Zoyenera kuchita ngati insulini singathandize

Tikukulimbikitsani kuti muwerenge nkhaniyi pamutuwu: "chochita ngati insulini siyithandiza" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Azakhali anga akhala ndi matenda ashuga kwa zaka ziwiri. Miyezi iwiri yapitayo, adayamba kuwona kuti insulini sasintha shuga. Zoyenera kuchita pankhani ngati izi?

Kuti apange kusowa kwa insulin m'thupi la wodwala yemwe ali ndi matenda ashuga, madokotala amamulembera jakisoni wa timadzi timeneti. Koma pali milandu yomwe ngakhale pazifukwa zina sizigwira ntchito. Chifukwa chiyani izi zimachitika, ndipo muyenera kuchita chiyani? Choyamba, ndikofunikira kuwunika momwe mawu osungidwira akusungidwira. Pankhaniyi, mphindi yakutsegula mankhwalayi ndikofunikira. Zambiri mwatsatanetsatane pa izi zimatha kupezeka muzowongolera. Maganizo olakwika ndi akuti ndibwino kusunga insulini mufiriji. Amayamba kuzizira pambuyo pake kuposa mahosi pamtunda wofunda.

Ngati insulini imagwira ntchito, muyenera kuwunika momwe madokotala azitsatirira zomwe zingachitike posakanikirana timadzi tambiri tomwe timapanga ndi nthawi yayitali. Kuchita kwa odwala nthawi zambiri kumachepetsa mphamvu ya mankhwalawo kukhala zero. Ndikofunika kulabadira malo a jakisoni: ndibwino kuyiyika patsogolo kapena m'mimba. Zimachitika kuti mu subcutaneous zone amapanga adipose, yosaoneka kwa anthu. Tilowetsedwa, insulin imayamba kuchepa kapena palibe. Akatswiri amalimbikitsa kuchotsa singano osati pompopompo, koma masekondi 10, kotero kuti chinthucho chimalowa kwambiri mkati mwa magazi. Ngati izi sizinachitike, ndiye kuti pali chiwopsezo chachikulu chakuti mankhwalawa atuluka kuchokera ku bala ndi magazi.

Chifukwa china choperewera insulin ndikukula kwa kukana kwa izo. Zomwe zimayambitsa izi zimatha kukhala matenda amtima, kunenepa kwambiri kwa wodwala, cholesterol yayikulu, matenda oopsa. Ngati mahona sagwira ntchito, muyenera kufunsa dokotala kuti adziwe zina zomwe zingatheke.

Somoji syndrome iyeneranso kuperekedwa. Amachitika ndi kuyambitsa pafupipafupi insulin mthupi. Zizindikiro zake ndi chikhumbo chazakudya chazakudya, motero kuwonjezereka kwa wodwalayo, kulumpha mu shuga, ndikuwonetsedwa pafupipafupi kwa hypoglycemia.

Mulimonsemo, popanda insulin kanthu, ndikofunikira kuyesedwa ndikuyang'ana kwa dokotala kuti adziwe zomwe zimayambitsa ndikuwathetsa.

Chifukwa chiyani insulini siyimachepetsa shuga m'magazi pambuyo pa jakisoni: chochita?

Anthu omwe ali ndi hyperglycemia nthawi zambiri amakumana ndi vuto loti insulini sichepetsa shuga. Pachifukwa ichi, odwala matenda ashuga ambiri amadabwa kuti bwanji ma insulini samatsitsa shuga. Zomwe zimayambitsa izi zimatha kuchitika chifukwa cha chimodzi mwazinthu izi: pali insulin kukana.

Kuwonetsedwa kwa matenda a Somoji, kuchuluka kwa mankhwalawa ndi zolakwitsa zina pakuwongolera mankhwalawa sikuwerengedwa molakwika, kapena wodwalayo samatsatira malangizo akulu a dokotala.

Nanga bwanji ngati insulini singatsitse shuga? Vutoli liyenera kuthetsedwa ndi dokotala yemwe akuchiza wodwala. Osayang'ana njira ndi njira, zodziyimira nokha. Kuphatikiza apo, muyenera kutsatira zotsatirazi:

• sinthani kulemera kwanu ndikusunga nthawi yayitali,
• kutsatira zakudya,
• pewani zochitika zovuta komanso manjenjemera akulu, chifukwa zimachulukitsa kuchuluka kwa shuga m'magazi,

Kuphatikiza apo, kukhalabe ndi moyo wogwira ntchito komanso kuchita masewera olimbitsa thupi kungathandizenso kuchepetsa shuga.

Nthawi zina, mankhwala a insulin samalola kuchepetsa ndi kutsitsa kuchuluka kwa shuga.

Chifukwa chiyani insulin siyitsitsa shuga? Zotsatira zake zimatsimikizira kuti zifukwa sizingokhala mu kulondola kwa Mlingo wosankhidwa, komanso kutengera njira ya jekeseni yokha.

Zomwe zimayambitsa ndi zomwe zimayambitsa osagwiritsa ntchito mankhwalawa:

1. Kulephera kutsatira malamulo osungira a mankhwala, omwe amatha kupezeka ozizira kwambiri kapena kutentha kwambiri, padzuwa. Kutentha kwakukulu kwa insulin kumachokera madigiri 20 mpaka 22.
2. Kugwiritsa ntchito mankhwala omwe atha.
3. Kuphatikiza mitundu iwiri ya insulini mu syringe imodzi kungapangitse kuti mankhwala osokoneza bongo asaperekedwe.
4. Pukutani khungu musanabale ndi ethanol. Tiyenera kudziwa kuti mowa umathandizira kuti muchepetse mavuto a insulin.
5. Ngati insulini idalowetsedwa mu minofu (osatinso khola), momwe thupi limaperekera mankhwala lingasakanikirane. Pankhaniyi, pakhoza kukhala kuchepa kapena kuwonjezeka kwa shuga chifukwa cha jakisoni.
6. Ngati nthawi ya insulin makonzedwe satiwone, makamaka asanadye, mphamvu ya mankhwalawa itha kuchepa.

Tiyenera kudziwa kuti pali ma nuances ambiri komanso malamulo omwe angathandize kuperekera bwino insulin. Madotolo amalimbikitsanso kuti muzisamala ndi mfundo zotsatirazi ngati jakisoniyo sangatulutse shuga wambiri:

• Jekeseni iyenera kuchitika pambuyo popereka mankhwalawo kwa masekondi asanu mpaka asanu ndi awiri kuti magazi asatayike.
• Onani mosamala nthawi yomwe mankhwalawo amamwa komanso chakudya chachikulu.

Chisamaliro chikuyenera kuthandizidwa ndikuonetsetsa kuti palibe mpweya womwe umalowa mu syringe.

Nthawi zina ngakhale ndi njira yoyenera yoyendetsera ndikutsatira Mlingo wonse womwe dokotala wakupatsani, insulini siyithandiza ndipo siyotsitsa shuga.

Izi zitha kukhala chiwonetsero chokana chida chachipatala. Mu terminology yamankhwala, dzina la "metabolic syndrome" limagwiritsidwabe ntchito.

Zifukwa zazikuluzikuluzi zimatha kukhala izi:

• kunenepa kwambiri komanso kunenepa kwambiri
• kukula kwa matenda ashuga amitundu iwiri,
• kuthamanga kwa magazi kapena cholesterol,
• zosiyanasiyana za mtima dongosolo,
• kukula kwa polycystic ovary.

Pamaso pa insulin kukana, shuga samachepetsa chifukwa chakuti maselo amthupi sangathe kuyankha kwathunthu chifukwa cha mankhwala omwe amaperekedwa. Zotsatira zake, thupi limapeza shuga wambiri, pomwe kapamba amawona ngati akusowa insulini. Chifukwa chake, thupi limapanga insulini yambiri kuposa momwe limafunikira.

Zotsatira za kukana kulowa m'thupi zimawonedwa:

• shuga wamagazi ambiri
• kuchuluka kwa insulin.

Zizindikiro zazikulu zomwe zikuwonetsa kukula kwa njirayi zikuwonetsedwa motere:

• pali kuchuluka kwa shuga m'magazi pamimba yopanda kanthu,
• kuthamanga kwa magazi kumakhala kosakhazikika,
• pali kuchepa kwa cholesterol "yabwino" yokhala ndi chiwopsezo chakuthwa kwambiri mpaka kufika pamlingo woipa "woipa",
• Mavuto ndi matenda a ziwalo zamtima zimatha kukhazikika, nthawi zambiri pamakhala kuchepa kwamankhwala am'mimba, komwe kumayambitsa matenda a atherosermosis komanso mapangidwe a magazi,
• kunenepa
• Pali zovuta ndi impso, monga zimatsimikiziridwa ndi kupezeka kwa mapuloteni mkodzo.

Ngati insulini siyitulutsa mphamvu yoyenera, ndipo shuga wamagazi sayamba kutsika, ndikofunikira kuti mupititse mayeso owonjezera ndikuyesa mayeso owunikira.

Mwina wodwalayo amakhala ndi insulin.

Chizindikiro chimodzi cha mankhwala osokoneza bongo osokoneza bongo ndikuwonekera kwa matenda a Somogy. Vutoli limayamba chifukwa cha kufupika kwa shuga m'magazi.

Zizindikiro zazikuluzikulu zodwala zomwe zimapangitsa wodwala kukhala ndi insulin mopitirira muyeso ndi motere:

• masana pali kulumpha kowopsa m'magulu a shuga, omwe amatha kufikira kwambiri, kenako kutsikira pansi pazisonyezo wamba,
• kukulitsa kwa pafupipafupi hypoglycemia, munthawi imodzimodzi, kuukira kwachiwiri komanso koonekeratu kungawoneke,
• urinalysis ikuwonetsa mawonekedwe a matupi a ketone,
• wodwalayo amakhala akumagona ndi njala, ndipo thupi limakulirakulira,
• Matendawa akuwonjezeka ngati mukulitsa kuchuluka kwa insulin, ndipo mukulira ngati muleka kuwonjezera mlingo wake.
• nthawi ya chimfine, pali kusintha kwamasamba amwazi, izi zimafotokozedwa ndikuti nthawi yamatendawa thupi limafunikira kuchuluka kwa insulini.

Monga lamulo, wodwala aliyense yemwe ali ndi shuga wambiri m'magazi amayamba kuchuluka kwa insulini yoyendetsedwa. Potere, musanachite izi, ndikulimbikitsidwa kupenda zomwe zikuchitika ndikuwonetsetsa kuchuluka ndi chakudya chomwe chimatengedwa, kupezeka kwa kupumula koyenera komanso kugona, kuchita zolimbitsa thupi mokwanira.

Kwa anthu omwe misempha ya glucose imasungidwa pamitunda yayitali kwa nthawi yayitali, ndipo mutatha kudya pang'ono, palibe chifukwa chosungira vutoli ndi insulin. Kupatula apo, pali zochitika pamene mitengo yayikulu imadziwika ndi thupi laumunthu monga momwe limakhalira, ndikuchepetsa kwawo, kumatha kuyambitsa chitukuko cha matenda a Somoji.

Kuti muwonetsetse kuti ndi mankhwala osokoneza bongo a insulin omwe amapezeka m'thupi, ndikofunikira kuchita zingapo zokhudzana ndi kuzindikira. Wodwala amayenera kukhala ndi miyezo ya shuga usiku panthawi inayake. Kuyambika kwa njirayi kumalimbikitsidwa kuti ichitike pafupifupi 9 koloko madzulo, kenako ndikubwereza kwa maola atatu aliwonse.

Monga momwe machitidwe amasonyezera, hypoglycemia imachitika pafupifupi ola lachiwiri kapena lachitatu lausiku. Tiyeneranso kudziwa kuti ndi munthawi imeneyi yomwe thupi limafunikira insulini pang'ono, ndipo nthawi yomweyo mphamvu yayikulu imachokera pakukhazikitsa mankhwala a nthawi yayitali (ngati jakisoni amapangidwa nthawi ya 8 kapena 9 madzulo).

Matenda a Somoji amadziwika ndi kukhazikika kwa shuga kumayambiriro kwa usiku, ndikuchepa kwake pang'onopang'ono kwa maola awiri kapena atatu ndi kulumpha lakuthwa pafupi ndi m'mawa. Kuti mudziwe mlingo woyenera, ndikofunikira kufunsa dokotala ndikutsatira malangizo ake onse.

Pokhapokha ngati izi, vuto loti shuga wa magazi sanachepetse limatha.

Kodi ndi maumboni ati omwe akuyenera kuganiziridwa pakuwerengera kuchuluka kwa insulin?

Ngakhale mulingo wosankhidwa bwino wa mankhwala amafunika kusintha zina malinga ndi mphamvu ya zinthu zosiyanasiyana.

Mfundo zazikuluzikulu zomwe muyenera kulabadira, kuti insulini ibweretse zotsatira zoyenera:

1. Kupitilira kwakanthawi pang'onopang'ono kwa insulin. Izi zimachitika kuti kuyambitsidwa kwa mankhwala osakwanira (ndiye kuti, panthawi ya chakudyacho kunadyedwa magawo angapo a mkate) kungayambitse kukula kwa postprandial hyperglycemia. Kuti muthane ndi vutoli, tikulimbikitsidwa kuti muwonjezere mlingo wa mankhwalawo.
2. Kusintha kwa mankhwalawa kwa nthawi yayitali kumadalira kuchuluka kwa glucose musanadye chakudya komanso zisonyezo zam'mawa.
3. Ndi chitukuko cha matenda a Somogy, njira yoyenera ndiyo kuchepetsa mlingo wa mankhwala omwe amapezeka nthawi yayitali usiku pafupifupi magawo awiri.
4. Ngati mayesero a mkodzo akuwonetsa kukhalapo kwa matupi a ketone mmenemo, muyenera kukonza za kuchuluka kwa acetone, ndiko kuti, mupange jekeseni wowonjezera wa insulin yochepa kwambiri.

Kusintha kwa mlingo kuyenera kusinthidwa malinga ndi kuchuluka kwa zolimbitsa thupi. Kanemayo munkhaniyi amafotokoza za insulin.

Matenda a shuga ndi chithandizo chake

Tsamba 1 kuchokera 21 , 2

> Chifukwa chake, tikuwona kusiyana kodziwikiratu, momwe insulin imataya katundu wake “pambuyo pang'onopang'ono”

Tikuwona kusamvetsetsa kwa mfundo za insulin ndi dongosolo lazovuta. Sindikufuna kuyankhanso pamwambowu. Ndikukulangizani kuti muziganiza za momwe anthu omwe amakhala pampompo amakhala, omwe insulin yake imakhala yotentha kwambiri ndipo insuliniyi imagwiritsidwa ntchito pokhapokha kulipira mafuta, komanso zam'munsi, ndipo ngati zomwe Demokrat_RUS tafotokoza Zikadakhala zoona, ndiye kuti kubwezera pampompo sikungatheke.

Nthawi zambiri kulibe magawo 2 ochepetsa, osati oposa kamodzi pa maola awiri aliwonse (izi ndi za munthu wamkulu).

Connie adathokoza wolemba izi: Mila1989 (Mar 09, 2012, 6:51 pm)
Kukonda: 1.22%

Kodi insulin imagwira ntchito bwanji?

Insulin ndi njira yotulutsira shuga - mafuta - kuchokera m'magazi kupita m'maselo. Insulin imayambitsa "ma glucose" omwe amayendetsa maselo. Awa ndimapuloteni apadera omwe amasunthira mkati kuchokera mkati kupita kukapangidwe kenakake kolowera kwa maselo, ndikugwira ma mamolekyulu a glucose, kenaka amawasamutsira ku "magetsi" amkati kuti akawotche.

Glucose amalowa m'maselo a chiwindi ndi minofu motsogozedwa ndi insulin, monga m'mitundu ina yonse ya thupi, kupatula ubongo. Koma pamalopo sichinawotchedwe nthawi yomweyo, koma chimasungidwa m'malo momwemo glycogen . Izi ndi zinthu ngati wowuma. Ngati palibe insulini, ndiye kuti omwe amayendetsa glucose amagwira ntchito molakwika, ndipo maselo sawatenga mokwanira kuti azigwira ntchito zofunika. Izi zimagwira minyewa yonse kupatula ubongo, womwe umadya shuga popanda kutenga insulin.

Chochita china cha insulin mthupi ndichoti mchikakamizo chake, maselo amafuta amatenga shuga m'magazi ndikusintha kukhala mafuta odzola, omwe amadzisonkhanitsa. Insulin ndiye mahomoni akuluakulu omwe amalimbikitsa kunenepa kwambiri komanso kupewa kunenepa. Kusintha kwa glucose kukhala mafuta ndi imodzi mwazinthu zomwe shuga ya magazi motsogozedwa ndi insulin imachepa.

Ngati magazi a shuga atsika pang'onopang'ono ndipo mphamvu zama carbohydrate (glycogen) zatha kale, ndiye kuti m'maselo a chiwindi, impso ndi matumbo, njira yosinthira mapuloteniwo kukhala shuga. Njirayi imatchedwa "gluconeogeneis", imachedwa kwambiri komanso siyothandiza. Nthawi yomweyo, thupi la munthu silingathe kutembenuza glucose kukhala mapuloteni. Komanso, sitikudziwa momwe angasinthire mafuta kukhala glucose.

Mwa anthu athanzi labwino, ndipo ngakhale odwala ambiri omwe ali ndi matenda amtundu wa 2, kapamba amene amakhala mu "kusala" nthawi zonse amapanga insulin. Chifukwa chake, insulin yaying'ono imakhalapo mthupi lonse. Izi zimatchedwa "basal," kutanthauza "chikhazikitso" cha insulin m'mwazi. Zimayimira chiwindi, impso komanso matumbo kuti mapuloteni sayenera kusinthidwa kukhala glucose kuti achulukitse shuga. Kuchuluka kwa insulin m'magazi "zoletsa" gluconeogeneis, ndiko kuti, kumalepheretsa.

Miyezo ya shuga yamagazi - yovomerezeka komanso yeniyeni

Mwa anthu athanzi lopanda matenda a shuga, kuchuluka kwa shuga m'magazi kumakhala kosamalidwa bwino kwambiri - kuyambira 3.9 mpaka 5.3 mmol / L. Ngati mumayesa magazi nthawi iliyonse, mosasamala zakudya, mwa munthu wathanzi, ndiye kuti magazi ake adzakhala pafupifupi 4,7 mmol / L. Tiyenera kulimbana ndi chiwerengerochi mu matenda ashuga, i.e., shuga wamagazi tikatha kudya siapamwamba kuposa 5.3 mmol / L.

Magazi a pachikhalidwe cha shuga ndi okwera kwambiri. Amatsogolera pakupanga zovuta za matenda ashuga mkati mwa zaka 10-20.Ngakhale mwa anthu athanzi, chakudya chikadzaza ndi chakudya chamafuta ambiri, shuga m'magazi amatha kudumphira mpaka 8-9 mmol / l. Koma ngati palibe shuga, ndiye kuti mukatha kudya imayamba kuzimiririka patangopita mphindi zochepa, ndipo simuyenera kuchita chilichonse chifukwa chake. Mu matenda ashuga, "nthabwala" ndi thupi, kumudyetsa wamafuta owonjezera, sizili bwino.

M'mabuku a sayansi azachipatala komanso otchuka a shuga, 3.3-6.6 mmol / L ngakhale mpaka 7.8 mmol / L amadziwika kuti ndi shuga. Mwa anthu athanzi lopanda matenda a shuga, shuga wamagazi samadumphira mpaka 7.8 mmol / L, pokhapokha mutadya chakudya chochuluka, kenako mumikhalidwe yotere imatsika mofulumira kwambiri. Miyezo yachipatala ya shuga ya magazi imagwiritsidwa ntchito kuonetsetsa kuti dokotala “wapakati” samakhala wovuta kwambiri pakuzindikira komanso pochiza matenda ashuga.

Ngati wodwala m'magazi atadya amadumphira 7.8 mmol / l, ndiye kuti izi sizitchulidwa kuti ndi shuga. Mwambiri, wodwala wotereyu amatumizidwa kunyumba osalandira chithandizo chilichonse, ndikuwachenjeza motsimikiza kuti ayese kuchepa thupi pazakudya zochepa zopatsa mphamvu ndikudya zakudya zopatsa thanzi, ndikudya zipatso zambiri. Komabe, zovuta za matenda a shuga zimayamba ngakhale mwa anthu omwe shuga yawo itatha kudya sapitirira 6.6 mmol / L. Inde, izi sizichitika mwachangu kwambiri. Koma mkati mwa zaka 10 - 20, ndizotheka kupeza zovuta za impso kapena mavuto amawonedwe. Wonaninso ““.

Kodi magazi a shuga amawongoleredwa bwanji mwa munthu wathanzi

Tiyeni tiwone momwe insulin imalamulira shuga m'magazi mwa munthu wathanzi popanda matenda a shuga. Tiyerekeze kuti munthuyu wadya chakudya cham'mawa, ndipo pakudya m'mawa adasenda mbatata ndi chidule - chisakanizo cha chakudya chokhala ndi mapuloteni. Usiku wonse, kuzungulira kwa insulin m'magazi ake kunalepheretsa gluconeogeneis (werengani pamwambapa, zomwe zikutanthauza) ndikukhalabe ndi ndende yambiri ya shuga m'magazi.

Chakudya chokhala ndi chakudya chamagulu ambiri chikalowa mkamwa, ma michere am'mimba nthawi yomweyo amayamba kuwola chakudya "zovuta" m'magulu a glucose osavuta, ndipo glucoseyo nthawi yomweyo amatengeka ndi nembanemba. Kuchokera ku chakudya chamagulu, shuga wamagazi amatuluka nthawi yomweyo, ngakhale munthu sanathebe kumeza chilichonse! Ichi ndi chizindikiro kwa kapamba kuti ndi nthawi yofunika kuponyera mwachangu kuchuluka kwa mafuta a insulin m'magazi. Gululi lamphamvu kwambiri la insulin lidapangidwa kale ndikusungidwa kuti muigwiritse ntchito mukafunikira "kuphimba" kulumpha mu shuga mutatha kudya, kuphatikiza insulin yomwe ili m'magazi.

Kutulutsa mosalekeza kwa insulin m'magazi kumatchedwa "gawo loyamba la mayankho a insulin." Amachepetsa mwachangu kulumikizidwa koyambirira m'magazi a shuga, omwe amayamba chifukwa cha chakudya chamafuta, ndipo amatha kupewa kuwonjezereka. Mafuta a insulin osungidwa mu kapamba amatha. Ngati ndi kotheka, imapanga insulin yowonjezera, koma zimatenga nthawi. Insulin, yomwe imalowa m'magazi pang'ono pang'onopang'ono, imatchedwa "gawo lachiwiri la kuyankha kwa insulin." Insulin iyi imathandizira kuyamwa glucose, yomwe idachitika pambuyo pake, patatha maola ochepa, mukugaya zakudya zama protein.

Pamene chakudyacho chikugayidwa, glucose akupitilizabe kulowa m'magazi, ndipo kapamba amapanga insulini ina kuti "iwapangitse". Gawo la shuga limasinthidwa kukhala glycogen, chinthu chosakhazikika chomwe chimasungidwa m'maselo am'misempha ndi chiwindi. Pakapita kanthawi, "zotengera" zonse zosungira glycogen zidzaza. Ngati pali shuga wambiri m'magazi, ndiye kuti mothandizidwa ndi insulini amasintha kukhala mafuta, omwe amawaika m'maselo a adipose minofu.

Pambuyo pake, misempha ya shuga ya ngwazi yathu imatha kutsika. Mwanjira imeneyi, ma cell a pancreatic alpha adzayamba kupanga mahomoni ena - glucagon.Zili ngati wotsutsana ndi insulin ndipo amalembera ma cell a minofu ndi chiwindi kuti ndikofunikira kutembenuza glycogen kukhala glucose. Mothandizidwa ndi glucoseyu, shuga wamagazi amatha kukhalabe wabwinobwino. Pachakudya chotsatira, masitolo a glycogen adzabwezedwanso.

Makina ofotokozedwa a glucose omwe atengedwa ndi insulin amagwira ntchito kwambiri mwa anthu athanzi, kuthandiza kukhalabe ndi shuga wamagazi mokhazikika - kuyambira 3.9 mpaka 5.3 mmol / L. Maselo amalandira glucose wokwanira kuti agwire ntchito zawo, ndipo chilichonse chimagwira monga momwe amafunira. Tiyeni tiwone chifukwa chake ndikuchita izi kwaphwanya mtundu 1 komanso matenda a shuga.

Zomwe zimachitika ndi matenda a shuga 1

Tiyerekeze kuti m'malo mwa ngwazi yathu munthu amakhala ndi matenda a shuga 1. Tiyerekeze, usiku asanagone, adalandira jakisoni wa insulin "yowonjezera" ndipo chifukwa cha izi adadzuka ndi shuga wabwinobwino wamagazi. Koma ngati simukuchitapo kanthu, ndiye kuti patapita kanthawi shuga wamagazi ake ayamba kukwera, ngakhale osadya chilichonse. Izi ndichifukwa choti chiwindi nthawi zonse chimatenga insulini yaying'ono kuchokera m'magazi ndikuwaphwanya. Nthawi yomweyo, pazifukwa zina, m'maola, chiwindi "chimagwiritsa ntchito" kwambiri insulin.

Insulin yayitali, yomwe idabayira madzulo, imatulutsidwa bwino komanso osasunthika. Koma kutulutsa kwake sikokwanira kungophimba chiwindi chakudya ”kwa chiwindi. Chifukwa cha izi, shuga wamagazi amatha kuchuluka m'mawa, ngakhale munthu amene ali ndi matenda a shuga 1 asadye chilichonse. Izi zimatchedwa "chodabwitsa cha m'bandakucha." Zikondamoyo za munthu wathanzi zimatulutsa insulin yokwanira kuti izi zisakhudze shuga. Koma ndi matenda amtundu woyamba, chisamaliro chikuyenera kuchitika kuti "chisasinthe". Werengani momwe mungachitire.

Malovu amtundu wa anthu ali ndi ma enzymes amphamvu omwe amaphwanya chakudya chambiri chamagalasi kuti azikhala ndi glucose, ndipo nthawi yomweyo amalowetsa m'magazi. Mwa odwala matenda ashuga, zochitika za ma enzymes amenewa ndizofanana ndi munthu wathanzi. Chifukwa chake, zakudya zamafuta zimapangitsa kulumpha lakuthwa mu shuga. Mtundu woyamba wa matenda ashuga, maselo a pancreatic beta amapanga insulin yochepa kapena samayipanga konse. Chifukwa chake, palibe insulin yopanga gawo loyamba la yankho la insulin.

Ngati panalibe jakisoni wa insulin "yifupi" musanadye, ndiye kuti shuga yamagazi imakwera kwambiri. Glucose sadzasinthidwa kukhala glycogen kapena mafuta. Mapeto ake, gululo limatha kusefukira ndi impso ndikuthira mkodzo. Mpaka izi zitheke, shuga okwera kwambiri amawononga kwambiri ziwalo zonse ndi mitsempha yamagazi. Nthawi yomweyo, maselo amapitilira "kufa ndi njala" osalandira zakudya. Chifukwa chake, popanda jakisoni wa insulin, wodwala wokhala ndi matenda a 1 amwalira m'masiku ochepa kapena milungu ingapo.

Chithandizo cha matenda a shuga 1 amtundu wa insulin

Kodi zakudya zama shuga a carb otsika ndiziti? Chifukwa chiyani muyenera kusankha pazomwe mukugulitsa? Bwanji osangolowa jakisoni wokwanira kuti akhale ndi madzi okwanira onse omwe amadya? Chifukwa majakisoni a insulin "amaphimba" kuwonjezeka kwa shuga wamagazi omwe zakudya zopatsa mphamvu zimapangika.

Tiyeni tiwone zovuta zomwe zimapezeka kawirikawiri kwa odwala omwe ali ndi matenda amtundu 1 komanso momwe angawongolere matendawa moyenera kupewa zovuta. Ichi ndi chidziwitso chofunikira! Masiku ano, "ndizopezedwa ku America" ​​kwa akatswiri am'banja makamaka, makamaka kwa odwala matenda ashuga. Popanda kudziona wabodza, ndinu mwayi kwambiri kuti mudafika patsamba lathu.

Insulin yolowetsedwa ndi syringe, kapena ngakhale ndi pampu ya insulin, sigwira ntchito ngati insulin, yomwe nthawi zambiri imapanga kapamba. Insulin ya anthu mu gawo loyambirira la mayankho a insulin nthawi yomweyo amalowa m'magazi ndipo nthawi yomweyo amayamba kutsika shuga. Mu matenda a shuga, jakisoni wa insulin nthawi zambiri amachitika mu mafuta osunthika.Odwala ena omwe amakonda chiopsezo komanso kusangalala amakhala ndi jakisoni wa insulin (musachite izi!). Mulimonsemo, palibe amene amavulala ndi insulin kudzera m'mitsempha.

Zotsatira zake, ngakhale insulin yothamanga kwambiri imayamba kugwira ntchito pambuyo pa mphindi 20. Ndipo mphamvu zake zonse zimawonekera mkati mwa maola 1-2. Izi zisanachitike, kuchuluka kwa shuga m'magazi kumakhalabe okwera kwambiri. Mutha kutsimikizira izi mosavuta mwakuyeza shuga m'magazi anu pakatha mphindi 15 mutatha kudya. Izi zimawononga mitsempha, mitsempha yamagazi, maso, impso, ndi zina. Matenda a shuga amakula, ngakhale zolinga zabwino za dotolo ndi wodwala.

