Chifukwa chiyani shuga m'mawa amakhala apamwamba kuposa shuga wa usiku ndi usana?

Funso ndiloti - bwanji zimachitika, mwachidziwikire, shuga yausiku imalankhula za ntchito ya chiwindi, ndipo m'mawa chiwindi chimaponyera glucogen? Inde, ndachulukitsa kulemera, kutalika kwa 178 cm. Ndili ndi chizolowezi usiku ndipo zakhala zikuchitika kwa zaka zambiri. Zikomo chifukwa chondisamalira.

Alexey Mikhailovich, 72

Moni, Alexey Mikhailovich!

Muli ndi chithandizo chamakono chotsitsa shuga komanso mashuga abwino kwambiri.

Shuga m'mawa amatha kukhala apamwamba kuposa shuga wa usiku ndi usana muzochitika zotsatirazi: pankhani ya kukana kwambiri insulin (yomwe imakhalapo nthawi zonse ndi T2DM komanso kunenepa kwambiri), pankhani ya vuto la chiwindi chosakwanira (mumalondola ponena za kutulutsidwa kwa glycogen: kutsitsa shuga wamagazi imatulutsa glycogen, ndipo nthawi zambiri kuposa momwe amafunikira, ndiye kuti shuga m'mawa ndiwokwera kuposa nthawi yamasana ndi usiku), ndipo pamakhalanso shuga wambiri m'mawa pambuyo pa usiku hypoglycemia (zomwe sizingatheke pamikhalidwe yanu, chifukwa shuga yanu m'mawa imakwera kwambiri, ndipo pambuyo pa hypoglycemia, timawona kuchuluka kwakukulu mu shuga m'mawa (10-15 mmol / l).

Chizolowezi chomadya usiku ndibwino kuchotsa, popeza chakudya chamadzulo chimasokoneza kupanga mahomoni ophuka ndi melatonin. Yesani kudya chakudya chamadzulo maola 4 musanagone ndikuchita chakudya chomaliza (ngati pangafunike) pasanathe maola 1.5-2 musanagone.

Kuyankha kwa endocrinologist Akmaeva Galina Aleksandrovna

Chiwerengero chachikulu cha odwala omwe ali ndi matenda amtundu woyamba 1 ndi mtundu wa 2 ali ndi vutoli. Ichi ndi chinthu chapadera chomwe milingo ya shuga m'magazi imakwera pang'onopang'ono m'mawa popanda kukhudzidwa ndi zinthu zakunja.

Nthawi zambiri, izi zimawonedwa pakatikati kuyambira 4 mpaka 9 m'mawa. Nthawi yomweyo, glycemia (shuga m'magazi) amakhazikika usiku wonse. Choyambitsa chachikulu chazinthuzi ndikuchitika kwa mahomoni ena mu kapamba, pituitary, ndi gren adrenal. Izi zimaphatikizapo glucagon, kukula kwa mahomoni, chithokomiro chokhudza chithokomiro komanso cortisol. Kungoti amachititsa shuga m'magazi (hyperglycemia) m'mawa. Ma mahomoni awa amatchedwanso kuti contrainsular - ndiye kuti, mphamvu zawo zimasemphana ndi zochita za insulin (mahomoni omwe amatsitsa shuga).

Dziwani kuti kuwonjezeka kwa mahomoni opikisana m'magazi m'mawa ndi chizolowezi. Ma mahomoni onse m'thupi lathu amakhala ndi njira zawo zobisika, ena amapangidwa mokulira m'mawa, ena masana, madzulo, kapena usiku. Kutulutsidwa kwakukulu kwa mahomoni a contra-mahomoni kumachitika m'mawa. Ma mahomoni amenewa amathandizira kupanga shuga m'magazi, omwe amalowa m'magazi. Munthu akakhala wathanzi, poyankha hyperglycemia, kapamba amapanga insulin yowonjezera ndipo kuchuluka kwa shuga m'magazi kumayamba kukhala kwabwinobwino. Mu matenda a shuga, kutengera mtundu ndi nthawi ya matendawa, glycemia sichitha pazifukwa ziwiri:

Zikondwererozi sizingatheke kuphatikiza kuchuluka kwa insulini kuti muthane ndi hyperglycemia.
Kulowetsedwa kwa shuga ndimagazi ndimaselo kumadalira insulin. Momwemonso, "amatsegula chitseko" cha cell "kulowa" glucose mkati mwake. Mtundu wachiwiri wa matenda ashuga, maselo akulephera kuyamwa insulin ndipo shuga ya magazi imakhalabe yokwera.

