Magazi a shuga a shuga amtundu 1 ndi matenda ashuga 2

Tikukulimbikitsani kuti mudzidzire bwino pa nkhaniyi yomwe ili pamutuwu: "shuga m'magazi a shuga mellitus 1 ndi lembani 2 zomwe zili zofunikira" ndi ndemanga kuchokera kwa akatswiri. Ngati mukufuna kufunsa funso kapena kulemba ndemanga, mutha kuchita izi pansipa, nkhaniyo itatha. Katswiri wathu wamtundu wa endoprinologist adzakuyankhirani.

Mtundu wachiwiri wa matenda ashuga, shuga ayenera kukhala ochuluka motani?

Malinga ndi chidziwitso chachipatala, shuga wamagazi amachokera ku magawo a 3,3 mpaka 5.5. Zachidziwikire, kuti munthu wodwala matenda ashuga komanso wathanzi, zizindikiritso za shuga ndizosiyana, chifukwa chake, ndi matenda ashuga, kuyang'anira nthawi zonse ndikofunikira.

Mukatha kudya, kuchuluka kwa glucose m'magazi kumawonjezeka, ndipo izi ndizabwinobwino. Chifukwa cha nthawi ya kapamba, kupanganso kwa insulin kumachitika, chifukwa chomwe glycemia imasinthidwa.

Kwa odwala, magwiridwe antchito a kapamba amawonongeka, chifukwa chomwe chiphuphu chokwanira cha insulin (DM 2) chimapezeka kapena mahomoni sanapangidwe konse (momwe zimachitikira DM 1).

Tiyeni tiwone kuchuluka kwa shuga m'magazi a matenda ashuga 2? Momwe mungayikonzere pamlingo wofunikira, ndipo chingathandize bwanji kuti chikhazikike pamlingo wovomerezeka?

Musanadziwe chomwe shuga imayenera kukhala mwa odwala omwe ali ndi matenda osokoneza bongo, ndikofunikira kulingalira za matenda ake. Mtundu woyamba wa matenda ashuga, Zizindikiro zoyipa zikupita patsogolo, zizindikilo zimawonjezeka m'masiku ochepa, zimadziwika ndi kuuma.

Nthawi zambiri zimachitika kuti wodwalayo samamvetsetsa zomwe zikuchitika ndi thupi lake, chifukwa chomwe chithunzicho chikukulirakulira chikomokere cha matenda ashuga (kutaya chikumbumtima), wodwalayo amatha kuchipatala, komwe amapeza matendawo.

DM 1 imapezeka mwa ana, achinyamata ndi achinyamata, gulu la odwala lofika zaka 30. Mawonekedwe ake azachipatala:

• Udzu wokhazikika. Wodwala amatha kumwa mpaka malita 5 amadzi patsiku, pomwe ludzu limakhalabe lamphamvu.
• Fungo lochokera pamlomo wamkamwa (limununkhira ngati acetone).
• Kuchulukitsa chilimbikitso motsutsana ndi maziko a kunenepa.
• Kuwonjezeka kwamkodzo kwamkodzo patsiku kumachitika pafupipafupi komanso kukodza, makamaka usiku.
• Mabala samachiritsa kwa nthawi yayitali.
• Matenda a pakhungu, kupezeka kwa zithupsa.

Matendawa amtundu woyamba amadziwika patadutsa masiku 15-30 atadwala matenda (rubella, chimfine, ndi zina) kapena mkhalidwe wopsinjika kwambiri. Kuti achepetse shuga m'magazi motsutsana ndi matenda a endocrine, wodwalayo amalimbikitsidwa kupatsa insulin.

Mtundu wachiwiri wa matenda a shuga umayamba pang'onopang'ono pazaka ziwiri kapena kupitirira. Nthawi zambiri amapezeka mwa odwala omwe ali ndi zaka zopitilira 40. Munthu amakhala akumva kufooka komanso kusowa chidwi, mabala ake ndi ming'alu sizichiritsa kwa nthawi yayitali, mawonekedwe owoneka sawonongeka, kuwonongeka kwa kukumbukira kumapezeka.

1. Mavuto ndi khungu - kuyabwa, kuyaka, mabala aliwonse samachiritsa kwa nthawi yayitali.
2. Udzu wokhazikika - mpaka malita 5 patsiku.
3. Kukoka pafupipafupi komanso kuphatikiza, kuphatikiza usiku.
4. Mwa akazi, pali thrush, yomwe imavuta kuthira mankhwala.
5. Gawo lomaliza limadziwika ndi kuchepa thupi, pomwe zakudya zimakhalabe chimodzimodzi.

Ngati chithunzi chachipatala chafotokozedwacho chikuwonekera, kunyalanyaza zinthu kumayambitsa kukulira, chifukwa chomwe zovuta zambiri za matenda osachiritsika zikuwonekera kale.

Matenda kwambiri a glycemia amachititsa kuti azitha kuona mosavuta komanso asamakhale ndi vuto lililonse, matenda a mtima, kugunda kwa mtima, kulephera kwa impso ndi zina.

Matenda a shuga sapitilira kale kuti lingokhala vuto la zamankhwala, zakhala zochitika zenizeni. Pali anthu pafupifupi 10 miliyoni odwala matenda ashuga ku Russia, ndipo amangokhala matenda a shuga okha. Pochita, palinso zina zambiri, chifukwa theka la odwala sadziwa za kukhalapo kwa matendawa chifukwa chosowa zizindikiro.

Matenda a shuga - shuga wamba ndi kuwongolera kwa shuga wamagazi amayenera kuwunika nthawi zonse osati kokha mwa odwala, komanso mwa anthu athanzi kuti ateteze prediabetes. Anthu ambiri amaganiza kuti popeza matenda ashuga amatanthauza kuti shuga alibe. Koma sikuti zonse ndizophweka. Kukhala bwino kwa wodwala komanso nthawi yamatendawa kumatsimikiziridwa ndi kulimba kwa zakudya. Ngakhale kuti shuga ndi sumu yoyera, thupi limafunikirabe.

Ili ndi mitundu iwiri - insulin-insulin komanso insulin. Ndi mtundu 1, kuphwanya kapamba, komwe sikumapereka insulin yokwanira ndipo kwa odwala chilichonse chimaletsedwa.

Mtundu 1 umagawidwa mu autoimmune ndi idiopathic. Matenda a 2 a shuga amayanjana ndi kunenepa kwambiri komanso kuperewera kwa zakudya m'thupi - ndi izi, kudya maswiti ndizochepa. Matenda a shuga: mayendedwe a shuga ndi chizolowezi - hyperglycemia imadziwika ndi mtundu uliwonse wa matenda a shuga, ndiye maziko a zizindikiro.