Chifukwa chake chithandizo choyenera cha matenda a shuga 1 amtundu wa insulin sichothandiza, akufotokozedwa mwatsatanetsatane pa ulalo "". Ngati mumatsatira zakudya “zachikhalidwe” zomwe zili ndi matenda amtundu woyamba, mathero omvetsa chisoni - imfa kapena kulemala - ndiwosapeweka, ndipo amabwera mwachangu kwambiri kuposa momwe tingafunire. Tikutsindikanso kuti ngakhale mutasinthira, sizingathandize. Chifukwa amathandiziranso insulin m'matumba a subcutaneous.

Zoyenera kuchita? Yankho likupitilira kuthana ndi matenda ashuga. Pazakudya izi, thupi limasintha pang'ono mapuloteni azakudya kukhala glucose, motero, shuga wamagazi amawonjezerabe. Koma zimachitika pang'onopang'ono, ndipo jakisoni wa insulin amakulolani "kuphimba" kuwonjezeka. Zotsatira zake, zitha kuchitika kuti mutatha kudya ndi wodwala yemwe ali ndi matenda ashuga, shuga m'magazi nthawi iliyonse sidzapitirira 5.3 mmol / l, i.e., zidzakhala ngati anthu athanzi.

Zakudya Zochepa Zopatsa Thupi Za Matenda A shuga Aakulu

Zakudya zocheperako zomwe wodwala matenda ashuga amadya, amakhala ndi insulin yochepa yomwe angafune. Pazakudya zamafuta ochepa, mapiritsi a insulin nthawi yomweyo amagwa kangapo. Ndipo izi zili choncho ngakhale poti kuwerengetsa kuchuluka kwa insulin musanadye, timaganizira kuchuluka kwa zomwe zingafunikire kuphimba mapuloteni omwe adyedwa. Ngakhale mankhwalawa amathandizira odwala matenda ashuga, mapuloteni nthawi zambiri satchulidwa.

Insulin yocheperako yomwe mumafunikira jakisoni, imachepetsa mwayi wamavuto otsatirawa:

• hypoglycemia - shuga wotsika kwambiri,
• kuchuluka kwa madzimadzi ndi kutupa,
• Kukula kwa insulin kukana.

Ingoganizirani kuti ngwazi yathu, wodwala matenda amtundu 1, asintha kudya zakudya zamafuta ochepa. Zotsatira zake, shuga yake yam'magazi sidzadumphira m'mwamba, monga momwe idalili m'mbuyomu, pomwe adadya zakudya zoyenera zam'thupi. Gluconeogenesis ndikusintha kwa mapuloteni kukhala glucose. Njirayi imawonjezera shuga m'magazi, koma pang'onopang'ono komanso pang'ono, ndipo ndizosavuta "kuphimba" ndi jekeseni wa insulin yaying'ono musanadye.

Momwe thupi lamunthu yemwe ali ndi matenda amtundu wa 2 amagwira

Ngwazi yathu yotsatira, wodwala matenda a shuga a 2, amalemera makilogalamu 112 pamlingo wa 78 kg. Mafuta ochulukirapo amakhala pamimba pake ndi m'chiuno mwake. Zikondwerero zake ndikupangabe insulin. Koma popeza kunenepa kwambiri kunayambitsa kwambiri, insulin iyi sikokwanira kuti ikhale ndi shuga wabwinobwino.

Wodwala akachita bwino kuti achepetse thupi, ndiye kuti kukana insulini kudzadutsa ndipo shuga m'magaziwo amatha kusintha kotero kuti matenda a shuga athe. Komabe, ngati ngwazi yathu isintha mwachangu moyo wake, ndiye kuti ma cell a beta a kapamba wake "adzatentha" kwathunthu, ndiye kuti adzayamba kudwala matenda ashuga amtundu woyamba. Zowona, ndi anthu ochepa omwe amakhala ndi izi - nthawi zambiri odwala omwe ali ndi matenda ashuga a 2 amapha kugunda kwa mtima, kulephera kwa impso, kapena zilonda m'miyendo.

Kukana kwa insulini kumayambitsidwa chifukwa cha majini, koma makamaka chifukwa cha njira yovuta. Ntchito yolimbitsa thupi komanso kudya zakudya zopatsa mphamvu kumabweretsa kuchuluka kwa minofu ya adipose. Ndipo mafuta ochulukirapo m'thupi omwe amalumikizidwa ndi minofu, amakhala okwera kwambiri pakulimbana ndi insulin. Kapamba adagwira ntchito kwa zaka zambiri ndi nkhawa zambiri.Chifukwa cha izi, amatha, ndipo insulin yomwe imatulutsa sikokwanira kuti shuga akhale ndi shuga. Makamaka, kapamba wa munthu wodwala matenda ashuga a 2 samasungira masitolo ena aliwonse a insulin. Chifukwa cha izi, gawo loyamba la yankho la insulini limalephera.

Ndizosangalatsa kuti nthawi zambiri odwala omwe ali ndi matenda ashuga a 2 omwe ali onenepa kwambiri amapanga insulini yochepa kwambiri, ndipo mosinthana - katatu kuposa momwe anzawo amawonda. Panthawi imeneyi, ma endocrinologists nthawi zambiri amalembera mapiritsi - zotumphukira za sulfonylurea - zomwe zimapangitsa kapamba kuti apange insulin yambiri. Izi zimabweretsa "kutentha" kwa kapamba, chifukwa chomwe mtundu 2 wa shuga umasandulika kukhala mtundu wa 1 wa shuga.

Shuga wamagazi mutatha kudya ndi shuga yachiwiri

Tiyeni tiwone momwe chakudya cham'mawa chophika ndi mbatata, ndiko kuti, chisakanizo cha chakudya ndi mapuloteni, zimakhudza kuchuluka kwa shuga mu ngwazi yathu. Nthawi zambiri, m'mayambiriro a 2 matenda a shuga, shuga m'magazi m'mimba yopanda kanthu amakhala abwinobwino. Ndimadzifunsa kuti asintha bwanji akatha kudya? Onani kuti ngwazi yathu imakonda kwambiri. Amadyanso chakudya kawiri kawiri kuposa anthu onenepa.

Momwe michere imakopedwa, kumakidwa ngakhale mkamwa ndipo nthawi yomweyo kumachulukitsa shuga wamagazi - zomwe takambirana kale. Wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri, chakudya chamafuta amadziwikanso mkamwa momwemo ndikumapangitsa kulumpha kowopsa mu shuga. Poyankha, zikondazo zimatulutsa insulini m'magazi, kuyesa kuzimitsa kulumpha uku. Koma popeza kulibe masheya okonzeka, insulin yaying'ono kwambiri imamasulidwa. Izi zimatchedwa.

Cancreas athu otchuka amayesetsa kwambiri kukhala ndi insulin yokwanira komanso shuga wotsika wamagazi. Posakhalitsa, zinthu zidzamuyendera bwino ngati mtundu 2 wa shuga sunapite patali ndipo gawo lachiwiri la insulini silinakhudzidwe. Koma kwa maola angapo, shuga wamagazi amakhalabe okwera, ndipo zovuta za matenda ashuga zimayamba panthawiyi.

Chifukwa cha kukana insulini, wodwala wamitundu iwiri wodwala matenda ashuga amafuna kawiri kawiri insulin kuti amwe chakudya chomwenso chimakhala ndi mnzake wocheperako. Zodabwitsazi zimakhala ndi zotsatira ziwiri. Choyamba, insulin ndiye mahomoni akuluakulu omwe amalimbikitsa kuchuluka kwa mafuta mu minofu ya adipose. Mothandizidwa ndi insulin yochulukirapo, wodwalayo amakhala wokulirapo, ndipo kukana kwake kwa insulin kumakulitsidwa. Iyi ndi nthawi yoyipa. Kachiwiri, kapamba amagwira ntchito ndi katundu wambiri, chifukwa ma cell ake a beta "ayambiranso". Chifukwa chake, mtundu wachiwiri wa shuga umamasulira mtundu 1 shuga.

Kukana kwa insulin kumapangitsa kuti maselo asamagwiritse ntchito shuga, omwe wodwala matenda ashuga amalandira ndi chakudya. Chifukwa cha izi, amamvabe ludzu, ngakhale atadya kale zochuluka. Nthawi zambiri, munthu amene ali ndi matenda a shuga a 2 amadya kwambiri, mpaka amamva kupweteka m'mimba, ndipo izi zimawonjezera mavuto ake. Momwe mungachiritsire kukana kwa insulin, werengani. Iyi ndi njira yokhayo yosinthira thanzi lanu ndi matenda ashuga a 2.

Kuzindikira ndi zovuta za matenda a shuga a mtundu wachiwiri

Madokotala osaphunzira amakonda kupereka kuyeserera kwa shuga kwa magazi kuti atsimikizire kapena kutsimikiza kuti matendawa ali ndi matenda ashuga. Kumbukirani kuti ndi matenda amtundu wa 2 shuga, kuthamanga kwa shuga m'magazi kumakhalabe kwabwinobwino kwa nthawi yayitali, ngakhale nthendayo ikapita patsogolo komanso zovuta za matenda ashuga zikukula. Chifukwa chake, kuyezetsa magazi koyenera m'magulu sikokwanira! Lowani kapena, makamaka, mu labotale yodziyimira payokha.

Mwachitsanzo, mwa munthu, shuga yamagazi atatha kudya amadumphira 7.8 mmol / L. Madokotala ambiri omwe ali ndi vutoli salemba kuti ali ndi matenda a shuga a mtundu wachiwiri, kuti asalembetse wodwalayo komanso asamachite nawo mankhwala. Amalimbikitsa lingaliro lawo chifukwa chakuti wodwalayo amapangabe insulini yokwanira, posakhalitsa shuga wake wamagazi atatha kudya amayamba kuchita bwino.Komabe, muyenera kusinthira nthawi yomweyo kukhala ndi moyo wathanzi, ngakhale mutakhala ndi shuga ya 6.6 mmol / L mukatha kudya, komanso zowonjezereka ngati zili zapamwamba. Tikuyesa kupereka njira yoyenera komanso yofunika kwambiri yothandizira matenda a matenda amtundu 1 komanso mtundu wa 2, womwe ungachitike ndi anthu omwe ali ndi ntchito yambiri.

Vuto lalikulu ndi matenda amtundu wa 2 ndikuti thupi limasweka pang'onopang'ono zaka makumi angapo, ndipo izi sizimayambitsa zizindikiro zopweteka mpaka litachedwa. Wodwala wodwala matenda ashuga a mtundu wina 2, ali ndi zabwino zambiri kuposa iwo omwe ali ndi matenda ashuga a mtundu woyamba. Mwazi wake wamagazi sudzafika pamlingo waukulu ngati wodwala matenda ashuga 1 akaphonya jakisoni wa insulin. Ngati gawo lachiwiri la mayankho a insulini silikukhudzidwa kwambiri, ndiye kuti shuga ya magazi ikhoza kugwiritsidwa ntchito mwachangu ndi odwala popanda kuigwira. Odwala omwe ali ndi matenda amtundu wa 1 sangayembekezere "freebie" ngati imeneyi.

Momwe mungachitire bwino matenda a shuga a 2

Mtundu wachiwiri wa matenda ashuga, njira zochizira zowonjezera zitha kutsika pancreas, njira "yakuwombera" kwa maselo ake a beta idzaletsa.

Zoyenera kuchita:

Chifukwa cha kuchepa thupi komanso kuchita masewera olimbitsa thupi mosangalatsa, kukana insulini kudzachepa. Ngati chithandizo chinayambika panthawi yake, ndiye kuti ndizotheka kuchepetsa shuga m'magazi wamba popanda jakisoni wa insulin. Ngati mukufunabe jakisoni wa insulin, ndiye kuti Mlingo wake umakhala wochepa. Zotsatira zake zimakhala moyo wathanzi, wachimwemwe wopanda zovuta za matenda ashuga, kuukalamba kwambiri, ku nsanje ya anzanga "athanzi".

Kuchepetsa shuga m'magazi pochiza matenda ashuga, amakonda kupatsidwa mankhwala. Pali magulu angapo a mankhwala osokoneza bongo, omwe gulu lawo limatengera kapangidwe kazomwe amapangira mankhwala. Kuphatikiza apo, maphikidwe a wowerengeka amagwiritsidwa ntchito kuthandiza kuwongolera kagayidwe kazinthu.

Matenda a shuga ndi matenda oopsa, ndipo amakhala oopsa komanso osiyanasiyana. Chifukwa chake, ndikofunikira kuti muchepetse kukula kwa zovuta izi mu odwala. Kuchepetsa ndikuwongolera kuchuluka kwa shuga m'magazi ndizofunikira kwambiri pochiza matenda ashuga. Momwe mungachepetse shuga pogwiritsa ntchito njira zamankhwala ndi wowerengeka?

Hyperglycemia Evaluation Criteria

Magazi a shuga m'magazi nthawi zambiri amayeza kuyeza shuga m'madzi am'magazi kapena magazi athunthu, musanadye (pamimba yopanda kanthu). Zokwanira pa chizindikirochi ndizosiyanasiyana 3.3-5.5 mmol / L.

Njira zina ziyenera kuzindikiridwanso ndi zomwe adokotala angapangire mankhwala kuti muchepetse glycemia.

1. Postprandial hyperglycemia ndi kuchuluka kwa shuga mpaka 10 mmol / L kapena kuposa pambuyo chakudya wamba. Pakadali pano, ofufuza akukhulupirira kuti odwala omwe ali ndi vuto la glucose asanadye komanso glycated hemoglobin amatha kudwala matenda a postprandial and latent hyperglycemia, choncho safunikanso kuzindikira mozama.
2. Glycated hemoglobin ndi chizindikiro chomwe chimawonetsa kuchuluka kwa hemoglobin wophatikizidwa ndi glucose. Zikuwonetsa kuchuluka kwa glycemia m'miyezi itatu kapena inayi yapitayo.

Malinga ndi zizindikiro zitatu izi, zopangidwira, zopangidwira komanso zowonongeka zimasiyanitsidwa.

Kwa hyperglycemia yobwezeredwa, njira zake ndi zisonyezo: glycated hemoglobin 6-7%. Kuthamanga glycemia 6-6,5 mamililita / lita. Postprandial glycemia mpaka 8 mamililita / lita.

Kwa subergompcated hyperglycemia: glycosylated hemoglobin 7-7.5%. Kusala madzi a m'magazi a glucose a 6.5-7,5 mmol / lita. Glycemia atatha kudya ndi mamilimita 8-11 / lita.

Kwa decerglycemia wowola: glycosylated hemoglobin pamwamba pa 7.5 peresenti. Kuthamanga glycemia> 7.5 mamililita / lita. Postprandial glycemia> 11.1 mamililita / lita.

Hyperglycemia sayenera kuchepetsedwa mwachangu. Zochita zoterezi zimatha kudzetsa hypoglycemia. Ganizirani za mankhwala osokoneza bongo komanso osagwiritsa ntchito mankhwala omwe amachepetsa shuga la magazi.

Zoyenera kuchita ngati insulini singathandize kuchepetsa shuga

Nthawi zambiri, anthu amakumana ndi mfundo yoti, ngakhale akugwiritsa ntchito insulin, shuga wamagazi sachepa. Ngati chomwe chimayambitsa ndondomekoyi sichikuletsa insulini kapena zovuta zina, ndiye kuti vuto ndi kugwiritsa ntchito molakwika gawo la mahomoni. Pankhaniyi, ndikofunikira kulingalira zolakwitsa zazikulu zomwe zimapangidwa pakugwiritsa ntchito insulin.

Choyamba, tisaiwale kuti insulin, monga mankhwala ena aliwonse ali ndi tsiku lotha ntchito. Phukusi kuchokera ku gawo la mahomoni, tsiku lenileni la kumaliza kwake ndi zizindikiro zofananira, zomwe zili zovomerezeka kale kuyambira pakutsegulira, zimasonyezedweratu. Ayenera kukumbukiridwa kapena kuonana ndi endocrinologist. Kupanda kutero, sikuti njira yongobwerera yokha siyotheka, komanso kupezeka kwa zovuta zina.

Kuphatikiza apo, kapangidwe kake, ngakhale kokhala ndi moyo wabwino kwambiri wa shelufu, kumatha kuwonongeka ngati malamulo osungira salemekezedwa.. Polankhula za izi, akatswiri amalabadira kuzizira, kutentha kwambiri ndi kuwunika mwachindunji - zonsezi zimalimbikitsidwa kwambiri kuti musamale. Ndikofunika kulabadira kuti mawonekedwe ake ayenera kusungidwa pokhapokha kutentha. Tikulankhula za chizindikiro cha kutentha kuyambira madigiri 20 mpaka 22.

Kusungidwa kwa insulini mufiriji ndikosafunanso, chifukwa chinthu choterocho, ngati chikuyambitsidwa, chimachedwa. Nthawi zina ichi ndi chifukwa chake insulin siyitsitsa magazi.

Mankhwala ena, monga omwe amadziwika chifukwa cha kuchuluka kwa insulin (mwachitsanzo, Protafan kapena Himulin N), ndizovomerezeka kuyimira mu syringe imodzi yokhala ndi gawo lalifupi musanalowe. Nthawi yomweyo, ndikulimbikitsidwa kuti musaiwale kuti izi zikufunika kutsatira malamulo ena ndipo zimawonjezera mwayi wolakwitsa mukamasankha mulingo.

Ichi ndichifukwa chake kufunsira kwa katswiri kukhala chinthu chofunikira.

Mitundu ina ya insulin yomwe imadziwika ndi zochita zazitali (mwachitsanzo, Monotard, Lente) itha kutaya katundu wawo. Mwambiri nthawi zambiri mukasakanikirana ndi insulin yochepa, izi zimayambitsa kufooka kwakukulu kwa zomwe zimasakanizidwa. Ichi ndichifukwa chake amakhumudwitsidwa mwamphamvu kusankha pawokha pakuphatikizidwa kwazinthu zina. Ndikufuna kuyang'ana zina:

1. ngati pali mpweya mu syringe, gawo laling'ono kwambiri la mahomoni lidzayambitsidwa kuposa zomwe zinali zofunikira poyamba. Pankhaniyi, ndikofunikira kuyang'anira kukhalapo kwake kapena kusakhalapo,
2. mulingo woyenera kwambiri ndi mphamvu ya insulin ikabayidwa pamimba,
3. pang'ono, koma, komabe, chimakulirakulira komanso pang'ono pang'onopang'ono ndikamayikidwa mu ntchafu ndi zomata za chikopa pamwamba pa matako. Zofunika kwambiri ndizomwe zimayambitsa dera.

Ndikofunikanso kuganizira kuti kutha kwa chiwonetsero cha insulin kumachitika chifukwa cha magwiridwe ake oyendetsera bwino amaphatikizidwa. Pachifukwa ichi, akatswiri amawunika ma algorithms awiri, woyamba omwe ndi kuti gawo lililonse limagwiritsidwa ntchito tsiku lililonse malinga ndi mapulani omwe anakonzekera. Malinga ndi izi, jakisoni aliyense amakhala ndi gawo lake losiyana.Poterepa, gawo la mahomoni amtundu waufupi limalimbikitsidwa kuti liyambike pansi pakhungu pamimba. Mwanjira imeneyi, kuyamba kwa zovuta kwa wothandizirayo kumaperekedwa.

Polankhula za algorithm yachiwiri, ziyenera kudziwika kuti imakhala m'lingaliro lakuti mkati mwa milungu ingapo kupangidwako kuyenera kuyambitsidwa mu gawo limodzi. Tiyerekeze kuti ikhoza kukhala m'mbali kumanja kapena kumanzere, ndipo milungu yotsatirayi - mu algorithm osiyana (mwachitsanzo, m'dera la dzanja lamanja kapena lamanzere). Umu ndi momwe zingathekere kulankhula za kukwaniritsa kuchuluka kwakukulu ndi zotsatira za insulin. Komabe, awa ali kutali ndi malamulo onse omwe amapereka chitetezo ku mfundo yakuti gawo la mahomoni siligwira ntchito.

Monga mukudziwa, mapangidwe a wen amatha kutchedwa kuti pafupipafupi. Kuphatikiza apo, sizimawoneka nthawi zonse ndi maliseche, chifukwa chake odwala matenda ashuga sangadziwe za iwo ndikulowetsa insulin pamenepo, poganiza kuti izi ndizophweka pakhungu. Zachidziwikire, ndikukula kwazinthuzi, chinthucho chimapanga pang'onopang'ono kapena kusiya kuchepetsa shuga kwathunthu.

Akatswiri amaunika chidwi chakuti zolakwika nthawi zambiri zimapangidwa popereka insulin m'malo ena.

Pankhaniyi, ndikufuna kuwonetsa zina zomwe sizinawonetsedwepo kale. Chowonadi ndi chakuti ndikofunikira kugwiritsa ntchito mtunda wonse, kupangitsa kuti ikhale yotheka momwe mungathere. Mwachitsanzo, kumbali, ya mbali yapamwamba kwambiri ya thunthu kapena pansi mpaka kumapeto.

Pamalo pakati pa nthiti ndi navel, kugwiritsa ntchito gawo la mahomoni sikudzakhala kolondola chimodzimodzi. Izi sizingachitike mu insulin yokwanira, komanso chifukwa kuti munthawi imeneyi, zisindikizo sizingapangike pakhungu, ndipo kuchuluka kwa ululu mu jakisoni kumachepetsedwa kwambiri.

Vuto linanso lalikulu ndi kumwa mowa nthawi yomweyo jakisoni isanachitike. Chowonadi ndi chakuti chikuwononga insulini. Kuphatikiza apo, chithandizo chotere cha pakhungu sichofunikira, chifukwa kufalikira kwa jekeseni ndikuyambitsa insulin ndi ma syringes ndizochepa komanso pafupifupi zero.

Ndikulimbikitsidwa kwambiri kuti mupange khola la khungu, chifukwa, apo ayi, gawo la mahomoni lingayambitsidwe m'dera la minofu. Izi zimakhala ndi zotsatirapo zoyipa kwambiri, chifukwa sipadzakhala chidaliro mu mphamvu ya kapangidwe kake. Mwambiri, nthawi zambiri zimayamba kuchita zinthu mwamphamvu kapena zochepa, popanda kubweretsa zomwe mukufuna. Amakhala otaya mtima kumasula khola la khungu kufikira atayambitsidwa ndi insulin yonse.

Ndipo, pomaliza, malingaliro omaliza omwe amapangitsa kuti athandizidwe pamavuto ochepetsa shuga ndi omwe muyenera kuyembekezera masekondi asanu mpaka asanu ndi awiri kenako ndikuchotsa singano. Ngati simuchita izi, ndiye kuti gawo la mahomoni limasulidwanso kudzera m'jekeseni. Munthawi imeneyi, gawo losasinthika la kapangidwe kameneka (lingakhale magawo awiri kapena atatu kapena kupitirirapo) silalowa mkati mwa thupi.

Tiyenera kukumbukira kuti pali njira zambiri zapadera zomwe zimapangitsa kuti zitheke kuthekera kwa kutaya ndi kuchepetsa izi mtsogolo.

Choyenereradi kudziwa ndi momwe zolembera za syringe zikuyenera kugwiritsidwa ntchito.

Kugwiritsa ntchito zolembera za syringe sikumayambitsa mafunso ambiri kwa odwala matenda ashuga okhudzana ndi kuchuluka kwa ntchito, ngakhale ali ndi automatism komanso kuphweka kwakukulu pakugwiritsira ntchito. Koposa zonse, ndikofunikira kuti mutsatire malamulo osakanikirana a insulin. Kuti tichite izi, ndikofunikira kutembenuza mozungulira ndi singano kasanu mpaka kasanu ndi kawiri.

Pogwiritsa ntchito cholembera, kulowetsedwa kwa mpweya kuyeneranso kupewedwa ngati kungatheke.Chowonadi ndi chakuti izi zimathandizira kukulitsa nthawi ya jakisoni wa insulin chifukwa cha kuwundana kwambiri kwa mpweya. Zotsatira za izi ndikuti singano imatha kuchotsedwa gawo lonse lazinthu zamahomoni zisanatuluke.

Kwa zovuta ndi ntchito ya masomphenya, zolakwika zitha kuchitika ndi chizindikiritso cha manambala omwe amafunikira. M'mitundu ina ya ma syringe, ngati chinsinsi cha piston sichidapangidwe kwathunthu, gawo la mahomoni limangoyambitsidwa. Ngati mukukayikira mukugwiritsa ntchito chipangizocho, ndikulimbikitsidwa kuti mupeze thandizo kwa katswiri.

Monga momwe amasonyezera, nthawi zambiri, zovuta za shuga m'magazi komanso kuwonongeka kwa insulin ndikunama. Izi zimachitika makamaka chifukwa chosagwirizana ndi miyezo yogwiritsira ntchito zinthuzi, kunyalanyaza zoyambitsa za akatswiri. Ichi ndichifukwa chake aliyense wodwala matenda ashuga ayenera kuyesedwa mwachidule asanayambe maphunzirowa, zomwe zingathandize kupewa mafunso omwe amachititsa kuti insulin isachepetse shuga.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Nkhani za shuga padziko lonse lapansi, zomwe zachitika kumene, malonda.

Uthenga Ika » 06.07.2010, 17:24

Uthenga gennadiy23 » 06.07.2010, 18:46

Uthenga Maria » 06.07.2010, 20:37

Uthenga Ika » 06.07.2010, 21:36

Uthenga Yum » 07.07.2010, 10:14

Chozizwitsa ngati ichi - kuti chidwi cha insulin imodzi chiwonjezeke, koma kwa nthawi imodzimodziyo chimatsika - sizichitika.

Kutengera izi, algorithm ya zochita.
1. Apanso, 100% onetsetsani kuti insulini siinasungidwe (kusinthanitsa ndi penfil kuchokera ku batch ina).
2. Onetsetsani kuti cholembera chikugwira ntchito (yesani kumubaya ndi cholembera china kapena syringe).
Pambuyo pake, ngati palibe zotheka, bweretsani ku Mlingo wam'mbuyomu, sinthaninso kumbuyo kuti pasakhale kuthekera, ndikuyang'ana mosamala zopumulira zazifupi, mutatentha kuti inshuwaransi ikungokulira, koma kuthamanga kwake, ndiye kuti. ndi chakudya chomwe nthawi zambiri chimapita pansi pake mwachizolowezi, gypsum imatha kutsikira pambuyo pa jekeseni, mpaka chakudya sichinayambe. Mutha kuyesa kubayira insulin yochepa mukatha kudya.

Mwa njira, kulemera sikunasinthe mwezi watha?

Uthenga Lena » 07.07.2010, 12:24

Uthenga DiSi » 07.07.2010, 14:56

Nawonso agawana.

M'nyengo yozizira, SK mwanjira inayake idayamba kukula kuyambira poyambira. Ndidayesa kuyimitsa kuwonjezeka kulikonse mu SC mothandizidwa ndi Actrapid. Zinapezeka zinyalala: kwa masiku 3-4, SC imasunga pamlingo wa 13-15, kenako mwadzidzidzi. End adapereka Levemir kapena Lantus (m'malo mwa Protafan), koma zovuta ndi shuga zidawafika - GG = 9.3

Mwachidule, adagona kuchipatala, ngakhale ali m'dipatimenti yamaso. Koma tsiku lotsatira kutha kwa atsikana, adandimvera ndikulira ndikunena kuti: "Zopitilira 20 patsiku - Zachabechabe! Kungokhalira kukana insulini kukukula. ” Protafan anawonjezera. Ndinailowetsa mayunitsi 10 kawiri, iye adalemba 16 ndikuwalamula Aktrapid kuti achepetse ziwalo ziwiri asanadye. Ndipo - o, chozizwitsa! - SK adasilira. Kwinakwake m'masiku awiri ndinayamba kulimba. Kenako Protafan idachepetsedwa ndikuyimitsidwa pamayunitsi 14 kawiri pa tsiku. Actrapid 6 katatu patsiku musanadye. SK kuyambira 6.2 mpaka 7.3. Ndi izi ndidatulutsidwa.

Kunyumba, UK idakweranso. Ndidachepetsa Protafan kukhala zigawo za 2x13, ndi mayunitsi a Actrapid 3x5. SK kuyambira 4.8 mpaka 5.7. Mwezi wotsatira ndiyamba kubwereka glycated.
Inde, sindinakhale ndi zikondwerero kwa nthawi yayitali, ndipo sindimamva kupweteka konse chifukwa chazaka zanga zazitali. Zikuwoneka kuti ndinali ndikuthekera kosatha, ndipo SK inalibe nthawi yochepetsera, kapena, ndinalibe nthawi yoti ndiyitsatire. Chifukwa chake Aktrapid adapha magawo 50-60 patsiku kuti asapezeke.

Pambuyo jekeseni wa insulin shuga sichitha: zifukwa, zoyenera kuchita

Anthu omwe ali ndi chizolowezi cha hyperglycemia nthawi zina amawona kuti kubaya insulini (mahomoni ochokera ku kapamba) sikuthandizira kubwezeretsa shuga m'magazi.

Chifukwa chake, odwala matenda ashuga ambiri amakhala ndi nkhawa ngati shuga satha kuchepa jakisoni wa insulin.

Zifukwa ndi zoyenera kuchita ngati zotere zitha kukhazikitsidwa ndi katswiri. Kuphatikiza apo, muyenera kulabadira kulemera kwa thupi, komanso kuwerenganso bwinobwino zakudya, m'malo mwa chakudya, chomwe chingapewe kulumpha kwa glucose mu madzi a m'magazi.

