Kodi ndingatani pozizira chimfine?

Mu shuga mellitus, kuchuluka kwa shuga m'magazi kumachuluka, chifukwa pali kuchepa kwa insulin ya mahomoni. Ngati matenda oyamba apezeka, thupi limaperewera insulin, ndipo m'matenda a mtundu wachiwiri, maselo samayankha.

Insulin ndiyofunikira kuwongolera njira za metabolic, makamaka shuga, komanso mafuta ndi mapuloteni. Ndi insulin yokwanira, kagayidwe kamasokonezeka, kuchuluka kwa shuga kumadzuka, matupi a ketone - zinthu za acidic zamafuta oyaka a mafuta, kudziunjikira m'magazi.

Matendawa amatha kuyamba ndi zizindikiro zotsatirazi: ludzu lalikulu, kukodza mopitirira muyeso, kusowa kwamadzi (kuchepa kwamphamvu kwa thupi). Nthawi zina mawonekedwe a pathology amatha kusiyanasiyana pang'ono, zimatengera kuuma kwa hyperglycemia, chifukwa chake, chithandizo chimaperekedwa mosiyanasiyana.

Ngati munthu akudwala matenda ashuga, ayenera kudziwa kuti matenda aliwonse amtundu wa ma virus amatha kuyipitsa thanzi. Sizizindikiro zokha zomwe ndizoyambitsa zokha koma zowopsa, koma tizilombo tating'onoting'ono tomwe timayambitsa mavuto ena pakulimbana kwodwala. Kupsinjika, komwe kumayambitsa kuzizira, kumatha kuyambitsa kuchuluka kwa shuga m'magazi.

Kuzizira kumayambitsa hyperglycemia chifukwa chakuti thupi limakakamizidwa kuphatikiza mahomoni kuti athane ndi matendawa:

  • amathandizira kuwononga kachilomboka,
  • koma nthawi yomweyo amasokoneza kuwononga insulin.

Ngati zizindikiro za shuga m'magazi ozizira zatha, kutsokomola kwayamba, mavuto akulu azaumoyo ayamba, ndipo mtundu woyamba wa matenda ashuga umayambitsa mwayi wa ketoacidosis. Munthu akakhala ndi matenda ashuga amtundu wa 2, amatha kudwala matenda oopsa.

Ndi ketoacidosis, acid yambiri, yomwe ikhoza kuwononga moyo, imadziunjikira m'magazi. Hyperosmolar non-ketonemic coma ilinso yovuta kwambiri, chifukwa chosakhala bwino, wodwalayo amakumana ndi zovuta. Kodi magazi amakwera ndimazizira mwa munthu wopanda matenda ashuga? Inde, koma pankhaniyi tikukamba za hyperglycemia yakanthawi.

Zakudya ziti zomwe zizikhala ndi chimfine

Zizindikiro zoyambirira za chimfine zikamachitika, wodwalayo amataya chidwi chake, koma matenda ashuga ndi njira yomwe amafunikira kudya. Amaloledwa kusankha zakudya zilizonse zomwe zili m'gulu la odwala omwe ali ndi matenda ashuga.

Chizolowezi cha zakudya zamafuta pamenepa ndi pafupifupi magalamu 15 pa ola limodzi, ndikofunika kumwa theka kapu ya kefir yotsika mafuta, msuzi wochokera ku zipatso zosapsa, idyani theka la magawo omwe amapatsidwa. Ngati simukudya, kusiyana kwa glycemia kumayamba, thanzi la wodwalayo lidzaipiraipira.

Pamene kupuma kumayendera limodzi ndi kusanza, kutentha thupi kapena kutsekula m'mimba, muyenera kumwa kapu yamadzi yopanda mpweya kamodzi pa ola limodzi. Ndikofunika kuti musamame madzi pachitsime chimodzi, koma kuti mumamwe pang'onopang'ono.

Madzi ozizira a shuga sangachulukane ngati mumamwa madzi ambiri momwe mungathere, kupatula madzi:

  1. tiyi wazitsamba
  2. msuzi wa apulosi
  3. compotes kuchokera ku zipatso zouma.

Onetsetsani kuti mwatsimikiza kuti sizipangitsa kuti glycemia iwonjezeke.

Zikachitika kuti ma ARVI ayamba, odwala matenda ashuga a ARD amafunika kuyeza kuchuluka kwa shuga pakatha maola atatu aliwonse. Mukapeza zotsatira zabwino, dokotalayo amalimbikitsa jekeseni wa kuchuluka kwa insulin. Pazifukwa izi, munthu ayenera kudziwa zizindikiro za glycemic zomwe zimamuzindikira. Izi zimathandizira kwambiri kuwerengera kwa kuchuluka kwa timadzi timene timatulutsa timadzi timankhwala tikamalimbana ndi matenda.

Kuzizira, ndikofunikira kupanga inhalations pogwiritsa ntchito chipangizo chapadera cha nebulizer, chimadziwika kuti ndi njira yothandiza kwambiri yolimbana ndi chimfine. Chifukwa cha nebulizer, wodwala matenda ashuga amatha kuchotsa zisonyezo zosasangalatsa za chimfine, ndipo kuchira kudzabwera kale kwambiri.

Mphuno yakudwala imachiritsidwa ndimankhwala azitsamba zamafuta, mutha kuzigula ku pharmacy kapena kuwapeza nokha. Garulani ndi njira zomwezi.

Mankhwala omwe ndingatenge, kupewa

Anthu odwala matenda ashuga amaloledwa kumwa mankhwala ambiri ozizira omwe amagulitsidwa ku pharmacy popanda mankhwala kuchokera kwa dokotala. Komabe, ndikofunikira kupewa mankhwala omwe ali ndi shuga ambiri, monga kutsokomola ndi chimfine pompopompo. Fervex ilibe shuga.

Wodwala matenda ashuga ayenera kupanga lamulo kuti aziwerenga malangizo a mankhwalawa nthawi zonse, kuti apange mawonekedwe ake ndi momwe amasulidwe. Sizopweteka kufunsa dokotala kapena wafizikisi.

Zithandizo za mankhwala a folks zimagwira ntchito bwino polimbana ndi matenda oyambitsidwa ndi ma virus, makamaka kulowetsedwa potengera zitsamba zowawa, mpweya wambiri. Ndikofunikira kuti odwala matenda ashuga azipewa kupindika, makamaka ngati ali ndi matenda oopsa. Kupanda kutero, kupsinjika ndi shuga kumangokulira.

Zimachitika kuti shuga ndi chimfine zimapereka zizindikiro:

  1. kupuma movutikira
  2. kusanza ndi kutsegula m'mimba kwa maola opitilira 6 mzere,
  3. fungo la acetone lochokera pamlomo wamkati,
  4. kusapeza bwino pachifuwa.

Ngati patatha masiku awiri matendawa asanayambike, muyenera kupita kuchipatala. Kuchipatala, wodwalayo amayeza magazi pamiyeso ya mkodzo, mkodzo kuti pakhale matupi a ketone.

Ndikofunikira kuchitira kuyambika kwa chimfine ndi chimfine, apo ayi mu nthawi yochepa matenda akudutsa bronchitis, otitis media, tonsillitis kapena chibayo. Chithandizo cha matenda oterowo nthawi zonse chimaphatikizapo kugwiritsa ntchito maantibayotiki.

Mwa mankhwala ovomerezeka ndi Bronchipret ndi Sinupret, alibe zosaposa 0.03 XE (mkate magawo). Mankhwala onse awiriwa amapangidwa pamaziko a zinthu zachilengedwe, amapirira bwino ndi zizindikiro pamene kachilomboka kakuyamba kumene.

Tisaiwale kuti anthu odwala matenda ashuga samaloledwa:

  • samalirani,
  • gwiritsani ntchito ndalama polimbana ndi kuchulukana kwammphuno.

Pa mankhwala, tikulimbikitsidwa kusunga diary komwe miyeso yonse ya insulin, mankhwala ena, zakudya zomwe zimadyedwa, zizindikiro za kutentha kwa thupi, ndi shuga wamagazi zimasonyezedwa. Mukapita kwa dokotala, muyenera kumpatsa izi.

Malangizo popewa matenda oyambitsidwa ndi kupuma kwamankhwala omwe ali ndi matenda ashuga mellitus siosiyana ndi njira zambiri zotetezera kuzizira. Amawonetsedwa kuti azitsatira mosamalitsa malamulo a ukhondo wa munthu payekha, izi zimapewe kutenga kachiromboka. Nthawi iliyonse mukapita kukakhala m'malo ambiri, zoyendera ndi zimbudzi, kumafunika kusamba m'manja ndi sopo ndi madzi, ndikofunikira kuwonetsetsa kuti onse m'banjamo akwaniritsa izi.

Pakadali pano palibe katemera wa chimfine, koma adotolo awonetsa jekeseni wapachaka motsutsana ndi chimfine. Pakati pa kuzizira, ngati vuto lafalansa lalengezedwa, musachite manyazi kuvala zovala zopumitsa, musayandikire anthu odwala.

Wodwala matenda ashuga azikumbukira zokwanira zolimbitsa thupi, kuyang'anira shuga ndi magazi pafupipafupi.

Pokhapokha ngati izi sizimayambitsa kuzizira ndi matenda ashuga, ngakhale mutakhala ndi matenda palibe zovuta zowopsa komanso zovuta.

Kuzizira ndi matenda ashuga: Zofunika kudziwa

Si chinsinsi kuti poyambira nyengo yozizira kuchuluka kwa kuzizira kumakulanso. Anthu omwe ali ndi matenda ashuga ayenera kudziyang'anitsitsa panthawiyi, chifukwa kuzizira kumawonjezera zovuta zomwe akudwala.

Ndipo ngati mwa anthu athanzi "mahomoni" opsinjika

Chifukwa chake, lingalirani za "chimfine ndi matenda ashuga."

Mophiphiritsa, titha kunena kuti shuga ya m'magazi "nayonso imachulukitsa" chitetezo chathupi ndipo imaletsa kulimbana ndi ma virus. Zonsezi ndizovala ndi kukula kwa zovuta za chimfine: kuchokera ku otitis ndi sinusitis ndikukula kwa chibayo.

Mphuno yothina pang'ono kapena chimfine chachikulu ndi shuga

Ngati zidachitika kuti mukudwala, kumbukirani kuti chimfine kapena chimfine chitha kuwonjezera magazi. Chifukwa chake, muyenera kukambirana ndi dokotala nthawi yake zoyenera kuchita mukadali izi.

Nawa malangizo athu oyambira:

1. Yang'anirani mosamala kuchuluka kwa shuga mkati mwa nthawi imeneyi - nthawi 4-5 patsiku. Izi zikugwiranso ntchito kwa iwo omwe kale sanali kuyeza kuchuluka kwa shuga m'magazi. Izi zikuthandizani kuwunikira kusintha kwa shuga m'magazi ndikuchita zoyenera.

2. Pakatha masiku 2 - 3 kuyambira nthawi yozizira, yesani kuyesa mkodzo. Izi zikuthandizani kuti mudziwe za zovuta zopezeka mu metabolic munthawi yake. Imatha kupezeka mu mkodzo wa odwala osati ndi matenda a shuga 1, komanso mtundu wachiwiri wa matenda ashuga. Funsani dokotala wanu pasadakhale zomwe muyenera kuchita ngati mukupeza mkodzo mumkodzo wanu.

3.Matenda oopsa a mavairasi ndi chimfine, zofunika za insulini zimachulukana. Mlingo wamba nthawi zambiri umakhala wokwanira kuti magazi asungunuke.

Ndipo pomwepo odwala amakakamizika kwakanthawi, kwa nthawi yamatendawa, kuwonjezera kuchuluka kwa insulin.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri omwe amamwa mapiritsi kuti achepetse shuga amatha kuthira insulin yawo panthawiyi kuti atulutse magazi.

Mlingo ndi chisankho cha munthu payekha. Nthawi zambiri, mlingo woyambira wa insulini patsiku amawerengedwa ndipo 20% ina ya mtengo woyambira imawonjezeredwa kwa iwo. Ndikofunikira kukwaniritsa chiphuphu chabwino cha glucose pamtunda wa 3,9 - 7.8 mmol / l, womwe ungathandize thupi lanu kuthana ndi chimfine.

Ngati shuga wamagazi akwera kwambiri, chiopsezo cha matenda ashuga (nthawi zambiri amtundu wa matenda ashuga 1 kapena matenda a hyperglycemic (a mtundu 2 matenda a shuga) chikuwonjezeka.

4. Ngati muli ndi kutentha kwambiri - musaiwale kumwa madzi, makamaka ofunda, opanda mpweya.

Izi zikuthandizani kuti musakhale ndi vuto lakusowa madzi m'thupi, lomwe limadza chifukwa chakuchepa kwa madzi m'thupi chifukwa cha kutentha kwambiri, komwe kuphatikizanso kungakulitse hyperglycemia.

Ndipo pazonse, mukamamwa madzi ambiri ndi chimfine, ndibwino kwa inu, chifukwa mwanjira imeneyi kusintha zinthu kumathandizidwanso - poizoni amachotsedwa mkodzo.

5. Musaiwale za zakudya. Ndizachidziwikire kuti simukufuna kudya kwambiri kutentha, koma simuyenera kudzipatula kuti mukhale ndi njala, chifukwa mphamvu zambiri zimatha nthawi imeneyi.

American Association of Diabetesologists ikukulimbikitsani kudya 1XE ya chakudya pa ola limodzi, koma tikukulangizaninso kuti musasinthe zakudya zanu zomwe mumadya nthawi zambiri, chifukwa mwinanso zingayambitse glycemia yosagwirizana, yomwe ingapangitse kuti ntchito yokhala ndi shuga m'magazi ikhale yochepa. Muyang'anitsitsa shuga wanu wamagazi.

Ngati mulingo wotsekemera wamagazi ndiwokwera, ndibwino kumwa tiyi ndi ginger kapena madzi amchere popanda mpweya, ndi kuchepa kwa shuga m'magazi - theka kapu ya madzi a apulosi.

Ndipo kumbukirani! Kuzizira kwa ana omwe ali ndi matenda ashuga ndizowopsa kuposa akuluakulu. Achichepere thupi, amatha kukhala ndi hyperglycemia ndi ketoacidosis.Chifukwa chake, ngati matenda a mwana ali ovuta kwambiri, owonjezereka ndi kufooka kwam'madzi, khunyu komanso kukula kwa ketoacidosis, muyenera kupita kuchipatala mwachangu.

Ngati mukuwona kuti china chake chalakwika, ndi bwino kukaonananso ndi dokotala. Zingakhale bwino kuposa kukhala kunyumba.

Kudera nkhawa kuyenera kuwonetsedwa ngati:

- matenthedwe amasungidwa kwambiri, ndipo sikuchepa,

- nthawi yomweyo kutentha kudafupika, kudayamba kupuma,

- inu kapena mwana wanu mudayamba kumwa madzi ochepa,

- pakhala pali magawo a kukomoka kapena kusazindikira, kusanza kapena kutsegula m'mimba kwa maola opitilira 6,

- Zizindikiro za matendawa sizitha, koma kuchuluka kokha,

- shuga kuposa 17 mmol / l,

- kulemera kwa thupi kumachepa,

- adadwala kudziko lina.

Zikatero, zomwe zalembedwa pamwambapa, muyenera kufunsa dokotala!

Ndi mankhwala ati omwe muyenera kumwa kwa chimfine?

Mwakutero, zizindikilo za matenda a ma virus (zilonda zapakhosi, chifuwa, kutentha thupi, mphuno) zimathandizidwa monga momwe zimakhalira ndi anthu wamba. Ndi kukonza pang'ono - yesani kupewa mankhwala okhala ndi shuga. Izi zimaphatikizira kuchuluka kwa chifuwa komanso zilonda zapakhosi.