M'moyo watsiku ndi tsiku, ndimtundu wa chakudya chotchedwa sucrose, sungunuka m'madzi ndikuyika gulu la mafuta osavuta. Zopatsa mphamvu zake zopatsa mphamvu ndizapamwamba kwambiri - 400 Kcal pa 100 g, zimatha kuyamwa nthawi yomweyo. Koma awa ndi zopatsa mphamvu zopanda kanthu, pambali pawo, palibe zinthu zofunikira pakukonza. Phindu lake lokha ndikuti limapatsa mphamvu, kupezeka kwake ndikofunikira kuti ubongo ugwire ntchito.

Monosaccharide imagwiritsidwa ntchito kwambiri pamakampani a confectionery. Kwenikweni, popanda iwo palibe kuphika, zakumwa, ayisikilimu ndi zonona, glaze ndi kupanikizana, zakudya ndi maswiti.

Nthawi zambiri, zotsekemera zimapangidwa kuchokera kwa nzimbe ndi beets, koma masiku ano amagwiritsanso ntchito madzi a chimanga, mapulo manyumwa, kanjedza ndi maula, uchi.

Kulowetsedwa kwa magetsi m'thupi kumadumphira m'magazi ndipo popeza insulin ndi yocheperako mtundu 1 shuga, thanzi la odwala limawonekeranso moyipitsitsa. Ngakhale magawo ochepa a shuga woyengedwa amatha kupindika shuga ya magazi ndikupangitsa zovuta.

Chifukwa chake, kwa odwala matenda ashuga, ndikwabwino kugwiritsa ntchito zakudya zomwe zili ndi GI yotsika, yomwe imakumwa pang'onopang'ono ndipo osapereka hyperglycemia.

Zowonongera ndikuti ndikakhala ndi zopatsa mphamvu zambiri zimakhala zosavuta kugwiritsa ntchito bongo ndipo zotsatira zake zidzakhala zochuluka. Kodi kuyeretsa kotani patsiku? Ndipafupifupi 76 g patsiku (pafupifupi 8-9 tsp mchenga).

Mafuta amadzimadzi ndi shuga angati mumatha kudya shuga? Ndi mtundu 1, samaphatikizidwa konse, ndi mtundu 2, zakudya zama carb zotsika pogwiritsa ntchito zakudya zama GI zochepa.

Kodi shuga ndi shuga uti omwe ungathe kudya shuga? Ndizovomerezeka kugwiritsa ntchito monosaccharide ya bulauni yokhala ndi sucrose yosakidwa yosakanikirana ndi ma molass molass.

Ili ndi zinthu zofunikira komanso kufufuza zinthu. Kuyenga, ngati mankhwala owopsa, ndizoletsedwa. Sipuni ya ndodo imavomerezedwanso mumadontho ochepa. Amagwiritsidwa ntchito m'makampani ogulitsa zakudya kuti apange kupanga fructose, yowonjezeredwa pazinthu zodwala. Uchi wokoma wachilengedwe ndi ubweya wofanana wa njuchi, umalolanso, patsiku, osaposa 2 tsp.

Mitundu yonse iwiri ya matenda a shuga, shuga ogwiritsidwa ntchito, omwe amaphatikizanso masamba komanso kupanga, amatha kukhala ndi shuga.

Zachilengedwe zimaphatikizapo sorbitol, xylitol, fructose, stevia. Zopanga - aspartame, cyclamate, saccharin. M'malo azitsamba ndizakoma komanso zopatsa thanzi. Sizitanthauza kuti pakhale insulin yokha. Mlingo wawo watsiku ndi tsiku siwoposa 50g.

Sorbitol ndi ocheperachepera caloric komanso ochepera. Itha kudyeka kuposa zotsekemera zina.

Stevia - imayenera kuyang'aniridwa mwapadera chifukwa cha malo ake. Ndiwotsekemera kwambiri, sayambitsa hyperglycemia ndipo imayendetsa yokha.

Chifukwa chiyani pakufunika? Amathandizira kuchepetsa kulemera, amatulutsa kuthamanga kwa magazi ndi hypercholesterolemia, amathandiza chiwindi ndi kapamba. Kuphatikiza kwakukulu kwa izo ndikuti sizowopsa ndipo zilibe zotsutsana.

Ali ndi zabwino zawo: zimatengeka mosavuta, ndizokhala ndi zopatsa mphamvu zochepa zomwe zimaperekedwa ndi impso. Koma itha kukhala ndi zowonjezera zovulaza.

Glucose wa matenda a shuga a mtundu wachiwiri: ndi mtundu uwu wa matenda ashuga, mutha kugwiritsa ntchito shuga - m'malo awo ndi gawo la saccharin 0,2 g ndi aspartame - 3.5 g. Kodi angagwiritsidwe ntchito ndi bere? Mimba komanso kuyamwa sizilandira.

Ndikulakwitsa kukhulupirira kuti tanthauzo la glycemia ndi la anthu odwala matenda ashuga okha, ngakhale kwa iwo ndizowonetsa momwe ziliri. Anthu athanzi amayeneranso kuyang'anira glycemia kuti pasapezeke owonjezera pazomwe zimachitika. Magawo a shuga wamagazi - kuyambira 3.5 mpaka 6.1 mmol / L. Mukatha kudya, pambuyo pa maola 2, mulingo umakwera, koma osayenera kupitilira 8 mmol / L.

Pancreas wathanzi ndiye amabwezeretsa yachilendo. Poyankha pakudya zamagalimoto ambiri, zimapatsa insulin yochulukirapo, imasinthira shuga m'maselo.

Chifukwa chake, chomwe amawerengera shuga ndizabwino kwambiri:

1. Kudumpha pambuyo chakudya osaposa 8
2. mmol / l.
3. Pogona, osapitirira 6.2 mpaka 7.5 mmol / lita.
4. Pasakhale glucose mkodzo.

Ndi zizindikiro zotere, sipangakhale zovuta. Koma ndikofunikira kuwongolera osati kuchuluka kwa shuga mu shuga mellitus, komanso zidziwitso zina: kulemera, kuthamanga kwa magazi ndi cholesterol. Kulemera kwa thupi kumayenera kukhala kofanana ndi zaka, kutalika ndi jenda.

Chizindikiro chachiwiri chofunikira ndi kuthamanga kwa magazi - mkati mwa 130/80 mm RT. Art. Cholesterol sayenera kukhala yapamwamba kuposa 4.5 mmol / lita.

