumana ndi mavuto amanjenje, nthawi yovuta,
- kuchuluka kwa malingaliro
- syndromes zopweteka.
Zikatero, kuchuluka kwa shuga mthupi (kuyambira mayunitsi 8.1 mpaka 8.5) ndimwambo wabwinobwino, chifukwa momwe zochita za thupi zimakhalira sizimabweretsa zotsatira zoyipa.
Mkulu wa shuga akakhala magawo 8.8-8.9, izi zikutanthauza kuti minofu yofewa yaleka kuyamwa bwino shuga, ndiye kuti pamakhala zovuta. Zifukwa za izi zingaphatikizeponso:
- kuwonongeka kwa ziwiya
- zovuta za endocrine.
Chifukwa cha glycemia mwa anthu, kagayidwe kake kamatha kufooka, ndipo kuchepa thupi thupi lonse kumatha kuchitika. Choyipa chachikulu kwambiri, zinthu zopangidwa ndi poizoni zimatha kupanga kenako poyizoni.
Ndi mtundu woyamba wa matendawa, munthu sayenera kuwopa zovuta zoyipa. Koma, ngati kuchuluka kwa glucose kuliwonjezeka komanso kumachulukirachulukira, ndiye kuti thupi limafunikira kuchuluka kwamadzimadzi aliwonse, pambuyo pake nthawi zambiri limayamba kuyendera bafa. Mukamakodza, shuga owonjezera amatuluka, koma nthawi yomweyo, nembanemba yam'mimba imakhala yambiri.
Ngati mukuyezera kuchuluka kwa glucose pamimba yopanda kanthu, Zizindikiro zopitilira 8.1 - 8.7 zapezeka - izi zikutanthauza kuti wodwalayo angapezeke ndi matenda a shuga. Ndikofunika kukumbukira kuti odwala matenda ashuga amatha kukhala ndi shuga wabwinobwino atatha kudya - 8.
Zizindikiro zomwe zingawonetse mtundu woopsa wa hyperglycemia:
- kugona
- kuthekera kwa kutayika kwa chikumbumtima,
- kusanza ndi kusanza.
Matenda ngati awa amatha kuwonekera mwa iwo omwe ali ndi mavuto amtundu wa endocrine, akudwala matenda a shuga. Hyperglycemia imatha kuchitika chifukwa cha matenda - hypothalamus (mavuto ndi ubongo).
Chifukwa cha kuchuluka kwa glucose, njira ya metabolic imasokonezeka m'thupi, chifukwa chake, chitetezo chamthupi chimafooka, zotupa zamkati zimatha kuwonekera, ndipo njira yobereka imasokonekera.
Chinthu choyamba chomwe muyenera kudziwa kuchuluka kwa shuga ochulukitsa mayunitsi 8.1 ndiomwe makamaka zimapangitsa kuwonjezeka kwa chizindikiro chimenecho. Munthu wathanzi yemwe alibe matenda ashuga amakhala ndi shuga wamagazi a mayunitsi 3.3 - 5.5 (malinga ndi kusanthula pamimba yopanda kanthu).
Nthawi zina, zizindikiro za 8.6 - 8.7 mmol / L mwina sizingasonyeze matenda a shuga. Pankhaniyi, ndikofunikira kuyesa wodwalayo mozama, kusankha kuyesanso magazi kwachiwiri. Zizindikiro zolakwika zitha kuwoneka ngati msungwana woyembekezera apereka magazi, wodwalayo adapanikizika asanapereke magazi, kuwonjezera masewera olimbitsa thupi, kumwa mankhwala omwe amalimbikitsa shuga.
Ngati shuga m'magazi ndi 8, muyenera kuchita
Mulingo wa shuga kwa nthawi yayitali uli m'malo osiyanasiyana a 8.3 - 8.5 mmol / l, koma wodwalayo satenga njira yochepetsera kuchuluka kwake, pamakhala chiwopsezo cha zovuta.
Njira za metabolism zimasokonekera, ndi kuchuluka kwa shuga a 8.2 iwo amachepetsa. Kuti muchepetse kagayidwe kake komanso kuchepetsa shuga, muyenera kuwonjezera zochita zolimbitsa thupi munthawi zonse munjira yoyenera. Komanso, wodwalayo amayenera kuyenda kwambiri, kuchitira masewera olimbitsa thupi m'mawa.
Malamulo oyamba okhudzana ndi thanzi la munthu wokhala ndi shuga wambiri ndi awa:
- wodwala ayenera kuchita masewera olimbitsa thupi tsiku lililonse,
- kukana zizolowezi zoipa ndi mowa,
- kusiyanasiyana ndi zakudya za kuphika, confectionery, mafuta ndi zonunkhira.
Mutha kudziwongolera nokha shuga chifukwa mumafunika kugula glucometer yomwe imakuthandizani kuti muzitsatira ndikuwongolera mphamvu ya shuga.
Ngati, pakubweretsa mayeso pamimba yopanda kanthu, kunapezeka kuti magazi ali ndi masikweya 7-8 mmol / l, ndikofunikira, koyambirira, kuti azindikire bwino zomwe akuwonetsa. Chithandizo chakanthawi komanso chithandizo chamankhwala chimayambitsa matenda a shuga awiri. Ndizovuta kwambiri kuchiza, zimatenga nthawi yayitali, pomwe zovuta sizingachitike.
Chithandizo cha Hyperglycemia chimachitika kokha moyang'aniridwa ndi madokotala. Ndi katswiri yemwe amafotokoza mankhwala aliwonse, amawongolera chakudya cha wodwalayo komanso zochita zolimbitsa thupi. Chimodzi mwazinthu zofunika kwambiri pa chithandizo chamankhwala ndichakudya choyenera, chomwe chimachotsa zakudya zambiri zoyipa zomwe zimatha kuwonjezera kuchuluka kwa shuga m'thupi.
Mothandizidwa ndi matenda ashuga, mankhwalawa amatha kuperekedwa kwa munthu (pokhapokha zina), zomwe zingachepetse kugwira ntchito kwa chiwindi pakupanga shuga.
Zakudya za shuga wa magazi 8
Mitundu ya shuga mthupi - mayunitsi 8.0-8.9 - sichikhala chizindikiro cha matenda ashuga nthawi zonse. Komabe, ndi malingaliro osakwanira ku thanzi lawo, zizindikirozi zitha kukulitsa vutoli, ndikupangitsa matenda ashuga kwathunthu.
Chithandizo cha matendawa ndizovomerezeka. Chimodzi mwazinthu zazikulu ndi zakudya zoyenera. Akatswiri amalimbikitsa pankhaniyi, kutsatira malamulo otsatirawa:
- onjezerani zakudya zamafuta ambiri
- yang'anirani mosamala ma calories omwe amadya patsiku,
- chepetsani katundu pancreas posankha zakudya zomwe zimakhala ndi chakudya chochepa kwambiri,
- pafupifupi 80% ya zipatso ndi ndiwo zamasamba ziyenera kukhala m'zakudya.
- monga mawa mutha kudya chimanga chosaphika m'madzi (kupatula mpunga),
- lekani kumwa zakumwa zoziziritsa kukhosi.
Ndikofunika kugwiritsa ntchito njira zophikira izi: kuphika, kutsitsa, kuphika, kusenda.
Ngati munthu sangathe kupanga yekha zakudya zoyenera, ayenera kufunsa katswiri wa zakudya, yemwe amalemba mndandanda wa sabata iliyonse, poganizira momwe moyo wake ulili.
Ngati kuchuluka kwa shuga m'magazi kumachitika, munthu ayenera kutsatira njira yolondola pamoyo wake wonse. Pankhaniyi, muyenera kuganizira:
- Zakudya ndi zakudya,
- shuga ndende
- kuchuluka kwa zolimbitsa thupi
- thanzi lathupi lonse.
Munthu amene ali ndi mavuto a shuga ayenera kuganizira za moyo wake. Ndikofunikira kuganizira malingaliro aliwonse kuchokera kwa dokotala. Poterepa, mu masabata angapo ndizotheka kuti muchepetse shuga mpaka mulingo wabwinobwino.
Ndikofunikira kwambiri kuyang'anira thanzi lanu, kuchita mayeso pa nthawi yake komanso kukaonana ndi dokotala nthawi yomweyo ngati zizindikiro za hyperglycemia zikuwoneka. Kudzipatsa mankhwala panthawiyi kungayambitsenso thanzi lanu, chifukwa kuwonjezereka kwa shuga kumatha kuyambitsa matenda a hypoglycemia (shuga wotsika), amenenso kulibe thanzi.
Ndili ndi zaka 47, ndinapezeka kuti ndili ndi matenda ashuga a 2. M'masabata angapo ndinapeza pafupifupi 15 kg. Kutopa nthawi zonse, kugona, kumva kufooka, kuwona kunayamba kukhala pansi.
Nditakwanitsa zaka 55, ndinali nditadzibaya kale ndi insulin, zonse zinali zoipa kwambiri. Matendawa adapitilirabe, kukomoka kwakanthawi kunayamba, ambulansi imandibwezera kuchokera kudziko lina. Nthawi zonse ndimaganiza kuti nthawi ino ikhala yomaliza.
Chilichonse chinasintha mwana wanga wamkazi atandilola kuti ndiwerenge nkhani imodzi pa intaneti. Simungayerekeze m'mene ndimamuyamikirira. Nkhaniyi inandithandiza kuthana ndi matenda ashuga, omwe amati ndi osachiritsika. Zaka 2 zapitazi ndidayamba kusuntha zowonjezereka, nthawi yamasika ndi chilimwe ndimapita kumayiko tsiku lililonse, ndikumalima tomato ndikugulitsa pamsika. Azakhali anga amadabwa ndimomwe ndimapangira chilichonse, komwe ndimapeza mphamvu zambiri, sakhulupirira kuti ndili ndi zaka 66.
Ndani akufuna kukhala ndi moyo wautali, wamphamvu komanso kuiwalako za matenda oyipawa kwamuyaya, tengani mphindi 5 ndikuwerenga nkhaniyi.
Kuchuluka kwa shuga wamagazi - zomwe zikutanthauza ndi momwe ungakhalire
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Sikuti aliyense amadziwa shuga wa magazi omwe amawoneka kuti ndi abwinobwino komanso ndi zomwe zimawonetsa matenda a shuga. Kumbali imodzi, izi ndi zabwino: zikutanthauza kuti panalibe mavuto ndi endocrine system ndipo mutu uwu sunasangalatse. Komabe, uku ndikusaganizira thanzi la munthu, chifukwa munthu sanganenere zomwe zichitike mawa. Chifukwa chake, musanaganize zoyenera kuchita ngati shuga wapezeka m'magazi ambiri, muyenera kudziwa bwino zofunikira ndi zizindikiritso zabwinobwino komanso zizindikiro zosonyeza kunyentchera ndi zifukwa zomwe akuwonekera.
Kuwerengedwa kwa thupi kwa glucometer pamtunda kuchokera 3,3 mpaka 5.5 mmol / L kumawerengedwa kuti ndi kwachilengedwe. Muyeso uwu sudalira msinkhu, chifukwa chake ndi chimodzimodzi kwa ana ndi akulu. Masana, ziwerengero zimasintha, zimatengera zinthu zambiri. Mwachitsanzo, kuchokera pakulimbitsa thupi, kutengeka mtima kapena chakudya.
Zina mwazifukwa zodumphira m'magazi a magazi ndi matenda osiyanasiyana, kubereka kapena kupsinjika kwambiri. Pakangokhala kanthawi kochepa, zonse zimasintha, koma kusunthika koteroko kumakhala nthawi yabwino yosamalira thanzi lawo. Mokulira, zizindikilo zomwe zikuwonetsa kukula kwa glucose zimawonetsa zovuta pakukonza chakudya. Zachidziwikire kuti, milandu yokhayokha sikunayambike matenda a shuga, koma pali zifukwa zomveka zoyambiranso malingaliro anu pa chakudya ndi moyo. Nthawi zambiri, zitsanzo zamagazi posanthula labotale zimachitika pamimba yopanda kanthu. Kunyumba, mutha kugwiritsa ntchito ma glucometer osunthika.Mukamagwiritsa ntchito makina amodzi, chidziwitso chimodzi chiyenera kukumbukiridwa: zimapangidwa kuti ziwonetse plasma, ndipo m'magazi chizindikiro chimatsitsidwa ndi 12%.
Ngati muyeso wam'mbuyo umatsimikizira kuchuluka kwa shuga, koma palibe zizindikiro za matenda ashuga, ndikulimbikitsidwa kuchititsa kafukufuku kangapo. Izi zikuthandizira kuzindikira magawo oyambira omwe matendawo amakula, pomwe njira zonse zoyipa zikadasinthidwanso. Nthawi zina, kuchuluka kwa glucose komwe kumachoka pazikhalidwe zabwino, ndikulimbikitsidwa kuyesedwa kuti mupeze kulekerera kukhazikitsa mtundu wa prediabetes. Ngakhale zizindikiro zomwe zikuwonetsa kukhalapo kwa matenda omwe amafunikiridwa atha kukhala opanda chiyembekezo.
Chiyeso chololera
Ngakhale chizindikiro cha chinthu chotsekemera chikuchuluka, sizitanthauza kuti nthawi zonse pamakhala vuto. Komabe, kuti athetse matenda oyambitsa matenda kapena kukhazikitsa boma la matenda ashuga, kuyesedwa kwapadera kuyenera kuchitidwa. Amatanthauzira kusintha monga kukomoka kwa glucose komanso kukula msanga. Phunziroli silikuwonetsedwa kwa aliyense, koma kwa anthu azaka zopitilira 45, anthu onenepa kwambiri komanso omwe ali pachiwopsezo, ndikofunikira.
Chinsinsi cha njirayi ndi motere. Kudzimbidwa kumachitika ndi kutenga shuga wowona (75 g). Atadzuka m'mawa, munthu ayenera kupereka magazi kwa shuga pamimba yopanda kanthu. Kenako amamwa kapu yamadzi momwe zinthuzo zimaphatikizidwira. Pambuyo pa maola 2, kudya kwapawiri kumachitika mobwerezabwereza. Pa kudalirika kwa zotsatira, ndikofunikira kuti zotsatirazi zikwaniritse:
- Osachepera maola 10 ayenera kutha pakati pa chakudya chomaliza ndi nthawi yowunikira.
- Madzulo a mayeso a labotale, ndizoletsedwa kusewera masewera ndipo kuchita masewera olimbitsa thupi sayenera kupatula.
- Simungasinthe zakudya zomwe zimakhazikika kukhala zamagulu athanzi.
- Ndikofunika kupewa kupewa zochitika zapanthawi yovutirapo komanso yodetsa nkhawa.
- Usiku ndikofunikira kugona mokwanira ndikubwera kuchipatala kuti mupumule, osati pambuyo pake pantchito.
- Mutatenga yankho ndi shuga, ndikubowoleza kuyenda, ndibwino kuti mukhale panyumba.
- M'mawa simungakhale ndi nkhawa ndikukhala wamanjenje, muyenera kukhazikika pansi ndikupita ku labotale.
Kuphwanya kulekerera kwa shuga kukuwonetsedwa ndi zotsatira:
- zosakwana 7 mmol / l - pamimba yopanda kanthu
- 7.8-11.1 mmol / L - mutatha kugwiritsa ntchito njira yotsekemera.
Zithunzi m'chigawo cha 6.1-7.0 mmol / L (pamimba yopanda kanthu) ndi ochepera 7.8 mmol / L (pambuyo pobwezeretsanso sampuli) zikuwonetsa kupatuka. Komabe, musachite mantha. Poyamba, kuyerekezera kwa kapamba ndi kuyezetsa magazi kwa ma enzymes kumayikidwa. Mwachibadwa, nthawi yomweyo amayamba kutsatira kadyedwe ndikukwaniritsa malingaliro onse a dokotala. Posakhalitsa, kuchuluka kwa shuga mthupi kumatha kuchepa.
