Glycated hemoglobin 5, 3 ndi shuga wambiri 7-8

Mwazi wamagazi amwana unayamba kukwera. Simukulemba zaka, kutalika ndi kulemera kwa mwana, chifukwa chake ndizovuta kunena chifukwa chenicheni cha kuchuluka kwa shuga.

Ngati tilingalira za mitundu yapamwamba ya matenda ashuga - shuga mellitus mtundu 1 ndi mtundu 2, ndiye kuti mayeso anu sakukwanira mu mtundu wa matenda awa.

Poyerekeza ndi shuga ndi glycated hemoglobin ya mwana, titha kunena kuti mwana ali ndi kuphwanya kwa kagayidwe kazachilengedwe kapena mwana ali ndi prediabetes.

Popeza milanduyi siyili ngati T1DM kapena T2DM, munthu angaganize zamitundu ina yosowa - imodzi mwanjira za matenda a shuga a Lada kapena Mody. Mitundu yosiyanasiyana ya matenda ashuga imatha kuyamba pang'onopang'ono ndikupitilira modekha - nthawi zambiri timangodziwa za kupezeka kwawo pamene ayesedwa shuga m'magazi, chifukwa nthawi zambiri pamakhala popanda zizindikiro za shuga za 6-7 mmol / L.

Kuti mupeze mwana, muyenera kuyesa mayeso okhudzana ndi glucose ndikupita kuchipatala chachikulu kukayesa mitundu yovuta ya shuga (awa ndi mayeso ovuta a majini omwe samachitika paliponse - m'mabungwe akuluakulu okha). Nthawi zambiri kuyezetsa kumeneku kumachitika kwaulere kwa wodwala, koma kupeza chida chofunikira ndi zovuta (ku Novosibirsk, mwachitsanzo, Research Institute of Therapy imachita izi).

Nokha, muyenera kuyamba kutsatira kadyedwe ka matenda ashuga, kunyamula zolimbitsa thupi ndikuwongolera shuga ndi magazi a glycated, ngati kuli kotheka, funsani dokotala wa endocrinologist wa ana.

Mafunso Ogwirizana Nawo

Moni, Alexander.
Zosankha zingapo ndizotheka - kusala bwino kwa glycemia ndi mtundu wofatsa wa shuga.

"mpaka madzulo kuyambira 5.5 mpaka 8"- kodi ndimatha chakudya kapena isanachitike?
Muli pabwino chakudya?

Kodi mwayesapo kuyeserera kwa shuga?
Kodi mwayezetsa magazi a insulin, C-peptide ndi index ya NOMA (chikhazikitso cha pancreatic functional)? Ngati ndi choncho, zotsatira zake ndi ziti?

Wodzipereka, Nadezhda Sergeevna.

Ndikufuna ndikutsimikizirani kuti muzitsatira nambala ya chakudya 9. Makamaka, ndili ndi malingaliro olakwika pakudya kwamoto ochepa.

Ngati pali mwayi wotere, ndiye pitani mayeso omwe ndalemba pamwambapa. Adzakulolani kuti muunike ntchito ya kapamba ndi kuzindikira kuti matendawa ndi olondola kwambiri.

Masana abwino Zotsatira zotsatirazi zidabwera ndipo ndikhulupilira kuti sega yopereka mawunikidwe yayandikira kumapeto. Zotsatira zake ndi izi:

HOMA index = 3.87 (poganizira kuti ma labotale osiyanasiyana amatanthauzira mosiyanasiyana, ndilemba ndi zomwe ndakhala ndikulemba mayeso-- zosakwana 2 - zabwinobwino, zopitilira 2 - kukana insulini ndizotheka, koposa kuchuluka kwa 2,5 kwa insulin kukaniza , zopitilira 5 kuchuluka kwa odwala matenda ashuga) Insulin 12,8 uUI / mL (chizenera malinga ndi labotale ndi 6-27 uUI / mL)