Zomwe zimayambitsa izi zimatha kukhala kukana kwa mahomoni. Kuyambika kwa matenda a Somoji, osankhidwa mosayenera pa mankhwala, zolakwika m'njira zoperekera mankhwala - zonsezi zitha kukhala chifukwa cha kukana insulini.

Ndikofunika kutsatira malingaliro onse a adotolo omwe akukhudzidwa ndi zamankhwala, osati kuti muzingodzisamalira.

Malonda-pc-2 General malamulo okhalitsa wathanzi:

1. Yang'anirani kulemera kwanu kwamthupi, popewa kugwedeza kosafunikira.
2. Idyani moyenera komanso moyenera, kuchepetsa kudya zamafuta ndi mafuta.
3. Pewani kupsinjika ndi kukhumudwa kwambiri. Amathanso kuwonjezera shuga mthupi.
4. Khalani ndi moyo wokangalika ndikuchita masewera.

Nthawi zina, mankhwala a insulin samathandiza kuchepetsa shuga.

Zinthu zazikuluzikulu ndi zoyambitsa zomwe zingayambitse kuchepa kwa mphamvu ya mahomoni a kapamba omwe amachokera:

1. Kulephera kutsatira malamulo osungira mankhwalawa. Makamaka ngati insulin inali m'malo otentha kwambiri kapena kutentha kwambiri.
2. Kugwiritsa ntchito mankhwala omwe atha.
3. Kuphatikiza mitundu iwiri yosiyanasiyana ya mankhwala mu syringe imodzi. Izi zingayambitse kuchepa kwa zotsatira zoyenera kuchokera ku mahomoni omwe adalowetsedwa.
4. Kuwonongeka kwa khungu ndi ethyl mowa pamaso mwachindunji mankhwala. Njira yothirira mowa imapangitsa insulini.
5. Ngati mukulowetsa jakisoni pakhungu, koma kulowa mu minofu, ndiye kuti momwe thupi limaperekera mankhwalawa lingakhale losadalilika. Pambuyo pake, munthu amatha kusinthasintha m'magawo a shuga: amatha kuchepa komanso kuchuluka.
6. Ngati nthawi ya makonzedwe a mahomoni oyambira sanawonedwe, makamaka musanadye chakudya, mphamvu ya mankhwala imatha kugwa.

Pali zinthu zambiri komanso malamulo omwe angathandize kupangira jakisoni wa insulin. Madokotala amalimbikitsa kugwirira ntchito jakisoni pambuyo pakukonzekera kwa masekondi khumi kuti mankhwalawo asatuluke. Komanso nthawi ya jakisoni iyenera kuyang'aniridwa mosamalitsa.

Mukuchita izi, ndikofunikira kuwonetsetsa kuti palibe mpweya womwe umalowa mu syringe.

Opanga nthawi zonse amauza ogula zawo za njira zosungira insulin ndi moyo wa alumali. Ngati muwanyalanyaza, ndiye kuti mutha kukumana ndi mavuto akulu.

Mahomoni opanga pancreas nthawi zonse amagulidwa ndi malire a miyezi ingapo.

Izi ndichifukwa chakufunika kosagwiritsa ntchito mankhwalawa malinga ndi dongosolo lomwe likhazikitsidwa ndi katswiri.

Kenako, mtundu wa mankhwalawo ukawonongeka mu chidebe kapena syringe, utha kuisintha mwachangu. Zifukwa izi zitha kukhala izi:

1. Kutha kwa mankhwalawa. Zawonetsedwa pabokosi.
2. Kusintha kowoneka mu kusasinthika kwa mankhwalawa mu botolo. Insulin yotereyi sifunikira kugwiritsidwa ntchito, ngakhale moyo wa alumali sunathebe.
3. Kutsitsa zomwe zili mu bokosi. Izi zikuwonetsa kuti mankhwala omwe awonongedwa ayenera kutayidwa.

Komanso kuwala kwa dzuwa ndizowopsa kwa mankhwalawo. Mothandizidwa ndi insulin, thupi limayamba kuwola mwachangu kwambiri. Pazifukwa izi, ziyenera kutayidwa.

Mukamagwiritsa ntchito ma horoni opera ntchito kapena kuwonongeka - shuga adzakhalabe chimodzimodzi.

Ngati mulingo wa insulin sunasankhidwe molondola, ndiye kuti shuga yayikulu imakhalabe yolingana.

Asanasankhe kuchuluka kwa mahomoni, aliyense wodwala matenda ashuga ayenera kudziwa zomwe mkate amapezeka. Kugwiritsa ntchito kwake kumathandizira kuwerengera kwa mankhwalawa. Monga mukudziwa, 1 XE = 10 g yamafuta. Mlingo wosiyanasiyana wa mahomoni angafunikire kuti athetse kuchuluka kumeneku.

Kuchuluka kwa mankhwalawa kuyenera kusankhidwa poganizira nthawi ndi chakudya chomwe mumadya, popeza kuchuluka kwa zochita za thupi panthawi zosiyanasiyana masana ndi usiku ndizosiyana kwambiri. Komanso, chinsinsi cha pancreatic chimachitika m'njira zosiyanasiyana.

Musaiwale kuti m'mawa pa 1 XE magawo awiri a insulin amafunikira. Pa nkhomaliro - imodzi, ndipo madzulo - gawo limodzi ndi theka la mankhwala.ads-mob-1

Kuti muwerengere molondola mlingo wa mahomoni osankha pang'ono, muyenera kutsatira izi:

1. Mukamawerengera kuchuluka kwa insulini, muyenera kuganizira zama calories omwe amagwiritsidwa ntchito patsiku.
2. Tsiku lonse, kuchuluka kwa chakudya chamafuta sikuyenera kupitirira 60% ya zakudya zonse.
3. Mukamadya 1 g yamafuta, thupi limatulutsa 4 kcal.
4. Kuchuluka kwa mankhwalawa kumasankhidwa potengera kulemera.
5. Choyamba, muyenera kusankha mtundu wa insulin yochepa, kenako pokhapokha - yayitali.

Ngati mankhwalawa sanaperekedwe osati mosinjirira, koma mwamitsempha, ndiye kuti shuga wokwezeka sakhazikika.

Mpweya mu syringe umachepetsa kuchuluka kwa mankhwala omwe amaperekedwa. Malo ofunikira kwambiri a jakisoni amawonedwa ngati pamimba. Pakupakidwa matako kapena ntchafu, mphamvu ya mankhwalawo imacheperachepera .ads-mob-2

Ngati, jakisoni atatha, shuga m'magazi akupitilizabe kukhala pamlingo wokulirapo, ngakhale kuti malamulo onse atsatiridwa, ndiye kuti zingatheke kukhala ndi metabolic syndrome kapena kukana kwa mankhwala.

ads-pc-4 Zizindikiro za izi:

• pali matenda a ziwalo za zotumphukira, monga akuwonetsera ndi mapuloteni pakuwunika mkodzo,
• kuchuluka kwa shuga pamimba yopanda kanthu,
• kunenepa
• fragility yamitsempha yamagazi
• mawonekedwe a magazi,
• atherosulinosis
• kuchuluka kwa cholesterol yoyipa m'matumba.

Amawonekera mu bongo wa insulin. Zizindikiro zake ndi izi:

• matupi a ketone amawonekera mkodzo,
• Ngati mankhwalawa a tsiku ndi tsiku apitilira, matendawa amakhala bwino,
• kuchuluka kwa plasma glucose amachepetsa kwambiri ndi fuluwenza, chifukwa cha kuchuluka kwa insulin panthawi ya matenda.
• kusintha kwakukulu kwa shuga mumagazi patsiku,
• njala yosatha
• Kulemera kwa thupi kukuchuluka msanga
• nthawi zambiri kumachepetsa shuga m'thupi.

Ngati jakisoni wa ma pancreatic mahoni samathandiza, ndiye kuti musathamangire kuti muwonjezere mlingo. Choyamba muyenera kumvetsetsa mitundu ya kugona ndi kudikira, kuchuluka kwa zochita zolimbitsa thupi ndikusanthula zakudya zanu. Ndikotheka kuti kwa thupi izi ndizomwe zimachitika komanso kuchepa kwa insulini yoyendetsedwa kumabweretsa ku Somoji syndrome.ads-mob-2

Zoyenera kuchita ngati shuga m'magazi satsika pambuyo pa insulin

Ngakhale mulingo wosankhidwa bwino wa mahomoni amayenera kusintha:

1. Ultra-yochepa-insulin voliyumu malamulo. Kukhazikika kwa mankhwala kungapangitse mawonekedwe a postprandial hyperglycemia. Kuti muchotse izi, muyenera kuwonjezera kuchuluka kwa mahomoni.
2. Kusintha koyambirira kwa mankhwala a nthawi yayitali kumadalira kuchuluka kwa shuga m'mawa ndi madzulo.
3. Somoji syndrome ikawoneka, ndikofunikira kuti muchepetse muyeso wa insulin yayitali usiku ndi magawo awiri.
4. Ngati urinalysis iwonetsa kukhalapo kwa matupi a ketone mmenemo, muyenera kupanga jakisoni wina wa mahomoni amtundu wa ultrashort.

Konzani mtundu wa mankhwalawa woperekedwa ndikufunika malinga ndi kuchuluka kwa zolimbitsa thupi.

Ndikofunika kukumbukira kuti pophunzira masewera olimbitsa thupi, thupi limawotcha shuga.Chifukwa chake, mkati mwa makalasi, mlingo woyambirira wa insulini umayenera kusinthidwa, apo ayi osavomerezeka osokoneza bongo mwina .ads-mob-2

Pofuna kukhala ndi zotulukapo zina kuchokera pakugwiritsa ntchito insulin, ndi dokotala yekha yemwe ayenera kuyisankha kutengera chidziwitso cha wodwala. Dokotala amayenera kuuza wodwalayo za matendawa momveka bwino, malamulo operekera mankhwalawo, kukhalabe ndi moyo wathanzi komanso zovuta zomwe zingachitike.

Ngati, pambuyo pa jakisoni wa mahomoni a kapamba amomwe amapangira, kuchuluka kwa shuga kumakhalabe okwera, ndiye kuti ndibwino kufunsa dokotala. Amamvetsera mosamala ndikupereka malangizo othandiza kuti achitenso kanthu.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

1. 
   Matenda a Gressor M. Matenda. Zambiri zimadalira inu (lotanthauziridwa kuchokera ku Chingerezi: M. Gressor. "Matenda a shuga, osokoneza bongo", 1994). SPb., Nyumba yosindikiza "Norint", 2000, masamba 62, kufalitsidwa kwa makope 6000.
2. 
   Weismann, Michael Matenda A shuga. Zonse zomwe zidanyalanyazidwa ndi adotolo / Mikhail Weisman. - M: Vector, 2012 .-- 160 p.
3. 
   Ametov A., Kasatkina E., Franz M. ndi ena. Momwe mungaphunzirire kukhala ndi matenda a shuga. Moscow, Interpraks Publishing House, 1991, masamba 112, kufalitsa kowonjezera kwa makope 200,000.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.

Moyo wa alumali ndi malo osungira

Pali zifukwa zambiri zosonyeza kuti insulini sithandiza odwala matenda ashuga kusintha shuga. Ndipo choyambirira, ziyenera kudziwika kuti, monga mankhwala ena aliwonse, insulin ili ndi tsiku lotha ntchito, pambuyo pake kugwiritsidwa ntchito sikungopereka zotsatira zabwino, komanso kungavulaze kwambiri thanzi.

Nthawi yomweyo, ziyenera kunenedwa kuti nthawi ya insulin iyenera kuwerengedwa mutatsegula mankhwalawa. Mwatsatanetsatane pokhudzana ndi moyo wa alumali wa mankhwala aliwonse amalembedwa mu zosindikiza, zomwe zimaphatikizidwa ndi mankhwala iliyonse.

Komanso, ngakhale masiku atha kukhala abwinobwino, mankhwalawo amatha kutha msanga ngati wodwala satsatira malamulo oti asungidwe. Zinthu zokhala ndi insulini ziyenera kutetezedwa kuti zisazizidwe, kuzizira kwambiri komanso kuyatsidwa ndi dzuwa. Iyenera kusungidwa kutentha kutentha kwa 20 (madigiri 20 mpaka 22) ndi malo amdima.

Zolemba ntchito

Nthawi zambiri, anthu odwala matenda ashuga amapatsidwa jekeseni wambiri wa insulin limodzi ndi insulin. Monga lamulo, mankhwalawa amatengedwa mu syringe imodzi ndikuperekedwa nthawi imodzi. Komabe, pankhaniyi ndikofunikira kutsatira malingaliro onse a dokotala. Nthawi zambiri, chithandizo cha odwala omwe amadzipangira okha mankhwalawa kwa nthawi yayitali komanso kukhala ndi insulin ndi chimodzi mwazifukwa zomwe jakisoni samathandizira kuti shuga asungidwe.

Mankhwala omwe akhala akuchita kwa nthawi yayitali amatha kutaya katundu wawo ngati atasakanizidwa ndimankhwala osakhalitsa. Mothandizidwa ndi owongolera, mphamvu zawo zimaponderezedwa, ndipo jakisoni sapereka zotsatira. Pachifukwa ichi, madokotala salimbikitsa kuti apange chisankho pazokha zomwe zingaphatikizidwe ndi insulin ndi zotsatira zosiyanasiyana.

Kuphatikiza apo, ngati insulin siyithandiza, ndikofunikanso kuwunika momwe kayendetsedwe kake kamayendera. Anthu ambiri amalakwitsa pakubaya, chifukwa chomwe amalephera kuchiritsa matenda awo.

Chifukwa, mwachitsanzo, anthu ambiri samvera chidwi ndi kukhalapo kwa mpweya mu syringe. Ndipo izi ndizofunikira kwambiri.Kukhalapo kwake kumayambitsa kuchepa kwa kuchuluka kwa mahomoni omwe adayambitsidwa ndipo, mwachilengedwe, motsutsana ndi maziko a izi, njira yotsitsa shuga m'magazi imalepheretseka.

Gawo lofunikanso pakupanga jakisoni ndikusankha kwa malo a jekeseni. Zimakhala zoyipa kwambiri ngati kumayambiriro kumachitika m'chiuno kapena m'mbali mwa khungu pamwamba pa matako. Zingwe ziyenera kupangidwa mwachindunji kumapewa kapena pamimba. Magawo awa ndi oyenera kwambiri kutsata insulin.

Komabe, jakisoni m'gawo lomwelo amaletsedwa. Ndikofunikira kuti muzitha kuphatikiza magawo a mankhwalawo moyenera, chifukwa magwiridwe akewo amatengera izi. Akatswiri amatanthauzira ma aligoramu angapo pakuyambitsa insulin. Loyamba - kwa mankhwala aliwonse ali ndi gawo lake. Chifukwa, mwachitsanzo, ngati wodwala agwiritsa ntchito insulin yochepa, ndiye kuti iyenera kuperekedwa pakhungu pamimba, popeza pano ndiwothandiza kwambiri. Ngati insulin yogwira ntchito yayitali imagwiritsidwa ntchito, iyenera kuyikidwa m'dera la phewa, etc. Zonsezi zimakonzedweratu ndi adotolo.

Algorithm yachiwiri ndikupaka mankhwalawo pamalo omwewo kwa sabata, pambuyo pake dera la jakisoni likusintha. Ndiye kuti, poyamba munthu amatha kupereka jakisoni padera la phewa lamanja, ndipo patatha sabata ayenera kusintha jakisoni, mwachitsanzo, kumadera a ntchafu lakumanzere. Kusintha kwa jakisoni wa insulin kuyenera kuchitika masiku 7 aliwonse.

Malinga ndi akatswiri, ndi ndendende malamulo amenewa omwe amathandizira kuti adzigwira bwino. Komabe, izi sizinthu zofunikira zonse zofunika kuziganizira mukamagwiritsa ntchito mankhwala okhala ndi insulin.

Malangizo owonjezera

Mwa anthu odwala matenda ashuga, nthawi zambiri amakhala ndi mawonekedwe amtundu wa adipose omwe amakhala osawoneka ndi mfuti. Nthawi yomweyo, odwala samakayikira kupezeka kwawo, kumawazindikira ngati minofu ya adipose, pomwe amaba jakisoni. Mwachilengedwe, munthawi imeneyi, zotsatira za mankhwalawa zimacheperachepera, ndipo nthawi zina palibe zotsatira zake zimawonedwa kuchokera ku kugwiritsidwa ntchito kwake.

Ndipo monga tafotokozera pamwambapa, zambiri zimatengera gawo la mankhwalawa. Koma sizinawonetsedwepo kale kuti mukabayidwa ndikofunika kugwiritsa ntchito kwathunthu dera lonse. Mwachitsanzo, ngati mankhwalawo alowetsedwera pambuyo pake, ndiye kuti gawo liyenera kukulitsidwa mpaka kumapeto a inguinal.

Malo pakati pa nthiti ndi navel amaonedwa ngati malo abwino kwambiri oyendetsera insulin. Kuyika malo opaka jakisoni sikuti kumangowonjezera mphamvu ya mankhwalawo, komanso sikuti kumayambitsa mapangidwe azisindikizo zopweteka zomwe zimachitika, mwachitsanzo, pamene insulin imalowetsedwa m'chigawo cha gluteal.

Zochitika zomwe zimachitika mankhwala asanakhazikitsidwe zimathandizanso kuti likhale labwino. Anthu ambiri amathandizira jakisoni wa m'deralo ndi mowa, womwe umaletsedwa kuchita, chifukwa mowa umawononga insulin, ndipo kutha kwake kumachepetsedwa kwambiri.

Poona izi, ambiri odwala matenda ashuga ali ndi funso lambiri momwe angapangire khungu. Ndipo palibe chomwe chikufunika. Kuopsa kwa kachilombo pobweretsa insulin yamakono ndi ma syringe omwe amagulitsidwa ndizochepa, chifukwa chake, chithandizo chowonjezera pakhungu jakisanachitike. Pankhaniyi, zitha kuvulaza.

Ndipo musanalowe mankhwalawa, muyenera kupanga khola la khungu, kulikhomera ndi zala zanu ndikukoka pang'ono. Kupanda kutero, mankhwalawa amatha kuyambitsa minofu, yomwe imakhudza zotsatira zake. Potere, silikulimbikitsidwa kuti limasulidwe khungu mpaka mankhwala ataperekedwa kwathunthu.

Kukana insulini

Ngakhale wodwalayo ataba jakisoni wolondola, sangapereke zotsatira zomwe akufuna. Ndipo chifukwa cha izi nthawi zambiri zimakhala kukana kwa mankhwala omwe amagwiritsidwa ntchito.Zodabwitsazi mu mankhwala zimatchedwa "metabolic syndrome."

Zinthu ngati izi zimatha kupangitsa kukula:

• kupezeka kwa kuchuluka kwa thupi,
• cholesterol yayikulu magazi,
• kulumikizana pafupipafupi ndi kuthamanga kwa magazi (matenda oopsa),
• matenda a mtima
• polycystic ovary (mwa akazi).

Ngati wodwala ali ndi metabolic syndrome ndipo akapatsidwa jakisoni wa insulin, ndiye kuti sangapereke chilichonse. Ndipo zonse chifukwa choti maselo amthupi omwe ali munthawiyi amalephera kuyankha mahormoni. Zotsatira zake, kuchuluka kwa shuga m'magazi kumakwera kwambiri, komwe kapamba amapatsa zomwe zimachitika - imazindikira kuchuluka kwa glucose monga kuchepa kwa insulin mthupi, imayamba kutulutsa timadzi tating'ono tomwe, chifukwa chake, maselo ake amatopa msanga, ndipo kuchuluka kwa insulini m'thupi kumapitilira muyeso . Zonsezi zimabweretsa kuyipa kwa wodwala.

Kukana kwa insulini nthawi zambiri kumawonetsedwa ndi izi:

• kudya magazi,
• kuthamanga kwa magazi
• kutsitsa cholesterol "yabwino" m'magazi ndikuwonjezera "oyipawo",
• kuchuluka kwambiri kwa thupi
• kuwoneka kwa mapuloteni mumkodzo, komwe kumawonetsa kukula kwa aimpso.

Ndipo chifukwa choti kukana insulini kumatha kudzetsa mavuto akulu azaumoyo, kusowa kwa zotsatira zake pambuyo pakupereka mankhwalawa kuyenera kumuchenjeza wodwalayo ndikupangitsa kuti awunikenso, zomwe zingatsimikizire kapena kutsutsa kukula kwa vuto ili. Ngati matendawa atsimikizira, wodwalayo ayenera kulandira chithandizo chokwanira.

Samoji Syndrome

Matenda a Samoji amapanga mtundu wa insulin. Amakhala mu mawonekedwe a kuyankha kwa thupi kuukira mwadongosolo kuwonjezeka shuga. Matenda a Samoji amadziwonetsa ndi awa:

• Masana pali kusinthasintha kwakukuru kwamlingo wamagazi m'magazi, kenako ndikulowera kumalire ena, kumapeto.
• pafupipafupi kuukira kwa hypoglycemia, komwe kumatha kuwonekera pompopompo posachedwa
• kuwoneka mumkodzo wa matupi a ketone (wapezeka ndi kutumiza kwa OAM),
• njala yosalekeza
• kunenepa
• Mlingo wa insulin ulikulidwe, matenda akuwonjezeka,
• ndi chimfine, kuchuluka kwa shuga m'magazi sikusinthika (izi zimachitika chifukwa chakuti kachilombokaakalowa m'thupi, pamafunika mphamvu zambiri kuti athetse).

Odwala ambiri, akangoona kuchuluka kwa shuga m'magazi, amayamba kuwonjezera kuchuluka kwa insulin yomwe imagwiritsidwa ntchito, osakambirana ndi adokotala. Koma kuchita izi ndizoletsedwa. M'malo mochulukitsa kuchuluka kwa insulini yoyendetsedwa, muyenera kulabadira zina, monga mtundu wa chakudya chomwe mumadya, masewera olimbitsa thupi (wokhala ndi moyo wangwiro, ndalama zamagetsi ndizochepa, zomwe zimapangitsa kuchuluka kwa shuga) komanso kupezeka kwa kuchuluka kwambiri kugona ndikupumula.

Anthu omwe ali ndi matenda ashuga komanso kuwonjezeka kwa shuga m'magazi kwa nthawi yayitali sayenera kugwiritsa ntchito jakisoni wa insulin. Chowonadi ndichakuti kwa munthu aliyense wodwala matenda ashuga pamakhala miyezo yama glucose amomwe amamva bwino. Kugwiritsa ntchito insulin pankhaniyi kungayambitse kukula kwa matenda a Somogy komanso kufunikira kwa chithandizo chowonjezera.

Kuti atsimikizire kupezeka kwa mankhwala osokoneza bongo ambiri a insulin m'thupi, wodwalayo amafunika kufufuza njira zingapo. Chofunikira kwambiri mu bizinesi iyi ndi muyezo wa shuga wamagazi. Osatinso masana, komanso usiku. Kusanthula kumachitika nthawi zonse.Kuyesa koyambirira kwa magazi kuyenera kuchitika pafupifupi 9 koloko madzulo, miyeso yonse yotsatira iyenera kuchitika maola atatu aliwonse.

Ndi chitukuko cha matenda a Somogy, kuchepa kwambiri kwa shuga m'magazi kumawonedwa pafupifupi 2 koloko m'mawa. Ndipo ziyenera kudziwika kuti ndi usiku womwe thupi limadya mphamvu zochepa, chifukwa chake, insulin yomwe imayambitsidwa nthawi ya 8-9 pm imachita bwino kwambiri komanso motalika. Kuwonjezeka kwa shuga m'magazi a Somoji syndrome nthawi zambiri kumawonedwa m'maola 6.7 m'mawa.

Ndi njira yoyenera, Somoji syndrome imachiritsidwa mosavuta. Chachikulu ndikutsatira mosamalitsa malingaliro onse a adokotala ndipo musapitirire muyeso wa mankhwala okhala ndi insulin.

Malangizo pakuwerengera kuchuluka kwa insulin

Kuchita kwa insulin mwachindunji kumatengera mlingo womwe umagwiritsidwa ntchito. Ngati mungalowe mu kuchuluka kosakwanira, kuchuluka kwa shuga kwa magazi kumakhalabe kosasinthika. Ngati mukulitsa kuchuluka, ndiye kuti izi zingapangitse kukula kwa hypoglycemia.

Chifukwa chake, ndikofunikira kwambiri pakupanga shuga kuti awerenge molondola kuchuluka kwa insulini. Pankhaniyi, mfundo zotsatirazi ziyenera kukumbukiridwa:

• Ultra-yochepa-kuchita insulin mlingo kusintha. Nthawi zambiri, anthu omwe samayang'anira zakudya zawo amakumana ndi vuto la postprandial hyperglycemia. Zimachitika ngati wodwalayo asanadye chakudya asanayambitse kuchuluka kwa insulin ndipo nthawi yomweyo amadya mkate wambiri kuposa momwe angafunikire. Zikatero, makonzedwe a insulin mwachangu amakhala okwanira.
• Kusintha kwa insulin yayitali kwa nthawi yayitali kumadalira shuga m'magazi ndi m'mawa.
• Ngati wodwala ali ndi matenda a Somoji, mlingo wa mankhwala otulutsidwa m'mawa uyenera kukhala wamitundu iwiri kuposa madzulo.
• Ngati pali matupi a ketone mu mkodzo, kuchuluka kwa insulin yochepa-mwachidule kumayikidwa.

Nthawi yomweyo, monga tanena kale, zakudya za wodwalayo komanso zolimbitsa thupi tsiku lonse zimaganiziridwa. Chifukwa chakufunika kuzindikira zonsezi, ndi dokotala yekha yemwe angakhazikitse mlingo woyenera wa insulin, womwe ungagwire ntchito pochiza matenda a shuga.

Gulu

• nkhumba
• Zophatikizira (pafupifupi sizinagwiritsidwe ntchito)
• munthu
• fanizo la munthu.

• ultrashort
• zochita zazifupi
• nthawi yayitali
• nthawi yayitali
• kuphatikiza.

Pakadali pano, zokonda zimaperekedwa kwa nkhumba, monopic, yoyeretsedwa kwambiri ndi insulin.

Njira yoyendetsera: nthawi zambiri, kuphatikiza pazovuta, insulin imalowetsedwa mosatenthedwe kutentha kwa firiji.

Ultrashort insulin: zotsatira zimawonekera patatha kotala la ola, zotsatira zake zimakhala pambuyo pa maola 1-2, ndipo chochitikacho chimatha pafupifupi maola 4. Kuyamba musanadye chakudya kapena musanadye. Chitsanzo: Apidra (insulin glulisin), Novorapid Penfill, Humalog.

Ma insulin okhazikika: kuchepa kwa shuga kumachitika pambuyo pa mphindi 30 mpaka 40, kuchuluka kwake kwa mankhwalawa kumachitika pambuyo pa maola 2-3, ndipo nthawi yochita ndi pafupifupi maola 8. Chitsanzo: Actrapid NM, Actrapid MS, Munodar, Humodar R.

Kutalika kwapakatikati kwa insulins: kupereka kuchepa kwa glucose mkati mwa maola 1.5-2, kuchuluka kwake kumachitika pambuyo pa maola 7-8, kutalika kwa zochitika kumakhala pafupifupi maola 8-12. Kutalika kwa zotsatirazi kumagwirizana ndi kugwiritsa ntchito kwapadera kwa protamine kapena zinc prongeators. Chitsanzo: Monodar B, Protofan MS, Biosulin N,

Insulin yayitali: zotsatira zimawonekera patatha maola 5-7, kuchuluka kwake kumachitika pang'onopang'ono kwa maola 8-18 pambuyo pa kukhazikitsa, machitidwe a mankhwalawa amakhala pafupifupi tsiku limodzi. Chitsanzo: Lantus, Levemir Flexpen.

Kuphatikizika (magawo awiri): zotsatira pambuyo pa mphindi 30, ndende yayitali kwambiri pambuyo maola 2-8, yovomerezeka pafupifupi maola 20. Chitsanzo: Humodar K25, Gansulin 30P, Mikstard 30NM.

Insulin m'maphatikizidwe: Rysodeg FlexTouch, Ryzodeg Penfill. Kapangidwe kake ka mankhwalawa kumaphatikizapo insulin yochepa komanso yayitali.

Sulfonylureas

Chitsanzo: Glibenclamide, Glimepiride, Glipizide.

Kodi zimagwira bwanji? Imalimbikitsa mapangidwe amkati insulin.

Amagwiritsidwa ntchito kuti? Nthawi zambiri, kwa odwala matenda a shuga II, popanda zovuta zomwe zimafunikira insulin.

Chitsanzo: Buformin, Metformin (amene kwenikweni ndi biguanidine yemwe amagwiritsidwa ntchito kuchipatala), Fenformin.

Kodi zimagwira bwanji? Kuchuluka kwa glucose amatenga minofu (chiwindi, minofu), zoletsa wa inactivation amkati insulin. Amagwiritsidwa ntchito kuti? Chithandizo cha matenda amtundu wa II, makamaka zotsatira zake zimakhala za postprandial hyperglycemia

Incretomimetics

Chitsanzo: Analogs a GLP-1 (glucagon-like peptide) -Liraglutide, Exenatide. Kodi zimagwira bwanji? Kukonzekera ndi mapuloteni ochita kupanga omwe amafanana ndi omwe amapangidwa m'magawo oyamba am'matumbo ang'onoang'ono ndikupereka insulin ngati atapangidwa ndi shuga. Nthawi yomweyo, pali kuchepa kwa kaphatikizidwe ka glucagon (kagayidwe kake ka insulin) ndikuchepetsa m'mimba (chifukwa chake, chakudya chidzalowa m'matumbo ndi magazi pang'onopang'ono).