Kuwonetsera ndi kusintha kwatsiku ili ndi chifukwa chomadutsa mayeso:
- Kukodza pafupipafupi.
- Pakamwa pakamwa, ludzu losakwaniritsidwa.
- Kutopa, ulesi ndi kufooka.
- Kulimbitsa kapena kuchepa kwa chakudya (kuwonda kwambiri kapena kupindula kwake ndi khalidwe).
- Kuchepa kwa chitetezo chathupi, kupezeka kwa mabala ochiritsa osakhazikika, ziphuphu ndi zina zowonongeka za epithelium.
- Mutu wowonera pafupipafupi kapena masomphenya osalala.
- Kuyenda pakhungu kapena mucous nembanemba.
Zizindikiro zomwe zawonetsedwa zitha kuwonetsa kuti ndi nthawi yofunika kuchitapo kanthu, ndipo kudya ndi imodzi mwazofunikira.
Zakudya Zolimbikitsidwa
Choyamba, muyenera kukaonana ndi dokotala ndikulimbikitsidwa ndi iye. Ngakhale pakalibe zizindikiro za matendawa, chidwi chachikulu chimayenera kulipidwa ku thanzi. Chifukwa chaichi, pali zakudya zomwe zimapangidwa mwapadera, lamulo lalikulu lomwe limachepetsa kudya kwamphamvu kwambiri.
Ndikulimbitsa thupi mopitirira muyeso, menus amapangidwa ndi zakudya zochepa zopatsa mphamvu. Komanso musaiwale za mavitamini ndi zinthu zina zopindulitsa. Mapuloteni, mafuta, ndi chakudya chamagulu (choperewera pang'onopang'ono komanso chopindulitsa) ziyenera kupezeka muzakudya za tsiku ndi tsiku. Chizindikiro cha chakudya “chabwino” ndikuyikidwa kotsika pagome la GI (glycemic index), yemwe kuyambira pano amakhalabe mnzake kukhitchini.Zimatenga nthawi yambiri kuti muphatikize zakudyazo. Ndikofunikira kudya pafupipafupi, ndiye kuti, nthawi zambiri, koma m'malo ochepa. Kuphwanya komwe kumaloledwa pakati pa chakudya kumatha kuposa maola atatu. Zoyenera, zakudya 5-6 patsiku: 3 zazikulu ndi ziwiri zokhwasula-khwasula. Zomwe zimaletsedwa kwambiri kudya chipisi ndi zopaka, kugula zakudya mwachangu ndikumwa msuzi wokoma.
Kuchuluka kwa zopatsa mphamvu zimadalira ntchito ya thupi ndi wodwalayo. Pogwira ntchito yochepa komanso / kapena kunenepa kwambiri, zakudya zamafuta ocheperako zimawonetsedwa ndi masamba ambiri azakudya. Onetsetsani kuti mumadya zakudya zama protein ndi zipatso. Malo ofunikira ndikuwonetsetsa kuti madzi azikhala moyenera. Nthawi yomweyo, mudzayenera kusiya zakudya zomwe zimapangitsa shuga. Choyamba, ndi shuga wabwino, zakumwa zotsekemera za shopu, mafuta ochulukirapo ndi zinthu zina zodzikongoletsera, mbale zonona ndi zakusuta, mowa. Zipatso, mphesa, nkhuyu, zoumba ndi zosafunika. Ndikofunikira kupatula batala, kirimu wowawasa, kirimu wowona komanso zochuluka kuchokera muzakudya.
Ndikulimbikitsidwa kudya chakudya chophika, chophika, chophika komanso chosenda ndi mchere wambiri komanso mafuta azamasamba. Nyama ndiyotheka, koma mafuta owoneka ayenera kudulapo. Chakudya chomaliza ndi maola awiri asanagone. Mwa zakumwa, tiyi wosaphatikizidwa ndi khofi wakuda, kulowetsedwa kwazitsamba ndi ma decoctions, misuzi yopangidwa mwatsopano ndizovomerezeka. Ndipo koposa zonse, ngati madotolo awona kuti glucose wachuluka mthupi, palibe chifukwa chokhala ndi mantha. Mwina izi ndizosakhalitsa ndipo chiyembekezo chimakupatsirani mwayi wina wosintha china chake m'moyo wanu, kukhala munthu wodalirika ndikuyamba kudzisamalira.
Kusintha kwamphamvu kwa shuga wamagazi 8.5 - ndichite chiyani?
Munthu aliyense ali ndi shuga m'magazi awo. Chingakhale cholondola kunena kuti "glucose", omwe amasiyana ndi mankhwala ndipo ali ndi gwero lamphamvu lamphamvu. Glucose kuchokera ku chakudya amalowa m'magazi ndikufalikira thupi lonse kuti apatsidwe mphamvu kuti tiganize, kusuntha, kugwira ntchito.
Mawu oti "shuga m'magazi" adayamba kuzika mizu pakati pa anthu, amagwiritsidwanso ntchito ngati mankhwala, chifukwa chake tikambirana za shuga ndi chikumbumtima choyera, kukumbukira kuti kwenikweni shuga amatanthauza. Ndipo glucose amathandizira kuti insulini ituluke.
Glucose owonjezera amasinthidwa kukhala glycogen ndipo amatumizidwa kuti akadikire m'mapiko m'chiwindi ndi minofu yamatumbo, yomwe imakhala ngati nyumba yosungirako yake. Pazofunikira kudzaza kuchepa kwa mphamvu, thupi limatenga kuchuluka kwa glycogen yomwe ikufunika, ndikusinthanso kukhala glucose.
Pakakhala glucose wokwanira, owonjezera amatayidwa mu glycogen, koma amakhalabe, ndiye amawayika ngati mafuta. Chifukwa chake kulemera kambiri, zovuta zaumoyo, kuphatikizapo matenda ashuga.
Kuchuluka kwa shuga mwa akulu ndi ana opitilira zaka 5 ndi 3,9-5.0 mmol pa lita, chimodzimodzi kwa aliyense. Ngati kuwunika kwanu kuli pafupifupi kuwirikiza kawiri, tiyeni tinene.
"Tonthola, dekha!" Atero munthu wotchuka, wokonda kupanikizana ndimankhwala. Kuyesedwa kwa shuga sikungamupweteketsenso.
Chifukwa chake, mudapereka magazi a shuga ndikuwona zotsatira - 8.5 mmol / L. Izi sizoyenera kuchita mantha, ndi nthawi yodziwitsa anthu za nkhaniyi. Ganizirani zinthu zitatu zomwe mungachite kuti shuga achulukane mpaka 8,5.
1. KULIMA KWA TEMPORARILY SUGAR. Kodi izi zikutanthauza chiyani? Magazi amaperekedwa atadya, atatha kulimbitsa thupi kwambiri, atapanikizika kwambiri, akudwala, kapena ali ndi pakati. Pali lingaliro la "shuga woyembekezera," pamene magazi a magazi amatuluka chifukwa cha kusintha kwa mahomoni m'thupi la mayi woyembekezera. Zinthu izi zimathandizira kukula kwakanthawi kwa shuga m'magazi, uku ndi kusintha kwachilengedwe kwa thupi komwe kumachitika nthawi yochita masewera olimbitsa thupi.
Tsatirani malamulo osavuta popereka magazi a shuga:
- Pereka m'mawa pamimba yopanda kanthu
- Chotsani kupsinjika, kupsinjika, kukondoweza.
2. KUGWIRITSANSO NTCHITO SUGAR.Ndiye kuti, malinga ndi malamulo onse opereka magazi, mulingo wa shuga amakhalabe pamwamba pa 8 mmol / l. Izi sizomwe zimachitika, komanso osati shuga, mtundu wamalire a boma. Madokotala amachitcha prediabetes. Uku si kuzindikira, mwamwayi. Izi zikutanthauza kuti kapamba amatulutsa insulini pang'ono kuposa momwe amafunikira. Njira zoyendetsera michere m'thupi zimachepetsa, pali zolephera pokonza shuga ndi thupi.
Pakhoza kukhala zifukwa zambiri: kusokonezeka kwa endocrine system, matenda a chiwindi, kapamba, kubereka. Khalidwe losayenera lingayambenso shuga. Mowa, kupsinjika kwakukulu, kusachita masewera olimbitsa thupi, kunenepa kwambiri, kulakalaka kwambiri zinthu zabwino zonse za "tiyi."
Kodi ndi chifukwa chiti chomwe chidayambitsa kuchuluka kwa shuga mwa inu - adotolo azithandiza kukhazikitsa. Ndi index yokhazikika ya shuga pali chifukwa chachikulu chofunsira kuti nthawi yotsatira ndi wothandizirayo ndi liti. Kutengera ndi zotsatira zake, atha kukutumizirani kwa endocrinologist kuti mukafunsire zina ndi chithandizo. Chonde osazengereza kuyendera katswiri.
3. Kuphwanya shuga kulolera ndi chifukwa chinanso chomwe chimayambitsa shuga wambiri. Izi zimatchedwa latent prediabetes kapena matenda ashuga. Pankhani ya kuloleza kwa glucose, sikupezeka mkodzo, ndipo chizolowezi chake chimachuluka mu kusala magazi, kudziwa kwamaselo kusintha kwa insulin, katulutsidwe kamene kamachepa.
Amapezeka bwanji? Mkati mwa maola awiri, wodwalayo amamwa shuga m'magawo omwe amafunikira, ndipo mphindi 30 zilizonse magawo ake m'magazi amayesedwa. Kutengera ndi zotsatira zake, mayeso owonjezera amalembedwa.
Kuphwanya kwa kulolera kwa glucose kumathandizidwanso, zakudya zapadera zimayikidwa ndipo zimalimbikitsidwa kuti musinthe moyo wokhala ndiumoyo wathanzi. Odwala akhama omwe adziletsa, kuchira ndikotheka.
Mayeso! Yankhani INDE kapena AYI ku mafunso otsatirawa.
- Kodi mumavutika kugona? Kusowa tulo?
- Posachedwa, kodi mwakhala mukuchepetsa thupi kwambiri?
- Kodi mumamva kupweteka kwakanthawi?
- Kodi maso anu awonongera posachedwapa?
- Kodi mumakhala ndi khungu loyenda?
- Kodi mumakhala ndi kukokana?
- Kodi zimachitika kuti mumamva kutentha popanda chifukwa?
Ngati mwayankha kuti “inde” kamodzi komanso kukhala ndi shuga wambiri, ndiye chifukwa china chofunsira kuchipatala. Monga mukumvetsetsa, mafunso amatengera zizindikiro zazikulu za prediabetes.
Pali mipata yabwino yochepetsera shuga mpaka 8.5 mwa kukonza kwawokhazikika kwa moyo. Osathamangira kukwiya. Nawa malingaliro ena komwe thupi limangonena kuti "zikomo". Zotsatira zoyambirira zimatha kumveka pambuyo pa masabata awiri.
- Idyani nthawi 5-6 patsiku. Ndibwino ngati chakudyacho chaphika chaphika kapena mu uvuni. Magulu owononga, maswiti ndi zinyalala zina zamafuta zimathetsedwa bwino. Pewani zakudya zokazinga ndi zonunkhira. Madokotala nthawi zonse amakhala ndi mindandanda yazakudya zomwe zimachepetsa shuga. Mverani malangizowo.
- Pewani zakumwa zoledzeretsa.
- Yendani mu mpweya wabwino. Pezani nthawi yocheza ndi theka la ola kuti mupeze mpweya wabwino. Ganizirani zamasewera omwe mungakhale nawo ndipo pang'onopang'ono yambani zolimbitsa thupi. Kuyenda, kuthamanga, masewera olimbitsa thupi - aliyense ndiolandiridwa.
- Gona mokwanira. Maola asanu ndi limodzi kapena kupitilira apo ndi momwe thupi lamachiritso limafunikira.
Malangizo othandiza. Kuti muwone mopitilira muyeso wama shuga, ndikulimbikitsidwa kuti mugule glucometer, ikuthandizani kutsata mphamvu ya shuga. Chizolowezi chothandiza chimatha kukhala polemba momwe mungazindikire kuchuluka kwa shuga, zakudya zanu komanso masewera olimbitsa thupi, kuti mumvetsetse bwino thupi lanu.
Kwa dokotala, mita yanu ya glucose ndiyofunika, koma kuyesa kwina kwa magazi kungapangidwenso.
Momwe mungasankhire glucometer. Kuti mulowe nawo mutuwu, kanema adzakuthandizani, pomwe madokotala odziwika angakuuzeni momwe mungasankhire zoyenera.Ndipo pomwepo sing'anga wokakamira ndi chikwama chanu adzakuwuzani chigamulo chomaliza.
ZIDZAKHALA NDI CHIYANI POPANDA KUTI PANGOPANDA CHONSE. Mokulira, shuga adzachuluka, prediabetes isandulika shuga, ndipo uwu ndi matenda oopsa, zotsatira zoyipa zomwe zimakhudza thupi lonse. Zaumoyo zitha kuyembekezera kuwonongeka ndipo moyo ukhale wotsika kwambiri.
Kumbukirani kuti shuga ndikosavuta kupewa kuposa kuchiza. Popeza ndinu onenepa kwambiri, wazaka 40+ komanso wokhala ndi moyo wokhala pachiwopsezo, muli pachiwopsezo. Pothana ndi shuga wambiri, ndikofunikira kupereka magazi kwa shuga osachepera kawiri pachaka kuti muzindikire ndikusintha kusintha komwe kungatheke m'thupi nthawi.
Type 2 shuga mellitus - zonse zakufufuza
Matenda a 2 a shuga ndi matenda opatsirana a endocrine omwe amayamba chifukwa cha kuchepa kwa chidwi chathupi lathupi kupita ku insulin. Ichi ndi chimodzi mwazovuta zambiri padziko lapansi. Matenda a mtima ndi oncological okha ndiwo ali patsogolo pa matenda ashuga.
- Mtundu 2 wa shuga
- Zomwe zimayambitsa matenda A shuga A Type 2
- Zizindikiro za matenda a shuga a Type 2
- Lemberani mankhwala a shuga atatu
- Mtundu wachiwiri wa matenda ashuga
- Chithandizo cha matenda amtundu wa 2 wowerengeka azitsamba
- Type 2 matenda a shuga
- Mtundu wa shuga wachiwiri mwa ana
Mitundu ya matenda ashuga
- Zachikazi. M'maphunziro a labotale, shuga yamagazi ambiri samapezeka. Gawoli limaphatikizapo anthu omwe ali pachiwopsezo cha matenda ashuga. Kuzindikira kumayambiriro, kusintha kwa zakudya, kuchuluka kwa shuga mthupi, maphunziro olimbitsa thupi komanso kupezeka pafupipafupi ndi mpweya watsopano kumachepetsa chiopsezo chotenga matendawa.
- Zobisika. Kusanthula kwa magazi ndi mkodzo kumawonetsa Normoglycemia kapena kupatuka pang'ono pang'onopang'ono pakuwonjezeka kwa shuga. Mukamayesa mayeso okhudzana ndi glucose, kutsitsa shuga kumayamba pang'onopang'ono kuposa momwe ziyenera kukhalira. Zizindikiro zamankhwala sizikupezeka. Gawoli liyenera kuyang'aniridwa, ndipo nthawi zambiri mumalandira chithandizo chamankhwala.
- Zofotokozedwa. Mkulu wama glucose ambiri samadziwika m'magazi okha, komanso mkodzo. Zizindikiro zamatendawa zimawonekera.
Kusintha
- Digiri yosavuta. Glycemia sichidziwika. Glucosuria (kukhalapo kwa shuga mumkodzo) sikuwunikidwa. Palibe zizindikiro zotchulidwa za matendawa.