Peptide-C 3.04 ng / ml (mwachizolowezi 0.7-1.9 ng / ml)

pambuyo pake adadutsa mayeso okhululuka kwa glucose. Kuphatikiza pa miyeso ya labotale, pambuyo pa maola 1 ndi 2, a Consu Chek amagwira kuchuluka kwa glucose mphindi 30 zilizonse kwa maola 5 ndi glucometer yake. Zotsatira zake ndi izi:
6.4 mmol / L
30 min pambuyo pa magalamu 75 a shuga 15.8 mmol / L
pambuyo 1 ora 16.7 mmol / L
1h 30 min 16.8 mmol / L
Maola 2 14 mmol / L
2 h 30 mphindi 8.8 mmol / L
Maola atatu 6,7 mmol / L
3 h 30 mphindi 5.3 mmol / L
Maola 4 4,7 mmol / L
4 h 30 mphindi 4,7 mmol / L
Maola 5 5.2 mmol / L
Asanatenge mayeso okhudzana ndi glucose, mafuta omwe anali ndi michere anali ochepa. Sindinadye chakudya chamafuta musanatenge mayeso pafupifupi miyezi itatu. Mitsempha ya glucose inakwera msanga, koma kenako inatsikira ku 4.7, yomwe sinali PAKATI pa kuchuluka kwa shuga. Ngakhale atayenda mtunda wa makilomita 17, kuthamanga kwake kunali 5.2. Nthawi zambiri osachepera 6 mmol / L. Ndipo chochitika china chosangalatsa: atatha kuyesa mayeso a glucose, kuchuluka kwa glucose ndi pafupifupi 1 mmol / L LESS kuposa momwe adapambana mayeso
Zikatero, ndinadutsa mayeso a kuchuluka kwa mahomoni a chithokomiro. Zotsatira zake ndi izi:
Timu yotulutsa chithokomiro cha TSH 0.84 mIU / mL (yabwinobwino 0.4 - 4.0)
Ma antibodies ku thyropyroxidase anti-TPO = 14,4 IU / mL (yachibadwa 0-35)
Thyroxine yaulere fT4 = 0.91 ng / dL (yachilendo 0.69 -1.7)
Onse triiodothyronine tT3 154 ng / dL (chizolowezi 70 -204)

Mungayankhe bwanji pazotsatira izi? Ankaona kuti ndizabwinobwino kuyamika kaye, kenako kufunsana. Ma ruble 750 adasamutsidwa kuchoka kwa ine.
Zabwino zonse!

Madzulo abwino, Alexander.

Ndilibe mafunso okhudza kuchuluka kwa mahomoni a chithokomiro, ndibwinobwino. M'malo mwake, pofuna "kuwunika kwa prophylactic" ntchito ya chithokomiro, kuyezetsa magazi kwa TSH ndikokwanira.

Malinga ndi zotsatira za kuyesa kwam'mbuyomu kwa glycosylated hemoglobin, komanso kuyesedwa kwatsopano kwa glucose komanso mayeso a magazi a C-peptide ndi index ya HOMA, titha kunena kuti pali mtundu wa 2 shuga mellitus wokhala ndi kutchulidwa kwa insulin. M'malo mwake, izi zikutanthauza kuti minofu yanu siyikhudzidwa ndi insulin yawo - chifukwa chake kuwonjezeka kwa C-peptide m'magazi, kuchuluka kwa glycemia ndi mawonekedwe a owonjezera thupi motsutsana ndi maziko awa. Mfundo yachiwiri yomwe imapanga bwalo loipa mumkhalidwe wotere - kuchuluka kwa thupi, kumathandizanso kukula kwa insulin komanso kukula kwa matenda ashuga a mtundu 2.

Tsopano cholinga chanu ndicho kusintha matupi a thupi ndi kubwezeretsa zomverera za minofu.
Zomwe muyenera kuchita izi:

• idyani pang'ono, mara 5-6 patsiku, m'magawo ang'onoang'ono, malinga ndi zakudya ndibwino kutsatira zakudya No. 9 ndikusankha zakudya zokhala ndi index yotsika ya glycemic (osakwana 50, mutha kupeza mndandanda wazomwe mukuyimira glycemic index),
• dzipatseni masewera olimbitsa thupi tsiku ndi tsiku (mudalemba za kuyenda - ndizabwino),
• tengani Comrade Siofor (monga njira - Glucophage, Metamine) muyezo wa 1000 mg mukadya, m'masiku 10 mpaka 10 atatha kumwa mankhwalawa, akhoza kugwidwa m'mimba - sikungokhalira nokha komanso
• kutenga t.
• Miyezi 1.5-2 atatha chithandizo, mudzafunika mukayesedwa - yezani magazi kwa C-peptide, index ya HOMA ndi fructosamine (iyi ndi analog ya glycosylated hemoglobin, ikuwonetsa kuchuluka kwa glycemia pamiyezi 1).