Mtundu uliwonse wa matenda ashuga umaphwanya mitundu yonse ya kagayidwe - BZHU, mchere wamadzi, etc. Masiku ano zimatsimikiziridwa kuti mtundu woyamba mumilandu yambiri ndi cholowa, chifukwa chake nthawi zambiri chimapezeka kale mwa ana. Mu 1974, kusapezeka kwa chinthu chotere cha matenda a shuga kunawululidwa - ziwiri, motero, zimachitika kawirikawiri patatha zaka 40.

Zawonekeranso kuti matenda a shuga amakhala ndi ma genetic heterogeneity. Kuneneratu pansi pake sizingatheke, chifukwa kuyanjana kwa chibadwidwe sikumveka bwino. Kuzindikira mtundu 1 wa matenda a shuga kumachitika mu labotale, pamaso pa ma antibodies ku cell ya beta ya gland.

Mtundu wa shuga wa Autoimmune 1 nthawi zina umakhala wazaka 40 kapena kuposerapo, ndipo mu 15% ya omwe amakhala ndi matenda a shuga a mellitus 1 kulibe - ndiye amalankhula za matenda ashuga a idiopathic.

Mafuta owonjezera m'magazi akuluakulu ndiwabwinobwino 3.33-5.55 mmol / L. Mu prediabetes, mitengo imawonjezeka, koma pang'ono pokha. Chizindikiro chocheperako ndi 5.6 ndipo chachikulu ndi 6.1-6.9. Koma ngati ukukwera pafupifupi mayunitsi 0, dokotala amatha kudziwa matenda a shuga. Pali tebulo lomwe wodwala aliyense angadziwe kutengera kwake kwa matenda ashuga. Koma pa siteji yake matendawa sanapangidwebe. Zizindikiro zake ndizosakhudzana - kuyabwa kwa khungu, migraines, kuchepa thupi, ludzu komanso kukodza pokodza.

Izi ndizotheka pazinthu zina zakuthupi komanso za m'magazi. Ndi iwo, matenda a shuga samakula.

• nkhawa kapena kufooka kwakuthupi, kusachita masewera olimbitsa thupi,
• kusuta
• nkhawa, kusamba kosiyanako,
• phwando labwino kwambiri,
• kumwa ma steroids, PMS,
• kukwera kwa shuga mutatha kudya m'masiku awiri oyamba,
• mowa
• chithandizo cha diuretic - mfundo zonsezi zimapanga hyperglycemia,
• Mukamaphunzitsidwa zamasewera, ndibwino kuti muthe kutenga zakudya zofunikira komanso kudya zakudya zopatsa mphamvu pamaso pawo.

• pheochromocytoma,
• chithokomiro
• Itsenko-Cushing's syndrome,
• matenda a kapamba,
• matenda a chiwindi - chiwindi, matenda a khansa komanso khansa.

Mlingo wa shuga m'magulu 2 a shuga azikhala wofanana ndi wathanzi. Palibe kulumpha kwakuthwa mu glucose ndi mtundu uwu, chifukwa chake, zizindikiro zake sizowala kwambiri. Kuzindikira matenda a shuga nthawi zambiri kumakhala kwangozi.

Kuyang'anira magwiridwe Zimaphatikizapo osati kuyeza glycemia zokha, komanso kupewa kuzigwa m'munsi mwabwinobwino. Pa muyezo uwu uyenera kuchitika nthawi yomweyo ndikuwonetsetsa konse malangizo a dokotala.

Zizindikiro za shuga ndi shuga za shuga: m'mawa pamimba yopanda kanthu - mpaka 6,1, maola 2 mutadya - osaposa 8.0, musanagone - osapitirira 7.5, mkodzo - 0%.

Kukhalapo kwa glucometer ndikofunikira. Miyeso imapangidwa mopanda ndalama - katatu pa sabata, ngati insulin imayikidwa, muyeso umapita musanadye, mutatenga PSSP - musanadye ndi maola awiri mutatha, mutatha kulimbitsa thupi, pothana ndi njala, ngati kuli kofunikira - usiku.

Ndikofunika kusunga diary yokhala ndi moyo wabwino komwe sikungowonetsa kuchuluka kwa glucometer, komanso deta pazakudya zomwe zimagwiritsidwa ntchito, kuchuluka kwa insulini, nthawi yayitali komanso kupezeka kwa zochitika zolimbitsa thupi, zikuwonetsa kupsinjika, kufalikira kapena matenda.

Malinga ndi tsikulo, adotolo amatha kudziwa mphamvu za matenda a matenda ashuga ndipo amatha kusintha mankhwalawo panthawi yake ngati pangafunike kutero. Popita nthawi, wodwalayo amatha kuwunika momwe zinthuzi zikuthandizirani.

Zakuti kuchuluka kwa shuga m'magazi kumadutsa, zizindikilo zimati:

• polydipsia wosalekeza komanso pakamwa lowuma
• kukodza pafupipafupi
• kuchepa kwa ntchito ndi kufooka,
• kuwonongeka kwamawonekedwe.
• Chizindikiro choyamba cha matenda ashuga ndi hyperglycemia yosatha.
• Zizindikiro zina zimaphatikizira kupuma ndi ulesi osachiritsa mabala ndi ming'alu m'miyendo, kukodwa mumakona amkamwa,
• magazi m`kamwa, kuyabwa khungu,
• kufooka ndi kutopa, kusokonezeka kukumbukira ndi kuwona,
• polydipsia
• polyuria
• pambuyo pake - kuwonda.

Amayi nthawi zambiri amakhala ndi thrush, yomwe singathe kuchiritsidwa.

Popeza nthawi zambiri matendawa amapezeka pambuyo pake, odwala nthawi zambiri amabwera ndi zovuta.

Chizindikiro chazowopsa ndi kuchuluka kwa shuga m'magazi a shuga pamtunda wa 7.6 mmol / l, ndipo m'munsi mwa 2.3 mmol / l, chifukwa pamlingo woterewu wosasintha mu ziwalo ziyenera kuyambitsidwa kwa nthawi yayitali.

Miyezo yovuta ya shuga m'magazi ndi mtundu wa malire pa glycemia.

Mulingo wovomerezeka wa shuga sungathandize osati chakudya, komanso masewera olimbitsa thupi, kusinthira kumafuta a masamba, kuchepetsa kapena kuthetsa mafuta osavuta.

Kumwa mowa ndizoletsedwa kwathunthu, chifukwa kungayambitse kukomoka kwa hypoglycemic chifukwa chakuimitsidwa kwa kusintha kwa glycogen m'chiwindi kukhala glucose.