Zithandizo za anthu

Magulu osiyanasiyana amalimbikitsa kugwiritsa ntchito infusions ndi mitundu yambiri kuti muchepetse shuga. Zitsanzo ndi izi: tiyi wochokera masamba obisika a m'nkhalango raspberries, madzi a mmera, kugwiritsa ntchito zowawa (chowawa, tsabola, tansy, anyezi), zomwe zimapangitsa magwiridwe antchito a kapamba, kulowetsedwa kwa nyemba za nyemba.

Pomaliza

Kuchepetsa shuga m'magazi ndikofunikira kwambiri kupewa matenda oyipa chifukwa cha matenda ashuga. Chifukwa chake, muyenera kufotokozera wodwalayo za kufunika kolamulira nokha shuga, ndipo ngati pali zovuta zilizonse, pezani dokotala yemwe akupatseni zakudya zoyenera komanso mankhwala. Komanso, munthu sayenera kuyiwala za kupewa, ndipo zazikulu zomwe zikuwoneka pano ndizofunika kwambiri pakupezeka zakudya zopatsa thanzi komanso kulimbitsa thupi mokwanira.

Njira yayikulu yotsatirira shuga wamagazi anu ndi kuyesa kwa A1c. Monga mukudziwa, cholinga cha American Diabetes Association ndikupereka zosakwana 7% A1c, ndipo zipatala zambiri tsopano zimakonda kutsika mitengo kwambiri: 6.5 kapena 6%. Ngati mukulephera kuchepetsa shuga, nayi malangizo.

Bwerera kumayambiriro komwe (inde, kachiwiri). Ngati mukunenepa kwambiri, kuchepa thupi ndiye chizindikiro chokwanira cha kuchepa kwamphamvu kwa hemoglobin A1c. Kaya ndinu onenepa kwambiri kapena ayi, mfundo zomwezo ndizothandizanso pakuyang'anira shuga. Ngati chakudyacho chimangokhala zamasamba, ndiye kuti simumadya mafuta a nyama. Ndipo ngati munasiya mafuta azamasamba, ndiye kuti simukulemera konse. Ndi masinthidwe opatsa thanzi awa, mumawotcha mafuta mkati mwa minofu yanu. Monga momwe mudawonera m'mutu 2, ndizomwe zimapangitsa kuti insulin ikane.

Phatikizaponso zakudya zopatsa thanzi. Anthu ambiri mopanda malire amapewa zakudya zokhazikika. Amanenanso kuti nyemba, mphodza, pasitala, mbatata, kapena malema zimawonjezera shuga. Zachidziwikire, mukamayeza shuga mutatha kudya, mawerengedwa amakula. Komabe, ichi sindiye chifukwa chosiya zakudya zamafuta ndi kubwerera ku zakudya zamafuta kapena zama protein. Chifukwa chake.

Mafuta a nsomba ndi mbalame amalepheretsa kuyesa kuchepa. Zimasokonezeranso insulin kukana. Nayi zochitika.

Munthu amamva kuti "zakudya zopatsa mphamvu sizabwino," kapena amawona kuti shuga wamagazi amawonjezeka atangodya mpunga kapena masamba omwe ali ndi wowuma. Akuganiza zosiya zakudya zamagulu m'malo mwa nkhuku ndi nsomba. Chilichonse chimayenda bwino poyamba. Glucose ndi wokhazikika ndipo samachulukitsa pambuyo chakudya chochepa chomwe chimakhala ndi shuga. "Eya!" Akutero."Ndazindikira kuti kudya koteroko kumachepetsa shuga!" M'masiku angapo otsatira, wodwalayo adazindikira kuti zowerengera zake zamagazi zidayamba kusintha. Amachulukana pang'onopang'ono, ndipo pakatha sabata kapena awiri kuchuluka kumakhala kwakukulu. "Ndi chiyani?" Tipereka yankho. Pali magawo atatu okha a zopatsa mphamvu: chakudya, mafuta, ndi mapuloteni. Kukana chakudya chamafuta, munthu amadya mafuta, omwe amakonda kuwonjezera kukana kwa insulin, komanso mapuloteni, omwe ali ndi zotsatira zoyipa zambiri. Kumwa mafuta mwachangu sikunawonjezere shuga m'magazi, koma zakudya zamafuta zimakonda kuwonjezera kuchuluka kwamafuta m'maselo a thupi. Zotsatira zake, kukana insulini kumayamba kuchepa. Izi zikutanthauza kuti zakudya zilizonse zomwe adadya pambuyo pake zimapangitsa kuti shuga wamagazi azikula kuposa kale. Chifukwa chake, insulin ikukula tsiku lililonse.

Zakudya zamafuta ziyenera kupewedwa ndipo zakudya zopatsa thanzi zopatsa thanzi ziyenera kudyedwa, kuzisankha zozikidwa pamlo wamagulu a shuga. Mwachitsanzo, nyemba (nyemba, nandolo, ndi mphodza), masamba, zipatso, ndi tirigu wathunthu. Zakudya nthawi zonse zimapangitsa kuchuluka kwa shuga m'magazi, koma posachedwa mudzaona kuti insulivityity ikubwerera pang'onopang'ono.

Pitani kwa dokotala. Chovuta chofala kwambiri cha kuchuluka kwa shuga ndi matenda. Kuzizira, matenda amkodzo, zotupa za pakhungu. Zonsezi zimakonda kukweza glucose wamagazi. Nthawi zina ngakhale kudula pang'ono kapena chifuwa kumayambitsa kulumpha mwamphamvu mmenemo. Pa chithandizo (ngati izi zachitika ndi zonse zofunika), kuchuluka kwa glucose amabwezeretseka. Munthawi imeneyi, adokotala angasankhe mankhwala apadera a shuga.

Penyani misempha yanu. Unasi uliwonse umakweza shuga. Kuyankha kwakuthupi kupsinjika komwe kumakukonzekerani kuti mumenye kapena kuthawa zoopsa kumatha kuchitika ndi mtundu wina uliwonse wowopsa, weniweni kapena woganiza. Kuchulukitsa kuchuluka kwa shuga m'magazi kunali kopindulitsa kwambiri panthawi yomwe titha kukumana ndi olusa komanso mafuko omenyera nkhondo. Magazi owonjezera a shuga adadyetsa magulu akulu a minofu, kuthandiza kuthamanga kapena kumenya. Masiku ano tikuopa zovuta kuntchito, zovuta zachuma komanso mavuto mu maubale. Komabe, momwe zochita zathupi sizinasinthe, kuyankha kukugwirabe ntchito, kuchititsa kukwera kwa shuga m'magazi. Ngati kupsinjika sikukhala motalika - mutha kuzindikira kuti kuchuluka kwa shuga kubwereranso mwachangu mokwanira. Ngati ndi yayitali, chitani masega a yoga, kusinkhasinkha. Vutoli likhoza kukhala lakuya kwambiri, pazinthu zoterezi ndizotheka kukhala ndi nkhawa, kumverera kwa nkhawa yayitali - ndiye musayese kukhala ngwazi.

Masewera olimbitsa thupi. Ngati simukugwiritsidwa ntchito kuti mukhale moyo wokonzekera - ndi nthawi yoyamba. Kuchita masewera olimbitsa thupi kumathandizira kuchepetsa shuga.

Nthawi zambiri, kutsatira malangizowa kungakuthandizeni kuti muchepetse shuga. Ngati magazi a shuga akukhalabe okwera, ngakhale mutayesetsa kwambiri, dokotala amafunsira mankhwala ena.

Somoji syndrome ndi mkhalidwe wa insulin yambiri. Dzina lina la matendawa ndi posthypoglycemic hyperglycemia kapena ricocheted hyperglycemia. Kutengera ndi mayina aposachedwa, titha kumvetsetsa kuti Somoji syndrome imayamba chifukwa cha hypoglycemia, yodziwikiratu komanso yobisika.

Kuti mumveke bwino bwino, ndipereka chitsanzo. Mwachitsanzo, munthu ali ndi shuga wa 11.6 mmol / L, podziwa izi, adadzipangira mlingo wa insulin kuti ayitsitse, koma patapita kanthawi adayamba kumva kufooka kwa hypoglycemia m'njira yofooka. Komabe, sanathe kuletsa izi mwachangu pazifukwa zina. Pakupita nthawi, adayamba kumva bwino, koma pamayezero otsatirawa adapeza kuchuluka kwa glucose a 15.7 mmol / L.Pambuyo pake adaganiziranso zopanga insulin, koma pang'ono.

Popita nthawi, Mlingo wanthawi zonse wa insulin sanachepetse shuga, koma hyperglycemia idalimbikira. Posazindikira zomwe anali kuchita, mwamunayo adayesa pachabe kuti athetse shuga mwa kuwonjezera kuchuluka kwa shuga mokulira. Zotsatira zake, adangokulirakulira, kumva kuti wathedwa mphamvu, kupweteka kwakumutu pafupipafupi kunayamba kumuzunza, adanenepa kwambiri, ndipo anali ndi njala nthawi zonse, sikuti shuga adangotukuka, koma adayamba kuchita zachilendo: idafika kwakukulu masaizi, kenako pazifukwa zosasinthika adagwa.

Ichi ndi chitsanzo chabwino kwambiri cha kukula kwa matenda a Somoji, koma pali zochitika zina, zomwe zimapangitsa kuti zikhale zosiyana. Komabe, onsewa amaphatikizidwa ndi pathogenis imodzi ndi zotulukapo. Matenda a insulin kwambiri amakhala amtundu uliwonse wa matenda ashuga omwe jakisoni wa insulin amagwiritsidwa ntchito ngati chithandizo. Zilibe kanthu kuti mumangogwiritsa ntchito insulin basi. Pankhani ya mankhwala osokoneza bongo a insal insulin, amatha kuchitika mwanjira yomweyo, ndipo wodwalayo "adzadabwa" ndi zovuta zam'mawa kwambiri, ndipo madzulo amenewo adzakulitsa mlingo wa basal, poganiza kuti sikokwanira.

Chifukwa chiyani shuga limatuluka pambuyo pa hypoglycemia

Chifukwa chake, mukumvetsetsa kuti matendawa amakula poyankha pafupipafupi hypoglycemia. Tsopano ndikufotokozera chifukwa chake pafupipafupi hypoglycemia ingayambitse vutoli. Kutsika kwa shuga m'magazi kumazindikiridwa ndi thupi ngati kupsinjika kwakukulu, ndi chizindikiro cha ngozi. Chifukwa chotsitsa glucose pansi pamlingo wina, njira yoteteza imayatsidwa. Njira iyi imakhala ndi kutulutsidwa kwamphamvu kwa ma hormone onse a contra-mahormoni: cortisol, adrenaline ndi norepinephrine, kukula kwa mahomoni ndi glucagon.

Kuwonjezeka kwa magazi a mahomoni opatsirana kumayambitsa kusweka kwa glycogen, malo ofunika kwambiri a glucose m'chiwindi kuti pakachitika ngozi mwadzidzidzi. Zotsatira zake, chiwindi chimatulutsa shuga m'magazi mosavuta, motero zimachulukitsa kangapo kuposa momwe zimakhalira. Zotsatira zake, timapeza kuwerengera kwakukulu kwa mulingo wa shuga pamamitala (15-17-20 mmol / L kapena kuposa).

Nthawi zina kutsika kwa glucose kumachitika mwachangu komanso mwachangu kwambiri kotero kuti munthu alibe nthawi yoti athe kuzindikira zizindikiro za hypoglycemia, kapena amangochita zodandaula kwambiri. Hypoglycemia yotchedwa latent kapena propping. Popita nthawi, ngati zochitika za hypoglycemic zibwerezedwa pafupipafupi, nthawi zambiri munthu amalephera kuzimva. Koma hypoglycemia ikayamba kuchepa kapena kutha paliponse, kuthekera kwa kuganiza komweko kumatha.

Zotsatira zake za kutulutsidwa kwa mahomoni opikisana, kuphatikizidwa kwa mafuta kumachitika, kusweka kwawo ndikupanga matupi a ketone, omwe amabisidwa ndi mapapu ndi impso. Chifukwa chake mu mkodzo mumawoneka ma acetone, makamaka m'mawa. Chifukwa chake, ngakhale pamisempha yotsika kwambiri mumkodzo, acetone imawoneka, chifukwa sizobwera chifukwa cha hyperglycemia, koma chifukwa cha ntchito ya mahomoni olimbana ndi mahomoni.

Chifukwa cha kuchuluka kwa insulin, munthu amafunitsitsa kudya, ndipo amadya, pomwe thupi limakula mwachangu, ngakhale ndi ketoacidosis, kunenepa, m'malo mwake, kumayenera kumachoka. Pano pali kuwonjezereka kwapadera kwa kulemera kwa thupi motsutsana ndi maziko akumera ketoacidosis. kuti mudziwe zambiri za ketoacidosis.

Zizindikiro za Somoji Syndrome

Chifukwa chake, mwachidule. Kutengera ndi zizindikiro zotsatirazi, mankhwala osokoneza bongo a insulini amatha kukayikakayika kapena kuwapeza.

• Kusinthasintha kowopsa m'magazi a glucose masana kuyambira otsika kupita pamtunda, zomwe zimatchedwa diagonals.
• Hypoglycemia pafupipafupi: zonse zowonekera komanso zobisika.
• Kuchuluka kwa maonekedwe a ketone m'magazi ndi mkodzo.
• Kulemera kwambiri komanso kumangokhala ndi njala.
• Kuzindikira kwa maphunziro a shuga poyesa kuwonjezera Mlingo wa insulin, komanso, kusintha ndi kuchepa.
• Kuwongolera magwiridwe antchito a shuga panthawi ya chimfine, pamene kufunikira kwa insulin mwachilengedwe kumawonjezeka komanso kumwa kwa m'mbuyomu ndikokwanira.

Mufunsanso kuti: "Mungadziwe bwanji hypently hypemlycemia komanso kuti shuga yachuluka chifukwa cha ichi?" Ndiyesa kuyankha funsoli, chifukwa mawonetsedwewo akhoza kukhala osiyana kwambiri komanso onse amodzi.

Zizindikiro zosatsatirika za ana ndi akulu omwe:

• Kuchepa kwadzidzidzi ndi mutu womwe umasowa pambuyo podyera chakudya.
• Kusintha kwamwadzidzidzi, nthawi zambiri pamakhala kusasamala, nthawi zambiri - euphoria.
• Kuwoneka kwadzidzidzi kwa madontho, kuzimiririka patsogolo pa maso a ntchentche zomwe zimadutsa mofulumira.
• Kusokonezeka tulo. Kugona kopitilira muyeso, kumangolota usiku.
• Kumva kutopa m'mawa, kuvutika kudzuka.
• Kuchulukitsa kugona masana.

Mu ana, hypoglycemia yamakono imatha kukayikiridwa ngati mwana, amakonda kwambiri chinthu, mwadzidzidzi amasiya kusewera, kusangalala kapena, mosatopa, komanso kupsinjika. Mumsewu, mwana angadandaule chifukwa cha kufooka m'miyendo, kuti zimamuvuta kupita patsogolo, ndipo akufuna kukhala. Ndi hypoglycemia usiku, ana amalira m'maloto, kugona tulo, ndipo m'mawa amadzuka oopsa komanso osweka.

Kusalephera kudziletsa komanso kusatsimikizika kwa hypoglycemia kumatha kukhala kwa maola makumi asanu ndi awiri ndi umodzi kapena kuposerapo, ndi nthawi ino kuti mkuntho wa mahomoni mkati mwamthupi umachepa. Ichi ndichifukwa chake zimakhala zovuta kusintha ngakhale shuga ngati hypoglycemia imachitika tsiku lililonse. Madzi atangoyamba kukula, motero hypoglycemia yatsopano imabweretsa chisangalalo chatsopano. Kusatsimikizika kwathu nthawi zambiri kumakhala kwa tsiku limodzi, ndiye kuti zonse zimakhazikika. Nanga bwanji inu?

Chizindikiro chinanso chomwe tikuthana ndi zotsatira za hypoglycemia ndikusazindikira kuyamwa kwa insulini yapita tikatsitsa jakisoni, ndiko kuti, palibe chidwi chokhudza insulin yomwe idalipo kale, ndikuchepetsa shuga, muyenera kuchuluka Mlingo wa insulin. Ndimagwiritsa ntchito lamulo ndekha ndikukulangizani kuti mugwire ntchito.

Zoyenera kuchita ndi Somoji syndrome

Ndipo, munthu akawona shuga yapamwamba kwambiri, amayamba kuchita chiyani? Ndizowona, ambiri amayamba kuwonjezera kuchuluka kwa insulin, koma chinthu choyamba kuchita ndikutembenukira ku ubongo ndikuwona chifukwa chake zoterezi zimachitika pakati pa shuga. Zikatero, ndikulimbikitsa kubwereza kuyeserera komweko mwa zinthu zomwezo (chakudya, kugona, kuchita masewera olimbitsa thupi ndi mlingo wa insulin). Ngati mbiri ikubwereza kangapo, ndiye kuti muyenera kuyamba kuganiza zoyenera kuchita. Koma zambiri pambuyo pake.

Pali mfundo ina inanso. Anthu ena amakhala ndi shuga wambiri kwa nthawi yayitali, mwachitsanzo, nthawi zonse pafupifupi 11-12 mmol / L, pomwe akatha kudya amakwera mpaka 15 mm mm / L. Ndipo munthu akafuna kudzisamalira ndikumaliza shuga, zovuta zimatha kubuka. Chowonadi ndi chakuti thupi panthawiyi limagwiritsidwa ntchito kuzizindikiritsa izi ndikuziwona kuti ndizobwinokha pazokha. Zachidziwikire, palibe chachilendo malinga ndi zovuta. Kutsitsa shuga kufikira anthu osiyanasiyana athanzi, mwachitsanzo, mpaka 5.0 mmol / l, kumamupangitsa kukhala ndi vuto la hypoglycemia, kenako matenda a rebound.

Pankhaniyi, simukuyenera kuyesetsa kuti muchepetse shuga mwachangu kuti musabwezere m'mbuyo, monga momwe anthu ashuga odziwa matenda ashuga amatchedwanso posthypoglycemic reaction. Ndi nthawi komanso kuchepa kwapang'onopang'ono kwa shuga m'magazi, kudziwa mphamvu zamagulu a glucose kudzabwezeretsanso. Pankhaniyi, kuthamanga kumangowawa.

Tsoka ilo, nthawi zina kuchepetsedwa kwa insulin sikokwanira. Kuti thupi libwerere mwakale, pamafunika njira zosiyanasiyana. Ndikofunikira kuyang'ananso kuchuluka kwa chakudya chamafuta, kuchepetsa kuchuluka kwake, komanso kulumikizanso zochitika zolimbitsa thupi nthawi zonse.

Mukamawona shuga m'mawa pafupipafupi, musathamangire kuti muchepetse mankhwala a basal insulin nthawi yomweyo. Somoji syndrome ikuyenera kusiyanitsidwa ndi Morning Dawn Syndrome kapena wamba kuchepa kwa ichi chomwe .

Momwe Mungatsimikizire Kuti Ndi Odwala Kwambiri A Insulin

Kuti muchite izi, muyenera kulimbikira kugwira ntchito usiku ndikusankha miyezo ya shuga pafupipafupi. Zachidziwikire, zingakhale bwino kugwiritsa ntchito chipangizocho kupitiliza kuyang'anira shuga, mwachitsanzo, a. Koma ngati sichoncho, mutha kuthana ndi mita. Poyamba, kuyeza shuga maola atatu aliwonse kuyambira 21:00. Mwanjira imeneyi mumatha kuzindikira kusinthasintha kwakukulu. Monga lamulo, hypoglycemia imatha kupezeka pakati pa 2:00 mpaka 3:00 usiku.

Ndi panthawiyi pomwe kufunika kwachilengedwe ka insulin kumachepa + pakadali pano kuchuluka kwambiri kwa insulin (Protafan, Humulin NPH) nthawi zambiri kumatha kugwa ngati kunapangidwa zisanu ndi zitatu kapena zisanu ndi zinayi madzulo. Koma ngati mlingo wa insulin ndi waukulu kwambiri, ndiye kuti hypoglycemia imatha kuchitika nthawi ina iliyonse usiku, kotero ndikulimbikitsa kuyang'anira usiku wonse, osangokhala 2:00 kapena 3:00 usiku.

Ndi Morning Dawn Syndrome, msinkhu wa shuga umakhazikika usiku wonse, ndipo umadzuka m'mawa. Ndikusowa kwa insulin ya basal usiku, mulingo wa shuga umakwera pang'onopang'ono kuyambira nthawi yomwe mumagona. Ndi Somoji syndrome, kuchuluka kwa shuga kumayambiriro kwa usiku ndikokhazikika, pofika pakati kumayamba kutsika, kumafika pamlingo winawake, chifukwa chomwe njira ya antihypoglycemic imayamba, kenako timawona kuchuluka kwa shuga m'mawa.

Chifukwa chake, kuti ayambe kutuluka pagulu loyipalo, munthu ayenera kuyamba kuyang'ana pang'onopang'ono kupanga kupanga kwa insulin panthawi zosiyanasiyana za tsiku. Muyenera kuyamba ndi usiku insulin, kenako onani momwe basal imagwirira ntchito masana, kenako pang'onopang'ono kuwunika zotsatira za insulin yochepa.

Ntchitoyi ikhoza kutenga nthawi yambiri, mwina ngakhale miyezi ingapo. Ndikupangira kuti musinthe mlingo wa inulin inayake, onetsetsani kuti mwofunikira. Nthawi zambiri ndimasunga masiku atatu ndisanasankhe kusintha mtundu wa insulin. Izi sizikugwira ntchito kokha ku Somoji syndrome, komanso ku chizolowezi chofanana ndikusankha Mlingo wa insulin. Mwa njira, ndayiwala kunena kuti: onetsetsani kuti mukuwerenga chakudya moyenera. Nthawi zina sizigwira ntchito chifukwa kukana kwa banal kugwiritsa ntchito zolemera. Pankhaniyi, mosalephera nthawi iliyonse mafuta ochulukirapo akapezeka.

Mukakhala ndi shuga wambiri, sikuti ndimangokhala thanzi labwino, komanso owopsa thanzi. Ngati shuga wambiri atenga nthawi yayitali, izi zimatha kubweretsa zovuta zazifupi zam'mimba - matenda ashuga ketoacidosis ndi hypersmolar coma.

Pakanthawi kochepa, koma kuwonjezeka pafupipafupi m'magazi a magazi kumavulazanso mitsempha yamagazi, impso, maso, miyendo. Ndi chifukwa cha izi kuti zovuta zimayamba pang'onopang'ono.

Ngati mwachulukitsa shuga wamagazi (chikhalidwe ichi chimatchedwa hyperglycemia) - muyenera kudziwa momwe mungazibweretsere pansi moyenera - mpaka 4,8 - 6.5 mmol / lita. Ngati mungachepetse osaganizira, mutha kutsika kwambiri ndiku "kugwa" kukhala malo owopsa kwambiri m'thupi - mu hypoglycemia.

Tiona zina mwazomwe mungachite kuti muchepetse shuga m'magazi posachedwa.

Zizindikiro ziti za shuga wambiri?

Choyamba muyenera kuonetsetsa kuti muli ndi shuga wambiri. Zizindikiro zapamwamba za hyperglycemia ndi izi:

• Kumva ludzu kwambiri.
• Nthawi zambiri mumayamba kupita kuchimbudzi kukakodza.
• Pakamwa panga pakumva zowuma.
• Lethargy ndi kutopa kumakula (chizindikiro chokhacho sichingadalire, chifukwa chitha kupezekanso ndi hypoglycemia).
• Mumakhala wosakwiya, simusangalala.

Yang'anani shuga yanu yamagazi

Ngati muli ndi matenda ashuga ndipo mukumwa mankhwala omwe amachepetsa shuga ndipo amatha kuyambitsa hypoglycemia, ndikofunika kuti muyeza shuga mumagazi anu ndi glucometer musanayambe kumubweretsa ndikuwubweza. Izi zikuyenera kuchitika pofuna kupewa zina mwa shuga wochepa kuti asatengedwe chifukwa cha hyperglycemia. Izi ndizofunikira kwambiri ngati mukuthandizidwa ndi insulin.

Onetsetsani kuti mumayeza shuga kuti zitsimikizidwe kuti zimakwezedwa.

Kodi ndiyenera kupita liti kuchipatala?

Ndikofunika kudziwa kuti kuchuluka kwambiri kwa glucose m'magazi kungakhale koopsa ku thanzi, chifukwa chake simuyenera kubweretsa nokha, koma muyenera kuyitanitsa ambulansi. Ngati pakamwa panu mumanunkhira acetone kapena zipatso, ndiye kuti mwayamba kudwala matenda ashuga a ketoacidosis ndipo mutha kuchiritsidwa moyang'aniridwa ndi dokotala. Ndikupezeka ndi shuga wambiri (oposa 20 mmol / lita), vuto lovuta kwambiri komanso loopsa la matenda ashuga limayamba - chikomokere cha matenda oopsa. Β Panthawi izi, simukuyenera kugwetsa shuga nokha, koma muyenera kuyimbira foni dokotala.

Jakisoni wa insulini athandizira kutsitsa shuga wamagazi ambiri (koma izi sizoyambira)

Ngati akukupatsani insulin, njira imodzi yochepetsera shuga yanu ndiyo kubaya insulini.

Jakisoni wa Insulin - Njira Yofunika Kwambiri Yothira Magazi A shuga

Komabe, samalani, chifukwa insulin imatha kuyamba kugwira ntchito pambuyo pa maola 4 kapena kupitirira apo, ndipo panthawiyi mkhalidwe wa wodwalayo ungakulire kwambiri.

Ngati mungaganize zokhala ndi shuga wambiri ndi insulini, gwiritsani ntchito insulin yochepa kapena yochepa kwambiri. Mitundu ya insulin iyi imayamba kuchita zinthu mwachangu kwambiri. Koma samalani, monga Kugwiritsa ntchito bongo mopitirira muyeso kumatha kuyambitsa hypoglycemia, ndipo kumatha kukhala koopsa, makamaka musanakagone.

Kuchepetsa shuga m'magazi kuyenera kukhala pang'onopang'ono. Pangani jakisoni wochepa wa insulin yamagulu atatu, kuyeza shuga m'magazi theka lililonse la ola ndikuyika mulingo wochepa wa insulin mpaka shuga ibwerere mwakale.

Ndi ketoacidosis, mudzafunika kuthandizidwa

Ngati simunadziwe shuga woletsa, sikuletsedwa kudzipatula popanda magazi. Kumbukirani kuti insulin si chidole ndipo chingaike moyo pachiswe!

Kuchita masewera olimbitsa thupi Sizothandiza Nthawi Zonse Kuchepetsa shuga

Kuchita masewera olimbitsa thupi kumatha kuthandizira kuchepetsa shuga m'magazi anu, koma pokhapokha magazi anu akachulukitsidwa pang'ono ndipo mulibe hyperglycemia kapena ketoacidosis. Chowonadi ndi chakuti ngati muli ndi shuga wambiri musanayambe kuchita masewera olimbitsa thupi, zimawonjezereka kwambiri kuchokera pakuchita masewera olimbitsa thupi. Chifukwa chake, njirayi siili yofunikira poteteza matenda a glucose.

Mu kanema uyu, Elena Malysheva amafotokoza njira zochepetsera shuga.

Momwe mungabweretsere msanga shuga wambiri ndi wowerengeka azitsamba?

Kumbukirani kuti wowerengeka azitsamba amachepetsa shuga pang'ono pang'ono, ndimangogwiritsa ntchito ngati othandizira komanso othandizira. Zithandizo zina zachikhalidwe simudzatha kubweretsanso shuga munthawi yochepa.

Mwachitsanzo, amalemba kuti bay tsamba limatsitsa shuga. Mwina zili choncho, koma mankhwalawa sachepetsa msanga magazi anu, makamaka ngati muli nawo pamwamba pa 10 mmol / lita.

Zithandizo za anthu ozizwitsa zimakhulupirira, monga lamulo, kwa iwo omwe adayamba kudwala matenda ashuga ndipo sakudziwa zenizeni. Ngati mukutsutsana ndi mankhwalawa ndi mapiritsi a insulini kapena kutsitsa shuga, yesetsani kumwa mankhwala wowerengeka, kenako kuyeza kuchuluka kwa shuga m'magazi. Ngati izi sizikuthandizani, itanani madokotala.

Imwani madzi ambiri

Ngati shuga wanu wamagazi ndiwokwera kwambiri, thupi lanu limayesetsa kuchotsa shuga owonjezera m'magazi kudzera mkodzo. Zotsatira zake, mufunika madzi ambiri kuti mudzinyonthoze ndikuyamba kudziyeretsa nokha. Imwani madzi abwino bwino, imwani ambiri, koma osapitilira, chifukwa Mutha kumwa madzi ngati mumamwa malita angapo amadzi munthawi yochepa.

Madzi ndikofunikira, koma dziwani kuti simungathe kutsitsa shuga wambiri ndi madzi nokha. Madzi ndi gawo lofunikira polimbana ndi shuga ambiri mthupi.

