Matenda a shuga azimayi

Matenda a shuga ndi kagayidwe kachakudya komwe kamatha kukhala zaka popanda zizindikiro. Chifukwa chake, ndikofunikira kudziwa zizindikiro zake kuti muyambe kuchira posachedwa.

Matenda abwinobwino amatchedwa nthendayi poyambira. Ngakhale amawononga thupi kale, sizimapereka zizindikilo zosatsutsika. Kenako chiopsezo cha zovuta zimachuluka: kuwonongeka kwa mitsempha yamagazi, khungu, kulephera kwa impso, matenda amkati am'mimba komanso m'munsi, zomwe zimatha kudula.

Pakati pazizindikiro zoyambirira, ludzu lowonjezereka ndi kuwonongeka kwakuthupi kumasiyanitsidwa. Nthawi zambiri pamakhalanso kutsika kowonda kwambiri kwa thupi. Mavuto amayamba ndi khungu, lomwe, ngakhale likugwiritsa ntchito moisturizer, limakhala louma.

Kukayikira zaumoyo kungathandize kuthetsa kuyesedwa kwa magazi. Zotsatira zake zikuyenera kukhala chiyani? Mulingo wabwino kwambiri wama glucose m'magazi ndi 100 mg / dL pamimba yopanda kanthu. Kuphwanya shuga m'magazi kungayambitse hyperglycemia (kwambiri kwambiri) kapena hypoglycemia (osakwanira).

Zizindikiro za hyperglycemia ndi kuchuluka kwa ludzu ndi ludzu, kukodza pafupipafupi, khungu louma ndi kuyaka, kutopa, kuwonongeka kowoneka, nseru, kusokonekera.

Nawonso, zizindikiro za hypoglycemia: kuchuluka kwa njala, kuchepa kwa mawonekedwe, kuthamanga kwa mtima, kumva kufooka ndi kutopa, chizolowezi, kupweteka mutu, kumva kutuwa kwamiyendo, dzanzi, milomo, m'malo owopsa - kulephera kudziwa.

Momwe mungapezere shuga?

Matenda obwera chifukwa cha matenda ashuga kapena prediabetes ndi vuto losakhala bwino mthupi lomwe madokotala akhala akuganiza posachedwapa. Kwa nthawi yayitali anthu ankakhulupirira kuti shuga wokhayo amakhala ndi chiopsezo pamene kuchuluka kwa shuga m'magazi kumakhala kwakukulu kwambiri kuposa kwawonso. Pakalipano, gawo loyambirira la shuga ndilopewanso - matenda osokoneza bongo kapena matenda ashuga.

Ndi nthawi iyi ya nthendayi yomwe matendawa amapezeka mthupi, omwe amadzadziwonetsera pambuyo pake, poyesedwa mwanjira zina zimapangitsa kuzindikira matenda a shuga. Mkhalidwe wamatumbowo ukuipiraipira, pamakhala chiwopsezo cha matenda amtima.

Kodi mungapewe bwanji matenda ashuga? Yankho lake ndi losavuta: kuzindikira prediabetes nthawi. Kuti muchite izi, muyenera kupanga mgwirizano ndi endocrinologist kuti mupeze mayeso omwe amawonetsa matenda a prediabetes: kusala komanso kubeza kusanthula kwa shuga m'magazi, glycated hemoglobin, C-peptide, ma antibodies kwa zikondamoyo ndi ena, ngati pakufunika kutero.

Katswiri wa endocrinologist nthawi zambiri amazindikira matenda asanam'gwere, koma ndi harbinger wawo woopsa. Tsoka ilo, atawulula shuga wobisika, sikuthekanso kuchira, koma chithandizo chamankhwala chapanthawi yake chingathandize kupewetsa zovuta komanso kukhala bwino.

Matenda a shuga

Kwa nthawi yayitali ankakhulupirira kuti ngati kuchuluka kwa shuga kuli kwabwinobwino, simungadandaule. Koma tsopano malingaliro a madokotala asintha. Amati: osati matenda a shuga okha omwe ndi owopsa, komanso gawo lake loyambirira - lotchedwa prediabetes. Chifukwa chiyani? Ndipo chikufunika kuchitanji ndi izi?

- Kodi kuopsa kwa matenda ashuga owopsa ndi kotani?

-Pakalepo, tinkakhulupirira kuti kuyambira nthawi yakukhathamira magazi kwa anthu ndi pomwe mavuto amayamba ndipo zovuta zimayamba. Koma m'zaka zaposachedwa kwadziwika kuti zovuta zaumoyo zimachitika kale kwambiri, pomwe matenda a shuga sadziwonetsa, ndipo mayeso wamba samawonetsa kupatuka panjira yokhazikika. Zombo zimayamba kuvutika ngakhale pa gawo la prediabetes, chiopsezo cha matenda amtima chambiri chikuwonjezeka.

Malinga ndi kafukufuku waposachedwa, anthu omwe amafa ndi vuto la mtima komanso kuwonda ndi prediabetes ali okwera kwambiri kuposa anthu omwe ali ndi metabolism yachilengedwe. Kuphatikiza apo, mwa anthu omwe ali ndi vuto la mtima, matenda ashuga amawonjezera mwayi wodwala mtima wosalephera. Munthu aliyense wachikhumi pa siteji ya kuwonongeka kwa glucose kagayidwe kachakudya amakhala ndi mavuto ammaso ndipo mitsempha imavutika.

- Ngati matenda a shuga amatchedwa latent, ndiye kuti ndizovuta kudziwa?

- Pakupimidwa pafupipafupi, magazi akatengedwa pamimba yopanda shuga, vutoli silingapezeke. Apa muyenera kuchita mayeso otchedwa glucose katundu. Choyamba, kuchuluka kwa shuga m'magazi kumatsimikiziridwa, ndiye kuti amapatsa 75 g ya shuga wosungunuka m'madzi kuti amwe, kapena atapempha kuti adye ndi bun yokoma ndikutenga magaziwo.

