Amayambitsa ndi zizindikilo za zovuta za matenda ashuga
Liwu loti "labile" limamasulira kuti "kusuntha". Mawuwa amagwiritsidwa ntchito chifukwa kuchuluka kwa glucose amasintha kangapo patsiku, ndipo kusinthasintha kumatha kukhala magawo angapo.
Zochita pang'onopang'ono za shuga ndizowopsa kwambiri, chifukwa kusinthasintha kwa glucose kumayambitsa hypoglycemia ndikuwonongeka kwa ziwalo zamkati. Nthawi zambiri, mtima, impso komanso minyewa imavutika. Muubwana, hyperglycemia ikhoza kulowa hypoglycemia.
Ndi matenda oopsa a shuga, mavuto amabwera posankha mtundu wa insulin yolondola. Potengera maziko awa, ketoacidosis imatha kuchitika, ndipo izi zikuwopseza moyo.
Zochitika m'thupi zamatenda zimasokoneza machitidwe a odwala matenda ashuga. Ndikofunika kuzindikira vutoli munthawi yake kuti mugwiritse ntchito moyenera mankhwalawa.
Chifukwa cha kusakhazikika kwa shuga m'magazi, hypoglycemia imayamba, ndiye kuti mulingo wake umachepa. Ikafika povuta, masitolo a glycogen m'chiwindi amayamba. Zotsatira zake, shuga amamasulidwa, ndipo mulingo wake umasinthidwa.
Ngati izi zikuchitika usiku, m'mawa wodwalayo amawona zotsatira zokhazo - kuchuluka kwa shuga. Kutengera ndi zizindikiro zotere, adokotala amawonjezera mlingo wa insulin, womwe umayambitsa zotsatira zosiyana. Mutha kuzipewa poyang'anira shuga wanu wamagazi nthawi zonse.
Mu matenda oopsa a shuga, lipoid necrobiosis imatha kukhala - matenda amtundu pakhungu loyipa la kagayidwe kazakudya ka cellular. Vutoli limakhala losowa komanso limakonda akazi ndi ana.
Zotsatira zinanso zomwe zimapangitsa kuti matendawa azitha kudziwa matenda a shuga. Itha kuyambitsidwa ndi ketoacidosis, vuto lamafupipafupi la mtundu uwu wa matenda ashuga.
Ndi njira yodwala matendawa, kuopsa kwa kupunduka ndi kufa kumakhala kwakukulu kuposa matenda ashuga okhazikika.
Nthawi zambiri matendawa amawonekera mwa anthu omwe ali ndi matenda ashuga omwe amawunika bwino shuga kapena kuvulaza insulin molakwika. Chifukwa cha kuchuluka kwa insulin, shuga amachepetsa kwambiri, omwe amachititsa kuti pakhale matenda ochepa.
Matenda a shuga a labile amatha kuchitika osati kokha ndi mankhwala. Zina mwazinthu zomwe zakhumudwitsa ndi izi:
- kuperewera kwa zakudya m'thupi
- uchidakwa
- kuchuluka kwa zolimbitsa thupi
- nkhawa.
Nthawi zambiri, zovuta zodzetsa zam'kati zimakhumudwitsa wodwalayo mwiniyo chifukwa chosasamala za matenda ake. Matenda a shuga amatanthauza kufunika kosintha momwe mumakhalira, kuyang'anira shuga wanu wamagazi ndikuyang'ana mosamala nthawi yomwe mumamwa mankhwala omwe mumamwa komanso kumwa.
Mitundu yovutirapo ya shuga ndiyosowa - pafupifupi mwa atatu mwa odwala. Kafukufuku akuwonetsa kuti jenda yaimayi imakonda kuchita izi. Nthawi zambiri matenda amtunduwu amapezeka mwa odwala mpaka zaka 20-30. Matenda a shuga a labala sakhala wamba pakati pa anthu achikulire.
Zizindikiro za matenda a shuga
Ndi matendawa, matendawo amakula kwambiri. Khalidwe limakhala lokhazikika, losakwiya. Wodwalayo amakhala ndi chizolowezi chomakwiya, kulira, kusachita chidwi. Kulimbirana kumatha kusokonezeka.
Mwa anthu odwala matenda ashuga aubwana ndi unyamata, ali ndi maphunziro apamwamba a matenda, ludzu lachidziwitso limatha. Kugona kopanda mpumulo, chisokonezo m'mawa. Masana, ana amamva kuwawa, alibe chidwi. Achinyamata nthawi zambiri amakana kudya, kuchita chiwawa, kuchita zaphokoso.
Zizindikiro zamitsempha zimatha kutsagana ndi mutu. Nthawi zina kumakhala kovuta kuzindikira kapena kutayika kwake kumawonedwa. Kusungunuka kwa mtima ndi kupindika pamaso.