Njira Zotsogola ndi Zachipatala za Insulin Kukwanira

Chifukwa chake, ngati mukuyang'anizana ndi zomwe tafotokozazi, ndipo simukudziwa chifukwa chake shuga samachepa, ngakhale mumalandira chithandizo ndi insulin, tikupangira kuti muwone zotsatirazi:

Kodi munayang'ana kuti tsiku lanu la insulin latha liti?

Wodwala yemwe analibe vuto la insulin amagwiritsa ntchito mwangozi insulin, zaka 1.5 zapitazo chifukwa Panalibe njira yofotokozera kuchuluka kwa shuga tsiku lililonse mpaka m'mawa mpaka kukonzedwa.

Kodi mumasungitsa insulini mufiriji? Kodi adamasuka? Kodi insulin ija inauma m'thumba, kodi inathanso kutentha? Kodi amatetezedwa ku kuwala?

Insulin yamoyo wabwinobwino imatha kuwonongeka ngati itasungidwa mosayenera. Wonongerani insulin: kuzizira, kutentha kwambiri, dzuwa mwachindunji.

Kodi mumasunga kutentha kwa insulin?

Inde, ikhoza kusungidwa m'chipinda kutentha (20-22C). Sikufunika kuisunga mufiriji: kuyambitsa kuzizira, kumakhala kofooka.

Kodi mumasakaniza ma insulini osiyanasiyana mu syringe imodzi?

Mankhwala ena a insulin ya nthawi yayitali (protafan, chymulin N) amatha kusindikizidwa musanalowetsa jakisoni imodzi ndi insulini yochepa (ngakhale izi zimafunikira kusungidwa kwa malamulo apadera ndikuwonjezera chiopsezo cha zolakwika pakusankha kwa mankhwala). Ma insulin ena omwe akhala akuchita kwa nthawi yayitali (monotard, tepi) akaphatikizidwa ndi insulin yochepa kumayambitsa kufooka kwa zochita za osakaniza.

Kodi mpweya walowa mu syringe?

Ngati simukuwona kuti mu mpweya mu syringe, mutha kubayira insulini yocheperako kuposa momwe mukuyembekezera.

Kwa masabata angapo, insulin imalowetsedwa mu umodzi mwa zigawo (mwachitsanzo, mapewa akumanzere ndi kumanzere), masabata angapo otsatira - ena (mwachitsanzo, ntchafu lamanja ndi lamanzere) - zina.

Kodi simulowa mu zisindikizo kapena "wen" mutatha jakisoni yakale?

Mukalowetsa malowa, insulin imakhala yofooka kuposa masiku onse (mukalowetsa khungu lanu).

Kodi mumapukuta khungu ndi mowa musanalowe jakisoni?

Mowa umawononga insulin. Kuphatikiza apo, chithandizo chotere cha khungu sichofunikira, chifukwa chiopsezo chotenga kachilomboka pamalo opezeka jakisoni pogwiritsa ntchito insulin yamakono ndi syringes ndi zero.

Kodi mumapinda khungu musanabaye jekeseni?

Ngati izi sizichitika, insulin imatha kubayidwa mu minofu. Izi ndizoyipa chifukwa simukutsimikiza za insulin. Idzakhala yamphamvu kapena yopanda mphamvu. Khola la khungu silingathe kumasulidwa kufikira mutalowetsa insulini yonse.

Kodi mumadikirira masekondi 5-7 musanachotsere singano mutatha jakisoni? Kodi madontho a insulini amatuluka kuchokera m'malo a jakisoni?

Ngati izi sizichitika, insulin idzayambiranso kudzera m'malo a jakisoni. Poterepa, gawo losadziwika la insulin (2, 3, 5 kapena kuposa) silalowa mthupi. Pali njira zapadera zopewa kutayikira.

Patsala mphindi zingati kuti mudyetse? Kodi mumatsatira nthawi zonse?

Ngati mugwiritsa ntchito cholembera:

Kodi mumasakaniza insulin yochulukirapo motani?

Kugwetsa chogwirizira pakati pa manja sikothandiza! Ndikofunikira kutembenuza nthawi 5-7 ndi singano kumtunda ndi pansi.

Kodi insulin ikudontha kuchokera ku singano mutabayidwa?

Ngati mpweya ulowa m'matumba, nthawi ya jakisoni wa insulin imatha kutalika (chifukwa cha kupindika kwa mpweya). Mutha kuchotsa singano musanatuluke insulini yonse.

Kodi mukutenga insulini yoyenera? Kodi mukuyenera kumaliza mlingo womwe mwalandira?

Ndi vuto losaona, zolakwika zitha kuchitika ndikuyika nambala yamagulu amafunikira. M'mipeni ina ya syringe, ngati batani la piston silikakamizidwa kwathunthu, insulin imangoyendetsedwa pang'ono. Mukudziwa. Monga momwe zikusonyezera, nthawi zambiri “kuvuta kwa shuga” ndikunama.

Zifukwa zamankhwala zosagwiritsa ntchito insulin

• Kunenepa kwambiri
• Mafuta a cholesterol ndiwokwera kwambiri kapena otsika kuposa momwe amafunikira
• Matenda osiyanasiyana amtima
• Ovary Polycystic,
• Matenda a chiwindi.

• Kunenepa kwambiri

Moyo wa alumali ndi malo osungira

Choyamba, tisaiwale kuti insulin, monga mankhwala ena aliwonse ali ndi tsiku lotha ntchito.Phukusi kuchokera ku gawo la mahomoni, tsiku lenileni la kumaliza kwake ndi zizindikiro zofananira, zomwe zili zovomerezeka kale kuyambira pakutsegulira, zimasonyezedweratu. Ayenera kukumbukiridwa kapena kuonana ndi endocrinologist. Kupanda kutero, sikuti njira yongobwerera yokha siyotheka, komanso kupezeka kwa zovuta zina.

Kuphatikiza apo, mawonekedwe ake ngakhale atakhala ndi alumali ambiri akhoza kuwonongeka ngati malamulo osungira satsatiridwa. Polankhula za izi, akatswiri amalabadira kuzizira, kutentha kwambiri ndi kuwunika mwachindunji - zonsezi zimalimbikitsidwa kwambiri kuti musamale. Ndikofunika kulabadira kuti mawonekedwe ake ayenera kusungidwa pokhapokha kutentha. Tikulankhula za chizindikiro cha kutentha kuyambira madigiri 20 mpaka 22.

Kusungidwa kwa insulini mufiriji ndikosafunanso, chifukwa chinthu choterocho, ngati chikuyambitsidwa, chimachedwa. Nthawi zina ichi ndi chifukwa chake insulin siyitsitsa magazi.

Kuphatikiza mawonekedwe ndi zina

Mankhwala ena, monga omwe amadziwika chifukwa cha kuchuluka kwa insulin (mwachitsanzo, Protafan kapena Himulin N), ndizovomerezeka kuyimira mu syringe imodzi yokhala ndi gawo lalifupi musanalowe. Nthawi yomweyo, ndikulimbikitsidwa kuti musaiwale kuti izi zikufunika kutsatira malamulo ena ndipo zimawonjezera mwayi wolakwitsa mukamasankha mulingo.

Ichi ndichifukwa chake kufunsira kwa katswiri kukhala chinthu chofunikira.

Mitundu ina ya insulin yomwe imadziwika ndi zochita zazitali (mwachitsanzo, Monotard, Lente) itha kutaya katundu wawo. Mwambiri nthawi zambiri mukasakanikirana ndi insulin yochepa, izi zimayambitsa kufooka kwakukulu kwa zomwe zimasakanizidwa. Ichi ndichifukwa chake amakhumudwitsidwa mwamphamvu kusankha pawokha pakuphatikizidwa kwazinthu zina. Ndikufuna kuyang'ana zina:

1. ngati pali mpweya mu syringe, gawo laling'ono kwambiri la mahomoni lidzayambitsidwa kuposa zomwe zinali zofunikira poyamba. Pankhaniyi, ndikofunikira kuyang'anira kukhalapo kwake kapena kusakhalapo,
2. mulingo woyenera kwambiri ndi mphamvu ya insulin ikabayidwa pamimba,
3. pang'ono, koma, komabe, chimakulirakulira komanso pang'ono pang'onopang'ono ndikamayikidwa mu ntchafu ndi zomata za chikopa pamwamba pa matako. Zofunika kwambiri ndizomwe zimayambitsa dera.

Ndikofunikanso kuganizira kuti kutha kwa chiwonetsero cha insulin kumachitika chifukwa cha magwiridwe ake oyendetsera bwino amaphatikizidwa. Pachifukwa ichi, akatswiri amawunika ma algorithms awiri, woyamba omwe ndi kuti gawo lililonse limagwiritsidwa ntchito tsiku lililonse malinga ndi mapulani omwe anakonzekera. Malinga ndi izi, jakisoni aliyense amakhala ndi gawo lake losiyana. Poterepa, gawo la mahomoni amtundu waufupi limalimbikitsidwa kuti liyambike pansi pakhungu pamimba. Mwanjira imeneyi, kuyamba kwa zovuta kwa wothandizirayo kumaperekedwa.

Polankhula za algorithm yachiwiri, ziyenera kudziwika kuti imakhala m'lingaliro lakuti mkati mwa milungu ingapo kupangidwako kuyenera kuyambitsidwa mu gawo limodzi. Tiyerekeze kuti ikhoza kukhala m'mbali kumanja kapena kumanzere, ndipo milungu yotsatirayi - mu algorithm osiyana (mwachitsanzo, m'dera la dzanja lamanja kapena lamanzere). Umu ndi momwe zingathekere kulankhula za kukwaniritsa kuchuluka kwakukulu ndi zotsatira za insulin. Komabe, awa ali kutali ndi malamulo onse omwe amapereka chitetezo ku mfundo yakuti gawo la mahomoni siligwira ntchito.

Monga mukudziwa, mapangidwe a wen amatha kutchedwa kuti pafupipafupi.Kuphatikiza apo, sizimawoneka nthawi zonse ndi maliseche, chifukwa chake odwala matenda ashuga sangadziwe za iwo ndikulowetsa insulin pamenepo, poganiza kuti izi ndizophweka pakhungu. Zachidziwikire, ndikukula kwazinthuzi, chinthucho chimapanga pang'onopang'ono kapena kusiya kuchepetsa shuga kwathunthu.

Akatswiri amaunika chidwi chakuti zolakwika nthawi zambiri zimapangidwa popereka insulin m'malo ena.

Pankhaniyi, ndikufuna kuwonetsa zina zomwe sizinawonetsedwepo kale. Chowonadi ndi chakuti ndikofunikira kugwiritsa ntchito mtunda wonse, kupangitsa kuti ikhale yotheka momwe mungathere. Mwachitsanzo, kumbali, ya mbali yapamwamba kwambiri ya thunthu kapena pansi mpaka kumapeto.

Pamalo pakati pa nthiti ndi navel, kugwiritsa ntchito gawo la mahomoni sikudzakhala kolondola chimodzimodzi. Izi sizingachitike mu insulin yokwanira, komanso chifukwa kuti munthawi imeneyi, zisindikizo sizingapangike pakhungu, ndipo kuchuluka kwa ululu mu jakisoni kumachepetsedwa kwambiri.

Vuto linanso lalikulu ndi kumwa mowa nthawi yomweyo jakisoni isanachitike. Chowonadi ndi chakuti chikuwononga insulini. Kuphatikiza apo, chithandizo chotere cha pakhungu sichofunikira, chifukwa kufalikira kwa jekeseni ndikuyambitsa insulin ndi ma syringes ndizochepa komanso pafupifupi zero.

Ndikulimbikitsidwa kwambiri kuti mupange khola la khungu, chifukwa, apo ayi, gawo la mahomoni lingayambitsidwe m'dera la minofu. Izi zimakhala ndi zotsatirapo zoyipa kwambiri, chifukwa sipadzakhala chidaliro mu mphamvu ya kapangidwe kake. Mwambiri, nthawi zambiri zimayamba kuchita zinthu mwamphamvu kapena zochepa, popanda kubweretsa zomwe mukufuna. Amakhala otaya mtima kumasula khola la khungu kufikira atayambitsidwa ndi insulin yonse.

Ndipo, pomaliza, malingaliro omaliza omwe amapangitsa kuti athandizidwe pamavuto ochepetsa shuga ndi omwe muyenera kuyembekezera masekondi asanu mpaka asanu ndi awiri kenako ndikuchotsa singano. Ngati simuchita izi, ndiye kuti gawo la mahomoni limasulidwanso kudzera m'jekeseni. Munthawi imeneyi, gawo losasinthika la kapangidwe kameneka (lingakhale magawo awiri kapena atatu kapena kupitirirapo) silalowa mkati mwa thupi.

Tiyenera kukumbukira kuti pali njira zambiri zapadera zomwe zimapangitsa kuti zitheke kuthekera kwa kutaya ndi kuchepetsa izi mtsogolo.

Choyenereradi kudziwa ndi momwe zolembera za syringe zikuyenera kugwiritsidwa ntchito.

Mawu ochepa za syringe pensulo

Kugwiritsa ntchito zolembera za syringe sikumayambitsa mafunso ambiri kwa odwala matenda ashuga okhudzana ndi kuchuluka kwa ntchito, ngakhale ali ndi automatism komanso kuphweka kwakukulu pakugwiritsira ntchito. Koposa zonse, ndikofunikira kuti mutsatire malamulo osakanikirana a insulin. Kuti tichite izi, ndikofunikira kutembenuza mozungulira ndi singano kasanu mpaka kasanu ndi kawiri.

Pogwiritsa ntchito cholembera, kulowetsedwa kwa mpweya kuyeneranso kupewedwa ngati kungatheke. Chowonadi ndi chakuti izi zimathandizira kukulitsa nthawi ya jakisoni wa insulin chifukwa cha kuwundana kwambiri kwa mpweya. Zotsatira za izi ndikuti singano imatha kuchotsedwa gawo lonse lazinthu zamahomoni zisanatuluke.

Kwa zovuta ndi ntchito ya masomphenya, zolakwika zitha kuchitika ndi chizindikiritso cha manambala omwe amafunikira. M'mitundu ina ya ma syringe, ngati chinsinsi cha piston sichidapangidwe kwathunthu, gawo la mahomoni limangoyambitsidwa. Ngati mukukayikira mukugwiritsa ntchito chipangizocho, ndikulimbikitsidwa kuti mupeze thandizo kwa katswiri.

Monga momwe amasonyezera, nthawi zambiri, zovuta za shuga m'magazi komanso kuwonongeka kwa insulin ndikunama.Izi zimachitika makamaka chifukwa chosagwirizana ndi miyezo yogwiritsira ntchito zinthuzi, kunyalanyaza zoyambitsa za akatswiri. Ichi ndichifukwa chake aliyense wodwala matenda ashuga ayenera kuyesedwa mwachidule asanayambe maphunzirowa, zomwe zingathandize kupewa mafunso omwe amachititsa kuti insulin isachepetse shuga.

Somoji syndrome kapena insulin yambiri

Somoji syndrome ndi mkhalidwe wa insulin yambiri. Dzina lina la matendawa ndi posthypoglycemic hyperglycemia kapena ricocheted hyperglycemia. Kutengera ndi mayina aposachedwa, titha kumvetsetsa kuti Somoji syndrome imayamba chifukwa cha hypoglycemia, yodziwikiratu komanso yobisika.

Kuti mumveke bwino bwino, ndipereka chitsanzo. Mwachitsanzo, munthu ali ndi shuga wa 11.6 mmol / L, podziwa izi, adadzipangira mlingo wa insulin kuti ayitsitse, koma patapita kanthawi adayamba kumva kufooka kwa hypoglycemia m'njira yofooka. Komabe, sanathe kuletsa izi mwachangu pazifukwa zina. Pakupita nthawi, adayamba kumva bwino, koma pamayezero otsatirawa adapeza kuchuluka kwa glucose a 15.7 mmol / L. Pambuyo pake adaganiziranso zopanga insulin, koma pang'ono.

Popita nthawi, Mlingo wanthawi zonse wa insulin sanachepetse shuga, koma hyperglycemia idalimbikira. Posazindikira zomwe anali kuchita, mwamunayo adayesa pachabe kuti athetse shuga mwa kuwonjezera kuchuluka kwa shuga mokulira. Zotsatira zake, adangokulirakulira, kumva kuti wathedwa mphamvu, kupweteka kwakumutu pafupipafupi kunayamba kumuzunza, adanenepa kwambiri, ndipo anali ndi njala nthawi zonse, sikuti shuga adangotukuka, koma adayamba kuchita zachilendo: idafika kwakukulu masaizi, kenako pazifukwa zosasinthika adagwa.

Ichi ndi chitsanzo chabwino kwambiri cha kukula kwa matenda a Somoji, koma pali zochitika zina, zomwe zimapangitsa kuti zikhale zosiyana. Komabe, onsewa amaphatikizidwa ndi pathogenis imodzi ndi zotulukapo. Matenda a insulin kwambiri amakhala amtundu uliwonse wa matenda ashuga omwe jakisoni wa insulin amagwiritsidwa ntchito ngati chithandizo. Zilibe kanthu kuti mumangogwiritsa ntchito insulin basi. Pankhani ya mankhwala osokoneza bongo a basal insulin, hypoglycemia imatha kuchitika mwanjira yomweyo, makamaka usiku, pomwe wodwalayo "adzadabwa" ndi zovuta zam'mawa kwambiri, ndipo madzulo amenewo adzawonjezera kuchuluka kwa basal, ndikuganiza kuti sikokwanira.

Ngati insulin singachepetse shuga, sizithandiza - kukana kwake

Wodwala aliyense yemwe ali ndi matenda ashuga kamodzi amayenera kupezapo mankhwala a insulin. Nthawi zina mutha kukumana ndi terminology yina - metabolic syndrome, yomwe, imatanthawuza chinthu chomwecho: insulini sichepetsa shuga, ngakhale machitidwe osankhidwa bwino a mankhwala komanso kutsatira malangizo onse a dokotala.

Kukana kwa insulini kumayamba chifukwa cha zovuta zingapo zaumoyo, zomwe zimapangitsa kuti munthu azidwala matenda ashuga. Nthawi zambiri, zovuta ngati izi zimadzetsa munthu matenda a shuga kapena, mulimonse, zimamuika pachiwopsezo. Matendawa ndi monga:

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

Kuti mumvetsetse chifukwa chake insulini siyochepetsa shuga, muyenera kumvetsetsa pang'ono momwe zimagwirira ntchito zomwe zimachitika chifukwa cha kuyamwa kwa timadzi timeneti. Monga lamulo, kutulutsidwa kwa insulin kofunikira kumafunikira pamene misempha ya magazi ikukwera kwambiri. Katunduyu amakupatsani mwayi kuti muchepetse shuga m'magazi ndikusintha kukhala mphamvu, popanda zomwe zimachitika mthupi kugwira ntchito sizingatheke.Ngati munthu akukana, madipatimenti oyang'anira a thupi samawona mankhwalawo ndipo alibe mphamvu yake mwachindunji: mwanjira ina, sizithandiza kuchotsa shuga m'magazi ndikusintha shuga kukhala mphamvu. Popeza insulini yosakhudzidwa imadziunjikira m'magazi, wodwala wokhala ndi kukana amapeza mavuto awiri nthawi imodzi: shuga yayikulu ya magazi ndi hyperinsulinization ya thupi.

Ngati insulini siyithandiza, ndipo, ngakhale kusinthidwa kwakanthawi kwamankhwala, sikuchepetsa shuga, dokotala angakayikire kukana. Pofuna kutsimikizira kuti wapezeka kuti ali ndi vutoli, zizindikiro ndi mikhalidwe yotsatirayi ilinso:

• Kusala kudya magazi
• Kupanikizika kowonjezereka (ngakhale pakadali pano sikunakhazikitsidwe bwino chifukwa chake mahomoni samatsitsa glucose ndendende ndi matenda oopsa),
• Kunenepa kwambiri, makamaka mafuta oyika m'chiuno,
• Mapuloteni mumkodzo. Sikuti nthawi zonse kumakhala umboni wotsutsa, koma nthawi zambiri, ngati pali mavuto a impso, insulin yotsika sikuchepetsa kuchuluka kwa glucose pazomwe mukufuna.

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

DIA mwachidule kuchokera ku Ekaterina Mokhova: vuto la kudumpha jakisoni

Kuphonya kwa insulin kwa mtundu woyamba wa shuga ndikosafunikira makamaka chifukwa choopsa chodwaladwala ndipo wodwalayo amagwa.

Mu matenda a shuga, jakisoni ndi gawo lofunikira pobwezeretsanso matendawa. Jakisoni watsiku ndi tsiku ndiwofunikira kwa odwala matenda ashuga, chifukwa amatha kukhazikika pamatenda a metabolic mthupi komanso kupewa zovuta.

Chofunikira kwambiri ndi majakisoni a insulini mu mtundu woyamba wa shuga, pomwe maselo a kapamba satulutsa kapena kupanga mahomoni osakwanira kuti aphwanye shuga yomwe ilipo. Ndi mtundu wachiwiri wa matenda, majekeseni amatembenukiranso.

Jakisoni woyenera amawona kuti ndi jakisoni, amene amaphatikizidwa ndi khungu. Malo abwino a jakisoni ndi mapewa (kumbuyo, mbali), ntchafu (kutsogolo, mbali), m'mimba, kupatula msuzi.

Popeza mankhwalawa a mtundu woyamba wa matenda a shuga amachitika kokha mwa njira ya inulin yomwe imachotsa mankhwalawa nthawi zonse, makonzedwe a mankhwala ndi mwayi wokhawo wokhala ndi shuga.

Kugwiritsa ntchito bwino insulin kukonzekera kungalepheretse kusinthasintha kwa shuga komanso kupewa zovuta za matenda ashuga:

1. Kukula kwa machitidwe a comatose omwe ali pachiwopsezo cha moyo: ketoacidosis, lactactacidosis, hypoglycemia.
2. Kuwonongeka kwa mtima khoma - yaying'ono- ndi macroangiopathy.
3. Matenda a shuga.
4. Mawonedwe akuchepera - retinopathy.
5. Zilonda zamanjenje - diabetesic neuropathy.

Njira yabwinoko yogwiritsira ntchito insulin ndiyo kubwereza mtundu wake wolimbitsa thupi kulowa m'magazi. Pachifukwa ichi, ma insulge a nthawi zosiyana amagwiritsidwa ntchito. Kuti apange magazi okwanira nthawi zonse, insulin yayitali imayendetsedwa kawiri pa tsiku - Protafan NM, Humulin NPH, Insuman Bazal.

Insulin yofupikitsa imagwiritsidwa ntchito m'malo mwa kutulutsidwa kwa insulin poyankha chakudya. Amayambitsidwa musanadye katatu pa tsiku - musanadye chakudya cham'mawa, chakudya chamasana komanso musanadye. Pambuyo jekeseni, muyenera kudya chakudya pakadutsa mphindi 20 mpaka 40. Poterepa, mlingo wa insulin uyenera kupangidwa kuti utenge kuchuluka kwamafuta ena.

Jekeseni insulini yokhayo ikhoza kukhala yopanda tanthauzo. Kwa izi, malo otetezeka komanso osavuta kwambiri ndi mawonekedwe a kumbuyo ndi kumbuyo kwa mapewa, kutsogolo kwa ntchafu kapena gawo lawo lamkati, ndi pamimba, kupatula dera loyambitsirapo. Nthawi yomweyo, insulin kuchokera pakhungu lam'mimba imalowa m'magazi mwachangu kuposa malo ena.

Chifukwa chake, tikulimbikitsidwa kuti odwala m'mawa, komanso, ngati pakufunika kuthandizira kuchepetsa hyperglycemia (kuphatikiza polumitsa jakisoni), jekeseni insulini m'mimba khoma.

Kuwala kwa wodwala matenda ashuga, ngati atayiwala jakisoni, zimatengera mtundu wa jakisoni yemwe wasowa komanso kuchuluka kwa omwe amadwala matendawa. Ngati wodwala wasowa jakisoni wa insulin yayitali, ndiye njira zotsatirazi ziyenera kutengedwa:

• Mukabayidwa katatu patsiku - kwa maola 12, gwiritsani ntchito insulin yochepa chabe malinga ndi malamulo omwe amapezeka musanadye. Kuti mupeze jakisoni yemwe wasowa, onjezani zolimbitsa thupi kuti muchepetse magazi. Onetsetsani kuti mwapanga jekeseni wachiwiri.
• Wodwala yemwe ali ndi vuto la shuga atavulaza insulin kamodzi, ndiye kuti, mankhwalawa amapangidwira maola 24, ndiye kuti jakisoni lingachitike maola 12 atatha, koma mlingo wake uyenera kuchepetsedwa ndi theka. Nthawi ina mukadzalowa mankhwalawa nthawi yokhazikika.

Ngati mukusowa kuwombera kwa insulin yayifupi musanadye, mutha kuyikamo mukangotha ​​kudya. Ngati wodwalayo adakumbukira kuti wapita mochedwa, ndiye kuti muyenera kuwonjezera katundu - pitani m'masewera, pitani kokayenda, kenako kuyeza mulingo wamagazi.

Ngati kutumikiridwa molakwika - m'malo mwa insulin yochepa, wodwala matenda a shuga amawonjezera nthawi yayitali, ndiye kuti mphamvu zake sizokwanira kukonza zakudya zamagulu azakudya. Chifukwa chake, muyenera kutulutsa insulin yayifupi, koma nthawi yomweyo muyezo kuchuluka kwa glucose maola awiri aliwonse komanso kukhala ndi mapiritsi ochepa a glucose kapena maswiti ndi inu kuti muchepetse shuga mpaka hypoglycemia.

Ngati jakisoni wamfupi adabayidwa m'malo mwa insulin yotalikilapo, ndiye kuti jakisoni wophonyayo amayenera kuchitika, popeza muyenera kudya chakudya chamagulu owonjezera a insulin, ndikuchita kwake kumatha nthawi yofunikira isanachitike.

Ngati insulin yambiri yagwiritsidwa jekeseni kuposa momwe ikufunira kapena jakisoniyo itachitika molakwika kawiri, ndiye kuti muyenera kuchita izi:

1. Onjezani kudya shuga wambiri kuchokera ku zakudya zamafuta ochepa okhala ndi zovuta zamapangidwe amkaka - chimanga, masamba ndi zipatso.
2. Jekeseni glucagon, wotsutsana ndi insulin.
3. Pangani glucose kamodzi pa maola awiri aliwonse
4. Chepetsani kupsinjika kwakuthupi ndi kwamaganizidwe.

Zomwe sizikulimbikitsidwa kwenikweni kwa odwala omwe ali ndi matenda osokoneza bongo ndikuwonjezera kawiri mlingo wa insulin, chifukwa izi zimapangitsa kuti shuga ayambe kutsika. Chofunikira kwambiri ndikudumpha mlingo ndikuwonetsetsa kuchuluka kwa shuga m'magazi mpaka atakhazikika.

• Palibe insulin / zida zoyendetsera

Kuopa kubaya jekeseni (acupuncture, kotero kuti mulankhule) - onetsetsani kuti mwakambirana mtsogolo pankhaniyi

• Kudzimvera jakisoni

Sipangakhale lamulo limodzi muzochitika zonse, chifukwa zinthu zambiri ziyenera kukumbukiridwa. Pakati pawo: yapita nthawi yayitali bwanji kuchokera nthawi yomwe anafunika kupanga jakisoni ndi mtundu wa insulin yomwe mumagwiritsa ntchito.

Pansipa tikupereka upangiri wamba, koma ngati mukukayikira zoti muchite mukapatsidwa china chilichonse, ndibwino kukambirana ndi dokotala wanu kuti akupatseni upangiri (kuti m'tsogolo, ngati zotere zidzachitike, mudzakhala okonzeka mokwanira).

• Ngati mwaphonya jakisoni wam'mawa ndipo pasanathe maola 4 kuchokera pa X, mutha kulowa muyezo wabwino. Patsikuli, mudzafunika kuyeza shuga wamagazi pafupipafupi, chiopsezo cha hypoglycemia chikuwonjezeka.
• Ngati maola opitilira 4 adatha, iduleni jakisoniyo ndikutenga kachiwiri. Khazikitsani shuga wambiri m'magazi pobayira insulin yayifupi kapena yopitilira muyeso.
• Ngati mwayiwala za jakisoni wanu musanadye chakudya ndikukumbukira madzulo, jekeseni insulin yotsika musanagone. Zoposa theka ndizokwanira, koma muyenera kuyang'ana izi poyesa shuga wamagazi. Magazi a shuga amayenera kufufuzidwa usiku kupewa usiku hypoglycemia.

Ngati mwakumana ndi vuto la kusokonezeka mu jakisoni wa insulin, ndiye kuti mumazolowera mantha omwe amabisa nthawi yomwe mwalakwitsa. Osadandaula, tsopano mudzadziwa momwe mungachitire izi.

Aliyense amene amakakamizidwa, chifukwa chimodzi kapena china, kubwereza njira zina tsiku lililonse, posachedwa amazizolowera ndipo samalabadira zomwe zimachitika payekha. Nthawi zambiri, izi zimayamba chifukwa cha kuphonya kwa insulin anthu odwala matenda ashuga.

Mutha kungotola cholembera, kusokonezedwa kwakanthawi, kenako kuiwala kuti mwazigwiritsa ntchito kapena ayi. Koma ngakhale mlingo utadumpha kapena mutasakaniza insulin ya nthawi yayitali komanso yochepa, musadandaule. Pali yankho lotetezeka pamilandu iliyonse.