Kuyang'anira shuga pafupipafupi ndiudindo wa wodwala aliyense. Kuwunikira ndikofunikira kuti wodwalayo athe kuyang'anira bwino.

Kukula kwa shuga mu shuga kumathandizidwa osati kokha ndi kugwiritsa ntchito PSSP kapena insulin, komanso ndi kulowetsedwa kwa dontho.

Wotsitsa ndi angioprotectors ndi wotchuka kwambiri chifukwa chogwira ntchito kwambiri, angioprotectors samalola zovuta chifukwa cha zotupa zam'mimba kuti zithe.

Mutha kuyendetsa Actovegin, Trental, Mexicoidol. Zonsezi ndi cholinga chokweza kagayidwe.

Matenda a 2 a shuga amakhalanso nthawi zambiri. Ndi iyo, kuchuluka kwa insulin m'magazi kumapitilira chizolowezi - hyperinsulinemia - chifukwa cha kusazindikira kwa maselo kwa icho.

Chifukwa chake, mtundu 2 ndi mtundu wodziyimira pawokha wa insulin. Vutoli limaphatikizidwa ndi kuperewera kwa metabolism komanso kunenepa kwambiri kwa odwala, chifukwa anthu okalamba nthawi zambiri amakhala ndi vuto lochita masewera olimbitsa thupi komanso kuwonda.

Kulemera kwa amayi okalamba pazaka izi kumathandizanso kuti azimayi azikhala ndi prolactin yambiri. Kugwiritsa ntchito shuga sikuchitika ndipo bwalo loipa limapangidwa.

• ochulukirapo mwa amuna, wokhala mpaka zaka 40,
• kunenepa sikuti ndi chikhalidwe
• mawonetseredwe akugwira ntchito nthawi yozizira, masika ndi nthawi yophukira,
• Zizindikiro zimadza mwachangu
• hyperinsulinemia sizichitika,
• microangiopathies amadziwika,
• pali ma antibodies kuma cell a beta ndi insulin.

• mawonekedwe ambiri azimayi, amapezeka patatha zaka 40,
• sizitengera nthawi ya chaka
• 90% ya odwala ndi onenepa kwambiri, zizindikiro zimakula pang'onopang'ono pazaka zingapo,
• nthawi zonse pamakhala kuchuluka kwa insulini m'magazi,
• zombo zazikulu zimakhudzidwa,
• palibe antibodies omwe ali ndi ma cell a beta.

Chithandizo cha mtundu 1 - insulin ndi PSSP, mtundu 2 - zakudya, mapiritsi, insulini pokhazikika.

Malinga ndi a Diabetes Association, chiopsezo cha zovuta zimachepa pomwe shuga m'magazi a shuga atatha kudya amachokera ku 5 mpaka 7.2 mmol / L, atatha maola 2 - magawo 10, ndipo hemoglobin ya glycated siinapamwamba kuposa 7%.

Ndondomekozi ndizakudya zamafuta oopsa.Ndi zakudya izi, mlingo wa insulin umakulirakulira ndipo mkhalidwe wa hypoglycemic ukhoza kumakula pafupipafupi. Chakudya chopatsa thanzi mulibe chakudya chamafuta ambiri.

Mtundu wa shuga wachiwiri: chizolowezi cha shuga - mutatha kudya chakudya m'magazi, mayunitsi 4.5 - 6.5, mutatha kudya maola awiri, moyenera - 8, koma mpaka magawo 10 ndizovomerezeka, overestimation iyi imachitika chifukwa palibe hypoglycemia.

Ma Endocrinologists ku America ndi Israel amakhulupirira kuti kuchuluka kwa shuga kwa mitundu yachiwiri ya shuga sikuyenera kukhala kosiyana ndi kwa munthu wathanzi.

Ngati titha kusiyanitsa pakati pa msambo wa glycemia ndi zaka, chithunzichi ndi motere: ubwana - musanadye shuga 6.5 ndikatha kudya - 8.

Avereji ya zaka zapakati pa 7.0 - 10, okalamba - 7.5-8 ndi 11 magawo. mutatha kudya.

Matenda a shuga amtundu wachiwiri - kuchuluka kwa shuga ndi shuga m'magazi kumachitika nthawi zonse, sikuyenera kusiyana kwambiri ndi zomwe zikuwonetsa anthu osadwala, matalikidwe a oscillations kale / pambuyo / chakudya sayenera kupitirira magawo atatu

Chifukwa chake, glycemia mkati mwa malire ovomerezeka ndi chitsimikizo cha kusowa kwa zovuta ndi moyo wautali. Mphamvu yakuwala - iyi imakhala njira ya moyo.

Matenda a shuga ndi matenda ofala omwe amaphatikizidwa ndi mahomoni amtundu wa beta omwe ali m'dera linalake la kapamba. Pali mitundu iwiri yamatenda omwe amasiyanitsidwa ndi makina a chitukuko: insulin-kudalira (mtundu 1) komanso osagwirizana ndi insulini (mtundu 2). Koyamba, chitsulo sichimapanga kuchuluka kwa enzyme, chachiwiri, maselo amthupi sangathe kuyamwa timadzi tambiri. Koma mosasamala mtundu wamatenda, kusintha kumawonekera pazotsatira za kuyesedwa kwa shuga. Kodi chiwonetsero cha shuga m'magazi chimayenera kukhala chodetsa nkhawa?

Ngati tikulankhula za munthu wamkulu wathanzi, ndiye kuti kuchuluka kwa shuga pamlingo wa 3.33-5.55 mmol / l ndikwabwinobwino. Manambalawa sakhudzidwa ndi jenda la wodwalayo, koma amasiyana pang'ono mwa ana:

• kuyambira pa kubadwa mpaka chaka 1, chizowonetseracho chimakhala chizindikiro kuyambira 2.8 mpaka 4,4 mmol / l,
• kuyambira miyezi 12 mpaka zaka 5, zikhalidwe zimasiyanasiyana kuyambira 3,3 mpaka 5 mmol / l.

Kuphatikiza apo, akatswiri amasiyanitsa nyengo ya prediabetes yomwe imatsogolera kukula kwa matendawa ndipo imayendera limodzi ndi kuwonjezeka pang'ono kwa zizindikiro. Komabe, kusintha koteroko sikokwanira kuti adokotala azindikire matenda ashuga.

Tebulo 1. Zizindikiro za prediabetesic state

Mndandanda wazizindikiro zotere umathandiza wodwalayo kudziwa kuti ali pafupi kwambiri ndi matenda akulu ndipo amatha kupewa zovuta zina.