Kuphatikiza pa kusintha kwa machitidwe, matenda a shuga omwe amakhala ndi matendawa amakhalanso ndi zina. Chofunika kwambiri ndi izi:
- Kusintha kowopsa kwa shuga masana.
- Kukhalapo kwa acetone mu mkodzo.
- Mawonekedwe a ketoacidosis. Pankhani ya kupsinjika kotere, kusowa kwa insulini, kuchuluka kwa glucose ndi matupi a ketone kumawonedwa. Kusokonezedwa ndi mitundu yosiyanasiyana ya kagayidwe. Matenda owopsa kwambiri amakhudza kagayidwe kazakudya. Ketoacidosis amadziwika ndi fungo la acetone kuchokera mkamwa, kupweteka kwam'mimba, kupuma kawirikawiri komanso kupumira pansi. Wodwalayo akumva kufooka, amamva mseru, nkusandulika kusanza.
- Nthawi zambiri pamakhala kuukira kwa glycemia. Mlingo wa kuuma kwawo ungakhale wosiyana.
- Kulemera kwa odwala sikusintha ndi shuga wambiri.
- Ndi kuchuluka kwa insulin, matendawa akuwonjezeka.
- Kulowa ndi matenda kapena matenda ena amachititsa kusintha kwa kagayidwe kazakudya.
Wodwala amatha kutuluka thukuta limodzi ndi kuzizira kozizira, kukula kwa matenda a celiac (chimbudzi chimbudzi). Mimba ingabisidwe.
Ndi kuchuluka kwamphamvu kwa shuga, ludzu lamphamvu limawonekera nthawi zambiri, kukodza kumachitika pafupipafupi. Wodwalayo amatha kudwala, akumva mutu.
Musanachiritse mtundu wa matenda ashuga, muyenera kuonetsetsa kuti glucose imadumpha. Amayeza kuposa masiku angapo.
Kuti muchepetse wodwalayo matenda a shuga, ndikofunikira kuti muchepetse insulin. Izi zitha kuchitika m'njira ziwiri:
- Njira yachangu. Kuchepetsa mulingo, osaposa milungu iwiri yomwe yaperekedwa.
- Pang'onopang'ono. Kuchepetsa kwa insulin kumachitika mkati mwa miyezi iwiri.
Ndi mawonekedwe amtunduwu, ndikofunikira kwambiri kuteteza kagayidwe kazachilengedwe. Kuti muchite izi, muyenera kusintha zakudya kuti kuchuluka kwa zovuta zam'magazi azikhala pafupi ndi chikhalidwe chathupi.
Njira zopewera
Mu matenda a shuga, pofuna kupewa matenda opanikizika, muyenera kupatula kuchuluka kwadzidzidzi m'magazi a magazi. Kuti muchite izi, tsatirani malamulo awa:
- tsatirani njira zomwe adotolo azichita adotolo,
- Nthawi zonse muziyang'anira kuchuluka kwa shuga: mosasamala nthawi yatsiku, muyeso uyenera kutengedwa maola 4 aliwonse,
- kasanu (patsiku) kupereka insulin yochepa musanadye,
- yang'anirani thanzi la mita
- sankhani ma insulin oyenera a insulin.
Kuti muthane ndi kuchuluka kwa glucose, ndikofunikira kusunga zolemba zapadera komwe muyenera kujambula zomwe mwayeza.
Zochitika zodwala za matenda ashuga ndizosowa kwambiri ndipo nthawi zambiri zimachitika chifukwa chosagwirizana ndi mankhwala kapena moyo wosayenera. Njira zopewera zimachepetsa kwambiri vuto lotereli. Kuzindikira ndikosavuta kwambiri ngati mumayezera kuchuluka kwa shuga ndikulemba zolemba muzolemba.
Zifukwa za mawonekedwe olembetsera
Chiwopsezo chowonjezeka chokhala ndi matenda amtunduwu chimatha kupezeka kwa odwala omwe amalakwitsa kuzindikira kuchuluka kwa glycemia. Zomwezi ndizomwe zimachitika kwa iwo omwe amabisa zomwe zimachitika pakadali pano (dokotala).
Zotsatira zake, kuyankhidwa kumapangidwa komwe kumapangitsa kuti mahomoni azitsutsana azitsutsana ndikuti amapanikizika, amawopseza. Ntchito yokakamizidwa ya NS yachifundo komanso zida zake zimakhudza kuchuluka kwa shuga. Dziwani kuti:
- algorithm yofananira yodziwika ndi adrenaline, adrenocorticotropic kapangidwe, Cortisol ndi zinthu zina,
- Kuphatikizika kwawo kumakwiyitsa kuphwanya mafuta ndi mapangidwe a matupi a ketone, mapangidwe a ketoacidosis,
- mthupi lathanzi, zizindikiro zoyenera zimabwezeretseka mwanjira iyi, ndipo mu shuga, izi zimakhudza hyperglycemia yokhazikika, yomwe imatha kukhala maola asanu ndi atatu mpaka 72.