Chifukwa chake, musanagule, werengani mosamalitsa malangizo a mankhwalawo, koma m'malo mwake onani dokotala kapena wamankhwala. Kapenanso, mankhwala opangidwa ndi mbewu (mwachitsanzo, ivy, linden, ginger). Athandizanso kuchotsa zomwe zimayambitsa matendawa ndikuchepetsa.

Musaiwale za mavitamini, makamaka vitamini C. Amawonjezera kukana kwa thupi kumatenda komanso kumalimbitsa chitetezo cha mthupi. Itha kutengedwa ngati gawo la mavitamini (Centrum, Theravit) kapena pawokha (ascorbic acid), kapena ngati gawo la zipatso (m'mbuyomu tidakambirana pankhaniyi).

Kuti mumve zambiri za chithandizo cha chimfine, onani gawo lapadera patsamba lathu.

Chifukwa chiyani kuzizira kumawonjezera shuga?

Anthu ambiri odwala matenda ashuga mwina awona kangapo kuti panthawi yozizira, pazifukwa zina, kuchuluka kwa shuga kumakwera, ngakhale kwenikweni mumakhala ndi moyo womwewo ngati kale. Chofunika kwambiri ndikuti thupi limatsogolera mahomoni ambiri kulimbana ndi kutupa. Ndipo munthawi yomwe mahomoni amagwira ntchito kwambiri kupanikiza chimfine, salola kuti thupi ligwiritse ntchito bwino insulin.

Ngati mumanyalanyaza chimfine wamba, anthu omwe ali ndi matenda amtundu woyamba ali ndi chiopsezo cha ketoacidosis, ndipo ndi mtundu 2, okalamba amatha kuvutika kwambiri monga hyperosmolar hyperglycemic non-ketotic coma. Chifukwa chake, ndikofunikira kuti muchepetse shuga komanso magazi anu.

Kodi ndimafunikira kangati kuti ndifufuze magazi anga ngati ali ndi chimfine?

Popeza ndi chimfine thupi limafooka ndipo njira zambiri sizimayenda mwachizolowezi, ndikofunika kupenda kuchuluka kwa shuga m'magawo awiri aliwonse. Ndikofunikanso kukaonana ndi dokotala, mwina atakusintha muyezo wanu wa mankhwala ochepetsera shuga kapena insulin, kapenanso kupereka watsopano.

Madokotala ambiri a endocrinologists amalimbikitsa odwala matenda ashuga omwe amagwiritsa ntchito insulin kuti awerengere mlingo wawo wa tsiku ndi tsiku ndikuwapatsa 20% yaiwonjezera chifukwa cha chimfine chofala.

Anthu odwala matenda ashuga amtundu wa 2 omwe amangogwiritsa ntchito mankhwala ochepetsa shuga ayenera kukonzekera kuti nthawi yozizira wamba azilowetsa insulin kuti athandize shuga.

Mankhwala ozizira a shuga ndi ati?

M'malo mwake, anthu odwala matenda a shuga amatha kumwa mankhwala ambiri ozizira, koma muyenera kupewa omwe ali ndi shuga. Chifukwa chake, ndibwino kuti odwala matenda ashuga apewe kutsokomola ndi madontho osiyanasiyana okoma. Sankhani mankhwala omwe akuti "shuga wopanda".

Kuphatikiza apo, ngati muli ndi kuthamanga kwa magazi, ndiye kuti muyenera kupewa mankhwala omwe ali ndi phenylephrine. Amakhala ndimitsempha yamagazi kuti ipangitse kupuma kwammphuno, koma imatha kuwonjezera kukakamizidwa kwambiri.

Kodi kuzizira kwa odwala matenda ashuga ndi chiyani?

Ndi chimfine, nthawi zambiri pamakhala kusweka ndi kusowa kwa chakudya, koma odwala matenda ashuga sayenera kukhala ndi njala. Ndikofunikira kwambiri kudya zakudya zokhala ndi 1 XE ola lililonse kuti shuga asatsike kwambiri. Ndikofunika kuti izi zinali zopangidwa kuchokera muzakudya zanu zamasiku onse, chifukwa ndi bwino kuchedwetsa kuyesedwa kwa zakudya panthawi ya chimfine.

Musaiwale za kusunga madzi olimbitsa thupi. Ngati shuga wanu ndiwambiri, ndiye kuti mumamwa tiyi ndi ginger wake, ndipo chimfine chofulumira chimatha msanga ndipo shuga amadzakhazikika.

Mwambiri, ndibwino kudwala ndikutsatira malamulo oyambira kupewa matenda ozizira ndi chimfine!

Kuitana dokotala kunyumba?

Achibale athu samazolowera kupita kwa adotolo akamazizira. Komabe, ngati pali mbiri ya matenda ashuga, kunyalanyaza mankhwalawo ndi owopsa pamoyo wa wodwalayo. Ndikofunikira kupempha thandizo kwa dokotala ndikulimbitsa matendawa, ndikakhosomola, ndere, mutu, kupweteka kwa minofu kumakulirakulira, njira ya pathological imakulitsidwa.

Simungachite popanda kuyitanitsa gulu la ambulansi ngati kutentha kwa thupi ndikwambiri, sikungathe kuchepetsedwa ndi mankhwala, kuchuluka kwa matupi a ketone m'magazi kapena mkodzo kukukwera msanga, ndipo zimavuta kuti wodwalayo adye zoposa maola 24.

Zizindikiro zina zododometsa zidzapitirira kwa maora 6 a matenda ashuga, kusanza, kuthamanga thupi, pomwe glucose imatha kuchuluka mpaka 17 mmol / l kapena kuposa, odwala matenda ashuga amakonda kugona, kuthekera kuganiza momveka bwino kutayika, kupuma kumakhala kovuta.

Kuchiza kuyenera kukhala ndi cholinga chodwala kwambiri momwe wodwalayo alili, kuchepetsa zizindikiro za matendawo. Maellitus omwe amayamba kuzizira komanso matenda ashuga palimodzi ndizovuta kwambiri kuti athe kulolera ndi thupi, chifukwa chake simungathe kunyalanyaza izi.

Pazambiri za fuluwenza mu odwala matenda ashuga adzakuwuzani kanema munkhaniyi.

Matenda A shuga

Ngati muli ndi matenda ashuga, kuzizira kumatha kukulitsa vuto lanu. Simudzatha kuthana ndi zizindikiro za chimfine, komanso chifukwa ma virus amayambitsa katundu wina m'thupi lanu. Mu matenda ashuga, kupsinjika kowonjezereka komwe kumayamba chifukwa cha chimfine chofala kumatha kupangitsa kuti magazi a shuga atukuke. Izi ndizomwe muyenera kudziwa kuti mukhale athanzi ndi matenda ashuga komanso chimfine wamba.

Kodi mungapewe bwanji chimfine?

Best kukhala kutali ndi anthu odwala.

Malangizo otsatirawa akuthandizani ndi izi:

- Sambani m'manja pafupipafupi. Ma virus ali paliponse - pama handrail, pama hand hand, ma ATM makiyi. Chifukwa chake, yesetsani kusapukuta maso ndi mphuno ndi manja akuda, idyani. Mukafika kunyumba, sambani m'manja ndi sopo komanso madzi.

- Yesetsani kupewa kukokana kwa kachilombo ka kachilomboka pomwe munthu wina wakwiza kapena kutsokomola. Bola kuyima patali ndi iwo.

- Pewani unyinji wa anthu, mwinanso zingakulitse mwayi wanu wogwira chimfine. Pakakhala funde la SARS kapena Influenza, ngati kuli kotheka, pewani anthu ambiri - mwachitsanzo, m'mashopu, mabasi kapena masitima apamtunda, mabasi, mumsewu nthawi yayitali kwambiri.

- Pezani zotupa, makamaka kwa anthu odwala matenda ashuga. Kwa iwo, ndibwino kuti muzichita kamodzi pachaka mu Novembala nthawi yomweyo matenda asanayambe. Koma miyezi yozizira ndiyabwino.

Apa ndipomwe timamaliza. Dzisamalire nokha ndikukhala wathanzi!

Orvi ndi matenda ashuga

Ndi matenda ashuga, anthu amadwala chimfine pafupipafupi kwambiri chifukwa cha kumva kwawo matendawa chifukwa cha mphamvu ya mahomoni olemala komanso otopa ndi magazi akulu mthupi.Zotsatira zoyipa, kuphatikiza kulumpha msanga m'magazi a shuga, ketoacidosis ndi hypersmolar hyperglycemia, sizingangokulitsa mkhalidwe wabwinobwino waumoyo, komanso zingayambitse ngozi.

Mavuto a shuga ndi ARI

Kwa onse omwe ali ndi matenda ashuga popanda kusiyanasiyana, vuto lofunikira kwambiri mu matenda opumira kwambiri ndi kuwonjezeka kwa shuga m'magazi.

Kuyambira pakadali pano, dongosolo la endocrine limang'ambika pakati pa kupanga mahomoni kuti agonjetse chimfine wamba ndikupanga ndikugwiritsa ntchito insulin. Pali kusowa bwino m'thupi, kumene shuga m'magazi amayamba.

Pali mitundu iwiri ya matenda ashuga, ndipo omwe akuvutika ndi 1st ali pachiwopsezo cha ketoacidosis, yomwe imawopseza imfa. Matenda a 2 a matenda ashuga amavuta ndi hypersmolar hypoglycemia, ofanana ndi matenda a shuga.

Zizindikiro zosonyeza kuzizira

Kutengera ndi zovuta za matendawa, ARVI ya matenda ashuga imayamba ndikutayika kwamadzi komanso pakamwa pouma. Mu ana, kuzizira koopsa kumakhala kovuta kuposa munthu wamkulu wodwala matenda ashuga, koma kwa zisonyezo zina, kupita kuchipatala ndikofunikira kwa aliyense. Zowopsa:

  • kuchuluka kwa shuga wamagazi - 17 mmol / l,
  • kulephera kwa mankhwala, kuwonda ndi kuwonda.
  • ketoacidosis
  • kukokana kapena kuzindikira.
  • kutentha kwakukulu kosasunthika,
  • kutsegula m'mimba ndi kusanza kwa nthawi yoposa kotala la tsiku.

Matenda Ozizira Odwala

Chofunikira kwambiri ndikamazizira kwa anthu odwala matenda ashuga ndikuwongolera magazi.

Kuti muchepetse kuledzera, muyenera kumwa pafupipafupi.

Ndikofunika kuti muzipanga miyeso maola onse awiri ndi atatu, ndipo ngati ndi kotheka, gwiritsani ntchito othandizira a hypoglycemic. Kuti mupeze vuto lokwanira la chimfine ndi kulandira njira zochizira, wodwala matenda ashuga amafunsira dokotala.

Makamaka ana, mkhalidwe wawo ndi wowopsa, womwe umawalola kuwunikira kwambiri matenda omwe akupuma kwambiri mwa iwo. Patsiku la 4 la chimfine, adokotala amawongoletsa asipone mu mkodzo. Glucose imayeza nthawi zonse: muyenera kupita ku 3.9-7.8 mmol / L.

Kuti mukwaniritse cholinga, mlingo wosatha ungakulitse mpaka 20%, chifukwa kupatuka sikungayambitse zabwino zilizonse, ndipo zotsatira zake ndizokhazikika zimathandiza thupi kuthana ndi chimfine kapena chimfine pafupipafupi.

Pofuna kuthana ndi kuledzera, kuchepa mphamvu kwa thupi komanso kutentha thupi, kupatula nthawi yoikika, kumamwa pafupipafupi komanso kosamwa kwa zakumwa zosapatsa mpweya kumathandizadi. Ndizowopsa kutenga njira zakudziyimira palokha popanda kufunsa katswiri.

Mapiritsi, madontho, manyumwa, zitsamba

Kwa odwala matenda ashuga, njira zingapo zochizira siziyenera kungochotsa chimfine, komanso kubwezeretsa mphamvu ya thupi, kukonza shuga m'magazi. Ndi dokotala yekhayo yemwe amatha kuyesa kuchuluka kwa zovuta ndikuyambitsa mankhwala: madontho, mapiritsi a virus, kutentha, chifuwa.

Mankhwala ozizira a shuga amatha kumwa nthawi zonse, nthawi zina popanda upangiri wa dokotala. Koma kuphatikiza pa zomwe zimaphatikizapo shuga, awa ndi ma syms, lozenges wochizira pakhosi. Nthawi zambiri amatha kuthana ndi mankhwala azitsamba. Phukusi limakonda kunena kuti "shuga wopanda".

Kuwerenga malangizo ogwiritsa ntchito ndikofunikira, ndipo ngati mukukayika, upangiri wa dokotala ndiwofunika.

Kuchita moyenera ndi inhalation.

Vitamini C amalimbitsa chitetezo chathupi, chomwe chimathandiza kuchiritsa chimfine mwachangu. Imapezeka m'mazipatso (kwa odwala matenda ashuga ayenera kukhala osawadziwa!), Zamasamba kapena kukonzekera zamankhwala.

Mutha kuthandizidwa ndi inhalation, kusankha mankhwala osokoneza bongo kapena zitsamba zomwe sizimayambitsa chifuwa, zimakhala ndi zotsutsana ndi zotupa. Kuvulala kwamkati kumakonzanso bwino pakhosi, komanso kutsanulira madontho m'mphuno, kuthandizira kukhala ndi chiwonetsero cha kutsokomola kwina kulikonse.

Inhalations imachitika ndi mankhwala a nebulizer kapena wowerengeka: adyo kapena anyezi amaduladulidwa mzidutswa ndikusiyidwa pambale yovulaza ndi odwala.

Dokotalayo afotokozanso kuti ndi zitsamba ziti zomwe ndibwino kwambiri kuzisintha kuti zithetse zomwe zimayambitsa kupweteka.Ndikofunikira kudziwa momwe mungagwiritsire madontho kuchokera kuzizira wamba: musanagwiritse ntchito, yeretsani ndime zammphuno, werengani malangizo pazomwe mungasunge, sankhani zinthu zomwe zili ndi poyipa ndikusintha kapamba, kutsatira malamulo. Kupanda kutero, mutha kuvulaza thanzi lanu koposa.

Ndi kuthamanga kwa magazi

Ndikofunikira kuyeza kupanikizika pafupipafupi ndikuthandizidwa ndi mankhwala osokoneza bongo (a-adrenergic agonists).

Ndi gawo limodzi la madontho ochulukirapo kuchokera pamphuno yam'mimba ndikukonzekera kophatikiza, kutsitsa mitsempha ya m'magazi, kuchepetsa kuchulukana kwa m'mphuno ndi kutupa, pomwe mavuto akukwera.

Zokhudza madontho amphuno, njira ina yothetsera matenda ashuga ndi antiseptic. Koma apa ndi dokotala wokha yemwe amatha kuyesa zovuta ndikusankha madontho oyenera kuzizira kapena mapiritsi wamba. Zowopsa zamanjenje, kudya zamchere, zamafuta.

Mawonekedwe Amphamvu

Chifukwa cha chakudya, phala imathandizira ndikubwezeretsa mphamvu za wodwala.

Sars amalimbana ndi chidwi chofuna kudya, koma simungafe ndi matenda ashuga: thupi limafunikira mphamvu zambiri kuti lilimbane. Ndikofunika kusiya zakudya monga mwa masiku onse kuti muchepetse shuga. Zakudya zamafuta ochulukirapo zimapatsa mphamvu (phala, msuzi, yogati). Ola lililonse, tikulimbikitsidwa kumwa chakudya chamagulu pa 1 XE (15 g).