Mwa anthu athanzi, zisonyezo zonse zimabwereranso mwakale, ndipo mwa anthu omwe ali ndi prediabetes, kuchuluka kwa shuga kumakwezedwa. Pazosiyana zilizonse pazachizolowezi, osadikirira matenda ashuga. Kuchiza kuyenera kuyambika nthawi yomweyo.

- Ndani amafunika kudwala, ndani amafunikira cheke kwambiri?

- Posachedwa, zinthu zatsopano zowopsa zadziwika. Zinapezeka kuti azimayi omwe ali ndi polycystic ovary syndrome ali ndi mwayi wopezeka ndi matenda ashuga katatu. Malinga ndi izi, nthawi zambiri amakhala ndi prediabetes, komanso ali aang'ono.

Chifukwa chake, odwala matenda oopsa ayenera kubwezeretsanso potaziyamu mothandizidwa ndi mapiritsi apadera, monga asparkam kapena panangin. Anthu omwe ali ndi vuto lobadwa nalo, komanso onenepa kwambiri komanso onenepa kwambiri, nawonso ali pachiwopsezo. Nthawi zambiri, azimayi omwe ali ndi matenda ashuga panthawi ya pakati amakumananso ndi mavuto omwewo. Izi zadziwika kwa nthawi yayitali, koma osataya mawonekedwe awo.

- Kodi prediabetes nthawi zonse imasanduka shuga?

Pafupifupi theka la odwala omwe ali ndi prediabetes amakhala ndi matenda a shuga a II. Koma ngati njira zodzitetezera zitatengedwa, padzakhalanso ena athanzi.

- Ndi ziti?

- Choyamba, muyenera kusintha zolimbitsa thupi komanso kulimbitsa thupi tsiku ndi tsiku. Pochita zolimbitsa thupi, minofu imatenga glucose pafupifupi nthawi 20. Zothandiza kwambiri ndikuyenda, kupalasa njinga ndi kusambira.

"Kodi mankhwalawo sangathandize?

- Kafukufuku wasonyeza kuti mankhwala ena, monga Metformin ndi Acarbose, amatha kupewa matenda ashuga. Koma amafunika kutengedwa mosalekeza kwa zaka zingapo. Zosadabwitsa, koma kusintha kwa moyo ndizothandiza kwambiri kuposa mankhwala osokoneza bongo. Kuchepetsa thupi komanso kuchita masewera olimbitsa thupi nthawi zonse kumachepetsa chiopsezo cha matenda a shuga.

- Kodi ndizotheka kupewa matenda a shuga mothandizidwa ndi infusions wazitsamba?

- Zomera zina zimatha kuchepetsa shuga pang'ono. Koma zitsamba zokha sizingathe kuthana ndi mavuto ambiri omwe anthu omwe ali ndi prediabetes ali nawo. Chifukwa chake, mutha kudalira zitsamba pokhapokha powona zakudya komanso kuchita masewera olimbitsa thupi pafupipafupi.

Mwa mbewu zamankhwala a shuga, ma buluu, masamba owuma nyemba za nyemba, dandelion ndi mizu ya burdock, ndipo mbewu za fulakesi zatsimikizira kukhala zabwino kwambiri. Malipiro azamasamba othandiza komanso okonzeka. Chimodzi mwazomwe chimagulidwa ku malo ogulitsira, chimatchedwa "Arfazetin."

- Kodi chakudya cha matenda am'mbuyomu ndicofunika bwanji? Kodi mumakonda zakudya ziti?

- Zakudya ndi wothandizira mokhulupirika polimbana ndi matenda ashuga. Ndikofunikira kuchepetsa kuchuluka kwa mafuta ndi mowa. Mafuta obisika, omwe amapezeka mumasoseji, masoseji, masoseji, tchizi chamafuta, ndiowopsa kwambiri. Zakudya zazikulu zomwe zimafunikira kudya tsiku ndi tsiku ziyenera kukhala masamba osambira masamba. Ndi magwero a potaziyamu, omwe ndiofunikira kwambiri kwa matenda ashuga.

Koma kumbukirani kuti mukaphika masamba, potaziyamu yambiri amatayika, kotero mbatata, beets ndi kaloti ndi bwino kudya zophika. Zopanda malire mumatha kudya nkhaka, tomato, zukini, dzungu, biringanya, Yerusalemu artichoke, udzu winawake. Magulu abwino a potaziyamu ndi mtedza ndi nyemba, komanso chiwindi. Koma khofi ndi mowa zimawonjezera kuchepa kwa potaziyamu.

Zosankha ziyenera kuphatikizapo mapuloteni ambiri. Nsomba zophika ndi nsomba zina zam'madzi, nyama yamwana wankhuku, nkhuku zoyera ndizothandiza. Ndikofunika kupatula zakudya zomwe zili ndi mafuta am'mimba ophatikizika ku menyu. Izi ndi shuga ndi zomwe amapanga: maswiti, chokoleti, makeke, makeke, ayisikilimu, mkaka wokhala ndi mafuta ambiri, kupanikizana ndi zakumwa zotsekemera.

Chifukwa chakuti kale mu gawo la prediabetes chiopsezo cha atherosulinosis chikuchulukitsidwa kwambiri, ndikofunikira kuti muchepetse zakudya zomwe zimakhala ndi mafuta m'thupi. Mwachitsanzo, osadya dzira yolk, mayonesi, mafuta amkaka.

Koma mafuta a masamba ndi mafuta a nsomba, m'malo mwake, ndi othandiza kwambiri. Koma ochepa, kuti asadzaze thupi ndi zopatsa mphamvu. Ndikofunika kuti mutenge maofesi apadera a multivitamin kwa odwala matenda ashuga. Zowonadi, kale pa gawo la prediabetes, kagayidwe kamasokonekera. Chifukwa chake, kufunika kwa mavitamini ndi michere ena kukukula.