Zomwe zimayambitsa matenda ashuga ogwiritsidwa ntchito sizimangogwirizana ndi kugwiritsa ntchito mankhwala, komanso zinthu monga zakudya zosayenera ndikumwa. Musaiwale za kuchuluka kwa masewera olimbitsa thupi komanso nkhawa.
Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>
Zizindikiro za matendawa
Zizindikiro zamatenda am'mimba zimatchedwa kufooka pang'ono kapena chizungulire, kupweteka ngati migraine komwe kumatha mukatha kudya. Ngati zovuta za usiku zikuchitika, ndiye kuti zimagwirizanitsidwa ndi kusokonezeka kwa tulo, maloto olemera, kudzutsidwa kwamavuto, komanso kusakhala maso. Thukuta kwambiri limachitika usiku.
Odziwika kwambiri ndi izi ndi ana, achinyamata ndi achinyamata omwe ali pa insulin. Matenda a shuga a labu m'malo mwawo amaphatikizidwa ndi thupi labwinobwino kapena kuchuluka kwa thupi - ichi ndi chizindikiritso chofunikira pakuzindikira.
Zizindikiro zotsogola za pathological ndizosinthasintha mwadzidzidzi m'magazi amtundu wa 24, chizolowezi cha ketoacidosis. Zodziwika:
- kuwonetsera kowoneka bwino kapena kwaposachedwa kwa hypoglycemia komwe kumachitika nthawi zambiri,
- kukhalabe ndi kulemera motsutsana ndi maziko a shuga ambiri,
- kuchuluka kwa insulin, kuchulukitsa nthawi ya matendawa.
- kutseguka kwa matenda opatsirana kapena njira zina kumathandizira kuzisonyeza zimayenderana ndi kagayidwe kazachilengedwe,
- kuzindikira kwa acetone mkodzo.
Kuphatikiza apo, ndi matenda osakhazikika a matenda ashuga, malingaliro am'maganizo amasinthidwa. Zotsatira zake, odwala samakwiya, amakhala opanda nkhawa, amakhala ndi thanzi losavomerezeka komanso osakhudzidwa ndi okondedwa. Dziwani zambiri za kupsinjika kapena kusowa mphamvu, kulira kwambiri.
Gawo lodziwika bwino limayenera kuonedwa ngati kusintha kwamwadzidzidzi, kutaya chidwi mu zinthu zomwe mumakonda kale, ulesi, kudzipatula. Tchera khutu ku zizindikiro zosintha zaukali kapena chisangalalo. Chimodzi mwazizindikiro zimatchedwa kuti kuchokera kumanjala yakwadzidzidzi kumakhala kudya.
Chithandizo cha matenda a shuga
Kuti musankhe chiwembu cholondola, muyenera kutsimikizira kudumpha kuzizindikiro zamagalasi. Panthawi imeneyi, kuyezetsa magazi a shuga kumaperekedwa tsiku ndi tsiku - kuwongolera kofananako kumapewetsa zovuta.
Kuti muchepetse mulingo wa insulin, njira zingapo zimachitidwa: mwachangu (zimatenga masiku 10 mpaka 15) komanso pang'onopang'ono (miyezi iwiri). Nthawi yomweyo, ndizosowa kwenikweni kuchepetsa matendawa pochepetsa misempha ya insulin. Kusintha kapangidwe ka chakudya, odwala ayenera kusintha zakudya zawo. Kugwiritsa ntchito zovuta zamimba zimayenera kukwaniritsa magawo ochepa. Chifukwa cha izi, chofotokozedwacho chikutsatira miyezo yovomerezeka nthawi zonse.
Ndikulimbikitsidwa kuti muchite izi:
- kutsatira mokwanira zochitika zolimbitsa thupi,
- muzindikire kuchuluka kwa shuga osati usiku zokha, komanso masana (makamaka maola anayi aliwonse),
- jekeseni insulini yocheperako kapena yapakatikati yogwira osachepera kasanu patsiku, mwachitsanzo asanadye chakudya chachikulu,
- kuwongolera momwe zida zolondola zodziwitsira ntchito za shuga zimakhalira ndikutha kuzindikira paliponse zida zamankhwala zoyenera zomwe zimayambitsa kukhazikitsa gawo la mahomoni.