Madzi ochepa opanda gasi kapena tiyi wamatenda - otsika.

Kuchuluka kwa mavitamini ambiri omwe amathandiza kulimbana ndi kuzizira kumapezeka mu zipatso ndi ndiwo zamasamba zokhala ndi khungu lolimba. Mphesa ndizoletsedwa: zimakhala ndi glucose wambiri, ndipo mulingo wake wamuka kale. Mu matenda opumitsa pachakudya, chakudya cholemera sichimachotsedwa pazakudya: zokazinga, zokometsera, zamchere, zamafuta.

Ndi bwino kudya masamba, msuzi, chimanga, nyama yophika kapena nsomba. Wodwala matenda a shuga amagwirizanitsa zakudya ndi adotolo.

Njira zopewera matenda a ARVI za matenda ashuga

Njira yodalirika ndikupewa hypothermia komanso kucheza ndi anthu odwala, makamaka unyinji. Kachilombo ka HIV kamakhalapobe pambuyo pokumana ndi ma khomenti, makwerero, zoyendera pagulu. Manja akuda sayenera kupukusa mphuno, maso kapena kudya: kachilomboka kamalowa m'thupi kudzera mucous nembanemba. Muyenera kusamba m'manja nthawi zambiri, kupukuta ndi pukuta lonyowa.

Nkhani yaukhondo ndiyofunikira pankhani yakutsuka nyumba. Ngati wina wapafupi ndi munthu wadwala, ndikofunikira kuyeretsa komanso kunyowetsa chipindacho pafupipafupi. Popeza kachilomboka kakufalikira ndi m'malovu, ndimofunikira kupewetsa kuzonda ndi kutsokomola anthu ena. Anthu omwe ali ndi matenda ashuga ayenera kupeza kuwombera kwa chimfine chisanayambe nyengo yachisanu.

Ndizosatheka kulandira katemera ku SARS.

Momwe mungalimbane ndi chimfine ndi matenda ashuga

Kodi chimfine m'matenda a shuga ndimotani?

Ndi matenda osokoneza bongo monga matenda ashuga, kuzizira kulikonse kumatha kupangitsa kuti mavuto azovuta.

Ichi ndichifukwa chake chithandizo chawo chamanthawi ndi chofunikira ndichofunikira, ayi ayisikilimu.

Izi zokha ndizomwe zingathandize kukhala ndi thanzi la matenda a shuga pamlingo wabwino, chifukwa chake, imapereka mwayi wothana ndi matendawa pawokha. Za izi ndi mochedweranso malembawo.

Chifukwa, popeza kuzizira kochepa kwambiri koyambirira kumatha kuyambitsa zovuta, malamulo ena ayenera kutsatidwa, monga momwe cranberries. Makamaka, chithandizo choyenera chimaphatikizapo kuyang'anira kuchuluka kwa shuga m'magazi. Ziri pafupi kuyeza chizindikiro ichi maola onse atatu kapena anayi.

Ngati chimfine cha matenda ashuga chikuyenda ndi kuchuluka kwa shuga, ndiye kuti muyenera kuchigwiritsa ntchito, onetsetsani kuti mumamwa pang'ono:

  • madzi
  • shuga wopanda ginger kumwa komanso nthochi.

Nthawi zonse ndikofunikira kuwongolera zakudya ndi zakumwa zomwe zimamwa kuwonjezera pa zakudya zomwe zili ndi shuga.

Izi zipangitsa kuti zitsimikizire momwe katundu ndi zakumwa zomwe zimagwiritsidwa ntchito zimakhudzira thupi la munthu, komanso malalanje.

Monga gawo la matendawa, thupi laumunthu limapanga pang'onopang'ono ndikupanga insulin. Izi zimatsogolera ku hyperglycemia.

Nkhondo yolimbana ndi mankhwalawo ndikuthandizira thupi liyenera kuyang'aniridwa ndi katswiri.

Pafupifupi nthawi zonse pamafunika majakisoni apadera a insulin, omwe amaperekedwa mochulukirapo. Izi sizingakhale zazifupi zokha, komanso kukonzekera kwa ultrashort. Amalimbikitsidwa kuti azichita maola atatu alionse mpaka anayi, komanso kuwadyedwa. chinanazi.

Pazakudya za chimfine ndi matenda ashuga

Ndikofunika kukumbukira kuti madigiri onse a kutentha pambuyo pa 37,5 amafunika kuwonjezera kuchuluka kwa mahomoni ndi 20-25%. Pokhapokha pokhapokha, chimfine komanso matenda a shuga omwe akukulidwa ndi omwe adzayimitsidwa.

Pazinthu za boma

Kuzizira komwe kumakhala ndi matenda a shuga a mtundu woyamba ndi wachiwiri ali ndi mawonekedwe ake.

Kodi ndi chiyani kwenikweni? Choyamba, kuti potengera kuzizira wamba, koyambirira, munthu sangamve njala.

Komabe, ndikofunikira kwambiri kudya china chake - chipangitsa kuti mankhwalawo akhale achangu komanso olondola. Wodwala matenda ashuga amatha kusankha zakudya malinga ndi zakudya zomwe amadwala matenda ashuga.

Pa kutentha kwambiri, kusanza, kapena kukhumudwa m'mimba, kapu imodzi yamadzimadzi imayenera kumwa nthawi iliyonse. Pankhaniyi, ndibwino kumwa madzi ndikuwachita mu magawo ang'onoang'ono kwa ola limodzi. Pofuna kusintha, ndikololedwa kudya zosaposa 15 magalamu a chakudya pakatha mphindi 60 zilizonse:

  1. theka chikho cha mbewu monga chimanga ndi zipatso za chilengedwe
  2. zipatso zochepa.

Chifukwa chake, mankhwalawo adzakhala athunthu, koma bwanji za mankhwalawo omwe amagwiritsidwa ntchito?

Kodi ndizotheka kuchiritsa matenda ashuga?

Mankhwala ena a OTC ndiwofunikanso kwa odwala matenda ashuga. Komabe, ndikofunikira kuwonetsetsa kuti zakudya zomwe zili ndi shuga wambiri sizigwiritsidwa ntchito.

Tikuyankhula za madzi aku chifuwa, chimfine, mapapo apapo, zotupa za pakhosi ndi ena ambiri. Kupatula zosowa, zimaphatikizapo shuga wambiri, ndipo sizingakhale zoyenera kuzizira zodwala.

Chifukwa chake, ndikofunikira kuphunzira mosamala mndandanda wazigawo za mankhwalawo kuti mudziwe ngati mulimo shuga.

Ngati mukukayikira, muyenera kufunsa katswiri kuti chithandizo chithandizire. Kuphatikiza apo, chimfine ndi matenda ashuga atatsatana ndikutsagana, kuphatikiza, ndi kuthamanga kwa magazi, kugwiritsa ntchito mankhwala monga decongestants kuyenera kupewedwa.

Izi ndichifukwa zimatha kuwonjezera kuthamanga kwa magazi kwa munthu wodwala matenda ashuga kwambiri.

Nthawi yomwe wodwala matenda ashuga amakhala ndi zizindikiro monga:

  • kupuma movutikira
  • kupweteka pachifuwa
  • fungo labwino la acetone kuchokera pamlomo wamkamwa,
  • kutsegula m'mimba ndi kusanza kwa maola opitilira 6,

komanso palibe kusintha kwa thanzi pambuyo masiku awiri, ndikulimbikitsidwa kuyimba ambulansi.

Kupewa matenda ozizira ndi njira yofunika kuchira

Momwemonso, pamene mayesowa akuwonetsa kuchuluka kwa matupi a ketone mu mkodzo, ndi kuchuluka kwa glucose pambuyo pazotsatira zitatu zotsatilazi amakhalabe okwera (oposa 13.9 mmol pa lita imodzi) kapena otsika (osakwana 3.3 mmol pa lita), muyenera kulumikizana ndi katswiri .

Monga mukudziwa, kulandira chithandizo mosavutikira sikumapereka zotsatira 100%, ndichifukwa chake ndikofunikira kwambiri.

Chifukwa chake, kusamalira mosamala malamulo onse aukhondo wa munthu payekha kudzapangitsa kupewa matenda omwe angatengeke ndi njira yopumira.

Koma kusamba m'manja pafupipafupi komanso mosachepera kungapangitse kuti kuteteza kukule komanso kuchuluka kwa matenda ozizira, osati ndi matenda a shuga okha, komanso popanda iwo.

Ndikofunika kukumbukira kuti palibe katemera motsutsana ndi chimfine chomwe chimapezeka chifukwa cha matenda omwe afotokozedwawo. Komabe, tikulimbikitsidwa kukambirana ndi katswiri za mwayi wogwiritsa ntchito katemera wa fuluwenza. Izi zikuyenera kuchitika, pokhapokha ngati zingapangitse kupsinjika kwa thupi komanso kusokoneza kukonzanso kwa shuga m'magazi.

Inde, muyenera kukumbukira kuchuluka kwa zochita zolimbitsa thupi, kumwa mankhwala onse ofunikira komanso ololedwa, kuwunikira kuchuluka kwa shuga ndi zakudya zovomerezeka. Pokhapokha ngati mutero, mutha kudalira kuti kuzizira kokhala ndi matenda ashuga kudzadutsa msanga komanso popanda zovuta.

Mankhwala ozizira a shuga

Matenda a shuga ndi chifukwa cha kusayenda bwino kwa kagayidwe kazinthu. Matenda opatsirana amadzionetsera mwamphamvu motsutsana ndi maziko a chiphunzitsochi.

Aliyense amakhala ndi chimfine kapena chimfine, koma mayamwidwe osayenera a m'magazi amalepheretsa chithandizo choyenera.

Si mankhwala onse komanso maphikidwe omwe angagwiritsidwe ntchito pa matenda a shuga. Matenda a ma virus amateteza thupi la wodwalayo komanso zimadzetsa zovuta. Chithandizo chimafuna chisamaliro chapadera ndi kulamulidwa ndi madokotala.

Kodi kuzizira kumayambira bwanji shuga?

Matenda a shuga amasokoneza ntchito ya pafupifupi kachitidwe konse mthupi la munthu. Hormonal kusalingani, kusintha kwa kagayidwe kachakudya, kuchepa kwa chitetezo chathupi ndizinthu zabwino pakupanga matenda a virus. Kwa munthu wamba, SARS ndi chimfine ndimatenda ofala. Chithandizo chimatenga masiku 7, ndipo zovuta zimachitika mwa munthu zana.

Anthu omwe ali ndi matenda ashuga amavutika kudwala. 97% ya odwala ali ndi zovuta pambuyo pozizira komanso kuwonongeka kwa ndende ya magazi m'magazi.

Zizindikiro za chimfine mu matenda ashuga chimatchulidwa. Pali kutentha thupi, kupweteka mutu, kufooka kwambiri. Kuwonjezeka kwa kutentha kwa thupi ndi chizindikiridwe chakuwonetsetsa kuchuluka kwa shuga. Zimapangitsa kuwonjezeka kowopsa kwa shuga m'magazi ndi hyperglycemia.

Kodi dokotala akufunika liti?

Vutoli litalowa mthupi, nthawi yomwe makulidwe amayamba. Amakhala masiku atatu mpaka 7. Pakadali pano, munthu akumva bwino. Patatha sabata limodzi, zizindikiro za kachilomboka zikuonekera:

  • kufooka
  • mutu ndi chizungulire,
  • kupweteka kwa maso
  • kutentha kwa thupi kumakwera
  • zilonda zapakhosi
  • zotupa zamitsempha
  • mphuno
  • kuvutika kupuma.

Zizindikirozi zikawonekera, muyenera kufunsa thandizo kuchokera kwa dokotala. Pofotokoza Zizindikirozi, matenda ashuga ayenera kuyankhulidwa. Dokotala amasankha mankhwalawa ndi njira zomwe zingagwiritsidwe ntchito pa matenda awa.

Matenda ofala ashuga sangathe kuthandizidwa pawokha. Mankhwala osokoneza bongo amabweretsa zovuta ndikuwonongeka.

Mlingo wa shuga

Kwa chimfine ndi chimfine, kuyesa shuga ndikofunikira. Kuchokera kutentha kwambiri, kuchuluka kwa shuga m'magazi kumawonjezeka. Zizindikiro zowunikira ziyenera kukhala maola atatu aliwonse.

Ndi kachilombo kavairasi, insulini yambiri imafunikira kuti shuga isapangidwe. Ndikofunika kuganizira kuti nthawi yozizira, shuga pambuyo insulin amachepetsedwa m'masekondi. Chifukwa chake, mlingo wa mankhwalawa uyenera kumwedwa mosamala.

Mwazi wamagazi nthawi zonse umakhala 3,8 mmol / L

Momwe mungasungire shuga kukhala wabwinobwino mu 2019

Zovuta zimasiyana malinga ndi mtundu wa matenda ashuga:

  • mtundu 1 shuga - chiopsezo chotenga ketoacidosis ndi kufa,
  • matenda a shuga 2 - hypersmolar hypoglycemia.

Patsiku la 4 pambuyo pa kuyambika kwa zisonyezo zoyambirira za kupuma kwa ma virus kapena fuluwenza, urinalysis iyenera kutengedwa kuti mudziwe kukhalapo kwa acetone.

Chithandizo chozizira chikuyenera kuyambika mutangoyamba kumene kwa zizindikiro zoyambirira. Kuperewera kwa chithandizo kumabweretsa zovuta zotsimikizika.

Zololedwa Zamankhwala

Mankhwalawa chimfine ndi chimfine ndi shuga - mankhwala ayenera kusankhidwa mosamala. Sayenera kukweza kuchuluka kwa shuga.

Osadzisilira. Mankhwala onse amathandizidwa ndi adokotala atasanthula wodwalayo. Mankhwala ozizira otengedwa ndi wodwala yemwe ali ndi matenda ashuga sayenera kukhala ndi shuga. Izi zimatha kukulitsa shuga komanso kupitirira apo.

Zochizira matenda opatsirana ndi ma virus, simungagwiritse ntchito mankhwala ochokera ku gulu la antibayotiki. Ndi zopanda pake - maantibayotiki sangaphe kachilombo. Sizoletsedwa kutenga Aspirin.

Kuphatikiza pa mankhwala ozizira, wodwalayo amayenera kubayira insulin pafupipafupi ndikuwunika momwe akuchitira.

Mapiritsi ozizira omwe ali ndi matenda ashuga angatengedwe pokhapokha ngati dokotala amuika. Mwanjira imeneyi, mankhwala amamasulidwa omwe amalimbikitsa chitetezo cha mthupi.

Mapiritsi ozizira a shuga:

Pochiza matenda a shuga kunyumba, akatswiri akulangizani DiaLife. Ichi ndi chida chapadera:

  • Amasinthasintha shuga
  • Amayang'anira ntchito ya pancreatic
  • Chotsani puffness, limayendetsa madzi kagayidwe
  • Imasintha khungu
  • Zoyenera akulu ndi ana.
  • Alibe zotsutsana

Opanga alandila ziphaso zonse zofunika ndi ziphaso za mbiri ku Russia komanso m'maiko oyandikana.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Gulani pa tsamba lovomerezeka

  • Arbidol - wogwiritsidwa ntchito pochiza mitundu ya fuluwenza A ndi B, SARS syndrome ndi coronavirus,
  • Remantadine ndi mankhwala omwe amathandiza polimbana ndi matenda A A,
  • Amiksin ndi mankhwala olimbikitsa.

Mankhwala okhala ndi ziwopsezo ayenera kumwedwa kutengera dongosolo lina. Mlingo ndi nthawi ya maphunzirowa ndi omwe amatchulidwa ndi akatswiri.