Kuti mumvetsetse chifukwa cha kuchuluka kwa shuga m'magazi, ndikulimbikitsidwa kuwunika shuga wamagazi ndi glucometer kwa usiku wa 2-3 (sikuti motsatira). Miyezo imayenera kuchitika 10 koloko madzulo, pakati pausiku, komanso kuyambira 3 koloko mpaka 7 koloko ola lililonse. Ngati glycemia ikukula pang'onopang'ono kuyambira mamawa 4 koloko m'mawa, ndiye kuti zodabwitsa za "m'mawa" ndizotheka kwambiri.

Zodabwitsa za "m'bandakucha" ziyenera kusiyanitsidwa ndi chodabwitsa cha Somoji, momwe shuga yamwazi imadzuka mwanjira pambuyo pa hypoglycemia (kuchepa kwa shuga m'magazi). Izi zimachitika chifukwa cha kuchuluka kwa insulin komanso mankhwala ena ambiri ochepetsa shuga. Ndi kuwunikira komwe tafotokozazi, choyamba kuchepa kwa shuga m'magazi kumajambulidwa ku hypoglycemia, ndipo pambuyo pake - kuchuluka kwa shuga kwa hyperglycemia. Ngati chochitika cha Somoji chapezeka, kukonza chithandizo cha hypoglycemic ndikofunikira, komwe kumachepetsa Mlingo wa mankhwala omwe amakhudza shuga m'magazi ndi usiku. Kuwongolera kumachitika ndi katswiri wopezekapo.

Ngati shuga amadzuka bwino kuyambira madzulo mpaka m'mawa, choyambitsa chachikulu sichikhala chochepa kwambiri pakuchepetsa masana masana, zomwe zimafunikira kukonzedwa ndi adokotala.

Ngati wodwala yemwe ali ndi matenda a shuga a 2 alandila chithandizo chamankhwala ali ndi vuto la "m'mawa", zotsatirazi zikulimbikitsidwa:

Kukana chakudya cham'mawa, zokhwasula-khwasula usiku. Chakudya chotsiriza (kumaliza chakudya chamadzulo) mpaka 19.00. Ngati mukufuna kudya posachedwa musanagone, zakudya zokhazokha ziyenera kukhala mapuloteni (nsomba zonenepa kwambiri, tchizi, tchizi cha kanyumba, dzira limaloledwa), kapena azikhala masamba obiriwira (kupatula beets, chimanga, mbatata, kaloti, turnips, maungu) gawo laling'ono! Pambuyo pa 1900, muyenera kusiyiratu kugwiritsa ntchito zakudya zamafuta zilizonse, kuphatikiza monga chimanga, zinthu zophika buledi, pasitala, mbatata, zipatso, zipatso, zouma, mkaka ndi zinthu zamkaka zamadzimadzi, zakumwa zokhala ndi chakudya, nyemba, mtedza ndi ndiwo zamasamba zomwe tazitchulazi.
Ngati zodabwitsa za "m'mawa kutacha" zikupitilira kutsatira kwathunthu zakudya zomwe tazipeza (tikuyerekeza mkati mwa sabata limodzi kapena ziwiri), kambiranani ndi dokotala wanu kuti muthe kutenga piritsi ndi mankhwala a metformin a nthawi yayitali asanagone. Mlingo wa mankhwalawa amasankhidwa ndi adokotala.
Ngati mankhwala omwe ali pamwambawa alibe kufunika kwake, kuwonjezera pa mankhwala omwe adalipo piritsi, jekeseni wa insulin wa nthawi yayitali usiku amatha kuyikidwa. Mlingo wa insulin umasankhidwa ndi adokotala.

Pankhani ya mtundu 1 wa matenda a shuga ndi mtundu 2 wa matenda a shuga ku insulin, tikulimbikitsidwa kusinthira jakisoni wamadzulo wa insulin ya nthawi yayitali yochita / nthawi yayitali nthawi ina pambuyo pake (22,00). Ngati "mbandakucha" chodabwitsacho chikupitirirabe, jakisoni wowonjezera wa insulin yofupikitsa / yochepa ikhoza kuchitika 4 koloko m'mawa. Komabe, njirayi ndi yovuta kwambiri - muyenera kuwerengera molondola mlingo wa insulin yoyeserera ndikuyang'anira shuga wamagazi kuti mupewe hypoglycemia. Chifukwa chake, njirayi iyenera kuvomerezedwa ndikukukambirana mwatsatanetsatane ndi adokotala.

Zomwe zimayambitsa hyperglycemia m'mawa, siziyenera kunyalanyazidwa. Ngakhale shuga m'magazi akadali pakati pa masana, kuwonjezeka kwa glycemia m'mawa pang'onopang'ono koma kumathandizira pakubwera kwa zovuta zamtsogolo m'tsogolo. Mavuto awa - matenda ashuga retinopathy (kuwonongeka kwa ziwonetsero za maso), nephropathy (kuwonongeka kwa ziwongo za impso), polyneuropathy, microangiopathy (matenda a mtima, kuchepa kwa mtima, kugunda kwa mtima, matenda a sitiroko zaka zambiri.