Kodi chiwopsezo cha matenda obwera ndi matenda ashuga chaposachedwa ndi chiani?

Matenda a shuga a latent amatchedwanso latent. Dzinali ndi loyenereradi - matendawa amapitilira popanda kuwonetsera zilizonse zazizindikiro kapena zizindikiro zake. Anthu omwe akudwala matendawa amamva bwino kwambiri. Matenda obisika amatha kupezeka ndi mayeso ololera a carbohydrate.

Chizindikiro pamwamba pa 120 mg pamimba yopanda kanthu ndi 200 mg mukatha kudya chidzakhala chizindikiro kuti munthu uyu akupanga mtundu wina wamatenda.

Koma zotengera za anthu zimayamba kuvutika kale pamlingo wa matenda ashuga am'mbuyomu. Kuopsa kwamatenda amtima kumaonjezereka kwambiri. Anthu omwe ali ndi vuto la matenda am'mbuyomu amakhala ndi chiopsezo chambiri chodwala matenda a mtima kapena sitiroko kuposa anthu omwe ali ndi matenda abwinobwino.

Anthu omwe ali ndi mavuto awa amathanso kukhala ndi vuto la mtima. Mavuto am'maso ndi mitsempha imawonedwa mwa munthu aliyense wachikhumi yemwe ali ndi matenda a shuga a m'mellitus.

Momwe mungapezere shuga?

Poyesa matenda a shuga, magazi amatengedwa pamimba yopanda shuga. Kusanthula kumeneku sikungadziwitse mtundu wamatendawa. Kuti mudziwe, kuyesedwa kwa glucose ndikofunikira. Choyamba, zindikirani kuchuluka kwa shuga m'magazi, pambuyo pake amapatsa magalamu 75 a shuga osungunuka m'madzi kuti amwe ndikudya mpukutu wokoma. Kenako magazi amatengedwa kuti aunikenso.

Mwa anthu athanzi, zisonyezo zonse zimabwereranso mwakale, ndipo mwa anthu omwe ali ndi matenda ashuga, kuchuluka kwa shuga m'magazi kumachulukitsidwa. Ngati kupatuka kumawonedwa, ndiye kuti chithandizo chimalimbikitsidwa kuti chiyambe nthawi yomweyo, osadikirira kukula kwa matenda apamwamba. Pamafunika kudya zakudya zamatenda a shuga, komanso kukhazikitsidwa kwa zinthu zina zomwe zidzafotokozeredwe m'nkhaniyi kanthawi kena.

Zowopsa

Katatu kangapo, shuga yam'mbuyomu imapezeka mwa amayi omwe akudwala polycystic ovary syndrome. Kuchuluka kwa potaziyamu m'magazi ndi chinthu chinanso chowopsa chomwe chimakhudza mwachangu kukula kwa matenda.

Ndi theka lokha la odwala omwe amadwala mtundu wachiwiri wa shuga. Ngati mkhalidwe womwe wafotokozedwawu utapezeka ndi nthawi yake ndipo mukuyesetsa kutsatira njira zina, ndiye kuti matendawa atha kupewedwa.

Kupewa komanso kuchiza matenda a prediabetes

Kuchiza matenda abwinobwino a shuga sikufunika kuchita zambiri. Chinthu choyamba chomwe muyenera kulabadira ndi kusintha kwa kulemera kwanu komanso kuonetsetsa kuti mukuchita zolimbitsa thupi mokhazikika. Chowonadi ndi chakuti pa maphunziro akuthupi, minofu imatenga glucose ochulukirapo makumi awiri.

Zothandiza kwambiri zimakhala kusambira, kuyendetsa njinga ndi kungoyenda. Katunduyo sayenera kukhala wamkulu kwambiri. Ndikokwanira kuyenda kapena kusambira kwa theka la ola patsiku. Mwachitsanzo, simungangochita masewera olimbitsa thupi, koma ingosiyani pamalo okwera kapena yambani kuyeretsa nyumbayo.

Palinso mbewu zina zomwe zimachepetsa pang'ono kuchuluka kwa shuga m'magazi. Koma zitsamba zokha, zomwe, sizingalimbane ndi matenda ashuga akale. Zowona, sizikhala cholepheretsa kuletsa matendawa. Mwachitsanzo, ma buluu, mizu ya dandelion, nthangala za masamba, ndi masamba owuma a nyemba za nyemba zobiriwira azitsimikizira.

Kuti muchepetse kulemera panthawi ya matenda ashuga, tikulimbikitsidwa kuti muchepetse kugwiritsa ntchito mafuta komanso mowa. Makamaka ndizosatheka kugwiritsa ntchito masoseji, masoseji, masoseji ndi tchizi chamafuta omwe ali ndi vuto lotere. Zakudya zam'mbali zamasamba ziyenera kukhala zakudya zamasiku onse. Chifukwa masamba ndiwo gwero la potaziyamu, komwe ndikofunikira kwambiri ku mtundu wamtunduwu wamatenda. Muli zopanda malire amaloledwa kudya mtedza ndi nyemba, tomato, nkhaka, zukini, udzu winawake, chiwindi.

Zakudya zam'madzi, nkhuku zoyera, ndi veal ndizopindulitsa chakudyacho chifukwa cha vutoli. Shuga, caffeine, ayisikilimu, mkaka wokhala ndi mpweya, zakumwa za shuga - zonsezi zimalimbikitsidwa kuti ziziperekedwa pakudya. Komanso, kupewa matenda a atherosulinosis, omwe nthawi zambiri amapezeka mwa anthu omwe ali ndi matenda ashuga, ndikofunikira kuchepetsa zakudya zomwe zimakhala ndi cholesterol. Izi zimaphatikizapo mayonesi, mazira a mazira, mafuta amkaka omanga.

Ngakhale kuti matendawa amakula popanda chizindikiro chodziwika bwino, matendawa amatha kuonekera ngati mungayang'ane ndi dokotala. Ngati matendawa apezeka m'mayambiriro, ndiye kuti chiwopsezo chotenga matendawa komanso kusinthasintha kwa matenda ashuga amtundu wopitilira muyeso atha kuchepetsedwa.