- Digiri yapakatikati. Hyperclycemia imawonedwa, chizindikiritso choposa 10 mmol / l, mawonekedwe a glucosuria, komanso zizindikiro zowonetsera za matendawa. Mankhwala ochepetsa shuga amadziwika.
- Madigiri akulu. Matenda a metabolism mthupi, shuga mumkodzo, magazi amatha kufikira milingo yovuta kwambiri. Chithunzi cha matenda matendawa chimatchulidwa, kuopsa kokhala ndi vuto la matenda ashuga ndiwambiri. Kuphatikiza pa mankhwala omwe amawotcha shuga, insulin ikhoza kuwonetsedwa kwa wodwala.
Mavuto
- Kupititsa patsogolo kwa mitsempha ya m'magazi kumapangitsa kuti magazi asokonezeke minofu ya mtima, miyendo, ndi ubongo. Kuopsa kwa kuchepa kwa magazi m'thupi, thrombocytopenia, matenda a mtima ndi matenda ena.
- Chifukwa cha kusokonezeka kwa magazi, alopecia areata, khungu lowuma la nkhope, thupi, kuwonjezereka kwa fragility ndi stratization yamatumbo a msomali ndizotheka.
- Nephropathy wa matenda ashuga.
- Retinopathy ndimatenda a retina.
- Kolesterol okwera wamagetsi amathandizira kukulitsa matenda a mtima.
- Zilonda zam'malo ochepa.
- Matenda opatsirana a etymologies osiyanasiyana chifukwa cha chiwopsezo chowonjezereka cha matenda, makamaka thirakiti.
- Amuna atha kukhala opanda mphamvu.
Zomwe zimayambitsa matenda A shuga A Type 2
Matendawa amagwirizanitsidwa ndi kusokonezeka kwa metabolic chifukwa cha nthawi zonse hyperglycemia, yomwe imadziwonetsa yokha chifukwa cha kuwonjezeka kwa kukana (kukana) kwamatenda amthupi.Ngakhale kuti kapamba amapitilizabe kupanga insulini, timadzi tambiri timagwira ntchito ndipo sitingathetse shuga, zomwe zimapangitsa kuti azikhala ndi magazi ambiri.
Asayansi sangatchule chifukwa chomwe chimayambitsa matenda. Zinthu zomwe zingayambitse matenda ashuga ndi monga:
- Matenda obadwa nawo (m'modzi mwa makolo anali kudwala kapena onse),
- onenepa kwambiri
- moyo wosachita bwino
- matenda oopsa
- Zakudya zosayenera, zopanda thanzi,
- kumwa kwambiri mowa
- matenda endocrine
- kukanika kwa chiwindi
- ntchito kwa nthawi yayitali popanda kuyang'anira dokotala wambiri Mlingo wa corticosteroids, okodzetsa ndi mankhwala a mahomoni.
- mimba
- matenda opatsirana
- kupsinjika
- okwera magazi.
Matendawa amakhudza anthu azaka zapakati pa 45, achinyamata pazaka zosintha za mahomoni m'thupi, odwala omwe ali ndi kunenepa kwambiri. Matendawa amatha kudwala chifukwa cha matenda oopsa a kapamba ndi chiwindi.
Mutha kudziwa zambiri za zomwe zimayambitsa matenda a shuga 2 pano.
Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.
Zizindikiro za matenda a shuga a Type 2
Zizindikiro za matendawa ndi zofatsa. Kwa nthawi yayitali, matendawa sangathe kudziwoneka mwanjira iliyonse, ndiye kuti, khalani mwa mawonekedwe obisika, omwe amaphatikizira kuzindikira. Oposa theka la odwala omwe ali pachigawo choyambirira sangakayikire kuti akudwala kwa nthawi yayitali.
Zizindikiro zazikulu zokhala ndi matenda amtundu wa 2 ndi:
- kumangokhala ndi ludzu, pakamwa lowuma
- kukodza mwachangu, limodzi ndi polyuria,
- kufooka wamba, kutopa,
- kuchuluka kwa thupi, nthawi zina, m'malo mwake, kuchepa kwake kwakukulu,
- Khungu loyera, lomwe limakonda kuwonekera usiku. Kuyabwa kwadzaoneni
- kuvuta kukondera azimayi,
- matenda a pakhungu komanso pakhungu pakhungu,
- kusakwiya, kusokonezeka kwa tulo,
- dzanzi ndi kubinya kwa miyendo,
- kusanza, kusanza ndikotheka,
- thukuta kwambiri
- mabala ang'ono, zilonda, makonzedwe amachira nthawi yayitali.
- kudya kwambiri ndi kugwiritsa ntchito mphamvu zochepa,
- kuwonongeka kwamawonekedwe
- matenda a chingamu.
Pafupifupi zizindikiro zina - werengani apa.
Lemberani mankhwala a shuga atatu
Chithandizo cha mankhwala osokoneza bongo cha shuga chimaphatikizapo kugwiritsa ntchito mankhwala omwe amachepetsa kulowa kwa shuga kudzera m'matumbo mucosa ndikukulitsa chidwi cha minofu ya thupi ku insulin. Ngati ndi kotheka, ndipo muzovuta matenda, insulin mankhwala zotchulidwa.
Mankhwala akuluakulu omwe amagwiritsidwa ntchito pochiza matenda a shuga a 2:
- Metformin - imakhudza ntchito zachinsinsi za kapamba, kutsika kukana insulini, kuyambitsa kuchuluka kwa shuga, ndikuwongolera mawonekedwe a magazi. Cholinga chake ndi mlingo wake ndi dokotala.
- Thiazolidinediones (polyglitazone, rosiglitazone) - amachepetsa kuchuluka kwa shuga m'magazi ndi mkodzo, amathandizira kuyamwa kwake. Mankhwala amatengedwa kuti azikhala ndi magawo ochepa komanso owopsa a matendawa.
- Glucophage, Siofor - owotcha shuga, amapatsidwa mafuta onenepa.
- Sitagliptin ndi mankhwala ochepetsa shuga omwe amathandizira kupanga insulin. Nthawi zambiri amagwiritsidwa ntchito pophatikiza chithandizo ndi mankhwala ena.
- Mavitamini - E (tocopherol), C (ascorbic acid), A (retinol), N (biotin), B1 (thiamine), B6 (pyridoxine), B12 (cobalamin). Komanso ndithandizire kumwa mankhwala ena okhala ndi mankhwala ngati vitamini.
Mankhwala ambiri amakhala osokoneza bongo. Pankhaniyi, endocrinologist imapereka njira ya insulin.
Katundu Woletsedwa
- chokoleti, makeke okoma, kupanikizana, jamu, kupanikizana, marshmallows, marmalade ndi zinthu zina ndi shuga,
- nkhumba ndi mitundu ina ya nyama yamitundu yamafuta, mitundu yamafuta am'madzi, nyama zosuta, mafuta amitundu yambiri
- mkaka wamafuta wonse, kirimu wowawasa, tchizi chamafuta ambiri,
- nyemba
- makeke ndi mikate yoyera,
- misuzi yokhala ndi shuga. Izi zikuphatikiza mayonesi ndi ketchups,
- zakumwa zoledzeretsa
- kuzifutsa ndi mchere
- zokometsera zokometsera
- zipatso zokoma - mphesa, nthochi, ma tangerine, zinanazi, masiku, nkhuyu. Nayi mapichesi, ma plums, mapeyala,
- zipatso - rasipiberi, sitiroberi,
- zipatso zouma (onaninso - zabwino zake ndi ziti).
Nthawi zina mungathe kudzichitira nokha maswiti ochepa, koma ndibwino kuti muchepetse kapena chotsani mapuloteni kapena mkate patsikulo.
Zogulitsa zazing'ono
- mbatata
- beets
- kaloti
- nyemba, nandolo,
- tchizi chamafuta, mkaka, tchizi wowotchera mchere, batala,
- mwanawankhosa, bakha, tsekwe,
- mpunga, kupatula zakutchire ndi zofiirira, semolina,
- durum tirigu
- nsomba zamchere, zosukidwa,
- mazira, mapuloteni okha, yolk ndi osowa kwambiri,
- bowa, makamaka mu msuzi,
- radishi.
Zakudya zoperewera
- Kabichi - iliyonse. Makamaka zoyera. Kabichi ikhoza kudyedwa pafupifupi mitundu yonse - mwatsopano, yosuntha, yophika, stewed, yophika, yowotcha, msuzi.
- Tsabola.
- Avocado
- Yerusalemu artichoke (okhudza zabwinozi - werengani apa).
- Anyezi.
- Saladi.
- Selari, zonse zimayambira ndi muzu.
- Katsabola, parsley, cilantro.
- Dzungu, zukini, squash, zukini.
- Tomato
- Makina
- Biringanya.
- Nkhaka
- Turnip.
Werengani zambiri zamasamba a shuga - werengani apa.
- Tchizi zamafuta ochepa.
- Yoghur.
- Kefir wopanda mafuta.
- Yoghur
- Seramu.
- Ryazhenka.
- Tchizi chamafuta ochepa.
- Yoghur
- Chakudya cha tirigu
- Rye mkate.
- Nthambi ya mkate.
Nsomba ndi nsomba zam'nyanja
- Nsomba yamafuta ochepa.
- Amphaka, cuttlefish, nkhaka zam'nyanja, octopus.
- Mollusks - ma scallops, mussels, oysters, rapans, lipenga.
- Shrimp, nsomba zazinkhanira, akhanu.
Zipatso ndi zipatso osati zokoma mitundu
- Tiyi wakuda ofooka, wobiriwira, wachikasu, hibiscus.
- Kofi ndi yofooka.
- Chicory.
- Zipatso ndi zipatso zamasamba popanda shuga.
- Achire mchere madzi.
- Tiyi ya zitsamba, decoctions, infusions.
- Makina osawerengeka.
M'malo mwa zotsekemera zotchuka (sorbitol, xylitol, aspartame), mutha kugwiritsa ntchito ufa kuchokera pamasamba a uchi stevia. Chomera chimatha kubzala ngakhale pawindo kapena kugulidwa mu pharmacy stevioside. Werengani zambiri za zotsekemera pano.
Maupangiri ena azakudya za matenda a shuga a 2 adzafotokozedwa m'nkhani yathu yotsatira.
Glycemic Index Chakudya Chosankha
Kwa odwala matenda ashuga, sankhani zakudya zokhala ndi index kapena sing'anga.
Mutha kupeza mndandanda wathunthu wazogulitsa ndi glycemic index apa: http://diabet.biz/pitanie/osnovy/glikemicheskij-indeks-produktov.html.
Zakudyazo ziyenera kufufuzidwa ndi dokotala wanu, popeza pali zisonyezo ndi zotsutsana. Adotolo, kuphatikiza pa mndandanda wazinthu, adzakupatsani mitundu yambiri ya zopatsa mphamvu zamatsenga, kutengera kulemera kwanu, kupezeka kwa matenda.
Chithandizo cha matenda amtundu wa 2 wowerengeka azitsamba
Mankhwala achikhalidwe amathandizira odwala matenda ashuga mwachilengedwe, m'njira zachilengedwe. Ithandizanso kukhala ndi kuchuluka kwa shuga m'magazi munthawi yochepa.
Njira zochizira anthu omwe amalimbikitsa mtundu wa matenda ashuga 2:
- Muzu wa celery wa sing'anga wamkulu (ungasinthidwe ndi muzu wa parsley) ndikudula theka la mandimu mu blender, kutentha mumadzi osamba kwa mphindi 10. Chithandizo - 1 supuni 1 theka la ola musanadye.
- Pogaya buckwheat kapena buckwheat kukhala ufa, kutsanulira 1: 4 ndi kefir yotsika mafuta, pomwe gawo limodzi ndi ufa, 4 ndi kefir. Lolani kusakaniza kwa maola 7 mpaka 10. Tengani makapu 0,5 am'mawa m'mawa theka la ola musanadye komanso madzulo theka la ola musanagone.
- Tengani khungubwi louma bwino - makapu awiri, onjezerani madzi otentha kuti khungwa lophimbidwa pang'ono ndi ilo, wiritsani kwa mphindi 20. Kukulani poto ndi decoction ndi bulangeti, thaulo lakuda ndikuyika kuti liyime kwa maola 12-14 m'malo otentha.Pambuyo - kanizani kulowetsedwa ndi kutenga kawiri pa tsiku 2 supuni.
- Chitsamba cha Hypericum amathira madzi otentha 1: 2. Kuumirira maola atatu. Imwani kapu yachitatu ya kapu katatu pa tsiku musanadye.
- Cinnamon ufa, wowonjezera kulawa tiyi, khofi kapena madzi otentha otentha, samangopatsa kukoma komanso kununkhira, komanso kuthandizira kuchepa kwa magazi, kusintha magazi, komanso kulimbikitsa kunenepa. Cinnamon amayenda bwino ndi zipatso, wokondedwa. Cinnamon iyenera kugwiritsidwa ntchito ndi gramu imodzi patsiku, pang'onopang'ono kuwonjezera kudya kwa magalamu asanu.
- Sumutsani kachidutswa kakang'ono ka muzu wa ginger watsopano, peel ndikuthira madzi ozizira kwambiri ola limodzi (mutha kusungunula). Vengani muzu wozikika pa grater ndi mauna abwino, ikani mu thermos ndikuthira madzi otentha. Onjezani kulowetsedwa kuti mulawe mu tiyi. Imwani katatu patsiku musanadye.
- Wiritsani 300 ml, onjezani masamba 15 a laurel, wiritsani kwa mphindi 5. Pambuyo pokakamira maola 5 pamalo otentha. Imwani masiku atatu, ndikugawa njira yofanana. Pambuyo kulowetsedwa konse kuledzera, kupuma kwa milungu iwiri ndi kubwereza maphunzirowo.
- Tengani youma wa ufa ku Yerusalemu artichoke tuber 4 supuni, kutsanulira madzi okwanira 1 litre, wiritsani kwa ola limodzi pa moto wochepa. Tengani decoction 1/3 chikho patsiku.
- Kwa miyezi itatu m'mawa uliwonse pamimba yopanda kanthu, kutafuna (osameza) mapepala 10 a curry yatsopano.
- Supuni ziwiri za mbewu zouma za Hilba, zomwe zimadziwika kuti fenugreek, zithira madzi otentha. Zisiyeni usiku. M'mawa, senzani ndi kumwa pamimba yopanda kanthu.
- Tengani theka la supuni ya tiyi ya aloe, masamba osweka a laurel, ufa wa turmeric. Sakanizani, zilekere kwa ola limodzi. Tengani 2 pa tsiku, m'mawa ndi madzulo, theka la ola musanadye.
- 2 supuni zitsamba nthula wowerengeka kutsanulira kapu ya madzi otentha. Asiyeni zipite kwa ola limodzi. Kulandila kulowetsedwa mu theka chikho 2 pa tsiku.
Type 2 matenda a shuga
Ngakhale sipangakhale vuto lililonse la mtundu woyamba wa matenda ashuga, matenda amitundu iwiri amatha kupewedwa nthawi zina, kapena kuchedwetsa kukula kwake. Zachidziwikire, palibe amene adaletsa chibadwa chathu, koma nthawi zina, ife eni tokha timayambitsa kupezeka kwa matenda.
Ngati simukufuna kupeza matenda a shuga a 2, muyenera kungotsatira mndandanda wochepetsera:
- Iwalani za kudya kwambiri kapena kusapatsa thanzi, kuperewera kwa zakudya m'thupi.
- Iwalani za moyo wakomweko malinga ndi maphunziro akuthupi, masewera.
- Osamapewa mayeso oyendera.
Udindo wofunikira pakupewa umachitika ndi kudya mavitamini, mankhwala othandizira, kusamba, komanso njira zamankhwala azikhalidwe zomwe zimathandizira kuti mantha azikhala bwino. Chithandizo cha spa pachaka pogwiritsa ntchito machiritso am'madzi, matope achifundo, chithandizo cha okosijeni chikuwonetsedwa. Pokhudzana ndi njira zina zopewera - werengani apa.