Okondedwa owerenga! Mutha kunena mawu othokoza kwa dotolo mu ndemanga, komanso mu gawo la zopereka.

Chidwi: Yankho la dotolo uyu ndi chidziwitso chakupeza zoona. Osati cholowa mmalo mwakakumana ndi dotolo. Kudzipatsa nokha sikuloledwa.

Miyezo yokhazikitsidwa

Mankhwala, shuga wamagazi amawerengedwa ngati njira yofunika yodziwira matenda. Muyenera kudziwa za zizindikiro zake pazaka zilizonse. Shuga akamalowa m'thupi la munthu, amasinthidwa kukhala shuga. Kugwiritsa ntchito shuga, mphamvu imakhala ndi maselo aubongo ndi machitidwe ena.

Shuga wabwinobwino mwa munthu wathanzi pamimba yopanda kanthu ali mumtunda wa 3.2 - 5.5 mmol / L. Pambuyo pa nkhomaliro, ndi chakudya chokhazikika, glucose amatha kusintha ndikufika pa 7.8 mmol / h, izi zimadziwikanso ngati chizolowezi. Miyezi imeneyi amawerengedwa kuti ayesere magazi kuchokera chala.

Ngati kuyesedwa kwa magazi pamimba yopanda kanthu kumachitika ndi mpanda kuchokera kumitsempha, ndiye kuti chiwonetserocho chidzakhala chokwera pang'ono. Mwanjira iyi, shuga yamagazi ambiri amawerengedwa kuti amachokera ku 6.1 mmol / L.

Zotsatira zikaoneka kuti sizingakhale zodalirika, muyenera kusamalira njira zina zowunika. Kuti muchite izi, muyenera kufunsa dokotala kuti mupeze mayendedwe opangira ma laboratory kuchokera chala komanso kuchokera mu mtsempha.

Nthawi zambiri amayesa glycosylated hemoglobin. Kafukufukuyu amakupatsani mwayi kuti muwonetsetse zazikuluzikulu zokhudzana ndi kuchuluka kwa shuga, kuphatikiza chifukwa chake ndizokwera nthawi zina.

Mtundu woyamba wa shuga, kuchuluka kwa glucose musanadye ayenera kukhala 4-7 mmol / L, ndipo maola 2 mutatha kudya - oposa 8.5 mmol / L. Mtundu 2 wa shuga, glucose asanadye nthawi zambiri amakhala 4-7 mmol / L, ndipo atatha kudya amapezeka 9mmol / L. Ngati shuga ndi 10 mmol / l kapena kuposerapo, izi zikuwonetsa kuchuluka kwa matendawa.

Ngati chizindikirocho chili pamwamba pa 7 mmol / l, titha kulankhula za mtundu wa shuga 2 womwe ulipo.

Kuopsa kochepetsa shuga

Nthawi zambiri shuga wamagazi amatsika. Izi ndizofunikira kuwonetsedwa kwa vuto m'thupi monga mulingo wambiri wa glucose.

Ndikofunikira kudziwa zomwe zimayambitsa mavutowa. Zizindikiro zimawoneka ngati shuga mutatha kudya ndi 5 mmol / L kapena kutsikira.

Pamaso pa matenda a shuga, shuga osakwanira amawopseza ndi zotsatira zoyipa. Zizindikiro za matenda awa:

njala yosalekeza
kutopa kochepera ndi kutopa,
thukuta kwambiri
kuchuluka kwa mtima
kulira kwamilomo kosalekeza.

Ngati shuga amadzuka m'mawa ndikuchepa m'mawa, ndipo zotere zimachitika pafupipafupi, ndiye chifukwa chake, zochitika zamunthu muubongo zitha kusokonezeka.

Kuchokera pakusowa kwa shuga mthupi, kuthekera kwa ntchito yofananira ya ubongo kumatayika, ndipo munthu sangathe kuyanjana mokwanira ndi dziko lakunja. Ngati shuga ndi 5 mmol / L kapena kutsika, ndiye kuti thupi la munthu silingabwezeretse mkhalidwe wake. Miyeziyo ikachepetsedwa kwambiri, minyewa imatha kuchitika, ndipo nthawi zina zotsatira zake zimakhala zoopsa.

Chifukwa chiyani shuga imakwera

Glucose samachulukirachulukira chifukwa cha matenda ashuga kapena matenda ena akuluakulu. Ngati tizingolankhula pazifukwa zazikulu zomwe shuga ikukulira, ziyenera kutchulidwa kuti izi zimachitika ndi anthu athanzi kwathunthu. Kuchulukitsa shuga m'mawa kulembedwa chifukwa cha kusintha kwina kwa thupi.