Zizindikiro za matenda ashuga, zizindikiro zoyambirira

Ngati mumakonda kupita kuchimbudzi komanso kudzuka usiku, izi zitha kukhala kuwonetsa koyamba shuga. Kukodza pafupipafupi kumachitika chifukwa chakuti impso imagwira ntchito mozama, kuyesera kuchotsa shuga wambiri m'thupi.

Popeza thupi limataya madzimadzi, limayang'ana kuti lipange kutayikirako, pali ludzu losatha. Zizindikiro ziwiri izi nthawi zambiri zimawoneka nthawi imodzi, zimayambitsa nkhawa mumtima: "Ndimangochita zomwe ndimamwa ndikuthamangira kuchimbudzi!"

Zizindikiro zoyambirira za shuga wodwala

Masiku ano dziko lili pa vuto la matenda ashuga Ku USA, anthu miliyoni 24 akuvutika ndi izi, ku Israeli - 400,000, ndipo chiwerengerochi chikukulirakulirabe. Mwa wodwala aliyense wachinayi, matenda a shuga amapezeka mochedwa, pomwe chakudya chimodzi sichingakonzedwenso.

Zachidziwikire, sizokwanira kupanga chidziwitso cholondola, komabe, ngati mungapeze zolakwika chimodzi kapena zingapo kuchokera pamndandandawu, muyenera kufunsa dokotala ndikuyesa mayeso a shuga. Kuyambitsa chithandizo panthawi yake kumapewa mavuto.

Amadzuka monyinyirika, ndipo atayamba kukhalabe ndi moyo. Tikulemba mndandanda wa zizindikiro 10 zokuthandizani kusiya matenda ashuga:

Kukodza pafupipafupi komanso ludzu lokwanira

Ngati mumakonda kupita kuchimbudzi komanso kudzuka usiku, izi zitha kukhala chiwonetsero cha matenda ashuga. Kukodza pafupipafupi kumachitika chifukwa chakuti impso imagwira ntchito mozama, pofuna kuchotsa shuga wambiri m'thupi

Ndi shuga wam'mbuyomu, shuga amadziunjikira m'magazi, koma osalowa m'maselo. Thupi limatenga izi chifukwa cha njala. Pofufuza magwero ena amagetsi, amatembenukira ku maselo a minofu, ndikupanga glucose kuchokera kwa iwo - gwero lamphamvu ndi nyonga. Njirayi imayendera limodzi ndi kuchepa thupi kwambiri. Anthu ena omwe ali ndi matenda amashuga am'mimba amataya ma kilogalamu 5-10 m'miyezi iwiri.

Kutopa ndi kusakwiya

Ndi kuwonjezeka kwa shuga wamagazi, thanzi lopanda thanzi limayamba, kutopa kumakulanso. Zimachulukirachulukira chifukwa choti munthu sagona mokwanira usiku chifukwa maulendo pafupipafupi kupita kuchimbudzi. Kutopa mwachilengedwe kumatanthauza kusokonekera.

Ndipo imodzi yomwe singathe kupirira nayo. Palibe kupumula, kapena tchuthi, kapena akatswiri amisala othandiza. Thandizo limatha kubwera kuchokera kumbali ya dokotala, yemwe pamapeto pake adzathana ndi matenda a shuga. Malinga ndikuwona kwa madotolo, ndikayamba chithandizo, odwala amakhala wodekha.

Kupuma pafupipafupi kwa njala kumathanso kuonetsa matenda ashuga. Kusinthasintha kwadzidzidzi kwa shuga m'magazi kumapangitsa kuti pakhale kusowa kwa chakudya m'thupi.

Matenda a kuyabwa ndi khungu

Ndi matenda a shuga, khungu limakhala louma. Imayaluka, imawoneka yosasangalatsa, kupweteka kumachitika m'mapewa. Nthawi zina kuyabwa ndi chizindikiro choyamba komanso chokhacho chomwe chayamba.Imatha kuvutitsa ngakhale shuga ikadali pakati pa malire, koma thupi sangathenso kuyamwa monga liyenera.

Kuchepetsa bala

Mabala, mabala, ndi kutupa kumachiritsa pang'onopang'ono kuposa kale. Ichi ndi chimodzi mwazizindikiro zakale za matenda ashuga. Zimaphatikizidwa ndi kuwonongeka kwa mitsempha yamagazi yomwe singathenso kukonza minyewa yowonongeka mwachangu.

Shuga wokwera m'magazi amapanga malo oyenera kubweretsanso bowa ndi mabakiteriya. Amayi omwe ali ndi matenda ashuga nthawi zambiri amakhala ndi zotupa kumaliseche. Popeza matenda a shuga amachititsa kuti chitetezo cha m'thupi chizigwira ntchito, zovuta zimayamba kugwira ntchito, kuchira kumachedwetsedwa, ndipo lingaliro ndilakuti munthu "samatuluka chifukwa cha matendawa."

Kuwona kukuwoneka pamaso pa maso, maimidwe akuwazima amagetsi amsewu usiku ndi zizindikiro zodziwika za shuga wambiri. Mwamwayi, amasowa pomwe wodwalayo ayamba kumwa mankhwala a shuga. Koma ngati chithandizo chachedwa, masomphenyawa akupitilirabe.

Kumverera kwa "goosebumps"

Kuchulukitsidwa kwa mikono ndi miyendo, "tsekwe", kuwoneka m'mapazi kumawonetsa kuwonongeka kwa mitsempha yaying'ono yokhala ndi matenda a shuga. Ndi chithandizo chakanthawi, zosowa zimatha, koma munthu akapanda kukaonana ndi dotolo, amakhala kwamuyaya. '

Potumiza wodwala kuti akayezetsedwe magazi, madokotala nthawi zambiri amamufunsa kuti ayang'ane shuga, ngati angatero, kupewa, ngakhale munthu atafunsanso za vuto lina. Ndikofunikira kwambiri kuwunikira pamimba yopanda kanthu. Ngati index ya shuga ili pansipa 100 mg / dl, ndiye kuti tikulankhula za chizolowezi. Ngati apamwamba - muyenera kukaonananso ndi dokotala ndikupatsanso mayeso ena.