Mtundu wa shuga wachiwiri mwa ana
M'mbuyomu, matenda a shuga a 2 anali matenda osowa kwa ana. Amakhulupirira kuti matendawa amakhudza anthu okhawo omwe ndi okhwima. Koma munthawi yathu ino "yasinthika" ndipo, mwatsoka, kudziwika kotere kwa ana sikachilendo.
Mu ana, matenda a shuga amawonekera kuyambira kubadwa (cholowa chamtsogolo), kunenepa kwambiri kapena kutha msinkhu.
Zoyambitsa matenda a shuga ana
- cholowa
- kumwa mopitirira muyeso,
- onenepa kwambiri
- kusadya bwino,
- zolimbitsa thupi
- kudyetsa wakhanda
- matenda opatsirana
- Matenda a shuga a amayi ali ndi pakati
- matenda oyambitsidwa ndi mwana ali aang'ono kwambiri,
- kusowa kwa mapuloteni, utsi,
- kuyambitsa chakudya chokhazikika pachakudya cha ana.
Kodi zikutanthauza chiyani ngati glucose ndi 8 kapena apamwamba?
Ngati matenda a shuga okwanira 8 mmol / L kapena apamwamba apezeka, matendawa amatchedwa hyperglycemia. Zomwe izi zitha kunenedwa, zomwe zingakhale zifukwa komanso zoyenera kuchitira pazinthu zoterezi - tidzakambirana m'nkhaniyi.Ndizodziwika bwino kuti shuga zomwe zimakhala mthupi zimayendetsedwa ndi insulin, mahomoni a kapamba, ndikuti kuphwanya lamulo kumapangitsa kukula kwa glucose komanso kukula kwa matenda a shuga.
Glucose insulin yotulutsa nthawi
Sikuti aliyense amadziwa kuti njira zina zimathandizira panjira iyi: nthawi, kapangidwe kake ndi kuchuluka kwa chakudya, chikhalidwe cha zolimbitsa thupi, gawo la minyewa ya neuropsychic. Komabe, mikhalidwe yotsatirayi ikhoza kukhala chifukwa cha kuchuluka kwa shuga mpaka 8 mmol / L ndiwotunda:
- matenda ashuga
- matenda a chiwindi ndikuphwanya ntchito yake,
- zovuta zingapo za endocrine,
- nthawi yapakati
- kugwiritsa ntchito mankhwala kwakanthawi.
Mimba
Pa nthawi yobereka, kuchuluka kwa mahomoni monga estrogens, progesterone, chorionic gonadotropin, lactogen, prolactin imakwera kwambiri. Mbali imodzi, amakonzekeretsa mayi kuti akhale mayi komanso kudyetsa, kuonetsetsa kuti mwana wake wamtsogolo adzakula. Kumbali ina, zimakhumudwitsa ntchito ya kapamba, kuphatikizapo gawo lake la endocrine, lomwe limatulutsa insulini.
Mankhwala
Mwazi wamagazi ukhoza kuchuluka mwa anthu omwe amamwa mankhwala a mahomoni kwa nthawi yayitali - njira za kulera, mahomoni a steroid, okodzetsa, mankhwala a neurotropic - antidepressants, tranquilizer, mapiritsi ogona.
Muzochitika zonsezi, kuwonjezeka kwa shuga m'magazi ndikosakhalitsa, atathetsa zomwe zimayambitsa, zimabwereranso. Komabe, pazifukwa izi ndizosatheka kunena kuti ndi shuga kapena ayi. Matendawa sangathe kupatulidwa mwa anthu munthawi zonsezi mukamayang'ana kumbuyo kwa zinthu izi.
Kodi ndi matenda ashuga kapena ayi?
Mwa munthu wathanzi, kusinthasintha kwa shuga m'magazi masana nthawi zonse kumakhala kwachilengedwe, zimadalira kapangidwe kake, kuchuluka kwake, nthawi yakudya, ndipo iyi ndi njira ya thupi. Zakudya zomanga thupi zimamwa kwambiri mwachangu, nditatha maola awiri nditatha kudya, zimadutsa mzere wobwerezabwereza ndikubwereranso ku zenizeni zawo, bola metabolism ya carbohydrate isavutike, palibe matenda ashuga.
Masiku ano, kwa munthu aliyense, kuchuluka kwa shuga mumagazi kumapezeka mnyumba mothandizidwa ndi zida za glucometer, akhoza kugulidwa momasuka m'masitolo ogulitsa, zida zamankhwala. Amagwiritsidwa ntchito kwambiri ndi odwala matenda ashuga, koma munthu aliyense akhoza kuchita glucetry ngati angafune. Kuti muziyendayenda molondola - ndi matenda a shuga kapena ayi, pomwe shuga amayamba kufika 8 mmol / l, ndikofunikira kudziwa zomwe amakonda malinga ndi nthawi yakudya.
Ngati pamimba yopanda kanthu
Kukula kwa glucose mwachangu mwa achikulire kumakhala kuyambira 3.5 mpaka 5.6 mmol / l, pomwe mulingo wake ukafika pa 8 ndikusowa kudya kwa maola 8-10, ichi ndi chizindikiro choopsa. Zimawonetsa kuchepa kwa kugwiritsa ntchito glucose chifukwa chosowa kupanga insulin, kuchepa kwake kapena kuwonjezeka kwa minofu chifukwa cha insulin. Zotsatira zake zikuwonetsa kuti wodwala ali ndi matenda osokoneza bongo, kuwunika kowonjezereka ndikofunikira kumveketsa mawonekedwe ake ndikusankha chithandizo.
Zoyenera kuchita
Kuwonjezeka kwa kuthamanga kwa magazi kuti aike chizindikiro 8 ndi chizindikiro chomveka cha matenda ashuga. Izi zikutanthauza kuti kuyezetsa, kulandira chithandizo ndikuwunika pafupipafupi ndi endocrinologist ndikofunikira.
Ngati mayeso obwereza mobwerezabwereza shuga afika 8 - kodi izi zikutanthauza chiyani ndikuyenera kuchita? Choyamba, ndikofunikira kumvetsetsa kuti kugwiritsidwa ntchito kwa glucose kumakhudzidwa ndi moyo ndi zakudya, momwe metabolism imachepetsedwa, ndipo zochuluka zamafuta zimalowa m'thupi.
Zochita ziyenera kuchitika nthawi yomweyo:
- onjezerani zolimbitsa thupi - Chitani masewera olimbitsa thupi, yendani, kukwera njinga, pita dziwe,
- Sinthani chakudyacho - siyani kupatula nyama, makeke, m'malo mwatsopano ndi zipatso, timadziti, komanso mafuta a nyama ndi mafuta a masamba,
- kukana kumwa mowa mwa mtundu uliwonse - zakumwa zoledzeretsa, vinyo kapena mowa, ali ndi chakudya chamagulu ambiri.
Ndikofunikanso kuonana ndi endocrinologist posachedwa ndikutsatira malangizo ake onse.
Kodi izi ndizowopsa bwanji?
Kuchuluka kwa shuga kwa nthawi yayitali m'magazi kuyambira 8 mmol / l ndi ngozi yayikulu yathanzi, kumathandizira kukulitsa matenda ambiri:
- mtima ndi mtsempha wamagazi - atherosulinosis, myocardial dystrophy, infarction ya myocardial, gangrene ya malekezero,
- mantha dongosolo - polyneuropathy, angapo neuralgia, encephalopathy, cerebrovascular ngozi (sitiroko)
- chitetezo cha mthupi - kuchepa kukana matenda, kutupa,
- musculoskeletal system - minofu hypotrophy, mafupa a mafupa, kusintha kwina kosakanikirana (arthrosis),
- endocrine dongosolo - kuchepa kwa ntchito ya chithokomiro ndi ziwalo zoberekera,
- kagayidwe kachakudya matenda - mawonekedwe a kuchuluka kwa mafuta, kukula kwa kunenepa kwambiri,
- kuwonongeka kwa mawonekedwe - kuwunika kwa mitsempha ya maso, kuyamwa kwa retinal,
- kukula kwa zotupa zoyipa.
Ziwerengero zamankhwala zimanena kuti poyerekeza ndi maziko a hyperglycemia, zochitika zamatenda zilizonse zimakhala zapamwamba kwambiri, ndipo zimachitika modabwitsa.
Kodi kuchitira?
Funso la momwe mungapangidwire shuga m'magazi limatha kukhala lofanana ndi endocrinologist ndipo amasankhidwa payekhapayekha kwa wodwala aliyense. Palibe njira yothandizira aliyense padziko lapansi.
Choyamba, mtundu wa shuga umatsimikizika. Ngati ndi mtundu 1, ndiye kuti, insulin siyinatchulidwe, ndiye kuti mankhwala othandizira ndi omwe amapezeka m'malo mwake. Itha kukhala insulini yotalika maola 24, kapena insulin yocheperako, yopangidwira 1 chakudya. Zitha kutumikiridwa padera kapena kuphatikiza, ndikusankha kwa munthu mmodzi komanso tsiku lililonse wodwala aliyense.
Mtundu wachiwiri wa shuga, insulin ikapangidwa, koma "sagwira ntchito," mankhwala ochepetsa shuga m'mapiritsi, decoctions ndi infusions ochokera ku zitsamba zamankhwala amapatsidwa. M'magawo onse awiri, gawo lofunikira la chithandizo ndi chithandizo chapadera chamankhwala ndi maphunziro akuthupi.
Dokotala amasankha njira yabwino kwambiri yoperekera chithandizo chamankhwala
Makhalidwe ena osanthula
Tsopano za zomwe njira zina zokhala ndi shuga zimatanthauzira, kaya kuda nkhawa ndikupanga china chake.
Mlozera wa shuga wa 5 mmol / L kapena kuposa (malingaliro aliwonse mpaka 6) pamimba yopanda kanthu ndi chikhalidwe cha ana ndi akulu. Kusiyana ndi makanda obadwa kumene mpaka chaka chimodzi chomwe shuga yamagazi yake sayenera kupitirira 4.4 mmol / L.
Kuwonjezeka kochepa kwa shuga osaposa 6 mmol / L kumafunika kusanthula mobwerezabwereza ndi katundu wazakudya zowonjezera thupi komanso kuwunika kambiri kuti mudziwe chomwe chimayambitsa. Kufunsana ndi endocrinologist ndikofunikira, chifukwa chitha kukhala boma la prediabetes.
Ngati shuga othamanga wamagazi amafika 7 kapena kuposerapo, izi zimafunikira chithandizo chamankhwala kuti apimidwe mopitilira, ichi ndi chizindikiro cha matenda ashuga. Ndikofunikira kudziwa mtundu wamatenda ndikuwongolera msinkhu wa shuga malinga ndi malangizo a endocrinologist.
Mwazi wamagazi 5.8 mmol
Munthawi yovomerezeka ya endocrine dongosolo ndi kapamba, shuga wamwazi ndikwanira mphamvu ziwalo zonse. Ndi shuga wambiri, njira za metabolic zimasokonekera, thupi limavutika. Palibe choopsa chilichonse ndi kusowa kwa shuga - hypoglycemia. Mwazi wamagazi 5 8 choti muchite, ndi zomwe zikuwonetsedwa kuti ndizomwe zikuchitika, tidzanena mwatsatanetsatane.
Milandu ndi kuphwanya
Kamodzi m'thupi la munthu, shuga samamwa mwachindunji. M'matumbo am'mimba, shuga amawonongeka ndi ma enzyme kuti glucose. Ma Enzymes omwe amafunikira cleavage amatchedwa glycosyl hydrolases. Preifx hydra imati zomwe zimachitika zimachitika pokhapokha pamadzi.
Gawo la sucrose limapangidwa m'matumbo ang'onoang'ono ndi kapamba. Kuchokera pamenepo, glucose amalowa m'magazi ndikufalikira thupi lonse.
Thupi lamunthu lathanzi limasowa glucose wambiri tsiku lililonse. Zambiri zimalowa m'thupi kuchokera kunja, limodzi ndi chakudya. Glucose imapereka chakudya ku maselo aubongo, mafupa ndi minofu.
Ngati shuga amapita kupitirira zizolowezi, ndiye kuti zakudya zam'maselo zimasokonekera ndipo thupi limataya magwiridwe ake. Pali mitundu iwiri yophwanya kuchuluka kwa shuga m'magazi:
- Zocheperako - hypoglycemia. Choyamba, maselo aubongo ndi dongosolo lamanjenje amavutika.
- Zambiri - hyperglycemia. Shuga amawaika mu mapuloteni a maselo ndikuwawononga. Ndi hyperglycemia, mtima, impso, chiwindi, ndi ziwalo zamasomphenya zimakhudzidwa makamaka.
Miyezo ya shuga yamagazi imayezedwa mu labotale kapena ndi mita ya shuga yamagazi. Mlingo wa shuga m'magazi a munthu aliyense zimatengera zomwe amachita, magwiridwe antchito a kapamba ndi mphamvu ya kapangidwe ka mahomoni omwe amalepheretsa insulin.
Matenda a shuga ndi osokoneza bongo ndipo poyamba samadziwonetsa. Zizindikiro zotsatirazi zikuwoneka, ndikulimbikitsidwa kuti mupange nthawi yomweyo shuga:
- Kumva ludzu pafupipafupi, kupweteka kwammphuno kumawuma,
- Kuyeserera kumachitika pafupipafupi
- Kutopa kumawonekera, kugona.
Ndi wopanda shuga, mawonetseredwe otheka:
- Kuchuluka thukuta,
- Kuzindikira kwakanthawi kochepa,
- Zofooka
- Kusakwiya.
Kuunika magazi kwa shuga ndikovomerezeka kwa azimayi pakatikati pa milungu 24-27.
Norm "kusala"
Maola 8 asanafike mayeso, simungathe kudya. Mwazi umatengedwa kuchokera m'mitsempha, kusanthula kwa zamankhwala kumachitika.
Kupenda koyamba kuyenera kuwonetsa zotsatirazi:
- Zomwe zimachitika mwa munthu wamkulu ndi 4.1-5.8 mmol / l,
- Mwana kuyambira mwezi umodzi mpaka zaka 14 - 3,3-5,5 mmol / l,
- Mu ana mpaka mwezi - 2.8-4.4 mmol / l.
Chizindikiro cha 5.8 chimatengedwa ngati chizolowezi, ndipo kupereka magazi chifukwa cha shuga sikofunikira. Mutha kubwereza kusanthula pambuyo masabata angapo. Ngati chizindikirocho ndi chachikulu kuposa chabwinobwino, ndiye kuti wodwalayo wapemphedwa kukayesedwanso.
Kuchuluka kwa shuga m'thupi mwa amayi nthawi yomwe akusamba komanso pakusintha kwa pakati - 4.6-6.7 mmol / l.
Aliyense atha kuyesedwa shuga, koma kuyesedwa kwa matenda a zaumoyo makamaka ndikofunikira:
- Matenda a chiwindi
- Kunenepa kwambiri
- Mavuto ndi tiziwalo tamadontho tambiri,
- Dziwa matenda a chithokomiro.
Shuga wokwera akhoza kukhala wosakhalitsa. Mitengo yambiri imayamba chifukwa cha kupsinjika, mankhwala omwe wodwala watenga posachedwa, kapena mlingo waukulu wa zotsekemera zomwe zimadyedwa patsiku lotsatira. Kupatula zotsatira zabodza, kafukufuku wachiwiri ndi mayeso owonjezera a mahomoni ndi ma enzymes amaperekedwa.