Nthawi zina pamakhala zochitika zina pamene kutsika kapena kuchuluka kwa glucose m'magazi ndikofunikira. Izi zimakhala zabwinobwino patsiku linalake ngati pali zovuta zina. Kutulutsa ndi kwakanthawi ndipo sikumabweretsa zotsatirapo zoyipa.

Mwazi wamagazi umakwera ngati pali zosintha izi:

kulimbitsa thupi kwambiri, kuphunzitsa kapena kuyesayesa mwamphamvu pantchito
ntchito yayitali
zochitika zowopsa
mantha akulu ndi mantha,
kupsinjika kwakukulu.

Zifukwa zonsezi ndi zosakhalitsa, shuga m'magazi amadzazindikira msanga atathetsa izi. Ngati zoterezi zimatuluka kapena kugwa, izi sizitanthauza kukhalapo kwa zovuta zazikulu. Uku ndi kuteteza kachitidwe ka thupi, komwe kumathandiza kuthana ndi zovuta ndikuwongolera ziwalo ndi machitidwe.

Pali zifukwa zazikulu kwambiri pamene mulingo wa shuga umasintha chifukwa cha kayendedwe ka zinthu m'thupi. Ngati shuga pakuwunika pamimba yopanda chopanda ndiyambiri, iyenera kuchepetsedwa moyang'aniridwa ndi dokotala.

Pali mitundu ina ya matenda omwe amakhudza shuga ambiri m'mawa komanso nthawi zina masana:

khunyu
sitiroko
ubongo ukuvulala
amayaka
kupweteketsa mtima
myocardial infaration
machitidwe
zophulika
matenda a chiwindi.

Shuga wa Magazi Aanthu: Tebulo la Zaka

Kusanthula kwa shuga ndi njira yofunikira kwa anthu omwe ali ndi matenda ashuga, komanso kwa iwo omwe ali ndi chiyembekezo.

Kwa gulu lachiwiri, ndikofunikanso kuyeserera magazi pafupipafupi mwa akulu ndi ana pofuna kupewa kuteteza matendawa.

Ngati magazi a glucose achuluka, muyenera kufunsa dokotala nthawi yomweyo. Koma kuti muchite izi, muyenera kudziwa zomwe munthu ayenera kukhala ndi shuga.

Chodabwitsa cha mbandakucha

Syndrome kapena chodabwitsa chakumayambiriro kwa m'mawa mwa odwala matenda ashuga nthawi zambiri amawonedwa nthawi ya kutha, pamene kusintha kwa mahomoni kumachitika. Nthawi zina, matendawa amakula, motero ndikofunikira kudziwa zoyenera kuchita.

Thupi laumunthu limapangidwa kuti m'mawa mahomoni ena amapangidwa mwachangu. Kukula kwakakulanso kumakulanso, nsonga zake zapamwamba zimawonedwa m'mawa kwambiri. Chifukwa chake, musanagone, insulini yoyendetsedwa imawonongeka usiku.

Morning Dawn Syndrome ndiye yankho la funso la anthu ambiri odwala matenda ashuga kuti bwanji shuga amapezeka kwambiri m'mawa kuposa madzulo kapena masanawa.

Kuti mudziwe matenda a m'mawa, muyenera kuyeza kuchuluka kwa shuga pakati pa 3 ndi 5 m'mawa. Munthawi imeneyi, dongosolo la endocrine limagwira ntchito mokangalika, chifukwa chake msinkhu wa shuga ndiwambiri kuposa masiku onse, makamaka mwa anthu omwe ali ndi matenda a shuga 1.

Mwachilengedwe, shuga wamagazi pamimba yopanda kanthu ali pakati pa 7.8 ndi 8 mmol / L. Ichi ndi chizindikiridwe chovomerezeka chomwe sichimabweretsa nkhawa. Mutha kuchepetsa kuuma kwa vuto la mbandakucha ngati mutasintha dongosolo lonse la jakisoni. Kuti mupewe zinthu ngati shuga m'mawa ali kwambiri, mutha kupaka jakisoni wa insulin yokwanira pakati pa maola 22:30 ndi 23:00.

Pofuna kuthana ndi zovuta zam'mawa zam'mawa, mankhwala ogwiritsanso ntchito mwachidule amagwiritsidwanso ntchito, omwe amaperekedwa pafupifupi 4 m'mawa. Kusintha kwa regimen ya mankhwala a insulin kuyenera kuchitika pokhapokha mukaonana ndi dokotala.

Izi zimatha kuonedwa mwa anthu azaka zapakati. Potere, shuga amawonjezeranso masana.

Somoji syndrome ndi chithandizo chake

Somoji syndrome imalongosola chifukwa chake shuga m'magazi amadzuka m'mawa. Vutoli limapangidwa ngati yankho la shuga lotsika lomwe limachitika usiku. Thupi limadziyimira palokha shuga m'magazi, zomwe zimapangitsa kuti shuga a m'mawa awonjezeke.