Kuphatikiza pa anti-virus mankhwala, wodwalayo akulimbikitsidwa kumwa mavitamini. Amathandizira kukhala ndi thupi.

Madontho amagwiritsidwa ntchito pochotsa mphuno. Mitundu ya madontho amphuno:

  • vasoconstrictor
  • antibacterial
  • antiallergic.

Vasoconstrictor madontho amachotsa edema kuchokera mucous nembanemba cha mphuno ndikuthandizira kupuma. Ma antibacterials amagwiritsidwa ntchito mu mawonekedwe ovuta a chimfine wamba ndikupanga kachilombo koyambitsa matenda (kachikasu kapena kutulutsa kobiriwira kuchokera pamphuno).

Musanagwiritse ntchito, ndikofunikira kukaonana ndi dokotala kuti athandize madontho ndi insulin. Ngati wothandizirayo samalimbikitsa mtundu wamtunduwu, kuti muchepetse vutoli, mutha kutsuka mphuno yanu ndi saline kapena dontho la masamba kuchokera ku anyezi kapena aloe. Komabe, ngakhale maphikidwe a wowerengeka azigwiritsidwa ntchito mosamala.

Mankhwala amagwiritsidwa ntchito pochiritsa chifuwa. Koma odwala matenda ashuga ayenera kutuluka mu mawonekedwe awa. Madziwo amakhala ndi shuga wambiri, zomwe zimayambitsa kukula kwa hyperglycemia.

Pochiritsa chifuwa, odwala matenda ashuga ayenera kukonda kupuma ndi zitsamba. Kuphatikiza apo, maphunziro azachipatala apeza kuti ma syrups samachiritsa chifuwa. Amawonjezera kuchuluka kwa sputum m'mapapu ndikuthandizira kutsokomola mwa anthu.

Ngakhale njira yophweka ya wowerengeka yopumira pa mbatata imatha kuchepetsa mkhalidwe wa wodwalayo.

Odwala omwe ali ndi matenda ashuga amalimbikitsidwa kuti azigwiritsa ntchito mankhwala azitsamba ndi mankhwalawo kuti athandizire kuzizira ndi chimfine.

Mankhwalawa zilonda zapakhosi, rinsing ndi decoctions wa chamomile, calendula kapena tchire ndi koyenera. Amathanso kuphatikizidwa kuti muchiritse chifuwa.

Mukamasankha zitsamba zochizira, ndikofunikira kuti muphunzire malangizo omwe mungagwiritse ntchito ndi zomwe akukonzekera. Kuti ma infusions ndi decoctions asataye mankhwala - sangathe kuwiritsa.

Monga mankhwala ena, othandizira amatenga zitsamba. Akulankhula za mtundu wa mankhwala, nthawi ya maphunzirowo ndi mawonekedwe a ntchito ya mbewu inayake.

Mukazizira, muyenera kutsatira malangizo a zakudya:

  • Simungakane kudya ndikudumphira chakudya,
  • idyani chimanga, yogurts - magwero a chakudya,
  • shuga msika kutsitsa apulo msuzi, tiyi wa ginger, adyo, msuzi wa kabichi, raspberries, dogwood, madzi a beetroot, parsley,
  • ndibwino kusamwa ma compotes ku zipatso zouma, chifukwa kumawonjezera kuchuluka kwa shuga m'magazi,
  • palibe mphesa
  • kusiyanitsa zakudya ndi zipatso ndi ndiwo zamasamba, monga ndi magwero a mavitamini,
  • osapatula mafuta okazinga ndi mafuta,
  • kuwotcha ndi kutumizirana ndi njira yophika yomwe amasankha.

Zakudya zoterezi zimathandizira kuti shuga asungidwe m'malo oyenera ndipo sizimawonjezera pazinthu zomwe zimafooketsedwa ndi kachilomboka.

Kupewa ndi malingaliro

Anthu omwe ali ndi matenda ashuga salangizidwa kuti apatsidwe matenda oyambitsidwa ndi ma virus. Kuti mudziteteze, muyenera kutsatira malangizo othandiza kupewa:

  • Chakudya chizikhala nthawi zonse komanso chokwanira. Maziko ake azikhala ndi zipatso ndi ndiwo zamasamba, komanso zinthu zamkaka. Muli zinthu zopindulitsa, mavitamini ndi mabakiteriya.
  • Patsani zakudya zanu zakudya zamagulu a vitamini C (kiwi, blackcurrant, zitsamba).
  • Khalani ndi moyo wokangalika ndikuchita masewera. Kuyenda mokhazikika mlengalenga, kusambira kapena kulimbitsa thupi kumalimbitsa chitetezo chathupi ndikuyambitsa ntchito yake.
  • Onani zaukhondo. Pambuyo poyendera malo opezeka anthu ambiri, sambani m'manja ndi sopo wa antibacterial.
  • Pakachitika mliri, pewani malo okhala, mashopu, ndi malo ogulitsira. Kachilomboka kamafalikira chifukwa cha ma dropa ndipo zimayambitsa matenda m'malo mwake.
  • Kuyeretsa kwamadzi ndi antiseptic solution.
  • Ndikofunikira kuti mpweya uzikhala mchipinda chambiri ndikusintha chinyezi. Chinyontho chimathandizira kukhalabe chinyezi cha m'nyumba.

Kuzizira ndi matenda ashuga kumalimbitsana mawonekedwe owoneka bwino. Ndikofunikira kutsatira malamulo opewera kukhala ndi thanzi.

Ngati kachilomboka walowa mthupi la munthu yemwe ali ndi matenda ashuga, ndikofunikira kuyang'anitsitsa kuchuluka kwa shuga m'magazi ndikuyamba kulandira insulin.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Lyudmila Antonova mu Disembala 2018 adafotokoza mwatsatanetsatane za chithandizo cha matenda ashuga. Werengani kwathunthu

Kodi nkhaniyo inali yothandiza?

Mwazi wa magazi ozizira

Mwa munthu wathanzi, kuchuluka kwa shuga kumachokera ku 3.3-5,5 mmol / l, ngati magazi amachotsedwa kuchokera pachala kuti awunikenso. Mu malo omwe magazi a venous amawunikira, malire akumtunda amasunthira ku 5.7-6.2 mmol / L, malingana ndi zikhalidwe za labotale yoyeserera.

Kukula kwa shuga kumatchedwa hyperglycemia. Zitha kukhala zazakanthawi, zosakhalitsa kapena zachikhalire. Magazi a glucose amasiyana malinga ndi momwe wodwalayo aphwanya kagayidwe kazakudya.

Zotsatira zamankhwala ndizotsatira:

  1. Osakhalitsa hyperglycemia motsutsana ndi chimfine.
  2. Kuwonongeka kwa matenda ashuga omwe ali ndi kachilombo ka virus.
  3. Kubwezera shuga omwe alipo pakadwala.

Osakhalitsa hyperglycemia

Ngakhale mwa munthu wathanzi, msuzi wa shuga wokhala ndi chimfine wokhala ndi mphuno yolimba umatha kukwera. Izi zimachitika chifukwa cha kusokonezeka kwa metabolic, machitidwe olimbitsa thupi komanso endocrine, komanso zovuta zoyambitsa ma virus.

Nthawi zambiri, hyperglycemia imakhala yotsika ndipo imazimiririka yokha ikatha kuchira. Komabe, kusintha koteroko pakuwunika kumafunikira kumuwunika wodwalayo kuti asachotse zovuta za kagayidwe kazakudya, ngakhale atangokhala ndi chimfine.

Pachifukwa ichi, dokotala yemwe akupezekapo amalimbikitsa kuyesedwa kwa glucose akamatha kuchira. Wodwalayo amayesa magazi mosamala, amatenga 75 g ya shuga (monga yankho) ndikubwereza mayesowo atatha maola awiri. Pankhaniyi, kutengera mtundu wa shuga, zotsatirazi zingathe kukhazikitsidwa:

  • Matenda a shuga.
  • Matenda othamanga a glycemia.
  • Kuchepetsa chakudya chokwanira.

Zonsezi zikuwonetsa kuphwanya kagayidwe ka glucose ndipo zimafunikira kuyang'ana kwamphamvu, zakudya kapena chithandizo chapadera. Koma nthawi zambiri - ndi kufupika kwa hyperglycemia - kuyeserera kwa glucose sikuwulula.

Matenda a shuga

Mtundu woyamba wa matenda a shuga umatha kuyamba pambuyo pa matenda oyambitsidwa ndi kupuma kapena kuzizira. Nthawi zambiri amakula pambuyo matenda owopsa - mwachitsanzo, chimfine, chikuku, rubella. Kuyambika kwake kumayambitsanso matenda opatsirana.

Kwa odwala matenda ashuga, kusintha kwina kwamagazi a glucose kumadziwika. Mukasala kudya magazi, ndende ya shuga sayenera kupitirira 7.0 mmol / L (magazi a venous), ndipo mutatha kudya - 11.1 mmol / L.

Koma kusanthula kumodzi sikutanthauza. Kukula kwina kulikonse kwa glucose, madokotala amalimbikitsa kuti abwereze mayeso kenako ndikuyesa mayeso a glucose, ngati pakufunika.

Matenda a shuga a Type 1 nthawi zina amapezeka ndi hyperglycemia yayikulu - shuga amatha kukwera mpaka 15-30 mmol / L. Nthawi zambiri zizindikiro zake zimakhala zolakwika pofuna kuwonetsa zakumwa zoledzera. Matendawa amadziwika ndi:

  • Kukodza pafupipafupi (polyuria).
  • W ludzu (polydipsia).
  • Njala (polyphagy).
  • Kuchepetsa thupi.
  • Kupweteka kwam'mimba.
  • Khungu lowuma.

Komanso, zomwe wodwalayo amadwala zimakulirakulira. Kuwoneka kwa zizindikiro zotere kumafunika kuyesedwa kwa magazi kwa shuga.

Kubweza shuga ndi chimfine

Ngati munthu wadwala kale matenda a shuga - mtundu woyamba kapena wachiwiri, ayenera kudziwa kuti mosiyana ndi chimfine, matendawa amatha kukhala ovuta. Mankhwala, kuwonongeka kumeneku kumatchedwa kuwonongeka.

Matenda a shuga ophatikizika amadziwika ndi kuwonjezeka kwa misempha ya glucose, nthawi zina yofunika. Ngati mcherewo wafika pazovuta zazikulu, kumatha kupweteka.

Nthawi zambiri zimachitika ketoacidotic (matenda ashuga) - ndi kudzikundikira kwa acetone ndi metabolic acidosis (kuthamanga kwa magazi).

Ketoacidotic chikomitima chimafuna kuthamanga kwamawonekedwe a shuga komanso kuyambitsa kulowetsedwa.

Wodwala akagwira chimfine ndipo nthendayo ikukula ndi kutentha kwambiri, kutsekula m'mimba, kapena kusanza, madzi am'madzi amatha msanga. Ichi ndiye chinthu chofunikira kwambiri pakukonzanso mtima kwa hyperosmolar coma. Potere, kuchuluka kwa glucose kumakwera kuposa 30 mmol / l, koma acidity yamagazi imakhalabe yochepa.

Ndi chikomokere kwa Hyperosmolar, wodwalayo ayenera kubwezeretsa mwachangu kuchuluka kwa madzi omwe atayika, izi zimathandizira kuchepetsa shuga.

Chenjezo lokwera: mndandanda wa mankhwala omwe amalimbikitsa shuga m'magazi, ndi zotsatira zomwe zingayambitse

Kuwongolera shuga ndikofunikira kwambiri kwa anthu odwala matenda ashuga. Kumwa mankhwala apadera, kudya, komanso moyo wathanzi kumathandizira kuti shuga azikhala pamlingo wovomerezeka.

Komabe, odwala matenda ashuga nthawi zambiri amakakamizidwa kumwa mankhwala ena. Kupatula apo, matendawa amabweretsa zovuta zambiri zomwe zimafuna chithandizo chokwanira chamankhwala.

Nthawi yomweyo, ndikofunikira kuyandikira kugwiritsa ntchito mankhwalawa mosamala kwambiri, chifukwa pakati pawo pakhoza kukhala mankhwala omwe amawonjezera shuga wamagazi, chifukwa chake, ndi osayenera komanso osavomerezeka kwa odwala matenda ashuga. Chifukwa chake, ndimankhwala ati omwe amawonjezera shuga?

Kodi odwala matenda ashuga amatenga chiyani?

Ndi mitundu yanji ya mankhwala omwe nthawi zambiri amakakamizidwa kumwa ndi odwala matenda a shuga omwe ali ndi matenda opatsirana? Choyamba, awa ndi mankhwala osiyanasiyana omwe amagwiritsidwa ntchito pochiza matenda amtima.

Ndi mtima wamadongosolo a matenda ashuga omwe nthawi zambiri amakhudzidwa ndi zovuta zomwe zimayambitsa kukula kwa ma pathologies omwe angapangitse kuti wodwalayo afe.

Hypertension ndi matenda ofala kwambiri okhudzana ndi matenda a shuga. Chifukwa chake, odwala matenda ashuga ambiri amakakamizidwa kugwiritsa ntchito antihypertensive mankhwala. Kuphatikiza apo, kusintha kwa minyewa yothandizirana ndi matenda a shuga kumakhala kowopsa.Motere, odwala matenda ashuga akuwonetsedwa kugwiritsa ntchito mankhwala omwe amalimbitsa makhoma amitsempha yamagazi ndikuthandizira kutuluka kwa magazi koyenera.

Pomaliza, zotsatira za matenda ashuga zimatha kuchepa mu chitetezo chathupi komanso matenda. Izi zimapangitsa kuti odwala azigwiritsa ntchito antibacterial mankhwala omwe amathandiza thupi lochepa polimbana ndi tizilombo toyambitsa matenda.

M'magulu aliwonse omwe ali pamwambawa pali mankhwala omwe amatha, pansi pazinthu zina, kuwonjezera kuchuluka kwa shuga m'magazi.

Ndipo ngati ili siliri vuto kwa munthu wamba, ndiye kuti kwa odwala matenda ashuga zotere zimabweretsa zotsatira zoyipa, mpaka kufa ndi kufa.

Komabe, kusinthasintha kocheperako m'magulu a shuga kumakhudzanso mkhalidwe wa odwala ndipo kumafunikira chidwi kwambiri. Ndi magometi ati omwe amagwiritsidwa ntchito kuchulukitsa shuga wamagazi ndipo ndi ati omwe angayambitse mavuto?

Kuchotsera kapena kusintha kwa mankhwala ndi analogue ndizotheka pokhapokha ngati dokotala akuwalimbikitsa.

Zakudya Zaulele

Zakudya zopanda shuga zitha kuwonjezera magazi

Zakudya zambiri zopanda shuga zimakulitsa kuchuluka kwa shuga m'magazi anu.

Antu adiña namafuta amavulu adi mumudimu wakushimwina. Pazolobulo zogulitsa zakudya, musanadye, fufuzani chakudya chonse.

Muyeneranso kusamala ndi zakumwa zotsekemera monga sorbitol ndi xylitol. Amawonjezera kutsekemera ndi zoperewera pang'ono kuposa shuga (sucrose), koma komabe amakweza mulingo wanu wamafuta.

Zakudya zaku China

Mukamadya ng'ombe yokhala ndi mafuta a sesame kapena nkhuku yotsekemera ndi wowawasa kuchokera mbale, osati mpunga woyera wokha womwe ungayambitse mavuto. Zakudya zokhala ndi mafuta ambiri zimatha kuwonjezera kuchuluka kwa shuga kwa nthawi yayitali.