Ndikofunika kukumbukira nthawi zonse kuti matenda ashuga ndizosavuta kupewa kuposa kuchiza. Ndipo ngati matendawa apezeka kale, tsatirani malangizo a dokotala mosamala kuti musabweretse zovuta.

Kukonzekera kuyeserera kwa shuga

Madzulo asanafike mayeso, mugule ku malo ogulitsa omwe ali ndi dipatimenti pomwe mankhwala amakonzedwa malinga ndi mankhwala, 75 magalamu a shuga. Pafupi ndi usiku, uyikeni mu mtsuko wa theka-lita ndikuthira 300 ml ya madzi otentha. Mutha kuwonjezera pang'ono mandimu ofinya pang'ono mwatsopano.

Sungani kutentha firiji. Patsiku loti lisanachitike, musadye pambuyo pa maola 19. M'mawa pamimba yopanda kanthu, perekani magazi kwa shuga. M'mawa, musadye kapena kumwa. Mukangowunika, pang'onopang'ono imwani njira yokonzedwera kwa mphindi 3-5.

Kuyambira pomwe mumamwa yankho, mumatha kudziwa maola awiri. Simuyenera kudya mumaora awiri awa. Mutha kumwa tiyi wobiriwira wopanda madzi kapena mchere. Kenako perekani magazi kuti apezenso shuga.

Kuthamanga shuga m'magazi 3.3 -5.5 mmol / L Pambuyo pochita masewera olimbitsa thupi: osakwana 7.5 mmol / L

7.5-11 / l mmol pambuyo pochita masewera olimbitsa thupi ndikuphwanya shuga kapena matenda osokoneza bongo omwe ali ndi 11 mmol / l-shuga

Ngati zizindikiro zoyeserera za glucose zikuposa zomwe mukuyenera, ndiye kuti muyenera kupita kukakambirana ndi endocrinologist. Muthanso kuunika ndemanga ya glycated hemoglobin.

Zomwe zimayambitsa mashuga a shuga a m'mbuyomu: njira zochizira

Kuwunikira kuti mupeze kuchuluka kwa shuga m'magazi ndi imodzi mwazofunikira zomwe zimakuthandizani kuti mumvetsetse ngati munthu ali wathanzi kapena ayi. Si chinsinsi kuti ndizolondola ndendende ndi zisonyezo za shuga kuti choyamba chimaganiziridwa, ndipo pambuyo pake, atapimidwa mozama kuchipatala, matenda ngati a shuga amatsimikiziridwa kapena kutsimikizidwanso.

Nthawi zambiri, matenda a shuga amapezeka panthawi yoyezetsa kuchipatala, komanso koyenera kumvetsera pakusintha kwanu, chifukwa pali zizindikiro zina pamene wodwala akuyenera kuganizira, atapita kwa dokotala wodziwa ntchito.

Kukhala tcheru kotereku kumapewetsa mavuto ambiri kwa iwo omwe akumva kuti sakusangalala, ofooka, koma kuwunikira akupitilizabe kuwonetsa miyezo yofanana ndi shuga. Gawo ili la matendawo limatchedwa kuti lobisika ndipo ndilowopsa kwambiri. Kupatula apo, shuga akamachita kanthu konyansa, mumapitiriza kupirira, ndikuchedwa kuchedwetsa chithandizo ndikukulitsa vutolo.

Ndani ali pachiwopsezo

Zochita zachipatala zowonjezereka zapangitsa kuti zidziwike magulu a anthu omwe ali pachiwopsezo cha mitundu yotsala ya shuga:

Si chinsinsi kuti ukalamba thupi limafooka, ndipo kumangokhala osasinthasintha. Chisangalalo chachikulu pakadali pano ndi chakudya chokoma ndi kugona tulo. M'mikhalidwe imeneyi, matenda abwinobwino a shuga amapezeka nthawi zambiri, pafupifupi 80-85% yaopuma pantchito omwe ali ndi zaka 65 akumva zomwe akumva. Chofunikira chobadwa nacho ndikuti chibadwa chitha kupezeka mwa munthu wazaka zilizonse, motere, makolo ayenera kukhalabe maso. Anthu onenepa amadziwonera okha momwe matenda am'mbuyomu amatengera. Malinga ndi ziwerengero, anthu atatu aliwonse onenepa kwambiri, amalemba zina mwa matendawa. Mimba ndi chinthu chinanso chomwe chimapangitsa kuti kugonana kukhale kopanda chilungamo. Ichi ndichifukwa chake nthawi ya gestation ndikofunikira kuti nthawi zonse azikayezedwa ndi dokotala. Palinso matenda angapo owopsa omwe amawononga ma cell a pancreatic, omwe sangathenso kupanga insulin yokwanira.

Zoyenera kudziwa

Ngati mukuwona zizindikiro za mtundu wina wamatenda, ndi nthawi yoti mupangane ndi dokotala:

Posachedwa, kukhazikika kwa khungu la thupi lanu kwayamba kukuvutitsani, khungu lanu lakhala louma, ndipo izi sizikugwirizana ndi kusamba komanso nthawi ya masika, yomwe nthawi zambiri imadziwika ndi kusowa kwa mavitamini m'thupi, ndikupangitsa kusintha koyenera, kuphatikiza pakhungu. ludzu limazunzidwa nthawi zonse. Mumamwa madzi okwanira malita, kutsamira msuzi, zakumwa za zipatso ndi tiyi, koma osawoneka bwino, matenda oopsa a shuga amakwaniritsidwa nthawi zambiri pamawu akuti "Kusiyira zakudya zopatsa thanzi - sinditenga nthawi kuti ndidikire."