Somoji syndrome imachitika chifukwa cha mankhwala osokoneza bongo ambiri a insulin. Nthawi zambiri izi zimachitika munthu akavulaza zinthu zambiri usiku popanda kubwezera zokwanira ndi chakudya.

Mankhwala akakhala ndi kuchuluka kwa insulin, kuyambika kwa hypoglycemia kumakhala kofanana. Thupi limafotokoza izi ngati zowopsa pamoyo.

Kuchuluka kwa insulin mthupi ndi hypoglycemia kumapangitsa kuti pakhale mahomoni olimbana ndi mahomoni omwe amayambitsa kuchuluka kwa hyperglycemia. Chifukwa chake, thupi limathetsa vuto la shuga m'magazi ndikuwonetsa kuyankha kwa insulin yambiri.

Kuti mupeze matenda a Somoji, muyenera kuyeza kuchuluka kwa glucose pa 2-3 am. Potengera chisonyezo chotsika panthawiyi komanso chisonyezo chachikulu m'mawa - titha kulankhula za zotsatira za Somoji. Ndi mulingo wabwinobwino wama glucose kapenanso apamwamba kuposa masiku abwinobwino usiku, shuga wambiri m'mawa amawonetsa chodabwitsa cha m'mawa.

Muzochitika izi, ndikofunikira kusintha kuchuluka kwa insulin, nthawi zambiri adokotala amachepetsa ndi 15%.

Ndizovuta kwambiri kulimbana ndi matenda a Somoji, popeza kutsitsa mlingo wa insulin sikungathandize msanga matenda ashuga.

Zovuta zotheka

Ngati mafuta ndi chakudya chamafuta zimadyedwa pamiyeso yambiri ya nkhomaliro ndi chakudya chamadzulo, ndiye kuti m'mawa shuga adzachulukitsidwa. Kusintha zakudya zanu kumatha kuchepetsa shuga m'mawa, komanso kupewa kusintha kudya kwanu kwa insulin komanso mankhwala ena ochepetsa shuga.

Anthu omwe amadwala matenda a shuga omwe amadalira insulin amatha kukhala ndi shuga wokwanira atabayidwa molakwika. Ndikofunikira kutsatira malamulo okhazikitsidwa, mwachitsanzo, kuyika jakisoni wa insulin yayitali pabowo kapena ntchafu. Jekeseni wa mankhwala oterewa m'mimba amachititsa kutsika kwa mankhwalawa, ndikuthandizira.

Ndikofunikanso kusinthasintha gawo la jakisoni. Chifukwa chake, zisindikizo zolimba zomwe zimalepheretsa mahomoni kuti azilowetsedwa nthawi zonse azitha kupewedwa. Popereka insulin, ndikofunikira kupukuta khungu.

Miyezi yambiri ya shuga kwambiri pamakhala matenda amtundu woyamba wa shuga. Pankhaniyi, mantha amkati amatha kukhudzidwa. Izi zikuwonetsedwa ndi zizindikiritso zingapo:

kukomoka
kuchepa kwakumanzere,
zovuta zamanjenje.

Pofuna kupewa mapangidwe a shuga kapena kuti musayendetsedwe ndi shuga, muyenera kutsatira zakudya zamankhwala, kupewa kupsinjika kwamakhalidwe ndikutsata moyo wokangalika.

Ngati munthu watsimikizira mtundu woyamba wa shuga, amawonetsedwa ndi insulin yakunja. Zochizira mtundu wachiwiri wa matenda oopsa, muyenera kugwiritsa ntchito mankhwala omwe amathandizira kupanga insulin.

Zotsatira zakuchedwa za shuga m'magazi ndi:

kutsika kwamawonedwe owoneka,
kusanja m'mlengalenga,
kukulira ndende.

Ndikofunikira mwachangu kukweza shuga ngati vutoli litatenga nthawi yayitali. Izi zimabweretsa kuwonongeka kwa ubongo kosasinthika.

Zowonjezera

Nthawi zambiri mumayenera kudzipatula nokha, makamaka usiku. Kuti miyezo ikhale yowonekera momwe mungathere, muyenera kusunga zolemba kuti mulembe ziwonetsero zonse za shuga, mndandanda watsiku ndi tsiku ndi kuchuluka kwa mankhwala omwe mumamwa.

Chifukwa chake, kuchuluka kwa shuga kumayang'aniridwa nthawi iliyonse, ndipo ndizotheka kuzindikira kuyendetsa bwino kwa mankhwala.

Kuti muchepetse shuga kukula, muyenera kumayang'aniridwa ndi dokotala. Kufunsana pafupipafupi kudzakuthandizani kukonza zosowa zamankhwala ndikuchenjeza motsutsana ndi zovuta zoopsa.