Pakuwunika pamwambapa, nkhaniyo imatengedwa kuchokera kumunwe, koma kuchuluka kwa shuga wamagazi kuchokera ma capillaries ndi mitsempha ndizosiyana pang'ono. Kuphatikiza apo, magazi ochokera m'mitsempha amawunika nthawi yayitali, zotsatira zake nthawi zambiri zimaperekedwa tsiku lotsatira pambuyo pobereka.

Kusasinthasintha kwa shuga

Pali zinthu zingapo zolimbitsa thupi komanso zam'magazi pamene glucose wamagazi amapatuka pazomwe zimachitika, koma shuga samayamba.

Kuwonjezeka kwa shuga m'magazi kumatha kuchitika chifukwa cha zinthu zotsatirazi zathupi:

• zolimbitsa thupi
• kumangokhala osachita zinthu zolimbitsa thupi pang'ono,
• zopsinjika pafupipafupi
• kusuta fodya
• kusiyanasiyana
• Kupatuka kwazomwe zimachitika kumatha kupezekanso mutatha kudya chakudya chamafuta ambiri,
• kugwiritsidwa ntchito kwa steroid
• premenstrual syndrome
• kwakanthawi kwakudya
• kumwa mowa wambiri
• mankhwala a diuretic, komanso kumwa mankhwala oletsa kubereka.

Kuphatikiza pa matenda a shuga, kuchuluka kwa shuga m'magazi kumatha kusinthanso motsutsana ndi komwe kumabweretsa matenda ena:

• pheochromocytoma (adrenaline ndi norepinephrine amasulidwa kwambiri),
• matenda a endocrine system (thyrotooticosis, matenda a Cushing),
• matenda a kapamba,
• matenda a chiwindi
• chiwindi
• khansa ya chiwindi, etc.

Nthawi zambiri shuga pamagazi omwe amadalira shuga osadalira insulin samasiyana ndi zomwe zimachitika munthu wathanzi. Matenda amtunduwu m'magawo oyamba sakutanthauza kuti shuga akuwonjezeka mwadzidzidzi, chifukwa chake matendawa siowala ngati mitundu ina ya matendawa. Nthawi zambiri, anthu amaphunzira za matenda awo atayesedwa.

Hyperglycemia ndi vuto lomwe limalumikizana ndi matenda a shuga, omwe amawoneka mwa kuchuluka kwa glucose m'magazi. Pali magawo angapo pazinthu izi:

• ndi siteji yofatsa, zizindikiro zimayambira pa 6.7 mpaka 8.2 mmol / l (motsatana ndi zizindikiro zomwe zili pamwambapa, zofanana ndi chiwonetsero cha matenda amtundu 1),
• kuopsa kozama - kuyambira 8.3 mpaka 11.0,
• cholemera - kuyambira 11.1,
• chitukuko cha precoma - kuyambira 16.5,
• kukula kwa hyperosmolar chikomokere - kuchokera 55,5 mmol / l.

Vuto lalikulu ndi kuwonjezeka kwa shuga m'magazi, akatswiri samalingalira zowonetsa zamankhwala, koma zoyipa za hyperinsulinemia pantchito ya ziwalo zina ndi machitidwe. Pankhaniyi, impso, chapakati mantha dongosolo, kuzungulira kwa dongosolo, owunika kupenda, minofu ndi mafupa dongosolo kuvutika.

Endocrinologists amalimbikitsa kuti musangotengera zokhazo, komanso nthawi zomwe shuga umapezeka. Mkhalidwe wowopsa ndikuwonjezereka kwake kuposa momwe zimakhalira mutangodya. Pankhaniyi, ndi matenda amtundu wa 2 shuga, zowonjezera zimawonekera:

• zotupa zomwe zimapezeka pakhungu pakhungu, zilonda sizichiritsa kwa nthawi yayitali,
• angulitis imawoneka pamilomo (yotchedwa "zaedi", yomwe imapangidwa m'makona amkamwa,
• m`kamwa kutulutsa magazi kwambiri
• munthu amakhala woopsa, ntchito zimachepa,
• kusinthasintha kwa machitidwe - tikulankhula za kusakhazikika mtima.

Popewa kusintha kwakukuru m'matenda, akatswiri amalimbikitsa kuti odwala matenda ashuga asamangolamulira hyperglycemia, komanso kupewa kutsitsa mitengo yomwe ili pansipa.

Kuti muchite izi, muyenera kumawerengera masana panthawi inayake, onetsetsani kuti mwatsata zonse zomwe dokotala akukuuzani kuti musunge shuga wambiri:

• kuyambira m'mawa mpaka chakudya - mpaka 6.1,
• Maola 3-5 atatha kudya - osapitirira 8.0,
• musanagone - osapitirira 7.5,
• matupa a mkodzo - 0-0.5%.

Kuphatikiza apo, ndi shuga yemwe amadalira insulin, sayenera kuwongolera kulemera kofunikira kuti agwirizane ndi kugonana, kutalika ndi kuchuluka kwa munthuyo.

Wodwala yemwe akudwala matenda "okoma" posachedwa amayamba kuwonongeka chifukwa cha kusinthasintha kwa shuga m'magazi. Nthawi zina, izi zimachitika m'mawa ndipo zimatengera chakudya, mwa ena - asanagone. Ndikulimbikitsidwa kugwiritsa ntchito glucometer kuti muwone ngati kusintha kwadzidzidzi kwa zizindikiro kukuchitika ndi shuga osadalira insulin.

Kuyeza kumatenga nthawi zotsatirazi:

• ndi matenda adalipidwa (ngati nkotheka kusungitsa zizindikirozo pazomveka) - katatu pa sabata,
• musanadye, koma apa ndi pamene insulin imafunikira mtundu wachiwiri wa matenda (jekeseni wa insulin nthawi zonse),
• musanadye komanso maola ochepa mutatha - kwa odwala matenda ashuga omwe amamwa mankhwala ochepetsa shuga,
• pambuyo kuchita masewera olimbitsa thupi kwambiri,
• Wodwala akamva njala,
• ngati ndi kotheka, usiku.

Pazithunzi za odwala matenda ashuga, osati zongowonetsa za glucometer okha zomwe adalowetsedwa, komanso deta ina:

• kudya chakudya
• zolimbitsa thupi ndi nthawi yayitali,
• Mlingo wa insulin kutumikiridwa
• kukhalapo kwa zochitika zopsinja
• matenda obwera chifukwa cha chotupa kapena matenda opatsirana.

Amayi omwe ali ndiudindo amakhala ndi matenda a shuga, pomwe kuthamanga kwa glucose kumakhala mkati mwa malire, koma mutatha kudya, kulumikizana kwakuthwa kuzizindikiro. Chodabwitsa cha matenda ashuga azimayi apakati ndikuti mwana akangobadwa ndi matendawa amachoka yekha.