Zowonadi, matenda ashuga am'mbuyomu "amakonda" kufalitsa anthu onenepa kwambiri omwe akuponderezedwa ndi mawonekedwe awo, omwe amafunikira thandizo la akatswiri azamisala komanso othandizira zakudya. Dotolo akazindikira matenda am'mbuyomu a shuga chifukwa cha zovuta zina zonse, munthu amataya mtima, pakadali pano ndikofunikira kuti musamayambe kwambiri ndikudzisamalira. Zizindikiro za matendawa - kukonda kwambiri kudya zakudya komanso kukodza pafupipafupi.

Zizindikiro zomwe zalembedwazo ndi gawo limodzi la madzi oundana, kufooka, chizungulire, kutopa msanga, kuchepa mphamvu, chidwi ndi kukhumudwa zitha kuwonjezeredwa pazizindikiro zazikulu. Amayi ayenera kulabadira ngati kupezeka kwa ovary ya polycystic kwachitika m'mbiri yamankhwala. Nthawi zambiri ndimatenda a shuga.

Kodi amathandizidwa bwanji?

Matenda a shuga opitirira 50% amadutsa matenda a shuga 2. Zomwe zimadziwika nthawi yoyenera komanso chithandizo choyenera chitha kupewa kupitiliza kwa mtundu wina wodwala. Kodi chofunikira ndi chiyani pamenepa?

Mukakhala bwino, mumatha kuyeserera kuyenda kenako kuthamanga. Yendani kwambiri ndi mapazi, kuti muwongolere mafuta owotcha, gwiritsani ntchito pulogalamu ya "Pedometer" yosavuta, yomwe imatha kutsitsidwa ku smartphone yanu.

Chithandizo cha mankhwala osokoneza bongo chimaphatikizapo kugwiritsa ntchito mankhwala monga Acarbose ndi Metformin. Unikani zakudya, chifukwa cha m'mimba, payenera kukhalanso masabata ndi tchuthi.

Kuzolowera chikhalidwe cha kudya, kudya zakudya zazing'ono zazing'ono. Zakudya zokhala ndi shuga, mafuta, osuta, zakudya zazonunkhira - osati zanu. Valani masamba ophika, maapulo ophika ndi uvuni, nsomba ndi mbatata, chotsani ku dandelion, blueberries, burdock, eleutherococcus, ginseng.

Dziwani matenda am'mbuyomu amayi apakati

Kuzindikirika kwa matenda ashuga omwe amapezeka kale kumachitika chifukwa cha mbiri yakale yodziwika bwino yodziwitsa anthu omwe ali pachiwopsezo cha matenda ashuga, kuyesa kwa glucose (TSH), komanso kutsimikiza kwa kuchuluka kwa shuga, lipids ndi insulin (insulin) ya insulin. Dziwani zambiri zakukonzekera kukhala ndi pakati pa matenda ashuga.

Matenda a shuga atha kupezekanso pogwiritsa ntchito mayeso a glucose kulolerana (TSH) ndipo kutenga pakati si kubera mayeso.

Timalimbikitsa kuyeserera koyambirira kwa glucose musanakhale ndi pakati, ndikutsatira kuyesedwa koyambirira ndi theka lachiwiri la kutenga pakati.

Njira zochitira, kuyesa, kapena TTG ndizosiyanasiyana:

mayeso a glucose-prednisolone - amayi oyembekezera amayesedwa 10 mg prednisone 8, 5, ndi 2 hours musanadye shuga, mayeso a glucose-cortisopia - amayi oyembekezera amayesedwa 50 mg cortisone 8 ndi 2 maola musanadye shuga, kuyezetsa ndi triamcinolone - Amayi oyembekezera amalandila pramcinolone kuyambira 8 mpaka 11 mg maola 11 musanadye shuga, njira yokhala ndi mtsempha wama 50 ml ya glucose 50% yankho: Kuyesedwa kwa Staub - Traugott - gwiritsani ntchito shuga kawiri.

Kuti mupeze kulolera kwa glucose yovunda, kuyezetsa pakamwa kolemetsa kwamphamvu kwa 50 g kumagwiritsidwa ntchito ndipo njirayi imawerengedwa kuti ndi yoyenera kwambiri komanso yoyenera kugwiritsidwa ntchito pamankhwala.

Amayi oyembekezera pakatha masiku awiri musanayesedwe amauzidwa kuti asadye zakudya zomwe zimapatsa mphamvu. Patsiku loyesedwa pamimba yopanda kanthu, magazi a capillary amatengedwa kuchokera pachala. Kenako amapatsa 50 g ya shuga kusungunuka mu 200 ml ya madzi kuti amwe, ndipo pambuyo pake magazi amatengedwa 1 ndi 2 maola atatha kuchita masewera olimbitsa thupi.

Shuga wamba wamagazi kapena kugwiritsa ntchito njira ya O-toluidine sioposa 100 mg% (5.5 mmol / L).

Zotsatira zakudziwitsa TSH zimawunikidwa malinga ndi njira zomwe ambiri amavomereza:

zabwinobwino - kuthira shuga m'magazi osaposa 100 mg% (5.5 mmol / L), ola limodzi mutayamwa magazi, shuga sayenera kupitirira 160 mg (8.8 mmol / L), ndipo atatha maola awiri - osapitirira 110 mg% (6.0 mmol / l), wokayikira zokhudzana ndi matenda ashuga - shuga m'magazi nthawi imodzi yophunzirira imaposa zomwe zimafanana ndi shuga mellitus - shuga msanga osaposa 100 mg% (5.5 mmol / l ), koma pambuyo pa 1 h pambuyo pa kudya kwa glucose - 180 mg /% (9.9 mmol /) ndikukwera, ndipo atatha maola 2 - 130 mg% (7.2 mmol / l) ndi apamwamba, shuga wowonekera amadziwika pamaziko a kuwonjezeka mobwerezabwereza kwa magazi a shuga (kuposa 110 mg%, 6.0 mmol / l) ndi glucosuria.