Norm "katundu"
Kuyesedwa kwa kulolera kwa glucose kumachitika ngati, atatha kusanthula koyamba, akatswiri akukayikira. Kusanthula pansi pa katundu ndi kofunikira kwa ma pathologies:
- Wodwala ali ndi zizindikiro za matenda ashuga,
- Mkodzo wa anthu ndi wambiri shuga,
- Pali kutengera kwa chibadwa cha matenda ashuga,
- Kuchulukitsa pokodza patsiku
Komanso, kusanthula ndikofunikira kwa azimayi atabereka, ngati kulemera kwa mwana kumaposa 4 kg. Kupatula kukhalapo kwa matenda ashuga, mwanayo amapimanso magazi.
Asanatero, wodwalayo amapatsidwa tiyi wokhala ndi magalamu 75 a shuga. Patatha maola awiri, kuyezetsa magazi kumatengedwa kuchokera m'mitsempha. Kwa mwana, kuchuluka kwa shuga kumawerengedwa pa chiŵerengero cha 1, 75 g / kg.
Kusanthula pansi pa katundu kumayenera kuwonetsa kukula kwa 7.8 mmol / L. Ngati Zizindikiro m'derali zikuchokera ku 7.8 mpaka 11.0 mmol / l, ndiye kuti wodwalayo amapezeka kuti ali ndi vuto la glucose. Vutoli limatengedwa ngati wodwala matenda ashuga ndipo munthu amakalandira mankhwala.
Chizindikiro 5.8 pakuwunika komwe chimalemedwa chimawerengedwa bwino ndipo munthu safunikira mayeso owonjezera.
Pamene kuchuluka kwa shuga kuli pamwamba 11.1 mmol / l, matenda a shuga amapezeka.
Njira zopewera
Mafuta a glucose a 5.8 mmol / L amatha kumuwopseza munthu wathanzi, chifukwa izi ndizofunikira kwambiri. Pangozi ndi anthu onenepa kwambiri komanso operewera pancreatic ntchito.
Kuchepetsa shuga m'magazi, ndikokwanira kutsatira malamulo:
- Thamangani pafupipafupi ndipo pitani kumalo olimbitsa thupi kawiri pa sabata,
- Tsatirani moyo wabwino: kusiya kusuta fodya, kumwa mowa mwauchidakwa,
- Penyani dongosolo la tsikulo, kwa munthu wathanzi kumatenga maola 7-8 kugona,
- Yendani panja nthawi zambiri
- Idyani zakudya zopatsa thanzi.
Malamulo asanu osavuta amathandizira kutsika shuga wamagazi ndikuwongolera momwe mulili.
Zakudya zamankhwala
Anthu omwe amakonda kudya ma spikes m'magazi amalangizidwa kuti asatenge zakudya zawo: zakudya zotsekemera, makeke ndi makeke. 70% yazakudya za tsiku ndi tsiku ziyenera kukhala zamasamba ndi zipatso. Kupatula mbatata ndi zipatso zomwe zimakhala ndi wowuma kwambiri.
Nyamayo ili ndi mavitamini ambiri ndipo thupi limafunikira magwiridwe antchito a mtima, maselo am'mitsempha ndi minofu. Anthu omwe amakonda kudya matenda a shuga amalangizidwa kuti azingodya nyama zowonda zokha:
Pezani zakudya moyenera ndi nsomba zam'nyanja: nsomba, shrimp, squid, mamina. Zakudya zothina zimaphikidwa kapena kuphika mu uvuni. Ndi bwino kupewa kukazinga mafuta.
Ophatikizidwa kwathunthu ndi zakudya: mayonesi, shuga, zakudya zosakanizidwa, zakudya zamzitini.
Zinthu zamkaka zomwe zimakhala ndi mafuta osakwana 1.5% ndizothandiza. Sitikulimbikitsidwa kuti tidye tchizi chopanda mafuta opanda mafuta, kefir. Thupi sililandira phindu chifukwa chosowa mafuta. Kuyamwa mapuloteni ndi calcium kuchokera ku tchizi tchizi, pamafunika mafuta ochepa.
Osatengera khofi ndi tiyi wamphamvu. Sinthani zakumwa zokhala ndi timadziti taumoyo kapena zakumwa zopangidwa tokha.
Maphikidwe a folks ochepetsa magazi
Mwazi wamagazi umachepetsedwa pogwiritsa ntchito njira za anthu:
- Tincture wa Bay tsamba. Masamba 10 Bay, 2 cloves amatengedwa. 500 ml ya madzi otentha amathiridwa ndikuthira m'malo amdima kwa maola 6. The kulowetsedwa aledzera 100 ml m'mawa chopanda kanthu, pa chakudya chamadzulo asanadye komanso madzulo asanagone. Njira ya mankhwala ndi masiku 7.
- Madzi a mandimu okhala ndi makungwa a aspen. Khungwa la aspen limawuma ndikuphwanyidwa. 1 mandimu amatengedwa 1 supuni ya khungwa laphwanyika. Zosakaniza zimathiridwa ndi 200 ml ya madzi ndikuyika mu kusamba kwamadzi. Choguliracho chimaphikidwa kwa mphindi 30 pa moto wochepa. Msuzi womalizidwa umasefedwa ndikuwuma. Mankhwalawa amatengedwa supuni imodzi m'mawa komanso asanagone.
- Kulowetsedwa azitsamba asanu ndi awiri. Pophika, amawerengedwa motere: Mint, mankhwala a mandimu, hawthorn (zipatso), viburnum (zipatso), maluwa a linden, mtundu wa mankhwala a chamomile, calendula. Zosakaniza ndi zosakanikirana ndikutsanulira 250 ml ya mowa wamphamvu. Choguliracho chimasiyidwa m'malo amdima komanso ozizira kwa masiku 10. Kenako kulowetsaku kumasefedwa ndikuyeretsa mufiriji. Tengani madontho 10 pa 100 ml yamadzi m'mawa wopanda kanthu. Njira yovomerezeka ndi mwezi umodzi.
Shuga wamagazi 5.8 sayenera kukhala owopsa, koma muyenera kusamala kwambiri zaumoyo wanu. Kutsatira zakudya zoyenera komanso maphikidwe osavuta owerengeka kungakuthandizeni kuchepetsa msanga magazi. Ndikulimbikitsidwa kuwunika momwe zinthu ziliri ndikumayesedwa kamodzi pamwezi.
Mwazi shuga wamagazi 8 - amatanthauza chiyani ndi choti achite?
Mphamvu ya glucose imapatsa mphamvu thupi. Koma kuti khungu lililonse lizilandira zokwanira, chinthu chofunikira ndi chomwe chimatumiza mphamvu ku ziwalo zonse. Ndi insulin. Mu matenda 1 a matenda ashuga, kapamba sangathe kutulutsa mu kuchuluka kofunikira, chifukwa chake, shuga m'magazi ndi 8 komanso apamwamba. Mtundu wachiwiri wa matenda ashuga, mphamvu zama cell kupita ku insulin zimachepa, glucose sangalowe mu minofu, ndipo motero glycemia imayamba, kukulira bwino.
Kunenepa kwambiri, kutopa, kupweteka mutu komanso kulemera m'miyendo ndi zizindikiro zowopsa zomwe zingawonetse kuyambika kwa matenda ashuga. Madotolo amalimbikitsa kuti anthu omwe ali ndi zaka makumi anayi ndipo akudwala matenda omwe afotokozedwawa nthawi zambiri amayendera magazi omwe ali ndi shuga - pafupifupi zaka ziwiri zilizonse. Izi zitha kuchitika kunyumba mothandizidwa ndi glucometer kapena kulumikizana ndi chipatala.
Mwazi wamagazi a 8 mmol / L sikuti ndi shuga. Zambiri zimatengera nthawi yomwe kuwunika kunatengedwa komanso momwe munthu anali. Mukatha kudya, kuwonjezera zolimbitsa thupi, panthawi yomwe muli ndi pakati, zikuwonetseratu zimatha kusiyana ndi zabwinobwino, koma ichi sichiri chifukwa cha mantha. Potere, muyenera kusamala, kuwerenganso zakudya ndi ntchito, kenako kubwereza mayeserawa tsiku lina.
Ndende yabwinobwino yama glucose ndi 3.9-5.3 mmol / L. Mutatha kudya, imadzuka, ndipo ngati chakudyacho chinali ndi mafuta ambiri, ndiye kuti glycemia imatha kufika 6.7-6.9 mmol / L. Komabe, chizindikirochi chimangobwerera mwachangu pakapita nthawi, ndipo munthuyo akumva wokhutira. Kuchuluka kwa shuga kwa 8 mmol / L mutatha kudya ndi chifukwa chodziwira matenda a prediabetes. Koma kwa odwala matenda ashuga, ichi ndi chizindikiro chabwino kwambiri cha glycemia atatha kudya. Ngati kuchuluka kwa shuga m'magazi ndi 8, mukutha kuthana ndi matendawa ndipo mumatha kupita patsogolo kuti muchira. Ndi zizindikirozi, madotolo sangaperekenso chithandizo chamankhwala, koma amangolimbikitsa kudya kwapansi-carb.
Ndipo ngati mulibe matenda okhudzana ndi matenda ashuga, shuga wambiri pamlingo wa 8 mmol / l - chifukwa ndikuwuza dokotala nthawi yomweyo ndikuwunikiranso. Izi ziyenera kuchitika ngakhale mukumva bwino.
Tikukukumbutsani kuti miyambo ya glycemic ndi yofanana kwa amuna, akazi ndi ana opitilira zaka 5. Chifukwa chake, kupatuka kulikonse kwa zizindikiro kuyenera kuyambitsa alarm. Kusasamala thupi lanu lomwe nthawi zambiri limakhala chifukwa chachikulu choyambitsa matenda oopsa a metabolic komanso zovuta zina zotsatirazi.
Ngati magazi anu ali 8 m'mawa pamimba yopanda kanthu, ichi ndi chizindikiro choyipa kwambiri. Pamimba yopanda kanthu m'mawa, zizindikiro zizikhala zochepa. Odwala matenda ashuga ayenera kuyesetsa 5.5-6.0 mmol / L. Pokha pamlingo uwu chiwopsezo cha zovuta ndizochepa. Ndi glycemia wokwera, pakapita nthawi, matenda a impso, maso, miyendo, ndi mtima. M'magawo oyamba a matendawa, chiwonetserochi chikuwonetsa kufalikira kwa matendawa komanso kufunika kwa njira yodziwira chithandizo. Popanda matenda, ichi ndi chizindikiro cha kukhalapo kwa prediabetes.
Shuga wamagazi 8 - akuyenera kuchita chiyani?
Matenda a shuga amadziwika ndi thanzi labwino komanso zizindikiro zina zomwe anthu nthawi zambiri samaziganizira. Pangozi yopezeka ndi matenda a shuga, muyenera kulabadira zovuta zotere kukhala ndi thanzi labwino:
- ludzu losalekeza komanso pakamwa louma
- kukodzanso mobwerezabwereza popanda chifukwa
- kuyabwa ndi kusenda kwa khungu
- kutopa, kusakwiya, kulemera m'miyendo
- "Nkhungu" pamaso
- kuchira pang'onopang'ono kwa kukanda kwapang'onopang'ono ndi kukhumudwa
- pafupipafupi matenda omwe samachiritsika
- mpweya wotuluka umanunkha acetone.
Matendawa ndi oopsa chifukwa nthawi zina m'mimba mumatha kukhala glycemia m'mimba yopanda kanthu, ndipo umadzuka mukatha kudya. Muyenera kuda nkhawa ngati, mutatha kudya, zizindikirozo zimaposa 7.0 mmol / L.
Mayeso opanda kanthu m'mimba adawonetsa shuga wamagazi a 7 - 8 mmol / L - chochita pamenepa? Choyamba, yang'anirani zizindikiro zanu. Munthawi imeneyi, mafuta abwinobwino a glycemic m'mawa ndi 5.0-7.2 mmol / L; mukatha kudya, sizidutsa 10 mmol / L, ndipo kuchuluka kwa hemoglobin ya glycated ndi 6.5-7.4 mmol / L. Mulingo wamba wamagazi a 8 mmol / L mukatha kudya ndi chizindikiro cha prediabetes.Ngati mwayi wofika kwa dokotala mosayembekezereka, umatha kukhala mtundu wa 2 wodwala, kenako chithandizo chake chimakhala chotalikirapo komanso chovuta, zovuta zingapo zimatha kubuka.
Momwe angapangidwire ngati magazi a 8 ndi 8 - funso ili limakhalapo kwa odwala a endocrinologists. Malangizo akulu ndi njira yabwino kwambiri yogonjetsera matenda kumayambiriro kwa chitukuko ndikuwunika zakudya ndikusintha moyo wanu. Muyenera kudya pafupipafupi 5, ndipo makamaka 6 pa tsiku, kuchita nawo masewera olimbitsa thupi, pewani kupsinjika ndikugona maola osachepera 6 patsiku.
Chofunikira pa chithandizo chamankhwala ndicho kutsatira kwambiri zakudya. Kuchokera pachakudya, ndikofunikira kupatula zinthu izi:
- nyama yambiri ndi nsomba,
- zakudya zokometsera komanso zokazinga
- nyama iliyonse yosuta,
- ufa wosalala wa tirigu ndi mbale zina zilizonse,
- ma muffins, mchere, maswiti ndi maswiti ena,
- sodas zabwino
- mowa
- zipatso zambiri zam shuga ndi masamba.
M'pofunikanso kuchepetsa menyu kuzakudya za mbatata ndi mpunga. Mukamalemba zakudya zatsiku ndi tsiku, amakonda kupatsidwa ndiwo zamasamba zatsopano ndi zophika, zipatso, mapira, oatmeal, mafuta ochepa mkaka wowawasa, nyama yopanda mafuta komanso nsomba. Nyemba, mtedza, zitsamba, tiyi kuchokera ku zitsamba zamankhwala, timadziti tating'onoting'ono tomwe timakhala tili ndi mankhwala othandiza kupangitsa matenda a glycemia kusintha komanso kukhala bwino.
Madokotala amalimbikitsa kuti shuga ya magazi ikafika pafupifupi 8 mmol / l, funsani dokotala nthawi yomweyo ndikusinthira ku chakudya chamoto chochepa. Kutsatira malangizo a endocrinologist ndikudya moyenera, mutha kuthana ndi matenda omwe alibe jakisoni ndi mapiritsi.
Mwazi wa Magazi 8.5 mmol / L
Munthu aliyense ali ndi shuga m'magazi awo. Chingakhale cholondola kunena kuti "glucose", omwe amasiyana ndi mankhwala ndipo ali ndi gwero lamphamvu lamphamvu. Glucose kuchokera ku chakudya amalowa m'magazi ndikufalikira thupi lonse kuti apatsidwe mphamvu kuti tiganize, kusuntha, kugwira ntchito.
Mawu oti "shuga m'magazi" adayamba kuzika mizu pakati pa anthu, amagwiritsidwanso ntchito ngati mankhwala, chifukwa chake tikambirana za shuga ndi chikumbumtima choyera, kukumbukira kuti kwenikweni shuga amatanthauza. Ndipo glucose amathandizira kuti insulini ituluke.
Ingoganizirani kuti khungu ndi nyumba yaying'ono, ndipo insulini ndiye fungulo lomwe limatsegula khomo la glucose m'nyumba. Ngati pali insulini pang'ono, ndiye kuti gawo lina la glucose silidzamwa ndipo lidzakhalabe m'magazi. Kuchuluka kwa glucose kungayambitse matenda a shuga.
Glucose owonjezera amasinthidwa kukhala glycogen ndipo amatumizidwa kuti akadikire m'mapiko m'chiwindi ndi minofu yamatumbo, yomwe imakhala ngati nyumba yosungirako yake. Pazofunikira kudzaza kuchepa kwa mphamvu, thupi limatenga kuchuluka kwa glycogen yomwe ikufunika, ndikusinthanso kukhala glucose.
Pakakhala glucose wokwanira, owonjezera amatayidwa mu glycogen, koma amakhalabe, ndiye amawayika ngati mafuta. Chifukwa chake kulemera kambiri, zovuta zaumoyo, kuphatikizapo matenda ashuga.