Nthawi zambiri, matenda a matenda am'mimba amapezeka mwa omwe ali m'magulu otsatirawa:

• pansi pa zaka zambiri
• onenepa kwambiri
• zaka zopitilira 40
• wokhala ndi tsogolo la matenda ashuga,
• ndi matenda am'mimba a polycystic,
• ngati matenda ali m'mannesis.

Kuti muwone kuphwanya kwamphamvu kwa maselo ku glucose, mayi wachitatu trimester amadutsa kuwunikira kwamayeso enaake:

• kusala kudya kwa magazi
• Kenako mkazi amapatsidwa madzi a m'magazi omwe amamwetsa m'madzi,
• Pakatha maola angapo, kupereka magazi ndikubwereza.

Chizindikiro cha chizindikiro choyamba ndi 5.5, chachiwiri - 8.5. Kuwunikira kwa zida zapakatikati nthawi zina kumafunikira.

Mafuta abwinobwino shuga pa nthawi yomwe ali ndi pakati ayenera kukhala otsatirawa:

• musanadye - wamkulu wa 5.5 mmol / l,
• Mphindi 60 mutadya - osati kupitirira 7.7,
• maora ochepa mutatha kudya, musanagone komanso usiku - 6.6.

Matenda a Type 2 ndi matenda osachiritsika, omwe, komabe, amatha kuwongoleredwa. Wodwala yemwe ali ndi vuto lotere ayenera kuganizira mofatsa zina, mwachitsanzo, zakudya ndi zakudya. Ndikofunikira kudziwa mtundu wa chakudya chomwe chiri zovulaza, ndikusankha kudzipatula ku zakudya. Popeza kuopsa kwa matendawa, anthu omwe ali ndi chizolowezi chodwala amayenera kutsatira zotsatira za mayesowo, ngati atasiyana ndi zomwe amapezeka, amapezeka kukakumana ndi endocrinologist.

Magazi a shuga: gome la odwala athanzi komanso odwala matenda ashuga

Kuchuluka kwa shuga m'magazi kumatsimikizira kuchuluka kwa thupi. Atatha kudya shuga ndi chakudya chamagulu, thupi limawasintha kukhala glucose, chinthu chomwe ndi gwero lalikulu komanso lamphamvu kwambiri padziko lonse lapansi. Mphamvu zoterezi ndizofunikira kwa thupi la munthu kuti zitsimikizire kukwaniritsidwa kwachilengedwe kwa ntchito zosiyanasiyana kuchokera kuntchito ya ma neurons kupita ku njira zomwe zimachitika pama cellular. Kutsitsa, ndipo makamaka, kuwonjezeka kwa shuga mumagazi kumawonetsa mawonekedwe osasangalatsa. Magazi okwera mwadongosolo amawonetsa kukula kwa shuga.

Mwazi wamagazi amawerengedwa mmol pa lita imodzi, ochepera kwambiri mamiligalamu pa desilita iliyonse. Mchitidwe wamagulu a shuga kwa munthu wathanzi ndi 3,6-5.8 mmol / L. Kwa wodwala aliyense, chizindikiro chomaliza ndimunthu payekha, kuphatikiza apo, phindu limasiyanasiyana malinga ndi chakudya, makamaka zotsekemera komanso zamafuta ochepa, mwachilengedwe, kusintha koteroko sikumadziwika ngati kwachidziwikire komanso kwakanthawi kochepa.

Ndikofunikira kuti mulingo wa shuga ukhale mulingo wamba. Kutsika kwamphamvu kapena kuchuluka kwamphamvu kwa glucose m'magazi sikuyenera kuloledwa, zotsatira zake zimakhala zazikulu komanso zowopsa pamoyo komanso thanzi la wodwalayo - kusowa kwa chikumbumtima mpaka matenda a shuga.

Mfundo zoyendetsera thupi:

Kuti akhalebe ndi glucose wabwinobwino, kapamba amatulutsa mahomoni awiri - insulin ndi glucagon kapena ma polypeptide hormone.

Insulin ndi mahomoni opangidwa ndi maselo a pancreatic, akumamasula poyankha glucose. Insulin ndiyofunikira maselo ambiri amthupi la munthu, kuphatikiza minyewa ya minofu, maselo a chiwindi, maselo amafuta. Hormoni ndi mapuloteni okhala ndi ma amino acid osiyanasiyana 51.

Insulin imagwira ntchito zotsatirazi:

• imawuza minyewa ndi maselo a chiwindi chizindikiro chomwe chimafuna kuphatikiza glucose wotembenuka mwanjira ya glycogen,
• amathandizira maselo amafuta kupanga mafuta posintha mafuta acid ndi glycerin,
• imapereka chizindikiro kwa impso ndi chiwindi kuti chisiye kubisalira kwa glucose awo pogwiritsa ntchito kagayidwe kazakudya - gluconeogenesis,
• imalimbitsa maselo am'mimba ndi maselo a chiwindi kuti apatule mapuloteni kuchokera ku amino acid.

Cholinga chachikulu cha insulin ndikuthandizira thupi kuyamwa michere mukatha kudya, chifukwa chomwe kuchuluka kwa shuga m'magazi, mafuta ndi amino acid kumatsika.

Glucagon ndi mapuloteni omwe ma cell a alpha amatulutsa. Glucagon imakhudzanso shuga wa magazi omwe ndi osiyana ndi insulin. Pamene kuchuluka kwa shuga m'magazi kumachepera, timadzi timene timapereka kwa maselo am'misempha ndi maselo a chiwindi kuti ayambe kugwira ntchito ya glucose monga glycogen ndi glycogenolysis. Glucagon imathandizira impso ndi chiwindi kuti zimitsegulidwe.

Zotsatira zake, glucagon ya mahomoni amatenga glucose kuchokera ku ziwalo zingapo ndikuwasunga pamlingo wokwanira. Izi zikapanda kuchitika, kuchuluka kwa shuga m'magazi kumatsikira pansi.

Nthawi zina thupi limagwirira ntchito mothandizidwa ndi zinthu zakunja kapena zamkati, chifukwa chomwe zovuta zimakhudza kagayidwe kachakudya. Chifukwa cha kuphwanya kotero, kapamba amalephera kupanganso insulin yokwanira, maselo amthupi amachitanso zolakwika, ndipo pamapeto pake msempha wamagazi umakwera. Vutoli limatchedwa shuga.