Pali kudalira kwamafupipafupi amasinthidwe a TSH mu mtundu wa matenda ashuga pa chikhalidwe ndi kuphatikiza kwa zoopsa, zaka ndi kuchuluka kwa kubadwa. Kuwonjezeka kwa ziwopsezo mu mkazi m'modzi (m'modzi, awiri, atatu kapena kupitilira apo) kumawonjezera kusokonezeka kwa TSH.

Kutsimikiza kwa shuga. Amadziwika kuti kuchuluka kwa glycemia kwa odwala omwe ali ndi matenda osokoneza bongo amakhala ndi kuya kwa kusokonezeka kwa kagayidwe kazakudya komanso kuchuluka kwa insulin.

Mu trimester ya III, mwa amayi omwe ali ndi vuto la TSH ndi mtundu wa matenda am'madzi am'mbuyomu, zomwe zili ndi shuga zimakwera kwambiri (94.2 ± 0.95 mg%) poyerekeza ndi data ya II trimester (90.0 ± 0.9 mg%), pomwe amayi athanzi munthawi yomweyo yomwe ali ndi pakati, shuga ndimagazi ndi 87, R ± 1., 2 mg%.

Pofika tsiku la 10 la kubereka, kuchuluka kwa shuga kwa akazi kumakwera ndipo milingo yake imaposa yoyamba yomwe imawonedwa asanachitike komanso kumayambiriro kwa kutenga pakati.

Ngati kuchepa kwa shuga kwa amayi apakati athanzi oyambilira pamagawo atatu oyambilira kumawoneka ngati chinthu chodabwitsa, ndiye kuti kuwonjezeka mkati mwa mulingo wabwinobwino kumafunikira kufunikira kwa TSH ndikuwonekeranso.

Ndikofunikira kuyang'ana kuchuluka kwa shuga azimayi omwe ali pachiwopsezo cha matenda ashuga.

Mwa amayi apakati oyembekezera komanso odwala omwe ali ndi matenda osokoneza bongo (kuphatikizapo omwe ali ndi mawonekedwe am'mimba), kuchuluka kwa lipids m'magazi kumakwera.

Kudziwitsa zomwe zili mu immunoreactive insulin (IRI) Mu amayi apakati athanzi, IRI mu T trimester ndi 21.6 ± 1.6 μK / ml, mu I - 28.2 ± 2.5 μE / ml, mu ITT - 36.4 ± 2 , 7 μE / ml Kwa amayi omwe ali ndi matenda osokoneza bongo a latent, makamaka 36.2 + 3.6 μE / ml, 49.7 ± 2.7 μE / ml, 57,5 ​​± 4.1 μE / ml.

Chifukwa chiyani matenda amapezeka

Matenda a shuga ochitika m'mbuyomu amadziwika kuti ndi amodzi mwa mitundu ya zovuta za endocrine - gawo lamatenda a shuga. Ndi kudziwikiratu nthawi yake matendawa atha kupewedwa.

Izi pathological mkhalidwe umayamba chifukwa chakuti mu thupi pali kuphwanya kagayidwe kazakudya ndipo zimatuluka mu mawonekedwe kusintha kusintha kwa zimakhala kuti insulin (insulin kukana) ndi / kapena osakwanira kupanga timadzi timeneti ndi ma cell pancreatic.

Zophwanya izi zitha kukhala zokhudzana ndi:

• ndi mavuto a dishormonal - Kugawika kwa mahomoni owonjezera a chithokomiro komanso ziwalo zina za endocrine za mkazi kumabweretsa kutsika kwa ziphuphu zakumapeto,
• ndi matenda oopsa a virus,
• Ndi matenda a kapamba kapena kuvulala kwake.

Kuphatikizidwa kwa matendawa komanso cholowa chamtsogolo chakukula kwa matendawa ndimatenda ambiri pamatenda osapiririka (kuthupi ndi kusokonezeka kwa malingaliro, kupsinjika, kusintha kokhudzana ndi msinkhu) kumabweretsa kuyambika kwa matenda ashuga ndipo, pakalibe njira zamankhwala zoyenera, pakukula kwa matenda oopsa.

Koma nthawi imodzimodzi, kuwonjezeka pang'ono chabe kwa shuga m'magazi si chizindikiro chokwanira cha matenda

Kuzindikira kumakhazikitsidwa pamaziko a mbiri yakale yotenga, chizindikiritso cha zomwe zili pachiwopsezo chachikulu, madandaulo, kuyesedwa kwa magazi, ndikumveketsa kusinthasintha kwake pang'ono pamimba yopanda kanthu, kuyesedwa kwa katundu kumachitika.

Pali njira zina za endocrinology zodziwitsira matenda ashuga am'mbuyomu. Zizindikiro za matendawa panthawiyi ndizosasinthika ndipo nthawi zambiri zimangowoneka ndi kuwonjezeka kwa glucose wamagazi, gawo ili limadutsa gawo la matenda.

Zomwe zimayambitsa kukonzekera kwa matenda abwinobwino a azimayi

Kugwira ntchito koyenera kwa ziwalo ndi machitidwe a azimayi kumadalira kwambiri thanzi lake la horoni. Kuyambira kutha msinkhu, kukula ndi chidwi cha thupi la mtsikanayo, komanso pambuyo pake pa thanzi la mayiyo, zimagwirizana mwachindunji ndi kupangika koyenera kwamahomoni.

Matenda a Dyshormonal amayambitsa "zozungulira zoyipa" za kusintha kwa kagayidwe kachakudya, kukulitsa kulephera kwa magwiridwe antchito komanso njira yotsika ya matenda. Zinthu izi zimakhudza kwambiri kupezeka kwa kusokonezeka kwa kagayidwe kazakudya zam'mimba ndi chitukuko cha matenda.