Wodwala angagulitsenso mpope wa insulipod wa insulin, womwe umathandizira kusintha kwamankhwala komanso kutsata.

Zomwe zimayambitsa hyperglycemia zafotokozedwa mu kanema munkhaniyi.

Chodabwitsa cha "mbandakucha" mwa odwala matenda ashuga

Kuti muyambitse tsiku lanu, thupi lanu limalandira "kuitana" kuti mudzuke ku mahomoni a thupi lanu. Izi kukula kwa mahomoni kumalepheretsa insulin ntchito, chifukwa chake kuchuluka kwa shuga m'magazi kumatuluka 4 mpaka 8 m'mawa. Kuphatikiza apo, shuga wowonjezera amamasulidwa ku chiwindi kuti athandize thupi lanu kudzuka.

Ngati kuchuluka kwa shuga m'magazi anu kuli kokulirapo, kambiranani ndi operekera chithandizo chaumoyo. Mungafunike kusintha inshuwaransi yanu yamankhwala kapena kumwa mankhwala omwe amachepetsa kutulutsa shuga m'chiwindi.

Mutha kusinthanso zakudya zanu pochepetsa zakudya zamagulu azakudya nthawi yamadzulo.

Njira inanso yothanirana ndi matenda a "m'mawa kutacha" ndikumadzuka koloko m'mawa ndikupereka gawo lina la insulini yochepa kuti muchepetse kuchuluka kwa shuga m'mawa. Nkhaniyi amakambirana bwino ndi dokotala, chifukwa ngati mlingo wa insulin kapena mapiritsi ochepetsa shuga sawerengedwa molondola, hypoglycemia ikhoza kupezeka.

Somoji syndrome (posthypoglycemic hyperglycemia)

Amatchedwa dokotala yemwe amafotokoza, zotsatira za Somoji zimadziwikanso kuti "rebound hyperglycemia." Matendawa amapezeka pamene, poyankha shuga wochepa wam'magazi (hypoglycemia) omwe amapezeka pakati pausiku, thupi lanu limatulutsa shuga m'magazi omwewo, zomwe zimapangitsa kuti shuga awonjezeke.

Somoji syndrome imachitika chifukwa cha mankhwala osokoneza bongo ambiri a insulin, mwachitsanzo, ngati mungayike kwambiri madzulo, osalipira chakudya chokwanira. Ma pathogenesis a zotsatira za Somoji ndiophweka:

Mankhwala akuluakulu akayamba kulowa mu cell, hypoglycemia imachitika.
Thupi limatanthauzira kuti hypoglycemia ngati mkhalidwe wowopsa pamoyo wawo.
Insulin yowonjezera m'thupi ndi chifukwa cha hypoglycemia imapangitsa thupi kutulutsa mahomoni olimbana ndi mahomoni, omwe amachititsa kuchuluka kwa shuga m'magazi (ricochet hyperglycemia). Chifukwa chake thupi lanu limatha kulimbana ndi shuga wochepa wokha, ndikuwonetsa kuteteza insulin yambiri m'magazi.

Kuti mupeze matenda a Somoji, muyenera kuyeza shuga m'magazi 2 koloko m'mawa. Ngati shuga anali otsika panthawiyi, ndipo m'mawa kuwonjezeka kwake kunazindikiridwa, ndiye izi zomwe zotsatira za Somoji. Ngati shuga wa magazi ndi wabwinobwino kapena waposachedwa pakati pausiku, shuga ambiri m'mawa ndi omwe amachitika chifukwa cha "m'mawa kutacha".

Chithandizo cha Somoji Syndrome

Choyamba, ndikofunikira kusintha mlingo wa insulin, nthawi zambiri imachepetsedwa ndi 10-20% moyang'aniridwa ndi dokotala. Somoji syndrome ndi yovuta kwambiri kuchiritsa kuposa kuipeza, chifukwa Pochita, kuchepetsa kuchuluka kwa insulin sikuti kumabweretsa chiwongola dzanja. Mankhwala othandizira nthawi zambiri amakhala ofunika - komanso kuchepa kwa mankhwala a insulin, zakudya zimasintha ndikulimbitsa thupi. Njira yokwanira imeneyi imakuthandizani kuti muthane bwino ndi matenda a insulin.

Kafukufuku

Ndi zaka, mphamvu ya insulin zolandila imachepa. Chifukwa chake, anthu atakwanitsa zaka 34 - 35 ayenera kuyang'anira kusinthasintha kwa shuga tsiku lililonse, kapena osachepera kamodzi.

Zomwezi zimagwiranso ntchito kwa ana omwe ali ndi chiyembekezo chokhala ndi matenda ashuga 1 (pakapita nthawi, mwana amatha "kupitiratu", koma popanda kuwongoletsa glucose wamagazi kuchokera chala, kupewa, kumatha kudwala).