Kuchuluka kwa shuga mwa akulu ndi ana opitilira zaka 5 ndi 3,9-5.0 mmol pa lita, chimodzimodzi kwa aliyense. Ngati kuwunika kwanu kuli pafupifupi kuwirikiza kawiri, tiyeni tinene.
"Tonthola, dekha!" Atero munthu wotchuka, wokonda kupanikizana ndimankhwala. Kuyesedwa kwa shuga sikungamupweteketsenso.
Chifukwa chake, mudapereka magazi a shuga ndikuwona zotsatira - 8.5 mmol / L. Izi sizoyenera kuchita mantha, ndi nthawi yodziwitsa anthu za nkhaniyi. Ganizirani zinthu zitatu zomwe mungachite kuti shuga achulukane mpaka 8,5.
1. KULIMA KWA TEMPORARILY SUGAR. Kodi izi zikutanthauza chiyani? Magazi amaperekedwa atadya, atatha kulimbitsa thupi kwambiri, atapanikizika kwambiri, akudwala, kapena ali ndi pakati. Pali lingaliro la "shuga woyembekezera," pamene magazi a magazi amatuluka chifukwa cha kusintha kwa mahomoni m'thupi la mayi woyembekezera. Zinthu izi zimathandizira kukula kwakanthawi kwa shuga m'magazi, uku ndi kusintha kwachilengedwe kwa thupi komwe kumachitika nthawi yochita masewera olimbitsa thupi.
Tsatirani malamulo osavuta popereka magazi a shuga:
- Pereka m'mawa pamimba yopanda kanthu
- Chotsani kupsinjika, kupsinjika, kukondoweza.
Kenako magazi amayenera kubwezeretsedwanso. Ngati zotsatira zake zili zofanana, ndi bwino kuwerengera ndime 2 ndi 3. Ngati zotsatirapo zake zili zabwinobwino, werengani ndime 2 ndi 3. Sananene kuti ndi mankhwala, koma lingaliro labwino.
2. KUGWIRITSANSO NTCHITO SUGAR. Ndiye kuti, malinga ndi malamulo onse opereka magazi, mulingo wa shuga amakhalabe pamwamba pa 8 mmol / l. Izi sizomwe zimachitika, komanso osati shuga, mtundu wamalire a boma. Madokotala amachitcha prediabetes. Uku si kuzindikira, mwamwayi. Izi zikutanthauza kuti kapamba amatulutsa insulini pang'ono kuposa momwe amafunikira. Njira zoyendetsera michere m'thupi zimachepetsa, pali zolephera pokonza shuga ndi thupi.
Pakhoza kukhala zifukwa zambiri: kusokonezeka kwa endocrine system, matenda a chiwindi, kapamba, kubereka. Khalidwe losayenera lingayambenso shuga. Mowa, kupsinjika kwakukulu, kusachita masewera olimbitsa thupi, kunenepa kwambiri, kulakalaka kwambiri zinthu zabwino zonse za "tiyi."
Kodi ndi chifukwa chiti chomwe chidayambitsa kuchuluka kwa shuga mwa inu - adotolo azithandiza kukhazikitsa. Ndi index yokhazikika ya shuga pali chifukwa chachikulu chofunsira kuti nthawi yotsatira ndi wothandizirayo ndi liti. Kutengera ndi zotsatira zake, atha kukutumizirani kwa endocrinologist kuti mukafunsire zina ndi chithandizo. Chonde osazengereza kuyendera katswiri.
3. Kuphwanya shuga kulolera ndi chifukwa chinanso chomwe chimayambitsa shuga wambiri. Izi zimatchedwa latent prediabetes kapena matenda ashuga. Pankhani ya kuloleza kwa glucose, sikupezeka mkodzo, ndipo chizolowezi chake chimachuluka mu kusala magazi, kudziwa kwamaselo kusintha kwa insulin, katulutsidwe kamene kamachepa.
Amapezeka bwanji? Mkati mwa maola awiri, wodwalayo amamwa shuga m'magawo omwe amafunikira, ndipo mphindi 30 zilizonse magawo ake m'magazi amayesedwa. Kutengera ndi zotsatira zake, mayeso owonjezera amalembedwa.
Kuphwanya kwa kulolera kwa glucose kumathandizidwanso, zakudya zapadera zimayikidwa ndipo zimalimbikitsidwa kuti musinthe moyo wokhala ndiumoyo wathanzi. Odwala akhama omwe adziletsa, kuchira ndikotheka.
Mayeso! Yankhani INDE kapena AYI ku mafunso otsatirawa.
- Kodi mumavutika kugona? Kusowa tulo?
- Posachedwa, kodi mwakhala mukuchepetsa thupi kwambiri?
- Kodi mumamva kupweteka kwakanthawi?
- Kodi maso anu awonongera posachedwapa?
- Kodi mumakhala ndi khungu loyenda?
- Kodi mumakhala ndi kukokana?
- Kodi zimachitika kuti mumamva kutentha popanda chifukwa?
Ngati mwayankha kuti “inde” kamodzi komanso kukhala ndi shuga wambiri, ndiye chifukwa china chofunsira kuchipatala. Monga mukumvetsetsa, mafunso amatengera zizindikiro zazikulu za prediabetes.
Pali mipata yabwino yochepetsera shuga mpaka 8.5 mwa kukonza kwawokhazikika kwa moyo. Osathamangira kukwiya. Nawa malingaliro ena komwe thupi limangonena kuti "zikomo". Zotsatira zoyambirira zimatha kumveka pambuyo pa masabata awiri.
- Idyani nthawi 5-6 patsiku. Ndibwino ngati chakudyacho chaphika chaphika kapena mu uvuni. Magulu owononga, maswiti ndi zinyalala zina zamafuta zimathetsedwa bwino. Pewani zakudya zokazinga ndi zonunkhira. Madokotala nthawi zonse amakhala ndi mindandanda yazakudya zomwe zimachepetsa shuga. Mverani malangizowo.
- Pewani zakumwa zoledzeretsa.
- Yendani mu mpweya wabwino. Pezani nthawi yocheza ndi theka la ola kuti mupeze mpweya wabwino. Ganizirani zamasewera omwe mungakhale nawo ndipo pang'onopang'ono yambani zolimbitsa thupi. Kuyenda, kuthamanga, masewera olimbitsa thupi - aliyense ndiolandiridwa.
- Gona mokwanira. Maola asanu ndi limodzi kapena kupitilira apo ndi momwe thupi lamachiritso limafunikira.
DZIWANI IZI: Zawoneka kuti anthu ena omwe kutsatira chikumbumtima chawo amadya asanabadwe shuga amawoneka ochepa kuposa zaka zawo. Komabe, kusintha kwa moyo wamoyo kumaonekera ngakhale ndi maliseche.
Malangizo othandiza. Kuti muwone mopitilira muyeso wama shuga, ndikulimbikitsidwa kuti mugule glucometer, ikuthandizani kutsata mphamvu ya shuga. Chizolowezi chothandiza chimatha kukhala polemba momwe mungazindikire kuchuluka kwa shuga, zakudya zanu komanso masewera olimbitsa thupi, kuti mumvetsetse bwino thupi lanu.
Kwa dokotala, mita yanu ya glucose ndiyofunika, koma kuyesa kwina kwa magazi kungapangidwenso.
Momwe mungasankhire glucometer. Kuti mulowe nawo mutuwu, kanema adzakuthandizani, pomwe madokotala odziwika angakuuzeni momwe mungasankhire zoyenera. Ndipo pomwepo sing'anga wokakamira ndi chikwama chanu adzakuwuzani chigamulo chomaliza.
ZIDZAKHALA NDI CHIYANI POPANDA KUTI PANGOPANDA CHONSE. Mokulira, shuga adzachuluka, prediabetes isandulika shuga, ndipo uwu ndi matenda oopsa, zotsatira zoyipa zomwe zimakhudza thupi lonse. Zaumoyo zitha kuyembekezera kuwonongeka ndipo moyo ukhale wotsika kwambiri.
Kumbukirani kuti shuga ndikosavuta kupewa kuposa kuchiza. Popeza ndinu onenepa kwambiri, wazaka 40+ komanso wokhala ndi moyo wokhala pachiwopsezo, muli pachiwopsezo. Pothana ndi shuga wambiri, ndikofunikira kupereka magazi kwa shuga osachepera kawiri pachaka kuti muzindikire ndikusintha kusintha komwe kungatheke m'thupi nthawi.
Mulingo wovomerezeka wa shuga m'magazi a anthu: gome ndi zizindikiro
Pofuna kupewa, kuwongolera komanso kuchiza matenda ashuga, ndikofunikira kwambiri kuyeza milingo ya shuga m'magazi.
Chizindikiro chofananira (mulingo woyenera) kwa onse ndi pafupifupi zofanana, sizimatengera jenda, zaka komanso mawonekedwe ena a munthu. Nthawi zambiri ndi 3.5-5,5 m / mol pa lita imodzi ya magazi.
Kusanthula kuyenera kukhala koyenera, kuyenera kuchitika m'mawa, pamimba yopanda kanthu. Ngati shuga ali m'magazi a capillary aposa 5.5 mmol pa lita imodzi, koma ali m'munsi mwa 6 mmol, ndiye kuti izi zimawoneka ngati malire, pafupi ndi chitukuko cha matenda ashuga. Kwa magazi a venous, mpaka 6.1 mmol / lita imadziwika.
Zizindikiro za hypoglycemia mu shuga zimawonetsedwa pakuchepa kwambiri kwa shuga m'magazi, kufooka komanso kusazindikira.
Mutha kuphunzira momwe mungapangire ndikugwiritsa ntchito tincture wa walnuts omwe ali patsamba lino.
Zotsatira zake sizingakhale zolondola ngati munaphwanya chilichonse mukamapaka magazi. Komanso, kupotoza kumatha kuchitika chifukwa cha nkhawa, kudwala, kuvulala kwambiri. Zikatero, muyenera kufunsa dokotala.
Ndi chiyani chomwe chimawongolera kuchuluka kwa shuga m'magazi?
Homoni yayikulu yomwe imayambitsa kuchepetsa magazi ndi insulin. Amapangidwa ndi kapamba, kapenanso maselo ake a beta.
Mahomoni amalimbikitsa kuchuluka kwa shuga:
- Adrenaline ndi norepinephrine zopangidwa ndi adrenal glands.
- Glucagon, wopangidwa ndi maselo ena achilengedwe.
- Mahomoni a chithokomiro.
- "Lamula" mahomoni opangidwa mu ubongo.
- Cortisol, corticosterone.
- Zinthu zokhala ngati mahormoni.
Ntchito yamachitidwe amthupi mthupi imayang'aniridwanso ndi dongosolo la mantha amanjenje.
Pali mitsempha ya tsiku ndi tsiku ya glucose - otsika kwambiri amawonedwa kuyambira 3 a.m. mpaka 6 a.m., malinga ndi nthawi iyi kuti munthu wagona.
Nthawi zambiri, shuga wamagazi mwa amayi ndi abambo omwe amawunika muyezo sayenera kupitirira 5.5 mmol / l, koma pali kusiyana pang'ono pazaka, zomwe zikuwonetsedwa patebulo pansipa.
Masiku 2 - masabata 4.3 | 2,8 - 4,4 |
Masabata a 4.3 - zaka 14 | 3,3 - 5,6 |
14 - 60 wazaka | 4,1 - 5,9 |
Zaka 60 - 90 zakubadwa | 4,6 - 6,4 |
Zaka 90 | 4,2 - 6,7 |
M'mabotolo ambiri, gawo la muyeso ndi mmol / L. Chipinda chinanso chitha kugwiritsidwa ntchito - mg / 100 ml.
Kuti musinthe mayunitsi, gwiritsani ntchito formula: ngati mg / 100 ml ichulukitsidwa ndi 0.0555, mudzapeza zotsatira mmol / l.
Chikhalidwe cha shuga m'magazi mwa ana
Mulingo wamagulu a shuga mwa akhanda mpaka zaka 1 ndi: kuyambira 2.8 mpaka 4,4 mmol pa lita imodzi, mwa ana osaposa zaka 5 - kuyambira 3.3 mpaka 5.0 mmol / l, mwa ana okulirapo, zizindikilo ziyenera kukhala zomwezi monga akulu.
Ngati mayeso a mwana apitilira 6.1 mmol / l, muzochitika zotere, kuyesedwa kwa glucose kapena kusanthula kwamphamvu kwa glycosylated hemoglobin kumafunika.
Kuyesa kwa shuga m'magazi
M'm zipatala zambiri zapagulu ndi zipatala za boma, mutha kukayezetsa magazi. Asanagwire, zimayenera kutenga pafupifupi maola 8-10 chakudya chatha.Pambuyo pa kumwa plasma, wodwalayo ayenera kumwa magalamu 75 a shuga wosungunuka ndipo pambuyo maola 2 aperekanso magazi.
Zotsatira zimatengedwa ngati chizindikiro cha kulolerana kwa glucose ngati maola 2 atatha ndi 7.8-11.1 mmol / lita, kupezeka kwa shuga kumapezeka ngati kuli pamwamba 11.1 mmol / L.
Komanso Alamu izikhala yotsika ndi 4 mmol / lita. Zikatero, pamafunika kuwunika kokwanira.
Kutsatira zakudya zokhala ndi prediabetes kumathandiza kupewa zovuta.
Chithandizo cha matenda a shuga a shuga chingaphatikizeponso njira zosiyanasiyana zofotokozedwera pano.
Chifukwa chomwe kutupa m'miyendo kumachitika m'matenda a shuga afotokozedwa m'nkhaniyi.
Kuphwanya kulekerera kwa glucose sichiri matenda a shuga koma, amalankhula za kuphwanya mphamvu ya maselo kuti apange insulin. Ngati matendawa atapezeka pa nthawi yake, chitukuko cha matendawa chimatha kupewa.
Kodi mumakonda nkhaniyo? Uzani anzanu za izi →
Kodi izi zikutanthauza chiyani, zoyenera kuchita ndi momwe muyenera kuchitira?
Kuchuluka kwa shuga m'thupi kumayenera kusungidwa pamlingo wina wake kuti mphamvuyi ikhale ndi mphamvu komanso kutikita minyewa yonse ya thupi lathu. Ndikofunikanso kuti shuga asatuluke mkodzo. Ngati kagayidwe ka shuga kamasokonekera, munthu amatha kukumana ndi imodzi mwanjira ziwiri - hyperglycemia ndi hypoglycemia. Chifukwa chake, uku ndi kuwonjezeka kwa shuga.
Munkhaniyi tikambirana za kuopsa kwa shuga wambiri. Chifukwa chake, mutha kudziwa zomwe zili zowopsa za chizindikiro 8, komanso zoyenera kuchita.
Shuga wapamwamba
Hyperglycemia amatchedwa shuga wowonjezera wamagazi. Pa dzanja limodzi, chizindikiritso choterechi chimatha kuwonetsa kusinthasintha kwa thupi. Pakadali pano, kupezeka kwamafuta onse amtunduwu kumatsimikizika; motero, izi zimapangitsa kuchuluka kwa shuga. Pakhoza kukhala zifukwa zingapo izi:
- Kuchita zolimbitsa thupi, kuyambitsa minyewa yambiri.
- Zinthu zovuta komanso mantha makamaka.
- Chisangalalo.
- Zovuta za syndromes.
Nthawi zambiri, kuchuluka kwa shuga m'magazi kumakhala kwakanthawi kochepa. Izi zimachitika mwachilengedwe chifukwa cha katundu amene wabwera mthupi.