Kutanthauzira kwa matendawa pamayambiriro ake koyambirira kumathandizira kupewa zovuta zamtsogolo.

Chifukwa chake, zomwe zili pachiwopsezo cha matenda am'mbuyomu asungwana, atsikana ndi amayi ndizofunikira kwambiri - aliyense ayenera kuzidziwa.

Izi zikuphatikiza:

• chibadwire - matenda abale ake apamtima,
• onenepa kwambiri, kunenepa kwambiri kumayambitsa kuphwanya kagayidwe ka mafuta m'thupi, makamaka mawonekedwe ake mchiuno ndi m'chiuno,
• kusokonezeka kwaormormonal, kuphatikiza kusintha kwa thupi mu ma hormonal (pakutha msambo, nthawi yapakati, ndi kusamba),
• zaka 50 - pambuyo pa m'badwo uno, kuchepa kwapang'onopang'ono kwa chidwi cha maselo kwa zinthu zosiyanasiyana zogwira thupi, kuphatikizapo insulin,
• kusakhazikika mu mahomoni ogonana, makamaka motsutsana ndi maziko a ovary ya polycystic,
• kubadwa kwa mwana wolemera oposa 4.1 kg.

Zizindikiro zoyambirira za matenda am'mbuyomu

Matendawa amatha kudziwonetsa ngati ali ndi zizindikiro zomwe sizimafupika, zomwe nthawi zambiri sizipangitsa kuti anthu azitha kukayikira matenda munthawi yake. Izi ndizovuta makamaka ngati wodwalayo ali kale ndi matenda omwe amawonekera mwanjira yomweyo monga matenda a shuga. Komabe, kufotokozeredwa kwa mbiri yachipatala ya mkazi komanso kuphatikiza kwina, ngakhale kosakhala kosasintha, zizindikilo zambiri zimapangitsa kudziwa momwe matenda ashuga amayambira (matenda ashuga).

Nthawi zambiri matendawa amayamba ndi kufooka, ngakhale kugona tulo, kupumula kwamalingaliro komanso kupuma kwabwino. Kutopa nthawi zonse kumayendetsedwa ndi chizungulire komanso kuchepa kwa ntchito. Chofunika kwambiri ndikulimbitsa kufooka mutatha kudya - nthawi ndi nthawi, komanso nthawi zonse.

Nthawi ndi nthawi yomwe mumakumana ndi ludzu m'matumbo a shuga ophatikizika ndimkamwa wowuma, chinthu chosasangalatsa chazitsulo zamkati ndi pakamwa pafupipafupi. Kupezeka pafupipafupi kwa zizindikiro izi kumawonetsa chiopsezo chotenga matenda a shuga.

Kusavomerezeka kwa mahomoni ogonana mthupi la mtsikana kapena wamkazi kumayambitsa kuphwanya mafuta kagayidwe. Izi nthawi zambiri zimayambitsa kukhudzana ndi mafuta m'chiuno, kunenepa kwambiri kapena kunenepa kwambiri, ziphuphu zakumaso zopitilira khosi, pankhope, manja. Kuphatikiza apo, ndi matenda aposachedwa a shuga, mutu waching'alang'ala, kusokonezeka kwa kugona, komanso kukwera pafupipafupi kwa magazi kumadziwika.

Ngati pali kuphwanya kwa kagayidwe kazakudya mwa akazi, kumakhala kuchepa kwa kumasulidwa kwa ukazi, kuchepa kwa chilakolako chogonana, komwe kumayendetsedwa ndi kusasangalala panthawi yogonana. Komanso, nthawi zambiri mwa odwala pamakhala kukomoka kosagwirizana ndi mankhwala a antifungal.

Matenda abwinobwino amathandiza kwambiri pakubala ndipo nthawi zambiri amabweretsa kusamba kwa msambo komanso kusabereka mwa amayi achichepere.

Matenda a Pathology

Mtundu womaliza wa shuga umapezeka ndikutola madandaulo, kuwunika kwa anamnesis ndi kuyesa kwapadera kwa glucose. Magazi a shuga amawayezedwa kawiri - pamimba yopanda kanthu komanso pambuyo poti shuga apangike mobwerezabwereza pambuyo pa maola atatu.

Kuzindikira kwa matenda am'mbuyomu kumatchulidwa ndi kuwonjezeka kwa shuga m'magazi kuyambira 7.8 mpaka 11.1 mmol / L - mu endocrinology, mkhalidwewu umatchedwa kulekerera kwa shuga.

Kuzindikiritsa matenda ashuga aposachedwa kumapewetsa kukula ndi kupitirira kwa shuga

Kuwonjezeka kwa shuga wamagazi opitilira 11.1 mmol / L ndikuzindikira komwe kumapangitsa kuti adziwe matenda a shuga mellitus, omwe amatsimikiziridwa kapena osayesedwa ndi mayeso ena.

Matenda a shuga operewera amalephera kwambiri mu kagayidwe kazakudya zam'mimba, zomwe, ngati mutasintha kadyedwe kanu, moyo wanu komanso kupatula zinthu zoyipa, zingakuthandizeni kupewa kuyambika kwa matenda ashuga m'tsogolo. Izi ndizofunikira makamaka kwa atsikana achinyamata omwe ali ndi kunenepa kwambiri, kusokonezeka kwaormorm, komanso kuwonjezereka kwa kuthamanga kwa magazi.

Makolo ayenera kuyang'anitsitsa thanzi la mwana yemwe ali pachiwopsezo chachikulu chotenga matenda ashuga, makamaka ndi malingaliro am'banja la matenda awa. Kuphatikiza apo, nthawi zambiri matenda abwinobwino a shuga ndi omwe amachititsa matenda oyamba ndi fungus komanso kusabereka mwa amayi achichepere.

Chifukwa chake, ndikuwoneka ngati matenda oyamba kapena asukulu yachiwiri ya matenda ashuga, muyenera kulumikizana ndi katswiri ndikuchotsa kwathunthu matenda.