- Ngati mwaphonya insulini yowonjezera, zomwe zimachitika pamenepa zimadalira jekeseni ingati patsiku lomwe mumalandira.

Ngati mukulitsa jakisoni 2 kawiri patsiku, ndiye kuti mungadumule mlingo umodzi, kukonza kwa hyperglycemia maola 12 otsatira kumachitika ndi insulin yochepa ndipo ngati kuli koyenera. Ndizothekanso kungowonjezera zochitika zolimbitsa thupi kuti kugwiritsa ntchito shuga kwachilengedwe kumachitika. Ndipo koposa zonse - musataye jekeseni lotsatira!

Ngati mumagwiritsa ntchito insulin 1 nthawi patsiku, ndiye kuti mphamvu zake zimatha maola 24, ndiye kuti mutha kudula theka la mankhwala ofunika pambuyo pa maola 12 kuchokera pa jakisoni yemwe wasowa. Ndipo yotsatira idzamalizidwa mu nthawi yake.

-Ngati mudumpha inshuwaransi ya chakudya, imatha kubayidwa mutatha kudya. Ngati mukukumbukira mochedwa, ndiye kuti yesetsani kuwonjezera zolimbitsa thupi ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

- Ngati mutasakaniza ndipo m'malo mwa insulin yayifupi, momwemo sikokwanira kuthana ndi kuchuluka kwa shuga mutatha kudya. Chifukwa chake, pambuyo pa zonse, phulani bolus, ndikutsatira kusintha kwa shuga pafupifupi maola awiri aliwonse, popeza kuyika kwa ma insulin awiri (anapatsidwa kuti adayendetsedwa molondola) kungayambitse hypoglycemia. Nyamula chakudya champhamvu kwambiri.

-Ukasakaniza ndikulowetsa insulin yayifupi m'malo motalika, muyenera kubayanso insulin yayitali, popeza momwe zochita zake zimayambira pambuyo pake, ndipo muyenera kudya kuchuluka koyenera kwa XE pa yayifupi.

-Ngati mwabayira mankhwala ochulukirapo kapena jakisoni kawiri motsatana, muyenera kuwonjezera kuchuluka kwa shuga: idyani zakudya zamafuta ochepa zamafuta ambiri. N`zothekanso kugwiritsa ntchito glucagon (mahomoni otsutsana ndi insulin ali ndi zotsutsana, i.e. amawonjezera shuga).

Kodi sizingachitike bwanji?

Osatinso kawiri mlingo wa insulin mutadumpha, chifukwa nthawi zambiri izi zimabweretsa hypoglycemia.

Osanyalanyaza milandu yotere. Kulephera kulikonse mu mankhwala a insulin kuyenera kutsatana ndikuwonetsetsa kuchuluka kwa shuga mpaka muwonetsetse kuti ndi wokhazikika pamlingo woyenera.

Kodi mungapewe bwanji kudumpha ndi kusokonezeka mu jakisoni?

Nthawi zambiri, amagwiritsa ntchito zolemba zochepa kapena zolembalemba mwanzeru. Amawonetsa kusinthika konse kwa shuga mu magazi ndi insulin. Njirayi idzakhala yabwino kwa iwo omwe ali ndi nthawi yokwanira kuti ikhale pansi ndikudzaza, payenera kukhalanso malo okwanira mu thumba kuti munyamule nanu.

Nanga bwanji ngati insulini yatha ndipo simupezeka mankhwala?

Matenda a shuga ndi matenda omwe shuga amapezeka m'magazi ambiri. Posachedwa, madokotala ati matendawa ndi mliri wowona wosapatsirana wazaka zana lino. Izi ndichifukwa choti pali anthu ochulukirapo omwe amapezeka ndi matenda ashuga. Maphikidwe a odwala matenda ashuga omwe amachepetsa shuga tsopano ndi otchuka kwambiri.

Ndi misere yokwezeka ya shuga, njira ziyenera kuchitidwa kuti muchepetse. Mutha kuchita izi ndi chakudya. Zikuwoneka kwa odwala ambiri kuti ndizopepuka komanso zochepa. Izi sizowona konse. Pali zitsamba ndi mbale zambiri zochepetsera shuga.

Chowonadi chakuti shuga ya magazi ya munthu imakwezedwa chimawonetsedwa ndi zizindikiro izi:

• ludzu lalikulu losagonjetseka
• kuwuma kwambiri
• kulakalaka kudya (pamenepo, munthu amadya chakudya chosawerengeka, ndipo nthawi yomweyo amachepetsa thupi),
• khungu lowuma, ndipo chifukwa chake
• Maonekedwe a zithupsa,
• kuchiritsa kwamabala
• fungo la acetone lochokera pamlomo wamkati,
• kuwoneka kwam'miyendo m'miyendo, komanso kuwawa, kupweteka kwa nthawi yayitali.

Choyamba, tiona zomwe sizingagwiritsidwe ntchito monga matenda ashuga. Zakudya izi zimatha kuwonjezera glycemia, yomwe imawonetsedwa pamatenda athanzi. Kukweza m'magazi shuga kumadetsa thupi ndipo kumadzetsa zovuta zambiri zathanzi ndi zoopsa m'moyo.

Izi ndi zakudya zoletsedwa:

• maswiti onse ndi makeke,
• masoseji,
• zakumwa zazikulu za shuga (monga mandimu),
• mafuta kanyumba tchizi
• wolakwa,
• timadziti ta zipatso (topatsa shuga)
• nsomba ndi nyama nyama.

Tsoka ilo, izi zimachitika. Kodi mungakhale bwanji otere? Munthu yemwe ali ndi ndalama amatha kugula insulin ku kampani yopanga mankhwala. Koma bwanji ngati kulibe ndalama, ndipo mankhwalawo akufunika lero?

Tsoka ilo, izi zimachitika. Kodi mungakhale bwanji otere? Munthu yemwe ali ndi ndalama amatha kugula insulin ku kampani yopanga mankhwala. Koma bwanji ngati kulibe ndalama, ndipo mankhwalawo akufunika lero?

Lumikizanani ndi dokotala kapena mnzanu yemwe ali ndi matenda ashuga kuti akuthandizeni. Mwina mungabwereke mabotolo angapo. Malangizo athu: kuti musasiyidwe popanda insulini, nthawi zonse muzikhala ndi nyumba zochepa.

Usiku sunagone chifukwa cha zolakwika ziwiri. Zomwezi ndizofunikira kwa makolo onse a novice a ana omwe ali ndi matenda ashuga.

Choyipa choyamba. Palibe chifukwa chake mutengere insulin ndi syringe kuchokera ku kuchuluka kwa cholembera!

Vutoli liziwoneka kuti likuwonekeratu, koma likufunika kumvekeredwa. Mwana akadali wocheperako, ndiye kuti mankhwalawa ndi ochepa. Mapensulo amtundu wa insulin amalola insulin kuti ivulidwe ndikulondola kwa gawo limodzi. Kulondola koteroko nthawi zambiri sikokwanira kwa ana, omwe takumana nawo:

ndi 1 unit ya insulin - shuga amalumpha, ndi 2 - pansi ndipo muyenera kumayeza pafupipafupi, kuti musagwire hypoglycemia. Tidasankha kuyesa kubayitsa mayunitsi 1.5 a insulini yifupi (tili ndi Humulin R), yomwe tidagulako paketi ya syringes yodziwika bwino (pogwiritsa ntchito cholembera chokha, ndikukukumbutsani, simungathe kulowa tizigawo ting'onoting'ono).

Kodi insulin ingatenge kuti? Tsegulani zochulukirapo? Pepani. Zinkawoneka zanzeru kumangoyimba muyezo womwe ungafunikire ndi syringe kuchokera ku ampoule yomwe yaikidwapo kale mu cholembera. Ndikulembanso motalikirapo: NGAKHALE KUTI SITIYENSE MU CHIYANI.

Zomwe zidalipira zolakwika. Iwo adachotsa singano ku cholembera, amatenga muyeso wa 1.5 ndi syringe ya nkhomaliro. Chilichonse chiri bwino, koma sanazindikire kuti atamwa mankhwalawo kuchokera ku cholembera, kuponderezana kumamu kunatsika, ndiye kuti, cholembera cha cholembera sichitha.

Chifukwa chake, sitinangopereka mankhwala a insulin madzulo osazindikira! Piston amangoyenda, osafinya kalikonse pansi pakhungu, ngakhale insulin, ngakhale mpweya. Tidali otsimikiza kuti zonse zili bwino, mutha kudya, choncho tidapereka chakudya chamadzulo ndi chakudya pambuyo pa maola awiri.

kuyeza shuga mkodzo. Ndikukumbutseni: ngati pali shuga mumkodzo mutangopeza shuga wambiri, ndipo theka la ola palibe shuga mu mkodzo watsopano, izi zikutanthauza kuti panali kubwereranso kwina kuchokera ku hypoglycemia.

Apanso za kulakwitsa koyamba. ASATSITSE INSULIN KUCHOKA KUMAPETO SYRINGE HANDLES.

Chifukwa chomwe zakukhathamira zotsekemera zinali zotsimikizika, koma choti achite? Imbani endocrinologist? Padutsa theka teni usiku ...

Adayamba kukayikira endocrinologist wotchedwa Intaneti. Kodi muyenera kuchita chiyani ngati mwaphonya jakisoni wa insulin? Koti muthawireni ngati makolo ali osayankhula ndipo sadziwa malamulo a sayansi ndipo amatenga insulin mwachindunji kuchokera ku cholembera? Kodi ndizotheka kutulutsira insulin yocheperako pambuyo pake, ndiye kuti, mutadya?

Izi ndi zomwe zidachitika. Ndilemba zomwe mungachite kuti mukhale ndi zoyenera, osati kwa ife tokha.

2) Ngati kuwombera kwa insulin ya nthawi yayitali kubayidwa, komwe kumabayidwa kawiri patsiku (Humulin NPH, Protofan ndi zina), ndiye kuti theka la mwaphonya liyenera kuwonjezeredwa kuwombera kosoweka. Sindinaphunzire tsatanetsataneyu, chifukwa siife amene.

3) Ngati kuwombera kwa insulin yochepa sikusowa, ndipo mumaganizira nthawi yomweyo mutatha kudya kapena mkati mwa ola limodzi kapena awiri mutatha. Pankhaniyi, tikulimbikitsidwanso kuti tizilimbitsa muyeso womwe taphonya, ndikuchepetsa nthawi yomwe mwaphonya.

Ndiye kuti, monga momwe ndikumvera, ngati mutha kudya mutangodya, mutha kupaka jakisoni wathunthu (kapena kuchepetsa pang'ono), ndikulipira "zosagwirizana" ndi kadzutsonono pambuyo pake (kuti mupeze kuchuluka kwa insulin yayifupi).

4) Ngati jakisoni wa inshuwaransi ya bolus yakusowa, ndipo izi zidamveka maola angapo mutatha kudya (monga ife). Potere, makamaka ngati shuga amachoka pamlingo, amalimbikitsidwanso kubaya insulini yochepa, koma muyezo wochepetsedwa kwambiri. Kuthana ndi hyperglycemia.

Ndipo apa tidalakwitsa kachiwiri. Kapena kodi ndikulakwitsa.

Tinalowetsa gawo la insulini potulutsa singano pambuyo pa masekondi 5 (m'malo mwa 10), tikuyembekeza kuti mwanjira imeneyi mutenga theka, kapena bwino. Koma sanazindikire kuti nthawi yolondera inali pafupifupi 12 usiku.

Tidalowetsa 23:40. Mwana wanga wamkazi anali wokwiya, kulumpha (chabwino, shuga kwambiri, mphamvu zowonjezera). Galloped, vilated, kuti abweretse 20-ku. (Pambuyo pake ndidaphunzira kuti ndi shuga wambiri kotero ndizosatheka kuti muchepetse masewera olimbitsa thupi - MM pambuyo pa mwezi).

Kenako anagona ndipo anagona. Mkazi nawonso. Ndipo ndili ponseponse ndipo ndayamba kuwerenga nkhaniyo pa intaneti mozama, ndikuwona kuti penapake pali vuto. Mfundo zomveka zinanena kuti chakudya chamadzulo ndi chakudya chamadzulo chimatha kale, ndipo shuga zomwe zidatsalira pachakudyacho zimazimitsidwa msanga, koma patatha maola awiri (pafupifupi pakati pa 2 ndi 3 usiku!

) insulin imayamba kugwira ntchito mokwanira ndipo timakhala ndi hypoglycemia ya mphamvu yosadziwika. Ndipo kenako zidayamba kukhala zowopsa kotero kuti maloto onsewo adasowa penapake. Ndikhazikitsa alamu kwa mausiku awiri nditha. Zotsatira zake, iwo sanagone kwambiri usiku, kumayeza shuga theka lililonse la ola kapena ola, kuti asaphonye mawaya.

Chifukwa chake, tidaphonya jakisoni wamadzulo wa insulin, kudya kawiri popanda insulin (ndikuganiza kuti ndi).

1) Pa 19:30 shuga anali 8.0 Anayeza musanadye chakudya chamadzulo kuti adziwe kuchuluka kwa chakudya chamomwechi. Chabwino, chabwino, pafupifupi chizolowezi chathu mpaka pano kulumpha shuga. "Jekeseni" (osadziwa kuti insulini siliyendetsedwe) magawo awiri a insulin, akuyembekeza kuti akhale ndi chakudya chamadzulo. Tinadya chakudya chamadzulo, titatha maola awiri tinali ndi chakudya. Zonse ngati kuti ndi insulin.

2) 23:10. Tinaganiza zoyeza ngati titha kukagona ndipo modzidzimutsa tawona shuga 21.5 mol! Mumvetsetsa zifukwa zake (onani pamwambapa). Adayamba kuganiza ndikuyang'ana choti achite. Ndidaganiza kuti tiziyeza mu theka la ola ndipo ngati pakuchepa, ndiye kuti tiyenera kusanza bwino, kupita kokayenda ndikupita kukagona. Mwina inali yolondola? (ayi, sichoncho! - MM atatha mwezi umodzi)

3) 23:40. Timaziyezanso - 21.6 Ndiye kuti, zimakwera! Tisankha kudula chimodzi.

4) 01:10 Usiku. Timayeza magazi a mwana wamkazi wogona. 6.9! Ndiye kuti, mu ola limodzi ndi theka shuga adatsika ndi magawo oposa 14! Ndipo nsonga zakuchitapo kanthu sizinayambe. Zimakhala zowopsa pang'ono.

5) 01:55 Timayeza: 3.5! Mu mphindi makumi anayi ndi zisanu - kawiri! Kuyambira 6.9 mpaka 3.5. Ndipo nsonga yantchito ya insulin idayamba! Pochita mantha timadzutsa mwana wanga wamkazi ndi kutipangira madzi akumwa ndikudya makeke. Mwana wagona, amakoka chikondwerero chija ndikupita kukukuta theka la cookie kuti "makolo oyipawo, omwe mwina samadyetsa, amadzizunza pakati pausiku," amadzimasula. Osakanidwa.

6) 02:21 S shuga: 5.1. Phew! Madzi okhala ndi ma cookie adagwira ntchito. Zabwino. Timalinganiza kuyesanso, ngati zitsika, ndiye kuti tidyetsabe.

7) 02:51 Shuga: 5.3. Zabwino. Zochita za insulin yochepa zimatha. Timalumikizidwa.

8) 06:10. M'mawa Tikuyang'ana. Shuga: 4.7. Osati chachikulu, koma osati choyipa. Kodi mudakwanitsa? ... "Tikuyenera kuwonanso mu ola lina, kuti tisasiye kutsutsa ..." Koma palibe mphamvu. Timalumikizidwa.

9) 9:00 Popewa kudzuka m'mawa, pafupifupi theka la eyiti adapereka uchi kwa mwana wamkazi wagonayo kumapeto kwa supuni. Zotsatira zake, nthawi ya 9 a.m. mita ikuwonetsa kutalika kwa 8.00 mol. Ndiye kuti, ngakhale uchi wocheperako wotere unadzutsa shuga kuchokera pa 4 mpaka 8!

Zonse Zikuwoneka kuti adatha kulimbana ndi vuto loyamba (osowa insulin usiku). Pa mtengo wa kugona osagona komanso mitsempha ya makolo ndi zala za mwana wamkazi yemwe ndi wokalamba kwambiri.Kodi anachita molondola? Kapena munayenera kuthamanga, kudumpha kuti mwanjira ina mugwe pansi, kenako kugona usiku wonse ndi mashuga ambiri?

Ndichite chiyani ngati ndaphonya jakisoni wa insulin wa nthawi yayitali?

Kudumphira jakisoni ndikuwoneka ndikukula kwa magazi. Matenda a shuga ndi matenda omwe alibe insulin yake, ndichifukwa chake amafunika kuperekedwa kuchokera kunja kuti agwetse shuga omwe alowa m'thupi. Homoni akaperekedwa munthawi yake, glucose imadzachulukana, zomwe zimayambitsa zotsatira zosakhumudwitsika chifukwa cha kukomoka, ndikutsatiridwa ndi kuwonongeka kwa matenda osokoneza bongo a shuga ndi hyperglycemic coma.

• Zosangalatsa za chikomokere: ketoacidosis, hypoclycemia ndi lactactacidosis.
• Zida zowonongeka - retinopathy.
• A shuga ndi nephro- ndi neuropathy.
• Kuwonongeka kwa makoma amitsempha yamagazi - macro- ndi microangiopathies.

• Kudumpha jakisoni mukamatenga insulin yayitali kawiri patsiku imakonzedwa ndikumatenga yochepa maola 12 otsatira. Kapenanso, mutha kulimbitsa thupi.
• Mukamagwiritsa ntchito insulin tsiku lililonse (yovomerezeka kwa maola 24), mlingo wofunikira wongodumpha ndi theka la jakisoni wa tsiku lililonse pambuyo maola 12 kuchokera nthawi yomwe amathothoka. Ndipo jekeseni wotsatira kuchita pa ndandanda.
• Kudumpha insulini yopangira chakudya (bolus) siowopsa - mutha kuyilowetsa mutatha kudya, kutsatira shuga m'magazi 2 aliwonse. Mukadumphira pamlingo wa 13 mmol / L, mlingo wa insulin yochepa umayenera kutsikira ku chakudya chotsatira.
• Sitikulimbikitsidwa kupaka insulin yayitali m'malo mwake yokhala yochepa - pali chiopsezo kuti woyamba sangathe kupirira shuga pambuyo pudya, ndibwino kutsina mahomoni a bolus. Koma ndikofunikira kuchepetsa shuga kuti muchepetse hypoglycemia.
• Mukabayidwa kwakanthawi m'malo mwa yayitali, muyenera kuthana ndi zotsalazo. Koma muyenera kuwonjezera thupi ndi XE yoyenera ndikuwunika nsonga za jakisoni.
• Pogwiritsa ntchito kuchuluka kwa mahomoni, ndikofunikira kusamalira kupezeka kwa chakudya champhamvu kwambiri.

Kuphatikiza pa malingaliro pazomwe mungachite ngati jakisoni wasowa, pali malangizo ena a momwe mungapewerere jakisoni wofunsira wa insulin. Malangizo amabwera othandiza kwa iwo omwazika kwambiri. Njira zambiri zimaperekedwa, momwe musaiwale kupereka jakisoni pa nthawi, ndipo nthawi yomweyo sankhani njira yoyenera yokumbukira.

Zolemba zatsiku ndi tsiku zimathandizira kuthana ndi kukumbukira zopanda mphamvu ndikutsata ndandanda yolondola. Choyipa cha njirayi ndi kukumbukira komweko kwa munthu. Kupatula apo, kuyiwala kulemba nthawi yomwe mumamwa mankhwalawo kapena osatenga bukuli ndi inunso vuto. Kuphatikiza apo, njirayi si ya aulesi, popeza zonse zojambulidwa zimatenga nthawi.

Njira yabwino komanso yamakono yokumbutsa za dongosolo la jakisoni. Koma ngakhale kuti ndi yosavuta, ilinso ndi zovuta. Batire yosamangidwa, kutseka kwa gadget kosayembekezereka, kugwiritsa ntchito modekha - zonsezi zitsogolera kuti chikumbutso sichigwira ntchito, ndipo wodwala matenda ashuga adzaphonya jakisoni.

Mapulogalamu ambiri apadera apangidwa omwe amagwiritsidwa ntchito bwino ndi odwala matenda ashuga. Mapulogalamu omwe amagwira ntchito zosiyanasiyana ndipo amathandizira kupewa glycemia. Chitonthozo cha pulogalamuyi ndikuti pakugwiritsa ntchito mutha kuyendetsa thupi pazakudya zonse, nthawi yakumwa majakisoni, zina.

Nthawi zambiri, insulin imapangidwa ndi kapamba nthawi zonse, amalowa m'magazi m'miyeso yaying'ono - oyambira. Mukamadya chakudya cham'mimba, kumasulidwa kwakukulu kumachitika, ndipo glucose kuchokera m'magazi ndi chithandizo chake imalowa m'maselo.

Matenda a shuga amapezeka ngati insulini sanapangidwe kapena kuchuluka kwake kumakhala kocheperako. Kukula kwa zizindikiro za matenda ashuga kumachitikanso pomwe ma cell receptor sangathe kuyankha ku mahomoni awa.

Mtundu wa 1 wa matenda ashuga, chifukwa cha kusowa kwa insulin, kayendetsedwe kake monga ma jakisoni akuwonetsedwa. Odwala a mtundu wachiwiri amathanso kuikidwa mankhwala a insulin m'malo mwa mapiritsi. Mankhwala a insulin, zakudya ndi jakisoni wokhazikika wa mankhwalawa ndizofunikira kwambiri.

Zizindikiro zoyambirira za kuchuluka kwa magazi ndi jakisoni wosaiwalika ndikumatha ludzu komanso mkamwa owuma, mutu, komanso kukodza pafupipafupi. Khansa ya m'mimba, kufooka kwambiri m'matenda a shuga, komanso kupweteka kwam'mimba kumawonekeranso.

Ngati simutenga chakudya chambiri panthawi yoti chiwopsezo cha hypoglycemia chitha, ndiye kuti thupi limatha kulipira izi pakokha, pomwe kusokonezeka kwa mahomoni kumakhala ndi shuga wamagazi kwakanthawi.

Kuti muchepetse shuga, muyenera kuwonjezera kuchuluka kwa insulin yosavuta ngati, mukayezedwa, chizindikiro chimakhala pamwamba pa 10 mmol / l. Ndi kuchuluka kumeneku, kwa owonjezera atatu 3 mmol / l, mayunitsi 0,25 amatumizidwa kwa ana asukulu zam'masukulu, mayunitsi 0,5 kwa ana a sukulu, magawo 1 - 2 kwa achinyamata ndi akulu.

Ngati kudumpha insulini kunayamba chifukwa cha matenda opatsirana, kutentha kwambiri, kapena kukana chakudya chifukwa chochepa kudya, ndiye kuti kupewa zovuta mu mawonekedwe a ketoacidosis, tikulimbikitsidwa:

• Maola atatu aliwonse, muyezo kuchuluka kwa shuga m'magazi, komanso matupi a ketone mumkodzo.
• Siyani kuchuluka kwa insulin kosasintha kwa nthawi yayitali, ndikuwongolera hyperglycemia ndi insulin yochepa.
• Ngati shuga wa magazi apamwamba kuposa 15 mmol / l, acetone imatuluka mkodzo, ndiye kuti jekeseni aliyense asanadye ayenera kuchuluka ndi 10-20%.
• Pa mulingo wa glycemia wofikira 15 mmol / L ndikutsata kwa acetone, mlingo wa insulin yochepa umakulitsidwa ndi 5%, ndikuchepa mpaka 10, mlingo wapitalo uyenera kubwezeretsedwanso.
• Kuphatikiza pa jakisoni wamkulu wa matenda opatsirana, mutha kulowa Humalog kapena NovoRapid insulin osapitilira maola 2 pambuyo pake, ndi insulin yochepa - maola 4 mutatha jakisoni womaliza.
• Imwani zakumwa zosachepera lita imodzi patsiku.

Pa nthawi ya matenda, ana aang'ono amatha kukana chakudya, makamaka pakakhala nseru ndi kusanza, chifukwa cha kudya, amatha kusinthana ndi zipatso kapena mabulosi chifukwa cha nthawi yochepa, kupatsa maapulo wowonda, uchi

• Ngati mukuiwala kubaya insulin yayitali / yoyambira ndikukumbukira za izi posachedwa (patangotha ​​maola awiri kuchokera nthawi X), mutha kuchita mlingo wokhazikika. Pankhaniyi, ndikofunikira kukumbukira: insulin idapangidwa mochedwa kuposa masiku onse, chifukwa chake, imagwira ntchito mthupi lanu motalikirapo kuposa masiku onse. Chifukwa chake, pamakhala chiwopsezo cha kukhala ndi hypoglycemia.
• Ngati maola opitilira 2 adatha kuchokera nthawi yomwe X (i.e., nthawi yovomerezeka), ndipo simukudziwa zoyenera kuchita, mukambirane ndi dokotala. Ngati palibe zomwe zikuchitika, shuga m'magazi amayamba kuyamba.
• Ngati mupanga insulin (yayitali) insulini madzulo, mutha kuyesa algorithm iyi: kumbukirani kudumpha jakisoni mpaka 2 a.m. - lowetsani mlingo wa insulin wochepetsedwa ndi 25-30% kapena magawo 1-2 pa ola lililonse lomwe ladutsa X. Ngati watsala ndi maola opitilira 5 musanadzuke, yeretsani magazi anu ndikubaya insulini yochepa.

• Werengani kuti ndi maora angati adutsa kuyambira nthawi X (Chitsanzo: kuchita magawo a Lantus 14 pa 20,00, tsopano 2.00. Chifukwa chake, maola 6 adutsa). Gawani nambala iyi ndi 24 (maola / tsiku) - 6: 24 = 0.25
• Chulukitsani kuchuluka kwa insulin. 0.25 * 14 PIECES = 3.5
• Chotsani nambala yomwe mwalandira kuchokera pa mlingo wamba. 14ED - 3.5ED = 10.5 ED (kuzungulira mpaka 10). Mutha kulowa mu mayeso a 2.00 10 a Lantus.

• Ngati mumayiwala kupanga jakisoni wa insulin musanadye (bolus insulin) ndikuganiza za izi posachedwa (pasanathe maola 2 kuchokera poyambira chakudya), mutha kupanga insulini yonse.
• Kumbukirani: insulin idayambitsidwa pambuyo pake, motero, idzagwira ntchito nthawi yayitali. Panthawi imeneyi, pimani magazi anu pafupipafupi.
• Dzimvereni nokha, ngati mukumva zilizonse zomwe zimafanana ndi hypoglycemia, yeretsani shuga.

• Ngati mwaiwala kupanga phokoso chakudya musanadye ndipo maola opitilira 2 atadutsa chakudya, izi ndizovuta kwambiri, chifukwa mwina chakudya chotsatira kapena kugona. Mutha kuwonjezera magawo angapo jakisoni wotsatira musanadye, koma pokhapokha ngati muyeza magazi.
• Ngati simukudziwa zoyenera kuchita ngati muli ndi insulin yambiri kapena ingapo, muyenera kufunsa dokotala kuti akupatseni malangizo.

Njira yosavuta komanso "yaying'ono" kwa iwo omwe sakonda kusokoneza pepala. Chinthu chachikulu ndikuti musaiwale za jakisoni mukazimitsa chizindikiro, monga momwe zimakhalira ndi ma alarm =)

- Mapulogalamu azachipatala osavuta

Ngati mugwiritsa ntchito zolembera kuti mugwiritse ma insulin osiyanasiyana, onetsetsani kuti akusiyana kwambiri wina ndi mnzake. Izi zitha kuchitika ndi chomata pamilandu, kapena kungosankha zolembera mu mitundu yosiyanasiyana.

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Mwachidule: kuchepa kwa insulin

M'mwezi wa Okutobala, atolankhani adayamba kufalitsa nkhani kuti anthu a ku Novosibirsk Region sangatenge insulin, mahomoni ofunikira kwa anthu odwala matenda ashuga. Pambuyo pake zidadziwika kuti zovuta zofananira ndikupezeka ndi mankhwalawa zimabwerezedwa chaka chilichonse. Mtolankhani wa Sib.fm adaganizira momwe zinthu ziliri.

Bungwe Loona za Umoyo Padziko Lonse limalemba kuti ndi matenda osachiritsika. Amayamba ngati kapamba satulutsa insulin yokwanira kapena ngati thupi silingagwiritse ntchito bwino insulin yomwe imapanga. Insulin ndi mahomoni omwe amawongolera kuchuluka kwa shuga m'magazi.

Matenda a shuga ndi amtundu atatu. Mtundu woyamba, kapena wodalira insulin, umadziwika ndi insulin yokwanira. Pankhaniyi, kuyendetsa mahomoni tsiku lililonse ndikofunikira. Choyambitsa matendawa sichikudziwika, chifukwa chake, sichitha kupewedwa pakali pano.

Matenda a shuga a Type 2 amatchedwa insulin-Independent, amakula chifukwa chosagwiritsa ntchito bwino insulin ndi thupi. Odwala ambiri omwe ali ndi matenda ashuga ndi onenepa kwambiri. Zinali kuti mtundu uwu wa shuga umapezeka mwa akulu okha, koma tsopano umapezekanso mwa ana. Palinso chizolowezi cha matenda ashuga omwe azimayi oyembekezera amakhala nawo.