Zilinso chimodzimodzi kwa pizza, ma frie aku France, ndi zina zabwino zomwe zimakhala ndi mafuta komanso mafuta ambiri. Yang'anani shuga yanu m'magawo 2 mutatha chakudya kuti mudziwe momwe zakudyazi zimakhudzira.

Mwazi wanu wamagazi umakwera pamene thupi lanu likuvutika ndi matenda. Imwani madzi okwanira ndi madzi ena kuti mupewe madzi amthupi.

Itanani ndi dokotala ngati muli ndi matenda otsegula m'mimba kapena kusanza kwa maola opitilira 2 kapena ngati mukudwala kwa masiku awiri ndipo simukumva bwino.

Kumbukirani kuti mankhwala ena - monga maantibayotiki ndi ma decongestants omwe amatha kumveketsa zolakwika zanu za paranasal - amathanso kukhudza mulingo wamagazi.

Kupsinjika kuntchito

Kupsinjika Kumakweza Magazi A shuga

Kodi ntchito sikubweretsa chisangalalo ndi chisangalalo? Izi zimatha kubweretsa nkhawa. Mukapanikizika, thupi lanu limatulutsa mahomoni omwe amawonjezera magazi.

Izi ndizofala kwambiri mwa anthu omwe ali ndi matenda ashuga a 2. Phunzirani kupuma kwambiri komanso kuchita masewera olimbitsa thupi. Komanso, yesani kusintha zinthu zomwe zimakupangitsani kupsinjika, ngati zingatheke.

Ma bagels ndi okwera mafuta ambiri.

Kodi pali kusiyana kotani pakati pa kudya kagawo ka mkate woyera ndi bagel? Ma Bagels muli mafuta ambiri - kuposa chidutswa cha mkate. Mulinso ndi zopatsa mphamvu zambiri. Chifukwa chake ngati mukufuna kudya bagel, gulani yaying'ono.

Zakumwa zakumwa

Zakumwa zakumwa zimapangidwa kuti zikuthandizireni kubwezeretsa madzi mthupi mwachangu, koma ena mwa iwo ali ndi shuga wambiri.

Zomwe mukufunikira pophunzitsira mphamvu zolimbitsa thupi kwa ola limodzi. Chakumwa chamagetsi chitha kukhala chothandiza kwa nthawi yayitali komanso kuchita masewera olimbitsa thupi kwambiri.

Koma, choyamba, funsani kwa dotolo wanu ngati zopatsa mphamvu, zopatsa mphamvu, ndi mchere m'makumwa awa ndizabwino kwa inu.

Kodi ndingatani pozizira chimfine?

Kodi ndingatani pozizira chimfine? 11.01.2016 07:52

Ndi kuzizira koyambilira kwa nthawi yophukira, ma virus amakhala "akugwira ntchito" mwachangu.Kuzizira kofala ndi limodzi mwa matenda ofala kwambiri nyengo yachisanu. Ngati anthu ambiri amathandizira chimfine ndi jamu, madzi, uchi ndi mkaka ndi mankhwala osiyanasiyana, ndiye njira izi zitha kuvulaza anthu omwe ali ndi matenda ashuga. Chifukwa chiyani shuga amachokera kuzizira, ndi mankhwala ati omwe amatha kumwa ngati muli ndi chimfine, zomwe muyenera kudya ndi kumwa? Tiyesa kukuwuzani mwatsatanetsatane za duet ngati chimfine komanso matenda ashuga.

Chifukwa chiyani kuzizira kumawonjezera shuga?

Anthu ambiri odwala matenda ashuga mwina awona kangapo kuti panthawi yozizira, pazifukwa zina, kuchuluka kwa shuga kumakwera, ngakhale kwenikweni mumakhala ndi moyo womwewo ngati kale. Chofunika kwambiri ndikuti thupi limatsogolera mahomoni ambiri kulimbana ndi kutupa. Ndipo munthawi yomwe mahomoni amagwira ntchito kwambiri kupanikiza chimfine, salola kuti thupi ligwiritse ntchito bwino insulin.

Ngati mumanyalanyaza chimfine wamba, anthu omwe ali ndi matenda amtundu woyamba ali ndi chiopsezo cha ketoacidosis, ndipo ndi mtundu 2, okalamba amatha kuvutika kwambiri monga hyperosmolar hyperglycemic non-ketotic coma. Chifukwa chake, ndikofunikira kuti muchepetse shuga komanso magazi anu.

Kodi ndimafunikira kangati kuti ndifufuze magazi anga ngati ali ndi chimfine?

Popeza ndi chimfine thupi limafooka ndipo njira zambiri sizimayenda mwachizolowezi, ndikofunika kupenda kuchuluka kwa shuga m'magawo awiri aliwonse. Ndikofunikanso kukaonana ndi dokotala, mwina atakusintha muyezo wanu wa mankhwala ochepetsera shuga kapena insulin, kapenanso kupereka watsopano.

Madokotala ambiri a endocrinologists amalimbikitsa odwala matenda ashuga omwe amagwiritsa ntchito insulin kuti awerengere mlingo wawo wa tsiku ndi tsiku ndikuwapatsa 20% yaiwonjezera chifukwa cha chimfine chofala.

Anthu odwala matenda ashuga amtundu wa 2 omwe amangogwiritsa ntchito mankhwala ochepetsa shuga ayenera kukonzekera kuti nthawi yozizira wamba azilowetsa insulin kuti athandize shuga.

Mankhwala ozizira a shuga ndi ati?

M'malo mwake, anthu odwala matenda a shuga amatha kumwa mankhwala ambiri ozizira, koma muyenera kupewa omwe ali ndi shuga. Chifukwa chake, ndibwino kuti odwala matenda ashuga apewe kutsokomola ndi madontho osiyanasiyana okoma. Sankhani mankhwala omwe akuti "shuga wopanda". Kuphatikiza apo, ngati muli ndi kuthamanga kwa magazi, ndiye kuti muyenera kupewa mankhwala omwe ali ndi phenylephrine. Amakhala ndimitsempha yamagazi kuti ipangitse kupuma kwammphuno, koma imatha kuwonjezera kukakamizidwa kwambiri.

Kodi kuzizira kwa odwala matenda ashuga ndi chiyani?

Ndi chimfine, nthawi zambiri pamakhala kusweka ndi kusowa kwa chakudya, koma odwala matenda ashuga sayenera kukhala ndi njala. Ndikofunikira kwambiri kudya zakudya zokhala ndi 1 XE ola lililonse kuti shuga asatsike kwambiri. Ndikofunika kuti izi zinali zopangidwa kuchokera muzakudya zanu zamasiku onse, chifukwa ndi bwino kuchedwetsa kuyesedwa kwa zakudya panthawi ya chimfine.

Musaiwale za kusunga madzi olimbitsa thupi. Ngati shuga wanu ndiwambiri, ndiye kuti mumamwa tiyi ndi ginger wake, ndipo chimfine chofulumira chimatha msanga ndipo shuga amadzakhazikika.

Mwambiri, ndibwino kudwala ndikutsatira malamulo oyambira kupewa matenda ozizira ndi chimfine!

Chifukwa chiyani kuzizira kumawonjezera shuga m'magazi a odwala matenda ashuga?

Mukayamba kuzizira, pali mwayi kuti shuga yanu yamagazi inyuke. Izi zimachitika thupi lanu litatumiza mahomoni kuti akamenyane ndi kachilomboka. Ngakhale mahomoni amatha kuthandizira kuthana ndi chimfine, amatetezanso thupi lanu kugwiritsa ntchito bwino insulini.

Magazi a shuga akayamba kuvuta kuthana ndi chimfine kapena matenda ena, mutha kukhala ndi mavuto, monga ketoacidosis, ngati muli ndi matenda ashuga 1. Ketoacidosis - Uku ndiko kudzikundikira kwa asidi wambiri m'mwazi ndipo ndiwopseza moyo. Ngati mungatero mtundu 2 shuga, makamaka ngati muli okalamba, mutha kukhala ndi vuto lalikulu lotchedwa hyperglycemic hyperosmolar non-ketone coma, lomwe limatchedwanso kuti chikumbumtima cha matenda ashuga, vuto lomwe limayamba chifukwa cha shuga wambiri.

Mankhwala a antihypertensive

Ngati wodwala ali ndi matenda ashuga, osavomerezeka kugwiritsa ntchito mankhwalawa omwe amalimbikitsa shuga:

  • opanga beta
  • diuretics a group la thiazide,
  • nthawi yayitali kashiamu njira blockers.

Kusankha beta-blockers kwambiri zimakhudza njira za metabolic. Kuchita kwawo kumawonjezera kuchuluka kwa shuga, komanso kumakhudzanso kagayidwe ka lipid ndipo kumathandizira kukulitsa kuchuluka kwa cholesterol m'magazi.

Zotsatira zoyipa za mitundu ina ya ma beta-blockers zimagwirizanitsidwa ndi kusakwanira kwa heterogeneity ya zinthu zomwe zili momwemo.

Mwachidule, mankhwalawa amakhudza magulu onse a beta receptors mosasamala.

Chifukwa cha beta-awiri blockade a adrenoreceptors, thupi limachitika, kusintha zosafunika mu ntchito ya ziwalo zina zamkati ndi tiziwalo timene timatulutsa.

Kusankha kwa beta-blockers kungalepheretse gawo loyamba la insulin kupanga ndi ma cell a pancreatic beta. Kuchokera pamenepa, kuchuluka kwa glucose wosagonjetseka kumatha kuwonjezeka kwambiri.

Choyipa china cholemera ndi kuwonda, zomwe zimanenedwa nthawi zambiri omwe amapezeka pafupipafupi mankhwala a gululi. Izi zimachitika chifukwa chakuchepa kwa kuchuluka kwa kagayidwe kachakudya, kuchepa kwa mphamvu ya chakudya, komanso kuphwanya kwa matenthedwe ndi mpweya m'thupi.

Kuwonjezeka kwa kulemera kwa thupi kumabweretsa kuti munthu amafunikira kuchuluka kwa insulini yamoyo wabwinobwino.

Ma diuretics a gulu la thiazide, pokhala okhuthala mwamphamvu, ochapa zinthu zosiyanasiyana. Zotsatira zamachitidwe awo zimakhazikitsidwa ndi kuchepa kwakukulu kwamisodium chifukwa chokodza mosalekeza komanso kuchepa kwathunthu kwamadzi am'mthupi. Komabe, okongoletsa oterewa alibe ntchito.

Izi zikutanthauza kuti zinthu zofunika kuti zizigwira ntchito bwino komanso kusamalira homeostasis zimatsukidwanso. Makamaka, kukondoweza kwa diuresis kumabweretsa kutsika kwa kuchuluka kwa chromium m'thupi. Kuchepa kwa chinthu ichi chotsitsa kumapangitsa kuti ntchito za cell za pancreatic zisathe komanso kuchepa kwa insulin.

Otsutsa a calcium opitilira muyeso amathandizanso shuga m'magayidwe a shuga.

Zowona, zotere zimachitika pokhapokha ngati zidya mokwanira ndipo ndi chifukwa cha mapangidwe a zochita za gululi.

Chowonadi ndi chakuti mankhwalawa amalepheretsa kulowa kwa calcium ion kulowa m'maselo a kapamba. Kuchokera pamenepa, ntchito zawo zimachepa, ndipo kupanga insulin kumachepetsedwa kwambiri.

Ma blocker a beta amakono omwe ali ndi mlingo woyenera samayambitsa mavuto.

Chenjezo - kuzizira!

Kuperewera kwa dzuwa ndi mavitamini, kuthamanga kwa moyo komanso kusakhazikika kwa zinthu zachilengedwe kumatipangitsa kuti tizimva kuzizira kwambiri. Makamaka nthawi yozizira. Ndipo makamaka ngati chitetezo cha mthupi chayamba kufooka kale ndi matenda ashuga.

Mphuno zam'mimba, chifuwa komanso kutentha thupi, sikuyenera kusangalatsa aliyense. Koma kwa anthu omwe ali ndi matenda ashuga, matenda opatsirana amakhala owopsa kwambiri. Choyamba, chakuti kuchuluka kwa shuga m'magazi kumawonjezeka kwambiri.

"Glucose wambiri m'magazi amapezeka chifukwa cha kuchuluka kwa mahomoni m'thupi lawo pofuna kupewetsa kutupa," akutero Olga Melnikova, wa endocrinologist, MD. - Ma mahomoni onsewa ali ndi mphamvu yotsutsana, amalepheretsa insulini pamaselo a m'magazi, komanso amachepetsa kapangidwe kake ka kapamba. Chifukwa chake, chinthu chofunikira kwambiri panthawi ya chimfine kwa anthu omwe ali ndi matenda ashuga ndikuwongolera shuga.Ndikofunika kuti muzipika muyeso maola pafupifupi awiri aliwonse, ndipo ngati kuli kotheka muzigwiritsa ntchito mankhwala ochepetsa shuga. ”

Mukalola kuti zinthu zizingochita zokhazokha komanso osayesa kusunga kuchuluka kwa shuga m'magazi enieni, ndiye kuti ndi matenda amtundu wa 1, matenda opatsirana amatha kubweretsa zovuta komanso zowopsa za matenda ashuga monga ketoacidosis (ndi "zotayidwa" zapoizoni - matupi a ketone amatenga msanga m'thupi ) Type 2 shuga mellitus, makamaka atakula kwambiri, angayambitse vuto lomweli - hyperglycemic (hyperosmolar) chikomokere. Chifukwa chake, ngakhale ndi mawonekedwe ochepa a matenda opatsirana, ndikofunikira kuyandikira kwambiri chithandizo, ndipo koposa zonse, kuti mulamulire kuchuluka kwa shuga m'magazi. Pakatha masiku awiri kapena atatu chimfine chisanayambike kapena kuzizira, kuyezetsa pafupipafupi kuyenera kuchitidwa kuti mudziwe ma acetone (ma ketones) mkodzo. Ngati ma ketoni apezeka pang'ono, auzeni endocrinologist wanu za izi.

"Mukadwala fuluwenza kapena SARS, onetsetsani kuti mwasintha mlingo wa insulin kapena mankhwala ochepetsa shuga," akutero Olga Georgiaievna. - Kwa anthu omwe amagwiritsa ntchito insulin, tikulimbikitsa lamulo ili: muyenera kuwerengera mlingo womwe umakhala tsiku lililonse, ndipo mutenge 20% yake kuti awonjezere makonzedwe - "ozizira wamba." Mlingowu ungathe kutumikiridwa ngati njira yodziyimira pawokha, komanso munthawi yomweyo ndi insulin "ya chakudya".

A Endocrinologist Alexander Mayorov alangizanso anthu omwe ali ndi matenda amtundu wa 2 omwe amamwa mapiritsi ochepetsa shuga kuti agwiritse ntchito insulini potenga chimfine kapena chimfine.

"Mlingo wochepa wa insulin kuphatikiza pa chithandizo chomwe chimagwiritsidwa ntchito masiku opatsirana matenda opatsirana, malinga ndi zomwe tawona, ndizothandiza kwambiri," akutero a Alexander Yurievich. - Akachira, odwala oterowo amatha kukana insulini ndikubwerera njira yochiritsira ya matenda ashuga. Chifukwa chake, talimbikitsa anthu onse omwe ali ndi matenda ashuga kuti azisungiramo insulin mufiriji. ”

Ngakhale kukazizira kumakhala, nthawi zambiri, simukufuna, ndikofunikira kuchita izi, kuti mupewe hypoglycemia. Malinga ndi lingaliro la American Diabetes Association, muyenera kudya zakudya zokhala ndi 1 XE (kapena 10-12 g) yamafuta nthawi iliyonse. Ngati menyu anu achizolowezi sakukondweretsa, mutha kusankha njira yopepuka: kumwa kapu ya mandimu kapena yogati, idyani apulo kapena mitsuko ingapo ya phala. Koma ndikwabwino kuti musayese kusintha kwamphamvu kwa zakudya, apo ayi shuga a m'magazi atha kukhala osalamulirika.