Oyimira gulu lino amafunikanso kuchita chimodzi mwamasana (makamaka pamimba yopanda kanthu).

Yatsani chipangizocho,
Pogwiritsa ntchito singano, yomwe tsopano ali nayo pafupi, bowani khungu pachala,
Ikani zitsanzo pachiwonetsero,
Ikani chingwe choyesera mu chipangizocho ndikudikirira kuti zotsatira ziziwonekera.

Manambala omwe amawoneka ndi kuchuluka kwa shuga m'magazi. Kuwongolera mwa njirayi ndikofunika kwambiri komanso kokwanira kuti musaphonye zomwe zikuchitika pakamachitika kuwerenga kwa glucose, komanso momwe magazi a munthu wathanzi amatha kupitirira.

Anthu omwe ali pachiwopsezo chokhala ndi matenda ashuga amayenera kuyesedwa pafupipafupi ndi shuga. Ndikofunikira kudziwa kuchuluka kwa shuga kwa munthu wathanzi komanso zomwe zimawonetsa shuga komanso momwe zimakhalira.

Momwe kuchuluka kwa shuga kumatsimikizidwira

Kuchuluka kwa shuga m'magazi am'madzi amatsimikizika m'magawo a "mamililitale pa lita imodzi." Mitundu ya shuga mwa anthu opanda ma pathologies ndi odwala matenda ashuga adapezeka mkatikati mwa zaka zapitazi pamaziko a kusanthula kwa zikwizikwi za amuna ndi akazi.

Kuti mupewe kutsata miyezo ya shuga wamagazi, mitundu itatu yoyeserera imachitika:

kusala kudya kwam'mawa,
Phunziro lidachitika maola angapo mutatha kudya,
kudziwa kuchuluka kwa hemoglobin wa glycated

Kumbukirani: chikhalidwe chovomerezeka cha shuga m'magazi ndi mtengo umodzi womwe sukutengera jenda komanso zaka za wodwalayo.

Makhalidwe Abwino

Kudya kumakhudza kuchuluka kwa glucose. Mukatha kudya zakudya zamafuta ambiri, kuchuluka kwa shuga kumawonjezeka muzochitika zonse (osati odwala matenda ashuga) - ichi ndi chizolowezi chomwe sichimafunikira kulowererapo.

Kwa munthu wathanzi, kuwonjezereka kwazowonetsera sizowopsa chifukwa cha chiwopsezo cha maselo kulowetsa insulin - mahomoni ake omwe "amachotsa" shuga wambiri.

Mu matenda a shuga, kuchuluka kwambiri kwa glucose kuli ndi mavuto ambiri, mpaka kukomoka kwa matenda ashuga, ngati gawo lovuta lingakhale kwa nthawi yayitali.

Chizindikiro chomwe chikuperekedwa pansipa chikufotokozedwa ngati chizolowezi cha shuga wamagazi komanso malangizo amodzi kwa amayi ndi abambo:

musanadye kadzutsa - mkati mwa mamililita 5.15-6.9 mu lita, komanso kwa odwala omwe alibe matenda - 3.89-4.89,
Maola ochepa mutatha kudya pang'onopang'ono kapena kudya kwathunthu - shuga poyesa magazi kwa anthu odwala matenda ashuga sichapamwamba kuposa 9.5-10.5 mmol / l, kwa ena onse - osapitirira 5.65.

Ngati, pakalibe mwayi wokhala ndi matenda ashuga pambuyo pa chakudya chamafuta kwambiri, shuga amawonetsa mtengo wa pafupifupi 5.9 mmol / L mukamayesa chala, onaninso menyu. Chizindikirochi chimakwera mpaka mamililoni 7 pa lita imodzi mukatha kudya chokhala ndi shuga komanso chakudya chambiri.

Kukula kwa shuga m'magazi oyeserera masana mwa munthu wathanzi popanda pathologies a kapamba, mosasamala kanthu za jenda ndi zaka, amasungidwa muyezo wa 4.15-5.35 ndi chakudya chamagulu.

Ngati, ndi chakudya cholondola komanso moyo wathanzi, kuchuluka kwa shuga kumapitilira shuga wovomerezeka pakuyesa magazi mwa munthu wathanzi, onetsetsani kuti mukuonana ndi dokotala pazamankhwala.

Kodi kuwunika?

Zizindikiro za shuga mwa amayi, abambo ndi ana omwe amapezeka m'madzi am'magazi amasintha tsiku lonse. Izi zimachitika onse odwala athanzi komanso odwala matenda ashuga.

Kusala shuga lamwazi: pezani chilichonse chomwe mukufuna.