Popita nthawi, matendawa amathanso kukhudza mtima, mtsempha wamagazi, maso, impso komanso mitsempha. Akuluakulu, chiopsezo cha matenda a mtima komanso matenda opha ziwonetsero ndiochulukirapo kawiri mpaka katatu.

Kuchepa kwa zilonda, matenda, ndipo pakufunika kwadulidwe kwakutali kumakulirakulira. Matenda a shuga ndi imodzi mwazomwe zimayambitsa kulephera kwa impso.

Chiwopsezo chonse cha imfa pakati pa anthu odwala matenda ashuga ndi chiopsezo cha imfa kawiri konse mwa anthu amisinkhu imodzimodzi omwe alibe shuga. Malinga ndi kuneneratu kwa WHO, matenda ashuga ndi omwe azitsogolera kwambiri achisanu mu 2030.

Ngakhale zitamveka bwanji, kukhala ndi moyo wathanzi kupewa ndikutha kuchedwetsa matenda ashuga a 2. Zofunikira: kukwaniritsa thupi lathanzi ndikuwusamalira, kutsatira zakudya zopatsa thanzi komanso kuchepetsa shuga ndi mafuta okhathamira,

Kupewera kwa matenda ashuga amtundu 1 kulibe.

Kudya kwa mahomoni kumadalira zinthu zambiri - chakudya kapena zolimbitsa thupi. Koma choyambirira - kuchokera pamlingo wa shuga m'magazi.

- Ziwerengero zake ndizosiyana: zimatengera insulini yomwe adokotala adalemba, komanso pamankhwala omwe ndi enieni. Ine, mwachitsanzo, pampu - insulin yaperekedwa kwa ine popanda kusokonezedwa. Ngati tiona kuti shuga akukwera, ndiye kuti timawonjezera mlingo wa insulin.

Tisanadye chilichonse, timaganizira kuchuluka kwa chakudya chamafuta mu mbale, kuwerengera mlingo wa insulini ndikupanganso jakisoni wowonjezera.

Insulin imalowetsedwa ndi syringe kapena pampu ya insulin. Pompo imagawa Mlingo wamagawo ochepa a insulin ndikudzipulumutsa. Malinga ndi Anastasia Smolina, mwa ana ndi anthu omwe alibe kwambiri insulin, pampu ndiyo njira yokhayo yomwe ingapulumuke.

Kuphatikiza apo, anthu omwe ali ndi matenda ashuga ayenera kulingalira zolimbitsa thupi. Makolo a ana omwe ali ndi matenda ashuga akuti ana omwe ali ndi vutoli nthawi zambiri samatha kupita kusukulu kapena ku sukulu ya ana, chifukwa amafunika kuwunika nthawi zonse, ndipo ogwira ntchito kuchipatala nthawi zambiri sangachite izi ndikupereka jakisoni wa insulin.

Mukakula, amakumana ndi vuto lodana ndi anthu osawadziwa momwe amawongolera shuga (chifukwa muyenera kubaya chala chanu). Mwezi uliwonse amafunika kupita kuchipatala kuti akalandire mankhwala. Ndipo chaka chilichonse amafufuzidwa kuti akatsimikizire za kukhalapo kwa matenda osachiritsika.

Palinso vuto ndi kuchepa kwa madokotala m'machipatala. Chifukwa chake, malinga ndi anthu ochokera kumadera osiyanasiyana a mzindawu, pali vuto ndi kusowa kwa madotolo azachipatala omwe amayenera kutsimikizira matendawa ndikuwapatsa mankhwala, motero kupita kwa iwo ndikovuta kwambiri.

Inde, zowonadi za izi zidayamba kuwonekera mu Okutobala. Komabe, oyimira ammudzi adanena kuti zovuta zobwera ndi insulin zimachitika nthawi zonse.

- Vutoli silinayambike dzulo. Zakhala zikuchitika kwa nthawi yayitali: ndiye kuti sitingathe kulemba mankhwala, chifukwa mankhwalawo sanapezeke, ndiye kuti tinalemba mankhwala, koma amatenga masiku atatu, omwe, ambiri, siovomerezeka.

Inde, ali ndi ufulu wochita izi, komanso pampu ya insulini komanso zingwe zoyeserera kuyeza miyezo ya shuga, koma kwenikweni patatha zaka 18, anthu ambiri amasiya kulandira zida za pampu ndi zingwe zoyeserera.

- Malinga ndi lamulo la boma, tiyenera kupatsidwa mayeso 124 pamwezi - mfundozi sizilemekezedwa. Odwala azaka zopitilira 18 samalandira mwayetsowu mwadongosolo.

Ndipo odwala ena akulephera kugwira ntchito chifukwa cha zovuta zazikulu zomwe zayamba, "atero a Svetlana Danilova, mtsogoleri wa gulu la achinyamata la Dialife Siberia.

- Tsoka ilo, shuga ndi matenda odula, ndipo tikasowa kupezera makolo athu, timakakamizidwa kuti tipeze ndalama.

Chilichonse chimasiyana: wina anagula, wina wobwereka. M'modzi mwa azimayi omwe anali pagulupo adalankhula za vuto lomaliza: iye adatenga insulin kuchokera kwa abwenzi ake omwe ali ndi matenda ashuga kwa mwana wake.

Poyamba, anthu omwe adatembenukira kwa olamulira adauzidwa kuti malo osungiramo katundu mulibe. Odwala odwala matenda ashuga adalemba madandaulo awo kwa Unduna wa Zaumoyo ndipo adalandira mayankho kuti adapatsidwa zonse zofunikira.

Panthawi yomwe akukambirana za mavuto a anthu omwe ali ndi matenda ashuga, nthumwi ya Unduna wa Zaumoyo yakuthambo idatsimikiza kuti ku Novosibirsk pali insulini ya miyezi iwiri ya insulin - 38,000, ndipo izi zakwanira. Komanso posachedwa, aboma azigula mankhwalawa okwanira kupatsa anthu mpaka February 2018.

Wachiwiri kwa bwanamkubwa Alexander Titkov adati vuto la kubweretsa insulin kwa wodwalayo lidachitika chifukwa "zipatala sizidalamulire pa nthawi yake, chifukwa chake sizinafike nthawi. Ndipo adathamangitsa odwala kuchipatala, akunena kuti mankhwalawo adalibe.

Omwe anali ndi matenda ashuga anali osasangalala ndi zotsatira za msonkhanowo, kuweruza ndi momwe mchipindacho mudachitikira.

Izi sizosadabwitsa: adabwera ndi mafunso achindunji, amafuna kudziwa, mwachitsanzo, choti achite ngati mwana ali ndi matenda ashuga ndipo akufuna kupita ku sukulu ya ana - koma akuti jakisoni wa insulin uyenera kuchitidwa ndi mayi yemwe angafune, mwachitsanzo, kuti agwire ntchito ndipo osagwira ntchito tsiku lonse pafupi ndi kindergarten.

A Alexander Titkov adatsimikizira omwe alipo kuti vutoli lomwe lili ndi antchito oyamwitsa m'masukulu amasukulu, omwe angapatse jakisoni wa insulin, lidzathetsa kumapeto kwa Novembala 2017. Komabe, sananene zambiri.

Anthu anali ndi chidwi ndi zatsopano pankhani zamankhwala komanso zamankhwala, zomwe anthu odwala matenda ashuga amapita chaka chilichonse. Zimatsimikizira kukhalapo kwa matendawa ndikuwunikiranso kumapeto kwa kulumala - izi ndizofunikira kuti anthu alandire insulin.

Makamaka, kodi ndizotheka kulandira satifiketi yodwala matenda omwe amatha nthawi yayitali? Mtsogoleri waofesi ya akatswiri azachipatala komanso akatswiri a maphunziro aumoyo Olga Barkovskaya adati "posachedwa" lamulo lachigamulo lidzalandiridwa, malinga ndi momwe kulumala - nthawi zina - kudzakhazikitsidwira muyeso yoyamba yoyesedwa. Kuphatikiza apo, Alexander Titkov adalonjeza kuti azithandiza anthu kutumiza ana kumisasa nthawi yachilimwe ya 2018.

Mwachidule, nthumwi ya Unduna wa Zaumoyo idalonjeza kupereka mankhwalawa kwa onse omwe akufunika mpaka Novembara 19. Panthawi yosindikiza, malinga ndi Anastasia Smolina, kumasulidwa kwa mankhwalawa kumasulidwa ku "zolemba zolemba".

Izi zikutanthauza kuti anthu amabwera kuchipatala ndipo ngati salandira mankhwala a insulin kapena mankhwala, atembenukira ku Roszdravnadzor. Pambuyo pa izi, mankhwala amalembedwa ndipo amapatsidwa mankhwala.

Asanasinthe ndikuyenda pamanja, chilichonse chidayendetsedwa ndi pulogalamu yomwe madokotala amagwiritsa ntchito polemba mankhwala. Ngati panali umboni kuti mankhwalawo sanali m'matumba, ndiye kuti zinali zosatheka kulemba mankhwala ndipo, motero, timalandira insulini.

- Pali zotsatira za makondawa. Ngati m'mbuyomu, pakakhala zovuta ndi insulini, anatiuza kuti: "Adzakubwezerani", ndiye kuti nkhaniyi yathetsa ola limodzi.

Anthu adauzidwa: dandaula pang'ono kuti. Ndipo lero akutiimbira foni ndikupempha insulini!

Mitu Yogwirizana ndi Mabuku Ena

Ngati mutatsala ndi insulini yotsalira yokha mutha kuthana ndi matenda ashuga limodzi ndi insulin imodzi, koma muyenera kuwonjezera kuchuluka kwa jakisoni, kuphatikizapo kuwapanga usiku. Zikatero, njira ndi chithandizo ziyenera kutsimikiziridwa

Chiwerengero cha mavoti: 0

Ngati muli ndi insulini yotsalira chabe

Mutha kuthana ndi matenda a shuga ndi insulin imodzi, koma muyenera kuwonjezera kuchuluka kwa jakisoni, kuphatikiza ndi kupanga usiku. Zikatero, njira ndi chithandizo chamankhwala ziyenera kutsimikiziridwa ndi dokotala.

Kodi kuwongolera matenda a shuga ndikotheka kokha ndi insulini yokhala nthawi yayitali?

Ngati munthu akudwala matenda amtundu wa 2 wodwala, ndizotheka kuchiza matendawa kwa nthawi yayitali, pomwe kufunika kwa mankhwalawa kuli kochepa. Mukukumbukira, tidalemba za chithandizo chophatikiza ndi mapiritsi a insulin komanso kuchepetsa shuga?

Ngati wodwala akudwala matenda amtundu 1, zimakhala zovuta kuiwongolera ndi ma insulin omwe amakhala nthawi yayitali. Mankhwala okhazikika omwe amamasulidwa amapangidwa kuti abwererenso secretion ya insulin.

Komabe, ndikofunikira kubwezeretsa kuchuluka kwa shuga m'magazi komanso nthawi iliyonse mukatha kudya. Inde, m'malo opanda chiyembekezo pomwe mulibe insulini yosavuta, mutha kulowa insulin yayitali kuti nsonga yake igwere pazakudya.

Kodi mungasinthe bwanji mlingo wa insulin panthawi ya matenda osiyanasiyana?

Pakati pa matendawa, kufunikira kwa insulin kumawonjezera, motero, mlingo wa mankhwalawo uyenera kuchuluka. Mutha kuwonjezera pawokha jekeseni iliyonse ndi zigawo ziwiri, koma osapitilira 10% ya tsiku lililonse.

Momwe mungasungire insulin?

Insulin ndi mankhwala a protein. Chifukwa chake, imafunikira malo osungirako apadera. Pakusungika kwa mankhwalawa kwa nthawi yayitali, kutentha kwa mpweya woyenera kuyenera kukhala kozungulira kuyambira 2 mpaka 8 ° C. Insulin sayenera kuzizira, kuyatsidwa ndi dzuwa mwachindunji, kumanzere pafupi ndi magwero amoto, kumatenthedwa m'madzi otentha.

Insulin yomwe mumagwiritsa ntchito imatha kusungidwa kutentha. Insulin yosungidwa mufiriji iyenera kuzitenthetsedwa kutentha kwa firiji kwa maola 2-3 isanafike. Ngati mwaiwala kuchotsa botolo mufiriji pa nthawi ndipo tsopano mwachangu, mutha kuwotha m'manja. Kumbukirani kuti jakisoni wozizira wa insulin ndiwopweteka ndipo mankhwalawa amamwa nthawi yayitali kuposa masiku onse.

Mukalandira insulini mu mankhwala, nthawi zonse samalani ndi nthawi yomwe amatha. Musagwiritse ntchito mankhwala omwe atha ntchito.

Zotsatira za Insulin

Mpaka pano, insulini imangopezeka jekeseni. Kufunika kwa jakisoni tsiku ndi tsiku kumapangitsa kuchiza kwa matenda osokoneza bongo kukhala owawa ngakhale mutagwiritsa ntchito cholembera. Koma asayansi akupitilizabe kupeza mitundu ya mankhwalawa. Zotheka kuti mapiritsi a insulini awonekera posachedwa.

Si odwala onse omwe ali ndi matenda a shuga a mtundu wachiwiri omwe amatha kukhala ndi shuga m'magazi olimbitsa thupi mwa kudya ndi masewera olimbitsa thupi.Njira zonse zikayesedwa, kuyesayesa konse kwapangidwa, koma zotsatira zake zakwaniritsidwa, dokotala ali ndi ufulu wokulemberani mapiritsi ochepetsa shuga.

Masiku ano, pali magulu awiri akulu akulu okhala ndi mapiritsi othandiza kuchepetsa shuga. Gulu loyamba limaphatikizapo mankhwala a sulfonamide.

Pakadali pano, madokotala ali ndi mankhwala awa amakono a gulu la sulufanilamide: maninil (glibenclamide), shuga, minidiab, glurenorm.

Zonsezi mpaka pamlingo wina zimapangitsa kuchuluka kwa insulin mthupi, kusintha mphamvu ya minofu kwa izo, komanso kuletsa kutsika kwa shuga kuchokera ku chiwindi kulowa m'magazi. Komabe, wina ayenera kudziwa kuti mankhwalawa amathandizira odwala matenda ashuga okhawo 60-70% ya odwala.

Ndikofunika kuti mutengepo piritsi lililonse 20-30 musanadye, ngakhale mutha kuchita izi mukatha kudya. Chofunikira kwambiri ndikusungabe kuchuluka kwa mankhwalawo m'magazi.

Atamaliza ntchito yomwe anapatsidwa, sulfonamides omwe amachepetsa shuga amawonongeka m'chiwindi ndikufutukuka kudzera impso. Chifukwa chake, kuti asasokoneze magwiridwe antchito awa, mlingo wa mankhwalawa ukhale wololera komanso osapitirira mapiritsi 4 patsiku.

Kukonzekera kwa Sulfanilamide kumapangidwa mu amayi apakati komanso oyembekezera, odwala omwe ali ndi matenda a impso (onse kupatula glurenorm), omwe ali ndi matenda amwazi, matenda a chiwindi, kuphatikizapo chiwindi chachikulu. Zikatero, nthawi zambiri mumafunikira thandizo la insulin.

Biguanides amaphatikizapo adebite, glucophagus, silubin.

Panthawi ina, Biguanides anali kugwiritsidwa ntchito kwambiri pothandizira odwala omwe ali ndi matenda a shuga a 2, omwe ali onenepa kwambiri, chifukwa kuwonjezera pa kutsika misempha ya magazi, adathandizanso kuchepa kwa chakudya, zomwe zimakhudzanso kulemera kwa wodwalayo.

Komabe, mankhwalawa onse ali ndi drawback yayikulu - amachulukitsa kwambiri kuchuluka kwa lactic acid, yomwe siili yotetezeka. Ndi chifukwa ichi kuti kugwiritsidwa ntchito kwa Biguanides pakadali pano kuli kochepa.

Zifukwa zomwe zimakhala ndi ife nthawi zonse

Ngati makolo amamwa, ndiye kuti funso ndi "Ndichite chiyani?" sizichitika mwachangu. Poyamba, zonse zimawoneka zovulaza. Mtsuko wa mowa nditasamba. Pikiniki ndi abwenzi panja - kanyenya ndi vodika. Chizolowezi ichi chimakhala mwakuya kwambiri mwa ife. Anthu omwe amakana kumwa amawoneka odabwitsa komanso osudzulidwa ndi gulu. -ophatikiza pamodzi ndi anzathu - zimatipangitsa kukhala chimodzimodzi ndi malo athu. Zimakhala zovuta kwambiri kukana, kusiya gulu. Koma samapeza.

Poyang'ana koyamba, zikuwoneka kuti makolo amamwa chifukwa zomwe zili m'botolo zili ndi mphamvu pa iwo. Kodi kwenikweni chimayambitsa ndi chiyani. Izi siziri choncho. Cholinga chake chili mwa mwamunayo. Ndipo mowa ndi njira yokhayo yopezera zomwe zikusowa, kapena kuiwala zomwe sizitha kuyiwalika mwanjira ina. Ndipo nthawi zina zimakhala zowunikira mkati mwa ululu wosapilira mkati. Koma pali njira yosinthira, ndipo muyenera kuwonjezera mlingo. Osathetsa vuto lamkati,.

Khalidwe la kusunga chakukhosi ndi chimodzi mwazifukwa zomwe zimalepheretsa munthu chisangalalo m'moyo. Kukwiya kungakhale vuto lalikulu kwa munthu amene psyche ilipo. Itha kukhala maziko osavomerezeka omwe zochitika zina zimadutsa. Zolinga zakukhumudwitsidwa zimatha kukhala zosiyana kwambiri. Wokhumudwitsidwa ndi Mulungu, chifukwa zovuta sizinachitike. Kukhumudwitsana mnzanu akamabereka. Amakhumudwitsa mayi chifukwa sanawakonde, sanamalize. Zimakhala msampha wamaganizidwe: kukwiya kumangokhala ngati chosindikizira chosayimira, koma sitingathe kusintha zakale.

Ulemu wa anzawo pantchito, kudziwa bwino phunziroli, kusinthitsa zochitika zaunyamata - zonsezi ndizofunika kwa anthu omwe ali ndi vev. Kuzindikira kuti ali kumbali iyi, akumva bwino kwambiri.Ndipo ngakhale amwe, izi sizingalowe m'malo mwa chisangalalo chomwe amalandira pantchito yomwe amakonda. Ndi kutha kwa ntchito, chisangalalo chonse chokhudzana ndi ichi chatayika. Ndipo momwe mulingo umasinthira kumakumwa poyesa kupeza kukhutira kwakusoweka.

Zachikulu kwambiri, izi zidachitika kwa eni eni a ma vevt koyambirira kwa zaka za 90s, kutha kwa USSR, ndikupangitsa kuti anthu ambiri afe, kuphatikizira omwe amagwirizana ndi mowa. Kugwa kwa ziyembekezo, chitsogozo ndi zoyenera, kutayika kwa malo awo m'moyo ndi chidaliro chamtsogolo zinali zambiri zomwe sizigwirizana ndi moyo.

Maubwenzi olephera a banja amabweretsa zowawa zambiri m'miyoyo yathu. Kusakhutira pogonana ndi chifukwa chinanso chofunira kupulumutsidwa mu mowa, makamaka kwa eni vekitala ya anal. Kuperewera kwamalingaliro ndi malingaliro, kusiyanitsidwa muzikhalidwe ndi malingaliro pa moyo, kusamvetsetsa ndi kuperekana - popanda kumvetsetsa nokha ndi ena, mavuto awa mu maubale sangathetse. Ndipo mowa umangodzaza chisangalalo. Monga zokongoletsa.

Maphunzirowa "System-Vector Psychology" amathandizira kuti atuluke m'mavuto a moyo, kuchotsa zodandaula ndi zokhumudwitsa, pezani zomwe zimayambitsa zovuta muubwenzi. Koma kuti muyambe kusintha kena kake, muyenera kumvetsetsa chifukwa chake, kapena mukufuna kuti mumvetsetse. Apa ndipomwe yankho lavuto ili. Sizotheka kukakamiza munthu kuchita china chake chosemphana ndi zofuna zake. Ayenera kufuna izi. Ndipo apa maphunziro "System-Vector Psychology" a Yuri Burlan amathandiza pezani njira yofananira ndi wokondedwa wanu.

Simungasiye kukhala

Zoyenera kuchita, timadzisankhira tokha. Ndipo timakhala ndi kusankha uku. Khalidwe lomwe makolo amadzipha limatengera zomwe tili. Kuzindikira izi kumathandizira kudziwa mawonekedwe ake.

Nthawi zambiri pamkhalidwe uwu, mumatha kumva maupangiri: "Asiye, palibe chomwe ungachite. Moyo wanu! ” Nthawi zambiri anthu amangonena izi ndi vekitala ya pakhungu, kwa omwe banja silofunika kwambiri.

Komabe, si aliyense angathe. Mwachitsanzo, eni vekitala ya anal, oleza mtima komanso okonda kwambiri makolo awo, ndikudzigwetsa, nthawi zambiri amadzikonzera okha moyo wawo wonse. Palibe chisangalalo, koma sangathe kusiya. Ngati achoka, ndiye kuti kulakwa kumatha kuwadwalitsa m'miyoyo yawo yonse.

Anthu owona amawamvetsetsa ndi kuwamvetsetsa chisoni: mtima umasweka pamene awona zomwe makolo awo okondedwa akutembenukira. Amayesetsa kuthandiza mwanjira iliyonse.

Ngati kulumikizana kwa ana ndi makolo kwasungidwa, ndiye kuti nthawi zonse zimakhala zovuta kuti ana apulumuke pamavuto awa. Ndipo kulumikizana uku kumapangitsa kuti athetse vutoli. Komabe, posamvetsetsa chifukwa chomwe makolo amamwe, osadzimvetsetsa, iwonso iwonso agwera mumsampha wovutika. Zomwe sizinathandize, sizinathandize, zinalephera kuyima munthawi. Amazunzidwa ndi chisoni, malingaliro osalungama komanso tanthauzo la zomwe zikuchitika.

Komabe, pali mwayi wothandizira. Ngakhale wokondedwa wanu safuna kumvetsetsa zifukwa ndikusintha chilichonse m'moyo wanu, mutha kuchita zambiri inunso. Mukaphunzira psychology ya system-vector, mumayamba kumvetsetsa zobisika zamaganizidwe anu ndipo momwe zinthu zilili. Mumayamba kumvetsetsa zenizeni zomwe zimayambitsa ndi zomwe makolo ali mkati. Ndipo pakati panu pali chilumba chodalirika, chomwe chingakhale maziko osinthira ena.

Zimachitika kuti munthu akaphunzitsidwa za Yuri Burlan, okondedwa ake amasiya kumwa. Pali ndemanga ya omwe aphunzitsidwa izi. Nayi imodzi mwazo:

“Ndimaona kuti amuna anga akuwayendera bwino. Posachedwa, nthawi zambiri ndimalingalira za kumusiya, zomwe sizikugwirizana ndi ine ndipo tili ndi magawo osiyanasiyana a nzeru ndi zokonda. Ankamwabe zakumwa zoledzeretsa modabwitsa, ndipo ichi ndi chimodzi mwazifukwa zazikulu zosudzulana.Koma panthawi yophunzitsira, adachepetsa kumwa pang'ono. Ndizodabwitsa kuti, nditasintha ndekha, ndidasinthiratu mowa wa mwamuna wanga. Monga akunena, samamvanso kumwa. "

Thandizani nthawi isanathe

Mu zakumwa zoledzeretsa pali mzere wofiyira, mutadutsa pomwe woledzerayo amalephera kulumikizana ndi dziko ndipo sangathenso kubwerera ku moyo wabwinobwino. Koma ngati izi sizinapatsidwe, ndiye kuti vutoli litha kuthetsedwa. Bwerani ku Yuri Burlan. Bwerani nokha kapena ndi makolo anu, ngati zingatheke, kuti muyambe kumvetsetsa zifukwa, kenako yankho la funsoli "Ndichite chiyani?" Osati motalika kubwera.

Proofreader: Natalya Konovalova

Nkhaniyi yatengera maphunzirowa "Systemic Vector Psychology »

Palibe chomwe chimathandiza ndi kudzimbidwa - ndimakonda kumva mawu otere. Njira yothetsera vutoli yovuta iyenera kuyankhidwa kwambiri.

Zikakhala zotere, kuphatikiza zakudya zamafuta ambiri mumenyu, masewera olimbitsa thupi, komanso kugwiritsa ntchito madzi okwanira kungathandize. Malangizo osavuta awa komanso oyenera athandiza anthu ambiri kuthana ndi izi. Tiyeni tiwone mavuto onse okhudzana ndi kudzimbidwa ndi njira zowathetsera.

Zoyenera kuchita

Ngati palibe chomwe chimathandiza ndi kudzimbidwa, mwina chifukwa chake pali mtundu wina wamatenda, ndipo mufunika kuonana ndi dokotala. Amachita maphunziro ofunikira ndikuwapatsa chithandizo.

Kudzimbidwa kwambiri kumatha kuchitika chifukwa cha chakudya chochuluka cha nyama chomwe chadyedwa dzulo. Chakudya choterocho, chopanda ulusi ndi zakudya, chimakhala m'matumbo kwa nthawi yayitali, ndikupanga chotupa.

Tcherani khutu! Ngati mumadya nyama, ndiye kuti muyenera kudya nawo masamba awiriawiri a masamba a nyama. Zinthu zamapuloteni, makamaka nyama, zimakumbidwa kwa nthawi yayitali ndipo zimayenda bwino m'matumbo, zimapangitsa kudzimbidwa.

Kudzimbidwa kwa Bowel nthawi zambiri kumayamba chifukwa cha kuperewera kwa zakudya m'thupi. Ngati mumadya fiber yokwanira, yomwe imapezeka makamaka mumasamba, zipatso ndi zitsamba, ndiye kuti kudzimbidwa sikudzachitika.

Mkhalidwe wina wofunikira ndiko kumwa madzi okwanira. CHIKWANGWANI chimatenga madzi ngati chinkhupule ndikulimbikitsa kutsegula kwa peristalsis komanso kayendedwe ka ndowe kudzera m'matumbo.

Kudzimbidwa kwamphamvu kwambiri kumatha kuchitika onse chifukwa cha kusadya bwino, ndiye kuti, kusowa kwa zakudya zamasamba m'zakudya, komanso chifukwa chazifukwa zamaganizidwe - kupsinjika, kuyenda, kuyenda.

Anthu makumi asanu ndi aŵiri peresenti ya anthu akuvutika ndi kudzimbidwa mumsewu komanso m'malo atsopano m'malo achilendo. Poterepa, mankhwala opatsa mphamvu okhala ndi zomerazi amathandiza. Amasankhidwa payekha - chinthu chomwe chingathandize munthu wina kuthana ndi kudzimbidwa sichingakhale choyenera wina.

Pa nthawi yoyembekezera

Kudzimbidwa pa nthawi yapakati kumachitika chifukwa chokhala phee, komanso chifukwa choti kuthinana kwa chiberekero chokulirapo kumatha kuikidwa m'matumbo. Pankhaniyi, muyenera kufunsa dokotala wazachipatala yemwe angapangitse njira zotetezera matumbo.

Munthawi imeneyi, mankhwala othandizira othandizira amafunika kumwedwa mozama, chifukwa amatha kuyambitsa kamvekedwe ka chiberekero. Amayi oyembekezera ayenera kuyambitsa nkhondo yolimbana ndi kudzimbidwa pomanga chakudya chamagulu komanso chakudya.

Zindikirani! Ngati muphatikiza zokwanira zamasamba ndi zinthu mkaka wowawasa pamenyu tsiku ndi tsiku, ndiye kuti vuto la kudzimbidwa lidzatha.

Kuphwanya matumbo kwaulere kumachitika mwa ana. Kudzimbidwa mwa mwana ndi zochitika wamba.

Nthawi zambiri chifukwa chake pamakhala kuti mwana amadya mosayenera. Amakonda mabawu, maswiti, zopaka mchere, tchipisi, ndi zakudya zina zomwe zimathandizira kuti pakhale chipumphu chomwe sichikumbidwa bwino bwino ndipo sichingayende kudutsa matumbo.

Onani zomwe mwana wanu amadya.Lemberani buku lodyera kwa sabata lathunthu - lembani chilichonse chomwe amadya tsiku lililonse. Chifukwa chake zidzakhala zosavuta kwa inu kufufuza ngati amadya moyenera komanso kuchuluka kwa zakudya zomwe sangathe kudzimbidwa.

Ndikofunikira kuphatikiza masamba abwino, kefir, yogurt yopanda tanthauzo, zipatso, zitsamba, zipatso zouma muzosunga mwana. Onjezerani mafuta a masamba muzakudya zanu pafupipafupi. Ngati izi sizikuthandizani, muyenera kufunsa dokotala.

Chifukwa chiyani mankhwala ofewetsa khosi samathandiza?

Poyesa kuthana ndi chopondera patokha, anthu sagwiritsa ntchito njira zonse zochizira kudzimbidwa, koma amagwiritsa ntchito mankhwala othandizira okhawo.

Atamwa mankhwala aliwonse omwe kangapo konse anathandiza kutsitsa matumbo, odwala amamwa kwa miyezi yambiri. Komabe, kugwiritsa ntchito mankhwala osokoneza bongo pafupipafupi komanso mobwerezabwereza kumabweretsa chiwopsezo ndi "ulesi" wamatumbo.