Miyezo ya shuga mwa ana ndi akulu imasiyana, mwa akazi ndi amuna sasiyana. Mtengo wa kuchuluka kwa shuga m'magazi umakhudzidwa ndi momwe munthu amayesera pamimba yopanda kanthu kapena atadya.

Machitidwe ovomerezeka a shuga m'magazi mwa akazi ndi 3.5-5.8 mmol / l (zomwezo ndizomwe zimachitika pakugonana kwamphamvu), izi ndizofunikira pazowunikira m'mawa pamimba yopanda kanthu. Ziwerengero zowonetsedwa ndi zolondola potenga magazi kuchokera pachala. Kusanthula kuchokera kumitsempha kumatsimikizira zikhalidwe zovomerezeka kuyambira 3,7 mpaka 6.1 mmol / L. Kuwonjezeka kwa zizindikiro mpaka 6,9 - kuchokera m'mitsempha mpaka 6 - kuchokera pachala kumawonetsa mkhalidwe wotchedwa prediabetes. Matenda a shuga ndi vuto la kulephera kwa glucose komanso glycemia. Ndi kuchuluka kwa shuga m'magazi kuposa 6.1 - kuchokera pachala ndi 7 - kuchokera m'mitsempha, wodwala amapezeka ndi matenda a shuga.

Nthawi zina, kuyezetsa magazi kuyenera kumwedwa nthawi yomweyo, ndikuyenera kuti wodwalayo adya kale chakudya. Poterepa, miyambo ya shuga m'magulu akuluakulu imasiyana 4 mpaka 7.8 mmol / L. Kusuntha kuchoka pazowoneka bwino kupita mbali yaying'ono kapena yayikulu kumafuna kusanthula kowonjezera.

Mwa ana, kuchuluka kwa shuga m'magazi kumasiyana malinga ndi zaka za makanda. Mwa makanda, zikhalidwe zoyenera zimachokera ku 2.8 mpaka 4.4 mmol / L. Kwa ana azaka zapakati pa 1-5, Zizindikiro kuyambira 3,3 mpaka 5.0 mmol / lita zimawoneka ngati zabwinobwino. Muyezo wa shuga wamagazi mwa ana opitirira zaka zisanu ndiwofanana ndi zizindikiritso za akulu. Zizindikiro zopitilira 6.1 mmol / lita zimawonetsa kukhalapo kwa matenda ashuga.

Ndi isanayambike mimba, thupi limapeza njira zatsopano zogwirira ntchito, poyamba zimakhala zovuta kuzolowera kusintha kwatsopano, nthawi zambiri zimalephera, chifukwa chotsatira chomwe zotsatira zambiri za kusanthula ndi mayeso zimachoka pachizolowezi. Kuchuluka kwa shuga m'magazi kumasiyana ndi zomwe zimachitika kwa munthu wamkulu. Mwazi wa shuga wamagazi kwa akazi omwe akuyembekezera mawonekedwe a mwana ali pamtunda kuchokera pa 3,8 mpaka 5.8 mmol / lita. Akalandira mtengo wapamwamba, mayiyo amapatsidwa mayeso owonjezera.

Nthawi zina pakati pa nthawi yoyembekezera, matenda amiseche amachitika. Njira ya pathological iyi imachitika theka lachiwiri la kubereka, mwana atawonekera mosadalira. Komabe, ngati pali zovuta zina mutabereka mwana, matenda osokoneza bongo amatha kusanduka shuga. Pofuna kupewa kukula kwa matenda oopsa, ndikofunikira nthawi zonse kuyezetsa magazi, kutsatira malangizo a dokotala.

Pansipa pali matebulo achidule omwe ali ndi chidziwitso cha kuchuluka kwa shuga m'magazi, kufunika kwake kwa thanzi la munthu.

Tcherani khutu! Zomwe zafotokozedwazo sizimapereka kulondola kwa 100%, popeza wodwala aliyense ndi payekhapayekha.

Kuchuluka kwa shuga m'magazi - tebulo:

Kukula kwa shuga m'magazi ndikupatuka ndikufotokozera mwachidule:

Magazi a shuga m'magazi ndi chiopsezo cha thanzi. Ma boleng amaperekedwa mmol / lita, mg / dl, komanso mayeso a HbA1c.

Shuga wamagazi akakwera mwa munthu wathanzi, amamva zizindikiro zosasangalatsa, chifukwa cha matenda a shuga, Zizindikiro zakuchipatala zimakulirakulira, ndipo matenda ena angachitike motsutsana ndi maziko a matendawo.Ngati simukuonana ndi dokotala pazoyambitsa zovuta za metabolic, mutha kuthamangitsa matendawa, chifukwa sizingakhale bwino kuchiza matenda ashuga, chifukwa ndi matendawa mungathe kukhala bwino.

Zofunika! Chizindikiro chachikulu cha shuga m'magazi ndikumva ludzu. Wodwalayo amakhala ndi ludzu pafupipafupi, impso zake zimagwira ntchito kwambiri kuti azitha kusefa shuga wambiri, pomwe amamwa chinyezi kuchokera ku minyewa ndi maselo, motero pamakhala ludzu.

Zizindikiro zina za shuga wambiri:

• chilimbikitso chowonjezereka kuti mupite kuchimbudzi, kuchuluka kwa zinthu zotuluka, chifukwa chogwira impso kwambiri,
• mucosa wowuma mkamwa,
• kuyabwa pakhungu,
• kuyabwa kwa mucous nembanemba, wotchuka kwambiri mu ziwalo zamkati,
• chizungulire
• kufooka kwathupi kwa thupi, kuchuluka kwa kutopa.

Zizindikiro za shuga ya magazi ambiri sizimatchulidwa kawirikawiri. Nthawi zina matendawa amatha kupita patsogolo kwathunthu, njira yamtunduwu yopanda matenda imakhala yowopsa kuposa njira yomwe ili ndi chithunzi cha chipatala. Kuzindikira matenda osokoneza bongo kumakhala kudabwitsa kwathunthu kwa odwala, pofika nthawi imeneyi kusokonezeka kwakukulu pakugwira ntchito kwamankhwala kungawonedwe m'thupi.

Matenda a shuga amayenera kupitilizidwa ndi kuyesedwa pafupipafupi ndi kupaka shuga kapena kugwiritsa ntchito mita ya shuga m'magazi. Popanda kuchitira chithandizo mosalekeza, masomphenyawo amachepa m'madwala; muzochitika zotsogola, njira zothetsera khungu zimatha kuyambitsa khungu. Shuga wambiri ndi imodzi mwazomwe zimayambitsa matenda a mtima ndi stroko, kulephera kwa impso, gangrene kwamanja. Kuyang ant ana kwambiri kwa shuga m'magazi ndi gawo lalikulu mankhwalawa matenda.