Werengani kuti mudziwe momwe zimakhalira, momwe mungayang'anire kuchokera mu chala komanso kuchokera m'mitsempha, ndipo koposa zonse - momwe mungachepetse chizindikirochi mothandizidwa ndi zakudya zabwino, kumwa mapiritsi ndi jakisoni wa insulin.

Mvetsetsani zomwe zili zodabwitsa m'mawa zam'mawa, chifukwa chake zimadzutsa shuga m'mimba yopanda kanthu m'mimba yopanda kanthu masana ndi madzulo.

Kusala shuga m'magazi m'mawa: Nkhani yatsatanetsatane

Momwe mungayesere kuyesa kwa shuga?

Mwachidziwikire, simungadye chilichonse chamadzulo. Koma nthawi yomweyo, kuchepa thupi kwa thupi sikuyenera kuloledwa. Imwani madzi ndi tiyi wazitsamba. Yesetsani kupewa kupsinjika kwakuthupi ndi kwam'mawa tsiku loti litayesedwe.

Osamamwa mowa wambiri. Ngati pali matenda omveka bwino kapena obwera m'thupi, kuchuluka kwa glucose m'magazi kumachulukanso. Yesani kuganizira izi.

Ngati simunayesedwe zotsatira zoyeserera, lingalirani ngati muli ndi mano owonongeka, matenda a impso, matenda amkodzo, kapena chimfine.

Kodi kusala kudya magazi ndi chiyani?

Yankho lenileni la funsoli linaperekedwa munkhani yoti: "shuga wamagazi".

Zimawonetsa zomwe amayi ndi abambo akuluakulu, ana amisinkhu yosiyanasiyana, amayi oyembekezera.

Mvetsetsani momwe kusala kudya kwa glucose kumasiyana ndi anthu athanzi komanso anthu omwe ali ndi matenda ashuga. Zambiri zimawonetsedwa mwanjira ya matebulo osavuta ndi owoneka.

Kodi kusala shuga kumasiyana bwanji ndi chakudya musanadye chakudya cham'mawa?

Sizosiyana ngati mumadya kadzutsa nthawi yomweyo, mukadzuka m'mawa. Anthu odwala matenda ashuga omwe samadya madzulo pambuyo pa maola 18-19, nthawi zambiri amayesa kudya chakudya cham'mawa mwachangu. Chifukwa amadzuka amapumula bwino komanso amakhala ndi chidwi chofuna kudya.

Ngati mwadya mochedwa, ndiye m'mawa simudzafuna chakudya cham'mawa kwambiri. Ndipo, nthawi yayikulu, chakudya chamadzulo chimapangitsa kuti mugone bwino.

Tiyerekeze kuti mphindi 30-60 kapena kuposerapo patadutsa chakudya cham'mawa.

Pankhaniyi, zotsatira za kuyesa shuga mukangodzuka komanso musanadye zidzakhala zosiyana.

Zotsatira zam'mawa zam'mawa (onani pansipa) zimayamba kugwira ntchito kuyambira 4-5 m'mawa. M'chigawo cha maola 7-9, pang'onopang'ono amayamba kufooka ndikusowa. Mu mphindi 30-60 iye akutha kufooka. Chifukwa cha izi, shuga m'magazi musanadye akhoza kutsika kuposa momwe mumatulira nthawi yomweyo.

Kodi ndichifukwa chiyani shuga amasala kudya kwambiri m'mawa kuposa masana ndi madzulo?

Izi zimatchedwa chodabwitsa cha m'bandakucha. Ikufotokozedwa mwatsatanetsatane pansipa. Shuga m'mawa wopanda kanthu amakhala okwera kuposa masana ndi madzulo, odwala matenda ashuga ambiri.

Ngati mungayang'anire izi kunyumba, simukuyenera kungosankha izi ngati lamulo. Zomwe zimayambitsa izi sizikudziwika kwenikweni, ndipo simuyenera kudandaula nazo.

Funso lofunika koposa: momwe mungapangire matenda a shuga m'mawa popanda kanthu. Werengani za izi pansipa.

Chifukwa chiyani shuga m'mawa amathamanga kwambiri, ndipo ndikatha kudya zimakhala zabwinobwino?

Zotsatira zam'mawa zam'mawa zimatha 8-9 a.m. Anthu ambiri odwala matenda ashuga savutika kusintha shuga pambuyo pakudya m'mawa kuposa chakudya chamasana komanso chakudya chamadzulo.

Chifukwa chake, pakudya m'mawa, kudya zakudya zamagulu ochulukitsa kuyenera kuchepetsedwa, ndipo mlingo wa insulin ungakulidwe. Mwa anthu ena, zodzuka zam'mawa zimachitika mosakhazikika ndipo zimasiya msanga.

Glucose, yemwe amalowa m'thupi lathu ndi chakudya ndi zakumwa, ndiye chinthu chofunikira kwambiri pakupatsa mphamvu maselo, koposa zonse, ubongo.