Ngati shuga index 8 ikusungidwa nthawi yayitali, izi zikutanthauza kuti kuchuluka kwa glucose kumawonedwa m'thupi, ndipo minofu yake imalephera kuyamwa iyo munthawi yake. Nthawi zambiri, izi zimachitika ndi zovuta ndi endocrine system. Kuphatikiza apo, zotsatirapo zake zimatha kukhala zoyipa kwambiri - pali chiopsezo chowonongeka cha insulin yobisala, yomwe imapezeka m'mapapo. Chifukwa chake, shuga wowonjezera amatuluka ndi mkodzo.
Hyperglycemia ndi gawo lochulukirapo la glucose m'magazi ndipo thupi limalephera kutenga zinthu zomwe zikubwera. Zochitika zoterezi zimayambitsa zovuta za metabolic zomwe zimatsatiridwa ndikukula kwa zopangidwa ndi poizoni. Pachimake pazotheka izi zitha kuwononga thupi.
Mawonekedwe oyamba a matendawo kwa munthu moyenera samakhala ndi zovuta zoyipa. Muzochitika kuti kuchuluka kwa glucose ndikochuluka, thupi limafuna kuthamanga kwamadzi nthawi zonse. Munthu amafunitsitsa kumwa madzi, ndipo nthawi zambiri amapita kuchimbudzi. Mukakodza, shuga owonjezera amatuluka. Chifukwa chake, nembanemba ya thupi imayimitsidwa limodzi ndi khungu.
Hyperglycemia yayikulu imayendera limodzi ndi izi:
- kugona kosalekeza
- kuthekera kwakukulu kokuluka chikumbumtima
- kusanza
- nseru
Makonzedwe awa a milandu akuwonetsa mawonekedwe oyamba a kukomoka kwa hyperglycemic, komwe kumatha kubweretsa zovuta. Matendawa nthawi zina amapezeka mwa anthu omwe ali ndi mavuto a endocrine: shuga mellitus, kuchuluka kwa chithokomiro.
Hyperglycemia imachitikanso chifukwa cha matenda a hypothalamus (gawo laubongo lomwe limayambitsa magwiridwe antchito a endocrine).
Pocheperapo, mavuto a chiwindi amatha kukhala chifukwa cha shuga.
Zotsatira zakukula kwakutali kwa glucose ndikuphwanya njira za metabolic m'thupi. Kulephera koteroko kumadzetsa kufooka kwambiri kwa thupi, komanso kufooketsa chitetezo chamthupi. Zotsatira zake, kutukusira kwa purulent kumayamba kuwonekera m'thupi, kenako ndikuphwanya ntchito za dongosolo la kubereka komanso kufalikira kwa magazi kwamasempha onse.
Mawu omwe amavomerezedwa pambiri pa shuga ndichakuti ngati glucose ndi woposa 5.5 mmol / L pamimba yopanda kanthu, ichi ndichizindikiro cha kuchuluka kwa shuga. Kutengera ndi zotsatira za mayeso, zomwe zatsimikiziridwa ndikutsiriza kumachitika - shuga.
Tikukulimbikitsani kuti muzolowere kuchuluka kwa shuga m'magazi omwe angathandize kudziwa tanthauzo la glucose kutanthauza 8 ndikuwona zoyenera.
Chizindikiro | Matenda Oyambirira | Type 2 shuga |
kusala kudya kwa shuga | 5,5-7 | zopitilira 7.0 |
kuyang'ana shuga 2 masana mutatha kudya | 7,0-11,0 | zopitilira 11.0 |
glycated hemoglobin wambiri | 5,7-6,4 | zopitilira 6.4 Zomwe zimachitika mthupi zimawonetsa kuchuluka kwa shuga:
Mafuta otsikaUmu ndi momwe thupi liliri. Hypoglycemia - shuga wotsika wamagazi. Vutoli ndilosowa kwenikweni, mosiyana ndi hyperglycemia. Chizindikirochi chimatha kugwa chifukwa choti munthu amadya zakudya zambiri zotsekemera, ndipo gawo la insulin limayamba kugwira ntchito molingana ndi mphamvu zake. Chifukwa cha kuchuluka kwambiri kwa matendawa, matendawa amayamba kukula. Ngati shuga ndi otsika kuposa 3.3 mmol / L pamimba yopanda kanthu - chifukwa choyamba chomwe chikuwonetsa kuchuluka kwa shuga m'thupi. Chifukwa chake hypoglycemia imayambaZifukwa zake zitha kukhala zambiri:
Mashuga A wamba a MagaziKwa munthu wathanzi yemwe sanapezeke ndi matenda a shuga, chizolowezi chamagazi ndimachokera pa 3,3 mpaka 5.5 mmol / l pamene ayesedwa pamimba yopanda kanthu. Ngati maselo a thupi la munthu sangathe kuyamwa shuga omwe akubwera, mulingo umayamba pang'onopang'ono koma mosakayikira umakwera. Muyenera kuti mukudziwa kuti glucose ndiye gwero lalikulu lamphamvu. Ngati wodwala ali ndi matenda a shuga omwe amadalira insulin a mtundu woyamba, zikutanthauza kuti kapamba satulutsa insulini konse. Mtundu wachiwiri wa matenda omwe amadalira insulini umati pali insulin yokwanira mthupi, koma sangathe kuyendetsa bwino shuga. Chifukwa chake, ngati maselo salandira mphamvu yokwanira, thupi limakhala lotopa msanga komanso kufooka kosalekeza. Zikakhala kuti thupi likulimbana ndi glucose wambiri kuti akwaniritse bwinobwino, impso zimayamba kugwira ntchito mwachangu, chifukwa, nthawi zambiri munthu amapita kuchimbudzi. Ngati shuga msambo 8 umawonedwa kwa nthawi yayitali, izi zimatha kubweretsa zovuta.Kuchuluka kwa glucose nthawi zambiri kumayambitsa kuphatikizana kwa magazi, omwe pambuyo pake sangathe kudutsa mitsempha yaying'ono. Zotsatira zake, ziwalo zonsezo zimavutika. Kuti muthane ndi zinthu zonse zoyipa, yesani kubweza zonse mwazonse. Njira zingapo zitha kugwiritsidwa ntchito pa izi, tsopano tikambirana njira yayikulu. Choyamba, muyenera kusinthira ku chakudya chopatsa thanzi, komanso kuyang'anira kuchuluka kwa shuga m'magazi. Zakudya za odwala omwe ali ndi matenda ashuga sizosiyana ndi chakudya chokhazikika, chomwe chimaperekedwa kwa munthu wathanzi kuti azikhala wathanzi. Kumbukirani kuti kuthamanga kwa magazi a shuga kumayambira pa 3,3 mpaka 5.5 mmol / L. Kwa munthu amene ali ndi matenda ashuga, chizolowezi chimatha kukhala osiyanasiyana. Ndikoyenera kuyesa chizolowezi chovomerezeka, komabe, ngati wodwala ali ndi matenda ashuga, sangakhale akwaniritsa chizindikiro chake. Chifukwa chake, ngati chisonyezo pamlingo wophunziridwa chili pa 4 mpaka 10, izi ndi zotsatira zabwino. Ndi shuga wamagulu awa m'magazi, munthu samadwala zaka 10 kapena kuposerapo. Chifukwa chake, ndikofunikira kuyesetsa osachepera mulingo uwu. Kuti muwunikire pafupipafupi, muyenera kugwiritsa ntchito glucometer. Momwe mungadziwire shuga wamagaziNthawi zambiri magazi a shuga amayesedwa pamimba yopanda kanthu. Njira iyi imakhala ndi zovuta zambiri:
Mpaka pano, njira yabwino kwambiri yodziwira kuchuluka kwa shuga ndi kuwunika kwa hemoglobin. Chizindikirochi chimawonetsa bwino shuga wapakati m'thupi mpaka miyezi itatu. Kusanthula kumeneku sikudalira katundu, kuchuluka kwa chakudya komanso momwe munthu akumvera. Chifukwa chake, mutayesedwa, mudzapeza zotsatira zolondola. Zotsatira zake, ngati kusanthula kwa glycated hemoglobin kuwonetsa kuti shuga ya magazi ndiye woyamba belu la shuga. Chifukwa chake, pankhaniyi, funsani kuchipatala komwe mungayang'anire chithandizo choyenera. Munkhaniyi, tapenda mwatsatanetsatane zisonyezo za kukwezedwa kwa magazi m'magazi, komanso chifukwa chodumphira chizindikiro ichi. Yang'anirani mosamala momwe thupi liliri - kuti mutha kudziwa mosavuta zisonyezo zoyambirira za kuchuluka kwa shuga ndikugwiritsira ntchito chithandizo chamankhwala munthawi yake. Mwazi wamagazi Norm, zimayambitsa kuchuluka ndi kutsika kwa shugaNgati mukukayikira mtundu woyambirira wa zovuta za metabolism, kuyesa kwa glucose ndikofunikira. Zizindikiro ndi mtengo. Anthu omwe akudwala matenda a shuga amalangizidwa kuti azigwira ntchito yowunika ma laboratori a zikuluzikulu za mkodzo ndi magazi osachepera kawiri pachaka. Ndikofunikira kukumbukira: kulondola kwa zotsatira zawo zimatengera kukonzekera koyenera kwa kusanthula kwinanso. Kuti musunge ndalama, pezani za mapulogalamu a kuchotsera muma labotale apadera. Kuwongolera koyenera kwa mayeso a labotale yamankhwala omwe amachitidwa molingana ndi miyezo yapadziko lonse lapansi ndi mkangano wamphamvu pakusankha labotale. Momwe mungasankhire labotale? Glucose ndi metabolites ya kagayidwe kazakudya zimagwira ntchito yofunika kwambiri popereka mphamvu ku minofu ya thupi komanso kupuma ma cell. Kukula kapena kuchepa kwa nthawi yayitali pazinthu zake kumabweretsa zotsatira zoyipa zomwe zimasokoneza thanzi la anthu komanso moyo.Chifukwa chake, madokotala amalimbikitsa kuti pakhale kuchuluka kwamphamvu yamagazi. Kuyika kwake m'magazi kumayendetsedwa ndi mahomoni angapo nthawi imodzi - insulin, glucagon, somatotropin, thyrotropin, T3 ndi T4, cortisol ndi adrenaline, ndipo pakupanga glucose 4 njira zonse zam'magazi zimakhudzidwa - glycogeneis, glycogenolysis, gluconeogenesis ndi glycolysis. Pazifukwa zodziwitsa, ndikofunikira kudziwa zomwe akutanthauzira, komanso kupatuka mkati ndi kunja kwa chizolowezi, zomwe zimatengera nthawi yakudya komanso kupezeka kwa zizindikiro za matenda ashuga. Kuphatikiza pa shuga, palinso zolemba zina za shuga m'magazi: fructosamine, hemoglobin wa glycated, lactate, ndi ena. Koma muziyamba kuchita zinthu zofunika kwambiri. Gluu m'magazi a anthuMonga chakudya china chilichonse, shuga sangatengeke mwachindunji ndi thupi ndipo amafunika kuti khungu lisungunuke mothandizidwa ndi ma enzymes apadera okhala ndi mathero a "-ase" ndikupanga dzina logwirizanitsa glycosyl hydrolases (glycosidases), kapena sucrose. "Hydro" m'dzina la gulu la ma enzyme akuwonetsa kuti kuwonongeka kwa sucrose mu glucose kumachitika pokhapokha pamadzi. Ma sucrose osiyanasiyana amapangidwa m'matumbo ndi m'matumbo aang'ono, momwe amakamwa m'magazi ngati glucose. Zabwino kudziwa! Shuga, kapena sucrose (beet, nzimbe), kukhala multisaccharide, imakhala ndi ma monosaccharides awiri - fructose (50%) ndi glucose (50%). Glucose ena amathanso kuphatikizidwa ndi glucose - maltose (malt shuga), lactose (mkaka), nigerose (mpunga wakuda), trehalose (bowa), turanose (uchi), cellobiose (nkhuni birch), ndi zina. Zophatikiza zovuta zimaphwanyidwanso kugaya glucose, mkati mwa enzymatic hydrolysis, pang'onopang'ono kuchepa kwa maselo owonda, koma njirayi imayamba pang'onopang'ono. Chifukwa chake dzinali - "wosakwiya" chakudya. Chifukwa chake, shuga (dextrose) imapangidwa ndikuwonongeka kwa mankhwala ophatikizika a carbohydrate kukhala osavuta, kapena monosugar. Amamezedwa ndi matumbo ochepa. Gwero lake lalikulu (koma osati lokhalo) ndizopatsa mphamvu zopatsa thanzi. Kwa thupi la munthu, ndikofunikira kuti kuchuluka kwa "shuga" kumapitilizidwa mokhazikika, popeza kumapereka mphamvu ku maselo. Ndikofunikira kwambiri kupatsa minofu yamafupa, mtima ndi ubongo ndi chinthu ichi munthawi yake, chomwe chimafunikira mphamvu koposa zonse. Ngati shuga ali kunja kwa mtundu wamba, ndiye:
Kusintha kwa shuga ndi ma millimales pa lita imodzi (mmol / L). Mlingo wake umatengera chakudya cha munthu, ntchito yake yamagalimoto ndi luntha, mphamvu ya kapamba kuti apange insulini, yomwe imakhala ndi shuga yotsika mtengo, komanso mphamvu yakukula kwa mahomoni omwe amalepheretsa insulin. Dziwani! Thupi la munthu limakhala "lamphamvu" nthawi yayitali. Izi zikutanthauza kuti amalandira glucose osati kuchokera kunja, kuchokera ku chakudya, komanso kuchokera ku zomwe ali ndi zina zapakati pake - mu mawonekedwe a glycogen. Glycogen, yemwe nthawi zina amatchedwa wowuma kapena waumunthu, amapezeka m'maselo ambiri a chiwindi - hepatocytes. Kufikira pafupifupi 8% ya maselo akuluakulu mpaka 200 gramu muyezo wonse wa chiwindi ndi zida za glycogen. Zosungirako zake zazikulu zimapezeka mu mtima (mpaka 1% ya kulemera kwa khungu) ndi minofu ina yam minofu, koma zongogwiritsa ntchito wamba. Chiwindi chimatha kupereka mphamvu kuzinthu zonse, osati kungodzithandiza zokha. Pali gwero lina lamkati la glucose - limayambitsidwa pomwe masitolo a glycogen atha, omwe nthawi zambiri amachitika pambuyo pa tsiku la kusala kapena kale - chifukwa chogwiritsa ntchito mphamvu mwamphamvu mwamphamvu komanso mwamphamvu. Njirayi imatchedwa gluconeogeneis, yomwe imapangidwa kuti iphatikizidwe ndi glucose kuchokera:
Mkhalidwe wopezeka ndi glucose kuchokera ku amino acid umawonedwa kuti ndiwowopsa paumoyo wa anthu komanso moyo, chifukwa "kudya" kwamasisitimu akeake kumatha kukhudza chiwalo monga mtima, komanso minyewa yosalala yamatumbo ndi mitsempha yamagazi. Kuthamanga shugaKusanthula kumeneku kumapereka pambuyo pakuthamanga kwa maola 8-14. Kuyesa kwa magazi kumachitika kuchokera m'mitsempha. Chiwopsezo cha glycemic chachikulu mwa achikulire ndi 4.1-5.9 mmol / L, ana kuyambira mwezi umodzi mpaka zaka 14 - 3.3-5.6 mmol / L, makanda mpaka mwezi - 2.8-4.4 mmol / l Akuluakulu (kuyambira zaka 60) ndi amayi pa nthawi yomwe ali ndi pakati, mitengo imatha kukula ndikufikira pa 4.6-6.7 mmol / l. Phunziro lofananalo limachitika:
Kuzindikira kwa glucose othamanga mu kuchuluka kwa 7.0 mmol / L ndi chifukwa chachikulu kwambiri cha mayeso owonjezera a labotale, kuphatikizapo mahomoni ndi ma enzyme. Shuga wamagazi "odzaza" shugaNgati zotsatira za kuyesedwa kwa shuga kozizira kumakweza kukayikira pakati pa akatswiri, ndiye kuti kuyesedwa kwa glucose kumachitika. Ikhozanso kuchitidwa kuti mupeze matenda osokoneza bongo komanso zovuta zina za kagayidwe kazakudya. Kafukufuku wofananayu akuwonetsedwa pamaso pa zizindikiro zamatenda a shuga, kuphatikiza shuga wamagazi, kupezeka kwa shuga mkodzo, kuchuluka kwa mkodzo tsiku ndi tsiku, chizolowezi chobadwa ndi matenda ashuga kapena kukhalanso kwa retinopathy kwachidziwikire. Kusanthula kotereku kumachitika kwa amayi omwe abereka ana olemera oposa kilogalamu zinayi, komanso ana awo. Mukamayesedwa, wodwala amatenga magazi pamimba yopanda kanthu, kenako amatenga magalamu 75 a shuga osungunuka mu tiyi. Kwa ana, mlingo amawerengedwa molingana ndi formula 1.75 gramu / kg. Kuwunikiranso mobwerezabwereza kumachitika patatha maola 1-2 mutagwiritsidwa ntchito mankhwalawa, pomwe shuga sayenera kupitirira chizindikiro cha 7.8 mmol / L. Ngati kuchuluka kwa shuga m'magazi patatha maola 2 mutangoyesedwa mu mayeso okhudzana ndi shuga wa pakamwa ndi 11.1 mmol / L kapena kupitilira, ndiye umboni wa matenda a shuga. Ngati kuchuluka kwa glucose kuli pansipa 11.1 mmol / L, koma pamwamba pa 7.8 mmol / L, tikulimbana ndi kuloleza kwa glucose. Glycated hemoglobinKugwirizana kwa erythrocyte hemoglobin ndi glucose. Kuyeza kuchuluka kwa hemoglobin ya glycated imakupatsani mwayi wofufuza shuga m'miyezi itatu yapitayo. Kuti mupeze kusanthula, wodwalayo amatenga mofulumira pakatha maola awiri kapena atatu. Ubwino wakuwunika kumeneku ndikuphatikizapo kuti zotsatira zake sizikhudzidwa ndi kukhalapo kwa kupsinjika kapena matenda mwa wodwala, komanso mankhwala. Phunziroli likuwonetsedwa:
Glycated hemoglobin imayesedwa ngati gawo la hemoglobin yonse. Chikhalidwe chimawonedwa kukhala chochepera 6%. Mtengo wa 6.5% ndi pamwambapa ndi chitsimikiziro pakupezeka kwa matenda ashuga. FructosamineNdi kuphatikiza kwa shuga ndi mapuloteni a plasma, omwe amakupatsani mwayi kudziwa kuchuluka kwa shuga m'masabata awiri apitawa. Kuti mupeze kusanthula, wodwalayo amatenga magazi a venous pambuyo pakuthamanga kwa maola 8. Ndende yabwinobwino ya fructosamine ndi ochepera 319 μmol / L. Pakuwunikanso momwe wodwalayo alili, zomwe zimapezeka m'magazi a glycated nthawi zambiri zimatsimikizika (kuwunikaku kumawonetsa kuchuluka kwa glucose kwa miyezi itatu), ndipo muyeso wa kuyang'ana kwa fructosamine amalembedwa pakafunika kuwunika momwe wodwalayo adalili masabata angapo apitawa, makamaka:
Ngati mtengo wokhazikika pamtunda wa 370 μmol / L, izi zikuwonetsa kuwonongeka kwa carbohydrate metabolism, kulephera kwa impso, hypothyroidism, kapena kuwonjezeka kwa kalasi A immunoglobulin (IgA). Ngati fructosamine ndi yotsika kuposa 286 μmol / l - uwu ndi mwayi wokayikira hypoproteinemia (hypoalbuminemia) wa nephrotic syndrome, nephropathy, hyperthyroidism, kapena kudya kwambiri ascorbic acid. Ichi ndi gawo limodzi la pancreatic secretion, yomwe imakupatsani mwayi wopenda kupanga insulin. Kuyeza kuchuluka kwa mankhwalawa kumapangitsa kuzindikira matenda a shuga ndikuwunika momwe mankhwalawo amathandizira. C-peptide ndi insulin zimapangidwa mofanana, koma kuchuluka kwa C-peptide kumakhala kosasintha ndipo sikudalira kuchuluka kwa shuga m'magazi a anthu. Chifukwa chake, kutsimikiza kwa kuchuluka kwake kumapangitsa kuyesa molondola kupanga kwa insulin. Mitundu ya kusala kwachilengedwe ya C-peptide imasiyana kwambiri - 260–1730 pmol / L. Kukula kumawonedwa mutatha kudya, mankhwala a mahomoni, glucocorticosteroids, kulera ndi ena ambiri. Ngati izi zimasankhidwa, beta-cell hypertrophy, insulinoma, kukhalapo kwa ma antibodies kupita ku insulin, matenda osokoneza bongo omwe amadalira shuga, kukula kwachulukidwe (chotupa chotupa), apudoma (chotupa chomwe mosaletseka chimatulutsa insulin m'magazi), ndipo kulephera kwa aimpso ndikotheka. C-peptide yotsika imawonetsa insulin yomwe imadalira matenda a shuga, insulin, hypoglycemia, nkhawa, kupezeka kwa ma antibodies kuma insulin receptors (omwe ali ndi mtundu II matenda a shuga). Chifukwa chiyani shuga wa m'magazi amatha kudzutsidwa kapena kutsitsidwa?Chifukwa chake, kuchuluka kwa shuga wamagazi kumadziwika pamaso pa matenda a endocrine system, kapamba, impso ndi chiwindi, ndi vuto la mtima komanso sitiroko, matenda a shuga. Pafupifupi zifukwa zomwezo, pokhapokha ndi chizindikiro chosiyanako, zimapangitsa kutsika kwa shuga m'magazi. Shuga ndi ochepa mu pancreatic pathologies, matenda ena a endocrine, mankhwala osokoneza bongo kwambiri, matenda owopsa a chiwindi, zotupa zoyipa, Fermentopathy, matenda a autonomic, mowa ndi poizoni wamankhwala, kumwa ma steroid ndi amphetamines, kutentha thupi komanso kulimbitsa thupi kwambiri. Hypoglycemia imatha kukhala ndi kusala kudya kwanthawi yayitali, komanso ngati ana akhanda asanakwane ndi makanda obadwa kwa amayi omwe ali ndi matenda ashuga. Izi ndizosangalatsa! Mwa ziwalo zonse za anthu, mphamvu zambiri, zomwe zimatanthawuza kuti glucose, zimagwiritsidwa ntchito ndi ubongo. Ngakhale kuti imalemera 2% yokha ya kulemera kwa thupi, kugwiritsa ntchito mphamvu zake kuchokera pa 15% mpaka 60% ya mphamvu zonse zolandiridwa, kutengera kuchuluka kwa katundu wamanjenje ndi mtundu wa zochita. Kwa "statistologist" mitengo iyi patsiku ndi yokwanira 400 kcal, yomwe ndiofanana ndi babu loyaka moto la 18 W.Kwa ophunzira ndi ogwira ntchito muofesi, chizindikirochi chikuwonjezeka kufika pa 500 kcal (mphamvu ya bulb - 25 W), kwa anthu omwe amagwira ntchito zaluso kwambiri kapena zogwira mtima kwambiri - mpaka 700 kcal (34 W), pantchito yawo pantchito zovuta - mpaka 1,100 kcal (46 Watts!). Chifukwa chake, kuchepa kwa glucose komwe kumachitika mwa anthu otero kumalipidwa ndi kuwonongeka kwa glycogen wamkati ndi malo osungirako mafuta. Mwina ndichifukwa chake palibe wasayansi amene wonenepa kwambiri. Momwe mungabwezeretsere kuchuluka kwa shuga pamalingaliro wamba?Ndi zopatuka zazing'ono kuchokera ku chizolowezi cha shuga m'magazi, tikulimbikitsidwa kusintha zakudya. Odwala omwe ali ndi hyperglycemia amafunika kuchepetsa kuchepa kwa chakudya ndi chakudya. Gulu la "loletsedwa" limaphatikizapo zinthu zokhala ndi shuga, buledi woyera, pasitala, mbatata, vinyo, ndi zakumwa za gasi. Nthawi yomweyo, muyenera kuwonjezera zakudya zomwe zimachepetsa shuga (kabichi, tomato, anyezi, nkhaka, biringanya, dzungu, sipinachi, udzu winawake, nyemba, ndi zina). Odwala omwe ali ndi matenda ashuga amalangizidwa kuti azitsatira zakudya No. 9. Amaloledwa kugwiritsa ntchito zotsekemera, makamaka, sucracite, aspartame ndi saccharin. Komabe, mankhwalawa amatha kubweretsa njala, ndipo nthawi zina, kukhumudwa m'mimba ndi matumbo. Mlingo wovomerezeka wa ndalamazi uyenera kutsimikiziridwa ndi dokotala. Ndi hypoglycemia, muyenera kuwonjezera kuchuluka kwa mapuloteni, omwe amapezeka pamtundu waukulu mumtundu wa nyemba, nyemba, mkaka ndi nyama yopanda mafuta. Kupewera kwa hypo- ndi hyperglycemia kumakhala pakupenya zakudya komanso kuchita masewera olimbitsa thupi mokwanira. Ngati kuchuluka kwa shuga ndi chifukwa cha matenda a ziwalo zomwe zimakhudzana ndi kufalikira kwa shuga, ndiye kuti shuga ngati imeneyi imawonedwa ngati yachiwiri. Pankhaniyi, iyenera kuthandizidwa nthawi yomweyo ndimatenda oyamba (chiwindi cirrhosis, hepatitis, chotupa cha chiwindi, pituitary, kapamba). Ndi hyperglycemia yocheperachepera, dokotala amatha kukupatsani mankhwala: kuwonjezera insulin. Ndi kutsimikizika kwa insulini, odwala amapatsidwa insulin, yomwe imayang'aniridwa pang'onopang'ono. Mlingo wawo amawerengedwa ndi endocrinologist payekha kwa wodwala aliyense. Shuga wamagazi ambiriChimodzi mwazinthu zamitundu mitundu m'magazi a anthu ndi glucose, yomwe imakhudzidwa ndi kayendetsedwe ka mphamvu ya metabolism. Mlingo wake umayendetsedwa ndi insulin ya mahomoni, yomwe imapangidwa mu kapamba ndi maselo ake otchedwa beta. Mulingo wamba wa ana:
Chizindikiro masana chimatha kusintha, koma kukumbukira chakudya, kugona, kutengeka, kuthupi, kupsinjika. Komabe, malire ake apamwamba sayenera kupitirira 11.1 mamililita / lita. Miyezo yofananira yakhandaM'magazi a amayi apakati, malire a glucose amatha "kumwazika" - gawo lotsika limakwera mpaka 3,8 mmol / L, cholowa chapamwamba chimatsikira mpaka 5 mmol / L. Mlingo wa shuga uyenera kuyang'aniridwa mosamala nthawi yonse ya kubereka. Kusanthula kumaperekedwa mukayamba kulumikizana ndi chipatala chakutsogolo. Ndikofunika kuchita kusanthula pakadutsa masabata 8 mpaka 12. Ngati zizindikirozo zikugwirizana ndi zikhalidwe za amayi apakati, kafukufuku wotsatira akukonzekera masabata 24 - 28. Kuyesedwa kwa shuga kumaperekedwa kuchokera ku chala kapena kuchokera mu mtsempha. Magazi a Venous amakulolani kudziwa kuchuluka kwa shuga mu plasma.Mwanjira iyi, zizindikiro zabwinobwino zidzakhala zapamwamba kuposa ndi mpanda wabwino kwambiri - kuyambira 3.9 mpaka 6.1 millimol / l. Mu nyengo yachitatu ya mimba, kapamba amatulutsa insulin yambiri, yomwe thupi la mzimayi liyenera kuthana nayo. Izi ngati sizichitika, chitukuko cha matenda ashuga mellitus (DM) mwa amayi apakati, omwe amatchedwa kuti gestational matenda a shuga, ndizotheka kwambiri. Kuwonetsedwa kwa matendawa kumatha kukhala kozungulira, asymptomatic komanso ndi shuga wachilengedwe. Chifukwa chake, kwa milungu 28, azimayi oyembekezera amayesedwa shuga (mayeso olimbitsa thupi). Kuyesedwa kwa glucose kulolerana (glucose kulolerana mayeso, GTT) kumathandiza kuzindikira kapena kupatula kukhalapo kwa matenda ashuga. Amakhala ndi magazi choyamba pamimba yopanda kanthu, ndiye - atatha kuyamwa kwa glucose (katundu). Kwa amayi apakati, kuyesedwa patatu kumachitika. Pambuyo poyesa pamimba yopanda kanthu, mkazi amapatsidwa 100 magalamu a shuga osungunuka m'madzi owiritsa. Mayeso obwereza amatengedwa, maola awiri ndi atatu itatha yoyamba. Zotsatira zake zimawoneka ngati zabwinobwino:
Kuchulukitsa izi kungawonetse kukhalapo kwa matenda osokoneza bongo a mellitus, omwe amafunikira kuwonedwanso ndi chithandizo cha endocrinologist. Magazi onse a glucose panthawi yomwe ali ndi pakati akuwonetsedwa pagome: Kutha kwa magwiridwe antchitoZizindikiro za shuga zomwe zili pansipa mwa amayi apakati zimatha kuphatikizidwa ndi chakudya chopanda malire komanso chokwanira, kuchuluka kwa maswiti, kulimbitsa thupi kwambiri, komanso kukhalanso ndi matenda ena aliwonse. Kutsika kwa shuga m'magazi ndikosayenera (hypoglycemia) monga kuchuluka (hyperglycemia). Ndi kutsika kwakuthwa kwa shuga, kumva kupepuka, kunjenjemera m'thupi, chizungulire, kutuluka thukuta, malingaliro a mantha ndi khalidwe. Hypoglycemia imakhala yoopsa pakomoka pomwe imatha kuwopseza moyo wa mayi komanso mwana wosabadwa yemwe amayamba kufa ndi njala. Ndikofunikira kuti muchepetse kukula kwa hypoglycemia, kukonza chakudya moyenera komanso zokhazo zolimbitsa thupi. Ngati pali matenda amisomali, muyenera kuwadziwitsa abambo anu za matenda amenewa. Kupititsa patsogolo ntchitoMimba palokha ndiyo chiopsezo chotenga matenda a shuga. Izi ndichifukwa cha kusakhazikika kwa kupanga kwa insulin. Zizindikiro zotsatirazi zitha kuwonetsa kuchuluka kwamagazi a shuga:
Mukamabwereza machitidwe a hyperglycemic, chakudya chokhala ndi zopepuka zamafuta ochepa nchofunikira. Kumwa shuga ndi confectionery, mikate yoyera, zipatso zotsekemera, zipatso ndi timadziti, mbatata, ma pickles sayenera kuphatikizidwa. Kugwiritsa ntchito mbale yokazinga, mafuta ndi yosuta komanso zinthu zina sizikulimbikitsidwa. Tsatirani kusinthasintha kwanu m'magazi a magazi nthawi iliyonse masana kungathandize mita yanu yamagazi. Ngati chakudya chimodzi chosintha chizowoneka bwino sichokwanira, ndi kotheka kuti endocrinologist ikupatseni jakisoni wa insulin yokwanira. Ngati matenda ashuga akuchulukira, izi sizitanthauza kuti matendawa atha kubereka pambuyo pobereka. Kutsatira malingaliro onse a dotolo, kuchita mokwanira masewera olimbitsa thupi, chakudya chokhazikika chophatikiza ndi zakudya zopatsa thanzi chomwe chitha kukonzedwa ndizothandiza kwambiri panjira yoletsa matenda ashuga. |