Ngati zizindikiro zapezeka, simungathe kudzichitira nokha mankhwala, kudzichiritsa nokha osazindikira mozama, kudziwa zina zake, kupezeka kwa matenda opatsirana kumatha kukulitsa zovuta zomwe wodwalayo ali nazo. Chithandizo cha matenda a shuga chimachitika mosamalitsa dokotala.

Tsopano mukudziwa kuchuluka kwa shuga m'magazi kwa munthu wamkulu. Wodwala wodwala wathanzi, mtengo wamtunduwu umasiyana ndi 3,6 mpaka 5.5 mmol / lita, chizindikiro chomwe chimakhala ndi 6.1 mpaka 6.9 mmol lita imawonedwa ngati prediabetes. Komabe, shuga wokwera sikukutanthauza kuti wodwalayo adzakhala ndi matenda ashuga, koma uwu ndi nthawi yodya zinthu zapamwamba komanso zoyenera, kuti atengere masewera.

Zoyenera kuchita kuti muchepetse magazi:

• kuwongolera kulemera koyenera, ngati pali owonjezera mapaundi, kuchepa thupi, koma osati mothandizidwa ndi zakudya zotopetsa, koma mothandizidwa ndi zolimbitsa thupi ndi zakudya zabwino - wopanda mafuta ndi chakudya chamthupi mwachangu,
• muzidya zakudya zanu, dzazani menyu ndi masamba ndi zipatso, kupatula mbatata, nthochi ndi mphesa, zakudya zokhala ndi fiber yambiri, chotsani zakudya zamafuta ndi zophika, mkate ndi confectionery, mowa, khofi,
• Onani njira zogwirira ntchito ndikupumula, maola 8 patsiku - nthawi yochepera kugona, tikulimbikitsidwa kuti mugone ndi kudzuka nthawi yomweyo,
• Chitani masewera olimbitsa thupi tsiku lililonse, pezani masewera omwe mumakonda, ngati ilibe nthawi yochita masewera olimbitsa thupi, gawani mphindi zosachepera makumi atatu patsiku kuti muchite masewera olimbitsa thupi m'mawa, ndikofunika kwambiri kuyenda mlengalenga,
• lekani zizolowezi zoyipa.

Zofunika! Simungathe kufa ndi njala, khalani ndi zakudya zotopetsa, zakudya zama mono. Zakudya zoterezi zimadzetsa vuto lalikulu kwambiri la metabolic ndipo zimathandizanso kuti pakhale matenda osakhazikika omwe amakhala ndi zovuta zambiri.

Odwala omwe ali ndi shuga yayikulu magazi, makamaka, odwala matenda a shuga amayenera kuyeza kuchuluka kwa shuga tsiku lililonse, makamaka pamimba yopanda kanthu ndikatha kudya. Komabe, izi sizitanthauza kuti odwala amafunika kupita kuchipatala tsiku lililonse kuti akaunike. Kuyesa kungachitike kunyumba pogwiritsa ntchito chipangizo chapadera - glucometer. Glucometer ndi chida chaching'ono chamomwe chimayeza shuga m'magazi, mizere yoyesera imalumikizidwa ndi chipangizocho.

Kuti muyeze Mzere woyezera, ikani magazi ochepa kuchokera pachala, kenako ndikuyika Mzere mkati mwa chipangizocho. Pakadutsa masekondi 5-30, mita ndi yomwe imatsimikizira chisonyezo ndikuwonetsa zotsatira za kusanthula pazenera.

Ndikofunika kutenga magazi kuchokera pachala, mutapanga punct ndi lancet yapadera. Panthawi ya njirayi, malo omwe amapumira amayenera kupukutidwa ndi mowa wa mankhwala kuti apewe matenda.

Mtengo uti woti usankhe? Pali mitundu yambiri yamitundu ya zida zotere, mitundu imasiyana kukula ndi mawonekedwe. Kuti musankhe chida choyenera kwambiri poyeza kuchuluka kwa shuga m'magazi, choyamba funsani ndi dokotala wanu ndikufotokozeranso zabwino za mtundu wina pamiyeso ina.

Ngakhale kuyesedwa kwakunyumba sikoyenera kupereka chithandizo ndipo sichingakhale chovomerezeka pakuchitidwa opaleshoni yomwe akufuna, amathandiza kwambiri kuwunika thanzi lanu tsiku ndi tsiku. Potere, wodwalayo adziwa nthawi yoyenera yokwanira kuchepetsa shuga m'magazi, ndipo, m'malo mwake, amwe tiyi wokoma ngati shuga agwera kwambiri.

Kusanthula kwa ndende ya glucose poyambira ndikofunikira kwa odwala omwe ali ndi matenda a shuga. Palibe chofunikira kwambiri ndikuwunika kwa anthu omwe ali ndi matenda a prediabetes, ndi chithandizo choyenera komanso kupewa kusintha kwa prediabetes kukhala ndi matenda ashuga, ndizotheka kupewa.

Anthu omwe achibale awo okalamba amadwala matenda ashuga ayenera kukayezetsa chaka chilichonse. Komanso, chaka chilichonse amalimbikitsidwa kuyesa mayeso kwa anthu omwe ali ndi kunenepa kwambiri. Odwala ena a zaka zosaposa 40 ayenera kuyezetsa magazi a shuga kamodzi pazaka zitatu.

Kangati kupereka kuwunika kwa odwala pakati? Pafupipafupi kuyesedwa kwa kuchuluka kwa glucose m'magazi kwa amayi apakati ndi omwe adalembedwa ndi adokotala. Zabwino koposa zonse, ngati mayi yemwe akuyembekezera kubadwa kwa mwana amayezetsa shuga kamodzi pamwezi, komanso panthawi yoyesedwa magazi ndi mayeso ena owonjezera a shuga.

Zolemba zina zofananira:

Wochirikiza wa gulu loyamba, chipatala chaumwini "Dobromed", Moscow. Katswiri wothandizirana ndi Sayansi yamagetsi "Diabetes-Sugar.rf".

1. 
   Zakharov Yu.L., Korsun V.F. Matenda a shuga Moscow, Publishing House of Public Unions "Garnov", 2002, masamba 506, kufalitsa makope 5000.
2. 
   Bliss Michael Kutulutsa kwa Insulin. 1982, 304 p. (Michael Bliss Discovery of insulin, bukuli silinamasuliridwe ku Russia).
3. 
   Ivashkin V.T., Drapkina O. M., Korneeva O. N. Zachipatala zamatenda osiyanasiyana, Medical News Agency - M., 2011. - 220 p.

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.