Zotsatira zake, peristalsis yotsala yoyimirira imayima kwathunthu, ndipo wodwalayo pang'onopang'ono amafunikira mlingo waukulu komanso wokulirapo wa mankhwalawo.

Tiyenera kukumbukira kuti ndi gastroenterologist yekhayo amene ayenera kudziwa kuchuluka kwa mankhwalawa komanso kuchuluka kwa mankhwalawa.

Njira zoyenera zamankhwala

Kodi munthu angatani ngati mankhwala ofewetsa nkhawa asakuthandizaninso ndipo palibe chomwe chimathandiza kudzimbidwa? Choyamba, muyenera kulumikizana ndi katswiri.

Mothandizidwa ndi mayeso a labotale ndi njira zogwirira ntchito zothandizira, dokotala azindikire chifukwa chenicheni cha kuchepa kwa ndowe, kudziwa momwe matumbo akutsikira ndi kupezeka kwa matenda ake.

Pambuyo pakuzindikira, mankhwalawa kudzimbidwa amasankhidwa poganizira za mthupi la wodwala wina.

Therapy iyenera kukhala yosiyanasiyana ndikuphatikizira izi:

Mothandizidwa ndi zovuta mankhwala, kagayidwe kachakudya mthupi limathamanga ndipo kugaya chakudya ndimakonzedwa.

Tsiku lililonse kudzipatula kumakhala kosavuta, ndipo matumbo oyenda pawokha amabwezeretsedwa pang'onopang'ono popanda thandizo laxxatives ndi enemas.

Kuthandiza kudzimbidwa ndi kukanika kwa pansi

Zolimbitsa thupi zapansi pansi nthawi zambiri zimakhala chifukwa chogwira ntchito molimbika kapena kuvulala. Odwala oterowo, kuyenda kwa ndowe m'matumbo akulu kumachepetsedwa, motero, mankhwala ofewetsa tuwisi ndi mankhwala.

Komabe, ndi kukanika kwa pansi pa pelvic, mankhwalawa nthawi zambiri samabweretsa zotsatira zomwe mukufuna.

Ngati mankhwala othandizira samathandizira, ndiye kuti kulandira kwawo kuyenera kuyimitsidwa, ndipo kuti mukwaniritse, yesetsani kutsatira zotsatirazi zakuchipatala:

1. M'mawa uliwonse nthawi yomweyo, yesetsani kuchotsa matumbo nokha.
2. Palibe mwanjira iliyonse kuti chilengedwe chitha kukakamira kuti chisiyane, ndipo zikaonekera, pitani kuchimbudzi mwachangu.
3. Odwala okhala ndi vuto la pelvic pansi ndi kudzimbidwa kosalekeza amatha kupanga mafuta ochepa.
4. Microclyster yokhala ndi mankhwala a magnesia ufa imathandizanso (kuchepetsa 20 g ya ufa mu 100 ml yamadzi). Zokwanira 80 ml ya yankho.

Kubwezeretsa microflora yamatumbo

Ziwopsezo zomwe zimapangidwa pakasokonekera m'matumbo a ndowe zimatengedwa m'magazi ndikuvulaza thupi.

Kubwezeretsa microflora yabwinobwino, ndikofunikira kuti matumbo azikhala ndi mabakiteriya abwino omwe amathamangira tizilombo toyambitsa matenda. Chifukwa chaichi, adotolo amatipatsa mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo.

Zitsanzo za kukonzekera zomwe zili ndi ovomerezeka ndi prebiotic: Kugwiritsa ntchito pafupipafupi zinthu izi kumathandizira kuti matumbo a microflora akhale amtundu, amathandizira peristalsis. Imathandizira ngakhale ndi kudzimbidwa kosatha.

Zinthu zomwe zimachotsedweratu kuti dzimbike:

• Zinthu zophika zatsopano: buledi, masikono, ma pie,
• Confectionery, makeke, chokoleti,
• Chips, mtedza, obera,
• Zakudya zamafuta ndi nyama zimadyedwa pang'ono.

Kupewa

Kuti athane ndi kudzimbidwa ndikuletsa kukula kwawo, madokotala amalimbikitsa kusintha moyo:

• Yambani kudya pomwe
• Imwani madzi okwanira
• zolimbitsa thupi ndi kuyenda kwambiri,
• kupita kukasambira, kuvina.

Onse yogwira kayendedwe zimakhudza njira yachilengedwe yopatukana ya bile ndi peristalsis.

Zizolowezi zoyipa, monga kusuta fodya komanso kumwa mowa kwambiri, zimawononga matumbo, motero ndikofunika kusiya.

Nthawi zambiri zimakhala zovuta kuchitira kudzimbidwa, palibe chomwe chimathandiza ndipo, kenako, mavuto amisala okhalitsa amayamba kudwala. Potere, kukhazikitsa ntchito ya m'mimba thirakiti ndi chimbudzi ndimomwe zovuta zochizira zimathandizira. Zimaphatikizapo kumwa mankhwala, zakudya zapadera, ndipo nthawi zina ngakhale kukonza kwamalingaliro.

Njira yodzimbidwa, momwe imadziwonekera yokha ndi zomwe zimadzatsidwa

Nthawi zambiri ndi njira yolakwika yochizira matenda am'mimba, kudzimbidwa kumakhala kudwala. Ndi njira yonyalanyaza yomwe njira zosavuta zamankhwala zimakhalira zopanda ntchito, kenako ntchito zovuta.

Mavuto osakhalitsa omwe amayenda m'matumbo amatha kukhala masiku asanu mpaka miyezi itatu kapena kupitirira. Munthawi imeneyi, wodwalayo samangovutika ndi kuchotsa, komanso kuwonongeka mu mkhalidwe wamba. Ntchito ya ziwalo zam'mimba imasokonekera, kutchulidwa kuledzera kwa thupi ndipo zizindikiro zomwe zimagwirizanitsidwa ndi izo zimawonetsedwa.

Popeza kusakhalapo kwa chopondapo kapena matumbo osakwanira masiku opitilira 10, matumbo a m'mimba ndi peristalsis amachepa. Ulusi wa minofu yosalala umaleka kugwirana, chifukwa chomwe kuchepa kungayambike chifukwa cha chidwi chakunja.

Zizindikiro zotsatirazi zikusonyeza:

• kusuntha kwamatumbo kumachepa mpaka kawiri pa sabata,
• Pambuyo pa kuchepa, kumverera kwamatumbo athunthu kumakhalabe,
• kusapeza bwino mu rectum (ngati kuti pali china chake pamenepo),
• maphunziro
• kutulutsa kumakhala ndowe zochuluka kwambiri, zomwe zimatsatana ndi kupindika kwa malo ogulitsira,
• matumbo amayenda chifukwa chovuta kwambiri,
• chosowa chambiri.

Komanso, kusowa kwathunthu kwamatumbo komanso chidwi chodzimana zitha kunenedwa za kudzimbidwa. Zikatero, kuti muyeretse matumbo, muyenera kugwiritsa ntchito njira yodzola ndowe, zomwe zikamachotsedwa zimakhala ndi maziko ngati pulasitiki.

Pakudzimbidwa kwambiri kwa miyezi yopitilira itatu, matendawa amakhalanso ndi matenda:

• kutupa kwa zotupa m'mimba
• kutupa m'mimba imodzi,
• neoplasms mu koloni
• zimakhudza thanzi lathupi lathupi lathu?
• kudzimbidwa,
• kulimbikira kwamatumbo, etc.

Chifukwa chake, chithandizo cha zovuta choponderezedwa chikuyenera kuchitidwa munthawi yake. Ngati nthenda yayitali yamatenda siyinapewedwe, ndiye kuti chithandizo chiyenera kudaliridwa ndi katswiri, makamaka ngati kudzimbidwa pa nthawi ya pakati kumathandiza .

Kudzimbidwa kwa nthawi yayitali sikuthandiza, chifukwa chiyani ndikuchita?

Matenda kudzimbidwa sikuthandiza kanthu pamenepa? Kuyesa kuthana ndi mavuto othamanga ndikutsanulira pazokha nthawi zambiri samapereka zotsatira zomwe zikuyembekezeka. Izi ndichifukwa choti chithandizo cha matenda amenewa chimachitika molakwika. Kusatha kwamatumbo kosatha sikungathetsedwe kokha, mwina, chifukwa zonsezi zimangopatsa mpumulo kwakanthawi, koma samachiritsa matenda omwewo komanso zomwe zimachitika.

Mwachitsanzo, ngati mavuto atachotsera madzi chifukwa cha dysbiosis, kusayenda bwino kwa dongosolo la endocrine kapena kutsekeka m'matumbo, ndiye kuti kukonza zakudya sikokwanira. Chithandizo cha kudzimbidwa pamilandu yotere iyenera kuchitika mokwanira, kuphatikiza mankhwala angapo omwe cholinga chake ndi kuchiza matenda oyambitsidwa ndi zizindikiro zake.

Nthawi zambiri, amayesa kuletsa kusowa kwa matumbo mwa kumwa mankhwala othandizira.Ndi njira yodziwika kwambiri yothana ndi kudzimbidwa, komanso kugwiritsa ntchito kwawo komwe nthawi zambiri kumayambitsa kukula kwa kudzimbidwa kosatha. Chifukwa chake, mankhwala osokoneza bongo amasiya kupereka zomwe mukufuna ndikukulitsa kusagwira ntchito kwamatumbo ngati:

• Mankhwala amatengedwa mosalamulirika, zomwe zimapangitsa kuti azingokhala osokoneza bongo komanso azikulirakulira.
• Chithandizo cha mankhwala ofewetsa tufuta sichili chonse,
• ntchito pafupipafupi mankhwala oletsa kupindika (peristalsis amasiya kugwira ntchito popanda zakunja zakunja).

Kuphatikiza apo, mankhwala othandizira sapereka mpumulo ngati sanasankhidwe molondola. Kudzimbidwa kumagawika m'mitundu ingapo, iliyonse yomwe imakhala ndi chifukwa chake ndipo imafunikira zovuta zina.

Kuphatikiza mankhwala a kudzimbidwa kosatha

Chithandizo cha kudzimbidwa kosagwirizana chimayamba ndi kupeza chifukwa chomwe chikukula. Ngati vuto la matumbo silikuyenda bwino chifukwa cha vuto la kuperewera kwa zakudya m'thupi ndi kugona pansi, ndiye kuti mukubwezeretsa choperekacho ndikokwanira kusintha kadyedwe, pitani kumasewera ndipo, ngati pakufunika, nthawi zina mumamwe mankhwala othandizira (osapitirira kamodzi pa sabata).

Ngati kusowa kwa chopondapo kumawonedwa motsutsana ndi matenda amtundu uliwonse wamatumbo, ndiye kuti ndikofunikira kukaonana ndi katswiri, makamaka ngati palibe chimathandiza .

Chithandizo cha mavuto osatha ndikutulutsa chimachitika mokwanira. Chithandizo chikuyenera kupita ku:

• kubwezeretsa kuchotsedwa kwatsiku ndi tsiku,
• kuyambitsa kutulutsa ndowe,
• kukonza chimbudzi,
• kukana mankhwala othandizirana ndi mitsempha,
• kusintha kwa kagayidwe kachakudya njira,
• Kuchotsa kwa vuto lalikulu la kusowa kwa ntchito.

Munthawi zonsezi, chithandizo chimasankhidwa payekha. Zambiri zimatengera kutha kwa kudzimbidwa, kusintha kwa kapangidwe kake, kunyalanyaza matenda omwe adayambitsa matumbo stasis, komanso zaka za wodwalayo. Chifukwa chake, chithandizo chitha kuphatikizira mankhwala:

• odana ndi yotupa
• antibacterial
• zinthu zomwe zimakhala ndi mabakiteriya opindulitsa (kukonza microflora yamatumbo),
• asing'anga (pakakhala zizindikiro za kuledzera),
• antispasmodics (ndi kudzimbidwa kozungulira).

Ngati kudzimbidwa kwambiri sikumathandiza ndipo imalumikizidwa ndi chinthu chamaganizidwe, ndiye kuti mankhwala omwe amakhudza mwachindunji momwe munthu amagwirira ntchito ndi ubongo amaphatikizidwa ndi mankhwalawo. Amatha kukhala othandizira kuponderezana, mankhwala omwe amasintha kufalitsa kwa ubongo, mankhwala omwe amakhudza kayendedwe kazinthu zina, ndi zina. Ndi mitundu yanji yamankhwala yomwe imafunikira pazinthu zoterezi zimasankhidwa ndi katswiri.

Nthawi zina timagwiritsa ntchito nthawi yochulukirapo komanso kulimbikira kuchita kuposa momwe timafunikira. Ndipo sikuti umangokhala ulesi, komanso kuti masiku onse akufanana, ndipo ntchito zimakhala zofanana komanso zotopetsa. Nthawi zina timasowa mphamvu, chilimbikitso, kapena timangofuna kupuma. Ntchito yokhayo siyodikirira, ndipo monga chotulukapo, mndandanda wa ntchito umangokulira. Chifukwa chake, ndikukhulupirira kuti masiku oterowo, muyenera kuchitapo kanthu pang'ono ndikukweza nokha. Nazi njira zingapo zomwe mungayambirenso komanso kuthana ndi kukana kwanu kugwira ntchito.

Nyimbo yathu ndiyabwino, timayamba ... kuyambira kumapeto!

Imodzi mwanjira zomwe ndimakonda kwambiri "kudzutsa" ubongo. Pomwe sindingathe kukhazikika kapena kuti ndilibe chidziwitso choti ndichita chilichonse, ndimasintha zochita ndikuyamba kuchokera kumapeto. Zilibe kanthu kuti ntchitoyi ndi yotani: kugwira ntchito mwatsopano kapena kukonza mapulani a polojekiti. Ndimangotenga zidutswa za ntchito zomwe zimawoneka ngati zanga zopepuka kwambiri. Ndiye kuwayika pamodzi ndikosavuta kuposa kupanga kuchokera pachiwongola. Ndipo kulemba kuyambira kumapeto nthawi zina zimakhala zosangalatsa.

Ndi chifukwa chiyani kusachita insulin?

Nthawi zina, mankhwala a insulin samalola kuchepetsa ndi kutsitsa kuchuluka kwa shuga.

Chifukwa chiyani insulin siyitsitsa shuga? Zotsatira zake zimatsimikizira kuti zifukwa sizingokhala mu kulondola kwa Mlingo wosankhidwa, komanso kutengera njira ya jekeseni yokha.

Zomwe zimayambitsa ndi zomwe zimayambitsa osagwiritsa ntchito mankhwalawa:

1. Kulephera kutsatira malamulo osungira a mankhwala, omwe amatha kupezeka ozizira kwambiri kapena kutentha kwambiri, padzuwa. Kutentha kwakukulu kwa insulin kumachokera ku madigiri 20 mpaka 22.
2. Kugwiritsa ntchito mankhwala omwe atha.
3. Kuphatikiza mitundu iwiri ya insulini mu syringe imodzi kungapangitse kuti mankhwala osokoneza bongo asaperekedwe.
4. Pukutani khungu musanabale ndi ethanol. Tiyenera kudziwa kuti mowa umathandizira kuti muchepetse mavuto a insulin.
5. Ngati insulini idalowetsedwa mu minofu (osatinso khola), momwe thupi limaperekera mankhwala lingasakanikirane. Pankhaniyi, pakhoza kukhala kuchepa kapena kuwonjezeka kwa shuga chifukwa cha jakisoni.
6. Ngati nthawi ya insulin makonzedwe satiwone, makamaka asanadye, mphamvu ya mankhwalawa itha kuchepa.

Tiyenera kudziwa kuti pali miyambo yambiri komanso malamulo omwe angathandize kukhazikitsa bwino. Madotolo amalimbikitsanso kuti muzisamala ndi mfundo zotsatirazi ngati jakisoniyo sangatulutse shuga wambiri:

• Jekeseni iyenera kuchitika pambuyo popereka mankhwalawo kwa masekondi asanu mpaka asanu ndi awiri kuti magazi asatayike.
• Onani mosamala nthawi yomwe mankhwalawo amamwa komanso chakudya chachikulu.

Chisamaliro chikuyenera kuthandizidwa ndikuonetsetsa kuti palibe mpweya womwe umalowa mu syringe.

Mawonekedwe a kukana mankhwala

Nthawi zina ngakhale ndi njira yoyenera yoyendetsera ndikutsatira Mlingo wonse womwe dokotala wakupatsani, insulini siyithandiza ndipo siyotsitsa shuga.

Izi zitha kukhala chiwonetsero chokana chida chachipatala. Mu terminology yamankhwala, dzina la "metabolic syndrome" limagwiritsidwabe ntchito.

Zifukwa zazikuluzikuluzi zimatha kukhala izi:

• kunenepa kwambiri komanso kunenepa kwambiri
• kukula kwa matenda ashuga amitundu iwiri,
• kuthamanga kwa magazi kapena cholesterol,
• zosiyanasiyana za mtima dongosolo,
• kukula kwa polycystic ovary.

Pamaso pa shuga sikuchepetsa chifukwa maselo amthupi sangathe kuchitapo kanthu mothandizidwa ndi mankhwala. Zotsatira zake, thupi limapeza shuga wambiri, pomwe kapamba amawona ngati akusowa insulini. Chifukwa chake, thupi limapanga insulini yambiri kuposa momwe limafunikira.

Zotsatira za kukana kulowa m'thupi zimawonedwa:

• shuga wamagazi ambiri
• kuchuluka kwa insulin.

Zizindikiro zazikulu zomwe zikuwonetsa kukula kwa njirayi zikuwonetsedwa motere:

• pali kuchuluka kwa shuga m'magazi pamimba yopanda kanthu,
• kuthamanga kwa magazi kumakhala kosakhazikika,
• pali kuchepa kwa cholesterol "yabwino" yokhala ndi chiwopsezo chakuthwa kwambiri mpaka kufika pamlingo woipa "woipa",
• Mavuto ndi matenda a ziwalo zamtima zimatha kukhazikika, nthawi zambiri pamakhala kuchepa kwamankhwala am'mimba, komwe kumayambitsa matenda a atherosermosis komanso mapangidwe a magazi,
• kunenepa
• Pali zovuta ndi impso, monga zimatsimikiziridwa ndi kupezeka kwa mapuloteni mkodzo.

Ngati insulini siyitulutsa mphamvu yoyenera, ndipo shuga wamagazi sayamba kutsika, ndikofunikira kuti mupititse mayeso owonjezera ndikuyesa mayeso owunikira.

Mwina wodwalayo amakhala ndi insulin.

Kodi tanthauzo la chitukuko cha matenda a Syomozhdi ndi ati?

Chizindikiro chimodzi cha mankhwala osokoneza bongo osokoneza bongo ndikuwonekera kwa matenda a Somogy. Vutoli limayamba chifukwa cha kufupika kwa shuga m'magazi.

Zizindikiro zazikuluzikulu zodwala zomwe zimapangitsa wodwala kukhala ndi insulin mopitirira muyeso ndi motere:

• masana pali kulumpha kowopsa m'magulu a shuga, omwe amatha kufikira kwambiri, kenako kutsikira pansi pazisonyezo wamba,
• kukulitsa kwa pafupipafupi hypoglycemia, munthawi imodzimodzi, kuukira kwachiwiri komanso koonekeratu kungawoneke,
• urinalysis ikuwonetsa mawonekedwe a matupi a ketone,
• wodwalayo amakhala akumagona ndi njala, ndipo thupi limakulirakulira,
• Matendawa akuwonjezeka ngati mukulitsa kuchuluka kwa insulin, ndipo mukulira ngati muleka kuwonjezera mlingo wake.
• nthawi ya chimfine, pali kusintha kwamasamba amwazi, izi zimafotokozedwa ndikuti nthawi yamatendawa thupi limafunikira kuchuluka kwa insulini.

Monga lamulo, wodwala aliyense yemwe ali ndi shuga wambiri m'magazi amayamba kuchuluka kwa insulini yoyendetsedwa. Potere, musanachite izi, ndikulimbikitsidwa kupenda zomwe zikuchitika ndikuwonetsetsa kuchuluka ndi chakudya chomwe chimatengedwa, kupezeka kwa kupumula koyenera komanso kugona, kuchita zolimbitsa thupi mokwanira.

Kwa anthu omwe misempha ya glucose imasungidwa pamitunda yayitali kwa nthawi yayitali, ndipo mutatha kudya pang'ono, palibe chifukwa chosungira vutoli ndi insulin. Kupatula apo, pali zochitika pamene mitengo yayikulu imadziwika ndi thupi laumunthu monga momwe limakhalira, ndikuchepetsa kwawo, kumatha kuyambitsa chitukuko cha matenda a Somoji.

Kuti muwonetsetse kuti ndi mankhwala osokoneza bongo a insulin omwe amapezeka m'thupi, ndikofunikira kuchita zingapo zokhudzana ndi kuzindikira. Wodwala amayenera kukhala ndi miyezo ya shuga usiku panthawi inayake. Kuyambika kwa njirayi kumalimbikitsidwa kuti ichitike pafupifupi 9 koloko madzulo, kenako ndikubwereza kwa maola atatu aliwonse.

Monga momwe machitidwe amasonyezera, hypoglycemia imachitika pafupifupi ola lachiwiri kapena lachitatu lausiku. Tiyeneranso kudziwa kuti ndi munthawi imeneyi yomwe thupi limafunikira insulini pang'ono, ndipo nthawi yomweyo mphamvu yayikulu imachokera pakukhazikitsa mankhwala a nthawi yayitali (ngati jakisoni amapangidwa nthawi ya 8 kapena 9 madzulo).

Matenda a Somoji amadziwika ndi kukhazikika kwa shuga kumayambiriro kwa usiku, ndikuchepa kwake pang'onopang'ono kwa maola awiri kapena atatu ndi kulumpha lakuthwa pafupi ndi m'mawa. Kuti mudziwe mlingo woyenera, ndikofunikira kufunsa dokotala ndikutsatira malangizo ake onse.

Pokhapokha ngati izi, vuto loti shuga wa magazi sanachepetse limatha.

Chifukwa chiyani mahomoni samachepetsa shuga?

Mlingo wa insulin wowerengeka molondola si chitsimikizo kuti mankhwalawo adzagwira ntchito.

Zotsatira za mahomoni oyambitsidwa zimatha kutengera zinthu zambiri:

• Kulephera kutsatira zomwe zimachitika pakatipa.
• Kuphatikiza insulin kuchokera kwa opanga osiyanasiyana mu syringe yomweyo.
• Kukhazikitsidwa kwa mankhwala omwe atha.
• Kugwiritsa ntchito mankhwala osungidwa osatsatira malamulo kapena pambuyo pozizira.
• Jakisoni siwosinjirira, koma mwamitsempha.
• Mukapukuta jekeseni ndi mowa. Mphamvu ya mankhwalawa imayendetsedwa mukamacheza ndi mowa.

Kodi kukana kwa mankhwala kumawonetsedwa bwanji?

Ngati malamulo onse atsatiridwa, ndipo insulini sichepetsa shuga, magazi a metabolic kapena kukana kwa mankhwala akhoza kuyamba. Zizindikiro zakukaniza:

Mapuloteni mumkodzo akuwonetsa kuti impso sizitha kuthana ndi nkhawa zambiri.

• matenda a impso amakula, monga umboni wa mapuloteni posanthula mkodzo,
• kusala kwambiri magazi,
• kunenepa
• fragility ya mtima makoma, thrombosis ndi atherosulinosis,
• kusakhazikika kwa "zoyipa" komanso "zabwino" cholesterol.

Ndi kukana, insulini imagwira ntchito chifukwa cha kulephera kwa maselo kuyamwa mokwanira mankhwala omwe amaperekedwa. Mchere wambiri umakhazikika, ndipo kapamba amatulutsa kuchuluka kwamahomoni. Zotsatira zake, shuga ndi insulin yambiri yomwe imadziwika ndi matenda a shuga a 2. Zina zomwe zimayambitsa izi:

• ovary polycystic,
• kuchuluka kwa cholesterol "choyipa",
• matenda amitsempha yama mtima ndi mtima,
• matenda oopsa
• kunenepa.

Limagwirira a Syomogy syndrome

Somoji syndrome imawoneka ndi mankhwala osokoneza bongo osaneneka. Zizindikiro zake:

• matupi a ketone amawonekera mkodzo,
• ndi kuwonjezeka kwa tsiku ndi tsiku mlingo wa mankhwalawa, mkhalidwe umakhala bwino,
• glucose amachepetsa ndi fuluwenza chifukwa cha kuchuluka kwa mahomoni panthawi ya matenda,
• kusintha kwadzidzidzi kwa glucose tsiku limodzi,
• wodwala amakhala ndi njala nthawi zonse, thupi limachuluka,
• pafupipafupi hypoglycemia.

Ngati insulini singathandize, wodwalayo amayamba kuchuluka. Musanachite izi, ndikofunikira kumvetsetsa mgwirizano womwe ulipo pakati pa kupumula komanso kukhala maso, kulimba kwa katunduyo, ndikuwunika zakudya. Ngati shuga satsika, imangowonjezereka ngakhale pamimba yopanda kanthu, palibe chifukwa chothamangira kuti musinthe mlingo. Mwina izi ndi zomwe zimachitika mthupi, ndipo kuchepa kwa mankhwala omwe amathandizidwawo kumayambitsa matenda a Somoji.

Kuyeza kwa shuga usiku uliwonse pafupipafupi kungathandize kudziwa kuchuluka kwa mahomoni.

Kuti mupeze bongo wambiri, ndikofunikira kutenga miyeso ya usiku uliwonse pafupipafupi, mwachitsanzo, 3 koloko. Patatha maola awiri pakati pausiku, hypoglycemia imachitika. Kufunika kwa mahomoni kumatsikira pang'ono. Mutalowa mankhwala ocheperako pakati 3 patatsala pakati pausiku, kuchuluka kwa mankhwalawa kumawonedwa.

Ngati wodwala ali ndi matenda a Somoji, glucose amakhala wolimba kumayambiriro kwausiku, pang'onopang'ono amatsika ndi ola lachitatu lausiku, ndipo amakula mwachangu m'mawa.

Mwazi waukulu wamagazi ndi chizindikiro chachikulu cha matenda ashuga komanso vuto lalikulu kwa odwala matenda ashuga. Magazi okwera m'magazi ndi chinthu chokhacho chomwe chimayambitsa matenda ashuga. Kuti muthane ndi matenda anu moyenera, ndikofunikira kumvetsetsa bwino komwe glucose amalowa m'magazi ndi momwe amagwiritsidwira ntchito.

Werengani nkhaniyo mosamala - ndipo mudzazindikira momwe malamulo a shuga wamagazi aliri enieni komanso zomwe zimasintha ndikusokoneza kagayidwe kazakudya, i.e. wodwala matenda ashuga.

Zakudya zomwe zimapezeka m'magulu a shuga ndi ma protein ndi mapuloteni. Mafuta omwe timadya alibe phindu lililonse pa shuga wamagazi. Kodi ndichifukwa chiyani anthu amakonda kukoma kwa shuga ndi zakudya zotsekemera? Chifukwa imathandizira kupanga ma neurotransmitters (makamaka serotonin) mu ubongo, omwe amachepetsa nkhawa, amachititsa kumva kukhala bwino, kapena ngakhale euphoria. Chifukwa cha izi, anthu ena amayamba kugwiritsa ntchito mankhwala osokoneza bongo, amphamvu kwambiri monga kusuta fodya, mowa kapena mankhwala osokoneza bongo. Anthu omwe amadalira Carbohydrate omwe adakumana nawo amachepetsa kuchuluka kwa ma serotonin kapena kuchepetsa chidwi cha receptor kwa icho.

... kapena zida zantchito

Mwachitsanzo, siyani kompyuta yekhayo ndikunyamula zolemba ndi cholembera. Phunziro ili likhoza kuphatikizidwa ndi kuyenda kwakanthawi paki ndikugwira ntchito mu mpweya watsopano: jambulani mwatsatanetsatane mafotokozedwe kapena lipoti la malipoti, lembani mayankho onse otheka pamavuto omwe akufunika kuthana nawo. Ngakhale ambiri a iwo sangapange tanthauzo, mudzasilira ndikutsitsa ubongo wanu. Inde, ndipo kalata yokhayo papepala ndiyabwino kwambiri ndipo imathandiza kutuluka kovuta.

Kusiya zochitika zatsiku ndi tsiku!

Bweretsani zosintha m'moyo wanu posankha mapulani osiyana ndi tsikulo. Chitani m'mawa zinthu zomwe nthawi zambiri mumachita madzulo kapena pa nkhomaliro. Yeretsani nyumba, idyani chakudya cham'mawa ndi borsch kapena ntchito m'mawa.Ndimakonda kugwira ntchito molawirira m'mawa, pomwe wina aliyense wagona osati kusokoneza malo abata. Maora ochepa awa ndimakwanitsa kuchita zambiri kuposa nthawi ya masana.

Nthawi yanthawi

Palibe chomwe chimapatsa mphamvu monga. Ngakhale ngati simuli wokonda ntchito iyi, yesani mayeso kuti mulowetse bongo ndi kuchepetsa nkhawa. Ngakhale ma kilomita awiri ndi mabwalo angapo kuzungulira nyumba yanu angakulipireni kuti mudzaze ndikuwongolera ntchito yanu. Inemwini, nthawi zonse ndimabwera kuthamangira kunyumba ndimaganizo atsopano komanso mphamvu yantchito.