Kumwa nthawi yachisanu kumazizira kumakhala bwino kwa aliyense, koma makamaka iwo omwe ali ndi matenda ashuga. Ngati muli ndi nseru, kusanza, kapena kutsegula m'mimba, muyenera kumwa kapu ya madzi ola lililonse m'malo ochepa kuti muchepetse madzi. Ndipo onetsetsani kuti mwawonana ndi dokotala - Zizindikiro zimakhalanso chiwonetsero cha ketoacidosis.

Phunzirani mosamala kapangidwe ka mankhwalawa omwe mumagwiritsa ntchito kusintha mkhalidwe wanu: ambiri a iwo omwe ali ndi shuga ndizambiri, ndibwino kusankha mapiritsi osavuta popanda shuga. Ngati mukuvutika ndi kuthamanga kwa magazi, pewani mankhwala okhala ndi phenylephrine. Izi zimapangika m'mitsempha yamagazi, motero, imathandizira kupuma kwammphuno, koma imatha kuwonjezera kukakamizidwa kwambiri.

Ndipo kuti mukhale wathanzi chaka chonse, tsatirani malamulo osavuta kupewa. Sunthani kwambiri, tsiku lililonse osachepera theka la ola kapena ola limodzi, pumani mpweya wabwino. Tengani mavitamini ndikuphatikiza masamba ndi zipatso zambiri muzakudya zanu momwe mungathere. Sambani m'manja pafupipafupi - izi zimachepetsa chiopsezo cha matenda. Onetsetsani kuti ana ndi ena onse m'banjamo amatsatira lamulo losavuta ili. Ndipo koposa zonse, khazikitsani chiphuphu chabwino cha shuga - pomwe shuga ali mkati mwazolowera (3.9-7.8 mmol / L), chitetezo chokwanira chikuwonetsa kugwidwa ndi mavairasi oyipitsidwa.

Ambulansi yozizira:

1. Ganizirani pasadakhale zomwe mudzachite ngati mukudwala chimfine kapena chimfine, khalani ndi mapulani othandizira ndi endocrinologist wanu.Sungani syringe ndi ultrashort kapena insulini yochepa mufiriji yanu. Pamalo ozizira, owuma - bokosi lokhala ndi mayeso kuti mupeze ma ketoni mu mkodzo.

2. Ngati muli ndi chimfine, yang'anani magazi anu pafupipafupi kuposa masiku onse - maola atatu aliwonse, komanso kutentha kwambiri - maola 2 aliwonse. Sungani zolemba zanu paziyang'anira nokha momwe mumalembera osati kuchuluka kwa insulin, kuchuluka kwa shuga wamagazi ndikudya XE, komanso mankhwala omwe mumatenga, kutentha kwa thupi, komanso kupezeka kwa acetone mu mkodzo.

3. Imwani madzi ambiri opanda madzi (madzi, tiyi wobiriwira) momwe mungathere. Ngati mukufuna kukweza shuga m'magazi anu, imwani kapu ya madzi apulosi.

4. Yesani kukhala ndi chakudya chanthawi ya matenda kuti magazi a shuga asasinthe mosayembekezereka.

5. Itanani dokotala mwachangu ngati muli:

  • kuchuluka kapena kwapakatikati kwamatumbo a ketone (acentone) mkodzo kapena magazi,
  • kusanza kapena kutsegula m'mimba kwa maola opitilira 6,
  • shuga wamagazi ndi oposa 17.0 mmol / l ndipo simungathe kutsitsa.
  • kutentha kwambiri kwa thupi
  • kuonda msanga
  • kuvutika kupuma
  • kugona kosalekeza, kulephera kuganiza bwino
  • Zizindikiro zozizira (chifuwa, zilonda zam'mimba, mphuno, kupweteka kwa minofu, ndi zina) sizimachepa pakapita nthawi, koma ingowonjezerani.

Kodi ndiyenera kuwona kangati shuga wanga wamagazi kuti asazizire?

Mukakhala ndi chimfine, onetsetsani kuti magazi anu alipo pafupifupi maola atatu kapena anayi alionse. Dokotala wanu angakulimbikitseni kuti mugwiritse ntchito kwambiri insulin ngati shuga yanu yayitali kwambiri.

Kudziwa kuchuluka kwa shuga m'magazi anu kudzakuthandizani kuti musinthe njira yanu yochizira matenda ashuga ngati mulingo wa glucosewo uli kutali ndi gulu labwino.

Ndiyenera kudya chiyani ngati ndili ndi matenda ashuga komanso chimfine?

Ndi zizindikiro zoyambirira za chimfine, chidwi chanu sichitha. Koma ndi matenda ashuga, ndikofunikira kuyesa kudya china chake. Mutha kusankha zakudya zamagulu anu muzakudya zamagulu onse.

Ndikulimbikitsidwa kudya pafupifupi magalamu 15 a zakudya zamafuta tsiku lililonse. Mutha kumwa 100 magalamu a madzi a zipatso, theka kapu ya kefir kapena theka kapu ya chimanga chophika. Ngati simukula, shuga wanu wamagazi akhoza kutsika kwambiri.

Ngati muli ndi malungo, kusanza, kapena kutsegula m'mimba, onetsetsani kuti mumamwa kapu ya madzi ola lililonse. Mutha kumwa madzi m'malo momamwa zonse nthawi imodzi, chinthu chachikulu ndikumazizira ndikupewa kusowa kwamadzi.

Ngati shuga wanu wamagazi ndiwambiri, imwani madzi ambiri, madzi kapena tiyi wazitsamba. Ngati mukufuna kukweza shuga m'magazi anu, gwiritsani ntchito kapu ya apulosi kapena theka la kapu ya tiyi ya zitsamba. Nthawi zonse muziyang'ana zomwe mumadya kapena zakumwa ndi zakudya zanu zomwe zimapangidwa nthawi zonse matenda ashuga kuti muwonetsetse kuti zakudyazi ndi zakumwa zimaloledwa m'zochitika zanu.

Kodi ndimazizira iti omwe ndingatenge matenda ashuga?

Anthu omwe ali ndi matenda ashuga amatha kumwa mankhwala ozizira. Koma onetsetsani kuti mupewa mankhwala apamwamba a shuga. Mankhwala ozizira amadzimadzi nthawi zambiri amakhala ndi shuga. Werengani malangizo kuti mudziwe ngati mankhwalawo ali ndi shuga. Ngati mukukayika, funsani dokotala. Muthanso kugwiritsa ntchito wowerengeka azitsamba chifukwa cha chifuwa, mphuno ndi kuchita kuvulala kwamkati.

Anthu omwe ali ndi matenda ashuga ayenera kupewa mankhwala okoma a chifuwa, kutsokomola, ndi mankhwala ozizira amadzimadzi. Onani mawu oti "free shuga" mukamagula zinthu ngati izi. Ngati mungatero kuthamanga kwa magaziPewani zodzikongoletsera zomwe zingakweze magazi anu kwambiri.

Kodi ndingapewe bwanji kuzizira ngati ndili ndi matenda ashuga?

Kaya muli ndi matenda a shuga kapena ayi, muzigwiritsa ntchito ukhondo nthawi zonse kuti muchepetse matenda opumira monga chimfine kapena chimfine. Pewani kuzizira, onetsetsani kuti inu ndi banja lanu mumasamba m'manja nthawi zonse.Palibe katemera wa chimfine, koma lankhulani ndi dokotala wanu kuti mupeze kuwombera pachimfine chaka chilichonse kuti mupewe kutenga kachilombo ka chimfine, komwe kangathe kuwonjezera kupsinjika kwa thupi lanu ndikusokoneza kasamalidwe kanu ka shuga.

Maselo othandizira komanso antibacterial

Mankhwalawa amagwiritsidwa ntchito popewa kuwonongeka m'mitsempha yamagazi, yomwe imatha kuyambitsa magazi kulowa m'magazi komanso kufunikira kwa kuchitapo kanthu opaleshoni.

Ngati mankhwala akuphatikizidwa ndi cortisol, glucagon kapena chinthu china chofanana - makonzedwe ake a matenda ashuga ndi osatetezeka.

Chowonadi ndi chakuti mahormoni amatha kuchepetsa kupanga insulin, kuletsa kapamba. Nthawi zambiri, izi zimapangitsa kuti maselo azikhala ndi mphamvu, koma kwa anthu omwe ali ndi matenda ashuga, zotere zimatha kukhala zowopsa kwambiri.

Mwachitsanzo, glucagon ya mahoni m'thupi lathanzi imapangidwa ngati kuchepa kwakukulu kwa shuga m'matumbo a shuga.

Hormone iyi imagwira ntchito m'maselo a chiwindi, chifukwa cha zomwe glycogen yomwe imadziphatikizira imasinthidwa ndi glucose ndikutulutsa m'magazi.

Chifukwa chake, kudya pafupipafupi mankhwala, zomwe zimaphatikizira mankhwalawa, kumathandizira kuwonjezeka kwa ndende ya glucose.

Aspirin Angayambitse Kuchulukitsa kwa Magazi

Anthu odwala matenda ashuga sayenera kuyeserera kumwa mahomoni a corticosteroid ndi zinthu zina zomwe zimachepetsa kupanga insulin. Komabe, pomwe matenda a shuga a 2 adapezeka ndipo kapamba atasiya kupanga insulini, kumwa mankhwalawa kungakhale koyenera - sikungakhudze kuchuluka kwa shuga m'magazi.

Kusamala kumafunika kumwa mankhwala oletsa kutupa. Mankhwala osokoneza bongo monga Aspirin, Diclofenac, ndi Analgin angapangitse kuchuluka kwa shuga. Osagwiritsa ntchito mankhwala a Doxycycline.

Ndi matenda a 2 a shuga, mankhwala omwe amaletsedwa kwa odwala omwe ali ndi matenda amtundu wa 1 angathe.

Ozizira ndi shuga, chithandizo

Ministry of Health of the Russian Federation: “Chotsani mita ndi zingwe zoyesa. Palibenso Metformin, Diabetes, Siofor, Glucophage ndi Januvius! Mgwireni ndi izi. "

Mu munthu yemwe ali ndi matenda ashuga, munthu amalephera ozizira zimatha kuyambitsa zovuta zingapo. Thupi lofooka limayamba kupanga mahomoni omwe cholinga chake ndi kuthana ndi matendawa, ndikusiya kuyamwa mokwanira insulin, yomwe imatsogolera ku hyperglycemia.

Hyperglycemia, yomwe imayang'aniridwa kumbuyo kwa matenda a virus, imafunikira kuyang'aniridwa mwachangu ndi kuonana ndi dotolo, ngati muiilola kuti ipite mwamwayi mutha kukumana ndi zotsatira zowopsa: matenda a shuga komanso ketocidosis.

Mankhwala ena

Awa ndi mankhwala akuluakulu omwe saloledwa kugwiritsa ntchito pamaso pa matenda ashuga. Kuphatikiza apo, mankhwala ena ofala amatha kukhala osokoneza thupi la odwala matenda ashuga.

Makamaka, mapiritsi ogona a barbiturates, ma tricyclic antidepressants, kukonzekera kwa nikotini sayenera kugwiritsidwa ntchito.

Muchepetse kugwiritsa ntchito ma sympathomimetics ndi mahomoni okula. Zingakhale zovulaza kumwa Isoniazid - mankhwala a chifuwa chachikulu.

Ndikofunika kulabadira okonda kulandira mankhwala osiyanasiyana. Nthawi zambiri, kapangidwe kake ka mankhwala kamaphatikizidwa ndi glucose - monga wosefera komanso choletsa zochita. Ndikwabwino kusinthitsa mankhwalawa ndi ma analogu omwe alibe zinthu zovulaza odwala matenda ashuga.

Pali mankhwala amakono othandizira komanso odana ndi kutupa omwe amavomerezedwa ndi anthu odwala matenda ashuga.

Mutha kudziwa kuti ndi mankhwala ati omwe amaloledwa kumwa ngati mukukumana ndi mavuto aku kanema:

Mndandandawu suti wathunthu, alipo ochepa ochepa mankhwala omwe kugwiritsa ntchito kwawo ndikosayenera kapena kutsutsana mwachindunji pamaso pa mtundu uliwonse wa matenda ashuga.

Kugwiritsa ntchito mankhwala aliwonse kuyenera kuvomerezedwa ndi katswiri - izi zikuthandizira kupewa kuchuluka kwa shuga wamagazi ndi mavuto ena azaumoyo mwa anthu omwe ali ndi matenda ashuga.

Koma ngati mukufuna mankhwala kuti muchepetse magazi, ndiye kuti amawagwiritsa ntchito, m'malo mwake, akuwonetsedwa.

Kuwongolera shuga

Ndi chimfine, ndikofunikira kuyang'ana matupi amkati mumkodzo aliyense maola 3-4 ndikuchita zoyenera kuti matenda a shuga asinthe.

Ngati pali kutsegula m'mimba komanso kusanza, wodwalayo ayenera kudziteteza ku madzi osafunikira pakumwa madzi nthawi zonse. Izi zimathandiza kupewa kulumpha mu shuga. Ngati shuga, m'malo mwake, adatsitsidwa, ndikofunikira kusintha madzi ndi madzi a apulo.

Matenda a shuga ndi kutentha thupi

Kuyeretsa mtundu wamtundu wa bakiteriya komanso mabakiteriya nthawi zambiri kumayambitsa kutentha. Thupi lomwe limalimbana ndi matendawa limatha kuphonya mulingo woyenera wa insulin, motero ndikofunikira kupanga jabs pamimba yotsika.

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Kukonzekera kwa podkolki kuyenera kukhala kwakanthawi kapena kachitidwe ka ultrashort. Pafupipafupi ma jakisoni owonjezera: pafupipafupi maola onse a 3-4.

Mlingo ndi 25% ya mlingo waukulu kuphatikiza Mlingo wokhazikika malinga ndi kutentha kwa thupi ndi shuga.

Pakazizira, chithandizo chikukulimbikitsidwa kumwa 250 ml ya madzimadzi pa ola limodzi, izi zimapewe kuchepa madzi m'thupi.

Ngati mulingo wa shuga uli pamwamba pa 13 mol / l, chakumwacho sichiyenera kukhala chokoma: mchere wa mchere, tiyi wobiriwira wopanda shuga, msuzi.

Wodwala amafunikira kudya pafupipafupi maola onse a 3-4, ndipo muyenera kuyang'anira chisamaliro chapadera pazakudya zomwe zili ndi potaziyamu komanso sodium yambiri.

Menyu wodwala woyandikira: kapu yamadzi (30 g yamafuta), kapu ya nyama kapena msuzi wa masamba, kapu yamadzi amchere.

Zinthu zikayamba kuyenda bwino, mutha kuwonjezera zinthu zina pang'onopang'ono.

Mkhalidwe womwe umafuna chisamaliro cha dokotala

Pakupita masiku awiri palibe kusintha,

Kupukuta kapena kutsegula m'mimba kwa maola opitilira 6,

Kupuma pang'ono komanso kupweteka kwambiri pachifuwa,

Fungo lodziwika bwino la ma acetone kuchokera mkamwa,

Kuchuluka kwa matupi a ketone mumkodzo,

Shuga wambiri (oposa 13.9 mmol / L) ndi muyeso atatu motsatana,

Shuga wotsika (osakwana 3.3 mmol / L) magawo atatu otsatizana.

Ndinadwala matenda ashuga kwa zaka 31. Tsopano ali wathanzi. Koma, makapisozi awa ndi osatheka ndi anthu wamba, safuna kugulitsa mankhwala, sizopindulitsa kwa iwo.

Ndemanga ndi ndemanga

Ndili ndi matenda a shuga a 2 - osadalira insulin. Mnzake adalangiza kuti achepetse magazi ndi DiabeNot. Ndinalamula kudzera pa intaneti. Adayamba kulandira. Ndimatsata zakudya zosasamala, m'mawa uliwonse ndidayamba kuyenda ma kilomita 2-3 ndikuyenda pansi. M'masabata awiri apitawa, ndazindikira kuchepa kwa shuga m'mamawa m'mawa asanadye chakudya cham'mawa kuyambira 9,3 mpaka 7.1, ndipo dzulo ngakhale mpaka 6.1! Ndikupitiliza njira yodzitetezera. Ndileka zolemba zabwino.

Margarita Pavlovna, inenso ndakhala ku Diabenot tsopano. SD 2. Ndilibe nthawi yodya komanso kuyenda, koma sindimagwiritsa ntchito maswiti ndi chakudya, ndimaganiza XE, koma chifukwa cha zaka, shuga akadali wamkulu. Zotsatira zake sizabwino ngati zanu, koma kwa 7.0 shuga sizituluka sabata limodzi. Kodi mumapima shuga ndi glucometer iti? Kodi akukuwonetsani plasma kapena magazi athunthu? Ndikufuna kufananiza zotsatira ndikumwa mankhwalawo.

Fuluwenza, Orvi, matenda opumitsa pachimake amamvetsetsa apa chimfine chisintha mosalekeza. Ndibwino ngati mwana ali ndi ARVI popanda zovuta, ndipo ngati zovuta zimatuluka - zovuta zake ndizosavuta.

Za mulingo wa shuga ndi zina

Pafupifupi nthawi zonse pamafunika majakisoni apadera a insulin, omwe amaperekedwa mochulukirapo.Izi sizingakhale zazifupi zokha, komanso kukonzekera kwa ultrashort. Amalimbikitsidwa kuti azichita maola atatu alionse mpaka anayi, komanso kuwadyedwa. chinanazi .

Pazakudya za chimfine ndi matenda ashuga

Zifukwa 20 zakusinthasintha kwamphamvu kwa shuga m'magazi

Mulingo wanu wa shuga wamagazi ukhoza kumwera mutatha kumwa khofi - ngakhale khofi wakuda wopanda zopatsa mphamvu - chifukwa cha caffeine. Zomwezo zimapita kwa tiyi wakuda ndi wobiriwira, zakumwa zamphamvu.

Munthu aliyense yemwe ali ndi matenda ashuga amakhudzana mosiyanasiyana ndi zakudya ndi zakumwa, choncho ndi bwino kungoyang'anitsitsa zomwe mumachita. Zodabwitsa ndizakuti, mitundu ina ya khofi imatha kupewa matenda a shuga a 2 mwa anthu athanzi.

Kodi ndingafunikire kukaonana ndi dokotala mwachangu liti?

Muzochitika zomwe wodwala amakhala ndi kupuma movutikira ndi kupweteka pachifuwa, fungo looneka bwino la acetone kuchokera mkamwa, kutsegula m'mimba ndi kusanza kwa maola opitilira 6, palibe kusintha kwa thanzi pambuyo masiku awiri, kusanthula kumawonetsa kuchuluka kwa matupi a ketone mumkodzo, wokwera kwambiri (kupitirira 13 , 9 mmol / l) kapena wotsika (osakwana 3.3 mmol / l) shuga wamagazi pazinthu zitatu zotsatizana - nthawi yomweyo itanani ambulansi kapena funsani kwa dokotala.

Kufotokozera Phytotherapy a mtundu 2 shuga mellitus: omwe zitsamba zimachiza matenda ashuga

Kuzizira wamba ndi matenda ashuga imawonjezera vuto la wodwalayo. Izi sizongobwera chifukwa cha zizindikiro zosasangalatsa za matendawa - ma virus amapanga kupsinjika kowonjezereka kwa thupi lanu. Kuzizira ndi matenda a shuga kungayambitse kuchuluka kwa shuga m'magazi. Pansipa pali mfundo zina zomwe zingakhale zothandiza kwa inu kuti muthane ndi vutoli.

Chifukwa chiyani kuzizira ndi matenda ashuga kumapangitsa kuchuluka kwa shuga m'magazi?

Ngati mungapeze chimfine, pamakhala mwayi kuti shuga ya magazi anu inyamuka. Izi zimachitika thupi lanu likapanga zinthu zomwe zimathandiza kuthana ndi matenda. Ngakhale kuti zinthuzi zomwe zimagwira ntchito zimalimbana ndi chimfine chomwe chimayambira matenda ashuga, chimatha kupangitsanso magwiridwe ake oyenera ndi insulin.

Shuga yanu ikatha, mutha kukhala ndi vuto ngati ketoacidosis ngati muli ndi matenda ashuga 1. Ketoacidosis ndi chiopsezo cha moyo. Ngati mungatero shuga imazizira yamtundu wachiwiri, mkhalidwe wowopsa monga hyperosmolar hyperglycemic non-ketotic coma, womwe umadziwikanso kuti matenda a shuga. Izi ndizowopsa kwa anthu okalamba.

Mtundu 2 wa shuga: chithandizo

Matenda a 2 a shuga amapezeka 90-95% ya onse odwala matenda ashuga. Chifukwa chake, matendawa ndi ochulukirapo kuposa mtundu 1 wa shuga. Pafupifupi 80% ya odwala omwe ali ndi matenda a shuga 2 amalemera mopitirira muyeso, ndiye kuti, matupi awo amapitilira muyeso wa 20%. Komanso, kunenepa kwawo nthawi zambiri kumadziwika ndi kufalikira kwa minofu ya adipose pamimba ndi thupi lapamwamba. Chithunzicho chimakhala ngati apulo. Izi zimatchedwa kunenepa kwam'mimba.

Cholinga chachikulu cha webusayiti ya Diabetes-Med.Com ndikupereka njira yeniyeni komanso yothandiza ya matenda ashuga a 2. Amadziwika kuti kusala kudya komanso kulimbitsa thupi kwa maola angapo patsiku kumathandizira kuti adwale. Ngati mwakonzeka kutsatira regimen yolemetsa, ndiye kuti simudzafunika kubaya insulin. Ngakhale zili choncho, odwala safuna kufa ndi njala kapena "kugwira ntchito molimbika" m'makalasi ophunzirira zolimbitsa thupi, ngakhale kupweteka kwambiri chifukwa cha kuphedwa ndi matenda ashuga. Timapereka njira zothandiza kuti muchepetse shuga m'magazi kuti akhale abwinobwino komanso kuti akhale otsika. Amakhala odekha polemekeza odwala, koma nthawi yomweyo amakhala othandiza kwambiri.

Maphikidwe a chakudya chamafuta ochepa a shuga 2 amapezeka pano.

Pansipa m'nkhaniyi mupezapo mtundu wothandiza wa matenda a shuga a 2:

  • wopanda njala
  • wopanda zakudya zopatsa mphamvu zochepa, zopweteka kwambiri kuposa kufa kwathunthu ndi njala,
  • osagwira ntchito molimbika.

    Phunzirani kwa ife momwe mungayendetsere matenda a shuga a 2, kutsutsana ndi zovuta zake komanso nthawi yomweyo kumva kukhala kwathunthu. Simuyenera kuchita kukhala ndi njala. Ngati mukufuna jakisoni wa insulin, phunzirani momwe mungazichite mopweteketsa, ndipo mankhwalawo amakhala ochepa. Njira zathu zimalolera mu 90% ya milandu kuti ichiritse bwino matenda a shuga a 2 komanso popanda jakisoni wa insulin.

    Mwambi wodziwika bwino: "aliyense ali ndi matenda ake a shuga," kutanthauza kuti kwa wodwala aliyense, zimachitika mwa njira yake. Chifukwa chake, pulogalamu yothandizira odwala matenda a shuga imatha kukhala payokha. Komabe, njira zambiri zochizira matenda amtundu wa 2 wafotokozedwa pansipa. Ndikulimbikitsidwa kuti muzigwiritsa ntchito ngati maziko omangira pulogalamu yapayekha.

    Matenda a shuga, mtundu 1 ndi mtundu 2, Zizindikiro, Zizindikiro, chithandizo

    Madokotala aku Russia adadandaula ndi zomwe Mikhail Boyarsky, yemwe adanena kuti adagonjetsa matenda ashuga okha!

    Matenda a shuga ndi imodzi mwazinthu zitatu zofala zamatenda pambuyo pa oncology ndi matenda a mtima. Chaka chilichonse kuchuluka kwamilandu padziko lapansi kumakhala pafupifupi kuwirikiza, ndipo zomwe zimayambitsa matendawa zimatha kukhala zosiyanasiyana. Komabe, ziribe kanthu kuti chachikulu chomwe chinayambitsa matendawa ndi mtundu wanji wa shuga, wodwalayo amatha kuthandizidwa nthawi zonse!

    Matenda a shuga ndi matenda osokoneza bongo omwe amachitika chifukwa cha kupangika kwa insulin (matenda a 1) kapenanso chifukwa chophwanya zotsatira za insulin iyi (mtundu 2). Insulin imapangidwa mu kapamba, chifukwa chake odwala omwe ali ndi matenda osokoneza bongo nthawi zambiri amakhala m'gulu la omwe ali ndi zovuta zosiyanasiyana pakugwira ntchito kwa thupilo.

    Odwala omwe ali ndi matenda amtundu woyamba amatchedwa "odalira insulin" - amafunika jakisoni wambiri wa insulin, ndipo nthawi zambiri matendawa amakhala obadwa nawo. Mwachizolowezi, matenda amtundu 1 amawonekera kale ubwana kapena unyamata. ndipo matenda amtunduwu amapezeka mu milandu ya 10-15%.

    Matenda a 2 a shuga amakula pang'onopang'ono ndipo amadziwika kuti ndi "matenda akale a shuga." Mtunduwu pafupifupi suwapezeka konse mwa ana, ndipo nthawi zambiri amakhala ndi anthu opitirira 40 omwe onenepa kwambiri. Matenda a shuga amtunduwu amapezeka mu 80-90% ya milandu, ndipo amatengera pafupifupi 90-95% ya milandu.

    Zoyambitsa zazikulu za matenda ashuga

    Malo oyamba pakati pa omwe, ndizachikhalidwe, ngati matenda ashuga apezeka kale m'mabanja amunthu, amadzigwera yekha pagululi. Komabe, pali zinthu zina, ndipo zina zitha kuwoneka zosakhulupirika! Chifukwa chake, odwala matenda ashuga nthawi zambiri amapezeka pakati pa omwe:

    Zizindikiro za matenda a shuga

    Gawo loyambirira la shuga likhoza kuzindikiridwa ndi zizindikiro zakunja ndi zamkati, mumangofunika kumvera thupi lanu nthawi zonse. Si aliyense amene amachita izi, ndiye kuti mwina zotsatirazi zikunyalanyazidwa:

  • kulakalaka
  • kuwonda
  • Kutayika kwa tsitsi (mwa amuna)
  • kuyabwa kwa maliseche akunja (akazi),
  • kuyamwa m'malo akumidzi otsika,
  • kutopa, kugona, kutaya ludzu la ntchito zolimbitsa thupi,
  • kukodzanso mobwerezabwereza kwa khungu lopanda maonekedwe,
  • mantha
  • kusagwira bwino ntchito kwa chitetezo chathupi.

    Nthawi zambiri, zizindikiro zoyambirira za matenda zimagundana ndi zina zilizonse, pamakhala kuzindikira kwabodza kwa matenda ashuga. Kapenanso, mmalo mwake, zimawoneka kwa munthu kuti zonse pamwambazi ndi zikhalidwe. Ndipo mu izi, komanso munthanso ina, mutha kukhala mochedwa kwambiri ndi zomaliza, chifukwa chake ndibwino kukaonana ndi dokotala ndi endocrinologist munthawi ndikupanga mayeso.

    Chithandizo cha matenda ashuga

    Thandizo loyamba lomwe munthu amatha kudzipezera yekha payekha ndikutsatira zakudya. Muyenera kujambula menyu ndi wotchi ndikutsatira mosamalitsa. Zakudya zoyenera zimakwanitsa kuchuluka kwa shuga m'magazi ndikupewa chithandizo chachikulu cha mankhwala.

    Choyamba, muyenera kupanga menyu ndi mawu malamulo oyambira azakudya.

    Pankhani ya matenda a shuga a chiyambi choyamba, kudya nkofunikira ndipo ndizoletsedwa:

  • imwani zakumwa zoledzeretsa,
  • kusuta
  • yokazinga
  • lakuthwa
  • zamzitini (fakitale ndi shopu),
  • zamchere
  • kusuta.

    Zakudyazo nthawi zambiri zimapangidwa kwa masiku 7, kenako zimasinthidwa. Izi zimachitika kuti menyu azikhala osiyanasiyana momwe angathere, olemeretsedwa ndi mavitamini ndi michere. Njira imeneyi ithandiza kuchiritsa wodwala.

    Zinthu Zowonetsedwa

    Nyama, ndibwino kusankha mitundu yaying'ono, yamafuta ochepa:

  • nkhuku, koma osamwetsa
  • ng'ombe
  • mwanawankhosa
  • nkhumba yamafuta ochepa.

    Zakudya kupatula: mbatata ndi biringanya.

    • maapulo
    • mapeyala
    • malalanje
    • mandimu
    • zipatso zamphesa
    • zipatso zouma (koma pang'ono, popanda icing shuga, osati zosowa).

    Gwiritsani ntchito kusamala ndi yamatcheri, sitiroberi, mavwende. Musachotse yamatcheri, mavwende, zipatso zosowa ku zakudya.

    Ndi matenda a shuga amtunduwu, mutha kudya tchizi tchizi, mazira, koma popanda yolks. Monga kuvala masamba a masamba kapena zipatso, zakudya zimaloledwa: maolivi, mafuta opaka, yogati yopanda utoto ndi madzi.

    Gome limapereka chosankha chimodzi mwa mbale zomwe zingakonzekere nkhomaliro.

    Chachiwiri: nsomba yophika kapena nyama, zomangira nyama, masamba a kabichi (mpunga wa bulauni, nyama yopendekera), kasserole wa nyama ndi masamba,

    Kongoletsani monga njere zovomerezeka kapena masamba ophika, ophika kapena masamba osaphika, saladi zamasamba ndi mafuta,

    Mtundu uliwonse wamasamba

    Mutha kukhalanso ndi chithunzithunzi chaching'ono ndi tchizi chokhala ndi mitundu yochepa yamafuta, kumwa zakumwa zovomerezeka, idyani maapulo munjala. Chakudya, pamaso pa matenda a shuga, kuphika mu uvuni kapena chovala.

    Chakudya chizikhala chopindika, ndibwino kuti muzidya nthawi zambiri patsiku, m'malo mopeza chakudya chambiri nthawi yomweyo.

    Katundu Woletsedwa

    Mndandanda wazinthu zoletsedwa umatsogolera:

  • shuga
  • chakudya chofulumira chomwe mafuta owonjezerapo amawonjezeredwa,
  • pops, zakumwa zozimitsa kaboni ndi madzi otsekemera, kvass,
  • tchipisi,

    M'mbuyomu, uchi unaphatikizidwa ndi zakudya za anthu odwala matenda ashuga mwachilolezo cha madokotala. Lero simungathe kuzigwiritsa ntchito. Cholinga chake ndikuti shuga wambiri wawonjezeredwa ku uchi. Izi zimachitika mwachindunji pakudya njuchi.

    Zakudya zoyenera ndi gawo loyamba kuchira. Matendawa sangachedwe ukukula, koma kuthetseratu.

    Kukhazikitsidwa kwa chithandizo cha mankhwala osokoneza bongo a matenda amtunduwu kumatha kupezeka m'mabungwe azachipatala kuchokera kwa akatswiri oyenerera okha. Kumayambiriro kwa matendawa, chakudya chophatikizidwa bwino komanso mtundu wonse wa tsiku ndi tsiku zimakhala zokwanira kuti thupi lizigwira ntchito bwino.

    Ngati muli ndi matenda:

  • kugona mokwanira
  • kupuma
  • kuyenda mu mpweya watsopano
  • pumani mlengalenga
  • kuchita masewera olimbitsa thupi, kulimbitsa thupi.
  • yesetsani kukhala amantha komanso kuda nkhawa,
  • pewani mikangano
  • Pewani masewera olimbitsa thupi

    Mchitidwe wamanjenje umabweretsa khungu loyera, nthawi zina "kukanda" kumakhala kolimba ndipo sikuchira. Ndikofunikira kuyang'anira izi, kupukuta mabala, ndikukhala oyera. Mutha kugwiritsa ntchito zida zapadera, koma ndi dokotala wokha amene angakupatseni. Kuchiritsa mavuto a khungu, celandine amagwiritsidwa ntchito kunyumba.

    Potengera madandaulo akuluakulu azachipatala, mankhwala omwe amachepetsa shuga ya magazi ndi omwe amapatsidwa. Chikhalidwe mwa munthu wathanzi chimachokera ku 3.2 mpaka 5.6 mmol / L. Mulingo wa wodwala udzakwera pang'ono. Chachikulu ndichakuti sizidutsa 9 mmol / l.

    Njira zochizira odwala matenda ashuga

    Mutha kuchiza matendawa ndi zomwe Amayi a Zachilengedwe amatipatsa: zitsamba zosiyanasiyana, zipatso, masamba komanso zonunkhira. Mwachitsanzo, tiyi wa ginger kapena sinamoni ndi njira zabwino zothetsera shuga. Aang'ono ochepa redcurrant, jamu kapena zipatso cranberry ndikofunikira kwa anthu omwe ali ndi vutoli.

    Komanso mu wowerengeka azitsamba, masamba ndi masamba amamasamba amagwiritsidwa ntchito bwino:

    Chisamaliro chachikulu mu shuga chimaperekedwa ku Phototherapy. Sizothandiza kuchiritsa matendawa, koma zimathandizira pamodzinso ndi zakudya:

    Nyemba kapena nyemba kulowetsedwa. Cheka nyemba zingapo nyemba (nandolo) pamodzi ndi peel yaing'ono, kutsanulira 50 ml ya madzi otentha, chivundikiro ndikuyika malo otentha usiku. M'mawa, imwani mankhwalawa pamimba yopanda kanthu.

    Masamba a Strawberry. Kusamba kwamadzi, nthirani udzu pamiyeso ya masamba osachepera 10 pa 200 ml ya madzi. Madziwo amasanduka nthendayi, choncho ayenera kuwathira mchere ndikuwamwa mphindi 30 musanadye, kawiri pa tsiku.

    Buckwheat decoction. Chotsani bwino zitsamba za tinthu tating'ono ndi nthunzi m'madzi osamba. Tengani m'mawa pamimba yopanda kanthu.

    Matenda a shuga ana

    Mu ana, boma loyambirira limatha kupita patsogolo mwachangu chifukwa cha mawonekedwe a thupi. Ndizovuta kwambiri kuchiza matendawa, chifukwa chake makolo ayenera kuwunikira mosamala mawonetserowo.

    Muubwana, mawonekedwe akulu ndi:

  • ludzu losalekeza
  • kamwa yowuma
  • kukodza pafupipafupi
  • thukuta.
  • Madazi kumbuyo kwa mutu (makanda),
  • kuyabwa
  • kufooketsa chitetezo chamthupi,

    Dokotala yekha ndi amene ayenera kulandira pazaka izi, ntchito ya makolo ndikutsatira zakudya zokhwima, zomwe zimakhala zovuta kwambiri, popeza ndizovuta kwa ana kufotokoza za kuwopsa kwa chakudya. Yang'anirani dongosolo la tsikulo, kugona mokwanira, kuyenda pafupipafupi mu mpweya wabwino, katundu.

    Kwa ana, decoction ya ngale barele ingakhale yothandiza.

    Ndikofunikira kutsuka chimangacho bwino, kuchiyika usiku, ndikuchiphimba ndi madzi zala 4. Simmer, mutawiritsa kwa mphindi imodzi, kukhetsa pang'ono. Patsani mwana zakumwa zoziziritsa kukhosi musanadye. Kupereka phala kuchokera kwa barele kwa mwana kwa chakudya cham'mawa komanso chamadzulo.

    Pearl balere ndiwothandiza kwambiri, ndikulimbikitsidwa kuti muwonjezere muzakudya tsiku ndi tsiku. Komanso yesani kudyetsa mwana ndi chimanga ndi masamba monga momwe mungathere.

    Anthu omwe ali ndi matenda ashuga ayenera kudziteteza ku matenda oyamba ndi tizilombo komanso matenda a catarrhal, omwe amafooketsa thupi laumunthu, amafunikira mankhwala osokoneza bongo omwe ndi osayenera kwathunthu pazomwe zimayambitsa matenda.

    Ma Steroid ndi Ma diuretics

    Ma Steroid ndi Ma diuretics

    Anthu omwe amatenga corticosteroids monga prednisone kuchiza zotupa, nyamakazi, mphumu, ndi matenda ena ambiri ali pachiwopsezo chachikulu.

    Popeza amatha kukweza kuchuluka kwa shuga m'magazi anu komanso amatha kuyambitsa matenda ashuga mwa anthu ena.

    Ma diuretics omwe amathandizira kuthamanga kwa magazi amatha kuchita chimodzimodzi.

    Ma antidepressant ena amakweza kapena kutsitsa shuga wamagazi.

    Mankhwala ena ozizira

    Zodzikongoletsera zomwe zimakhala ndi pseudoephedrine kapena phenylephrine zimatha kuwonjezera shuga. Mankhwala ozizira nthawi zina amakhala ndi shuga kapena mowa wochepa, motero yang'anani zinthu zomwe siziphatikiza izi.

    Ma antihistamines samayambitsa mavuto ndi kuchuluka kwa shuga m'magazi. Funsani dokotala kapena wamankhwala zokhuza zamankhwala zomwe zingachitike ngati musanamwe.

    Mapiritsi ena oteteza kubereka

    Mapiritsi othandizira kubereka omwe ali ndi estrogen amathanso kukhudza momwe thupi lanu limagwiritsira ntchito insulin. Komabe, njira zakulera zamkamwa ndizotetezeka kwa amayi omwe ali ndi matenda ashuga.

    Mapiritsi ena oteteza kubereka

    American Diabetes Association imapereka piritsi limodzi lophatikizika ndi estrogen komanso kupanga estrogen. Asayansi amanenanso kuti jakisoni woletsa komanso zodulira ndi otetezeka kwa amayi omwe ali ndi matendawa, ngakhale atha kuthana ndi kuchuluka kwa shuga m'magazi.

    Ntchito

    Kutchetchera nyumba kapena kutchetchera kapinga kumatha kuthandiza anthu omwe ali ndi matenda ashuga - amachepetsa shuga.

    Zinthu zambiri zomwe mumachita sabata iliyonse zimawonedwa ngati zolimbitsa thupi, zomwe zimakhala zabwino kwambiri thanzi lanu.Yendani kupita kugolosale kapena kusiya galimotoyo kuchokera pachipata. Zochita zochepa zolimbitsa thupi zimathandizirana ndikupanga masewera olimbitsa thupi.

    Zakudya zomwe zimakhala ndi mabakiteriya athanzi, monga mitundu yambiri ya yogati, zimatchedwa probiotic. Amatha kukonza chimbudzi ndipo angakuthandizeninso kuwongolera shuga lanu lamagazi.

    Ma yogurts ena amakhala ndi shuga ndi zipatso, motero muwerenge kuchuluka kwa mafuta. Chosankha chabwino kwambiri kwa inu ndi yogati yosavuta kapena yopepuka popanda shuga yowonjezera.

    Zakudya za Vegan

    Kafukufuku wina adapeza kuti anthu omwe ali ndi matenda a shuga a 2 omwe amasinthana ndi zakudya za vegan (mosamala kwambiri zamasamba) anali ndi shuga yamagazi abwino ndipo amafunikira insulini pang'ono.

    Izi zitha kutenga gawo pakuwonjezera mphamvu yamafuta kuchokera ku mbewu zonse, zomwe zimachepetsa chimbudzi cha chakudya. Koma asayansi amafunika kufufuza zambiri kuti awone ngati zakudya za vegan zimathandizadi ndi matenda ashuga.

    Lankhulani ndi dokotala musanapange kusintha kwakukulu pakudya.

    Njira Yodalitsira: Cinnamon

    Izi zonunkhira zimawonjezera kukoma popanda kuwonjezera mchere, zopatsa mphamvu kapena zopatsa mphamvu. Kafukufuku wina akuwonetsa kuti sinamoni imathandizanso kuti thupi lizigwiritsa ntchito bwino insulini komanso imachepetsa shuga m'magazi mwa anthu omwe ali ndi matenda ashuga a 2.

    Madokotala amafunikira kafukufuku wowonjezera kuti atsimikizire izi. Zakudya zopatsa thanzi zomwe zimakhala ndi Mlingo wambiri wa sinamoni zimatha kuyambitsa mavuto. Chifukwa chake, funsani dokotala wanu musanatenge sinamoni.

    Chenjezo: Kugona

    Mwa anthu ena omwe ali ndi matenda ashuga, kuchuluka kwa shuga m'magazi awo kumatha kutsika kwambiri mpaka kugona, makamaka ngati akumamwa insulini. Ndikofunika kuyang'ana zizindikirozo musanagone komanso mutadzuka.

    Mwa anthu ena, kuchuluka kwa glucose amadzuka m'mawa - ngakhale asanadye chakudya cham'mawa - chifukwa cha kusintha kwa mahomoni kapena kuchepa kwa insulin. Ndikofunikira kuyezetsa magazi a shuga nthawi zonse.

    Kuthekera kwina ndikugwiritsira ntchito popitilira kuyang'ana magazi a shuga, omwe angakuchenjezeni za mfundo zapamwamba kwambiri kapena zotsika kwambiri.

    Masewera olimbitsa thupi

    Kuchita masewera olimbitsa thupi kumathandizira munthu aliyense kukhala wathanzi. Koma anthu odwala matenda ashuga ayenera kuzolowera zosowa zawo.

    Mukalimbikira thukuta ndikukulitsa kugunda kwa mtima, kuchuluka kwa shuga m'magazi kumatha kukwera kwambiri poyamba kenako kugwa kwambiri.

    Kuchita masewera olimbitsa thupi mopirira kapena kuchita masewera olimbitsa thupi kwambiri kumatha kuchepetsa shuga m'magazi maola 24 atamaliza. Khalani ndi chakudya chamagulu musanayambe masewera olimbitsa thupi. Yang'anani kuchuluka kwa glucose musanayambe kuchita masewera olimbitsa thupi, ngakhale mutachita masewera olimbitsa thupi.

    Zakumwa zoledzeretsa zili ndi mafuta ambiri, motero zimayamba kudzutsa shuga. Koma shuga wamagazi amatha kusiya maola 12 atamwa mowa.

    Ndikwabwino kumwa mowa ndi chakudya ndikuwonetsetsa kuti pali shuga. American Diabetes Association imalimbikitsa kuti asamwe mowa umodzi wokhazikika patsiku kwa akazi ndipo osaposa awiri kwa amuna. Chomwa chimodzi chokhazikika ndi 150 ml yavinyo, 360 ml ya mowa kapena 45 ml ya mowa, mowa wamphamvu kapena kachasu.

    Ngati kwatentha kunja, ndi bwino kuti mukhale m'nyumba momwe muli mpweya. Kutentha kumapangitsa kuti zikhale zovuta kuthana ndi shuga m'magazi. Muyenera kuwayendera pafupipafupi ndikumwa madzi okwanira kuti musathe madzi am'madzi. Kutentha kwambiri kumathanso kukhudza mankhwala anu, mita ya shuga, komanso zingwe zoyeserera. Osawasiya m'galimoto yoyaka.

    Mahomoni achikazi

    Zomwe mahomoni achikazi amasintha, zimapangitsanso shuga.

    Sungani zolemba zanu mwezi ndi mwezi kuti mumve bwino momwe kusamba kwanu kumawakhudzira.

    Kusintha kwa mahormoni pa nthawi ya kusintha kwa thupi kumatha kusokoneza kuchuluka kwa shuga m'magazi. Lankhulani ndi dokotala wanu ngati chithandizo chamankhwala cha mahomoni chingakhale chothandiza.

    Kodi shuga ndimakuvulaza?

    Ngati mumafuna maswiti - musataye mtima. Simuyenera kuwalankhulira kwamuyaya. Inde, shuga imakweza mshuga wamagazi anu mofulumira kuposa mafuta enanso.

    Koma ma endocrinologists pano amakhulupirira kuti ndizofunikira kwambiri chakudya chochuluka. Chifukwa chake, idyani m'magawo ang'onoang'ono ndikuwerengera kuchuluka kwa chakudya cham'magazi ndi zopatsa mphamvu.

    Kodi mndandanda wamtundu wa glycemic ndi chiyani?

    Kugawa kuchuluka kwa chakudya chamafuta okwanira tsiku lonse ndikofunikira kwambiri pakuwongolera kuchuluka kwa shuga m'magazi.

    Kodi mndandanda wamtundu wa glycemic ndi chiyani?

    Anthu ena amagwiritsanso ntchito index ya glycemic - kuwunika kwa momwe zakudya zenizeni zimathandizira shuga m'magazi.

    Maembe, buledi wa tirigu wathunthu ndi chimanga chokhala ndi chisonyezo chotsika cha glycemic kuposa mkate oyera kapena pasitala wamba.

    Madzi amakhala ndi chisonyezo chapamwamba cha glycemic kuposa zipatso zonse.

    Kodi mumakopeka ndi zakudya zomwe zimakhala ndi mndandanda wokwera wa glycemic? Gwiritsani ntchito ndi zakudya zotsika kwambiri kuti mulamu wama glucose anu.

    Kutanthauziridwa kokonzedwa ndi: Nevelichuk Taras Anatolyevich.

    Kodi chofunikira kwambiri ndi chidwi ndi chiyani?

    Ngati mukuwona kuti china chake chalakwika, ndi bwino kukaonananso ndi dokotala. Zingakhale bwino kuposa kukhala kunyumba.

    Kudera nkhawa kuyenera kuwonetsedwa ngati:

    - matenthedwe amasungidwa kwambiri, ndipo sikuchepa,

    - nthawi yomweyo kutentha kudafupika, kudayamba kupuma,

    - inu kapena mwana wanu mudayamba kumwa madzi ochepa,

    - pakhala pali magawo a kukomoka kapena kusazindikira, kusanza kapena kutsegula m'mimba kwa maola opitilira 6,

    - Zizindikiro za matendawa sizitha, koma kuchuluka kokha,

    - shuga kuposa 17 mmol / l,

    - kulemera kwa thupi kumachepa,

    - adadwala kudziko lina.

    Zikatero, zomwe zalembedwa pamwambapa, muyenera kufunsa dokotala!

  • Kusiya Ndemanga Yanu